Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Jun 19;69(24):759-765.
doi: 10.15585/mmwr.mm6924e2.

Coronavirus Disease 2019 Case Surveillance - United States, January 22-May 30, 2020

Erin K Stokes  1 , Laura D Zambrano  1 , Kayla N Anderson  1 , Ellyn P Marder  1 , Kala M Raz  1 , Suad El Burai Felix  1 , Yunfeng Tie  1 , Kathleen E Fullerton  1
Affiliations

Coronavirus Disease 2019 Case Surveillance - United States, January 22-May 30, 2020

Erin K Stokes et al. MMWR Morb Mortal Wkly Rep. .

Abstract

The coronavirus disease 2019 (COVID-19) pandemic resulted in 5,817,385 reported cases and 362,705 deaths worldwide through May, 30, 2020,† including 1,761,503 aggregated reported cases and 103,700 deaths in the United States.§ Previous analyses during February-early April 2020 indicated that age ≥65 years and underlying health conditions were associated with a higher risk for severe outcomes, which were less common among children aged <18 years (1-3). This report describes demographic characteristics, underlying health conditions, symptoms, and outcomes among 1,320,488 laboratory-confirmed COVID-19 cases individually reported to CDC during January 22-May 30, 2020. Cumulative incidence, 403.6 cases per 100,000 persons, was similar among males (401.1) and females (406.0) and highest among persons aged ≥80 years (902.0). Among 599,636 (45%) cases with known information, 33% of persons were Hispanic or Latino of any race (Hispanic), 22% were non-Hispanic black (black), and 1.3% were non-Hispanic American Indian or Alaska Native (AI/AN). Among 287,320 (22%) cases with sufficient data on underlying health conditions, the most common were cardiovascular disease (32%), diabetes (30%), and chronic lung disease (18%). Overall, 184,673 (14%) patients were hospitalized, 29,837 (2%) were admitted to an intensive care unit (ICU), and 71,116 (5%) died. Hospitalizations were six times higher among patients with a reported underlying condition (45.4%) than those without reported underlying conditions (7.6%). Deaths were 12 times higher among patients with reported underlying conditions (19.5%) compared with those without reported underlying conditions (1.6%). The COVID-19 pandemic continues to be severe, particularly in certain population groups. These preliminary findings underscore the need to build on current efforts to collect and analyze case data, especially among those with underlying health conditions. These data are used to monitor trends in COVID-19 illness, identify and respond to localized incidence increase, and inform policies and practices designed to reduce transmission in the United States.

PubMed Disclaimer

Conflict of interest statement

All authors have completed and submitted the International Committee of Medical Journal Editors form for disclosure of potential conflicts of interest. No potential conflicts of interest were disclosed.

Figures

FIGURE
FIGURE
Daily number of COVID-19 cases,,, (A) and COVID-19–associated deaths (B) reported to CDC — United States, January 22–May 30, 2020 Abbreviation: COVID-19 = coronavirus disease 2019. * From April 14, 2020, aggregate case counts reported by CDC included deaths attributable to both confirmed and probable COVID-19 as classified by reporting jurisdictions, using the Council of State and Territorial Epidemiologists position statement Interim-ID-20-01 (https://cdn.ymaws.com/www.cste.org/resource/resmgr/2020ps/interim-20-id-01_covid-19.pdf). † The upper quartile of the lag between onset date and reporting to CDC was 15 days. § The daily number of deaths reported by jurisdictions on April 14 includes 4,141 deaths newly classified as probable. Overall <1% of cases reported in aggregate to CDC were classified as probable. ** Overall 3.1% of deaths reported in aggregate to CDC were classified as occurring in persons with probable cases.
See this image and copyright information in PMC

Similar articles

  • Race, Ethnicity, and Age Trends in Persons Who Died from COVID-19 - United States, May-August 2020.
    Gold JAW, Rossen LM, Ahmad FB, Sutton P, Li Z, Salvatore PP, Coyle JP, DeCuir J, Baack BN, Durant TM, Dominguez KL, Henley SJ, Annor FB, Fuld J, Dee DL, Bhattarai A, Jackson BR. Gold JAW, et al. MMWR Morb Mortal Wkly Rep. 2020 Oct 23;69(42):1517-1521. doi: 10.15585/mmwr.mm6942e1. MMWR Morb Mortal Wkly Rep. 2020. PMID: 33090984 Free PMC article.
  • Update: Characteristics of Health Care Personnel with COVID-19 - United States, February 12-July 16, 2020.
    Hughes MM, Groenewold MR, Lessem SE, Xu K, Ussery EN, Wiegand RE, Qin X, Do T, Thomas D, Tsai S, Davidson A, Latash J, Eckel S, Collins J, Ojo M, McHugh L, Li W, Chen J, Chan J, Wortham JM, Reagan-Steiner S, Lee JT, Reddy SC, Kuhar DT, Burrer SL, Stuckey MJ. Hughes MM, et al. MMWR Morb Mortal Wkly Rep. 2020 Sep 25;69(38):1364-1368. doi: 10.15585/mmwr.mm6938a3. MMWR Morb Mortal Wkly Rep. 2020. PMID: 32970661 Free PMC article.
  • SARS-CoV-2-Associated Deaths Among Persons Aged <21 Years - United States, February 12-July 31, 2020.
    Bixler D, Miller AD, Mattison CP, Taylor B, Komatsu K, Peterson Pompa X, Moon S, Karmarkar E, Liu CY, Openshaw JJ, Plotzker RE, Rosen HE, Alden N, Kawasaki B, Siniscalchi A, Leapley A, Drenzek C, Tobin-D'Angelo M, Kauerauf J, Reid H, Hawkins E, White K, Ahmed F, Hand J, Richardson G, Sokol T, Eckel S, Collins J, Holzbauer S, Kollmann L, Larson L, Schiffman E, Kittle TS, Hertin K, Kraushaar V, Raman D, LeGarde V, Kinsinger L, Peek-Bullock M, Lifshitz J, Ojo M, Arciuolo RJ, Davidson A, Huynh M, Lash MK, Latash J, Lee EH, Li L, McGibbon E, McIntosh-Beckles N, Pouchet R, Ramachandran JS, Reilly KH, Dufort E, Pulver W, Zamcheck A, Wilson E, de Fijter S, Naqvi O, Nalluswami K, Waller K, Bell LJ, Burch AK, Radcliffe R, Fiscus MD, Lewis A, Kolsin J, Pont S, Salinas A, Sanders K, Barbeau B, Althomsons S, Atti S, Brown JS, Chang A, Clarke KR, Datta SD, Iskander J, Leitgeb B, Pindyck T, Priyamvada L, Reagan-Steiner S, Scott NA, Viens LJ, Zhong J, Koumans EH; Pediatric Mortality Investigation Team. Bixler D, et al. MMWR Morb Mortal Wkly Rep. 2020 Sep 18;69(37):1324-1329. doi: 10.15585/mmwr.mm6937e4. MMWR Morb Mortal Wkly Rep. 2020. PMID: 32941417
  • COVID-19 Among American Indian and Alaska Native Persons - 23 States, January 31-July 3, 2020.
    Hatcher SM, Agnew-Brune C, Anderson M, Zambrano LD, Rose CE, Jim MA, Baugher A, Liu GS, Patel SV, Evans ME, Pindyck T, Dubray CL, Rainey JJ, Chen J, Sadowski C, Winglee K, Penman-Aguilar A, Dixit A, Claw E, Parshall C, Provost E, Ayala A, Gonzalez G, Ritchey J, Davis J, Warren-Mears V, Joshi S, Weiser T, Echo-Hawk A, Dominguez A, Poel A, Duke C, Ransby I, Apostolou A, McCollum J. Hatcher SM, et al. MMWR Morb Mortal Wkly Rep. 2020 Aug 28;69(34):1166-1169. doi: 10.15585/mmwr.mm6934e1. MMWR Morb Mortal Wkly Rep. 2020. PMID: 32853193 Free PMC article.
  • Preliminary Estimates of the Prevalence of Selected Underlying Health Conditions Among Patients with Coronavirus Disease 2019 - United States, February 12-March 28, 2020.
    CDC COVID-19 Response Team. CDC COVID-19 Response Team. MMWR Morb Mortal Wkly Rep. 2020 Apr 3;69(13):382-386. doi: 10.15585/mmwr.mm6913e2. MMWR Morb Mortal Wkly Rep. 2020. PMID: 32240123 Free PMC article.
See all similar articles

Cited by

See all "Cited by" articles

References

    1. Bialek S, Boundy E, Bowen V, et al.; CDC COVID-19 Response Team. Severe outcomes among patients with coronavirus disease 2019 (COVID-19)—United States, February 12–March 16, 2020. MMWR Morb Mortal Wkly Rep 2020;69:343–6. 10.15585/mmwr.mm6912e2 - DOI - PMC - PubMed
    1. Chow N, Fleming-Dutra K, Gierke R, et al.; CDC COVID-19 Response Team. Preliminary estimates of the prevalence of selected underlying health conditions among patients with coronavirus disease 2019—United States, February 12–March 28, 2020. MMWR Morb Mortal Wkly Rep 2020;69:382–6. 10.15585/mmwr.mm6913e2 - DOI - PMC - PubMed
    1. Bialek S, Gierke R, Hughes M, McNamara LA, Pilishvili T, Skoff T; CDC COVID-19 Response Team. Coronavirus disease 2019 in children—United States, February 12–April 2, 2020. MMWR Morb Mortal Wkly Rep 2020;69:422–6. 10.15585/mmwr.mm6914e4 - DOI - PMC - PubMed
    1. Garg S, Kim L, Whitaker M, et al. Hospitalization rates and characteristics of patients hospitalized with laboratory-confirmed coronavirus disease 2019—COVID-NET, 14 states, March 1–30, 2020. MMWR Morb Mortal Wkly Rep 2020;69:458–64. 10.15585/mmwr.mm6915e3 - DOI - PMC - PubMed
    1. Lu X, Zhang L, Du H, et al.; Chinese Pediatric Novel Coronavirus Study Team. SARS-CoV-2 infection in children. N Engl J Med 2020;382:1663–5. 10.1056/NEJMc2005073 - DOI - PMC - PubMed