The world recorded more than one million new cases of the coronavirus in just the last three days, the highest total ever in such short span, a reflection of resurgences in Europe and the United States and uninterrupted outbreaks in India, Brazil and other countries.
The number of new cases is growing faster than ever worldwide. Deaths and hospitalizations in some countries are also beginning to rise, a warning signal of the widespread impact of the current wave. The pandemic has sickened nearly 37 million people and more than one million people have died globally, according to a New York Times database.
A hot spot has emerged in the United Kingdom, which has suffered the highest number of virus-related deaths in Europe. France, which set a record Friday with 20,339 new cases, and Spain are also experiencing a second wave of soaring cases. Argentina, which has seen more than 90,000 new cases in the past seven days, is a hot spot in South America, as are Brazil and Colombia.
However, the United States is one of the largest contributors to the surging global tally. On Friday, the country recorded more than 900 new deaths and more than 58,500 new cases, the highest number of new cases it has reported in a single day since mid-August. That tally included single-day case records in nine states: Indiana, Missouri, Montana, Ohio, Oklahoma, New Mexico, North Dakota, West Virginia and Wyoming. Five of those states announced more cases this week than in any other seven-day stretch of the pandemic, as did Alaska, Colorado, Idaho, Minnesota, South Dakota, Utah and Wisconsin.
Within the United States, uncontrolled outbreaks continue to spread in the Upper Midwest and Rocky Mountains, and the Northeast is seeing early signs of a resurgence. In Wisconsin, a long-dormant field hospital at the state fairgrounds is being readied for patients. In New York, officials fear clusters in some neighborhoods and suburbs could spread further.
Still, the number of new cases nationally remains below the levels seen in late July, when the country averaged more than 66,000 per day. Deaths, though still well below their peak spring levels, averaged around 700 per day in October. That is far more than the toll in early July.
The new highs in the United States come one week after President Trump himself tested positive for the virus and was hospitalized. Though he has returned to the White House and said repeatedly that he feels “great,” he has continued to play down the effectiveness of masks and routinely sidelined his own public health experts. Mr. Trump plans to resume his schedule of campaign rallies and events, which often violate local guidelines on social distancing. He hosted a large outdoor gathering at the White House on Saturday.
Globally, the United States has led the ranking of nations with the highest number of coronavirus infections since late May. However, the spread of the virus in India — which has roughly four times the population of the United States — has put the country on course to overtake the United States. Infections are rippling into the rural corners of India, with more than 500,000 cases in the past seven days among the nation’s 1.3 billion people. In comparison, U.S. has added more than 330,000 cases over the same period of time, according to a New York Times database.
Senate Republicans revolted over the contours of a $1.8 trillion relief proposal that is the Trump administration’s latest and largest offer to House Democrats, further jeopardizing already dim prospects for an agreement on a broad stimulus bill before Election Day.
Even as House Speaker Nancy Pelosi insisted that the contours of the offer remained inadequate, many Republican Senators lashed into the administration’s approach to the revived negotiations during a conference call on Saturday morning between close to half of the chamber’s Republicans and top administration officials.
The $1.8 trillion proposal that Treasury Secretary Steven Mnuchin put forward on Friday was the administration’s biggest offer since bipartisan negotiations began in late summer. The proposal came just days after President Trump abruptly ended negotiations and then, facing a backlash, reversed course began urgently seeking to secure Democratic support for a deal.
The stark divisions between most Senate Republicans and the White House undercut the potential for an agreement before Nov. 3, even as the country’s economic recovery continues to falter and tens of thousands of Americans, businesses and schools struggle to weather the pandemic without federal relief.
The Republican criticism on Saturday was so severe that Mark Meadows, the White House chief of staff, at one point told the senators on the conference call that he would relay their concerns to Mr. Trump, but that then “you all will have to come to my funeral.” (Mr. Mnuchin concurred.)
Details of the call were described in some manner by seven people briefed on the discussion, who all insisted on anonymity to disclose details of a private conversation.
Most of the senators who spoke on the call signaled an openness to continuing negotiations. However, there was widespread dissatisfaction with how expensive the administration’s offer had become, as well as with the perception that Mr. Mnuchin, in talks with Ms. Pelosi, was relying far more on the Democrats’ proposed $2.2 trillion plan as a baseline than the two more limited proposals put forward by Senate Republicans.
“There’s no appetite right now to spend the White House number or the House number,” Senator Lamar Alexander of Tennessee said on the call, reflecting longstanding concerns among senators eager to protect their credentials as fiscal hawks and stave off primary challengers in the next election cycle.
Senator Marsha Blackburn of Tennessee warned that accepting a bill with Ms. Pelosi’s support would amount to a “death knell” for Republican ambitions to retain their majority in the Senate and would “deflate” the party’s base.
Ms. Pelosi, for her part, informed Democratic lawmakers on Saturday that she found elements of Mr. Mnuchin’s proposal to be inadequate, writing in a letter that “this proposal amounted to one step forward, two steps back.”
“When the president talks about wanting a bigger relief package, his proposal appears to mean that he wants more money at his discretion to grant or withhold,” Ms. Pelosi wrote, adding “at this point, we still have disagreement on many priorities.” She ticked off a number of unresolved issues, including what she said was insufficient funding for unemployment benefits, child care, funding for state and local governments and “reckless” liability protections that Republicans have insisted are a priority.
President Trump, whose progress in recovering from Covid-19 remains unclear, stood on a White House balcony on Saturday afternoon to greet several hundred supporters gathered on the South Lawn, his first in-person event since announcing that he had tested positive for the coronavirus.
“I’m feeling great!” Mr. Trump told the crowd.
Regarding the pandemic, which is flaring up in several states and around the globe, he once again insisted: “It’s going to disappear. It is disappearing.”
Outside medical experts had issued cautions about the gathering, saying that an inappropriately expedited return to the public arena could endanger the president’s own health and risk infecting others.
The White House has not been transparent about the severity of Mr. Trump’s illness, which makes it hard to know how much longer C.D.C. guidelines would suggest he should remain in isolation. Mr. Trump was hospitalized Oct. 2 and received some treatments typically reserved for those who are severely ill, an indication that he may need to isolate until Oct. 21.
The White House physician has not released any update about President Trump’s health since Thursday, nor has the White House made public the results of his latest coronavirus test, which he claims he took on Friday.
White House officials said the president would speak for 30 minutes, but he kept his remarks to just 18 minutes in total. A typical Trump rally, in contrast, often runs for at least 90 minutes. A large bandage on top of his right hand was a reminder of the treatments and infusions he has received over the past week.
Attendees at the South Lawn event were supposed to fill out a screening questionnaire and also have their temperature taken before they could join the crowd. Masks were required, and many in the crowd complied.
Some White House advisers did not, however. Dr. Scott W. Atlas, the commentator whose views playing down the threat of the coronavirus have been solicited by Mr. Trump, was seen standing about 20 feet from the crowd with no face covering.
The gathering was also the latest effort by the president to show he was not as sick as news outlets, including The New York Times, reported last weekend, when he was said to have been administered supplemental oxygen. In a Fox News interview on Friday night, Mr. Trump denied that he had experienced any trouble breathing and said he was no longer taking any medications.
In several phone calls last weekend from the presidential suite at Walter Reed National Military Medical Center, Mr. Trump shared an idea he was considering: When he left the hospital, he wanted to appear frail at first when people saw him, according to people with knowledge of the conversations. But underneath his button-down dress shirt, he would wear a Superman T-shirt, which he would reveal as a symbol of strength when he ripped open the top layer. He ultimately did not go ahead with the stunt.
Saturday’s event was the first large-scale gathering held at the White House in two weeks. On Saturday, Sept. 26, a large ceremony was held to nominate Judge Amy Coney Barrett to the Supreme Court, and the following day, Gold Star families were honored. After those events, infections among White House staff, military officials and other attendees were announced almost daily.
Dr. Anthony S. Fauci, the nation’s top expert on infectious diseases, said the White House had held a “super spreader event,” an apparent reference to the nomination ceremony.
Both the nomination ceremony and Saturday’s event violated Washington, D.C.’s mandates prohibiting gatherings of more than 50 people. But because the White House is on federal property, it is exempt from such rules.
In the week after the nomination ceremony for Judge Barrett, the White House also decided not to trace the contacts of guests and staff members.
The Trump administration is considering reducing the time that travelers from abroad must quarantine when landing in the United States by providing tests at airports, a move that could lead to the easing of travel restrictions on foreign nations.
The administration is considering partnering with other countries on a pilot program that would require travelers to be tested at their airports of departure on the day they fly and again a week after they arrive in the United States, according to the draft documents obtained by The New York Times. Travelers who receive a negative test result four to seven days after arriving in the U.S. would be allowed to end their quarantine.
American citizens or permanent residents and their children traveling from more than two dozen European countries, as well as from China or Iran, are currently required to quarantine for 14 days after arriving in the U.S. Foreigners from those nations have been barred from traveling to the U.S.
But that could soon change.
“This pilot is expected to be a partnership between the U.S. government, a trusted foreign government and the air transport industry,” the draft briefing said. “It is intended to test whether the air transport industry can adequately reduce the risk of disease transmission and importation by incorporating a testing program into its existing predeparture process.”
The briefing, which was presented to officials in the Department of Homeland Security this week, listed New York City and London as two cities that could participate in the pilot, a development previously reported by The Wall Street Journal.
The Homeland Security Department’s public affairs office issued a statement saying the agency was in “the early stages of working with our interagency partners, the industry, and our international partners for means to safely encourage trans-Atlantic travel while mitigating public health risks.”
The program would begin with just three flights to “gather data on participation and outcomes,” according to the documents. After assessing those findings, the administration could expand the program and potentially remove travel restrictions on some countries.
Officials wrote in the briefing that it remained unclear whether the departing traveler would need to pay for the test at the airport before boarding a flight. American citizens returning to the United States would still have the option of not taking the tests and quarantining for 14 days.
President Trump on Wednesday portrayed the experimental antibody cocktail he took as a miracle “cure” for his case of Covid-19, which had landed him in Walter Reed National Medical Military Center just days before. Mr. Trump returned to the White House three days after taking the drug.
But the antibody treatment, made by the drug company Regeneron, has not yet been proven effective against the coronavirus by rigorous clinical trials in people.
Dr. Taison Bell, a critical care physician at the University of Virginia, noted that it was not yet possible to tell whether the treatment actually “cured,” or even significantly benefited, the president.
Doctors administered it to Mr. Trump alongside other therapies, including an antiviral called remdesivir and a steroid called dexamethasone.
“From a scientific standpoint, it makes it extremely hard to figure out what benefit came from which of the three medications,” Dr. Bell said.
Medical experts were also quick to point out that Mr. Trump’s touting of the treatment was at least the third time this year that the president has exaggerated the benefits of an unapproved Covid-19 therapy. He had previously promoted hydroxychloroquine and convalescent plasma, and on Wednesday advocated making the antibody treatment “free” for anyone who needed it.
Dr. Megan Ranney, an emergency medicine physician at Brown University, said that the endless cycle of talking up new treatments — many of which might not pan out — could erode public trust in science and medicine.
“It’s like the boy who cried wolf,” she said. “It’s going to make it more difficult to get the real changers.”
Pressure is mounting on the leaders of the Centers for Disease Control and Prevention to speak publicly against the White House’s manhandling of C.D.C. research and public health decisions, with demoralized career scientists talking of quitting if President Trump wins re-election.
The situation came to a boiling point this week when William H. Foege, a giant in public health who led the C.D.C. under Democratic and Republican presidents, called for its current director, Dr. Robert R. Redfield, to “stand up to a bully” — he meant Mr. Trump — even at the risk of being fired.
“Silence becomes complicity,” he said in an interview, after a private letter he wrote to Dr. Redfield leaked to the news media.
Dr. Redfield’s recent memo clearing Vice President Mike Pence to participate in the vice-presidential debate on Wednesday, even as the White House became a coronavirus hot spot, infuriated health experts. Nearly a dozen current and former C.D.C. officials called the letter highly inappropriate.
And Senator Patty Murray of Washington, the ranking Democrat on the Senate health committee, said she told Dr. Redfield in a private telephone conversation last month that he had to take a stand.
“What I said to him was that my concern was about the agency’s credibility today — and the agency’s credibility that we need as a country in the future,” Ms. Murray said in an interview. “This isn’t just about right now. If we lose all the really good scientists there, if people don’t believe the C.D.C. when they put out guidance, what happens in the next flu outbreak? What happens in the next public health crisis?”
C.D.C. scientists know that their work will invariably collide with politics, but they have never seen anything quite like what is happening under Mr. Trump.
The White House successfully pressured the agency to revise guidelines on matters like school reopenings, church gatherings and whether cruise ships can sail. The C.D.C. was forced, over the objections of its own scientists, to post guidelines that suggested asymptomatic people should not be tested. (That was ultimately reversed.) And the White House thwarted a C.D.C. plan to require individuals to wear masks on all U.S. commercial transportation.
“What has happened at C.D.C. has been horrifying to see,” said Dr. Mark Rosenberg, who pioneered public health research into gun violence at the C.D.C. but was pushed out after Republicans in Congress effectively cut off funding for his work. “It’s been terribly demoralizing to people who have been working 16 and 17 hour days for weeks or months at a time while taking on Covid-19.”
Dr. Redfield declined to comment.
Current C.D.C. employees contacted would not speak on the record for fear of reprisal, but the sense of despair is clear. Many view public health as a calling, and remain at the agency knowing that they could earn much higher salaries working in industry.
Most current and former C.D.C. officials acknowledge that Dr. Redfield is in a terrible position, working for a president who regards the agency’s scientists as members of a so-called deep state out to get him. Unlike Dr. Anthony S. Fauci, the nation’s top epidemiologist, he is a political appointee and lacks Civil Service protections. And unlike the F.D.A. commissioner, he cannot turn to a powerful industry constituency like pharmaceuticals to back him up.
Some say it would be unwise for him to step down, for fear of his successor.
“What happens if 50 of the top scientists at C.D.C. say, ‘We’ve had it, we’re leaving?’ Does that leave the country better off or worse off?” asked Dr. Jeffrey Koplan, who served as the C.D.C. director under Presidents Bill Clinton and George W. Bush and regularly met Dr. Redfield for lunch before the pandemic. “I suspect that Dr. Redfield is asking himself the same question.”
President Trump’s campaign has started airing a television ad focused on his coronavirus infection, an attempt to reset the way voters view the president on a major issue in the election.
A majority of voters have a negative view of Mr. Trump’s handling of the virus, according to public opinion polls. The spot seeks to use his release from Walter Reed National Military Medical Center as evidence that he is on top of a virus he has repeatedly played down.
“President Trump is recovering from the coronavirus, and so is America,” the ad’s narrator says. “Together, we rose to meet the challenge, protecting our seniors, getting them lifesaving drugs in record time, sparing no expense. President Trump tackled the virus head-on, as leaders should.”
The ad then cuts to an interview with Dr. Anthony S. Fauci from the end of March, when the virus was just starting, saying, “I can’t imagine that anybody could be doing more.” Dr. Fauci, the country’s top epidemiologist, has tangled with the White House for much of the year over its coronavirus response.
The ad concludes: “We’ll get through this together. We’ll live carefully, but not afraid.”
Chris Christie, the former governor of New Jersey, said in a tweet on Saturday that he had been released from the hospital that morning, one week after testing positive for the coronavirus.
Mr. Christie is one of at least a dozen people who tested positive in the days after attending a Sept. 26 Rose Garden event for Judge Amy Coney Barrett and had huddled with President Trump and his close advisers during debate preparations just days before Mr. Trump tested positive.
Mr. Christie, who is overweight and has a history of asthma, said last week that he had checked himself into Morristown Medical Center in consultation with his doctors.
“I am happy to let you know that this morning I was released from Morristown Medical Center,” he wrote on Twitter. “I want to thank the extraordinary doctors & nurses who cared for me the last week. Thanks to my family & friends fro their prayers.”
He ended his message with an intriguing pledge: “I will have more to say about all of this next week.”
I am happy to let you know that this morning I was released from Morristown Medical Center. I want to thank the extraordinary doctors & nurses who cared for me for the last week. Thanks to my family & friends for their prayers. I will have more to say about all of this next week.
— Governor Christie (@GovChristie) October 10, 2020
Since the early days of the pandemic, the White House has regularly used rapid coronavirus tests to screen staff members and guests for the coronavirus because they are fast, portable and easy to operate.
These tests, however, frequently miss infections in people without symptoms. Nevertheless, those who tested negative would often skip other precautions, like wearing a mask or social distancing.
And while officials had given the impression that Mr. Trump was getting tested every day, the White House has since conceded that tests were not as frequent and has refused to reveal the last time Mr. Trump tested negative.
Guests at the reception for Judge Barrett were said to be tested. Part of the event was indoors, and photographs show few masks among the guests there, or later in the larger outdoor portion.
The president also huddled with advisers for maskless preparation sessions ahead of the first presidential debate on Sept. 29.
Several of those involved besides Mr. Christie have said they have since tested positive, including Kellyanne Conway, a former White House adviser; Hope Hicks, a current adviser; and Bill Stepien, Mr. Trump’s campaign manager.
In Palm Tree, N.Y., a town of 26,000 residents where life revolves around family, religious services and prayer, the percentage of coronavirus tests coming back positive is at least 15 percent, among the highest in New York. There are more than 200 active cases, enough to place this Orthodox Jewish community northwest of New York City into a state-ordered “red zone” with strict new restrictions on synagogue capacity and public gatherings.
Yet on Wednesday, as men and boys streamed out of prayer services at Congregation Yetev Lev D’Satmar for the holiday of Sukkot, most were not wearing face masks.
Dina Aker, 67, walked by the synagogue, also not wearing a mask. Her husband, 73, caught the coronavirus in May, despite being mainly confined to their home, she said. That left her feeling that there was no utility to masks and that new lockdown measures would only prolong the disease’s spread.
“I pray every day, ‘Please, my lovely God, make it finish,’” she said.
The peaceful scenes during Sukkot, where families gather in open-air, leaf-covered booths in a celebration of the fall harvest, were interrupted by a loudspeaker atop a town police car outside a shopping center, with a recording in Yiddish and English warning of a spike in cases in the area and emphasizing the importance of wearing masks.
A police officer standing near the car handed out disposable masks.
Public health officials and experts say that factors driving an uptick in the ultra-Orthodox enclaves north of the city include a distrust of scientific messaging and secular authority, a dedication to communal life, dense living conditions, and fatalism about the virus brought by a traumatic spring of death and sickness.
What faint hopes remained that Europe was recovering from the economic catastrophe delivered by the pandemic have faded as the virus has resumed spreading rapidly across much of the continent.
After sharply expanding in the early part of the summer, Britain’s economy grew far less than anticipated in August — 2.1 percent compared with July, the government reported on Friday, adding to worries that further weakness lies ahead.
Earlier in the week, France, Europe’s second-largest economy, downgraded its forecast for the pace of expansion for the last three months of the year from an already minimal 1 percent to zero. The national statistics agency predicted that the economy would contract 9 percent this year.
The diminished expectations are an outgrowth of alarm over the revival of the virus, which has prompted President Emmanuel Macron to announce new restrictions, including a two-month shutdown of cafes and bars in Paris and surrounding areas.
In July, with infection rates down and lockdowns lifted, many European economies expanded strongly as people returned to shops, restaurants and vacation destinations. The most optimistic economists began celebrating a so-called V-shaped recovery, featuring a bounce-back just as steep as the plunge that preceded it.
But Spain’s central bank governor said this week that new restrictions to slow the virus’s accelerating spread could produce an economic contraction of as much as 12.6 percent this year.
And the European Central Bank’s chief economist said on Tuesday that the 19 countries that share the euro currency might not recover from the disaster until 2022, with those that are dependent on tourism especially vulnerable.
Under pressure from the federal government, Nevada health officials rescinded a statewide order directing nursing homes to halt the use of two government-issued rapid coronavirus tests that the state had deemed to be inaccurate.
The reversal was shortly after the United States Department of Health and Human Services issued a threatening letter, dated Oct. 8, to Nevada’s department of health. The federal document noted that swift punitive actions could be taken if the state did not promptly revoke its ban, which Adm. Brett Giroir, the Trump administration’s testing chief, called “unwise, uninformed and unlawful” and a violation of the Public Readiness and Emergency Preparedness Act.
In a statement released on Friday, Dr. Ihsan Azzam, Nevada’s chief medical officer, said that he and his colleagues were “very disappointed by the letter received today.”
The two brands of rapid tests, manufactured by Quidel and Becton, Dickinson and Company, had been shipped en masse to nursing homes around the country in August to address the delays and equipment shortages that for months had stymied laboratory testing. Both companies reported no false positives from their products.
But among a sample of 39 positive antigen test results collected from nursing homes across Nevada, 23 were found to be false positives when confirmed by a more accurate laboratory test.
The false positives that had emerged, Adm. Giroir said, were not only expected but “actually an outstanding result.” No test is perfect, he said.
The state’s nursing facilities can resume use of BD’s and Quidel’s products, according to a new Nevada directive issued on Oct. 9. But Nevada’s department of health also recommended that all antigen test results, positive or negative, be confirmed by a laboratory test that relies on a slow but very accurate and reliable technique called polymerase chain reaction, or P.C.R.
“We need to better understand the issue before encouraging mass use of such tools among our most vulnerable citizens,” Dr. Azzam said. “We are not saying the tests have no use, we are just saying pause for further review and additional training.”
This week, Joseph R. Biden Jr. dismissed President Trump’s reluctant attitude toward wearing masks as “this macho thing.”
Tomi Lahren, a conservative commentator and Fox Nation host, countered that Mr. Biden “might as well carry a purse with that mask.”
Some experts who study masculinity and public health say the perception that wearing masks and following social distancing guidelines are unmanly has carried a destructive cost. The virus has infected more men than women and killed far more of them.
Men’s resistance to showing weakness — and their tendency to take risks — was demonstrated by scientists long before Covid-19. Studies have shown men are less likely than women to wear seatbelts and helmets, or to get flu shots. They’re more likely to speed or drive drunk. They are less likely to seek out medical care.
Some initial research indicates a similar pattern is playing out with the coronavirus. Surveys have found that women are more likely than men to wear masks in the United States.
If you wear a mask, said Peter Glick, a professor of social sciences at Lawrence University, “the underlying message is: ‘I’m afraid of catching this disease.’”
This is not a new problem for those who work in public health messaging.
It tends to be more difficult to reach those who identify strongly with traditional masculine characteristics. As an example, the more someone identifies with those masculine traits, the less likely that person will be to use condoms during sex, according to Stacey Hust, an associate professor of communication at Washington State University.
“I think that translates really clearly into why some men choose not to wear masks,” she said. “It’s really about not wanting to show weakness or fear, not wanting to show any vulnerability.”
The Centers for Disease Control and Prevention drafted a sweeping order last month requiring all passengers and employees to wear masks on all forms of public and commercial transit in the United States, but it was blocked by the White House, according to two federal health officials.
The order would have been the toughest federal mandate to date aimed at curbing the spread of the coronavirus, which continues to infect more than 40,000 people in America each day. The officials said that it had been drafted under the agency’s “quarantine powers” and that it had the support of the secretary of health and human services, Alex M. Azar II, but the White House Coronavirus Task Force, led by Vice President Mike Pence, declined to even discuss it.
The two officials said the order would have required face coverings on airplanes, trains, buses and subways, and in transit hubs such as airports, train stations and bus depots.
A task force official said the decision to require masks should be left up to states and localities.
The thwarting of the mask rule is the latest C.D.C. action to be stalled or changed by the White House. Late last month, the coronavirus task force overruled an order by the agency’s director to keep cruise ships docked until mid-February. That plan was opposed by the tourism industry in Florida, an important swing state in the presidential election.
Political appointees at the White House and the Department of Health and Human Services have also been involved in rewriting the agency’s guidelines on reopening schools and testing for the virus, bypassing the agency’s scientists.