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US epidemiologists have also looked enviously at the data dashboards used in places such as Singapore, which track infection cases from contact between people. While some states, such as Oregon, have paused reopenings due to an increase in cases, many others are pushing ahead regardless, citing the economic and mental health costs of continued lockdown. "Americans are on the move, and they can't be tied down, and they can't be restrained unless they make a voluntary decision that this is right for me and my health or my family, " said Asa Hutchinson, governor of Arkansas. Some Republicans have expressed frustration over what they see as a hypocritical reaction to the anti-racism protests that have roiled the US in the wake of George Floyd's death, pointing out these gatherings may well have spread the virus. The fallout from the protests and conservatives' reluctance to isolate further will probably make it extremely challenging to reimpose lockdown should infections escalate. "Shutting down is not the answer, " said Henry McMaster, governor of South Carolina, last week, even after his state epidemiologist warned she was more worried than ever about the spread of Covid-19 in South Carolina.
D espite the inertia and dysfunction that plagued the early stages of the US government's response to the coronavirus pandemic, the situation could still have been somewhat rescued if Donald Trump had merely backed the efforts of his own administration, public health experts say. Instead Trump has shown little active leadership and frequently undermined government efforts and advice aimed at curbing the virus by encouraging reopening protests and refusing to wear a face mask. As America pushes ahead with reopening businesses and allowing public gatherings even as Covid-19 infections have jumped to alarming new highs in a number of states, missed opportunities have severely undermined the recovery phase of a pandemic that has already claimed 116, 000 lives in the US. On 16 April, the White House issued guidelines to states on how to safely restart normal life again. Many epidemiologists saw them as flawed – too broad, still not backed with a robust system of testing and tracking infected people to prevent a resurgence of the virus – but it was at least something consistent to work to at a delicate stage of the pandemic.
The way the virus works is that it goes to places it hasn't been and infects people, and that's happening again now. No one has an easy job in this and there are tough decisions to make, but that's where you need leadership. We've lacked that. " Another potential turning point arrived earlier in the crisis, on 3 April, when the Centers for Disease Control and Prevention (CDC), which has been largely sidelined during the pandemic, advised Americans to wear cloth face coverings. Again, the advisory was not perfect – surgical masks are far more effective but were in short supply because of a deficient federal stockpile. Public health researchers have found, however, that even homemade masks can prevent Covid-19 spreading through coughing and sneezing and with Republican men far less likely to wear masks than other groups, a strong endorsement of the CDC advice from Trump could have pushed mass mask wearing and cut the pandemic off at the knees. But Trump revealed he would not be wearing a mask himself, and pondered "sitting in the Oval Office behind that beautiful Resolute Desk, the great Resolute Desk, I think wearing a face mask as I greet presidents, prime ministers, dictators, kings, queens, I don't know, somehow I don't see it for myself".
As the White House's visible pandemic response has eroded – the coronavirus taskforce has not held a briefing for nearly two months – it's been left to the states to time the reopenings of restaurants, bars, retailers and other public spaces. Infections are now trending upwards in 18 states, with evidence that a restart in travel and interactions between people is driving the increasing numbers, along with expanded testing. Arizona is a new Covid-19 hotspot, with two weeks of record high infections, prompting Kate Gallego, the mayor of Phoenix, to warn that "hospitals are really struggling" with the influx of new patients. New Covid cases nearly doubled in Alabama after reopening while in Florida a state record 2, 581 new infections were confirmed on Saturday, breaking the previous high from just a day previously, two weeks after the state allowed the reopening of bars, movie theaters and other entertainment venues. People have lunch at a restaurant in Bal Harbour, Florida, on 20 May. Photograph: Michele Eve Sandberg/Rex/Shutterstock Overseas, countries such as New Zealand have instituted a traffic light-style system to inform the public of increasing danger and dial restrictions up or down in response.