Health officials say the increased caseload in the U.S. is not solely the result of more testing.
As the curve of infections in the United States begins to bulge again after flattening in the spring, the Trump administration tried to reset expectations about its efforts to contain the coronavirus and acknowledged that there would most likely be another wave of cases this fall.
Nationwide, cases have risen 15 percent over the past two weeks, with the most significant increases reported in the South, West and Midwest.
California, the most populous state, reported 4,515 new cases on Sunday, setting a record for the highest daily increase in the number of infections since March. And Missouri and Oklahoma also broke records for the number of new cases reported in a single day.
The new infection figures were released after a top White House official said that the federal government was working to replenish the national stockpile of medical equipment and supplies in preparation for another surge of the virus this fall.
The official, Peter Navarro, the White House director of trade and manufacturing policy, told CNN that the effort wasn’t necessarily an indication that the wave would come.
“We are filling the stockpile in anticipation of a possible problem in the fall,” Mr. Navarro told Jake Tapper on the CNN program “State of the Union.” “We’re doing everything we can.”
Mr. Navarro also said that a comment by President Trump over the weekend about wanting to slow down virus testing had been “tongue in cheek.”
At his campaign rally in Tulsa, Okla., on Saturday, Mr. Trump said: “When you do testing to that extent, you will find more cases. So I said to my people, ‘Slow the testing down, please.’”
Public health experts on Sunday directly contradicted Mr. Trump’s recent promise that the disease would “fade away,” as well as his remarks to a largely maskless audience at the Tulsa rally.
On “Face the Nation” on CBS, Dr. Scott Gottlieb, the former commissioner of the Food and Drug Administration, said, “We’re seeing the positivity rates go up. That’s a clear indication there is now community spread underway, and this isn’t just a function of testing more.”
Also on Sunday, the World Health Organization reported the largest one-day increase in infections across the globe. It said that there were 183,020 new cases, with Brazil (54,771) and the United States (36,617) accounting for the most new infections. The virus has sickened at least 8.9 million people worldwide and killed at least 468,000, according to a New York Times database.
Across the United States, the number of new infections has steadily risen over the past five days after plateauing for the previous 80 days.
At the same time, overall deaths have dropped dramatically. The 14-day average was down 43 percent as of Sunday.
India is now reporting more infections a day than any other country except the United States and Brazil. On Sunday, it reported a single-day record of more than 15,000 new cases.
Now the country’s already strained and underfunded health care system has begun to buckle: A database of recent deaths reveals that scores of people have died in the streets or in the back of ambulances, denied critical care.
Indian government rules explicitly call for emergency services to be rendered, yet people in desperate need of treatment are being turned away, especially in New Delhi.
Infections are rising quickly, Delhi’s hospitals are overloaded and many health care workers are afraid of treating new patients in case they have the virus, which has killed more than 13,000 people in the country. On Monday alone, the government recorded more than 400 deaths, nearly half of them in the hard-hit western state of Maharashtra.
“There is currently little or no chance of admission to hospitals for people with Covid-19, but also for people with other intensive care needs,” the German Embassy in New Delhi warned.
After watching television reports showing bodies in the lobby of a government hospital and crying patients being ignored, a panel of judges on India’s Supreme Court said, “The situation in Delhi is horrendous, horrific and pathetic.”
As complaints began to pile up, the government issued a directive re-emphasizing that hospitals should remain open for “all patients, Covid and non-Covid emergencies.”
But clearly not everyone has been listening. A 13-year-old boy in Agra died of a stomach ailment after being turned away from six hospitals, his family said. Another boy, in Punjab, with an obstructed airway, was rejected from seven hospitals and died in the arms of a family friend.
“This is inhuman,” one doctor said.
In other international news:
China said on Sunday that it was temporarily suspending poultry imports from a Tyson Foods slaughterhouse in Arkansas that has had coronavirus cases among its workers.
A top health official in South Korea said on Monday that the country had been battling a “second wave” of the coronavirus since early May, although she added that the caseload was too small to qualify as a true “wave.” Jeong Eun-kyeong, head of the Korea Centers for Disease Control and Prevention, said, “We will continue to see a wave and mitigation repeating in cycles for a long period of time.” South Korea has reported new cases in the double digits in recent weeks, after recording as many as 800 cases a day several months ago.
Echoing moves by other countries, Britain’s government plans to propose on Monday that it be allowed to oversee mergers and takeovers to protect its ability to combat a public health emergency like the pandemic. An existing law already gives the government oversight of such deals on grounds of national security, media plurality and financial stability.
Police in The Hague said on Twitter that they had detained about 400 people on Sunday who had protested against the Dutch government’s social-distancing measures. There has been significant unrest in the Netherlands over the closing of businesses and restrictions on public gatherings.
Germany’s top soccer league, the Bundesliga, has become the first major European soccer competition to sell its domestic broadcast rights since the outbreak. The four-year deal, which will be announced on Monday, generated less than the record 4.6 billion euros ($5.1 billion) that the league earned under its current agreements, but not by a significant amount, according to two people with knowledge of the sale.
More than 3.6 million people tuned in this weekend to watch a live-streamed summer solstice sunset and sunrise at Stonehenge, the prehistoric monument in southwestern England, after the site’s annual gathering was canceled because of the pandemic.
New York City begins a new phase of reopening: offices.
Two weeks after it began easing virus restrictions, New York City reaches another major milestone on Monday, when it allows thousands of offices to welcome employees for the first time since March.
The reopening will pose a major test for efforts to keep the virus at bay, as hundreds of thousands of people are projected to return to jobs that keep them in enclosed spaces for hours at a time.
“What Monday is going to look like at this point is going to be anyone’s guess,” said Ken Fisher, a partner at Fisher Brothers, which owns more than five million square feet in five office towers in Midtown Manhattan.
Beside offices, the reopening plan also permits outdoor dining, some in-store shopping and also allows hair salons, barbershops and real estate firms to restart their work.
In a survey conducted this month by the Partnership for New York City, a business group, respondents from 60 companies with Manhattan offices predicted that only 10 percent of their employees would return by Aug. 15.
More riders have already returned to public transportation during the first phase of reopening than officials at the Metropolitan Transportation Authority, which runs the city’s subway systems and buses, had anticipated.
In May, transit officials predicted that daily ridership on buses would reach 40 percent of pre-pandemic levels — 880,000 people — during the first phase. But bus ridership has already reached 56 percent of the usual passenger load.
On the subway, daily ridership has climbed to 17 percent of pre-pandemic levels — two percentage points higher than the M.T.A.’s initial projections. The transit agency expects that number to double, reaching as many as two million people, during the second phase. Before the pandemic, ridership exceeded five million.
President Aleksandr G. Lukashenko of Belarus, who has been in power for 26 years, was once praised by a large segment of the population for keeping the country stable — and avoiding the turmoil and mass unemployment seen across much of the former Soviet Union in the 1990s.
Now Mr. Lukashenko faces a groundswell of criticism, particularly over his mishandling of the coronavirus pandemic. He is so unsettled by a surge of discontent and support for prospective rivals in the Aug. 9 election that he has turned his propaganda machine on Moscow, long his closest ally and principal benefactor.
Despite only patchy testing for the virus, Belarus has reported over 58,000 cases, compared with about 32,000 in neighboring Poland, which has four times its population. Mr. Lukashenko has spent weeks criticizing lockdowns elsewhere, calling them a “frenzy and psychosis.”
“There are no viruses here,” he said in March, gesturing to a crowded arena after playing in an amateur ice hockey tournament. “Do you see any of them flying around? I don’t see them either.”
Last month, Mr. Lukashenko pressed on with his own Victory Day parade, saying it was better to “die standing up than live kneeling down.”
By contrast, President Vladimir V. Putin of Russia bowed to health warnings and put off a big military parade in Red Square to celebrate the Red Army’s defeat of Nazi Germany. (It was rescheduled for Wednesday.)
Maryna Rakhlei, an Eastern Europe expert at the German Marshall Fund in Berlin, said that Mr. Lukashenko’s troubles were largely the result of widespread fatigue among citizens about his long time in office and his poor response to the virus.
“The situation threatens to spin out of control for Lukashenko,” Ms. Rakhlei said. “He is not really able to silence the protests as they are largely on social media and spread like forest fire.”
A study of the wildlife trade in three provinces in southern Vietnam has confirmed that the sale of such meat offers an ideal opportunity for viruses to jump between animal species.
The results of the tests — conducted in 2013 and 2014, long before the emergence of the virus behind the current pandemic — show unequivocally how viruses spread between animals as they are transported in crowded conditions.
The percentage of field rats, eaten in Vietnam and other parts of Southeast Asia, that tested positive for at least one of six coronaviruses jumped significantly after being transported with other species. It rose from 20 percent of wild-caught rats sold by traders, to slightly over 30 percent at large markets, to 55 percent of rats sold in restaurants.
A team of scientists including Sarah H. Olson, an epidemiologist with the Wildlife Conservation Society who directed the research, posted a report of their research, which has not yet been peer reviewed but has been submitted to a scientific journal, on a website for unpublished research, bioRxiv.
Dr. Olson said she had expected some increase in infections, because many animals are shipped together in proximity, putting them under high stress and more prone to disease. “It’s classic disease ecology,” she said.
But she had not expected the degree of rising infections, she added.
“We saw this huge step-by-step increase,” she said. “I kept going back to check the data.”
How domestic work can safely resume.
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Reporting was contributed by Choe Sang-Hun, Troy Closson, Jeffrey Gettleman, Michael Gold, James Gorman, Andrew Higgins, Jeré Longman, Iliana Magra, Tariq Panja, Suhasini Raj and Neil Vigdor.