SACRAMENTO, Calif. (AP) -- California became the first state to record more than 5 million known coronavirus infections, according to the state dashboard Tuesday, which was delayed by the holiday weekend.
The grim milestone, as reported by the California Department of Public Health, wasn't entirely unexpected in a state with 40 million residents poised for a surge in new infections amid holiday parties and family gatherings forced indoors by a series of winter storms.
The first coronavirus case in California was confirmed Jan. 25, 2020. It took 292 days to get to 1 million infections on Nov. 11 of that year, and 44 days from then to top 2 million.
California's caseload is also ahead of other large states. Texas had more than 4.4 million and Florida topped 3.9 million as of Sunday.
California has recorded more than 75,500 deaths related to COVID-19.
The state has fared far better than many other states that are dealing with a coronavirus surge, with areas in the Midwest and Northeast seeing the biggest jump in cases and hospitalizations amid frigid temperatures that have kept people indoors.
The U.S. Centers for Disease Control and Prevention lists California as a place with "high" transmission of the virus, along with nearly everywhere else in the country. But in the last week California averaged 16.4 new cases per 100,000 people, less than a third of the national rate.
Meanwhile, coronavirus related hospitalizations have been rising slowly in California, up about 12% in the last 7 days to 4,401. That's less than half as many as during the late summer peak and one-fifth of a year ago, before vaccines were widely available.
On Tuesday, San Francisco announced it was canceling its New Year's Eve fireworks show because of the rising caseload, while Contra Costa County in the Bay Area announced that it would require masks to be worn in all public indoor places as of Wednesday. Previously, some vaccinated people had been allowed to remove them.
The timeline of COVID-19 in America often comes back to California. It had some of the earliest known cases among travelers from China, where the outbreak began.
The Feb. 6, 2020, death of a San Jose woman was the first known coronavirus fatality in the U.S. That same month, California recorded the first U.S. case not related to travel and the first infection spread within the community.
On March 19, 2020, Gov. Gavin Newsom issued the nation's first statewide stay-at-home order, shuttering businesses and schools to try to prevent hospital overcrowding.
It is unclear how many of the newly reported cases were attributed to the omicron coronavirus variant. Much about omicron remains unknown, including whether it causes more or less severe illness.
Scientists say omicron spreads even easier than other coronavirus strains, including delta, and it is expected to become dominant in the U.S. by early next year. Early studies suggest the vaccinated will need a booster shot for the best chance at preventing an omicron infection but even without the extra dose, vaccination still should offer strong protection against severe illness and death.
With cases surging, the nation's largest state-based health insurance marketplace urged more than 1.1 million uninsured Californians to sign up by Friday for subsidized coverage that would then start with the new year.
Covered California said the average cost of an intensive care coronavirus hospitalization is $127,000, but estimated that 85% of those eligible for the state-brokered health insurance can get coverage free of charge, with government assistance.
Those who sign up after Friday will have their coverage start on Feb. 1.