coronavirus

Everything to Know About the Coronavirus in the United States

Mike Pence, commander of the U.S. coronavirus task force for some reason. Photo: ERIC BARADAT/AFP via Getty Images

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In February, the Centers for Disease Control and Prevention warned that the United States should brace for a domestic coronavirus outbreak. Throughout March and April, the number of confirmed cases of COVID-19 in the U.S. rose dramatically, and the U.S. now has the highest confirmed case count in the world. As of June 10, across every state, Washington, D.C., and four territories have tested positive for the disease, and more than with the virus have died in the U.S.

Globally, more than of COVID-19 have been reported in at least 177 countries, with at least 411,879 deaths so far. In March, the World Health Organization officially declared COVID-19 a pandemic, and . Though infection rates have recently begun to decline in the U.S. and Europe, they continue to grow in other parts of the world, and the global infection peak may still be months away.

Here’s everything we know about .

How many new coronavirus cases have been confirmed in the U.S.?

im电竞官网-As of June 10, there are at least of COVID-19 in the U.S., and at least 112,006 people with the virus have died.

Though the pandemic appears to have slowed, thousands of new infections and hundreds of deaths are still being reported each day. Meanwhile, testing continues to lag in many places, and as a result, that the true number of cases may be ten times the official count, and that several thousand more people have died from the virus than is reflected in the official death toll.

New York has had by far the largest outbreak in the country, though the number of new infections and deaths have declined in recent weeks. As of Wednesday, the state had and 30,309 deaths, including those presumed to have died from the virus who had not tested positive. While the biggest outbreaks were initially clustered in dense urban areas, the New York Times that on a per capita basis, a number of small cities and rural communities in the South and Midwest have been among the hardest hit. The biggest clusters of cases have been in nursing homes, food-processing plants, and correctional facilities — all places where social distancing is a challenge. More than 40 percent of deaths from COVID-19 in the U.S. have been linked to nursing homes and other long-term care facilities.

The recent decline in the number of cases and deaths nationwide suggests that the widespread lockdowns in March and April were effective in slowing the spread of the virus. (A from researchers at Columbia University found that if the U.S. had implemented social-distancing restrictions a week earlier, in early March, about 36,000 fewer Americans would have died.) Now, as many states have lifted stay-at-home orders and reopened nonessential businesses, public-health experts have cautioned that the situation remains dire, and that we could still see a second wave of casesim电竞官网-. Meanwhile, the University of Washington’s Institute for Health Metrics and Evaluation has nearly doubled its , and is now predicting that more than 134,000 people in the U.S. will die from COVID-19 by August.

Over the past two weeks, as have gathered across the country to demand justice in the wake of George Floyd’s death, epidemiologists have raised concerns that the demonstrations will almost certainly lead to a spike in coronavirus cases. While acknowledging that police violence against black Americans is also a public-health crisis and that the risk of transmission is generally lower in outdoor settings, public-health experts have urged protesters to wear masks and to stay six feet away from others as much as possible. Tactics used by the police such as spraying tear gasim电竞官网- (which causes people to cough) and arresting protesters and putting them in confined spaces, like buses and holding cells, also increase the risk of transmission. Last week, New York governor Andrew Cuomo that anyone who had attended a protest in recent days should get tested for the coronavirus.

How long will the stay-at-home orders last?

As the number of confirmed cases of COVID-19 continued to rise throughout March and April, many states urged or ordered residents to stay at home to slow the spread of the virus. As of mid-April, 316 million Americans in 42 states were under orders to stay at home except for essential activities. Currently, have suspended in-person classes for the rest of the school year.

The widespread lockdowns have had serious economic consequences: More than 40 million Americans have lost their jobs since the outbreak began, and retail sales fell a record 16.4 percent in April. Though the unemployment rate showed some improvement in May, falling to 13.3 percent, the chair of the Federal Reserve has that the U.S. economy is in a “downturn without modern precedent,” and economists are increasingly concerned that many lost jobs may never come back.

The Times that have now begun to reopen in some way, though public-health officials have warned that reopening too soon — and without widespread testing available — could lead to a resurgence of cases. im电竞官网-Testifying before the Senate on May 12, Dr. Anthony Fauci, the nation’s leading infectious disease expert, that reopening prematurely could lead to needless suffering and death as well as further economic setbacks. “The real risk is that you will trigger an outbreak that you may not be able to control,” Fauci said. His characterization of the situation is a stark contrast to President Trump’s, who recently said, “We have met the moment and we have prevailed.” Trump also Fauci’s testimony, once again pushing for a swift reopening of businesses and schools.

im电竞官网-According to , about 20 states are still seeing increasing numbers of new infections reported each day. Texas, where nonessential businesses began reopening on May 1, a record number of COVID-19 hospitalizations on Monday, even as the governor plans to lift additional restrictions. Meanwhile, New York City entered on Monday, which allows construction and manufacturing workers to return to work and retail stores to open for curbside pickup. Mayor Bill de Blasio has said that he does not expect the city to enter phase two — which will allow restaurants to open for outdoor dining, customers to enter retail stores, and workers to return to offices — until early July.

What is the federal government doing to fight coronavirus?

In March, President Trump a national emergency over the coronavirus pandemic, effectively freeing up to $50 billion in federal funds to help states and territories fight the spread of the virus, which he said would include expanding access to testing.

Still, there have been many issues with the availability of the coronavirus test. Though testing capacity has improved, state health officials and medical providers in many areas say they are still unable to test as many people as they would like to, and tests remain available only to those who meet specific criteria. Public-health officials say that far more testing — for both the virus and antibodies — will be needed in order to safely reopen the economy.

On May 24, the Trump administration a new testing strategy, which holds states responsible for planning and carrying out all testing. Public-health experts and Democratic leaders have criticized the proposal, saying that it will pit states against each for supplies and may result in large inequities in testing capacity.

The Trump administration proposal also claims that the country’s current testing capacity — about a day — is sufficient to contain the outbreak. However, public experts say this falls far short of the number of tests needed to stop the spread of the virus, which is more like 5 million tests a day by June and 20 million tests a day by late July. Additionally, Robert Redfield, the head of the CDC, has said that the U.S. will need to add up to 100,000 contact tracers by September to contain the spread of the virus.

On March 19, Secretary of State Mike Pompeo that the U.S. would close its borders with Canada and Mexico, barring entry to all nonessential travelers. President Trump has also barred entry of all foreign nationals who have been in high-risk countries, including China, Iran, and much of Europe, within the last 14 days. The CDC has against all nonessential travel throughout most of Europe, South Korea, China, and Iran and has advised older and at-risk Americans to avoid travel to any country.

On March 27, President Trump signed a , the largest in modern American history, which sent direct payments of around $1,200 to millions of Americans who earn less than $99,000, along with an additional $500 per child. The went out on April 11. The plan also substantially expands unemployment benefits, including extending eligibility to freelance and gig workers, and provides aid to businesses and companies in distress. Treasury Secretary Steven Mnuchin has extended the tax-filing deadline to July 15, and President Trump signed another $484 billion relief package in late April, which will provide aid to small businesses and funding for hospitals and testing. On May 15, the House a new , which would include nearly $1 trillion in aid to state and local governments, as well as another round of $1,200 payments to Americans.

Researchers have made a number of early steps toward a vaccine that look promising. A that has been tested in eight people appears to be safe and effective, according to the manufacturer, Moderna, which plans to begin additional tests soon. On May 5, Pfizer and the German pharmaceutical company BioNTech announced that they were beginning human trials for a in the U.S., and the U.S. government has pledged to provide up to for vaccine research to the drug company AstrZeneca. However, U.S. government officials have said that producing a widely available vaccine could take a year to 18 months.

What should I do to minimize my coronavirus risk?

In most cases, COVID-19 is not fatal, but it to elderly people and those with preexisting conditions that compromise their immune systems. According , eight out of 10 deaths from COVID-19 in the U.S. have been adults age 65 and older. Doctors and medical workers may also be at greater risk, due to their higher-than-average odds of exposure, and data shows that in many areas, including New York, Black and Latino Americans have been .

On April 10, President Trump said that the CDC is that Americans wear masks when they are out in public, though he stressed that the guidelines were voluntary, and said he would not wear a mask himself. On April 15, Cuomo requiring New York residents to wear face coverings in public settings where they are not able to stay six feet away from other people, including buses, subways, sidewalks, and grocery stores. Los Angeles has also ordered residents to wear masks when visiting essential businesses.

The guidance on masks is driven in part by concern about the number of asymptomatic individuals who may be infected and transmitting the virus. The prevalence of asymptomatic spread has been a source of recent confusion after a WHO official said on Monday that transmission of the virus by individuals without symptoms appears to be “very rare.” However, the organization reversed course a day later, on Tuesday that up to 40 percent of transmission may occur through asymptomatic individuals. Previously, Fauci had estimated that between 25 and 50 percent of people infected with the virus may not experience any symptoms; this week, the WHO said it believes the number is around 16 percent.

If you have symptoms associated with coronavirus — coughing, fever, respiratory issues — call your doctor before showing up at their office: The virus is highly contagious and you want to limit the possibility of spreading it. If you are sick, that you stay home and self-isolate, confining yourself to one room as much as possible and wearing a face mask when you have to interact with others. Wash your hands frequently — soap and water and at least 20 seconds of scrubbing — and avoid touching shared household items, cleaning “high-touch” surfaces (like your phone)im电竞官网- regularly. Your health-care provider and even local health department will help you determine how long it’s appropriate for you to keep up these precautions.

Regardless of whether or not you have symptoms, though, keep your hands clean, and seriously, stop touching your face and just stay home.

This post has been updated.

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