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The first, confirmed, case of COVID-19 was in New York State on March 1, 2020, in a 39-year-old health care worker who had returned home to Manhattan from Iran on February 25. [1] [2] Genomic analyses suggest the disease had been introduced to New York as early as January, and that most cases were linked to Europe, rather than Asia.
The first case of the COVID-19 pandemic in New York City was confirmed on March 1, 2020, though later research showed that the novel coronavirus had been circulating in New York City since January, with cases of community transmission confirmed as early as February. By March 29, over 30,000 cases were confirmed, and New York City had become the ...
- 45,194 (38,795 confirmed, 6,399 probable)
- SARS-CoV-2
2 days ago · This data shows what share of New Yorkers received COVID vaccines and boosters, compared to New York City's population of 8.3 million in 2019, the year city health officials use for their measurements. As of October 2023, New York State no longer publishes data on COVID vaccines. 7,574,349 NYC residents vaccinated with at least one dose.
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Phylogenetic analysis and sentinel surveillance suggest that the introduction of COVID-19 into NYC from travelers started during early to mid-February 2020 (3,4), although the first case of laboratory-confirmed COVID-19 in NYC was diagnosed on February 29. The subsequent 3-month period was characterized by a rapid acceleration in the epidemic, resulting in approximately 203,000 cases and 18,600 deaths among persons with laboratory-confirmed COVID-19. Reported diagnoses of cases peaked 1 week after physical distancing orders were enacted (March 22). The overall crude case fatality rate of 9.2% is an overestimate because of underascertainment of cases, given the restrictive testing guidance and limited availability of tests for the first 2 months of the epidemic.¶ Similar to findings from the United Kingdom,** approximately 30% of hospitalized patients with laboratory-confirmed COVID-19 were known to have died. The increased case fatality rate among hospitalized patients during the peak period of reported cases suggests that health care system capacity constraints might have influenced patient outcomes.
As has been previously reported (5), COVID-19 incidence and related hospitalization and mortality were elevated among Black and Hispanic persons and among residents of high-poverty neighborhoods. The finding of neighborhoods with low testing rates and a high percentage of positive test results suggests barriers to accessing testing in areas with considerable community transmission.
The rapid spread of COVID-19, combined with a lack of testing availability early in 2020, led to considerable surveillance challenges. DOHMH quickly ceased labor-intensive individual case investigations for all patients and sought supplementary sources of information. In addition, publishing NYC DOHMH data online in real-time†† allowed the public to access basic and important information on COVID-19 in NYC.
The findings in this report are subject to at least four limitations. First, these data are based primarily on laboratory-confirmed disease, which is more likely to represent severe illness, especially early in the epidemic when COVID-19 testing was mostly limited to hospitalized patients. Second, hospitalizations were underestimated because of incomplete ascertainment from external sources. Third, race and ethnicity information was missing for a large proportion of nonhospitalized, nonfatal cases. Finally, rates are likely underestimated for more affluent neighborhoods because denominators do not reflect the differential exodus of wealthy NYC residents (6).
1.Bialek S, Bowen V, Chow N, et al.; CDC COVID-19 Response Team. Geographic differences in COVID-19 cases, deaths, and incidence—United States, February 12–April 7, 2020. MMWR Morb Mortal Wkly Rep 2020;69:465–71. CrossRefexternal icon PubMedexternal icon
2.Klein RJ, Schoenborn CA. Age adjustment using the 2000 projected U.S. population. Healthy People 2020 statistical notes, no. 20. Hyattsville, MD: US Department of Health and Human Services, CDC, National Center for Health Statistics; 2001.
3.Gonzalez-Reiche AS, Hernandez MM, Sullivan MJ, et al. Introductions and early spread of SARS-CoV-2 in the New York City area. Science 2020;369:297–301. PubMedexternal icon
4.Bushman D, Alroy KA, Greene SK, et al.; CDC COVID-19 Surge Laboratory Group. Detection and genetic characterization of community-based SARS-CoV-2 infections—New York City, March 2020. MMWR Morb Mortal Wkly Rep 2020;69:918–22. CrossRefexternal icon PubMedexternal icon
5.Webb Hooper M, Nápoles AM, Pérez-Stable EJ. COVID-19 and racial/ethnic disparities. JAMA 2020;323:2466–7. CrossRefexternal icon PubMedexternal icon
6.Quealy K. The richest neighborhoods emptied out most as coronavirus hit New York City. The New York Times. May 15, 2020. https://www.nytimes.com/interactive/2020/05/15/upshot/who-left-new-york-coronavirus.htmlexternal icon
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