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New COVID-19 cases hit record highs in more than a DOZEN states while Texas, Florida, Arizona and California finally start to plateau - as Dr Birx urges regions with rising infections to close bars, cut back on indoor dining and to mandate face masks

New COVID-19 cases have hitting record highs in more than a dozen states while Texas, Florida, Arizona and California show signs of a plat...

New COVID-19 cases have hitting record highs in more than a dozen states while Texas, Florida, Arizona and California show signs of a plateau - as Dr Deborah Birx urged regions with rising infections to close bars, cut back on indoor dining and to mandate face masks. 
There has now been more than 4.2 million infections recorded across the United States and nearly 147,000 Americans have died from COVID-19. 
The number of cases in the current hard hit states of Texas, California, Arizona and Florida are now showing signs of plateauing after a month of record surges, according to Dr Birx.
Health and Human Services Secretary Alex Azar says the leveling off of cases in the hotspot states is because people are social distancing and wearing masks but warned the US wasn't 'out of the woods yet'. 
As cases appear to plateau in those hard hit states, the number of infections are now spiking, based on a seven-day average, in more than a dozen states, including Oklahoma, Missouri, Mississippi, Louisiana, Montana, New Mexico, North Dakota, Wisconsin, Alaska, Colorado, Hawaii and Wyoming.
Nevada, Texas and South Carolina have seen record highs in the number of deaths based on a seven-day average. 
Dr Birx, who is the head of the White House COVID-19 taskforce, said the surge in cases that has plagued Sunbelt states since Memorial Day is now being seen elsewhere, which is a sign that the virus is now spreading North. 
Missouri cases
Missouri deaths
MISSOURI: There are currently 41,927 cases in Missouri and 1,197 deaths. Cases have been steadily increasing across the state since mid-June but deaths have not yet spiked
Mississippi cases
Mississippi deaths
MISSISSIPPI: Cases have been rising steadily in Mississippi with the state now having 52,304 cases. There have been 1,495 deaths and the fatality rate is now showing signs of an uptick
Oklahoma cases
Oklahoma deaths
OKLAHOMA: Oklahoma currently has 31,285 cases and 496 deaths. Both cases and deaths have been surging this month
The states with rising cases should be closing bars, cutting back on indoor restaurant capacity and limiting social gatherings to 10 people, Dr Birx warned. 
She also said all Americans should be wearing masks when out in public or around other people. 
'We can see what is happening in the South moving North,' Dr Birx said. 'We do believe there are states that do need to close their bars.' 
Oklahoma hit a record for new cases five times throughout July, with 1,204 new infections on Sunday, bringing the state's total to 31,285, according to data from the COVID Tracking Project. 
In Missouri, infections surged to record daily highs on Saturday with 1,652 new cases. Infections across the state, which now has 41,927 cases, have been on an upward trajectory since late June. 
Mississippi's cases have been spiking to near record highs in recent days with 1,610 infections reported on Friday, down from the record 1,904 on July 4. Infections have surged this month with the total now at 52,304. 
Meanwhile, the number of new infections in Florida, Arizona and Texas now appear to be trending downwards for the first time since late May or early June.
Deaths, however, are still rising in both Florida and Texas. While deaths have seen single daily highs in Arizona in the past week, average fatalities appear to show a leveling out.  
Despite the downward trajectory, Florida on Sunday became the second state after California to overtake New York, the original epicenter of the US outbreak.    
Wisconsin cases
Wisconsin deaths
WISCONSIN: Cases in Wisconsin surged to a single-day high of 1,161 on July 21. Cases across the state, which now total 52,680, have been trending upwards since mid-June. There has also been an uptick of deaths in the state with the death toll now at 899
New Mexico cases
New Mexico deaths
NEW MEXICO: New Mexico had a record 335 cases on Friday with the state's total now at 18,788. Deaths are also on a slight upward trend with the death toll now at 607
Louisiana cases
Louisiana deaths
LOUISIANA: New cases surge in the southern state to record high of 3,840 on Sunday, bringing the state's total to 107,574. Cases have been trending upwards since late June. Deaths started trending upwards last week after initially declining in May
US COVID death rate tops 1000 for fourth day
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Total COVID-19 cases in Florida rose by 9,300 to 423,855 on Sunday, just one place behind California, which now leads the country with 448,497 cases. New York is in third place with 415,827 cases. 
After New York, Texas has the most total coronavirus cases at 391,000. Arizona has 162,014 coronavirus cases. 
Dr Birx, who is the head of the White House COVID-19 taskforce, said the surge in cases that has plagued Sunbelt states since Memorial Day is now being seen elsewhere, which is a sign that the virus is now spreading North
Dr Birx, who is the head of the White House COVID-19 taskforce, said the surge in cases that has plagued Sunbelt states since Memorial Day is now being seen elsewhere, which is a sign that the virus is now spreading North
Still, New York has recorded the most deaths of any US state at more than 32,000 with Florida in eighth place with nearly 6,000 deaths.
On average, Florida has added more than 10,000 cases a day in July while California has been adding 8,300 cases a day and New York has been adding 700 cases. 
Dr Birx said last week that there were signs cases in Florida, Texas, Arizona and California were now plateauing. 
'We're already starting to see some plateauing in these critically four states that have really suffered under the last four weeks,' Birx told NBC's Today. 
'This first wave that we see now across Florida, Texas, California and Arizona began with under 30 years olds - many of those who were asymptomatic. 
'It's very serious and it's very real.'
She also warned last week that 11 major cities needed to take 'aggressive' steps to mitigate COVID-19 outbreaks. 
The 11 cities she mentioned include: Baltimore, Cleveland, Columbus, Indianapolis, Las Vegas, Miami, Minneapolis, Nashville, New Orleans, Pittsburgh and St Louis. 
'Until you can see that explosion, it's hard for people to understand how deeply you have to clamp down,' Dr Birx said. 
'That's why we called out the next set of cities where we see early-warning signs, because if you make changes now, you won't become a Phoenix.'   
The number of new infections in Florida, Arizona and Texas now appear to be trending downwards for the first time since late May or early June. Deaths, however, are still rising in both Florida and Texas. While deaths have seen single daily highs in Arizona in the past week, average fatalities appear to show a leveling out
The number of new infections in Florida, Arizona and Texas now appear to be trending downwards for the first time since late May or early June. Deaths, however, are still rising in both Florida and Texas. While deaths have seen single daily highs in Arizona in the past week, average fatalities appear to show a leveling out
California recorded a single daily high of 12,807 new cases on July 21. The state's total number of cases now tops 453,659 and is the highest toll in the United States
California recorded a single daily high of 12,807 new cases on July 21. The state's total number of cases now tops 453,659 and is the highest toll in the United States
Health and Human Services Secretary Alex Azar said people 'stepping up to the plate' is the reason for some of the 'plateauing' in coronavirus cases being seen in Arizona, California, Florida and Texas. 
In an interview Monday on Fox News' Fox and Friends, Azar said officials think 'it's due to the fact that people are actually wearing their masks.'  
He said they're also social distancing and practicing good hygiene, and he complimented governors for closing bars, where it's difficult to be socially distant and wear a mask. 
'So people are stepping up to the plate and doing what we're asking and what the governors are asking and we see it has an impact,' Azar said. 
'While Dr Birx says we're seeing signs of plateauing, we're not out of the woods yet,' he said, adding that next few months would be crucial.  

As the pandemic has spread from the early epicenter of New York to the South and West, federal, state and local officials have clashed over how to ease lockdowns imposed to curb the infection rate, including in some states whether to rollback reopenings. 
The ordering of face coverings, a common practice around the world and recommended by the federal government's own health experts, has also become highly politicized, with some Republican governors particularly resistant.
Hostility to the idea now appears to be dwindling, including from the Republican administration of President Donald Trump, who once dismissed mask-wearing as an effort to be politically correct. 
Trump, who faces falling poll numbers over his handling of the health crisis ahead of the November election, has long refused to wear a mask in public but last week encouraged Americans to do so.