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Virus keeps spreading as schools begin to open, frightening parents and alarming public health officials

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COLUMBUS, Miss. — Even before President Trump admonished his top coronavirus adviser for saying the country was entering a "new phase" of widespread infection, patients at Mississippi's only Level 1 trauma hospital were already on a wait for ICU beds.

“Our ICUs have been full for weeks,” LouAnn Woodward, a vice chancellor at the University of Mississippi Medical Center in Jackson, said Thursday. “It’s a very acute issue we’re facing here.”

Mississippi, now experiencing the country’s highest rate of positive tests, is emblematic of the pandemic’s new reality. The virus is no longer principally an urban problem: It is present throughout every state, and those infected often don’t know it, leading to what top public health officials call “inherent community spread.”

This has proved true for Ohio Gov. Mike DeWine (R), who learned he had the novel coronavirus when he tested positive Thursday morning in advance of a planned meeting with Trump. Trump went ahead with his visit to a Whirlpool plant; DeWine, the second governor known to have contracted the virus, went into self-isolation. Later Thursday, DeWine tweeted that a subsequent test had come back negative.

The situation in Mississippi is unfolding as well in other largely rural parts of the country, including in Alabama and California’s Central Valley, places where so much viral material is circulating that when people get infected, many are unsure when or how it happened — so the outbreaks cannot be easily traced and contained....

In California, the eight-county Central Valley has resisted many measures to bring down the infection rate and is now the state’s most concerning region. Over the past week, the number of cases in Fresno County has risen 41 percent, although in recent days the hospitalization rate has declined slightly.

Much of the population is made up of Latinos, who now have more than half of California’s nearly 530,000 coronavirus cases while accounting for 40 percent of the population. The region, scorching hot in the summer months, is also the heart of a multibillion-dollar agriculture industry that has taken little time off....

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