Albany Times Union

‘Unfathomab­le’ total reached

Vaccine unlikely to become widely available until ’21

- By Carla K. Johnson

U.S. death toll from the coronaviru­s topped 200,000 Tuesday, the highest in the world, coming six weeks before Election Day.

The U.S. death toll from the coronaviru­s topped 200,000 Tuesday, by far the highest in the world, hitting the once-unimaginab­le threshold six weeks before an election that is certain to be a referendum in part on President Donald Trump’s handling of the crisis.

“It is completely unfathomab­le that we’ve reached this point,” said Jennifer Nuzzo, a Johns Hopkins University public health researcher, eight months after the scourge first reached the world’s richest nation.

Deaths are running at close to 770 a day on average, and a widely cited model from the University of Washington predicts the U.S. toll will double to 400,000 by the end of the year as schools and colleges reopen and cold weather sets in.

A vaccine is unlikely to become widely available until 2021.

“The idea of 200,000 deaths is really very sobering, in some respects stunning,” Dr. Anthony Fauci, the government’s top infectious-disease expert, said on CNN.

The bleak milestone was reported by Johns Hopkins, based on figures supplied by state health authoritie­s. But the real toll is thought to be much higher, in part because many COVID-19 deaths were probably ascribed to other causes, especially early on, before widespread testing.

Trump said it was “a shame” the U.S. reached that number but argued the toll could have been much worse.

“I think if we didn’t do it properly and do it right, you’d have 2.5 million deaths,” Trump told reporters at the White House before leaving for a campaign rally in Pittsburgh. He added that the United States is now “doing well” and “the stock market is up.”

He also gave his broadside that China was at fault for the pandemic. In a prerecorde­d speech to the U.N. General Assembly, he demanded that Beijing be held accountabl­e for having “unleashed this plague onto the world.” China’s ambassador rejected the accusation­s as baseless.

On Twitter, Democratic presidenti­al candidate Joe Biden said, “It didn’t have to be this bad.”

“It’s a staggering number that’s hard to wrap your head around,” he said. “There’s a devastatin­g human toll to this pandemic — and we can’t forget that.”

For five months, America has led the world by far in sheer numbers of confirmed infections — nearly 6.9 million as of Tuesday — and deaths. The U.S. has less than 5 percent of the globe’s population but more than 20 percent of the reported deaths.

Brazil is No. 2 with about 137,000 deaths, followed by India with approximat­ely 89,000 and Mexico with around 74,000.

“All the world’s leaders took the same test, and some have succeeded and some have failed,” said Dr. Cedric Dark, an emergency physician at Baylor College of Medicine in hard-hit Houston. “In the case of our country, we failed miserably.”

Black and Hispanic people and American Indians have accounted for a disproport­ionate share of the deaths, underscori­ng the economic and health care disparitie­s in the U.S.

Worldwide, the virus has infected more than 31 million people and is closing in fast on 1 million deaths, by Johns Hopkins’ count, though the real numbers are believed to be higher because of gaps in testing and reporting.

When the year began, the U.S. had recently garnered recognitio­n for its readiness for a pandemic. Health officials seemed confident as they converged on Seattle in January to deal with the country’s first known case of the coronaviru­s, in a 35-year-old Washington state resident who had returned from visiting his family in Wuhan, China.

On Feb. 26, Trump held up pages from the Global Health Security Index, a measure of readiness for health crises, and declared, “The United States is rated No. 1 most prepared.”

The U.S. outranked the 194 other countries in the index.

But monitoring at airports was loose. Travel bans came too late. Only later did health officials realize the virus could spread before symptoms show up, rendering screening imperfect. The virus also swept into nursing homes and exploited poor infection controls, claiming more than 78,000 lives.

Gaps in leadership led to shortages of testing supplies. Internal warnings to ramp up production of masks were ignored, leaving states to compete for protective gear.

Trump downplayed the threat early on, advanced unfounded notions about the behavior of the virus, promoted unproven or dangerous treatments, complained too much testing was making the U.S. look bad, and disdained masks, turning face coverings into a political issue.

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 ?? J. Scott Applewhite / Associated Press ?? Activists from the COVID Memorial Project mark the deaths of 200,000 lives lost in the U.S. to COVID-19 after placing thousands of small American flags on the grounds of the National Mall in Washington on Tuesday.
J. Scott Applewhite / Associated Press Activists from the COVID Memorial Project mark the deaths of 200,000 lives lost in the U.S. to COVID-19 after placing thousands of small American flags on the grounds of the National Mall in Washington on Tuesday.

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