Health

Live Coronavirus Updates: Trump Aides Target Fauci

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Case numbers in the U.S. are rising in all but a handful of states.

More than 100,000 new cases were identified. Seven states set daily case records. Florida added more infections in a day than any state had previously.

And that was just over the weekend.

The U.S. outbreak — once centered in the densely packed northeastern hubs of New York and New Jersey — is now growing across 39 states, from the worsening hot spots in the South and West to those emerging in the Midwest. Restrictions on business operations, mass gatherings and mask-wearing have become debate fodder in an increasingly polarized election year.

As a new week begins, the country’s outlook is exceptionally grim. Case numbers are rising in all but a handful of states. Hospitals are running out of beds. And some of the country’s biggest urban centers — Atlanta, Dallas, Los Angeles, Miami, Phoenix, Jacksonville, Fla. — have seen out-of-control growth with few concrete signs of progress.

“Put politics aside and wear a mask,” Mayor Lenny Curry of Jacksonville, a Republican, said on Twitter.

As new cases continue to mount in the Southeast and West, troublesome signs are emerging elsewhere in the country. The county that includes Oklahoma City has been averaging twice as many cases as it was just two weeks ago. Case numbers have started increasing again around Minneapolis after weeks of progress. And Wisconsin and Ohio are averaging more new infections than at any previous point in the pandemic.

In Miami-Dade County, Fla., six hospitals have reached capacity as virus cases spike. The increase in cases caused the mayor there to roll back reopening plans by imposing a curfew and closing restaurants for indoor dining.

Hong Kong, a city that weeks ago seemed like one of the most successful places in controlling the virus, announced Monday evening that it would close gyms and cinemas and ban public gatherings of more than four people in response to a new wave of locally transmitted infections.

Carrie Lam, the territory’s chief executive, announced a series of measures to take effect on Wednesday. Also included were a prohibition on all dining inside restaurants every evening from 6 p.m., and a requirement that everyone taking public transport wear a mask.

Health officials said that the territory’s new spate of cases, including another 52 announced on Monday, was mainly connected to taxi drivers, restaurants and nursing homes.

The prohibition on public gatherings of four or more people could make it even harder for the pro-democracy opposition to organize any protests against a stringent national security law imposed on June 30 by Beijing. The ban could also interfere with an election campaign now underway to choose a new legislature on Sept. 6.

Hong Kong, a semi-autonomous Chinese territory, has a robust contact-tracing system that helped the authorities contain an initial outbreak last winter. The city won praise from international health experts in the pandemic’s early days. In response to a second wave of infections imported in March from Europe and the United States, Hong Kong closed its borders to non-residents and mandated quarantine for returning residents.

The 52 new cases on Monday continued a week-long spike, labeled a third wave by health officials, after months in which few or no new daily infections were detected. The authorities said they were unable to trace the infection pattern in 20 of the new cases disclosed on Monday. That raises the prospect that the virus is circulating silently in the community, after months in which local transmission appeared to have been at a standstill.

Gabriel Leung, the dean of Hong Kong University’s faculty of medicine, said in a radio program on Sunday that the virus was now spreading at a faster pace within the region because of a mutation in its DNA. The reproductive number of the virus is currently close to four, he said, suggesting that each person who is infected on average passes the virus on to four others.

Reducing health risks by shifting life outdoors.

A virus outbreak on United States military bases in Okinawa, Japan, has alarmed the island’s local population, which has at times been at odds with the Americans stationed there, and has otherwise been successful in limiting Covid-19.

The U.S. Marine Corps, which has about 20,000 troops stationed on the island, reported 94 confirmed cases to the prefectural government and said it had instituted strict measures in all 33 installations in the region. The Japanese military, by contrast, has reported just 14 cases among its defense forces, all of whom are thought to have contracted the virus in their communities rather than while deployed.

Denny Tamaki, the governor of Okinawa, said he was shocked by the number of infections and said it was “extremely regrettable” that so many cases had emerged among American troops and affiliated personnel in less than a week. Excluding the American cases, Okinawa has recorded just 148 infections since February.

Mr. Tamaki added that he had “strong doubts” about the prevention measures reported by the United States.

The cases in Okinawa are a new strain on relations between the military and the local government, where the presence of American bases, dating to the end of World War II, has been a continuing source of friction. Citizens have long complained of noise, crime and aircraft accidents, and have repeatedly questioned why nearly half of the 55,000 American troops in Japan — which include personnel from all of the military branches — are stationed on Okinawa.

In other developments around the world:

After Trump first wore a mask in public, administration officials urge the public to do so, too.

Facing questions about the gravity of the nation’s coronavirus crisis, Trump administration health officials on Sunday took a somber tone and stressed the importance of wearing masks, something their boss did publicly for the first time only the day before.

On ABC’s “This Week,” Adm. Brett Giroir, an official with Health and Human Services, acknowledged that with “more cases, more hospitalizations,” the expectation was for “deaths to go up” over the next several weeks. “It’s really essential to wear masks,” he said, adding: “We have to have like 90 percent of people wearing the masks in public in the hot spot areas. If we don’t have that we will not get control of the virus.”

The host, George Stephanopoulos, asked about suggestions by President Trump — who after months of refusing, donned a mask on Saturday during a visit to Walter Reed National Military Medical Center — that there could be some harm in wearing face coverings.

“There’s no downside to wearing a mask,” Admiral Giroir said. “I’m a pediatric I.C.U. physician. I wore a mask 10 hours a day for many, many years.”

Asked if states with stark increases in cases, like Florida, South Carolina, Arizona, Texas and Georgia, should consider more stringent measures, Admiral Giroir said that closing bars and limiting the number of patrons allowed in restaurants are “two measures that really do need to be done.”

The admiral, who has been in charge of testing, also told NBC’s “Meet the Press” that rates of people testing positive were “leveling off.” However, the Covid Tracking Project at The Atlantic shows positivity rates leveling only in the Northeast, with rates rising in the South, West and Midwest.

Surgeon General Jerome Adams said people needed to “understand the importance of wearing face coverings and good hand hygiene and staying home when they can.”

Dr. Adams wore a mask during his entire interview on the CBS program “Face the Nation” even though he was being interviewed remotely from Indiana. He said measures like wearing face coverings were “critically important.”

With the virus surging in many parts of the country, a number of governors, mayors and county officials who had been hesitant about requiring face coverings have now issued mandates.

In all, 25 states and the District of Columbia now have face-covering orders in effect, and two more will join them on Monday, according to a tally by The New York Times. Twelve of the orders have come into force in July.

In general, the orders require most people to cover their faces when in public places and unable to maintain social distance. But the scope of the mandate varies from state to state.

A health worker in Italy raised concerns about the coronavirus. Then he lost his job.

In February, Hamala Diop, a 25-year-old medical assistant, said the directors of the nursing home where he worked in Milan kept him from wearing a mask, fearing it would scare patients and their families. In March, he became infected with coronavirus and spoke out about the virus spreading through the home. In May, he was fired amid claims that he had “damaged the company’s image.”

That exodus came just as the once-a-decade census was getting underway. Now, census officials say wealthier neighborhoods in Manhattan are unexpectedly proving some of the hardest to reach.

Some of these census tracts include the city’s most exclusive stretches of real estate, like the Fifth Avenue corridor between 70th and 35th Streets, which the planning department said was “home to some of the lowest levels of self-response in the city.”

Only 46 percent of Upper East Side households have filled out their census forms, according to a June 25 report circulated by the Department of City Planning’s chief demographer, Joseph J. Salvo — well below the neighborhood’s final response rate in 2010, and short of the current citywide rate of almost 53 percent.

Only about 38 percent of households in Midtown Manhattan have filled out their census forms — the second-worst response rate in all of New York City, after North Corona, Queens, which is at about 37 percent.

The rate is only slightly better in the area encompassing SoHo, Tribeca and Little Italy, which is home to wealthy residents as well as many college students; those tracts have response rates of about 46 percent.

The undercount could have a dramatic effect, according to the department’s report. “Missing just one person in the city could reduce education funding by $2,295, and job training by $281,” it said.

“It would be a lot more fun without having to wear one,” Ivan Chanchavac, 14, said as he hopped off the Jungle Cruise.

Some doctors fax coronavirus tests to Dr. Shah’s personal number, too. Those papers are put in an envelope marked “confidential” and walked to the epidemiology department.

“From an operational standpoint, it makes things incredibly difficult,” Dr. Shah said. “The data is moving slower than the disease.”

The torrent of paper data led at least one health department to request additional forces. Washington State recently brought in 25 members of the National Guard to assist with manual data entry for results not reported electronically.


Reporting was contributed by Brooks Barnes, Pam Belluck, Emma Bubola, Chris Buckley, Sheri Fink, Kimiko de Freytas-Tamura, Hailey Fuchs, Maggie Haberman, Hikari Hida, Makiko Inoue, Sarah Kliff, Raphael Minder, Zach Montague, Kate Phillips, Motoko Rich, Rick Rojas, Dana Rubinstein, Margot Sanger-Katz, Mitch Smith and Eileen Sullivan.

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