(St. Paul, MN)  —  In the latest update, the state Department of Health now says 153 COVID-19 cases have now been directly linked to the Minnesota State Fair.  Those numbers include four reported hospitalizations.  Health officials say the data, which jumped by more than half from last week’s report, is most likely underreported.  The fair recommended, but did not require, COVID-19 precautions like masks and proof of vaccination.