DOI: 10.3886/e243461v1
title: Weekly COVID-19 County Level of Community Transmission Historical Changes - ARCHIVED

description: Reporting of Aggregate Case and Death Count data was discontinued May 11, 2023, with the expiration of the COVID-19 public health emergency declaration. This dataset will receive a final update on June 1, 2023, to reconcile historical data through May 10, 2023, and will remain publicly available.

This archived public use dataset contains historical case and percent positivity data updated weekly for all available counties and jurisdictions. Each week, the dataset was refreshed to capture any historical updates. Please note, percent positivity data may be incomplete for the most recent time period.

Related data
CDC provides the public with two active versions of COVID-19 county-level community transmission level data: this dataset with historical case and percent positivity data for each county from January 22, 2020 (Weekly Historical Changes dataset) and a dataset with the levels as originally posted (Weekly Originally Posted dataset) since October 20, 2022. Please navigate to the Weekly Originally Posted dataset for the Community Transmission Levels published weekly on Thursdays.

Methods for calculating county level of community transmission indicator
The County Level of Community Transmission indicator uses two metrics: (1) total new COVID-19 cases per 100,000 persons in the last 7 days and (2) percentage of positive SARS-CoV-2 diagnostic nucleic acid amplification tests (NAAT) in the last 7 days. For each of these metrics, CDC classifies transmission values as low, moderate, substantial, or high (below and here). If the values for each of these two metrics differ (e.g., one indicates moderate and the other low), then the higher of the two should be used for decision-making.

CDC core metrics of and thresholds for community transmission levels of SARS-CoV-2
Total New Case Rate Metric: "New cases per 100,000 persons in the past 7 days" is calculated by adding the number of new cases in the county (or other administrative level) in the last 7 days divided by the population in the county (or other administrative level) and multiplying by 100,000. "New cases per 100,000 persons in the past 7 days" is considered to have transmission level of Low (0-9.99); Moderate (10.00-49.99); Substantial (50.00-99.99); and High (greater than or equal to 100.00).

Test Percent Positivity Metric: "Percentage of positive NAAT in the past 7 days" is calculated by dividing the number of positive tests in the county (or other administrative level) during the last 7 days by the total number of tests resulted over the last 7 days. "Percentage of positive NAAT in the past 7 days" is considered to have transmission level of Low (less than 5.00); Moderate (5.00-7.99); Substantial (8.00-9.99); and High (greater than or equal to 10.00).


The data in this dataset are considered provisional by CDC and are subject to change until the data are reconciled and verified with the state and territorial data providers.

This dataset is created using CDC’s Policy on Public Health Research and Nonresearch Data Management and Access.


Archived data
CDC has archived two prior versions of these datasets. Both versions contain the same 7 data elements reflecting community transmission levels for all available counties and jurisdictions; however, the datasets updated daily. The archived datasets can be found here:

Archived Originally Posted dataset

Archived Historical Changes dataset

Archived Data Notes:

October 27, 2022: Due to a processing issue this dataset will not be posted this week. CDC is currently working to address the issue and will publish the data when able.

November 10, 2022: As of 11/10/2022, this dataset will continue to incorporate historical updates made to case and percent positivity data; however, community transmission level will only be published in the corresponding Weekly COVID-19 County Level of Community Transmission as Originally Posted dataset (Weekly Originally Posted dataset).

Note:

October 20, 2022: Due to a data reporting error, the case rate for Philadelphia County, Pennsylvania is lower than expected in the COVID-19 Community Transmission Level data released on October 20, 2022. This could lead to the COVID-19 Community Transmission Level for Philadelphia County being underestimated; therefore, it should be interpreted with caution. 

November 3, 2022: Due to a reporting cadence issue, case rates for Missouri counties are calculated based on 11 days’ worth of case count data in the COVID-19 Community Transmission Level data released on November 3, 2022, instead of the customary 7 days’ worth of data. This could lead to the COVID-19 Community Transmission Levels metrics for Missouri counties being overestimated; therefore, they should be interpreted with caution.

November 10, 2022: Due to a reporting cadence change, case rates for Alabama counties are calculated based on 13 days’ worth of case count data in the COVID-19 Community Transmission Level data released on November 10, 2022, instead of the customary 7 days’ worth of data. This could lead to the COVID-19 Community Transmission Levels metrics for Alabama counties being overestimated; therefore, they should be interpreted with caution.

November 10, 2022: Per the request of the jurisdiction, cases among non-residents have been removed from all Hawaii county totals throughout the entire time series. Cumulative case counts reported by CDC will no longer match Hawaii’s COVID-19 Dashboard, which still includes non-resident cases. 

November 10, 2022: In the COVID-19 Community Transmission Level data released on November 10, 2022, multiple municipalities in Puerto Rico are reporting higher than expected increases in case counts. CDC is working with territory officials to verify the data submitted. 

December 1, 2022: Due to cadence changes over the Thanksgiving holiday, case rates for all Ohio counties are reported as 0 in the COVID-19 Community Transmission Level data released on December 1, 2022. Therefore, the COVID-19 Community Transmission Levels may be underestimated and should be interpreted with caution. 

December 22, 2022: Due to an internal revision process, case rates for some Tennessee counties may appear higher than expected in the December 22, 2022, weekly release. Therefore, the COVID-19 Community Transmission Levels metrics for some Tennessee counties may be overestimated and should be interpreted with caution.

December 22, 2022: Due to reporting of a backlog of historic COVID-19 cases, case rates for some Louisiana counties will appear higher than expected in the December 22, 2022, weekly release. Therefore, the COVID-19 Community Transmission Levels metrics for some Louisiana counties may be overestimated and should be interpreted with caution.

December 29, 2022: Due to technical difficulties, county data from Alabama could not be incorporated via standard practices. As a result, case and death metrics will be reported as 0 in the December 29, 2022, weekly release. Therefore, the COVID-19 Community Transmission Levels metrics for Alabama counties will be underestimated and should be interpreted with caution.

January 5, 2023: Due to a reporting cadence issue, case rates for all Alabama counties will be calculated based on 14 days’ worth of case count data in the COVID-19 Community Transmission Level information released on January 5, 2023, instead of the customary 7 days’ worth of case count data. Therefore, the weekly case rates will be overestimated, which could affect counties’ COVID-19 Community Transmission Level classification and should be interpreted with caution.

January 5, 2023: Due to North Carolina’s holiday reporting cadence, aggregate case data will contain 14 days’ worth of data instead of the customary 7 days. As a result, case metrics will appear higher than expected in the January 5, 2023, weekly release. COVID-19 Community Transmission metrics may be overestimated and should be interpreted with caution.

January 12, 2023: Due to data processing delays, Mississippi’s aggregate case data will be reported as 0. As a result, case metrics will appear lower than expected in the January 12, 2023, weekly release. COVID-19 Community Transmission metrics may be underestimated and should be interpreted with caution. 

January 13, 2023: Aggregate case data released for Los Angeles County, California for the week of December 22nd, 2022, and December 29th, 2022, have been corrected for a data processing error.

January 19, 2023: Due to a reporting cadence issue, Mississippi’s aggregate case data will be calculated based on 14 days’ worth of data instead of the customary 7 days in the January 19, 2023, weekly release. Therefore, COVID-19 Community Transmission metrics may be overestimated and should be interpreted with caution.

January 26, 2023: Due to a reporting backlog of historic COVID-19 cases, case rates for two Michigan counties (Livingston and Washtenaw) were higher than expected in the January 19, 2023 weekly release. Community Transmission metrics for those counties may be overestimated and should be interpreted with caution.

January 26, 2023: Due to a backlog of historic COVID-19 cases being reported this week, aggregate case counts in Charlotte County and Sarasota County, Florida, will appear higher than expected in the January 26, 2023 weekly release. Community Transmission metrics for those counties may be overestimated and should be interpreted with caution.

January 26, 2023: Due to data processing delays, Mississippi’s aggregate case data will be reported as 0 in the weekly release posted on January 26, 2023. As a result, case metrics will appear lower than expected, and the Community Transmission metrics for all Mississippi counties may be underestimated and should be interpreted with caution.

February 2, 2023: As of the data collection deadline, CDC observed an abnormally large increase in aggregate COVID-19 cases reported for Washington State. In response, totals for new cases released on February 2, 2023, have been displayed as zero at county level until the issue is addressed with state officials. Because case rates will be reported as zero for the current week, the COVID-19 Community Transmission Levels for all counties in Washington State may be underestimated and should be interpreted with caution. CDC is working with state officials to address the issue.

February 2, 2023: Due to a decrease reported in cumulative case counts, case rates for several Wyoming counties will be reported as 0 in the February 2, 2023, weekly release. Therefore, the COVID-19 Community Transmission Levels for several Wyoming counties may be underestimated and should be interpreted with caution. CDC is working with state officials to verify the data submitted. 

February 2, 2023: Due to a backlog of historic COVID-19 cases being reported this week, case rates for East Baton Rouge Parish, Louisiana will appear higher than expected in the data released on February 2, 2023. This could lead to the COVID-19 Community Transmission Level for this county being overestimated, and it should be interpreted with caution. 

February 9, 2023: Due to data processing delays, the case rates for all Mississippi counties will be reported as 0 in the COVID-19 Community Transmission Level data released on February 9, 2023. Therefore, the COVID-19 Community Transmission Levels for all Mississippi counties may be underestimated and should be interpreted with caution.

February 9, 2023: Due to a decrease reported in cumulative case counts, the case rate for Richmond City, Virginia, will be reported as 0 in the February 9, 2023, release. Therefore, the COVID-19 Community Transmission Level for this county may be underestimated and should be interpreted with caution. CDC is working with state officials to verify the data submitted.

February 16, 2023: Due to data processing delays, Utah’s aggregate case data will be reported as 0 in the weekly release posted on February 16, 2023. As a result, case metrics will appear lower than expected. Community Transmission metrics may be underestimated and should be interpreted with caution. 

February 16, 2023: Due to a reporting cadence change, Maine’s aggregate case data may contain less than the customary 7 days’ worth of data in the February 16, 2023, release. Therefore, Community Transmission metrics may be underestimated and should be interpreted with caution. 

February 16, 2023: Due to a suspected data reporting cadence change, the case rates for all New Mexico counties may be lower than expected in the data released on February 16, 2023. This may lead to the COVID-19 Community Transmission Levels for all New Mexico counties being underestimated; therefore, they should be interpreted with caution. CDC is working with state officials to verify the data submitted. 

February 23, 2023: Due to data processing delays, Hawaii’s aggregate case data will be reported as 0. As a result, case metrics will appear lower than expected in the February 23, 2023, weekly release. COVID-19 Community Transmission metrics may be underestimated and should be interpreted with caution. 

February 23, 2023: Due to data processing delays, the case rates for all Mississippi counties will be reported as 0 in the data released on February 23, 2023. Therefore, the COVID-19 Community Transmission metrics for all Mississippi counties may be underestimated and should be interpreted with caution.

February 23, 2023: Due to a backlog of historic COVID-19 cases being reported this week, case rates for Maricopa County and Pinal County, Arizona will appear higher than expected in the weekly data released on February 23, 2023. This could lead to the COVID-19 Community Transmission metrics for these two counties being overestimated and they should be interpreted with caution. 

February 23, 2023: Due to a backlog of historic COVID-19 cases being reported this week, case rates for several Georgia counties will appear higher than expected in the weekly data released on February 23, 2023. This could lead to the COVID-19 Community Transmission metrics for several Georgia counties being overestimated and they should be interpreted with caution. 

March 2, 2023: Due to a decrease reported in cumulative case counts, the case rate for Richmond City, Virginia will be reported as 0 in the March 2, 2023, weekly release. Therefore, the COVID-19 Community Transmission levels for Richmond City may be underestimated and should be interpreted with caution. 

March 2, 2023: Due to a data processing error, the case rate for Yamhill County, Oregon will be reported as 0 in the March 2, 2023, weekly release. Therefore, the COVID-19 Community Transmission metrics for Yamhill County may be underestimated and should be interpreted with caution.

March 9, 2023: Due to data processing delays, Utah's aggregate case data will be reported as 0. As a result, case metrics will appear lower than expected in the March 9, 2023, weekly release. COVID-19 Community Transmission metrics may be underestimated and should be interpreted with caution. 

March 9, 2023: Due to technical difficulties, Washington State's aggregate case data will be reported as 0. As a result, case metrics will appear lower than expected in the March 9, 2023, weekly release. COVID-19 Community Transmission metrics may be underestimated and should be interpreted with caution. 

March 9, 2023: Due to technical difficulties, Florida's aggregate case data will be reported as 0. As a result, case metrics will appear lower than expected in the March 9, 2023, weekly release. COVID-19 Community Transmission metrics may be underestimated and should be interpreted with caution. 

March 9, 2023: Due to a decrease reported in cumulative case counts, case rates for Richmond City, Virginia will be reported as 0 in the March 9, 2023, weekly release. Therefore, the COVID-19 Community Transmission levels for these counties may be underestimated and should be interpreted with caution. 

March 16, 2023: In coordination with Florida health officials, CDC completed a historical correction to address a technical issue affecting aggregate COVID-19 cases reported by Florida between November 2022 and March 2023.

March 16, 2023: Due to technical difficulties, Arkansas’s aggregate case data will be reported as 0. As a result, case metrics will appear lower than expected in the March 16, 2023, weekly release. Therefore, COVID-19 Community transmission metrics may be underestimated and should be interpreted with caution.

March 16, 2023: Due to potential technical difficulties that are being reviewed with the state, Texas's aggregate case data will be reported as 0. As a result, case metrics will appear lower than expected in the March 16, 2023, weekly release. COVID-19 Community Transmission metrics may be underestimated and should be interpreted with caution. 

March 16, 2023: Due to a decrease reported in cumulative case counts, case rates for Richmond City, Virginia, will be reported as 0 in the March 16, 2023, weekly release. Therefore, the COVID-19 Community Transmission levels for these counties may be underestimated and should be interpreted with caution. 

March 16, 2023: Due to a backlog of historic COVID-19 cases being reported this week, the case rate for Washoe County, NV, will appear higher than expected in the weekly data released on March 16, 2023. Therefore, the COVID-19 Community Transmission levels for these counties may be underestimated and should be interpreted with caution. 

March 16, 2023: Due to technical difficulties, Indiana's aggregate case data will be reported as 0. As a result, case metrics will appear lower than expected in the March 16, 2023, weekly release. COVID-19 Community Transmission metrics may be underestimated and should be interpreted with caution. 

March 16, 2023: Due to data processing delays, the case rates for all Mississippi counties will be reported as 0 in the weekly data released on March 16, 2023. Therefore, the COVID-19 Community Transmission metrics for all Mississippi counties may be underestimated and should be interpreted with caution. Updates to the state-level case counts were not affected by this issue. 

March 23, 2023: Due to technical difficulties, Indiana's aggregate case data will be reported as 0. As a result, case metrics will appear lower than expected in the March 23, 2023, weekly release. COVID-19 Community Transmission metrics may be underestimated and should be interpreted with caution. 

March 23, 2023: Due to technical difficulties, Indiana's aggregate case data will be reported as 0. As a result, case metrics will appear lower than expected in the March 23, 2023, weekly release. COVID-19 Community Transmission metrics may be underestimated and should be interpreted with caution. 

March 23, 2023: Due to data processing delays, the case rates for all Mississippi counties will be reported as 0 in the data released on March 23, 2023. Therefore, the COVID-19 Community Transmission metrics for all Mississippi counties may be underestimated and should be interpreted with caution. Updates to the state-level case counts were not affected by this issue. 

March 23, 2023: CDC is working together with colleagues from the Texas Department of State Health Services to accurately reflect the results of a 2021 reconciliation process for COVID-19 cases. As of the data collection deadline, a solution was not able to be finalized. Texas’s aggregate case data will be reported as 0. As a result, case metrics will appear lower than expected in the March 23, 2023, release. COVID-19 Community Transmission metrics may be underestimated and should be interpreted with caution. 

March 23, 2023: Due to maintenance to Arkansas’s COVID-19 dashboard, aggregate case data will be reported as 0. As a result, case metrics will appear lower than expected in the March 23, 2023, weekly release. COVID-19 Community Transmission metrics may be underestimated and should be interpreted with caution. 

March 23, 2023: Due to a decrease reported in cumulative case counts, case rates for Richmond City, Virginia will be reported as 0 in the March 23, 2023, weekly release. Therefore, the COVID-19 Community Transmission levels for these counties may be underestimated and should be interpreted with caution.

March 23, 2023: The case counts reported for Florida at the state and county levels may be artificially increased due to a technical issue; CDC is working with Florida Department of Health officials to address the potential issue. COVID-19 Community Transmission metrics may be impacted for several counties across the state and should be interpreted with caution.

March 30, 2023: Due to potential technical issues, Florida was unable to report aggregate case data to CDC. As a result, case metrics will be reported as 0 in the March 30, 2023, weekly release. Therefore, the COVID-19 Community Transmission levels for all Florida counties may be underestimated and should be interpreted with caution.

March 30, 2023: Due to technical difficulties, Delaware was unable to report aggregate case data to CDC. As a result, case metrics will be reported as 0 in the March 30, 2023, weekly release. COVID-19 Community Transmission metrics may be underestimated and should be interpreted with caution.

March 30, 2023: Due to data processing delays, Mississippi was unable to report aggregate case data to CDC. As a result, case metrics will be reported as 0 in the March 30, 2023, weekly release. COVID-19 Community Transmission metrics may be underestimated and should be interpreted with caution. 

March 30, 2023: Due to a backlog of historic COVID-19 cases being reported this week, aggregate case counts in Louisiana counties may appear higher than expected in the March 30, 2023, weekly release. According to Louisiana Department of Health officials, all regions are impacted but the following parishes may be particularly affected: Acadia, Evangeline, Iberia, Lafayette, St. Landry, St. Martin, Vermillion. COVID-19 Community Transmission metrics may be overestimated and should be interpreted with caution. 

March 30, 2023: Due to a decrease reported in cumulative case counts, case rates for Clark County, Washington, Richmond City, Virginia, and Navajo County, Arizona will be reported as 0 in the March 30, 2023, weekly release. Therefore, the COVID-19 Community Transmission levels for these counties may be underestimated and should be interpreted with caution. CDC is working with state officials to verify the data submitted. 

March 30, 2023: Due to changes in the state health department’s COVID-19 surveillance system, Oklahoma’s aggregate case data at state and county levels may be affected in the March 30, 2023, weekly release. The COVID-19 Community Transmission levels for all Oklahoma counties should be interpreted with caution. 

March 30, 2023: CDC and Texas have worked together to accurately reflect aggregate case data reconciliation efforts performed by the state on COVID Data Tracker. The current update reflects changes the jurisdiction has made to their state and county-level trend data. 

April 6, 2023: Due to data processing delays, Mississippi was unable to report aggregate case data to CDC. As a result, case metrics will be reported as 0 in the April 6, 2023, weekly release. COVID-19 Community Transmission metrics may be underestimated and should be interpreted with caution. 

April 6, 2023: Due to changes in Oklahoma’s COVID-19 surveillance system, aggregate case data reported for March 30, 2023, are based on 14 days’ worth of data instead of the customary 7 days. Aggregate data at both the state and county levels are affected. Therefore, aggregate case counts may be overestimated and should be interpreted with caution. 

April 6, 2023: Due to a decrease reported in cumulative case counts, case rates for Kent County, Delaware, and Richmond City, Virginia will be reported as 0 in the April 6, 2023, release. Therefore, the COVID-19 Community Transmission levels for these counties may be underestimated and should be interpreted with caution. CDC is working with state officials to verify the data submitted. 

April 6, 2023: Due to a backlog of historic COVID-19 cases being reported this week, the case rate for Mercer County, New Jersey will appear higher than expected in the April 6, 2023, weekly release. COVID-19 Community Transmission metrics may be overestimated and should be interpreted with caution. 

April 6, 2023: Due to ongoing technical improvements in Florida’s surveillance system, the Florida Department of Health has requested a temporary pause on submitting COVID-19 data to CDC. As a result, case metrics will be reported as 0 in the April 6, 2023, weekly release. Therefore, the COVID-19 Community Transmission levels for all Florida counties may be underestimated and should be interpreted with caution.

April 6, 2023: As of April 1st, 2023, the state of Iowa no longer reports aggregate COVID-19 case or death data to CDC. As a result, aggregate counts from Iowa will no longer be reported at the national, regional, state or county-levels on COVID Data Tracker or data.cdc.gov. For additional information, please see the press release published by the Iowa Department of Health and Human Services.

April 13, 2023: Due to ongoing technical improvements in Florida’s surveillance system, the Florida Department of Health has requested a temporary pause on submitting COVID-19 data which went into effect during the release on March 30, 2023. As a result, case metrics will be reported as 0 until reporting can resume. Therefore, the COVID-19 Community Transmission levels for all Florida counties may be underestimated and should be interpreted with caution. 

April 13, 2023: Due to a backlog of historic COVID-19 cases being reported this week, case rates for four counties in Indiana (Jefferson, Jennings, Perry, and Scott) will appear higher than expected in the data released on April 13, 2023. This could lead to the COVID-19 Community Transmission levels for these counties being overestimated and should be interpreted with caution. 

April 13, 2023: Due to a decrease reported in cumulative case counts, case rates for Richmond City, Virginia will be reported as 0 in the April 13, 2023, weekly release. Therefore, the COVID-19 Community Transmission levels for these counties may be underestimated and should be interpreted with caution. 

April 13, 2023: Due to a backlog of historic COVID-19 cases being reported, the case rate for Mercer County, New Jersey will appear higher than expected in the weekly release on April 13, 2023. Therefore, the COVID-19 Community Transmission level may be overestimated and should be interpreted with caution. 

April 20, 2023: Due to a backlog of historic COVID-19 cases being reported this week, the case rate for Mercer County, New Jersey will appear higher than expected in the April 20, 2023, weekly release. COVID-19 Community Transmission metrics may be overestimated and should be interpreted with caution. 

April 20, 2023: Due to a decrease reported in cumulative case counts, case rates for Richmond City, Virginia will be reported as 0 in the April 20, 2023, weekly release. Therefore, the COVID-19 Community Transmission levels for these counties may be underestimated and should be interpreted with caution. 

April 20, 2023: The following jurisdictions were unable to report aggregate case data to CDC: Arkansas, Florida, Iowa, Mississippi, and Pennsylvania. As a result, case metrics will be reported as 0 or NA in the April 20, 2023, weekly release. COVID-19 Community Transmission metrics may be underestimated and should be interpreted with caution.

April 27, 2023: Due to ongoing data cleaning, the case rate for Kent County, Delaware will appear higher than expected in the April 27, 2023, weekly release. COVID-19 Community Transmission may be overestimated and should be interpreted with caution. 

April 27, 2023: Due to a decrease reported in cumulative case counts, case rates for Richmond City, Virginia will be reported as 0 in the April 20, 2023, weekly release. Therefore, the COVID-19 Community Transmission levels for these counties may be underestimated and should be interpreted with caution. 

April 27, 2023: Due to a decrease reported in cumulative case counts, case rates for Lexington County, South Carolina will be reported as 0 in the April 27, 2023, weekly release. Therefore, the COVID-19 Community Transmission levels for these counties may be underestimated and should be interpreted with caution. 

April 27, 2023: Due to a backlog of historic COVID-19 cases being reported this week, aggregate case counts in Louisiana counties may appear higher than expected in the April 27, 2023, release. COVID-19 Community Transmission metrics may be overestimated and should be interpreted with caution. 

April 27, 2023: Due to a backlog of historic COVID-19 cases being reported this week, case rates for many counties in Indiana will appear higher than expected in the data released on April 27, 2023. This could lead to the COVID-19 Community Transmission metrics for these counties being overestimated and should be interpreted with caution.  

April 27, 2023:The following jurisdictions were unable to report aggregate case data to CDC: Florida, Iowa and Pennsylvania. As a result, case metrics will be reported as 0 or N/A in the April 27, 2023, weekly release. COVID-19 Community Transmission metrics may be underestimated and should be interpreted with caution. 

May 4, 2023: Due to a decrease reported in cumulative case counts, case rates for Davis County, Utah, and Richmond City, Virginia will be reported as 0 in the May 4, 2023, weekly release. Therefore, the COVID-19 Community Transmission levels for these counties may be underestimated and should be interpreted with caution.

May 4, 2023: Due to a backlog of historic COVID-19 cases being reported this week, case rates for some counties in Indiana, including Jay, Lawrence, Orange, and White Counties, will appear higher than expected in the COVID-19 data released on May 4, 2023. This could lead to the COVID-19 Community Transmission levels metrics for these counties being overestimated and should be interpreted with caution. 

May 4, 2023: The following jurisdictions were unable to report aggregate case data to CDC: Florida, Iowa, and Mississippi. As a result, case metrics will be reported as 0 or N/A in the May 4, 2023, weekly release. COVID-19 Community Transmission metrics may be underestimated and should be interpreted with caution. 

May 11, 2023: The following jurisdictions were unable to report aggregate case data to CDC: Iowa, Indiana, Mississippi, Oregon. As a result, case metrics will be reported as 0 or N/A for May 11, 2023. 

May 11, 2023: The Florida Department of Health has completed a series of technical improvements to their surveillance system and resumed reporting to CDC.

May 11, 2023: Due to a potential change in reporting for Illinois, aggregate case will appear lower than expected for May 11, 2023. CDC is working with state officials to verify the data submitted. 

May 11, 2023: Due to a decrease reported in cumulative case counts, case rates for Richmond City, Virginia will be reported as 0 for May 11, 2023. 
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