Orlando Sentinel

WORLD & NATION: Outcomes for reopening in US may not be known for weeks.

Possible outcomes in US may not be known for weeks

- By Carla K. Johnson, Michelle R. Smith and Tim Sullivan

States are beginning to restart their economies after months of paralyzing coronaviru­s lockdowns, but it could take weeks until it becomes clear whether those reopenings will cause a spike in COVID-19 cases.

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,” Thomas Tsai, assistant professor at the Harvard Global Health Institute, said Wednesday. “And what we have seen about COVID-19 is that the story and the effect is often very local.”

A handful of states started easing their lockdowns about two weeks ago, ranging from shopping malls in Texas to beach hotels in South Carolina to gyms in Wyoming.

Georgia was one of the first states where some businesses were allowed to open their doors again, starting April 24 with barber shops, 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,” Watson said in an email.

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 press briefing in Geneva. 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.

It can take three to five days for someone newly infected with the coronaviru­s to feel sick and some infected people won’t even have symptoms. Since testing is mostly reserved in the U.S. for those with symptoms, it can take two weeks or so — the time for one group of people to spread the virus to another — to have enough testing data to reflect a surge in cases.

“If you are doing adequate testing, it will take two to three weeks” to spot an increase, Dr. Ashish Jha, director of Harvard’s Global Health Institute, said Wednesday as he prepared to speak to a congressio­nal subcommitt­ee on the crisis.

He urged a dramatic increase in testing.

“It was the failure of testing that caused our country to shut down,” Jha said. “We need federal leadership on the level of testing, guidance on whom to test and federal help on the sheer capacity, the number of tests that can be done. We still do not have the testing capacity we need to open up safely.”

New coronaviru­s clusters have surfaced around the world as nations struggle to balance restarting their economies and preventing a second wave of infections.

Authoritie­s in the Chinese city of Wuhan, where the pandemic first began late last year, reportedly are pressing ahead to test all 11 million residents for the virus within 10 days after a handful of new infections were found.

In Lebanon, authoritie­s reinstated a nationwide lockdown for four days beginning Wednesday night after a spike in reported infections and complaints from officials that social distancing rules were being ignored.

Despite the risk that loosening restrictio­ns could lead to infection spikes, European nations have been seeking to restart cross-border travel, particular­ly as the summer holiday season looms for countries whose economies rely on tourists flocking to their beaches, museums and historical sites.

The tension in balancing people’s safety against severe economic fallout is playing out across the world. Italy partially lifted lockdown restrictio­ns last week only to see a big jump in confirmed coronaviru­s cases in its hardest-hit region. Pakistan reported 2,000 new infections in a single day after crowds of people crammed into local markets as restrictio­ns were eased.

The U.S. has the largest coronaviru­s outbreak in the world by far: 1.37 million infections and over 83,000 deaths, according to a tally by Johns Hopkins University. Worldwide, the virus has infected more than 4.3 million people and killed some 295,000. Experts say the actual numbers are likely far higher.

Meanwhile, Republican attorneys general in 14 states asked President Donald Trump on Wednesday to form a state-federal partnershi­p to hold China accountabl­e for damages caused by the spread of the new coronaviru­s.

The letter to the president says “the Chinese communist government” may have failed to provide informatio­n or provided misinforma­tion about the virus that led to its spread.

 ?? MATT YORK/AP ?? Guests dine Wednesday in Phoenix after Arizona Gov. Doug Ducey reinstated in-house dining at restaurant­s.
MATT YORK/AP Guests dine Wednesday in Phoenix after Arizona Gov. Doug Ducey reinstated in-house dining at restaurant­s.

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