20,000: US death toll overtakes Italy’s as Midwest braces

CHICAGO (AP) — The U.S. death toll from the coronavirus eclipsed Italy’s for the highest in the world, surpassing 20,000, as Chicago and other cities across the Midwest braced for a potential surge in victims and moved to snuff out smoldering hot spots of contagion before they erupt.

With the New York area still deep in crisis, fear mounted over the spread of the scourge into the nation’s heartland.

Twenty-four residents of an Indiana nursing home hit by COVID-19 have died, while a nursing home in Iowa saw 14 deaths. Chicago’s Cook County has set up a temporary morgue that can take more than 2,000 bodies. And Chicago Mayor Lori Lightfoot has been going around telling groups of people to “break it up.”

In Europe, countries used roadblocks, drones, helicopters, mounted patrols and the threat of fines to keep people from traveling over Easter weekend. With infections and deaths slowing in Italy, Spain and other places on the Continent, governments took tentative steps toward loosening the weeks-long shutdowns.

Glorious weather across Europe posed an extra test of people’s discipline.

“Don’t do silly things,” said Domenico Arcuri, Italy’s special commissioner for the virus emergency. “Don’t go out, continue to behave responsibly as you have done until today, use your head and your sense of responsibility.”

In Japan, health care facilities were getting stretched thin amid a surge in coronavirus patients, with the Japanese Association for Acute Medicine and the Japanese Society for Emergency Medicine warning of a “collapse of emergency medicine.”

Their statement said many hospitals were turning away people, rushed by ambulance, including those suffering strokes, heart attacks and external injuries. Some of those who were turned away later tested positive for the coronavirus.

Masks and surgical gowns were running short, the statement said. Japan has nearly 7,000 coronavirus cases and about 100 deaths, but the numbers are growing. The government has declared a state of emergency, asking people to stay home.

The outbreak’s center of gravity has shifted from China to Europe and the United State s, which now has by far the largest number of confirmed cases — over a half-million — and a death toll higher than Italy’s count of nearly 19,500, according to the tally kept by Johns Hopkins University.

The death rate — the number of dead relative to the population — is still far higher in Italy than in the United States, which has more than five times as many people. And worldwide, the true numbers of dead and infected are believed to be much higher because of testing shortages, different counting practices and concealment by some governments.

About half the deaths in the U.S. are in the New York metropolitan area, where hospitalizations are nevertheless slowing and other indicators suggest lockdowns and social distancing are “flattening the curve” of infections and staving off the doomsday scenarios of just a week or two ago.

New York state on Saturday reported 783 more deaths, for a total of over 8,600. Gov. Andrew Cuomo said the daily number of deaths is stabilizing, “but stabilizing at a horrific rate.”

“What do we do now? We stay the course,” said Cuomo, who like other leaders has warned that relaxing restrictions too soon could enable the virus to come back with a vengeance.

With authorities warning that the crisis in New York is far from over, Mayor Bill de Blasio announced that the city’s 1.1 million-student school system will remain closed for the rest of the academic year. But Cuomo said the decision is up to him, and no such determination has been made.

In the Midwest, pockets of contagion have alarmed state and city leaders and led to stricter enforcement.

Nearly 300 inmates at the Cook County Jail have tested positive for the virus, and two have died. In Wisconsin, health officials expect to see an increase in cases after thousands of people went to the polls Tuesday for the state’s presidential primary.

Michigan’s governor extended a stay-at-home order with new provisions: People with multiple homes may no longer travel between them.

In Kansas, the state Supreme Court heard arguments in a dispute Saturday between Democratic Gov. Laura Kelly and Republican lawmakers who overturned her executive order banning religious services and funerals with more than 10 people. New Mexico’s governor expaned a ban on mass gatherings to include churches and other houses of worship.

An AP tally from media reports and state health departments indicates at least 2,500 deaths have been linked to coronavirus in nursing homes and long-term care facilities across the United States, though the federal government has not been releasing a count of its own.

The Internal Revenue Service said the first economic support payments from a $2.2 trillion rescue package have been deposited in taxpayers’ bank accounts, but it didn’t say how many people received them or how much money has been disbursed so far.

Elsewhere around the world, Italian authorities set up roadblocks around Milan to discourage people from going on Easter weekend trips. British police kept a close watch on gatherings in parks and at the seaside on one of the hottest days of the year. And France deployed some 160,000 police, including officers on horseback who patrolled beaches and parks.

With religious leaders around the globe urging people to observe Easter safely at home, the archbishop of Turin, Italy, allowed a video streaming display of the Shroud of Turin, believed by the faithful to be the burial cloth of Jesus, so that they can pray in front of it during the epidemic.

Pope Francis celebrated an Easter vigil Mass in an empty St. Peter’s Basilica, where the footsteps of the pontiff and his small entourage on the marble floor could be heard clearly as they walked in slow procession toward the altar. Francis likened coronavirus fears to anxiety felt by Jesus’ followers after his crucifixion.

“For them, as for us, it was the darkest hour,” he said, encouraging people to “sow seeds of hope, with small gestures of care.”

Austria aims to reopen small shops on Tuesday. Spain, with more than 16,600 dead, plans to allow workers in some nonessential industries to return to factories and construction sites Monday. Spanish authorities said they will distribute 10 million face masks at major train and subway stations.

Britain on Saturday reported 917 more deaths from the coronavirus, down from the peak of 980 recorded a day earlier. The country’s overall death toll neared 10,000. At the same time, data suggest that the number of hospital admissions in Britain is leveling off.

Prime Minister Boris Johnson, the first major world leader confirmed to have COVID-19, continued to recover at a London hospital, where he was able to take short walks, according to his office.

Worldwide, confirmed infections rose to about 1.8 million, with over 108,000 deaths, according to Johns Hopkins. More than 400,000 people have recovered.

For most people, the coronavirus causes mild or moderate symptoms, such as fever and cough. But for others, especially older people and those with health problems, it can cause severe symptoms like pneumonia.

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Forliti reported from St. Paul, Minnesota. Moulson reported from Berlin. Associated Press journalists around the world contributed to this report.

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Follow AP news coverage of the coronavirus pandemic at http://apnews.com/VirusOutbreak and https://apnews.com/UnderstandingtheOutbreak.