May 18, 2020

COVID-19: Close to 32,000 additional cases reported in US

According to CDC's update on May 17, the case count of COVID-19 in the US stands at 1,467,065* cases, including 88,709* deaths, in 55 (50 states, District of Columbia, Puerto Rico, Guam, Northern Marianas, and US Virgin Islands) jurisdictions. The CDC noted that this represents an increase of 31,967 cases and 1,394 deaths compared to the update on May 16.

* As of April 14, 2020, CDC case counts and death counts include both confirmed and probable cases and deaths. This change was made to reflect an interim COVID-19 position statement issued by the Council for State and Territorial Epidemiologists on April 5, 2020. The position statement included a case definition and made COVID-19 a nationally notifiable disease.

A confirmed case or death is defined by meeting confirmatory laboratory evidence for COVID-19.

A probable case or death is defined by one of the following:

  • Meeting clinical criteria AND epidemiologic evidence with no confirmatory laboratory testing performed for COVID-19
  • Meeting presumptive laboratory evidence AND either clinical criteria OR epidemiologic evidence
  • Meeting vital records criteria with no confirmatory laboratory testing performed for COVID19

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

COVIDView update for Week 19, ending May 9, 2020

According to CDC's weekly COVIDView update, nationally, the percentages of laboratory specimens testing positive for SARS-CoV-2 decreased compared to last week. While the number of specimens from children <18 years of age tested is low (<5% of all specimens tested in public health and commercial laboratories), the percentage of these testing positive for SARS-CoV-2 in this age group has either trended upward or remained relatively stable in recent weeks. Other age groups have seen declines in percent positivity during the same time period.

Nationally, visits to outpatient providers and emergency departments (EDs) for illnesses with symptoms consistent with COVID-19 continued to decline. Outpatient ILI visits are below baseline nationally and in all regions of the country. Nationwide during week 19, 2.8% of emergency department visits captured in National Syndromic Surveillance Program were due to COVID-19-like illness (CLI) and 0.9% were due to influenza-like illness (ILI). This is the seventh week of decline in percentage of visits for ILI and the sixth week of stable or declining percentage of visits for CLI.

A total of 19,637 laboratory-confirmed COVID-19-associated hospitalizations were reported by sites between March 1, 2020, and May 9, 2020. The overall cumulative COVID-19 associated hospitalization rate is 60.5 per 100,000, with the highest rates in people 65 years of age and older (192.4 per 100,000) and 50-64 years (94.4 per 100,000). Hospitalization rates are cumulative and will increase as the COVID-19 pandemic continues.

  • Hospitalization rates for COVID-19 in adults (18-64 years) are already higher than hospitalization rates for influenza at comparable time points** during the past 5 influenza seasons.
  • For people 65 years and older, current COVID-19 hospitalization rates are within ranges of influenza hospitalization rates observed at comparable time points* during recent influenza seasons.
  • For children (0-17 years), COVID-19 hospitalization rates are much lower than influenza hospitalization rates at comparable time points** during recent influenza seasons.

Based on death certificate data, the percentage of deaths attributed to pneumonia, influenza or COVID-19 (PIC) decreased from 17.8% during week 18 to 12.8% during week 19, but remained above baseline. This is the third week during which a declining percentage of deaths due to PIC has been seen, but the percentage remains high compared with any influenza season. The percentage may change as additional death certificates for deaths during recent weeks are processed.

** Number of weeks since 10% of specimens tested positive for SARS-CoV-2 and influenza, respectively.

Updates from state health departments

New York

According to the New York State Department of Health update on May 17, there were 350,121 cases and 22,619 deaths of COVID-19 reported in the state.

The case count in New York city stood at 192,593, accounting for 55% of the total case count in the state.

New Jersey

As of May 17, there have been 146,334 cases of COVID-19 and 10,356 deaths reported in the state.

Illinois

On May 17, the Illinois Department of Public Health (IDPH) announced 1,734 new cases of coronavirus disease (COVID-19) in Illinois, including 51 additional deaths.

  • Cook County: 2 males 30s, 1 male 40s, 3 females 60s, 2 males 60s, 3 females 70s, 4 males 70s, 1 unknown 70s, 7 females 80s, 3 males 80s, 1 female 90s, 1 female 100+
  • DuPage County: 1 male 60s, 1 female 70s, 2 females 80s, 1 female 90s
  • Kane County: 1 male 50s, 1 male 60s, 1 female 70s, 1 male 90s
  • Kendall County: 1 male 80s
  • Lake County: 1 male 60s, 1 male 70s, 1 female 80s, 1 male 80s, 2 females 90s
  • Madison County: 1 female 50s, 1 female 60s, 1 female 90s
  • McLean County: 1 male 60s, 1 female 70s
  • Stephenson County: 1 male 70s
  • Winnebago County: 1 male 70s

Currently, IDPH is reporting a total of 94,191 cases, including 4,177 deaths, in 100 counties in Illinois.

Massachusetts

According to the Massachusetts Department of Public Health (DPH), there were 86,010 cases and 5,797 deaths reported in the state as of May 17.

There were 2,597 cases being hospitalized and 702 were in ICU.

California

According to the California Department of Public Health, as of May 17, there were 78,839 positive cases and 3,261 deaths in California. Los Angeles county remains the county with the highest number of cases in the state with 37,352 cases and 1,793 deaths - accounting for 47% and 55% of the statewide total cases and deaths respectively.

Pennsylvania

The Pennsylvania Department of Health confirmed as of 12:00 a.m, May 17, that there are 623 additional positive cases of COVID-19, bringing the statewide total to 62,234. The state also reported 4,418 total deaths, an increase of 15 new deaths from the preceding day.

Michigan

Michigan reported a statewide total of 51,142 cases and 4,891 deaths as of May 17. As of May 15, the cumulative total of recovered COVID-19 cases stood at 28,234.

States with case count in the range of 20000 to 49999 (as of May 17)

  • Texas
  • Florida: Florida Department of Health on May 17 announced 9 additional COVID-19 deaths, bringing the statewide death toll to 1,973. The deceased were from Citrus, Dade, Desoto, Duval, Hillsborough, Martin and Polk Counties.
  • Maryland
  • Georgia
  • Connecticut
  • Louisiana: State Health Officer announced Emergency Order for continuation of LDH notices and orders due to COVID-19 on May 15. 
  • Virginia
  • Ohio
  • Indiana: Indiana Health Department updated that a total of 1,607 COVID-19 related deaths have been reported in the state (11 additional deaths compared to the previous day) with 144 probable deaths on May 17.
  • Colorado

States with case count in the range of 10000 to 19999 (as of May 17)

States with case count in the range of 6000 to 9999 (as of May 17)

  • South Carolina: On May 17, the local health department announced 5 additional deaths in 4 elderly individuals in Dillon (1), Horry (1), Richland (1) and Sumter (1) Counties, and a middle-aged individual in Florence County, bringing current fatalities to 385.
  • Kansas
  • Kentucky: Governor Beshear on May 15 reported 4 new deaths, raising the total to 332 COVID-19 deaths in the state; the deceased were a woman in her 80s from Jefferson County, and three men in their 60s-70s from Fayette and Campbell Counties.
  • Delaware 
  • Utah: Governor issued Executive Order moving much of Utah to yellow health risk status on May 16.
  • Washington D.C: The District reported eight additional COVID-19 related deaths in five women in their 70s-90s and three men in their 50s-80s on May 16; the total fatalities are now 383.
  • Nevada

States with case count in the range of 3000 to 5999 (as of May 17)

  • New Mexico: The Department of Health on May 17 reported 6 additional deaths in New Mexico, bringing the death toll to 265. The deceased were two women in their 80s-90s from Bernalillo and McKinley Counties and four men in their 20s, 50s and 80s from McKinley, Sandoval and San Juan Counties. 
  • Oklahoma
  • Arkansas
  • South Dakota
  • Oregon: OHA on May 17 received its first shipments of remdesivir and distributed to hospitals statewide.
  • New Hampshire: DHHS on May 17 announced an additional death in an adult female above 60 years of age from Hillsborough County.

States with case count in the range of 1000 to 2999 (as of May 17)

  • Puerto Rico: Puerto Rico Health Department confirmed its 123rd death in a 51-year-old man from the Mayag├╝ez region on May 17. 
  • Idaho
  • North Dakota: Local health department reported an additional death in a man in his 90s with underlying health conditions from Cass County on May 17.
  • Maine
  • West Virginia: DHHR confirmed an additional COVID-19 related death in an 89-year-old male on May 16 and two additional deaths in a 69-year-old male and an 85-year-old female on May 17 from Fayette County, bringing total fatalities to 67. 

States with case count in the range of 100 to 999 (as of May 17)

  • Vermont: Governor Scott extended state of emergency to June 15 and updated previous emergency orders to reflect re-openings and eased restrictions.
  • Wyoming: Wyoming Department of Health confirmed the death of an older hospitalized woman from Fremont County in COVID-19 on May 16, bringing the death toll in Wyoming to 8.
  • Hawaii
  • Montana
  • Alaska
  • Guam

States with case count in the range of 1 to 99 (as of May 17)

SOURCE: CDC; State Health Agencies