During the first week of March, the United States found itself facing the worst pandemic in over one hundred years due to the spread of a novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the causative agent of corona virus disease 2019 (COVID-19). The total number of COVID-19 cases was overall low in the United States during the first week of March, but the vulnerability of patients treated with kidney replacement therapy to poor outcomes with COVID-191 was becoming more apparent A growing number of cases of COVID-19 began to emerge in dialysis units in Seattle, New York, Chicago, and Detroit.