April 20, 2020

COVID-19: Case count in US surpasses 720,000

According to CDC's update as of April 19, the case count of COVID-19 in the US stands at 720,630* cases, including 37,202* deaths, in 55 (50 states, District of Columbia, Puerto Rico, Guam, Northern Marianas, and US Virgin Islands) jurisdictions.

* Total cases includes 1,282 probable cases and total deaths includes 4,226 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, visits to outpatient providers and emergency departments for illnesses with symptoms consistent with COVID-19 are elevated compared to what is normally seen at this time of year but decreased compared to levels reported last week. Nationwide during week 15, 5.6% of emergency department visits captured in National Syndromic Surveillance Program (NSSP) were due to COVID-19-like illness (CLI) and 2.5% were due to influenza-like illness (ILI).. This is the third week of decline in percentage of visits for ILI and the second week of decline in percentage of visits for CLI. At this time, according to the report, there is little influenza virus circulation. The levels of people presenting for care with these symptoms is likely due to COVID-19 but may be tempered by a number of factors including less ILI overall because of widespread adoption of social distancing efforts and changes in healthcare seeking behavior.

Meanwhile, a total of 6,485 laboratory-confirmed COVID-19-associated hospitalizations were reported by sites between March 1, 2020, and April 11, 2020. The overall cumulative COVID-19 associated hospitalization rate is 20.0 per 100,000, with the highest rates in persons 65 years and older (63.8 per 100,000) and 50-64 years (32.8 per 100,000). Hospitalization rates for COVID-19 in older people are higher than what is typically seen early in a flu season.

Based on death certificate data available on April 16, 2020, 18.8% of all deaths occurring during the week ending April 11, 2020 (week 15) were due to pneumonia, influenza or COVID-19. This percentage is above the epidemic threshold of 7.0% for week 15 and has been increasing sharply since the end of February.

Updates from state health departments

New York

According to the New York State Department of Health update on April 19, there were 242,786 cases and 13,869 deaths of COVID-19 reported in the state. Of those fatalities reported, 12,324 (89%) had at least one comorbidity.

The case count in New York city stood at 134,436, accounting for 55% of the total case count in the state.

New Jersey

As of April 19, there have been 85,301 cases of COVID-19 and 4,202 deaths reported in the state.

Massachusetts

According to the Massachusetts Department of Public Health (DPH), there were 38,077 cases and 1,706 deaths reported in the state as of April 19.

Pennsylvania

The Pennsylvania Department of Health confirmed as of 12:00 a.m, April 19, that there were 1,215 additional positive cases of COVID-19, bringing the statewide total to 32,284. All 67 counties in Pennsylvania have cases of COVID-19.

The department also announced that electronic and probable-cause deaths are now being reported, causing a reporting increase of 276 new deaths among positive cases, bringing the statewide total to 1,112.

Michigan

Michigan reported a statewide total of 31,424 cases and 2,391 deaths as of April 19.

Age data of overall deceased:

  • Average age: 73.8 years
  • Median age: 75 years
  • Age range: 20-107 years

Illinois

On April 19, the Illinois Department of Public Health (IDPH) announced 1,197 new cases of COVID-19 in Illinois, including 33 additional deaths.

  • Cook County: 1 male 40s, 1 female 60s, 5 males 60s, 4 females 80s, 2 males 80s, 2 females 90s, 3 males 90s, 1 unknown 90s
  • DuPage County: 1 female 80s, 1 male 80s, 1 male 90s
  • Kane County: 1 female 90s
  • Madison County: 1 male 50s
  • Monroe County: 1 female 90s
  • Sangamon County: 1 male 90s
  • St. Clair County: 1 male 60s
  • Will County: 1 female 50s, 1 male 60s, 2 females 80s, 1 male 80s, 1 female 90s

Currently, IDPH is reporting a total of 30,357 cases, including 1,290 deaths, in 93 counties in Illinois.

California

According to the California Department of Public Health, as of April 18, there were 30,333 positive cases and 1,166 deaths in California. Los Angeles county reported the highest number of cases in the state with 11,984 cases and 576 deaths - accounting for 40% and 49% of the statewide total cases and deaths respectively.

Florida

According to the Florida Department of Health, as of April 19, there were 26,314 cases and 774 deaths of COVID-19 reported in the state.

There were 3,813 people being hospitalized.

Louisiana

On April 19, the Louisiana Department of Health (LDH) reported that the state’s case total stood at 23,928 and there were 1,296 deaths.

There were 1,748 patients being hospitalized and 349 (20%) of these were on ventilators.

States with case count in the range of 10000 to 19999 (as of April 19)

States with case count in the range of 5000 to 9999 (as of April 19)

States with case count in the range of 2500 to 4999 (as of April 19)

  • Arizona
  • Alabama: On April 17, Alabama Public Health announced drive-up COVID-19 testing in Lawrence, Chilton and Walker Counties. 
  • Rhode Island: On April 19, RIDOH reported 13 additional COVID-19 associated fatalities in elderly persons above 60 years old. Rhode Island's number of COVID-19 associated fatalities is now 150.
  • South Carolina: On April 18, the South Carolina Department of Health and Environmental Control reported 3 additional deaths in two elderly Horry County residents and a middle-aged Aiken County resident. On April 19, an additional death was reported in a middle-aged Jasper County resident, bringing total fatalities to 120.
  • Wisconsin
  • Mississippi
  • Nevada
  • Utah
  • Kentucky
  • Iowa: IDPH reported 10 additional deaths on April 18 in two middle-aged adults (41-60 years) from Linn and Tama Counties, four older adults (61-80 years) from Appanoose County, Louisa and Polk Counties, and four elderly adults (81+) from Linn, Muscatine and Polk Counties. On April 19, an additional death was reported in an older adult from Muscatine County. IDPH added that 198 are currently hospitalized, and 1,171 have recovered.
  • Washington D.C.: The District on April 19 reported five additional COVID-19 related deaths in three female residents of age between 61-96 and two male residents of age 71 and 82 years old, bringing the total to 96 deaths.
  • Oklahoma
  • Delaware: On April 18, six additional deaths were reported in residents of New Castle and Sussex Counties of age above 50 years old with underlying health conditions. On April 19, three more deaths involving residents of age above 50 years old were reported in Kent County and New Castle Counties, bringing the statewide death toll to 67.

States with case count in the range of 1000 to 2499 (as of April 19)

  • Minnesota
  • Oregon: On April 18, Oregon Health Authority reported two additional deaths in men from Clackamas and Marion Counties of age 62 and 84 years old. On April 19, two additional deaths were reported in men from Benton and Washington Counties of age 64 and 68 years old. All deceased had underlying medical conditions.
  • Kansas
  • New Mexico: New Mexico Department of Health on April 19 reported two additional deaths in a man in his 30s from Bernalillo County and a woman in her 80s from San Juan County; both had underlying health conditions. Total fatalities in New Mexico are now 55.
  • Arkansas
  • Idaho
  • South Dakota
  • Nebraska: On April 18, Nebraska Central District Health Department announced four new deaths. The total number of COVID-19 related deaths in the state is 28.
  • New Hampshire: DHHS announced three additional deaths related to COVID-19 in two residents above 60 years old from Hillsborough and Rockingham Counties on April 19. 
  • Puerto Rico

States with case count in the range of 500 to 999 (as of April 19)

  • West Virginia: The West Virginia Department of Health and Human Resources (DHHR) on April 19 reported two additional deaths in men from Hampshire and Kanawha Counties of age above 60 years old, bringing the total fatalities to 20.
  • Maine
  • Vermont
  • North Dakota: Local health department reported an additional death in a Cass County resident in her 70s with underlying medical conditions on April 19. 
  • Hawaii: On April 19, Hawaii reported its 10th COVID-19 death in an adult male from Washington state who had no previous medical conditions and a history of travel. 

States with case count in the range of 100 to 499 (as of April 19)

States with case count in the range of 1 to 99 (as of April 19)

  • Virgin Islands: Health Department announced two additional COVID-19 deaths in a woman from St. Thomas and a man from St. Croix - both were in their 70s and had underlying medical conditions. 
  • Northern Marianas
SOURCE: CDC; State Health Agencies
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