On March 14, the first two fatalities in the state occurred: one in Brooklyn and the other in Suffern, Rockland County. She went into home isolation with her husband. On March 1, 2020, the first confirmed case of COVID-19 in New York state was reported, a 39-year-old woman health care worker who lived in Manhattan, who had returned from Iran on February 25 with no symptoms at the time. According to statistical models, New York City already had 600 COVID-19 cases in mid-February, and as many as 10,000 cases by March 1. Americans visiting Italy in late February and returning to New York on March 1 were not asked by customs if they had spent time in Italy, even though the State Department had urged Americans not to travel to Italy on February 29 (the same day Italy reported 1,100 COVID cases).
Genetic analysis confirmed that most cases of the virus had mutations indicating a European origin, meaning travelers flying to New York City from Europe brought the virus. On January 20, the WHO and China confirmed that human-to-human transmission had occurred. On January 10 and 11, the World Health Organization (WHO) warned about a strong possibility of human-to-human transmission and urged precautions. On January 8, the Centers for Disease Control and Prevention (CDC) issued an official health advisory via its Health Alert Network (HAN) and established an Incident Management Structure to coordinate domestic and international public health actions. On January 7, 2020, the Chinese health authorities confirmed that this cluster was caused by a novel infectious coronavirus. On December 31, 2019, China reported a cluster of pneumonia cases in its city of Wuhan.
See also: COVID-19 pandemic in New York (state) and Timeline of the COVID-19 pandemic in the United States
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