Trump extends virus guidelines, braces US for big death toll

  • FILE - In this March 27, 2020, file photo, a cyclist rides by the US Naval Ship Mercy enters the Port of Los Angeles. The 1,000-bed USNS Mercy (T-AH 19) docked at the Port of Los Angeles accepted its first patients Sunday, March 29 during its support of the nation's COVID-19 response efforts. The new coronavirus causes mild or moderate symptoms for most people, but for some, especially older adults and people with existing health problems, it can cause more severe illness or death. (AP Photo/Mark J. Terrill, File)

  • FILE - In this March 27, 2020, file photo, the US Naval Ship Mercy enters the Port of Los Angeles. The 1,000-bed USNS Mercy (T-AH 19) accepted its first patients in Los Angeles Sunday, March 29, 2020 during its support of the nation's COVID-19 response efforts. The new coronavirus causes mild or moderate symptoms for most people, but for some, especially older adults and people with existing health problems, it can cause more severe illness or death. (AP Photo/Mark J. Terrill, File)

  • President Donald Trump speaks during a coronavirus task force briefing in the Rose Garden of the White House, Sunday, March 29, 2020, in Washington. (AP Photo/Patrick Semansky)

  • President Donald Trump speaks during a coronavirus task force briefing in the Rose Garden of the White House, Sunday, March 29, 2020, in Washington. (AP Photo/Patrick Semansky)

  • President Donald Trump speaks during a coronavirus task force briefing in the Rose Garden of the White House, Sunday, March 29, 2020, in Washington. (AP Photo/Patrick Semansky)

  • President Donald Trump speaks during a coronavirus task force briefing in the Rose Garden of the White House, Sunday, March 29, 2020, in Washington. (AP Photo/Patrick Semansky)

  • President Donald Trump listens during a meeting with supply chain distributors in the Cabinet Room of the White House, Sunday, March 29, 2020, in Washington. (AP Photo/Patrick Semansky)

  • President Donald Trump speaks during a meeting with supply chain distributors in the Cabinet Room of the White House, Sunday, March 29, 2020, in Washington. (AP Photo/Patrick Semansky)

  • President Donald Trump speaks during a meeting with supply chain distributors in the Cabinet Room of the White House, Sunday, March 29, 2020, in Washington. (AP Photo/Patrick Semansky)

  • Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, listens during a briefing about the coronavirus in the James Brady Press Briefing Room, Friday, March 27, 2020, in Washington. (AP Photo/Alex Brandon)

  • House Speaker Nancy Pelosi of Calif., walks to her office after signing the Coronavirus Aid, Relief, and Economic Security (CARES) Act after it passed in the House on Capitol Hill, Friday, March 27, 2020, in Washington. The $2.2 trillion package will head to head to President Donald Trump for his signature. (AP Photo/Andrew Harnik)

  • Dr. Anthony Fauci, left, director of the National Institute of Allergy and Infectious Diseases, walks past President Donald Trump after answering a question during a coronavirus task force briefing in the Rose Garden of the White House, Sunday, March 29, 2020, in Washington. (AP Photo/Patrick Semansky)

  • President Donald Trump listens as Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, speaks during a coronavirus task force briefing in the Rose Garden of the White House, Sunday, in Washington. (AP Photo/Patrick Semansky)

  • Pedestrians, wearing protective face masks as a precaution against the spread of the new coronavirus, walk past a mural in Quito, Ecuador, Saturday, March 28, 2020. The government has declared a health emergency, enacting a curfew and restricting movement to only those who provide basic services. (AP Photo/Dolores Ochoa)

  • Health workers conduct a COVID-19 test for people at KPJ Damansara Specialist Hospital, in Petaling Jaya, Malaysia, this morning. (AP Photo/Vincent Thian)

WASHINGTON — Bracing the nation for a death toll that could exceed 100,000 people, President Donald J. Trump on Sunday extended restrictive social distancing guidelines through April, bowing to public-health experts who presented him with even more dire projections for the expanding coronavirus pandemic.

It was a stark shift in tone by the president, who only days ago mused about the country reopening in a few weeks. From the Rose Garden, he said his Easter revival hopes had only been “aspirational.”

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The initial 15-day period of social distancing urged by the federal government expires Monday and Trump had expressed interest in relaxing the national guidelines at least in parts of the country less afflicted by the pandemic. He instead decided to extend them through April 30, a tacit acknowledgment he’d been too optimistic. Many states and local governments have stiffer controls in place on mobility and gatherings.

Trump’s impulse to reopen the country met a sober reality check Sunday from Dr. Anthony Fauci, the government’s top infectious disease expert, who said the U.S. could experience more than 100,000 deaths and millions of infections from the pandemic. That warning hardened a recognition in Washington that the struggle against the coronavirus will not be resolved quickly even as Trump expressed a longing for normalcy.

“I want our life back again,” the president told reporters.

Trump, who has largely avoided talk of potential death and infection rates, cited projection models that said potentially 2.2 million people or more could have died had social distancing measures not been put in place. And he said the country would be doing well if it “can hold” the number of deaths “down to 100,000.” He said the best case for the country would be for the death rate to peak in about two weeks.

“It’s a horrible number,” Trump said, but added, “We all together have done a very good job.”

Brought forward by Trump at the outdoor briefing, Fauci said his projection of a potential 100,000 to 200,000 deaths is “entirely conceivable” if not enough is done to mitigate the crisis. He said that helped shape the extension of the guidelines, which he called “a wise and prudent decision.”

Americans are now being called on to prepare for another 30 days of severe economic and social disruption, as schools and businesses are closed and public life is upended. One in 3 Americans remain under state or local government orders to stay at home to slow the spread of the virus.

Trump acknowledged that he may be forced to extend the guidelines again at the end of April, but expressed hope that by June 1, “we should be well on our way to recovery.”

The federal guidelines recommend against group gatherings larger than 10 and urge older people and anyone with existing health problems to stay home. People are urged to work at home when possible and avoid restaurants, bars, non-essential travel and shopping trips.

For more than a week, Trump had been bombarded by calls from outside business leaders who urged him to begin re-opening the nation’s economy and warned of catastrophic consequences that could damage his re-election chances if it remained shuttered for much longer.

“The president is right. The cure can’t be worse than the disease, and we’re going to have to make some difficult trade-offs,” Trump’s top economic adviser Larry Kudlow had said last Monday, reflecting the thinking of his economic team.

That talk alarmed health experts, who urged Trump to keep encouraging people to stay home. The virus was still spreading, with the peak still weeks away, the experts warned.

In the end, Trump, in the face of dire projections and increasingly alarming images out of New York, sided with his health experts and backed off the idea of loosening recommended restrictions on less impacted parts of the country.

“They’re the best in the profession and they didn’t like that idea,” he said of Fauci and Dr. Deborah Birx, head of the White House coronavirus task force.

Phasing out the recommendations would have been a symbolic nod to business and an affront to public health experts, but may have had little practical impact. States across the country already have their own restrictions in place that, in many cases, are far stricter than the administration’s, and those would have remained in place.

Birx and Fauci said even those areas yet to face a significant outbreak must prepare for the eventuality that they will.

“This can happen anywhere,” Fauci said. “And that’s really one of the issues that we’re concerned about and why we were so reluctant to pull back at a time when we need to put our foot on the gas as opposed to on the brake.”

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The U.S. had more than 139,000 COVID-19 cases reported by Sunday evening, with more than 2,400 deaths. During the course of the Rose Garden briefing, reported deaths grew by several dozen and the number of cases by several thousand.

Most people who contract COVID-19 have mild or moderate symptoms, which can include fever and cough but also milder cases of pneumonia, sometimes requiring hospitalization. The risk of death is greater for older adults and people with other health problems. Hospitals in the most afflicted areas are straining to handle patients and some are short of critical supplies.

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