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C.D.C. Officials Warn of Coronavirus Outbreaks in the U.S. C.D.C. Officials Warn of Coronavirus Outbreaks in the U.S.
(3 days later)
Federal health officials starkly warned on Tuesday that the new coronavirus will almost certainly spread in the United States, and that hospitals, businesses and schools should begin making preparations.Federal health officials starkly warned on Tuesday that the new coronavirus will almost certainly spread in the United States, and that hospitals, businesses and schools should begin making preparations.
“It’s not so much of a question of if this will happen anymore but rather more of a question of exactly when this will happen,” Dr. Nancy Messonnier, director of the National Center for Immunization and Respiratory Diseases, said in a news briefing.“It’s not so much of a question of if this will happen anymore but rather more of a question of exactly when this will happen,” Dr. Nancy Messonnier, director of the National Center for Immunization and Respiratory Diseases, said in a news briefing.
She said that cities and towns should plan for “social distancing measures,” like dividing school classes into smaller groups of students or closing schools altogether. Meetings and conferences may have to be canceled, she said. Businesses should arrange for employees to work from home.She said that cities and towns should plan for “social distancing measures,” like dividing school classes into smaller groups of students or closing schools altogether. Meetings and conferences may have to be canceled, she said. Businesses should arrange for employees to work from home.
“We are asking the American public to work with us to prepare, in the expectation that this could be bad,” Dr. Messonnier said.“We are asking the American public to work with us to prepare, in the expectation that this could be bad,” Dr. Messonnier said.
Shortly after the news conference, stock markets plummeted for the second day as investors dumped stocks and turned to the safety of government bonds. The S&P 500 fell by more than 3 percent, following a 3.4 percent slide on Monday — the worst day for the American markets since February 2018.Shortly after the news conference, stock markets plummeted for the second day as investors dumped stocks and turned to the safety of government bonds. The S&P 500 fell by more than 3 percent, following a 3.4 percent slide on Monday — the worst day for the American markets since February 2018.
In contrast to his own health officials, President Trump, traveling in India, played down the threat, saying, “You may ask about the coronavirus, which is very well under control in our country.”In contrast to his own health officials, President Trump, traveling in India, played down the threat, saying, “You may ask about the coronavirus, which is very well under control in our country.”
“We have very few people with it, and the people that have it are, in all cases, I have not heard anything other — the people are getting better, they’re all getting better.”“We have very few people with it, and the people that have it are, in all cases, I have not heard anything other — the people are getting better, they’re all getting better.”
As of Tuesday, the United States has just 57 cases, 40 of them connected to the Diamond Princess, the cruise ship overwhelmed by the coronavirus after it docked in Japan. Those patients are in isolation in hospitals, and there are no signs of sustained transmission in American communities.As of Tuesday, the United States has just 57 cases, 40 of them connected to the Diamond Princess, the cruise ship overwhelmed by the coronavirus after it docked in Japan. Those patients are in isolation in hospitals, and there are no signs of sustained transmission in American communities.
But given the outbreaks in more than two dozen countries, officials at the C.D.C. seemed convinced that the virus’s spread in the United States was inevitable, although they did not know whether the impact would be mild or severe.But given the outbreaks in more than two dozen countries, officials at the C.D.C. seemed convinced that the virus’s spread in the United States was inevitable, although they did not know whether the impact would be mild or severe.
“We cannot hermetically seal off the United States to a virus,” Alex M. Azar II, the secretary of health and human services, told a Senate panel on Tuesday. “And we need to be realistic about that.”“We cannot hermetically seal off the United States to a virus,” Alex M. Azar II, the secretary of health and human services, told a Senate panel on Tuesday. “And we need to be realistic about that.”
Globally, public health officials are confronting a multipronged threat. China’s battle to contain the epidemic has shown signs of success, with a plunge in the rate of new infections.Globally, public health officials are confronting a multipronged threat. China’s battle to contain the epidemic has shown signs of success, with a plunge in the rate of new infections.
But this has been overshadowed by new clusters of infections in Iran, South Korea and Italy. The emergence of these new hubs underscored the lack of a coordinated global strategy to combat the coronavirus, which has infected more than 80,000 people in 37 countries, causing more than 2,600 deaths.But this has been overshadowed by new clusters of infections in Iran, South Korea and Italy. The emergence of these new hubs underscored the lack of a coordinated global strategy to combat the coronavirus, which has infected more than 80,000 people in 37 countries, causing more than 2,600 deaths.
By Tuesday, South Korea had reported a total of 893 cases, the second most in the world. The C.D.C. on Monday warned Americans not to travel there.By Tuesday, South Korea had reported a total of 893 cases, the second most in the world. The C.D.C. on Monday warned Americans not to travel there.
Of the 60 new cases reported by South Korea’s federal health agency, 49 came from Daegu, the city at the center of the country’s outbreak.Of the 60 new cases reported by South Korea’s federal health agency, 49 came from Daegu, the city at the center of the country’s outbreak.
In Iran, a spike in coronavirus infections — including to the top health official in charge of fighting the disease — has prompted fears the contagion may spread throughout the Middle East. In Italy, one of Europe’s largest economies, officials are struggling to prevent the epidemic from paralyzing the commercial center of Milan.In Iran, a spike in coronavirus infections — including to the top health official in charge of fighting the disease — has prompted fears the contagion may spread throughout the Middle East. In Italy, one of Europe’s largest economies, officials are struggling to prevent the epidemic from paralyzing the commercial center of Milan.
Keenly aware that the virus has the potential to wreak havoc in the United States, lawmakers from both the Democratic and the Republican parties grilled Mr. Azar and other members of the administration at the Senate hearing, apparently unconvinced that the Trump administration was prepared for the outbreak that the C.D.C. is forecasting.Keenly aware that the virus has the potential to wreak havoc in the United States, lawmakers from both the Democratic and the Republican parties grilled Mr. Azar and other members of the administration at the Senate hearing, apparently unconvinced that the Trump administration was prepared for the outbreak that the C.D.C. is forecasting.
Senator John Kennedy, Republican of Louisiana, grew exasperated when the acting secretary of the Department of Homeland Security, Chad F. Wolf, could not say how many people were expected to become infected.Senator John Kennedy, Republican of Louisiana, grew exasperated when the acting secretary of the Department of Homeland Security, Chad F. Wolf, could not say how many people were expected to become infected.
“I’m all for committees and task forces, but you’re the secretary,” Mr. Kennedy responded. “I think you ought to know that answer.”“I’m all for committees and task forces, but you’re the secretary,” Mr. Kennedy responded. “I think you ought to know that answer.”
The administration officials overseeing the response to a coronavirus outbreak told lawmakers that the initial funding requested by the White House — $1.25 billion in new funds and $1.25 billion taken from other programs — would most likely be just a first round.The administration officials overseeing the response to a coronavirus outbreak told lawmakers that the initial funding requested by the White House — $1.25 billion in new funds and $1.25 billion taken from other programs — would most likely be just a first round.
Mr. Azar said that there were 30 million N95 masks, respirators best suited to guarding against viruses that typically cost less than $1 apiece, in the nation’s emergency stockpile.Mr. Azar said that there were 30 million N95 masks, respirators best suited to guarding against viruses that typically cost less than $1 apiece, in the nation’s emergency stockpile.
Senator Patty Murray, Democrat of Washington, asked the health secretary whether he thought the United States currently had enough health masks in stock.Senator Patty Murray, Democrat of Washington, asked the health secretary whether he thought the United States currently had enough health masks in stock.
“Of course not,” he responded, “or else we wouldn’t be asking for more.” Health care workers may need 300 million masks in the event of an outbreak, he added.“Of course not,” he responded, “or else we wouldn’t be asking for more.” Health care workers may need 300 million masks in the event of an outbreak, he added.
Mr. Azar said he was alarmed by the human-to-human transmission of the virus in other parts of the world without an identifiable connection to confirmed cases, and what that could mean for how the virus may spread in the United States.Mr. Azar said he was alarmed by the human-to-human transmission of the virus in other parts of the world without an identifiable connection to confirmed cases, and what that could mean for how the virus may spread in the United States.
But other federal health officials were trying to tamp down concerns.But other federal health officials were trying to tamp down concerns.
“You need to do nothing different than you’re already doing,” Dr. Anthony Fauci, the director of the National Institute of Allergy and Infectious Diseases, said at a news briefing.“You need to do nothing different than you’re already doing,” Dr. Anthony Fauci, the director of the National Institute of Allergy and Infectious Diseases, said at a news briefing.
Federal officials were only trying to tell Americans that if an outbreak occurs, he added, “these are the kinds of things you want to think of.”Federal officials were only trying to tell Americans that if an outbreak occurs, he added, “these are the kinds of things you want to think of.”
Larry Kudlow, director of the National Economic Council, declared on CNBC that the coronavirus had been “contained” and would not do serious harm to the economy.Larry Kudlow, director of the National Economic Council, declared on CNBC that the coronavirus had been “contained” and would not do serious harm to the economy.
“I don’t think it’s going to be an economic tragedy at all,” Mr. Kudlow said.“I don’t think it’s going to be an economic tragedy at all,” Mr. Kudlow said.
Preparations to respond to a potential outbreak have begun, government officials said, but are far from complete.Preparations to respond to a potential outbreak have begun, government officials said, but are far from complete.
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It still is difficult to diagnose the infection. The C.D.C. performs most of the testing, and samples must be sent from state and local laboratories to the agency in Atlanta, a process that takes days.It still is difficult to diagnose the infection. The C.D.C. performs most of the testing, and samples must be sent from state and local laboratories to the agency in Atlanta, a process that takes days.
The C.D.C. had manufactured diagnostic kits to be used by state and local labs, but the kits turned out to be flawed. Replacements have not yet been distributed.The C.D.C. had manufactured diagnostic kits to be used by state and local labs, but the kits turned out to be flawed. Replacements have not yet been distributed.
While the nation’s hospitals have had to handle only a few dozen cases to date, many are ramping up efforts to prepare for a widespread outbreak.While the nation’s hospitals have had to handle only a few dozen cases to date, many are ramping up efforts to prepare for a widespread outbreak.
Updated June 12, 2020Updated June 12, 2020
Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks.
So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement.So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement.
Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks.
A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study.A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study.
The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nation’s job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April.The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nation’s job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April.
Mass protests against police brutality that have brought thousands of people onto the streets in cities across America are raising the specter of new coronavirus outbreaks, prompting political leaders, physicians and public health experts to warn that the crowds could cause a surge in cases. While many political leaders affirmed the right of protesters to express themselves, they urged the demonstrators to wear face masks and maintain social distancing, both to protect themselves and to prevent further community spread of the virus. Some infectious disease experts were reassured by the fact that the protests were held outdoors, saying the open air settings could mitigate the risk of transmission.Mass protests against police brutality that have brought thousands of people onto the streets in cities across America are raising the specter of new coronavirus outbreaks, prompting political leaders, physicians and public health experts to warn that the crowds could cause a surge in cases. While many political leaders affirmed the right of protesters to express themselves, they urged the demonstrators to wear face masks and maintain social distancing, both to protect themselves and to prevent further community spread of the virus. Some infectious disease experts were reassured by the fact that the protests were held outdoors, saying the open air settings could mitigate the risk of transmission.
Exercise researchers and physicians have some blunt advice for those of us aiming to return to regular exercise now: Start slowly and then rev up your workouts, also slowly. American adults tended to be about 12 percent less active after the stay-at-home mandates began in March than they were in January. But there are steps you can take to ease your way back into regular exercise safely. First, “start at no more than 50 percent of the exercise you were doing before Covid,” says Dr. Monica Rho, the chief of musculoskeletal medicine at the Shirley Ryan AbilityLab in Chicago. Thread in some preparatory squats, too, she advises. “When you haven’t been exercising, you lose muscle mass.” Expect some muscle twinges after these preliminary, post-lockdown sessions, especially a day or two later. But sudden or increasing pain during exercise is a clarion call to stop and return home.Exercise researchers and physicians have some blunt advice for those of us aiming to return to regular exercise now: Start slowly and then rev up your workouts, also slowly. American adults tended to be about 12 percent less active after the stay-at-home mandates began in March than they were in January. But there are steps you can take to ease your way back into regular exercise safely. First, “start at no more than 50 percent of the exercise you were doing before Covid,” says Dr. Monica Rho, the chief of musculoskeletal medicine at the Shirley Ryan AbilityLab in Chicago. Thread in some preparatory squats, too, she advises. “When you haven’t been exercising, you lose muscle mass.” Expect some muscle twinges after these preliminary, post-lockdown sessions, especially a day or two later. But sudden or increasing pain during exercise is a clarion call to stop and return home.
States are reopening bit by bit. This means that more public spaces are available for use and more and more businesses are being allowed to open again. The federal government is largely leaving the decision up to states, and some state leaders are leaving the decision up to local authorities. Even if you aren’t being told to stay at home, it’s still a good idea to limit trips outside and your interaction with other people.States are reopening bit by bit. This means that more public spaces are available for use and more and more businesses are being allowed to open again. The federal government is largely leaving the decision up to states, and some state leaders are leaving the decision up to local authorities. Even if you aren’t being told to stay at home, it’s still a good idea to limit trips outside and your interaction with other people.
Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days.Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days.
If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.)If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.)
Taking one’s temperature to look for signs of fever is not as easy as it sounds, as “normal” temperature numbers can vary, but generally, keep an eye out for a temperature of 100.5 degrees Fahrenheit or higher. If you don’t have a thermometer (they can be pricey these days), there are other ways to figure out if you have a fever, or are at risk of Covid-19 complications.Taking one’s temperature to look for signs of fever is not as easy as it sounds, as “normal” temperature numbers can vary, but generally, keep an eye out for a temperature of 100.5 degrees Fahrenheit or higher. If you don’t have a thermometer (they can be pricey these days), there are other ways to figure out if you have a fever, or are at risk of Covid-19 complications.
The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks don’t replace hand washing and social distancing.The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks don’t replace hand washing and social distancing.
If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.
If you’re sick and you think you’ve been exposed to the new coronavirus, the C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance — because of a lack of testing kits or because you’re asymptomatic, for instance — you won’t be able to get tested.If you’re sick and you think you’ve been exposed to the new coronavirus, the C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance — because of a lack of testing kits or because you’re asymptomatic, for instance — you won’t be able to get tested.
“We’ve been planning for this for weeks and weeks now,” said Dr. Michael S. Phillips, an infectious disease expert and chief epidemiologist at NYU Langone Health System in New York City.“We’ve been planning for this for weeks and weeks now,” said Dr. Michael S. Phillips, an infectious disease expert and chief epidemiologist at NYU Langone Health System in New York City.
Hospital officials were assuming the efforts to contain the virus would delay, not prevent, a pandemic — sustained transmission of the coronavirus on more than one continent.Hospital officials were assuming the efforts to contain the virus would delay, not prevent, a pandemic — sustained transmission of the coronavirus on more than one continent.
“We are really staging it, from a minor issue of small numbers of patients, to a full-blown community spread,” said Dr. Mark Jarrett, the chief quality officer at Northwell Health, which operates 23 hospitals on Long Island and elsewhere in New York.“We are really staging it, from a minor issue of small numbers of patients, to a full-blown community spread,” said Dr. Mark Jarrett, the chief quality officer at Northwell Health, which operates 23 hospitals on Long Island and elsewhere in New York.
Hospital administrators nationwide anticipate a wave of patients that could strain their intensive care units and isolation rooms. Many are starting to conserve medical supplies, including specialized masks and ventilators.Hospital administrators nationwide anticipate a wave of patients that could strain their intensive care units and isolation rooms. Many are starting to conserve medical supplies, including specialized masks and ventilators.
“It is a special concern that there is a shortage, a worldwide shortage, of personal protective equipment,” said Nancy Foster, a vice president of the American Hospital Association.“It is a special concern that there is a shortage, a worldwide shortage, of personal protective equipment,” said Nancy Foster, a vice president of the American Hospital Association.
Many hospitals say they are also planning to treat as many patients outside their facilities, using telemedicine to care for people with mild symptoms at home.Many hospitals say they are also planning to treat as many patients outside their facilities, using telemedicine to care for people with mild symptoms at home.
“We have surge plans to go broader and broader — and if it gets broader, tents,” said Dr. Susan Huang, medical director of infection prevention at the University of California, Irvine Health System. “The hope for containment is rapidly fading.”“We have surge plans to go broader and broader — and if it gets broader, tents,” said Dr. Susan Huang, medical director of infection prevention at the University of California, Irvine Health System. “The hope for containment is rapidly fading.”
The epidemic in China also has threatened supplies of some drugs and medical devices that hospitals rely on.The epidemic in China also has threatened supplies of some drugs and medical devices that hospitals rely on.
The Food and Drug Administration has been monitoring supplies of about 20 important drugs that are manufactured in China or depend on ingredients made only there, including such common drugs as aspirin, ibuprofen and penicillin.The Food and Drug Administration has been monitoring supplies of about 20 important drugs that are manufactured in China or depend on ingredients made only there, including such common drugs as aspirin, ibuprofen and penicillin.
Chinese factories are slowly reopening, officials said, although transportation remains a challenge because truck drivers face quarantines or are not allowed into certain cities.Chinese factories are slowly reopening, officials said, although transportation remains a challenge because truck drivers face quarantines or are not allowed into certain cities.
Despite the early hospital preparations, there is no vaccine or treatment for the coronavirus, and communities and individuals should prepare other means of protecting themselves.Despite the early hospital preparations, there is no vaccine or treatment for the coronavirus, and communities and individuals should prepare other means of protecting themselves.
Individually, people can take the measures recommended for other infectious diseases, like washing their hands, covering their mouths when they cough, and staying home and away from others when they are sick.Individually, people can take the measures recommended for other infectious diseases, like washing their hands, covering their mouths when they cough, and staying home and away from others when they are sick.
The World Health Organization said that the pace of confirmed new cases in China, which exceeded 2,000 a day a month ago, had dropped steadily, to a low of 508 on Monday.The World Health Organization said that the pace of confirmed new cases in China, which exceeded 2,000 a day a month ago, had dropped steadily, to a low of 508 on Monday.
The severe measures imposed by the Chinese authorities to isolate patients and the hardest-hit areas had likely prevented hundreds of thousands of additional infections, the W.H.O. officials added.The severe measures imposed by the Chinese authorities to isolate patients and the hardest-hit areas had likely prevented hundreds of thousands of additional infections, the W.H.O. officials added.
But W.H.O. officials have also warned that the world is unprepared for a leap in infections, which could overwhelm medical resources in many countries. They also cautioned that new cases could suddenly resurge in China, as the government struggles to get people back to work.But W.H.O. officials have also warned that the world is unprepared for a leap in infections, which could overwhelm medical resources in many countries. They also cautioned that new cases could suddenly resurge in China, as the government struggles to get people back to work.
And there are persistent doubts about the accuracy of infection figures reported by the Chinese government, raising the possibility that the true magnitude of the outbreak remains underreported.And there are persistent doubts about the accuracy of infection figures reported by the Chinese government, raising the possibility that the true magnitude of the outbreak remains underreported.
Rick Gladstone and Reed Abelson contributed reporting from New York; Zolan Kanno-Youngs, Emily Cochrane and Deborah Solomon from Washington; Matt Richtel from San Francisco; and Katie Thomas from Chicago.Rick Gladstone and Reed Abelson contributed reporting from New York; Zolan Kanno-Youngs, Emily Cochrane and Deborah Solomon from Washington; Matt Richtel from San Francisco; and Katie Thomas from Chicago.