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First Cases of Coronavirus Disease in Central and Southern Illinois 14th Mar, 2020 State also identifies first case associated with a long-term care facility SPRINGFIELD - The Illinois Department of Public Health today announced the first cases of coronavirus disease (COVID-19) in central and southern Illinois. A Woodford County resident in his 70s and a Cumberland County resident in his 70s both tested positive for COVID-19. Additionally, two St. Clair County residents have tested positive – a woman in her 60s and a woman in her 70s. Possible exposures and travel histories for the two individuals are still being investigated and public health officials are working to identify and contact all individuals who are close contacts for these two cases. “As we expected, we are beginning to identify cases of COVID-19 outside of the Chicago area,” said Governor JB Pritzker. “Over the past several days, we have announced aggressive measures to reduce and slow the spread of the virus in Illinois. These are not easy decisions to make and we are not taking them lightly, but we believe these actions will help limit the spread of the virus in our communities and keep our residents safe.” “We are starting to receive results from commercial laboratory testing,” said IDPH Director Dr. Ngozi Ezike. “With these additional results, we expect the number of identified cases to increase dramatically all across the state. It is vitally important that we implement social distancing measures, such as staying home and cancelling large events. These are actions that can reduce the number of infections that occur in the community, and ultimately alleviate the strain on our health care systems.” A DuPage County woman in her 60s residing in a long-term care facility has also tested positive. Illinois Department of Public health officials are on the ground and working with the long-term care facility to identify all close contacts and protect the health and safety of all residents and staff at the facility. Infection control measures are required for all nursing homes, additional vigilance for respiratory illness should be implement as well as increased cleaning, and visitor restrictions are to be implemented. The Illinois Department of Public Health has guidance for long-term care facilities on its website to assist facilities take proactive steps to ensure the health and safety of their workers, patients and families. The total number of cases in Illinois now stands at 64. In addition to cases in Cumberland, DuPage, St. Clair, and Woodford counties, there are seven new cases in Chicago, four in suburban Cook, one in Kane, and one in Lake counties. Public health officials are still investigating the travel history of these individuals and any potential contact with a known COVID-19 case. Public health officials will identify and contact people who are considered close contacts of these cases. For information about how you, your school, workplace, and community can prepare, please visit Preventing COVID-19 Spread in Communities. For general questions about COVID-19, call the hotline at 1-800-889-3931 or email [email protected]

The total number of cases in Illinois now stands at 64. In addition to cases in Cumberland, DuPage, St. Clair, and Woodford counties, there are seven new cases in Chicago, four in suburban Cook, one in Kane, and one in Lake counties. Public health officials are still investigating the travel history of these individuals and any potential contact with a known COVID-19 case. Public health officials will identify and contact people who are considered close contacts of these cases. http://www.dph.illinois.gov/news/first-cases-coronavirus-disease-central-and-southern-illinois

Colorado COVID-19 Case Summary UPDATED: March 14, 3:00 p.m. COVID-19 Test Result Overview Positive*: 101 Negative**: 610 Total number of people tested**: 711 *Originally we classified cases as “presumptive positive” until they could be re-tested by the Centers for Disease Control (CDC). The CDC confirmed we no longer need to send positive cases for re-testing because the test they perform is identical to the CDPHE testing. Therefore, all positive cases reported here are confirmed. **Now that private labs are conducting testing, the positive cases number represents all positive cases in the state. The negative and total numbers represent just the confirmed data from the state lab. Private labs are not required to report negative numbers to the state. Numbers are changing very quickly. We will do our best to update them as soon as possible. Please note: information may change slightly as more information is collected on each patient. Positive cases by county of residence Adams: 6 Arapahoe County: 10 Denver County: 20 Douglas County: 4 Eagle County: 18 El Paso County: 3 Gunnison County: 6 Jefferson County: 9 Larimer County: 1 Mesa County: 1 Pitkin County: 2 Pueblo: 1 Summit County: 2 Weld: 3 Out of state visitors - 15 (Currently located in these counties:) Pitkin - 9 Eagle - 2 Routt - 1 Denver - 1 Waiting on information - 2 Deaths: One female in her 80s from El Paso County Age: Teenage – 3 20s – 9 30s – 19 40s – 20 50s – 19 60s – 13 70s – 13 80s – 5 Resident/Visitor: Residents: 85 Visitors: 16 Gender: Female: 52 Male: 49

COVID-19 Test Result Overview Positive*: 101 Negative**: 610 Total number of people tested**: 711 https://docs.google.com/document/d/e/2PACX-1vRSxDeeJEaDxir0cCd9Sfji8ZPKzNaCPZnvRCbG63Oa1ztz4B4r7xG_wsoC9ucd_ei3--Pz7UD50yQD/pub

Wisconsin COVID-19 Test Results Test Results Number of People Negative 246 Positive 26 Positive: Recovered 1 Total Positive 27 More labs across the country are able to test for COVID-19. And now, Wisconsin clinicians can order tests without public health approval. Since tests are widely available, we will no longer report the number of people under investigation. Number of Positive Results by County Wisconsin County Total Cases Dane 6 Fond du Lac 6 Milwaukee 6 Pierce 1 Racine 1 Sheboygan 3 Waukesha 3 Winnebago 1 Total 27

Wisconsin COVID-19 Test Results Test Results Number of People Negative 246 Positive 26 Positive: Recovered 1 Total Positive 27 https://www.dhs.wisconsin.gov/outbreaks/index.htm

Current as of March 14, 2020 at 4 p.m. Eastern time Kentucky Coronavirus MonitoringNumber Tested: 153Positive: 16Negative: 139 Note: These figures are updated daily at 4 p.m. Eastern time and reflect all cases reported to KDPH as of that time. https://chfs.ky.gov/agencies/dph/pages/covid19.aspx

The Virginia Department of Health is monitoring an outbreak of respiratory illness, called coronavirus disease 2019 (COVID-19), caused by a novel (new) coronavirus that was first detected in Wuhan, Hubei Province, China. http://www.vdh.virginia.gov/surveillance-and-investigation/novel-coronavirus/

Testing DHEC's Public Health Laboratory receives samples from healthcare providers that can be testing for COVID-19. Recently, the U.S. Food and Drug Administration (FDA) has approved some private labs in South Carolina to also conduct CDC-approved testing for COVID-19. These labs are required to report positive cases of the virus to DHEC. We will continue to update the public as positive cases are either conducted by the state’s Public Health Laboratory or reported to DHEC by private labs. COVID-19 Monitoring & Testing in SC Negative tests 154 Positive tests 19 Completed monitoring 67 Currently monitoring 7 NOTE: DHEC has been receiving notifications of travelers who have returned from certain countries with widespread sustained transmission of COVID-19. DHEC staff have been contacting these individuals, assessing their risk, and providing recommendations to monitor themselves for symptoms.The number of people falling into this “monitoring” category is decreasing, and eventually it will no longer be relevant to report the monitoring numbers. DHEC will continue to report positive cases of COVID-19. https://www.scdhec.gov/infectious-diseases/viruses/coronavirus-disease-2019-covid-19/monitoring-testing-covid-19

FOR IMMEDIATE RELEASE: March 14, 2020 COLUMBIA, S.C. — The South Carolina Department of Health and Environmental Control (DHEC) is investigating six additional cases of the COVID-19 novel coronavirus. This brings the total number of cases statewide to 19. As the state’s case counts expectedly increase, DHEC will publicly report information about facilities and locations that impacted communities should be aware of where special precautions may be needed. “We emphasize the importance of practicing disease prevention measures and following recommendations for social distancing to protect our community as a whole,” said Dr. Linda Bell, State Epidemiologist. Preliminary information for new cases Three new cases are from Beaufort County. Two cases are close contacts of each other and had known exposure to a confirmed case of COVID-19 from another state. The other case has no know connection to any other case and recently traveled internationally. All three cases are currently isolated at home. Two new cases are from Kershaw County who have no identified source of exposure. Both are currently hospitalized and isolated. One new case is from Lexington County who is currently hospitalized and isolated. This individual has no known exposure to another case and no recent travel history to an impacted area. Impacted facilities The Lexington County case was a resident of Lexington Medical Center Extended Care Skilled Nursing Facility. The source of this patient’s exposure is being investigated. DHEC is working with the facility to identify all contacts and is providing guidance about infection control measures to prevent spread. “We are working closely with this extended care facility to immediately investigate possible exposures in an effort to mitigate any potential spread at this facility,” said Dr. Bell. “The facility is completely cooperative as we work through our contact investigation and staff are abiding by DHEC’s and CDC’s recommended actions for helping to protect this higher-risk population.” Yesterday, in conjunction with Governor McMaster’s state of emergency declaration, DHEC immediately began restricting visitation to nursing homes and assisted living facilities, with the exception of end-of-life situations, to help better safeguard this vulnerable population against COVID-19. “Our top priorities remain preventing the spread of the disease and protecting the public health,” Bell said. “This includes working to control spread and measures that best protect all individuals. We encourage the public to maintain their daily routines of protecting against illness by practicing good hygiene and handwashing, and individuals with signs of illness are asked to take seriously the recommendation to stay home from school and work and not attend public gatherings.” People with symptoms such as fever, cough or shortness of breath should call their healthcare provider. If an individual doesn’t have a primary care physician, several healthcare systems are providing telehealth services so residents may be evaluated by a healthcare provider without having to leave their homes. If it’s determined an individual should be tested, they will be instructed where to go to be tested. Individuals with minor illness are advised not to go to emergency departments. Learn more about the Centers for Medicare & Medicaid Services's guidance for infection control in healthcare facilities here. For more information about COVID-19, visit scdhec.gov/COVID19 or the CDC website here.

The South Carolina Department of Health and Environmental Control (DHEC) is investigating six additional cases of the COVID-19 novel coronavirus. This brings the total number of cases statewide to 19. https://www.scdhec.gov/news-releases/dhec-announces-additional-six-cases-2019-novel-coronavirus-south-carolina

Latest COVID-19 Testing Data in Connecticut Updated 5:00 p.m. on Saturday, March 14, 2020 Total patients who tested positive (including presumptive positive): 20 Fairfield County: 15 Hartford County: 1 Litchfield County: 3 New Haven County: 1 https://portal.ct.gov/Coronavirus

77 Cases Reported 2 of 77 Confirmed by CDC 210 Tests Completed 1 Deaths Reported Parishes with Reported Cases 9 of 64 http://www.ldh.la.gov/coronavirus/

State of Louisiana Reports First COVID-19 Related Death March 14, 2020 The State of Louisiana reports first death related to COVID-19. The Orleans Parish resident was a 58-year-old individual with underlying health conditions. The patient was being treated at Touro Infirmary Hospital and Medical Center. "It is with heavy hearts that we announce the first Louisiana death related to COVID-19 today,” said Gov. Edwards. “I have spoken with Mayor LaToya Cantrell, and we send our prayers and condolences to the family of the deceased. In addition, we now have 10 new presumptive positive cases bringing our total to 77. Now more than ever, we must remain vigilant against the spread of this illness by taking care of ourselves and each other, avoiding going into public areas if you are sick, practicing social distancing and washing your hands frequently with soap and water. This underscores the fact that those with underlying health issues are most at risk from the coronavirus. Those with compromised immune systems and are older should be taking extra precautions to avoid becoming affected with the coronavirus.” The Louisiana Department of Louisiana has reported 10 additional presumptive positive cases for coronavirus in Louisiana, which now brings the total to 77. Updates can be seen at ldh.la.gov/Coronavirus. Everyone is warned to take the necessary precautions to help limit the spread of COVID-19 and stay safe and healthy. These precautions include: Washing your hands for at least 20 seconds and frequently Covering your cough or sneeze with your arm Avoiding touching your face Routinely clean and disinfect frequently touched surfaces Avoiding close contact with others And staying home if you are sick

The Orleans Parish resident was a 58-year-old individual with underlying health conditions. The patient was being treated at Touro Infirmary Hospital and Medical Center. https://gov.louisiana.gov/index.cfm/newsroom/detail/2407

Test Results for Persons Under Investigation (PUI)* As of 3/14/2020, 11:00 AM Positive 36‡ Negative 420 Pending 225 Total PUI (Cumulative since January 24, 2020) 681 *A PUI is an individual with COVID-19 symptoms—but not necessarily the virus—who may have been exposed through close contact with a confirmed case or travel to an affected region, or who has pneumonia, thought by the clinician to be viral, requiring hospitalization with no more likely diagnosis and no source of exposure has been identified. ‡ 2 confirmed by the CDC (U.S. Centers for Disease Control and Prevention) https://www.oregon.gov/oha/PH/DISEASESCONDITIONS/DISEASESAZ/Pages/emerging-respiratory-infections.aspx

Current Situation in Washington What's the current risk? The risk posed by a virus outbreak depends on factors including how well it spreads between people, the severity of the illness it causes, and the medical or other measures we have to control the impact of the virus (for example, vaccine or treatment medications). COVID-19 is spreading in several communities in Washington, the risk of exposure is increasing for people who live in our state. Healthcare workers caring for patients with COVID-19 are at elevated risk of exposure. Those who have had close contact with persons with COVID-19 are at elevated risk of exposure. Travelers returning from affected international locations where community spread is occurring are at elevated risk of exposure. Our knowledge of COVID-19 is still rapidly evolving. The risk assessment will be updated as needed. 2019 Novel Coronavirus (COVID-19) in Washington Updated on March 14, 2020 at 2:45 p.m. County Positive/Confirmed Cases Deaths Clark 3 0 Columbia 1 0 Grant 2 1 Grays Harbor 1 0 Island 6 0 Jefferson 1 0 King 387 35 Kitsap 3 0 Kittitas 3 0 Pierce 26 0 Skagit 4 0 Snohomish 154 4 Spokane 3 0 Thurston 3 0 Whatcom 2 0 Yakima 4 0 Unassigned 39 0 Total 642 40 Confirmed Cases by Age 0 to 19 years 2% 20 to 29 years 7% 30 to 39 years 11% 40 to 49 years 13% 50 to 59 years 15% 60 to 69 years 16% 70 to 79 years 18% 80+ years 20% Confirmed Cases by Sex Female 54% Male 43% Unknown 3% Number of Individuals Tested Positive 642 Negative 7122 Note on the county and unassigned data: This data changes rapidly as labs conduct tests and discover new cases. Labs assign those cases to a county. Counties or the Department of Health then determine the appropriate county of jurisdiction. Those don’t always match initially. We’re working to reduce the “unassigned” number to 0. Contact the local health department for county specific information. Note on the deaths: Some deaths may be reported by health care providers, medical examiners/coroners, local health departments, or others before they are included in the statewide count. It takes longer for the state to announce deaths because they are often reported first to the local health department and then to us. Note on the number of infections: Public health experts agree that the true number of people who have been infected with COVID-19 in Washington greatly exceeds the number of COVID-19 infections that have been laboratory-confirmed. It is very difficult to know exactly how many people in Washington have been infected to date since most people with COVID-19 experience mild illness and the ability to get tested is still not widely available. https://www.doh.wa.gov/Emergencies/Coronavirus

Our knowledge of COVID-19 is still rapidly evolving. The risk assessment will be updated as needed. 2019 Novel Coronavirus (COVID-19) in Washington Updated on March 14, 2020 at 2:45 p.m. County Positive/Confirmed Cases Deaths Clark 3 0 Columbia 1 0 Grant 2 1 Grays Harbor 1 0 Island 6 0 Jefferson 1 0 King 387 35 Kitsap 3 0 Kittitas 3 0 Pierce 26 0 Skagit 4 0 Snohomish 154 4 Spokane 3 0 Thurston 3 0 Whatcom 2 0 Yakima 4 0 Unassigned 39 0 Total 642 40

First case of COVID-19 confirmed by Alaska State Public Health Laboratory is an international resident March 12, 2020 March 12, 2020 (Anchorage, AK) – Alaska Governor Mike Dunleavy, with the Alaska Department of Health and Social Services (DHSS) today announced Alaska’s first presumptive positive case of coronavirus disease 2019 (COVID-19). The patient is a foreign national who developed a fever and respiratory symptoms shortly after arriving in Anchorage on March 11. DHSS is coordinating closely with Alaska Regional Hospital where this individual was tested; strict infection control protocols were followed. This is a travel-associated case of COVID-19, not a case of community-acquired infection. “We do have our first case identified of the COVID-19 virus, which is not unusual given what’s been happening elsewhere with this pandemic. This is no surprise as this is something we in Alaska have been preparing for since January. We feel good about the protocols we have in place and will continue to work our protocols. We continue to work with the federal government, the CDC, other health professionals in this country, as well as fellow Governors to see what they’re doing in their states,” said Alaska Governor Mike Dunleavy. “Again, there is no reason to panic, no reason to get upset. We expect to have more cases as time goes on and Alaska is as prepared as any other state to take on this issue.” “We understand this news will be concerning to Alaskans, but we have expected Alaska would get the first case of COVID-19 and we have been diligently preparing for this possibility,” said Alaska’s Chief Medical Officer Dr. Anne Zink. “Alaska’s health emergency response system has been activated since late January and we have been working with federal, Tribal, state, local and health care partners to ensure we have strong systems in place to limit or prevent the spread of COVID-19.” The presumptive positive test result was reported by the Alaska State Public Health Laboratory in Anchorage, which has been able to test for COVID-19 since February 27. The sample is being sent to CDC for final confirmation, which is the current protocol for COVID-19 testing. The DHSS Section of Epidemiology has already begun identifying people who have had close contact with the individual. Those who have been exposed and are considered at risk will undergo self-quarantine for 14 days with public health supervision. The typical incubation period (time from infection to symptom onset) for COVID-19 is 2-14 days. State of Alaska epidemiologists have talked to the patient and were encouraged to learn that the patient had very limited contact with others, stayed isolated since symptoms started yesterday, and followed the appropriate recommendations. “Isolation of this ill patient and self-quarantine of anyone who has had close contact with this person are needed to prevent the spread of COVID-19 to others in the community,” said Alaska State Epidemiologist, Dr. Joe McLaughlin. “Like the flu, this novel coronavirus spreads primarily through respiratory droplets and close contact with an infected individual.” DHSS will continue to inform the public with updates as needed. For additional information: DHSS: 2019 Novel Coronavirus Outbreak (COVID-19) CDC: Coronavirus Disease 2019 (COVID-19) ### Media Contact: Jeff Turner, [email protected] (907) 310-4961

Department of Health and Social Services (DHSS) today announced Alaska’s first presumptive positive case of coronavirus disease 2019 (COVID-19). The patient is a foreign national who developed a fever and respiratory symptoms shortly after arriving in Anchorage on March 11. https://gov.alaska.gov/newsroom/2020/03/12/first-case-of-covid-19-confirmed-by-alaska-state-public-health-laboratory-is-an-international-resident/

Coronavirus Disease 2019 (COVID-19) in Alabama (as of March 13) County of Residence Cases Deaths Elmore 1 0 Jefferson 1 0 Limestone 1 0 Montgomery 1 0 Tuscaloosa 1 0 Out of State 1 0 Bureau of Clinical Laboratories (BCL) and CDC Testing Total unique patients tested: 28 Total presumptive positives: 6 (see table above) Total people approved for testing: 74* *Includes persons approved and tested at laboratories other than BCL. http://alabamapublichealth.gov/infectiousdiseases/2019-coronavirus.html

RNC Chair Ronna McDaniel tested for coronavirus, went to Trump's Mar-a-Lago, Senate lunch Todd Spangler Detroit Free Press WASHINGTON — Ronna McDaniel, the chairwoman of the Republican National Committee and a Michigan resident, has been tested for coronavirus and is at home waiting for the results, a party spokesman said in a statement Saturday. McDaniel, 46, lives in Northville and went to a local hospital after coming down with symptoms on Friday. "Last night, Chairwoman McDaniel began experiencing a fever and flu-like symptoms, and she went to her local hospital in Michigan for treatment," RNC spokesman Michael Ahrens said. "Flu and strep tests were administered and came back negative." "Her doctor determined a test for COVID-19 was necessary given her symptoms." Ahrens said the party is attempting to contact everyone she has come in contact with in recent days and that upon the advice of her doctors she and her family are self-quarantining at home while they await the test results. 1,216 people are talking about this McDaniel was present for several events over the past week with top Republican and government officials. An RNC official told USA TODAY she went to a Mar-a-Lago event with President Donald Trump on March 6, attended a lunch event with Vice President Mike Pence on March 7, went to an event in Orlando with Trump on Monday before flying back to Washington, D.C., on Air Force One. She also attended Republican senators' lunch meeting on Tuesday. Coronavirus:Here's how Trump and his top advisers who may have been exposed to coronavirus are handling it As of Saturday afternoon, McDaniel was still active on social media, however, tweeting out video from a news conference given by President Donald Trump.