Montgomery County's active COVID-19 cases rose from 2,193 to 2,409 from July 17-20—an increase of 216, according to a daily case count from the Montgomery County Public Health District.

Total cases increased by 346 to 5,067. Meanwhile, 52 residents are known to be in the hospitalas a result of contact investigations. Contact investigations have not been initiated on all reported cases. Due to the county's July 15 shift to reporting cases once confirmed by laboratories rather than once contact investigations commence, 771 active cases had not been assigned a status as of July 20.

The county's public health district reported that as of July 20, 2,504 people have clinically recovered.

The district also confirmed three additional deaths related to COVID-19: Two women in their 60 and a woman in her 70s, all from Conroe, died while hospitalized. All had comorbidities in addition to testing positive for COVID-19.