Virus deaths approach April 15 record amid changing U.S. crisis

On April 15, the United States reached a grim nadir in the pandemic: 2,752 people across the country were reported to have died from COVID-19 that Wednesday, more than on any day before or since.

For months, the record stood as a reminder of the pain the coronavirus was inflicting on the nation, and a warning of its deadly potential. But now, after seven desperate months trying to contain the virus, daily deaths are rising sharply and fast approaching that dreadful count again.

How the virus kills in America, though, has changed in profound ways.

Months of suffering have provided a horrific but valuable education: Doctors and nurses know better how to treat patients who contract the virus and how to prevent severe cases from ending in death, and a far smaller proportion of people who catch the virus are dying from it than in the spring, experts say.

Yet the sheer breadth of the current outbreak means that the cost in lives lost every day is still climbing, straining hospitals across much of the country, including in many states that had seemed to avoid the worst of the pandemic. More than 1.1 million people tested positive in the past week alone.

At the peak of the spring wave in April, about 31,000 new cases were announced each day, though that was a vast undercount because testing capacity was extremely limited. Still, the toll of the virus was an abstraction for many Americans because deaths were concentrated in a handful of states like New York, New Jersey and Louisiana.

Now the deaths are scattered widely across the entire nation, and there is hardly a community that has not been affected. On Wednesday, when 2,300 deaths were reported nationwide — the highest toll since May — only three counties reported a toll of more than 20.

On April 15, more than half of the people who died were in just three states: New York, New Jersey and Connecticut. Michigan, Massachusetts, Maryland and California also each reported more than 100 deaths that day.

But in much of the country, the spring looked far different.

In Oklahoma City, Lizanne Jennings, an ICU nurse, was part of a team in her hospital that was planning for the onslaught of sickness they were hearing about in places like Italy and New York City. The staff was counting beds and calculating how many people they might be able to fit in the units.

"It was just always a sense of 'it's coming, it's coming,' " Jennings said, describing it as "pre-traumatic shock syndrome."

In March, Jennings remembered sitting after work one day with her husband, Dennis Davis, a machinist and former bodybuilder.

New York City alone recorded hundreds of deaths on April 15, underscoring its unique role in that spring surge.

The emergency began to subside in the city as summer began, but not before the virus had killed more than 20,000 people and infected, by one estimate, more than a fifth of New York City's population.

Now daily case counts around New York City have begun ticking up again, with an average of 6,600 each day in the metro area, a fivefold increase from the start of October. Still, the surge has so far been nothing like the one in the spring.

Patrick Kearns, a funeral director in Queens, who in the spring regularly had to transport bodies to a crematory in Schenectady, N.Y., nearly three hours away, has noticed a two- or three-day backlog forming again at the city's crematories. He has called the crematory in Schenectady, he said, to let them know he may be returning in the weeks ahead.

"We are at risk of repeating what happened in April," Michael Osterholm, director of the Center for Infectious Disease Research and Policy at the University of Minnesota and a member of President-elect Joe Biden's coronavirus task force, said of the death toll.

With an inconsistent and shifting response from government officials, the virus surged in the Sun Belt in the summer, and then began rising steadily through the Midwest and the Great Plains — and then all over in recent weeks. The country reached a peak seven-day average of 176,000 reported cases on Wednesday, and there is reason to fear the worst is still coming. Outbreaks continue to grow in Southern California, West Texas and South Florida.

The Los Angeles County Department of Public Health on Friday called on residents to stay home, barring gatherings both in public and at private homes if people are from different households.

After rising cases has come the new surge of deaths.

Texas and Illinois have reported more than 800 deaths over the past week, while Pennsylvania, Michigan, California and Florida added more than 400 each. In the Upper Midwest, where reports of new cases have started to level off, deaths are still mounting. Nearly 40% of all coronavirus deaths in Wisconsin have been reported since the start of November. In North Dakota, where military nurses have been deployed in hospitals, more than 1 of every 1,000 residents has now died.

The dispersed nature of the catastrophe means it seems invisible in many places. The emergency is too widespread to draw teams of health care workers from other places to help. The sounds of ambulances are heard across many states. Families say their losses have sometimes been overshadowed in communities amid fatigue and impatience after more than eight months of social distancing and economic turmoil.