Pittsburgh Post-Gazette

Virus spikes could emerge weeks after U.S. reopenings

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U.S. states are beginning to restart their economies after months of coronaviru­s lockdowns, but it could take weeks until it becomes clear if reopenings will cause a spike in COVID-19 cases, experts said Wednesday.

The outbreak’s trajectory varies wildly across the country, with steep increases in cases in some places, decreases in others and infection rates that can shift dramatical­ly from neighborho­od to neighborho­od.

“Part of the challenge is although we are focused on the top-line national numbers in terms of our attention, what we are seeing is 50 different curves and 50 different stories playing out,” said Thomas Tsai, assistant professor at the Harvard Global Health Institute. “And what we have seen about COVID-19 is that the story and the effect is often very local.”

Some states started easing their lockdowns about two weeks ago, from shopping malls in Texas to beach hotels in South Carolina to gyms in Wyoming. Georgia was one of the first states to allow some businesses to open their doors again, starting April 24 with hair salons, gyms, bowling alleys and tattoo parlors.

But it may be five to six weeks from then before the effects are known, said Crystal Watson of Johns Hopkins Center for Health Security.

“As we saw early in the year, epidemics of COVID-19 start slow and take some time to build and become evident,” she said in an email.

The outbreak’s trajectory can vary greatly around the country, according to an Associated Press analysis of confirmed cases. For instance, steep increases in daily new cases are occurring in Hennepin County in Minnesota and Fairfax County in Virginia, while in others, such as

Bergen County, N.J., and Wayne County, Mich., there’s been a steady decline.

The AP analyzed case counts compiled by Johns Hopkins University, using a rolling seven-day average to account for day-to-day variabilit­y in test reporting.

In Geneva, meanwhile, a top World Health Organizati­on official warned that it’s possible the new coronaviru­s may be here to stay.

“This virus may never go away,” Dr. Michael Ryan said at a news briefing. Without a vaccine, he said it could take years for the global population to build up sufficient levels of immunity.

“I think it’s important to put this on the table,” he said. “This virus may become just another endemic virus in our communitie­s,” like other previously novel diseases such as HIV, which have never disappeare­d but for which effective treatments have been developed.

 ?? Steph Chambers/Post-Gazette ?? A masked pedestrian makes his way through a shaft of light on Wednesday along Federal Street on the North Shore.
Steph Chambers/Post-Gazette A masked pedestrian makes his way through a shaft of light on Wednesday along Federal Street on the North Shore.

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