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USA-TODAY & CHINADAILY: Fauci predicts up to 200,000 U.S. deaths as Trump weighs adjusting coronavirus guidelines. Here is what you should know.

United States-USA TODAY: Fauci predicts up to 200,000 U.S. deaths as Trump weighs adjusting coronavirus guidelines. Here is what you should know.

21 million people would need hospitalization and 200,000 to 1.7 million could die by the end of the year.

WASHINGTON – As President Donald Trump weighs whether to ease social distancing guidelines intended to slow the spread of coronavirus one of his top health advisers predicted Sunday as many as 200,000 Americans could die from the disease.

Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, projected millions of Americans will contract COVID-19 and between 100,000 and 200,000 people could succumb to it. The Centers for Disease Control and Prevention’s worst-case-scenario earlier estimated at least 200,000 could die from the virus this year. 

Public health officials reiterated the grim estimates Sunday as the Trump administration weighed whether to extend its 15-day guidance to slow the spread the virus. Trump has said he wants to lift recommendations that Americans work from home and avoid discretionary shopping, but also said he would consider input from health experts.

“Looking at what we’re seeing now, I would say between 100,000 and 200,000” deaths,  Fauci told CNN’s “State of the Union.” “We’re going to have millions of cases.”

At midday Sunday, the U.S. had recorded about 125,000 coronavirus cases, according to Johns Hopkins University, though the true number is likely much higher. The university had tallied 2,201 deaths, with by far the highest share in New York City. 

Where are things now? 

The Centers for Disease Control and Prevention projected a worst-case scenario of 160 million to 210 million cases by December. Under that forecast, 21 million people would need hospitalization and 200,000 to 1.7 million could die by the end of the year. Health officials have cautioned that the models of infection rate vary widely. 

Fauci, who described the estimates as a “moving target,” was among several members of the Trump administration coronavirus effort appearing on Sunday political shows. Whatever the numbers, the experts agreed that the virus continues to pose a major threat, including to states and cities that have not yet had a heavy caseload. 

“No state, no metro area will be spared,” Deborah Birx, the White House coronavirus response coordinator, told NBC’s “Meet the Press.” “We are asking every single governor and every single mayor to prepare like New York is preparing now.”

Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, speaks about the coronavirus in the James Brady Briefing Room, Wednesday, March 25, 2020, in Washington, as Vice President Mike Pence listens. (AP Photo/Alex Brandon)

It’s not yet clear how those warnings square with Trump’s desire to “reopen” the nation and restart the economy. Trump has said he hopes many Americans could go back to work by Easter, potentially beginning in some of the least hard-hit parts of the country. But Trump has not said specifically how he came up with that date or why he feels it is realistic.Get the Coronavirus Watch newsletter in your inbox.

Stay safe and informed with updates on the spread of the coronavirusDelivery: Varies

Another outstanding question is how much of an impact lifting or adjusting the federal guidelines would have. The more stringent and enforceable restrictions have been imposed by state officials in New York, California and elsewhere. An easing of federal guidelines might influence governors in those states, but it wouldn’t require a response. 

Where the estimates come from?

Estimates are based on extrapolation of data, in other words drawing conclusions about what has happened in other areas and applying those to the nation. The predictions depend on the continuation of existing factors, such as rates of transmission, said Ogbonnaya Omenka, an assistant professor and public health specialist at Butler University’s College of Pharmacy and Health Sciences.

“But those conditions are liable to change, so you cannot say with utmost certainty that things would unfold as predicted,” Omenka told USA TODAY. 

Fauci’s numbers are “within reason,” Omenka said, because a recent survey result applied to the entire U.S. population would put the expected number of cases nationwide at about 8 million. Still, because of shortfalls in testing, the real number of cases is likely to be much higher than current reports show, Omenka said.

What happens next is vital?

Trump has repeatedly said he would listen to public health officials before deciding whether to extend or alter the federal guidelines. Fauci indicated that the president did just that over the weekend, backing down from an initial plan to impose a quarantine in New York and other especially hard-hit states in the Northeast. 

The president told reporters on Saturday that he was considering a weekslong quarantine for New York and parts of New Jersey and Connecticut. Public health officials are concerned that nonsymptomatic residents of those states may be spreading the virus to other areas as they travel around the country. 

But after the idea drew criticism from state officials, including New York Gov. Andrew Cuomo, Trump instead announced a “strong” travel advisory.   

“The original proposal was to consider seriously an enforceable quarantine,” Fauci told CNN. “After discussions with the president, we made it clear, and he agreed, that it would be much better to do what’s called a strong advisory.”

Omenka said that the state and federal government must be careful about causing a second wave of infection by reopening public spaces too soon. Public health officials and the president, he said, should be guided by whether rates of transmission slow.

“The peak has to start coming down before we can start to confidently revise strategies,” Omenka said. “Just because a jurisdiction overcomes the outbreak does not mean they are entirely safe.”

That advice appeared to align with a report Sunday from the American Enterprise Institute written by Scott Gottlieb, former head of the Food and Drug Administration.

The report suggested strict social guidelines remain in place until a state reports a “sustained reduction in cases” for at least two weeks “to guard against the risk that large outbreaks or epidemic spread could reignite once we lift our initial efforts.”

Contributing: John Bacon 

China-chinadaily: Fauci: US fatalities could rise to 200,000

By ANDREW COHEN in New York | chinadaily.com.cn | Updated: 2020-03-30 05:07

I would say between 100 (,000) and 200,000. But I don’t want to be held to that … I mean, we’re going to have millions of cases.

US deaths from the novel coronavirus outbreak could go as high as 200,000 amid “millions” of infections, a leading government health expert said Sunday.

Dr Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, when asked on CNN to predict the potential impact of COVID-19, answered that with “what we’re seeing now, you know, I would say between 100 (,000) and 200,000. But I don’t want to be held to that … I mean, we’re going to have millions of cases.”

According to the latest figures Sunday from the Centers for Disease Control and Prevention (CDC), the US had 122,653 coronavirus cases resulting in 2,112 deaths.

In the 24 hours before Fauci, a key member of the White House Coronavirus Task Force, delivered his dire prediction, President Donald Trump backed away from his proposed quarantine of the three states surrounding the US epicenter of New York City: New York, New Jersey and Connecticut.

Critics promptly called the idea unworkable, saying it would cause chaos in a region that serves as the economic engine of the eastern United States, accounting for 10 percent of the population and 12 percent of GDP.

“If you started walling off areas all across the country, it would be totally bizarre, counterproductive, anti-American, antisocial,” New York Governor Andrew Cuomo said on CNN, also calling it “a declaration of war on states.”

Trump backtracked on the idea, saying on Twitter that “a quarantine will not be necessary.”

Instead, the CDC issued a “strong advisory” Saturday night asking residents of the three states to “refrain from nonessential domestic travel for 14 days effective immediately”.

The three states account for about half of all coronavirus cases and deaths in the US. The advisory exempts workers involved in several “critical” sectors, including food, transportation, healthcare and finance.

“The fact of the matter is, people really aren’t traveling a whole lot,” New Jersey Governor Phil Murphy told ABC News on Sunday. “A travel warning we’re fine with.”

But even as political leaders grappled with finding the right policy choices, the nation’s hospitals struggled to meet their supply and manpower needs.

“We have nurses wearing the same mask from the beginning of their shift until the end, masks that are supposed to be for one patient at one point in your shift. We need some assistance, and we’re going to need thousands of ventilators,” Michigan Governor Gretchen Whitmer said on CNN.

New York Mayor Bill de Blasio said Sunday that the city has only a one-week supply of medical supplies as the number of cases in the city crossed 34,000, about half the total in New York state.

“We have enough supplies to get to a week from today, with the exception of ventilators; we’re going to need at least several hundred more ventilators very quickly,” the mayor said on CNN. “We are going to need a reinforcement.”

A planeload of medical supplies arrived in New York from China on Sunday, the first in a series of flights over the next 30 days organized by the White House, a White House official said.

One Comment

  1. admin admin Post author | April 15, 2020

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