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Tweets from Mayor Bill de Blasio cite two more community COVID ICU cases 40sM & 80sF in NYC which do not appear to be linked to travel or prior cases.

Virus detail Virus name: BetaCoV/USA/WA4-UW2/2020 Accession ID: EPI_ISL_413455 Type: betacoronavirus Passage details/history: Original Sample information Collection date: 2020-02-28 Location: North America / USA / Washington Host: Human Institute information

Virus detail Virus name: BetaCoV/USA/WA6-UW3/2020 Accession ID: EPI_ISL_413457 Type: betacoronavirus Passage details/history: Original Sample information Collection date: 2020-02-29 Location: North America / USA / Washington Host: Human Institute information

Virus detail Virus name: BetaCoV/USA/WA-S2/2020 Accession ID: EPI_ISL_413456 Type: betacoronavirus Passage details/history: Original Sample information Collection date: 2020-02-20 Location: North America / USA / Washington / King County Host: Human Institute information

Two more sequences from King Co were released tonight at GISAID. One, BetaCoV/USA/WA-S2/2020, was released by the Seattle Flu study, and the other, BetaCoV/USA/WA6-UW3/2020, was release by the University of Washington. Like the sequence released earlier, BetaCoV/USA/WA4-UW2/2020, they match the two Snohomish sequences (from 35M and 17M) via the two polymorphism that define the lineage (C8782T and T28144C) and the rare polymorphism (C18060T). However, all three of the sequences released today also have two unique polymorphisms (C17747T and A17858G) indicating they are all from patients linked to the long term care facility (LTCF) in Kirkland, Washington and their infections were due to a single introduction

Since the outbreak began in Wuhan,I assumed that the Wuhan sequences represented the reference sequence, as did Genbank,so I viewed difference from the reference sequences as mutations (although I prefer the term polymorphism).Most of the initial US sequences were the orf8 mutation linear (WA, IL, CA (LA), AZ). Only CA Orange Co match Wuhan sequences at the two informative positions. Since these sequences were closer to the bat sequence, the authors claimed that the orf8 sequence was the reference and the Wuhan sequences had the two mutations, so they would say that the Seattle area sequences were the milder version.

Grand Princess Health Advisory Updated March 4, 2020 Last night / early this morning, our chief medical officer Dr. Grant Tarling issued this Health Advisory Letter to guests and crew currently sailing onboard Grand Princess. A similar notification has been emailed to guests who sailed on the previous voyage. For guests who sailed on the previous Grand Princess voyage (Feb 11-21), if you have experienced any symptoms of acute respiratory illness with fever, chills, or cough since your return home, please immediately contact your medical provider. You can also view the COVID-19 information card (PDF) provided by the CDC. Guests Health Advisory – Coronavirus March 4, 2020 Dear Princess Guest: I wish to advise you that today we have been notified by the United States Centers for Disease Control and Prevention (CDC) that they are investigating a small cluster of COVID-19 (coronavirus) cases in Northern California connected to our previous Grand Princess voyage that sailed roundtrip San Francisco from February 11 to February 21. We are working closely with our CDC partners and are following their recommendations. For those guests who sailed with us on our previous voyage and may have been exposed, in an abundance of caution, the CDC requires you to remain in your stateroom until you have been contacted and cleared by our medical staff. A member of our medical team will be calling you between the hours of 8:00 AM and 11:00 AM this morning. You may order room service while you wait for the medical screening to be completed, and we apologize for any inconvenience. Please be assured that the health, safety, and well-being of all guests and crew are our absolute priority. The CDC is continuing to actively collect information and has set up a meeting with us this morning to determine what, if any, actions need to be taken during this cruise and on arrival in San Francisco. We have shared essential travel and health data with the CDC to facilitate their standard notification to the State and County health authorities to follow up with individuals who may have been exposed to people who became ill. As we anticipate that further review of the situation will be necessary on arrival in San Francisco, we will be cancelling the call to Ensenada on Thursday, March 5, in order to sail directly to San Francisco — exact date and time for arrival to be determined. We will keep you updated with information as we finalize plans. To assist you in contacting your family, we are providing free internet and phone service. We will advise you if the need arises to make changes to your onward travel plans post-cruise. COVID-19 causes mild illness in about 80% of cases, typically with symptoms of fever, cough and shortness of breath, like the common cold or flu. About 20% of people develop more severe symptoms. The more severe symptoms typically occur in more susceptible individuals that have higher risk factors, such as older adults and those with chronic medical conditions, as it does with regular flu. The illness is mainly spread by droplets from close person-to-person contact. It is possible for the virus to spread by hand touch surfaces, but this is not thought to be the main way the virus spreads. Updated information on the illness can be found at the CDC website. As with all respiratory illnesses, particularly during cold and flu season, you can take steps to reduce your risk of illness: Wash your hands often with soap and water for 20 seconds. Supplement hand washing by regularly using an alcohol-based hand sanitizer. Avoid close contact with people suffering from respiratory illness. Cover your nose and mouth when you cough or sneeze using a tissue or your bent elbow. Avoid touching your eyes, nose and mouth with unwashed hands. We are closely recording and monitoring all persons who have reported to the medical center with cold and flu symptoms during the voyage. As a precaution, we are also conducting additional enhanced environmental disinfection onboard in addition to our regular stringent cleaning and sanitation protocols. If you have experienced any symptoms of acute respiratory illness with fever, chills, or cough at any time during this cruise, and you have not already consulted with the medical staff, please immediately contact the Medical Center to report your illness. There will not be a charge for this service. Thank you for taking the time to read this important information. To access complimentary internet, turn on your Wi-Fi and access the “ocean” network for connection. Yours in health, Grant Tarling, MD, MPH Chief Medical Officer AP – In-Transit - Guests v1.0 3/4/2020 Family Assistance If you are the immediate family of a guest onboard Grand Princess you may call the appropriate number for your region for assistance: US and Canada: +1 888-358-8055 International Number: +1 872-201-6779 https://www.princess.com/news/notices_and_advisories/notices/grand-princess-updates.html

Grand Princess: 2,500 on board, some sick, exposed to coronavirus, test kits being air lifted to ship Erin Allday March 4, 2020 Updated: March 4, 2020 6:33 p.m. Comments The Grand Princess passes Alcatraz as it arrives from Hawaii in San Francisco, Calif., on Tuesday, February 11, 2020. Photo: Scott Strazzante / The Chronicle A San Francisco-based cruise ship carrying more than 3,000 people is being held off the California coast as officials begin testing passengers for coronavirus after learning that two former passengers of the ship tested positive for COVID-19. The two former passengers were on the ship between Feb. 11 and Feb. 21 for a cruise to Mexico. When the ship returned to the Port of San Francisco, they — along with nearly all of the 2,500 passengers — disembarked and headed home. The two former passengers were later diagnosed with COVID-19. One, a Placer County resident, died Wednesday. By the time officials realized both patients were former passengers of the Grand Princess — and may have acquired the virus while on board, the ship was already out to sea — for a 15-day trip to Hawaii. That cruise was scheduled to end in San Francisco on Saturday but officials cut it short and ordered the ship held off the California coast as they assess the situation. On Wednesday, officials said 62 passengers currently on the ship were also passengers during the February trip to Mexico. Those passengers could have been exposed to the virus and could have exposed the new passengers. Officials said 20 people on board now have flu-like symptoms. Newsom said Wednesday that public health officials plan to airlift at least 200 test kits to the cruise ship. The 62 passengers from the Mexico trip and the 20 people who currently have symptoms will be tested for the virus first, he said. The Centers for Disease Control and Prevention, the California Department of Public Health, and the U.S. Coast Guard are working now to determine when and where the ship will be allowed to dock. The ship is currently about a day out to sea, Newsom said. Erin Allday is a San Francisco Chronicle staff writer. Email: [email protected] https://www.sfchronicle.com/bayarea/article/Grand-Princess-2-500-on-board-some-sick-15106141.php

Grand Princess cruise ship had at least 2 COVID positive passengers during trip between San Francisco and Mexico,which ended Feb 21. New cruise to Hawaii and back to San Francisco now has symptomatic passengers and crew and will remain off shore as CDC investigates.

Virus detail Virus name: BetaCoV/USA/WA4-UW2/2020 Accession ID: EPI_ISL_413455 Type: betacoronavirus Passage details/history: Original Sample information Collection date: 2020-02-28 Location: North America / USA / Washington Host: Human Institute information

University of Washington has released a sequence at GISAID, BetaCoV/USA/WA4-UW2/2020, from a female which would be linked to the Long Term Care Facility In Kirkland. This sequence matches the two sequences from Snohomish County (35M from mid Jan and 17M from late Feb). The match indicates this lineage has been circulating in the Seattle area since mid January.

They are describing the orf8 lineage and saying the version in many US cities, including Seattle is the milder version.

Coronavirus Updates: Five More Close Individuals Associated With Westchester Man Test Positive BY JEN CHUNG AND ELIZABETH KIM MARCH 4, 2020 4:00 P.M. • 180 COMMENTS Mayor de Blasio holds a press briefing on the coronavirus cases in New York. DANNY LEWIS / WNYC UPDATE 3:30 p.m. Five more people who had contact with the Westchester man have tested positive for COVID-19. The individuals were identified as a close friend of the man, along with his wife, and their two sons and a daughter. Governor Andrew Cuomo delivered the news during his third press briefing of the day. One other daughter tested negative, he said. The family lives in New Rochelle. The governor said the children attend Westchester Torah Academy, which is located in White Plains. He said he met with officials of the school earlier today and that it would remain closed until Friday. It is not yet known where the newly infected man or his wife works. "It could have happened anywhere and it will," Cuomo said. "The number of people infected will continue to increase." The family members are self-quarantined at home and have shown symptoms, officials said. UPDATE 2 p.m. The city is now releasing more information about the unnamed Westchester man and his family who have tested positive for COVID-19. Late Tuesday, Mayor Bill de Blasio identified the law firm where the man worked as Lewis and Garbuz, a trusts and estates law firm with seven employees and one intern. At a press briefing, the mayor confirmed that the firm's office is located at 60 East 42nd Street. De Blasio said the man's wife worked at the firm as well Unlike the first confirmed NYC case, where the woman was a health care worker who had traveled to Iran, a country with a significant outbreak of coronavirus, health officials do not know the source of the Westchester man's infection. The city's disease detectives are searching for clues by looking at their contacts and asking those who have been in contact with the individuals to self-quarantine. Earlier today, Yeshiva University, where the man's son attended college, announced that two students are being tested. De Blasio identified them as the roommate and close friend of the son, who was last on campus on February 27th. Five individuals at the couple's law firm are also being tested. Prior to de Blasio's briefing, Cuomo said that eight employees at the Lawrence Hospital in Bronxville, where the Westchester man was first cared for, are also being tested. The mayor also told reporters that the city will punish price gouging on items like masks or hand sanitizers. Individuals who observe price gouging should call 311. He also said that the Taxi & Limousine Commission has provided new guidance on a daily cleaning protocol for taxi drivers. The MTA has said it would institute a deep cleaning of the subway and bus system every 72 hours. Neither de Blasio no Cuomo have said whether the man and his wife took Metro North and the subway while coming to Manhattan for work. UPDATE 1 p.m. Governor Andrew Cuomo said that as many as 1,000 people might be asked to self-quarantine themselves as a result of possibly having contact with a Westchester man, his three family members and neighbor who have tested positive for COVID-19. The governor described the measure as being "overly cautious" in the wake of several confirmed cases. "The investigation starts," he said during the second press briefing on the situation of the day. "You’re trying to find as many people who may have been in contact." The man, a 50-year-old attorney who lives in New Rochelle, is currently in stable condition at New York-Presbyterian Hospital. His family, as well as the neighbor, are all under mandatory quarantine at their homes. Cuomo said that new tests were being administered for the neighbor's children, as well as eight employees at the Lawrence Hospital in Bronxville where the sickened Westchester man was first cared for. SAR Academy and High School, where the man's 14-year-old daughter attended school, will be closed until after the Jewish holiday of Purim, which ends the night of March 10th. The elementary school at SAR Academy will only be closed through Friday, with no self-quaratine required for students and staff. Cuomo said the man's synagogue, which he did not name but has been reported as being Young Israel of New Rochelle, will be closed through March 8th. All of those congregants, he said, should also self-quarantine themselves. Yeshiva University, where the man's 20-year-old son attended college, will be closed through this Friday. The governor said the son lived on the Washington Heights campus of the university. The general intention for self-quarantining is to limit contact and the risk of infecting other people, the governor said. Those who cannot find an appropriate place to self-quarantine should seek assistance from the state, he added. YESHIVA UNIVERSITY UPDATE 9:45 a.m. The wife, 14-year-old daughter, 20-year-old son and a neighbor who drove the Westchester man to the hospital have all tested positive for COVID-19, bringing the total confirmed cases in New York State to six. Governor Andrew Cuomo announced the latest findings during a press conference this morning. He said that health officials were now trying to trace the contacts of these individuals. The wife and daughter had been self-quarantined in their home. Earlier today (see below) Yeshiva University, where the man's son is a student, announced a positive test and said it was canceling all classes at its Washington Heights campus today. In a statement, Mayor Bill de Blasio said, “As of this morning, two contacts have transferred to Bellevue hospital for testing. We will continue working closely with our State partners to ensure we are doing everything we can to keep New Yorkers safe.” Asked if the Westchester man took Metro North to commute to his law firm in Midtown Manhattan, Cuomo said state officials did not know and were working to find that out. Cuomo said that he plans to hold a meeting at noon on Wednesday with county officials in Westchester, as well as the heads of the schools that may have had exposure. The man's daughter attends a Jewish high school in the Riverdale neighborhood in the Bronx called SAR Academy and High School. The school has multiple campuses, all of which are now closed. The governor also said that SUNY and CUNY will order all of its study abroad students in China, Italy, Japan, South Korea and Iran to return home. The students, approximately 300, will come back on a chartered plane to Stewart airport and be quarantined for 14 days in a dormitory. From the start, Cuomo has tried to allay the public's concern about the disease, although on Tuesday the World Health Organization gave a new alarming estimate on the fatality rate of the coronavirus—3.4 percent—which is higher than previous estimates of roughly 2 percent. The death rate of the flu is well below 1 percent. The governor emphasized that as more people in the state undergo testing, the number of confirmed cases is expected to swell. “There are going to be many, many people who test positive," he said. "The more you test you will find people who will test positive." Still, he downplayed the danger of the disease, saying that the majority of people recover on their own. UPDATE 9:15 a.m. Yeshiva University announced Wednesday morning that a student has tested positive for COVID-19, making this the third confirmed case of the new coronavirus disease in New York state. "We have unfortunately received news this morning that our student has tested positive for COVID-19. Our thoughts and prayers are with him and his family as well as to all those affected," the university said in a statement. "We are taking every precaution by canceling all classes on Wilf Campus in Washington Heights for Wednesday March 4th, 2020." The statement continued, "This includes all in-person graduate courses on that campus as well as at the boys’ high school. This precautionary step will allow us to work with city agencies and other professionals to best prepare our campus and ensure the uncompromised safety of our students, faculty and staff. " The school's three other campuses in Manhattan and the Bronx will remain in operation. On Tuesday, New York state and city officials announced that the second person with coronavirus was a man in his 50s who lives in New Rochelle and commutes to Manhattan for work. He had not been to any of the countries with outbreaks (China, Iran, Italy, Japan, and South Korea), but had traveled to Israel and Miami in February. He is hospitalized in "severe" condition. His family is also in quarantined in their home. One of his children is a daughter who attends SAR Academy and a high school in Riverdale, prompting the school to close its locations, while another child is a son who attends Yeshiva University and lived on the Wilf campus in Washington Heights. The daughter did not have any symptoms, while the son did have symptoms. It is unclear if the Yeshiva student diagnosed with coronavirus is the son of the second patient. Officials also characterized the Westchester man as being the first case of "community spread" of the disease. Community spread is when someone contracts the illness without having been knowingly in contact with someone who also has disease or having traveled to one of the countries where coronavirus first spread. The temple, Young Israel of New Rochelle, where the man worshipped has stopped its services indefinitely, and worshipers who attended services on February 22nd or a funeral and a bat mitzvah on February 23rd were asked to self-quarantine until March 8. The first person infected with coronavirus in New York was identified on Monday as a health care professional who had been in Iran. She and her husband, who officials believe will test positive for coronavirus, are in self-quarantine in Manhattan. https://gothamist.com/news/coronavirus-yeshiva-university-student-tests-positive?utm_source=WNYC+%2B+Gothamist&utm_campaign=180642e80d-RSS_EMAIL_CAMPAIGN&utm_medium=email&utm_term=0_65dbec786b-180642e80d-82177197&mc_cid=180642e80d&mc_eid=6e0d120bcb&utm_medium=social&utm_source=twitter&utm_campaign=shared_twitter

March 4, 2020 at 4:41 pm Filed Under:coronavirus, Local TV, Metropolitan Transportation Authority, MTA, New Rochelle, New York, Outbreak, Westchester County NEW ROCHELLE, N.Y. (CBSNewYork) – The number of confirmed coronavirus cases in New York has grown to 11, Gov. Andrew Cuomo said Wednesday. Cuomo announced a New Rochelle family and their neighbors have tested positive for the virus. Cuomo announced the wife, son and daughter of an infected New Rochelle man tested positive. The wife of the New Rochelle patient – who works at the same law firm as her husband – though testing positive, was asymptomatic, Mayor Bill de Blasio said. 299 people are talking about this The son, 20, is a student at Yeshiva University, prompting the closure of Wilf Campus in Washington Heights. Yeshiva University will remain closed through Friday, Cuomo said. He had symptoms and is apparently getting better, de Blasio said. De Blasio said disease detectives had identified two people – a roommate and a close friend – that warrant testing for coronavirus at Yeshiva University. Results of those tests are pending at Bellevue Hospital. The daughter, 14, attended the SAR High School in the Bronx, which is also closed. It will remain closed until March 10, Cuomo said. She was asymptomatic, de Blasio said. The neighbor who drove the New Rochelle man to the hospital is also positive, along with a friend, his wife and three children. Watch: Gov. Andrew Cuomo Announces Additional Cases Of Coronavirus In NY Officials said the family of the New Rochelle man were in isolation in their home while he is hospitalized at New York Presbyterian-Columbia in the ICU. The infected man, believed to have gotten coronavirus through community spread, was in severe condition on Wednesday morning and is the first person in the New York area to be hospitalized due to the disease. “He has an underlying respiratory illness. So when we talk about the vulnerable population here – senior citizens, immune compromised, or an existing underlying illness, especially an underlying respiratory illness because this is a respiratory disease – this gentleman fits in that category,” Cuomo said. Watch: Gov. Andrew Cuomo, Westchester Officials Discuss Additional Coronavirus Cases In NY Cuomo said that 80% of people who get the virus will “self resolve,” and the remaining 20% may need medical intervention. The lethality rate of coronavirus, he said, was around 1.4%, roughly double the flu rate. “We have an epidemic caused by coronavirus. But we have a pandemic that is caused by fear,” Cuomo said. “I think in this case people are suspect about what they’re hearing because government now is so polarized in so many ways, the environment is so political, that you hear different messages about this situation. And then it gets politicized.” CORONAVIRUS: CDC Latest | NYC Guidance For Students | NY Health Dept. | NY Hotline: 1-(888)-364-3065 | NJ Health Dept. | NJ Hotline: 1-(800)-222-1222 Cuomo said he expects the number of confirmed cases will continue to grow. “If you understand the facts, there is no reason for undue anxiety,” Cuomo said. “There are going to be dozens and dozens and dozens of people. And the more people you test, the more people you’re going to find.” Watch: Mayor Bill de Blasio, NYC Officials Update On Coronavirus Cuomo also said that CUNY and SUNY students who were participating in study abroad programs in China, Italy, Japan, Iran and South Korea were being recalled. They’ll return on a chartered plane and be quarantined in dormitories for 14 days, Cuomo said. The New Rochelle man works as an attorney at Lewis and Garbuz, P.C. in Manhattan. He’s a member of Young Israel of New Rochelle, which will be closed through March 8. Five hundred to 700 people who attended services there on Feb. 22 and 23 have been told to self-quarantine through Sunday. Westchester County Executive George Latimer announced a hotline for those who had attended the Young Israel events with that patient: 1-866-588-0195. “This is a very emotionally trying time for us all. When we first heard of the coronavirus it seemed so remote. It has now come not only to our doorstep, but has pierced our lives. Clearly, this entire episode is frightening and difficult, but let us not lose sight, however, that we are following the procedures mandated by our state’s health department to try to prevent the spread of this virus. That is a sacred obligation that we all must take very seriously,” Rabbi Reuven Fink of Young Israel of New Rochelle wrote on Facebook. Cuomo said people who are required to be under self-quarantine are policed by health officials by phone and video chat. Officials are also monitoring seven employees at the law firm and an intern there. They are all undergoing testing. Five are being tested in New York City and one in New Jersey. The remaining two are also being tested. https://newyork.cbslocal.com/2020/03/04/coronavirus-update-new-rochelle-man-self-quarantine/

Many more cases from family/cluster from Cuomo Presser

DEATH OF PATIENT WITH COVID-19 Placer County Public Health is reporting that a resident has died of COVID-19. The person, an elderly adult with underlying health conditions, was the second confirmed case of COVID-19 in the county and is now the first to die from the illness in California. “We extend our deepest condolences to the loved ones of this patient,” said Placer County Health Officer Dr. Aimee Sisson. “While we have expected more cases, this death is an unfortunate milestone in our efforts to fight this disease, and one that we never wanted to see. “While most cases of COVID-19 exhibit mild or moderate symptoms, this tragic death underscores the urgent need for us to take extra steps to protect residents who are particularly vulnerable to developing more serious illness, including elderly persons and those with underlying health conditions.” The patient tested presumptively positive on Tuesday at a California lab and was likely exposed during international travel from Feb. 11-21 on a Princess cruise ship that departed from San Francisco to Mexico. The patient was in isolation at Kaiser Permanente Roseville. Preliminary understanding from the contact investigation is that this patient had minimal community exposure between returning from the cruise and arriving at the hospital by ambulance on Feb. 27. Contacts to this case include ten Kaiser Permanente healthcare workers and five emergency responders who were exposed prior to the patient being put in isolation, and are now in quarantine. They are not exhibiting symptoms but are being quarantined and monitored. Other cruise passengers may have also been exposed. Placer County Public Health is working closely with Sacramento County Public Health and the Centers for Disease Control and Prevention to identify and contact other cruise passengers. As shared previously, this case is travel-related and does not represent local transmission but health officials believe local transmission is likely in the future. In addition to handwashing and other basic steps the public at large can take to prevent illness, Placer County Public Health recommends additional measures to prevent exposure among vulnerable people, including the elderly and those with underlying health conditions (such as diabetes, cancer, immunodeficiency, asthma, COPD and others). Public Health recommends that vulnerable people: Stay home as much as possible. Arrange for someone to deliver groceries and other items you need. Ensure you have at least a two-week supply of medication on hand. When staying home, healthy visitors are fine – but visitors who have fever, cough, or sore throat should be turned away. Encourage phone calls and video chats instead. Wash your hands regularly, especially before eating or before touching your face. If you need to leave the house, minimize contact with other people and with common surfaces. Stay at least six feet away from others. Avoid touching shared surfaces like door handles, or counters. Use clothing or a paper towel instead of bare hands to open doors, for example. Wash hands or use hand sanitizer after touching any shared surfaces or objects. “If you are healthy and not at higher risk, please look out for friends and loved ones who would be considered more vulnerable and offer support,” Sisson said. “We are working with our state and federal partners to limit the impacts of this disease to our community, but we need the public’s help as well.” View a one-sheet with these tips here. Please visit Placer County’s novel coronavirus web page for other preparedness resources and updates at www.placer.ca.gov/coronavirus. For general questions about COVID-19 and precautions currently recommended by Placer County Public Health, residents may call the county’s coronavirus information line at 530-886-5310.

Placer County Public Health is reporting that a resident has died of COVID-19. The person, an elderly adult with underlying health conditions, was the second confirmed case of COVID-19 in the county and is now the first to die from the illness in California. https://www.placer.ca.gov/6438/Death-of-patient-with-COVID-19

These numbers will be updated daily at 11 a.m. 2019 Novel Coronavirus (COVID-19) in Washington Positive (confirmed) * † 39 Deaths 10 * Positive Snohomish County - 8, including 1 death King - 31, including 9 deaths † Please contact the local health department for information. Number of People Under Public Health Supervision Number of people under public health supervision ‡ 231 ‡ The number of people under public health supervision includes those at risk of having been exposed to novel coronavirus who are monitoring their health under the supervision of public health officials. This number includes people who have returned from China in the past 14 days and are included in federal quarantine guidance. Last updated: Mar 4, 2020 at 11:00 a.m. https://www.doh.wa.gov/Emergencies/Coronavirus

These numbers will be updated daily at 11 a.m. 2019 Novel Coronavirus (COVID-19) in Washington Positive (confirmed) * † 39 Deaths 10 * Positive Snohomish County - 8, including 1 death King - 31, including 9 deaths † Please contact the local health department for information. Number of People Under Public Health Supervision Number of people under public health supervision ‡ 231 ‡ The number of people under public health supervision includes those at risk of having been exposed to novel coronavirus who are monitoring their health under the supervision of public health officials. This number includes people who have returned from China in the past 14 days and are included in federal quarantine guidance. Last updated: Mar 4, 2020 at 11:00 a.m. https://www.doh.wa.gov/Emergencies/Coronavirus

These numbers will be updated daily at 11 a.m. 2019 Novel Coronavirus (COVID-19) in Washington Positive (confirmed) * † 39 Deaths 10 * Positive Snohomish County - 8, including 1 death King - 31, including 9 deaths † Please contact the local health department for information. Number of People Under Public Health Supervision Number of people under public health supervision ‡ 231 ‡ The number of people under public health supervision includes those at risk of having been exposed to novel coronavirus who are monitoring their health under the supervision of public health officials. This number includes people who have returned from China in the past 14 days and are included in federal quarantine guidance. Last updated: Mar 4, 2020 at 11:00 a.m.

Mar 3 Recombinant sequence in Kings Co ex-South Korea case Dual infections Polybasic cleavage site CDC Presser Snohomish sequence matches 35M in mid Jan with 17M in late Feb CDC press release warning of 16% serious cases Westchester Co community transmission 1000 COVID tests per day Tipping point Tony Fauci comments to Politico: "could be really really bad" http://mediaarchives.gsradio.net/rense/special/rense_030320_hr3.mp3