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Death toll from winter storm rises to 210 statewide; D-FW victims now at 35

20 people died in Dallas County, nine people died in Tarrant County, two people died in Collin County, two died in Ellis County and one person died in Kaufman County

DALLAS — Note: The video above is from February.

State officials added 59 people to the total number of deaths related to the winter storm in February, according to state data released Tuesday.

The fatality count now stands at 210 people across the state, in a fifth update of the death toll. 

The most deaths officially tallied have been in Harris County at 43, followed by Travis County at 28, then Dallas County at 20, according to data from the Texas Department of State Health Services.

Elsewhere in North Texas, nine people died in Tarrant County, two people died in Collin County, two died in Ellis County, one person died in Kaufman County and one person died in Parker County. 

This latest release did not include any information on Denton, Wise, Rockwall or many other counties in North Texas, indicating there were no recorded deaths there related to the storms.

During February's major winter storms, millions of Texans lost power for days and the state's energy grid came within minutes of total collapse. That led to other problems, like boil water notices and food scarcity at grocery stores.

RELATED: Report finds companies were paid to cut off power during February storm

Most of the deaths so far have been related to hypothermia, according to the Department of State Health Services. On March 15, the state's first preliminary data release said there had been 57 deaths related to the storm. The state then released an updated count on March 25, at 111 total victims. 

On April 6, the count stood at 125 people, then was updated to 151 on April 28.  

DSHS officials said in an email from the March 25 update that while most of the deaths are associated with hypothermia, there have also been multiple deaths caused by falls, fire, vehicle accidents, carbon monoxide poisoning, medical equipment failure, exacerbation of chronic illness or a lack of home oxygen.

The information is subject to change as more death records are reviewed and more information is gathered, DSHS officials said. The deaths occurred between Feb. 11 and March 5. 

On Feb. 11, at least six people were killed in a massive pileup crash that involved 133 vehicles, including several 18-wheelers, during icy conditions in an express lane on Interstate 35W in Fort Worth.

DSHS officials said there are three main ways their agency is notified of storm-related deaths:

  • Medical certifiers submit a DSHS form specifying that a particular death was related to a disaster
  • Medical certifiers flag a death record as disaster-related
  • Epidemiologists match public reports of disaster-related deaths to death records

Verified winter storm-related deaths by county of occurrence:

  • Aransas: 1
  • Armstrong: 1
  • Bandera: 1
  • Bexar: 14
  • Brazoria: 1
  • Brooks: 1
  • Burnet: 1
  • Cass: 1
  • Clay: 1
  • Coleman: 2
  • Collin: 2
  • Culberson: 4
  • Dallas: 20
  • Ector: 1
  • Ellis: 2
  • Fayette: 1
  • Fort Bend: 4
  • Freestone: 1
  • Frio: 1
  • Galveston: 10
  • Grayson: 1
  • Hale: 1
  • Harris: 43
  • Henderson: 3
  • Hill: 2
  • Hopkins: 1
  • Hunt: 1
  • Kaufman: 1
  • Kendall: 1
  • Kerr: 1
  • Jefferson: 1
  • Lamar: 1
  • Lavaca: 2
  • Lee: 1
  • Leon: 2
  • Limestone: 1
  • McLennan: 3
  • Milam: 1
  • Montgomery: 2
  • Nacogdoches: 4
  • Parker: 1
  • Pecos: 1
  • Rusk: 1
  • San Jacinto: 1
  • San Saba: 1
  • Schleicher: 1
  • Sutton: 1
  • Tarrant: 9
  • Taylor: 7
  • Travis: 28
  • Trinity: 1
  • Uvalde: 1
  • Val Verde: 1
  • Webb: 1
  • Wharton: 1
  • Wichita: 3
  • Williamson: 4

Total: 210