On January 21, 2020, the United States confirmed its first case of COVID-19. One year later, the country is still breaking grim records: January 2021 was the deadliest month of the pandemic yet, claiming more than 95,000 Americans, about one-fifth of the 433,751 deaths recorded to date, according to The Atlantic’s COVID Tracking Project.
The U.S. hit this mark even as the pandemic seems to be letting up, at least for now. Conditions have been improving since January 13, when the most reliable indicator of the coronavirus’s spread, hospitalizations, began a steady decline, from more than 130,000 to fewer than 95,000. The day before, the seven-day average of new cases began falling, and it has dipped from more than 246,000 to fewer than 143,000, a number not seen since mid-November. But the seven-day average of daily deaths remains above 3,000, as it’s been almost every day since January 9.
The death toll is poised to drop soon as well: There is a lag between when someone falls sick with COVID-19 and when they die (on average about two weeks), and another lag between when someone dies and when that death gets tallied by states (on average one week), so the deaths being reported now reflect the worst conditions of the pandemic. You can see this delay in how deaths have followed hospitalizations at the regional level. In the Midwest, where the death toll is already decreasing, hospitalizations peaked at the beginning of December, and deaths began to decline in the middle of the month. Hospitalizations in the Northeast peaked almost a month ago, and deaths started falling a couple of weeks ago. Meanwhile, we’re slightly more than two weeks out from the peak of hospitalizations in the South and the West, which both had higher peaks than other regions during this surge, and the daily-death averages there may be just on the verge of declining. Once they do, the national numbers should begin to reflect that trend.