As confirmed cases of COVID-19 grew again Sunday with 127 new patients in Washington state, Gov. Jay Inslee shut down restaurants, bars, entertainment, and recreational activities.

The proclamation comes after states and cities nationwide took similar action, including the shut down of Las Vegas casinos, and restaurants and bars in New York.

In Washington, restaurants will be allowed to provide take-out and delivery but no in-person dining. Grocery stores and pharmacies can operate as normal and other retail outlets will must limit the number of customers shopping at any given time.

”These are very difficult decisions but hours count here and very strong measures are necessary to slow the spread of the virus,” Inslee wrote in a statement.

Spokane restaurants and other businesses have been anticipating such measures for days. Some said it could end their establishments.

“This is devastating and we may not survive,” the Rock City Grill posted on its Facebook page.

At the Onion Restaurant, owners already had changed hours and began limiting seating capacity to comply with “social distancing” recommendations.

And last week restauranteur Adam Hegsted told The Spokesman-Review last week that his catering company, Le Catering, took a $50,000 hit in potential sales amid the coronavirus outbreak.

Hegsted also owns several restaurants under the Eat Food Group, such as The Wandering Table, Gilded Unicorn and Yards Bruncheon. He said his establishments experienced a 25% drop in business Thursday.

The Union gym in Spokane decided earlier Sunday to temporarily cancel its workout sessions for two weeks.

“We want to put the health of our athletes, team and overall community at the forefront,” the Union posted on its Facebook page.

The order also hit some of the state’s most venerable companies.

REI announced its stores would be closed until at least March 27.

Inslee said more details on regulations in King County, the center of the outbreak in Washington, are expected to come Monday morning.

Two new deaths were announced Sunday from an elderly care center in Kirkland that has been hit hard by the novel coronavirus.

Most of the new cases were reported Sunday by the state Department of Health as unassigned to a county. Spokane County’s total number of confirmed cases remained at three following Saturday’s announcement by health officials of its first positive test result, but officials also said unassigned cases could be linked to Spokane.

There are a total of 104 unassigned cases. There were 39 unassigned cases reported on Saturday.

King County reported 32 new cases Sunday.

The new cases bring the total confirmed cases in King County to 420 with 37 deaths. The statewide total grew Sunday from 642 to 769, according to the Washington Department of Health.

Those additional cases included 22 new confirmed cases in Snohomish County and 10 probable cases, three new cases in Pierce County, one new case in Whatcom County, and Lincoln County with its first case. Positive tests have been returned in 17 of Washington’s 39 counties, according to the Health Department.

A vast majority of the tests being administered to Washington state residents are coming back negative. According to the Health Department, 9,451 tests have returned negative in the state, compared to the 769 positive cases.

The Spokane Regional Health District expects to see more confirmed cases as testing becomes more widespread.

The Centers for Disease Control and Prevention tightened its guidelines Sunday to recommend that gatherings of more than 50 people be canceled for the next eight weeks. Those events include gatherings like weddings, birthday parties or funerals.

Five confirmed cases had been reported in Idaho as of Sunday evening. Nationwide, there are 3,499 confirmed cases of the virus, according to the Washington Post. Sixty-six people have died.