(AP) — Another child in Mississippi has died of complications related to the coronavirus, marking the fourth pediatric death since the start of the pandemic, health officials said Wednesday.

The Department of Health would not release more information, citing privacy laws.

Tate Reeves said Tuesday he does not plan to issue a mask mandate for schools, even as the coronavirus vaccination rate in Mississippi remains among the lowest in the nation.

Mississippi Department of Health officials said Wednesday that they will echo the CDC guidance and recommend that all teachers, students and visitors at schools wear a mask indoors, regardless of vaccination status.

Although coronavirus-related deaths among children are still in the minority, the loss is “acute,” Dobbs said.

Mississippi Department of Health Senior Deputy and Director of Health Protection Jim Craig said 28 hospitals in Mississippi have reached peak ICU capacity, compared to 13 last week.

Dobbs said individuals most at risk are those 65 and older and those with underlying health conditions.

A quarter of those over 65 in Mississippi are still unvaccinated, Dobbs said.

Around 80% of all COVID-19 deaths in Mississippi are among unvaccinated people.