May 4, 2020

COVID-19: Total cases in US increase by close to 30,000

According to CDC's update on May 3, the case count of COVID-19 in the US stands at 1,122,486* cases, including 65,735* 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 29,671 cases and 1,452 deaths compared to the update on May 2.

* 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 17, ending April 25, 2020

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 nationally and in many regions of the country. They remain elevated in the northeast and northwest. Nationwide during week 17, 3.9% of emergency department visits captured in National Syndromic Surveillance Program were due to COVID-19-like illness (CLI) and 1.4% were due to influenza-like illness (ILI). This is the fifth week of decline in percentage of visits for ILI and the fourth week of stable or declining percentage of visits for CLI.

  • The decrease in the percentage of people presenting for care with ILI and CLI may be due to a decline in COVID-19 illness. Reported levels of activity may be decreasing because of widespread adoption of social distancing efforts and changes in healthcare seeking behavior.
  • Little influenza virus activity has been reported in recent weeks.

A total of 13,114 laboratory-confirmed COVID-19-associated hospitalizations were reported by sites between March 1, 2020, and April 25, 2020. The overall cumulative COVID-19 associated hospitalization rate is 40.4 per 100,000, with the highest rates in people 65 years and older (131.6 per 100,000) and 50-64 years (63.7 per 100,000).

  • Hospitalization rates for COVID-19 in adults (18-64 years) are 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 similar to those observed during comparable time points** during recent high severity influenza seasons.
  • For children (0-17 years), COVID-19 hospitalization rates are much lower than influenza hospitalization rates during recent influenza seasons.

Based on death certificate data, the percentage of deaths attributed to pneumonia, influenza or COVID-19 (PIC) decreased from 23.6% during week 16 to 14.6% during week 17 which is still significantly above baseline. This is the second week of decline in this indicator, 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 3, there were 316,415 cases and 19,189 deaths of COVID-19 reported in the state. Of those fatalities reported, 17,115 (89%) had at least one comorbidity.

The case count in New York city stood at 174,331, accounting for 55% of the total case count in the state.

At the press briefing on May 2, Governor Andrew M. Cuomo announced the results of the state's completed antibody testing study, showing 12.3 percent of the population have COVID-19 antibodies. The survey developed a baseline infection rate by testing 15,000 people at grocery stores and community centers across the state over the past two weeks. Of those tested, 11.5% of women tested positive and 13.1% of men tested positive.

New Jersey

As of May 3, there have been 126,744 cases of COVID-19 and 7,871 deaths reported in the state.

Massachusetts

According to the Massachusetts Department of Public Health (DPH), there were 68,087 cases and 4,004 deaths reported in the state as of May 3.

There were 3,617 cases being hospitalized and 904 were in ICU.

Illinois

According to the Illinois Department of Public Health (IDPH) update on May 3, there were a total of 61,499 cases, including 2,618 deaths, in Illinois.

California

According to the California Department of Public Health, as of May 3, there were 53,616 positive cases and 2,215 deaths in California. Los Angeles county reported the highest number of cases in the state with 24,955 cases and 1,209 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 3, that there are 962 additional positive cases of COVID-19, bringing the statewide total to 49,267. All 67 counties in Pennsylvania have cases of COVID-19.

The department also reported 26 new deaths, bringing the statewide total to 2,444 in Pennsylvania.

Michigan

Michigan reported a statewide total of 43,754 cases and 4,049 deaths as of May 3. As of May 1, the cumulative total of recovered COVID-19 cases stood at 15,659.

States with case count in the range of 10000 to 39999 (as of May 3)

States with case count in the range of 6000 to 9999 (as of May 3)

  • Rhode Island: RIDOH announced 17 additional COVID-19 associated fatalities on May 2, bringing total fatalities to 296.
  • Iowa: IDPH on May 3 reported 9 additional deaths in four older adults (61-80 years) from Dallas, Dubuque and Polk Counties, and five elderly adults (81+) from Black Hawk, Bremer and Poweshiek Counties. IDPH also reported that 378 are currently hospitalized, and 3,325 Iowans have recovered.
  • Arizona
  • Missouri
  • Wisconsin
  • Alabama
  • Mississippi
  • Minnesota
  • South Carolina: On May 2, DHEC reported 11 additional COVID-19 related deaths in nine elderly individuals from Edgefield (1), Florence (1), Greenville (1), Laurens (1), Lee (1), Lexington (1), and Richland (3) Counties, and two middle-aged individuals from Richland (1) and Sumter (1) Counties. On May 3, another eight deaths were reported in elderly individuals from Berkeley (1), Clarendon (1), Greenville (1), Horry (1), Lexington (1), Richland (2), and Spartanburg (1) Counties. This brings the statewide total to 275.

States with case count in the range of 3000 to 5999 (as of May 3)

  • Nebraska: DHHS reported 8 additional COVID-19 related deaths in residents from Adams (2), Dakota (1), Dawson (3), Lincoln (1) and Sarpy (1) counties on May 1, May 2 and May 3, bringing total fatalities to 78.
  • Nevada
  • Delaware: On May 2 and May 3, 18 additional deaths associated with COVID-19 were reported in 11 women and 7 men from New Castle, Kent County and Sussex Counties aged 26 to 98. All of the deceased had underlying health conditions and most of the deceased were residents of long-term care facilities. The state‚Äôs current death toll is 177. 
  • Utah
  • Kentucky
  • Kansas
  • Washington D.C.: The District on May 3 reported 11 additional COVID-19 deaths in four women in their 20s, 50s and 80s, and seven men in their 40s to 70s, bringing the total to 251 deaths. 
  • Oklahoma
  • New Mexico: Twelve additional deaths related to COVID-19 were reported on May 3 - the deceased were seven women and five men in their 50s-90s from Bernalillo, McKinley, Sandoval, San Juan and Valencia Counties. Most of the deceased were hospitalized and had underlying medical conditions. Total fatalities in New Mexico are now 151. 
  • Arkansas

States with case count in the range of 1000 to 2999 (as of May 3)

  • Oregon: On May 1 and May 2, Oregon reported six additional deaths in the state, bringing the death toll to 109. The deceased were 2 women and 4 men in their 60s-90s from Multnomah, Polk, Marion and Umatilla Counties; all deceased had underlying medical conditions. The Oregon Governor also signed an executive order to declare a state of emergency for 60 days, through May 7, 2020.
  • South Dakota
  • New Hampshire: DHHS announced 5 additional deaths related to COVID-19 in four women and two men above 60 years old from Hillsborough and Rockingham Counties on May 2 and May 3.
  • Idaho
  • Puerto Rico
  • West Virginia: DHHR confirmed three additional deaths in a 70-year old man from Kanawha county, and two women aged 69 and 100 from Kanawha and Monongalia Counties on May 2, bringing the total fatalities in the state to 50.
  • North Dakota: Local department of health reported two additional deaths in two men in their 70s and 90s from Cass County with underlying health conditions on May 2 and May 3.
  • Maine

States with case count in the range of 100 to 999 (as of May 3)

States with case count in the range of 1 to 99 (as of May 3)

SOURCE: CDC; State Health Agencies