Local officials hit roadblocks on the way to enacting measures to curb coronavirus spikes

Spikes in confirmed cases leave local leaders with few options

California Gov. Gavin Newsom, wears a face mask as he answers a reporter's question during his visit to the Queen Sheba Ethiopian Cuisine restaurant, in Sacramento, Calif., Friday, June 19, 2020. Newsom visited the restaurant that is participating in the Great Plates Delivered program that provides meals to older adults who are at-risk to COVID-19. (AP Photo/Rich Pedroncelli, Pool) (Copyright 2020 The Associated Press. All rights reserved)

As coronavirus cases spike in states across the country, some communities hoping to enact measures to mitigate the virus' spread are hitting major roadblocks.

In California, which on Friday broke another record for the number of cases in a single day, Gov. Gavin Newsom mandated that masks be worn inside public spaces and in situations where staying six feet apart from others is not possible. But at least five sheriff's departments in the state say they won't enforce the order, in some cases citing the minor nature of the offense or a lack of resources.

The governor of Nebraska also pushed back against attempts to make masks mandatory.

Gov. Pete Ricketts said he will withhold federal coronavirus relief funds from counties that require people to wear face masks in government buildings, according to a state guidance document obtained by CNN on Friday.

As cases continue to climb, health experts are encouraging face coverings to mitigate the pandemic's impact.

Fifteen states and Washington DC now require the use of face coverings in public.

But while the guidance to curb spread -- which also includes social distancing and limiting large gatherings -- has remained consistent, intensifying anti-science sentiments have led people to ignore public health guidelines, Dr. Anthony Fauci said on CBS Radio Friday.

The director of the National Institute of Allergy and Infectious Diseases called the trend "disturbing" and "disappointing."

Eight states are reporting their highest seven-day averages of new coronavirus cases per day since the crisis began: Arizona, California, Florida, Nevada, Oklahoma, South Carolina, Texas and Utah. And Florida, experts say, could become the next coronavirus epicenter.

Globally, Thursday saw the most coronavirus cases reported to the World Health Organization in one day since the outbreak began, WHO Director-General Tedros Adhanom Ghebreyesus said during a Friday briefing.

The latest trends

According to data from Johns Hopkins University:

• These 24 states are seeing upward trends in newly reported cases from one week to the next: Alabama, Arizona, California, Colorado, Florida, Georgia, Hawaii, Idaho, Kansas, Oregon, Louisiana, Michigan, Missouri, Montana, Nevada, Ohio, Oklahoma, South Carolina, Tennessee, Texas, Utah, Washington, West Virginia and Wyoming.

• Seven states are seeing steady numbers of newly reported cases: Alaska, Arkansas, Delaware, Indiana, Kentucky, Nebraska and Wisconsin.

• These 18 states are seeing a downward trend: Connecticut, Illinois, Iowa, Maine, Mississippi, Maryland, Massachusetts, Minnesota, New Hampshire, New Mexico, New Jersey, New York, North Carolina, North Dakota, Pennsylvania, Rhode Island, South Dakota, and Virginia.

• One state, Vermont, has seen a decrease of at least 50%.

Nationwide, more than 2.2 million people have been infected and at least 119,112 people have died of the virus, according to John Hopkins.

Uncertainty in the awaited treatments and vaccines

Researchers are racing to get treatments and vaccines approved.

But one clinical trial has ended. Novartis, one of the makers of hydroxychloroquine, announced Friday it was stopping its clinical trial in the US of the drug in coronavirus patients.

The FDA revoked emergency authorization for the drug to be distributed to treat coronavirus patients on Monday, saying that there was "no reason to believe" it worked against the virus and that it also increased the risk of side effects that include heart problems.

Novartis said the trial did not stop over safety issues but had trouble recruiting patients.

Treating the virus, however, might not come down to one drug, Dr. Rick Stevens, associate laboratory director for Computing, Environment and Life Sciences at the Argonne National Laboratory, told the House Committee on Science, Space and Technology on Friday.

"We think the best strategy is probably a multiple ... therapeutic mix, that would go after multiple targets -- maybe a target that would help in blocking viral entry, one that might block replication, and one that might block some host process that is a problem," Stevens said.

And it may take a while. It took over a decade to develop effective treatments for HIV, he said.

The WHO paused trials for hydroxychloroquine immediately when safety problems arose, and Tedros said it will do the same for highly anticipated vaccines.

Immunization has been "the single most effective health intervention, and the single most effective life-saving intervention for children all over the world," said Dr. Mike Ryan, executive director of the WHO's health emergencies program. But, he said, "there are no shortcuts in science and safety is a must."

Research shows soaring cardiac arrests during the pandemic

The longer the pandemic continues, the more researchers are learning about its ripple effects.

Fatal cardiac arrests soared in the streets and homes of New York at the peak of the coronavirus epidemic there in March and April, researchers reported Friday.

People needing emergency resuscitation increased three-fold in 2020 and 90% of those people died, the team at Albert Einstein College of Medicine/Montefiore Health System found.

While coronavirus likely caused many of these deaths, others were probably a consequence of an overwhelmed medical system, the researchers reported in the journal JAMA Cardiology.

“The tragedy of the Covid-19 pandemic is not just the number of patients infected, but the large increase in out-of-hospital cardiac arrests and deaths,” said Dr. David Prezant, a professor of medicine at Einstein and the chief medical officer for the Fire Department of New York, and colleagues concluded.