April 27, 2020

COVID-19: Case count in US rises by more than 30,000

According to CDC's update on April 26, the case count of COVID-19 in the US stands at 928,619* cases, including 52,459* deaths, in 55 (50 states, District of Columbia, Puerto Rico, Guam, Northern Marianas, and US Virgin Islands) jurisdictions. This represents an increase of 32,853 cases from the 895,766 cases reported in the update on April 25.

* Total cases includes 2,663 probable cases and total deaths includes 5,402 probable deaths.

Numbers reported on Saturdays and Sundays are preliminary and not yet confirmed by state and territorial health departments. These numbers will be modified when numbers are updated on Mondays.

COVIDView update

According to CDC's weekly COVIDView update, nationally, visits to outpatient providers and emergency departments (EDs) for illnesses with symptoms consistent with COVID-19 continued to decline and are below baseline in many areas of the country.

According to CDC, the decrease in the percentage of people presenting for care with these symptoms may be due to decline in COVID-19 but may be tempered by a number of factors including less influenza-like illness (ILI) overall because of widespread adoption of social distancing efforts and changes in healthcare seeking behavior. At this time, there is little influenza activity.

Nationwide during week 16, 4.7% of emergency department visits captured in National Syndromic Surveillance Program were due to COVID-19-like illness (CLI) and 1.8% were due to ILI. This is the fourth week of decline in percentage of visits for ILI and the third week of stable or declining percentage of visits for CLI.

Meanwhile, a total of 9,483 laboratory-confirmed COVID-19-associated hospitalizations were reported by sites between March 1, 2020 and April 18, 2020. The overall cumulative hospitalization rate was 29.2 per 100,000 population. The highest rate of hospitalization is among adults aged ≥ 65 (95.5 per 100,000), followed by adults aged 50-64 years (47.2 per 100,000) and adults aged 18-49 years (14.3 per 100,000). Among 1,393 hospitalized adults with information on underlying medical conditions, 90.2% had at least one reported underlying medical condition, the most commonly reported were hypertension, obesity, chronic metabolic disease, and cardiovascular disease.

Based on death certificate data, the percentage of deaths attributed to pneumonia, influenza or COVID-19 (PIC) decreased from 23.6% during week 15 to 18.6% during week 16 but remained significantly above baseline. This is very elevated in the context of any influenza season. The percentage may change as additional death certificates are processed.

Updates from state health departments

New York

According to the New York State Department of Health update on April 26, there were 288,045 cases and 16,966 deaths of COVID-19 reported in the state. Of those fatalities reported, 15,114 (89%) had at least one comorbidity.

The case count in New York city stood at 158,258, accounting for 55% of the total case count in the state.

New Jersey

As of April 26, there have been 109,038 cases of COVID-19 and 5,938 deaths reported in the state.


According to the Massachusetts Department of Public Health (DPH), there were 54,938 cases and 2,899 deaths reported in the state as of April 26.

There were 3,879 (7%) cases being hospitalized and 1,077 were in ICU.


The Illinois Department of Public Health (IDPH) on April 26 announced 2,126 new cases of coronavirus disease (COVID-19) in Illinois, including 59 additional deaths.

  • Cook County: 2 females 20s, 1 male 20s, 1 female 30s, 2 males 40s, 3 females 50s, 2 males 50s, 1 female 60s, 9 males 60s, 3 females 70s, 6 males 70s, 5 females 80s, 5 males 80s, 4 females 90s, 1 male 90s
  • DuPage County: 2 males 60s, 2 males 80s, 1 male 90s
  • Jefferson County: 1 female 80s, 1 female 90s, 1 male 90s
  • Kane County: 1 male 60s
  • Lake County: 1 male 50s, 1 female 70s, 1 male 90s
  • Will County: 2 females 80s

Currently, IDPH is reporting a total of 43,903 cases, including 1,933 deaths, in 96 counties in Illinois.


According to the California Department of Public Health, as of April 25, there were 42,164 positive cases and 1,710 deaths in California. Los Angeles county reported the highest number of cases in the state with 19,144 cases and 895 deaths - accounting for 45% and 52% of the statewide total cases and deaths respectively.


The Pennsylvania Department of Health confirmed as of 12:00 a.m, April 26, that there were 1,116 additional positive cases of COVID-19, bringing the statewide total to 41,165. All 67 counties in Pennsylvania have cases of COVID-19. There were 1,550 deaths in the state.


Michigan reported a statewide total of 37,778 cases and 3,315 deaths as of April 26. As of April 24, the cumulative total of recovered COVID-19 cases stood at 8,342.


According to the Florida Department of Health, as of April 26, there were 31,528 cases (Florida and non-Florida residents) and 1,074 deaths (Florida residents) of COVID-19 reported in the state.

There were 4,957 people (Florida residents) being hospitalized.

States with case count in the range of 10000 to 29999 (as of April 26)

States with case count in the range of 5000 to 9999 (as of April 26)

  • Tennessee
  • North Carolina
  • Rhode Island: On April 26, RIDOH reported 11 additional COVID-19 associated fatalities in 1 person above 50 years old and 10 people in their 70s-90s, bringing Rhode Island's total fatalities to 226.
  • Missouri
  • Arizona
  • Alabama
  • Mississippi
  • Wisconsin
  • South Carolina: On April 26, the South Carolina Department of Health and Environmental Control reported eight additional deaths in six elderly individuals from Clarendon (2), Darlington (1), Greenville (2), and Richland (1) Counties, and two middle-aged individuals from Colleton (1) and Greenville (1) Counties, bringing the total fatalities to 174.
  • Iowa: IDPH on April 26 reported six additional deaths in an adult (18-40 years) from Johnson County, a middle-age adult (41-60 years) from Black Hawk County, an older adult (61-80 years) from Des Moines County, and three elderly adults (81+) from Clinton, Johnson, and Linn Counties.

States with case count in the range of 3000 to 4999 (as of April 26)

  • Nevada
  • Utah
  • Kentucky
  • Delaware: On April 26, eight additional deaths were reported in three New Castle residents, four Kent residents, and a Sussex resident of age from 52 to 87. Most of the deceased were with underlying health conditions. The statewide death toll to date is 120, where 74 of the deaths involved residents from long-term care facilities.
  • Washington D.C.: The District on April 26 reported 13 additional COVID-19 deaths in 3 women in their 80s and 10 men in their 50s-90s, bringing the total to 178 deaths. 
  • Minnesota
  • Oklahoma
  • Kansas
  • Nebraska: On April 25, Nebraska DHHS announced three new COVID-19 related deaths in two Hall County residents and a Hamilton County resident. On April 26, another three COVID-19 related deaths were reported in a Dakota County resident above 60 years old and a Hamilton County resident. The total number of COVID-19 related deaths in the state is 56.
  • Arkansas

States with case count in the range of 1000 to 2999 (as of April 26)

  • New Mexico: Six additional deaths in New Mexico related to COVID-19 were reported on April 26 - the deceased were three McKinley County residents in their 50s-80s, a Sandoval County man in his 70s, and two San Juan County residents in their 70s. All of them were hospitalized and most of them had underlying health conditions. Total fatalities in New Mexico are now 99.
  • Oregon: On April 26, Oregon reported four additional deaths in two men and two women from Wasco, Multnomah and Marion Counties in their 50s, 70s and 90s; all of them had underlying medical conditions. The state death toll is now 91. 
  • South Dakota
  • Idaho: Governor Little issued two proclamations to extend emergency declarations and to waive additional regulations on April 24.
  • New Hampshire
  • Puerto Rico: Local health department on April 26 confirmed the death toll from COVID-19 has increased to 84 with the death of an 83-year-old man from the Caguas region.
  • West Virginia: DHHR confirmed the death of an 88-year old female from Jackson County on April 26, bringing total fatalities in the state to 34.
  • Maine

States with case count in the range of 500 to 999 (as of April 26)

  • North Dakota: On April 24 and April 25, the local Department of Health reported two deaths in a man in his 90s and a woman in her 80s from Cass County; both had underlying health conditions.
  • Vermont
  • Hawaii: DOH reported the 13th and 14th deaths associated with COVID-19 on April 24 in two O‘ahu men with underlying health conditions. On April 25, Governor David Ige signed a 6th supplementary emergency proclamation extending the stay-at-home order across the state through May 31.

States with case count in the range of 100 to 499 (as of April 26)

States with case count in the range of 1 to 99 (as of April 26)

SOURCE: CDC; State Health Agencies