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Health officials in Alaska activated the state’s emergency crisis protocols on Saturday to allow 20 medical facilities to ration care if needed.

Alaska has reported the nation’s highest COVID-19 cases per 100,000 residents in recent days, pushing the health care system to a breaking point. Three hospitals already had emergency protocols for rationing care, including Providence Alaska Medical Center in Anchorage, which is the state’s largest hospital.

“Today’s action recognizes that Alaska has an interconnected and interdependent health care system, requiring the need for activation of the state’s decision-making framework,” the state health department wrote in a statement. Head over to WebMD to read the full story.