Getting children back to in-person learning is important for their social well-being -- but the key to reopening classrooms during the coronavirus pandemic is masks, the director of the Centers for Disease Control and Prevention said Tuesday.
Dr. Robert Redfield, speaking during a Buck Institute webinar, said everyone should work together to find common ground for reopening in a way that is safe and comfortable with people. He said the CDC is presenting options for school systems, and will release some additional resources this week on how to reopen schools.
One of the resources will look at "how to really take advantage of face coverings," Redfield said. "Because to me, face coverings are the key. If you really look at it, the data is really clear, they work."
Some students, he said, will need home schooling because of medical issues, but the goal is to have face-to-face interaction five days a week.
The CDC is especially concerned about the well-being of high school students, Redfield said.
"We're seeing, sadly, far greater suicides now than we are deaths from Covid," he said. "We're seeing far greater deaths from drug overdose, that are above excess, than we had as background, than we are seeing deaths from Covid."
Most US parents say it would be risky to send their children back to school in the fall, according to this week's installment of the Axios-Ipsos Coronavirus Index.
The poll showed 82% of Democrats and 53% of Republicans say returning to school would be very or moderately risky. Eighty-nine percent of Black parents saw returning to school as a large or moderate risk, compared with 80% of Hispanic parents and 64% of White parents.
More teachers and administrators have voiced their opposition to returning to in class instruction. And more districts across the country have announced they'll go virtual, or at least give parents more options.
The nation's largest school districts unveiled their plans for fall on Monday.
In New York City, Mayor Bill de Blasio offered options for partial in-person instruction. But Gov. Andrew Cuomo said Monday in order for in-person class to be allowed, a region must be in Phase 4 of reopening, which New York City is not.
In Los Angeles, students will learn at home this fall, the school district said.
More than 3.3 million people have now tested positive for coronavirus -- but the true number of infections could be much higher, experts have said, as at least 40% of those who contract the virus show no symptoms, according to a new estimate by the CDC.
Epicenter in the Sunshine State
With more than 2,000 patients hospitalized and hundreds in Intensive Care Units, "Miami is now the epicenter of the pandemic," one infectious disease expert said, comparing the South Florida metropolitan area to the city where the novel coronavirus originated.
Florida is struggling. On Tuesday, state health officials reported 132 Covid-19 related deaths from Monday, breaking the state's record for most deaths in a single day due to coronavirus. The previous record was 120 deaths reported July 9.
"What we were seeing in Wuhan -- six months ago, five months ago -- now we are there," Lilian Abbo, with the Jackson Health System said during a news conference hosted Monday by the Miami-Dade County mayor.
The Chinese city of Wuhan, the original epicenter of the coronavirus crisis, went into a 76-day lockdown in late January after a deadly outbreak infected and killed thousands.
The first known cases of the virus were detected in the city in December and by mid-April officials reported more than 50,000 infections. Miami-Dade County has recorded more than 64,000 infections so far, according to state data.
In the past 13 days, Miami-Dade County has seen staggering increases in the number of Covid-19 patients being hospitalized (68%), in the number of ICU beds being used (69%) and in the use of ventilators (109%), the Miami-Dade County Government reported.
Forty-eight Florida hospitals, including eight in Miami-Dade, have reached their ICU capacity, according to the Agency for Health Care Administration.
"We need your help as media communicators to help the community understand that we're just not repeating the same thing over and over just to give you trouble, we really need your help," Abbo said, directing those comments to reporters.
The plea echoes the requests from other leaders in the state and across the country who have seen new cases spike as people flocked back outside following weeks of lockdowns. When states began lifting restrictions, images quickly emerged of pool parties, packed beaches, reopened bars and holiday celebrations with no social distancing or face masks. Health officials warned then of what they're now reporting: clusters of infections that are often traced back to people who didn't heed reopening guidelines.
With no way to control the rapid spread of the virus and with thousands possibly infecting others unknowingly, state and local officials have been forced to ponder more restrictions and, in some cases, consider a second round of lockdowns.
Cities are becoming stricter. Philadelphia has canceled parades, festivals and other large events on public property through February 28, the mayor's office said Tuesday. The order doesn't apply to events on private property, including sports stadiums and concert venues.
In Houston, where hospitals are already overwhelmed with patients and hitting ICU capacity, Mayor Sylvester Turner said Monday he proposed a two-week shutdown to the governor following a surge in cases.
"I do think we are going to need to shut down for a period of time. I am proposing two weeks, or at the very minimum, to return to phase one," Turner said.
In Atlanta, the mayor also tried to revert the city to the first phase of reopening -- where residents are ordered to stay at home except for essential trips. That decision was slammed by Georgia Gov. Brian Kemp, who said it was "legally unenforceable."
More than half of US states have now halted or rolled back their reopening plans in hopes of preventing further spread. The end of the pandemic is nowhere near in sight, the country's leading infectious disease expert said Monday, but that doesn't have to mean a new wave of shutdowns -- as long as communities follow the rules.
"You don't necessarily need to shut down again, but pull back a bit," Dr. Anthony Fauci said during a webinar with the Stanford School of Medicine.
Expert: Wear masks or watch economy go 'to hell'
As cases climb, experts are renewing calls for Americans to take precautions -- and wear face masks. But more than two dozen states don't have a statewide mask mandate.
"You have a choice," Dr. George Rutherford, a professor at the University of California, San Francisco, said. "You can be locked down as the economy goes to hell, or you can wear a mask."
In Texas, which pushed for one of the most aggressive reopenings, Gov. Greg Abbott warned residents "the worst is yet to come." Abbott has issued an executive order requiring residents in counties with 20 or more active coronavirus cases to wear face coverings in public.
President Donald Trump also made his first appearance in front of the press with a face mask on over the weekend, after refusing to wear one in public for months.
First Lady Melania Trump tweeted an image of herself from early April wearing a face mask, along with a reminder for people to continue to wear them and adhere to social distancing guidelines.
"Even in the summer months, please remember to wear face coverings & practice social distancing," she wrote. "The more precaution we take now can mean a healthier & safer country in the Fall."
CNN's Amanda Watts, Maggie Fox, Ralph Ellis, Artemis Moshtaghian, Stephanie Elam, Raja Razek, Sarah Moon, Shelby Lin Erdman, Konstantin Toropin, Rosa Flores, Dan Shepherd and Matthew Hilk contributed to this report.