Global coronavirus cases hit 20 million: Reuters tally

By Gayle Issa

(Reuters) – Global coronavirus cases pushed past 20 million on Monday, according to a Reuters tally, with the United States, Brazil and India accounting for more than half of all known infections.

The respiratory disease has infected at least four times the average number of people struck down with severe influenza illnesses annually, according to the World Health Organization.

The death toll from COVID-19, meanwhile, at more than 728,000 has outpaced the upper range of annual deaths from the flu.

The Reuters tally, which is based on government reports, shows the disease is accelerating. It took almost six months to reach 10 million cases after the first infection was reported in Wuhan, China, in early January. It took just 43 days to double that tally to 20 million.

Experts believe the official data likely under counts both infections and deaths, particularly in countries with limited testing capacity.

The United States is responsible for around 5 million cases, Brazil 3 million and India 2 million. Russia and South Africa round out the top ten.

The pandemic is accelerating fastest in Latin America which accounts for almost 28% of the world’s cases and more than 30% of deaths, according to the Reuters tally.

With the first wave of the virus yet to peak in some countries and a resurgence of cases in others, governments are still divided in their responses. Some countries are reintroducing strict public health measures, while others continue to relax restrictions.

Health experts expect dilemmas about how to proceed with school, work and social life to last – and restrictions to fluctuate – until a vaccine is available.

The vaccine race has more than 150 candidates being developed and tested around the world with 25 in human clinical trials, according to the World Health Organization.

In the United States, children began returning to their classrooms last week, even as controversy over school safety swirled.

Britain has added both Spain and Belgium to a list of countries from which returning travelers must quarantine at home for 14 days because of fresh upticks in some European locations.

In Asia, China continues to squash surges using strict, local lockdowns, bringing its daily numbers down into the low double digits on the mainland.

Australia has introduced a strict lockdown and night curfew in the city of Melbourne, aiming to stifle an outbreak there. Neighboring New Zealand, where life has largely returned to normal, on the weekend recorded 100 days with no new cases of local transmission.

(Reporting by Gayle Issa; editing by Jane Wardell)

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)

‘Possibility of external interference’: Lebanon’s president expands blast probe

By Michael Georgy and Ellen Francis

BEIRUT (Reuters) – Lebanon’s president said on Friday an investigation into the biggest blast in Beirut’s history would examine whether it was caused by a bomb or other external interference, as residents tried to rebuild their shattered lives after the explosion.

The search for those missing has intensified, as rescuers sifted rubble in a race to find anyone still alive after Tuesday’s blast that killed 154, smashed up a swathe of the city and sent seismic shockwaves around the region.

“The cause has not been determined yet. There is a possibility of external interference through a rocket or bomb or other act,” President Michel Aoun said in comments carried by local media and confirmed by his office.

He said it would also consider whether the explosion was due to negligence or an accident. He previously said highly explosive material had been stored in unsafe conditions for years at the port. A source has said an initial probe blamed negligence related to storage of the explosive material.

The United States has previously said it has not ruled out an attack. Israel, which has fought several wars with Lebanon, has also previously denied it had any role.

Security forces fired teargas at a furious crowd in Beirut late on Thursday, as anger boiled over at the ruling elite, who have presided over a nation that faced economic collapse even before the deadly port blast that injured 5,000 people.

The small crowd, some hurling stones, marked a return to the kind of protests that had become a feature of life in Beirut, as Lebanese watched their savings evaporate and currency disintegrate, while government decision-making floundered.

“There is no way we can rebuild this house. Where is the state?” Tony Abdou, an unemployed 60-year-old.

His family home is in Gemmayze, a district that lies a few hundred metres from the port warehouses where 2,750 tonnes of highly explosive ammonium nitrate was stored for years, a ticking time bomb near a densely populated area.

A security source and local media previously said the fire that caused the blast was ignited by warehouse welding work.

SWEEPING UP

Volunteers outside swept up debris from the streets of Beirut, which still bears scars from the 1975-1990 civil war and has often witnessed big bombings and other unrest since then.

“Do we actually have a government here?” said taxi driver Nassim Abiaad, 66, whose cab was crushed by falling building wreckage just as he was about to get into the vehicle.

“There is no way to make money anymore,” he said.

The government has promised a full investigation. State news agency NNA said 16 people were taken into custody.

But for many Lebanese, the explosion was symptomatic of years of neglect by the authorities while corruption thrived.

Officials have said the blast, whose seismic impact was recorded hundreds of miles (kilometres) away, might have caused losses amounting to $15 billion – a bill the country cannot pay when it has already defaulted on its mountain of national debt, exceeding 150% of economic output, and talks about a lifeline from the International Monetary Fund have stalled.

Hospitals, many heavily damaged as shockwaves ripped out windows and pulled down ceilings, have been overwhelmed by the number of casualties. Many were struggling to find enough foreign exchange to buy supplies before the explosion.

In the port area, rescue teams set up arc lights to work through the night in a dash to find those still missing, as families waited tensely, slowly losing hope of ever seeing loved ones again. Some victims were hurled into the sea because of the explosive force.

‘NOWHERE TO GO’

The weeping mother of one of the missing called a prime time TV program on Thursday night to plead with the authorities to find her son, Joe. He was found – dead – hours later.

Lebanese Red Cross Secretary General George Kettaneh told local radio VDL that three more bodies had been found in the search, while the health minister said on Friday the death toll had climbed to 154. Dozens are still unaccounted for.

Charbel Abreeni, who trained port employees, showed Reuters pictures on his phone of killed colleagues. He was sitting in a church where the head from the statue of the Virgin Mary had been blown off.

“I know 30 port employees who died, two of them are my close friends and a third is missing,” said the 62-year-old, whose home was wrecked in the blast. His shin was bandaged.

“I have nowhere to go except my wife’s family,” he said. “How can you survive here, the economy is zero?”

A pressing challenge for the government is ensuring the nation has enough food, after he blast destroyed the country’s only major grain silo. U.N. agencies were working to hand out food parcels and deliver medical supplies.

Offers of immediate aid have also poured in from Arab states, Western nations and beyond. But none, so far, address the bigger challenges facing a bankrupt nation.

(Reporting by Michael Georgy, Ellen Francis and Ghaida Ghantous; Writing by Ghaida Ghantous; Editing by Edmund Blair)

Convalescent plasma lowers COVID-19 death risk; exposure to common cold may limit disease severity

By Nancy Lapid

(Reuters) – The following is a brief roundup of some of the latest scientific studies on the novel coronavirus and efforts to find treatments and vaccines for COVID-19, the illness caused by the virus.

Convalescent plasma lowers COVID-19 death risk

Infusions of antibody-rich blood plasma from people who have recovered from the new coronavirus, known as convalescent plasma, can lower the risk of death for hospitalized COVID-19 patients, according to a pooled analysis of data from eight earlier studies of more than 700 hospitalized patients around the world. Researchers found that mortality rates were roughly 13% in patients who received convalescent plasma versus about 25% for those who did not get the treatment. Convalescent plasma was shown to be safe in an earlier study of 5,000 hospitalized adults with severe or life-threatening COVID-19. In that study, fewer than 1% of patients had any serious adverse effects in the first four hours after transfusion. The current study could not account for differences in factors such as how sick patients were, how much plasma they received, how long they were sick before the received it, and how long doctors followed them afterward. “Given the safety of plasma administration in COVID-19 patients, the results … provide encouragement for its continued used as a therapy,” the researchers write in a report published ahead of peer review.

Exposure to common colds may impact COVID-19 severity

In patients with COVID-19, the immune system’s T cells learn to recognize and target the new coronavirus. But some people who were never infected with the virus nonetheless have T cells that also recognize it. Researchers had suspected that in these individuals, past exposure to other corona viruses, such as those that cause the common cold, had somehow primed their T cells to recognize and attack this new coronavirus (SARS-CoV-2), and new research appears to confirm that. In studies of human blood samples collected well before the new coronavirus was discovered, researchers found T cells that were equally reactive against the new virus and four types of common cold corona viruses. The strongest T cell responses to the new coronavirus were associated with the spike protein the virus uses to enter human cells. “We knew there was pre-existing reactivity, and this study provides very strong direct molecular evidence that memory T cells can ‘see’ sequences that are very similar between common cold corona viruses and SARS-CoV-2,” coauthor Alessandro Sette of the La Jolla Institute for Immunology said in a statement. It is plausible to think that previous exposure to common cold viruses might contribute to variations in COVID-19 severity, researchers said on Tuesday in the journal Science.

Severe COVID-19 may be less deadly in children

Children with COVID-19 rarely become critically ill, and when they do, they tend to have better outcomes than adults, based on early data from an ongoing study. The Critical Coronavirus and Kids Epidemiology (CAKE) study involves 65 pediatric intensive care units in 18 countries. In a paper published on Wednesday in the journal Pediatrics, the study team reported on the first 17 children with severe COVID-19 from 10 hospitals in Chile, Colombia, Italy, Spain and the United States. Most required respiratory support, with nearly half needing to be put on ventilators. Symptoms were varied, with fever, cough and gastrointestinal issues common. Overall, one child died, four developed inflammation of the heart and three remain hospitalized. The investigators hope to have more data soon that will provide additional information on the care and outcomes of these patients, which may become more important as schools reopen around the world. As of now, CAKE has enrolled almost 100 critically ill children “and we are projecting perhaps 100 more by the end of 2020,” Dr. Sebastian Gonzalez-Dambrauskas, with the Latin American Pediatric Collaborative Network, told Reuters.

(Reporting by Nancy Lapid and Megan Brooks; Editing by Bill Berkrot)

‘Do you really need to party?’ WHO asks world’s youth

By Emma Farge

GENEVA (Reuters) – Young people must curb their party instincts to help prevent new outbreaks of the COVID-19 disease, officials at the World Health Organization (WHO) pleaded on Wednesday.

Tired of lockdowns and eager to enjoy the northern hemisphere summer, young people in some countries have been contributing to resurgences by gathering again for parties, barbecues and holidays.

Even in Geneva, where the global U.N. health body is based, cabarets and clubs were closed last week after evidence that nearly half of new cases were coming from there.

“Younger people also need to take on board that they have a responsibility,” said WHO emergencies chief and father-of-three Mike Ryan in an online discussion. “Ask yourself the question: do I really need to go to that party?”

Young people are less likely to suffer a severe form of the respiratory disease than their parents or grandparents, but the proportion of those infected aged 15-24 has risen three-fold in about five months, WHO data shows.

Ryan said young people were often reticent in giving their details or disclosing friends’ names to contact tracers. “It’s tough but it is what is needed to stop the virus,” he said.

Swiss newspapers said that in one night club in Zurich from which cases emerged recently, party-goers had given fake names including “Donald Duck”.

As well as reducing risks to others, WHO epidemiologist Maria Van Kerkhove said young people should be careful as even a mild version of the disease might have long-term consequences.

(Reporting by Emma Farge; Editing by Andrew Cawthorne)

Global coronavirus deaths exceed 700,000, one person dies every 15 seconds on average

By Lisa Shumaker

(Reuters) – The global death toll from the coronavirus surpassed 700,000 on Wednesday, according to a Reuters tally, with the United States, Brazil, India and Mexico leading the rise in fatalities.

Nearly 5,900 people are dying every 24 hours from COVID-19 on average, according to Reuters calculations based on data from the past two weeks.

That equates to 247 people per hour, or one person every 15 seconds.

President Donald Trump said the coronavirus outbreak is as under control as it can get in the United States, where more than 155,000 people have died amid a patchy response to the public health crisis that has failed to stem a rise in cases.

“They are dying, that’s true,” Trump said in an interview with the Axios news website. “It is what it is. But that doesn’t mean we aren’t doing everything we can. It’s under control as much as you can control it. This is a horrible plague.”

In Brazil, President Jair Bolsonaro has minimized the gravity of the pandemic and opposed lockdown measures, even as he and several of his cabinet tested positive for the virus.

The pandemic was initially slower to reach Latin America, which is home to about 640 million people, than much of the world. But officials have since struggled to control its spread because of the region’s poverty and densely packed cities.

More than 100 million people across Latin America and the Caribbean live in slums, according to the United Nations Human Settlements Program. Many have jobs in the informal sector with little in the way of a social safety net and have continued to work throughout the pandemic.

Even in parts of the world that had appeared to have curbed the spread of the virus, countries have recently seen single-day records in new cases, signaling the battle is far from over.

Australia, Japan, Hong Kong, Bolivia, Sudan, Ethiopia, Bulgaria, Belgium, Uzbekistan and Israel all recently had record increases in cases.

Australia also reported a record number of new deaths on Wednesday, taking the country’s total to 247.

(Reporting by Lisa Shumaker; editing by Jane Wardell)

Beirut reels from huge blast as death toll climbs to at least 135

By Samia Nakhoul and Ellen Francis

BEIRUT (Reuters) – Lebanese rescue teams pulled out bodies and hunted for missing in the wreckage of buildings on Wednesday as investigations blamed negligence for a massive warehouse explosion that sent a devastating blast wave across Beirut, killing at least 135.

More than 5,000 other people were injured in Tuesday’s explosion at Beirut port, Health Minister Hamad Hassan said, and up to 250,000 were left without homes fit to live in after shockwaves smashed building facades, sucked furniture out into streets and shattered windows miles inland.

Hassan said tens of people remained missing. Prime Minister Hassan Diab declared three days of mourning from Thursday.

The death toll was expected to rise from the blast, which officials blamed on a huge stockpile of highly explosive material stored for years in unsafe conditions at the port.

The explosion was the most powerful ever to rip through Beirut, a city still scarred by civil war that ended three decades ago and reeling from an economic meltdown and a surge in coronavirus infections. The blast rattled buildings on the Mediterranean island of Cyprus, about 100 miles (160 km) away.

President Michel Aoun said 2,750 tonnes of ammonium nitrate, used in fertilizers and bombs, had been stored for six years at the port without safety measures, after it was seized.

In an address to the nation during an emergency cabinet session, Aoun said: “No words can describe the horror that has hit Beirut last night, turning it into a disaster-stricken city”.

He said the government was “determined to investigate and expose what happened as soon as possible, to hold the responsible and the negligent accountable.”

An official source familiar with preliminary investigations blamed the incident on “inaction and negligence”, saying “nothing was done” by committees and judges involved in the matter to order the removal of hazardous material.

The cabinet ordered port officials involved in storing or guarding the material since 2014 to be put under house arrest, ministerial sources told Reuters. The cabinet also announced a two-week state of emergency in Beirut.

‘COLLAPSE OF LEBANON’

Ordinary Lebanese, who have lost jobs and watched savings evaporate in Lebanon’s financial crisis, blamed politicians who have overseen decades of state corruption and bad governance.

“This explosion seals the collapse of Lebanon. I really blame the ruling class,” said Hassan Zaiter, 32, a manager at the heavily damaged Le Gray Hotel in downtown Beirut.

The health minister said the death toll had climbed to 135, as the search for victims continued after shockwaves from the blast hurled some of the victims into the sea.

Relatives gathered at the cordon to Beirut port seeking information on those still missing. Many of those killed were port and custom employees, people working in the area or those driving nearby during the Tuesday evening rush hour.

The Red Cross was coordinating with the Health Ministry to set up morgues as hospitals were overwhelmed. Health officials said hospitals were struggling with the big influx of casualties and were running out of beds and equipment to attend to the injured and those in critical condition.

Beirut’s Clemenceau Medical Center was “like a slaughterhouse, blood covering the corridors and the lifts,” said Sara, one of its nurses.

Beirut Governor Marwan Abboud told Al Hadath TV that collective losses after the blast might reach $10 billion to $15 billion, saying the estimate included both direct and indirect losses related to business.

“This is the killer blow for Beirut, we are a disaster zone,” said Bilal, a man in his 60’s, in the downtown area.

Offers of international support poured in. Gulf Arab states, who in the past were major financial supporters of Lebanon but recently stepped back because of what they say is Iranian meddling, sent planes with medical equipment and other supplies.

Turkey said it would send 20 doctors to Beirut to help treat the injured, as well as medical and relief assistance, Iraq pledged fuel aid while Iran offered food and a field hospital.

Iranian Supreme Leader Ayatollah Ali Khamenei said in a tweet: “We sympathize with the dear Lebanese citizens and stand by them in the painful tragedy of the Beirut port explosion…Patience in the face of this incident will be a golden leaf of honor for Lebanon.”

The United States, Britain, France and other Western nations, which have been demanding political and economic change in Lebanon, also offered aid. Germany, the Netherlands and Cyprus offered specialized search and rescue teams.

Two French planes were expected to arrive on Thursday with 55 rescuers, medical equipment and a mobile clinic. French President Emmanuel Macron will also visit Lebanon on Thursday. Other Arab and European countries are sending doctors, mobile hospitals and equipment.

‘CATASTROPHE’

For many it was a dreadful reminder of the 1975-1990 civil war that tore the nation apart and destroyed swathes of Beirut, much of which had since been rebuilt.

“This is a catastrophe for Beirut and Lebanon.” Beirut’s mayor, Jamal Itani, told Reuters while inspecting damage.

Officials did not say what caused the initial blaze at the port that set off the blast. A security source and media said it was started by welding work being carried out on a warehouse.

Taxi driver Abou Khaled said ministers “are the first that should be held accountable for this disaster. They committed a crime against the people of this nation with their negligence.”

The port district was left a tangled wreck, disabling the nation’s main route for imports needed to feed a nation of more than 6 million people.

Beirut Governor Abboud said amounts of available wheat were currently limited and he reckoned a crisis might develop without international intervention.

Lebanon had already been struggling to house and feed refugees fleeing conflict in neighboring Syria and has no trade or other ties with its only other neighbor Israel.

“On a scale, this explosion is scaled down from a nuclear bomb rather than up from a conventional bomb,” said Roland Alford, managing director of British explosive ordnance disposal firm Alford Technologies. “This is huge.”

The blast prompted the Special Tribunal for Lebanon on Wednesday to postpone its verdict in the trial over the 2005 bombing that killed ex-Prime Minister Rafik al-Hariri to Aug. 18. The tribunal’s decision had been expected this Friday.

The U.N.-backed court put on trial four suspects from the Iranian-backed Shi’ite Muslim group Hezbollah. Hariri and 21 others were killed by a big truck bomb in another area of the Beirut waterfront, about 2 km (about one mile) from the port.

(Reporting by Ayat Basma, Samia Nakhoul, Ellen Francis, Ghaida Ghantous, Alaa Swilam and Omar Fahmy; Additional reporting by Reuters bureaus; Writing by Tom Perry and Dominic Evans Editing by Edmund Blair and Mark Heinrich)

Trump says coronavirus under control, ‘It is what it is’

WASHINGTON (Reuters) – President Donald Trump said the coronavirus outbreak is as under control as it can get in the United States, where at least 155,000 people have died amid a patchy response to the public health crisis that has failed to stem a rise in cases.

The Republican president continued to press for U.S. schools to reopen in an overnight Twitter post, and defended his administration’s response to the virus in an interview with the Axios news website released late on Monday.

“They are dying, that’s true,” he said. “It is what it is. But that doesn’t mean we aren’t doing everything we can. It’s under control as much as you can control it. This is a horrible plague.”

Coronavirus cases continue to surge in the country and dozens of U.S. states have had to pause or roll back their reopening plans. The White House coronavirus task force coordinator, Dr. Deborah Birx, said on Sunday the virus was “extraordinarily widespread” in rural areas as well as cities.

With U.S. deaths reaching more than 1,000 a day, Trump pressed the view of deaths in proportion to the number of cases instead of as a proportion of the population, in which the United States fares worse than other Western nations.

In the Axios interview, Trump again insisted that increased diagnostic testing in the United States accounted for the increase in cases, an assertion disputed by health experts who say expanded testing accounts for some, but not all, of the growth in cases.

Health experts also call it a key tool in fighting the spread of the disease, which had been detected in at least 4.6 million people across the United States as of Saturday.

(Reporting by Doina Chiacu and Susan Heavey; Editing by Bernadette Baum)

California governor says COVID-19 cases, hospitalizations, trending down

By Dan Whitcomb

LOS ANGELES (Reuters) – The rates of new COVID-19 cases, hospitalizations and intensive care unit admissions were all trending downward in California in the latest counts, the governor said on Monday.

Governor Gavin Newsom, a Democrat, said that despite that good news, the state’s Central Valley agricultural region was still being hit hard by the coronavirus. He said the data had yet to reach a point for lifting pandemic restrictions.

“This virus is not going away,” Newsom said at a daily coronavirus briefing. “It’s not going to take Labor Day weekend off or Halloween off or the holidays off. Until we have a vaccine we are going to be living with this virus.”

California, the country’s most populous state with some 40 million residents, has recorded a total of 514,901 confirmed COVID-19 infections and 9,388 deaths, according to the governor’s office.

The state’s seven-day average of infections has dropped more than 21 percent, compared to the previous period, Newsom said, and hospitalizations are down 10 percent in a 14-day average.

California has administered more than 8 million tests for COVID-19, and the rate of positive results has declined to seven percent over the last 14 days, compared to 7.5 percent in the previous two weeks.

(Reporting by Dan Whitcomb; Editing by Sandra Maler and Howard Goller)

WHO reports record daily increase in global coronavirus cases, up over 292,000

(Reuters) – The World Health Organization reported a record increase in global coronavirus cases on Friday, with the total rising by 292,527.

The biggest increases were from the United States, Brazil, India and South Africa, according to a daily report. Deaths rose by 6,812. The four countries have dominated global headlines with large outbreaks.

The previous WHO record for new cases was 284,196 on July 24. Deaths rose by 9,753 on July 24, the second largest one-day increase ever. Deaths have been averaging 5,200 a day in July, up from an average of 4,600 a day in June.

Nearly 40 countries have reported record single-day increases in coronavirus infections over the last week, around double the number that did so the previous week, according to a Reuters tally showing a pick-up in the pandemic in every region of the world.

Cases have been on the rise also in Australia, Japan, Hong Kong, Bolivia, Sudan, Ethiopia, Bulgaria, Belgium, Uzbekistan and Israel, among others.

Last week, cases in Latin America for the first time surpassed the combined infections in the United States and Canada, a Reuters tally showed. Infections are surging in Brazil, which is second in the world behind the United States in cases and deaths.

Globally there are over 17.4 million infections and nearly 675,000 deaths, according to a Reuters tally.

(Reporting by Lisa Shumaker; Editing by Howard Goller)