Updated: April 7, 2020 11:33 AM EDT | Originally published: February 13, 2020 7:23 PM EST

The United States has the highest number of confirmed coronavirus cases out of the at least 1,359,398 worldwide, according to a virus tracker from researchers at Johns Hopkins University as of 8:00 a.m. E.T. Tuesday, April 7.

The United States now has at least 368,449 confirmed cases and at least 10,993 confirmed deaths, per the tracker. The U.S. has at least an additional 200,000 reported cases compared to other countries with large COVID-19 outbreaks, such as Italy, Spain and China. There have been at least 75,973 confirmed deaths worldwide.

New York has been the epicenter of the outbreak in the U.S.. As of Tuesday morning it had at least 131,830 confirmed cases of the virus, around 90,000 more than the next highest state, New Jersey, which has at least 41,090 cases.

The number of cases across the U.S. has rapidly upticked over the past week. On top of New York and New Jersey, Michigan, California, Louisiana, Massachusetts, Florida, Pennsylvania and Illinois all have over 10,000 cases. But infections are scattered across all 50 U.S. states (in addition to Washington D.C..) West Virginia was the last U.S. state to report a confirmed case of COVID-19.

U.S. cases also include Americans evacuated from the virus-stricken Diamond Princess cruise ship in Japan, where nearly 700 passengers and crew were diagnosed with the virus. Another cruise ship, the Grand Princess—which had been stuck off the coast of California over concerns several passengers could have the virus—docked in Oakland, Calif., on March 9.

Federal officials have noted that the American public should prepare for the number of cases to continue to increase. On Monday, Surgeon General Jerome Adams said the upcoming week may be the “toughest week” of the pandemic as the number of deaths rises. “This is going to be our Pearl Harbor moment, our 9/11 moment. Only it’s not going to be localized, it’s going to be happening all over the country,” Adams said. The U.S. has not yet reached its apex—the point at which the rate of death and infections decreases.

The White House has projected that even with social distancing measures, 100,000 to 240,000 Americans could die from the virus.

All numbers are from the Johns Hopkins University Center for Systems Science and Engineering, unless otherwise specified, and are accurate as of 8 a.m. E.T. on April 7.

Here’s what to know about COVID-19 cases in the U.S.

New York

131,830 cases; 4,758 deaths

New York has become the epicenter of the virus in the United States. Gov. Andrew Cuomo has publicly demanded the federal government help provide crucial medical equipment like ventilators and personal protective equipment, which are in short supply across the country. On Sunday and Monday, the state reported fewer deaths than the day before, suggesting that the virus’s impact on the state might finally be beginning to ease.

“If we are plateauing, we are plateauing at a very high level,” Cuomo said on Monday. “And there is tremendous stress on the health care system.”

Last month, New York ordered gyms, movie theaters and casinos to close and banned crowds larger than 50. Grocery stores have remained open and restaurants and bars have operated takeout and delivery services. The actions were taken in coordination with the governors of New Jersey and Connecticut.

The New York City Public School System — the largest in the nation — temporarily shut down as of Monday, March 16. On March 7, Cuomo declared a state of emergency.

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New Jersey

41,090 cases; 1,003 deaths

New Jersey also reported death tolls on Sunday and Monday that were lower than on Saturday, suggesting that the number of cases in the region could be plateauing.

All New Jersey schools, including pre-schools and colleges, have closed in an effort to contain the outbreak.

New Jersey Gov. Phil Murphy has also ordered all casinos, racetracks, theaters, gyms to close and banned gatherings involving crowds larger than 50 people. On March 9, Murphy announced a state of emergency.

Michigan

17,221 cases; 727 deaths

On Monday, Michigan reported 110 new deaths from the virus, the largest single-day increase for the state so far, according to MLive.

California

16,349 cases; 388 deaths

Louisiana

14,867 cases; 512 deaths

Massachusetts

13,837 cases; 260 deaths

Florida

13,629 cases; 254 deaths

Pennsylvania

13,206 cases; 179 deaths

Illinois

12,264 cases; 308 deaths

Washington

8,384 cases; 383 deaths

At least 54% of deaths in the state are people over 80, according to the Washington State Department of Health. Washington Governor Jay Inslee declared a state of emergency on Feb. 29.

Texas

8,157 cases; 153 deaths

Georgia

7,558 cases; 294 deaths

Connecticut

6,906 cases; 206 deaths

Like New York and New Jersey, Connecticut reported a death toll on Monday that was lower than on the previous few days.

Colorado

5,183 cases; 150 deaths

Indiana

4,956 cases; 143 deaths

Ohio

4,453 cases; 142 deaths

Maryland

4,045 cases; 91 deaths

Tennessee

3,802 cases; 91 deaths

North Carolina

3,802 cases; 50 deaths

Virginia

2878 cases; 66 deaths

Missouri

2,868 cases; 65 deaths

Arizona

2,732 cases; 65 deaths

Wisconsin

2,511 cases; 85 deaths

South Carolina

2,232 cases; 48 deaths

Alabama

2,006 cases; 53 deaths

Nevada

1,970 cases; 46 deaths

Mississippi

1,738 cases; 51 deaths

Utah

1,687 cases; 13 deaths

Oklahoma

1,329 cases; 51 deaths

Idaho

1,170 cases 13 deaths

Oregon

1,132 cases; 29 deaths

Washington D.C.

1,097 cases; 24 deaths

Rhode Island

1,082 cases; 27 deaths

Kentucky

1,008 cases; 60 deaths

Minnesota

986 cases; 30 deaths

Iowa

946 cases; 24 deaths

Arkansas

927 cases; 16 deaths

Kansas

849 cases; 25 deaths

Delaware

783 cases; 15 deaths

New Mexico

757 cases; 12 deaths

New Hampshire

715 cases; 9 deaths

Vermont

543 cases; 23 deaths

Puerto Rico

513 cases; 21 deaths

Maine

499 cases; 10 deaths

Nebraska

417 cases; 9 deaths

Hawaii

387 cases; 5 death

West Virginia

345 cases; 4 deaths

Montana

319 cases; 6 deaths

South Dakota

288 cases; 4 deaths

North Dakota

225 cases; 3 deaths

Wyoming

212 cases; 0 deaths

Alaska

191 cases; 6 deaths

Guam

113 cases; 4 deaths

Grand Princess cruise ship

103 cases; 3 deaths

Diamond Princess cruise ship

49 cases; 0 deaths

Virgin Islands

43 cases; 1 deaths

Northern Mariana Islands

8 cases; 1 death

Please send tips, leads, and stories from the frontlines to virus@time.com.

Write to Jasmine Aguilera at jasmine.aguilera@time.com, Amy Gunia at amy.gunia@time.com, Madeleine Carlisle at madeleine.carlisle@time.com, Sanya Mansoor at sanya.mansoor@time.com and Tara Law at tara.law@time.com.

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