Texas on Thursday halted steps to reopen its economy after a sharp rise in coronavirus cases, as the United States hits infection rates not seen since the start of the pandemic.
Twenty-nine states are now experiencing new surges, with more than 35,900 cases recorded in the past 24 hours, according to a tally by Johns Hopkins University — a level approaching a new record.
Texas was among the most aggressive states in reopening in early June after months of lockdown, its leadership confident it had escaped the worst of the pandemic that has claimed almost 122,000 lives in the U.S., by far the highest number in the world.
"The State of Texas will pause any further phases to open Texas as the state responds to the recent increase in positive COVID-19 cases and hospitalizations," Governor Greg Abbott's office announced in a statement.
"The last thing we want to do as a state is go backwards and close down businesses. This temporary pause will help our state corral the spread," Abbott said, asking residents to wear masks and respect social distancing guidelines.
Abbott is an ally of Donald Trump, but his latest announcement was in stark contrast to the president, who has tried to signal that the virus crisis is largely over.
In fact, the Centers for Disease Control and Prevention (CDC) now estimates that the 2.4 million recorded cases may represent only a tenth the total number of people who have been infected at some point, according to estimates from nationally representative antibody surveys.
It "looks like it's somewhere between five and eight percent of the American public" that have antibodies, said CDC director Robert Redfield, a range of between 16.5 and 26.4 million people.
Three northeastern states that made significant progress beating back the pandemic — New York, New Jersey and Connecticut — on Wednesday urged visitors arriving from U.S. hotspots such as Texas, Florida and Alabama to quarantine themselves.
Several states in the South and West are suffering what White House advisor and top infectious disease expert Anthony Fauci described as "disturbing" new surges in infections.
Politicization of masks
Experts blame a patchwork of responses at the official level, the politicization of masks and physical distancing, and the widespread onset of complacency.
Unlike Europe and parts of East Asia, the United States never climbed down from its peak, and is still in the midst of its first wave.
Wearing a mask and maintaining an appropriate physical distance are urged in federal guidelines, but that hasn't been made mandatory in many of the regions now seeing surges.
On the other hand, in cities like the capital Washington, mask-wearing is the norm, with people voluntarily wearing them outside too, especially in places where it is hard to maintain distance at all times.
These differences reflect the country's polarized politics, with many Republicans casting face coverings as an assault on their liberty and a liberal conspiracy to stoke fear.
Leading the charge is Trump, who last week held a campaign rally in Tulsa, Oklahoma against the advice of top health officials and now plans to travel to New Jersey to visit a golf club he owns, overriding a quarantine order that asks outsiders to self-isolate for two weeks upon arrival.
Pregnancy warning
The CDC, meanwhile, has also revised its list of conditions that might increase a person's susceptibility to the virus.
According to its research, "Pregnant women were significantly more likely to be hospitalized, admitted to the intensive care unit, and receive mechanical ventilation than nonpregnant women; however, pregnant women were not at greater risk for death from COVID-19."
The CDC has also removed the age-specific warning for severe COVID-19 disease, saying that risk rises steadily as you increase in age and it's not just those over 65 who are at increased risk.
