HUNTINGTON, W.Va. — Officials at a West Virginia health system have said the network is again banning visitors from its hospitals as community spread of the coronavirus increases in the region.

News outlets reported that Mountain Health Network announced Monday that most visitors will not be allowed in its medical centers, including at St. Mary’s in Huntington, one of the largest hospitals in the state.

Officials say essential caregivers will be allowed for patients in labor and delivery, in the pediatrics unit and in the neonatal units. A statement from the system also said patients nearing the end of their life also will be allowed limited visitors.

At urgent care centers and emergency rooms, only one patient will be allowed in an exam room, though a parent or guardian can accompany minors.

The policy was first enacted in March as the virus began to spread, but it was lifted in June with Mountain Health medical centers allowing restricted visitation.

As of Monday, at least 385 people had died from COVID-19 in West Virginia, with the state reporting more than 4,500 current active cases. State data said Cabell County, the site of several of Mountain Health hospitals, had among the highest total case counts with 1,020.