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President-elect Joe Biden speaks at the Queen theater in Wilmington, Delaware, after a COVID-19 briefing, Dec. 29, 2020.

One year after the initial warning of a mysterious “pneumonia of unknown cause” in China, the coronavirus pandemic continues to rage — and President-elect Joe Biden on Tuesday warned it’s only going to get worse in the US.

The coronavirus has now infected more than 81.7 million people worldwide, including more than 19.4 million in the United States.

“Things are going to get worse before they get better,” Biden said during a briefing in Wilmington, Delaware, on Tuesday.

The pandemic has decimated the health, finances, and social lives of millions. The Trump administration’s failure to contain the deadly spread of the virus — including downplaying its dangers and undermining mask-wearing and lockdown policies — has contributed to an estimated 336,000 people dying from COVID-19 complications in the US so far.

Based on current numbers, more than 121,000 infected Americans will ring in the new year in a hospital.

“Look, my ability to change the direction of this pandemic starts in three weeks,” Biden said. “The next few weeks and months are going to be very tough — very tough for our nation, maybe the toughest in this entire pandemic.”

Biden called on people to wear masks, avoid indoor gatherings, and to continue social distancing.

“It’s hard on your lives and your livelihoods and your kids and your families,” he said. “We need to steel our spines and forge ahead.”

The president-elect noted that “we might not see improvement until we’re well into March” based on how long infection takes to develop after exposure and that people usually die weeks into their illness.

Biden’s comments come as the US faces perhaps the most critical point of the pandemic. The deadly second coronavirus wave has seen numbers skyrocket, with 175,000 to 225,000 people testing positive daily for the virus in recent weeks.

And the numbers are continuing to rise, with experts believing January will be even more dire than December.


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YMedics assess a woman for COVID-19 symptoms before taking her to a hospital on Dec. 28, 2020 in Yonkers, New York.

“You just have to assume it’s going to get worse,” Anthony Fauci, the chief medical advisor to Biden and director of the National Institute of Allergy and Infectious Diseases, warned on Tuesday.

“We certainly are not at the numbers that we wanted to be at the end of December,” Fauci said on CNN.

The country is expected to reach 3 million deaths this year, the highest on record.

Despite warnings from public health authorities to avoid traveling for Christmas, two of the year’s biggest air travel days occurred last week — the day before Christmas Eve and Boxing Day — with the TSA reporting over 1 million people passing through airports both days.

In Los Angeles County, hospitals are so overwhelmed, patients are being placed in gift shops, the Los Angeles Times reported.

The lack of beds meant Los Angeles County-USC Medical Center refused ambulances for 12 hours on Sunday, unable to provide beds for the 30 people already at the hospital in need of intensive or intermediate care. Another LA-area hospital, the Memorial Hospital of Gardena, was at 140% capacity.


Genaro Molina / Los Angeles Times via Getty Imag

Street artist Samir Evol Arghandwall works on a mural honoring health care workers on the front lines of the COVID-19 pandemic in Santa Monica on Dec. 24, 2020.

“You can certainly stretch many rubber bands pretty far, as we are stretching many of our hospitals pretty far,” said California Health and Human Services Secretary Mark Ghaly in a press briefing on Tuesday. “But we know that that stretch has a limit before it breaks, before we push them into a situation where they’re making the kind of decisions about resources and staff.”

Ghaly acknowledged that many people are feeling an immense level of “COVID fatigue,” brought on by exhaustion and trauma over many months, but that ignoring safety guidelines has real consequences.

“I know most are not acting in a malicious way or a harmful way, it’s just fatigue and tired,” he said.

Despite CDC guidelines asking people not to travel, Vice President Mike Pence is on a skiing vacation with his family in Vail, Colorado. On Tuesday Trump played golf in Florida for the fifth time in a week.

Pence, the head of the president’s Coronavirus Task Force, received his first Pfizer vaccine shot just before Christmas roughly six months after he denied the country was experiencing a second wave.

And although thousands of healthcare workers have started receiving one of the two vaccines given emergency approval in December by the FDA, the rollout will take months.

Biden spoke of the need to boost the amount of vaccinations given out daily because at the current rate “its going to take years, not months, to vaccinate the American people.”

He said the Biden-Harris administration will be focused on getting as much of the country vaccinated as quickly as possible, making sure Congress passes funding so vaccines are free and equitable in their distribution.

“This is going to be the greatest operational challenge we’ve ever faced as a nation,” Biden said.


Alex Edelman / Getty Images

Registered nurse Patricia Cummings administers the COVID-19 vaccine to Vice President-elect Kamala Harris Dec. 29, 2020.

On Tuesday, Vice President-elect Kamala Harris and her husband Doug Emhoff received their first shots of the Moderna vaccine.

The US is not alone in being devastated by the virus. Although there are several countries that have been spared the worst of the pandemic, many others are experiencing surges. UK officials have warned their health system is struggling to cope with an “unprecedented” level of infection. South Africa this week became the first country on its continent to record more than one million confirmed cases. There are also signs that outbreaks in Russia and China may be much more severe than officially reported.

“Brighter days are coming,” Biden said, “but it’s going to take all the grit and determination we have as Americans to get it done.”



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