Anthony Fauci testified to a Senate committee on Tuesday that the "consequences could be really serious" for states and cities that reopen without meeting federal guidelines.

Why it matters: Dozens of states have taken steps to reopen their economies, but few — if any — have met the Trump administration's recommendations for a 14-day "downward trajectory" in reported cases and infrastructure for "robust" testing and contact tracing capabilities.

  • Fauci stressed that even states that are reopening at an "appropriate pace" and "under the best of circumstances" should prepare for more cases when they pull back from mitigation.

What he's saying:

“I feel, if [premature opening] occurs, there is a real risk that you will trigger an outbreak that you may not be able to control. Which, in fact, paradoxically will set you back, not only leading to some suffering and death that could be avoided, but could even set you back on the road to trying to get economic recovery. It would almost turn the clock back rather than going forward. That is my major concern."

The big picture: Fauci, who testified virtually alongside CDC director Robert Redfield, FDA commissioner Stephan Hahn, and testing coordinator Adm. Brett Giroir, said that it's unlikely a coronavirus vaccine will be available in time for the fall semester. He also testified that the coronavirus death toll is "almost certainly" higher than the official count.

Go deeper: The states where coronavirus is spreading fastest

Go deeper

Updated 5 hours ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Global: Total confirmed cases as of 3 a.m. ET: 19,863,850 — Total deaths: 731,374 — Total recoveries — 12,117,346Map.
  2. U.S.: Total confirmed cases as of 3 a.m. ET: 5,044,864 — Total deaths: 162,938 — Total recoveries: 1,656,864 — Total tests: 61,792,571Map.
  3. Politics: Pelosi says states don't have the funds to comply with Trump's executive order on unemployment — Mnuchin says Trump executive orders were cleared by Justice Department.
  4. States: New York reports lowest rate of positive coronavirus test results since pandemic began
  5. Public health: Ex-FDA head: U.S. will "definitely" see 200,000 to 300,000 virus deaths by end of 2020. 
  6. Schools: 97,000 children test positive for coronavirus in two weeks — Nine test positive at Georgia school where photo showing packed hallway went viral .
Updated 11 hours ago - Health

World coronavirus updates

Data: The Center for Systems Science and Engineering at Johns Hopkins; Map: Axios Visuals

Australian officials in Victoria announced another 19 deaths from COVID-19 on Monday morning local time, breaking the state and national record set the previous day of 17. Victoria also reported 322 new cases — the lowest in 13 days.

The big picture: Australia was on track to suppress the virus in May, but cases have been spiking in Victoria in recent weeks, where a state of disaster was declared last week, enabling officials to introduce restrictions including a night-time curfew in state capital Melbourne.

Aug 8, 2020 - Health

Poll: 1 in 3 Americans would decline COVID-19 vaccine

A trial COVID-19 vaccine. Photo: Silvio Avila/AFP via Getty Images

35% of Americans say they would refuse a coronavirus vaccine, even if it was free, approved by the Food and Drug Administration and available immediately, according to a Gallup poll released Friday.

The big picture: Health experts believe a vaccine — coupled with recommended public health measures — will be the path back to societal normalcy. But that outcome relies on a critical mass getting the vaccine so that the population can achieve herd immunity.