Story updated Wednesday, Nov. 25 at 6:50 p.m. with new comments from county judges.
Texas health officials reported 14,648 new COVID-19 cases in Texas on Wednesday, which is a daily record-high. The previous record of 13,988 happened on Tuesday.
While Dallas, Tarrant, Collin and Denton counties are all dealing with a rise in cases, 13 outlying counties in North Texas set new record-highs for daily COVID-19 cases on Tuesday.
Cooke County reported 174 daily cases Tuesday, which is more than five times the previous record.
Kaufman County more than doubled its previous high with 381 new COVID-19 cases Tuesday while Ellis County added more than 500 daily cases for the first time.
Henderson County is a part of the state's Trauma Service Area Region G. As of Tuesday, this region has more than 15% of its patients hospitalized with COVID-19.
In September, Gov. Greg Abbott said a region that exceeds 15% of its hospital capacity for seven days in a row must reduce the occupancy of most businesses from 75% to 50% capacity.
"That started the clock, it's ticking," Henderson County Judge Wade McKinney said. "We're watching that very closely.
McKinney also said one of his county's smaller medical facilities recently opened up additional spacing for future COVID-19 patients.
"The medical community has taken those proactive measures so that they are ahead of it," McKinney said.
Palo Pinto County is in a more dangerous situation as the ICU space and COVID-19 space in the county hospital are both currently full.
Palo Pinto General Hospital CEO Ross Korkmas says his team is struggling to find places to transfer patients to hospitals in the metroplex area because of rising hospitalizations there as well.
"While we have COVID units, we are still having to deliver babies," Korkmas said. "We still have to take care of emergencies. We still have to take care of general medical patients. That's filling up all of our hospitals across North Texas."
Kaufman County Judge Hal Richards says his county's hospital isn't close to reaching its capacity. However, he also said because of his county's close proximity to the metroplex, it's an unreliable metric.
"If people are hospitalized, they end up going into Dallas County," Richards said. "We sort of lose them. We don't really know how many of the people in Dallas are our folks."
Erath County Judge Alfonso Campos says up until this summer, many people in his county didn't have many personal connections to the virus.
According to state COVID-19 data, Erath County didn't have more than 100 total cases until July 2. The county has had 81 new reported cases in the past two days.
"Before, we would ask each other, 'Hey, do you even know anybody who has it?'" Campos said. "No, nobody did. Now, as a small community, it's common to get into a conversation that a friend of ours has it and is struggling with it."
All of the COVID-19 data comes from the Texas Department of State Health Services.
Ellis County
Ellis County added a record-high 507 new COVID-19 cases on Tuesday, almost double the previous record of 280 that happened on Nov. 10.
The current 14-day average for COVID-19 cases is 79. This is also a county record.
Kaufman County
Kaufman County added a record-high 381 new COVID-19 cases on Tuesday, more than double the previous record of 160 that happened on Aug. 18.
The current 14-day average for COVID-19 cases is 58. This is also a county record.
Rockwall County
Rockwall County added a record-high 252 new COVID-19 cases on Tuesday, almost double the previous record of 136 that happened on Aug. 18.
The current 14-day average for COVID-19 cases is 41. This is also a county record.
Johnson County
Johnson County added a record-high 312 new COVID-19 cases on Tuesday, almost double the previous record of 184 that happened on July 8.
The current 14-day average for COVID-19 cases is 72. This is also a county record.
Hood County
Hood County added a record-high 81 new COVID-19 cases on Tuesday, almost double the previous record of 47 that happened on July 28.
The current 14-day average for COVID-19 cases is 19. This is also a county record.
Erath County
Erath County added a record-high 64 new COVID-19 cases on Tuesday, breaking the previous record of 46 that happened on Nov. 10.
The current 14-day average for COVID-19 cases is 10. The county's record is 13 and happened from July 18–31.
Palo Pinto County
Palo Pinto County added a record-high 50 new COVID-19 cases on Tuesday, breaking the previous record of 32 that happened on Aug. 11.
The current 14-day average for COVID-19 cases is 11. The county's record is 12 and happened from July 31 to Aug. 13.
Parker County
Parker County added a record-high 279 new COVID-19 cases on Tuesday, breaking the previous record of 185 that happened on Nov. 19.
The current 14-day average for COVID-19 cases is 68. This is also a county record.
Wise County
Wise County added a record-high 181 new COVID-19 cases on Tuesday, which is the first time the county has had more than 100 cases in a single day. The previous record of 98 happened on Nov. 10.
The current 14-day average for COVID-19 cases is 34. This is also a county record.
Grayson County
Grayson County added a record-high 208 new COVID-19 cases on Tuesday, breaking the previous record of 195 that happened on Nov. 11.
The current 14-day average for COVID-19 cases is 80. This is also a county record.
Cooke County
Cooke County added a record-high 174 new COVID-19 cases on Tuesday, more than five times the previous record of 34 that happened on Nov. 19.
The current 14-day average for COVID-19 cases is 20. This is also a county record and the first time the 14-day average has been double-digits.
Lamar County
Lamar County added a record-high 171 new COVID-19 cases on Tuesday, breaking the previous record of 117 that happened on Sept. 4.
The current 14-day average for COVID-19 cases is 28. The county's record is 30 and happened from Oct. 31– Nov. 13.
Comanche County
Comanche County added a record-high 49 new COVID-19 cases on Tuesday, more than double the previous record of 24 that happened on Sept. 18.
The current 14-day average for COVID-19 cases is just below 5 cases a day. The county's record was above 5 and happened from Sept. 10–23.