San Antonio Express-News

Nearly half of new U.S. infections in 5 states

- By Russ Bynum and Michelle R. Smith

Nearly half of new coronaviru­s infections nationwide are in just five states — a situation that is putting pressure on the federal government to consider changing how it distribute­s vaccines by sending more doses to hot spots.

New York, Michigan, Florida, Pennsylvan­ia and New Jersey together reported 44 percent of the nation’s new COVID-19 infections, or nearly 197,500 new cases, in the latest available seven-day period, according to state health agency data compiled by Johns Hopkins University. Total U.S. infections during the same week numbered more than 452,000.

The heavy concentrat­ion of new cases in states that account for 22 percent of the U.S. population has prompted some experts and elected officials to call for President Joe Biden’s administra­tion to ship additional vaccine doses to those places. So far, the White House has shown no signs of shifting from its policy of dividing vaccine doses among states based on population.

Sending extra doses to places where infection numbers are climbing makes sense, said Dr. Elvin Geng, a professor in infectious diseases at Washington University. But it’s also complicate­d. States that are more successful­ly controllin­g the virus might see less vaccine as a result.

“You wouldn’t want to make those folks wait because they were doing better,” Geng said. “On the other hand, it only makes sense to send vaccines to where

the cases are rising.”

The spike in cases has been especially pronounced in Michigan, where the seven-day average of daily new infections reached 6,719 cases Sunday — more than double what it was two weeks earlier. Only New York reported higher case numbers. And California and Texas, which have vastly larger population­s than Michigan, are reporting less than half its number of daily infections.

California plans to lift most coronaviru­s restrictio­ns on businesses and workplaces June 15, with officials saying enough people should be vaccinated by then to allow for life to almost get back to a pre-pandemic normal.

Health and Human Services Secretary Mark Ghaly said Tuesday that the mask mandate in the nation’s most populated state will remain in effect and cautioned that California will reopen more widely in mid-june only if vaccine supply remains sufficient and hospitaliz­ation rates remain stable and low.

Though Michigan has seen the

highest rate of new infections in the past two weeks, Democratic Gov. Gretchen Whitmer has said she does not plan to tighten restrictio­ns. She has blamed the virus surge on pandemic fatigue, which has people moving about more, as well as more contagious variants.

In New York City, vaccinatio­n appointmen­ts are still challengin­g to get. Mayor Bill de Blasio has publicly harangued the federal government about the need for a bigger vaccine allotment almost daily, a refrain he repeated when speaking to reporters Tuesday.

“We still need supply, supply, supply,” de Blasio said, before adding, “But things are really getting better.”

In New Jersey, where the sevenday rolling average of daily new infections has risen over the past two weeks, from 4,050 daily cases to 4,250, Democratic Gov. Phil Murphy said he is constantly talking to the White House about demand for the coronaviru­s vaccine.

New virus variants are clearly

one of the drivers in the increase, said Dr. Kirsten Bibbins-domingo, chair of the department of epidemiolo­gy and biostatist­ics at the University of California, San Francisco. Failure to suppress the rise in cases will lead to more people getting sick and dying, she said, and drive increases in other parts of the country.

“More vaccine needs to be where the virus is,” Bibbins-domingo said, adding that people should get over the “scarcity mindset” that has them thinking surging vaccine into one place will hurt people elsewhere.

Talk of sending extra shots to some states comes at a time when the number of daily infections in the U.S. has fallen dramatical­ly compared to a January spike following the holiday season. However, the seven-day average of daily infections been rising slowly since mid-march.

The five states seeing the most infections stand out. As of Tuesday, 31 U.S. states were reporting seven-day averages of fewer than 1,000 new daily cases.

 ?? Lynne Sladky / Associated Press ?? Leanne Montenegro, 21, gets the Pfizer shot at Miami Dade College. Florida, New York, Michigan, Pennsylvan­ia and New Jersey lead the nation in new COVID-19 cases.
Lynne Sladky / Associated Press Leanne Montenegro, 21, gets the Pfizer shot at Miami Dade College. Florida, New York, Michigan, Pennsylvan­ia and New Jersey lead the nation in new COVID-19 cases.

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