CARSON CITY, Nev. (AP) — Nevada health officials report at least 219 deaths statewide from the coronavirus outbreak, an increase of 13.

The updated count from the state Department of Health late Monday included deaths that occurred Monday and over the weekend, according to a state dashboard tracking the outbreak.

The department also reported at total of nearly 4,700 cases of COVID-19.

Most people with the virus experience symptoms such as fever and cough that clear up in two to three weeks. Older adults and people with existing health problems can face severe illness, including pneumonia, and death.

Nevada and Colorado on Monday joined a western regional pact to help fight the outbreak while moving closer to reopening businesses and modifying stay-at-home orders.

Nevada Gov. Steve Sisolak and Colorado Gov. Jared Polis said Monday the five-state Western States Pact has a shared vision that puts science ahead of politics.

Sisolak t said they intend to exchange critical information about how to mitigate the outbreak and reopen businesses “responsibly.”

Also Monday, Las Vegas returned to the wedding business nearly six weeks after the Marriage License Bureau was closed to limit the spread of COVID—-19.

In other developments:

— Roy Horn, one half of the longtime Las Vegas illusionist duo Siegfried & Roy, has tested positive for COVID-19, according to a spokesman. Dave Kirvin said in a statement that Horn is responding well to treatment and that Horn and business partner Siegfried Fischbacher “sent positive wishes to everyone impacted by the pandemic.” Horn was injured by a tiger during a live Siegfried & Roy performance at The Mirage hotel-casino in Las Vegas in 2003, leaving Horn partially paralyzed and ending the duo's successful show.

— The head of the state agency under a deluge of unemployment claims is resigning and will be replaced by Heather Korbulic, who has been overseeing the state's online health insurance exchange. Sisolak's office announced Korbulic's appointment Tuesday as interim director of the Nevada Department of Employment, Training and Rehabilitation, replacing Tiffany Tyler-Garner. Sisolak said in a statement that he wished Tyler-Garner well “as she pursues new opportunities." The Reno Gazette Journal reports Tyler-Garner resigned this week.