Those are tested and confirmed cases. There are not enough tests to confirm the cases that are wandering around who knows where, and you can be contagious for about a week before showing symptoms.
Last Friday, I looked up a map of my state to find a county that had no reported cases of the Trump Plague. I had been self isolated for three weeks, so I felt like it was safe that I wouldn’t infect anyone, then drove 40 miles to the grocery store in that county. I’m 75 and have type A blood, so if you think that’s overreacting, I hope you’re right, but I doubt it. I got $200 worth of groceries, should last at least until the end of July.
Then, I noticed a pharmacy tech and asked her " Are there any cases reported here yet?" Her answer: “We wouldn’t know, we have some people we’d like to test, but we have to get the tests from either St Louis or Chicago, and they don’t have enough to test their own people.” So, if you think you are in a Trump Plague free zone, that may be just another one of his lies.