COVID-19 pandemic in the United States
On January 20, the first report of a COVID-19 case in the U.S. appeared publicly. The World Health Organization and China confirmed human-to-human transmission on that same day. The Centers for Disease Control and Prevention immediately activated its Emergency Operations Center to respond to the outbreak in Wuhan. By February 6, the earliest confirmed American death occurred in Santa Clara County, California. That patient was a 57-year-old woman whose death went unreported by the CDC until April 21. Nine other deaths had already happened in Santa Clara County by that time. The virus had been circulating undetected at least since early January and possibly as early as November.
On February 2, the United States enacted travel restrictions to and from China. The Trump administration evacuated American nationals from Wuhan earlier that month. On March 13, President Donald Trump declared a national emergency. The government purchased large quantities of medical equipment using the Defense Production Act of 1950. By mid-April, all states and territories issued disaster declarations due to increasing cases. However, available test kits remained limited throughout March and early April. Only four states used contact tracing apps by the 1st of July 2020. Congress allocated $631 million for state and local health surveillance programs, but experts estimated $3.6 billion would be needed.
A fourth rise in infections began in March 2021 with the Alpha variant first detected in the United Kingdom. The CDC announced on the 6th of January 2021, that it found at least 52 confirmed cases of this variant. By April 7, the Alpha strain became dominant in the U.S. A new double mutant SARS-CoV-2 variant from India appeared in California on April 12. This mutation later became known as the Delta variant. By the 7th of July 2021, Delta surpassed Alpha to become the dominant strain. In August, Delta accounted for 99 percent of all cases and doubled the risk of hospitalization for unvaccinated people. Hospitals in Alabama, Arkansas, Florida, Georgia, and Texas exceeded 90% ICU capacity by late August.
On the 26th of November 2021, President Biden announced travel restrictions from South Africa due to concerns over a new variant called Omicron. That variant was discovered in South Africa earlier that month. At the beginning of January 2022, daily case numbers exceeded one million. As of February 1, fatality rates were 63% higher in the U.S. than other large wealthy countries. On the 4th of May 2022, the U.S. death toll reached one million, the largest recorded death toll in any single country. The White House confirmed this mark with a presidential proclamation ordering flags flown at half-staff through May 16. By early 2022, as many as 1.5 million new infections were reported in a single day during the Omicron wave.
The pandemic led to a recession following an economic cycle peak in February 2020. The economy contracted 4.8 percent from January through March 2020. The unemployment rate rose to 14.7 percent in April. During the second quarter of 2020, GDP fell at an annualized rate of 32.9 percent. As of June 2020, the U.S. economy remained over ten percent smaller than it was in December 2019. OpenTable estimated that 25 percent of American restaurants would close permanently by May 2020. A report by Yelp found about sixty percent of closed businesses would stay shut forever. An analysis by the Aspen Institute indicated 30 to 40 million people faced eviction risk by year-end 2020.
Of four studies published in September 2020, three found clear disparities due to race and the fourth found slightly better survival rates for Hispanics and Blacks. By the 15th of September 2020, Black Americans had COVID-19 mortality rates more than twice as high as White and Asian populations. CNN reported in May 2020 that the Navajo Nation held the highest infection rate in the United States. In June 2021, the CDC confirmed American Indian or Alaska Native persons had the highest hospitalization and death rates. Hispanic and Latino persons suffered the highest infection rates compared to White persons in many states. From 2019 to 2020, life expectancy dropped three years for Hispanic Americans and 2.9 years for African Americans.
In February 2020, similar numbers of Democrats and Republicans believed COVID-19 was a real threat at 70 percent and 72 percent respectively. By mid-March 2020, 76 percent of Democrats viewed it as a real threat while only 40 percent of Republicans agreed. A May 2020 poll concluded 54 percent felt the federal government did a poor job stopping spread. The CDC remained the most trusted source at 85 percent followed by the WHO at 77 percent. Trump received only 46 percent trust rating. On the 18th of April 2022, U.S. District Judge Kathryn Kimball Mizelle ended the federal transportation mask mandate nationwide. Missouri's Republican governor pressured Saint Louis to cancel its city employee mandate less than 24 hours after issuance on January 5.
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Common questions
When did the first COVID-19 case appear in the United States?
The first report of a COVID-19 case in the U.S. appeared publicly on January 20. The Centers for Disease Control and Prevention immediately activated its Emergency Operations Center to respond to the outbreak in Wuhan.
Who was the earliest confirmed American death from COVID-19?
The earliest confirmed American death occurred in Santa Clara County, California by February 6. That patient was a 57-year-old woman whose death went unreported by the CDC until April 21.
What date did the U.S. death toll reach one million during the pandemic?
On the 4th of May 2022, the U.S. death toll reached one million, which is the largest recorded death toll in any single country. The White House confirmed this mark with a presidential proclamation ordering flags flown at half-staff through May 16.
Which states exceeded 90 percent ICU capacity by late August 2021?
Hospitals in Alabama, Arkansas, Florida, Georgia, and Texas exceeded 90% ICU capacity by late August. This surge coincided with Delta accounting for 99 percent of all cases in August.
How much did the U.S. economy contract between January and March 2020?
The economy contracted 4.8 percent from January through March 2020 following an economic cycle peak in February 2020. During the second quarter of 2020, GDP fell at an annualized rate of 32.9 percent.
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- 116newsCoronavirus updates: Joe Biden pledges to deliver 100M doses in 100 days; US reaches 15M infections; Ohio-State Michigan football game offJohn Bacon et al. — December 8, 2020
- 117newsCOVID-19 now kills more than 1 American every minute. And the rate keeps accelerating as the death toll tops 300,000Holly Yan — CNN — December 14, 2020
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- 120newsUS reports its first known case of new UK Covid variantDecember 29, 2020
- 121newsFact Check: What President Biden InheritsRobert Farley et al. — January 20, 2021
- 122newsU.S. surpasses 20 million cases of coronavirus on first day of 2021Li Cohen — CBS News — January 1, 2021
- 123newsU.S. coronavirus cases eclipse 20 millionDavid Lim — January 1, 2021
- 124newsCDC has found more than 50 US cases of coronavirus variant first identified in UKMichael Nedelman — CNN — January 6, 2021
- 125news'Close To A Worst-Case Scenario' – Former CDC Director Issues 'Horrifying' Outlook For New Covid StrainNicholas Reimann — January 8, 2021
- 126newsNew coronavirus variant may have been in US since OctoberLinda Geddes et al. — January 1, 2021
- 127newsAs Death Rate Accelerates, U.S. Records 400,000 Lives Lost To The CoronavirusWill Stone — NPR — January 19, 2021
- 128newsU.S. coronavirus cases top 25 millionLucy Tompkins — January 22, 2021
- 129newsThe C.D.C. Issues Mask Mandate for Domestic TravelZach Montague — January 30, 2021
- 130webFederal Mask Requirement for TransitFederal Transit Administration
- 131newsThe C.D.C. extends the mask mandate on planes and public transit another two weeksHeather Murphy — April 13, 2022
- 132news'A Loss To The Whole Society': U.S. COVID-19 Death Toll Reaches 500,000Pien Huang — NPR — February 22, 2021
- 133newsMore than 2,750 cases of coronavirus variants reported in the USJessie Yeung et al. — CNN — March 5, 2021
- 134newsBiden directs states to make all adults eligible for vaccine by May 1Sean Sullivan
- 135newsU.S. COVID-19 cases top 30 million as states race to vaccinateAnurag Maan — Reuters — March 24, 2021
- 136newsRecord COVID-19 vaccinations don't mean it's time to relax, officials saySusannah Cullinane — CNN — March 27, 2021
- 137newsUK variant has become most dominant COVID strain in US, CDC saysCheyenne Haslett — ABC News — April 7, 2021
- 138newsAn Indian SARS-CoV-2 Variant Lands In California. More Danger Ahead?William A. Haseltine — April 12, 2021
- 139newsSome parts of the US are more vulnerable to another hit by coronavirus. Here's whyChristina Maxouris — CNN — April 25, 2021
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- 141newsVaccine hesitancy in Hinds County, Mississippi, is a story shared elsewhereMartin Savidge et al. — CNN — April 23, 2021
- 142newsMore than a third of the US has been infected with COVID-19, CDC estimatesMichael Nedelman — CNN — April 29, 2021
- 143newsBiden's new goal: 70% of adults at least partially vaccinated by July 4Maureen Groppe — May 4, 2021
- 144newsAs COVID Vaccinations Slow, Parts Of The U.S. Remain Far Behind 70% GoalMartha Bebinger et al. — NPR — July 5, 2021
- 145newsNew Study Estimates More Than 900,000 People Have Died Of COVID-19 In U.S.Becky Sullivan — NPR — May 6, 2021
- 146newsFauci: 'No doubt' US has undercounted COVID-19 deathsJohn Bowden — May 9, 2021
- 147webCDC says fully vaccinated people don't need to wear face masks indoors or outdoors in most settingsBerkeley Jr. Lovelace — CNBC — May 13, 2021
- 148webCDC director defends telling fully vaccinated they can go without masks amid confusion in states, citiesJessica Bursztynsky — CNBC — May 16, 2021
- 149newsUS COVID-19 deaths hit 600,000, equal to yearly cancer tollJanie Har et al. — Associated Press — June 15, 2021
- 150newsUS COVID-19 cases rise, likely due to Delta variantStephanie Soucheray — CIDRAP — June 29, 2021
- 151newsCDC data shows highly transmissible delta variant is now the dominant Covid strain in the U.S.Berkeley Jr. Lovelace — CNBC — July 7, 2021
- 153newsU.S. passes 35 million Covid cases as California tops 4 millionAlex Johnson — NBC News — August 1, 2021
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- 157newsU.S. COVID-19 Cases Now Top 40 MillionErnie Mundell — U.S. News & World Report — September 8, 2021
- 158news1 in 500 US residents has died of COVID-19Madeline Holcombe — CNN — September 15, 2021
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- 160newsCOVID has killed about as many Americans as the 1918-19 fluCarla K. Johnson — Associated Press — September 20, 2021
- 161newsU.S. COVID-19 death toll hits 700,000Shaina Ahluwalia et al. — Reuters — October 1, 2021
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- 163newsBiden restricts travel from South Africa and seven other countries starting MondayKaitlan Collins — CNN — November 26, 2021
- 164webNY Times COVID-19 DatasetThe New York Times
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- 170newsCDC Launches Appeal of Mask Mandate DecisionMichele Cameron — Business Traveler USA — April 21, 2022
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- 172newsFamilies gather for National Week of COVID RemembranceMelissa Cantu Trevino — Alice Echo-News Journal — May 1, 2022
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- 174newsA Proclamation on Remembering the 1,000,000 Americans Lost to COVID-19White House Briefing Room — May 12, 2022
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- 182webMonitoring VariantsCDC — October 21, 2022
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- 195newsBiden signs bill ending Covid national emergencyZoë Richards — NBC News — April 10, 2023
- 196webBill Signed: H.J.Res. 7whitehouse.gov — April 10, 2023
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- 203newsMask mandates return at some US hospitals as COVID, flu jumpBrad Brooks — Reuters — 4 January 2024
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- 206newsSt. Louis backs off mask mandate for city workersAustin Huguelet — St. Louis Post-Dispatch — 7 January 2024
- 207newsFDNY orders all first-responders to mask up amid spike in contagious diseasesSusan Edelman — New York Post — 13 January 2024
- 208newsCalifornia health officials shorten COVID isolation period to 1 dayIman Palm — KTLA — 18 January 2024
- 209newsC.D.C. Shortens Isolation Period for People With CovidApoorva Mandavilli — 1 March 2024
- 210newsExclusive: NIH to cut grants for COVID research, documents revealMax Kozlov — Nature — 26 March 2025
- 211newsOn New Website, Trump Declares Lab Leak as 'True Origins' of CovidBenjamin Mueller — 18 April 2025
- 212newsRFK Jr. is canceling mRNA vaccine development. Can I still get a COVID vaccine?Adrianna Rodriguez et al. — USA TODAY — 6 August 2025
- 213newsChina spurned CDC offer to send a team to help contain coronavirus: US Health SecretaryMadeline Farber — Fox News — January 28, 2020
- 214newsChina's Coronavirus Death Toll Surpasses SARS PandemicBobby Allyn — NPR — February 8, 2020
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- 216newsBoeing donating 250,000 medical masks to battle coronavirus in ChinaKOMO-TV — January 29, 2020
- 217newsThe United States Announces Assistance To Combat the Novel CoronavirusU.S. Dept. of State — February 7, 2020
- 218newsUS pledges $100 million to help fight coronavirus in ChinaJoseph Guzman — February 7, 2020
- 220newsAnalysis | The Health 202: U.S. isn't ready for the contact tracing it needs to stem the coronavirusPaige Winfield Cunningham — June 15, 2020
- 221newsNew Contact Tracing Apps Need Access To Users' Private Data To Control Spread Of COVID-19KPIX-TV — July 1, 2020
- 222webFDA Approves First Treatment for COVID-19Office of the Commissioner — US Food and Drug Administration (FDA) — October 22, 2020
- 223webCoronavirus (COVID-19) Update: FDA Authorizes Drug Combination for Treatment of COVID-19US Food and Drug Administration (FDA) — November 23, 2020
- 224newsU.S. Moves to Expand Array of Drug Therapies Deployed Against CoronavirusMarch 19, 2020
- 225newsIn France, controversial doctor stirs coronavirus debateElisa Braun — March 30, 2020
- 226webCoronavirus (COVID-19) Update: Daily Roundup March 30, 2020US Food and Drug Administration (FDA) — March 30, 2020
- 227newsFDA Announces Two Drugs Given 'Compassionate Use' Status in Treating COVID-19Kristen Koppock — March 13, 2020
- 228newsFDA issues emergency-use authorization for anti-malaria drugs amid coronavirus outbreakJustin Wise — March 30, 2020
- 229webFDA cautions against use of hydroxychloroquine or chloroquine for COVID-19 outside of the hospital setting or a clinical trial due to risk of heart rhythm problemsCenter for Drug Evaluation and Research — US Food and Drug Administration (FDA) — June 26, 2020
- 230newsTrump doubles down on defense of hydroxychloroquine to treat COVID-19 despite efficacy concernsBen Gittleson et al. — ABC News — July 28, 2020
- 231webCOVID-19 (coronavirus) vaccine: Get the factsMayo Clinic — April 22, 2020
- 232newsAmerica Needs to Win the Coronavirus Vaccine RaceScott Gottlieb — April 26, 2020
- 233webGuide to the Cares ActUnited States Senate Committee on Small Business and Entrepreneurship
- 234press releasePfizer and BioNTech to Submit Emergency Use Authorization Request Today to the U.S. FDA for COVID-19 VaccineNovember 20, 2020
- 235newsExclusive: Pfizer CEO Discusses Submitting the First COVID-19 Vaccine Clearance Request to the FDAAlice Park — November 20, 2020
- 237journalThe Advisory Committee on Immunization Practices' Interim Recommendation for Use of Pfizer–BioNTech COVID-19 Vaccine – United States, December 2020Oliver SE, Gargano JW, Marin M, Wallace M, Curran KG, Chamberland M, McClung N, Campos-Outcalt D, Morgan RL, Mbaeyi S, Romero JR, Talbot HK, Lee GM, Bell BP, Dooling K — December 2020
- 239journalThe Advisory Committee on Immunization Practices' Interim Recommendation for Use of Moderna COVID-19 Vaccine – United States, December 2020Oliver SE, Gargano JW, Marin M, Wallace M, Curran KG, Chamberland M, McClung N, Campos-Outcalt D, Morgan RL, Mbaeyi S, Romero JR, Talbot HK, Lee GM, Bell BP, Dooling K — December 2020
- 240newsModerna Applies for Emergency F.D.A. Approval for Its Coronavirus VaccineNovember 30, 2020
- 242newsUS administers 1st doses of Pfizer coronavirus vaccineIvan Pereira — ABC News — December 14, 2020
- 243newsA new poll shows a startling partisan divide on the dangers of the coronavirusZeeshan Aleem — March 15, 2020
- 244newsPoll: As Coronavirus Spreads, Fewer Americans See Pandemic As A Real ThreatBobby Allyn et al. — NPR — March 17, 2020
- 246newsDemocrats Are Being Much, Much More Careful About the Coronavirus Than RepublicansJordan Weissmann — March 17, 2020
- 247newsCNN Poll: Negative ratings for government handling of coronavirus persistJennifer Agiesta — CNN — May 12, 2020
- 248webU.S. Image Plummets Internationally as Most Say Country Has Handled Coronavirus BadlyRichard Wike et al. — Pew Research Center — September 15, 2020
- 249webDetermination of the February 2020 Peak in US Economic ActivityNational Bureau of Economic Research — June 8, 2020
- 250newsU.S. economy shrank 4.8 percent in first quarter, the biggest decline since the Great RecessionHeather Long — April 29, 2020
- 251newsU.S. unemployment rate soars to 14.7 percent, the worst since the Depression eraHeather Long — May 8, 2020
- 252newsCoronavirus May Add Billions to the Nation's Health Care BillReed Abelson — March 28, 2020
- 253journalFear, Lockdown, and Diversion: Comparing Drivers of Pandemic Economic Decline 2020Austan Goolsbee — Becker Friedman Institute for Research in Economics — 2021
- 254newsUS economy posts its worst drop on recordAnnekan Tapee — CNN — July 31, 2020
- 255webShaping the Consumer of the FutureFaelli F, Rovit S, Apps C, Johns L — Bain & Company — September 23, 2020
- 256newsOpenTable forecasts 25% of U.S. restaurants to shutter permanentlyOrion Rummler — Axios Media — May 14, 2020
- 257news43 million Americans at risk of eviction as relief programs and moratorium expire: "It's a nightmare"CBS News — July 31, 2020
- 258news32% of Americans had outstanding housing payments at the beginning of AugustCNBC — August 6, 2020
- 259news'A Homeless Pandemic' Looms As 30 Million Are At Risk Of EvictionNPR — August 10, 2020
- 260newsNearly 19 million Americans could lose their homes when eviction limits expire Dec. 31Irina Ivanova — CBS News — November 27, 2020
- 262newsMillions of Americans at risk of eviction after moratorium expiredFox Business — August 12, 2020
- 263newsYelp data shows 60% of business closures due to the coronavirus pandemic are now permanentCNBC — September 16, 2020
- 264webAs COVID spread, so did fraud. Minnesota saw a lot of it.Mike Hughlett — 2025-03-29
- 265webAll Employees: Total Nonfarm PayrollsUS Bureau of Labor Statistics — January 1, 1939
- 266webCivilian Unemployment RateUS Bureau of Labor Statistics — January 1, 1948
- 267webUnemployment levelUS Bureau of Labor Statistics — January 1, 1948
- 268webEmployment-Population Ration 25-54 Yrs.US Bureau of Labor Statistics — January 1, 1948
- 269webConsumer Price Index for All Urban Consumers: All ItemsUS Bureau of Labor Statistics — January 1, 1947
- 270webS&P 500June 3, 2019
- 271webThe Debt to the Penny and Who Holds ItJune 10, 2021
- 272webWe became the sickest country in the world. I need to make sure this doesn't happen again.Robert F. Kennedy Jr.
- 273journalThe Politicization of Public Health and the Impact on Health Officials and the Workforce: Charting a Path ForwardValerie A. Yeager — May 2022
- 274webThere Have Been Nearly 4,000 Incidents Of Anti-Asian Racism In The Last YearMarina Fang — March 16, 2021
- 275newsStudies spotlight COVID racial health disparities, similaritiesMary Van Beusekom — CIDRAP – Center for Infectious Disease Research and Policy, University of Minnesota — September 25, 2020
- 276webThe color of coronavirus: COVID-19 deaths by race and ethnicity in the U.S.APM Research Lab: American Public Media
- 277newsNavajo Nation surpasses New York state for the highest COVID-19 infection rate in the USHollie Silverman et al. — CNN — May 18, 2020
- 278webCases, Data, and SurveillanceFebruary 11, 2020
- 279journalRacial Health Disparities and COVID-19 – Caution and ContextChowkwanyun M, Reed AL — July 2020
- 280webThe COVID Racial Data TrackerThe COVID Tracking Project (The Atlantic Monthly Group)
- 281newsAs Pandemic Deaths Add Up, Racial Disparities Persist – And In Some Cases WorsenDaniel Wood — NPR — September 23, 2020
- 283newsMap: Coronavirus and School ClosuresEditorial Projects in Education — March 7, 2020
- 285journalCollege leadership decisions and experiences during the COVID-19 pandemic: an elite interview studyTapati Dutta et al. — 2024-03-18
- 286newsTrump baselessly claimed that expanding voting access would lead to a Republican never being elected in America againGrace Panetta — March 30, 2020
- 287newsTrump defends his mail-in ballot after calling vote-by-mail 'corrupt'Brett Samuels — April 7, 2020
- 288newsFact Check: Is Mail Ballot Fraud As Rampant As President Trump Says It Is?Miles Parks — NPR — April 7, 2020
- 289journalFatalities from COVID-19 are reducing Americans' support for Republicans at every level of federal officeWarshaw C, Vavreck L, Baxter-King R — October 2020
- 296newsAs delta variant spreads, some companies with vaccine mandates deploy tech to verify recordsDanielle Abril — August 19, 2021
- 298newsThe Fourth Anniversary of the Covid PandemicDavid Leonhardt — March 11, 2024
- 299webData on COVID-19 mortality by vaccination statusOur World in Data (CDC data) — April 2023
- 300webCalifornia adopts nation's first endemic virus policyThe Associated Press — NPR — February 18, 2022
- 302newsThe White House has a new plan for COVID-19 aimed at getting things back to normalTamara Keith — NPR — March 2, 2022
- 303webDr. Fauci on why the U.S. Is 'out of the pandemic phase'April 26, 2022
- 304newsFauci says U.S. is out of coronavirus 'pandemic phase'Joel Achenbach — April 27, 2022
- 306webPresident Joe Biden: The 2022 60 Minutes InterviewScott Pelley — CBS News — September 18, 2022
- 307newsHere's a look at some of history's worst pandemics that have killed millionsKen Miguel — KGO-TV — February 28, 2020
- 308newsHow the news media played down the pandemics of yore, from Spanish flu to Swine fluJames Lileks — March 18, 2020
- 309newsThe Coronavirus Is No 1918 PandemicJeremy Brown — March 3, 2020
- 310webThese are the countries best prepared for health emergenciesWorld Economic Forum — February 12, 2020
- 311webWhat a Global Health Survey Found Months Before the Coronavirus PandemicLindsay Maizland et al. — Council on Foreign Relations — March 24, 2020
- 312webTrump administration shuttered pandemic monitoring program, then scrambled to extend itZachary Cohen — April 10, 2020
- 313webScientists Were Hunting for the Next Ebola. Now the U.S. Has Cut Off Their Funding.Donald G. Jr. McNeil — October 25, 2019
- 314webTrump administration ended pandemic early-warning program to detect coronavirusesEmily Baumgaertner et al. — April 2, 2020
- 315webU.S. Will Revive Global Virus-Hunting Effort Ended Last YearDonald G. Jr. McNeil et al. — August 30, 2020