niman

COVID-19 Statistics in Maryland Number of confirmed cases : 36,986 Number of negative test results : 145,840 Number of confirmed deaths : 1,792 Number of probable deaths : 119 Currently hospitalized : 1,496 Acute care : 898 Intensive care : 598 Ever hospitalized : 6,679 Released from isolation : 2,685 Cases and Deaths Data Breakdown: Parenthesis = Confirmed death, laboratory-confirmed positive COVID-19 test result Asterisk = Probable death, death certificate lists COVID-19 as the cause of death but not yet confirmed by a laboratory test NH = Non-Hispanic By County County Cases Deaths Allegany 151 (13) Anne Arundel 2,752 (128) 8* Baltimore City 3,606 (183) 9* Baltimore County 4,399 (217) 17* Calvert 228 (12) 1* Caroline 190 Carroll 635 (64) Cecil 300 (17) Charles 829 (59) 2* Dorchester 107 (2) Frederick 1,364 (81) 7* Garrett 6 Harford 671 (28) 4* Howard 1,313 (38) 2* Kent 131 (14) Montgomery 7,759 (411) 38* Prince George's 10,791 (393) 20* Queen Anne's 108 (9) St. Mary's 299 (9) Somerset 54 Talbot 65 (1) Washington 320 (9) Wicomico 777 (19) Worcester 131 (4) 1* Data not available (81) 10* By Age Range and Gender Age/Gender Cases Deaths 0-9 716 10-19 1,383 20-29 4,849 (10) 1* 30-39 6,699 (21) 3* 40-49 6,635 (52) 4* 50-59 6,194 (118) 9* 60-69 4,577 (280) 12* 70-79 3,076 (441) 16* 80+ 2,857 (790) 64* Data not available (80) 10* Female 19,312 (890) 64* Male 17,674 (902) 55* By Race and Ethnicity Race/Ethnicity Cases Deaths African-American (NH) 11,572 (736) 40* Asian (NH) 723 (61) 5* White (NH) 7,701 (746) 57* Hispanic 8,229 (142) 6* Other (NH) 1,763 (24) 1* Data not available 6,998 (83) 10* https://coronavirus.maryland.gov/

https://dph.georgia.gov/covid-19-daily-status-report

https://www.vdh.virginia.gov/coronavirus/

COVID-19 Testing at Kane (As of 5/14/2020) Residents Tested Positive Negative Pending Recovered** COVID-19 Deaths COVID-19 Hospitalizations Glen Hazel 114 76 36 2 50 18 7 Scott 23 0 23 0 0 0 0 McKeesport 45 1 43 1 0 0 0 Ross 29 0 27 2 0 0 0 * Indicates that within the prior calendar day this facility has had an occurrence of a single confirmed infection of COVID-19, or three or more residents or staff with new-onset of respiratory symptoms occurring within 72 hours of each other. This information is provided in compliance with Federal regulations. ** A resident who has tested positive for COVID-19 is determined to have recovered when it has been at least 14 days since the onset of symptoms or a positive test, the resident has been asymptomatic for at least three days and the resident’s physician has been consulted and agrees with the determination of recovery. COVID-19 Testing at Kane (As of 5/14/2020) Staff Tested Positive Negative Pending Recovered Glen Hazel 79 42 37 0 34 Scott 16 1 14 1 0 McKeesport 28 1 27 0 0 Ross 29 1 28 0 0 https://www.alleghenycounty.us/kane/index.aspx

Autauga County: 104 confirmed cases 1,401 total tests 4 deaths Baldwin County: 243 confirmed cases 5,327 total tests 8 deaths Barbour County: 74 confirmed cases 503 total tests 1 deaths Bibb County: 46 confirmed cases 997 total tests 1 deaths Blount County: 45 confirmed cases 1,076 total tests 0 deaths Bullock County: 28 confirmed cases 176 total tests 1 deaths Butler County: 249 confirmed cases 934 total tests 8 deaths Calhoun County: 128 confirmed cases 2,559 total tests 3 deaths Chambers County: 326 confirmed cases 1,390 total tests 22 deaths Cherokee County: 25 confirmed cases 460 total tests 0 deaths Chilton County: 74 confirmed cases 959 total tests 1 deaths Choctaw County: 77 confirmed cases 261 total tests 3 deaths Clarke County: 68 confirmed cases 666 total tests 2 deaths Clay County: 27 confirmed cases 379 total tests 2 deaths Cleburne County: 13 confirmed cases 162 total tests 1 deaths Coffee County: 159 confirmed cases 1,232 total tests 1 deaths Colbert County: 79 confirmed cases 1,654 total tests 2 deaths Conecuh County: 17 confirmed cases 219 total tests 0 deaths Coosa County: 34 confirmed cases 221 total tests 1 deaths Covington County: 56 confirmed cases 778 total tests 1 deaths Crenshaw County: 50 confirmed cases 447 total tests 1 deaths Cullman County: 67 confirmed cases 1,956 total tests 0 deaths Dale County: 53 confirmed cases 728 total tests 0 deaths Dallas County: 132 confirmed cases 1,205 total tests 3 deaths DeKalb County: 185 confirmed cases 1,825 total tests 2 deaths Elmore County: 169 confirmed cases 1,910 total tests 6 deaths Escambia County: 39 confirmed cases 831 total tests 3 deaths Etowah County: 198 confirmed cases 3,051 total tests 10 deaths Fayette County: 10 confirmed cases 402 total tests 0 deaths Franklin County: 288 confirmed cases 1,257 total tests 3 deaths Geneva County: 18 confirmed cases 388 total tests 0 deaths Greene County: 76 confirmed cases 368 total tests 4 deaths Hale County: 79 confirmed cases 579 total tests 2 deaths Henry County: 35 confirmed cases 301 total tests 1 deaths Houston County: 125 confirmed cases 1,891 total tests 4 deaths Jackson County: 60 confirmed cases 1,956 total tests 2 deaths Jefferson County: 1,237 confirmed cases 26,137 total tests 69 deaths Lamar County: 14 confirmed cases 360 total tests 0 deaths Lauderdale County: 109 confirmed cases 2,718 total tests 2 deaths Lawrence County: 28 confirmed cases 475 total tests 0 deaths Lee County: 447 confirmed cases 4,305 total tests 30 deaths Limestone County: 62 confirmed cases 1,599 total tests 0 deaths Lowndes County: 117 confirmed cases 348 total tests 9 deaths Macon County: 53 confirmed cases 427 total tests 2 deaths Madison County: 272 confirmed cases 11,107 total tests 4 deaths Marengo County: 97 confirmed cases 772 total tests 5 deaths Marion County: 101 confirmed cases 1,099 total tests 9 deaths Marshall County: 599 confirmed cases 4,137 total tests 9 deaths Mobile County: 1,608 confirmed cases 13,821 total tests 98 deaths Monroe County: 18 confirmed cases 352 total tests 2 deaths Montgomery County: 753 confirmed cases 4,947 total tests 20 deaths Morgan County: 104 confirmed cases 2,539 total tests 1 deaths Perry County: 19 confirmed cases 386 total tests 0 deaths Pickens County: 71 confirmed cases 628 total tests 2 deaths Pike County: 103 confirmed cases 961 total tests 0 deaths Randolph County: 118 confirmed cases 701 total tests 7 deaths Russell County: 91 confirmed cases 859 total tests 0 deaths Shelby County: 390 confirmed cases 6,118 total tests 19 deaths St. Clair County: 88 confirmed cases 2,096 total tests 1 deaths Sumter County: 115 confirmed cases 610 total tests 4 deaths Talladega County: 76 confirmed cases 1,992 total tests 2 deaths Tallapoosa County: 345 confirmed cases 1,992 total tests 56 deaths Tuscaloosa County: 319 confirmed cases 6,192 total tests 8 deaths Unknown or Out of State County: 0 confirmed cases 3,347 total tests 0 deaths Walker County: 116 confirmed cases 1,665 total tests 0 deaths Washington County: 59 confirmed cases 356 total tests 5 deaths Wilcox County: 89 confirmed cases 323 total tests 5 deaths Winston County: 27 confirmed cases 604 total tests 1 deaths https://alpublichealth.maps.arcgis.com/apps/opsdashboard/index.html#/6d2771faa9da4a2786a509d82c8cf0f7

New York City 188,545 Albany County 1,509 Allegany County 44 Broome County 383 Cattaraugus County 64 Cayuga County 60 Chautauqua County 44 Chemung County 132 Chenango County 112 Clinton County 81 Columbia County 327 Cortland County 33 Delaware County 67 Dutchess County 3,474 Erie County 4,671 Essex County 32 Franklin County 17 Fulton County 144 Genesee County 175 Greene County 207 Hamilton County 5 Herkimer County 86 Jefferson County 69 Lewis County 12 Livingston County 106 Madison County 255 Monroe County 2,019 Montgomery County 69 Nassau County 38,743 Niagara County 710 Oneida County 698 Onondaga County 1,423 Ontario County 129 Orange County 9,771 Orleans County 145 Oswego County 78 Otsego County 67 Putnam County 1,115 Rensselaer County 423 Rockland County 12,596 Saratoga County 415 Schenectady County 597 Schoharie County 47 Schuyler County 8 Seneca County 49 St. Lawrence County 192 Steuben County 230 Suffolk County 37,544 Sullivan County 1,168 Tioga County 108 Tompkins County 136 Ulster County 1,495 Warren County 227 Washington County 215 Wayne County 89 Westchester County 31,792 Wyoming County 77 Yates County 22 New York State Total 343,051 New York State Deaths 22,170 New York City Deaths (Note: includes confirmed COVID-19 deaths as reported by the state and probable deaths as reported by the NYC Health Department) 19,964 https://www.nbcnewyork.com/news/local/how-many-in-tri-state-have-tested-positive-for-coronavirus-here-are-latest-cases-by-the-numbers/2317721/

Abstract (word count=237) The recent emergence of the SARS-CoV-2 pandemic has posed formidable challenges for clinical laboratories seeking reliable laboratory diagnostic confirmation. The swift advance of the crisis in the United States has led to Emergency Use Authorization (EUA) facilitating the availability of molecular diagnostic assays without the more rigorous scrutiny to which tests are normally subjected to prior to FDA approval. The need to identify the COVID-19 positive cases quickly and accurately has propelled the release of a variety of assays intended to meet the urgent demand. Several Nucleic Acid Amplification Tests (NAAT) platforms are currently available. Our laboratory currently uses two real time RT-PCR platforms, the Roche Cobas SARS-CoV2 and the Cepheid Xpert Xpress SARS-CoV-2. Both platforms demonstrate comparable performance; however the run times for each assay are 3.5 hours and 45 minutes, respectively. In search for a platform with shorter turnaround time, we sought to evaluate the recently released Abbott ID NOW COVID-19 assay which is capable of producing positive results in as little as 5 minutes. We present here the result comparisons between Abbot ID NOW COVID-19 and Cepheid Xpert Xpress SARS-CoV-2 using nasopharyngeal swabs transported in VTM as well as dry nasal swabs for the Abbott assay. Regardless of method of collection and sample type, Abbot ID NOW COVID-19 missed a third of the samples detected positive by Cepheid Xpert Xpress when using NP swabs in VTM and over 48% when using dry nasal swabs https://www.biorxiv.org/content/10.1101/2020.05.11.089896v1.full.pdf

Coronavirus (COVID-19) Update: FDA Informs Public About Possible Accuracy Concerns with Abbott ID NOW Point-of-Care Test NEWS PROVIDED BY U.S. Food and Drug Administration May 14, 2020, 19:44 ET SHARE THIS ARTICLE SILVER SPRING, Md., May 14, 2020 /PRNewswire/ -- Today, the U.S. Food and Drug Administration is alerting the public to early data that suggest potential inaccurate results from using the Abbott ID NOW point-of-care test to diagnose COVID-19. Specifically, the test may return false negative results. "We are still evaluating the information about inaccurate results and are in direct communications with Abbott about this important issue. We will continue to study the data available and are working with the company to create additional mechanisms for studying the test. This test can still be used and can correctly identify many positive cases in minutes. Negative results may need to be confirmed with a high-sensitivity authorized molecular test," said Tim Stenzel, M.D., Ph.D., director of the Office of In Vitro Diagnostics and Radiological Health in the FDA's Center for Devices and Radiological Health. The FDA is sharing early information available about potential inaccurate results in the spirit of transparency. The agency has been working with Abbott to analyze the information gathered to date and has worked with the company on a customer notification letter to alert users that any negative test results that are not consistent with a patient's clinical signs and symptoms or necessary for patient management should be confirmed with another test. The FDA looks at a variety of sources to identify and understand potential patterns or significant issues with the use of the Abbott test. No diagnostic test will be 100% accurate due to performance characteristics, specimen handling, or user error, which is why it is important to study patterns and identify the cause of suspected false results so any significant issues can be addressed quickly. The agency is aware of some scientific studies that have identified accuracy issues with Abbott ID NOW and is investigating whether it could be due to the types of swabs used or the type of viral transport media (material used to transport the patient's specimen). While there is important information to gather from these studies, it should be noted these studies have limitations, including small sample size, potential design biases, or tests that may not have been executed according to the manufacturer's instructions for use, an important part of scientific research. This is why external scientific studies are one part of the FDA's overall evaluation of a diagnostic performance. The FDA has received 15 adverse event reports about the Abbott ID NOW device that suggest some users are receiving inaccurate negative results. The agency is reviewing these reports. It's important to note that the adverse event reports the FDA receives from manufacturers, health care providers, health care facilities, and patients can be incomplete, inaccurate, or unverified, so agency staff must meticulously comb through the reports to identify crucial data to support any signals or patterns about device use. Moving forward, Abbott has agreed to conduct post-market studies for the ID NOW device that each will include at least 150 COVID-19 positive patients in a variety of clinical settings. The FDA will continue to review interim data on an ongoing basis. The information gathered from the post-market studies can further help the agency understand the cause or patterns of any accuracy issues and inform any additional actions the company or the FDA should take. The FDA will keep working with Abbott to further evaluate these accuracy issues and will publicly communicate any updates. Consumers or healthcare providers can reach Abbott directly at (224) 667-6100 or by email. Media Contact: Emma Spaulding, 240-753-3903 Consumer Inquiries: Email, 888-INFO-FDA The FDA, an agency within the U.S. Department of Health and Human Services, protects the public health by assuring the safety, effectiveness, and security of human and veterinary drugs, vaccines and other biological products for human use, and medical devices. The agency also is responsible for the safety and security of our nation's food supply, cosmetics, dietary supplements, products that give off electronic radiation, and for regulating tobacco products. SOURCE U.S. Food and Drug Administration

FDA has issued an alert on Abbott ID Now COVID test, which is the test used by the White House. https://www.prnewswire.com/news-releases/coronavirus-covid-19-update-fda-informs-public-about-possible-accuracy-concerns-with-abbott-id-now-point-of-care-test-301059882.html

New Hampshire 2019 Novel Coronavirus (COVID-19) Summary Report (data updated as of May 14, 2020, 9:00 AM) https://www.nh.gov/covid19/ Number of Persons with COVID-191 3,382 Recovered 1,247 (37%) Deaths Attributed to COVID-19 151 (4%) Total Current COVID-19 Cases 1,984 Persons Who Have Been Hospitalized for COVID-19 330 (10%) Current Hospitalizations 2 115 Persons Tested Negative at Selected Laboratories 3 39,148 Persons with Specimens Submitted to NH PHL 14,257 Persons with Test Pending at NH PHL 4 543 Persons Being Monitored in NH (approximate point in time) 3,425 1 Includes specimens presumptive-positive at any laboratory and those confirmed by CDC confirmatory testing.2 Number of patients currently hospitalized with COVID-19 as reported by hospitals.3 Includes specimens tested at the NH Public Health Laboratories (PHL), LabCorp, Quest, Dartmouth-Hitchcock Medical Center, and those sent to CDC prior to NH PHL testing capacity.4 Includes specimens received and awaiting testing at NH PHL. Does not include tests pending at commercial laboratories. Cases by County County Cases Belknap 49 Carroll 39 Cheshire 45 Coos 2 Grafton 59 Hillsborough - Other 542 Hillsborough - Manchester 770 Hillsborough - Nashua 312 Merrimack 261 Rockingham 1040 Strafford 215 Sullivan 14 County TBD 34 Grand Total 3,382

Total Mississippi Cases and Deaths as of May 13 Daily totals as of 6 p.m. of all reported cases and deaths since March 11, 2020. New cases reported today: 393 New deaths reported today: 15 Counties reporting deaths today: County Deaths reported today Bolivar 1 Clarke 2 Forrest 1 Hinds 1 Humphreys 1 Jones 1 Leflore 1 Lincoln 1 Monroe 1 Neshoba 2 Newton 1 Pearl River 1 Warren 1 About our case counts: We currently update our case totals each morning based on test results from the previous day. Outside laboratories also report positive test results to us, which are included in our totals. County case numbers and deaths may change as investigation finds new or additional information. Cases and Deaths by County Totals of all reported cases since March 11, including those in long-term care (LTC) facilities. County Total Cases Total Deaths Total LTC Facility Cases Total LTC Facility Deaths Adams 164 15 40 8 Alcorn 12 1 0 0 Amite 39 0 5 0 Attala 212 5 60 5 Benton 14 0 1 0 Bolivar 120 10 16 4 Calhoun 58 4 23 4 Carroll 106 4 45 3 Chickasaw 110 10 25 6 Choctaw 18 2 0 0 Claiborne 48 0 0 0 Clarke 97 11 14 5 Clay 75 3 0 0 Coahoma 73 3 0 0 Copiah 191 1 1 0 Covington 101 1 2 1 Desoto 355 5 6 1 Forrest 357 24 69 13 Franklin 19 1 1 0 George 16 1 0 0 Greene 7 1 0 0 Grenada 56 2 14 2 Hancock 79 10 6 3 Harrison 223 6 1 1 Hinds 717 18 62 11 Holmes 262 19 43 9 Humphreys 39 5 10 3 Itawamba 73 7 33 6 Jackson 280 13 39 4 Jasper 104 3 1 0 Jefferson 33 0 0 0 Jefferson Davis 63 1 2 0 Jones 287 7 40 2 Kemper 100 7 23 4 Lafayette 106 3 37 0 Lamar 164 4 3 2 Lauderdale 557 45 135 27 Lawrence 74 0 1 0 Leake 332 5 1 0 Lee 83 4 5 0 Leflore 197 22 50 11 Lincoln 194 16 66 12 Lowndes 100 4 7 2 Madison 502 15 61 10 Marion 86 7 14 2 Marshall 63 2 2 0 Monroe 209 22 92 19 Montgomery 70 1 0 0 Neshoba 354 18 36 9 Newton 161 2 2 0 Noxubee 118 2 9 2 Oktibbeha 97 6 27 4 Panola 46 2 0 0 Pearl River 193 26 42 8 Perry 35 1 0 0 Pike 173 10 14 5 Pontotoc 25 2 3 0 Prentiss 36 2 22 2 Quitman 19 0 0 0 Rankin 271 6 6 0 Scott 487 6 10 1 Sharkey 5 0 0 0 Simpson 72 0 4 0 Smith 107 7 27 4 Stone 26 0 0 0 Sunflower 65 3 0 0 Tallahatchie 15 1 0 0 Tate 55 0 2 0 Tippah 66 11 0 0 Tishomingo 11 0 1 0 Tunica 40 2 12 2 Union 57 4 17 3 Walthall 42 0 0 0 Warren 127 3 15 1 Washington 92 4 4 1 Wayne 32 0 3 0 Webster 22 1 0 0 Wilkinson 78 9 5 2 Winston 70 0 0 0 Yalobusha 65 0 24 0 Yazoo 176 2 4 0 Total 10,483 480 1,345 224 The numbers in this table are provisional. County case numbers and deaths may change as investigation finds new or additional information about residence. Long-Term Care Facility Cases and Deaths by Race Long-term care (LTC) facilities like nursing homes are considered high risk locations because their residents are older or in poor health. Even one case of COVID-19 in these facilities among residents or employees is considered an outbreak. We investigate residents, staff and close contacts of infected individuals for possible exposure. (Long-term care facilities include nursing homes, intermediate care facilities for individuals with intellectual disabilities, personal care homes, assisted living facilities, long-term acute care facilities, and psychiatric or chemical dependency residential treatment centers.) View a table by county of Mississippi COVID-19 cases in long-term care facilities PDF Mississippi Cases and Deaths Tables Mississippi COVID-19 cases by county, race and ethnicity PDF Mississippi COVID-19 deaths by county, race and ethnicity PDF Mississippi counties ranked by weekly cases and incidence Mississippi COVID-19 Map and Charts Data Overviews as of May 12 Our state case map and other data charts are also available in interactive form. View interactive map View interactive epidemiological trend and syndromic surveillance View interactive hospitalization chart The charts below are based on available data at the time of publication. Charts do not include cases where insufficient details of the case are known. Note: Values up to two weeks in the past on the Date of Illness Onset chart above can change as we update it with new information from disease investigation. Weekly High Case and High Incidence Counties These weekly tables count cases based on the date of testing, not the date the test result was reported, and count only those cases where the date of testing is known. They rank counties by weekly cases, and by incidence (cases proportional to population). A separate table ranking all counties is also available. All tables updated weekly. Full tables of counties ranked by weekly incidence and cases PDF Syndromic Surveillance Emergency department visits by those with symptoms characteristic of COVID-19, influenza and pneumonia, updated weekly. Estimated Recoveries Presumed COVID-19 cases recovered, estimated weekly (does not include cases still under investigation). https://msdh.ms.gov/msdhsite/_static/14,0,420.html#caseTable

Positive 5,503 Total Tests * 119,601 Click Here to View Positive Cases By County COVID-Related Deaths in NM 242 *Numbers are cumulative persons tested through 5/14/2020, 5:55:41 PM. Test results are from the state Scientific Laboratory Division of the New Mexico Department of Health, TriCore Reference Laboratories, LabCorp, Mayo Clinic Laboratories, Quest Diagnostics, and BioReference Laboratories. https://cv.nmhealth.org/

https://adem.maps.arcgis.com/apps/opsdashboard/index.html#/f533ac8a8b6040e5896b05b47b17a647

https://public.tableau.com/profile/idaho.division.of.public.health#!/vizhome/DPHIdahoCOVID-19Dashboard_V2/Story1

1,960 Douglas 1,412 Dakota 1,392 Hall 756 Dawson 701 Lancaster 467 Colfax 407 Platte 395 Saline 291 Sarpy 281 Madison 238 Adams 203 Dodge 130 Buffalo 48 Scotts Bluff 47 Hamilton 41 Gage 40 Lincoln 29 Custer 28 Howard 27 Butler 27 York 26 Merrick 25 Dixon 24 Washington 19 Seward 19 Thurston 15 Saunders 15 Cass 15 Cuming 14 Clay 13 Gosper 11 Phelps 10 Kearney 10 Morrill 9 Polk 9 Kimball 8 Cheyenne 8 Stanton 6 Knox 6 Cedar 5 Franklin 5 Burt 5 Red Willow 5 Johnson 5 Antelope 5 Otoe 5 Webster 5 Jefferson 4 Fillmore 4 Nance 4 Furnas 3 Valley 3 Boone 3 Wayne 2 Nemaha 2 Greeley 2 Keith 2 Sherman 1 Thomas 1 Holt 1 Box Butte 1 Pierce 1 Hitchcock 1 Dawes 1 Richardson 1 Frontier 1 Cherry https://nebraska.maps.arcgis.com/apps/opsdashboard/index.html#/4213f719a45647bc873ffb58783ffef3

Maine COVID‑19 Cumulative Case Data Updated: May 14, 2020 at 12:30 PM Total Cases1 Confirmed Cases Probable Cases Recovered Hospitalizations Deaths 1,565 1,405 160 958 207 69 1Maine's total case count includes both confirmed and probable cases. For more information about this data, please see the "Read Details About the Data" section below. https://www.maine.gov/dhhs/mecdc/infectious-disease/epi/airborne/coronavirus.shtml Total Number of COVID‑19 Tests in Maine Updated: May 13, 202033,035 New as of 5/14/2020 Maine CDC will publish the total number of tests once a week on Wednesdays. Because of the number of outside labs that are testing samples from Maine, it is not currently possible to post a complete count of tests on a daily basis. View a Table of Maine COVID-19 Current Hospital Use and Capacity Data Hospitalized: Confirmed Cases Total Hospitalized 37 In Critical Care 18 On a Ventilator 7 Capacity Available Critical Care Beds 163 Total Critical Care Beds 361 Available Ventilators 230 Total Ventilators 313 Alternative Ventilators 416 Updated May 14, 2020 at 12:30 PM View a Table of Cumulative COVID‑19 Cases by County

932 Currently Hospitalized 5 Hospitalized Under Investigation 13 Total People Recovered 792 Deaths 53 Total Tests 22,505 People Being Monitored 27 People Completed Monitoring 851 https://www.healthvermont.gov/response/coronavirus-covid-19/current-activity-vermont

Total Cases 387 Cumulative (includes recovered cases) https://coronavirus-response-alaska-dhss.hub.arcgis.com/ Total Recovered Cases 339 Total Hospitalizations 39 Cumulative (does not reflect current stays) Total Deaths 10

Multisystem Inflammatory Syndrome in Children (MIS-C) Associated with Coronavirus Disease 2019 (COVID-19) Summary The Centers for Disease Control and Prevention (CDC) is providing 1) background information on several cases of a recently reported multisystem inflammatory syndrome in children (MIS-C) associated with coronavirus disease 2019 (COVID-19); and 2) a case definition for this syndrome. CDC recommends healthcare providers report any patient who meets the case definition to local, state, and territorial health departments to enhance knowledge of risk factors, pathogenesis, clinical course, and treatment of this syndrome. Background On April 26, 2020, clinicians in the United Kingdom (UK) recognized increased reports of previously healthy children presenting with a severe inflammatory syndrome with Kawasaki disease-like features.1 The cases occurred in children testing positive for current or recent infection by SARS-CoV-2, the novel coronavirus that causes COVID-19, based on reverse-transcriptase polymerase chain reaction (RT-PCR) or serologic assay, or who had an epidemiologic link to a COVID-19 case. Patients presented with a persistent fever and a constellation of symptoms including hypotension, multiorgan (e.g., cardiac, gastrointestinal, renal, hematologic, dermatologic and neurologic) involvement, and elevated inflammatory markers.2Respiratory symptoms were not present in all cases. Eight cases, including one death, from the UK were described in a recent publication.3In the limited sample of 8 children, it was reported that 75% of the patients were of Afro-Caribbean descent and 62.5% were male. The report also indicated that all 8 patients tested positive for SARS-CoV-2 through antibody testing, including the patient that died.3 During March and April, cases of COVID-19 rapidly increased in New York City and New York State. In early May 2020, the New York City Department of Health and Mental Hygiene received reports of children with multisystem inflammatory syndrome. From April 16 through May 4, 2020, 15 patients aged 2-15 years were hospitalized, many requiring admission to the intensive care unit. As of May 12, 2020, the New York State Department of Health identified 102 patients (including patients from New York City) with similar presentations, many of whom tested positive for SARS-CoV-2 infection by RT-PCR or serologic assay. New York State and New York City continue to receive additional reports of suspected cases. Additional reports of children presenting with severe inflammatory syndrome with a laboratory-confirmed case of COVID-19 or an epidemiological link to a COVID-19 case have been reported by authorities in other countries.4 It is currently unknown if multisystem inflammatory syndrome is specific to children or if it also occurs in adults. There is limited information currently available about risk factors, pathogenesis, clinical course, and treatment for MIS-C. CDC is requesting healthcare providers report suspected cases to public health authorities to better characterize this newly recognized condition in the pediatric population. Recommendations Healthcare providers who have cared or are caring for patients younger than 21 years of age meeting MIS-C criteria should report suspected cases to their local, state, or territorial health department. For additional information, please contact CDC’s 24-hour Emergency Operations Center at 770-488-7100. After hour phone numbers for health departments are available at the Council of State and Territorial Epidemiologist website (https://resources.cste.org/epiafterhours). Case Definition for Multisystem Inflammatory Syndrome in Children (MIS-C) An individual aged <21 years presenting with feveri, laboratory evidence of inflammationii, and evidence of clinically severe illness requiring hospitalization, with multisystem (>2) organ involvement (cardiac, renal, respiratory, hematologic, gastrointestinal, dermatologic or neurological); AND No alternative plausible diagnoses; AND Positive for current or recent SARS-CoV-2 infection by RT-PCR, serology, or antigen test; or COVID-19 exposure within the 4 weeks prior to the onset of symptoms iFever >38.0°C for ≥24 hours, or report of subjective fever lasting ≥24 hours iiIncluding, but not limited to, one or more of the following: an elevated C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), fibrinogen, procalcitonin, d-dimer, ferritin, lactic acid dehydrogenase (LDH), or interleukin 6 (IL-6), elevated neutrophils, reduced lymphocytes and low albumin Additional comments Some individuals may fulfill full or partial criteria for Kawasaki disease but should be reported if they meet the case definition for MIS-C Consider MIS-C in any pediatric death with evidence of SARS-CoV-2 infection References 1https://www.cdc.gov/kawasaki/index.html 2Royal College of Paediatrics and Child Health Guidance: Paediatric multisystem inflammatory syndrome temporally associated with COVID-19, https://www.rcpch.ac.uk/sites/default/files/2020-05/COVID-19-Paediatric-multisystem-%20inflammatory%20syndrome-20200501.pdf. 3Riphagen S, Gomez X, Gonzales-Martinez C, Wilkinson N, Theocharis P. Hyperinflammatory shock in children during COVID-19 pandemic. Lancet. 2020. Advance online publication, doi: 10.1016/S0140-6736(20)31094 https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)31094-1/fulltext 4Verdoni L, Mazza A, Gervasoni A, Martelli L, Ruggeri M, Ciuffreda M, Bonanomi E, D’Anitga L. An outbreak of severe Kawasaki-like disease at the Italian epicentre of the SARS-CoV-2 epidemic: an observational cohort study. Lancet. 2020. Advance online publication, doi: 10.1016/ S0140-6736(20)31129-6 https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)31103-X/fulltext The Centers for Disease Control and Prevention (CDC) protects people's health and safety by preventing and controlling diseases and injuries; enhances health decisions by providing credible information on critical health issues; and promotes healthy living through strong partnerships with local, national, and international organizations.

SummaryThe Centers for Disease Control and Prevention (CDC) is providing 1) background information on several cases of a recently reported multisystem inflammatory syndrome in children (MIS-C) associated with coronavirus disease 2019 (COVID-19); and 2) a case definition for this syndrome. CDC recommends healthcare providers report any patient who meets the case definition to local, state, and territorial health departments to enhance knowledge of risk factors, pathogenesis, clinical course, and treatment of this syndrome.

https://www.doh.wa.gov/Emergencies/NovelCoronavirusOutbreak2020COVID19/DataDashboard

https://covid19.colorado.gov/data/case-data

https://www.mass.gov/doc/covid-19-dashboard-may-14-2020/download

Data current as of 5/14/2020, 8:00 a.m. Updated daily. Total cases 3,4791 Total deaths 137 Positive tests 3,407 Negative tests 83,272 Total tested 86,679 1Includes cases confirmed by diagnostic testing and presumptive cases. Presumptive cases are those without a positive diagnostic test who present COVID-19-like symptoms and had close contact with a confirmed case. https://govstatus.egov.com/OR-OHA-COVID-19

https://health.wyo.gov/publichealth/infectious-disease-epidemiology-unit/disease/novel-coronavirus/covid-19-map-and-statistics/