Military helps worn-out nurses, sicker patients in California COVID-19 effort

By Sharon Bernstein

SACRAMENTO, Calif. (Reuters) – All day long, as Air Force nurse Major Pinky Brewton cares for patients struggling to breathe in California’s COVID-19 ravaged San Joaquin Valley, fears for her family simmer underneath her cool exterior.

Once back in her Stockton hotel room, seeing her seven-year-old on Facetime, the relief is overwhelming.

“He’s breathing!” Brewton said. “That’s the first thing I see as a nurse. How well is my son breathing?”

Over the past two weeks, the U.S. Department of Defense has sent nearly 200 medics and logistics experts to the Valley. The military has also sent nearly 600 personnel to Texas, where a surge in COVID-19 cases is crushing hospitals along the Rio Grande Valley and elsewhere in the state.

The teams of nurses, doctors and technicians work extra shifts, treating sicker-than-usual hospital patients. Many are so weak from oxygen deprivation they can barely eat.

In the San Joaquin Valley agricultural region, intensive care units overflowed as cases surged earlier this summer. In some counties, as many as 28% of test results were positive.

At Dameron hospital in Stockton near the state capital of Sacramento, every nurse was soon deployed on a new COVID-19 floor, said Jennifer Markovich, the facility’s chief nursing officer.

“There wasn’t a slow ramp up. In the space of two weeks we just saw a significant increase in patients … and really started to see those staffing needs really escalate.”

CHAPLAINS, MENTAL HEALTH EXPERTS

When staffing agencies lacked healthcare workers, the hospital turned to the state, Markovich said. Under the Federal Emergency Management Agency, Brewton’s team of 20 military nurses and respiratory therapists came on board in mid-July.

About 160 Air Force medical staff have been sent to California so far, with about 100 in San Joaquin Valley, coordinated by 25 U.S. Army logistics experts trained in responding to nuclear, chemical and biological attacks.

Chaplains and mental health experts were added to relieve stress in a system stretched to its limits.

The teams, mostly stationed at Travis Air Force Base north of San Francisco, were easily absorbed into the rotations and work cultures of the Valley hospitals, said Lieutenant Colonel Ryan Gassman, who commands the California teams.

“It’s not like we have any Air Force tents that are set up outside,” Gassman said. “We are truly jumping into the staff in each of these hospitals to help support in any way, shape or form that we can.”

In addition to five hospitals in the San Joaquin Valley, military teams have also been deployed to the Los Angeles area and Rancho Mirage in Riverside County east of Los Angeles.

COVID-19 cases in California began climbing after Memorial Day, which health officials attributed in part to family gatherings without masks or physical distancing measures. Statewide, cases have topped 500,000, and over 9,000 Californians have died.

California, Texas, Florida and Arizona are among several hotspot U.S. states for a second wave of coronavirus cases.

FRAGILE HOSPITALS

In the San Joaquin Valley, a perfect storm of cultural, political and economic issues led to a crush of cases in a fragile rural and smaller-city hospital system.

The region is heavily Latino, a group making up 39% of California’s population but accounts for 56% of COVID-19 infections and 46% of deaths in the most populous U.S. state. Agricultural businesses that have not provided protective equipment to workers, or implemented social distancing or rules requiring masks has led to increased infections. Large family gatherings and multi-generational households have led to fast and deadly transmission, often to vulnerable older relatives.

The Valley, which includes the oil drilling and agricultural area around Bakersfield, and farmlands around Fresno, is generally more conservative than the rest of the state, and many local and congressional leaders have opposed rules requiring masks and social distancing.

The resulting toll is stark. As of Friday, only 20 intensive care unit beds were available for new patients in all of San Joaquin County, which has a population of nearly 800,000.

“The first thing I saw were really, really sick patients,” nurse Brewton said, describing her first day at Dameron. “The acuity of these patients are far more than what we see on a typical medical floor.”

(Reporting by Sharon Bernstein; editing by Bill Tarrant and Richard Chang)

U.S. records nearly 25,000 coronavirus deaths in July

By Christine Chan and Lisa Shumaker

(Reuters) – U.S. coronavirus deaths rose by almost 25,000 in July and cases doubled in at least 18 states during the month, according to a Reuters tally, dealing a crushing blow to hopes of quickly reopening the economy.

The United States has recorded nearly 1.8 million new cases in July out of its total 4.5 million infections, an increase of 66% with many states yet to report on Friday. Deaths in July rose at least 19% to over 152,000 total.

The biggest increases were in Florida, with over 300,000 new cases in July, followed by California and Texas with about 250,000 each. Those three states also saw cases double in June.

Cases also more than doubled in Alabama, Alaska, Arizona, Georgia, Hawaii, Idaho, Mississippi, Missouri, Montana, Nevada, Oklahoma, Oregon, South Carolina, Tennessee and West Virginia, according to the tally.

Connecticut, Massachusetts, New Jersey, New York had the lowest increases, with cases rising 7% or less.

The United States shattered single day global records in July by reporting over 77,000 new cases on July 16. During the month, 33 out of 50 states had one-day record increases in cases and 19 set records for how much deaths rose in 24 hours, according to a Reuters tally.

After a rapid acceleration in cases, the outbreak appears to be stabilizing in Arizona, Florida and Texas. Health officials are now concerned the outbreak has migrated to the Midwest from summer travel.

The news that more states could be hard hit by the virus comes a day after the U.S. gross domestic product collapsed at a 32.9% annualized rate last quarter, the nation’s worst economic performance since the Great Depression.

(Reporting by Christine Chan in New York and Lisa Shumaker in Chicago; Editing by Lincoln Feast.)

COVID-19 outbreak in hard-hit U.S. states may be peaking, Fauci says

By Susan Heavey

WASHINGTON (Reuters) – A coronavirus surge in Florida, California and a handful of other hard-hit states could be peaking while other parts of the country may be on the cusp of growing outbreaks, the top U.S. infectious diseases official said on Tuesday.

A spike in cases in Florida, along with Texas, Arizona and California this month has overwhelmed hospitals, forced a U-turn on steps to reopen economies and stoked fears that U.S. efforts to control the outbreak are sputtering.

“They may be cresting and coming back down,” Dr. Anthony Fauci, head of the U.S. National Institute of Allergy and Infectious Diseases, told ABC’s “Good Morning America” program regarding the state of the outbreak in several Sunbelt states.

Fauci said there was a “very early indication” that the percentage of coronavirus tests that were positive was starting to rise in other states, such as Ohio, Indiana, Tennessee and Kentucky.

“That’s a surefire sign that you’ve got to be careful.”

He urged the states with rising positivity rates to act quickly now to prevent a surge and other states to reopen carefully following guidelines established by U.S. officials and health experts.

Fauci has become a lightning rod for some supporters of President Donald Trump who accuse the 79-year-old health official of exaggerating the extent and severity of the U.S. outbreak and playing down possible treatments.

Trump, who is seeking a second term in the White House in the Nov. 3 election, retweeted a post accusing Fauci and Democrats of suppressing the use of the drug hydroxychloroquine to treat the virus. The post included a link to a video of a group discounting the need for face masks.

A Twitter spokesman confirmed that tweets with the video were in violation of the company’s COVID-19 misinformation policy, and the tweets shared by Trump were deleted.

In his interview with ABC, Fauci defended his work to protect Americans’ health.

“I have not been misleading the American public under any circumstances,” he said.

RISING TOLL

The number of people in the United States who have died of COVID-19, the respiratory illness caused by the novel coronavirus, rose to 148,446 on Monday, with more than 4.3 million confirmed cases, according to the latest Reuters tally.

Florida had 191 coronavirus deaths in the last 24 hours, the highest single-day increase since the start of the epidemic, its state health department reported on Tuesday.

Texas became the fourth state with more than 400,000 total cases, joining California, Florida and New York in the grim club. But in a glimmer of hope, Texas’ current hospitalizations due to COVID-19 fell on Monday, according to its state health department.

The rise in deaths and infections has dampened early hopes that the country was past the worst of the economic fallout in March and April when lockdowns brought business activity to a near standstill and put millions out of work.

The U.S. Congress on Tuesday was locked in difficult talks over another coronavirus aid package to help American families and businesses recover from the crisis.

In late March, as the economy was beginning to crater, Congress passed a $2.3 trillion stimulus package that included enhanced unemployment benefits to blunt the pain of lockdowns that were being adopted to stop the spread of the coronavirus.

Senate Republicans announced on Monday a $1 trillion coronavirus aid package hammered out with the White House, which Senate Majority Leader Mitch McConnell touted as a “tailored and targeted” plan to reopen schools and businesses, while protecting companies from lawsuits.

But the proposal sparked immediate opposition from both Democrats and Republicans. Democrats decried it as too limited compared with their $3 trillion proposal that passed the House of Representatives in May. Some Republicans called that one too expensive.

The Republican proposal would give many Americans direct payments of $1,200 each, provide billions in loans to small businesses and help schools reopen. But it would slash the current expanded unemployment benefit from $600 per week in addition to state unemployment to $200 per week. The enhanced unemployment benefit expires on Friday.

The supplemental benefit has been a financial lifeline for laid-off workers and a key support for consumer spending.

(Reporting by Susan Heavey, Daniel Trotta, Patricia Zengerle and Lisa Shumaker; Writing by Paul Simao; Editing by Howard Goller)

Hanna pummels Texas coast with strong winds, heavy rain

By Adrees Latif

PORT MANSFIELD, Texas (Reuters) – Hanna, the first hurricane of the 2020 Atlantic season, left a trail of destruction along the Texas coast on Sunday, downing power lines, flooding streets and toppling 18-wheeler trucks as torrential rains threatened the area.

Hanna came ashore on Padre Island on Saturday afternoon as a Category 1 hurricane on the five-step Saffir-Simpson scale of intensity and later made a second landfall in Kenedy County, Texas. It swept through a part of the state hard hit by the coronavirus pandemic. By Sunday, it had weakened to a tropical depression.

Powerful winds from Hanna knocked over at least three 18-wheeler trucks and a recreational vehicle, with tow trucks trying to right the toppled vehicles on Sunday, shutting down a 2-mile (3.2-km) stretch of U.S. Route 77 in Sarita, Texas, near the Mexican border.

In Port Mansfield, 150 miles (240 km) south of Padre Island, winds flattened sugarcane fields and leveled trees. Deer roamed the streets, stopping to nibble downed branches in the yards of homes, some that lost their roofs.

Heavy downpours of more than a foot (30 cm) of rain flooded roadways and swelled streams and rivers across south Texas, the National Weather Service said.

There were no immediate reports of injuries.

“You could hear the wind blowing and the rain blowing and you looked outside you could see sheets of water blowing down the street,” said Sharon Pecce, 75, a resident of Port Mansfield, whose roof was ripped off her house on Saturday night.

“It’s scary to go through this at my age, a lot could have happened … we could have been killed,” added Pecce, who was at a friend’s home with her 70-year-old husband when the damage occurred. “We are lucky we weren’t there.”

Roderick Kise, a spokesman for U.S. Customs and Border Protection in the Rio Grande Valley, told the Caller Times newspaper in Corpus Christi that his agency was looking into a report that winds toppled a newly constructed portion of the border wall built between the United States and Mexico.

At one point, more than 283,000 homes and businesses were without electricity. But that figure fell to 98,000 by Sunday night, according to poweroutage.us.

The storm was not expected to affect offshore oil-and-gas production. Energy companies have not evacuated workers or shut down production from their Gulf of Mexico platforms because of Hanna.

Some residents took advantage of the wild weather, with Alejandero Carcano, 16, and Jesse Garewal, 18, both of Galveston, surfing the high swells whipped up by Hanna.

Governor Greg Abbott said in a statement on Sunday that the Federal Emergency Management Agency declared the storm a federal emergency and would help fund evacuation and shelter efforts.

“I continue to urge Texans to heed the guidance from their local leaders and follow best practices to keep themselves and their loved ones safe as severe weather continues to move through our communities,” he said.

The Texas area struck by Hanna has struggled to contain outbreaks of COVID-19 in recent weeks. Cases along the state’s coast have soared into the tens of thousands.

More than 440 people in the Corpus Christi area were hospitalized with the illness, according to the state health department.

STILL A THREAT

Weakening as it headed west over land, Hanna’s center on Sunday was about 35 miles (55 km) from Monterrey, Mexico, as it moved 9 miles per hour (15 kph), the U.S. National Hurricane Center said in a bulletin posted at 4 p.m. (2100 GMT).

The storm’s top sustained winds were around 35 mph (56 kph), the center said.

The storm was forecast to lose more steam as it moved across Texas and northeastern Mexico. On Sunday, weather watch officials canceled a storm surge warning they had issued for the Texas coast.

Hanna still posed a threat, forecasters said, noting it could dump upward of 18 inches (45 cm) of rain in isolated areas of southern Texas through Monday.

“This rain will produce life-threatening flash flooding, rapid rises on small streams, and isolated minor-to-moderate river flooding,” the NHC said.

In the Pacific, Hurricane Douglas was churning near Hawaii on Sunday, with torrential rains and damaging winds.

(Reporting by Adrees Latif; Additional reporting by Raissa Kasolowsky, Barbara Goldberg and Brendan O’Brien; Editing by Daniel Wallis, Lisa Shumaker and Peter Cooney)

U.S. coronavirus infections, hospitalizations rise, crisis could worsen

(Reuters) – The United States has revisited the grim milestone of recording more than 1,000 COVID-19 deaths in a single day, while infections and hospitalizations are rising in many states, forcing President Donald Trump to acknowledge the crisis could get worse.

More than 142,000 people in the country have died from the illness caused by the novel coronavirus, a toll that public health experts say will likely rise in several states. Florida, Texas, Georgia and California are among about 40 states recording more cases.

Florida reported 9,785 new cases and 140 new deaths on Wednesday, while COVID-19 patients currently hospitalized hit a record high of 9,530. Alabama reported a record 61 new deaths on Wednesday, a day after hospitalizations hit a record high.

Nationally, coronavirus deaths rose by 1,141 on Tuesday, according to a Reuters tally. It was the first time since June 10 that the daily toll surpassed 1,000.

Nineteen states have reported a record number of currently hospitalized COVID patients so far in July. Thirty-two states have reported record increases in cases in July and 16 states have reported record increases in deaths during the month.

The U.S. government moved to secure 100 million doses of vaccine, U.S. Health and Human Services Secretary Alex Azar said on Wednesday.

The government will pay $1.95 billion to buy the doses of Pfizer Inc and German biotech firm BioNTech SE’s COVID-19 vaccine candidate if they are able to successfully develop one, the companies said.

Pfizer said it would not receive any money from the government unless the vaccine is deemed to be safe and effective and is successfully manufactured.

Trump, who played down the extent of the health crisis and the importance of face coverings, changed his tone on Tuesday, and encouraged Americans to wear a mask if they cannot maintain social distance.

Trump also said that the spread of the virus “will probably, unfortunately, get worse before it gets better – something I don’t like saying about things, but that’s the way it is.”

Mandatory mask wearing, which health officials say can slow the spread of the virus, is a political issue among Americans, with many conservatives calling such rules a violation of their constitutional rights.

Coronavirus infections are increasing in some politically important states including Florida, Texas, Pennsylvania and Ohio.

(Reporting by Peter Szekely, Alexandra Alper, Jeff Mason, Michael Erman and Ankur Banerjee; Writing by Grant McCool; editing by Lisa Shumaker)

With U.S. under coronavirus siege, Chicago cracks down, Florida cases soar

By Daniel Trotta

(Reuters) – The city of Chicago reimposed some coronavirus restrictions on Monday and the state of Florida reported more than 10,000 new cases for the sixth day in a row, as the pandemic showed few signs of abating in the United States.

In a rare ray of hope, New York state reported the fewest hospitalizations from the coronavirus in four months and New York City entered a new phase of reopening on Monday, but the progress, in the very city and state that were once the epicenter, was eclipsed by the grim news nearly everywhere else.

Metrics for the country have grown worse including a rising number of cases, deaths and hospitalizations along with rates of positive test results. The virus has killed 140,000 people in the United States and infected some 3.7 million, both figures leading the world.

Florida reported 10,347 new cases on Monday, the sixth day in a row the state has announced over 10,000 new infections. Another 92 people died in Florida, increasing the state’s death toll to 5,183.

Chicago Mayor Lori Lightfoot announced new restrictions due to take effect on Friday including a ban on indoor service at bars and shutdown of personal services such as shaves and facials that require the removal of masks.

“While we aren’t near the peak of the pandemic from earlier this year, none of us wants to go back there,” Lightfoot said in a statement.

The city of Los Angeles is on the brink of issuing a new stay-at-home order and at least 14 states have reported record hospitalizations so far in July, including Alabama, Arizona, Florida, Georgia, Nevada, North Carolina and Texas.

Meanwhile, the administration of U.S. President Donald Trump is pushing for schools to reopen in a few weeks and resisting a federal mandate that people wear masks in public, part of what New York Governor Andrew Cuomo called an “incompetent” federal government response.

“I’ve said to the president from Day One: This virus does not respond to politics,” Cuomo told a news conference. “The solution is medicine and science.”

WHITE HOUSE BRIEFINGS RESUME

The country remained “totally unprepared,” Cuomo said, as other states lagged in testing, contact tracing, and personal protective equipment for doctors and nurses.

“Their mistake was they listened to the president,” Cuomo said, while also blasting “stupid and reckless” people in his own state who persistently gather in large groups.

On Monday Trump, under fire over his administration’s response to the surging virus, said he would on Tuesday resume holding news briefings on the pandemic after a lengthy hiatus.

White House debate has centered on whether Trump should risk doing daily briefings after he was mocked for musing that people might inject household disinfectants as a way to protect themselves from contracting the virus.

Last Friday Trump senior adviser Kellyanne Conway told reporters she favored a return of the briefings, which she said had bolstered his approval ratings.

New York state, where the virus took hold early this year before spreading to other states, recorded only eight deaths on Sunday while the total number of people hospitalized for the disease fell to 716, the fewest since March 18, Cuomo said.

However a Reuters analysis of data from the COVID Tracking Project showed cases rose by more than 5,000 in the past week, the first week-over-week increase since April, breaking a 13-week streak of declines.

New York City entered a new phase on Monday that will allow low-risk outdoor activity, entertainment at 33 percent capacity and professional sports events. But Major League Baseball’s Yankees and Mets will start their seasons in empty New York City ballparks, indoor dining in restaurants is still prohibited, and bars are subject to social distancing rules.

(Reporting by Daniel Trotta, Maria Caspani, Doina Chiacu and Lisa Shumaker; Editing by Howard Goller)

Coronavirus pandemic advances the march of ‘cobots’

By Rajesh Kumar Singh

CHICAGO (Reuters) – While a resurgence in coronavirus cases in Texas has brought many businesses to a screeching halt, eight robots have kept All Axis Machining’s metal fabrication facility in Dallas humming.

The small, nimble robots perform multiple jobs, such as machine-tending, sanding, deburring, part inspection and laser marking, leaving owner Gary Kuzmin far less dependent on manual labor. When all the workers on one shift went into self-quarantine last month, it had no impact on the facility’s productivity.

All Kuzmin had to do was to move a couple of workers from other shifts to supervise the robots. “I have not lost any spindle time because of the pandemic,” he said.

Companies of all sizes are leaning on automation to keep factories running without compromising the health and safety of their workers. Half of the chief financial officers surveyed last month by PricewaterhouseCoopers said they were planning to accelerate automation.

With the U.S. economy grappling with a double-digit unemployment rate, however, industry’s rush to robots will fuel worries about semi-skilled or unskilled workers as low-paid, routine tasks become more likely to be automated.

“It is the most productive thing for us to have the robots,” said Kuzmin. “I don’t even look at a machine these days without thinking how I would automate it.”

Since August 2018, when All Axis Machining began using robots, its productivity has doubled with the same headcount. If not for the robots, the company would have needed to expand its staff of 30 by 50% to keep up with increase in demand.

“We are less dependent upon a semi-skilled employee,” said Kuzmin.

The pandemic has changed companies’ calculations about investments in automation, said Jeremie Capron, research chief at research and investment-advisory firm ROBO Global. “The cost of operating without a robot today in a factory is higher than it was pre-COVID,” he said.

Mark Muro, senior fellow and policy director at Washington-based the Brookings Institution, says the automation drive will result in a net reduction in the workforce as companies invest in technology not just for social distancing, but also to boost productivity and protect profits from the pandemic-induced recession.

“Technology has improved and gotten cheaper, and the financial pressure on companies is higher,” he said.

He noted, however, that since middle class and lower-paid workers tend to spend a larger share of their income than the higher-paid, it is important that productivity gains eventually result in more jobs.

“If there is… too little sharing of the gains of automation-supported growth, we will wind up with little economic activity,” Muro said.

LOWER COST, FASTER PAYBACK

The affordable cost of the so-called collaborative robots, or “cobots,” promises payback in months, making the changeover easier, even for small and medium-sized enterprises.

All Axis Machining, for example, spent $85,000 per robot and was able to recover the cost in five months. There are cheaper collaborative robots on the market, as well.

One of the most popular cobots sold by Denmark-based Universal Robots – a unit of Massachusetts-based Teradyne Inc. and a market leader in collaborative robotics technology – costs about $35,000, with a payback period of three to four months.

The robots are very easy to use, safe to be around and can easily be adapted to new tasks. It takes just hours to train employees to work with them, saving companies huge training expense.

Although they are not suited for heavy-duty jobs, they are designed to work alongside humans, making them the robots of choice in the age of social distancing.

California-based DCL Logistics, a third-party logistics company, decided to employ cobots to manage a 30% increase in orders in the immediate aftermath of the outbreak.

Normally, the company would have hired temporary workers to deal with the surge in orders. But bringing in new workers was fraught with safety risks, said Chief Revenue Officer Brian Tu. The robots have led to a 300% increase in productivity and a 60% jump in labor cost savings, Tu said.

DCL plans to deploy more cobots this year at its facilities in California and Kentucky.

At All Axis Machining, the cobots have allowed owner Kuzmin to stagger the shifts. The facility now runs three shifts seven days a week, with robots working the late night shift alone, without any roving inspector.

This has allowed workers in the facility to stay 30 feet apart from each other. Having seen the benefits, the company is automating its remaining machines as well.

Kuzmin, who also runs a robotics services company, says several Dallas-based manufacturers have approached him recently to install similar robots in their factories.

ECONOMIC UNCERTAINTY

Universal Robots is fielding inquiries from companies seeking social distancing solutions, as well as tools to re-shore production and make their operations more flexible.

“Some companies… are talking about dozens and dozens of robots,” said Joe Campbell, senior manager of applications development at Universal Robots.

Still, the virus-induced recession is keeping many companies on the sidelines, wary of making new investments.

Tacoma, Washington-based Tool Gauge, which makes metal and plastic parts and assemblies for aerospace companies, including Boeing Co., planned to add two mobile industrial robots to its fleet of two cobots and 10 industrial robots before the novel coronavirus hammered the aviation industry.

But Tool Gauge put the robots on hold after a production shutdown at Boeing’s Washington state factories and an overall drop in orders, General Manager Jim Lee said.

(Reporting by Rajesh Kumar Singh; Editing by Joseph White and Dan Grebler)

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)

Moderna expects to start late-stage COVID-19 vaccine trial on July 27

NEW YORK (Reuters) – Moderna Inc said on Tuesday it plans to start a late stage clinical trial for its COVID-19 vaccine candidate on or around July 27, according to its listing for the phase 3 study at clinicaltrials.gov.

Moderna said it will conduct the trial at 87 study locations, all in the United States.

The experimental vaccine will be tested in 30 states and Washington, D.C. Around half of the study locations are in hard-hit states like Texas, California, Florida, Georgia, Arizona and North and South Carolina.

The United States has reported record numbers of new coronavirus cases in recent days, with much of the surge coming from those states.

The federal government is supporting Moderna’s vaccine project with nearly half a billion dollars and has chosen it as one of the first to enter large-scale human trials.

Tensions between the company and government scientists contributed to a delay of the trial launch, Reuters reported earlier this month.

Shares of Moderna rose about 2.5% on Nasdaq at midday.

(Reporting by Michael Erman, Editing by Franklin Paul and Richard Chang)

U.S. tops 3 million known infections as coronavirus surges

By Callaghan O’Hare and Lisa Shumaker

HOUSTON (Reuters) – The U.S. coronavirus outbreak crossed a grim milestone of over 3 million confirmed cases on Tuesday as more states reported record numbers of new infections, and Florida faced an impending shortage of intensive care unit hospital beds.

Authorities have reported alarming upswings of daily caseloads in roughly two dozen states over the past two weeks, a sign that efforts to control transmission of the novel coronavirus have failed in large swaths of the country.

California, Hawaii, Idaho, Missouri, Montana, Oklahoma and Texas on Tuesday shattered their previous daily record highs for new cases. The biggest jumps occurred in Texas and California, the two largest U.S. states, with more than 10,000 each. About 24 states have reported disturbingly high infection rates as a percentage of diagnostic tests conducted over the past week.

In Texas alone, the number of hospitalized patients more than doubled in just two weeks.

The trend has driven many more Americans to seek out COVID-19 screenings. The U.S. Department of Health and Human Services said on Tuesday it was adding short-term “surge” testing sites in three metropolitan areas in Florida, Louisiana and Texas.

In Houston, a line of more than 200 cars snaked around the United Memorial Medical Center as people waited hours in sweltering heat to get tested. Some had arrived the night before to secure a place in line at the drive-through site.

“I got tested because my younger brother got positive,” said Fred Robles, 32, who spent the night in his car. “There’s so many people that need to get tested, there’s nothing you can do about it.”

Dean Davis, 32, who lost his job due to the pandemic, said he arrived at the testing site at 3 a.m. Tuesday after he waited for hours on Monday but failed to make the cutoff.

“I was like, let me get here at 3, maybe nobody will be here,” Davis said. “I got here, there was a line already.”

In Florida, more than four dozen hospitals across 25 of 67 counties reported their intensive care units had reached full capacity, according to the state’s Agency for Health Care Administration. Only 17% of the total 6,010 adult ICU beds statewide were available on Tuesday, down from 20% three days earlier.

Additional hospitalizations could strain healthcare systems in many areas, leading to an uptick in lives lost from the respiratory illness that has killed more than 131,000 Americans to date. At least 923 of those deaths were reported Tuesday, the biggest single-day toll since June 10 but still far fewer than the record 2,806 tallied back in April.

A widely cited mortality model from the University of Washington’s Institute for Health Metrics and Evaluation (IHME) projected on Tuesday that U.S. deaths would reach 208,000 by Nov. 1, with the outbreak expected to gain new momentum heading into the fall.

A hoped-for summertime decline in transmission of the virus never materialized, the IHME said.

“The U.S. didn’t experience a true end of the first wave of the pandemic,” the IHME’s director, Dr. Christopher Murray, said in a statement. “This will not spare us from a second surge in the fall, which will hit particularly hard in states currently seeing high levels of infections.”

‘PRESSURE ON GOVERNORS’

President Donald Trump, who has pushed for restarting the U.S. economy and urged Americans to return to their normal routines, said on Tuesday he would lean on state governors to open schools in the fall.

Speaking at the White House, Trump said some people wanted to keep schools closed for political reasons. “No way, so we’re very much going to put pressure on governors and everybody else to open the schools.”

New COVID-19 infections are rising in 42 states, based on a Reuters analysis of the past two weeks. By Tuesday afternoon, the number of confirmed U.S. cases had surpassed 3 million, affecting nearly one of every 100 Americans and a population roughly equal to Nevada’s.

In Arizona, another hot spot, the rate of coronavirus tests coming back positive rose to 26% for the week ended July 5, leading two dozen states with positivity rates exceeding 5%. The World Heath Organization considers a rate over 5% to be troubling.

The surge has forced authorities to backpedal on moves to reopen businesses, such as restaurants and bars, after mandatory lockdowns in March and April reduced economic activity to a virtual standstill and put millions of Americans out of work.

The Texas state fair, which had been scheduled to open on Sept. 25, has been canceled for the first time since World War Two, organizers announced on Tuesday.

In Ohio, Governor Mike DeWine said the state was ordering people in seven counties to wear face coverings in public starting Wednesday evening.

(Reporting by Callaghan O’Hare in Houston and Lisa Shumaker in Chicago; Additional reporting by Maria Caspani, Gabriella Borter, Caroline Humer and Peter Szekely in New York and Susan Heavey and Jeff Mason in Washington Writing by Paul Simao and Steve Gorman; Editing by Bill Berkrot, Cynthia Osterman, Tom Brown and Leslie Adler)