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COVID-19 timeline: From the first U.S. case to the end of the pandemic declaration

The novel coronavirus landed in Washington State in early 2020, kicking off a nationwide reckoning and a new era of service for first responders

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The COVID-19 pandemic was an unprecedented crisis that reshaped public safety and emergency response worldwide. First responders, healthcare workers and emergency planners faced challenges never before encountered on such a global scale. From the initial outbreak and lockdowns, to the development of vaccines and evolving public health policies, the pandemic tested the resilience and the dedication of those on the front lines.

In this roundup, we highlight the major milestones of the pandemic — key moments that defined the response, changed protocols and influenced long-term public safety strategies.

Jan. 20, 2020: First COVID-19 case ID’d in the U.S.

Originally known as the novel coronavirus, or 2019 nCoV, COVID-19 was identified in late 2019 in Wuhan, China, and quickly became a global health crisis as governments and emergency care workers around the world mobilized to protect and treat their citizens. The first U.S. case was identified in someone who had traveled back to Washington state from the Wuhan region.

Officials say a person who traveled from Wuhan, China to Washington state has been diagnosed with the virus

Feb. 28, 2020: First U.S. fatality due to COVID-19 recorded

In February 2020, a 50-year-old man who had not recently traveled to China and had no underlying health conditions died after contracting COVID-19, becoming the first official U.S. death due to the virus, and prompting officials to warn residents about coming into contact with someone who exhibited symptoms.

More than 50 people in a nursing facility in the state have been reported feeling sick and are being tested for the virus

March 11, 2020: COVID-19 is declared a global pandemic

In early March 2020, the World Health Organization declared COVID-19 a pandemic and a global health emergency, urging nations to begin testing their citizens to prevent the spread, save lives and protect healthcare workers. Health officials across the world grappled with the possibility that a steep rise in the number of infected patients would overwhelm medical capacity at hospitals and medical facilities.

The World Health Organization announced that COVID-19 will now be classified as a pandemic

March 13, 2020: U.S. declares COVID-19 a national emergency

Days after WHO declared COVID-19 a global pandemic, the U.S. declared COVID-19 a national emergency, which allowed state and local governments more flexibility in prioritizing public health initiatives.

The administration’s federal task force managing the crisis was working to break a bottleneck in the nation’s ability to test for COVID-19

March 16, 2020: First-stage dose of COVID-19 vaccine clinical trials begin

The first stage of the COVID-19 vaccine clinical trials began as scientists and medical researchers worked overtime to find a cure for new virus ravaging the world.

This is the first-stage study of a potential COVID-19 vaccine developed in record time

April 10, 2020: The Defense Production Act is invoked to increase access to PPE

Amid the global crisis, personal protection equipment became scarce as emergency medical agencies, hospitals, nursing homes and other healthcare facilities stockpiled safety gear for their workers’ use. The lack of gear prompoted the U.S. government to invoke the Defense Production Act to increase production and distribution of must-have items like N95 masks for those working in close proximity to COVID-19 patients.

The defense department will invest $133 million to increase domestic N95 production capacity
The masks were originally purchased to be worn during wildfires in California, where Facebook is headquartered
Shows such as “Station 19,” “Grey’s Anatomy” and “The Good Doctor” are donating real PPE used as props to firefighter-medics, doctors and nurses
The CDC has posted NIOSH guidelines for extended use and limited reuse of N95 masks
The seven masks tested by researchers maintained their function and effectiveness after repeated decontamination with vaporized hydrogen peroxide

March-May 2020: FDNY is overwhelmed by 911 call volume

In spring of 2020, the New York Fire Department was hit hard by COVID-19 and quarantine requirements, removing thousands from the workforce, even as call volume skyrocketed to levels not seen since 9/11, according to the FDNY EMS chief at the time. The circumstances prompted the FDNY academy to allow nearly 200 trainees to graduate their cohort early in a first-of-its-kind, all-hands-on-deck approach to the crisis.

Union leaders said the COVID-19 crisis has driven 911 calls up by 40% while staff is decreasing as department members test positive
Hundreds of medically trained firefighters will be called to assist EMS with COVID-19 calls
The graduates will be joining the workforce at an unprecedented time to help tackle the crisis
Tom Richardson: 1,715 members are on medical leave with COVID-19-related illness
Through sheer force of will by first responders, healthcare workers and the city as a whole, the COVID-19 battle is winding down, but leaves scars

Dec. 14, 2020: First U.S. vaccines administered to first responders

In less than a year, a COVID-19 vaccine was available, with early doses reserved for healthcare workers, first responders and other vulnerable populations, like the elderly.

The move sets off what will be the largest vaccination campaign in U.S. history
Deliveries of the Pfizer vaccine are scheduled throughout Monday and Tuesday to healthcare facilities and nursing homes across the country
As EMS providers and medical directors across the country received some of the first doses of the vaccine, many shared their reasons for getting vaccinated

January-August 2021: First responders administer COVID-19 vaccines to public

When public health officials began planning for the COVID-19 vaccine rollout, first responders were an integral part of the strategy. Emergency providers were tapped to scale up vaccine drives, knock on doors and seek out vulnerable populations to administer the immunizations.

Orange County Emergency Services Medical Director Joseph Grover submitted a plan last year to temporarily permit EMTs to vaccinate patients
As cases of COVID-19 continue to increase in the community, MedStar works to get vaccinations to people where they live using a mobile vaccination unit
Albuquerque’s Med 30 uses ‘vaccination vehicle’ to reach elderly residents
An Illinois service partnered with the health department to vaccinate vulnerable populations in homeless shelters, nursing homes, jails and congregate living facilities

May 5, 2023: COVID-19 no longer a ‘global health emergency’

More than 3 years after first delcaring COVID-19 a pandemic “emergency,” WHO removed the declaration and announced the world had moved into long-term recovery efforts from the effects of the virus.

The World Health Organization said it’s time to transition to long-term management of the pandemic

Rachel Engel is an award-winning journalist and the senior editor of FireRescue1.com and EMS1.com. In addition to her regular editing duties, Engel seeks to tell the heroic, human stories of first responders and the importance of their work. She earned her bachelor’s degree in communications from Cameron University in Lawton, Oklahoma, and began her career as a freelance writer, focusing on government and military issues. Engel joined Lexipol in 2015 and has since reported on issues related to public safety. Engel lives in Wichita, Kansas. She can be reached via email.