COVID-19 pandemic in Hawaii

The COVID-19 pandemic spread to Hawaii in March 2020.

Linear plot of Hawaii COVID-19 cases by county.[1]
COVID-19 pandemic in Hawaii
Map of the outbreak in Hawaii by confirmed new infections per 100,000 people (14 days preceding June 26)
  100+ confirmed new cases
  50–100 confirmed new cases
  20–50 confirmed new cases
  10–20 confirmed new cases
  0–10 confirmed new cases
  No confirmed new cases
Map of the outbreak in Hawaii by confirmed infections per 100,000 people (as of June 26)
  1,000+ confirmed infected
  500–1,000 confirmed infected
  100–500 confirmed infected
  20–100 confirmed infected
  0–20 confirmed infected
DiseaseCOVID-19
Virus strainSARS-CoV-2
LocationHawaii, US
First outbreakGrand Princess
Index caseOahu
Arrival dateMarch 6, 2020
Confirmed cases803
Hospitalized cases96 (cumulative)
Recovered644
Deaths
17
Government website
hawaiicovid19.com

As of June 20, 2020, there have been 803 cases of COVID-19 in Hawaii. Seventeen people have died from the disease and 96 people have required hospitalization. 644 persons have recovered.[2]

The Hawaii Department of Health (DOH) has performed 263 tests on randomly chosen influenza-negative samples from around the state as a method of sentinel surveillance of community transmission between March 1 and March 20, 2020. All have come back negative for COVID-19.[3]

The Department of Land and Natural Resources has announced the closure of all state parks, including Diamond Head.[4]

Background

On January 12, 2020, the World Health Organization (WHO) confirmed that a novel coronavirus was the cause of a respiratory illness in a cluster of people in Wuhan City, Hubei Province, China, which was reported to the WHO on December 31, 2019.[5][6]

The case fatality ratio for COVID-19 has been much lower than SARS of 2003,[7][8] but the transmission has been significantly greater, with a significant total death toll.[9][7]

Timeline

COVID-19 cases in Hawaii, United States  ()
     Deaths        Recoveries        Active cases

Mar Mar Apr Apr May May Jun Jun Last 15 days Last 15 days

Date
# of cases
# of deaths
2020-03-06
1(n.a.) 0(n.a.)
2020-03-07
1(=) 0(n.a.)
2020-03-08
2(+100%) 0(n.a.)
2(n.a.)
2020-03-14
4(+100%) 0(n.a.)
2020-03-15
7(+75%) 0(n.a.)
2020-03-16
10(+43%) 0(n.a.)
2020-03-17
14(+40%) 0(n.a.)
2020-03-18
16(+14%) 0(n.a.)
2020-03-19
26(+62%) 0(n.a.)
2020-03-20
37(+42%) 0(n.a.)
2020-03-21
48(+30%) 0(n.a.)
2020-03-22
56(+17%) 0(n.a.)
2020-03-23
77(+38%) 0(n.a.)
2020-03-24
90(+17%) 0(n.a.)
2020-03-25
95(+5.6%) 0(n.a.)
2020-03-26
106(+12%) 0(n.a.)
2020-03-27
120(+13%) 0(n.a.)
2020-03-28
151(+26%) 0(n.a.)
2020-03-29
175(+16%) 0(n.a.)
2020-03-30
204(+17%) 0(n.a.)
2020-03-31
224(+9.8%) 1(n.a.)
2020-04-01
258(+15%) 1(=)
2020-04-02
285(+10%) 2(+100%)
2020-04-03
319(+12%) 3(+50%)
2020-04-04
351(+10%) 3(=)
2020-04-05
371(+5.7%) 4(+33%)
2020-04-06
387(+4.3%) 5(+25%)
2020-04-07
410(+5.9%) 5(=)
2020-04-08
435(+6.1%) 5(=)
2020-04-09
442(+1.6%) 6(+20%)
2020-04-10
464(+5%) 7(+17%)
2020-04-11
486(+4.7%) 8(+14%)
2020-04-12
499(+2.7%) 9(+12%)
2020-04-13
504(+1%) 9(=)
2020-04-14
517(+2.6%) 9(=)
2020-04-15
530(+2.5%) 9(=)
2020-04-16
541(+2.1%) 9(=)
2020-04-17
553(+2.2%) 9(=)
2020-04-18
574(+3.8%) 9(=)
2020-04-19
580(+1%) 17(+89%)
2020-04-20
584(+0.69%) 17(=)
2020-04-21
586(+0.34%) 17(=)
2020-04-22
592(+1%) 17(=)
2020-04-23
596(+0.68%) 17(=)
2020-04-24
601(+0.84%) 17(=)
2020-04-25
604(+0.5%) 17(=)
2020-04-26
606(+0.33%) 17(=)
2020-04-27
607(+0.17%) 17(=)
2020-04-28
609(+0.33%) 17(=)
2020-04-29
613(+0.66%) 17(=)
2020-04-30
618(+0.82%) 17(=)
2020-05-01
619(+0.16%) 17(=)
2020-05-02
620(+0.16%) 17(=)
2020-05-03
620(=) 17(=)
2020-05-04
621(+0.16%) 17(=)
2020-05-05
625(+0.64%) 17(=)
2020-05-06
626(+0.16%) 17(=)
2020-05-07
629(+0.48%) 17(=)
2020-05-08
629(=) 17(=)
2020-05-09
631(+0.32%) 17(=)
2020-05-10
632(+0.16%) 17(=)
2020-05-11
634(+0.32%) 17(=)
2020-05-12
635(+0.16%) 17(=)
2020-05-13
638(+0.47%) 17(=)
2020-05-14
637(-0.16%) 17(=)
2020-05-15
638(+0.16%) 17(=)
2020-05-16
638(=) 17(=)
2020-05-17
640(+0.31%) 17(=)
2020-05-18
640(=) 17(=)
2020-05-19
641(+0.16%) 17(=)
2020-05-20
643(+0.31%) 17(=)
2020-05-21
647(+0.62%) 17(=)
2020-05-22
642(-0.77%) 17(=)
2020-05-23
643(+0.16%) 17(=)
2020-05-24
643(=) 17(=)
2020-05-25
643(=) 17(=)
2020-05-26
643(=) 17(=)
2020-05-27
644(+0.16%) 17(=)
2020-05-28
647(+0.47%) 17(=)
2020-05-29
649(+0.31%) 17(=)
2020-05-30
651(+0.31%) 17(=)
2020-05-31
652(+0.15%) 17(=)
2020-06-01
652(=) 17(=)
2020-06-02
653(+0.15%) 17(=)
2020-06-03
653(=) 17(=)
2020-06-04
655(+0.31%) 17(=)
2020-06-05
664(+1.4%) 17(=)
2020-06-06
673(+1.4%) 17(=)
2020-06-07
675(+0.3%) 17(=)
2020-06-08
676(+0.15%) 17(=)
2020-06-09
682(+0.89%) 17(=)
2020-06-10
685(+0.44%) 17(=)
2020-06-11
692(+1%) 17(=)
2020-06-12
706(+2%) 17(=)
2020-06-13
723(+2.4%) 17(=)
2020-06-14
728(+0.69%) 17(=)
2020-06-15
736(+1.1%) 17(=)
2020-06-16
740(+0.54%) 17(=)
2020-06-17
744(+0.54%) 17(=)
2020-06-18
762(+2.4%) 17(=)
2020-06-19
789(+3.5%) 17(=)
2020-06-20
803(+1.8%) 17(=)
2020-06-21
816(+1.6%) 17(=)
2020-06-22
825(+1.1%) 17(=)
2020-06-23
831(+0.73%) 17(=)
2020-06-24
840(+1.1%) 17(=)
2020-06-25
850(+1.2%) 17(=)
2020-06-26
866(+1.9%) 18(+5.9%)
2020-06-27
872(+0.69%) 18(=)
Sources:
  • "COVID-19 Joint Information Center Updates". health.hawaii.gov.
  • "Coronavirus Disease 2019 (COVID-19)". State of Hawaii - Department of Health: COVID-19. Retrieved May 26, 2020.
  • "Current Situation in Hawaii". health.hawaii.gov. Retrieved May 30, 2020.

Notes:

  • The decline in total cases on May 22, 2020 is due to the Hawaii State Department of Health removing five cases from the case count "as a result of updated testing information."[10]
Hawaii Air National Guard deploy to assist county authorities, April 15, 2020, Kalaeloa, Hawaii

On March 6, the first presumptive positive case of COVID-19 was confirmed in a Grand Princess passenger who had returned to Hawaii.[11]

On March 14, the first two cases of COVID-19 were confirmed on Kauai County, along with the first case on Maui County.[12] On March 16, Hawaii County reported its first confirmed case.[13] On March 18, two more cases were confirmed in Honolulu County, bringing the statewide total to 16.[14]

On March 19 at noon, new positive results were announced for eight individuals on O‘ahu and two individuals on Maui.[15] On March 20, 11 new cases were confirmed, bringing the total number of cases in Hawaii to 37. These cases include the first two instances of community transmission.[16] On March 21, 11 new cases were confirmed, bringing the total number of cases in Hawaii to 48.[17] The following day on March 22, 8 more cases were announced.[18]

Hawaii has consistently maintained low numbers of cases throughout the pandemic. Numbers have remained low primarily due to intensive testing and contact tracing.

On May 7, 2020, Governor David Ige and Lt. Governor Josh Green, an emergency room physician, stated that only 51% of Hawaii's hospital beds, 46% of intensive care beds, and 14% of ventilators are either occupied or in use and that Hawaii has the second lowest infection rate in the United States at 43.6 coronavirus positive cases per 100,000, the lowest infection rate in the United States for states with a population of over a million, and the lowest mortality rate of 1.2 deaths per 100,000 in the United States.[19]

On May 12, 2020, there has been "635 cases of COVID 19 identified in Hawaii. Of those cases, 13% have required hospitalization, and 574 (90%) were residents."[20]

On May 13, 2020, U.S. Senator Brian Schatz announced that Hawaii would receive $50 million under the Paycheck Protection Program and Health Care Enhancement Act to expand COVID-19 testing and contact tracing.[21]

Government response

March 16: Governor David Ige announced that spring break for public schools in Hawaii would be extended for an additional week in order to give school administrators time to evaluate recommendations for stopping the spread of the virus.[22] On March 18, the closures were extended for an additional week.[23]

March 18: Kauai County announced a nighttime curfew effective March 20 and a limit on airline travel to essential needs until further notice.[24]

March 19: the Hawaii Department of Transportation stated that passengers from cruise ships would not be allowed to disembark in Hawaii.[25] The same day, Honolulu City Mayor Kirk Caldwell announced efforts to curb the spread of the virus, including the closures of parks and a 15-day ban on dining in, at restaurants and bars. However, it was also announced that there were no plans to put a curfew in place.[26] Similar measures were announced by Mayor Michael Victorino for Maui County, effective from March 20 until May 3.[27]

Also on March 19, Hawai`i House Speaker Scott Saiki called on the governor to institute an immediate statewide shutdown for 15 days, requiring people to shelter in their homes or hotel rooms, to quarantine all travelers from outside Hawai`i for 15 days, prohibit all non-essential inter-island and out-of-state travel, and close all public and private schools and daycare centers. The Governor's office responded: "Gov. Ige continues to work through all the options, including their potential benefits and consequences, to secure our islands and do what's best for our communities."[28]

March 20: the Honolulu City Council and Mayor Kirk Caldwell joined House Speaker Scott Saiki and Lt. Gov. Josh Green in calling on the governor to put in place emergency measures to stop visitors from coming to Hawaii.[28]

March 21: Governor Ige mandated a 14-day quarantine for all visitors and residents returning to Hawai`i. Ige resisted calls for a shelter-in-place order, saying: "it is really appropriate when there is widespread community spread of the virus."[29]

Over 100 physicians signed an open letter sent to Governor Ige, Maui Mayor Mike Victorino, and state Department of Health Director Bruce Anderson urging authorities to issue an immediate shelter-in-place order for the state.[30]

March 22: Mayor Caldwell and Mayor Victorino both announced stay-at-home orders for Honolulu County and Maui County, respectively. The order for Honolulu County would go into effect on March 23 at 4:30 p.m., and the order in Maui County went into effect on March 25. Both orders are to be in effect until April 30.[31]

April 3: Governor Ige called on Hawaii National Guard to be ready to assist if need be with issues surrounding the pandemic, including law enforcement.[32]

Mandatory 14-day quarantine for incoming travelers and impact on tourism

On March 21, 2020, Governor Ige issued a second supplementary emergency proclamation that required residents and visitors entering the state to quarantine for 14 days.[33]

All residents and visitors are required to complete and sign a form denoting their acceptance of the 14-day quarantine. According to the Governor's office, passengers will not be allowed to enter Hawaii without signing the form.[34] Bloomberg News has reported that "roughly 20 people" have been arrested or issued citations for violating the 14-day quarantine.[35]

On April 6, 2020, the Hawaii Tourism Authority asked media organizations to "refrain from publishing any stories about Hawaii that might encourage people to travel to the islands."[36]

As of May 21, 2020, the Hawaii Department of Business, Economic Development, and Tourism reported that air traffic to the state had decreased by 98% from the previous year.[37]

Impact on sports

On March 12, the National Collegiate Athletic Association (NCAA) cancelled all winter and spring tournaments, most notably the Division I men's and women's basketball tournaments, affecting colleges and universities statewide.[38]

Reopening of the state

Governor Ige began the first phase of reopening on businesses on May 7, 2020.[39] The "Beyond Recovery: Reopening Hawaiʻi" strategy details the four-phased approach to reopening.[40]

Governor Ige anticipates that Hawaii will receive 1.25 billion dollars from the CARES Act[41] and other related relief programs from the federal government.[39]

Statistics

County [lower-alpha 1] Cases [lower-alpha 2] Deaths Hosp. Recov. Pop (2007) cases/100k CFR Ref. & Notes
4 / 5 803 17 96 644 1,415,872 56.7 2.1%
Hawaii 83 0 2 81 201,513 41.2 0.0%
Honolulu 557 11 70 430 974,563 57.2 2.0% [lower-alpha 3]
Kalawao [lower-alpha 4][lower-alpha 5]
Kauai 29 0 1 20 72,293 40.1 0.0%
Maui 122 6 22 113 167,417 72.9 4.9%
Residents diag. outside of HI 12 0 1 0 [lower-alpha 4]
County Pending 0 0 0 0
Updated June 20, 2020
Data is publicly reported by Hawai‘i State Department of Health[42][43][44]
  1. County where individuals with a positive case diagnosed, not where they were reside. Location of original infection may vary.
  2. Reported cases includes presumptive and confirmed case. Actual case numbers are probably higher.
  3. Consolidated city-county
  4. "–" denotes that no data is currently available, not necessarily that the value is zero.
  5. Due to small population size, all government functions are provided by Maui County

See also

References

  1. "Coronavirus Statistics in Hawaii". Coronavirus Statistics. Retrieved June 19, 2020.
  2. "Disease Outbreak Control Division - COVID-19 - Current Situation in Hawaii". health.hawaii.gov/. Hawaii Department of Health. June 14, 2020. Archived from the original on June 14, 2020. Retrieved June 14, 2020.
  3. "Sentinel and Influenza Surveillance". Hawaii Department of Health. Archived from the original on April 3, 2020. Retrieved March 31, 2020.
  4. HNN Staff (March 17, 2020). "State to close state parks, including Diamond Head, as coronavirus pandemic worsens". Hawaii News Now. Archived from the original on April 3, 2020. Retrieved March 18, 2020.
  5. Reynolds, Matt (March 4, 2020). "What is coronavirus and how close is it to becoming a pandemic?". Wired UK. ISSN 1357-0978. Archived from the original on March 5, 2020. Retrieved March 5, 2020.
  6. Elsevier. "Novel Coronavirus Information Center". Elsevier Connect. Archived from the original on January 30, 2020. Retrieved March 15, 2020.
  7. O'Hare, Ryan (March 13, 2020). "Crunching the numbers for coronavirus". Imperial News. Imperial College London. Archived from the original on March 19, 2020. Retrieved March 15, 2020.
  8. "High consequence infectious diseases (HCID) - GOV.UK". GOV.UK. March 21, 2020. Archived from the original on June 13, 2020. Retrieved June 14, 2020.
  9. "World Federation Of Societies of Anaesthesiologists - Coronavirus". World Federation of Societies of Anaesthesiologists. Archived from the original on March 12, 2020. Retrieved March 15, 2020.
  10. "Hawaii's health officials revise coronavirus count downward to 642; no new cases today". Honolulu Star Advertiser. May 22, 2020. Retrieved May 22, 2020.
  11. Consillio, Kristen (March 7, 2020). "Hawaii resident who traveled on the Grand Princess cruise ship tests positive for the coronavirus". Honolulu Star-Advertiser. Archived from the original on March 19, 2020. Retrieved March 19, 2020.
  12. "Maui visitor tests positive for coronavirus as cases statewide jump to 6". Honolulu Star-Advertiser. March 14, 2020. Archived from the original on March 25, 2020. Retrieved March 19, 2020.
  13. "1st confirmed case of COVID-19 on Big Island". KITV. March 17, 2020. Archived from the original on April 8, 2020. Retrieved March 19, 2020.
  14. "COVID-19 Daily Update March 18, 2020". Hawaii Department of Health. March 18, 2020. Archived from the original on April 2, 2020. Retrieved March 19, 2020.
  15. "COVID-19 Daily Update March 19, 2020". Hawaii Department of Health. March 19, 2020. Archived from the original on March 25, 2020.
  16. Consillio, Kristen (March 20, 2020). "11 new cases of coronavirus in Hawaii include a child; total infections climbs to 37". Honolulu Star-Advertiser. Archived from the original on March 21, 2020. Retrieved March 20, 2020.
  17. "COVID-19 Cases in Hawaiʻi". COVID-19 Cases in Hawaiʻi. Hawai`i State Department of Health. Retrieved March 22, 2020.
  18. "8 new COVID-19 cases in Hawaii, officials say". Honolulu Star-Advertiser. March 22, 2020. Archived from the original on March 25, 2020. Retrieved March 23, 2020.
  19. Hurley, Timothy (May 7, 2020). Ige, Green make case for partial opening of Hawaii’s economy. Honolulu Star-Advertiser. Archived from the original on May 7, 2020. Retrieved May 7, 2020.
  20. "State of Hawai'i - Department of Health". health.hawaii.gov. Retrieved May 13, 2020.
  21. "Schatz: Hawaii receives $50 million to expand COVID-19 contact tracing, testing". www.kitv.com. Retrieved May 13, 2020.
  22. Tsai, Michael (March 16, 2020). "Hawaii public school closures extended". Honolulu Star-Advertiser. Archived from the original on March 20, 2020. Retrieved March 20, 2020.
  23. Dayton, Kevin (March 18, 2020). "Hawaii will extend closure of public schools to April 6". Honolulu Star-Advertiser. Archived from the original on April 6, 2020. Retrieved March 20, 2020.
  24. "Nighttime curfew to go into effect starting Friday, March 20 in support of emergency efforts; Mayor's tells visitors "Kaua'i is on vacation"" (PDF) (Press release). County of Kauai. Archived (PDF) from the original on April 5, 2020. Retrieved March 19, 2020.
  25. Carrega, Christina (March 19, 2020). "Despite no reported coronavirus, Hawaii won't let cruise ship passengers disembark". ABC News. Archived from the original on March 26, 2020.
  26. "City closes parks, attractions as state prepares for broader shutdown". Hawaii News Now. March 18, 2020. Archived from the original on March 25, 2020. Retrieved March 20, 2020.
  27. Uechi, Colleen (March 19, 2020). "Emergency rules take effect Friday". The Maui News. Archived from the original on March 21, 2020. Retrieved March 20, 2020.
  28. "State confirms community transmission of virus following 2 new cases not linked to travel". Hawaii News Now. March 20, 2020. Archived from the original on March 21, 2020. Retrieved March 21, 2020.
  29. Hurley, Timothy (March 22, 2020). "Gov. David Ige mandates 14-day quarantine for visitors to Hawaii, returning residents". Honolulu Star-Advertiser. Archived from the original on March 22, 2020. Retrieved March 22, 2020.
  30. Hurley, Timothy (March 21, 2020). "Over 100 Hawaii medical professionals urge state and county officials to order immediate lockdown". Honolulu Star-Advertiser. Archived from the original on March 22, 2020. Retrieved March 22, 2020.
  31. "Oahu, Maui issue stay-at-home orders in 'extraordinary' push to stop spread of virus". Hawaii News Now. March 22, 2020. Archived from the original on April 1, 2020. Retrieved March 23, 2020.
  32. Morales, Manolo. "Gov. activates Hawaii National Guard to help with pandemic". khon2. Retrieved April 3, 2020.
  33. "Governor's Office – News Release – Gov. Ige orders mandatory 14-day quarantine for all individuals arriving or returning to the State of Hawaiʻi". governor.hawaii.gov. Retrieved May 20, 2020.
  34. "Governor's Office – News Release – Gov. Ige orders mandatory 14-day quarantine for all individuals arriving or returning to the State of Hawaiʻi". governor.hawaii.gov. Retrieved May 20, 2020.
  35. "Bloomberg - Don't Come': Hawaii Enforces Strict Lockdown Measures". Retrieved May 19, 2020.
  36. Monahan, John (April 6, 2020). "Request to Suspend Hawaii Travel-Focused Editorial Coverage" (PDF). hawaiitourismauthority.org. Archived (PDF) from the original on June 9, 2020. Retrieved June 14, 2020. At this current juncture, amidst the uncertainty ushered forth by COVID-19, we humbly ask that you and/or your publication(s) refrain from publishing any stories about Hawaiʻi that might encourage people to travel to the islands.
  37. "Research & Economic Analysis - COVID-19 & Hawaii's Economy". dbedt.hawaii.gov. Hawaii Department of Business, Economic Development & Tourism. May 27, 2020. Archived from the original on May 27, 2020. Retrieved June 14, 2020.
  38. "NCAA cancels remaining winter and spring championships" (Press release). National Collegiate Athletic Association. March 12, 2020. Archived from the original on April 2, 2020. Retrieved March 18, 2020.
  39. "Governor's Office – News Release – Gov. Ige gives first round of businesses greenlight to re-open". governor.hawaii.gov. May 5, 2020. Retrieved May 15, 2020.
  40. Office of the Governor, State of Hawaiʻi (May 29, 2020). "Beyond-Recovery_Reopening-Hawaii_Detailed_Strategy_29-May-2020_Final.pdf" (PDF). recoverynavigator.hawaii.gov. Archived (PDF) from the original on June 15, 2020. Retrieved June 14, 2020.
  41. Mattison, Sara (May 11, 2020). "Gov., lawmakers talk about budget and money from CARES Act - KHON2". KHON2. Archived from the original on June 15, 2020. Retrieved June 14, 2020.
  42. "Latest Cases in Hawai'i". State of Hawai'i – Department of Health. Retrieved May 20, 2020.
  43. "Hawaii COVID-19 Cases". State of Hawai'i – Department of Health. Retrieved May 20, 2020.
  44. "Hawaii COVID-19 Tracker". Hawaii Data Collaborative. Retrieved April 28, 2020.
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