6 people have died from novel coronavirus in the US as cases nationwide surge

By Hollie Silverman and Holly Yan, CNN

    (CNN) -- Six people have died in Washington state as the United States grapples with more than 90 cases of the disease.

Five of the deaths are from Seattle and King County, county health official Jeffrey Duchin said Monday.

The sixth death happened in Snohomish County, said Heather Thomas, spokeswoman with the Snohomish Health District.

So far, every death from novel coronavirus in the United States has been in Washington state.

A recent surge of cases nationwide has prompted new travel restrictions, school closures and emergency declarations.

But now is not the time to panic, US Surgeon General Dr. Jerome Adams said.

"I want folks to understand that we knew this was coming, we told folks that this was going to happen and it is why we've been preaching preparedness from the very start," Adams said Monday.

"Caution is appropriate. Preparedness is appropriate. Panic is not."

The CDC says you should wash your hands often with soap and water for at least 20 seconds. Be sure to wash the backs of your hands and under your nails.

The World Health Organization recommends staying at least 3 feet (1 meter) away from anyone who may be infected.

If you're the one feeling sick, cover your entire mouth and nose when you cough or sneeze. But don't use your hands. Use either your bent elbow or a tissue that you throw away immediately afterward.

Two dozen new cases were reported over the weekend, including the first two deaths from the virus in the United States.

More than 90 cases have been reported nationwide, including:

At least 2 deaths linked to one facility

A cluster of cases has been reported at the Life Care Center nursing facility in Kirkland, Washington.

Two residents of the facility have died from the virus -- a man in his 70s and a woman in her 70s. Both had underlying health conditions, health officials said.

More than 50 residents and staff have been experiencing symptoms and will be tested for coronavirus, Duchin said.

The facility has about 108 residents and 180 staff members, he said.

An investigation into the facility was launched after a resident and a health care worker tested positive for the coronavirus, Duchin said.

'We will have more cases. ... That is inevitable'

At least 10 states have cases of coronavirus: Arizona, California, Florida, Illinois, Massachusetts, Oregon, Rhode Island, Washington, Wisconsin -- and now New York.

New York's first case is a 39-year-old health care worker who recently returned from Iran, Gov. Andrew Cuomo said Monday. Iran is dealing with almost 1,000 cases of coronavirus and at least 54 deaths from the illness.

The woman is now in home isolation with her husband, who's also a health care worker and is being tested for the disease.

The woman did not have any symptoms of illness when she flew back to the United States last Tuesday, officials said. But authorities are contacting people on her flight and the driver of the private car service she used to get to her Manhattan home.

The woman has not used public transportation since she came back to the New York, Cuomo said.

He said the goal now is to "test as many as you can" and then isolate anyone who tests positive to help reduce the spread.

"We will have more cases. We will have community spread. That is inevitable," Cuomo said.

But he said there's no need to panic.

"You can't let the fear outpace reality," he said.

"Put this in perspective. This is not the first time we've dealt with this situation. We had H1N1, we had the swine flu, we had the avian flu, we went through Ebola, we went through MERS, we went through SARS. We've dealt with this before."

The governor also announced the state will institute a new cleaning protocol at schools and in the public transportation system to help stop any potential spread of the virus.

Florida and Washington state issue emergency declarations

At least 18 new cases were announced across the country Sunday, including the first two cases reported in Florida.

The Florida cases include a Hillsborough County resident who has a history of travel to Italy, one of countries hard-hit by coronavirus. The other is a Manatee County resident who had no history of travel outside the United States, state health officials said.

Both Florida residents are in self-isolation and will remain isolated until they are cleared by health officials, the Florida Department of Health said.

Florida Gov. Ron DeSantis declared a public health emergency as a result of the cases.

An emergency proclamation also was issued in Washington state, where all of the US deaths from coronavirus have occurred.

Gov. Jay Inslee declared a state of emergency after the first death was confirmed Saturday in King County. The patient was a man in his 50s who had underlying health conditions, Duchin said.

The New York Times reported Sunday the virus might have been in Washington state for weeks, and as many as 1,500 people might be infected there.

More cases from coast to coast

In Northern California, five new cases were reported Sunday -- three of them in Santa Clara County.

One patient was a woman who had underlying health issues and was hospitalized. Two others were a husband and wife who had recently traveled to Egypt, according to a news release from the Santa Clara Public Health Department.

The new cases brought the total number of cases in Santa Clara County to seven.

Alameda County and Solano County each had one resident test positive for the virus, a joint news release from the counties' health departments said. Both are health care workers who were exposed to a patient at UC Davis in Sacramento, the release said.

More than 120 UC Davis health care staff were in self-quarantine after possibly being exposed to the patient admitted to the medical center last week.

Oregon reported its second case Sunday. The Washington County adult had close household contact with the state's initial case and did not require medical attention, the Oregon Health Authority said.

New cases were also announced in Rhode Island, the first two in the state. A woman and a teenage girl were diagnosed with the virus, Rhode Island health officials said. They had traveled to Europe on the same trip in mid-February, the state's Department of Health said.

Schools in the Seattle area, Portland area and Rhode Island announced closures for cleaning this week after presumptive positive cases linked to students or staff.

Presumptive positive cases mean test results by a public health lab turned out positive but are still pending confirmation from the CDC.

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