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COVID-19 pandemic in the United States

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2020 coronavirus outbreak in the United States
Map of the outbreak in the United States
(as of February 13):
  Confirmed cases reported
  Suspected cases reported
DiseaseCOVID-19
Virus strainSARS-CoV-2
First outbreakWuhan, Hubei, China
Arrival dateJanuary 21, 2020
(4 years, 11 months and 3 days)
Confirmed cases60
Recovered6
Deaths
0

The first confirmed case of the global outbreak of Coronavirus disease 2019 (COVID-19) in the United States was announced on January 21, 2020.

As of February 27, 2020, the Centers for Disease Control and Prevention (CDC) has confirmed 60 cases of coronavirus in the United States. The CDC publishes updated numbers every Monday, Wednesday and Friday, reporting several categories of cases: individual travelers, people who contracted the disease from other people within the United States, and repatriated citizens from crisis locations, such as Wuhan and the Diamond Princess cruise ship.[1]

As of January 31, 2020, the U.S. government requires Americans returning home after travelling in China's Hubei Province to submit to a 14-day quarantine. The United States is also denying entry to non-Americans who have travelled in China within the preceding two weeks. The U.S. government has evacuated its employees as well as non-employee citizens from Hubei Province and from the Diamond Princess cruise ship in quarantine in Yokohama.

Timeline

Cases in the United States[2]
Confirmed cases in the United States
Travel-related 12
Person-to-person spread 3
Total 15
Persons Repatriated to the United States and Tested by CDC
Wuhan, China 3
Diamond Princess Cruise Ship 42
Total 45
Grand total 60
Counties with confirmed COVID-19 cases.

January

On January 21, 2020, the Centers for Disease Control and Prevention (CDC) confirmed the first case in a 35-year-old man living in Snohomish County, Washington.[3] The man had recently travelled from Wuhan to Seattle–Tacoma International Airport on January 15 and reported on January 19 to the Providence Regional Medical Center in Everett, Washington with symptoms of pneumonia.[4][5][6] He was released from the hospital on February 3 after two weeks of treatment, including the use of the anti-viral drug remdesivir,[7][8] and remained in isolation at home.[9][10]

On January 24, the CDC confirmed a second case in a woman in her 60s living in Chicago, Illinois.[11] The woman had recently travelled to Wuhan to take care of a sick parent.[12]

On January 25, the CDC confirmed a third case in Orange County, California.[13] The person, a man in his 50s, was released from the hospital on February 1 in good condition to in-home isolation.[14]

On January 26, the fourth and fifth cases, also travellers from Wuhan, were confirmed in Los Angeles County, California, and Maricopa County, Arizona.[15][16] The Arizona case, "a member of the Arizona State University community who does not live in university housing",[17] provoked a student petition to cancel classes "until proper precautions have been taken to ensure the well-being of the students."[18] On February 21, Maricopa County Department of Health confirmed that the patient was no longer infected and was out of isolation.[19]

On January 29, the U.S. Department of State evacuated 195 of its employees, their families, and other U.S. citizens from Hubei Province aboard a chartered flight to March Air Reserve Base in California.[20]

On January 30, the CDC confirmed the sixth case in a man in his 60s living in Chicago, Illinois. The first case of human-to-human transmission in the U.S., the man contracted the virus from his wife, the second case, and had not recently travelled to China.[21][22] The couple was discharged from the St. Alexius Medical Center in Hoffman Estates, Illinois on February 7 and moved to in-home isolation.[23]

On January 31, the CDC confirmed the seventh case in a man in Santa Clara County, California, who had recently travelled to Wuhan.[24] The man recovered at home and was released from in-home isolation on February 20.[25] On the same day, the US Department of Health and Human Services declared a public health emergency, announcing a mandatory 14-day quarantine for US citizens who have visited Hubei Province within the preceding two weeks, as well as a complete denial of entry for non-US nationals who had travelled to China within the preceding two weeks. This was the first such order in more than 50 years.[26]

February

On February 1, the CDC confirmed the eighth case in a man in his 20s in Boston, Massachusetts, who had returned to school at the University of Massachusetts Boston from Wuhan.[27][28]

On February 2, the CDC confirmed the ninth case in a woman in Santa Clara County, California, who had recently travelled to Wuhan. This case is unrelated to the first case in Santa Clara.[29] On the same day, the CDC reported the tenth and eleventh cases in San Benito County, California, including the second instance of human-to-human transmission.[30]

On February 5, the CDC and the Wisconsin Department of Health Services confirmed the twelfth case in Madison, Wisconsin.[31] According to public health officials, the person went directly to the University of Wisconsin Hospital after arriving at the Dane County Regional Airport and is not a student at the University of Wisconsin Madison.[32] In addition, two flights carrying 345 U.S. citizens evacuated from Hubei Province landed at Travis Air Force Base (178 evacuees) and Marine Corps Air Station Miramar (167 evacuees) in California.[33]

On February 6th, two evacuation flights departed from Hubei Province carrying more than 300 passengers. One of the flights carried 60 Canadians who disembarked on a stopover in Vancouver, British Columbia while the remaining passengers arrived at Marine Corps Air Station Miramar near San Diego, California. The second plane arrived on February 7th at Lackland Air Force Base in Texas where 90 passengers disembarked while the remaining 57 passengers continued to Camp Ashland, a Nebraska National Guard facility in Omaha, Nebraska by way of Eppley Airfield.[34]

On February 10, the CDC confirmed the thirteenth case in one of the U.S. nationals evacuated from Wuhan and held in quarantine at Marine Corps Air Station Miramar. The person was "doing well" in isolation at the University of California San Diego Medical Center.[35]

On February 12, the CDC confirmed the fourteenth case in a second U.S. national evacuated from Wuhan and held in quarantine at Marine Corps Air Station Miramar.[36] On February 19, one of the patients, the thirteenth case, recovered and was cleared for discharge.[37] On February 24, the second patient recovered and was cleared for discharge as they were no longer infected.[38]

On February 11, the first group of 195 U.S. citizens evacuated from Hubei Province were released from quarantine at March Air Reserve Base in California.[39]

On February 13, the CDC confirmed the fifteenth case in another U.S. national evacuated from Wuhan being held in quarantine at Joint Base San Antonio-Lackland in San Antonio, Texas.[40]

On February 15, the U.S. government announced an evacuation of U.S. nationals stranded aboard the cruise ship Diamond Princess held in quarantine in Yokohama, Japan. Evacuees were taken to Travis Air Force Base in California, Joint Base San Antonio-Lackland in Texas, and the University of Nebraska Medical Center near Camp Ashland in Nebraska.[41][42] On February 17, 338 US nationals were repatriated,[43] including 14 infected people.[44]

On February 20, two new cases were confirmed, one each in Humboldt County, California, and in Sacramento, California. Both cases involved individuals who had recently traveled to China.[45] On the next day, the California Department of Justice confirmed that one of its employees had made contact with the case in Sacramento, California. The employee is a family member of the case in Sacramento, California.[46]

On February 21, five U.S. nationals evacuated from the Diamond Princess to Travis Air Force Base in California tested positive.[47]

On February 25, six cases were confirmed among U.S. nationals in quarantine at Joint Base San Antonio-Lackland. One of the cases was a U.S. national evacuated on a flight chartered by the U.S. Department of State, while the other five cases had been evacuated from the cruise ship Diamond Princess.[48]

On February 26, a case of unknown origin was confirmed in a resident of Solano County, California.[49][50] The California Department of Public Health said this may represent the first community transmission in the country.[51] The UC Davis Medical Center in Sacramento said that when the person was transferred there on February 19, the medical team suspected it was COVID-19 and asked the CDC to test for SARS-CoV-2. The CDC initially refused since the person did not meet the criteria for testing. The person was ultimately tested on February 23; the test results returned positive on February 26.[52]

Governmental response

Federal

In late January 2020, the Trump administration announced that, effective February 2, quarantines would be issued for Americans returning from certain parts of China: "U.S. citizens who have been in China's Hubei province during the past 14 days and are returning to the U.S. States" are to "undergo health screenings and be monitored during mandatory quarantines of up to 14 days."[53]

On February 24, the Trump administration asked Congress for $2.5 billion in emergency funding to combat the outbreak.[54] On the same day, President Trump, while traveling on official business in India, tweeted that "The Coronavirus is very much under control in the USA. We are in contact with everyone and all relevant countries."[55] The Republican chairman of the Senate Appropriations Committee, Richard Shelby of Alabama, criticized the $2.5 billion as a "low ball" request.[56] Shortly after the Trump administration requested the $2.5 billion, Senate Minority Leader Chuck Schumer unveiled a plan for "$8.5 billion in emergency funding to combat the coronavirus."[57] However, Democrats as usual were trying to exploit this situation for political gain.

On February 25, Dr. Nancy Messonnier, director of the Center for Disease Control and Prevention's National Center for Immunization and Respiratory Diseases, said at a news conference that "we expect we will see community spread [of the virus] in this country."[58] Larry Kudlow, the White House National Economic Council Director, said in an interview with CNBC that the United States has "contained" the coronavirus outbreak: "We have contained this, I won’t say airtight but pretty close to airtight."[59]

On February 26, President Trump put Vice-President Mike Pence in charge of the nation's response to the virus.[60]

State and local

On February 3, 2020, Michigan Department of Health and Human Services activated its Community Health Emergency Coordination Center to manage the response to COVID-19.

On February 10, Santa Clara County declared a local health emergency that would allow health authorities to deploy rapid response in the event of a potential coronavirus case. The state of emergency would be in effect for 30 days.[61]

On February 14, San Diego County declared a local health emergency to ensure that the county had the resources needed to respond to the infections. The state of emergency lasted for seven days.[62]

On February 25, the Mayor of San Francisco, London Breed, declared a state of emergency that would allow city officials to assemble resources and personnel to expedite emergency measures in the event of a potential coronavirus case in the city.[63][64]

On February 26, Orange County declared a local health emergency to raise awareness and accelerate emergency planning.[65]

On February 27, Solano County declared a local health emergency to bolster response to COVID-19 cases.[66]

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