The Morning Call

Infections swell across US, Europe

Experts fear deaths will soon soar amid lapses in safety rules

- By David Crary, Carla K. Johnson and Geir Moulson

Coronaviru­s cases around the world have climbed to all-time highs of more than 330,000 per day as the scourge comes storming back across Europe and spreads with renewed speed in the U.S., forcing many places to reimpose tough restrictio­ns they had eased just a few months ago.

Well after Europe seemed to have largely tamed the virus that proved so lethal last spring, newly confirmed infections are reaching unpreceden­ted levels in Germany, the Czech Republic, Italy and Poland, and most of the rest of the continent is seeing similar danger signs.

France imposed a 9 p.m. curfew on Paris and other big cities. Londoners face new restrictio­ns on meeting with people indoors. The Netherland­s closed bars and restaurant­s this week. The Czech Republic and Northern Ireland shut down schools. Poland limited restaurant hours and closed gyms and pools.

In the United States, new cases per day are on the rise in 44 states, with the biggest surges in the Midwest and Great Plains, where resistance to wearing masks and observing other social distancing practices has been running high. Deaths per day are climbing in 30 states.

“I see this as one of the toughest times in the epidemic,” said Dr. Peter Hotez, an infectious-disease specialist at the Baylor College of Medicine in Texas. “The numbers are going up pretty rapidly. We’re going to see a pretty large epidemic across the Northern Hemisphere.”

Dr. Anthony Fauci, the U.S. government’s top infectious-disease expert, said Americans should think hard about whether to hold Thanksgivi­ng gatherings.

“Everyone has this traditiona­l, emotional, warm feeling about the holidays and bringing a group of people, friends and family, together in the house indoors,” he said on ABC’s “Good Morning America.” “We

really have to be careful this time that each individual family evaluates the risk benefit of doing that.”

Responses to the surge have varied in hard-hit states.

In North Dakota, Republican Gov. Doug Burgum raised the coronaviru­s risk level in 16 counties this week but issued no mandated restrictio­ns. In Wisconsin, a judge temporaril­y blocked an order from Democratic Gov. Tony Evers that would limit the number of people who can gather in bars and restaurant­s. Bars in much of Texas were allowed to reopen this week, but judges in several of the most populous counties opted to keep them closed.

According to Johns Hopkins University, new cases in the U.S.

have risen from about 40,000 per day on average to more than 52,000 over the past two weeks. Deaths were relatively stable over the same period, at around 720 a day. That is well below the U.S. peak of over 2,200 dead per day in late April.

Worldwide, deaths have fallen slightly in recent weeks to about 5,200 a day, down from a peak of around 7,000 in April.

The head of the World Health Organizati­on’s Europe office urged government­s to be “uncompromi­sing” in controllin­g the virus. He said most of the spread is happening because people aren’t complying with safety rules. “These measures are meant to keep us all ahead of the curve and to flatten its course,” Dr. Hans Kluge said,

while wearing a mask. “It is therefore up to us to accept them while they are still relatively easy to follow.”

In France, which reported over 22,000 new infections Wednesday, President Emmanuel Macron put 18 million residents in nine regions, including Paris, under a curfew starting Saturday. The country will deploy 12,000 police officers to enforce it.

“Our compatriot­s thought this health crisis was behind us,” Prime Minister Jean Castex said.

Italy set a one-day record for infections and recorded the highest daily death toll of this second wave, adding 83 victims to bring its official count to nearly 36,400, the second-highest in Europe after Britain.

In Britain, London and seven other areas face restrictio­ns that will mean more than 11 million people will be barred from meeting with anyone indoors from outside their households and will be asked to minimize travel starting this weekend.

European nations have seen nearly 230,000 confirmed deaths from the virus, while the U.S. has recorded more than 217,000, though experts agree the official figures understate the true toll.

So far in the new surges, deaths have not increased at the same pace as infections.

For one thing, it can take time for people to get sick and die of the virus. Also, many of the new cases involve young people, who are less likely than older ones to get seriously ill. Patients are benefiting from new drugs and other improvemen­ts in treating COVID-19. And nursing homes, which were ravaged by the virus last spring, have gotten better at controllin­g infections.

But experts fear it is only a matter of time before deaths start rising in step with infections.

“All of this does not bode well,” said Josh Michaud, associate director of global health policy with the Kaiser Family Foundation in Washington. “Rapid increases in cases like we’re seeing now are always followed by increases in hospitaliz­ations and deaths, which is what is likely to occur across much of Europe and the U.S. in the coming weeks and months.”

 ?? KIRSTY WIGGLESWOR­TH/AP ?? A shopper looks at masks Thursday in London, where residents face new restrictio­ns on meeting with others indoors.
KIRSTY WIGGLESWOR­TH/AP A shopper looks at masks Thursday in London, where residents face new restrictio­ns on meeting with others indoors.

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