Elderly citizens arrived for vaccinations last month at St. Anthony’s Parish Center in Pawtucket, R.I. The state was hit hard by the coronavirus.

The numbers began ticking up in September. After a quiet summer, doctors at Rhode Island Hospital began seeing one or two patients with Covid-19 on each shift — and soon three. Then four.

Cases climbed steadily until early December, when Rhode Island earned the dubious distinction of having more cases and deaths per 100,000 people than any other state in the country. The case rate still puts it among the top five states.

-Published in the New York Times