BOISE, Idaho (AP) — Idaho Gov. Brad Little has ordered a return to some restrictions to slow the spread of the coronavirus as health care systems across the state show early signs of buckling.

The Republican governor on Monday said indoor gatherings will be limited to 50 people or less as state officials continue reporting surging infections, with 650 more on Sunday for a total approaching 60,000 along with 573 deaths.

Little stopped short of ordering a statewide mask mandate. Idaho’s positivity test rate is fourth-worst in the nation.

St. Luke’s, with hospitals in southwestern and central Idaho, is reporting that 20% of hospitalized their patients are there because they have COVID-19.