On March 4, California public health officials in Placer County reported a second confirmed case in an "older adult" resident with underlying health conditions who was aboard the Princess Cruises cruise ship Grand Princess on a cruise to Mexico that departed San Francisco on February 11 and returned on February 21.[143] Although initial reports indicated that the new case had been hospitalized in "critically ill" condition, public health officials in Placer County subsequently reported the new case's death later on the same day. This marked the eleventh death in the United States attributable to coronavirus, the first death in the U.S. attributable to coronavirus outside Washington state, and the first death in California attributable to coronavirus.[144][145] The source of the new case's infection appears to be the same as that of a resident of Sonoma County who tested positive on March 2 and who was also aboard the cruise ship Grand Princess on the same dates.[146][147] In relation to this, Governor Gavin Newsom declared a State of Emergency in California.[148] Consequently, Princess Cruises, the owner and operator of the cruise ship Grand Princess, working with the CDC, the state of California, and public health officials in San Francisco, terminated a port call in Ensenada, Mexico planned for March 5 and ordered the cruise ship to return to San Francisco over concerns about the potential for an outbreak of coronavirus aboard the cruise ship. Sixty-two passengers still aboard Grand Princess who may have made contact with the Placer County case that died earlier in the day were quarantined aboard the cruise ship at the request of the CDC.[149] In addition, eleven passengers and ten crew members were exhibiting potential symptoms of coronavirus, and Grand Princess was ordered by the state of California to remain offshore while test kits were being airlifted to the cruise ship.[150][151][152][153][154][155][excessive citations]