OMAHA, Neb. (AP) — The number of new virus cases and hospitalizations improved slightly in Nebraska again last week, but they remain at an elevated level that is straining the state’s hospitals.

The state reported 4,534 cases in the week that ended on Friday, according to data from the federal Centers for Disease Control and Prevention. The Omaha World-Herald reports that is down about 5% from the 4.775 cases Nebraska reported the week before. A month ago, the state was reporting roughly 5,300 cases per week in the first half of September.

The number of people hospitalized with the virus in the state averaged around 400 a day last week, which was down from 415 a day in the previous week. In its most-recent daily update, the state said 411 people were hospitalized statewide on Monday.

The positive trend also shows up in the seven day rolling average of daily new cases, which decreased from 853.71 new cases per day on Sept. 26 to 452.71 new cases per day on Sunday.