In the past month, the U.S. has seen:

šŸ“ˆ More than a million new infections
šŸ“ˆ More than 30,000 people hospitalized

The recent spike in Covid-19 infections has mercifully been accompanied by a declining death count https://trib.al/gftrYsK 
Thankfully, much has been learned about how to treat Covid-19.

Even though death is a lagging indicator, and the numbers are likely to catch up to some degree, thereā€™s reason to hope that the lag could now be longer and slower than it was in the spring https://trib.al/gftrYsK 
But a lower death count is no justification for states to reopen their economies without caution.

It also isnā€™t a reason to suggest, as the White House appears to be doing, that Americans should just get used to living with Covid-19 https://trib.al/gftrYsK 
Why do fatalities lag behind cases? Covid-19 is a rather slow-going illness. It takes time to:

ā³Develop an infection
ā³Require hospitalization
āŒ›ļøHave an acute infection result in death https://trib.al/gftrYsK 
Also, deaths arenā€™t always reported in a timely manner, so you can see why fatalities are slow to rise and fall.

Note that at the moment, the U.S. is less than a month into a sustained increase in cases https://trib.al/gftrYsK 
Death tolls are rising in hot-spot states such as:

ā†—ļøArizona
ā†—ļøFlorida
ā†—ļøTexas

But those deaths have been balanced so far by declining figures in initially hard-hit states https://trib.al/gftrYsK 
California is an unusual case.

Its case numbers are rising, yet its death count is still flat. This may be evidence that fewer of those people most likely to die from Covid-19 are now contracting the virus https://trib.al/gftrYsK 
This possibility is reinforced by data from several other states showing that Covid cases are skewing younger.

Such an age shift means that more people arriving at the hospital have a better chance of surviving https://trib.al/gftrYsK 
Because hospitals are less crowded, patients of all ages are getting better treatment. Advanced care is also helping people recover from severe illness:

āž”ļøRemdesivir
āž”ļøDexamethasone (a steroid)
āž”ļøProning (having patients lie on their stomachs) https://trib.al/gftrYsK 
But a lower average death count ā€” say, 500 a day ā€” is still tragic.

If the U.S. continues to add 50,000-plus new cases a day, the number of deaths will rise. Rampant case growth will inevitably breach measures that lead to better outcomes https://trib.al/gftrYsK 
If current trends continue, the virus will inevitably spread to more older Americans.

As hospitals in hot spots fill up, the crowding will lead to more deaths ā€” from Covid-19 as well as other illnesses for which people cannot get care https://trib.al/gftrYsK 
Death isnā€™t the only concern raised by rising infection rates. Covid-19 may also cause significant harm to those who survive:

šŸ«€Long-lasting organ damage
šŸ«Weakening from ventilators

These painful consequences are not included in the data we see https://trib.al/gftrYsK 
Covid patients probably have a better chance of survival now than they did in March.

But thatā€™s no reason to allow infections to keep soaring https://trib.al/gftrYsK 
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