 The Ministry of Health, Wellness and Elderly Affairs received notification from the Caribbean Public Health Agency of nine new cases of the Delta variant. Chief Medical Officer Dr Sharon Belmar George has informed that all of the cases are nationals, the majority from castries and grossly. Five of them are female, four males and the ages range from 18 to 60 years. Based on contact tracing data, the majority of the cases that we are seeing right now are acquired from non-adherents to the recommended protocols. We note excessive social activity, especially on weekends, even during the curfew hours. The contact tracing team has informed of the positive cases providing false contact information with holding their place of employment and contacts. This prevents us from tracing and testing in a timely manner. The respiratory hospital also reports that many persons remain at home with respiratory signs and symptoms for extended periods and only access care at the critical stage which leads to poor outcomes. Dr Belmar George is advising the public to access care at the respiratory clinics or respiratory hospital if and while. Signs and symptoms of concern include shortness of breath, difficulty breathing, tightness or pain to the chest, feeling weak, pale or blue-colored skin, lips or nail beds. If you have chronic conditions, please get reviewed by a healthcare practitioner if you suspect that you may have COVID-19. The positive cases in home care are reminded that they are not to leave their place of isolation. They contact the home monitoring team or healthcare provider via telephone with any concerns that they may have. Family members and friends advise to deliver groceries and needs to those persons who are positive in a safe manner. By supporting each other, we'll get out of this. We continue to ask the public to work with us and exhibit responsible behavior to manage this fourth wave. Let us all take personal responsibility to keep ourselves and the family safe. From July 25, 2021 to September 26, 2021, there have been 5,703 cases at an average of 91 cases per day. During that period, 94 COVID-19 deaths were recorded with a case fatality rate of 1.6%. Females account for 53% of the deaths. The average age of the deaths is 66 years.