The first man to die from COVID-19-related causes in Monroe County was a 54-year-old employee at Rochester General Hospital. Alvin Simmons was a father of two. He started his new housekeeping job at RGH less than three weeks ago. His family said he started coughing and his chest hurt. Simmons, a cigar smoker, initially thought it was a smoker's cough. When the symptoms got worse Simmons went to the emergency room. He was tested for coronavirus and diagnosed him with pneumonia. He was sent home with antibiotics. Simmons died a day after he was taken to the hospital by ambulance.