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Voters in virus hot spots back Trump

Analysis finds 93% in hard-hit counties side with president

- By Carla K. Johnson, Hannah Fingerhut and Pia Deshpande

Voters went to the polls divided on how they see President Donald Trump’s response to the coronaviru­s pandemic, with a surprising twist: In places where the virus is most rampant now, Trump enjoyed enormous support.

An Associated Press analysis reveals that in 376 counties with the highest number of new cases per capita, the overwhelmi­ng majority — 93% of those counties— went for Trump, a rate above other less severely hit areas.

Most were rural areas in the Dakotas, Iowa, Kansas, Montana, Nebraska and Wisconsin.

Taking note of the contrast, state health officials are pausing for amoment of introspect­ion. Even as they worry about rising numbers of hospitaliz­ations and deaths, they hope to reframe their messages and aim for a reset on public sentiment now that the election is over.

“Public health officials need to step back, listen to and understand the people who aren’t taking the same stance” on mask-wearing and other controlmea­sures, said Dr. Marcus Plescia of the Associatio­n of State and Territoria­lHealth Officials.

“I think there’s the potential for things to get less charged and divisive,” he said, adding that there’s a chance a retooled public health message might unify Americans around lowering case counts so hospitals won’t get swamped during the winter months.

The findings come as the United States set another record Wednesday with 100,000 new confirmed coronaviru­s

cases in a single day for the first time since the pandemic began.

Daily new confirmed coronaviru­s cases in the U.S. have surged 45% over the past two weeks, to a record seven-day average of 86,352, according to data compiled by JohnsHopki­ns University. Deaths are also on the rise, up 15 percent to an average of 846 deaths every day.

The totalU.S. death toll is already more than 234,000, and total confirmed U.S. cases have surpassed 9 million, the highest totals in the world.

Several states Wednesday reported grim numbers that are fueling the national trends.

Texas reported 9,048 new cases and 126 deaths, and the number of coronaviru­s

patients in Missouri, Nebraska and Oklahoma hospitals set records.

About a third of the new cases in Texas happened in hard-hit El Paso, where a top health officials said hospitals are at a “breaking point.”

The AP’s analysis was limited to counties in which at least 95% of precinctsh­ad reported results, and grouped counties into six categories based on the rates of COVID-19 cases they’d experience­d per 100,000 residents.

Polling, too, shows voters who split on Republican Trump vs. Democrat Joe Biden differed on whether the pandemic is under control.

Thirty-six percent of Trump voters described the pandemic as completely or mostly under control, and another 47% said it was somewhat under control, according to AP VoteCast, a nationwide survey of more than 110,000 voters conducted for the AP byNORC at theUnivers­ity of Chicago. Meanwhile, 82% of Biden voters said the pandemic is not at all under control.

The pandemic was considered at least somewhat under control by slim majorities of voters in many red states, including Alabama (60%), Kentucky (55%), Mississipp­i (58%), Missouri ( 54%), South Carolina (56%), Tennessee (56%) and Texas (55%).

In Wisconsin, where the virus surged just before the election, 57% said the pandemic was not under control.

In Washington state, where the virus is more in control nowcompare­dwith earlier in the year, 55% said the same. Voters in New York and New Hampshire, where the virus is more controlled now after early surges, were roughly divided in their assessment­s, similar to voters nationwide.

Trump voters interviewe­d by AP reporters said they value individual freedom and believed the president was doing as well as anyone could in response to the coronaviru­s.

Michaela Lane, 25, a Republican, dropped her ballot off last week at a polling site at an outdoor mall in Phoenix. She cast her vote for Trump.

“I feel like the most important issue facing the country as a whole is liberty at large,” Lane said. “Infringing on people’s freedom, government overrule, government overreach, chaos in a lot of issues currently going on and just giving people back their rights.”

About half of Trump voters called the economy and jobs the top issue facing the nation, roughly twice the percentage who named the pandemic, according to VoteCast. By contrast, a majority of Biden voters — about 6 in 10 — said the pandemic was the most important issue.

In Madison, Wisconsin, Eric Engstrom, 31, an investment analyst and his wife, Gwen, voted absentee bymail in early October.

Trump’s failure to control the pandemic sealed his vote for Biden, Engstrom said, calling the coronaviru­s the most immediate threat the nation faces.

He and his wife are expecting their first child, a girl, inJanuary andfear “the potential of one of us or both of us being sick when the baby is born,” he said.

The political temperatur­e has added to the stress of public health officials, Plescia said. “Our biggest concern is how long can they sustain this pace?” he said.

Since the start of the pandemic, 74 state and local public health officials in 31 states have resigned, retired or been fired, according to an ongoing analysis by AP and KaiserHeal­thNews.

As the election mood dissipates, rising hospitaliz­ations amid colder weather create “a really pivotalmom­ent” in the pandemic, said Sema Sgaier, executive director of the Surgo Foundation, a Washington­nonprofit that worked with Harvard University­Ariadne Labs to develop a tool for estimating vaccine needs in states.

“We really need to get our act together. When I say ‘we’ I mean collective­ly,” Sgaier said.

Finding common ground may become easier if one or more of the vaccine candidates proves safe and effective and gains government approval, she said.

“The vaccine provides the reset button,” Sgaier said.

Dr. Anthony Fauci may be another unifying force.

According to VoteCast, 73% of voters nationwide approve of the way Fauci, the director of the National Institute of Allergy and Infectious Diseases, has been handling the pandemic.

Among Trump voters, 53% approve of Fauci’s performanc­e. About 9 in 10 Biden voters approve.

 ?? COLTER PETERSON/ST. LOUIS POST-DISPATCH ?? Ronnie Godby, a custodian, wipes down a teacher’s desk at an elementary school in Arnold, Missouri.
COLTER PETERSON/ST. LOUIS POST-DISPATCH Ronnie Godby, a custodian, wipes down a teacher’s desk at an elementary school in Arnold, Missouri.

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