There's COVID-19 trouble in paradise.
Four weeks ago, Hawaii reported a total of 1,688 coronavirus cases since the start of the pandemic and was reporting an average of 45 new cases a day, according to an NBC News analysis.
Since then, the total number of COVID-19 cases has reached 6,700, and public health officials are now reporting around 200 new cases a day. During this time, the death toll has also nearly doubled, jumping from 26 to 49, the figures show.
Hawaii is the latest state where the number of cases is increasing; the Southern and Sun Belt states have been experiencing explosions of new cases and deaths in recent months after many reopened in May at the urging of President Donald Trump, just as the pandemic was picking up steam in those areas.
The death toll in the United States climbed to more than 180,000 Wednesday, and the number of confirmed cases was fast approaching 6 million, according to the latest NBC News figures. Both are world-leading numbers.
While Hawaii's numbers are low compared to the rest of the U.S., they have set off alarm bells, and Gov. David Ige, a Democrat, has given the green light to a second "stay-at-home, work-from-home" order for the island of Oahu. It begins at 12:01 a.m. Thursday and will remain in effect for two weeks.
"In March and April, we were successful in flattening the curve," Ige said Tuesday at a news conference, where he was joined by Honolulu Mayor Kirk Caldwell, who is also a Democrat, and U.S. Surgeon General Jerome Adams. "We need to get that back under control."
Caldwell said: "This will be different from the last time. We're going to reset what we're doing."
So for the next two weeks, Hawaii public health workers will ratchet up testing on Oahu, the state's most populous island, and in the state's biggest city, Honolulu, and they will hire 250 to 500 contact tracers.
They have also booked an entire hotel Friday "with hundreds of rooms" where people who test positive or have been in contact with people who've tested positive will be quarantined away from their families and friends, Caldwell said.
"We're going to see how it goes," he said. "We're hopeful that the number of cases will decline. ... If it doesn't, we'll look to continue it."
The biggest outbreaks, Caldwell said, have been in the Pacific Islander and Filipino communities.
Adams said that Hawaii has seen a leveling off in new cases but remains "at a turning point" and that things could get bad "really quickly."
"There is good news. Most of you are doing the right thing," he said. "Unfortunately, all it takes is one large gathering, one party, one group of individuals going to a bar to undo a lot of the progress and a lot of the work that the rest of the people across Hawaii are putting in to stop this virus."
Jessica Yamauchi, who heads the nonprofit Hawaii Public Health Institute, applauded the governor's move, noting that her state has an alarming 9.3 percent positivity rate. By comparison, New York state — once the country's hot spot — has had a positivity rate of less than 1 percent for 19 straight days, Gov. Andrew Cuomo reported Wednesday.
"While we are still waiting to review the latest emergency orders, we believe that additional restrictions were needed to lower our positivity rate and reduce transmissions in the community," Yamauchi said. "We believe that the positivity rate should be used as a key metric to guide the state's decisions on when to tighten or loosen restrictions on businesses, public services and institutions.
"The additional 5,000 tests per day over the next two weeks will also provide critical data needed to determine the best way to reduce community spread," she said.
The U.S. accounts for a little over a fifth of the world's more than 821,000 deaths and about a quarter of the nearly 24 million confirmed cases around the globe.
In other coronavirus news:
- With the pandemic still raging in Texas and Louisiana and Hurricane Laura barreling toward their coasts, local officials were struggling to get people out of harm's way — while keeping them away from one another — by putting them up in hotels. But Travis County, which includes Austin, quickly ran out of rooms. And the idea of bunking in a shelter packed with storm refugees was giving many people along the Gulf of Mexico second thoughts about abandoning their homes. "Hopefully it's not that threatening to people, to lives, because people are hesitant to go anywhere due to COVID," Robert Duffy said as he placed sandbags around his home in Morgan City, Louisiana. "Nobody wants to sleep on a gym floor with 200 other people. It's kind of hard to do social distancing." Houston, which was swamped by Hurricane Harvey in 2017, closed all public coronavirus testing sites ahead of the storm. Dr. Joseph Varon, chief medical officer of United Memorial Medical Center, told The Houston Chronicle that the center plans to reserve half its beds for coronavirus patients and the other half for people with storm-related injuries. He said he's bracing for another wave of coronavirus patients. "People are going to go into shelters and close confined spaces because of the storm," Varon said. "People are going to get sick, no question about it."
- The governors of two of the states hit hardest by the pandemic announced that they would not follow the new Centers for Disease Control and Prevention guidelines, which call for less — not more — testing. Cuomo of New York accused the agency of bowing to pressure from the White House. "It is the exact opposite of what the CDC has been saying," Cuomo told reporters. "So either the CDC is schizophrenic, or they are admitting error in their first position or this is just political dictations." California Gov. Gavin Newsom posted on Twitter: "This will not be the policy of the state of CA." The CDC had been advising testing for all who showed COVID-19 symptoms or who had been in contact with infected people. But Wednesday, the agency reversed course and said healthy people who had been exposed to COVID-19 "do not necessarily need a test" as long as they don't have symptoms. Trump has stated openly and repeatedly that the only reason the U.S. has the most COVID-19 cases is that it does the most testing, a claim public health experts overwhelmingly reject.
- More than 100 new COVID-19 cases have been linked to the massive Sturgis Motorcycle Rally this month in South Dakota. Thousands of bikers attended the rally and neglected to socially distance or wear masks. Cases linked to the rally have been found in South Dakota, Minnesota and six other states. Several people have been hospitalized. "We're expecting that we're going to see many more cases associated with Sturgis," said Kris Ehresmann, director of the Minnesota Health Department's infectious disease division. "Thousands of people attended that event, and so it's very likely that we will see more transmission." South Dakota Gov. Kristi Noem, a staunch Republican supporter of Trump, said earlier that the state was proud to host the annual rally. NBC News has reached out to her spokesman for comment about the rise in rally-related coronavirus cases.
- While thousands of public and private schoolteachers across the country are pushing back against attempts to restart in-classroom education, Vice President Mike Pence's wife, Karen Pence, said she is "excited" about going back to her job as an art teacher at the private Immanuel Christian School in Springfield, Virginia. "We are 100 percent kids at school, and we have ways that we can take precautions, and the CDC has made that very clear to us," she said on Fox News. "My school has spent the entire summer working on ways to make the school safer." Pence said she won't be teaching in an art room; instead, "I'm taking a cart room to room because we don't want the kids congregating in the hallways." Katherine Leiva, a former Florida teacher who is a member of the nonprofit organization Leadership for Education Equity, said districts in states like Indiana, Louisiana, Tennessee, Oklahoma and Georgia "opened up with the same level of excitement that Mrs. Pence is sharing" but had to close after case numbers spiked. "As we grasp to hold on to a semblance of normalcy, I completely understand and empathize with everyone who just wants to go back, but in doing so we must admit that it is not with the safety of people in mind," Leiva said in an email. Both Pences were expected to speak at the virtual Republican National Convention later Wednesday.
- Chicago White Sox ace Lucas Giolito became the first pitcher to throw a no-hitter in this pandemic-affected baseball season when he blanked the Pittsburgh Pirates on Tuesday. Nobody was in the stands at Guaranteed Rate Field to watch it happen, unless you count the cardboard cutouts that 1,500 fans purchased of themselves to "sit" in the seats during White Sox home games.