United States responses to the COVID-19 pandemic

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The United States' response to the COVID-19 pandemic with consists of various measures by the medical community; the federal, state, and local governments; the military; and the private sector. The public response has been highly polarized, with partisan divides being observed and a number of concurrent protests and unrest complicating the response.

Contents

Medical response

Initial response outside the U.S.

On January 6, a week after the U.S. was informed about the outbreak in China, both the Health and Human Services department and the CDC offered to send a team of U.S. health experts to China. [1] [2] According to CDC Director Robert R. Redfield, the Chinese government refused to let them in, which contributed to the U.S. getting a late start in identifying the danger of their outbreak and containing it before it reached other countries. [3] Secretary Alex Azar said China did notify the world much sooner than it had after their SARS outbreak in 2003, but it was unexplainably turning away CDC help for this new one. [4]

On January 28, the CDC updated its China travel recommendations to level 3, its highest alert. [1] Azar submitted names of U.S. experts to the WHO and said the U.S. would provide $105 million in funding, adding that he had requested another $136 million from Congress. [5] [4] On February 8, the WHO's director-general announced that a team of international experts had been assembled to travel to China and he hoped officials from the CDC would also be part of that mission. [6] [4] The WHO team consisted of thirteen international researchers, including two Americans, and toured five cities in China with twelve local scientists to study the epidemic February 16–23. [7] The final report was released on February 28. [8]

In late January, Boeing announced a donation of 250,000 medical masks to help address China's supply shortages. [9] On February 7, The State Department said it had facilitated the transportation of nearly eighteen tons of medical supplies to China, including masks, gowns, gauze, respirators, and other vital materials. [10] On the same day, U.S. Secretary of State Pompeo announced a $100 million pledge to China and other countries to assist with their fights against the virus. [11]

On February 28, the State Department offered to help Iran fight its own outbreak, as Iran's cases and deaths were dramatically increasing. [12] [13] Iran said, however, that U.S. sanctions were hampering its battle with the disease, which the U.S. denied, saying that Iran had mishandled the crisis. [14]

Testing

Testing for SARS-CoV-2 can allow healthcare workers to identify infected people. It is also an important component of tracking the pandemic. There are various types of tests currently on the market; some identify whether or not a patient is currently infected, while others give information about previous exposure to the virus.

A report published in January 2021 revealed that a Chinese firm, BGI Group, was attempting to distribute its COVID-19 testing kits to at least 11 states in the US. The U.S. intelligence and security officials raised warnings about the security risks involved in using these kits, as BGI was trying to use the patients' DNA, via the gene-sequencing machines that were being pitched to the U.S. labs. However, federal agencies, including the Food and Drug Administration and the Federal Emergency Management Agency, as well as the United States Department of Health and Human Services were pushing the states to use the BGI testing kits, despite such warnings. Besides the 11 states, Nevada received the Chinese-made testing kits from Abu Dhabi's data and artificial intelligence firm, Group 42, in collaboration with BGI. Some of the testing supplies were used in Nevada, but states like Alabama, South Dakota, Ohio, Rhode Island, Massachusetts, Arkansas, California, Indiana, Kansas, North Carolina, and Pennsylvania didn't purchase the BGI kits. [15] [16]

Contact tracing

Contact tracing is a tool to control transmission rates during the reopening process. Some states like Texas and Arizona opted to proceed with reopening without adequate contact tracing programs in place. Health experts have expressed concerns about training and hiring enough personnel to reduce transmission. Privacy concerns have prevented measures such as those imposed in South Korea where authorities used cellphone tracking and credit card details to locate and test thousands of nightclub patrons when new cases began emerging. [17] Funding for contact tracing is thought to be insufficient, and even better-funded states have faced challenges getting in touch with contacts. Congress has allocated $631 million for state and local health surveillance programs, but the Johns Hopkins Center for Health Security estimates that $3.6 billion will be needed. The cost rises with the number of infections, and contact tracing is easier to implement when the infection count is lower. Health officials are also worried that low-income communities will fall further behind in contact tracing efforts which "may also be hobbled by long-standing distrust among minorities of public health officials". [18]

As of July 1, only four states are using contact tracing apps as part of their state-level strategies to control transmission. The apps document digital encounters between smartphones, so the users will automatically be notified if someone they had contact with has tested positive. Public health officials in California claim that most of the functionality could be duplicated by using text, chat, email, and phone communications. [19]

Drug therapy development

March 3: President Trump and Anthony Fauci visit the Vaccine Research Center and the Viral Pathogenesis Laboratory at the National Institutes of Health. President Trump at the National Institute of Health (49618032306).jpg
March 3: President Trump and Anthony Fauci visit the Vaccine Research Center and the Viral Pathogenesis Laboratory at the National Institutes of Health.

In the United States, remdesivir is indicated for use in adults and adolescents (aged twelve years and older with body weight at least 40 kilograms (88 lb)) for the treatment of COVID‑19 requiring hospitalization. [20] In November 2020, the FDA issued an emergency use authorization (EUA) for the combination of baricitinib with remdesivir, for the treatment of suspected or laboratory confirmed COVID-19 in hospitalized people two years of age or older requiring supplemental oxygen, invasive mechanical ventilation, or extracorporeal membrane oxygenation (ECMO). [21] As of August 2020, there were more than 500 potential therapies for COVID‑19 disease in various stages of preclinical or clinical research.

Hydroxychloroquine and chloroquine

In early March, President Trump directed the FDA to test certain medications to discover if they had the potential to treat COVID-19 patients. [22] Among those were chloroquine and hydroxychloroquine, which have been successfully used to treat malaria for over fifty years. A small test in France by researcher Didier Raoult had given positive results, although the study was criticized for design flaws, small sample size, and the fact that it was published before peer review. [23] One of Didier's COVID-19 studies was later retracted by the International Journal of Antimicrobial Agents. [24]

On March 28, the FDA issued an Emergency Use Authorization (EUA) which allowed certain hospitalized COVID-19 patients to be treated with hydroxychloroquine or chloroquine. [25] [22] [26] [27] On June 15, the FDA revoked the EUA for hydroxychloroquine and chloroquine as potential treatments for COVID-19. The FDA said the available evidence showed "no benefit for decreasing the likelihood of death or speeding recovery". On July 1, the FDA published a review of safety issues associated with the drugs, including fatal cardiac arrhythmias among other side effects. [28]

In late July, President Trump continued to promote the use of hydroxychloroquine for COVID-19. This contrasted with the position of the NIH, which stated the drug was "very unlikely to be beneficial to hospitalized patients with COVID-19". [29]

Vaccine research, development, and deployment

From early 2020, more than 70 companies worldwide (with five or six operating primarily in the U.S.) began vaccine research. [30] [31] In preparation for large-scale production, Congress set aside more than $3.5 billion for this purpose as part of the CARES Act. [32] [31] On August 5, 2020, the United States agreed to pay Johnson and Johnson more than $1 billion to create 100 million doses of COVID-19 vaccine. The deal gave the U.S. an option to order an additional 200 million doses. The doses were supposed to be provided for free to Americans if they are used in a COVID-19 vaccination campaign. [33]

BIO, a trade group including all makers of coronavirus vaccines except AstraZeneca, tried to persuade Secretary Azar to publish strict FDA guidelines that could help ensure the safety and public uptake of the vaccine. Politics impacted scientific practice, however, when the chief of staff Mark Meadows blocked the FDA when it was realized that the timing of the provisions would make it impossible for a vaccine to be authorized before the November election. [34] [35] Ultimately, the guidelines emerged [36] from the Office of Management and Budget and were published on the FDA website. [37]

On November 20, 2020, the Pfizer–BioNTech partnership submitted a request for emergency use authorization for its vaccine to the Food and Drug Administration (FDA), [38] [39] which was granted on December 11. [40] [41] On December 18, 2020, the FDA granted the Moderna vaccine emergency use authorization, [42] [43] which Moderna had requested on November 30, 2020. [44] [45]

Starting on December 14, 2020, the first doses of COVID-19 vaccine were administered. [46] The CDC and each state keep track of the number of vaccines administered. [47]

After taking office in January 2021, new president Joe Biden signed an executive order to increase production and distribution of vaccines, aiming to have a hundred million doses administered within his first 100 days in office. [48] On February 13, 2021, the CDC published data showing that 50.6 million doses had been administered to 37 million people, 13 million fully vaccinated and the rest awaiting their second dose. [49]

In an address on March 11, 2021, Biden announced that he would push for all states to make vaccination available universally to all adults no later than May 1 and announced other planned initiatives to enhance and widen distribution. [50]

Medical supply shortages

April 13: Protest by National Nurses United over lack of personal protective equipment at UCLA Medical Center NNU Protest UCLA Medical Center (crop).png
April 13: Protest by National Nurses United over lack of personal protective equipment at UCLA Medical Center

The first known case of COVID-19 in the U.S. was confirmed by the CDC on January 21, 2020. [51] The next day, the owner of the medical supply company Prestige Ameritech wrote to HHS officials to say he could produce millions of N95 masks per month. In a follow-up letter on January 23, the business owner informed the government that "We are the last major domestic mask company," without success. [52]

On February 5, Trump administration officials declined an offer for congressional coronavirus funding. Senator Chris Murphy recalled that the officials, including Secretary Azar, "didn't need emergency funding, that they would be able to handle it within existing appropriations." [53] On February 7 Mike Pompeo announced the administration donated more than 35,000 pounds of "masks, gowns, gauze, respirators, and other vital materials" to China the same day the WHO warned about "the limited stock of PPE (personal protective equipment)". [51]

In February, the Department of Commerce published guidance advising U.S. firms on compliance with Beijing's fast-track process for the sale of "critical medical products", which required the masks shipped overseas to meet U.S. regulatory standards. [54] [55] According to Chinese customs disclosures, more than six hundred tons of face masks were shipped to China in February. [56]

In early March, the country had about twelve million N95 masks and thirty million surgical masks in the Strategic National Stockpile (SNS), but the DHS estimated the stockpile had only 1.2 percent of the roughly 3.5 billion masks that would be needed if COVID-19 were to become a "full-blown" pandemic. [57] A previous 2015 CDC study found that seven billion N95 respirators might be necessary to handle a "severe respiratory outbreak". [58]

As of March, the SNS had more than 19,000 ventilators (16,660 immediately available and 2,425 in maintenance), all of which dated from previous administrations. [59] Vessel manifests maintained by U.S. Customs and Border Protection showed a steady flow of the medical equipment needed to treat the coronavirus being shipped abroad as recently as March 17. Meanwhile, FEMA said the agency "has not actively encouraged or discouraged U.S. companies from exporting overseas" and asked USAID to send back its reserves of protective gear for use in the U.S. [60] [61] President Trump evoked the Defense Production Act to prohibit some medical exports. [62] Some analysts warned that export restrictions could cause retaliation from countries that have medical supplies the United States needs to import. [63]

May 21: President Trump traveled to the Ford Rawsonville Components Plant in Ypsilanti, Michigan to tour the factory where ventilators were being produced. President Trump in Michigan (49922546878).jpg
May 21: President Trump traveled to the Ford Rawsonville Components Plant in Ypsilanti, Michigan to tour the factory where ventilators were being produced.

By the end of March, states were in a bidding war against each other and the federal government for scarce medical supplies such as N95 masks, surgical masks, and ventilators. [64] [65] [66] Meanwhile, as states scrambled to purchase supplies at inflated prices from third party distributors (some of which later turned out to be defective), hundreds of tons of medical-grade face masks were shipped by air freight to foreign buyers in China and other countries. [56]

Medical organizations such as the American Medical Association and American Nurses Association implored Trump to obtain medical supplies, because they were "urgently needed". [67] [68] That led President Trump to sign an order setting motion parts of the Defense Production Act, first used during the Korean War, to allow the federal government a wide range of powers, including telling industries on what to produce, allocating supplies, giving incentives to industries, and allowing companies to cooperate. [69] [70] Trump then ordered auto manufacturer General Motors to make ventilators. [71]

During this period, hospitals in the U.S. and other countries were reporting shortages of test kits, test swabs, masks, gowns, and gloves (collectively referred to as PPE.) [72] [73] [74] The Office of Inspector General, U.S. Department of Health and Human Services released a report regarding their March 23–27 survey of 323 hospitals. The hospitals reported "severe shortages of testing supplies", "frequently waiting seven days or longer for test results", which extended the length of patient stays, and as a result, "strained bed availability, personal protective equipment (PPE) supplies, and staffing". The hospitals also reported, "widespread shortages of PPE" and "changing and sometimes inconsistent guidance from federal, state and local authorities". [75] At a press briefing following the release of the report President Trump called the report "wrong" and questioned the motives of the author. Later he called the report "another fake dossier". [76]

In early April, there was a widespread shortage of PPE, including masks, gloves, gowns, and sanitizing products. [77] The difficulties in acquiring PPE for local hospitals led to orders for gowns and other safety items being confiscated by FEMA and diverted to other locations, which meant that in some cases states had to compete for the same PPE. [78] Prices skyrocketed across the board, with PPE costing up to 10x more than normally. [79] The shortages led in one instance of a governor asking the New England Patriots of the NFL to use their private plane to fly approximately 1.2 million masks from China to Boston. [80] At that time, Veterans Affairs (VA) employees said nurses were having to use surgical masks and face shields instead of more protective N95 masks. [81] In May, Rick Bright, a federal immunologist and whistleblower, testified that the federal government had not taken proper action to acquire the needed supplies. [56]

An unexpectedly high percentage of COVID-19 patients in the ICU required dialysis as a result of kidney failure, about twenty percent. [82] In mid-April, employees at some hospitals in New York City reported not having enough dialysis machines, were running low on fluids to operate the machines, and reported a shortage of dialysis nurses as many were out sick with COVID-19 due to lack of sufficient PPE. [82] [83] [84]

On May 14, a Trump administration official told reporters "we do anticipate having 300 million" N95 masks by autumn; however, at the end of September, there were only 87.6 million N95 masks in the government stockpile. [85]

Supply problems persisted in August 2020, when a survey reported 42 percent of nurses were experiencing widespread or intermittent shortages of personal protective equipment, with 60 percent using single-use equipment for five or more days. [86] A September report by National Public Radio found some items were in short supply but others widely available, depending on the difficulty of manufacturing. [87] The DPA was effective in producing ventilators but less so in producing N95s. As of September, the DPA had stimulated N95 production mainly by existing major manufacturers and less so by smaller companies. Additionally, the DPA's provision that exempts manufacturers from antitrust laws had not yet been used to encourage collaboration in N95 production. [88]

In response to demand, many domestic businesses retooled and due to lack of federal coordination ended up producing a glut of hand sanitizer and face shields, some losing money due to oversupply or lack of distribution. Retooling and individual emergency supply making accounted for the production of at least 34.2 million pieces of PPE in the U.S., 14.5 million of which were face shields. [89] The federal government used the Defense Production Act to get a small number of large manufacturers such as 3M and Honeywell to increase production of the more difficult to manufacture N95 masks, but supply was still falling hundreds of millions of units short of demand. NPR found the shortage could be resolved by providing government guarantees to small and medium-sized manufacturers so they could increase production of N95 masks without the risk of losing money or going out of business due to oversupply or drop in demand when the pandemic ends. Instead, President Trump has denied the PPE shortages exist, calling them "fake news" in April [90] and in September saying "we've opened up factories, we've had tremendous success with face masks and with shields." [87] Demand has also increased since the early weeks of the pandemic as various industries reopened, including medical and dental offices, construction, and trucking. [91] The 2020 California wildfires also increased demand for N95 masks for agricultural and other outdoor workers, due to state regulations requiring protection during poor air quality conditions. [92]

The San Diego-based hospital ship Mercy arrived in Los Angeles in late March to help treat non-coronavirus patients. USNS Mercy Surgery (49837752577).jpg
The San Diego-based hospital ship Mercy arrived in Los Angeles in late March to help treat non-coronavirus patients.

Exceeded hospital capacity

Uncontrolled community spread led some medical facilities to refuse new patients or start transferring patients out. In March and April, this happened in the Detroit, Michigan area [93] and New York City area; [94] Yakima, Washington in June; [95] and in July, it happened in Houston, [96] the Boise, Idaho area, [97] Lake Charles and Lafayette, Louisiana, [98] and at dozens of hospitals across Florida. [99] By August, some hospitals in Mississippi were transferring patients out of state. [100]

Arizona declared crisis standards of care in July 2020, allowing hospitals to legally provide treatment normally considered substandard to some patients in order to save others. [101]

In January 2021, Southern California hospitals began to be overwhelmed with patients. Officials in Los Angeles County, where some ambulances had to wait up to eight hours to discharge patients at emergency rooms, ordered EMTs not to bring a patient to the hospital if that patient had little chance of survival. They also directed crews to take measures to conserve medical oxygen. [102]

A testing team responds to a confirmed case in a nursing home in Charleston, West Virginia. West Virginia National Guard - 49744586872.jpg
A testing team responds to a confirmed case in a nursing home in Charleston, West Virginia.

Federal, state, and local governments

The federal government of the United States responded to the pandemic with various declarations of emergency, which resulted in travel and entry restrictions. They also imposed guidelines and recommendations regarding the closure of schools and public meeting places, lockdowns, and other restrictions intended to slow the progression of the virus, which state, territorial, tribal, and local governments have followed.

Effective July 15, 2020, the default data centralization point for COVID-19 data in the U.S. is switching from the Centers for Disease Control and Prevention to Department of Health and Human Services. [103] [104] [105] However, "hospitals may be relieved from reporting directly to the Federal Government if they receive a written release from the State stating the State will collect the data from the hospitals and take over Federal reporting." [103]

Military

On February 3, an unclassified U.S. Army briefing document on the coronavirus projected that in an unlikely "black swan" scenario, "between 80,000 and 150,000 could die." The theory correctly stated that asymptomatic people could "easily" transmit the virus, a belief that was presented as outside medical consensus at the time of the briefing. The briefing also stated that military forces could be tasked with providing logistics and medical support to civilians, including "provid[ing] PPE (N-95 Face Mask, Eye Protection, and Gloves) to evacuees, staff, and DoD personnel". [106] [107]

USNS Comfort, docked in Manhattan USNS Comfort in NYC, 1 April 2020.jpg
USNS Comfort, docked in Manhattan
The members of the Florida National Guard support Feed Tampa Bay in their efforts to distribute food to the local community. Florida National Guard (49889962733).jpg
The members of the Florida National Guard support Feed Tampa Bay in their efforts to distribute food to the local community.

In mid-March, the government began having the military add its health care capacity to impacted areas. The United States Army Corps of Engineers (USACE), under the authority of Federal Emergency Management Agency (FEMA), leased private buildings nationwide. They included hotels, college dormitories, and larger open buildings, which were converted into temporary hospitals. The Jacob K. Javits Convention Center in New York City was quickly transformed into a 2,000-bed care facility on March 23, 2020. [108] The Army also set up field hospitals in various affected cities. [109]

Some of these facilities had ICUs for COVID-19 patients, while others served non-coronavirus patients to allow established hospitals to concentrate on the pandemic. [110] [109] At the height of this effort, U.S. Northern Command had deployed nine thousand military medical personnel. [109]

On March 18, in addition to the many popup hospitals nationwide, the Navy deployed two hospital ships, USNS Mercy and USNS Comfort, which were planned to accept non-coronavirus patients transferred from land-based hospitals, so those hospitals could concentrate on virus cases. [111] On March 29, citing reduction in on-shore medical capabilities and the closure of facilities at the Port of Miami to new patients, the U.S. Coast Guard required ships carrying more than fifty people to prepare to care for sick people on board. [112] [113]

On April 6, the Army announced that basic training would be postponed for recruits. Recruits already in training would continue what the Army is calling "social-distanced-enabled training". [114] However, the military, in general, remained ready for any contingency in a COVID-19 environment. By April 9, nearly 2,000 service members had confirmed cases of COVID-19. [115]

In April, the Army made plans to resume collective training. [116] Social distancing of soldiers is in place during training, assemblies, [117] and transport between locations. [118] Temperatures of the soldiers are taken at identified intervals, and measures are taken to immediately remediate affected soldiers. [119] [120] [121] [122]

On June 26, 2020, the VA reported 20,509 cases of COVID-19 and 1,573 deaths among patients, plus more than two thousand cases and 38 deaths among its own employees. [123] As of July 2020, additional Reserve personnel are on "prepare-to-deploy orders" to Texas and California. [109]

Private sector

Many janitors and other cleaners throughout the United States reported that they were not given adequate time, resources, or training to clean and disinfect institutions for COVID-19. One pilot reported that less than ten minutes was allotted to clean entire airplanes between arrival and departure, which did not allow cleaners to disinfect the tray tables and bathrooms, for which the practice was to wipe down only those that "[look] dirty". Cleaning cloths and wipes were reused, and disinfecting agents, such as bleach, were not provided. Employees also complained that they were not informed if coworkers tested positive for the virus. The Occupational Safety and Health Administration (OSHA), the federal agency that regulates workplace safety and health, investigated a small fraction of these complaints. Mary Kay Henry, president of Service Employees International Union, which represents 375,000 American custodians, explained that "reopenings happened across the country without much thoughtfulness for cleaning standards." She urged better government standards and a certification system. [124]

Public response

Partisan divide

Passengers wearing facemasks at Hartsfield-Jackson Atlanta International Airport 2020-03-06 -- Coronavirus - Flyers at Hartsfield-Jackson Atlanta International Airport wearing facemasks.jpg
Passengers wearing facemasks at Hartsfield–Jackson Atlanta International Airport

Polling showed a significant partisan divide regarding the outbreak. [125] In February, similar numbers of Democrats and Republicans believed COVID-19 was "a real threat": 70% and 72%, respectively. By mid-March, 76% of Democrats viewed COVID-19 as "a real threat", while only 40% of Republicans agreed. [126] In mid-March, various polls found Democrats were more likely than Republicans to believe "the worst was yet to come" (79–40%), to believe their lives would change in a major way due to the outbreak (56–26%), [127] and to take certain precautions against the virus (83–53%). [128] The CDC was the most trusted source of information about the outbreak (85%), followed by the WHO (77%), state and local government officials (70–71%), the news media (47%), and President Trump (46%). [128]

Political analysts anticipated that the pandemic would negatively affect Trump's chances of re-election. [129] [130] In March 2020, when social distancing practices began, the governors of many states experienced sharp gains in approval ratings. [131] Trump's approval rating increased from 44 to 49 percent in Gallup polls, [132] but it fell to 43% by mid-April. At that time, Pew Research polls indicated that 65% of Americans felt Trump was too slow in taking major steps to respond to the pandemic. [133]

On April 16, Pew Research polls indicated that 32% of Americans worried state governments would take too long to re-allow public activities, while 66% feared the state restrictions would be lifted too quickly. [134] An April 21 poll found a 44% approval rate for the president's handling of the pandemic, compared to 72% approval for state governors. [135] A mid-April poll estimated that President Trump was a source of information on the pandemic for 28% of Americans, while state or local governments were a source for 50% of Americans. 60% of Americans felt Trump was not listening enough to health experts in dealing with the outbreak. [136] [137]

A May 2020 poll concluded that 54% of people in the U.S. felt the federal government was doing a poor job in stopping the spread of COVID-19 in the country. 57% felt the federal government was not doing enough to address the limited availability of COVID-19 testing. 58% felt the federal government was not doing enough to prevent a second wave of COVID-19 cases later in 2020. [138] A poll conducted May 20–21 found that 56% of the American public were "very" concerned about "false or misleading information being communicated about coronavirus", while 30% were "somewhat" concerned. 56% of Democrats said the top source of false or misleading information about the coronavirus was the Trump administration, while 54% of Republicans felt the media was the top source of false or misleading information. [139]

Studies using GPS location data and surveys found that Republicans engaged in less social distancing than Democrats during the pandemic. [140] [141] [142] [143] Controlling for relevant factors, Republican governors were slower to implement social distance policies than Democratic governors. [144] There was a partisan divide over COVID vaccinations, with the counties that voted for Trump in greater shares having lower rates of vaccinations. [145]

Protests and public disruptions

Beginning in mid-April 2020, there were protests in several U.S. states against government-imposed lockdowns in response to the COVID-19 pandemic in the United States. [146] [147] The protests, mostly organized by conservative groups and individuals, [148] [149] decried the economic and social impact of stay-at-home orders, business closures, and restricted personal movement and association, and demanded that their respective states be "re-opened" for normal business and personal activity. [150]

The protests made international news [151] [152] and were widely condemned as unsafe and ill-advised, [153] although some political figures expressed support for the protests. [154] [155] They ranged in size from a few hundred people to a few thousand, and spread on social media with encouragement from former U.S. President Donald Trump. [154]

By May 1, 2020, there had been demonstrations in more than half of the states; many governors began to take steps to lift the restrictions as daily new infections began decreasing due to social distancing measures. [156]
An anti-lockdown protester wearing a face mask at the Ohio Statehouse in April 2020 OPEN our OHIO IMG 0144 (49790376873).jpg
An anti-lockdown protester wearing a face mask at the Ohio Statehouse in April 2020

Starting in late May, large-scale protests against police brutality in at least two hundred U.S. cities in response to the killing of George Floyd raised concerns of a resurgence of the virus due to the close proximity of protesters. [158] Fauci said it could be a "perfect set-up for the spread of the virus", [159] and that "masks can help, but it's masks plus physical separation." [160] One study found an increase in cases, [161] while the Associated Press reported that there is little evidence for such an assertion. [162]

On January 6, 2021, supporters of President Donald Trump stormed the United States Capitol building to disrupt the certification of Joe Biden's electoral victory. [163] At least one activist participated in the riot despite a recent positive COVID-19 diagnosis, [164] and few members of the crowd wore face coverings, with many coming from out of town. [163] A group of maskless Republicans sheltering in place were recorded refusing masks offered by Representative Lisa Blunt Rochester (D-DE), [165] and as many as two hundred congressional staffers reportedly sheltered in various rooms inside the Capitol, further increasing the risk of transmission. [163] [166] Brian P. Monahan, the attending physician of Congress, later reported that members of Congress may have been exposed to others with COVID-19 while sheltering in place. [165] [167] Four members of Congress have since tested positive due to the exposure. [168]

International views of the United States

In September 2020, Pew Research Center found that the global image of the United States had suffered in many foreign nations. In some nations, the United States' favorability rating had reached a record low since Pew began collecting this data nearly twenty years ago. Across thirteen different nations, a median of fifteen percent of respondents rated the U.S. response to the pandemic positively. [169]

Other

The outbreak prompted calls for the United States to adopt social policies common in other wealthy countries, including universal health care, universal child care, paid sick leave, and higher levels of funding for public health. [170] [171] [172]

Challenges

The American cultural values of individualism and skepticism of government have created difficulties in getting the population to abide by public health directives. [173] The prevalence of pandemic fatigue has resulted in further noncompliance. [174] [175]

Conspiracy theories and misinformation reached millions of Americans through social media and television commentary. [176] [177] As a result, many people believe falsehoods, for example, that wearing masks is dangerous, that a global syndicate planned the virus, or that COVID-19 is a hoax. [177] [178] Facebook announced that it had labeled or deleted 179 million user posts containing COVID-19 misinformation during the first three quarters of 2020. [179] President Trump repeatedly broadcast misinformation to downplay the threat of the virus and to deflect criticism of the administration's response. [180] Trump asserted he did this to "show calm," saying "I don't want to create a panic." [181]

Related Research Articles

The Strategic National Stockpile (SNS), originally called the National Pharmaceutical Stockpile (NPS), is the United States' national repository of antibiotics, vaccines, chemical antidotes, antitoxins, and other critical medical supplies. As its website states:

"The Strategic National Stockpile's role is to supplement state and local supplies during public health emergencies. Many states have products stockpiled, as well. The supplies, medicines, and devices for life-saving care contained in the stockpile can be used as a short-term stopgap buffer when the immediate supply of adequate amounts of these materials may not be immediately available."

COVID-19 pandemic Ongoing pandemic of coronavirus disease 2019

The COVID-19 pandemic is an ongoing global pandemic of coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), declared by the World Health Organization (WHO) in March 2020. The novel virus was identified in Wuhan, China, in December 2019; a lockdown in Wuhan and other cities in Hubei province failed to contain the outbreak, and it spread to other parts of mainland China and around the world. The WHO declared the outbreak a Public Health Emergency of International Concern on 30 January 2020, and later a pandemic on 11 March 2020. Since 2021, variants of the virus have resulted in further waves in several countries, with the Delta, Alpha and Beta variants being the most virulent. As of 22 July 2021, more than 192 million cases have been confirmed, with more than 4.12 million confirmed deaths attributed to COVID-19, making it one of the deadliest pandemics in history.

COVID-19 misinformation False or misleading information about COVID-19

The COVID-19 pandemic has resulted in misinformation and conspiracy theories about the scale of the pandemic and the origin, prevention, diagnosis, and treatment of the disease. False information, including intentional disinformation, has been spread through social media, text messaging, and mass media. False information has been propagated by celebrities, politicians, and other prominent public figures. Multiple countries have passed laws against "fake news", and thousands of people have been arrested for spreading coronavirus disease 2019 misinformation. The spread of COVID-19 misinformation by governments has also been significant.

COVID-19 pandemic in the United States Ongoing COVID-19 viral pandemic in the United States

The COVID-19 pandemic in the United States is part of the worldwide pandemic of coronavirus disease 2019. More than 34.2 million confirmed cases have been reported since January 2020, resulting in more than 609,000 deaths, the most of any country, and the twenty-first-highest per capita worldwide. As many infections have gone undetected, the Centers for Disease Control estimated that, as of March 2021, there are a total 114.6 million infections in the United States, or more than a third of the total population. The U.S. has about one-fifth of the world's confirmed cases and deaths. COVID-19 became the third-leading cause of death in the U.S. in 2020, behind heart disease and cancer. U.S. life expectancy dropped 3 years for Hispanic Americans, 2.9 years for African Americans, and 1.2 years for white Americans from 2019 to 2020.

COVID-19 pandemic in California Ongoing COVID-19 viral pandemic in California, United States

Ten of the first twenty confirmed COVID-19 cases in the United States occurred in California, the first of which was confirmed on January 26, 2020. All of the early confirmed cases were persons who had recently travelled to China, as testing was restricted to this group. On January 29, 2020, as disease containment protocols were still being developed, the U.S. Department of State evacuated 195 persons from Wuhan, China aboard a chartered flight to March Air Reserve Base in Riverside County, and in the process may have contributed to spread within the state and the US at large. On February 5, 2020, the U.S. evacuated 345 more citizens from Hubei Province to two military bases in California, Travis Air Force Base in Solano County and Marine Corps Air Station Miramar, San Diego, where they were quarantined for 14 days. A state of emergency was declared in the state on March 4, 2020 and as of February 24, 2021 remains in effect. A mandatory statewide stay-at-home order was issued on March 19, 2020 that was ended on January 25, 2021. On April 6, 2021, the state announced plans to fully reopen the economy by June 15, 2021.

The following is a timeline of the COVID-19 pandemic in the United States during 2020.

Shortages of medical materials, manufacturing and consumer goods caused by the COVID-19 pandemic quickly became a major issue worldwide, as did interruptions to the global supply chain, which has challenged supply chain resilience across the globe. Shortages of personal protective equipment, such as medical masks and gloves, face shields, and sanitizing products, along with hospital beds, ICU beds, oxygen therapy equipment, ventilators, and ECMO devices were reported in most countries.

Responses to the COVID-19 pandemic in April 2020 Sequence of major events in a virus pandemic

This article documents the chronology of the response to the COVID-19 pandemic in April 2020, which originated in Wuhan, China in December 2019. Some developments may become known or fully understood only in retrospect. Reporting on this pandemic began in December 2019.

World Health Organizations response to the COVID-19 pandemic Overview of the response to the COVID-19 pandemic by the World Health Organization

The World Health Organization is a leading organization involved in the global coordination for mitigating the COVID-19 pandemic, within the broader United Nations response to the pandemic caused by the emergence of severe acute respiratory syndrome coronavirus 2 in late 2019.

Planning and preparing for pandemics has happened in countries and international organizations. The World Health Organization writes recommendations and guidelines, though there is no sustained mechanism to review countries' preparedness for epidemics and their rapid response abilities. National action depends on national governments. In 2005–2006, prior to the 2009 swine flu pandemic and during the decade following it, the governments in the United States, France, UK, and others managed strategic health equipment stocks, but they often reduced stocks after the 2009 pandemic in order to reduce costs.

Megan Ranney emergency physician

Megan L. Ranney is an American emergency physician who works at the Rhode Island Hospital and is an associate professor at Brown University. During the COVID-19 pandemic, Ranney brought public attention to the deficit of protective equipment for United States frontline workers. She launched the grassroots organization #GetUsPPE to collect, create and distribute personal protective equipment around the United States.

Face masks during the COVID-19 pandemic Use of face coverings during the COVID-19 pandemic

During the COVID-19 pandemic, face masks, such as surgical masks and cloth masks, have been employed as a public and personal health control measure against the spread of SARS-CoV-2. In both community and healthcare settings, their use is intended as source control to limit transmission of the virus and personal protection to prevent infection. Their function for source control is emphasized in community settings.

Trump administration communication during the COVID-19 pandemic Aspect of 2020 viral outbreak

The Donald Trump administration communicated in various ways during the COVID-19 pandemic in the United States, including via social media, interviews, and press conferences with the White House Coronavirus Task Force. Opinion polling conducted in mid-April 2020 indicated that less than half of Americans trusted health information provided by Trump and that they were more inclined to trust local government officials, state government officials, the Centers for Disease Control and Prevention (CDC), and National Institute of Allergy and Infectious Diseases director Dr. Anthony Fauci.

Operation Warp Speed American public–private partnership designed to accelerate COVID-19 vaccine development

Operation Warp Speed (OWS) was a public–private partnership initiated by the United States government to facilitate and accelerate the development, manufacturing, and distribution of COVID-19 vaccines, therapeutics, and diagnostics. The first news report of Operation Warp Speed was on April 29, 2020, and the program was officially announced on May 15, 2020. It was headed by Moncef Slaoui from May 2020 to January 2021 and by David A. Kessler from January to February 2021. At the end of February 2021, Operation Warp Speed was transferred into the responsibilities of the White House COVID-19 Response Team.

There is no specific, effective treatment or cure for coronavirus disease 2019 (COVID-19), the disease caused by the SARS-CoV-2 virus. Thus, the cornerstone of management of COVID-19 is supportive care, which includes treatment to relieve symptoms, fluid therapy, oxygen support and prone positioning as needed, and medications or devices to support other affected vital organs.

Face masks during the COVID-19 pandemic in the United States Use of face coverings during the Coronavirus pandemic in the United States

The wearing of non-medical face masks in public to lessen transmission of COVID-19 in the United States was first recommended by the CDC on April 3, 2020 as supplemental to hygiene and appropriate social distancing. Over the course of the pandemic, various states, counties, and municipalities have issued health orders requiring the wearing of non-medical face coverings — such as cloth masks — in spaces and/or businesses accessible to the public, especially when physical distancing is not possible. Some areas only mandated their use by public-facing employees of businesses at first, before extending them to the general public.

U.S. federal government response to the COVID-19 pandemic Actions by the U.S. federal government regarding the COVID-19 pandemic

The federal government of the United States initially responded to the COVID-19 pandemic in the country with various declarations of emergency, some of which led to travel and entry restrictions, and the formation of the White House Coronavirus Task Force. As the pandemic progressed in the U.S. and throughout the rest of the world, the U.S. government began issuing recommendations regarding the response by state and local governments, as well as social distancing measures and workplace hazard controls. State governments play a primary role in adopting policies to address the pandemic. Following the closure of most businesses throughout a number of U.S. states, President Donald Trump announced the mobilization of the National Guard in the most affected areas.

International aid related to the COVID-19 pandemic Wikipedia list article

Due to its severity, the COVID-19 pandemic has caused countries to send aid, as part of the international responses and management regarding the pandemic. Types of materials aided includes masks, medical supplies, personal protective equipment, money, and test kits. It started with aid to China as the virus spreads primarily there, and then internationally as it spreads globally. The destination of the aid ranges from hospitals, COVID-19 healthcare workers, research on the vaccine, to societies vulnerable. People donating includes the government of said country, notable people, organizations and institutions, charities, as well as regular people.

COVID-19 misinformation by the United States Disinformation about the COVID-19 pandemic propagated by officials of the U.S. government

Misinformation related to the COVID-19 pandemic by the United States consists of disinformation about the COVID-19 pandemic propagated by officials of the United States government. The Trump administration in particular made a large number of misleading statements about the pandemic. A Cornell University study found that U.S. President Donald Trump was "likely the largest driver" of the COVID-19 misinformation infodemic in English-language media, downplaying the virus and promoting unapproved drugs. Others have also been accused of spreading misinformation, including U.S. Secretary of State Mike Pompeo, backing conspiracy theories regarding the origin of the virus, U.S. senators and New York City mayor Bill de Blasio, who downplayed the virus.

The following is a timeline of the COVID-19 pandemic in Ghana during 2021.

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