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The window to get COVID-19 under control is closing. That's the warning from the head of the Department of Health and Human Services.Secretary Alex Azar denies that reopening too quickly was tied to the recent rise in cases, blaming it instead on inappropriate individual behavior."If we don't social distance, if we don't use face coverings in settings where we can't social distance, if we don't practice appropriate social hygiene, we're going to see spread of disease,” said Azar.However, in Texas, the governor says if he could go back and redo anything, it would be to slow down the reopening of bars. In that state, the number of new cases has jumped from an average of 2,000 to more than 5,000 a day.Hospitalizations are rising at an alarming rate with some nearing capacity."Please understand these patients are very sick,” said Dr. Joseph Varon, Chief Medical Officer at the United Memorial Medical Center. “There are patients that are about to die. So, we have to admit them. Once they are here despite everything that we do, I mean they have to stay in the hospital anywhere from 5 to 10 days at a minimum. So those beds will be occupied for a period of 5 to 10 days so sooner or later within the next two weeks we are going to be at full house."Azar says the U.S. is actually better positioned now to handle the pandemic. He pointed to increased testing, contact tracing and greater reserves of personal protective equipment. 1446

The United States is at the beginning of a second wave of significant job loss.“We are seeing a resurgence in layoffs that has been quite clearly indicated in the last couple of weeks,” said Daniel Alpert, an adjunct professor and senior fellow at Cornell University.Cornell University recently published a study showing about a third of the people who went back to work during the pandemic have now been laid off for a second time. Another 26 percent of workers have been warned by their employers that future furloughs and layoffs may soon come.“The problem is that you get an echo,” said Alpert. “So, if you have a resurgence in layoffs, a decrease in spending, that creates more contraction on the part of businesses, which creates more layoffs. The question is, when can you put a floor under this spiraling situation? It is a classic economic spiral.”The cycle--of job loss eventually leading to more job loss--is causing some to fear it could lead to a third wave of unemployment in a few months. Experts, like Alpert, believe the only way to stop the cycle would be a vaccine or for Congress to come together on another stimulus bill that props up households and businesses until a vaccine is released.“We are very concerned about the current rollercoaster effect on resumed layoffs, but longer term, we are really scared about seeing huge numbers, tens of millions of businesses vanish,” said Alpert.The more waves of unemployment we see, the higher likelihood of that. 1486

The White House has once again lowered the American flag to half-staff, after the flag was left at its full height for most of the day on Monday.In a statement released at about 4 p.m. ET, President Trump ordered flags be flown at half-staff until Sunday, the day of McCain's internment at the U.S. Naval Academy in Annapolis. The Trump administration faced criticism from politicians across party lines for choosing to fly the flag at full-staff while the rest of the federal government continued to honor Senator John McCain by keeping the flag low. Ohio Gov. John Kasich called the decision to keep the flags flying high "shameful."While protocol calls for the flag to be flown at half-staff the day and the day after a member of Congress dies, recent tradition has kept the flag at half-staff until sunset on the day of member's interment.   868

The Rev. Billy Graham's body will lie in honor in the U.S. Capitol for two days next week.U.S. House Speaker Paul Ryan said the public and members of Congress will be invited to pay respects to "America's Pastor" on Feb. 28 and March 1. The last time a private citizen laid in honor at the Capitol was 2005, when Rosa Parks died.Graham, a famous evangelist who preached to hundreds of millions of people in 185 countries around the world, died Wednesday, Feb. 21. He was 99 years old.On Monday and Tuesday his body will lie in repose at his library in Charlotte, North Carolina, according to the Associated Press. A funeral is scheduled for March 2 on the grounds of the library. 687

The University of Washington’s Institute for Health Metrics and Evaluation now projects that 67,000 American lives would be saved between now and December 1 by near universal wearing of masks.The IHME released the updated model on Thursday. As part of the update, the IHME said that four states, Arizona, Florida, Mississippi, and South Carolina, have hit an important metric of a daily death rate of eight per one million residents, and that those states should re-impose statewide closures of non-essential businesses.The IHME’s coronavirus projections have been frequently cited in the past by the White House’s coronavirus task force. The group uses state data along with other metrics to create projections on the number of coronavirus-related deaths throughout the US.The model projects with inconsistent use of masks, the US death toll for the coronavirus will be up to 295,000 by December 1, an increase from the current figure of 158,000, per Johns Hopkins University data. The IHME’s projections drops considerably to 228,000 if masks are worn universally outside of the home.IHME director Dr. Christopher Murray said at a news conference on Thursday that mask wearing mandates work, but communities also respond when they see cases are spreading.“People do respond to the circumstances in their community,” Murray said. “Mandates have an important effect.”One thing the model does not take into account is the use of therapeutics of a possible vaccine. Murray said that the IHME is closely monitoring the effectiveness of two potential therapeutics – remdesivir and dexamethasone – and may adjust future models as more is learned about those drugs.The model expects the number of coronavirus-related deaths to ebb and flow into the fall, but begin to increase by November. "November is a month we expect the spread to increase due to seasonality," Murray said. We are expecting considerable daily deaths. That pushes up our projections."“We expect it rise later in the fall,” Murray added.One cause for concern comes at the end of November when families begin to travel for holidays such as Thanksgiving.Murray said that while mask-wearing is not necessary when around family members of the same household, he said mask-wearing may be necessary for holiday gatherings. Murray said his family is taking the recommendation one step further, and is simply not gathering with extended relatives this fall.What’s built into the IHME’s projection is that a number of states will need to implement stricter closures in order to slow the spread. As part of the IHME’s recommendation, states implement closures of non-essential businesses when there is a threshold of eight deaths a day per million. Also part of the modeling is based on 50% of schools being closed in each state for the upcoming year. Murray said with many schools opening or implementing hybrid models, more will be learned in the coming weeks on how easily the virus spreads within schools.Recent measures in Arizona, California, Florida, and Texas has allowed a small decline in cases, but deaths in those states have not dropped off, according to Murray.“We have been seeing cases peaking and hospitalizations peaking and deaths not quite yet peaking, but we expect them to peak in the near future but we don’t expect a sharp decline," Murray said.To see a state-by-state breakdown of the IHME’s projections, click here. 3403