Coronavirus Briefing: Our State, Our Rules

Some governors have resisted cracking down, even as case numbers soar.

An informed guide to the global outbreak, with the latest developments and expert advice about prevention and treatment.

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An uneven response

The U.S. recorded more than 35,000 new cases yesterday — the highest daily total since the outbreak first peaked in late April. More than half of all states saw increasing new cases, and governors across political lines moved to delay or reverse reopenings.

But some governors have declined to crack down on the virus, despite their states’ accelerating rates of infection. Gov. Jim Justice of West Virginia said that six outbreaks had been linked to churches in the state, but said he had no plans to close houses of worship. Gov. Ron DeSantis of Florida has asked health officials to tell residents to wear masks and maintain social distancing, but he has not signaled a rollback for his reopening plans. In South Carolina, Gov. Henry McMaster said Monday that he would not mandate face coverings.

Meanwhile, New York, New Jersey and Connecticut — which had severe outbreaks early in the pandemic but have since gotten them under control — will require visitors from states with high positive test rates to quarantine for two weeks.

As the U.S. continues its roller-coaster trajectory, state officials may soon be looking to countries in Asia and Europe that are taking novel, localized approaches to managing new waves of the virus. While each country differs, their post-peak strategies generally include flexibility for local governments to tighten or ease restrictions, intensive testing and strict border management.

In South Korea, where the national strategy is referred to as “everyday life quarantine,” the government has advised citizens to carry two types of masks — a surgical mask, as well as a heavy-duty one for crowded situations. China has moved to test restaurant workers and delivery drivers block by block. And in Germany, regions and municipalities that reach a threshold of new infections must impose school closings and quarantines.

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Houston hospitals are reaching their limit

After a surge in cases, hospitals in Houston are facing a distressing new reality: They could run out of space in a matter of days. The city’s intensive care units are now at 97 percent capacity, the mayor said, and about a quarter of all patients in intensive care have tested positive for the virus.

Even though Houston has a large concentration of medical schools and research hospitals, some experts believe the area will run out of I.C.U. beds within two weeks if the city doesn’t quickly begin to bend its curve. On Tuesday, Texas reported a daily record — 5,000 new infections — and on Wednesday the governor said the state had another 5,000 cases, along with 4,000 hospitalizations. Experts say that because hospitalizations are rising, the spike in cases is not just the result of an increase in testing.

Video from the inside. The Times Opinion section spent several months with the staff of a rural hospital in Sweetwater, Texas (population 10,000). The hospital has been bracing for an outbreak — it would be overwhelmed by even six critically ill patients — while also trying to stave off financial ruin. Watch the short video here.

Resurgences

What else we’re following

What you’re doing

Months of Covid-19 life have resulted in a fatigue of binge-watching Netflix. We are embarrassed by the trail of crumbs to and from the refrigerator and the empty wine bottles in the recycling bin. For the newest chapter, my husband and I decided to take salsa lessons from YouTube. We moved the furniture back, cranked up the volume and are enjoying intimate laughter at ourselves amid a new love of Latin music!
— Valerie VanOstenbridge, Pensacola, Fla.

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