Health authorities have this evening reported that four more people with Covid-19 have died.

It brings the number of Covid-19 related deaths in Ireland to 1,806.

The Health Protection Surveillance Centre said it has also been notified of 442 new cases of Covid-19 (up to midnight last night).

Of these 170 cases are in Dublin, 47 are in Cork, 28 in Donegal, 23 in Meath, 21 in Galway, 20 in Monaghan, 14 in Clare, 12 in Roscommon, 11 in Laois, 11 in Longford, 10 in Cavan, 10 in Limerick, 10 in Tipperary, 9 in Kildare, 8 in Wicklow, 5 in Louth and 5 in Wexford with the remaining 28 cases in 9 counties.

More than two-thirds of the cases are in people aged under 45 years, 54% are confirmed to be associated with outbreaks or are close contacts of a confirmed case, and 69 cases have been identified as community transmission.

The HSE is working to identify any contacts the patients may have had to provide them with information and advice to prevent further spread.

The National Public Health Emergency Team met earlier today to review the epidemiological situation nationally.

They noted a further deterioration from last week. 

The 5 day average for cases is now 412 and 18 counties have an increased incidence rate when compared with last week. 

The reproduction number is estimated to be between 1.2 and 1.4, with the growth rate in cases between 4-5% per day. 

NPHET today noted a particular concern in relation to trends in indicators of disease severity. 

There are 119 people in hospital with 20 in critical care and there were 32 deaths in September.

In a statement, this evening NPHET said: "While there continues to be a number of counties with particularly high incidence, the NPHET’s main concern now is the overall national picture.

"Given the disease profile, NPHET today recommended that no more than 2 households should meet at any given time. People should only have a maximum of 6 visitors from 1 other household to their home. People can continue to meet socially in other settings, but only with people from one other household."

NPHET have further advised that Government extend the Level 2 measures currently in place for a further period of three weeks, with Donegal and Dublin remaining at Level 3. 

They said they will continue to monitor this situation very closely.