Louisiana will postpone its April 4 primary election for more than two months, officials announced Friday, becoming the first state in the nation to adjust its elections in response to the coronavirus outbreak.

The news comes as officials in the next four states scheduled to vote in the presidential primary — Ohio, Arizona, Florida and Illinois — have all indicated that they intend to hold their elections Tuesday as planned and have expressed confidence that ballots can be safely cast.

The decision by Louisiana comes as the viral outbreak has upended the presidential campaigns and people worry about gatherings and places where they might become infected.

“Today I have certified that a state of emergency exists and requested that the governor issue an executive order postponing the elections this spring,” Louisiana’s secretary of state, R. Kyle Ardoin, said at a news conference Friday afternoon. “I want to thank the governor and his staff for working with us in a bipartisan manner to accomplish this mission.”

Advisers to the Democratic presidential front-runner, Joe Biden, quickly put out a statement in response to the decision in Louisiana, pointing to Tuesday’s primaries and asking those who feel healthy to “please vote.” To those who are “members of an at-risk population, exhibiting symptoms, or have been exposed to a diagnosed case of COVID-19, we encourage them to explore absentee ballots and vote by mail options,” the Biden campaign said.

Sen. Ron Wyden, D-Ore., introduced a bill this week that would “require all states to offer an option for voters to mail in or drop-off a hand-marked, paper ballot” if more than a quarter of states declared a state of emergency because of the coronavirus.

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Elections officials in Ohio, Arizona, Florida and Illinois said they were taking extra precautions before voters head to the polls Tuesday. Each secretary of state has sent out regular updates, reiterating recommendations from federal officials about preventive measures to stop the spread of the virus and encouraging voting by mail or early voting.

In all four states, the counties run the elections, but state officials have been trying to emphasize the new basics of voting hygiene, like keeping hand sanitizer at polling locations and making sure local officials properly clean machines.

But at this point, none of the states are considering expanding polling hours or mail-in-ballot deadlines. Perhaps the most significant shift will be the relocation of polling stations away from areas where older people live, like assisted living facilities.

Here’s a look at what is happening in various states.

Ohio

Frank LaRose, the Ohio secretary of state, has directed all county election boards to relocate voting locations that are near places where a high concentration of older people live, and county officials have been working to find new polling sites.

On Wednesday, the county boards reported to the secretary of state’s office that they had identified 128 locations around the state that would need to be changed. In Hamilton County, home to Cincinnati, 26 polling locations have been moved.

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Ohio, which has declared a state of emergency in response to the coronavirus, has also expanded curbside drop-off of absentee ballots in response to the outbreak, to help keep those who are vulnerable away from crowds. As of Wednesday, the state had received roughly 336,000 absentee ballot requests compared with about 328,000 at the same point in 2016.

Another worry is the availability of poll workers, a volunteer group that skews older, and whose absence on Election Day could lead to longer lines and bigger crowds. In Ohio, the secretary of state’s office said it had been “proactively requesting additional recruitment from state and local government employees, outside organizations and even college students to step up and serve Ohio as poll workers.”

“In fact, as of early this afternoon, we’ve had 582 Ohioans sign up to be poll workers just since Tuesday,” said Jon Keeling, communications director for LaRose. “We’ve been thrilled with how many have stepped up.”

Illinois

Two of the largest voting jurisdictions in Illinois, Cook County and Chicago, obtained a court order Thursday that will allow the counties to issue vote-by-mail ballots to all nursing home residents in their jurisdictions. The order also removes the requirement to send election judges into nursing homes to conduct voting.

“Nursing homes around the state are withdrawing as polling places, so local election authorities are relocating polling places and sending out statutorily required notifications to affected voters,” said Matt Dietrich, a spokesman for the Illinois State Board of Elections. He said that included more than 100 locations in the Chicago area.

Florida

In Florida, which has also declared a state of emergency over the coronavirus, Gov. Ron DeSantis, a Republican, has urged county elections supervisors to move polling places out of assisted living facilities.

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“That’s problematic,” he told reporters Wednesday in Tallahassee, the state capital, adding that residents should still be able to vote there, but not the general public.

“I think there’s a way to do that,” he said. “That’s a prudent step to take.”

The state has temporarily restricted visits to nursing homes, assisted living facilities, adult family-care homes, long-term care facilities and adult group homes to keep out international and cruise ship travelers and other people who might have been exposed to the coronavirus.

In Broward County, where a small cluster of coronavirus cases has been tied to the Port Everglades seaport, the elections department plans to move six polling places out of assisted living facilities. Those locations asked for the change, but not all senior facilities have, in part because they want residents to have the convenience of voting there, said Steve Vancore, a spokesman for Supervisor Peter Antonacci.

The department has bought “oodles” of soap, paper towels, rubbing alcohol and wipes, he added. It already had a supply of gloves.

“We’re putting signs at every precinct encouraging everybody approaching to wash their hands,” Vancore said. “We have plenty of Purell hand sanitizer available. The poll workers are being asked and encouraged to wear gloves.”

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Poll workers will be wiping down voting booths “as they can,” he said.

“We’re doing this in real time,” he said of the last-minute changes to cope with the virus. “We’re doing everything we can, and everybody’s working together to make sure the facilities are clean and people are aware.”

Arizona

The Arizona secretary of state’s office has recommended that voters either cast ballots by mail, which should have been postmarked by Wednesday to be safe, or drop off a vote-by-mail ballot at a designated location before polls close Tuesday. The secretary of state’s office also urged people to cast ballots in person at early-voting sites, which are open until Friday.

In a news release Wednesday, Katie Hobbs, secretary of state in Arizona, said she wanted to “remind voters to make a plan for participating in this election.”

In Maricopa County, the state’s largest and home to Phoenix, county officials had already made preparations for Election Day, including building a large pool of possible poll workers, though they anticipate receiving more than 80% of votes by mail.

“We have statutory minimum for keeping a polling place open, and we’ve staffed significantly higher than that,” said Adrian Fontes, Maricopa County recorder. “We’ve already built in a pretty big cushion.”

Fontes said that officials planned to sterilize the voting machines every half-hour and would have hand sanitizer at every location. And while the virus may depress in-person turnout, he said, his county has already seen a surge in mail-in votes.

“Of course turnout will suffer a little bit, but we’ve already got more ballots cast by Democrats in this Democratic presidential preference election than we had cast by Democrats in 2016,” he said. “And it is going to go even higher, and we haven’t hit Election Day.”