'Not a care in the world': In hard-hit states, younger adults increasingly bear brunt of COVID-19 cases - MSN Money

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New York City Mayor Bill de Blasio receives a haircut from his barber, Alberto Amore at Astor Place Hairstyles during the phase two re-opening of businesses following the outbreak of the coronavirus disease in New York City, New York, on June 23. 

A "masks required" sign is affixed to a window of Sally Beauty on June 23 in Salt Lake City. Gov. Gary Herbert says he has no plans to shut down the economy and appears unwilling to make face masks mandatory despite warnings from the state's epidemiologist that a "complete shutdown" might be imminent if Utah can't stop a prolonged spike of coronavirus cases. 

Richardson Fremond leaps over a wall as he runs to collect an award during a graduation ceremony for the senior class of Chambers High School at Homestead-Miami Speedway, on June 23 in Homestead, Florida. Forty-one seniors graduated from the school and crossed the start-finish line to receive their diplomas, during the coronavirus pandemic. 

An freeway display reads "Stay healthy, stop COVID-19, mask up AZ", referring to the coronavirus disease on Interstate 10 (I-10) in Red Rock, Arizona, on June 23. 

Passengers walks past thermal cameras, that check passenger's body temperatures, at Los Angeles International Airport in Los Angeles, California on June 23, after they were added as another layer of protection during the COVID-19 pandemic to help keep passengers safe.

Dr. Anthony Fauci, director of the National Institute for Allergy and Infectious Diseases, testifies during a House Energy and Commerce Committee hearing on the Trump Administration's Response to the COVID-19 Pandemic, on Capitol Hill in Washington, DC, on June 23.

Workers talk residents through a COVID-19 self-test at a mobile COVID-19 testing site set up on a vacant lot in the Austin neighbourhood on June 23, in Chicago, Illinois. The site is one of four mobile testing sites, two community-based sites and two first-responder-focused sites being implemented by the city.

A customer has her temperature checked at the Apple Store in SoHo as the city moves into Phase 2 of re-opening following restrictions imposed to curb the coronavirus pandemic on June 23, in New York.

Children play in the gym amid the coronavirus outbreak, at Carls Family YMCA summer camp in Milford, Michigan, on June 23.

A medical worker administers a test for the coronavirus at United Memorial Medical Center amid the global outbreak of the disease, in Houston, Texas, on June 23.

An open sign stands outside Empower Field at Mile High, the home of the NFL's Denver Broncos, after the lifting of restrictions put in place to help combat the spread of the new coronavirus, on  June 23 in Denver. 

A drive-in COVID-19 testing center is shown empty and abandoned as Los Angeles reports spike in positive tests amid the coronavirus outbreak in Ingelwood, California, on June 23. 

Wearing a face shield, server Brandon Fricke, left, takes orders from dine-in customers surrounded by protective dividers at Water Grill seafood restaurant on, June 22, in Los Angeles. 

Few people wear masks as they walk on the beach pier during the global outbreak of the coronavirus disease in Oceanside, California, on, June 22. 

People maintain social distance as they ride a roller coaster at Worlds of Fun amusement park on June 22 in Kansas City, Missouri as the park opened with limited hours and reduced capacity in an attempt to stem the spread of coronavirus as businesses continue to return to normal operations.

A traveler checks in with an agent at the counter for Alaska Airlines in the main terminal of Denver International Airport on June 22 in Colorado during the coronavirus pandemic.

Nail technician Minh Pham, left, wears gloves, a mask, and works behind a plastic shield out of concern for the coronavirus as he performs a manicure on Jolie O'Neil, front right, on June 22, at a nail salon, in Mansfield. Nail salons are one of the businesses open to the public as Massachusetts begins phase two of its planned reopening during the coronavirus pandemic. 

Miami Beach Mayor Dan Gelber adjusts his masks before speaking during a news conference along with other South Florida Mayors, on June 22 in Miami. More than 100,000 people in Florida have been diagnosed with the coronavirus, state health officials reported as public health officials reissued advisories urging social distancing and mask wearing. 

Visitors walk along North Avenue Beach on June 22 in Chicago, Illinois as Chicago opened the popular lakefront path and parks along the lake to visitors. The beaches remain closed as the city continues to fight the spread of the coronavirus.

New York City begins Phase Two reopening on June 22, as people can eat outdoors at restaurants and barbershops and salons can also open at 50 percent capacity. 

Members of the congregation take part in a communion with social distancing during a mass at the Basilica of the National Shrine of the Immaculate Conception, on June 22, in Washington, DC.

Emergency room doctors and medical professionals from Zuckerberg San Francisco General and UCSF Emergency Department paint a mural outside of Zuni restaurant to honor medical workers during coronavirus pandemic on June 22, in San Francisco, California. 

A woman has her temperature taken before she enters the Apple store on Fifth Avenue as New York City enters phase two of reopening on June 22. 

Visitors arrive to the Museum of the Bible which opened on Monday as part of Washington D.C.s phase two reopening from the COVID-19 shutdown on June 22.

Shoppers browse racks of clothes at a newly re-opened retail store along Broadway in lower Manhattan on the first day of the phase two re-opening of businesses in New York City, on June 22.

Storm clouds gather over a coronavirus disease (COVID-19) testing site, which was closed due to inclement weather, in Houston, Texas, on June 22.

Two women eat lunch indoor at Portside Restaurant, on June 22,  in Salisbury, Massachusetts.

Waiters set up tables in front of a restaurant on a street on the first day of the phase two re-opening of businesses in the Manhattan borough of New York City, on June 22.

Jessica Siegel and Mike O'Malley dance in the street while listening to an outdoor concert, part of Make Music-New York, in Brooklyn's Ditmas Park neighborhood on June 21 in New York. The concert was one of seven simultaneously performed jazz, rock, and classical concerts offered from the driveways, porches, and balconies of homes in the neighborhood. 

People enjoy the weather in Central Park, the day before the city starts phase two of reopening after the lockdown in the Manhattan borough of New York City, on June 21.

Tourists enjoy a boat tour around Annapolis Harbor and the US Naval Academy in Annapolis, Maryland on June 21.

People wearing face masks jog at the James Braddock North Hudson County Park after the coronavirus (Covid-19) restrictions were eased in New Jersey, on June 21.

Pedestrians take photos of the Atlas statue seen wearing a protective face mask to encourage the use of masks, at Rockefeller Center, on June 21, in New York City.

An artist paints on the boarded-up windows of the Whitney Museum of American Art in the Meatpacking District, on June 21, in New York City. 

The Arizona Department of Transportation posts new signage along highways urging the public to wear face coverings due to the recent surge in coronavirus cases, on June 21.

Storefronts remain closed in an empty Times Square, in New York, on June 21.

President Donald Trump points at the crowd as he enters his first re-election campaign rally in several months in the midst of the coronavirus disease outbreak, in Tulsa, Oklahoma, on June 20. 

A few people watch a race at Belmont Park before the 152nd running of the Belmont Stakes horse race in Elmont, New York on June 20. Tiz the Law is the star of a 10-horse field for the Belmont Stakes, perhaps the biggest event in U.S. sports since the coronavirus pandemic shut down competition in mid-March. 

Dr. Genene Duran gets swabbed for a coronavirus disease test at a testing site set up at an event to mark Juneteenth, amid nationwide protests against racial inequality in Civic Center Park in Denver, Colorado, on June 20. 

Simon Carter, right, of Further Then Fitness watches his students during his hour long boxing fitness class outside in the park due to the Coronavirus Pandemic in North Hollywood, California on June 20. 

The Hagerstown Braves celebrate with fist-bumps after defeating the Hanover Raiders in game one of a doubleheader in the South Penn Baseball League at Diller Field on June 20 in Hanover, Pennsylvania. In their 55th season, the South Penn Baseball League resumed after being delayed due the Covid-19 pandemic and following Pennsylvania Gov. Tom Wolf issuing guidelines for recreational sports. 

Consumers apply face masks as they stand in line for 'Sephora' at the Arrowhead Towne Center on June 20, in Glendale, Arizona.

Attendees sanitize themselves prior to entering a political rally for President Donald Trump on June 20, in Tulsa, Oklahoma. 

A sign indicates safety protocols to prevent the spread of the coronavirus, at the downtown bus station in Tucson, Arizona, on June 20.

A sign indicates social distancing protocols to prevent the spread of the coronavirus, at a farmer's market in Oro Valley, Arizona, on June 20.

Caddies walk past signage promoting social distancing as a COVID-19 precaution during the RBC Heritage on June 19, at Harbour Town Golf Links in Hilton Head Island, South Carolina.

Medical staff from myCovidMD provide free COVID-19 virus antibody testing in observance of Juneteenth at the Faith Central Bible Church in Inglewood, California on June 19.

New Jersey Gov, Phil Murphy discusses the current numbers of coronavirus-related deaths in NJ during a daily news briefing at the War Memorial building in Trenton, on June 19.

Diners and servers at Amigo's Mexican Kitchen & Tequila Bar at the North Shore Mall in Peabody, on June 18 in Boston.

A surgical mask adorns a statue of Elvis Presley in the lobby of the Westgate Las Vegas Resort & Casino after the property opened for the first time since being closed in mid-March because of the coronavirus pandemic on June 18, in Las Vegas, Nevada. 

50/50 SLIDES

Gallery by photo services

Younger people in their 20s, 30s and 40s are increasingly testing positive for COVID-19, a marked shift from the early months of the pandemic when older adults bore the brunt of cases. The shift is especially evidence in states now seeing spikes in cases, including Florida and Texas.

Experts attribute the rise in cases in younger adults to a variety of factors, including increased testing but, even more, large gatherings of people. The coronavirus spreads mainly from person to person through respiratory droplets from coughing, sneezing, talking and singing.

"I've seen bars and restaurants that look like it's New Year's Eve 1999, not a care in the world, nobody wearing masks, standing shoulder to shoulder," said Dr. James McDeavitt, senior vice president and dean of clinical affairs at Baylor College of Medicine in Houston.

The number of COVID-19 cases has begun to rise as college athletes resume training. Members of the University of Houston football team have tested positive, as have players at the University of Texas at Austin and Clemson University in South Carolina.

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McDeavitt said Houston is seeing "very rapid increases" in new patients sick enough to be hospitalized, although the age range of the patients is unclear. However, most of those patients don't need intensive care or mechanical ventilation, McDeavitt said.

That suggests that current patients aren't quite as sick as those who fell ill in March and April. McDeavitt said that while it's true that doctors now have access to treatments like remdesivir and convalescent plasma, "our leading hypothesis is that we are probably seeing a slightly younger patient population."

In general, older adults and those with chronic health problems have been more likely to develop more serious complications of COVID-19.

During a conference call Monday, Vice President Mike Pence told governors that a growing number of people under age 35 are testing positive for COVID-19, especially in hard-hit states such as Florida and Texas.

According to sources who were on the call, Pence said the White House is working with those states to address the rise in cases.

Texas Gov. Greg Abbott said at a news conference last week that certain counties have reported that people under age 30 represent a majority of positive COVID-19 tests. On Monday, he said the spread of the coronavirus is "unacceptable."

It's a similar situation in Florida. During a news conference last week, Gov. Ron DeSantis said the average age of COVID-19 patients in the state had declined dramatically in recent months — from the 60s to 37.

"Those under 40, in particular, who don't have any significant underlying conditions, are much, much less likely to be hospitalized or to suffer fatality," DeSantis said. However, over the weekend, the state Health Department confirmed Florida's first COVID-19 death in a minor, a 17-year-old boy in Pasco County.

"We are starting to see younger patients coming in, more 30-, 40-year-old patients coming in, late 20s," June Ellis, an associate chief nursing officer at Jackson Memorial Hospital in Miami, told NBC Miami.

Physicians in North Carolina, too, are seeing an uptick in COVID-19 among younger adults, even teenagers.

"As we're reopening, sports teams are getting back together and people are going to camps," said Dr. Katie Passaretti, medical director for infection prevention at Atrium Health in Charlotte. "We're starting to see some evidence of increased patients associated with that."

She echoed McDeavitt's observation that those patients don't seem to be as sick as older adults.

"We're not necessarily seeing an increase in the severity of disease. It's just that we're seeing evidence of more transmission," Passaretti said.

"Some people would like to say, well that's not a big deal because young people don't get as sick," Dr. Ashish Jha, director of the Harvard Global Health Institute, said Tuesday on "TODAY." "But young people are then going to spend time with their parents and grandparents."

"Just because it starts with young people, doesn't mean it will stay with young people," Jha said.

Judith Malmgren, an affiliate assistant professor at the University of Washington's epidemiology department, noted a marked shift to younger COVID-19 cases in Washington in March and April in a study she co-authored. The study was posted to a preprint server and hasn't been published in a peer-reviewed journal.

Malmgren said she, too, has noticed large numbers of young adults gathering in large crowds. But beyond that, people involved in essential work are more likely to be 20- to 39-year-olds, she said.

"They're also more likely to have interaction with the public, for example, packing your groceries at the grocery store," Malmgren said. "It's just the way that COVID-19 is spread, human to human, face to face."

We're sick and tired of waiting to reopen, but Covid isn't tired of making us sick.

3 W's: Wear a mask. Wash your hands. Watch your distance. And please, if the health department calls, answer the phone.

— Dr. Tom Frieden (@DrTomFrieden) June 22, 2020

Experts say there are ways to minimize risk as people try to get back to some level of normal life without pushing the economy back into a lockdown. They include wearing face coverings, remaining vigilant about hand hygiene, staying about 6 feet away from others in public and avoiding others if you become sick.

"Everybody needs to take personal responsibility," McDeavitt said. "If we do those things, that will replicate a lot of what a lockdown does.

"But the challenge I see," McDeavitt added, is that "some people are taking it to heart, and others are acting like they're not in the middle of the worst global pandemic of this century."

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'Not a care in the world': In hard-hit states, younger adults increasingly bear brunt of COVID-19 cases - MSN Money
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