As Outbreaks Flatten in Places, Japan, India See More Cases

People with protective masks cross a pedestrian walkway Thursday, April 9, 2020, in Tokyo. Japanese Prime Minister Shinzo Abe declared a state of emergency last Tuesday for Tokyo and six other prefectures to ramp up defenses against the spread of the coronavirus. Photo: Eugene Hoshiko / AP
People with protective masks cross a pedestrian walkway Thursday, April 9, 2020, in Tokyo. Japanese Prime Minister Shinzo Abe declared a state of emergency last Tuesday for Tokyo and six other prefectures to ramp up defenses against the spread of the coronavirus. Photo: Eugene Hoshiko / AP

NEW YORK (AP) — Coronavirus infections are spiking in Japan and creating hot spots in India’s congested cities just as the U.S. and some of the hardest-hit European countries are considering when to start easing restrictions that have helped curb their outbreaks of the disease.

Japan reported more than 500 new cases for the first time Thursday, a worrisome rise since it has the world’s oldest population and COVID-19 can be especially serious in the elderly. Prime Minister Shinzo Abe declared a state of emergency, but not a lockdown, in Tokyo and six other prefectures earlier this week. Companies in the world’s third-largest economy have been slow to embrace working from home, and many commuters were on Tokyo’s streets as usual.

India, whose 1.3 billion people are under a lockdown until next week, has sealed dozens of hot spots in and around the capital, and will supply residents with food and medicine while not allowing them to leave. The number of confirmed cases exceeds 5,000, with 166 deaths, according to India’s Health Ministry.

Meanwhile, deaths, hospitalizations and new infections have been leveling off in places like Italy and Spain, which together have more than 30,000 deaths. Even New York has seen encouraging signs amid the gloom. At the same time, politicians and health officials warn that the crisis is far from over and a catastrophic second wave could hit if countries let down their guard too soon.

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“We are flattening the curve because we are rigorous about social distancing,” New York state Gov. Andrew Cuomo said. “But it’s not a time to be complacent. It’s not a time to do anything different than we’ve been doing.”

The number of confirmed cases of COVID-19 has climbed to about 1.5 million worldwide, with nearly 90,000 deaths, according to figures compiled by Johns Hopkins University. The true numbers are almost certainly much higher, because of limited testing, different rules for counting the dead and concealment by some governments.

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The U.S. has by far the most confirmed cases, with over 430,000 people infected. New York state on Wednesday recorded its highest one-day increase in deaths, 779, for an overall death toll of almost 6,300, more than 40% of the U.S. total of around 15,000.

“The bad news is actually terrible,” Cuomo said. Still, the governor said hospitalizations are decreasing and many of those now dying fell ill in the outbreak’s earlier stages.

In a sign of how much the virus has affected air travel, the number of Americans getting on airplanes sank to a level not seen since the 1950s, the dawn of the jet age. The Transportation Security Administration screened fewer than 100,000 people on Tuesday, a drop of 95% from a year ago.