US coronavirus: ‘Hunker down’ because the fall Covid-19 surge is here

“We went down to the lowest point lately in early September, around 30,000-35,000 new cases a day. Now we’re back up to (about) 50,000 new cases a day. And it’s going to continue to rise,” Dr. Peter Hotez, dean of the National School of Tropical Medicine at Baylor College of Medicine, stated Tuesday.

“This is the fall/winter surge that everyone was worried about. And now it’s happening. And it’s happening especially in the northern Midwest, and the Northern states are getting hit very hard — Wisconsin, Montana, the Dakotas. But it’s going to be nationally soon enough.”

For the complete nation, take a look at positivity averaged 5.1% over the previous week as of Tuesday. But in at the least 13 states, the determine was above 10%: in Alabama, Florida, Iowa, Idaho, Indiana, Kansas, Montana, Nebraska, Nevada, South Dakota, Utah, Wisconsin and Wyoming, in accordance with the COVID Tracking Project.

“You’d like to see (the rates) less than 3%, optimally 1% or less,” Fauci, director of the National Institute of Allergy and Infectious Diseases, stated at an occasion hosted by the College of American Pathologists.

“We’re starting to see a number of states well above that, which is often — in fact, invariably — highly predictive of a resurgence of cases, which historically we know leads to an increase in hospitalizations and then ultimately an increase in deaths,” he stated.

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In Denver, latest case counts are as “high right now as they were at the height of the pandemic back in May,” Mayor Michael Hancock stated Monday.

He stated hospitalizations have additionally soared, and residents may face tighter Covid-19 restrictions if the numbers preserve going up.

Kansas has damaged its file for the highest common variety of day by day instances with greater than 700 instances per day this previous week, Gov. Laura Kelly stated.

More than 1,000 new instances have been reported Tuesday in Colorado. “It’s very worrisome. It’s very alarming. This is our highest single-day caseload since March,” Gov. Jared Polis stated.

In Wisconsin, a field hospital is opening this week to deal with a fast rise in coronavirus sufferers. The state not too long ago reported record-high numbers of Covid-19 instances, hospitalizations and day by day deaths.
If Americans do not flip the tide, the US might be in for a devastating winter. The University of Washington’s Institute for Health Metrics and Evaluation projects greater than 135,000 individuals in the US may die inside the subsequent three months.

“This winter — this November, December, January, February — could be the worst time in our epidemic,” Hotez stated. “Get ready to hunker down.”

How overwhelmed hospitals can have an effect on all sufferers

As we have seen all through this pandemic, surges in new Covid-19 instances might result in elevated hospitalizations and deaths in the following weeks.

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At least 10 states have reported record-high Covid-19 hospitalizations since Friday, in accordance with information from the COVID Tracking Project. Five of them — Arkansas, Montana, North Dakota, Oklahoma and Wisconsin — reported data on Monday.

“Hospitals could again become overwhelmed,” emergency drugs doctor Dr. Leana Wen stated. “And then we’re not just talking about patients with coronavirus who might be in trouble. It’s also about other patients who might be coming in for heart attacks and strokes and car accidents who may find a situation that’s really untenable.”

Kentucky Gov. Andy Beshear expressed concern a couple of rising variety of hospitalizations. The commonwealth reported 741 Kentuckians are at present hospitalized for coronavirus, with 170 in the intensive care unit and 90 on a ventilator, he stated.

Utah Gov. Gary Herbert stated the state has seen an infection charges and case counts skyrocket over the previous month to the highest they have been, with new instances hovering round 1,000 per day since October 4.

“We are utilizing 15.8% of our ICU beds to treat COVID-19 patients, more than double what we were before, and our total ICU utilization is at 69.6%,” Herbert tweeted. “This leaves our hospitals precariously close to being unable to treat COVID and non-COVID patients in need of critical care.”

Some well being care employees in the US nonetheless do not have satisfactory private protecting gear and testing provides, emergency drugs doctor Dr. Megan Ranney stated.

“We’re quite fearful for what we are heading into,” she stated.

Nationwide, hospitalizations have been ticking up — 35,072 have been reported Monday, and the day by day depend has climbed comparatively steadily since a latest low of about 28,600 on September 20.

13% enhance in little one Covid-19 instances in 2 weeks

More kids are additionally being recognized with Covid-19, in accordance with the American Academy of Pediatrics and the Children’s Hospital Association.

Their newest report found a 13% enhance in little one instances reported from September 24 to October 8 — with greater than 77,000 new reported infections.
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The report checked out information from well being departments in 49 states, New York City, the District of Columbia, Puerto Rico and Guam. Children represented about 10.7% of Covid-19 instances in the states that reported instances by age, the report stated.

The information comes as many faculties have returned to in-person instruction and are navigating challenges that include new infections.

There’s no “one-size-fits-all” technique to soundly returning to lecture rooms, Fauci stated.

The choices needs to be primarily based on how widespread infections are in the neighborhood and the way a lot surveillance is required, Fauci stated.

“When schools are prepared, when they have a plan, when everyone is universally wearing masks, when they’re testing people in a surveillance way to get people who are infected out of the system, (and) they know what to do when they’re confronted with a person a child or older students who gets infected — it can work,” he stated.

A vaccine trial is paused, however that is ‘utterly anticipated’

As Americans look forward to a protected and efficient vaccine, Johnson & Johnson has paused the superior medical trial of its experimental vaccine because of an unexplained sickness in certainly one of the volunteers, the firm introduced.

The drugmaker stated Tuesday that it did not know instantly know whether or not the in poor health volunteer had acquired the vaccine candidate or a placebo, and that it had little details about the sickness itself.

Johnson & Johnson stated that it realized of the sickness Sunday and instantly knowledgeable the research’s unbiased Data Safety Monitoring Board (DSMB), which is reviewing the sickness.

“It’s not at all unusual for unexpected illnesses to occur in large studies over their duration,” and generally they don’t have anything to do with the drug candidate, Mathai Mammen, international head of analysis at Johnson & Johnson’s pharmaceutical division, Janssen, stated Tuesday in the firm’s third-quarter earnings name.

As of Tuesday morning, the research was nonetheless blinded, which means neither these immediately administering the medicine or placebos nor the volunteers know which volunteers are receiving which parts of the research, Mammen stated. The DSMB can “unblind” the research to research the sickness if essential, he stated.

Johnson & Johnson pauses Covid-19 vaccine trial after 'unexplained illness'

This form of pause is not instantly regarding, stated Dr. Ashish Jha, dean of the Brown University School of Public Health.

“This is completely expected, and it’s just a reminder how ridiculous it is to try and meet a political timeline of having a vaccine before November 3,” Jha stated, referring to President Donald Trump’s wishes to have a vaccine ready for the public by Election Day.

“The Johnson & Johnson trial is the biggest trial of the vaccine that I know of — 60,000 people,” Jha stated. “Within that trial, you’d expect a few pauses.”

This is the second Phase 3 Covid-19 vaccine trial to hit the pause button in the US. AstraZeneca’s vaccine trial was paused last month because of a neurological complication in a volunteer. While that trial has resumed in different elements of the world, it stays paused in the US whereas well being officers examine.

Fauci stated Tuesday that present efforts towards vaccine growth are “on a really good track” regardless of the Johnson & Johnson information.

“A couple of the vaccines are very close to getting some sort of information,” Fauci stated throughout a name with the nation’s governors, in accordance with audio of the name obtained by CNN.

Fauci talked about vaccines being examined by Moderna and Pfizer. “We’re getting to the point where we’re almost being able to look at the first look at the data, which is a predetermined thing done by the data and safety monitoring board,” he stated.

The vaccine effort, extra broadly, “is on really a good track,” he stated. “We should know by November or December whether or not we have a safe and effective vaccine. … It is conceivable that we might even know before then.”

When a vaccine does grow to be out there, well being consultants have stated it is essential that sufficient individuals grow to be immunized for the preventative to be efficient — and lots of are anxious that will not be the case.

“I’m extremely worried about how politicized this situation is around the vaccine and how people are reacting to it,” Moncef Slaoui, the scientific head of the US authorities’s initiative to develop a vaccine as quickly as attainable, stated Tuesday.

“We will be fully transparent: People will understand exactly the performance of the vaccines, their safety and their benefit,” Slaoui stated in an interview on Fox News.

“And I hope people will realize that the only way really to allow us to move away and control this pandemic will be through mass vaccination,” he stated.

CNN’s Amanda Watts, Wes Bruer, Jen Christensen, Maggie Fox, Jenn Selva, Andrea Kane, Jason Hanna and Lauren Mascarenhas contributed to this report.

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