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US mask debate continues amid spike in cases, packed hospitals

A baseball team's season suspended. A shortage of hospital beds in southern states. An uptick in coronavirus cases in the Midwest. Why several U.S. governors are resisting calls to require masks in their states.

By Amy Forliti, Leah Willingham, and Heather Hollingsworth , Associated Press
Jackson, Miss.; Minneapolis; and Mission, Kan.

The baseball season descended deeper into crisis Tuesday, states like Mississippi and South Carolina cast about for more hospital beds, and governors in some of the hardest-hit places staunchly resisted calls to require masks, despite confirmed cases of the coronavirus soaring.

Major League Baseball聽suspended the Miami Marlins鈥 season聽through Sunday because of an outbreak that has spread to at least 15 of the team's players, and a series of games this week between the New York Yankees and Philadelphia Phillies was called off as a precaution.

States like Florida, Arizona, and Texas are in dire condition, and the virus also has been spreading farther north in recent days, causing alarm among public health officials who fear states are not doing enough to avoid catastrophic outbreaks like those in the Sun Belt.

鈥淲e are watching very carefully California, Arizona, Texas, and most of Florida," President Donald聽Trump said at a news conference. 鈥淚t鈥檚 starting to head down to the right direction."

Florida, however, reported another one-day high for COVID-19 deaths, with 191, while Arizona recorded 104, and Arkansas had a daily record of 20.

While the White House has begun to feel cautiously optimistic that the resurgence has begun to stabilize in parts of the Southwest, fears are growing about the potential for a significant uptick in the Midwest, including Minnesota, Wisconsin, Ohio, Indiana, and Colorado, according to a Trump administration official who wasn鈥檛 authorized to publicly discuss private conversations.

It's fueled largely by a rise in cases among young adults, who have been hitting聽bars, restaurants, and health clubs聽again.

Over the past two weeks, Wisconsin's rolling average number of new confirmed cases has increased by 31%. Minnesota reported its largest one-day case count Sunday, with more than 860 cases.

The virus is blamed for over 4.3 million confirmed infections and about 150,000 deaths in the United States, according to the tally kept by Johns Hopkins University. Globally, more than 16.5 million people have been infected, and more than 655,000 have died. The numbers are thought to be higher because of limits on testing.

Republican governors in Tennessee, Mississippi, Missouri, and South Carolina have all resisted calls to close bars and gyms or issue statewide聽mask requirements, though local officials have imposed some of their own restrictions.

鈥淢y reaction is that I鈥檓 disturbed. I鈥檓 disturbed by it,鈥 said Dr. Anthony Fauci, the nation's top infectious-diseases expert. Those two efforts and other best practices would help 鈥減revent the resurgence that we鈥檝e seen in some of the other Southern states.鈥

In Mississippi, nine of the state鈥檚 biggest hospitals had no open intensive care beds as of Monday, and officials are considering opening pop-up facilities. More than 24% of coronavirus tests have come back positive in Mississippi over the past week, the highest rate in the nation and triple the national average.

Republican Gov. Tate Reeves has gone so far as to argue that because mask-wearing has become political, a statewide mandate could actually discourage people from covering their faces. Instead, he is requiring masks only in the most seriously stricken counties.

Terry Sullivan, general manager of Fondren Fitness in Jackson, said a statewide requirement would be 鈥渢he right thing to do.鈥

鈥淚 know it鈥檚 a hot topic, but if we can all just wear masks and really do right for a month, it would help a lot to try and slow this down in Mississippi,鈥 he said. 鈥淚f we don鈥檛, it鈥檚 not going to slow down.鈥

In Missouri, larger cities are growing rattled by a spike in cases after the state fully聽reopened. It reported another daily record in cases, with nearly 1,800. St. Louis is curtailing bar hours and reducing restaurant seating capacity starting Friday, and Kansas City may follow suit.

GOP Gov. Mike Parson has repeatedly refused to enact a statewide order requiring masks, citing relatively few cases in most of the state compared with hot spots in bigger cities.

Mr. Parson said last month that he didn鈥檛 believe the governor has personal responsibility for any virus, and compared the illness that has killed over 1,200 people in his state to the flu. He said no one would expect him to take responsibility if someone were involved in an accident on a Missouri road.

The uncertainty has put restaurant owners in a difficult position.

Brian Schmitz, co-owner of The Bellwether and the Polite Society in St. Louis, closed the two restaurants temporarily after a guest expressed concerns Sunday that another diner recently made a social media post about testing positive for COVID-19. Mr. Schmitz said the buildings have been deep-cleaned and he's testing staff before reopening, and it's proving costly.

But "the stakes are higher than money,鈥 he said. 鈥淢oney hurts, don鈥檛 get me wrong. But we all work to live, not the other way around, and this puts that in stark contrast.鈥

In Tennessee, the situation is precarious enough that Dr. Deborah Birx of the White House coronavirus task force traveled to Nashville to implore leaders to close bars and residents to wear masks. But Republican Gov. Bill Lee has vowed he won鈥檛 shut down the economy again.

As of Tuesday, nearly 1,100 people were hospitalized with confirmed cases of COVID-19 in Tennessee, the highest seen there in the past two weeks. Intensive-care units are running at 86% capacity.

Nearly 70% of the state has issued some sort of mask mandate. However, enforcement has varied, with some officials hesitating to issue citations.

In Nashville, the city鈥檚 famous honky tonks have seen large crowds despite a strict 10 p.m. curfew that began last week. Nursing homes in more than 70 counties have been forced to again forbid visitors.

In Oklahoma, Gov. Kevin Stitt returned to his office Monday after two weeks of isolating at home following a positive coronavirus test. It came on the same day the state reported over 1,400 new confirmed cases 鈥 the second consecutive day of record highs.

Hospitals looked to increase capacity. The Regional Medical Center in Orangeburg, South Carolina, began setting up tents outside for recovering patients.

鈥淲e saw an uptick, and we wanted to be ahead of it,鈥 said Dr. John Samies, the hospital鈥檚 chief of medical staff.

In Georgia, 88% of critical care beds were taken Tuesday, tying the highest level since the pandemic began, though not all critical care patients have COVID-19.

Texas聽Gov. Greg Abbott worried that the virus could spread even further after Hurricane Hanna over the weekend forced people to gather together indoors. The storm pounded the Rio Grande Valley, where hospitals have been overwhelmed.

鈥淲e鈥檙e in a dire situation,鈥 Rio Grande City Mayor Joel Villarreal said. 鈥淚f we continue on the same trajectory, countless more lives will be lost.鈥

In Europe, rising infections in Spain and other countries are聽causing alarm, weeks after nations reopened borders to revive tourism.

鈥淟et鈥檚 be absolutely clear about what鈥檚 happening in Europe, amongst some of our European friends,鈥 British Prime Minister Boris Johnson said. "I鈥檓 afraid you are starting to see in some places the signs of a second wave of the pandemic.鈥

This story was reported by The Associated Press.聽AP reporter Jonathan Lemire in Washington contributed.

Editor鈥檚 note: As a public service, the Monitor has removed the paywall聽for all our coronavirus coverage. It鈥檚 free.