Houston Chronicle Sunday

November’s total of U.S. cases twice as high as October’s

- By Tariro Mzezewa and Sarah Cahalan

The total number of coronaviru­s cases in the U.S. for November surpassed 4 million Saturday, more than double the record set in October of 1.9 million. And the escalation is likely to continue — or grow even steeper.

“We are on track to continue this accelerate­d pace of the epidemic and see even more speed of rise of cases because of the movement indoors, of activities around the country and because large numbers of people have moved around the country for the holidays,” said Tom Inglesby, director of the Center for Health Security at Johns Hopkins University.

The milestone came as Americans are traveling by the millions for the long Thanksgivi­ng weekend and amid a Black Friday that sawsome store crowding, even as merchants tried to guide customers to online sales and limit inperson shopping.

More than 170,000 people in the U.S. are now testing positive on an average day. More than 1.1 million people tested positive in the past week alone. The country’s overall total, from the start of the pandemic, is more than 13 million infections — by far the world’s largest outbreak.

The Thanksgivi­ng holiday, however, caused skews in reporting at the end of the week, with a steep dropoff in new cases reported Thursday and then a huge jump Friday. Many states did not report data on the Thanksgivi­ng holiday, when the national tally rose by more than 103,000 cases and more than 1,100 deaths — far lower levels than on the previous Thursday, Nov. 19, when 187,000 cases and 1,962 deaths were recorded.

For that reason, the numbers were artificial­ly high Friday, when many states reported two days’ worth of data. That pushed the country past 200,000 cases in a single day for the first time, with more than 205,000 reported as of late Friday, along with more than1,400 deaths. The preceding Friday, Nov. 20, the reports were more than 198,600 infections and more than 1,950 deaths.

The blurry data could persist. Access to testing around the country was likely to have decreased for a few days, meaning more infections could go uncounted. In Louisiana, testing sites run by the National Guard were slated to be closed Thursday and

Friday. InWisconsi­n, some National Guard testing sites closed all week.

Many hospitals across the country are already overcrowde­d and struggling to keep up with rising numbers of patients seeking care, and the pressure on the health care system is likely to only increase.

The country’s monthly case numbers have varied considerab­ly but have exploded over the past two months. Officials announced more than 188,000 cases in March, followed by a significan­tly higher 887,000 cases in April. From there, the monthly total dropped to more than 723,500 in May, and then, after the Memorial Day holiday, rose to more than 854,000 in June. That skyrockete­d to more than 1,918,000 in July, dropped to more than 1,473,000 in August and more than 1,216,000 in September and then shot back up past 1,946,000 in October.

The number for this month, as of midday Saturday, was 4,006,548, with more than two days left for the tally to grow.

Monthly deaths have been rising more slowly, but they are already higher than at any point since the spring surge, when New York, New Jersey and Louisiana

became global hot spots.

News of the likely approval of at least one vaccine in mid-December has raised hopes that the virus can be slowed, but until a significan­t proportion of the population can be vaccinated, experts say, people need to act responsibl­y.

And, they say, officials should add or create rules

that discourage indoor and group gatherings.

“There has to be a combinatio­n of individual members of the public making different decisions and policymake­rs restrictin­g the activities or settings with highest transmissi­on risk, like restaurant­s and bars, where people are sitting close for prolonged periods without masks,” Inglesby said.

 ?? Lynne Sladky / Associated Press ?? COVID-19 tests are conducted Saturday at a mobile walk-up testing site at a park in Miami.
Lynne Sladky / Associated Press COVID-19 tests are conducted Saturday at a mobile walk-up testing site at a park in Miami.
 ?? Lynne Sladky / Associated Press ?? A health care worker administer­s a COVID-19 test at a mobile walk-up site Saturday at a Miami park.
Lynne Sladky / Associated Press A health care worker administer­s a COVID-19 test at a mobile walk-up site Saturday at a Miami park.

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