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New Confirmed Cases¹ 1,483 Established via PCR testing New Probable Cases² 876 Established via antigen testing New Lab-Confirmed Deaths 15 Source: CDRSS No data Reproductive Rate of Virus (Rt) .93 https://www.nj.gov/health/cd/topics/covid2019_dashboard.shtml

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Harris County Confirmed Cases 1,162,591 Dallas County Confirmed Cases 568,812 Bexar County Confirmed Cases 561,955 Tarrant County Confirmed Cases 529,823 Travis County Confirmed Cases 256,192 El Paso County Confirmed Cases 231,436 Fort Bend County Confirmed Cases 207,543 Collin County Confirmed Cases 194,867 Hidalgo County Confirmed Cases 170,150 Denton County Confirmed Cases 156,144 Williamson County Confirmed Cases 134,154 Montgomery County Confirmed Cases 128,575 Galveston County Confirmed Cases 103,090 Webb County Confirmed Cases 97,900 Brazoria County Confirmed Cases 95,189 Cameron County Confirmed Cases 94,855 Lubbock County Confirmed Cases 75,716 Nueces County Confirmed Cases 73,286 Bell County Confirmed Cases 65,582 Hays County Confirmed Cases 65,181 Brazos County Confirmed Cases 64,857 McLennan County Confirmed Cases 58,928 Jefferson County Confirmed Cases 56,744 Ellis County Confirmed Cases 43,167 Wichita County Confirmed Cases 38,934 Johnson County Confirmed Cases 38,871 Smith County Confirmed Cases 33,648 Kaufman County Confirmed Cases 32,462 Parker County Confirmed Cases 31,408 Midland County Confirmed Cases 30,680 Guadalupe County Confirmed Cases 30,219 Potter County Confirmed Cases 29,901 Randall County Confirmed Cases 27,016 Comal County Confirmed Cases 26,368 Grayson County Confirmed Cases 26,143 Ector County Confirmed Cases 23,188 Rockwall County Confirmed Cases 22,014 Maverick County Confirmed Cases 21,792 Bastrop County Confirmed Cases 19,791 Victoria County Confirmed Cases 19,641 Walker County Confirmed Cases 19,158 Coryell County Confirmed Cases 17,037 Starr County Confirmed Cases 16,522 Liberty County Confirmed Cases 16,309 Wise County Confirmed Cases 16,143 Taylor County Confirmed Cases 15,269 Val Verde County Confirmed Cases 15,134 Caldwell County Confirmed Cases 14,926 Henderson County Confirmed Cases 13,801 Bowie County Confirmed Cases 13,767 Gregg County Confirmed Cases 13,515 Hunt County Confirmed Cases 13,046 Atascosa County 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Willacy County Confirmed Cases 6,885 Brown County Confirmed Cases 6,761 Erath County Confirmed Cases 6,648 Navarro County Confirmed Cases 6,630 Cooke County Confirmed Cases 6,624 Hardin County Confirmed Cases 6,525 Titus County Confirmed Cases 6,276 Polk County Confirmed Cases 6,031 Hutchinson County Confirmed Cases 6,003 Kleberg County Confirmed Cases 5,739 Kendall County Confirmed Cases 5,713 Wood County Confirmed Cases 5,703 Scurry County Confirmed Cases 5,564 Cass County Confirmed Cases 5,485 Hopkins County Confirmed Cases 5,481 Austin County Confirmed Cases 5,397 Lampasas County Confirmed Cases 5,338 Karnes County Confirmed Cases 5,334 Frio County Confirmed Cases 5,069 Dimmit County Confirmed Cases 5,042 Kerr County Confirmed Cases 4,934 San Jacinto County Confirmed Cases 4,785 Burleson County Confirmed Cases 4,697 Fannin County Confirmed Cases 4,696 Lamar County Confirmed Cases 4,659 DeWitt County Confirmed Cases 4,644 Montague County Confirmed Cases 4,493 Jasper County Confirmed Cases 4,450 Calhoun County Confirmed Cases 4,431 Gray County Confirmed Cases 4,388 Deaf Smith County Confirmed Cases 4,359 Limestone County Confirmed Cases 4,203 Robertson County Confirmed Cases 4,133 Aransas County Confirmed Cases 4,086 Moore County Confirmed Cases 4,040 Howard County Confirmed Cases 3,986 Cherokee County Confirmed Cases 3,981 Upshur County Confirmed Cases 3,854 Lamb County Confirmed Cases 3,760 Gillespie County Confirmed Cases 3,752 Young County Confirmed Cases 3,723 Andrews County Confirmed Cases 3,707 Gonzales County Confirmed Cases 3,681 Falls County Confirmed Cases 3,626 Zavala County Confirmed Cases 3,604 Fayette County Confirmed Cases 3,580 Colorado County Confirmed Cases 3,455 Milam County Confirmed Cases 3,379 Llano County Confirmed Cases 3,362 Jones County Confirmed Cases 3,277 Bosque County Confirmed Cases 3,271 Wilbarger County Confirmed Cases 3,259 Shelby County Confirmed Cases 3,245 Madison County Confirmed Cases 3,180 Panola County Confirmed Cases 3,150 Nolan County Confirmed Cases 3,103 Duval County Confirmed Cases 3,099 Leon County Confirmed Cases 3,083 Bandera County Confirmed Cases 3,003 Jackson County Confirmed Cases 3,001 Reeves County Confirmed Cases 2,905 Lavaca County Confirmed Cases 2,855 Childress County Confirmed Cases 2,798 Pecos County Confirmed Cases 2,741 Comanche County Confirmed Cases 2,661 Zapata County Confirmed Cases 2,614 Lee County Confirmed Cases 2,514 Freestone County Confirmed Cases 2,443 Houston County Confirmed Cases 2,432 Ward County Confirmed Cases 2,404 Eastland County Confirmed Cases 2,332 Archer County Confirmed Cases 2,276 Ochiltree County Confirmed Cases 2,214 Tyler County Confirmed Cases 2,179 Castro County Confirmed Cases 2,176 Trinity County Confirmed Cases 2,128 Clay County Confirmed Cases 2,114 Camp County Confirmed Cases 2,046 Dawson County Confirmed Cases 1,987 Mitchell County Confirmed Cases 1,935 La Salle County Confirmed Cases 1,898 Blanco County Confirmed Cases 1,891 Morris County Confirmed Cases 1,855 Dallam County Confirmed Cases 1,780 Hamilton County Confirmed Cases 1,741 Live Oak County Confirmed Cases 1,741 Gaines County Confirmed Cases 1,699 Callahan County Confirmed Cases 1,666 Franklin County Confirmed Cases 1,663 Terry County Confirmed Cases 1,604 Winkler County Confirmed Cases 1,602 Parmer County Confirmed Cases 1,545 Jack County Confirmed Cases 1,436 Refugio County Confirmed Cases 1,397 Somervell County Confirmed Cases 1,387 Brooks County Confirmed Cases 1,370 Swisher County Confirmed Cases 1,358 Floyd County Confirmed Cases 1,356 Lynn County Confirmed Cases 1,350 Coleman County Confirmed Cases 1,304 Runnels County Confirmed Cases 1,242 Mills County Confirmed Cases 1,223 Hemphill County Confirmed Cases 1,205 Red River County Confirmed Cases 1,205 Rains County Confirmed Cases 1,202 Carson County Confirmed Cases 1,173 Crosby County Confirmed Cases 1,168 Yoakum County Confirmed Cases 1,118 Marion County Confirmed Cases 1,085 Hartley County Confirmed Cases 1,051 Bailey County Confirmed Cases 1,042 Stephens County Confirmed Cases 1,034 Brewster County Confirmed Cases 1,024 Wheeler County Confirmed Cases 1,017 Goliad County Confirmed Cases 1,015 Newton County Confirmed Cases 997 Hall County Confirmed Cases 993 San Saba County Confirmed Cases 916 Hudspeth County Confirmed Cases 909 Jim Hogg County Confirmed Cases 893 Martin County Confirmed Cases 859 McCulloch County Confirmed Cases 840 Sabine County Confirmed Cases 839 Presidio County Confirmed Cases 827 Delta County Confirmed Cases 816 Cochran County Confirmed Cases 730 Hansford County Confirmed Cases 730 Kinney County Confirmed Cases 701 Garza County Confirmed Cases 684 Real County Confirmed Cases 679 Concho County Confirmed Cases 648 Fisher County Confirmed Cases 630 San Augustine County Confirmed Cases 617 Lipscomb County Confirmed Cases 588 Hardeman County Confirmed Cases 568 Collingsworth County Confirmed Cases 554 Haskell County Confirmed Cases 505 Culberson County Confirmed Cases 502 Donley County Confirmed Cases 494 Kimble County Confirmed Cases 465 Armstrong County Confirmed Cases 441 Briscoe County Confirmed Cases 426 Crane County Confirmed Cases 420 Coke County Confirmed Cases 401 Sutton County Confirmed Cases 396 Baylor County Confirmed Cases 392 Sherman County Confirmed Cases 378 Edwards County Confirmed Cases 374 Knox County Confirmed Cases 349 Mason County Confirmed Cases 341 Oldham County Confirmed Cases 339 Cottle County Confirmed Cases 334 Reagan County Confirmed Cases 305 Irion County Confirmed Cases 285 Menard County Confirmed Cases 268 Schleicher County Confirmed Cases 255 Dickens County Confirmed Cases 244 Shackelford County Confirmed Cases 235 Jeff Davis County Confirmed Cases 203 Foard County Confirmed Cases 191 Crockett County Confirmed Cases 183 Roberts County Confirmed Cases 161 Upton County Confirmed Cases 161 Motley County Confirmed Cases 146 McMullen County Confirmed Cases 144 Sterling County Confirmed Cases 115 Throckmorton County Confirmed Cases 100 Loving County Confirmed Cases 98 Terrell County Confirmed Cases 93 Borden County Confirmed Cases 92 Glasscock County Confirmed Cases 88 Stonewall County Confirmed Cases 79 Kent County Confirmed Cases 74 Kenedy County Confirmed Cases 54 King County Confirmed Cases 36 Incomplete Address Confirmed Cases 87,014 https://txdshsea.maps.arcgis.com/apps/dashboards/4ae43eefd0f641d59d35c3df82ee59cc

https://www.latimes.com/projects/california-coronavirus-cases-tracking-outbreak/

Cumulative COVID-19 Cases by County Download a csv file with the most recent cumulative case data by county. Download a csv file with historical case data by county and date. Cumulative COVID-19 Cases by ZIP Code Download a csv file with the most recent cumulative case data by zip code. Tables of COVID-19 Testing Data, Hospital Use, and Case Demographics View Wastewater Testing Data Download Maine CDC Wastewater Testing Reports People infected with the virus that causes COVID-19 may shed it in the water that flows from their homes to public wastewater systems. This happens whether they have symptoms or not. Communities can track virus activity by looking for viral RNA in wastewater. Wastewater, or sewage, includes water that may contain human waste (toilets, showers, sinks). It also includes water from some other sources (rainwater, water for industrial use). To better understand the burden of COVID-19 in a community, Maine CDC and US CDC test wastewater for the virus. This helps to tailor public health actions to protect communities across the state. Find these data on the US CDC COVID Data Tracker. Data will be added to the Data Tracker as they become available. https://www.maine.gov/dhhs/mecdc/infectious-disease/epi/airborne/coronavirus/data.shtml

https://dhhr.wv.gov/COVID-19/Pages/default.aspx

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https://www.vdh.virginia.gov/coronavirus/see-the-numbers/covid-19-in-virginia/covid-19-in-virginia-cases/

https://www.tn.gov/health/cedep/ncov.html

https://www.azdhs.gov/covid19/data/index.php

MOVING 7-DAY PERCENTAGE 12.9 % Positivity in Tests CASES 1,602,891 TOTAL 17,540 2023 DEATHS 20,846 TOTAL 3 2023 LAST 7 DAYS - TOTAL TESTS 28,339 NAAT TESTS 3,648 https://alpublichealth.maps.arcgis.com/apps/dashboards/6d2771faa9da4a2786a509d82c8cf0f7

Number of confirmed cases : 1,336,429 Testing % Positive : 11.54% Total testing volume : 24,147,964 Daily testing Volume : 8,159 Number of confirmed deaths : 15,882 Number of probable deaths : 275 Currently hospitalized (Total/Adult/Pediatric): 732 / 722 / 10 Acute care (Total/Adult/Pediatric): 641 / 633 / 8 Intensive care (Total/Adult/Pediatric): 91 / 89 / 2 https://coronavirus.maryland.gov/

Vaccines Administered 25,827,307 Click Here for Vaccination Details Total Cases 4,008,844 Confirmed Deaths 36,005 Variant Cases BQ.1.1/Omicron: 35% Click Here for COVID-19 Variants Details Probable Deaths 4,975 All numbers displayed are provisional and will change. https://dph.illinois.gov/covid19.html

Confirmed Cases 2,839,754 Probable Cases 618,382 Deaths 49,397 Updated Wednesdays. Last Updated: January 18, 2023 https://experience.arcgis.com/experience/ed2def13f9b045eda9f7d22dbc9b500e

Human infection caused by avian influenza A(H5) - Ecuador 18 January 2023 Situation at a glance On 9 January 2023, WHO was notified of a human infection caused by an avian influenza A(H5) virus. The case, a nine-year-old girl, living in a rural area in the province of Bolívar, Ecuador, was in contact with backyard poultry, which was acquired a week before the onset of her symptoms. She is currently hospitalized, in isolation, and is being treated with antivirals. This is the first reported case of human infection caused by avian influenza A(H5) virus in the Latin America and the Caribbean region. Work is ongoing to further characterize the virus. Currently, available epidemiological and virological evidence suggests that influenza A(H5) viruses have not acquired the ability for sustained transmission among humans, thus the likelihood of human-to-human spread is low. Description of the situation On 9 January 2023, the Ecuador IHR National Focal Point (NFP) informed WHO of a human case of infection with an avian influenza A(H5) virus. The case was detected as part of severe acute respiratory infection (SARI) sentinel surveillance and was confirmed by the National Influenza Centre (NIC), the National Institute of Public Health Research (INSPI per its acronym in Spanish). The case is a nine-year-old girl, with no known comorbidities, from Bolívar Province, Ecuador. She developed symptoms of conjunctival pruritus and coryza on 25 December 2022. On 27 December, she was brought to a local health center for medical evaluation and treatment. On 30 December, due to the persistent symptoms including nausea, vomiting and constipation, she was admitted to a general hospital where empirical treatment for meningitis was started with antibiotics and antipyretics. On 3 January 2023, she was transferred to a pediatric hospital in critical condition where she was admitted to the intensive care unit (ICU) with septic shock and was treated with antivirals and mechanical ventilation due to pneumonia. On 5 January, as part of SARI surveillance activities, a nasopharyngeal sample was collected from the patient. The sample was sent to INSPI and tested positive for influenza A(H5) by reverse transcription-polymerase chain reaction (RT-PCR) on 7 January. As of 17 January, the patient remains hospitalized, under isolation, and with noninvasive mechanical ventilation. According to the epidemiological investigation in response to the outbreak, a week before the onset of her symptoms, the family acquired poultry which died without apparent cause on 19 December 2022. In addition, the epidemiological investigations revealed that several incidents of dead backyard poultry (chickens and ducks) have been reported from the same community where the family resided. Epidemiology of disease Zoonotic influenza infections in humans may be asymptomatic or may cause disease, from conjunctivitis or mild, flu-like symptoms to severe, acute respiratory disease or even death, depending on factors related to the virus causing infection and the infected host. Rarely, gastrointestinal or neurological symptoms have been reported. Human cases of infection with avian influenza viruses are usually the result of direct or indirect exposure to infected live or dead poultry or contaminated environments. Public health response Public health measures from both human and animal health agencies have been implemented. These include: Local authorities carried out epidemiological investigations and follow-up of the case’s contacts in the family, home, and health care facilities. Ongoing intersectoral activities with the Ministry of Agriculture and Livestock (MAG), and the Phytosanitary and Animal Health Regulation and Control Agency (Agrocalidad) for active detection, follow-up and control of avian influenza outbreaks in the area. Continuous follow-up of persons with respiratory symptoms and suspected influenza cases due to contact with poultry or/and who have been exposed to birds, among the exposed population. Seasonal influenza vaccination in risk groups is ongoing according to the guidelines of the National Immunization Program. The NIC is in the process of sending the patient’s samples to a WHO Collaborating Center for further characterization. WHO risk assessment This is the first reported case of human infection caused by avian influenza A(H5) virus in Ecuador and in Latin America and the Caribbean. This human case was exposed to poultry, which died without apparent cause. Outbreaks of highly pathogenic avian influenza have been detected recently in the provinces of Cotopaxi (influenza A(H5N1)) and Bolívar, Ecuador. Whenever avian influenza viruses are circulating in poultry, there is a risk for sporadic infection and small clusters of human cases due to exposure to infected poultry or contaminated environments. Therefore, human cases are expected, although rare. According to the information received thus far, the virus has not been detected in other individuals beyond this single case. While further characterization of the virus from this case is pending, currently available epidemiological and virological evidence suggests that influenza A(H5) viruses have not acquired the ability for sustained transmission among humans, thus the likelihood of human-to-human spread is low. Based on available information, WHO assesses the risk to the general population posed by this virus to be low. The risk assessment will be reviewed as needed should further epidemiological or virological information become available. A global risk assessment associated with recent influenza A(H5N1) clade 2.3.4.4b viruses was published on 21 December 2022. However, the subtype and clade information for this human case is not yet known. There are no approved vaccines for preventing influenza A(H5) in humans. Candidate vaccines to prevent influenza A(H5) infection in humans have been developed for pandemic preparedness purposes. Close analysis of the epidemiological situation, further characterization of the most recent viruses (human and poultry) and serological investigations are critical to assess associated risk and to adjust risk management measures in a timely manner. WHO advice The reported case does not change the current WHO recommendations on public health measures and surveillance of influenza. WHO does not advise special traveler screening at points of entry or restrictions regarding the current situation of influenza viruses at the human-animal interface. Due to the constantly evolving nature of influenza viruses, WHO continues to stress the importance of global surveillance to detect and monitor virological, epidemiological, and clinical changes associated with emerging or circulating influenza viruses that may affect human (or animal) health, and timely virus sharing for risk assessment. The diversity of zoonotic influenza viruses that have caused human infections is alarming and necessitates strengthened surveillance in both animal and human populations, thorough investigation of every zoonotic infection and pandemic preparedness. Vaccination against seasonal influenza infection of selected groups at increased risk of exposure to animal influenza viruses could be considered as a measure to reduce opportunities for the simultaneous infection of humans with animal and human influenza viruses. In the case of a confirmed or suspected human infection caused by a novel influenza virus with pandemic potential, including a variant virus, the health authorities should be notified and appropriate clinical case management, including testing, triage, clinical assessment for disease severity classification, assessment of risk factors for severe disease and isolation and treatment (e.g., antivirals and supportive care) should be provided. A thorough epidemiologic investigation (even while awaiting the confirmatory laboratory results) of a history of exposure to animals, and travel, and contact tracing should be conducted. The epidemiologic investigation should include early identification of unusual respiratory events that could signal person-to-person transmission of the novel virus. Clinical samples should be tested and sent to a WHO Collaboration Centre for further characterization. Travelers to countries with known outbreaks of animal influenza should avoid farms, contact with animals in live animal markets, entering areas where animals may be slaughtered, or contact with any surfaces that appear to be contaminated with animal faeces. Travelers should also wash their hands often with soap and water. Travelers should follow good food safety and hygiene practices. Should infected individuals from affected areas travel internationally, their infection may be detected in another country during travel or after arrival. If this were to occur, further community level spread is considered unlikely as this virus has not acquired the ability to transmit easily among humans. All human infections caused by a novel influenza subtype are notifiable under the International Health Regulations (IHR) and State Parties to the IHR (2005) are required to immediately notify WHO of any laboratory-confirmed case of a recent human infection caused by an influenza A virus with the potential to cause a pandemic. Evidence of illness is not required for this notification. WHO does not recommend any restrictions on travel and/or trade for Ecuador based on available information on this event. Further information PAHO/WHO. Epidemiological Update Outbreaks of avian influenza and public health implications in the Region of the Americas. 11 January 2022. Available at: https://www.paho.org/en/documents/epidemiological-update-outbreaks-avian-influenza-and-public-health-implications-region-0 PAHO/WHO. Influenza at the Human-Animal Interface: PAHO Recommendations to Strengthen Intersectoral Work for Surveillance, Early Detection, and Investigation, 9 July 2020. Available at: https://iris.paho.org/handle/10665.2/52563 PAHO/WHO. Samples from patients suspected of Influenza A/H5 LABORATORY TESTING ALGORITHM. 2 December 2022. Available at: https://www.paho.org/en/documents/samples-patients-suspected-influenza-ah5-laboratory-testing-algorithm WHO. Assessment of risk associated with recent influenza A(H5N1) clade 2.3.4.4b viruses. 21 December 2022. Available at: https://www.who.int/publications/m/item/assessment-of-risk-associated-with-recent-influenza-a(h5n1)-clade-2.3.4.4b-viruses WHO. Summary of Key Information Practical to Countries Experiencing Outbreaks of A(H5N1) and Other Subtypes of Avian Influenza. First Edition. July 2016. 1 July 2016. Available at: https://www.who.int/publications/i/item/WHO-OHE-PED-GIP-EPI-2016.1 WHO. Influenza at the human-animal interface summary and assessment. 14 December to 21 January 2022. Emergency Situation Updates. 21 January 2022. Available at: https://www.who.int/publications/m/item/influenza-at-the-human-animal-interface-summary-and-assessment-21-january-2022 WHO. Case definitions for diseases requiring notification under the IHR (2005). 17 November 2009. Available at https://www.who.int/publications/m/item/case-definitions-for-the-four-diseases-requiring-notification-to-who-in-all-circumstances-under-the-ihr-(2005) International Health Regulations (IHR) (2005). WHO. Third Edition. 1 January 2016. Available at: http://www.who.int/ihr/publications/9789241596664/en/ WHO. Terms of Reference for National Influenza Centers of the Global Influenza Surveillance and Response System. 31 October 2017. Available at: https://cdn.who.int/media/docs/default-source/influenza/national-influenza-centers-files/nic_tor_en.pdf WHO. Protocol to investigate non-seasonal influenza and other emerging acute respiratory diseases. WHO/WHE/IHM/GIP/2018.2. Available at: https://apps.who.int/iris/handle/10665/275657 Government of Ecuador. Ministry of Agriculture and Livestock (MAG) and the Phytosanitary and Animal Health Regulation and Control Agency (Agrocalidad) reinforce measures to contain new cases of avian influenza. 9 January 2023. Available at: https://www.agrocalidad.gob.ec/mag-y-agrocalidad-refuerzan-medidas-para-contener-nuevos-casos-de-influenza-aviar/ WHO Global Influenza Programme. Available at: https://www.who.int/teams/global-influenza-programme Global epidemiological surveillance standards for influenza. Available at : https://apps.who.int/iris/handle/10665/311268 Citable reference: World Health Organization (18 January 2023). Disease Outbreak News; Human infection caused by avian influenza A(H5) - Ecuador. Available at https://www.who.int/emergencies/disease-outbreak-news/item/2023-DON434

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https://www.dhs.wisconsin.gov/covid-19/cases.htm

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Vaccines Administered 25,827,307 Click Here for Vaccination Details Total Cases 3,997,877 Confirmed Deaths 35,927 Variant Cases BQ.1.1/Omicron: 35% Click Here for COVID-19 Variants Details Probable Deaths 4,956 https://dph.illinois.gov/covid19.html

New Confirmed Cases¹ 1,133 Established via PCR testing New Probable Cases² 397 Established via antigen testing New Lab-Confirmed Deaths 14 Source: CDRSS No data Reproductive Rate of Virus (Rt) 1.00 https://www.nj.gov/health/cd/topics/covid2019_dashboard.shtml

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