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Illustration: Aïda Amer/Axios

By letting the coronavirus surge through the population with only minimal social distancing measures in place, the U.S. has accidentally become the world’s largest experiment in herd immunity.

Why it matters: Letting the virus spread while minimizing human loss is doable, in theory. But it requires very strict protections for vulnerable people, almost none of which the U.S. has established.

The big picture: Cases are skyrocketing, with hospitalizations and deaths following suit in hotspots. Not a single state has ordered another lockdown, even though per capita cases in Florida and Arizona have reached levels similar to New York and New Jersey’s in April.

  • Most states never built up the testing, contact tracing and isolation systems it would take to prevent the virus from spreading widely, and and health care workers are once again facing shortages of protective medical gear.
  • The Trump administration is generally ignoring or downplaying soaring caseloads across the South and West, and is pushing schools to fully reopen in the fall.
  • In Florida, where infections, hospitalizations and deaths are surging, Gov. Ron DeSantis “has repeatedly ruled out a sweeping mask mandate or taking the state back into a lockdown to stem the virus, although local governments have acted on their own,” per Bloomberg.

Between the lines: Separating older, sicker people from younger, healthier ones while the virus burns through the latter group could be a way to achieve herd immunity — assuming immunity exists — without hundreds of thousands of people dying.

  • But the U.S. hasn’t adopted such a strategy with any planning or foresight. Although younger people make up a larger portion of coronavirus cases now than they did earlier in the pandemic, vulnerable people still go to work or live with non-vulnerable people.
  • Frontline workers have generally been left unprotected, contributing to disproportionate caseloads, hospitalizations and deaths among people of color.
  • Even nursing homes are still vulnerable to outbreaks. Nursing home deaths have continued to climb in Florida, Georgia, Texas, South Carolina and California, the Atlantic recently reported.

Yes, but: Some cities and states, particularly in the Northeast, are focused on containing the virus rather than living with it.

  • "We're not going to go back to that dark place because local government didn't do its job or because some individuals exploited the situation besides the legal violation," New York Gov. Andrew Cuomo said last month, following tens of thousands of complaints about businesses not abiding by public health restrictions.

The bottom line: The U.S. may become the world’s largest herd immunity experiment, but it’s not the first.

  • The United Kingdom briefly flirted with this strategy before abandoning it in favor of containment.
  • Sweden embraced the model and, as the NYT reported earlier this week, saw thousands more deaths than its neighbors with nothing to show for it economically.

Go deeper

Updated 19 hours ago - Politics & Policy

Omicron dashboard

Illustration: Aïda Amer/Axios

  1. Health: FDA OKs antiviral drug remdesivir for non-hospitalized COVID patients — Walensky: CDC language "pivoting" on "fully vaccinated" — Pfizer and Moderna boosters overwhelmingly prevent Omicron hospitalizations, CDC finds.
  2. Vaccines: The case for Operation Warp Speed 2.0 — Teens and adults missed 37 million vaccinations during COVID — Team USA 100% vaccinated against COVID ahead of Beijing Olympics — Starbucks drops worker vaccine or test requirement after SCOTUS ruling — Kids' COVID vaccination rates are particularly low in rural America.
  3. Politics: Arizona governor sues Biden administration over COVID funds tied to mandates — Biden concedes U.S. should have done more testing — Arizona says it "will not be intimidated" by Biden on anti-mask school policies.
  4. World: American Airlines flight to London forced to turn around over mask dispute — WHO: COVID health emergency could end this year — Greece imposes vaccine mandate for people 60 and older — Austria approves COVID vaccine mandate for adults.
  5. Variant tracker

The industries that won’t recover without a vaccine

Illustration: Annelise Capossela/Axios

Industries that were once expected to recover after the initial coronavirus lockdowns lifted are now unlikely to bounce back until a vaccine arrives.

Why it matters: In the absence of a widely-adopted vaccine, businesses in the entertainment, travel, restaurant and other industries are struggling to overcome consumer skepticism around indoor activities — even with new safety protocols in place.

Updated Nov 10, 2020 - World

In photos: Coronavirus restrictions grow across Europe

A waiter stands on an empty street in downtown Lisbon on Nov. 9, after Portugal introduced a night-time curfew for 70% of the population, including the capital and also the coastal city of Porto. It'll last for at least two weeks, per the BBC. Photo: Patricia De Melo Moreira/AFP via Getty Images

Portugal and Hungary have become the latest European countries to impose partial lockdowns, with curfews going into effect overnight. Governments across the continent are imposing more restrictions in attempts to curb COVID-19 spikes.

The big picture: Over 9.2 million cases have been reported to the European Centre for Disease Control. Per the ECDC, France has the most (almost 1.8 million) followed by Spain (over 1.3 million) and the United Kingdom (nearly 1.2 million). The COVID death rate per 100,000 of the population is highest in the Czech Republic (25), followed by Belgium (19) and Hungary (10.4).