(HealthDay News) — President Donald Trump told the World Health Organization on Monday that the United States would permanently end all funding to the organization if it did not agree to make significant changes in the next 30 days.

The threat was delivered in a letter that Trump posted on his Twitter account. Sent to WHO Director General Dr. Tedros Adhanom Ghebreyesus, the letter also warned that the United States would reconsider its membership in the WHO because it was soft on China and “so clearly not serving America’s interests.”

“It is clear the repeated missteps by you and your organization in responding to the pandemic have been extremely costly for the world,” the four-page letter said.

Also in the letter, Trump claims that the WHO “consistently ignored credible reports of the virus spreading in Wuhan in early December 2019 or even earlier, including reports from the Lancet medical journal.”

But the prestigious British medical journal shot back at that accusation in a statement released Tuesday, saying “The Lancet published no report in December, 2019, referring to a virus or outbreak in Wuhan or anywhere else in China. The first reports the journal published were on January 24, 2020.”

Last year, the United States contributed about $553 million of the WHO’s $6 billion budget, with China providing $43 million, The New York Times reported. Before the letter was posted, President Xi Jinping of China offered $2 billion to fight the pandemic and called on other nations to increase their WHO contributions.

Most U.S. states had loosened social distancing restrictions by Monday, and new data shows the number of coronavirus cases in the country has dropped in recent days.

According to the Times, in New York state case counts have dropped over the last month, and they have also plunged in hard-hit Massachusetts and Rhode Island. Some states, including Vermont, Hawaii and Alaska, are seeing hardly any new cases at all, the newspaper said.

“We’re seeing a decline; undoubtedly, that is something good to see,” Jeffrey Shaman, an epidemiologist at Columbia University, told the Times. “But what we are also seeing is a lot of places right on the edge of controlling the disease.”

Testing issues continue

Of course, testing will be key to further efforts to control the spread of the new coronavirus. But only about 3% of the population has been tested, with more than 1.5 million cases recorded so far. And more than 1,000 Americans died from COVID-19 almost every day this past week, as the U.S. death toll passed 90,000 on Tuesday, the Times reported.

Meanwhile, a survey from the Washington Post reveals another dilemma: Though tests for the virus are finally becoming widely available, too few people are lining up to get them.

The poll of governors’ offices and state health departments found at least a dozen states where testing capacity outstrips the supply of patients.

Why aren’t more people getting tested? “Well, that’s the million-dollar question,” Utah Health Department spokesman Tom Hudachko told the Post. “It could be simply that people don’t want to be tested. It could be that people feel like they don’t need to be tested. It could be that people are so mildly symptomatic that they’re just not concerned that having a positive lab result would actually change their course in any meaningful way.”

Meanwhile, as millions of Americans try to navigate a safe re-entry into public life, the U.S. Centers for Disease Control and has released recommendations to guide schools, businesses, restaurants, mass transit, day care centers and camps through reopening during the coronavirus pandemic.

Unemployment soars to 36 million

On the economic front, things look bleak. Statistics released last Thursday showed the coronavirus crisis has pushed almost 3 million more Americans into the ranks of the unemployed.

In the past eight weeks, a whopping 36 million Americans have lost their jobs as the country went into lockdown to try and slow the spread of COVID-19.

But a new report finds that hasn’t stopped millions more Americans from venturing out in public.

From March 20, when states began urging people to stay home, to April 30, when many states started easing those restrictions, 43.8% of U.S. residents stayed home, a Times analysis showed.

But last week, only 36.1% of Americans stayed home. The biggest drop in share of people staying home was in Michigan, where stay-at-home orders are actually still in place, the analysis showed.

Serious illness in kids

Meanwhile, troubling news has emerged from New York City: More than 145 children have contracted a new, serious inflammatory syndrome that seems to be linked to COVID-19 infection, NBC New York reported.

The U.S. Centers for Disease Control and Prevention has confirmed the link, New York City Mayor Bill de Blasio announced Monday. He said the city will work under the CDC’s latest definition of what it now calls multi-system inflammatory syndrome in children.

“The CDC has confirmed a link to COVID-19. This is important, we assumed it, but they have done additional research to 100 percent confirm it and released a national standard definition,” de Blasio told NBC New York.

The syndrome affects blood vessels and organs, and has symptoms similar to Kawasaki disease and toxic shock.

A small number of cases have been reported in other states, including New Jersey, California, Louisiana and Mississippi, the Times reported. At least 50 cases have been reported in European countries.

As New York City officials grappled with how to track and treat this new condition, an Italian study published in The Lancet medical journal described similar cases that cropped up in that country.

Between Feb. 18 and April 20, there were 10 cases of young children hospitalized with the inflammatory condition in the Lombardy region of northern Italy. In the five years leading up to the middle of February, only 19 children in that region had ever been diagnosed with the condition.

All 10 children survived, but they had more severe symptoms than those diagnosed with Kawasaki disease in the previous five years.

Fears around reopening

Across the country, reopening plans proceed, with all states hoping to have relaxed social distancing measures by Memorial Day weekend, CNN reported. But polling shows that many Americans still oppose the reopening of restaurants, retail stores and other businesses.

A Washington Post-University of Maryland survey found that many Americans have been making trips to grocery stores and 56% say they are comfortable doing so. But 67% say they would be uncomfortable shopping at a retail clothing store, and 78% would be uncomfortable eating at a sit-down restaurant.

Those fears may only be heightened by a troubling new study on COVID-19 transmission, published last week in the Proceedings of the National Academy of Sciences journal.

Researchers from the U.S. National Institute of Diabetes and Digestive and Kidney Diseases and the University of Pennsylvania discovered that even talking emits small respiratory droplets that linger in the air for at least 8 minutes. The finding could help explain why COVID-19 infections tend to run rampant in nursing homes, households, conferences, cruise ships and other confined spaces with limited air circulation, the Post reported.

“Highly sensitive laser light scattering observations have revealed that loud speech can emit thousands of oral fluid droplets per second,” the report stated.

According to a Times tally, the top five states in coronavirus cases as of Tuesday are: New York with over 356,000; New Jersey with over 148,000; Illinois with nearly 97,000; Massachusetts with more than 87,000; and California with over 81,000.

Nations grapple with pandemic

In Asia, where the coronavirus first struck, several countries are finally returning to a new normal but clusters of cases have been cropping up.

In China, public officials are testing all 11 million residents in the city of Wuhan in the hopes they can extinguish any remaining cases of coronavirus in the pandemic’s original epicenter, the Post reported

Meanwhile, South Korean officials said they do not plan to revive strict social distancing rules, despite a spike in coronavirus cases linked to nightclubs in Seoul, the Associated Press reported.

Elsewhere, the situation remains challenging. On Tuesday, the United Kingdom’s coronavirus death count neared 35,000, the second highest in the world, according to a Johns Hopkins University tally. Britain has now surpassed Italy, Spain and France for COVID-19 deaths in Europe.

Brazil looks like it might become the next hotspot in the coronavirus pandemic. By Tuesday, the South American country had reported nearly 17,000 deaths and more than 255,000 confirmed infections, according to the Hopkins tally.

Cases are also spiking in Russia: As of Tuesday, that country reported the world’s second-highest number of COVID-19 cases, the Hopkins tally showed. Russia now has more than 299,900 cases, surpassing both Britain and Spain. Only the United States has more cases.

Worldwide, the number of reported infections passed 4.8 million on Tuesday, with nearly 319,000 deaths, according to the Hopkins tally.

More information

The U.S. Centers for Disease Control and Prevention has more on the new coronavirus.

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