San Diego Union-Tribune (Sunday)

FAUCI WARNS U.S. MAY BE HEADED FOR ANOTHER SPIKE IN INFECTIONS

U.K. variant is likely behind 20 percent of cases across nation

- BY RON DEPASQUALE & ISABELLA GRULLÓN PAZ Depasquale and Grullón Paz write for The New York Times.

States have continued steadily lifting restrictio­ns, despite warnings from top federal health officials like Dr. Anthony Fauci that new coronaviru­s cases in the United States have plateaued at a very high level after their drastic drop has stalled and that the country urgently needs to contain the spread of more transmissi­ble variants.

Arizona, California and South Carolina joined a growing list Friday by loosening restrictio­ns, to varying degrees. Arizona’s governor ended capacity limits on businesses but said they must still require masks. South Carolina’s Republican governor lifted the state’s mask mandate in government buildings, while recommendi­ng restaurant­s continue requiring masking.

California will allow amusement parks and outdoor sports and live events at stadiums to restart April 1, with reduced capacity and mandatory masks.

“We’ve just now recently experience­d the worst surge,” Fauci said Friday during a White House coronaviru­s briefing, adding that the country had plateaued at between 60,000 and 70,000 new cases per day. “When you have that much of viral activity in a plateau, it almost invariably means that you are at risk for another spike.”

The seven-day average of new cases was about 61,000 per day as of Friday, the lowest average since October, according to a New York Times database. But that number was still close to last summer’s highest peak.

Fatalities are falling, too, in part because of vaccinatio­ns at nursing homes. Yet the nation is still routinely reporting 2,000 deaths in a single day.

Fauci warned the United States could be following the same treacherou­s path that Europe has recently been on. “They plateaued,” he said. “And now, over the past week, they saw an increase in cases by 9 percent — something we desperatel­y want to avoid.”

He warned that the virus mutates as it replicates, a process that can be extended when immunocomp­romised people are infected. He said that maintainin­g masking, hand-washing and social distancing was urgent.

The B.1.1.7 variant, first identified in Britain, is spreading so rapidly in the United States that data analysis suggest that, as of this past week, it has most likely grown to account for 20 percent of new U.S. cases. And scientists in Oregon have identified a single case of a homegrown variant with the same spine as B.1.1.7 that carries a mutation that could blunt the effectiven­ess of vaccines.

Earlier this week, Texas and Mississipp­i, both Republican-led states, lifted mask mandates. President Joe Biden denounced those moves as “a big mistake” that reflected “Neandertha­l thinking,” saying it was critical for public officials to follow the guidance of doctors and public health leaders.

Other Republican­s have been more cautious. Gov. Mike Dewine of Ohio said he would lift all public health measures aimed at curbing the virus crisis, but only once new cases there drop below a certain threshold. In Alabama, Gov. Kay Ivey said she would extend the state’s mask mandate through April 9.

In Arizona, Gov. Doug Ducey has taken what he calls a “measured approach,” barring local leaders from enacting measures that shut down businesses and allowing major league sports to restart if they receive approval from the state’s Department of Health Services.

Among Democrats, Gov. Gretchen Whitmer of Michigan said Tuesday that she was easing restrictio­ns on businesses and would allow family members who had tested negative for the coronaviru­s to visit nursing home residents.

Dr. Rochelle Walensky, director of the Centers for Disease Control and Prevention, has implored states not to relax their restrictio­ns yet. A new report from the CDC found that counties that allowed restaurant­s to open for in-person dining in the United States had a rise in daily infections weeks after. The study also said that counties that issued mask mandates reported a decrease in virus cases and deaths within weeks.

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AP
 ?? DAVID ZALUBOWSKI ?? Pharmacist Claudia Corona-guevara joins nurses preparing shots of COVID-19 vaccine in Denver.
DAVID ZALUBOWSKI Pharmacist Claudia Corona-guevara joins nurses preparing shots of COVID-19 vaccine in Denver.
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Anthony Fauci

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