Operational Update: Infusions of Respiratory Support, PPE for Hospitals Continue Prepped for departure from Direct Relief's warehouse, medical aid is staged on Thursday, Jan. 21, 2021, bound for health facilities across the globe. (Tony Morain/Direct Relief) Over the past seven days, Direct Relief has shipped requested medical aid to 41 U.S. states and territories and 16 countries around the world, amounting to more than 10 million Defined Daily Doses of medication. Operational activity remains high for California, where cases continue to break records week after week. This week, it became the first U.S. state to record a total of 3 million cases since the pandemic began.