Over 1 million: India joins U.S., Brazil in grim coronavirus club

By Zeba Siddiqui

MUMBAI (Reuters) – India on Friday became the third country in the world to record more than one million cases of the new coronavirus, behind only the United States and Brazil, as infections spread further into the countryside and smaller towns.

Given India’s population of around 1.3 billion, experts say, one million is relatively low – but the number will rise significantly in the coming months as testing increases, further straining a healthcare system already pushed to the brink.

The pandemic has surged in the country in recent weeks as it spread beyond the biggest cities, pushing India past Russia as the third-most-infected country last week.

Authorities imposed fresh lockdowns and designated new containment zones in several states this week, including the largely rural Bihar state in the east and the southern tech hub Bengaluru, where cases have spiked.

But officials have struggled to enforce the lockdowns and keep people indoors.

India recorded 34,956 new infections on Friday, taking the total to 1,003,832, with 25,602 deaths from COVID-19, federal health ministry data showed. That compares to 3.6 million cases in the United States and 2 million in Brazil – countries with less than a third of India’s population.

Epidemiologists say India is still likely months from hitting its peak.

“In the coming months, we are bound to see more and more cases, and that is the natural progression of any pandemic,” said Giridhar Babu, epidemiologist at the nonprofit Public Health Foundation of India.

“As we move forward, the goal has to be lower mortality,” he said. “A critical challenge states will face is how to rationally allocate hospital beds.”

The last four months of the pandemic sweeping India have exposed severe gaps in the country’s healthcare system, which is one of the most poorly funded and has for years lacked enough doctors or hospital beds.

The Indian government has defended a strict lockdown it imposed in March to contain the virus spread, saying it helped keep death rates low and allowed time to beef up the healthcare infrastructure. But public health experts say shortages remain and could hit hard in the coming months.

“As a public health measure, I don’t think the lockdown had much impact. It just delayed the virus spread,” said Dr. Kapil Yadav, assistant professor of community medicine at New Delhi’s premier All India Institute of Medical Sciences.

The million cases so far recorded likely left out many asymptomatic ones, he said. “It’s a gross underestimate.”

Rahul Gandhi, leader of the opposition Congress party, urged Prime Minister Narendra Modi to take concrete steps to contain the pandemic, tweeting that the number of infections will double to two million by August 10 at this pace.

Millions of migrant workers, left stranded in the cities by the lockdown in March, took long journeys home on foot, some dying on the way while others left without work or wages.

Several states including Bihar, to which many of the migrants returned, have witnessed a surge in cases in recent weeks as the lockdown has been eased to salvage a sagging economy.

Babu predicts India will not see a sharp peak and decline.

“The surges are shifting from one place to another, so we cannot say there will be one peak for the whole country. In India, it’s going to be a sustained plateau for some time and then it will go down.”

(Reporting by Zeba Siddiqui in Mumbai; Additional reporting by Chandini Monnappa, Derek Francis and Abhirup Roy; Editing by Sanjeev Miglani and William Mallard)

Florida reports biggest one-day increase in COVID-19 deaths since pandemic started

(Reuters) – Florida reported on Thursday the largest one-day increase in deaths from the novel coronavirus since the pandemic began and its second-largest increase in cases ever.

Florida announced 13,965 new cases on Thursday, bringing the total number of cases in the state and the center of the latest outbreak to over 315,775, according to the state health department.

Florida’s COVID deaths rose by 156 to a total of 4,782, surpassing its previous one-day record of 133 new deaths on July 12.

Hospitalizations of patients with COVID-19 was the highest ever reported at 8,626 currently hospitalized, up 321 in the past 24 hours, according to a state agency.

(Writing by Lisa Shumaker, Editing by Franklin Paul)

Target, CVS, Walgreens to require customers wear masks at U.S. stores

(Reuters) – Target Corp, CVS Health Corp and Walgreens Boots Alliance Inc said on Thursday they would require customers wear face coverings while shopping at their U.S. stores, adopting a widely accepted way to curb the spread of the coronavirus.

The move by consumer-facing companies comes as virus cases continue to surge in the United States and deaths exceed 137,000.

On Wednesday, Walmart Inc, Kroger Co and Kohls Corp had decided to implement the policy at all their outlets.

Target said it would launch the policy from August 1, with an exception for those with underlying medical conditions and young children.

Local and state regulations already require shoppers at over 80% of its stores to wear face masks, the retailer said.

Walgreens’ policy will come into effect on Monday, with the company saying it will add store signage and intercom messages to remind shoppers of the new rule.

CVS will also launch the rule at its pharmacies from Monday, but said it was not asking its employees to act as enforcers.

While many companies have recommended masks for months, they were hesitant to make it a requirement over fears of drawing the ire of shoppers, especially after several videos posted online showed confrontations between customers and store staff.

“What we are asking is that customers help protect themselves,” CVS said in a statement.

(Reporting by Uday Sampath in Bengaluru; Editing by Anil D’Silva and Arun Koyyur)

Pompeo expects ‘completely whitewashed’ WHO China investigation

WASHINGTON (Reuters) – U.S. Secretary of State Mike Pompeo said on Wednesday he expected a World Health Organization (WHO) investigation into the origins of the novel coronavirus in China to be “completely whitewashed.”

Nearly 580,000 people globally have died from COVID-19, the disease caused by the coronavirus, and more than 13 million have been infected following an outbreak that started in Wuhan, China, last year.

The Geneva-based WHO said it was sending an team to China in early July to investigate how the outbreak started.

“This is a regime that failed to disclose the information they had about a virus that has now killed over 100,000 Americans … and now it is allowing the World Health Organization to go in to conduct what I am confident will be a completely, completely whitewashed investigation,” Pompeo told reporters.

The United States is the WHO’s most prominent critic, and has said it is leaving the U.N. agency.

President Donald Trump, who has been harshly criticized for his response to the outbreak in the United States, which has the world’s highest death toll at more than 136,000 people, has sought to blame China.

“I hope I am wrong. I hope it’s a thorough investigation that gets fully to the bottom, but I have watched the Chinese Communist Party’s behavior with respect to the virus that emanated from Wuhan and they have simply refused,” Pompeo said.

“They have destroyed samples. They have taken journalists and doctors who were prepared to talk about this and not permitted them to do what nations that want to play on a truly global scale and global stage ought to do: be transparent, and open, and communicate and cooperate,” he said.

(Reporting By Arshad Mohammed and Humeyra Pamuk; Editing by Sonya Hepinstall)

Moderna Phase 1 results show coronavirus vaccine safe, induces immune response

By Julie Steenhuysen

CHICAGO (Reuters) – Moderna Inc’s experimental vaccine for COVID-19 showed it was safe and provoked immune responses in all 45 healthy volunteers in an ongoing early-stage study, U.S. researchers reported on Tuesday.

Volunteers who got two doses of the vaccine had high levels of virus-killing antibodies that exceeded the average levels seen in people who had recovered from COVID-19, the team reported in the New England Journal of Medicine.

No study volunteers experienced a serious side effect, but more than half reported mild or moderate reactions such as fatigue, headache, chills, muscle aches or pain at the injection site. These were more likely to occur after the second dose and in people who got the highest dose.

Experts say a vaccine is needed to put an end to the coronavirus pandemic that has sickened millions and caused nearly 575,000 deaths worldwide.

Moderna was the first to start human testing of a vaccine for the novel coronavirus on March 16, 66 days after the genetic sequence of the virus was released.

Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, whose researchers developed Moderna’s vaccine candidate, called the results “good news,” noting that the study found no serious adverse events and the vaccine produced “reasonably high” levels of virus-killing or neutralizing antibodies.

“If your vaccine can induce a response comparable with natural infection, that’s a winner,” Fauci said in a telephone interview. “That’s why we’re very pleased by the results.”

Moderna shares jumped more than 15% in after-hours trading on Tuesday.

The U.S. government is supporting Moderna’s vaccine with nearly half a billion dollars and has chosen it as one of the first to enter large-scale human trials. A successful vaccine could be a turning point for Cambridge, Massachusetts-based Moderna, which has never had a licensed product.

Moderna’s shot, mRNA-1273, uses ribonucleic acid (RNA) – a chemical messenger that contains instructions for making proteins. When injected into people, the vaccine instructs cells to make proteins that mimic the outer surface of the coronavirus, which the body recognizes as a foreign invader, and mounts an immune response against.

The results released Tuesday involved three doses of the vaccine, tested in groups of 15 volunteers aged 18-55 who got two shots, 28 days apart. The groups tested 25, 100 or 250 micro grams of the vaccine.

Adverse events after the second dose occurred in seven of the 13 volunteers who got the 25-micro gram dose, all 15 participants who received the 100 micro gram dose and all 14 who got the 250 micro gram dose. In the highest-dose group, three patients had severe reactions such as fever, chills, headache or nausea. One of these had a fever of 103.28 Fahrenheit (39.6 C).

“We didn’t see any events that are characterized as serious adverse events,” said lead author Dr Lisa Jackson of Kaiser Permanente Washington Health Research Institute in Seattle, referring to reactions that require hospitalization or result in death.

In June, Moderna said it selected the 100-micro gram dose for its late-stage study to minimize adverse reactions.

At that dose, Moderna said the company is on track to deliver about 500 million doses per year, and possibly up to 1 billion doses per year, starting in 2021, from the company’s internal U.S. manufacturing site and strategic collaboration with Swiss drug-maker Lonza.

“It’s a good first step,” said Dr William Schaffner, a vaccine expert at Vanderbilt University Medical Center who was not involved in the study.

“There’s nothing here that would inhibit one from going ahead to the Phase 2/Phase 3 trials,” he said.

In April, Moderna expanded the Phase 1 trial to include adults over 55, who are more at risk of serious disease, with the aim of enrolling 120 volunteers. Moderna said it will follow study volunteers for a year to look for side effects and check how long immunity lasts.

Moderna started its phase 2 trial in May and expects to start a phase 3 trial on July 27.

Phase 1 trials aim to ensure a treatment is safe and help determine an effective dose. Phase 2 trials test a treatment in a larger group and get an early read on effectiveness. Phase 3 trials are conducted in a large group of individuals to confirm efficacy and identify rare side effects. Moderna’s Phase 3 trial will be conducted in 30,000 volunteers.

(Reporting by Julie Steenhuysen in Chicago; Editing by Matthew Lewis and Richard Pullin)

U.S. judge blocks second federal execution in 17 years

By Jonathan Allen

(Reuters) – A federal judge in Washington blocked what would be the second federal execution in 17 years early on Wednesday, hours before it was due to take place, though her orders may yet be reversed as the U.S. Department of Justice challenges them in higher courts.

The Justice Department had planned to execute Wesley Purkey, who had been convicted of raping and murdering a 16-year-old girl, at 4 p.m. EDT (2000 GMT) despite objections by Purkey’s lawyers that he has dementia and no longer understands his punishment.

Early on Wednesday, U.S. District Court Judge Tanya Chutkan in Washington issued two injunctions to allow various legal challenges by some of the 61 inmates on federal death row to continue.

One of the injunctions also prevents the federal government from executing two other men convicted of murdering children: Dustin Honken is scheduled to be put to death on Friday and Keith Nelson on Aug. 28.

In issuing the broader injunction, Chutkan said the condemned men were likely to prevail in their argument that the Justice Department’s use of pentobarbital in lethal injections breaches the Food, Drug and Cosmetic Act, which governs drug safety.

The Justice Department has argued that drug-safety laws do not apply when a drug is intended for use in an execution.

It is the third time Chutkan has issued an injunction delaying executions in the litigation over the legality of the Justice Department’s new one-drug protocol, which replaces the previous three-drug protocol it last used in 2003.

The first injunction was overturned by an appeals court in April.

The second, issued on Monday ahead of the scheduled execution of Daniel Lee, a convicted murderer and one of the plaintiffs in the litigation challenging the new execution protocol, was overturned by the Supreme Court at about 2 a.m. (0600 GMT) on Tuesday. Lee was executed a few hours later, the first federal execution in 17 years.

In the second injunction issued on Wednesday, which applies only to Purkey, Chutkan agreed with Purkey’s lawyers that his mental illness, including Alzheimer’s disease, means he no longer understands why he is being executed and should be afforded a so-called “competency hearing.”

The Supreme Court has previously ruled it is “abhorrent” and unconstitutional to execute someone whose mental illness prevents them from comprehending their punishment.

The Justice Department is appealing the injunctions.

Purkey, 68, was convicted in 2003 in Missouri. He dumped his victim’s dismembered and burned remains in a septic pond.

(Reporting by Shubham Kalia in Bengaluru and Jonathan Allen in New York; editing by John Stonestreet and Timothy Heritage)

Over 224,000 COVID-19 deaths forecast in US by November 1, says University of Washington’s IHME

(Reuters) – A newly revised University of Washington model projects the U.S. death toll from COVID-19 will climb to just above 224,000 by Nov. 1, up 16,000 from a prior forecast, due to rising infections and hospitalizations in many states.

But the latest forecast from the university’s Institute for Health Metrics and Evaluation (IHME), released late on Tuesday, also predicts the death toll could be reduced by 40,000 if nearly all Americans wore masks in public.

“Use of masks is up, but not as high as it should be. If 95% of Americans wore masks each time they left their homes, infection rates would drop, hospitalizations would drop, and forecast deaths would drop,” the IHME said in a statement.

The IHME’s new forecast came after Alabama, Florida and North Carolina on Tuesday reported record daily increases in deaths from COVID-19, marking grim new milestones of a second wave of infections surging across much of the U.S.

The new IHME forecast – 224,089 U.S. lives lost by Nov. 1 – was revised upward from the 208,254 deaths projected on July 7.

At least 136,052 Americans have died from COVID-19, the illness caused by the novel coronavirus, while reported U.S. infections have surpassed 3.4 million, according to a tally by Reuters.

The IHME’s projections have been cited in the past by the White House and are watched closely by public health officials.

(Reporting by Nathan Layne in Wilton, Connecticut; Editing by Bernadette Baum)

Three states in U.S. South report record rises in COVID-19 deaths

By Lisa Shumaker

(Reuters) – Alabama, Florida and North Carolina reported record daily increases in COVID-19 deaths on Tuesday, a trio of grim milestones that follows the first nationwide increase in fatalities since mid-April as some U.S. states rushed to reopen.

The number of new cases reported daily began rising about six weeks ago, especially in southern and western states such as Arizona, California, Florida and Texas, which have been quick to lift restrictions meant to control the spread of the virus.

New coronavirus cases rose in 46 of 50 U.S. states last week over the previous week, according to a Reuters analysis of data from The COVID Tracking Project. So far in July, 28 states have reported record daily increases in new cases.

With more than 3.3 million cases, the United States ranks first in the world in cases per capita along with Peru. With more than 135,000 deaths, the United States ranks seventh in fatalities per capita among the 20 countries with the most cases.

Florida on Tuesday reported 133 new COVID-19 deaths, raising the state’s death toll to more than 4,500. Its previous record increase was 120 on July 9. Alabama reported a record increase of 40 deaths and North Carolina 35 deaths, bringing each state’s total to over 1,100.

The rising cases and deaths have left educators from California to Wisconsin opting for online learning rather than a return to classrooms when the school year begins in a few weeks.

Schools from Milwaukee, Wisconsin, to Fort Bend County, Texas, joined California’s two largest school districts, Los Angeles and San Diego, in announcing plans to keep teachers and students from the close contact that classrooms demand.

The decision puts the districts at odds with U.S. President Donald Trump, who has threatened to withhold federal funds or remove tax-exempt status if they refuse to reopen classrooms, even though most schools are financed by state and local taxes.

Trump’s campaign views the reopening of classrooms, enabling parents to get back to work, as a key to economic recovery and a boost to his re-election chances on Nov. 3.

New York state plans to reopen its schools in areas where the daily infection rate is below 5% of all COVID tests. The state has averaged an infection rate of about 1% for several weeks and is one of only four states where cases fell last week, according to a Reuters analysis. New York City, where social distancing and mask wearing are widely practiced, recently reported no new COVID deaths in a 24-hour period for the first time since March.

New York Governor Andrew Cuomo on Tuesday added Minnesota, New Mexico, Ohio and Wisconsin to the state’s quarantine list. Travelers arriving in New York from a total of 22 U.S. states are now required to quarantine for 14 days.

Florida still plans for its schools to resume in-person learning in August. The state recorded over 9,000 new cases on Tuesday, down from 12,000 on Monday and a record increase of 15,000 on Sunday.

Teachers in Loudoun County, Virginia, protested outside school headquarters on Monday with one woman fully enclosed in a white lab suit and face shield holding a sign that said, “Our new school uniform.” To keep physically distant, the teachers honked their car horns in unison, according to a video.

Faculty members were protesting against a school board plan for hybrid instruction that would include two days of in-person teaching, according to local media.

(Reporting by Maria Caspani and Gabriella Borter in New York; Writing by Lisa Shumaker; Editing by Howard Goller)

California shuts down businesses, schools as coronavirus outbreak grows

By Sharon Bernstein and Dan Whitcomb

SACRAMENTO (Reuters) – California’s governor on Monday clamped new restrictions on businesses as coronavirus cases and hospitalizations soared, and the state’s two largest school districts, in Los Angeles and San Diego, said children would be made to stay home in August.

Governor Gavin Newsom ordered bars closed and restaurants, movie theaters, zoos and museums across the nation’s most populous state to cease indoor operations. Gyms, churches and hair salons must close in the 30 hardest-hit counties.

“It’s incumbent upon all of us to recognize soberly that COVID-19 is not going away any time soon, until there is a vaccine and/or an effective therapy,” Newsom said at a news briefing.

The governor called the move critical to stemming a surge in COVID-19 cases that have strained hospitals in several of California’s rural counties.

The public school districts for Los Angeles and San Diego, which instruct a combined 706,000 students and employ 88,000 people, said in a joint statement they would teach only online when school resumes in August, citing “vague and contradictory” science and government guidelines.

The districts said countries that have safely reopened schools have done so only after establishing declining infection rates and on-demand coronavirus testing.

“California has neither,” the statement said, adding, “The sky-rocketing infection rates of the past few weeks make it clear the pandemic is not under control.”

The union representing Los Angeles teachers applauded the strategy in a separate statement released shortly after the school shutdowns were announced.

“In the face of the alarming spike in COVID cases, the lack of necessary funding from the government to open schools safely and the outsized threat of death faced by working-class communities of color, there really is no other choice that doesn’t put thousands of lives at risk,” United Teachers Los Angeles said.

Brenda Del Hierro, who has two children in Los Angeles schools, said resuming traditional instruction was important but the hazards had to be considered. “For their social and emotional well being they need to go back to school. But at the end of the day there is too much of a risk,” she said.

DISTRICTS CLASH WITH TRUMP

The decision to cancel in-person classes puts the districts at odds with U.S. President Donald Trump, who has said he might withhold federal funding or remove tax-exempt status from school systems that refuse to reopen. Most education funding comes from state and local governments.

Administration officials have said data does not suggest attending school would be dangerous for children because their infection rates are far lower than the population at large.

In response to the California districts’ announcement, the White House reiterated that the ideal scenario is for students to go to school. “Hopefully Los Angeles and San Diego can get there soon as well, as that is what is best for children.” spokesman Judd Deer said.

Newsom, who has said during the pandemic that it was up to local school districts to determine how best to educate their students, cheered the announcements by Los Angeles and San Diego.

But Republicans criticized the governor for failing to issue statewide guidelines for schools during the health crisis.

“While he continues to blame Californians for his failure in leadership, his demands to close our small businesses and lack of direction on opening schools will further harm California’s school children and the small businesses that fuel our economy,” Jessica Millan Patterson, chairwoman of the California Republican Party, said in a written statement.

California, along with Florida, Arizona and Texas have emerged as the new U.S. epicenters of the pandemic. Infections have risen rapidly in about 40 of the 50 states over the last two weeks, according to a Reuters analysis.

Despite nearly 28,000 new COVID-19 cases in the last two days in Florida, Disney World in Orlando welcomed the public on Saturday for the first time since March with guests required to wear masks, undergo temperature checks and keep physically apart.

(Reporting by Sharon Bernstein in Sacramento, Dan Whitcomb in Los Angeles, Steve Gorman in Eureka, California, Rich McKay in Atlanta, Lisa Lambert and Doina Chiacu in Washington, and Nathan Layne in Wilton, Connecticut; Writing by Lisa Shumaker and Dan Whitcomb; Editing by Howard Goller, Bill Tarrant and Cynthia Osterman)

More U.S. schools go online-only as coronavirus cases and deaths rise

By Lisa Shumaker

(Reuters) – With coronavirus infections and deaths rising in many parts of the country, U.S. educators from California to Wisconsin are opting for online learning rather than a return to classrooms when the school year begins in a few weeks.

Schools from Milwaukee, Wisconsin, to Fort Bend County, Texas, joined California’s two largest school districts, Los Angeles and San Diego, in announcing plans to keep teachers and students from the close contact that classrooms demand.

The decision puts the districts at odds with U.S. President Donald Trump, who has threatened to withhold federal funds or remove tax-exempt status if they refuse to reopen classrooms, even though most schools are financed by state and local taxes.

Trump’s campaign views the reopening of classrooms, enabling parents to get back to work, as a key to economic recovery and a boost to his re-election chances on Nov. 3.

Los Angeles and San Diego schools said in a joint statement on Monday that countries that have safely reopened schools have done so only after establishing declining infection rates and on-demand coronavirus testing.

U.S. coronavirus cases rose in 46 of 50 states last week and the number of deaths rose nationally last week for the first time since mid-April and about six weeks after cases began to increase, according to a Reuters analysis.

With more than 3.3 million COVID-19 cases, the United States ranks first in the world in cases per capita, according to a Reuters analysis, and with 135,000 deaths, ranks seventh in deaths per capita among the 20 countries with the most cases.

LONG WAITS FOR TESTS, RESULTS

Testing in several states has been plagued by long lines and waits of more than a week to learn the results, according to numerous posts on social media and videos at test locations.

Teachers in Loudoun County, Virginia, protested outside school headquarters on Monday with one woman fully enclosed in a white lab suit and face shield holding a sign that said, “Our new school uniform.” To keep physically distant, the teachers honked their car horns in unison, according to a video.

Faculty members were protesting against a school board plan for hybrid instruction that would include two days of in-person teaching, according to local media.

Florida, the epicenter of the current outbreak, still plans for its schools to resume in-person learning in August.

Despite nearly 28,000 new COVID-19 cases in the last two days in Florida, Disney World in Orlando welcomed the public on Saturday for the first time since March with guests required to wear masks, undergo temperature checks and keep physically apart.

After experiencing nearly 16,000 new cases in the last two days, California further retreated from reopening its economy.

California Governor Gavin Newsom, a Democrat, ordered bars to close and restaurants, movie theaters, zoos and museums across the country’s most populous state to cease indoor operations. Gyms, churches and hair salons must close in the 30 hardest-hit counties.

“It’s incumbent upon all of us to recognize soberly that COVID-19 is not going away any time soon, until there is a vaccine and/or an effective therapy,” Newsom said at a news briefing.

(Writing by Lisa Shumaker; Editing by Howard Goller)