Covid-19 numbers show promise, but health experts warn each state is a different battleground

In an interview with Jake Tapper, Dr. Anthony Fauci, responds to reports that his early warnings on the pandemic were ignored.

Posted: Apr 13, 2020 5:40 PM
Updated: Apr 13, 2020 5:40 PM

The White House wants the country to "reopen" soon and New York's governor says a regional reopening is in the offing, but experts warn that in the United States' coronavirus fight, different states will see different peaks.

More than 22,800 people have died from Covid-19 since the virus arrived on American shores, according to Johns Hopkins University's numbers, but the daily tally of deaths dropped Saturday and Sunday, which could be a sign for optimism.

The number of infections -- which stood at more than 560,000 on Monday afternoon -- were also down Saturday and Sunday.

This comes as US Surgeon General Dr. Jerome Adams says cases in some of the country's hotspots -- New York, New Jersey, Detroit and New Orleans -- appear to be "leveling off" or even declining. The situations in California and Washington, meanwhile, remain stable.

"In the midst of tragedy, there IS hope," Adams tweeted Monday. "Social distancing and mitigation IS working. There is a light at the end of this dark tunnel, so keep at it."

Still, many states are in the throes of an intense effort to stem the illness' spread. New York crossed the 10,000-death threshold Monday, as its cases topped 190,000, Gov. Andrew Cuomo said. New Jersey and Michigan also have frightening death tolls, with more than 2,300 and 1,400 respectively.

The upside to New York's numbers is that the three-day average for hospitalization, new hospitalizations, intensive care admissions and intubations are all down, Cuomo said Monday morning.

The Northeast joins forces

Cuomo announced Monday the beginning of a "geographically coordinated" reopening plan in conjunction with leaders in New Jersey, Connecticut, Pennsylvania, Delaware and Rhode Island. Each state will name health and economic officials to join the governors' chiefs of staffs to a working group, which will begin discussions Tuesday.

The group will come up with "parameters to go forward," Cuomo said, and while they may not agree on every aspect of the strategy, finding areas where they can coordinate will be important, especially given the states' close economic, health and transportation ties.

Calling the commuter thoroughfare from his state of Connecticut to New York the "Covid corridor," Gov. Ned Lamont said it was vital that "you don't pull the trigger too early," but applauded the partnership.

"The reality is this virus doesn't care about state borders, and our response shouldn't either," Rhode Island Gov. Gina Raimondo said.

"By working, sharing our information and intelligence, I think will help each of us make better decisions," Delaware Gov. John Carney added, while Pennsylvania Gov. Tom Wolf said, "We can do anything better when we work together in this region."

Trump is scheduled Tuesday to announce the formation of the "Opening our Country Council," which is expected to focus on ways to stimulate the economy. Another panel, the White House's coronavirus task force, has been focusing on providing advice to the states on what to do once reopening is advised.

The task force is weighing potential benchmarks that would precede reopening the states, but have yet to settle on specific targets, people familiar with the discussions said.

Doctors in wait-and-see mode

All 50 states are under a federal disaster declaration for the first time in US history. There are more than 29,000 members of the National Guard deployed across the country to deal with the pandemic, according to the National Guard Bureau. Guardsmen have been called to serve a variety of roles, from staffing emergency operations centers to restocking grocery shelves.

Key to how optimistic Americans should be will depend on what comes next. The country's testing trajectory will be hugely important, experts say.

While President Donald Trump says he wants to reopen the country next month -- even telling state governments to "be ready" as he plans to announce a special council to reopen the country -- health officials say they're still in wait-and-see mode even if the numbers look promising.

"It's important to look at the country as many different separate situations," said Dr. Robert Redfield, director of US Centers for Disease Control and Prevention, on NBC's "Today" show.

"This pandemic has affected different parts of the country differently," Redfield said. "We're looking at the data very carefully, county by county by county, and we will be assessing that."

Public health capabilities need to be improved to perform early case detection, isolation and contact tracing, he said, and officials need to "start working to rebuild confidence in the community, so the community has confidence to reopen."

Testing and social distancing

The US is "nearing the peak right now," Redfield told the morning show.

"You'll know when you're at the peak when the next day is less than the day before," he said. "We are stabilizing across the country in terms of the state of this outbreak."

As for getting the country back to normal, Redfield said it has to be done correctly and "it's going to be a step-by-step, gradual process."

The call for caution is being echoed on the world stage as World Health Organization Director-General Tedros Adhanom Ghebreyesus asked people to remember the virus accelerates faster than it decelerates, so "control measures can only be lifted if the right public health measures are in place."

Redfield concurred with Adams that social distancing is working -- and said the potential death toll "while sadly too high, was far less than we anticipated" -- but said relaxing those guidelines would need to be done carefully.

Testing is still not widely available, and many states have still tested only small percentages of their populations.

The White House has worked to develop a more robust testing strategy, including shipping new rapid tests developed to states, and has worked to scale up serology testing, used to detect antibodies that would identify people who are likely immune to coronavirus and who could return to work or other aspects of normal life.

Antibody tests, which reveal past coronavirus infection -- an especially important test for health care workers -- will "give us a good idea from a surveillance point of view of how significant the outbreak was."

Weather adds to social distancing stress

As millions of Americans worried about stay-at-home orders and social distancing Sunday, about 95 million people in nearly 20 states experienced severe weather and tens of millions more will see storms Monday.

A majority of the storms were across the South and East Coast, according to the National Weather Service, with at least 34 tornadoes reported in Texas, Louisiana, Mississippi and Georgia as of early Monday. At least 18 people died.

Emergency officials said Sunday people sheltering from tornadoes and protecting themselves from severe weather take priority over the social distancing guidelines Americans are adhering to during the coronavirus pandemic.

Forecast models show the worst of the weather sweeping up the eastern portions of Georgia, the Carolinas and Virginia, but even as far north as New York, officials were urging caution.

New York City Mayor Bill de Blasio told residents the best protection from the weather is to continue to practice social distancing.

"We have strong winds and heavy rain coming our way on Monday, New York City, so it's really simple: if you do not need to be outside tomorrow then STAY HOME," de Blasio tweeted.

Indiana Coronavirus Cases

Data is updated nightly.

Confirmed Cases: 116549

Reported Deaths: 3577
CountyConfirmedDeaths
Marion21322766
Lake10566323
Elkhart6623111
St. Joseph6488109
Allen6244203
Hamilton4893109
Vanderburgh365231
Hendricks2741123
Monroe259836
Tippecanoe248313
Johnson2328124
Clark222757
Porter215447
Delaware196062
Cass19509
Vigo183527
Madison167075
LaPorte144440
Floyd137063
Warrick133039
Howard131363
Kosciusko121817
Bartholomew117057
Marshall100724
Boone98146
Dubois97919
Hancock93043
Grant92534
Noble91532
Henry80326
Wayne76114
Jackson7589
Morgan72438
Shelby67429
Daviess67228
Dearborn66428
LaGrange63811
Clinton60214
Harrison58224
Putnam57912
Gibson5225
Knox5179
Lawrence51229
Montgomery51121
White48614
DeKalb48311
Decatur45839
Miami4363
Greene42635
Fayette42213
Jasper3962
Steuben3857
Scott37711
Sullivan33712
Posey3350
Jennings31412
Franklin30925
Clay3015
Ripley2988
Orange28824
Whitley2766
Carroll27513
Wabash2688
Adams2663
Washington2661
Starke2647
Wells2634
Jefferson2483
Spencer2463
Fulton2412
Huntington2363
Tipton22722
Perry21913
Randolph2167
Jay1850
Newton17311
Owen1691
Martin1660
Rush1554
Pike1511
Vermillion1300
Fountain1272
Blackford1193
Pulaski1131
Crawford1070
Brown1043
Parke1002
Benton870
Union790
Ohio787
Switzerland690
Warren401
Unassigned0226

Ohio Coronavirus Cases

Data is updated nightly.

Confirmed Cases: 150009

Reported Deaths: 4740
CountyConfirmedDeaths
Franklin26872607
Cuyahoga17437656
Hamilton13158315
Montgomery7809163
Lucas7303364
Butler6022111
Summit5304252
Marion309647
Warren308349
Mahoning3065281
Stark2872175
Pickaway265344
Lorain231186
Delaware225920
Fairfield210553
Columbiana193180
Licking192763
Trumbull1888132
Wood186672
Clark179940
Clermont172523
Lake162851
Medina146739
Greene145332
Allen143769
Miami143651
Portage113966
Mercer112218
Erie94347
Tuscarawas93120
Wayne93168
Richland88819
Ross88424
Madison82312
Darke79942
Belmont72127
Geauga72049
Hancock71010
Athens6782
Ashtabula65948
Lawrence65822
Shelby64510
Auglaize6079
Putnam60323
Sandusky57620
Huron5467
Union5382
Scioto5057
Seneca48014
Ottawa46830
Preble43515
Muskingum4103
Holmes3879
Jefferson3364
Henry31414
Logan3123
Champaign3073
Clinton30013
Perry2979
Defiance29211
Brown2882
Knox28415
Washington26023
Jackson2586
Morrow2582
Hardin25513
Fulton2441
Ashland2394
Crawford2386
Coshocton23411
Fayette2316
Highland2303
Wyandot21212
Williams2093
Gallia19113
Pike1910
Meigs17510
Guernsey1698
Hocking1649
Carroll1527
Adams1314
Van Wert1193
Monroe11018
Paulding1100
Harrison633
Morgan470
Vinton473
Noble300
Unassigned00
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