Coronavirus cases surpass 10 million worldwide, as deaths approach 500,000.
The global total of coronavirus cases passed 10 million on Sunday, according to a New York Times database, as countries around the world struggled to keep new infection rates from reaching runaway levels while simultaneously trying to emerge from painful lockdowns.
The number of confirmed infections, which took roughly 40 days to double after hitting five million in May, may be substantially underestimated, public health officials say. Data released last week by the Centers for Disease Control and Prevention indicated that the actual figures in many regions of the United States are probably 10 times as high as reported.
In April, roughly a month after the World Health Organization declared the coronavirus a pandemic, global virus deaths topped 100,000. That figure then climbed to 250,000 in early May and has nearly doubled in less than two months. More than a quarter of all known deaths have been in the United States.
In the United States, early hot spots emerged in the Northeast, particularly the New York metropolitan area, but the recent surge has occurred primarily in the South and the West, forcing some states to retreat from reopening plans.
Other countries are also being hit with a wave of new infections.
Brazil, which has reported the second highest total of infections, has seen its caseload surge significantly in June. The country has over 1.3 million cases and over 57,000 deaths.
And India, which is reporting more new daily infections than all but the United States and Brazil, confirmed that cases surged beyond 500,000 this weekend. Last month, India moved ahead with reopening public life despite soaring case counts, and officials said they were exploring whether to try to test the entire population of New Delhi — nearly 30 million people — to better identify the scale of the outbreak.
Dozens of countries that took early steps to contain and track the pandemic have been able to control the virus within their borders. But experts fear that fatigue with lockdowns and social distancing has allowed the virus to spread with renewed intensity across many corners of the world.
As the Texas governor warned that the virus had taken a “very swift and a very dangerous turn,” Vice President Mike Pence urged people to wear masks during a visit to the state on Sunday.
Gov. Gregg Abbott said the rate of positive Covid-19 tests had risen to more than 13 percent from less than 4 percent in the past month and that it was an “alarm bell” for the residents of Texas.
Mr. Abbott made the grim assessment after meeting with Mr. Pence and Deborah Birx, the coordinator of the White House Coronavirus Task Force. Mr. Pence and Dr. Birx joined the governor in urging all Texans to cover their faces and avoid close contact in crowds.
“I’m really appealing to every Texan to wear a mask,” Dr. Birx said. “I’m just here really to ask every one of them to wear masks, every single one of them to wear a mask.”
Mr. Pence, who wore a mask during his visit, refused to directly answer a question about whether President Trump’s refusal to wear one — and his assertion that people who do are making a political statement against him — was responsible for the high numbers of Texans and others who do not wear masks when they are in crowded areas.
Dr. Ben Carson, the secretary of housing and urban development, who was at the briefing with the vice president, seemed to take issue with Mr. Trump’s mask stance, saying, “We just need to disseminate that information, everybody in their sphere of influence, and to be the example themselves.”
Even with cases skyrocketing in the state, the vice president offered Texans reassurances.
“Each day, we are one day closer to the day we put this pandemic in the past,” Mr. Pence said. “And when we do, with this governor and this president, we’ll bring Texas and America back bigger and better than ever before.”
Governors in some states have complained that the federal government has failed to provide the resources they needed to test for the virus and treat patients. On Sunday, Mr. Pence pledged that the government would help Texas and other states seeing a new surge in cases.
“We’re going to stay with you to make sure that Texas, and your health care system in Texas, have the resources and supplies and the personnel to meet this moment,” he said.
Mr. Pence and Ms. Birx are scheduled to visit Florida and Arizona in the days ahead to hold similar briefings with state officials.
Mr. Pence and the nation’s top health official, Alex M. Azar II, continued to assert on Sunday that reopenings in many states were not causing the sharp rises in coronavirus cases, but rather that increased testing was uncovering more and more infections. Experts says this is not the case.
“Because of the public-private partnership that President Trump initiated, we are literally able to test anyone in the country that would want a test who comes forward,” Mr. Pence said.
But in some states, residents have been turned away from testing sites that have reached capacity.
It’s not just case counts that are going up. In many places, another statistic is also trending the wrong way: A rising share of coronavirus tests are coming back positive.
In Los Angeles County, officials said Saturday that the positivity rate there had risen to 9 percent; two weeks ago it was averaging 5.8 percent. In Texas, the rate climbed above 13 percent on Friday; it was around 7 percent two weeks ago.
Arizona’s positivity rates have been climbing steadily since early May and have been averaging above 20 percent for a week, according to figures compiled by Johns Hopkins University.
Public health experts watch positivity rates, along with hospitalization rates, deaths and other key indicators, to get a sense of how prevalent the virus is in a particular city or state, and how fast it is spreading.
“The positivity rate is a very important marker for how a state’s testing is going, and for how the state is doing,” said Dr. Thomas Inglesby, the director of the Johns Hopkins Bloomberg Center for Health Security.
The figures, however, can vary greatly from one place to another because of major differences in testing availability and criteria in the way the data is compiled, among other factors. All else being equal, more limited testing would be expected to yield higher positivity rates than widespread testing would.
What’s most significant about positivity rates is if they are moving up, it’s a strong suggestion that the pandemic is gaining strength — and that rapidly rising case counts are not merely the result of having performed more tests, as President Trump and Vice President Pence have argued recently.
The C.D.C. criteria for each stage of reopening from a lockdown include a requirement that positivity rates decline for 14 days. According to Johns Hopkins, only 12 states reported lower average positivity rates last week than the week before.
The criteria also call for widespread availability of testing, but in hot-spot states like Arizona, Florida and Texas, many people have had a hard time getting tested, with long lines and crowding that raises tensions and the risk of infection.
“Pushing, yelling, ZERO social distancing enforced,” one Houston resident wrote on Twitter. Two testing sites at Houston stadiums reached capacity and had to turn people away just a few hours after opening on Saturday, according to the local health department.
In Florida, the first car was on line at 12:30 a.m. Saturday at the Orange County Convention Center in Orlando, according to the Florida Association of Public Information Officers, even though testing did not start there until 9 a.m. At a site in Jacksonville, the testing line was cut off in the early afternoon, before closing time, the association said on Twitter.
Lines of cars at drive-up sites in Phoenix stretched up to three miles, and the state’s largest laboratory received twice as many samples on Friday as it could process.
Coronavirus cases nationwide have risen 65 percent over the past two weeks. More than 42,000 new cases were reported on Saturday, including single-day record high numbers in Florida, Nevada and South Carolina.
The governors of New York and Washington sharply criticize the Trump administration.
Two governors who have had sometimes testy relationships with the White House during the pandemic expressed harsh reactions to the administration’s insistence on deferring to local governments rather than offering strong national policies to contain the virus at a time when outbreaks are escalating in a number of states.
Vice President Mike Pence strongly defended the approach on the CBS show “Face the Nation,” while attributing the rise in cases to increased testing and irresponsible behavior by young people.
“One of the elements of the genius of America is the principle of federalism, of state and local control,” Mr. Pence said. “We’ve made it clear that we want to defer to governors. We want to defer to local officials and people should listen to them.”
Gov. Andrew M. Cuomo characterized that approach as negligent on the NBC program “Meet the Press.” “They’re basically in denial about the problem,” he said. “They don’t want to tell the American people the truth. And they don’t want to have any federal response, except supporting the states.”
Mr. Cuomo said that New York, once a global epicenter, had reported five deaths on Sunday, the lowest number since the start of the pandemic. But he said that he was afraid that travelers from states with higher infection rates could reverse his state’s hard-won gains.
Gov. Jay Inslee of Washington expressed frustration at the president’s unwillingness to wear masks or to do more to encourage his supporters to wear them. “Instead of tweeting the other day about the importance of masks, he tweeted about monuments,” he said on “Face the Nation.” “We need a president who will care more about living Americans and less about dead confederates.”
Speaker Nancy Pelosi said Sunday that she supported a federal mandate that all Americans must wear masks. “Definitely long overdue for that,” Ms. Pelosi, Democrat of California, said on ABC’s “This Week.” She urged Mr. Trump to start wearing one in public, saying: “Real men wear masks. Be an example to the country.”
The health and human services secretary, Alex M. Azar II, noted on “Meet the Press” that Mr. Pence had donned a mask for a public appearance on Friday, “even though he doesn’t need to in the sense that everybody around him is tested, he’s in a bubble.”
President Trump and those around him “are tested constantly,” he said, reiterating that the government recommends that people wear face coverings if they cannot practice social distancing.
Outbreaks from restaurants grow as more U.S. states permit indoor dining.
As more restaurants and bars open for indoor dining, hard-to-trace outbreaks are prompting warnings from public health officials in several states.
In Michigan, more than 70 cases were linked to Harper’s Restaurant and Brewpub in East Lansing. In Alaska, the Seward Alehouse closed and encouraged customers to get tested after an employee contracted the virus.
And in Kansas, cases were linked to the Wild Horse Saloon in Topeka and a bar called the Hawk in Lawrence. Sonia Jordan of Lawrence-Douglas County Public Health said her department released details of the Hawk outbreak because “we are not confident in being able to identify everyone who was there.”
Many times, restaurant outbreaks are contained to a handful of known cases. But in recent weeks, they have also been the sites of more widespread infections. At least 100 cases were tied to the Tigerland nightlife district in Baton Rouge, La.
In Michigan, where dozens of the people infected at Harper’s Restaurant were between the ages of 18 and 23, officials urged others who visited the business to isolate themselves.
“There are likely more people infected with Covid-19 not yet identified,” Linda S. Vail, the Ingham County health officer, said in a statement. “We need help from people who went to Harper’s during the exposure dates so that we can contain the outbreak. We need everyone exposed to stay home.”
In California on Saturday, the state ordered bars to close in some cities, among them Los Angeles and Fresno, and recommended that they close in others, including Sacramento, Contra Costa and Santa Barbara.
The rapid identification of restaurant clusters contrasts with the continuing uncertainty about infections stemming from protests against racially biased policing, which have been held in more than 2,000 U.S. cities since the death of George Floyd in police custody on May 25. The Times has reached out to dozens of cities that have had large protests, finding some small case groupings but no major clusters.
Thus far, the effort has found about 50 infections connected to protests, including members of the National Guard in Nebraska, Minnesota and Washington, D.C.
Ukrainians are stuck in their country’s warring east because they can’t access a quarantine app.
A rule in Ukraine that requires travelers to self-quarantine has had a surprising effect, stranding dozens of people in a buffer area within the war zone in the country’s east.
Ukraine has been fighting a Russian-backed uprising in the east since 2014, which long ago settled into a stalemate along a line of trenches separated by a no man’s land pocked with landmines, snipers and artillery shelling. Each side maintains its own checkpoints.
Before the pandemic, Ukrainians crossed that no man’s land more than a million times a month, sometimes for reasons as simple as collecting pensions, though some also have family and property across the war zone.
But this week, a group of civilians who passed through the separatists’ territory were suddenly faced with Ukraine’s requirement that new arrivals quarantine for two weeks, either by checking into a hospital or staying home while using a location-tracking app.
About 50 people trying to cross — including pregnant women, elderly people and children — either did not have smartphones to download the app or, in some cases, were unable to figure out how to use it. The separatists declined to let them back into their territory, leaving them stranded, with no way to quarantine as Ukraine required.
“Dozens of people have had to camp out, in some cases overnight, in the middle of an active military conflict, just because they didn’t have a smartphone to download an app,” Laura Mills, Europe and Central Asia researcher at Human Rights Watch, said in a statement.
By Friday, 17 had agreed to check into a hospital in government-held territory to escape the buffer zone. Others managed to exit after relatives or volunteers from nongovernmental groups passed them smartphones at a checkpoint, said Denys Yaroshenko, a monitor for a nonprofit organization in the area called Right to Protection. Separatists finally allowed others to reenter. Nobody was harmed, but it’s unclear how many remain.
Ukrainian authorities have provided tents and food for those who are still stranded.
As some lament missing out on their first Pride march, a Taiwan gathering shows support.
This weekend would normally have been a time for large Pride marches, parades and parties. And in New York City, Sunday’s events would have included the 50th anniversary of the city’s Pride March.
Instead, with public life only gradually resuming amid the coronavirus pandemic — and restrictions being tightened in some places where cases have spiked in recent days — these events were replaced with small gatherings and virtual events, including a 24-hour online celebration streamed on YouTube and the Global Pride website.
And while the Pride celebrations are not alone in being called off, few other events are as much about being seen — by everyone. So this year, some L.G.B.T.Q. people are missing out on an important moment of visibility and acceptance: their first Pride.
“It’s something that’s so central to our identities as L.G.B.T.Q. folks,” said Fred Lopez, the executive director of San Francisco Pride. “To remember that time when we were able to walk hand in hand with a boyfriend or a crush, even amongst hundreds or thousands or hundreds of thousands of people, is really inspiring.”
An in-person Pride gathering was held on Sunday in Taiwan, however, as the self-governing island has largely kept the coronavirus at bay, with just 446 recorded cases and seven deaths since its first case was reported in January.
A giant rainbow flag led a procession across Liberty Square, a large plaza in central Taipei, in an event that Darien Chen, one of the organizers, said he hoped would bring comfort to the millions around the world who could not attend large gatherings because of the pandemic.
“We really hope we can bring some hope to all the L.G.B.T. community who can’t march for themselves this year,” he said.
Yemeni militiamen rumbled up to a group of migrants in a settlement one morning, firing their machine guns at Ethiopians caught in the middle of somebody else’s war. The militiamen shouted: Take your coronavirus and leave the country, or face death.
“The sound of the bullets was like thunder that wouldn’t stop,” said Kedir Jenni, 30, an Ethiopian waiter who fled the settlement near the Saudi border in northern Yemen that morning in early April. “Men and women get shot next to you. You see them die and move on.”
This scene and others were recounted in telephone interviews with a half dozen migrants now in Saudi prisons. Although their accounts could not be independently verified, human rights groups have corroborated similar incidents.
The Houthis, the Iran-backed militia that controls most of northern Yemen, have driven out thousands of migrants at gunpoint over the past three months, blaming them for spreading the coronavirus, and dumped them in the desert without food or water.
Five years of war between the Houthis and the Saudi-led coalition propping up Yemen’s government have ransacked the country, the poorest in the Middle East, starving and killing its people.
Humanitarian officials and researchers say that the African migrant workers who traverse Yemen every year endure torture, rape, extortion, bombs and bullets in their desperation to reach Saudi Arabia. And this spring, when the pandemic made them scapegoats for Yemen’s troubles, they lost even that slender hope.
“Covid is just one tragedy inside so many other tragedies that these migrants are facing,” said Afrah Nasser, a Yemen researcher at Human Rights Watch.
The community around the University of California, Davis, used to have a population of 70,000 and a thriving economy. Rentals were tight. Downtown was jammed. Hotels were booked months in advance for commencement.
But when the campus closed in March because of the coronavirus, an estimated 20,000 students and faculty members left town. With them went about a third of the demand for goods and services, from books to bikes to brunches. And officials expect most of that demand to stay gone even as the city reopens.
Reliant on institutions that once seemed impervious to recession, “town and gown” communities that have evolved around rural campuses — Cornell, Amherst College, Penn State — are confronting not only Covid-19 but also major losses in population, revenue and jobs.
For the cities involved, the prognosis is daunting. In most college towns, university students, faculty and staff are a primary market. Local economies depend on their numbers and dollars, from sales taxes to football weekends to federal funds determined by the U.S. census.
Where business as usual has been tried recently, punishment has followed: Last week, the Iowa health authorities reported case spikes among young adults in its two largest college towns after bars reopened. And on campuses across the United States, attempts to bring back football teams for preseason practice have resulted in outbreaks.
“One of the things that makes a college town so wonderful is the vibrant young population,” said Davis’s incoming vice mayor, Lucas Frerichs, who attended the university and has lived in the city for 24 years. “They’re the lifeblood.”
Including last week’s votes in New York and Kentucky, 46 states and the District of Columbia have now completed primary elections or party caucuses, facing the large challenge not just of voting during a pandemic, but also of voting by mail in record numbers.
Despite debacles in some states, votes have been counted and winners chosen largely without incident — a notable feat, some say, given that many states had just weeks to scrap decades of in-person voting habits for voting by mail.
Yet the challenges — and the stakes — will be exponentially higher in November, when Americans choose a president and much of Congress.
For starters, in some areas, elections boards are already short of cash. Postal and election workers overwhelmed by 55 million-plus primary-election voters now face triple that turnout in November.
States must recruit armies of poll workers to replace older ones deterred from working because of the virus — nearly six in 10 poll workers were 61 or older in 2018, according to an analysis by the Pew Research Center.
And election offices will have to process millions of ballots packed in millions more specialty envelopes — which only a handful of companies are capable of printing.
The primaries have “provided a sort of training ground for states to turn the corner on voting by mail,” said Barry C. Burden, the director of the Elections Research Center at the University of Wisconsin-Madison.
November, he said, could be like the pandemic itself: manageable if done right, but vulnerable to unpredictable hot spots — “and we only need it to go badly in a few places for the whole election to feel like it’s in trouble.”
As New York City’s gradual reopening has been rolled out in recent weeks, people have begun returning to restaurants, bars, offices and hair salons. And on Sunday, the city’s iconic St. Patrick’s Cathedral opened to the public for Mass for the first time since lockdown measures were imposed.
Attendance at the cathedral — the seat of the Roman Catholic Archdiocese of New York — was limited to 25 percent capacity, and those present were subject to strict health and safety guidelines. The cathedral was also sanitized to prepare for the Masses, scheduled for 10:30 a.m., 1 p.m. and 4 p.m. E.D.T.
The closing of houses of worship around the globe during the pandemic has been painful for those who would typically seek both solace and community there, particularly on religious holidays.
It has also been a subject of heated debate, with some arguing that the closings violate freedom of religion and others wary of the public health risk since enclosed spaces with large numbers of people in close contact have fueled outbreaks.
Many places of worship have hosted services and events online throughout the pandemic, and St. Patrick’s Cathedral will continue to do so with its Masses. When it was closed during Easter, its Palm Sunday service attracted more than 100,000 viewers.
“We do miss the people in the pews,” Jennifer Pascual, the cathedral’s music director, said at the time. “It’s kind of odd to be doing Mass and doing it to an empty cathedral. You look out there and there’s nobody there.”
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Reporting was contributed by Christopher Cameron, Rebecca Chao, Melina Delkic, Nicholas Fandos, Tess Felder, Jeffrey Gettleman, Rebecca Halleck, Chris Horton, Shawn Hubler, Sheila Kaplan, Sarah Kliff, Andrew E. Kramer, Pierre-Antoine Louis, Pat Lyons, Zach Montague, Raphael Minder, Tiksa Negeri, Aimee Ortiz, Elian Peltier, Michael Shear, Mitch Smith, Maria Varenikova, Michael Wines, Vivian Yee, Carl Zimmer and Karen Zraick.