Miami-Dade, Florida's most populous county, became the latest US coronavirus hotspot to roll back its reopening on Monday, shutting down on-site dining at restaurants, as cases surge nationwide by the tens of thousands and deaths topped 130,000.
Hospitals rapidly approached capacity across the Sunbelt, and the Miami area closed restaurants and gyms again because of the surging coronavirus Monday, as the USA emerged from a Fourth of July weekend of picnics, pool parties and beach outings that health officials fear could fuel the rapidly worsening outbreak.
Florida health officials announced Sunday that more than 200,000 people have tested positive for the new coronavirus since the pandemic began.
More states are also reporting a troubling increase in the percentage of COVID-19 diagnostic tests that come back positive - a key indicator of community spread that experts refer to as the rate of "positivity".
Miami-Dade County Mayor Carlos Giménez said on CBS News' Face the Nation Sunday that people in his county "let their guard down in late May and early June".
Restaurants will still be allowed to operate for takeout and delivery services.
It follows emergency orders issued in Miami-Dade County last week that imposed a 10 p.m.to 6 a.m. curfew and which closed the beaches for the holiday weekend.
"If we continue to increase at the pace we have been, we won't have enough ventilators, enough rooms", said Dr. David De La Zerda, a respiratory specialist at Miami's Jackson Memorial Hospital.
"At this time, I plan to keep open various outdoor activities, including condominium and hotel pools with strict social distancing and masks rules, as well as summer camps and child daycare centers with strict capacity limits, requiring masks and social distancing of at least 6 feet". The order also closes gyms, fitness centers, party venues and short-term rentals.
There were 451.9 new cases reported per 100,000 people in Florida in the past two weeks, ranking second in the country for new cases per capita. "Contributing to the positives in that age group, the doctors have told me, were graduation parties, gatherings at restaurants that turned into packed parties in violation of the rules and street protests where people could not maintain social distancing and where not everyone was wearing facial coverings".
Case numbers are rising in 39 U.S. states, according to a Reuters analysis.
"I understand people are tired", he said. "We've got all hands on deck". The state is now requiring workers at those facilities, almost 200-thousand statewide, to be tested for the virus every two weeks.
A health care worker works at a COVID-19 testing site sponsored by Community Heath of South Florida at the Martin Luther King, Jr.
For an eighth straight day, Texas registered an all-time high in the number of people hospitalized at any one moment with the highly contagious respiratory illness, up more than 500 admissions from the day before to almost 8,700.
As for the surge in cases among young people, DeSantis asked that it be kept in perspective. "And if you're 21 and you don't have significant co-morbidities, your fatality rate is pretty much zero".
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