‘A recipe for disaster,’ U.S. health official says of Americans ignoring coronavirus advice

By Susan Heavey and Doina Chiacu

WASHINGTON Reuters) – A spike in U.S. coronavirus infections is fueled in large part by people ignoring public health guidelines to keep their distance and wear masks, the government’s top infectious disease official said.

A daily surge in confirmed cases has been most pronounced in southern and western states that did not follow health officials’ recommendations to wait for a steady decline in infections for two weeks before reopening their economies.

“That’s a recipe for disaster,” Anthony Fauci, who directs the National Institute of Allergy and Infectious Diseases, told CNN in an interview broadcast on Monday.

“Now we’re seeing the consequences of community spread, which is even more difficult to contain than spread in a well-known physical location like a prison or nursing home or meatpacking place,” Fauci told the cable channel in the interview, which was recorded on Friday.

More than 2.5 million people have tested positive for the coronavirus in the United States and more than 125,000 have died of COVID-19, the respiratory illness it causes, according to a Reuters tally. The U.S. tally is the highest in the world while the global death toll in the pandemic surpassed half a million people on Sunday.

California ordered some bars to close on Sunday, the first major rollback of efforts to reopen the economy in the most populous U.S. state, following Texas and Florida ordering the closure of all their bars on Friday. Arizona and Georgia are among 15 states that had record increases in cases last week.

U.S. Vice President Mike Pence on Sunday pressed Americans to adopt face masks during a trip to Texas and wore one himself, a sharp turnaround for the administration. Republican President Donald Trump has refused to cover his face in public.

Pence and other top health officials were expected to visit Arizona and Florida later this week.

In places where cases are soaring, U.S. health officials are also considering “completely blanketing these communities with tests,” Fauci said, to try to get a better sense of an outbreak.

They would either test groups, or “pools,” of people or have community groups do contact tracing in person rather than by phone. Contact tracing involves identifying people who are infected and monitoring people who may have been exposed and asking them to voluntarily go into quarantine.

Fauci said that he was optimistic that a vaccine could be available by year’s end but that it was unclear how effective it would prove to be, adding that no vaccine would be 100% effective and citing challenges to achieve so-called herd immunity.

The top Republican in the U.S. House of Representatives, Kevin McCarthy, on Monday stressed individual actions to stop the spread of the virus, deflecting criticism from Democrats and some health experts that Trump botched the prevention effort.

“You can’t say the federal government should do everything, and then say the federal government can’t tell the states what to do,” McCarthy told CNBC. “The governors have a big responsibility here but every American has a responsibility. They should wear a mask.”

(Reporting by Susan Heavey and Doina Chiacu in Washington; Writing by Grant McCool; Editing by Howard Goller)

U.S. to ship remdesivir to states including California and Texas with rising COVID-19 cases

NEW YORK (Reuters) – The U.S. government will ship more of Gilead Sciences Inc’s <GILD.O> antiviral treatment remdesivir to states experiencing an increase in COVID-19 cases including California, Texas, Florida and Arizona, according to the Department of Health and Human Services’ website.

The government reallocated remdesivir to states with increasing cases, White House task force coordinator Deborah Birx said during a briefing on Friday.

HHS said on its website that the doses will ship starting Monday and extinguish the full amount of Gilead’s donation of 120,647 treatment courses. It said it would continue to work with Gilead to determine how the company’s anticipated inventory of 2 million doses by year’s end will be allocated.

California will receive 464 cases of 40 vials each, Texas will receive 448 cases of 40 vials, Florida will receive 360 cases of 40 vials and Arizona will receive 356 cases of 40 vials, according to the website.

Gilead donated the courses after the treatment received emergency use authorization from the U.S. Food and Drug Administration last month.

New York, which was one of the hardest hit states initially, was allocated 2,714 cases in total.

(Reporting by Caroline Humer; Editing by Tom Brown)

New U.S. COVID-19 cases surge 25% last week; Arizona, Florida and Texas set records

By Chris Canipe and Lisa Shumaker

(Reuters) – The United States saw a 25% increase in new cases of COVID-19 in the week ended June 21 compared to the previous seven days, with Arizona, Florida and Texas experiencing record surges in new infections, a Reuters analysis found.

Twenty-five U.S. states reported more new cases last week than the previous week, including 10 states that saw weekly new infections rise more than 50%, and 12 states that posted new records, according to the analysis of data from The COVID Tracking Project, a volunteer-run effort to track the outbreak.

Texas reported one of the largest rises in new cases at 24,000 for the week ended June 21, an increase of 84% from the previous week. The number of COVID-19 tests that came back positive in the state rose to 10%, from 7%.

New cases in Florida rose 87% last week to almost 22,000, with the state’s positive test rate nearly doubling to 11%.

Arizona reported 17,000 new cases, a 90% increase, with 20% of tests coming back positive, according to the analysis.

(GRAPHIC-Where coronavirus cases are rising in the United States)

The governors of all three states have attributed the increases in new cases to more testing, and to younger residents not following social distancing guidelines. Some health experts have criticized these states for reopening too quickly without adequate restrictions, for instance not making it mandatory to wear masks in public.

The Centers for Disease Control and Prevention (CDC) has recommended states wait for new COVID-19 cases to fall for 14 days before easing social distancing restrictions.

Thirteen states and the District of Columbia are in compliance with that guideline, the analysis showed, down from 17 states the prior week. New York leads with 10 straight weeks of declines, followed by Rhode Island, Illinois and Washington, D.C.

Nationally, the number of new COVID-19 cases had been falling on a weekly basis through May. Last week’s 25% jump came after a 1% rise in the second week of June and a 3% increase in the first week of June.

Graphic – Tracking the novel coronavirus in the U.S.:

Graphic – World-focused tracker with country-by-country interactive:

(Reporting by Chris Canipe in Kansas City, Missouri, and Lisa Shumaker in Chicago; Editing by Tiffany Wu)

‘It may save your life’: Facing virus surge, more U.S. states mandate masks

By Andrew Hay

(Reuters) – California, North Carolina and a string of U.S. cities mandated or urged mandatory mask use on Thursday to get a grip on spiraling coronavirus cases as at least six states set daily records.

Putting aside concerns about individual rights and political unpopularity, U.S. governors and mayors said they were turning to compulsory face coverings to stop the virus running out of control as economies reopened.

On a day when Florida posted 3,207 new cases, its second daily record in a week, Orange County Mayor Jerry Demings ordered obligatory mask use, telling residents of Orlando and other cities it would help them avoid a second shutdown.

California Governor Gavin Newsom ordered mask use in most places as the state for the second day in a row registered over 4,000 new cases.

As Arizona posted another daily case record, the Democratic mayors of Tucson and Phoenix respectively ordered and prepared to vote on mandatory face coverings after Republican Governor Doug Ducey bowed to pressure and let cities set mask rules.

“This piece of protection may even save your life,” North Carolina Democratic Governor Roy Cooper told reporters, adding that he was considering statewide obligatory mask use on a day when statewide COVID-19 hospitalizations set a new high.

A month after many governors reopened their economies, a growing number are adopting U.S. Centers for Disease Control and Prevention (CDC) guidance that masks are essential to prevent community spread.

Resistance to face masks took on a partisan edge after President Donald Trump opposed them, telling the Wall Street Journal in an interview published on Thursday that some people wear them to show opposition to him.

But with businesses ranging from Las Vegas casinos to hardware chains requiring their use, masks are becoming commonplace in the United States.

In Texas, the mayors of the state’s nine biggest cities asked Republican Governor Greg Abbott this week to grant them authority to set mask regulations.

As Oklahoma reported its second day of record coronavirus cases, the Tulsa arena hosting a Trump rally on Saturday said it would encourage all attendees to remain masked throughout the event and issue staff with personal protective gear.

Trump has pushed ahead with the rally – which would be the biggest U.S. indoor social gathering in three months – even as health experts worry assembling thousands of people inside an arena – particularly if many are not wearing masks – could turn it into a virus “super-spreader event.”

Nationwide, COVID-19 cases rose by 26,357 on Thursday to about 2.2 million, according to a Reuters tally, marking the biggest daily increase in nearly two weeks. There have been 118,377 U.S. deaths, an increase of 684 on Thursday.

(Reporting by Andrew Hay in Cañon, New Mexico; Additional reporting by Dan Whitcomb in Los Angeles and David Schwartz in Phoenix; Editing by Peter Cooney)

‘This is about livelihoods’: U.S. virus hotspots reopen despite second wave specter

By Andrew Hay

(Reuters) – Facing budget shortfalls and double-digit unemployment, governors of U.S. states that are COVID-19 hotspots on Thursday pressed ahead with economic reopenings that have raised fears of a second wave of infections.

The moves by governors of states such as Florida and Arizona came as Treasury Secretary Steven Mnuchin said the United States could not afford to let the novel coronavirus shut its economy again and global stocks tanked on worries of a pandemic resurgence.

As Florida reported its highest daily tally of new coronavirus cases on Thursday, Governor Ron DeSantis unveiled a plan to restart public schools at “full capacity” in the autumn, arguing the state’s economy depended on it.

North Carolina reported record COVID-19 hospitalizations for a fifth straight day on Thursday, a day after legislators passed a bill to reopen gyms, fitness centers and bars in a state where more than one in ten workers are unemployed.

Governors of hotspot states face pressure to fire up economies facing fiscal year 2021 budget shortfalls of up to 30% below pre-pandemic projections in the case of New Mexico, according to data from the Center on Budget and Policy Priorities think tank. Nevada, which has seen cases increase by nearly a third in the past two weeks, is suffering 28% unemployment, based on U.S Bureau of Labor statistics.

“This is about saving lives, this is also about livelihoods in the state of Arizona,” Governor Doug Ducey told a news briefing, adding that a second shutdown of the economy was “not under discussion” despite official figures showing a 211% rise in virus cases over the past 14 days.

About half a dozen states including Texas and Arizona are grappling with rising numbers of coronavirus patients filling hospital beds.

Ducey and Texas Governor Greg Abbott say their hospitals have the capacity to avoid the experiences of New York, where the system was stretched to near breaking point as some COVID patients were treated in hallways and exhausted workers stacked bodies in refrigerated trailers.

‘FOOT ON THE BRAKE’

A second wave of coronavirus deaths is expected to begin in the United States in September, the Institute for Health Metrics and Evaluation said on Thursday, citing a surge in mobility since April. Its latest model projects 170,000 deaths by Oct. 1, with a possible range between 133,000 and 290,000.

A note of caution came from Utah, where Governor Gary Herbert said most of the state would pause its reopening after a 126% rise in cases over the past two weeks.

Austin, Texas on Thursday also said it would likely extend stay-at-home and mask orders past June 15 after the state reported its highest new case count the previous day. Austin health officials blamed a record week of infections on easing business restrictions and Memorial Day gatherings.

There was no talk of new shutdowns.

In New Mexico, Health Secretary Kathy Kunkel pointed to outbreaks at the Otero County Prison Facility, as well as in nursing homes and assisted living facilities, as factors behind an uptick in cases.

“It means a little bit of a foot on the brake, watch carefully for the next couple of weeks, not much in the way of major changes in what we’re doing,” said Human Services Secretary David Scrase.

(Reporting By Andrew Hay in Taos, New Mexico; Additional reporting by Brad Brooks in Austin and David Schwartz in Phoenix; Editing by Bill Tarrant and Daniel Wallis)

FBI finds evidence linking al Qaeda to 2019 Saudi shooter at Florida naval base: U.S. source

By Sarah N. Lynch and Mark Hosenball

WASHINGTON (Reuters) – The FBI has found cellphone evidence linking al Qaeda to the Royal Saudi Air Force trainee who killed three American sailors and wounded eight people in a December shooting spree at a U.S. naval base in Florida, a federal law enforcement source said on Monday.

The shooter, Second Lieutenant Mohammed Saeed Alshamrani, 21, was killed by law enforcement during the Dec. 6, 2019 attack.

He was on the base as part of a U.S. Navy training program designed to foster links with foreign allies.

Since then, the Justice Department has been working to try and unlock the encryption on the shooter’s phone to get a better sense of his motives and whether he had connections to known terrorist groups.

In February, an audio recording purporting to be from the Islamist militant group al Qaeda in the Arabian Peninsula (AQAP) claimed responsibility for the fatal attack, but it provided no evidence.

Prior to the shooting spree, the shooter also posted criticism of U.S. wars and quoted slain al Qaeda leader Osama bin Laden on social media.

The Justice Department has also previously said that Alshamrani visited the New York City memorial to the victims of the Sept. 11, 2001, attacks on the United States – carried out by Saudi hijackers for the Islamist militant group al Qaeda – and posted anti-American, anti-Israeli and jihadi messages on social media, including two hours before the attack.

The FBI’s newly discovered evidence on Alshamrani’s phone signals the end of a spat between Attorney General William Barr and Apple Inc.

Earlier this year, he accused Apple of failing to help the FBI to get Alshamrani’s two cellphones unlocked, an allegation Apple staunchly denied.

Barr has said the Saudi government did not have any advanced warnings of the shooting.

However, in January, Saudi Arabia withdrew its remaining 21 cadets from the U.S. military training program and brought them back to Saudi Arabia, after the Justice Department’s investigation revealed that some of them had accessed child pornography or had social media accounts containing Islamic extremist or anti-American content.

(Reporting by Mark Hosenball and Sarah N. Lynch; additional reporting by Susan Heavey; Editing by Chizu Nomiyama and David Gregorio)

Florida moves to ease coronavirus lockdown as promising treatment emerges

By Zachary Fagenson and Jessica Resnick-Ault

MIAMI (Reuters) – The governor of Florida, among the last to lock down his state against the U.S. coronavirus outbreak, announced on Wednesday he would permit a limited economic reopening next week while leaving restraints intact for the dense greater-Miami area.

Florida became the latest, and one of the two largest, of about a dozen states forging ahead to ease crippling restrictions on business activity without vastly expanded virus testing and other safeguards that medical experts recommend should be in place first.

“There is a light at the end of the tunnel,” Governor Ron DeSantis said as he unveiled his “phase-one” plan for relaxing mandatory workplace closures and stay-at-home orders imposed four weeks ago.

Earlier in the week his counterpart in Texas, Greg Abbott, another governor closely aligned with fellow Republican President Donald Trump, announced a similar economic reopening strategy due to go into effect on Friday.

As questions lingered over when and how to loosen social-distancing rules employed as the chief weapon against a highly contagious virus with no vaccine, word emerged from Washington on Wednesday of a promising new treatment for the disease.

The U.S. government’s top infectious-disease official, Dr. Anthony Fauci, said the experimental antiviral drug remdesivir, from pharmaceutical maker Gilead Sciences Inc, had proven effective in a key clinical trial.

With preliminary results showing patients recovering 31% faster with the drug than with a placebo, remdesivir will become the standard of care for treating COVID-19, the potentially deadly lung disease caused by the novel coronavirus, Fauci told reporters at the White House.

He called the development “highly significant.” The U.S. Food and Drug Administration said it was in talks with Gilead about making the drug available to patients as quickly as possible.

MIXED NEWS

At the same time, a senior Trump administration official confirmed reports of an escalated campaign by federal agencies to speed development of a coronavirus vaccine, with the goal of securing 100 million doses by the end of this year.

The encouraging news on the medical front contrasted with ominous new Commerce Department data showing the nation’s gross domestic product contracted at an annualized rate of nearly 5% in the first quarter – its sharpest such drop since the 2007-2009 collapse – to end the longest expansion in U.S. history.

With millions of Americans out of jobs since the lockdowns went into effect and no overall federal plan beyond general guidelines issued by the White House on April 16, states and cities have come under mounting pressure to ease restrictions on as the outbreak appeared to be waning.

Public health experts have urged caution, saying that a curtailment of social distancing without large-scale virus testing or the means to trace close contacts of infected individuals could trigger a second wave of infections.

U.S. deaths from the novel coronavirus topped 60,000 on Wednesday – eclipsing the number of American lives lost during the Vietnam war – and the outbreak will soon be deadlier than any influenza season since 1967, according to a Reuters tally.

The toll has given many business owners pause about reopening, but others are ready.

“I want my business to open, but I want a healthy balance,” said Holly Smith, 48, whose Designer Dawgs restaurant in Hunterdon County, New Jersey, currently offers only takeout. But she added: “I feel like we’ve gone about this the wrong way. We’ve sheltered in place too long.”

New Jersey Governor Phil Murphy said he would reopen state parks and golf courses to recreation starting Saturday. In Michigan, Governor Gretchen Whitmer said she would allow construction work to resume on May 7.

FLORIDA’S LIMITED REOPENING

Under the reopening plan in Florida, where COVID-19 has killed over 1,200 people, DeSantis said retail merchants and restaurants could open on Monday, with indoor patronage limited to 25% of capacity.

Eateries may also reopen outdoor seating with appropriate social distancing, and medical practices can resume elective surgeries and procedures. But movie theaters, bars and fitness clubs will remain shuttered for the time being, he said.

The governor left existing restrictions in place across Miami-Dade, Broward and Palm Beach counties – the three most highly populated in the state.

DeSantis had drawn criticism for waiting until April 2 to clamp down on commerce – after most other states had already done so – in part because of Florida’s high proportion of elderly residents – more than a fifth are age 65 and over – who are especially vulnerable to the virus.

But Florida, a key swing electoral swing state, has avoided the worst of the health crisis seen in other states such as New York and New Jersey, and DeSantis said he would take a measured approach to further reopening.

“Part of our strategy in phase one is to expand testing,” DeSantis said.

But Florida Democratic Party Chair Terrie Rizzo criticized the governor’s plan as lacking details on how he would quickly increase the state’s virus screening, which Rizzo said ranked 22nd in COVID-19 tests per capita among all 50 U.S. states.

Other Florida Democrats questioned why the governor made no mention of the state’s beleaguered unemployment system that collapsed as hundreds of thousands of residents sought benefits in the early days of the pandemic lockdown.

(Reporting by Zach Fagenson in Miami; Additional reporting by Maria Caspani, Barbara Goldberg and Jessica Resnick-Ault in New York and Susan Heavey and Doina Chiacu in Washington; Writing by Sonya Hepinstall and Steve Gorman; Editing by Bill Tarrant and Cynthia Osterman)

Florida to unveil reopening plan as data shows painful contraction of U.S. economy

By Maria Caspani and Doina Chiacu

WASHINGTON (Reuters) – Florida Governor Ron DeSantis on Wednesday was preparing to unveil his plan for loosening restrictions on business activity in one of the most populous states in the United States as data showed the economy contracted 4.8% in the first three months due to the shutdowns aimed at battling the coronavirus.

Commerce Department data showed the economy shrank at its sharpest pace since the Great Recession due to the stringent measures to slow the spread of the novel coronavirus, ending the longest expansion in U.S. history.

Economists generally define a recession as at least two months of negative growth in a row.

“The economy is in free fall, we could be approaching something much worse than a deep recession,” said Sung Won Sohn, a business economics professor at Loyola Marymount University in Los Angeles. “It’s premature to talk about a recovery at this moment, we are going to be seeing a lot of bankruptcies for small and medium sized businesses.”

With millions unemployed, about a dozen states have been forging ahead to restart shuttered commerce without being ready to put in place the large-scale virus testing or means to trace close contacts of newly infected individuals.

Public health experts have urged caution, saying that a premature rollback of social-distancing policies could trigger a resurgence of infections.

In Florida, the largest state so far to contemplate re-opening, DeSantis is expected to announce a “phase one” loosening of restrictions a day after it reported a record-high 83 deaths and more than 700 new infections from the previous 24 hours on Tuesday. Despite being spared the worst of the pandemic, the state has so far tallied 32,846 cases of COVID-19, the disease caused by the virus, including 1,171 deaths.

U.S. deaths from the novel coronavirus was approaching 60,000 on Wednesday, and cases crossed the 1 million mark. The death toll has already surpassed the number of American lives lost in the Vietnam War, and the outbreak will soon be deadlier than any flu season since 1967, according to a Reuters tally.

White House adviser Jared Kushner, President Donald Trump’s son in law, said on Wednesday that May would likely become a transition month as states begin reopening in phases.

“I think you’ll see by June, a lot of the country should be back to normal and the hope is is that by July, the country is really rocking again,” he told Fox News.

He said the White House would begin another round of calls on Wednesday with all the governors to ask what additional supplies they need and what their two-month plan is.

Some businesses in Tennessee were allowed to reopen on Wednesday following an executive order issued by Governor Bill Lee to restart the state’s economy.

Some restaurants will be able to serve food to customers seated at tables, granted they observe state-mandated guidelines, while close-contact personal service businesses like barber shops, salons and spas will remain closed for now.

In California, Governor Gavin Newsom said curbside retail, manufacturing and other “lower-risk workplaces” should reopen within weeks as testing and contact-tracing improve.

Health experts have stressed the importance of testing and contact tracing to prevent a resurgence of the virus, but a nationwide strategy remains elusive and Trump has said the testing onus rests with single states.

 

(Reporting by Maria Caspani, Editing by Sonya Hepinstall)

Florida, Nevada may be hit hardest by coronavirus economic shock: study

By Howard Schneider

WASHINGTON (Reuters) – Florida beaches remained packed with partying college students as the coronavirus crisis gathered force, and the Republican governor was slow to impose social distancing in a tourist-dependent economy.

That may come back to haunt the U.S. state – and not just in the form of a sky-rocketing case load. According to a newly released study by Oxford Economics, Florida is among the states most vulnerable to the economic shock being caused by the pandemic. (https://reut.rs/34cmzs3)

Oxford ranked the 50 U.S states and Washington D.C. using 10 measures its economists felt could make a local economy more vulnerable, including the share of the population over 65, dependence on retail sales, and the importance of the tourist industry.

Maine, with its proportionately older population and comparatively large number of people who are self-employed or work in small businesses, is considered the most vulnerable state economy, according to Oxford. Nevada, with its massive casino-based tourism industry, was second, while rural Vermont was third.

Florida is the only heavily populated state near the top of the list, with a comparatively large share of its 21 million residents over the age of 65, and an economy that is relatively dependent on retail sales and tourism.

The state’s COVID-19 case load topped 10,000 last week and it is adding a thousand cases a day. Governor Ron DeSantis imposed a statewide “stay at home” order that took effect Friday, weeks after some U.S. states.

“We see what’s going on in New York now, we see that people are dying,” Rick Scott, the Florida senator, told Fox News Channel on Saturday. “People are taking this very seriously now.”

States such as New York and California that have so far had the heaviest COVID-19 case loads may actually be among the more economically resilient, the Oxford team found.

“Lockdown and containment measures are the key determinants of first-round economic impacts of the coronavirus, but structural economic vulnerabilities determine the severity of second-round impacts,” Oxford lead economist Oren Klachkin wrote. Long-term results could depend on the strength of local government budgets and health systems.

Economists are struggling to get a grip on the potential aftermath of the crisis as it continues to deepen. Companies cut more than 700,000 jobs from their payrolls in March, a likely understated measure of rapidly rising unemployment: More than 6 million people filed for unemployment benefits in the week ended March 28 alone.

President Donald Trump initially downplayed the dangers of the virus and did not quickly recommend nationwide health orders. Local governments, which vary widely in their finances and ability to cope, had different initial responses to the threat, a fact that could shape the ultimate outcome of the crisis nationally.

The situation has produced a quick flowering of research on pandemic economics, with most studies finding that stricter health measures taken early on lead to deeper, but shorter, economic downturns and faster recoveries.

There are political as well as economic implications.

Florida, for example, is an important battleground state in the U.S. electoral system, and the perceived success or failure of efforts to control the virus and support local businesses and households could influence Trump’s reelection chances.

IHS Markit U.S. regional economist Karl Kuykendall also ranked Florida among the more vulnerable states, using a different methodology focused on estimated declines in employment and economic output. The state may lose about 8% of its jobs by the end of the year, he calculated.

The manufacturing heavy “rust belt” states from Pennsylvania to Michigan, also politically important constituencies that swung the 2016 race for Trump, are in line to take similarly heavy hits to employment, Kuykendall estimated.

Personal finance site WalletHub.com used a broader set of metrics, including work from home capacity and local financial strength, for another ranking.

Florida is in the middle of that pack because of its comparatively few small businesses and stronger state finances, WalletHub found. It said Louisiana was most “exposed,” with Maine and Nevada also high on the list. Among the more populous states, Pennsylvania and Illinois were in WalletHub’s top 10.

None of the studies accounted for the help coming to households, businesses and local governments from the $2.3 trillion emergency rescue package approved by Congress in late March, or the wide set of programs established by the Federal Reserve.

The combined aim of those efforts is to offset the economic impact of the virus. Officials are focused now on whether the aid can reach where it is needed fast enough to matter.

(Reporting by Howard Schneider: Editing by Heather Timmons and Daniel Wallis)

Most Americans huddle indoors as coronavirus deaths keep spiking

By Dan Whitcomb

LOS ANGELES (Reuters) – Four new states imposed sweeping stay-at-home directives on Wednesday in response to the coronavirus pandemic, putting over 80% of Americans under lockdown as the number of deaths in the United States nearly doubled in three days.

The governors of Florida, Georgia, Mississippi and Nevada each instituted the strict policies on a day when the death toll from COVID-19 shot up by 925 to more than 4,800 nationwide, with 214,000 confirmed cases, according to a Reuters tally.

President Donald Trump said he saw no need for the federal government to issue a nationwide decree, with 39 states and the District of Columbia now requiring residents to stay home except for essential outings to the doctor or grocery store.

He also told a White House briefing on Wednesday he was considering a plan to halt flights to coronavirus hot spots.

“We’re certainly looking at it, but once you do that you really are clamping down on an industry that is desperately needed,” Trump told a White House news briefing.

Such a plan might conceivably shut down traffic at airports in hard-hit New York, New Orleans and Detroit.

“We’re looking at the whole thing,” Trump said of curtailing domestic flights already greatly reduced as demand has fallen.

White House medical experts have forecast that even if Americans hunker down in their homes to slow the spread of COVID-19, some 100,000 to 240,000 people could die from the respiratory disease caused by the coronavirus.

A Pentagon official who spoke to Reuters on condition of anonymity said the U.S. Department of Defense was working to provide up to 100,000 body bags for use by civilian authorities in the coming weeks.

Since 2010, the flu has killed between 12,000 and 61,000 Americans a year, according to the U.S. Centers for Disease Control and Prevention. The 1918-1919 flu pandemic killed 675,000 in the United States, according to the CDC.

A healthcare worker walks outside a newly constructed field hospital in the East Meadow of Central Park during the outbreak of the coronavirus disease (COVID-19) in the Manhattan borough of New York City, New York, U.S., April 1, 2020. REUTERS/Brendan Mcdermid

New York state remained the epicenter of the outbreak, accounting for more than a third of the U.S. deaths. Governor Andrew Cuomo told police on Wednesday to enforce rules more aggressively for social distancing.

“Young people must get this message, and they still have not gotten the message. You still see too many situations with too much density by young people,” Cuomo, a Democrat, said in imposing rules to close playgrounds, swing sets, basketball courts and similar spaces.

“How reckless and irresponsible and selfish for people not to do it on their own,” Cuomo said.

CALIFORNIA CASES SURGE

New York City Mayor Bill de Blasio told a news conference the city was contracting with hotels as part of a massive effort to add 65,000 additional hospital beds by the end of the month.

De Blasio, also a Democrat, said the city had arranged to add 10,000 beds at 20 hotels, which have lost most of their guests as travel has stopped.

“This is going to be an epic process during the month of April to build out all that capacity,” de Blasio said. “But this goal can be reached.”

California saw the number of coronavirus cases surge by roughly 1,300 over the day before to nearly 10,000 as Governor Gavin Newsom warned that even as stay-at-home policies appeared to be having some effect, the state would run out of intensive- care hospital beds equipped with ventilators within six weeks.

Newsom said California could still manage to “bend” the state’s infection curve more, saving the need for additional beds, if residents were rigorous in staying home and avoiding contact with others.

“We are in a completely different place than the state of New York and I hope we will continue to be, but we won’t unless people continue to practice physical distancing and do their part,” the Democratic governor told a news conference in the state capital, Sacramento.

But Americans under lockdown and largely unable to work struggled with making ends meet as rent came due on Wednesday, the first day of the month.

In Oakland, California, Alfa Cristina Morales said she had been surviving on money saved for a U.S. citizenship application since losing her job at a coffee shop. Morales had sought unemployment benefits to support her two-year-old son.

“We’re worried that it won’t be enough,” she said.

Connecticut Governor Ned Lamont said a six-week-old baby had died from COVID-19, in what he called “a reminder that nobody is safe from this virus.”

Florida Governor Ron DeSantis told Fox News that Broward County would likely allow two cruise ships with coronavirus outbreaks carrying a total of 2,500 people to dock in Fort Lauderdale, despite his misgivings about potentially contagious foreign nationals.

“We were concerned about a deluge into the hospitals, but I think it turns out that there will probably be some who need to go, but it’s very manageable and the local hospital system thinks that they can handle it,” DeSantis, a Republican, told Fox.

At Fort Lauderdale, Floridians aboard the ships would be taken home and flights arranged for foreigners, he said.

(Reporting by Susan Heavey, Doina Chiacu, Tim Ahmann, Daniel Trotta, Maria Caspani, Nathan Layne, Stephanie Kelly, Peter Szekely, Lisa Shumaker, Sharon Bernstein, Jeff Mason, Mohammad Zargham, Steve Gorman and Dan Whitcomb; Writing by Dan Whitcomb; Editing by Bill Tarrant, Cynthia Osterman and Peter Cooney)