A 91-year-old man was confirmed as the first coronavirus death in East Texas, in Smith County, Wednesday by the Northeast Texas Public Health District.

He has been identified as Elwood McElveen, 91, of Hideaway Lake. Also, a mandatory shelter-at-home order will go into effect for Gregg County and the city of Longview at 11:59 p.m. Thursday. Three confirmed cases of COVID-19, known as the coronavirus, have been reported in Gregg County.

NET Health CEO George Roberts confirmed the death and updated the total of confirmed positive cases of COVID-19 in Smith County to 16, during a news conference at Tyler City Hall on Wednesday. That number was increased to 21 later in the evening.

More information has come to light regarding the coronavirus confirmation at Trane Technologies that led to a brief shutdown of the Tyler plant.

The employee is one of Rusk County cases, the newspaper has learned.

On Tuesday, Trane employees were notified of a worker at the Tyler factory who tested positive for COVID-19. Trane shut down the plant for a deep cleaning, before reopening Wednesday.

During a press conference at Tyler City Hall on Wednesday, public health officials said they were not notified by Trane that the company believed it may have employees infected with the virus.

According to a statement from Trane, the plant employs about 1,450 people. Trane said people working in close proximity to the employee were notified and have been under self-quarantine. The spokesperson did not specify how many individuals that was.

The Trane spokesperson said the business is largely categorized as “critical” by the U.S. Department of Homeland Security, as they provide heating, cooling and ventilation services for residential, commercial, medical and transportation.

On Wednesday night, the United States Postal Service said an employee at Tyler’s main post office has tested positive for the coronavirus. The statement said the postal service is in the process of reaching out to the local public health office and will follow the guidance they provide. They believe the risk is low for employees who work at the Tyler Main Post Office, but will keep employees apprised as new information and guidance becomes available.

The Postal Service said they cannot share the name of the employee who tested positive for COVID-19 or further specifics of their medical condition.

During the conference Tyler Mayor Martin Heines and Smith County Judge Nathaniel Moran strongly encouraged individuals to practice best habits. Heines requested citizens stay at home if they can.

“At this time, I am issuing a ‘stay-at-home’ request,” Heines said. “If you don’t have to leave your home, then don’t.”

Roberts said the man who died Tuesday night or early Wednesday morning is the first COVID-19 related death in the East Texas region. Roberts said he believes the death occurred while the man was in the hospital.

Roberts said 13 of the Smith County cases are in the city of Tyler, but he would not give further details on those in the smaller towns.

“I can tell you 13 of the cases are in the city of Tyler; however, I’m not going to go further than that because again in the smaller communities it’s easier to identify,” he said. “It’s my job to keep people’s privacy.”

Roberts speculated that the rise in cases could be attributed to traveling and Tyler being an urbanized area for East Texas.

“We’re kind of a major hub between Dallas and Shreveport. People travel. Our first three cases were travel related,” Roberts said. “Our area’s considered rural, but we’re really more of an urban center.”

Heines and Moran said officials are using contact tracing 24/7 to combat the spread of the virus.

When asked for more details on areas patients had been in or what cities in Smith County they resided in, Heines pushed back at the need to offer more specific details.

“We have contact tracing. We have professionals that are working all day, all night doing this contact tracing,” Heines said. “You don’t have to know the individual’s name. We have a responsibility in the community to stand up for one another and do what’s right.”

Beginning last week, Moran said he’s been holding telecommunication conferences with the mayors of the smaller cities and he’s in constant communication with them.

The Smith County Sheriff’s Office, Tyler Police Department and NET Health are jointly doing contact tracing immediately when there is information that can be acted on, Moran said.

“We’re doing the best we can. What we would go ask for is cooperation on the back side from anybody that has been tested to make sure that they give us full information once they’ve tested positive,” Moran said. “To let us trace down their steps as much as possible.”

Regarding retailers, Tyler City Manager Ed Broussard said the city is working to educate the store officials on social distancing and lessening the amount of people in a room.

Broussard said that for example Home Depot has made great efforts to ensure the safety of staff and shoppers. He said Home Depot could fit about 1,000 people, but at this time they’re only allowing 100 inside.

“That is a good example for our larger big box retailers on how to control that,” Broussard said.

He said the police department is visiting store managers to suggest how to have less people in the buildings.

“Our retailers are doing everything they can,” Broussard said. “If you don’t need to be there, don’t be there. Making sure we do our social distancing because if you’re not you will contract this disease and you will spread it to other people.”

This is an opportunity for retailers to help fix this problem before stricter orders could be needed, Broussard added.

City officials said workplaces are asked to implement social distancing measures that include distancing employees and patrons by six feet and allowing for telework when possible. They also noted that all businesses are required to follow recent executive orders issued by the governor, and local law enforcement has the ability to enforce those measures.

Those who experience fever, cough and shortness of breath should contact their medical provider or a local hospital before coming to a medical facility, Roberts said. Officials stressed the need to call ahead to ensure medical personnel have time to set up safe accommodations.

Public Health Lab of East Texas is operating seven days a week and is typically administering 50 tests per day. More testing is also being increasingly done in private labs, Roberts explained.

Around the country, Roberts said he’s hearing that the positive case numbers run from 5 to 10% out of total tested.

“Just because you think you need a test, doesn’t mean you necessarily get tested,” Roberts said. “First of all our provider needs to determine that. Once the provider does that, there is a step by step process that is outlined by the CDC and the State Department of Health Services. We must follow that process when dealing with the public health lab.”

Just in the last three weeks, the public health lab has been testing samples for COVID-19. Before that all the tests went directly to the CDC, he added.

Roberts also noted the importance of exercising social distancing as respiratory droplets can travel up to six feet.

“If you are sick right now, please, please stay at home. Do not get and potentially infect your peers in the community,” he said.

During the news conference, Heines implored community members stay in their homes and exercise social distancing as much as possible.

Heines asked the public to use great common sense and courtesy when going out into the public areas, such as parks and playgrounds.

Those receiving the COVID-19 test or people who believe they have the disease should stay at home and isolate, Heines said.