Tag Archives: Coronavirus

U.S. surpasses 160,000 coronavirus deaths as school openings near

By Aurora Ellis and Maria Caspani

NEW YORK (Reuters) – More than 160,000 people have died from the coronavirus pandemic in the United States, nearly a quarter of the global total, according to a Reuters tally on Friday, as the country debates whether schools are ready to reopen in coming weeks.

The country recorded 160,003 deaths and 4.91 million cases, the highest caseload in the world, caused in part by lingering problems in making rapid testing widely available and resistance in some quarters to masks and social distancing measures.

Coronavirus deaths are rising in 23 states and cases are rising in 20 states, according to a Reuters analysis of data the past two weeks compared with the prior two weeks.

On a per-capita basis, the United States ranks 10th highest in the world for both cases and deaths.

Friday’s grim milestone marks an increase of 10,000 deaths in nine days in the United States.

Many of those died in California, Florida and Texas, the top three U.S. states for total cases. While new infections appear to be declining in those states, new outbreaks are emerging coast to coast.

Dr. Deborah Birx, the lead coordinator for the White House coronavirus response, warned of worrying upticks in the rate of tests coming back positive in several cities, including Boston, Chicago, Detroit and Washington.

Nearly 300,000 U.S. residents could be dead from COVID-19 by Dec. 1, University of Washington health experts said on Thursday, although they said 70,000 lives could be saved if Americans were scrupulous about wearing masks.

Throughout the country, U.S. officials, teachers’ unions, parents and students were debating how to reopen schools safely.

President Donald Trump has urged states to resume in-person classes, saying the virus “will go away like things go away,” but health officials have told states with rising counts to be on guard.

New York Governor Andrew Cuomo said on Friday some 700 school districts in the state could reopen classrooms, but insisted schools do extensive consultation with teachers, students and parents beforehand.

“If you look at our infection rate we are probably in the best situation in the country right now,” Cuomo told reporters. “If anybody can open schools, we can open schools.”

In New York City, where 1.1 million children attend the country’s largest network of public schools, Mayor Bill de Blasio has said students’ attendance will be limited to between one and three days each week. Parents in New York City have until Friday to request all-remote learning for their children.

Chicago Public Schools, which make up the country’s third largest school district, reversed course this week, saying students would stick with remote learning when the school year begins.

Some states, including Florida and Iowa, are mandating schools provide at least some in-person learning, while the governors of South Carolina and Missouri have recommended all classrooms reopen.

Texas had initially demanded that schools reopen but has since allowed districts to apply for waivers as the state grapples with a rising caseload. The Houston Independent School District has said that the school year will begin virtually on Sept. 8, but will shift to in-person learning on Oct. 19.

(Reporting by Aurora Ellis and Maria Caspani in New York; Additional reporting by Jonathan Allen in New York; Editing by Lisa Shumaker and Howard Goller)

U.S. travel warning puts virus-battered Mexico on par with war-torn nations

MEXICO CITY (Reuters) – The U.S. State Department urged citizens on Thursday not to travel to Mexico, despite easing a global travel ban, and warned of the rapid spread of coronavirus in the neighboring nation, in addition to rampant crime and kidnapping.

The United States and Mexico have close commercial ties and share the world’s busiest land border, crossed by many of their citizens for work, travel or family visits.

Mexico’s health ministry reported 6,590 new infections and 819 more deaths, taking its virus tally to 462,690 confirmed cases and 50,517 fatalities.

On Twitter, the U.S. ambassador to Mexico, Christopher Landau, said his country had issued a “Level 4: Do not travel,” warning for all nations at the beginning of the pandemic in March.

But the stringent advisory, usually reserved for countries at war, was not lifted for Mexico, because of the spread of COVID-19, the respiratory disease caused by the virus.

“Its own government recognizes that contagion rates are still high,” Landau added.

The state department said, “Travelers to Mexico may experience border closures, airport closures, travel prohibitions, stay at home orders, business closures, and other emergency conditions within Mexico due to COVID-19.”

Reiterating earlier concerns about crime, its website said the Level 4 warning covered Mexico and many other countries.

Also citing the spread of COVID-19, the U.S. Centers for Disease Control  and Prevention  (CDC)  issued a separate “Level 3 Travel Health Notice.”

(Reporting by Stefanie Eschenbacher; Editing by Clarence Fernandez)

Explainer: Trump wants to bypass U.S. coronavirus aid talks with executive order. Can he?

By Patricia Zengerle

WASHINGTON (Reuters) – With congressional Democrats and White House negotiators so far unable to agree on a deal to salve the heavy economic toll of the coronavirus pandemic, President Donald Trump has threatened to bypass Congress with an executive order.

Some of his proposals exceed his legal authority and would face immediate legal challenges, though in at least one case House of Representatives Speaker Nancy Pelosi, the nation’s top Democrat, told him to just go ahead.

WHAT DOES TRUMP WANT TO DO?

Trump said on Twitter he is considering executive orders to continue expanded unemployment benefits, reinstate a moratorium on evictions, cut payroll taxes and continue a suspension of student loan repayments amid a health crisis that has killed nearly 160,000 Americans.

He and administration officials negotiating with Congress have not provided specifics.

CAN HE DO IT?

The Constitution puts control of federal spending in the hands of Congress, not the president, so Trump does not have the legal authority to issue executive orders determining how money should be spent on coronavirus.

Democrats said executive orders would prompt a court fight, but legal action could take months.

Trump has sidestepped Congress on spending before. In 2019, he declared a national emergency at the border with Mexico to shift billions of dollars from the Pentagon budget to help pay for a promised wall that was the cornerstone of his 2016 election campaign.

Congress passed legislation to stop him, but there were too few votes in the Republican-controlled Senate to override his veto.

“There has to be a political will to do that and there has to be a priority given by members of Congress to assert their institutional interests,” said Mark Rozell, dean of the Schar School of Policy and Government at George Mason University in Virginia. “And that just isn’t there right now.”

WOULD DEMOCRATS OR REPUBLICANS OBJECT?

The $600 per week enhanced unemployment benefit in the massive “Cares Act” passed in March has been a major sticking point in negotiations. Democrats want to continue the federal payment, which expired on July 24, to the tens of millions who have lost their jobs in the crisis and have rejected a short-term extension. Trump’s fellow Republicans have argued that is too high a payment, contending it is a disincentive to work.

The moratorium on evictions was less contentious, and could be covered by reprogramming money that Congress has already approved for housing that has not been spent. Pelosi on Thursday said an order extending the moratorium “would be a good thing.”

Congressional Republicans and Democrats alike reject cutting the payroll tax, which is collected from both employers and employees to fund Social Security and Medicare. A cut would disproportionately benefit Americans with high salaries, and threaten funding for the popular programs for retirees. It also only benefits people still getting paychecks, not those who have lost their jobs.

The parties are closer together on student loans. Democrats included a 12-month extension of the student loan payment suspension in a relief bill the House passed in May. Republican senators did not include student loan relief in the proposal they unveiled in July. However, there is a Republican plan in Congress to extend the suspension for three months.

(Reporting by Patricia Zengerle; Editing by Scott Malone and Nick Zieminski)

Pfizer to make Gilead’s COVID-19 treatment remdesivir

(Reuters) – Pfizer Inc said on Friday it signed a multiyear agreement to make COVID-19 treatment remdesivir for developer Gilead Sciences Inc, which is under pressure to increase tight supplies of the antiviral drug.

Gilead is aiming to make enough of the drug by the end of the year to treat more than 2 million COVID-19 patients, and agreed to send nearly all of its remdesivir supply to the United States through September.

But hospital staffers and politicians have complained about difficulties in gaining access to the drug, which is one of only two to have demonstrated an ability to help hospitalized COVID-19 patients in formal clinical trials.

There are also fears of shortages outside the United States, and separately on Friday, Britain’s Hikma Pharmaceuticals PLC said it has started manufacturing remdesivir at its Portugal plant.

Gilead said its manufacturing network for the drug had grown to more than 40 companies in North America, Europe and Asia to add capacity.

Earlier this week, a bipartisan group of U.S. state attorneys general urged the federal government to allow other companies to make Gilead’s remdesivir, to increase its availability and lower the price of the antiviral drug.

Pfizer will provide contract manufacturing services through its McPherson, Kansas, plant, the drugmaker said. It was not immediately clear if Pfizer would supply only for the U.S. market.

The U.S. Food and Drug Administration sent a warning letter to Pfizer in 2017 saying that the process for manufacturing sterile injectable drugs at the Kansas plant was “out of control” and put patients at risk.

The FDA said several products were contaminated with multiple foreign particulates but a subsequent FDA inspection found that the issues had been resolved.

Pfizer, with Germany’s BioNTech, is also rushing to develop a vaccine against the coronavirus.

Pfizer has helped other drugmakers manufacture their products before. It makes EpiPen emergency allergy treatments through its Meridian Medical Technologies business and also operates a contract manufacturer called Center One.

(Reporting by Manas Mishra in Bengaluru; Editing by Anil D’Silva and Matthew Lewis)

UK’s Hikma making Gilead’s COVID-19 drug remdesivir to increase supply

By Pushkala Aripaka

(Reuters) – Britain’s Hikma Pharmaceuticals said on Friday it has started manufacturing Gilead’s antiviral drug remdesivir under contract in Portugal, as the U.S. company outsources to increase availability of the COVID-19 treatment.

Remdesivir is one of only two medicines to have shown to help hospitalized COVID-19 patients in clinical trials, making it a front-runner treatment for the illness caused by the new coronavirus.

Hikma’s Chief Executive Siggi Olafsson said the company will start supplying batches of the drug “soon,” and Gilead is expected to distribute it.

“The terms of the deal are confidential, we are simply a contract manufacturer for Gilead – they order products from us as they expect the sales to be,” Olafsson told Reuters in a telephone interview.

Remdesivir, which is administered intravenously, has been conditionally approved or supported in many regions to treat COVID-19, which has killed more than 800,000 people globally.

A pledge by Gilead to send nearly all of its supplies to the United States between July and September stirred concerns about availability elsewhere.

This week, a bipartisan group of U.S. state attorney generals urged Washington to allow other companies to make the treatment to increase availability and lower the price.

On Friday, Pfizer said it had signed a multi-year deal with Gilead to manufacture and supply remdesivir.

Gilead said on Thursday that its manufacturing network for the drug had grown to more than 40 companies in North America, Europe and Asia.

The company had said in June that it was aiming to supply enough of the drug by the end of the year to treat more than 2 million COVID-19 patients, more than double its prior target of 1 million.

Gilead has signed several pacts with generic medicine makers in Egypt, India and Pakistan to distribute remdesivir in 127 countries. The deals include those with Cipla Jubilant and privately held Hetero.

Hikma’s announcement of the deal with Gilead helped its shares jump more than 10% on Friday as it also reported a jump in first-half operating profit and lifted its sales outlook.

Analysts said the deal highlights Hikma’s “growing importance as a trusted source of essential medicines.”

(Reporting by Pushkala Aripaka in Bengaluru; Editing by Arun Koyyur/Josephine Mason/Susan Fenton)

Ohio governor tests positive for COVID-19, cancels plans to greet Trump in Cleveland

WASHINGTON (Reuters) – Ohio Governor Mike DeWine said on Thursday he had tested positive for COVID-19 as part of a safety protocol to greet U.S. President Donald Trump when he arrives in Cleveland to visit a Whirlpool washing machine factory.

A statement issued on DeWine’s Twitter feed said the governor, a Republican, had no symptoms at the present time and would return to the Ohio capital of Columbus to quarantine at home for the next 14 days. Ohio Lieutenant Governor Jon Husted also took the coronavirus test and tested negative, DeWine’s statement said.

White House Chief of Staff Mark Meadows said alternate arrangements were being made for greeting Trump and there would be no major changes to the president’s itinerary in Ohio.

“The President wishes Governor DeWine a speedy and full recovery and commends the job he’s doing for the great state of Ohio,” said White House spokesman Judd Deere.

At the Whirlpool plant in Clyde, Ohio, Trump will tout the tariffs his administration imposed on imported washing machines in 2018, which have helped increase employment at the facility while contributing to price increases for the appliances.

Trump also plans to sign a long-awaited executive order aimed at boosting U.S. production of drugs and medical equipment, including through a “Buy America” provision requiring the government to buy from domestic firms and other measures..

Later on Thursday, Trump is due to attend fundraising events at a Cleveland-area yacht club and at the Trump National Golf Club in Bedminster, New Jersey.

(Reporting by David Lawder; Editing by Chris Reese and Tom Brown)

It’s not for me: speed of COVID-19 vaccine race raises safety concerns

By Francesco Guarascio and Josephine Mason

BRUSSELS/LONDON (Reuters) – The frenetic race to develop a COVID-19 vaccine has intensified safety concerns about an inoculation, prompting governments and drugmakers to raise awareness to ensure their efforts to beat the coronavirus aren’t derailed by public distrust.

There are more than 200 COVID-19 vaccine candidates in development globally, including more than 20 in human clinical trials. U.S. President Donald Trump has vowed to have a shot ready before year’s end, although they typically take 10 years or longer to develop and test for safety and effectiveness.

In the drive to find a potential COVID-19 vaccine “fast is good for politicians,” said Heidi Larson, who leads the Vaccine Confidence Project (VCP), a global surveillance program on vaccine trust. “But from the public perspective, the general sentiment is: ‘too fast can’t be safe'”, she told Reuters.

Regulators around the world have repeatedly said speed will not compromise safety, as quicker results would stem from conducting in parallel trials that are usually done in sequence.

However, these reassurances have failed to convince many, including in Western countries where skepticism about vaccinations was already growing before the pandemic.

Preliminary results of a survey conducted over the last three months in 19 countries showed that only about 70% of British and U.S. respondents would take a COVID-19 vaccine if available, Scott Ratzan, co-leader of ‘Business Partners to CONVINCE’, told Reuters.

Business Partners to CONVINCE, a U.S./UK initiative that is partly government funded, conducted the survey jointly with VCP and the results were broadly in line with a Reuters/Ipsos poll of the U.S. public in May.

“We just see this distrust growing against science and government,” said Ratzan.

“We need to address legitimate concerns about the rapid pace of development, political over-promises and the risks of vaccination.”

The VCP/Business Partners’ survey, expected to be published in a few weeks, will also show that Chinese participants were the most trusting of vaccines, while Russians were the least so, Ratzan said.

Drugmakers and governments had hoped the scale of the COVID-19 crisis would allay concerns about vaccines, which they see as crucial to defeating the pandemic and enabling economies to fully recover from its impact.

Vaccine hesitancy – or the reluctance or refusal to be vaccinated – is also known as “anti-vax,” a term that is sometimes associated with conspiracy theories when often it simply reflects many people’s concerns about side-effects or industry ethics.

In January 2019 the World Health Organisation named vaccine hesitancy as one of the top 10 global health threats for that year.

TAILORED MESSAGES

In Europe, skepticism among the public was high before the pandemic due to a range of factors including negative coverage of pharmaceutical companies as well as false theories including suggested links between childhood immunizations and autism.

Only 70% of French people considered vaccines safe in a 2018 survey commissioned by the European Union executive. The EU average was 82%, but trust fell to 68% for the shot against seasonal flu.

The VCP project on vaccine trust, funded by the European Commission and pharmaceutical companies among others, aims to identify early signs and causes of public mistrust and tackle them with information campaigns before it is too late.

Larson said headlines referring to Warp Speed – the name of the U.S. operation aimed at delivering a COVID-19 vaccine to the U.S. population by next year – could increase vaccine hesitancy even more than perceptions that the disease could become less lethal.

“One of the most frequent things that comes up in people’s conversations is concerns about how quick it is. If I have to pick one theme that is more recurrent than others it is this one,” Larson said.

Data collected by VCP from social media show that by the end of June about 40% of Britons’ posts concerning a COVID-19 vaccine, for example, were negative, with many distrusting any coronavirus vaccine and the medical establishment.

Announcements about fast progress in COVID vaccines in Russia and China in particular could also contribute to rising skepticism. “We don’t have transparency and don’t know how accurate or valid their data are,” Ratzan said, adding that errors there could boost skepticism elsewhere.

Key for any information campaign to be successful is to tailor it to different audiences as there is no uniform profile of anti-vaxxers, said Kate Elder of Doctors Without Borders, a non-governmental organisation.

“They go from the highly educated to those who don’t believe in science,” she said, urging politicians to be more careful in their messages on vaccines and to better explain the reasons behind potentially fast results against COVID-19.

“We are exploring the idea of a chatbot that will speak in different languages,” said Ratzan, adding it could be something similar to Smokey Bear, the U.S. Forest Service’s campaign to educate about preventing wildfires.

“Different parts of the world will require different strategies. We know we need to tailor it and to be specific,” he said.

Risks are high if hesitancy is not addressed quickly.

During the 2009 swine flu pandemic, growing skepticism about the vaccine led to a failure of the vaccination campaign in France, where only 8% of the population got a shot against the virus which is estimated to have killed around 280,000 people across the world.

A study published in May in the Lancet by a group of French scientists warned of similar risks now in the country where vaccine hesitancy went up from 18% in mid-March when a lockdown was imposed on the French to 26% by the end of that month.

“Distrust is likely to become an issue when the vaccine will be made available,” the scientists concluded.

(Reporting by Francesco Guarascio @fraguarascio in Brussels and Josephine Mason in London; Editing by Susan Fenton)

Risk coronavirus or default: ride-hail drivers face tough choices as U.S. aid expires

By Tina Bellon

NEW YORK (Reuters) – Uber driver Johan Nijman faces a difficult decision as federal unemployment aid expires: risk failing to pay for groceries and even lose his home, or resume driving and potentially catch COVID-19.

Nijman is among thousands of Uber Technologies Inc and Lyft Inc drivers across the United States choosing between physical and financial health risks as $600 in additional weekly unemployment assistance expire.

While drivers are not the only workers struggling, they are particularly vulnerable as their work puts them close to many strangers. Also, as independent contractors, they have none of the formal protection or benefits that employees enjoy.

“I never thought that after working so hard for so long that I would ever find myself in a situation where I had to ask for food one day,” Nijman said.

With type 2 diabetes putting him at higher risk for severe COVID-19, Nijman stopped driving in mid-March when the virus was raging through New York City. Before the pandemic, he earned some $1,500 a week driving for Uber’s high-end black car service in an SUV he bought when he signed up in 2017.

He applied for unemployment and received around $900 in weekly benefits – some $300 from the state and $600 from the federal government. That barely covered his expenses, including city-mandated liability insurance drivers must keep paying.

Without the additional $600, Nijman said he faces financial ruin, putting his car and house on the line.

Other drivers, like Sacramento-based Melinda Pualani, are still waiting for their unemployment claims to process, with agencies overwhelmed by the slew of applications.

“Driving again was simply a necessity because I used up most of my savings and still have to keep food on the table,” Pualani said.

She resumed driving last week, rolling down windows, thoroughly disinfecting her car after every trip and asking passengers to wear masks.

Federal pandemic pay offered a lifeline to many gig workers not eligible for ordinary unemployment insurance. Uber and Lyft lobbied U.S. lawmakers to include gig workers in the taxpayer-funded March coronavirus relief bill and workers remain eligible for state-based assistance.

No data is available on the share of gig workers among the 30 million Americans currently collecting unemployment. But the enhanced $600 pay stopped last week and U.S. lawmakers are at an impasse over how to extend it.

Uber and Lyft have provided drivers with masks and disinfectants. They also pay two-week financial assistance to drivers infected by the virus or ordered to quarantine.

Trip requests dropped 80% in April and remain significantly below prior-year levels. Uber and Lyft are expected to provide updates when they report results later on Thursday and Wednesday, respectively.

For parents, the timing is particularly difficult.

Single mom Denise Rozier, a Lyft driver in Austin, Texas, burned through her savings and in April contracted the virus. Alone and struggling to breathe, she worried she might not recover.

“I have a lot of anxiety, but really need to go back (to work) with school starting and expenses piling up,” she said. “I don’t want to risk my safety, but I also don’t want to depend on my family.”

Rozier is afraid of bringing the virus to her family or even contracting it again.

But she also fears altercations with passengers refusing to wear masks. Uber and Lyft have mandated masks for drivers and passengers, but several driver dashcam videos posted online have shown heated arguments with riders refusing to wear one.

“I wished that people in power find a way to look after people that never looked for a handout,” Queens-based Nijman said.

(Reporting by Tina Bellon in New York; Editing by Ben Klayman and Peter Henderson)

Macron promises to help mobilize aid for Lebanon after massive blast

By Samia Nakhoul and Ellen Francis

BEIRUT (Reuters) – French President Emmanuel Macron called for urgent support for Lebanon where he arrived on Thursday, two days after a devastating blast ripped through Beirut, killing 145 people and generating a seismic shock that was felt across the region.

Dozens are still missing after Tuesday’s blast at the port that injured 5,000 people and left up to a quarter of a million without homes fit to live in, hammering a nation already reeling from economic meltdown and a surge in coronavirus cases.

A security source said the death toll had reached 145, and officials said the figure was likely to rise.

Macron, making the first visit by a foreign leader since the explosion, promised to help organize international aid but said Lebanon’s government must implement economic reforms and crack down on corruption.

“If reforms are not carried out, Lebanon will continue to sink,” Macron said after being met at the airport by Lebanese President Michel Aoun. “What is also needed here is political change. This explosion should be the start of a new era.”

Wearing a black tie in mourning, Macron toured the blast site and Beirut’s shattered streets where angry crowds demanded an end to a “regime” of Lebanese politicians they blame for corruption and dragging Lebanon into disaster.

“I see the emotion on your face, the sadness, the pain. This is why I’m here,” Macron told one group, promising to deliver “home truths” to Lebanon’s leaders.

The government’s failure to tackle a runaway budget, mounting debt and endemic corruption has prompted Western donors to demand reform. Gulf Arab states who once helped Lebanon have balked at bailing out a nation they say is increasingly influenced by their rival Iran and its local ally Hezbollah.

One man on the street told Macron, “We hope this aid will go to the Lebanese people not the corrupt leaders.” Another said that, while a French president had taken time to visit them, Lebanon’s president had not.

‘SCAPEGOAT’

At the port, destroyed by Tuesday’s giant mushroom cloud and fireball, families sought news about the missing, amid mounting public anger at the authorities for allowing huge quantities of highly explosive ammonium nitrate, used in making fertilizers and bombs, to be stored there for years in unsafe conditions.

The government has ordered some port officials be put under house arrest and promised a full investigation.

“They will scapegoat somebody to defer responsibility,” said Rabee Azar, a 33-year-old construction worker, speaking near the smashed remains of the port’s grain silo, surrounded by other mangled masonry and flattened buildings.

With banks in crisis, a collapsing currency and one of the world’s biggest debt burdens, Economy Minister Raoul Nehme said Lebanon had “very limited” resources to deal with the disaster, which by some estimates may have cost the nation up to $15 billion. He said the country needed foreign aid.

Offers of medical and other immediate aid have poured in, as officials have said hospitals, some heavily damaged in the blast, do not have enough beds and equipment.

Many Lebanese, who have lost jobs and watched savings evaporate in the financial crisis, say the blast is symptomatic of political cronyism and endemic corruption among the ruling elite.

‘CROOKS AND LIARS’

“Our leaders are crooks and liars. I don’t believe any investigation they will do. They destroyed the country and they’re still lying to the people. Who are they kidding?” said Jean Abi Hanna, 80, a retired port worker whose home was damaged and daughter and granddaughter injured in the blast.

An official source familiar with preliminary investigations blamed “inaction and negligence” for the blast.

A Lebanese security source said the initial blaze that sparked the explosion was caused by welding work.

Some local media reported sightings of suspected Israeli drones or planes flying in the area shortly before the explosion and some Beirut residents said they saw missiles fired.

But officials have denied the incident was caused by any attack. Israel, which has fought several wars with Lebanon, denied any involvement.

Veteran politician Walid Jumblatt, leader of Lebanon’s Druze community, called for an international investigation, saying he had “no trust” in the government to find out the truth.

The White House said the U.S. government had still not ruled out the possibility that Tuesday’s explosion was an attack.

People who felt the explosive force said they had witnessed nothing comparable in years of conflict and upheaval in Beirut, which was devastated by the 1975-1990 civil war and since then has experienced big bomb attacks, unrest and a war with Israel.

“All hell broke loose,” said Ibrahim Zoobi, who works near the port. “I saw people thrown five or six metres.”

Seismic tremors from the blast were recorded in Eilat on Israel’s Red Sea coast, about 580 km (360 miles) away.

Operations have been paralyzed at Beirut port, Lebanon’s main route for imports needed to feed a nation of more than 6 million people, forcing ships to divert to smaller ports.

(Reporting by Samia Nakhoul, Ellen Francis and Ghaida Ghantous; Writing by Dominic Evans; Editing by Edmund Blair)

Government health experts warn U.S. cities of ‘trouble ahead’

By Doina Chiacu

WASHINGTON (Reuters) – White House health experts are warning of an uptick in the percentage of people testing positive for COVID-19 in U.S. cities including Boston, Chicago and Washington, urging local leaders to maintain health safety measures to avoid a surge.

“This is a predictor of trouble ahead,” Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, said on Thursday.

Fauci was asked on CNN about comments made by his White House coronavirus task force colleague, Dr. Deborah Birx, identifying new areas of concern in major cities, even as authorities see encouraging signs across the South.

Baltimore and Atlanta remain at a “very high level,” as well as Kansas City, Portland, Omaha and California’s Central Valley, Birx told state and local officials in a telephone call Wednesday. A recording of the call was obtained by the journalism nonprofit Center for Public Integrity.

White House data shows small increases in the percentage of positive COVID-10 tests in Chicago, Boston and Detroit and those places need to “get on top of it”, Birx said.

Even in cities and states where most people are doing things right, Fauci said, a segment of people not wearing masks or following social distancing remains vulnerable to infection and can keep the virus smoldering in U.S. communities.

“Unless everybody pulls together, and gets the level way down over baseline, we’re going to continue to see these kind of increases that Dr. Birx was talking about in several of those cities,” Fauci said.

White House coronavirus experts have in recent days sent regular warnings to cities and states not to relax anti-coronavirus measures too much before the virus is under sufficient control.

On average, 1,000 people are dying each day nationwide from COVID-19. The U.S. death toll is now over 157,000, with 4.8 million known cases.

President Donald Trump, in contrast, has played down the staying power of the virus, saying on Wednesday “it will go away like things go away” as he urged U.S. schools to reopen on time for face-to-face lessons.

Trump also said children are “almost immune” from COVID-19, prompting Facebook Inc on Wednesday to take down a post by the Republican president containing a Fox News video clip in which he made the statement. Facebook said it violated its rules against sharing misinformation about the virus.

Chicago’s mayor said on Wednesday that school would be online-only in September, after the teachers’ union and many parents in the city objected to a plan to allow students the option of attending class twice a week in pods of 15.

Chicago is the third-largest school district in the United States behind New York and Los Angeles, with 350,000 students.

Los Angeles has already announced that students will be kept home, while New York Mayor Bill de Blasio has said he expects to have children attend classes part of the time.

(Reporting by Doina Chiacu; editing by Philippa Fletcher)