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A Coronavirus Death in Early February Was ‘Probably the Tip of an Iceberg’

The startling discovery that the virus was responsible for a Feb. 6 death
in California raises questions about where else it might have been
spreading undetected.
[image: The coronavirus was circulating in the Bay Area of California as
early as January, even before the federal government began restricting
travel from China on Feb. 2.]
The coronavirus was circulating in the Bay Area of California as early as
January, even before the federal government began restricting travel from
China on Feb. 2.Credit...Jim Wilson/The New York Times

By Thomas Fuller <https://www.nytimes.com/by/thomas-fuller>, Mike Baker
<https://www.nytimes.com/by/mike-baker>, Shawn Hubler and Sheri Fink
<https://www.nytimes.com/by/sheri-fink>

   - Published April 22, 2020Updated April 23, 2020, 8:48 a.m. ET
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阅读简体中文版
<https://cn.nytimes.com/usa/20200423/santa-clara-county-coronavirus-death/>
閱讀繁體中文版
<https://cn.nytimes.com/usa/20200423/santa-clara-county-coronavirus-death/zh-hant/>

SAN FRANCISCO — Weeks before there was evidence that the coronavirus was
spreading in U.S. communities, Patricia Dowd, a 57-year-old auditor at a
Silicon Valley semiconductor manufacturer, developed flulike symptoms and
abruptly died in her San Jose kitchen, triggering a search for what had
killed her. Flu tests were negative. The coroner was baffled. It appeared
that she had suffered a massive heart attack.

But tissue samples from Ms. Dowd, who died on Feb. 6, have now shown that she
was infected with the coronavirus
<https://www.nytimes.com/2020/04/22/us/coronavirus-first-united-states-death.html>
—
a startling discovery that has rewritten the timeline of the virus’s early
spread <https://www.nytimes.com/article/coronavirus-timeline.html> in the
United States and suggests that the optimistic assumptions that drove
federal policies over the early weeks of the outbreak were misplaced.
FLYING DURING A PANDEMIC
Some people who have had to board commercial flights in recent weeks have
taken elaborate precautions
<https://www.nytimes.com/2020/04/23/us/coronavirus-airplane-masks-goggles.html?action=click&module=RelatedLinks&pgtype=Article>
to
protect themselves from the coronavirus.

The unexpected new finding makes clear that the virus was circulating in
the Bay Area of California as early as January, even before the federal
government began restricting travel from China
<https://www.nytimes.com/2020/01/31/business/china-travel-coronavirus.html> on
Feb. 2. It also raises new questions about where else the virus might have
been spreading undetected.

ADVERTISEMENT
Continue reading the main story
<https://www.nytimes.com/2020/04/22/us/santa-clara-county-coronavirus-death.html?campaign_id=2&emc=edit_th_200423&instance_id=17847&nl=todaysheadlines&regi_id=38183359&segment_id=25786&user_id=ef5ce672e120161228dcf3446bbc7a61#after-story-ad-1>

With little local testing throughout February
<https://www.nytimes.com/2020/03/28/us/testing-coronavirus-pandemic.html> —
in part because of botched testing kits
<https://www.nytimes.com/2020/04/18/health/cdc-coronavirus-lab-contamination-testing.html>
from
the Centers for Disease Control and Prevention, along with strict
guidelines that limited who could get tested — officials were not aware of
the virus transmitting locally in the country until Feb. 26, in Solano
County, Calif.

Previous cases had involved people who had traveled to China, where the
outbreak began, or who had been exposed to someone who was sick. But the
Feb. 26 case in Solano County
<https://www.nytimes.com/2020/02/26/health/coronavirus-cdc-usa.html> was of
unexplained origin. Similar cases of community transmission
<https://www.nytimes.com/2020/02/28/us/coronavirus-solano-county.html> were
quickly identified in nearby Santa Clara County, which includes San Jose,
as well as in Washington State and Oregon.

The new test results made public late Tuesday show that even this timeline
failed to reveal how long the virus had been circulating. Ms. Dowd had not
recently traveled outside the country, the authorities said, and yet she
died a full 20 days before the earliest recorded case of community
transmission. Another previously unconnected death in Santa Clara County,
on Feb. 17, has also now been linked to the coronavirus.

“Each one of those deaths is probably the tip of an iceberg of unknown
size,” Dr. Sara Cody, Santa Clara County’s medical officer, said in an
interview.


https://www.nytimes.com/2020/04/22/us/santa-clara-county-coronavirus-death.html?campaign_id=2&emc=edit_th_200423&instance_id=17847&nl=todaysheadlines&regi_id=38183359&segment_id=25786&user_id=ef5ce672e120161228dcf3446bbc7a61
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