New Zealand offers Biden tips on COVID-19 after successful response

New Zealand’s prime minister said she has offered to help President-elect Joe Biden manage his response to the coronavirus pandemic once he is inaugurated.



a woman wearing glasses: New Zealand offers Biden tips on COVID-19 after successful response


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New Zealand offers Biden tips on COVID-19 after successful response

“I offered to him and his team access to New Zealand health officials in order to share their experience on things we’ve learnt on our COVID-19 journey,” Jacinda Ardern said on Monday, according to Reuters.

New Zealand has garnered international praise for its response to the pandemic, with fewer than 100 current cases reported in the country as of this week. Ardern implemented strict nationwide lockdown measures twice this year, a decision public health experts credit with being instrumental to slowing the spread of the virus.

President Trump, however, has been critical of lockdown measures, warning they have a negative impact on other aspects of public life such as the economy and mental health.

Video: Azar touts Trump administration’s efforts on COVID-19 vaccine (FOX News)

Azar touts Trump administration’s efforts on COVID-19 vaccine

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Biden has resisted calls from public health officials in the U.S. to implement a national lockdown, instead insisting he would “listen to the scientists” in attempting to get the virus under control.

Members of the Biden transition team have warned that a refusal by Trump to concede the election and begin coordination on coronavirus response could have deadly consequences.

“If we have to wait until Jan. 20 to start that planning, it puts us behind,” Biden said earlier this month. “More people may die if we don’t coordinate.”

New Zealand, a country of 4.8 million people, has reported fewer than 2,100 cases of coronavirus this year with only 25 deaths. The United States, with a population of more than 300 million, has reported over 12.3 million cases and more than 200,000 Americans have died.

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Top Trump adviser bluntly contradicts president on covid-19 threat, urging all-out response

A top White House coronavirus adviser sounded alarms Monday about a new and deadly phase in the health crisis, pleading with top administration officials for “much more aggressive action,” even as President Trump continues to assure rallygoers the nation is “rounding the turn” on the pandemic.



Deborah Birx wearing a suit and tie: Deborah Birx delivers remarks on the pandemic in the White House last April. (Jim Lo Scalzo/EPA-EFE/Shutterstock)


Deborah Birx delivers remarks on the pandemic in the White House last April. (Jim Lo Scalzo/EPA-EFE/Shutterstock)

“We are entering the most concerning and most deadly phase of this pandemic … leading to increasing mortality,” said the Nov. 2 report from Deborah Birx, coordinator of the White House coronavirus task force. “This is not about lockdowns — It hasn’t been about lockdowns since March or April. It’s about an aggressive balanced approach that is not being implemented.”

Birx’s internal report, shared with top White House and agency officials, contradicts Trump on numerous points: While the president holds large campaign events with hundreds of attendees, most without masks, she explicitly warns against them. While the president blames rising cases on more testing, she says testing is “flat or declining” in many areas where cases are rising. And while Trump says the country is “rounding the turn,” Birx notes the country is entering its most dangerous period yet and will see more than 100,000 new cases a day this week.

Through a spokesperson, Birx did not respond to a request for comment.

Other health experts, including Anthony S. Fauci, director of the National Institute of Allergy and Infectious Diseases, have warned of record surges in cases and hospitalizations as the United States records more than 9 million cases and 230,000 deaths. “We’re in for a whole lot of hurt,” Fauci told The Washington Post late Friday, predicting a long and potentially deadly winter unless there’s an “abrupt change” — prompting Trump to suggest he planned to fire the scientist after the election.

But Birx’s daily missives go further, revealing how much the administration’s internal reports are in direct conflict with Trump’s public pronouncements that downplay the seriousness of the threat and erroneously suggest few people are dying. They also speak to the increasing desperation of health officials to spotlight the risks of a pandemic that is forecast to take thousands more lives as the weather worsens unless people change their behaviors.

Still, the increasingly dire tone of her reports has gotten little traction, according to an administration official who works with Birx and spoke on the condition of anonymity to share sensitive information. “She feels like she’s being ignored,” the official said.

Birx’s message “has been urgent for weeks,” said another administration official, “as has the plea for the administration to ask the American people to use masks, avoid gatherings and socially distance, basically since it became apparent that we were heading into a third surge.”

The report hits hard on the worsening situation: “Cases are rapidly rising in nearly 30 percent of all USA counties, the highest number of county hotspots we have seen with this pandemic,” it said. “Half of the United States is

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Fauci warns of COVID-19 surge, opposes Trump’s response

‘It’s not a good situation,’ said Fauci

President Donald Trump’s repeated stance that the United States is “rounding the turn” on the coronavirus global pandemic has increased concerns among the government’s top health experts.

Many have warned that the country is heading towards a long and potentially deadly winter with “an unprepared government unwilling to make tough choices,” according to The Washington Post.

Anthony S. Fauci, the country’s leading infectious-disease expert, warned in a wide-ranging interview late Friday of what’s to come for the country in the winter months during the pandemic.

“We’re in for a whole lot of hurt. It’s not a good situation,” Fauci said. “All the stars are aligned in the wrong place as you go into the fall and winter season, with people congregating at home indoors. You could not possibly be positioned more poorly.”

Read More: Fauci advocates mask mandate amid COVID-19 surge across US

Fauci’s stern warnings come in response to the number of maskless Trump rallies across the country, and cities experiencing record surges in coronavirus infections and hospitalizations. 13 battleground states have reported rising coronavirus cases including Michigan, Texas, Florida, and Wisconsin.

Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, testifies at a hearing of the Senate Health, Education, Labor and Pensions Committee on September 23, 2020 in Washington, DC. The committee is examining the federal response to the coronavirus pandemic. (Photo by Alex Edelman-Pool/Getty Images)
Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, testifies at a hearing of the Senate Health, Education, Labor and Pensions Committee on September 23, 2020 in Washington, DC. The committee is examining the federal response to the coronavirus pandemic. (Photo by Alex Edelman-Pool/Getty Images)

Fauci said the United States needed to make an “abrupt change” in its public health practices and behaviors in response to the virus. He said the country could surpass 100,000 new coronavirus cases a day and predicted fatalities in the next coming weeks.

His response comes as the country hit a new daily record Friday with more than 98,000 confirmed cases, according to The Washington Post.

During his campaign stop in Waterford Township, Mich., Trump downplayed the virus and mocked those who take it seriously, saying that some doctors record more COVID-19 deaths than others because they receive more money.

Read More: White House vetted celebrities to help president ‘defeat coronavirus despair’

“I mean our doctors are very smart people. So what they do is they say, ‘I’m sorry but everybody dies of COVID,’ ” Trump said.

By contrast, the Biden-Harris campaign has taken strides to follow protocols by wearing masks in public and having socially distanced events. Harris cancelled travel for several days when two people who travelled with her tested positive in October, as reported by NPR. When asked about the difference in approaches, Fauci commented that Biden’s campaign “is taking it

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White House unleashes on Fauci after criticism of Atlas and Trump’s pandemic response

The White House on Saturday unleashed on Dr. Anthony Fauci, the country’s leading infectious disease expert, following his comments to the Washington Post that criticized the Trump administration’s response to the pandemic, including Dr. Scott Atlas, who the President has relied on for advice on handling the coronavirus.



Anthony S. Fauci wearing a suit and tie: WASHINGTON, DC - APRIL 07: Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, listens to U.S. President Donald Trump speak to reporters following a meeting of the coronavirus task force in the Brady Press Briefing Room at the White House on April 7, 2020 in Washington, DC. The president today removed the independent chairman of a committee tasked with overseeing the roll out of the $2 trillion coronavirus bailout package. (Photo by Chip Somodevilla/Getty Images)


© Chip Somodevilla/Getty Images
WASHINGTON, DC – APRIL 07: Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, listens to U.S. President Donald Trump speak to reporters following a meeting of the coronavirus task force in the Brady Press Briefing Room at the White House on April 7, 2020 in Washington, DC. The president today removed the independent chairman of a committee tasked with overseeing the roll out of the $2 trillion coronavirus bailout package. (Photo by Chip Somodevilla/Getty Images)

“It’s unacceptable and breaking with all norms for Dr. Fauci, a senior member of the President’s Coronavirus Taskforce and someone who has praised President (Donald) Trump’s actions throughout this pandemic, to choose three days before an election to play politics,” White House deputy press secretary Judd Deere said in a statement to CNN on Saturday evening.

Deere took issue with Fauci’s comments where the doctor seemingly praises Democratic nominee Joe Biden’s campaign. Fauci told the Post that the Democratic nominee’s campaign “is taking it seriously from a public health perspective.” While Trump, Fauci said, is “looking at it from a different perspective.” He said that perspective was “the economy and reopening the country,” according to the Post.

“As a member of the Task Force, Dr. Fauci has a duty to express concerns or push for a change in strategy, but he’s not done that, instead choosing to criticize the President in the media and make his political leanings known by praising the President’s opponent— exactly what the American people have come to expect from The Swamp,” Deere said.

Fauci, a leading member of the government’s coronavirus response, said the United States needed to make an “abrupt change” in public health practices and behaviors, according to the Post. He said the country could surpass 100,000 new coronavirus cases a day and predicted rising deaths in the coming weeks.

“Dr. Fauci knows that the risks today are dramatically lower than they were only a few months ago with mortality rates falling over 80%. The Trump Administration, through the work of the Task Force, continues to surge testing, PPE, personnel, and capacity to protect the vulnerable, help schools reopen, and respond to conditions on the ground,” Deere said.

In Friday’s interview with the Post, Fauci also criticized Atlas, a neuroradiologist and Trump’s hand-picked coronavirus adviser, for his lack of expertise.

“I have real problems with that guy,” Fauci said. “He’s a smart guy who’s talking about things that I believe he doesn’t have any real insight or knowledge or experience in. He keeps talking about things that when you dissect it out and parse it out, it doesn’t make any sense.”

Atlas responded to Fauci on Twitter, tweeting on Saturday night:

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Canada says stronger response needed to fight coronavirus, PM hopes to avoid major shutdown

OTTAWA (Reuters) – Canadians need to do more to tackle a second wave of the coronavirus by slashing the number of personal contacts they have with others, health authorities said on Friday.

FILE PHOTO: People walk in the Eaton Centre shopping mall, as the provincial phase 2 of reopening from the coronavirus disease (COVID-19) restrictions begins in Toronto, Ontario, Canada June 24, 2020. REUTERS/Carlos Osorio/File Photo

Prime Minister Justin Trudeau said more targeted measures could help avert another major national shutdown of the kind that hammered the economy earlier in the year.

Released modeling updates show the cumulative death toll in the country could range between 10,285 and 10,400 by Nov 8. Cumulative cases could be between 251,800 and 262,200 by the same date.

“(The) long-range forecast indicates that a stronger response is needed now to slow the spread of COVID-19,” chief public health officer Theresa Tam told a briefing.

“If we decrease our current rate of contacts by 25% the epidemic is forecast to come under control in most locations,” she said.

Canada has recorded 10,074 deaths and 228,542 cases so far and is breaking daily records for the number of new cases.

Suncor Energy SU.TO, Canada’s second-biggest oil producer, confirmed 19 infections among workers at its Firebag oil sands site in Alberta, dating back to Oct. 18. All of those affected are in isolation at home or other locations, spokeswoman Erin Rees said.

Suncor shut down part of the site where 17 of the employees worked, but the outbreak has not affected oil production, she said.

Some provinces are reintroducing bans on indoor dining and limiting the size of gatherings.

Manitoba, which has the highest rate of active cases per capita among provinces, said it would tighten restrictions starting on Monday. In Winnipeg, where most cases are located, all restaurants and bars will close to in-person dining.

Trudeau said authorities know more now about the pandemic than they did six months ago.

“There are things we can do to help to control the pandemic, the second wave, without – we hope – having to impose a nationwide shutdown,” he told the briefing.

Additional reporting by Rod Nickel in Winnipeg and Moira Warburton in Toronto; Editing by Kirsten Donovan, Aurora Ellis and Sonya Hepinstall

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Fauci warns of covid-19 surge, offers blunt assessment of Trump’s response

President Trump’s repeated assertions the United States is “rounding the turn” on the novel coronavirus have increasingly alarmed the government’s top health experts, who say the country is heading into a long and potentially deadly winter with an unprepared government unwilling to make tough choices.

“We’re in for a whole lot of hurt. It’s not a good situation,” Anthony S. Fauci, the country’s leading infectious-disease expert, said in a wide-ranging interview late Friday. “All the stars are aligned in the wrong place as you go into the fall and winter season, with people congregating at home indoors. You could not possibly be positioned more poorly.”

Fauci, a leading member of the government’s coronavirus response, said the United States needed to make an “abrupt change” in public health practices and behaviors. He said the country could surpass 100,000 new coronavirus cases a day and predicted rising deaths in the coming weeks. He spoke as the nation set a new daily record Friday with more than 98,000 cases. As hospitalizations increase, deaths are also ticking up, with more than 1,000 reported Wednesday and Thursday, bringing the total to more than 229,000 since the start of the pandemic, according to health data analyzed by The Washington Post.

Fauci’s blunt warnings come as Trump has rallied in states and cities experiencing record surges in infections and hospitalizations in a last-ditch effort to convince voters he has successfully managed the pandemic. He has held maskless rallies with thousands of supporters, often in violation of local health mandates.

Even as new infections climb in 42 states, Trump has downplayed the virus or mocked those who take it seriously. “Covid-19, covid, covid, covid,” he said during one event, lamenting that the news media gives it too much attention. In another rally, he baselessly said that U.S. doctors record more deaths from covid-19, the disease the coronavirus causes, than other nations because they get more money.

“I mean our doctors are very smart people. So what they do is they say, ‘I’m sorry but everybody dies of covid,’ ” Trump said Friday at a rally in Waterford Township, Mich., without offering any evidence.

Fauci said former vice president Joe Biden’s campaign “is taking it seriously from a public health perspective.” Trump, Fauci said, is “looking at it from a different perspective.” He said that perspective was “the economy and reopening the country.”

[Tracking coronavirus cases across the U.S.]

Fauci, who once took a starring role in the response and briefed the president almost every day as director of the National Institute of Allergy and Infectious Diseases, described a disjointed response as cases surge. Several current and former senior administration officials said the White House is almost entirely focused on a vaccine, even though experts warn it is unlikely to be a silver bullet that ends the pandemic immediately since it will take months under the best of circumstances to inoculate tens of millions of people to achieve herd immunity.

Officials told governors on a call Friday that

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Nursing home VP says federal inspection diverted resources to COVID response during nation’s first outbreak

The executive in charge of the nursing home where the first known outbreak of coronavirus patients erupted in the U.S. says a federal inspection diverted precious time from her staff’s desperate efforts to care for critically ill residents. Bill Whitaker and his team were the first reporters allowed inside the Life Care Center in Kirkland, Washington, since the outbreak there last February. His report reveals the details of the early stages of a medical emergency that soon grew into a pandemic and the federal government’s bungled response to it. The report will be broadcast on 60 Minutes, Sunday, November 1at 7 p.m. ET/PT on CBS.  

Nancy Butner, a vice president at Life Care Centers of America who ran the Kirkland facility for 14 years, was desperate for more staff. Forty of them, including the medical director, could no longer come to work because they had COVID-19 symptoms. She asked the federal government for an emergency team of doctors and nurses. A team of doctors and nurses did come five days later, but not before the federal government sent a team in to inspect Life Care Center of Kirkland in the middle of the outbreak. “It was infuriating– they didn’t truly understand COVID or what the facility was going through,” Butner tells Whitaker. “Hours of staff time were averted to managing a survey process instead of managing a crisis in the facility and patient care.”    

Life Care Center says inspectors from the Centers for Medicare and Medicaid Services interviewed staff and demanded documentation, diverting 400 hours of staff time away from patient care. “They knew how many staff were lost. They knew how many patients were hospitalized. They knew there was a lot of  patients that were sick and it was an unknown virus,” says Butner. “I explained that to them. But I can’t… tell them to leave.”   

60 Minutes searched hundreds of public documents and turned up emails that show state health officials pressed the governor’s office to call off the inspection. Dr. Jeffery Duchin, the head of outbreak response at Public Health Seattle-King County called the inspection “Not an appropriate use of precious time.” He tells Whitaker he believes the government knew its investigation was taking place during a public health emergency at a critical time. “I don’t have any reason to believe it. That it was a mix-up. I believe it was an intentional decision to conduct a survey at that time.”    

Says Butner, “I think they wanted a scapegoat for what happened at Life Care Center Kirkland. I think that they wanted someone to blame for COVID-19 spreading. We had nothing to do with the spread across the nation.”

60 Minutes wanted to ask Seema Verma, the federal administrator in charge of the inspection, about the timing of the inspection and the findings, but her office declined multiple requests for an on-camera interview.  

Life Care was fined more than $600,000 by the federal government and state inspectors working with federal investigators working with federal investigators found the

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SBRT Doubles Pain Response Over Usual RT in Spinal Metastases

A 2-day course of high-dose stereotactic body radiotherapy (SBRT) doubles the complete pain response for patients with painful spinal metastases in comparison with conventional palliative radiotherapy. It is also safe and nondestabilizing, conclude researchers reporting a phase 3 Canadian trial.

“Conventional radiation has historically not achieved high rates of complete response to pain or long-term local control,” commented lead author Arjun Sahgal, MD. “So many years ago, we started building on the idea of using high-dose stereotactic body radiation for the spine.”

Sahgal, who is professor and deputy chief of radiation oncology at Sunnybrook Health Sciences Center, the University of Toronto, Ontario, Canada, explained that his team came up with a plan to use SBRT with 24 Gy in two fractions. This involves only two consecutive treatments, which is very convenient for patients. Conventional radiation requires five or more sessions.

“Now we have shown a doubling of the complete response rate to pain at 3 and 6 months compared with conventional palliative radiation, and patients appreciate fewer treatment sessions, too, so we are helping our patients financially,” Shagal told Medscape Medical News.

He presented the new results during the virtual annual meeting of the American Society for Radiation Oncology (ASTRO).

Patients enrolled in this trial had de novo painful spinal metastases with three or fewer consecutive metastatically involved spinal segments arising from a primary tumor causing pain that was scored at least 2 on the Brief Pain Inventory.

The median baseline worst pain score was 5 in a range of 2 to 10. The median total spinal instability and neoplasia score (SINS) was 7 in a range of 3 to 12, Sahgal noted. “The primary endpoint was complete pain response rate at 3 months,” Sahgal told a press briefing held within the context of the virtual meeting.

Patients were randomly assigned to receive either SBRT with 24 Gy delivered in two fractions over 2 consecutive days or conventional palliative radiotherapy with 20 Gy delivered in five fractions.

Initially, the trial was launched as a phase 2 study, but once investigators could demonstrate that accrual was possible, they converted the trial into a phase 3 study, Sahgal noted.

A total of 114 patients were enrolled in the SBRT arm; 115 patients were enrolled in the conventional radiotherapy arm. All were included in the intent-to-treat analysis. “We found that at 3 months, the complete response rate was 35% in the SBRT arm and 14% in the conventional radiation arm, and the difference was statistically significant,” Sahgal reported.

The complete response rate was sustained at 6 months. It remained at 32% in the SBRT arm and 16% in the conventional radiotherapy arm. There was also a reduction in the total SINS score at 6 months that favored the SBRT arm.

Adjusted for age, sex, performance status, primary cancer, and total baseline SINS, SBRT was almost 3.5-fold more likely to result in a complete pain response rate at 3 months and was about 2.5-fold more likely to yield the same response at 6 months

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Canadian Red Cross kickstarts recruitment campaign to build teams for its ongoing response to the COVID-19 pandemic

Recruitment campaign launches to build additional capacity, initial focus on Ottawa

OTTAWA, Oct. 29, 2020 (GLOBE NEWSWIRE) — The Canadian Red Cross has launched a nationwide recruitment campaign seeking Canadians who want to make a difference during the COVID-19 pandemic, and beyond. The Red Cross anticipates the need for assistance to increase across sectors as the pandemic persists and communities across the country are experiencing second waves of the virus. The Red Cross continues to work in support of the federal and provincial governments, and is coordinating with local authorities, public health officials, and others as needed to address emerging needs.

QUICK FACTS
The Canadian Red Cross is hiring for a variety of roles as it continues to build care teams to work in many areas across the country. The immediate focus is to build teams to support in long-term care (LTC) homes in Ontario where personnel will work alongside existing staff in the homes to provide assistance to seniors. Red Cross personnel is currently providing essential personal care services and assisting with daily living activities of seniors residing in LTC.

In building effective and strong care teams, Red Cross will:

  • Seek to recruit and train people to join already existing Red Cross personnel in supporting the care of seniors in LTC;

  • Train newly recruited and existing personnel on preventing disease transmission, including the proper use of personal protective equipment; and,

  • Provide emergency equipment supplies, including mobile health clinics, to help augment public health efforts.

QUOTE
“With many communities across the country experiencing a second wave of the pandemic, the Red Cross is well positioned to provide assistance in long-term care homes and beyond. The Red Cross has been supporting efforts across the country since the initial onset of COVID-19. Our recent work of providing comfort and care to seniors in long-term care facilities in Quebec, along with training to prevent disease transmission, will be foundational to this role in Ontario. The Red Cross is ready to further-build its capacity across the country and provide this vital assistance as needs emerge. We encourage Canadians who wish to make a difference to apply.”
Conrad Sauvé, president and CEO, Canadian Red Cross

The Canadian Red Cross has played a significant role in Canada’s response to the global pandemic and has been there from the beginning when it provided support to returning travellers under quarantine in Trenton and Cornwall. The Canadian Red Cross is well-positioned to provide assistance in LTC with expertise led by its Global Health Unit, a team of medical experts who have experience responding to emergencies around the world. In addition, the Red Cross continues to support LTC homes in Quebec where teams have been organizing and delivering personal protective equipment and prevention of disease transmission training, offering technical advice on epidemic prevention and control, as well as providing components of its field hospital to use.

More information on available job opportunities can be found on redcross.ca.

ABOUT THE CANADIAN RED CROSS
Here in

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Grave missteps seen in US virus response



Vehicles line up as a healthcare workers help check people in as they are being tested at the COVID-19 drive-thru testing center at Hard Rock Stadium in Miami Gardens, Fla. on Wednesday, Oct. 28, 2020. (David Santiago/Miami Herald via AP)


© Provided by Associated Press
Vehicles line up as a healthcare workers help check people in as they are being tested at the COVID-19 drive-thru testing center at Hard Rock Stadium in Miami Gardens, Fla. on Wednesday, Oct. 28, 2020. (David Santiago/Miami Herald via AP)

NEW YORK (AP) — A president who downplayed the coronavirus threat, scorned masks and undercut scientists at every turn. Governors who resisted or rolled back containment measures amid public backlash. State lawmakers who used federal COVID-19 aid to plug budget holes instead of beefing up testing and contact tracing.



President Donald Trump gestures to supporters as he arrives for a campaign rally at Phoenix Goodyear Airport, Wednesday, Oct. 28, 2020, in Goodyear, Ariz. (AP Photo/Evan Vucci)


© Provided by Associated Press
President Donald Trump gestures to supporters as he arrives for a campaign rally at Phoenix Goodyear Airport, Wednesday, Oct. 28, 2020, in Goodyear, Ariz. (AP Photo/Evan Vucci)

As a powerful new wave of infections sweeps the U.S. just ahead of Election Day, the nation’s handling of the nearly 8-month-old crisis has been marked by what health experts see as grave missteps, wasted time and squandered opportunities by leaders at all levels of government.

The result: The country could be looking at a terrible winter.

“The inconsistency of the response is what’s been so frustrating,” said Dr. Irwin Redlener of the National Center for Disaster Preparedness at Columbia University. “If we had just been disciplined about employing all these public health methods early and aggressively, we would not be in the situation we are in now.”



Supporters of President Donald Trump cheer as he walks off stage after speaking during a campaign rally at Phoenix Goodyear Airport, Wednesday, Oct. 28, 2020, in Goodyear, Ariz. (AP Photo/Evan Vucci)


© Provided by Associated Press
Supporters of President Donald Trump cheer as he walks off stage after speaking during a campaign rally at Phoenix Goodyear Airport, Wednesday, Oct. 28, 2020, in Goodyear, Ariz. (AP Photo/Evan Vucci)

Though Redlener sees some of the new wave as inevitable, he estimates at least 130,000 of the nation’s more than 227,000 deaths could have been avoided had the country more widely embraced masks and social distancing.

Even if a Chinese-style lockdown wasn’t possible, Redlener said, a more modest approach like Canada’s, with a strong central message of caution in reopening and widespread mask-wearing and distancing, would have saved lives over the state-by-state and widely partisan approach.



Democratic presidential candidate former Vice President Joe Biden attends a virtual public health briefing at The Queen theater in Wilmington, Del., Wednesday, Oct. 28, 2020. (AP Photo/Andrew Harnik)


© Provided by Associated Press
Democratic presidential candidate former Vice President Joe Biden attends a virtual public health briefing at The Queen theater in Wilmington, Del., Wednesday, Oct. 28, 2020. (AP Photo/Andrew Harnik)

Now the U.S. is seeing cases spike, especially in the Midwest and the Plains, with the country posting a record high number of new infections last week of nearly a half-million.



A shopper passes a sign urging customers to wear masks at a Brandy Melville store on Wednesday, Oct. 21, 2020, in San Francisco. As the coronavirus pandemic transforms San Francisco's workplace, legions of tech workers have left, able to work remotely from anywhere. Families have fled for roomy suburban homes with backyards. The exodus has pushed rents in the prohibitively expensive city to their lowest in years. (AP Photo/Noah Berger)


© Provided by Associated Press
A shopper passes a sign urging customers to wear masks at a Brandy Melville store on Wednesday, Oct. 21, 2020, in San Francisco. As the coronavirus pandemic transforms San Francisco’s workplace, legions of tech workers have left, able to work remotely from anywhere. Families have fled for roomy suburban homes with backyards. The exodus has pushed rents in the prohibitively expensive city to their lowest in years. (AP Photo/Noah Berger)

Dr. Anthony Fauci, the nation’s top infectious-disease expert, likewise pointed to states’ varied responses to

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