The United States closed out 2020 with the deadliest and most infectious month since the start of the coronavirus pandemic, while surpassing 20 million confirmed Covid-19 cases.
More than 77,000 people lost their lives in December to Covid-19, while 6.4 million contracted the virus amid the emergence of a new virus variant and delayed efforts to get people vaccinated. The second-deadliest month was April 2020, with more than 58,000 deaths.
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At least 227,651 new cases were reported on Thursday and 3,451 people died, marking the second-highest daily death toll, according to NBC News' tally.
The virus has killed more than 346,000 people in the U.S.
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At least four cases of a new Covid-19 variant first detected in the United Kingdom have been reported in Colorado, California and Florida. However, Dr. Mercedes Carnethon, vice chair of preventive medicine at Northwestern University, said experts are "fairly confident this variant is now everywhere."
This variant also "appears to affect more adults under age 20," Carnethon told MSNBC. "And I think the reason why that's particularly critical is that this younger adult population is circulating more. They are performing some of the essential roles such as delivery work, factory work and they're just generally out there in the population, and that population isn't in line to be vaccinated soon."
Only about 2.8 million people have been vaccinated since mid-December, though the Trump administration aimed to vaccinate at least 20 million people by the start of the new year. Officials in states grappling with a rise in cases have said that a lack of trained staff ready to administer the vaccines has contributed to delays.
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Even with vaccines becoming available, cases are almost certain to continue growing, and yet another surge is expected in the weeks after Christmas and New Year’s.
Thursday became the second consecutive day New York surpassed its record for daily new cases with 15,700. As the state prepares to potentially report its millionth case on Saturday, officials have said they hope to vaccinate at least 1 million people this month.
The state of Virginia also hit a single-day record Thursday with 5,239 new cases.
In California, hospitalizations have climbed more than eightfold in two months and nearly tenfold in Los Angeles County. As hospitals are swamped with patients, and intensive care units have no more beds for Covid-19 patients, makeshift wards are being set up in tents, arenas and classrooms to make up for the lack of space in overwhelmed hospitals.
On Thursday, the total number of California deaths surpassed 25,000, making it the third state to cross that milestone with New York and Texas.
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“Most heartbreaking is that if we had done a better job of reducing transmission of the virus, many of these deaths would not have happened,” said Barbara Ferrer, Los Angeles County’s public health director, who has pleaded with people not to get together and worsen the spread.
The states of Nevada, North Carolina and Wyoming also set new single-day records Thursday for coronavirus deaths — reporting 59, 123 and 33, respectively.
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Two vaccines to prevent Covid-19 infections have now been granted authorization for emergency use, and every day thousands more people are becoming vaccinated. As of Jan. 1, the Centers for Disease Control and Prevention reported that more than 2,794,588 initial doses of the two Covid-19 vaccines have been administered.
One two-dose vaccine, developed by the U.S. drugmaker Pfizer and the German firm BioNTech, was the first authorized by the Food and Drug Administration for emergency use. The first shipments were made on Dec. 14. A second vaccine, which was developed by Moderna and also requires two doses, began shipping vials on Dec. 20.
NBC News is tracking administered doses in U.S. states and territories by surveying health departments and examining daily reports.
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Americans fled big cities in droves to escape the coronavirus pandemic — and many of them are staying, permanently or indefinitely. But escape means something different depending on whom you ask.
The top destination cities as of October and November were Sacramento, California; Las Vegas; Phoenix; Austin, Texas; and Atlanta, according to the real estate site Redfin. Interest is particularly high for Austin, where double the number of people moved this year compared to last year.
The main driver is that people want more space, prompting higher sales of luxury, suburban and rural homes, said Daryl Fairweather, chief economist at Redfin.
"It's a K-shaped recovery. Wealthy people are doing well, and more affluent people are more able to work remotely," Fairweather said.
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Buyers are seeking more affordable homes and yard space for their families, home offices for parents, designated areas for remote learning for their children and, with some gyms closed or customers wary of re-entering, their own workout spaces.
Homes with guesthouses or additional suites have also sold briskly as families take in their older parents to maintain multigenerational face time. Many have taken elderly relatives out of nursing homes, which have been sites of coronavirus outbreaks, to simplify the family bubble.
Buyers are using virtual 3D home tours, sending in agents to tour houses by video, and buying homes sight unseen to avoid repeated trips and higher risk of exposure, Fairweather said.
Some South and Southwestern states, which had fewer lockdown restrictions, added people fleeing more restrictive counties and states for both economic and ideological reasons.
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Jehna Powell, 23, a bartender and gym employee, recently moved from Eaton, Colorado, to Pensacola Beach, Florida.
"I can't stand living in Colorado anymore. The governor does not have the best interest for small businesses and people born and raised in Colorado," Powell said in an online message.
During a recent trip to Florida, she fell in love with the warmer weather and decided to make the jump with her dog this summer. While the cost of living is about the same as in Eaton, Powell said she enjoys the "simpler life" and hopes bartending income will pick up next summer.
In Florida, people are "happy ... being able to do what they see necessary as far as protecting themselves," Powell said. For example, the bar she works at doesn't mandate wearing masks.
Some people fleeing major cities said they were afraid of dying from Covid-19 and burdening their partners with housing costs they wouldn't be able to bear on their own.
Amber Parker of Atascadero, California, had to make a decision when her husband lost his income. He was a head coach for a basketball team at a junior college, and the school decided not to risk playing sports this year.
"We realized if either of us were to die or lose our jobs, the other could not cover the mortgage," Parker said in an online message. "Although, we do not live in fear of the virus. Just logical thinkers."
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So they sold their home and moved themselves and their two children to Lexington, South Carolina. While the family is excited, they all know they will miss family and friends.
"We mainly just want to see our kids thrive," Parker said. "California is completely shut down."
In their new town, their youngest child, 11, will be able to go to school four days a week and their 14-year-old two days a week. And both will be able to participate in sports.
The pandemic and remote working arrangements have opened up new opportunities for people to try out living in new areas without having to leave their old jobs or save up a lot of money.
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Abigail Jaffe, 28, who works in public relations for tech companies, moved from New York City to Austin in August. Her roommate left their shared apartment to move back with her parents and work remotely, which meant Jaffe had to decide whether to find a new roommate during the pandemic, and all that entails, or move.
"I had wanted to move to Austin for a while but always thought that I'd have to quit my job first," she said. Instead, the pandemic gave her a chance to pursue her dream.
"It's so much better. I pay the same amount for a one-bedroom now that I was paying to split a two-bedroom in New York City," Jaffe wrote in an online message. She also got a car and a dog, both of which could have been a challenge in her previous location.
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Susan Wachter, a professor of real estate and finance at the Wharton School of the University of Pennsylvania, said the pandemic has fast-tracked long-term demographic shifts.
The pandemic accelerated population loss in some urban centers and pushed a move toward suburban and rural areas, Wachter said. And now, unlike earlier in the pandemic, people are making long-term moves, not just temporary relocations, to escape Covid-19 or its effects on their quality of life.
Before the pandemic, workers and families grappled with a terrible choice when deciding where to live. "You could commute several hours or pay inordinate housing costs," Wachter said. "Now, you can avoid both."
People who left cities may return if their offices allow it or require one to two days a week of in-person engagement, but many could resettle farther out from cities to take advantage of the lower cost of living, the higher quality of life and more access to nature and outdoor activities.
But younger workers and those fresh out of school will still flock to cities, drawn by relatively discounted rents, the chance to meet new people and get critical face time and the opportunity to develop skills to nurture their careers.