Data is expected to show millions more unemployment claims; experts warn of a long struggle ahead.
The cautions came from all corners but pointed in one direction: The struggle against the virus would be long and the economic consequences lasting.
The Federal Reserve chairman, Jerome H. Powell, said the United States was experiencing an economic hit “without modern precedent,” one that could permanently damage the economy if Congress and the White House do not provide sufficient financial support to prevent a wave of bankruptcies and prolonged joblessness.
The World Health Organization cautioned that the virus might linger for a long time. “It is important to put this on the table: This virus may become just another endemic virus in our communities, and this virus may never go away,” said Mike Ryan, the head of the W.H.O. emergency response team.
“I think we better be careful, if we are not cavalier, in thinking that children are completely immune to the deleterious effects,” Dr. Fauci said. “Children in general do much, much better than adults and the elderly and particularly those with underlying conditions. But I am very careful and hopefully humble in knowing that I don’t know everything about this disease. And that’s why I’m very reserved in making broad predictions.”
“Our window of opportunity is closing,” Dr. Bright, who was fired from his job as director of the Biomedical Advanced Research and Development Authority, wrote in advance testimony. “If we fail to develop a national coordinated response, based in science, I fear the pandemic will get far worse and be prolonged, causing unprecedented illness and fatalities.”
The warnings, like so many aspects of the response to the crisis in America, were quickly swept up in dysfunctional political discourse and variously disputed, distorted or dismissed — including by President Trump himself.
The president, whose administration is forecasting a rapid economic rebound as it pushes states to ease restrictions on public life, pressed to reopen the country’s schools and criticized Dr. Fauci’s testimony.
“I was surprised by his answer,” Mr. Trump told reporters when asked about the testimony of the government’s leading public health expert. “To me it’s not an acceptable answer, especially when it comes to schools.”
“Just because the Supreme Court says it’s okay to open,” the governor, Tony Evers, wrote on Twitter, “doesn’t mean that science does.”
The plea to residents reflected the sense of frustration expressed by Mr. Evers and others supportive of his stay-at-home order after a 4-3 ruling by the conservative-dominated Wisconsin Supreme Court rejected his extension of restrictions. In doing so, the court sided with Republican legislators who are part of a growing nationwide effort to use the courts to overturn restrictions imposed as part of the effort to slow the spread of the coronavirus.
Mr. Evers had extended the prohibition on most travel and operations of nonessential businesses until May 26. But the court ruled that Wisconsin’s top health official had not followed the proper process in setting the strict limits for residents. Within hours of the ruling, some taverns were making plans for reopening, the governor’s office said.
“This turns the state to chaos,” Mr. Evers said in an interview.
Hours later, in a series of posts on Twitter, he tried to make the case that the restrictions in place over the last few weeks were still in the state’s best interests, and that people should continue to abide by them.
When Jamie Williams decided to reopen her East Texas tattoo studio last week in defiance of the state’s coronavirus restrictions, she asked Philip Archibald for help. He showed up with his dog Zeus, his friends and his AR-15 semiautomatic rifle.
Mr. Archibald established an armed perimeter in the parking lot outside Crash-N-Burn Tattoo, secured by five men with military-style rifles, tactical shotguns, camouflage vests and walkie-talkies. One of them already had a large tattoo of his own. “We the People,” it said.
“I think it should be a business’s right if they want to close or open,” said Mr. Archibald, a 29-year-old online fitness trainer from the Dallas area who lately has made it his personal mission to help Texas business owners challenge government orders to keep their doors shut during the coronavirus pandemic. “What is coming to arrest a person who is opening their business according to their constitutional rights? That’s confrontation.”
While Gov. Greg Abbott this month allowed a wide range of malls, restaurants and other businesses to reopen after a coronavirus lockdown, bars, salons, tattoo parlors and other enterprises where social distancing is more difficult were ordered to remain closed for a longer period.
The showy displays of local firepower are creating a dilemma for the authorities, who face public demands for enforcement of social-distancing guidelines, but also strong pushback from conservatives in some parts of the state who are convinced that the restrictions go too far.
In the chaotic days of late March, as it became clear that New York was facing a catastrophic outbreak of the coronavirus, aides to Gov. Andrew M. Cuomo quietly inserted a provision on Page 347 of New York’s final, voluminous budget bill.
Many lawmakers were unaware of the language when they approved the budget a few days later. But it provided unusual legal protections for an influential industry that has been devastated by the crisis: nursing home operators.
The measure, lobbied for by industry representatives, shielded nursing homes from many lawsuits over their failure to protect residents from death or sickness caused by the coronavirus.
Now, weeks later, more than 5,300 residents of nursing homes in New York are believed to have died from the outbreak, and their relatives are finding that because of the provision, they may not be able to pursue legal action against the homes’ operators over allegations of neglect. New York is one of at least 15 states that have granted some form of legal protection to nursing homes and other health care facilities since the beginning of the pandemic.
“They can’t just shrug their shoulders and say, ‘It’s a pandemic,’” said Vivian Rivera-Zayas, who plans to sue the Long Island nursing home that, she said, waited until her mother, who had tested positive for Covid-19, was gasping for breath with a collapsed lung before transferring her to a hospital next door. “There has to be accountability.”
As concerns mount over children afflicted with a potentially deadly inflammatory condition, a new study shed light on the condition’s distinctive characteristics and provided the strongest evidence yet that the syndrome is linked to coronavirus.
In the new study, published on Wednesday in the journal Lancet, doctors in Italy compared a series of 10 cases of the illness with cases of a similar rare condition in children called Kawasaki disease.
The authors found that over the five years before the coronavirus pandemic — January 2015 to mid-February 2020 — 19 children with Kawasaki disease were treated at Hospital Papa Giovanni XXIII in the province of Bergamo, which has an advanced pediatric department.
But during the two months from Feb. 18 to April 20 alone, the hospital, located at the center of Italy’s coronavirus outbreak, treated 10 children with similar hyper-inflammatory symptoms. Eight of them tested positive for coronavirus antibodies.
Ten cases in two months — a much higher rate of incidence than Kawasaki disease cases, which occurred at a pace of about one every three months — suggests a cluster that is driven by the coronavirus pandemic, especially since overall hospital admissions during this time were much lower than usual, the authors said.
None of the 10 children died, but their symptoms were more severe than those experienced by the children with Kawasaki disease. They were much more likely to have heart complications, and five of them exhibited shock, which did not occur in any of the Kawasaki disease cases. They had lower counts of platelets and a type of white blood cell, typical of Covid-19 patients defending against the infection. And more of the children with the new syndrome needed treatment with steroids in addition to the immunoglobulin treatment that both they and the Kawasaki patients received.
Children who do not have the inflammatory syndrome can also become seriously ill, with respiratory problems.
Another new study paints the most detailed picture yet of American children who were treated in intensive care units throughout the United States as the pandemic was taking hold.
None of the children in the study, published Monday in the journal JAMA Pediatrics, were stricken by the new mysterious inflammatory syndrome. They suffered from the virus’s primary line of attack: the severe respiratory problems that have afflicted tens of thousands of American adults.
The study looked at 48 cases from 14 hospitals, in patients up to age 21, during late March and early April. Two of them died. Eighteen were placed on ventilators and two of them remain on the breathing machines more than a month later, said Dr. Lara S. Shekerdemian, chief of critical care at Texas Children’s Hospital and an author of the study.
Over all, the study both reinforces the evidence that only a small percentage of children will be severely affected by the virus and confirms that some can become devastatingly ill.
Fall will be quiet this year at San Diego State University. No big lecture classes. No parking lots packed with commuting students. No campus hubbub around Greek life.
But 20 minutes up the freeway at the University of California, San Diego, things could look very different, with tens of thousands of students streaming back to campus, if only to single dorm rooms and socially distanced classrooms.
Across the country this fall, college life is likely to vary from campus to campus — a patchwork that mirrors what is happening in states and communities, as some move toward widespread reopening and others keep their economies mostly closed.
Like the rest of the country, colleges face formidable risks, both human and economic. Students and faculty members must be kept safe and healthy, but so must a segment of the economy that employs nearly four million people and operates as the nation’s predominant social mobility engine.
Higher education experts said the decision on whether to hold in-person classes in the fall would most likely depend on a number of factors, including the type of institution, location, the size of the student body and funding.
“I think we are going to see a lot of variation,” said Laura W. Perna, a professor at the Graduate School of Education at the University of Pennsylvania.
When is it safe to go back to the gym?
After a forced period of inactivity, many are wondering whether it is wise to return to the exercise bikes, weights and treadmills. By their very nature, public athletic facilities tend to be breeding grounds for germs, but there are things you can do to mitigate the risk of infection if you want to get a workout in.
‘I have given up.’ Readers share their stories of parenting in quarantine.
What does parenting burnout look like during a pandemic? After a column by Farhad Manjoo on the subject, thousands of readers told us about their “new normal.” For many, excessive screen time was the least of their worries.
“Our goal is to survive,” one reader from California said. “No divorce, no getting fired and no children running away from home. If we can do that, I’ll consider us a success story.”
“My house is in shambles,” wrote another. “When I have to do work meetings I point the camera to the highest point possible to hide the chaos on the floor.”
“The threat of the virus,” said a third, “seems minuscule compared to our mental and physical exhaustion.”
Global updates from Times correspondents around the world.
A commercial extolling Chinese youth, showed online and on state-run television, provoked an immediate nationwide backlash.
Reporting was contributed by Pam Belluck, Marc Santora, Manny Fernandez, David Montgomery, Kim Barker, Karen Barrow, Amy Julia Harris, Rachel L. Harris, Shawn Hubler, Jesse McKinley, Lisa Tarchak, Neil Vigdor.