People across the continent have largely gone back to work, even as the possibility of a second wave looms. Officials in Texas have recorded more than 700,000 coronavirus infections, and Indiaâs caseload has topped five million.
In the early days of the pandemic, President Emmanuel Macron exhorted the French to wage âwarâ against an invisible enemy. Today, his message is to âlearn how to live with the virus.ââ
Much of Europe has opted for a similar strategy as infections keep rising, summer recedes into a risk-filled autumn and the possibility of a second wave looms over the continent. Having abandoned hopes of eradicating the virus or developing a vaccine quickly, people have largely gone back to work and school, leading lives as normally as possible amid a pandemic that has already killed nearly 215,000 in Europe.
The approach contrasts sharply to the United States, where restrictions to protect against the virus have been politically divisive and where many regions have pushed ahead with reopening schools, shops and restaurants without having baseline protocols in place. The result has been nearly as many deaths as in Europe, though among a far smaller population.
Europeans, for the most part, are putting to use the hard-won lessons from the pandemicâs initial phase: the need to wear masks and practice social distancing, the importance of testing and tracing, the critical advantages of reacting nimbly and locally. All of those measures are intended to prevent the kind of national lockdowns that paralyzed the continent and crippled economies early this year.
âItâs not possible to stop the virus,â said Emmanuel AndrÃ©, a leading virologist in Belgium. âItâs about maintaining equilibrium.â
New infections have soared in recent weeks, especially in France, but the countryâs death rate is a small fraction of what it was at its peak. That is because those infected now tend to be younger and health officials have learned how to treat Covid-19 better, said Dr. William Dab, an epidemiologist and a French former national health director.
In Germany, too, young people are overrepresented among the rising cases of infections, but they are not generally not becoming severely ill, spurring a debate over the relevance of infection rates in providing a snapshot of the pandemic.
âWe are in a living-with-the-virus phase,â said Roberto Speranza, the health minister of Italy, the first country in Europe to impose a national lockdown.
Hendrik Streeck, head of virology at a research hospital in Bonn, cautioned that the pandemic should not be judged merely by infection numbers â health authorities are testing over a million people a week â but instead by deaths and hospitalizations.
âWeâve have reached a phase where the number of infections alone is no longer as meaningful,â Mr. Streeck said.
Michael R. Caputo, the assistant secretary of health for public affairs, apologized Tuesday morning to Health Secretary Alex M. Azar II and his staff for a Facebook outburst in which he accused federal scientists working on the pandemic of âseditionâ and warned of coming violence from left-wing âhit squads.â
He is considering a leave of absence to address physical health problems, according to one source familiar with the situation.
Mr. Caputo, 58, a longtime Trump loyalist, told staff members in a hastily scheduled meeting that he was under stress because of concerns about his physical health and threats to his safety and that of his family. He said he regretted having embarrassed Mr. Azar and the Health and Human Services department.
Since he was installed at the 80,000-employee department last April by the White House, Mr. Caputo, a media-savvy former Trump campaign aide, has worked aggressively to control the media strategy on pandemic issues. But over the weekend, he was engulfed in two major controversies of his own making.
First Politico, then The New York Times and other media outlets, published accounts of how Mr. Caputo and a top aide, Paul Alexander, had routinely worked to revise, delay or even scuttle the core health bulletins of the Centers for Disease Control and Prevention in an effort to paint the administrationâs pandemic response in a more positive light. The C.D.C.âs Morbidity and Mortality Weekly Reports had previously been so thoroughly shielded from political interference that political appointees only saw them just before they were published.
Then on Monday, The Times reported that a Facebook presentation by Mr. Caputo the previous night was filled with bizarre and incendiary comments. He had attacked C.D.C. scientists as anti-Trumpers who had formed a âresistance unit,â engaged in ârotten scienceâ and âhavenât gotten out of their sweatpantsâ except for coffee shop meetings where they plotted against the president. He urged his gun-owning followers to buy ammunition because âitâs going to be hard to getâ and warned that left-wing hit squads across the nation were training for violent attacks. He also referred to physical health concerns and said his mental health âhad definitely failed.â
In a statement Monday he said since the spring, he and his family had been continually harassed and threatened, including by some individuals who were later prosecuted.
In other fallout, McMaster University in Canada issued a statement on Monday distancing itself from Dr. Alexander, whom Mr. Caputo hailed to his Facebook followers as a âgenius.â He did receive a doctorate from the university, but he is not on the faculty, the university said.
âHe is not currently teaching and he is not paid by the university for his contract role as a part-time assistant professor,â a McMaster spokeswoman, Susan Emigh, said in a statement.
âAs a consultant, he is not speaking on behalf of McMaster University or the Department of Health Research Methods, Evidence and Impact.â
Speaker Nancy Pelosi of California said on Tuesday that the House would not leave for the November elections without acting on an additional round of stimulus to prop up the coronavirus-ravaged economy, responding to growing concern among rank-and-file lawmakers over the prospect of returning home to face voters without doing so.
âWe have to stay here until we have a bill,â Ms. Pelosi privately told lawmakers on a conference call on Tuesday morning, according to two people familiar with the remarks who disclosed them on condition of anonymity.
Her vow came just before a bipartisan group of 50 centrist lawmakers was planning to present a $1.5 trillion stimulus plan, making a last-ditch effort to revive stalled talks between top Democrats and the White House.
Members of the group â which calls itself the House Problem Solvers Caucus â concede privately that their framework stands little chance of becoming law. But the decision to offer it up publicly reflected the frustration among some lawmakers in both parties at the failure by their leaders to agree to another round of pandemic aid.
The proposal includes measures that enjoy bipartisan support, like reviving the popular Paycheck Protection Program for small businesses and direct checks of $1,200 or more for American taxpayers, as well as more contentious ones like new legal rights and protections for workers and their employers.
But the bulk of its proposed spending would fall somewhere in the middle of what Republicans and Democrats have championed. The measure would reinstate lapsed federal jobless aid at $450 per week for eight weeks, then replace up to $600 weekly in lost wages for an additional five weeks. That is more than Republicans wanted, but less than the flat, $600-a-week benefit that lapsed at the end of July. And the proposal would send $500 billion to strapped state and local governments, less than the nearly $1 trillion Democrats included in their $3.4 trillion stimulus plan that passed the House in May, but roughly double what the White House has signaled it could support.
Texas surpassed 700,000 coronavirus cases on Tuesday, making it the second state in the country, after California, to reach the milestone, according to a New York Times database.
In recent days, inconsistencies and problems with Covid-19 data collection in Texas had clouded the picture of the pandemicâs trajectory in the state, prompting some residents and officials to say they could not rely on the numbers to tell them the truth. In mid-August, five metropolitan areas in South Texas had the highest rate of new coronavirus cases relative to their population, according to The Timesâs data. More than 14,500 people have died in the state.
It has been a bleak week across much of the United States, especially in parts of Americaâs heartland, with a record number of virus-related deaths over a 7-day period ending on Monday in Kansas and Tennessee, and the highest number of new cases over a 7-day stretch in Missouri, Wisconsin and North Dakota, according to a Times database.
Fifty-eight people in Kansas died from a virus-related condition over a 7-day period ending Monday, and more than half of those deaths were concentrated in the stateâs most populous counties. In Tennessee, 228 people have died during the same time period.
Returns to campus have also fueled an increase in cases in Missouri, Wisconsin and North Dakota. Each state reported the most number of cases over the past seven days, compared with all other 7-day stretches.
North Dakota currently has the highest number of new cases per capita in the country. In Cass County, home to North Dakota State University, 400 new cases have been reported in a 7-day period ending Monday. Some of the cases are attributed to the 153 students and employees who tested positive in the past two weeks, according to the university. As of Tuesday morning, more than 200 students were in quarantine in university housing.
And in Wisconsin, nearly 20 percent of the new cases since last Monday have been in Dane County, home to the University of Wisconsinâs Madison campus. On Monday, the university reported another 194 virus cases on campus, which includes 134 people living in student housing.
Germany agreed on Tuesday to take in more than 1,500 refugees now living in Greece, days after blazes destroyed a refugee camp on the island of Lesbos that was under a coronavirus quarantine.
Germanyâs move is a challenge to other wealthy European countries that have been reluctant to help the Greek authorities resettle the 12,000 people who were left homeless when fires tore through the Moria refugee camp last week.
Tensions within the camp, Europeâs largest, had reached a boiling point when the authorities placed it under a medical lockdown after at least 35 residents tested positive for the virus. That led to protests by some residents, some of whom lit fires, leading to the campâs destruction.
The fire left the campâs residents, including 4,000 children, stranded among tombstones in a nearby cemetery and on rural and coastal roads. Nearly two-thirds of the migrants in the camp are from Afghanistan.
Germany said on Tuesday that it will allow 1,553 people from 408 families who have already been recognized as refugees by Greece to settle in the country. The decision followed intense debate within Chancellor Angela Merkelâs government, with some officials arguing that Berlin should wait to take action until there is a joint European Union response to the crisis in Greece.
The officials feared that a unilateral move by Ms. Merkel, while showing solidarity with Greece, could create the politically unpopular impression that Germany had reopened its borders â as it did in 2015, when it accepted more than one million people from the Middle East, Africa and Asia.
Indiaâs overall caseload has surpassed five million. The country, where more than 82,000 coronavirus patients have died despite an early nationwide lockdown that was one of the worldâs harshest, reported 90,123 new cases on Tuesday.
Vietnam has recovered sufficiently from its second outbreak of the coronavirus that it will resume international flights on Friday to destinations in Asia, although not yet for tourists. After controlling its initial outbreak without any fatalities, Vietnam went nearly 100 days without a case of local transmission. But an outbreak in July in the coastal city of Danang spread throughout the country and caused 35 deaths before it also was contained. Now, without a confirmed case of local transmission for two weeks, the government has lifted travel restrictions in Danang and will resume flights to South Korea, Japan, China and Taiwan for Vietnamese nationals, certain workers, diplomats and investors.
Germany will invest 750 million euros, or $891 million, to bolster three domestic companiesâ quests for a Covid-19 vaccine, two German ministers said on Tuesday. The goal is to get safe vaccines to the majority of Germans and other Europeans as soon as next summer.
High schools and universities in Pakistan opened Tuesday after being closed for almost six months. Online classes were offered in most schools. Students were divided into two groups, which attend classes on alternate days. Officials said that they would monitor the situation for a week and if things remain under control, classes for young children would begin in the coming weeks.
The Australian state of Victoria, the center of the countryâs outbreak, on Tuesday reported no new coronavirus deaths for the first time in more than two months. The stateâs capital, Melbourne, remains in lockdown, but restrictions have been loosened in the rest of the state as cases continue to fall.
In England, new lockdown measures went into effect on Tuesday in parts of the West Midlands, which includes Birmingham, the countryâs second-largest city. Under the restrictions, people are barred from meeting others who are not part of their household, either indoors or outside. The measure comes after the British government lowered the limit on gatherings to six from 30.
The United Nations is about to turn 75, but celebrations will be muted. World leaders are unable to gather in person â the pandemic has reduced the General Assembly beginning this week to virtual meetings â but the organization is also facing profound questions about its own effectiveness, and even its relevance.
People of color have higher rates of coronavirus infection, hospitalization and death during the pandemic than white people do, according to a large-scale analysis of electronic health record data for about 50 million patients from 399 hospitals in 21 U.S. states.
The analysis, released on Wednesday, is a joint project of the nonprofit Kaiser Family Foundation and Epic Health Research Network, a publication of Epic, the electronic health records data company. By providing insight into a large population across a range of states and health care systems, it builds on a growing body of research that shows people of color are disproportionately affected by the coronavirus.
The data show that while testing rates differed little by race and ethnicity, Hispanic patients were more than two and a half times as likely, and Black and Asian patients were nearly twice as likely, as white patients to test positive. Patients of color were also typically sicker than white patients when diagnosed, and were likelier to be in an inpatient setting and likelier to require oxygen or ventilation at the time of diagnosis.
Hispanic and Black people were far likelier than white people to require hospitalization. The study found that for each 10,000 people hospitalized, 30.4 were Hispanic; 24.6 were Black but just 7.4 were white. Death rates for Black and Hispanic patients were more than twice as high as for white patients.
âThis analysis points to delays in testing for people of color, who are sicker and more likely to be infected when they do get tested,â Drew Altman, the president and chief executive officer of Kaiser Family Foundation, said in a statement.
The authors of the study sought to determine whether socioeconomic factors explained the disparities, and found they did not. Even after controlling for sociodemographic factors and underlying health conditions, the study found, Asian patients were 49 percent likelier than White ones to die from the virus. Hispanic patients were 30 percent likelier to be hospitalized and die compared with white patients with similar characteristics and underlying health conditions, and Black patients were 19 percent likelier to die after controlling for these factors, the research found.
Hundreds of Hasidic Jewish pilgrims seeking to enter Ukraine from Belarus in defiance of virus travel restrictions were stopped by border guards on Tuesday, as Ukraine mobilized additional guards to bolster its forces.
Ukraine closed its borders last month as cases in the country ticked up, partly to halt the yearly pilgrimage to the city of Uman, the site of the grave of Rabbi Nachman, the founder of the Breslov branch of the Hasidic movement. The pilgrimage is timed to the Jewish New Year, which begins on Friday. Israeli health officials have supported Ukraineâs decision in light of the pandemic.
The pilgrims began arriving at a border crossing with Belarus on Monday afternoon, according to the Ukrainian border guard service. Authorities in Belarus let the group pass and they gathered on a road in the buffer area between the two border stations.
Through the night, hundreds of men and boys danced and sang songs. Their luggage was piled along fields on both sides of the road. The men tried to convince the border guards to let them through to celebrate the new year, the most important religious holiday for Hasidim. Little boys, looking bored and sleepy, stood by watching.
Some of the pilgrims had traveled to the Novi Yarylovychi border crossing believing it was open, which was not the case, Israel Public Broadcasting tweeted. Ukrainian authorities said the foreigners were warned about the border closure.
Ukraineâs border guard service said that 690 pilgrims had gathered along the border by Tuesday, and the agencyâs director, Serhiy Deyneko, said that more were expected on charter flights arriving in Belarus. Belarusian media reported a different number of pilgrims on the border, saying about 1,500 had already arrived.
Ukraineâs president, Volodymyr Zelensky, said that the border closure will be enforced until it expires on Sept. 28. The country has reported nearly 20,000 new virus cases over the past week, bringing the total to more than 160,000, according to a Times database.
With its beige walls and fluorescent lighting, the Canyon Transitional Rehabilitation Center, nestled in the foothills of the Sandia Mountains, has all the hallmarks of a nursing home. But except for the occasional medication cart, or a nurse working silently at a keyboard, the hallways are empty. The doors of all 44 rooms are shut tight.
In April, after 19 people died from the virus at an Albuquerque retirement community, New Mexico partnered with Genesis HealthCare, which operates 25 nursing homes in the state, to convert Canyon to a long-term care facility for patients infected with the coronavirus.
âTime was of the essence, in terms of mitigating the spread of Covid-19 in long-term care facilities,â said Katrina Hotrum-Lopez, secretary of the New Mexico Aging and Long-Term Services Department, who worked with the governorâs office and the stateâs Department of Health to establish the facility.
The pandemic presents a time of reckoning for long-term care. The virus has ravaged nursing homes across the country, with at least 75,000 deaths attributed to long-term care facilities â more than 40 percent of virus deaths in the United States.
Direct care positions, like certified nursing assistants, are predominantly filled by women of color and immigrants.
Rogelio Ramirez volunteered to transfer from the Albuquerque Heights Healthcare and Rehabilitation Center to Canyon out of a sense of helplessness and grief after his aunt and uncle both died from Covid-19 in Mexico, where he is originally from.
His wife, Jeri Ramirez, also works in long-term care. She lost her grandfather to Covid-19 at another facility in the Albuquerque area.
âI felt like I needed to do it,â said Mr. Ramirez of his choice to work as a certified nursing assistant at the facility.
Dr. Anthony S. Fauci praised Vermont as a model on Tuesday, using the stateâs success in controlling the coronavirus as evidence that the principles he has been touting can lead to a safer reopening. âListening to the numbers that you said, I wonder if I could bottle that and take it with me when I go around talking to other parts of the country,â he said, appearing via video at the governorâs biweekly Covid-19 briefing.
âThis should be the model for the country, how youâve done it,â he said, adding that states should heed the recommended benchmarks for reopening regardless of their size.
Vermont has the lowest per capita rate of cases of any state, and one of the lowest death rates. According to the state health departmentâs coronavirus dashboard, only two Covid-19 patients are currently hospitalized.
âWhen you have a test positivity of 0.2 percent, you are starting the game on your side,â said Dr. Fauci.
The governor delayed the start of school until after Labor Day, and so far there have been few reported cases linked to schools. Most schools have been using a hybrid model of in-person and remote instruction.
He said that cooler weather would bring additional challenges, but added that if people continued to observe safety measures like wearing masks and social distancing, âI donât think you are inevitably going to have a second wave.â
Even as U.S. colleges and universities have become hot spots, forcing some schools to suspend or cancel in-person classes, a few â Brown, Clemson and Miami University of Ohio â are inviting more students back to campus.
âI want to kindly ask each and every one of our students, faculty and staff to do all they can to minimize the spread of this virus,â wrote James P. Clements, Clemsonâs president, when announcing that about 7,000 students could move into on-campus housing, and that the South Carolina school would return to some in-person instruction on Monday.
He said the move did not suggest that the outbreak was over, adding that âwe should expect to see more cases over the next few weeks.â
A Times tracker has identified at least 782 cases at Clemson since the pandemic began. A Clemson spokesman said the university believed it was safe for students to return.
At Miami University of Ohio, in Oxford, which has recorded at least 836 cases since the spring â and where students were cited by police last week for holding a house party despite being under quarantine â students are allowed to begin moving into residence halls on Monday, although it is limiting campus housing capacity to 40 percent.
Miamiâs president, Gregory Crawford, warned students in his reopening message that they would âneed to make a conscious commitment to live differently this term.â
A spokeswoman said the university was testing every arriving on-campus student before allowing them to move in, and the positivity rate among them was less than 1 percent.
Brown University is allowing the majority of undergraduates to move back to campus this weekend, and said some smaller classes would begin meeting in person on Oct. 5.
The United Statesâs international standing is at or near its lowest levels in nearly two decades, in part because of Mr. Trumpâs mishandling of the pandemic, the nonpartisan Pew Research Center reported Tuesday as it released a new poll.
Pew, which surveyed residents of 13 countries on four continents, found that only 15 percent believe that the United States has done a good job combating the virus.
In every country polled, respondents gave much higher marks to the World Health Organization and China than to the United States, despite Mr. Trumpâs attempts to shift blame for the outbreak to Beijing and his repeated criticism of the W.H.O.
âSince Donald Trump took office as president, the image of the United States has suffered across many regions of the globe,â the reportâs authors concluded, accelerating a downward trend that began when Mr. Trump took office in 2017 after campaigning on a platform of âAmerica First.â
Before the Trump era, public opinion of the United States remained steadily north of 50 percent in most countries â with the exception of the early 2000s, when President George W. Bush waged an unpopular war in Iraq. In the new survey, the U.S.âs median approval rating among the 13 countries was 34 percent.
Pew surveyed 13,273 adults from June 10 to Aug. 3 in Canada, Belgium, Denmark, France, Germany, Italy, the Netherlands, Spain, Sweden, the U.K., Australia, Japan and South Korea.
More than 39,200 new cases and more than 1,280 new deaths were reported in the United States on Tuesday.
Although children and young adults are less likely to suffer deadly consequences following infection with the coronavirus, young Americans are not immune. A new study of Covid-19 deaths by the Centers for Disease Control and Prevention suggests that some youth populations may be especially vulnerable, and that many young patients appear to be brought to the hospital only once they have become severely sick.
âAs they say, the U.S. government â after itâs tried every other thing â does the right thing,â said Bill Gates. He expressed hope about new avenues for foreign aid amid the pandemic in an interview with The Times.
As colleges struggle to contain virus outbreaks, administrators and local health authorities are cracking down on fraternities and sororities, putting them under quarantine orders or threatening harsh sanctions for partying
In Connecticut, people attending a private party that exceeds the stateâs gathering limits will face a fine of $250. Hosting that party? A $500 fine.
Gov. Ned Lamont announced the series of fines on Monday for those caught breaking rules meant to prevent the spread of the virus. Violating the stateâs mask mandate will result in a $100 fine, starting as of midnight on Thursday.
The fines give municipalities âmore leverageâ to enforce rules without having to charge violators with misdemeanors, he said. Fines can be issued by police officers, local health officials, or local elected official designees, and were set to take effect this week, a state official said Monday.
State officials on Monday also announced an adjustment to the rules for travelers coming from its list of restricted states. Travelers must quarantine for 14 days or have a negative coronavirus test result from three days before arrival. They can also get tested after arriving in Connecticut, but they must remain in quarantine until the results are negative.
If travelers who are required to quarantine fail to do so or do not complete the stateâs required travel health form, they face a civil penalty of $1,000.
On Tuesday, Connecticut said travelers from Puerto Rico were now subject to the restricted states rules, joining a list of dozens of states and Guam. California, Hawaii, Maryland, Minnesota, Nevada and Ohio were removed in the weekly update.
Gov. Andrew M. Cuomo of New York said Tuesday that travelers from Puerto Rico were also required to quarantine for 14 days. California, Hawaii, Maryland, Minnesota, Nevada and Ohio were removed from New Yorkâs extensive list of places to which the quarantine applies. Travelers to New Jersey are also subject to a 14-day quarantine if coming from a vast list of places, though compliance is voluntary.
Reporting was contributed by Sarah Almukhtar, Matt Apuzzo, Emma Bubola, Emily Cochrane, Shaila Dewan, Nicholas Fandos, Antonella Francini, James Gorman, Rick Gladstone, Mike Ives, Jennifer Jett, Isadora Kosofsky, Anemona Hartocollis, Eric Lipton, Salman Masood, Donald G. McNeil Jr., Constant MÃ©heut, Claire Moses, Eshe Nelson, Norimitsu Onishi, Richard C. Paddock, Gaia Pianigiani, Roni Caryn Rabin, Campbell Robertson, Amanda Rosa, Christopher F. Schuetze, Michael D. Shear, Jeanna Smialek, Sheryl Gay Stolberg, Eileen Sullivan, Derrick Taylor, Glenn Thrush, Maria Varenikova, Sui-Lee Wee, Ceylan Yeginsu and Elaine Yu.
News – As Covid-19 Cases Rise, Europe Enters âLiving-With-the-Virus Phaseâ