Total confirmed coronavirus cases in the Greater Houston area increased by 270 on April 29, with the area's five most populous counties seeing steady increases across the board.

Harris County confirmed 175 new cases, Fort Bend County confirmed 45 new cases, Galveston County confirmed 18 new cases, Montgomery County confirmed 20 new cases, and Brazoria County confirmed nine new cases.

Active cases—the total number of confirmed cases after recoveries and deaths are subtracted—continued to increase in each county aside from Galveston County. Collectively, the counties saw an increase in recoveries of 113 and an increase in active cases of 151. Confirmed deaths increased by six.

In Harris County, total COVID-19 patients decreased in the county's hospitals April 29, according to data from the Southeast Texas Regional Advisory Council. Patients in general beds fell by 91 to a new total of 318. Patients in intensive care unit beds fell by 27 to a new total of 201.