U.S. agency screened 1.18 million airline passengers on Sunday

WASHINGTON (Reuters) – The Transportation Security Administration said it screened 1.18 million airline passengers on Sunday, the highest number since mid-March but still about 60% lower than the comparable day last year.

The number of passengers screened on the Sunday after Thanksgiving last year was 2.88 million, the highest ever recorded by the agency.

The Centers for Disease Control and Prevention earlier this month urged Americans not to travel during this week’s Thanksgiving holiday to mitigate the spread of the coronavirus as cases of COVID-19 spike around the United States.

(Reporting by David Shepardson; Editing by Toby Chopra)

U.S. CDC reports 259,005 deaths from coronavirus

(Reuters) – The U.S. Centers for Disease Control and Prevention (CDC) on Wednesday reported 12,498,734 cases of the new coronavirus, an increase of 165,282 from its previous count, and said that the number of deaths had risen by 1,989 to 259,005.

The CDC reported its tally of cases of the respiratory illness known as COVID-19, caused by a new coronavirus, as of 4 pm ET on Nov. 24 versus its previous report a day earlier.

The CDC figures do not necessarily reflect cases reported by individual states.

(Reporting by Dania Nadeem in Bengaluru)

U.S. hits highest death toll since May with hospitals already full

By Daniel Trotta

(Reuters) -Daily U.S. deaths from COVID-19 surpassed 2,000 for the first time since May and with hospitals across the country already full, portending a surge in mortalities to come as the coronavirus pandemic casts a shadow over the holiday season.

The death toll reached 2,157 on Tuesday – one person every 40 seconds – with another 170,000 people infected, numbers that experts say could grow with millions of Americans disregarding official warnings and traveling for Thursday’s Thanksgiving holiday.

The deadliest day in more than six months was still short of the record of 2,806 deaths on April 14, in the early stages of the pandemic, according to a Reuters tally of official data. That one-day figure is sometimes reported higher due to a backlog of deaths that were not compiled until April 14.

With U.S. hospitalizations for COVID-19 reaching a record high of 87,000 on Tuesday, the nation’s leading infectious diseases official urged people to keep Thanksgiving gatherings as small as possible.

Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, stressed the need to “hang in there a bit longer” on wearing masks, maintaining distance and avoiding crowds, especially indoors.

“If we do those things, we’re going to get through it. So that’s my final plea before the holiday,” Fauci told the ABC News program “Good Morning America” on Wednesday.

Families with university students have been forced to evaluate the risk of reuniting for Thanksgiving.

Francesca Wimer, a student at Northwestern University in Illinois, flew home to Washington wearing an N95 mask and a face shield and checked into a hotel for 14 days, quarantining to protect her parents and grandparents.

“She was returning to a vulnerable set of people. We didn’t trust that a test was enough,” said her mother, Cynthia Wimer.

Others are just staying put.

Luke Burke, studying at Syracuse University in upstate New York, was planning to spend Thanksgiving with his family in New Jersey until his roommate tested positive last week.

“I’m sorry I can’t be there with my parents, but it’s the right thing to do,” Burke said.

Meanwhile school districts across the United States face pressure from all sides as they grapple with how to educate children during the pandemic, a Reuters survey of 217 districts showed.

Many parents are balking at online instruction, while others worry about sending kids back into classrooms prematurely. Teachers say they are not comfortable teaching in person.

“Every school district across the nation is in the position in which no matter what decision they make and how well thought out it is, it will leave some in the community thinking it’s the wrong decision,” said Larry Rother, senior executive director of pre-kindergarten through 12th-grade educational services in Chandler, Arizona.

Help may be coming with vaccines showing promise.

Officials from the U.S. government’s Operation Warp Speed program told reporters on Tuesday they plan to release 6.4 million COVID-19 vaccine doses nationwide in an initial distribution after the first one is cleared by regulators for emergency use, which could happen as soon as Dec. 10.

If all goes well, 40 million doses will be distributed by the end of the year, they said.

A Food and Drug Administration ruling on emergency use for Pfizer Inc’s vaccine is expected on Dec. 10.

(Reporting by Daniel Trotta, Lisa Shumaker, Gabriella Borter, Lisa Lambert, Kristina Cooke, Benjamin Lesser, M.B. Pell and Simon Lewis; Editing by Chizu Nomiyama, Andrea Ricci and Jonathan Oatis)

U.S. weekly jobless claims rise as COVID-19 infections surge

By Lucia Mutikani

WASHINGTON (Reuters) – The number of Americans filing first-time claims for jobless benefits increased further last week, suggesting that an explosion in new COVID-19 infections and business restrictions were boosting layoffs and undermining the labor market recovery.

Other data on Wednesday showed business spending on capital remained solid at the start of the fourth quarter, though momentum has cooled from the prior months. The economy is shifting into slower gear as the boost from more than $3 trillion in government coronavirus relief ends.

“There is a two-tier recovery from the pandemic recession where the top of society continues to spend as normal while the bottom-half of the country sits in long lines at food banks with the opportunities for employment few and far between,” said Chris Rupkey, chief economist at MUFG in New York.

Initial claims for state unemployment benefits increased 30,000 to a seasonally adjusted 778,000 for the week ended Nov. 21, the Labor Department said on Wednesday. It was the second straight weekly increase in claims. Economists polled by Reuters had forecast 730,000 applications in the latest week.

The weekly claims report, the most timely data on the economy’s health, was published a day early because of Thursday’s Thanksgiving Day holiday.

Unadjusted claims jumped 78,372 to 827,710 last week. Economists prefer the unadjusted number because of earlier difficulties adjusting the claims data for seasonal fluctuations due to the economic shock caused by the pandemic.

Including a government-funded program for the self-employed, gig workers and others who do not qualify for the regular state unemployment programs, 1.14 million people filed claims last week. There were at least 20.5 million people collecting unemployment benefits in early November.

The United States has been slammed by a fresh wave of coronavirus infections, with daily cases exceeding 100,000 since early November. More than 12 million people have been infected in the country, according to a Reuters tally of official data.

The respiratory illness has killed more than 257,000 Americans and hospitalizations are soaring, prompting state and local governments to reimpose a host of restrictions on social and economic life in recent weeks, which could keep claims above their 665,000 peak seen during the 2007-09 Great Recession.

U.S. stocks were mixed in early trade. The dollar dipped against a basket of currencies. U.S. Treasury prices rose.

RECORD THIRD-QUARTER GROWTH

Unemployment claims dropped from a record 6.867 million in March as about 80% of the people temporarily laid off in March and April were rehired, accounting for most of the rebound in job growth over the last six months.

That improvement, which spilled over to the broader economy through robust consumer spending, was spurred by the fiscal stimulus. In a separate report on Wednesday, the Commerce Department confirmed the economy’s historic pace of expansion in the third quarter.

Gross domestic product grew at an unrevised 33.1% annualized rate, the government said in its second estimate of third-quarter output. The economy contracted at a 31.4% rate in the second quarter, the deepest since the government started keeping records in 1947.

(Reporting By Lucia Mutikani; additional reporting by Dan Burns, Editing by Chizu Nomiyama)

To reopen or not to reopen – That is the fraught question for U.S. schools

By Kristina Cooke, Benjamin Lesser and M.B. Pell

(Reuters) – After a two-week deluge of calls and messages from parents – and at least one death threat – the school board in Chandler, Arizona, called a special meeting this fall.

The board would revisit its decision, prompted by the coronavirus, to temporarily close local campuses and offer all classes online.

Parents, teachers and others poured out their thoughts in 1,100 public comments posted online before the September meeting. “If our schools do not open in person I will yank both my boys OUT and take them to another school district!!!” one parent wrote.

Many teachers assailed the district, which serves about 44,000 students near Phoenix, for wavering. “You look weak to the public; you look unconcerned for safety to your employees,” wrote one instructor. Ultimately, the board backtracked, voting 3-2 to start reopening school buildings. Eight-six percent of students returned to campus.

Across the United States, district leaders face pressure from all sides as they grapple with how to educate children during the pandemic, a Reuters survey of 217 districts showed. Many parents are balking at online instruction, seeing it as inferior to classroom learning and disruptive to life at home and work. Other parents worry about sending kids back into classrooms prematurely amid a raging pandemic.

At the same time, many teachers, some backed by powerful unions, say they are not comfortable teaching in person, fearing kids may infect them with a virus generally more dangerous for adults. Union leaders complain of inconsistent COVID-19 testing and safety standards.

Districts are caught in the middle, struggling to accommodate both families and faculty as they juggle the separate challenges of in-class and virtual instruction. Meanwhile, a new wave of infections has arrived, sending caseloads in parts of the United States soaring out of control.

“Every school district across the nation is in the position in which no matter what decision they make and how well thought out it is, it will leave some in the community thinking it’s the wrong decision,” said Larry Rother, senior executive director of pre-kindergarten through 12th grade educational services at Chandler.

Adding to the stress on everyone involved is unpredictability. Plans can change suddenly depending on the vicissitudes of the virus and officials’ tolerance for risk. New York City, with the largest school system in the country, epitomizes the problem. Six weeks after opening schools to optional in-person attendance, the mayor reversed course last week, closing campuses through at least Nov. 30. Parents and caregivers for more than 300,000 students had no choice but to adapt on the fly.

Reuters surveyed 217 districts in 30 states, which serve about 2.4 million students, to determine how jurisdictions large and small are coping with the question of reopening campuses. The broad survey began in late September, and Reuters conducted more detailed reporting through mid-November, focusing on 12 districts serving a combined 1 million students. The New York City school system did not respond to the survey.

Among the findings:

* The vast majority of the districts settled on offering a mix of in-person and remote learning this fall. Five percent said they were remote only and 5% in-person only. Some, like Chandler, changed plans after opening. The Jefferson County School District near Denver, for instance, is temporarily switching most students to all-remote learning this month amid the surge of cases in Colorado.

Most districts that provide in-person instruction require preventive measures such as masks and social distancing. Some have tried a little creativity: In Premont, Texas, a rural community about 70 miles southwest of Corpus Christi, administrators gave the youngest elementary school students Hula Hoops to help them keep their distance from others in hallways.

* Given the option, the districts said most parents want their kids to go back to campus at least part-time. About 70% of parents and guardians chose a learning model that includes some classroom instruction. Several district leaders told Reuters that virtual instruction has led to “learning loss”, or a regression in skills, among some students. But districts said they have to balance that concern against teachers’ desire for safety.

* Adapting to the pandemic has been costly. As of late September, the districts collectively had spent more than $340 million on COVID-related expenses including new laptops and internet hotspots for remote learners, as well as improved building ventilation and extra cleaning supplies for classrooms.

Some districts have been able to cover costs through the federal CARES Act, the initial relief package for COVID-19 passed in March, or supplemental state funding. But many have been forced to raid their regular budgets and reserves, creating the potential for cutbacks later affecting anything from textbook purchases to payroll.

* About half the districts reported problems keeping their schools properly staffed, in part because teachers and other workers on campus must go into quarantine if potentially exposed to COVID-19. In Storm Lake Community School District in rural Iowa, Superintendent Stacey Cole recalled brainstorming in October with an elementary school principal who worried she lacked enough staff to get through the week. As of November 16, the staff was down about 10%, with five positive cases among adults and 30 in quarantine.

In a normal year, staffers report to work even when they have a cold, Cole said. “Now we say, ‘Don’t come in, get a COVID test,’” she said. But it takes as long as eight days to get back test results there, she said – sidelining those staffers in the meantime.

* Only about two-thirds of the 217 districts said they collect data on positive tests among students and staff. Most of those reported few or no COVID-19 cases during the first weeks of the school year. Since then, several, including the Dallas Independent School District, have reported surges, though the numbers there still account for less than 1% of students and employees overall.

The number of reported cases in Arizona’s Chandler district has remained low since students returned to campuses. Fewer than 1% of staff, and half a percent of students, tested positive as of mid-November.

In most instances, it is unclear whether cases originate in schools or somewhere else.

Most children infected with the coronavirus have mild or no symptoms, but kids can spread the virus to others, including adults and other family members, according to the U.S. Centers for Disease Control and Prevention.

After members of her soccer team tested positive for coronavirus, 14-year-old Maddie Weiser of the Jefferson County district said she worried she might have passed on the virus unknowingly to others at school, or to her grandmother. “It’s so hard for me to think about it. If this is this stressful for me, it must be 800 times worse for my teachers,” Weiser said.

A study from the Kaiser Family Foundation found that one in four teachers and school staff has conditions putting them at heightened risk for serious illness from COVID-19, though the researchers said that is about the same percentage as in other workplaces.

“Where’s the data that prove that we are not risking our health and safety or even our lives by coming to work every day?” Mamie Huff, who has taught in Dallas elementary schools for 24 years, asked her district’s school board on Oct 22. “This is heartbreaking. Because I love my students. I love my school. I love my job. But what I don’t love is that I have no true control over my own health and safety.”

‘GREAT INTENTIONS’

Michael Hester, superintendent of the Batesville School District in rural Arkansas, captured the feelings of many school administrators during the fall term: “We count it as a blessing to even make it to Friday,” he said.

Hester said one of his greatest frustrations is the shifting rules coming down from the state. For instance, when the school year started in late August, the original plan was for the Arkansas Department of Health to conduct “contact tracing” on any positive coronavirus cases among students and staff on campuses. That means finding and notifying everyone who may have been exposed to the virus by an infected person. But within weeks of reopening, Hester said, that responsibility was largely shifted to the individual districts.

Dr. Joel Tumlison, who focuses on infectious disease outbreaks for the health department, acknowledged that officials had “some problems initially” doing timely contact tracing when schools reopened, requiring districts to assist with the work.

“It’s a big task, we recognize that,” Tumlison said.

Contact tracing is just one example of the challenges districts now confront that fall well outside the realm of traditional schooling. Others are enforcing mask and social distancing requirements and planning around the individual quarantine schedules of infected students and staff.

In the Batesville district, which had about 3,400 students and a cumulative total of 95 cases among adults and kids as of mid-November, some families have had to keep students home for multiple 14-day quarantine periods, Hester said.

Then, in the case of virtual instruction, there is the dreaded problem of “learning loss.” When students in Dallas, Texas, returned to school in September, the district found through testing that there had been a significant deterioration in students’ math skills in the second half of the last school year when all kids were attending online.

“This concerns us significantly,” said Superintendent Michael Hinojosa, who also acknowledged some teachers were “scared to death” to return to campuses. “Math is sequential, you have to have (grasped) the prerequisites before you can learn the next skill.”

Maren Butcher, the mother of a high school sophomore and a third grader at Chandler in Arizona, said remote learning was a disaster for her children. “I watched the spark for school slowly die in my older son. We felt like we were picking him up with a spatula every day.”

After he went back in person, his motivation improved, the classes were more rigorous and he’s “been able to advance more academically,” she said.

In Texas’ rural Louise Independent School District, about a third of the roughly 500 students started the year with remote instruction.

Within weeks Garth Oliver, the district’s superintendent, started to see that students working remotely were struggling to keep up with their peers.

“You call the parents and they say, ‘They have been on the computer all day’ – but they are playing games,” Oliver said.

So on Sept. 22, Oliver sent a letter to district families announcing that the remote instruction would end the following week. “Everybody had great intentions but there is no substitute for face-to-face instruction with a professional educator,” Oliver said.

Only two families left the district afterward, he said.

A JUGGLING ACT

For the nation’s districts and teachers, there is no common playbook.

Districts, for instance, have different thresholds for when to close campuses, based on COVID-19 testing results. In New York City, schools were closed because the city’s positivity rate hit a 3% seven-day average, a standard set by the mayor. Elsewhere, the thresholds are much higher. And some districts don’t have thresholds at all.

Randi Weingarten, president of the American Federation of Teachers, a national union, said both educators and parents would be more open to having students return to campuses if the federal government provided a well-funded reopening strategy with clear measures of how it’s working.

“That’s the issue, instead of pitting teachers against parents,” said Weingarten, who top Democrats see as a candidate for secretary of education in President-elect Joe Biden’s incoming administration.

Meanwhile, teachers struggle to adapt to ever-evolving directives that vary by district.

In some places, instructors must handle both face-to-face and online instruction. Some teach the two groups concurrently – juggling, for instance, technology glitches with classroom misconduct. Other districts split up their staff, assigning them to virtual or in-class instruction.

“We’ve been pulling off the impossible, teaching virtual and in-person classes at the exact same time,” Jennifer Lees, a teacher in Dallas, told her school district board on Oct. 22. “We’re exhausted, scared and stressed.”

Staffing shortages and budgetary constraints make matters worse.

After work dried up last spring, many substitute teachers opted to find other employment, said Katie Nash, president of the Chandler Education Association, the Phoenix-area teachers’ union.

To cover COVID-related expenses, many districts received at least some federal CARES Act money, but the White House and congressional leaders have been unable to agree on a new relief package. And most states face budget deficits, limiting their ability to help.

Some districts also confront potentially costly lawsuits from parents of children with special needs, whose individualized education plans often weren’t designed for remote learning.

Another financial challenge comes when dissatisfied parents leave the district. State aid is often based, at least in part, on student attendance, so departures can decrease funding.

“A lot of these districts are hoping the federal government will come through at some point and make them whole,” said Dan Domenech, executive director of the AASA The School Superintendents Association. “If that doesn’t happen, a lot of school districts are going to be short.”

THE LOUDEST VOICES

Not all parents or teachers are of one mind about school reopening. But some voices are louder than others.

Even before the summer break began, the Chandler Education Association, the teachers’ union near Phoenix, made its opposition to in-person instruction known to the district.

Nash, the union’s president, armed herself with survey data to show the district that more than half of teachers who responded felt unsafe returning to campuses.

She told Reuters that a small but highly vocal group of parents drowned out instructors’ concerns.

But Chandler parent Butcher, the daughter of a teacher, said she opposed what she saw as the union’s steady pressure on the district to stay remote.

“The loudest voice,” she said, “was not the parents.”

In Grantham, New Hampshire, about 30 parents attended a school board meeting in October to call for a full school campus reopening. The group clapped loudly when people made points in favor of reopening and was “somewhat disrespectful” in its behavior, said Superintendent Sydney Leggett.

She said parents who wanted to stick with strictly virtual or hybrid instruction were not as well-represented at the meeting, held in the school gym, because they were worried about contracting the coronavirus.

After seeing parents argue on social media, she sent a letter to families asking them to be kind to one another. The district decided to open for four days a week, in person, starting in November. It also will continue to offer a remote option.

“I’m hoping when we come out of this we still have a good community feeling,” Leggett said. “It’s going to be work to make sure that this divisiveness doesn’t stick around.”

(Kristina Cooke reported from Los Angeles, Benjamin Lesser and M.B. Pell from New York City. Editing by Julie Marquis and Janet Roberts)

Explainer-When and how will COVID-19 vaccines become available?

By Julie Steenhuysen and Carl O’Donnell

NEW YORK (Reuters) – Pfizer Inc with partner BioNTech SE and Moderna Inc have released trial data showing their COVID-19 vaccines to be about 95% effective at preventing the illness, while AstraZeneca Plc this week said its vaccine could be up to 90% effective.

If regulators approve any of the vaccines in coming weeks, the companies have said distribution could begin almost immediately with governments around the world to decide who gets them and in what order. The following is an outline of the process:

WHEN WILL COMPANIES ROLL OUT A VACCINE?

Pfizer, Moderna and AstraZeneca have already started manufacturing their vaccines. This year, Pfizer said it will have enough to inoculate 25 million people, Moderna will have enough for 10 million people and AstraZeneca will have enough for more than 100 million people.

The U.S. Department of Defense and the Centers for Disease Control and Prevention (CDC) will manage distribution in the United States, likely starting in mid-December with an initial release of 6.4 million doses nationwide.

UK health authorities plan to roll out an approved vaccine as quickly as possible, also expected in December.

In the European Union, it is up to each country in the 27-member bloc to start distributing vaccines to their populations.

WHO WOULD GET AN APPROVED VACCINE AND WHEN IN THE UNITED STATES?

Upon authorization from the U.S. Food and Drug Administration, the CDC has said first in line for vaccinations would be about 21 million healthcare workers and 3 million residents in long-term care facilities.

Essential workers, a group of 87 million people who do crucial work in jobs that cannot be done from home, are the likely next group. This includes firefighters, police, school employees, transportation workers, food and agriculture workers and food service employees.

Around 100 million adults with high-risk medical conditions and 53 million adults over the age of 65, also considered at higher risk of severe disease, are the next priority.

U.S. public health officials said vaccines will be generally available to most Americans in pharmacies, clinics and doctors offices starting in April so that anyone who wants a shot can have one by the end of June.

It is unclear when a vaccine will be available for children. Pfizer and BioNTech have started testing their vaccine in volunteers as young as 12.

WHEN WILL A VACCINE BE AVAILABLE IN OTHER COUNTRIES?

The European Union, the United Kingdom, Japan, Canada and Australia are all running rapid vaccine regulatory processes.

Many of AstraZeneca’s doses this year are expected to go to the United Kingdom, where health officials have said that if approved they could begin vaccinating people in December. At the top of their list is people living and working in care homes.

In Europe, the E.U. drugs regulator has said it could rule on the safety of a COVID-19 vaccine in December.

Most countries have said the first vaccines will go to the elderly and vulnerable and frontline workers like doctors.

Countries say they are buying vaccines via the European Commission’s joint procurement scheme, which has deals for six different vaccines and nearly 2 billion doses.

Delivery timelines vary and most countries are still drawing up plans for distributing and administering shots.

Italy expects to receive the first deliveries of the Pfizer-BioNTech shot and AstraZeneca’s shot early next year. Spain plans to give vaccines in January.

In Bulgaria, the country’s chief health inspector expects the first shipments in March-April. Hungary’s foreign minister said doses will land in the spring at the earliest.

Germany, home to BioNTech, expects to roll out shots in early 2021 with mass vaccination centers in exhibition halls, airport terminals and concert venues. It will also use mobile teams for care homes. Front-line healthcare workers and people at risk for serious COVID-19 are expected to get inoculated first.

WHEN WILL DEVELOPING COUNTRIES HAVE ACCESS TO VACCINES?

COVAX, a program led by the World Health Organization and the GAVI vaccine group to pool funds from wealthier countries and nonprofits to buy and distribute vaccines to dozens of poorer countries, has raised $2 billion.

Its first goal is to vaccinate 3% of the people in these countries with a final goal of reaching 20%. It has signed a provisional agreement to buy AstraZeneca’s vaccine, which does not require storage in specialized ultra cold equipment like the Pfizer vaccine.

It is expected but not certain that less wealthy countries in Africa and South East Asia, such as India, will receive vaccines at low or no cost under this program in 2021. Other countries such as those in Latin America may buy vaccines through COVAX. Several are also striking supply deals with drugmakers.

HOW MUCH WILL IT COST?

Vaccine makers and governments have negotiated varying prices, not all of which are public. Governments have paid from a few dollars per AstraZeneca shot to up to $50 for the two-dose Pfizer regimen. Many countries have said they will cover the cost of inoculating their residents.

(Reporting by Carl O’Donnell and Julie Steenhuysen; Additional reporting by Michael Erman in New York, Caroline Copley in Berlin, Francesco Gaurascio in Brussels, Josephine Mason in London, Krisztina Than in Budapest and Tsvetelia Tsolova in Sofia; Editing by Caroline Humer and Bill Berkrot)

Catch-all travel insurance booms as U.S. flyers take Thanksgiving risks

By Noor Zainab Hussain

(Reuters) – U.S. websites have seen a surge in travelers seeking expensive ironclad insurance this Thanksgiving, as Americans desperate to break the monotony of a year spent at home look to cover themselves against coronavirus-related risks.

Data from insurance comparison website Squaremouth on Tuesday showed the number of insurance policies purchased for U.S. domestic trips over the upcoming holiday was up 170%, compared to the same period of 2019.

Some 40% of all Thanksgiving travelers specifically searched for coronavirus cover, replacing top concerns from previous years, such as weather and financial defaults, and spurring a rise in the overall cost of cover.

“Cancel-for-any-reason” policies, which typically allow cancellations up until two days before departure and a 75% reimbursement, cost up to 40% more than a regular policy.

“It’s just gotten to a point I think people are tired of being stuck at home and they’re looking to get away and go somewhere,” said Jeremy Murchland, president of U.S. travel insurer Seven Corners.

More than 3 million passengers passed through U.S. airports over the weekend, discarding advice from the Centers for Disease Control and Prevention to stay at home as coronavirus infections reached daily records.

Overall traveler numbers are still down 60% from a year ago, but Squaremouth, one of the country’s main insurance price aggregators, said its data suggested that the total number of travelers seeking cover was up 26% year-on-year.

The data from Squaremouth is based on all travel insurance policies purchased on its website between March 12 and Nov. 9 for travel over the week of Thanksgiving.

With trips to popular European destinations effectively banned, and the risks of quarantine and other curbs weighing on travelers’ decision making, overall requests for cover to foreign locales were lower than those for domestic trips.

Those for the Bahamas and Costa Rica were down by just over half. Requests for insurance for trips to Mexico, however, were down just 23% year-on-year, and for the Turks and Caicos islands, just off Haiti, where luxury hotels are guaranteeing COVID-19-secure bubbles, they are up more than 500%.

For those traveling outside the United States, a travel insurance policy that also has medical cover for COVID-19 will cover medical treatment that a normal healthcare policy would not, as well as potentially medical evacuation.

Courtney Glass, a California-based stage actress, is insuring a trip with her parents to Guatemala to rendezvous with her sister and newborn niece Madi.

“Madi arrived right as the virus did. She’s crawling and trying to talk now and we just don’t want to miss any more of this time,” she said.

“If we don’t go now, we probably won’t go until after the holidays. And potentially, not until after the vaccine that everybody’s talking about is distributed.”

(Reporting by Noor Zainab Hussain in Bengaluru; Additional reporting by Suzanne Barlyn in Washington Crossing, Penn; Editing by Patrick Graham and Sriraj Kalluvila)

Airlines set to lose $157 billion amid worsening slump: IATA

By Laurence Frost

PARIS (Reuters) – Airlines are on course to lose a total $157 billion this year and next, their main global body warned on Tuesday, further downgrading its industry outlook in response to a second wave of coronavirus infections and shutdowns afflicting major markets.

The International Air Transport Association (IATA), which in June had forecast $100 billion in losses for the two-year period, said it now projects a $118.5 billion deficit this year alone, and a further $38.7 billion for 2021.

The bleak outlook underscores challenges still facing the sector despite upbeat news on development of COVID-19 vaccines, whose global deployment will continue throughout next year.

“The positive impact it will have on the economy and air traffic will not happen massively before mid-2021,” IATA Director General Alexandre de Juniac told Reuters.

Passenger numbers are expected to drop to 1.8 billion this year from 4.5 billion in 2019, IATA estimates, and will recover only partially to 2.8 billion next year. Passenger revenue for 2020 is expected to have plunged 69% to $191 billion.

“That’s by far the biggest shock the industry has experienced in the post-World War Two years,” IATA Chief Economist Brian Pearce said.

The forecasts assume significant re-opening of borders by the middle of next year, helped by some combination of COVID-19 testing and vaccine deployment.

IATA reiterated its call for governments to replace travel-stifling quarantine regimes with widespread testing programs.

“We are seeing states progressively coming to listen to us,” de Juniac said, citing testing initiatives underway in France, Germany, Italy, Britain, the United States and Singapore.

While some governments and airlines such as Australia’s Qantas say passengers are likely to require vaccination for long-haul travel, the approach is unlikely to work everywhere, de Juniac said.

“It would prevent people who are refusing (the vaccine) from travelling,” the IATA chief said. “Systematic testing is even more critical to reopen borders than the vaccine.”

Air cargo, a rare bright spot for the industry as the grounding of flights pushes freight prices higher, will likely see global revenue rise 15% to $117.7 billion this year despite an 11.6% decline in volume to 54.2 million tonnes, IATA said.

Some $173 billion in government aid has left recipients with debts that threaten to hobble future investment, it warned, and more bankruptcies are likely. Norwegian Air became the latest casualty on Nov. 18, when it filed for bankruptcy protection in Ireland.

The average airline now has enough liquidity to survive another 8.5 months, while some have just weeks, Pearce said. “I think we will get consolidation through some airline failures.”

(Reporting by Laurence Frost; Additional reporting by Johnny Cotton; Editing by Mark Potter and David Evans)

With U.S. hospitals overrun, surgeon general urges Americans to ‘hold on’

(Reuters) – U.S. Surgeon General Jerome Adams on Tuesday pleaded with Americans to grasp “the severity of the moment” and remain vigilant against the coronavirus pandemic, as record hospitalizations pushed healthcare professionals to the brink.

“We are almost to a vaccine. … We’ve got new remedies out there. We just need you, the American people, to hold on a little bit longer,” Adams, a White House Coronavirus Task Force member, told Fox News in an interview.

He urged people to adjust their plans ahead of the Thanksgiving holiday on Thursday, which has led to the busiest U.S. air travel since the early days of the pandemic in March, with millions of people flying despite the hazards of a crowded airport. U.S. health officials last week strongly recommended that Americans avoid travel for the holiday.

Global pharmaceutical companies have reported promising trial results in the development of vaccines, which could be administered to high-priority patients in December. Meanwhile, the U.S. government will begin distributing Regeneron Pharmaceuticals Inc’s newly authorized COVID-19 antibody combination therapy starting Tuesday.

But hospitals need immediate relief.

The United States was on pace to surpass 85,000 hospitalizations for COVID-19 on Wednesday, a record, as 30 of the 50 states reported record numbers of patients this month.

That has taxed already exhausted healthcare providers as more than 1,500 coronavirus deaths and 171,000 new cases pile up daily.

After pounding big U.S. cities in the spring, COVID-19 now has engulfed rural and small-town America. Case rates in the 12 Midwestern states are more than double that of any other region, according to the COVID Tracking Project, up more than 20 times from mid-June to mid-November.

Many Midwestern hospitals severely lack beds, equipment and clinical staff, providers say. Some are repurposing areas to accommodate COVID-19 patients or cramming multiple patients in a single room, and are asking staffers to work longer hours and more frequent shifts.

“There’s a disconnect in the community, where we’re seeing people at bars and restaurants, or planning Thanksgiving dinners,” said Dr. Kelly Cawcutt, an infectious disease physician at the University of Nebraska Medical Center. As health workers, she said, “we feel kind of dejected.”

Thirty states had a record number of hospitalized COVID-19 patients in November, including all 12 Midwestern states, according to a Reuters tally of official data. Michigan reported over 4,000 hospitalized COVID-19 patients on Monday, surpassing its previous record on April 13.

“A quarter of all of our coronavirus cases this year have occurred in the last month. … Those cases are turning into hospitalizations and deaths,” Adams warned, saying heart patients, pregnant women and others could be turned away.

“That’s the reality.”

(Reporting by Susan Heavey, Nick Brown and Lisa Shumaker; Writing by Daniel Trotta; editing by Jonathan Oatis)

U.S. posts sharpest weekly rise in COVID-19 deaths since August

(Reuters) – The United States recorded its biggest weekly rise in COVID-19 deaths since August, increasing 32% from the previous week to average about 1,500 people per day, according to a Reuters analysis of state and county reports.

New cases rose 13% in the week ended Nov. 22, or an average of more than 168,000 per day

Ahead of the Thanksgiving holiday this Thursday, at least 23 states have announced new restrictions to try to slow the spread of the virus but so far only New Mexico has issued a stay-at-home order.

Cases rose by 90% in New Mexico last week, the biggest percentage increase in the country, followed by Virginia at 62% and Arizona with a 50% increase.

In North Dakota, the hardest hit state on a per capita basis, nearly 73,400 tests have come back positive for the new coronavirus since the beginning of the outbreak. That is equivalent to 9.6% of the state’s population. North Dakota mandated masks starting Nov. 14 but another 14 states still do not require them.

Across the United States, 9.8% of tests came back positive for the virus for a second week in a row, according to data from The COVID Tracking Project, a volunteer-run effort to track the outbreak.

The World Health Organization considers positive test rates above 5% concerning because it suggests there are more cases in the community that have not yet been uncovered.

Out of 50 states, 26 had positive test rates above 10% last week, led by Iowa at 56%, South Dakota at 45% and Idaho at 40%.

(Graphic by Chris Canipe, writing by Lisa Shumaker, editing by Tiffany Wu)