Public Health Emergency Declarations

Letter to Governors on the COVID-19 Response

On January 22, 2021, Acting HHS Secretary Norris Cochran reached out to governors across the country to share details of the public health emergency declaration for COVID-19. Among other things, the Acting Secretary Cochran indicated that HHS will provide states with 60 days notice prior to the termination of the public health emergency declaration for COVID-19. To learn more about the extension and other flexibilities that are tied to the public health emergency declaration, please read the full text of Acting Secretary Cochran’s letter.

The Secretary of the Department of Health and Human Services (HHS) may, under section 319 of the Public Health Service (PHS) Act determine that: a) a disease or disorder presents a public health emergency; or b) that a public health emergency, including significant outbreaks of infectious disease or bioterrorist attacks, otherwise exists. Learn More >>

Title	Disaster Type	State/Territory	Signed Date
Determination that a Public Health Emergency Exists Nationwide as the Result of the Continued Consequences of Wildfires and Straight-line Winds	Wildfires and Straight-line Winds	New Mexico	May 9, 2022
Renewal of the Determination that a Public Health Emergency Exists Nationwide as the Result of the Continued Consequences of Coronavirus Disease 2019 (COVID-19) Pandemic	COVID-19	National	April 12, 2022
Renewal of the Determination that a Public Health Emergency Exists Nationwide as the Result of the Continued Consequences of the Opioid Crisis	Opioid Crisis	National	April 1, 2022
Renewal of the Determination that a Public Health Emergency Exists Nationwide as the Result of the Continued Consequences of Coronavirus Disease 2019 (COVID-19) Pandemic	COVID-19	National	January 14, 2022
Renewal of the Determination that a Public Health Emergency Exists Nationwide as the Result of the Continued Consequences of the Opioid Crisis	Opioid Crisis	National	January 3, 2022
Renewal of the Determination that a Public Health Emergency Exists Nationwide as the Result of the Continued Consequences of Coronavirus Disease 2019 (COVID-19) Pandemic	COVID-19	National	October 15, 2021
Renewal of the Determination that a Public Health Emergency Exists Nationwide as the Result of the Continued Consequences of the Opioid Crisis	Opioid Crisis	National	October 6, 2021
Determination That A Public Health Emergency Exists as the Result of the Consequences of the Remnants of Hurricane Ida in New York and New Jersey	Hurricane	New York and New Jersey	September 3, 2021
Determination That A Public Health Emergency Exists as the Result of the Consequences of Hurricane Ida in Louisiana and Mississippi	Hurricane	Louisiana and Mississippi	August 30, 2021
Renewal of the Determination that a Public Health Emergency Exists Nationwide as the Result of the Continued Consequences of Coronavirus Disease 2019 (COVID-19) Pandemic	COVID-19	National	July 19, 2021
Renewal of the Determination that a Public Health Emergency Exists Nationwide as the Result of the Continued Consequences of the Opioid Crisis	Opioid Crisis	National	July 7, 2021
Renewal of the Determination that a Public Health Emergency Exists Nationwide as the Result of the Continued Consequences of Coronavirus Disease 2019 (COVID-19) Pandemic	COVID-19	National	April 15, 2021
Renewal of the Determination that a Public Health Emergency Exists Nationwide as the Result of the Continued Consequences of the Opioid Crisis	Opioid Crisis	National	April 7, 2021
Determination that a Public Health Emergency Exists in the State of Texas as the Result of the Winter Storm	Winter Storm	Texas	February 17, 2021
Renewal of the Determination that a Public Health Emergency Exists Nationwide as the Result of the Continued Consequences of the Opioid Crisis	Opioid Crisis	National	January 7, 2021
Renewal of the Determination that a Public Health Emergency Exists Nationwide as the Result of the Continued Consequences of Coronavirus Disease 2019 (COVID-19) Pandemic	COVID-19	National	January 7, 2021
Renewal of the Determination that a Public Health Emergency Exists Nationwide as the Result of the Opioid Crisis	Opioid Crisis	National	October 7, 2020
Renewal of the Determination that a Public Health Emergency Exists as the Result of the Continued Consequences of Coronavirus Disease 2019 (COVID-19) Pandemic	COVID-19	National	October 2, 2020
Determination that a Public Health Emergency Exists in the State of Oregon as the Consequences of Wildfires	Wildfire	Oregon	September 16, 2020
Determination that a Public Health Emergency Exists in the State of Louisiana and the State of Texas as a Result of Hurricane Laura	Hurricane	Louisiana	August 26, 2020
Determination that a Public Health Emergency Exists in the State of California as a Result of Wildfires	Wildfire	California	August 26, 2020
Renewal of the Determination that a Public Health Emergency Exists as the Result of the Continued Consequences of Coronavirus Disease 2019 (COVID-19) Pandemic	COVID-19	National	July 23, 2020
Renewal of the Determination that a Public Health Emergency Exists Nationwide as the Result of the Opioid Crisis	Opioid Crisis	National	July 6, 2020
Renewal of the Determination that a Public Health Emergency Exists as the Result of the Continued Consequences of Coronavirus Disease 2019 (COVID-19) (formerly called 2019 Novel Coronavirus (2019-nCoV)) Pandemic	COVID-19	National	April 21, 2020
Renewal of the Determination that a Public Health Emergency Exists Nationwide as the Result of the Opioid Crisis	Opioid Crisis	National	April 2, 2020
Determination that a Public Health Emergency Exists Nationwide as the Result of the 2019 Novel Coronavirus	COVID-19	National	January 31, 2020
Renewal of the Determination that a Public Health Emergency Exists Nationwide as the Result of the Opioid Crisis	Opioid Crisis	National	January 24, 2020
Determination that a Public Health Emergency Exists as a Result of the Consequences of Earthquakes on the Commonwealth of Puerto Rico	Earthquake	Commonwealth of Puerto Rico	January 8, 2020
Renewal of the Determination that a Public Health Emergency Exists Nationwide as the Result of the Opioid Crisis	Opioid Crisis	National	October 16, 2019
Determination that a Public Health Emergency Exists in the State of North Carolina as the Result of Hurricane Dorian	Hurricane	North Carolina	September 4, 2019
Determination that a Public Health Emergency Exists in the State of Georgia as the Result of Hurricane Dorian	Hurricane	Georgia	September 2, 2019
Determination that a Public Health Emergency Exists in the State of South Carolina as the Result of Hurricane Dorian	Hurricane	South Carolina	September 2, 2019
Determination that a Public Health Emergency Exists in the State of Florida as the Result of Hurricane Dorian	Hurricane	Florida	August 30, 2019
Determination that a Public Health Emergency Exists in the Commonwealth of Puerto Rico as the Result of Tropical Storm Dorian	Tropical Storm	Commonwealth of Puerto Rico	August 28, 2019
Renewal of the Determination that a Public Health Emergency Exists Nationwide as the Result of the Opioid Crisis	Opioid Crisis	National	July 17, 2019
Determination that a Public Health Emergency Exists in Louisiana as a Result of Tropical Storm Barry	Tropical Storm	Louisiana	July 12, 2019
Renewal of the Determination that a Public Health Emergency Exists Nationwide as the Result of the Opioid Crisis	Opioid Crisis	National	April 19, 2019
Renewal of the Determination that a Public Health Emergency Exists in California as a Result of the Wildfires	Wildfire	California	January 30, 2019
Renewal of Determination that a Public Health Emergency Exists Nationwide as the Result of the Opioid Crisis	Opioid Crisis	National	January 17, 2019
Renewal of Determination that a Public Health Emergency Exists in the Commonwealth of the Mariana Islands as the Result of Typhoon Yutu	Typhoon	Commonwealth of the Mariana Islands	January 17, 2019
Determination that a Public Health Emergency Exists in Alaska as a Result of the Earthquake	Earthquake	Alaska	December 3, 2018
November 13, 2018: Determination that a Public Health Emergency Exists in California as a Result of the Wildfires	Wildfire	California	November 13, 2018
Determination that a Public Health Emergency Exists in the Commonwealth of the Mariana Islands as the Result of Typhoon Yutu	Typhoon	Commonwealth of the Mariana Islands	October 25, 2018
Renewal of Determination that a Public Health Emergency Exists Nationwide as the Result of the Opioid Crisis	Opioid Crisis	National	October 18, 2018
Determination that a Public Health Emergency Exists in Georgia as the Result of Hurricane Michael	Hurricane	Georgia	October 11, 2018
Determination that a Public Health Emergency Exists in Florida as the Result of Hurricane Michael	Hurricane	Florida	October 9, 2018
Determination that a Public Health Emergency Exists in the Commonwealth of Virginia as the Result of Hurricane Florence	Hurricane	Commonwealth of Virginia	September 12, 2018
Renewal of Determination that a Public Health Emergency Exists in the Territory of the U.S. Virgin Islands as a Result of Hurricane Maria	Hurricane	Territory of the U.S. Virgin Islands	September 11, 2018
Determination that a Public Health Emergency Exists in North Carolina and South Carolina as the Result of Hurricane Florence	Hurricane	North Carolina, South Carolina	September 11, 2018
Renewal of Determination that a Public Health Emergency Exists Nationwide as the Result of the Opioid Crisis	Opioid Crisis	National	July 23, 2018
Renewal of Determination that a Public Health Emergency Exists in the Territory of the U.S. Virgin Islands as a Result of Hurricane Maria	Hurricane	Territory of the U.S. Virgin Islands	June 12, 2018
Renewal of Determination that a Public Health Emergency Exists Nationwide as the Result of the Opioid Crisis	Opioid Crisis	National	April 20, 2018
Renewal of Determination that a Public Health Emergency Exists in the Commonwealth of Puerto Rico as a Result of Hurricane Maria	Hurricane	Commonwealth of Puerto Rico	March 16, 2018
Renewal of Determination that a Public Health Emergency Exists in the Territory of the U.S. Virgin Islands as a Result of Hurricane Maria	Hurricane	Territory of the U.S. Virgin Islands	March 15, 2018
Determination that a Public Health Emergency Exists Nationwide as the Result of the Opioid Crisis	Opioid Crisis	National	January 19, 2018
Determination that a Public Health Emergency Exists in the Territory of the U.S. Virgin Islands and the Commonwealth of Puerto Rico as the Result of Hurricane Maria	Hurricane	Territory of the U.S. Virgin Island Commonwealth of Puerto Rico	December 11, 2017
Determination that a Public Health Emergency Exists Nationwide as the Result of the Opioid Crisis	Opioid Crisis	National	October 26, 2017
Determination that a Public Health Emergency Exists in California as the Result of Wildfires	Wildfire	California	October 15, 2017
Determination that a Public Health Emergency Exists in Alabama as the Result of Hurricane Nate	Hurricane	Alabama	October 8, 2017
Determination that a Public Health Emergency Exists in Florida as the Result of Hurricane Nate	Hurricane	Florida	October 8, 2017
Determination that a Public Health Emergency Exists in Mississippi as the Result of Hurricane Nate	Hurricane	Mississippi	October 8, 2017
Determination that a Public Health Emergency Exists in Louisiana as the Result of Hurricane Nate	Hurricane	Louisiana	October 8, 2017
Determination that a Public Health Emergency Exists in the Territory of the U.S. Virgin Islands and the Commonwealth of Puerto Rico as the Result of Hurricane Maria	Hurricane	Territory of the U.S. Virgin Islands Commonwealth of Puerto Rico	September 19, 2017
Determination that a Public Health Emergency Exists in South Carolina as the Result of Hurricane Irma	Hurricane	South Carolina	September 8, 2017
Determination that a Public Health Emergency Exists in Georgia as the Result of Hurricane Irma	Hurricane	Georgia	September 8, 2017
Determination that a Public Health Emergency Exists in Florida as the Result of Hurricane Irma	Hurricane	Florida	September 8, 2017
Determination that a Public Health Emergency Exists in Florida as the Result of Hurricane Irma	Hurricane	Florida	September 7, 2017
Determination that a Public Health Emergency Exists in the Commonwealth of Puerto Rico and the Territory of the U.S. Virgin Islands as the Result of Hurricane Irma	Hurricane	Commonwealth of Puerto Rico Territory of the U.S. Virgin Islands	September 6, 2017
Determination that a Public Health Emergency Exists in Louisiana as the Result of Hurricane Harvey	Hurricane	Louisiana	August 28, 2017
Determination that a Public Health Emergency Exists in Texas as the Result of Hurricane Harvey	Hurricane	Texas	August 26, 2017
Renewal of Determination that a Public Health Emergency Exists as a Consequence of the Zika Virus Outbreak	Zika Virus Outbreak	National	April 28, 2017
Renewal of Determination that a Public Health Emergency Exists as a Consequence of the Zika Virus Outbreak	Zika Virus Outbreak	National	January 31, 2017
Renewal of Determination that a Public Health Emergency Exists as a Consequence of the Zika Virus Outbreak	Zika Virus Outbreak	National	November 4, 2016
Determination that a Public Health Emergency Exists in Puerto Rico as a Consequence of the Zika Virus Outbreak	Zika Virus Outbreak	Puerto Rico	August 12, 2016
Determination that a Public Health Emergency Exists in New York as a Consequence of Hurricane Sandy (Renewal)	Hurricane	New York	January 25, 2013
Determination that a Public Health Emergency Exists in New Jersey as a Consequence of Hurricane Sandy	Hurricane	New Jersey	November 1, 2012
Determination that a Public Health Emergency Exists in New York as a Consequence of Hurricane Sandy	Hurricane	New York	October 31, 2012
Determination that a Public Health Emergency Exists in Missouri as a Consequence of Severe Storms and Tornadoes in the Area (Renewal)	Severe Storm Tornado	Missouri	February 15, 2012
Determination That a Public Health Emergency Exists in the State of New York (Renewal)		New York	December 22, 2011
Determination that a Public Health Emergency Exists in Missouri as a Consequence of Severe Storms and Tornadoes in the Area (Renewal)	Severe Storm Tornado	Missouri	November 18, 2011
Determination that a Public Health Emergency Exists as a Consequence of the Remnants of Tropical Storm Lee in the State of New York	Tropical Storm	New York	September 24, 2011
Determination that a Public Health Emergency Exists in Missouri as a Consequence of Severe Storms and Tornadoes in the Area (Renewal)	Severe Storm Tornado	Missouri	August 19, 2011
Determination that a Public Health Emergency Exists in Missouri as a Consequence of Severe Storms and Tornadoes in the Area	Severe Storm Tornado	Missouri	May 23, 2011
Flooding in North Dakota: Determination That a Public Health Emergency Exists	Flood	North Dakota	April 8, 2011
2009 H1N1 Flu Outbreak: Determination that a Public Health Emergency Exists (Renewal)	H1N1 Flu Outbreak	National	March 22, 2010
Flooding in North Dakota: Determination That A Public Health Emergency Exists	Flood	North Dakota	March 18, 2010
2009 H1N1 Flu Outbreak: Determination that a Public Health Emergency Exists (Renewal)	H1N1 Flu Outbreak	National	December 28, 2009
2009 H1N1 Flu Outbreak: Determination that a Public Health Emergency Exists (Renewal)	H1N1 Flu Outbreak	National	October 1, 2009
2009 H1N1 Flu Outbreak: Determination that a Public Health Emergency Exists (Renewal)	H1N1 Flu Outbreak	National	July 24, 2009
2009 H1N1 Flu Outbreak: Determination that a Public Health Emergency Exists	H1N1 Flu Outbreak	National	April 26, 2009
Determination that a Public Health Emergency Exists as a Consequence of Severe Flooding in North Dakota	Flood	North Dakota	March 25, 2009
Determination that a Public Health Emergency Exists as a Consequence of Severe Flooding in Minnesota	Flood	Minnesota	March 27, 2009
The 56th Presidential Inauguration	Presidential Inauguration		January 16, 2009
Determination that a Public Health Emergency Exists as a Consequence of Hurricane Ike in the State of Louisiana	Hurricane	Louisiana	September 13, 2008
Determination that a Public Health Emergency Exists as a Consequence of Hurricane Ike in the State of Texas	Hurricane	Texas	September 11, 2008
Determination that a Public Health Emergency Exists as a Consequence of Hurricane Gustav in the State of Louisiana	Hurricane	Louisiana	August 31, 2008
Determination that a Public Health Emergency Exists as a Consequence of Hurricane Gustav in the State of Texas	Hurricane	Texas	August 31, 2008
Determination that a Public Health Emergency Exists as a Consequence of Hurricane Gustav in the State of Alabama	Hurricane	Alabama	August 31, 2008
Determination that a Public Health Emergency Exists as a Consequence of Severe Flooding in Iowa	Flood	Iowa	June 14, 2008
Determination that a Public Health Emergency Exists as a Consequence of Severe Flooding in Indiana	Flood	Indiana	June 14, 2008
Determination that a Public Health Emergency Exists as a Consequence of Hurricane Dean in the State of Texas	Hurricane	Texas	August 19, 2007
Determination that a Public Health Emergency Exists as a Consequence of Hurricane Rita in the State of Texas	Hurricane	Texas	September 23, 2005
Determination that a Public Health Emergency Exists as a Consequence of Hurricane Dean in the State of Louisiana	Hurricane	Louisiana	September 23, 2005
Determination that a Public Health Emergency Exists as a Consequence of Hurricane Katrina in the State of Texas	Hurricane	Texas	September 4, 2005
Determination that a Public Health Emergency Exists as a Consequence of Hurricane Katrina in the State of Arkansas	Hurricane	Arkansas	September 7, 2005
Determination that a Public Health Emergency Exists as a Consequence of Hurricane Katrina in the State of Colorado	Hurricane	Colorado	September 7, 2005
Determination that a Public Health Emergency Exists as a Consequence of Hurricane Katrina in the State of Georgia	Hurricane	Georgia	September 7, 2005
Determination that a Public Health Emergency Exists as a Consequence of Hurricane Katrina in the State of North Carolina	Hurricane	North Carolina	September 7, 2005
Determination that a Public Health Emergency Exists as a Consequence of Hurricane Katrina in the State of Oklahoma	Hurricane	Oklahoma	September 7, 2005
Determination that a Public Health Emergency Exists as a Consequence of Hurricane Katrina in the State of Tennessee	Hurricane	Tennessee	September 7, 2005
Determination that a Public Health Emergency Exists as a Consequence of Hurricane Katrina in the State of West Virginia	Hurricane	West Virginia	September 7, 2005
Determination that a Public Health Emergency Exists as a Consequence of Hurricane Katrina in the State of Utah	Hurricane	Utah	September 7, 2005
Determination that a Public Health Emergency Exists as a Consequence of Hurricane Katrina in the State of Florida	Hurricane	Florida	August 31, 2005
Determination that a Public Health Emergency Exists as a Consequence of Hurricane Katrina in the State of Alabama	Hurricane	Alabama	August 31, 2005
Determination that a Public Health Emergency Exists as a Consequence of Hurricane Katrina in the State of Mississippi	Hurricane	Mississippi	August 31, 2005

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This page last reviewed: May 09, 2022