This article is from the source 'nytimes' and was first published or seen on . It last changed over 40 days ago and won't be checked again for changes.

You can find the current article at its original source at https://www.nytimes.com/2020/04/03/us/politics/coronavirus-trump-medical-advisers.html

The article has changed 29 times. There is an RSS feed of changes available.

Version 7 Version 8
Tensions Persist Between Trump and Medical Advisers Over the Coronavirus Tensions Persist Between Trump and Medical Advisers Over the Coronavirus
(2 days later)
WASHINGTON — Rarely has the schism between President Trump and his own public health advisers over the coronavirus pandemic been put on display quite so starkly. Even as he announced a new federal recommendation on Friday that Americans wear masks when out in public, he immediately disavowed it: “I am choosing not to do it.”WASHINGTON — Rarely has the schism between President Trump and his own public health advisers over the coronavirus pandemic been put on display quite so starkly. Even as he announced a new federal recommendation on Friday that Americans wear masks when out in public, he immediately disavowed it: “I am choosing not to do it.”
The striking dichotomy underscored how often Mr. Trump has been at odds with the medical experts seeking to guide his handling of the outbreak as well as some of the governors fighting it on the front lines, despite his move to extend social distancing guidelines through April 30 and his acknowledgment that the death toll could be staggering.The striking dichotomy underscored how often Mr. Trump has been at odds with the medical experts seeking to guide his handling of the outbreak as well as some of the governors fighting it on the front lines, despite his move to extend social distancing guidelines through April 30 and his acknowledgment that the death toll could be staggering.
While the health specialists and some governors press for a more aggressive, uniform national approach to the virus, the president has resisted expanding limits on daily life and sought to shift blame to the states for being unprepared to deal with the coronavirus. While they sound the alarm and call for more federal action, Mr. Trump has deflected responsibility and left it to others to take a more aggressive stance.While the health specialists and some governors press for a more aggressive, uniform national approach to the virus, the president has resisted expanding limits on daily life and sought to shift blame to the states for being unprepared to deal with the coronavirus. While they sound the alarm and call for more federal action, Mr. Trump has deflected responsibility and left it to others to take a more aggressive stance.
Some of the president’s health advisers in recent days have argued that restrictions on social interaction and economic activity that have shut down much of the nation need to be expanded to all 50 states and that more Americans need to adopt them. Mr. Trump, by contrast, has characterized the crisis as generally limited to hot spots like New York, California and Michigan and has expressed no support for a nationwide lockdown. “I would leave it to the governors,” he said on Friday.Some of the president’s health advisers in recent days have argued that restrictions on social interaction and economic activity that have shut down much of the nation need to be expanded to all 50 states and that more Americans need to adopt them. Mr. Trump, by contrast, has characterized the crisis as generally limited to hot spots like New York, California and Michigan and has expressed no support for a nationwide lockdown. “I would leave it to the governors,” he said on Friday.
As hospitals cope with shortages of medical equipment, the administration on Friday also rewrote the federal government’s stated mission for its stockpile of supplies to make clear that it sees itself as playing a secondary role to the states. Where the federal government once said the stockpile “ensures that the right medicines and supplies get to those who need the most,” the revised version said the federal stockpile’s role was merely to “supplement state and local supplies.”As hospitals cope with shortages of medical equipment, the administration on Friday also rewrote the federal government’s stated mission for its stockpile of supplies to make clear that it sees itself as playing a secondary role to the states. Where the federal government once said the stockpile “ensures that the right medicines and supplies get to those who need the most,” the revised version said the federal stockpile’s role was merely to “supplement state and local supplies.”
The tension over the scale of the federal response comes as the president defends his administration’s reaction to the pandemic that has now infected more than 270,000 people in the United States and has killed more than 7,000. New polls showed that public support for Mr. Trump’s handling of the crisis has begun to slip, a worrisome development for a president seeking re-election in the fall.The tension over the scale of the federal response comes as the president defends his administration’s reaction to the pandemic that has now infected more than 270,000 people in the United States and has killed more than 7,000. New polls showed that public support for Mr. Trump’s handling of the crisis has begun to slip, a worrisome development for a president seeking re-election in the fall.
Mr. Trump’s decision to take a back seat to the states by leaving it to them to decide whether to shut down public life and insisting they take the lead in addressing shortages amounts to a remarkable deference by a president who typically makes himself the center of the action. It also contrasts with his own self-description as a wartime president leading a great battle against an invisible enemy.Mr. Trump’s decision to take a back seat to the states by leaving it to them to decide whether to shut down public life and insisting they take the lead in addressing shortages amounts to a remarkable deference by a president who typically makes himself the center of the action. It also contrasts with his own self-description as a wartime president leading a great battle against an invisible enemy.
It underscores both pragmatic and political imperatives for Mr. Trump, reflecting a traditional federalist approach that eschews imposing a one-size-fits-all national standard on states. But it also shows the president’s desire to blame the governors rather than accept any responsibility for shortages of ventilators, masks and other critical supplies.It underscores both pragmatic and political imperatives for Mr. Trump, reflecting a traditional federalist approach that eschews imposing a one-size-fits-all national standard on states. But it also shows the president’s desire to blame the governors rather than accept any responsibility for shortages of ventilators, masks and other critical supplies.
The most fundamental point of conflict centers over how broadly the virtual lockdown of many states in the Midwest and on the East and West Coasts should be expanded. Dr. Anthony S. Fauci, the director of the National Institute of Allergy and Infectious Diseases, said stay-at-home orders should be extended to the entire nation.The most fundamental point of conflict centers over how broadly the virtual lockdown of many states in the Midwest and on the East and West Coasts should be expanded. Dr. Anthony S. Fauci, the director of the National Institute of Allergy and Infectious Diseases, said stay-at-home orders should be extended to the entire nation.
“I don’t understand why that’s not happening,” Dr. Fauci said Thursday night on CNN. “The tension between federally mandated versus states’ rights to do what they want is something I don’t want to get into. But if you look at what is going on in this country, I don’t understand why we’re not doing that. We really should be.”“I don’t understand why that’s not happening,” Dr. Fauci said Thursday night on CNN. “The tension between federally mandated versus states’ rights to do what they want is something I don’t want to get into. But if you look at what is going on in this country, I don’t understand why we’re not doing that. We really should be.”
His comments came after a telling interchange between Mr. Trump and Dr. Deborah L. Birx, the White House pandemic response coordinator, at the briefing on Thursday. Dr. Birx expressed concern that too many Americans were not following the guidelines.His comments came after a telling interchange between Mr. Trump and Dr. Deborah L. Birx, the White House pandemic response coordinator, at the briefing on Thursday. Dr. Birx expressed concern that too many Americans were not following the guidelines.
“I can tell by the curve and, as it is today, that not every American is following it,” she said. “And so this is really a call to action. We see Spain, we see Italy, we see France, we see Germany, when we see others beginning to bend their curves. We can bend ours, but it means everybody has to take that same responsibility as Americans.”“I can tell by the curve and, as it is today, that not every American is following it,” she said. “And so this is really a call to action. We see Spain, we see Italy, we see France, we see Germany, when we see others beginning to bend their curves. We can bend ours, but it means everybody has to take that same responsibility as Americans.”
When she returned to the issue a few minutes later, Mr. Trump tried to recalibrate her remarks.When she returned to the issue a few minutes later, Mr. Trump tried to recalibrate her remarks.
“But, Deborah, aren’t you referring to just a few states?” he said. “Because many of those states are dead flat.”“But, Deborah, aren’t you referring to just a few states?” he said. “Because many of those states are dead flat.”
“Yes, there are states that are dead flat,” she agreed. “But you know, what changes the curve is a new Detroit, a new Chicago, a new New Orleans, a new Colorado. Those change the curves because it all of a sudden spikes with the number of new cases.” In other words, without taking action, “dead flat” states can suddenly become hot spots.“Yes, there are states that are dead flat,” she agreed. “But you know, what changes the curve is a new Detroit, a new Chicago, a new New Orleans, a new Colorado. Those change the curves because it all of a sudden spikes with the number of new cases.” In other words, without taking action, “dead flat” states can suddenly become hot spots.
The interplay was a rare instance of Mr. Trump doing in real time on camera what officials have repeatedly denied that he does behind the scenes — attempting to water down the effect of what the medical experts were saying.The interplay was a rare instance of Mr. Trump doing in real time on camera what officials have repeatedly denied that he does behind the scenes — attempting to water down the effect of what the medical experts were saying.
In a video that leaked online last week, Dr. Fauci was seen telling colleagues at the National Institutes of Health that he regularly made suggestions for the president’s prepared remarks before the daily briefings but that Mr. Trump “almost always” ignores them.In a video that leaked online last week, Dr. Fauci was seen telling colleagues at the National Institutes of Health that he regularly made suggestions for the president’s prepared remarks before the daily briefings but that Mr. Trump “almost always” ignores them.
Where Dr. Fauci and the president have differed most strongly is on the therapeutic potential of chloroquines to treat people who have the coronavirus. Mr. Trump has said the drugs, which are approved by the Food and Drug Administration for off-label uses aside from their intended treatment of ailments like lupus and rheumatoid arthritis, could be a “game-changer.”Where Dr. Fauci and the president have differed most strongly is on the therapeutic potential of chloroquines to treat people who have the coronavirus. Mr. Trump has said the drugs, which are approved by the Food and Drug Administration for off-label uses aside from their intended treatment of ailments like lupus and rheumatoid arthritis, could be a “game-changer.”
But Dr. Fauci has repeatedly sounded a note of skepticism, much to the president’s frustration. “I think we’ve got to be careful that we don’t make that majestic leap to assume that this is a knockout drug,” Dr. Fauci said Friday in an interview on “Fox & Friends.”But Dr. Fauci has repeatedly sounded a note of skepticism, much to the president’s frustration. “I think we’ve got to be careful that we don’t make that majestic leap to assume that this is a knockout drug,” Dr. Fauci said Friday in an interview on “Fox & Friends.”
Mr. Trump has also tried in recent days to blame states for shortages of medical equipment. “They should have had more ventilators,” he said on Friday.Mr. Trump has also tried in recent days to blame states for shortages of medical equipment. “They should have had more ventilators,” he said on Friday.
Jared Kushner, the president’s son-in-law and senior adviser, said at Thursday’s briefing that the federal stockpile was not for states to rely on. “The notion of the federal stockpile was it’s supposed to be our stockpile,” Mr. Kushner said. “It’s not supposed to be states’ stockpiles that they then use.”Jared Kushner, the president’s son-in-law and senior adviser, said at Thursday’s briefing that the federal stockpile was not for states to rely on. “The notion of the federal stockpile was it’s supposed to be our stockpile,” Mr. Kushner said. “It’s not supposed to be states’ stockpiles that they then use.”
A day later, on Friday, the description on the Department of Health and Human Services’ website for its Strategic National Stockpile was altered evidently to reflect that viewpoint.A day later, on Friday, the description on the Department of Health and Human Services’ website for its Strategic National Stockpile was altered evidently to reflect that viewpoint.
Previously, the website said: “Strategic National Stockpile is the nation’s largest supply of lifesaving pharmaceuticals and medical supplies for use in a public health emergency severe enough to cause local supplies to run out.”Previously, the website said: “Strategic National Stockpile is the nation’s largest supply of lifesaving pharmaceuticals and medical supplies for use in a public health emergency severe enough to cause local supplies to run out.”
“When state, local, tribal and territorial responders request federal assistance to support their response efforts,” it continued, “the stockpile ensures that the right medicines and supplies get to those who need the most during an emergency.” It went on to say the stockpile “contains enough supplies to respond to multiple large-scale emergencies simultaneously.”“When state, local, tribal and territorial responders request federal assistance to support their response efforts,” it continued, “the stockpile ensures that the right medicines and supplies get to those who need the most during an emergency.” It went on to say the stockpile “contains enough supplies to respond to multiple large-scale emergencies simultaneously.”
But after the revisions, first noticed by the journalist Laura Bassett, the website on Friday said that the role of the stockpile was to “supplement state and local supplies during public health emergencies.”But after the revisions, first noticed by the journalist Laura Bassett, the website on Friday said that the role of the stockpile was to “supplement state and local supplies during public health emergencies.”
Updated June 5, 2020 Updated 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.
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.
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.
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.
“Many states have products stockpiled as well,” it said.“Many states have products stockpiled as well,” it said.
“The supplies, medicines and devices for lifesaving care contained in the stockpile,” the site added, “can be used as a short-term stopgap buffer when the immediate supply of adequate amounts of these materials may not be immediately available.”“The supplies, medicines and devices for lifesaving care contained in the stockpile,” the site added, “can be used as a short-term stopgap buffer when the immediate supply of adequate amounts of these materials may not be immediately available.”
The explosive growth of the virus in many cities over the past two weeks has made clear that the United States has not been following the trajectory of places like Taiwan, Japan and Hong Kong that have kept outbreaks relatively contained so far. And the country has not begun to see the number of new cases level off yet, as Italy has.The explosive growth of the virus in many cities over the past two weeks has made clear that the United States has not been following the trajectory of places like Taiwan, Japan and Hong Kong that have kept outbreaks relatively contained so far. And the country has not begun to see the number of new cases level off yet, as Italy has.
Several scientists said it was too early to make ironclad statements about whether social distancing was having a powerful effect. In a few cities that acted early, including New York, San Francisco and Seattle, new reported cases have begun to slow, providing some optimism that control measures work.Several scientists said it was too early to make ironclad statements about whether social distancing was having a powerful effect. In a few cities that acted early, including New York, San Francisco and Seattle, new reported cases have begun to slow, providing some optimism that control measures work.
“The growth rate in New York City is slowing. We do have evidence that measures we put in place two or three weeks ago may be having an effect,” said Jeffrey Shaman, a professor of environmental health sciences at Columbia University. Data from Seattle and San Francisco, he said, shows “they’ve slowed it in spots.”“The growth rate in New York City is slowing. We do have evidence that measures we put in place two or three weeks ago may be having an effect,” said Jeffrey Shaman, a professor of environmental health sciences at Columbia University. Data from Seattle and San Francisco, he said, shows “they’ve slowed it in spots.”
“But whether they’re going to hold onto it is an open question,” he added.“But whether they’re going to hold onto it is an open question,” he added.
The number of cases and deaths in New York City has continued to rise quickly in recent days. More than 30,000 new cases in the metro area were reported since Monday for a total of more than 100,000 cases overall.The number of cases and deaths in New York City has continued to rise quickly in recent days. More than 30,000 new cases in the metro area were reported since Monday for a total of more than 100,000 cases overall.
The United States has seen new hot spots in New Orleans, Indianapolis, Chicago, Detroit and other cities that did not significantly reduce how much people traveled until mid- to late-March, leaving open a critical window for exponential growth.The United States has seen new hot spots in New Orleans, Indianapolis, Chicago, Detroit and other cities that did not significantly reduce how much people traveled until mid- to late-March, leaving open a critical window for exponential growth.
Florida, which took longer than most of the country to issue a stay-at-home order and reduce the distances that people traveled, reported increasing cases this week in the Miami, Tampa and Jacksonville areas. Experts say the delays in keeping people at home in Florida and much of the Southeast could make those areas more vulnerable to outbreaks in coming weeks.Florida, which took longer than most of the country to issue a stay-at-home order and reduce the distances that people traveled, reported increasing cases this week in the Miami, Tampa and Jacksonville areas. Experts say the delays in keeping people at home in Florida and much of the Southeast could make those areas more vulnerable to outbreaks in coming weeks.
The low testing rate among the population can also muddle any assessment of the effect of distancing measures so far, said Lauren Ancel Meyers, a professor of biology and statistics at the University of Texas at Austin.The low testing rate among the population can also muddle any assessment of the effect of distancing measures so far, said Lauren Ancel Meyers, a professor of biology and statistics at the University of Texas at Austin.
“In many of these other places, where social distancing measures were enacted very recently, it would be very difficult to see it in the data yet,” Dr. Meyers said. “Even if it’s effective.”“In many of these other places, where social distancing measures were enacted very recently, it would be very difficult to see it in the data yet,” Dr. Meyers said. “Even if it’s effective.”
Peter Baker reported from Washington, and Maggie Haberman and James Glanz from New York. Josh Katz contributed reporting from New York.Peter Baker reported from Washington, and Maggie Haberman and James Glanz from New York. Josh Katz contributed reporting from New York.