Americans had died with COVID-19

By May 27, less than four months after the pandemic reached the U.S., 100,000

.[75] State economic reopenings and lack of widespread mask orders resulted in a sharp rise in cases across most of the continental U.S. outside of the Northeast.[76] A study conducted in May 2020 indicated that the true number of COVID-19 cases in the United States was much higher than the number of confirmed cases with some locations having 6–24 times higher infections, which was further confirmed by a later population-wide serosurvey.[77][78][79]

On July 6, the United States Department of State announced the country’s withdrawal from WHO effective July 6, 2021.[80] On July 10, the CDC adopted the Infection Fatality Ratio (IFR), “the number of individuals who die of the disease among all infected individuals (symptomatic and asymptomatic)”, as a new metric for disease severity.[81] In July, US PIRG and 150 health professionals sent a letter asking the federal government to “shut it down now, and start over”.[82] In July and early August, requests multiplied, with a number of experts asking for lockdowns of “six to eight weeks”[83] that they believed would restore the country by October 1, in time to reopen schools and have an in-person election.[84]

In August, over 400,000 people attended the 80th Sturgis Motorcycle Rally in Sturgis, South Dakota, and from there, at least 300 people in more than 20 states were infected.[85] The CDC followed up with a report on the associated 51 confirmed primary event-associated cases, 21 secondary cases, and five tertiary cases in the neighboring state of Minnesota, where one attendee died of COVID-19.[86] The U.S. passed five million COVID-19 cases by August 8.[87]

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