On March 9, Governor Mike DeWine reported Ohio's first 3 cases in Cuyahoga County, a couple who had returned from a Nile River cruise, and a man who had returned from an annual conference in Washington, DC where other cases of coronavirus had been reported.[3] Two days later, a fourth case, and the first instance of community spread, was confirmed by DeWine in Stark County.[4] Later tests showed the first case was February 15.[1]