At least four more states have reported their first cases: Vermont, Missouri, Virginia, and Connecticut. Vermont's case involves an adult with unspecified exposure, Missouri's patient is a resident who traveled to Italy. Virginia's first case, announced yesterday, is a US Marine from Fort Belvoir, and a second case announced today is a Fairfax resident who was on the same Nile River cruise linked to other US cases. Connecticut's first case is a state resident who was likely exposed in California.

Also, a handful of already affected states reported more cases, including Oregon, which over the last 2 days reported 11 more cases, raising its total to 14. Also today the state's governor declared a state of emergency, which gives officials the authority to finalize agreements to expand testing to major health systems and prepare to activate the medical reserves corps.In New York, the main hot spot on the East Coast, the state's governor announced 16 more cases today, raising the total to 105. Of those, 82 are from Westchester County, where a large cluster of cases has been detected in New Rochelle. Twelve of the state's cases are from New York City.

California's governor also declared a state of emergency today, saying the measure contains provisions to prevent price gouging for necessary supplies. As of yesterday morning, the state had reported 88 cases, 24 from earlier evacuation flights, and 1 death.