More than 200,000 COVID-19 cases were reported in the U.S. on Friday, an all-time high reached about three weeks after the nation first reported 100,000 daily cases on Nov. 4.

Meanwhile, the U.S. surpassed 13 million cases on Friday.

That rapid doubling, as reported by Johns Hopkins University, is reminiscent of the virus’ growth this spring, when exponential spread prompted widespread restrictions across the country in an effort to control the virus.

© Jae C. Hong, AP
EMT Giselle Dorgalli, second from right, looks at a monitor while performing chest compression on a patient who tested positive for coronavirus in the emergency room at Providence Holy Cross Medical Center in the Mission Hills section of Los Angeles, Thursday, Nov. 19, 2020.

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But this time case counts are nationwide and much higher as many state leaders are again making similar moves.

In Los Angeles County, a three-week stay-at-home order takes effect Monday. The most populous county on Friday hit an average of 4,500 cases a day over a five-day period, triggering the order.

“We know we are asking a lot from so many who have been sacrificing for months on end,” Public Health Director Barbara Ferrer said. “Acting with collective urgency right now is essential if we want to put a stop to this surge.”

Here’s what to know Saturday:

📈 Today’s numbers: The U.S. recorded more than 13 million cases and over 264,000 deaths, according to Johns Hopkins University data. Worldwide, there have been over 61.7 million cases and 1.4 deaths. 

🗺️ Mapping coronavirus: Track the U.S. outbreak in your state.

This file will be updated throughout the day. For updates in your inbox, subscribe to The Daily Briefing newsletter.

US reports 200,000 COVID-19 cases in a single day

The U.S. on Friday reported 200,000 COVID-19 cases in a single day, according to data from Johns Hopkins University. The U.S. reached 100,000 daily infections on Nov. 4. 

When a virus’ spread becomes exponential, the human brain struggles to comprehend how quickly the growth is occurring, Columbia University’s Hod Lipson told USA TODAY in the spring. Because few things in our daily experience grow so fast, the concept is “fundamentally difficult … for the human mind to understand.”

The University of Washington’s Institute for Health Metrics and Evaluation projects estimated infections will reach about 450,000 daily cases by mid-December, more than double the number of current confirmed cases. Estimated cases, however, are often higher than confirmed ones.

That forecast also assumes social distancing mandates will be reimposed in most U.S. states at various times. If that doesn’t occur, case and death counts could be far higher.

Data from Johns Hopkins University shows that total COVID-19 deaths have been steadily increasing for months, but in recent weeks confirmed cases have been spiking rapidly. 

Because deaths lag behind confirmed cases, sometimes for weeks, public health experts are warning the nation to brace for deaths to soon sharply increase as well amid a long-predicted seasonal uptick in COVID-19 spread.

“Given the experience in Europe, we expect that the increase in deaths will soon begin to match the increase in cases,” wrote the Institute for Health Metrics and Evaluation in a Nov. 12 briefing.

Los Angeles County issues stay-at-home order as virus surges

Los Angeles County announced a new stay-home order Friday as coronavirus cases surge out of control in the nation’s most populous county.

The three-week order takes effect Monday, and comes as the county confirmed 24 new deaths and 4,544 new cases of COVID-19. The five-day average of new cases was 4,751.

The order advises residents to stay home “as much as possible” and to wear a face covering when they go out.

It also bans people from gathering with people who aren’t in their households, whether publicly or privately. Exceptions are made for church services and protests, “which are constitutionally protected rights,” the county Department of Public Health said in a statement. Businesses and outdoor trails are also allowed to remain open.

Last week, California Gov. Gavin Newsom announced a new requirement that non-essential work, movement and gatherings stop between 10 p.m. and 5 a.m. for counties in the “red tier,” which most in the state are currently under.

Ohio State coach Ryan Day tests positive

Ohio State University football coach Ryan Day has tested positive for COVID-19, the school announced Friday afternoon.

Day, who has guided the No. 3 Buckeyes to an undefeated start through four games and serves as the primary play-caller for one of the highest-scoring offenses in the country, will miss Saturday’s game at the University of Illinois.

The positive test puts him in jeopardy of missing the Buckeyes’ next game at Michigan State on Dec. 5. Big Ten coaches who test positive for COVID-19 are required to be out for 10 days, according to the conference’s protocols.

In a statement, OSU athletic director Gene Smith said the 41-year-old Day is “doing well physically,” but he did not say if he has experienced any symptoms since contracting the virus. Day is currently in isolation.  

– Joey Kaufman, Columbus (Ohio) Dispatch

Colorado governor condemns ‘turkey funeral’ to skirt virus restrictions 

Republican Congresswomen-elect Lauren Boebert has drawn criticism from Colorado’s Democratic governor for saying she rebranded her Thanksgiving gathering as an animal funeral to skirt the state’s social distancing regulations.

“Congresswomen-elect Boebert is calling her Thanksgiving a ‘turkey funeral’ and hosting over 30 people. My hope and prayer is that it doesn’t turn into a real funeral for any of the attendees,” Gov. Jared Polis said on Facebook.

In most areas of the state, personal gatherings are restricted to 10 people, but funerals have less stringent rules.

On Wednesday, Boebert tweeted that she could host about 90 people if she hosted funerals for a turkey, pig and duck. Previously she suggested calling her Thanksgiving gathering a “peaceful protest in honor of my deceased turkey.”

After error, AstraZeneca will conduct additional trial 

AstraZeneca said it plans to conduct a new global clinical trial to assess the Oxford-AstraZeneca vaccine’s efficacy. The news comes after the company and the university acknowledged a dosing error in trials. 

It’s not clear what effect, if any, these results will have on a separate, 30,000-person trial underway of the candidate vaccine in the United States. 

All 11,000 people who have participated in the U.S. trial so far have received two equal doses of the vaccine, said Moncef Slaoui, co-director of Operation Warp Speed, the Trump administration program to develop, manufacture and distribute COVID-19 vaccines.

AstraZeneca said an additional trial shouldn’t delay regulatory approval in Britain or the European Union – but the U.S. Food and Drug Administration could take longer.

Unlike the Pfizer and Moderna vaccines, the Oxford-AstraZeneca shot does not need to be stored at freezer temperatures, making it easier to distribute. AstraZeneca has agreed not to profit from its vaccine during the pandemic.

Don’t hug your elderly relatives during the holidays, warns UK medical chief 

The United Kingdom’s chief medical officer, Chris Whitty, cautioned families over the holidays not to hug their elderly relatives “if you want them to survive to be hugged again” beyond the holidays.

The nation has granted its residents permission to congregate among themselves in a “Christmas bubble” of up to three households and eight people from Dec. 23 to 27. The lax holiday restrictions, however, will likely lead to an uptick in COVID-19 cases in the United Kingdom.

– Joshua Bote

Experts warn of worsening COVID-19 surge during holidays

Thanksgiving may be the beginning of a dark holiday season as the surge in coronavirus cases is likely to persist, or even get worse, through December, January and February.

“If the surge takes a turn of continuing to go up and you have the sustained greater than 100,000 infections a day and 1,300 deaths per day and the count keeps going up and up … I don’t see it being any different during the Christmas and New Year’s holidays than during Thanksgiving,” Dr. Anthony Fauci said in an interview with USA TODAY last week.

The National Institute of Allergy and Infectious Diseases director said the country is in a vulnerable position heading into the holiday season because infections are too high to control a likely winter surge.

Ali Mokdad, professor of health metrics sciences at the Institute of Health Metrics and Evaluations and chief strategy officer for population health at the University of Washington, said, “We need to be extra careful these upcoming extra couple of weeks in order to avoid pain and suffering.”

– Adrianna Rodriguez

© Eduardo Munoz Alvarez, AP
Family members wave to Barbara Farrior, 85, at the end of their Thanksgiving Day visit at the Hebrew Home at Riverdale in New York. The home offered drive-up visits for families of residents struggling with celebrating the holiday alone.

COVID-19 resources from USA TODAY 

Contributing: The Associated Press, Karen Weintraub

This article originally appeared on USA TODAY: Coronavirus updates: US surpasses record 200K daily cases; Los Angeles issues new stay-at-home order as virus surges

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