The US virus death toll reached 400,000 on Jan. 19 in the waning hours in office for President Donald Trump, whose handling of the crisis was judged by public health experts to be a singular failure.

The first known deaths from the virus in the US happened in early February 2020, both of them in Santa Clara County, California. It took four months to reach the first 100,000 dead. The toll hit 200,000 deaths in September and 300,000 in December. Then it took just over a month to go from 300,000 to 400,000 and about two months to climb from 400,000 to the brink of 500,000.

Joyce Willis of Las Vegas is among the countless Americans who lost family members during the pandemic. Her husband, Anthony Willis, died Dec. 28, followed by her mother-in-law in early January.

There were anxious calls from the ICU when her husband was hospitalized. She was unable to see him before he died because she, too, had the virus and could not visit.

“They are gone. Your loved one is gone, but you are still alive,” Willis said. “It’s like you still have to get up every morning. You have to take care of your kids and make a living. There is no way around it. You just have to move on.”

Then came a nightmare scenario of caring for her father-in-law while dealing with grief, arranging funerals, paying bills, helping her children navigate online school and figuring out how to go back to work as an occupational therapist.

Her father-in-law, a Vietnam vet, also contracted the virus. He also suffered from respiratory issues and died on Feb. 8. The family isn’t sure if Covid-19 contributed to his death.

“Some days I feel OK and other days I feel like I’m strong and I can do this,” she said. “And then other days it just hits me. My whole world is turned upside-down.”

The global death toll was approaching 2.5 million, according to Johns Hopkins.