This dataset contains numbers of COVID-19 outbreaks and associated cases, categorized by setting, reported to CDPH since January 1, 2021.

AB 685 (Chapter 84, Statutes of 2020) and the Cal/OSHA COVID-19 Emergency Temporary Standards (Title 8, Subchapter 7, Sections 3205-3205.4) required non-healthcare employers in California to report workplace COVID-19 outbreaks to their local health department (LHD) between January 1, 2021 – December 31, 2022. Beginning January 1, 2023, non-healthcare employer reporting of COVID-19 outbreaks to local health departments is voluntary, unless a local order is in place. More recent data collected without mandated reporting may therefore be less representative of all outbreaks that have occurred, compared to earlier data collected during mandated reporting. Licensed health facilities continue to be mandated to report outbreaks to LHDs.

LHDs report confirmed outbreaks to the California Department of Public Health (CDPH) via the California Reportable Disease Information Exchange (CalREDIE), the California Connected (CalCONNECT) system, or other established processes. Data are compiled and categorized by setting by CDPH. Settings are categorized by U.S. Census industry codes. Total outbreaks and cases are included for individual industries as well as for broader industrial sectors.

The first dataset includes numbers of outbreaks in each setting by month of onset, for outbreaks reported to CDPH since January 1, 2021. This dataset includes some outbreaks with onset prior to January 1 that were reported to CDPH after January 1; these outbreaks are denoted with month of onset “Before Jan 2021.” The second dataset includes cumulative numbers of COVID-19 outbreaks with onset after January 1, 2021, categorized by setting. Due to reporting delays, the reported numbers may not reflect all outbreaks that have occurred as of the reporting date; additional outbreaks may have occurred that have not yet been reported to CDPH.

While many of these settings are workplaces, cases may have occurred among workers, other community members who visited the setting, or both. Accordingly, these data do not distinguish between outbreaks involving only workers, outbreaks involving only residents or patrons, or outbreaks involving both.

Several additional data limitations should be kept in mind:

• Outbreaks are classified as “Insufficient information” for outbreaks where not enough information was available for CDPH to assign an industry code.

• Some sectors, particularly congregate residential settings, may have increased testing and therefore increased likelihood of outbreak recognition and reporting. As a result, in congregate residential settings, the number of outbreak-associated cases may be more accurate.

• However, in most settings, outbreak and case counts are likely underestimates. For most cases, it is not possible to identify the source of exposure, as many cases have multiple possible exposures.

• Because some settings have been at times been closed or open with capacity restrictions, numbers of outbreak reports in those settings do not reflect COVID-19 transmission risk.

• The number of outbreaks in different settings will depend on the number of different workplaces in each setting. More outbreaks would be expected in settings with many workplaces compared to settings with few workplaces.

Note: This dataset is no longer being updated due to the end of the COVID-19 Public Health Emergency.

The California Department of Public Health (CDPH) is identifying vaccination status of COVID-19 cases, hospitalizations, and deaths by analyzing the state immunization registry and registry of confirmed COVID-19 cases. Post-vaccination cases are individuals who have a positive SARS-Cov-2 molecular test (e.g. PCR) at least 14 days after they have completed their primary vaccination series.

Tracking cases of COVID-19 that occur after vaccination is important for monitoring the impact of immunization campaigns. While COVID-19 vaccines are safe and effective, some cases are still expected in persons who have been vaccinated, as no vaccine is 100% effective. For more information, please see https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Post-Vaccine-COVID19-Cases.aspx

Post-vaccination infection data is updated monthly and includes data on cases, hospitalizations, and deaths among the unvaccinated and the vaccinated. Partially vaccinated individuals are excluded. To account for reporting and processing delays, there is at least a one-month lag in provided data (for example data published on 9/9/22 will include data through 7/31/22).

Notes:

• On September 9, 2022, the post-vaccination data has been changed to compare unvaccinated with those with at least a primary series completed for persons age 5+. These data will be updated monthly (first Thursday of the month) and include at least a one month lag.

• On February 2, 2022, the post-vaccination data has been changed to distinguish between vaccination with a primary series only versus vaccinated and boosted. The previous dataset has been uploaded as an archived table. Additionally, the lag on this data has been extended to 14 days.

• On November 29, 2021, the denominator for calculating vaccine coverage has been changed from age 16+ to age 12+ to reflect new vaccine eligibility criteria. The previous dataset based on age 16+ denominators has been uploaded as an archived table.

As of March 10, 2023, the state with the highest number of COVID-19 cases was California. Almost 104 million cases have been reported across the United States, with the states of California, Texas, and Florida reporting the highest numbers.

From an epidemic to a pandemic The World Health Organization declared the COVID-19 outbreak a pandemic on March 11, 2020. The term pandemic refers to multiple outbreaks of an infectious illness threatening multiple parts of the world at the same time. When the transmission is this widespread, it can no longer be traced back to the country where it originated. The number of COVID-19 cases worldwide has now reached over 669 million.

The symptoms and those who are most at risk Most people who contract the virus will suffer only mild symptoms, such as a cough, a cold, or a high temperature. However, in more severe cases, the infection can cause breathing difficulties and even pneumonia. Those at higher risk include older persons and people with pre-existing medical conditions, including diabetes, heart disease, and lung disease. People aged 85 years and older have accounted for around 27 percent of all COVID-19 deaths in the United States, although this age group makes up just two percent of the U.S. population

Note: This dataset is no longer being updated due to the end of the COVID-19 Public Health Emergency. Note: On 2/16/22, 17,467 cases based on at-home positive test results were excluded from the probable case counts. Per national case classification guidelines, cases based on at-home positive results are now classified as “suspect” cases. The majority of these cases were identified between November 2021 and February 2022. CDPH tracks both probable and confirmed cases of COVID-19 to better understand how the virus is impacting our communities. Probable cases are defined as individuals with a positive antigen test that detects the presence of viral antigens. Antigen testing is useful when rapid results are needed, or in settings where laboratory resources may be limited. Confirmed cases are defined as individuals with a positive molecular test, which tests for viral genetic material, such as a PCR or polymerase chain reaction test. Results from both types of tests are reported to CDPH. Due to the expanded use of antigen testing, surveillance of probable cases is increasingly important. The proportion of probable cases among the total cases in California has increased. To provide a more complete picture of trends in case volume, it is now more important to provide probable case data in addition to confirmed case data. The Centers for Disease Control and Prevention (CDC) has begun publishing probable case data for states. Testing data is updated weekly. Due to small numbers, the percentage of probable cases in the first two weeks of the month may change. Probable case data from San Diego County is not included in the statewide table at this time. For more information, please see https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Probable-Cases.aspx

The California Department of Public Health (CDPH) aggregates confirmed cases of COVID-19 by sewershed restricted locations. Confirmed cases are defined as individuals with a positive molecular test, which tests for viral genetic material, such as a polymerase chain reaction test. Since wastewater data available starts from January 1st, 2021, rather than the beginning of the COVID-19 pandemic in 2020, the cumulative counts of the confirmed cases variable are shown as “NA”. Please note that values less than 5 for confirmed cases are masked (shown as “Masked”) if the sewershed population size is 50,000 or fewer, in accordance with de-identification guidelines. Values less than 3 for cases are masked (shown as “Masked”) if the sewershed population size is between 50,001 and 250,000. For no confirmed cases reported, values are set as zero.

As of November 11, 2022, almost 96.8 million confirmed cases of COVID-19 had been reported by the World Health Organization (WHO) for the United States. The pandemic has impacted all 50 states, with vast numbers of cases recorded in California, Texas, and Florida.

The coronavirus in the U.S. The coronavirus hit the United States in mid-March 2020, and cases started to soar at an alarming rate. The country has performed a high number of COVID-19 tests, which is a necessary step to manage the outbreak, but new coronavirus cases in the U.S. have spiked several times since the pandemic began, most notably at the end of 2022. However, restrictions in many states have been eased as new cases have declined.

The origin of the coronavirus In December 2019, officials in Wuhan, China, were the first to report cases of pneumonia with an unknown cause. A new human coronavirus – SARS-CoV-2 – has since been discovered, and COVID-19 is the infectious disease it causes. All available evidence to date suggests that COVID-19 is a zoonotic disease, which means it can spread from animals to humans. The WHO says transmission is likely to have happened through an animal that is handled by humans. Researchers do not support the theory that the virus was developed in a laboratory.

A. SUMMARY Medical provider confirmed COVID-19 cases and confirmed COVID-19 related deaths in San Francisco, CA aggregated by Census ZIP Code Tabulation Areas and normalized by 2018 American Community Survey (ACS) 5-year estimates for population data to calculate rate per 10,000 residents.

Cases and deaths are both mapped to the residence of the individual, not to where they were infected or died. For example, if one was infected in San Francisco at work but lives in the East Bay, those are not counted as SF Cases or if one dies in Zuckerberg San Francisco General but is from another county, that is also not counted in this dataset.

Dataset is cumulative and covers cases going back to March 2nd, 2020 when testing began. It is updated daily.

B. HOW THE DATASET IS CREATED Addresses from medical data are geocoded by the San Francisco Department of Public Health (SFDPH). Those addresses are spatially joined to the geographic areas. Counts are generated based on the number of address points that match each geographic area. The 2018 ACS estimates for population provided by the Census are used to create a rate which is equal to ([count] / [acs_population]) * 10000) representing the number of cases per 10,000 residents.

C. UPDATE PROCESS Geographic analysis is scripted by SFDPH staff and synced to this dataset each day.

D. HOW TO USE THIS DATASET Privacy rules in effect To protect privacy, certain rules are in effect: 1. Case counts greater than 0 and less than 10 are dropped - these will be null (blank) values 2. Cases dropped altogether for areas where acs_population < 1000

Rate suppression in effect where counts lower than 20 Rates are not calculated unless the case count is greater than or equal to 20. Rates are generally unstable at small numbers, so we avoid calculating them directly. We advise you to apply the same approach as this is best practice in epidemiology.

A note on Census ZIP Code Tabulation Areas (ZCTAs) ZIP Code Tabulation Areas are special boundaries created by the U.S. Census based on ZIP Codes developed by the USPS. They are not, however, the same thing. ZCTAs are polygonal representations of USPS ZIP Code service area routes. Read how the Census develops ZCTAs on their website.

This dataset is a filtered view of another dataset You can find a full dataset of cases and deaths summarized by this and other geographic areas.

E. CHANGE LOG

• 9/11/2023 - data on COVID-19 cases and deaths summarized by ZIP code tabulation area are no longer being updated. This data is currently through 9/6/2023 and will not include any new data after this date.

This data set provides access to counts of COVID-19 cases by CDCR institution and case status by day. It also provides testing volume data. It includes the CDCR institution name, the total confirmed cases at a reporting date, total active cases in custody at a reporting date, total released while active, total resolved, total deaths, and distinct patients tested. Data is open and accessible to the public

On 6/28/2023, data on cases by vaccination status will be archived and will no longer update.

A. SUMMARY This dataset represents San Francisco COVID-19 positive confirmed cases by vaccination status over time, starting January 1, 2021. Cases are included on the date the positive test was collected (the specimen collection date). Cases are counted in three categories: (1) all cases; (2) unvaccinated cases; and (3) completed primary series cases.

1. All cases: Includes cases among all San Francisco residents regardless of vaccination status.

2. Unvaccinated cases: Cases are considered unvaccinated if their positive COVID-19 test was before receiving any vaccine. Cases that are not matched to a COVID-19 vaccination record are considered unvaccinated.

3. Completed primary series cases: Cases are considered completed primary series if their positive COVID-19 test was 14 days or more after they received their 2nd dose in a 2-dose COVID-19 series or the single dose of a 1-dose vaccine. These are also called “breakthrough cases.”

On September 12, 2021, a new case definition of COVID-19 was introduced that includes criteria for enumerating new infections after previous probable or confirmed infections (also known as reinfections). A reinfection is defined as a confirmed positive PCR lab test more than 90 days after a positive PCR or antigen test. The first reinfection case was identified on December 7, 2021.

Data is lagged by eight days, meaning the most recent specimen collection date included is eight days prior to today. All data updates daily as more information becomes available.

B. HOW THE DATASET IS CREATED Case information is based on confirmed positive laboratory tests reported to the City. The City then completes quality assurance and other data verification processes. Vaccination data comes from the California Immunization Registry (CAIR2). The California Department of Public Health runs CAIR2. Individual-level case and vaccination data are matched to identify cases by vaccination status in this dataset. Case records are matched to vaccine records using first name, last name, date of birth, phone number, and email address.

We include vaccination records from all nine Bay Area counties in order to improve matching rates. This allows us to identify breakthrough cases among people who moved to the City from other Bay Area counties after completing their vaccine series. Only cases among San Francisco residents are included.

C. UPDATE PROCESS Updates automatically at 08:00 AM Pacific Time each day.

D. HOW TO USE THIS DATASET Total San Francisco population estimates can be found in a view based on the San Francisco Population and Demographic Census dataset. These population estimates are from the 2016-2020 5-year American Community Survey (ACS). To identify total San Francisco population estimates, filter the view on “demographic_category_label” = “all ages”.

Population estimates by vaccination status are derived from our publicly reported vaccination counts, which can be found at COVID-19 Vaccinations Given to SF Residents Over Time.

The dataset includes new cases, 7-day average new cases, new case rates, 7-day average new case rates, percent of total cases, and 7-day average percent of total cases for each vaccination category.

New cases are the count of cases where the positive tests were collected on that specific specimen collection date. The 7-day rolling average shows the trend in new cases. The rolling average is calculated by averaging the new cases for a particular day with the prior 6 days.

New case rates are the count of new cases per 100,000 residents in each vaccination status group. The 7-day rolling average shows the trend in case rates. The rolling average is calculated by averaging the case rate for a part

As of March 10, 2023, there have been 1.1 million deaths related to COVID-19 in the United States. There have been 101,159 deaths in the state of California, more than any other state in the country – California is also the state with the highest number of COVID-19 cases.

The vaccine rollout in the U.S. Since the start of the pandemic, the world has eagerly awaited the arrival of a safe and effective COVID-19 vaccine. In the United States, the immunization campaign started in mid-December 2020 following the approval of a vaccine jointly developed by Pfizer and BioNTech. As of March 22, 2023, the number of COVID-19 vaccine doses administered in the U.S. had reached roughly 673 million. The states with the highest number of vaccines administered are California, Texas, and New York.

Vaccines achieved due to work of research groups Chinese authorities initially shared the genetic sequence to the novel coronavirus in January 2020, allowing research groups to start studying how it invades human cells. The surface of the virus is covered with spike proteins, which enable it to bind to human cells. Once attached, the virus can enter the cells and start to make people ill. These spikes were of particular interest to vaccine manufacturers because they hold the key to preventing viral entry.

Among COVID-19 patients in the United States from February 12 to March 16, 2020, estimated case-fatality rates were highest for adults aged 85 years and older. Younger people appeared to have milder symptoms, and there were no deaths reported among persons aged 19 years and under.

Tracking the virus in the United States The outbreak of a previously unknown viral pneumonia was first reported in China toward the end of December 2019. The first U.S. case of COVID-19 was recorded in mid-January 2020, confirmed in a patient who had returned to the United States from China. The virus quickly started to spread, and the first community-acquired case was confirmed one month later in California. Overall, there had been approximately 4.5 million coronavirus cases in the country by the start of August 2020.

U.S. health care system stretched California, Florida, and Texas are among the states with the most coronavirus cases. Even the best-resourced hospitals in the United States have struggled to cope with the crisis, and certain areas of the country were dealt further blows by new waves of infections in July 2020. Attention is rightly focused on fighting the pandemic, but as health workers are redirected to care for COVID-19 patients, the United States must not lose sight of other important health care issues.

As of January 23, 2021, Vermont had the highest Rt value of any U.S. state. The Rt value indicates the average number of people that one person with COVID-19 is expected to infect. A number higher than one means each infected person is passing the virus to more than one other person.

Which are the hardest-hit states? The U.S. reported its first confirmed coronavirus case toward the end of January 2020. More than 28 million positive cases have since been recorded as of February 24, 2021 – California and Texas are the states with the highest number of coronavirus cases in the United States. When figures are adjusted to reflect each state’s population, North Dakota has the highest rate of coronavirus cases. The vaccine rollout has provided Americans with a significant morale boost, and California is the state with the highest number of COVID-19 vaccine doses administered.

How have other nations responded? Countries around the world have responded to the pandemic in varied ways. The United Kingdom has approved three vaccines for emergency use and ranks among the countries with the highest number of COVID-19 vaccine doses administered worldwide. In the Asia-Pacific region, the outbreak has been brought under control in New Zealand, and the country’s response to the pandemic has been widely praised.

Mexico SALUD: COVID-19: Confirmed Cases: To Date: Baja California data was reported at 157,209.000 Person in 17 Aug 2022. This records an increase from the previous number of 156,831.000 Person for 16 Aug 2022. Mexico SALUD: COVID-19: Confirmed Cases: To Date: Baja California data is updated daily, averaging 48,228.500 Person from Feb 2020 (Median) to 17 Aug 2022, with 902 observations. The data reached an all-time high of 157,209.000 Person in 17 Aug 2022 and a record low of 0.000 Person in 17 Mar 2020. Mexico SALUD: COVID-19: Confirmed Cases: To Date: Baja California data remains active status in CEIC and is reported by Ministry of Health. The data is categorized under High Frequency Database’s Disease Outbreaks – Table MX.D001: Ministry of Health: Coronavirus Disease 2019 (COVID-2019) (Discontinued). Current day data is released daily between 7PM and 11PM Mexico City Time. Weekend data are updated following Monday morning, Hong Kong Time. Number of Confirmed Cases are based on the state where it is reported.

This dataset has been retired as of February 17, 2023. This dataset will be kept for historical purposes, but will no longer be updated. Similar data are available on the state’s open data portal: https://data.chhs.ca.gov/dataset/covid-19-time-series-metrics-by-county-and-state/resource/e2c6a86b-d269-4ce1-b484-570353265183. This dataset provides the daily & cumulative number of COVID-19 new confirmed cases, hospitalizations, and deaths among Marin County residents (does not include San Quentin inmates). Event Date corresponds to date that each status type occurred. For Confirmed Case this is Test Date, for Hospitalized this is Hospital Admit Date, and for Death it is the Date of Death. If a person first tested positive for COVID-19 on 11/1/2020, was admitted to the hospital on 11/15/2020, and died on 11/20/2020, their data would be contained in three rows for each status and event date. Note: as of 11/2/2021 hospitalization counts no longer includes in-patient hospitalizations with a COVID-19 positive test when the patient was in the hospital for a reason other than COVID-19. This can include in-patient stays due to labor/delivery, trauma, or emergency surgery. The previous definition of COVID-19 hospitalizations, counting all in-patient hospitalizations with a COVID-19 positive test, measured the burden of disease on hospital resources, while this updated definition is a more appropriate measure of disease severity among Marin County residents.

Cases are lab-confirmed COVID-19 cases reported to Marin County Public Health by providers, commercial laboratories, and academic laboratories, including reporting results through the California Reportable Disease Information Exchange. A lab-confirmed case is defined as detection of SARS-CoV-2 RNA in a clinical specimen using a molecular amplification detection test. For more information about data sources and methods please reference the FAQs.

Mexico SALUD: COVID-19: Confirmed Cases: To Date: Baja California Sur data was reported at 122,894.000 Person in 17 Aug 2022. This records an increase from the previous number of 122,761.000 Person for 16 Aug 2022. Mexico SALUD: COVID-19: Confirmed Cases: To Date: Baja California Sur data is updated daily, averaging 31,434.000 Person from Feb 2020 (Median) to 17 Aug 2022, with 902 observations. The data reached an all-time high of 122,894.000 Person in 17 Aug 2022 and a record low of 0.000 Person in 20 Mar 2020. Mexico SALUD: COVID-19: Confirmed Cases: To Date: Baja California Sur data remains active status in CEIC and is reported by Ministry of Health. The data is categorized under High Frequency Database’s Disease Outbreaks – Table MX.D001: Ministry of Health: Coronavirus Disease 2019 (COVID-2019) (Discontinued). Current day data is released daily between 7PM and 11PM Mexico City Time. Weekend data are updated following Monday morning, Hong Kong Time. Number of Confirmed Cases are based on the state where it is reported.

Note: On April 30, 2024, the Federal mandate for COVID-19 and influenza associated hospitalization data to be reported to CDC’s National Healthcare Safety Network (NHSN) expired. Hospitalization data beyond April 30, 2024, will not be updated on the Open Data Portal. Hospitalization and ICU admission data collected from summer 2020 to May 10, 2023, are sourced from the California Hospital Association (CHA) Survey. Data collected on or after May 11, 2023, are sourced from CDC's National Healthcare Safety Network (NHSN).

Data is from the California Department of Public Health (CDPH) Respiratory Virus State Dashboard at https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Respiratory-Viruses/RespiratoryDashboard.aspx.

Data are updated each Friday around 2 pm.

For COVID-19 death data: As of January 1, 2023, data was sourced from the California Department of Public Health, California Comprehensive Death File (Dynamic), 2023–Present. Prior to January 1, 2023, death data was sourced from the COVID-19 case registry. The change in data source occurred in July 2023 and was applied retroactively to all 2023 data to provide a consistent source of death data for the year of 2023. Influenza death data was sourced from the California Department of Public Health, California Comprehensive Death File (Dynamic), 2020–Present.

COVID-19 testing data represent data received by CDPH through electronic laboratory reporting of test results for COVID-19 among residents of California. Testing date is the date the test was administered, and tests have a 1-day lag (except for the Los Angeles County, which has an additional 7-day lag). Influenza testing data represent data received by CDPH from clinical sentinel laboratories in California. These laboratories report the aggregate number of laboratory-confirmed influenza virus detections and total tests performed on a weekly basis. These data do not represent all influenza testing occurring in California and are available only at the state level.

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COVID-19 Worldwide Daily Data

Daily global COVID-19 data for all countries, provided by Johns Hopkins University (JHU) Center for Systems Science and Engineering (CSSE). If you want to use the update version of the data, you can use our daily updated data with the help of api key by entering it via Altadata.

Overview

In this data product, you may find the latest and historical global daily data on the COVID-19 pandemic for all countries.

The COVID‑19 pandemic, also known as the coronavirus pandemic, is an ongoing global pandemic of coronavirus disease 2019 (COVID‑19), caused by severe acute respiratory syndrome coronavirus 2 (SARS‑CoV‑2). The outbreak was first identified in December 2019 in Wuhan, China. The World Health Organization declared the outbreak a Public Health Emergency of International Concern on 30 January 2020 and a pandemic on 11 March. As of 12 August 2020, more than 20.2 million cases of COVID‑19 have been reported in more than 188 countries and territories, resulting in more than 741,000 deaths; more than 12.5 million people have recovered.

The Johns Hopkins Coronavirus Resource Center is a continuously updated source of COVID-19 data and expert guidance. They aggregate and analyze the best data available on COVID-19 - including cases, as well as testing, contact tracing and vaccine efforts - to help the public, policymakers and healthcare professionals worldwide respond to the pandemic.

Methodology

• Cases and Death counts include confirmed and probable (where reported)
• Recovered cases are estimates based on local media reports, and state and local reporting when available, and therefore may be substantially lower than the true number. US state-level recovered cases are from COVID Tracking Project.
• Active cases = total cases - total recovered - total deaths
• Incidence Rate = cases per 100,000 persons
• Case-Fatality Ratio (%) = Number recorded deaths / Number cases
• Country Population represents 2019 projections by UN Population Division, integrated to the JHU CSSE's COVID-19 data by ALTADATA

Data Source

• Johns Hopkins University Center for Systems Science and Engineering (JHU CSSE)
• United Nations Population Division

Related Data Products

• COVID-19 US Daily Data
• OECD, EU28, G20 Life Expectancy and Mortality Indicators

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Data Dictionary

• Reported Date (reported_date) : Covid-19 Report Date
• Country_Region (country_region) : Country, region or sovereignty name
• Population (population) : Country populations as per United Nations Population Division
• Confirmed Case (confirmed) : Confirmed cases include presumptive positive cases and probable cases
• Active cases (active) : Active cases = total confirmed - total recovered - total deaths
• Deaths (deaths) : Death cases counts
• Recovered (recovered) : Recovered cases counts
• Mortality Rate (mortality_rate) : Number of recorded deaths * 100 / Number of confirmed cases
• Incident Rate (incident_rate) : Confirmed cases per 100,000 persons

The counties of Trousdale and Lake – both in Tennessee – had the highest COVID-19 infection rates in the United States as of June 9, 2020. Dakota, Nobles, and Lincoln also ranked among the U.S. counties with the highest number of coronavirus cases per 100,000 people.

Coronavirus hits the East Coast In the United States, the novel coronavirus had infected around 5.4 million people and had caused nearly 170,000 deaths by mid-August 2020. The densely populated states of New York and New Jersey were at the epicenter of the outbreak in the country. New York City, which is composed of five counties, was one of the most severely impacted regions. However, the true level of transmission is likely to be much higher because many people will be asymptomatic or suffer only mild symptoms that are not diagnosed.

All states are in crisis The first coronavirus case in the U.S. was confirmed in the state of Washington in mid-January 2020. At the time, it was unclear how the virus was spreading; we now know that close contact with an infected person and breathing in their respiratory droplets is the primary mode of transmission. It is no surprise that the four states with the most coronavirus cases are those with the highest populations: New York, Texas, Florida, and California. However, Louisiana was the state with the highest COVID-19 infection rate per 100,000 people as of August 24, 2020.

Note: On 2/16/22, 17,467 cases based on at-home positive test results were excluded from the probable case counts. Per national case classification guidelines, cases based on at-home positive results are now classified as “suspect” cases. The majority of these cases were identified between November 2021 and February 2022.

CDPH tracks both probable and confirmed cases of COVID-19 to better understand how the virus is impacting our communities. Probable cases are defined as individuals with a positive antigen test that detects the presence of viral antigens. Antigen testing is useful when rapid results are needed, or in settings where laboratory resources may be limited. Confirmed cases are defined as individuals with a positive molecular test, which tests for viral genetic material, such as a PCR or polymerase chain reaction test. Results from both types of tests are reported to CDPH.

Due to the expanded use of antigen testing, surveillance of probable cases is increasingly important. The proportion of probable cases among the total cases in California has increased. To provide a more complete picture of trends in case volume, it is now more important to provide probable case data in addition to confirmed case data. The Centers for Disease Control and Prevention (CDC) has begun publishing probable case data for states.

Testing data is updated weekly. Due to small numbers, the percentage of probable cases in the first two weeks of the month may change. Probable case data from San Diego County is not included in the statewide table at this time.

For more information, please see https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Probable-Cases.aspx

This dataset represents preliminary estimates of cumulative U.S. COVID-19 disease burden for the 2024-2025 period, including illnesses, outpatient visits, hospitalizations, and deaths. The weekly COVID-19-associated burden estimates are preliminary and based on continuously collected surveillance data from patients hospitalized with laboratory-confirmed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections. The data come from the Coronavirus Disease 2019 (COVID-19)-Associated Hospitalization Surveillance Network (COVID-NET), a surveillance platform that captures data from hospitals that serve about 10% of the U.S. population. Each week CDC estimates a range (i.e., lower estimate and an upper estimate) of COVID-19 -associated burden that have occurred since October 1, 2024.

Note: Data are preliminary and subject to change as more data become available. Rates for recent COVID-19-associated hospital admissions are subject to reporting delays; as new data are received each week, previous rates are updated accordingly.

References

1. Reed C, Chaves SS, Daily Kirley P, et al. Estimating influenza disease burden from population-based surveillance data in the United States. PLoS One. 2015;10(3):e0118369. https://doi.org/10.1371/journal.pone.0118369 
2. Rolfes, MA, Foppa, IM, Garg, S, et al. Annual estimates of the burden of seasonal influenza in the United States: A tool for strengthening influenza surveillance and preparedness. Influenza Other Respi Viruses. 2018; 12: 132– 137. https://doi.org/10.1111/irv.12486
3. Tokars JI, Rolfes MA, Foppa IM, Reed C. An evaluation and update of methods for estimating the number of influenza cases averted by vaccination in the United States. Vaccine. 2018;36(48):7331-7337. doi:10.1016/j.vaccine.2018.10.026 
4. Collier SA, Deng L, Adam EA, Benedict KM, Beshearse EM, Blackstock AJ, Bruce BB, Derado G, Edens C, Fullerton KE, Gargano JW, Geissler AL, Hall AJ, Havelaar AH, Hill VR, Hoekstra RM, Reddy SC, Scallan E, Stokes EK, Yoder JS, Beach MJ. Estimate of Burden and Direct Healthcare Cost of Infectious Waterborne Disease in the United States. Emerg Infect Dis. 2021 Jan;27(1):140-149. doi: 10.3201/eid2701.190676. PMID: 33350905; PMCID: PMC7774540.
5. Reed C, Kim IK, Singleton JA,  et al. Estimated influenza illnesses and hospitalizations averted by vaccination–United States, 2013-14 influenza season. MMWR Morb Mortal Wkly Rep. 2014 Dec 12;63(49):1151-4. https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6349a2.htm 
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7. Devine O, Pham H, Gunnels B, et al. Extrapolating Sentinel Surveillance Information to Estimate National COVID-19 Hospital Admission Rates: A Bayesian Modeling Approach. Influenza and Other Respiratory Viruses. https://onlinelibrary.wiley.com/doi/10.1111/irv.70026. Volume18, Issue10. October 2024.
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