US coronavirus: States expand mask mandates and social restrictions as Covid-19 hospitalizations reach new high
More than a dozen states have announced a variety of new rules in recent days — some requiring face covering, and others limiting gatherings and business occupancies or even generally asking people to stay home.
“How do I feel about masks? Well, I don’t like them. I don’t want to wear them. … But more than anything, I want us to get more control, more control over this terrible virus that is just eating us alive. I want us to absolutely wear a mask,” Justice said Monday.
The US average for daily cases across a week hit a record for the pandemic Monday, at over 155,000. Monday’s one-day total was over 166,000 — the country’s third-highest one-day total, Johns Hopkins University data show.
The daily average number of Covid-19 deaths reported across a week was at 1,145 on Monday — the country’s highest since May 24.
Across the nation, hospitals are filling up.
In St. Louis, officials announced modeling data suggesting ICU capacity could run out around the first week of December if current rates continue.
The Regional Health Services of Howard County, Iowa, serves as hospital, ambulance service, the public health department and hospice care for the entire county, and doctors there say that if there’s a surge, there’s nowhere to send critically ill patients, because larger facilities are full, too.
“The biggest concern in the last week is that when we call and ask them to help to take care of our patients who are maybe sicker than we’re used to taking care of, they don’t have beds for us, and that’s where the strain really comes on,” said Dr. Jon Kammerer, a physician with the health services.
As some state governments respond with new rules, some medical experts say it’s almost inconceivable that all states aren’t on the same page with at least one strategy.
“We need every single state in this country to have a mask mandate,” Dr. Carlos del Rio, executive associate dean of Georgia’s Emory University School of Medicine, told CNN on Tuesday. “For thousands of people dying every day … we cannot wait for a vaccine.”
Recent vaccine developments should encourage people to “hang in there a bit longer and double down on the public health measures without necessarily shutting down the country,” Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, told CNN.
That should include uniform mask wearing; avoiding crowds, especially indoors; washing hands, and doing as many things as possible outdoors instead of indoors, he said.
“I just can’t understand why there’s pushback against that. They’re not difficult to do, and they save lives,” Fauci said.
States’ new rules are piling up
States issuing new coronavirus mandates or restrictions this month include:
The state’s face covering mandate is being strengthened to require residents to wear a mask whenever they are outside of their homes, with few exceptions.
Iowa: Gov. Kim Reynolds issued a basket of new orders running from Tuesday through December 10, including a requirement that people in indoor public spaces must wear masks if they’re unable to socially distance for 15 minutes or longer. Also, “restaurants, bars, bowling alleys, arcades, pool halls, bingo halls, and indoor playgrounds are required to close at 10 p.m. and cannot host private gatherings of more than 15 people,” the governor’s office said.
Indoor social, community, business and leisure gatherings or events are limited to 15 people, and outdoor gatherings are limited to 30. This includes wedding and funeral receptions, family gatherings and conventions, the governor’s office said.
Maryland: Gov. Larry Hogan announced new restrictions Tuesday, including a 10 p.m. closure for bars and restaurants throughout the state, a 50% capacity limit for retail businesses and religious facilities, and a ban on fans at racetracks and stadiums. The measures go into effect Friday.
Michigan: The governor on Sunday announced a “three-week pause targeting indoor social gatherings and other group activities.” During these three weeks, casinos, movie theaters and group exercise classes will be closed, and high schools and colleges must stop in-person classes. Bars and restaurants will be open only for outdoor dining, carry-out and delivery.
Montana: Gov. Steve Bullock on Tuesday announced a statewide mask mandate that goes into effect Friday, along with other measures. Restaurants, bars, breweries, distilleries and casinos will be limited to 50% capacity and required to close by 10 p.m. Public gatherings where social distancing isn’t possible will be limited to 25 people.
New Jersey: Indoor gathering limits will be reduced from 25 people to 10, and limits for outdoor gatherings will be reduced from 500 people to 150, Gov. Phil Murphy told MSNBC.
New Mexico: A statewide order closing in-person services for all nonessential activities is in effect through November 30, the governor’s office said. “New Mexicans are instructed to stay at home except for only those trips that are essential to health, safety and welfare — such as for food and water, emergency medical care, to obtain a flu shot or to obtain a test for Covid-19,” the governor’s office said. Restaurants are allowed to offer curbside pickup and delivery services.
North Dakota: Face coverings must be worn in indoor businesses and indoor public settings — as well as in outdoor public settings where physical distancing isn’t possible — from Saturday through December 13, the governor’s office said.
DeWine on Tuesday announced a statewide curfew from 10 p.m. to 5 a.m. starting Thursday and in effect for 21 days. It includes closing all retail businesses during those times and asking everyone to be home by 10 p.m.
Utah: The state last week ordered people to wear masks in public when they are within 6 feet of anyone they don’t live with. That order is in place indefinitely. The state also ordered a limit of social gatherings to households only, and postponed all school extracurricular activities, sports and clubs, from November 9 to November 23.
Indoor social gatherings with people from outside the home are also prohibited, unless participants quarantine for 14 days prior, or quarantine for seven days before the gathering and receive a negative Covid-19 test result no more than 48 hours prior.
Preparing for a vaccine
An advisory committee to the US Centers for Disease Control and Prevention is scheduled to meet next week to decided who will get the vaccine first, a longtime member of the committee said.
Members of the Advisory Committee on Immunization Practices received notice last week that they’ll meet November 23 for five hours, according to committee member Dr. William Schaffner.
Among the first to be vaccinated will likely be health care workers and essential workers, as well as people over age 65 and people with existing health conditions. The question is what order those groups should come in, Schaffner said.
“Health care workers are baked in — that’s the first thing to happen, no doubt about that,” he said. But after that, committee members will need to define what underlying conditions would merit getting a vaccine early on and what defines “essential workers” — a group that could include everyone from police officers to supermarket clerks.
And even once a vaccine is approved and more doses become available, it will be months before the US returns to anything resembling normalcy.
“There’s not going to be one day when, you know, the light switch is going to go on and everybody is going be immune,” former FDA Commissioner Dr. Mark McClellan told CNN. “But we should do a gradually better and better job of containing spread, of avoiding hospitalizations and moving beyond the pandemic in the months to come.”
“But we have got a couple of tough months to get through first,” he added.
CNN’s Andy Rose, Raja Razek, Gisela Crespo, Naomi Thomas, Jonathan Kubiak, Lauren Mascarenhas, Elizabeth Cohen, Kelly Christ, Kay Jones and Rashard Rose contributed to this report.