COVID-19 pandemic in the United States

"The President wanted to make sure that we had the people doing the best jobs, and making sure that we had the right people focused on all the things that needed to happen to make sure that we can deliver in these unusual times for the American people. The President also instructed me to make sure that I break down every barrier needed to make sure that the teams can succeed. This is an effort where the government is doing things that the government doesn’t normally do, where we are stretching, we’re acting very quickly. And the President wants to make sure that the is fully behind the different people running the different lines of effort to make sure that we get everything done in a speed that the President demands. The President also wanted us to make sure we think outside the box, make sure we’re finding all the best thinkers in the country, making sure we’re getting all the best ideas, and that we’re doing everything possible to make sure that we can keep Americans safe, and make sure we bring a quick end to this in the best way possible, and balance all the different aspects that need to be thought of while we do this. This truly is a historic challenge. We have not seen something like this in a very, very long time. But I am very confident that, by bringing innovative solutions to these hard problems, we will make progress."

"The President has been very, very hands on in this. He’s really instructed us to leave no stone unturned. Just this morning — very early this morning — I got a call from the President. He told me he was hearing from friends of his in New York that the New York public hospital system was running low on critical supply. He instructed me this morning. I called Dr. Katz, who runs the system, asked him which supply was the most supply he was nervous about. He told me it was the N95 masks. I asked what his daily burn was. And I basically got that number, called up Admiral Polowczyk, made sure we had the inventory. We went to the President today, and earlier today, the President called Mayor de Blasio to inform him that we were going to send a month of supply to the New York public hospital system, to make sure that the workers on the frontline can rest assured that they have the N95 masks that they need to get through the next month. We’ll be doing similar things with all the different public hospitals that are in the hotspot zones and making sure that we’re constantly in communications with the local communities."

"One thing I will say, just based on data, is that we’ve been getting a lot of data from different governors and from different mayors and from different cities. One thing I’ve seen FEMA do very, very well, over the last week or so, is now we’re getting real-time data from a lot of cities. People who have requests for different products and supplies, a lot of them are doing it based on projections, which are not the realistic projections. The projections change every day as we see the cases, as we see the impacts of the “stop the spread” effort that this task force recommended and the President has been pushing forward. So I do think that we’ll see that. Hopefully, there’ll be impact of that. And the task force has been working very hard, through the FEMA group, with Admiral Polowczyk to make sure that we’re getting the supplies to people before they run out, and making sure that we’re doing it in a proper way."

"And what they’ve done over the last 13 days has been really extraordinary. We’ve done things that the government has never done before, quicker than they’ve ever done it before. And what we’re seeing now is we found a lot of supplies in the country. We’ve been distributing them where we anticipate there will be needs, and also trying to make sure that we’re hitting places where there are needs. So I can tell you the people on the — in the task force, they’re working day and night. You’ve got a lot of people in the government. We recognize the challenge that America faces right now. We know what a lot of the people on the frontlines are facing, the fear that they have that they won’t have the supplies they need. And our goal is to work as hard as we can to make sure that we don’t let them down."

"We’re working to ensure that the supplies are delivered where and when they’re needed, and in some cases, we’re telling governors we can’t go there because we don’t think you need it and we think someplace else needs it. And pretty much, so far, we’ve been right about that. And we’ll continue to do it. As it really gets — this will be probably the toughest week between this week and next week. And there’ll be a lot of death, unfortunately, but a lot less death than if this wasn’t done. But there will be death."

"The symptoms were more annoying than alarming: A dry cough, achiness and then sniffles developed a few days after Andrew Young, the American ambassador to Burkina Faso, met with government officials and aid organizations to discuss how to protect the West African nation from the coronavirus. A week later, Mr. Young was sealed in an isolation chamber and loaded into an evacuation flight out of the capital, Ouagadougou, as the first United States ambassador to learn he had the virus. He is unlikely to be the last. Already, 154 State Department employees worldwide have tested positive for the virus and more than 3,500 are symptomatic and in self-isolation, the vast majority of them serving in posts overseas. The pursuit of diplomacy is mostly idealistic, if usually faceless and often thankless. But outside conflict zones, it is rarely deadly. Even the most placid assignments come with security guards and other protective measures. The coronavirus has changed that. Diplomats, whose very jobs are to interact with foreigners and to represent 20 million Americans who are abroad at any given time, have been highly vulnerable to the pandemic as it swept around the world and into countries that have been slow to acknowledge its threat, many whose medical facilities are less than adequate to start."

"President Trump doubled down Sunday on his push for the use of an anti-malarial drug against the coronavirus, issuing that goes well beyond scant evidence of the drug’s effectiveness as well as the advice of doctors and experts. Mr. Trump’s recommendation of hydroxychloroquine, for the second day in a row at a White House briefing, was a striking example of his brazen willingness to distort and outright defy expert opinion and when it does not suit his agenda."

"Standing alongside two top public health officials who have declined to endorse his call for widely administering the drug, Mr. Trump suggested that he was speaking on gut instinct and acknowledged that he had no expertise on the subject. Saying that the drug is "being tested now," Mr. Trump said that “there are some very strong, powerful signs” of its potential, although health experts say that the data is extremely limited and that more study of the drug’s effectiveness against the coronavirus is needed. [...] Mr. Trump, who once predicted that the virus might “miraculously” disappear by April because of warm weather, and who has rejected on issues like climate change, was undaunted by skeptical questioning. “What do you have to lose?” Mr. Trump asked, for the second day in a row, saying that terminally ill patients should be willing to try any treatment that has shown some promise."

"Even as Mr. Trump has promoted the drug, which is also often prescribed for patients with lupus, it has created rifts within his own coronavirus task force. And while many hospitals have chosen to use hydroxychloroquine in a desperate attempt to treat dying patients who have few other options, others have noted that it carries serious risks. In particular, the drug can cause a that can lead to ."

"Hydroxychloroquine has not been proved to work against Covid-19 in any significant clinical trials. A small trial by Chinese researchers made public last week found that it helped speed the recovery in moderately ill patients, but the study was not peer-reviewed and had significant limitations. Earlier reports from France and China have drawn criticism because they did not include control groups to compare treated patients with untreated ones, and researchers have called the reports anecdotal. Without controls, they said, it is impossible to determine whether the drugs worked. But Mr. Trump on Sunday dismissed the notion that doctors should wait for further study."

"So we’ve done 1,670,000 tests. Think of that 1,670,000 tests. And we have a great system. Now we’re working with the states in almost all instances, but we have a great system. And the other thing that we bought a tremendous amount of is the hydroxy chloroquine. Hydroxy chloroquine, which I think is, you know, it’s a great malaria drug. It’s worked unbelievably. It’s a powerful drug on malaria and there are signs that it works on this, some very strong signs and in the meantime it’s been around a long time. It also works very powerfully on lupus, so there are some very strong powerful signs and we’ll have to see because again, it’s tested."

"Now this is a new thing that just happened to as the invisible enemy we call it. And if you can, if you have a no signs of heart problems, the , which will kill certain things that you don’t want living within your body. It’s a powerful drug. If you don’t have a problem, a heart problem, we would say, let your doctor think about it, but as a combination, I think they’re going to be, I think there’s two things that should be looked at very strongly. Now, we have purchased and we have stockpiled 29 million pills of the hydroxy chloroquine, 29 million. A lot of drug stores have them by prescription and also, and they’re not expensive. Also, we’re sending them to various labs. Our military, we’re sending them to the hospitals, we’re sending them all over. I just think it’s something, you know the expression, I’ve used it for certain reasons."

"What do you have to lose? What do you have to lose? And a lot of people are saying that when … and are taking it, if you’re a doctor, a nurse, a first responder, a medical person going into hospitals, they say taking it before the fact is good, but what do you have to lose? They say, take it, I’m not looking at it one way or the other, but we want to get out of this. If it does work, it would be a shame if we didn’t do it early. But we have some very good signs. So that’s hydroxy chloroquine and as azithromycin, and again, you have to go through your medical people get the approval. But I’ve seen things that I sort of like, so what do I know? I’m not a doctor, I’m not a doctor, but I have common sense."

"The FDA feels good about it. They’ve, as you know, they’ve approved it. They gave it a rapid approved approval. And the reason because it’s been out there for a long time and they know the side effects and they also know the potential. So based on that, we have sent it throughout the country. We have it stockpiled about 29 million doses, 29 million doses. We have a lot of it. We hope it works. Driven by the goal of the brightest minds in science. We have the brightest minds in science, but we were driven by the goal of getting rid of this plague, getting rid of this scourge, getting rid of this virus. These brilliant minds are working on the most effective antiviral therapies and vaccines. We are working very, very hard. I have met many of the doctors that are doing it. These are doctors that are working so hard on vanquishing the virus."

"I want them to try it. It may work, and it may not work. But if it doesn’t work, it’s nothing lost by doing it. Nothing. Because we know long-term what I want. I want to save lives, and I don’t want it to be in a lab for the next year-and-a-half as people are dying all over the place. In France, they had a very good test. They’re continuing. But we don’t have time to go and say, gee, let’s take a couple of years and test it out, and let’s go and test with the test tubes and the laboratories. We don’t have time. I’d love to do that, but we have people dying today. As we speak, there are people dying. If it works, that’d be great. If it doesn’t work, we know for many years malaria, it’s incredible what it’s done for malaria. It’s incredible what it’s done for lupus, but it doesn’t kill people."

"Speaker to Anthony Fauci: And would you also weigh in on this issue of hydroxychloroquine? What do you think about this and what is the medical evidence?"

"There are 2.9 hospital beds for every 1,000 people in the United States. That’s fewer than Turkmenistan (7.4 beds per 1,000), Mongolia (7.0), Argentina (5.0) and Libya (3.7). In fact, the US ranks 69th out of 182 countries analyzed by the World Health Organization. This lack of hospital beds is forcing doctors across the country to ration care under Covid-19, pushing up the number of preventable deaths."

"For many millions of Christians, Easter is a time to celebrate the resurrection of Jesus Christ. Others may celebrate the arrival of spring and the promise of new life. Whatever one’s beliefs, after several weeks of mandatory “stay at home” orders and the complete shutdown of the US economy over the coronavirus, this self-destructive hysteria must end and we must reclaim the freedom and liberty that has provided us so much opportunity as Americans. To do that we should first understand that much of the hysteria is being generated by a mainstream media that has long prioritized sensationalism over investigating and reporting the truth. Government bureaucrats are also exaggerating the threat of this virus and appear to be enjoying the power and control that fearful people are willingly handing over to them. One “coronavirus” bureaucrat even told us that we can no longer go to the grocery store! So we should just starve? It is certainly possible to believe that this virus can be dangerous while at the same time pointing out that radical steps are being taken in our society – stay-at-home orders, introduction of de facto martial law, etc. – with very little knowledge of just how deadly is this disease."

"What is most dangerous is that although this virus will eventually disappear, the assault on our civil liberties is not likely to be reversed. From this point on, whenever local officials, county officials, state governors, or federal bureaucrats decide there is sufficient reason to suspend the Constitution they will not hesitate to do so. Anyone who challenges the suspension of the Constitution “for our own good” will be labeled “unpatriotic” and perhaps even reported to the authorities. We have already seen hotlines springing up across the country for Americans to report other Americans who dare venture outside to enjoy the sun and build up their vitamin D protection against the coronavirus. The government is justified in cancelling the Constitution, we are told, because we are in an emergency situation caused by the Covid-19 virus. But do people forget that the Constitution itself was written and adopted while we were in an “emergency situation”? Did the framers of the Constitution fail to add an 11th Amendment to the Bill of Rights saying, “oh by the way, none of this counts if we get sick”? Of course not! Those who wrote our Constitution understood that these rights are not granted by the government, but rather by our Creator. Thus it was never a question as to when or under what conditions they could be suspended: the government had no authority to suspend them at all because it did not grant them in the first place."

"Our country is far less at risk from the coronavirus than it is from the thousands of small and large authoritarians who have suddenly flexed their muscles across the country. President Trump would do well to end this ridiculous shutdown so that Americans can get on with their lives and get back to work. Americans should remember the tyrants who locked them down next time they go to the ballot box. Let’s demand an end to the shutdown so we can resurrect our economy, our lives, and our liberties!"

"​In the light of the coronavirus pandemic, I focus criticism on capitalism and the vulnerabilities it has accumulated for several reasons. Viruses are part of nature. They have attacked human beings—sometimes dangerously—in both distant and recent history. In 1918, the Spanish Flu killed nearly 700,000 in the United States and millions elsewhere. Recent viruses include , and Ebola. What matters to is each society's preparedness: stockpiled tests, masks, ventilators, hospital beds, trained personnel, etc., to manage dangerous viruses. In the U.S., such objects are produced by private capitalist enterprises whose goal is profit. It was not profitable to produce and stockpile such products, that was not and still is not being done. Nor did the U.S. government produce or stockpile those medical products. Top U.S. government personnel privilege private capitalism; it is their primary objective to protect and strengthen. The result is that neither private capitalism nor the U.S. government performed the most basic duty of any economic system: to protect and maintain public health and safety. U.S. capitalism's response to the coronavirus pandemic continues to be what it has been since December 2019: too little, too late. It failed. It is the problem."

"The second reason I focus on capitalism is that the responses to today's economic collapse by Trump, the GOP and most Democrats carefully avoid any criticism of capitalism. They all debate the virus, China, foreigners, other politicians, but never the system they all serve. When Trump and others press people to return to churches and jobs—despite risking their and others' lives—they place reviving a collapsed capitalism ahead of public health."

"I think the president has made the right decisions for the right reasons. I think against the advice of many people, he closed the borders. And I think when the history of this is written, that’s going to have saved a lot of lives. I think that given the uncertainty that surrounded this and the possibility that it was so contagious that it would swamp our healthcare system, he supported the appropriate moves for a limited period of time"

"This is a very brilliant enemy. You know, it's a brilliant enemy. They develop drugs like the antibiotics, you see it. Antibiotics used to solve every problem. Now one of the biggest problems the world has is the germ has gotten so brilliant, that the antibiotic can't keep up with it. And they're constantly trying to come up with a new— People go to a hospital and they catch– They go for a heart operation, that's no problem, but they end up dying from, from... problems. You know the problems I'm talking about."

"The mortality a community suffers from exposure to the coronavirus is influenced by social and demographic characteristics including: health, inequality, poverty, food insecurity, race/Hispanic origin, and access to health care. The age structure of the population also has a substantial impact on the severity and mortality associated with the coronavirus. Although mortality rates associated with a given age vary among studies, age-specific mortality rates are consistently very low for younger age cohorts and much higher for the oldest cohorts."

"Both the incidence of the coronavirus and resulting deaths are far greater in metropolitan areas. Metropolitan areas contain 86 percent of the U.S. population. Yet, more than 93 percent of the cases and 95 percent of the deaths from the coronavirus to date have been urban. The virus also appeared earlier in metropolitan areas (Figure 3). It was first identified by March 15th in 31 percent of the urban cases compared to just 4 percent of the rural counties. By March 31st, 90 percent of the urban counties had cases of the virus, but just 55 percent of the rural counties. And, though 12 percent of nonmetropolitan counties have yet to experience a reported case, this number is dwindling. More than 33 percent of rural counties experienced their first case of the virus since April 1st compared to less than 10 percent of urban counties."

"Though age has a substantial influence on the likelihood of mortality from exposure to the virus, it is not the only important factor. Rural populations have higher incidences of chronic health conditions (heart, lung, and diabetes), higher obesity rates, and greater food insecurity, all of which makes them more vulnerable to contracting the illness and suffering serious or even fatal effects. Access to health care is also important to the treatment of serious cases of the virus, yet there are fewer physicians, health care workers, and hospitals in rural areas. Some rural hospitals have closed in the past few years and many more are struggling to stay open often by cutting services and staff. Timely access to major hospitals and specialists is imperative for those with severe virus symptoms. Yet, while 14 percent of the U.S. population resides in nonmetropolitan counties, less than 10 percent of the ICU beds are there. Nearly 50 percent of U.S. counties have no ICU beds at all, and most of these are rural counties."

"The delays the WHO experienced in declaring a public health emergency cost valuable time tremendous amounts of time; more time was lost in the delay it took to get a team of international experts and to examine the outbreak which we wanted to do which they should have done. The inability of the WHO to obtain virus samples to this date has deprived the scientific community of essential data. New data that emerges across the world on a daily basis points to the unreliability of the initial reports and the world received all sorts of false information about transmission and mortality. The silence of the WHO on the disappearance of scientific researchers and doctors and new restrictions on the sharing of research into the origins of COVID-19 in the country of origin is deeply concerning especially when we put up by far the largest amount of money, not even close. Had the WHO done its job to get medical experts into China to objectively assess the situation on the ground and to call out China's lack of transparency, the outbreak could have been contained as a source with very little death, very little death, and certainly very little death by comparison. This would have saved thousands of lives and avoided worldwide economic damage. Instead the WHO willingly took China's assurances to face value, and they took it just at face value and defended the actions of the Chinese government, even praising China for its so-called transparency. I don't think so. The WHO pushed China's misinformation about the virus, saying it was not communicable, and there was no need for travel bans. They told us when we put on our travel ban a very strong travel ban, there was no need to do it. Don't do it; they actually fought us. The WHO's reliance on China's disclosures likely caused a 20-fold increase in cases worldwide, and it may be much more than that."

"Look, I could tell you about — and I’m not going to do it, because I didn’t want to bring it up — but I could tell you about events that took place. And I said things like, “You’ll never do that again” or “You’ll never do this again” or — I don’t even want to mention the events. I don’t want to mention what you’re supposed to be doing because — and you know one of them was so horrible. I said, “A certain industry will be out of business — never happen again.” Two weeks later, it was like nothing ever happened. Hopefully, we get rid of this. We have tremendous talent up here and all over, including governors, including local governments, state governments."

"That White House Coronavirus Task Force met today. It was reported to us that, at this moment, more than 746,000 Americans have tested positive for the coronavirus. Fortunately, more than 68,000 Americans have fully recovered. But sadly, more than 41,000 Americans have lost their lives to the coronavirus. And we always want to express our deepest sympathies to the families in their loss, as well as to all the families who have loved ones that are struggling with this disease."

"Today, we’ve seen encouraging news again about our progress as a nation. President Trump reflected on those momentarily. But the coronavirus White House Task Force today learned that our large metro areas continue to stabilize and even see progress. The New York metro area, including New Jersey, New York, Long Island, Connecticut, and Rhode Island all appear to be past their peak. The Detroit metro area also appears to be past its peak and is stable. New Orleans metro area actually is the most stable of all areas where we had a major metropolitan outbreak. And the Denver metro area is stable. We’re dealing in Colorado with a meatpacking plant issue. And, of course, California and Washington remain low and steady. Areas that we continue to watch carefully on the task force include the Chicago metro area, Boston metro, and the Philadelphia metropolitan area. The progress that we are making is a tribute to the — the American people. It’s a tribute to state and local leaders in all of these areas and the partnership that our President has forged. But we just want to encourage every American, as we see this progress, to continue to heed your state and local authorities. I think the American people know no one wants to reopen America more than President Donald Trump. But I want to assure you we’re going to continue to work with governors of every state, with the President’s Guidelines for Opening Up America Again. And we’re going to work in a way that we can consolidate the progress that we have made and help move our states toward reopening our country."

"Remember that, a month ago, we had done 80,000 coronavirus tests in America. This weekend, we cleared more than 4 million. And we’re currently testing more than a million Americans a week. We fully expect to actually have tested more than 5 million Americans before the end of this month. But at the President's urging, we’re going to continue to scale that testing and then work with governors to make sure that they can manage and implement and deploy that testing in the manner that will most support their efforts to move their states forward. Remember that the testing that is contemplated in the Guidelines for Opening Up America Again, for phase one, are testing people that have symptoms that may be coronavirus, and then also having the testing resources to deploy to vulnerable communities: nursing homes or other vulnerable communities that we have identified as needing additional –what is called "monitoring" or "surveillance testing"."

"We believe we have the testing today around the country that would allow any state in America to move into phase one if they've met the other criteria: fourteen days of consistent declines and strong hospital capacity, so that their system would not be overwhelmed in the event of a flare-up. But we’re going to be working with governors tomorrow on the subject of testing and supplies. And as the President said again this evening: We’re here to help. We’ve forged a partnership with governors around the country, and tomorrow we’ll be building on that partnership to hopefully arrive at the day that we can make sure governors around the nation have the best advice and the best resources to put America back to work."

"It really is remarkable to think about the progress the American people have made over the last several months. When the president tapped me to lead the White House Coronavirus Task Force, he gave us the first objective is to save lives. And to focus on slowing the spread, bending the curve. And because of the extraordinary efforts of the American people, we continue to see every day evidence that cases are declining, hospitalizations are declining. That's a tribute to the American people. Frankly, it's a tribute to all of those governors, governors in both parties across the country who put these mitigation efforts into effect."

"Secondly, the president made it clear to us that we were to make sure the hospitals in impacted areas had the resources and the equipment that they needed to be able to save as many lives as possible. And I have to tell you that tens of millions of that we've coordinated for delivery around the country, especially in areas most impacted and the fact that ventilators have been delivered in areas across the country so that no American who needed a ventilator has ever been denied a ventilator. We're actually increasing the stockpile today. But testing has been a focus of ours as well, from very beginning. And it's the reason why the president, early on, brought in this vast array of commercial labs that took us from 80,000 tests one month ago to now four million tests as of yesterday. And as we'll make clear again to governors tomorrow in our weekly conference call, we look forward to continuing to partner with governors all across the country as we continue to scale testing. Because we really believe that, while we're doing 150,000 tests a day now, that if states around the country will activate all of the laboratories that are available in their states, we could more than double that overnight and literally be doing hundreds of thousands of more tests per day in a very short period of time."

"Just so we're very clear, when the president outlined his guidelines for opening up America, we laid out a plan for both -- for when and how we thought it was best according to our best scientists and advisors for states to be able to responsibly and safely reopen. And we believe today as Dr. Birx has said, as Dr. Fauci and others have said, is that there is a sufficient capacity of testing across the country today for any state in America to go to a phase one level which contemplates testing people that have . And also doing the kind of monitoring of vulnerable populations in our cities, in our nursing homes that we ought to be watching very carefully for outbreaks of the coronavirus. But we believe working with the governors, as we'll continue to partner with them, that we can activate labs around the country and that states today, if the governor so chooses, have sufficient testing to be able to move into the testing contemplated in phase one."

"What we've done through FEMA and through is literally marshal the full resources of the American economy. We've been bringing medical supplies including, testing supplies, in from all over the world and will continue to do that."

"I've been working almost daily over the last two months with Republican and Democrat governors across the country. And this vast and complex system of testing, using the commercial labs around the country and using hospital and public labs is a new concept. And so we've been working with governors around the country to make sure that they and their health officials know about all the resources in their states. And we also have deployed a team from Walter Reed that over the last two weeks has been calling every single laboratory in the country that can do coronavirus testing. And tomorrow we'll be presenting all of those details to governors so that they can activate those tests in their state."

"Admiral Brett Giroir of the U.S. Public Health Service spends all of his time coordinating testing deployment and resources deployment from FEMA. And what we're making clear to governors, and I want the American people to know, is that we will continue to do that. While the president has made it clear that we want the governors to implement testing and deploy testing where they deem it's most appropriate in their state, we're going to continue to fully partner with states around the country to increase the supply, to make sure that they have the reagents and the test kits necessary to perform those tests. But I want to say again, it is truly -- it's a tribute to the president's leadership that early on in this process he brought in the top commercial labs in the country. They formed an alliance. And we went from one month ago to 80,000 tests being done to four million tests being completed as of yesterday. We'll continue to increase that. We'll continue to make governors aware of that."

"In any health care crisis, we want to make sure the health care workers at the local level have the resources they need because it's locally executed. It is state managed. But it's federally supported. And the federal government at the president's direction will continue to support governors as they deploy the testing resources in the time and manner of their choosing. But we believe today, as Dr. Deborah Birx has confirmed, is we have a sufficient capacity of testing today for any state in America to move into phase one and begin the process of reopening their state and their economy."