Cases of COVID-2019 reported in multiple states of the US early March. Maintain strict basic health precautions.

Severity: Informational Alert

This alert began 11 Mar 2020 22:39 GMT and is scheduled to expire 21 Mar 2020 23:59 GMT.

  • Incident: Imported cases of coronavirus disease (COVID-19), community transmission in some states
  • Location(s): Nationwide; states of Washington, California, and New York report most cases (map)
  • Period: January-March 2020
  • Cases: 1,092

Summary
US authorities have identified 1,092 confirmed and presumptive positive cases of coronavirus disease (COVID-19) according to data through March 11. These figures include imported cases, individuals aboard federal repatriation flights, and those who returned following quarantine aboard the Diamond Princess cruise ship. These figures may change or fluctuate as additional data becomes available during this rapidly evolving situation.

According to March 11 data from the US CDC, no confirmed cases have been reported in the states of Alaska, Alabama, Arkansas, Delaware, Idaho, Maine, Mississippi, Montana, New Mexico, North Dakota, West Virginia, and Wyoming.

States reporting community transmission:

  • California: 157 cases
  • New York: 216 cases
  • Washington: 366 cases


States where community transmission has not been determined:

  • Arizona: 8 cases
  • Colorado: 17 cases
  • Connecticut: 3 cases
  • Florida: 19 cases
  • Georgia: 23 cases
  • Hawaii: 1 case
  • Illinois: 19 cases
  • Indiana: 10 cases
  • Iowa: 13 cases
  • Kansas: 1 case
  • Kentucky: 8 cases
  • Louisiana: 6 cases
  • Maryland: 9 cases
  • Massachusetts: 91 cases
  • Michigan: 2 cases
  • Minnesota: 5 cases
  • Missouri: 1 case
  • Nebraska: 5 cases
  • Nevada: 1 case
  • New Hampshire: 5 cases
  • New Jersey: 15 cases
  • North Carolina: 7 cases
  • Ohio: 3 cases
  • Oklahoma: 1 case
  • Oregon: 15 cases
  • Pennsylvania: 12 cases
  • Rhode Island: 2 cases
  • South Carolina: 9 cases
  • South Dakota: 8 cases
  • Tennessee: 1 case
  • Texas: 15 cases
  • Utah: 2 cases
  • Vermont: 1 case
  • Virginia: 9 cases
  • Washington, D.C.: 5 cases
  • Wisconsin: 1 case



Background and Analysis
Additional cases and locations may be added to this list at any time as disease surveillance and testing continues. Older individuals, infants, and those with chronic illness are more susceptible to infection and are at increased risk for severe complications. Human-to-human transmission can occur, though it remains unclear how easily the virus spreads between people.

On March 11, the WHO declared the ongoing coronavirus outbreak a pandemic. This shift in posture from an earlier briefing indicating the WHO would no longer use the term "pandemic" to describe disease transmission is reflective of the current COVID-19 global impact. Per the March 11 statement, "Describing the situation as pandemic does not change WHO's assessment of the threat posed by this virus. It doesn't change what WHO is doing, and it doesn't change what countries should do."

Coronavirus disease 2019 (COVID-19) is a viral respiratory disease caused by infection with the SARS-CoV-2 virus (previously known as 2019-nCoV). Symptoms occur 1-14 days following exposure (average of 3-7 days). These symptoms include fever, fatigue, cough, difficulty breathing, sometimes worsening to pneumonia and kidney failure - especially in those with underlying medical conditions.

Advice
Emphasize basic health precautions, especially frequent handwashing with soap and water, or an alcohol-based hand sanitizer if soap and water are unavailable. Practice good coughing/sneezing etiquette (i.e., covering coughs and sneezes with a disposable tissue, maintaining distance from others, and washing hands). There is no evidence that the influenza vaccine, antibiotics, or antiviral medications will prevent this disease, highlighting the importance of diligent basic health precautions.

Resources
State and Territorial Health Department Websites

US CDC: Guidance for Businesses and Employers

US CDC: Preventing COVID-19 Spread in Communities

WHO: Getting your workplace ready for COVID-19

WHO advice for international travel

WHO coronavirus knowledge base


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