COVID CASES SOAR IN U.S. CITIES

Chicago, Philadelphia among areas exceeding past peaks of infections

Major American cities are reporting dramatic increases in coronavirus cases, with some being hit harder than they were during their previous peaks. Testing has greatly ramped up since the start of the pandemic, but that alone does not explain the growing caseloads.

“The dreaded fall wave, in many places, is upon us,” said Josh Michaud, an epidemiologist and associate director for global health policy at the nonprofit Kaiser Family Foundation. “And that includes in metropolitan areas.”

For a few months, coronavirus-weary Chicago residents got a reprieve from the strict regulations that shuttered the nation’s thirdlargest city during the spring.

After infections plummeted in early June, restaurants welcomed diners back inside. Movie theaters, fitness centers and bowling alleys reopened their doors. And the barriers came down on the bike pathway along the city’s cherished lakefront.

But the seven-day average of new cases in Cook County hit a record high of 4,654 on Nov. 17 — far outpacing the peak of 1,690 during the spring surge. Deaths are lower than the numbers seen in the spring but have climbed in recent weeks.

Statewide measures have closed some businesses and limited the capacity at others, while officials are urging residents to stay home. Again.

“We’ve been through a heck of a lot this year,” Lori Lightfoot, the

city’s Democratic mayor, said during a recent news conference. “And it’s not over.”

Across much of America, the picture is similar. Major metropolitan areas were the face of the pandemic before being overtaken by spikes in less populated parts of the country in September. Since then, the nation’s worst outbreaks have been concentrated in rural parts of the Upper Midwest.

In recent weeks, counties home to cities including Philadelphia, Los Angeles, Detroit, Las Vegas and Minneapolis have seen new cases surpass their past highs. Miami-Dade County has been trending up again, while Salt Lake County is experiencing its first major peak of the pandemic, with

cases and hospitalizations rising since early October.

In Maricopa County, which includes Phoenix, Valleywise Health “had a little breather” after the summer’s surge in Sun Belt states, said Michael White, the health system’s chief clinical officer. But the seven-day average of new cases, which hovered around 500 a day in late October, exceeded 2,000 on Monday.

“We’re hanging in there is how I would describe it,” White said. “Our biggest concern always is, as we continue to see this case count rise, that that certainly can lead to more folks needing hospitalization down the road, on top of a time where we usually see a higher rate of hospitalizations for nonCOVID-related illnesses.”

Phoenix-based Banner Health is projecting that 125 percent of the system’s licensed hospital beds will be

full by the first week of December. Hospital administrators believe they have stocked up on enough personal protective equipment, ventilators and beds to weather the surge, Chief Clinical Officer Marjorie Bessel said during a news conference Tuesday. They worry most about staffing — they’ve hired nearly 1,000 health care workers from out of state and are recruiting 900 more.

The health system always beefs up its staff for the winter months, Bessel said, but the coming weeks are expected to be markedly different from previous years and even the Sun Belt’s summer surge.

“The entire country is surging at the same time,” she said.

Health officials attribute the virus’ resurgence in cities to several factors, including eased restrictions, in

creased gatherings and what’s being called “COVID fatigue.”

Eight months into the pandemic, “there is no longer that sense of urgency,” said Mouhanad Hammami, chief health strategist in Wayne County, home to Detroit. “When you live with something, it is no longer urgent, and you tend to get desensitized to it.”

Officials in many hardhit cities also point to increasingly widespread transmission across the United States, which has been reporting record-setting numbers of infections. Over the past week, the country had well over 150,000 new cases each day.

Ahead of Thanksgiving, traditionally a time of significant travel and extended family get-togethers, health experts feared the number would only continue to climb.