US response to the virus is met with incredulity abroad

The United States’ failure to contain the spread of the coronavirus has been met with astonishment and alarm in Europe, as the world’s most powerful country edges closer to a global record of 5 million confirmed infections.

Perhaps nowhere outside the U.S. is America’s bungled virus response viewed with more consternation than in Italy, which was ground zero of Europe's epidemic. Italians were unprepared when the outbreak exploded in February and the country still has one of the world’s highest official death tolls at 35,000.

But after a strict nationwide 10-week lockdown, vigilant tracing of new clusters and general acceptance of mask mandates and social distancing, Italy has become a model of virus containment.

FILE - In this April 18, 2020, file photo, Mortician Cordarial O. Holloway, foreground left, funeral director Robert L. Albritten, foreground right, and funeral attendants Eddie Keith, background left, and Ronald Costello place a casket into a hearse in Dawson, Ga. America's failure so far to contain the spread of the coronavirus as it moves across the country has been met with astonishment and alarm on both sides of the Atlantic. (AP PhotoBrynn Anderson, File)

“Don’t they care about their health?” a mask-clad Patrizia Antonini asked about people in the United States as she walked with friends along the banks of Lake Bracciano, north of Rome. “They need to take our precautions ... They need a real lockdown."

Much of the incredulity in Europe stems from the fact that America had the benefit of time, European experience and medical know-how to treat the virus that the continent itself didn’t have when the first COVID-19 patients started filling intensive care units. Yet, more than four months into a sustained outbreak, the U.S. is about to hit an astonishing milestone of 5 million confirmed infections, easily the highest in the world. Health officials believe the actual number is closer to 50 million, given testing limitations and the fact that as many as 40% of all cases are asymptomatic.

“We Italians always saw America as a model," said Massimo Franco, columnist with daily Corriere della Sera. “But with this virus we've discovered a country that is very fragile, with bad infrastructure and a public health system that is nonexistent."

FILE - In this July 14, 2020, file photo, people wait in line for coronavirus testing at Dodger Stadium in Los Angeles. America's failure so far to contain the spread of the coronavirus as it moves across the country has been met with astonishment and alarm on both sides of the Atlantic. (AP PhotoMark J. Terrill, File)

Italian Health Minister Roberto Speranza hasn’t shied away from criticizing the U.S., officially condemning as “wrong” Washington’s decision to withhold funding from the World Health Organization and marveling personally at President Donald Trump’s virus response.

After Trump finally donned a protective mask last month, Speranza told La7 television: “I’m not surprised by Trump’s behavior now; I’m profoundly surprised by his behavior before."

With America’s list-leading 160,000 dead, politicized resistance to masks and rising caseload, European nations have barred American tourists and visitors from other countries with growing cases from freely traveling to the bloc.

FILE - In this July 6, 2020, file photo, Dr. Joseph Varon, right, leads a team as they try to save the life of a patient unsuccessfully inside the Coronavirus Unit at United Memorial Medical Center in Houston. America's failure so far to contain the spread of the coronavirus as it moves across the country has been met with astonishment and alarm on both sides of the Atlantic. (AP PhotoDavid J. Phillip, File)

France and Germany are now imposing tests on arrival for travelers from “at risk” countries, the U.S. included.

“I am very well aware that this impinges on individual freedoms, but I believe that this is a justifiable intervention,” German Health Minister Jens Spahn said in announcing the tests last week.

Mistakes were made in Europe, too, from delayed lockdowns to insufficient protections for nursing home elderly and critical shortages of tests and protective equipment for medical personnel.

FILE - In this May 28, 2020, file photo, a woman passes a fence outside Brooklyn's Green-Wood Cemetery adorned with tributes to victims of COVID-19 in New York. America's failure so far to contain the spread of the coronavirus as it moves across the country has been met with astonishment and alarm on both sides of the Atlantic. (AP PhotoMark Lennihan, File)

The virus is still raging in some Balkan countries and thousands of maskless protesters demanded an end to virus restrictions in Berlin earlier this month. Hard-hit Spain, France and Germany have seen infection rebounds with new cases topping 1,000 a day, and Italy's cases inched up over 500 on Friday. The U.K. is still seeing an estimated 3,700 new infections daily, and some scientists say the country’s beloved pubs might have to close again if schools are to reopen in September without causing a new wave.

In the U.S., new cases run at about 54,000 a day — an immensely higher number even when taking into account its larger population. And while that’s down from a peak of well over 70,000 last month, cases are rising in nearly 20 states, and deaths are climbing in most.

In contrast, at least for now Europe appears to have the virus somewhat under control.

FILE - In this March 25, 2020, file photo, patients wear personal protective equipment while maintaining social distancing as they wait in line for a COVID-19 test at Elmhurst Hospital Center, in New York. America's failure so far to contain the spread of the coronavirus as it moves across the country has been met with astonishment and alarm on both sides of the Atlantic. (AP PhotoJohn Minchillo, File)

“Had the medical professionals been allowed to operate in the States, you would have belatedly gotten to a point of getting to grips with this back in March,” said Scott Lucas, professor of international studies at the University of Birmingham, England. “But of course, the medical and public health professionals were not allowed to proceed unchecked,” he said, referring to Trump’s frequent undercutting of his own experts.

When the virus first appeared in the United States, Trump and his supporters quickly dismissed it as either a “hoax” or a virus that would quickly disappear once warmer weather arrived. At one point, Trump suggested that ultraviolet light or injecting disinfectants would eradicate the virus. (He later said he was being facetious).

Trump’s frequent complaints about Dr. Anthony Fauci have regularly made headlines in Europe, where the U.S. infectious diseases expert is a respected eminence grise. Italy's leading COVID-19 hospital offered Fauci a job if Trump fired him.

FILE - In this July 24, 2020, file photo, a sign informs customers at the Edison Hotel restaurant about wearing a protective face mask during the coronavirus pandemic along Ocean Drive in Miami Beach, Fla. America's failure so far to contain the spread of the coronavirus as it moves across the country has been met with astonishment and alarm on both sides of the Atlantic. (AP PhotoLynne Sladky, File)

Trump has defended the U.S. response, blaming China, where the virus was first detected, for America’s problems and saying the U.S. numbers are so high because there is so much testing. Trump supporters and Americans who have refused to wear masks against all medical advice back that line.

‪“There’s no reason to fear any sickness that’s out there,” said Julia Ferjo, a mother of three in Alpine, Texas, who says she is “vehemently” against wearing a mask. ‪Ferjo, 35, teaches fitness classes in a large gym with open doors, where she doesn’t allow participants to wear masks.

‪“When you’re breathing that hard, I would pass out,” she said. “I do not want people just dropping like flies.”

FILE - In this Monday, April 13, 2020, file photo, a patient arrives in an ambulance cared for by medical workers wearing personal protective equipment due to COVID-19 coronavirus concerns outside NYU Langone Medical Center in New York. America's failure so far to contain the spread of the coronavirus as it moves across the country has been met with astonishment and alarm on both sides of the Atlantic. (AP PhotoJohn Minchillo, File)

And health officials watched with alarm as thousands of bikers gathered Friday in the small South Dakota city of Sturgis for a 10-day motorcycle rally. The state has no mask mandates and many bikers expressed defiance of measures meant to prevent the virus's spread.

Dr. David Ho, director of the Aaron Diamond AIDS Research Center at Columbia University Irving Medical Center, who is leading a team seeking treatments for COVID-19, decried such behavior, as well as the country's handling of the virus.

“There’s no national strategy, no national leadership and there’s no urging for the public to act in unison and carry out the measures together," he said. “That’s what it takes and we have completely abandoned that as a nation.”

FILE - In this July 6, 2020, file photo, Sam Samusi, left, wears an N95 mask while waiting for his train at Union Station in Los Angeles. America's failure so far to contain the spread of the coronavirus as it moves across the country has been met with astonishment and alarm on both sides of the Atlantic. (AP PhotoJae C. Hong, File)

When he gets on Zoom calls with counterparts from around the globe, “Everyone cannot believe what they’re seeing in the U.S. and they cannot believe the words coming out of the leadership,’’ he said.

Even the European Commission president, Ursula von der Leyen, has taken the unusual step of criticizing the U.S. when she urged Washington to reconsider its decision to break ties with the WHO. She also issued veiled criticism of U.S. efforts to buy up stocks of any vaccine that might prove effective, vowing the EU will work to provide access to everyone “irrespective of where they live.”

Many Europeans point proudly to their national health care systems that not only test but treat COVID-19 for free, unlike the American system where the virus crisis has only exacerbated income and racial inequalities in accessing health care.

FILE - In this March 31, 2020, file photo, a worker sprays disinfectant to sanitize Duomo square, as the city main landmark, the gothic cathedral, stands out in background, in Milan, Italy. America's failure so far to contain the spread of the coronavirus as it moves across the country has been met with astonishment and alarm on both sides of the Atlantic. (AP PhotoLuca Bruno, File)

“The coronavirus has brutally stripped bare the vulnerability of a country that has been sliding for years,” wrote Italian author Massimo Gaggi in his new book “Crack America” (Broken America) about U.S. problems that long predated COVID.

Gaggi said he started writing the book last year and thought then that the title would be taken as a provocative wake-up call. Then the virus hit.

“By March the title wasn’t a provocation any longer,” he said. “It was obvious.”

FILE - In this June 29, 2020, file photo, a woman cleans a restaurant prior to the opening, near the beach which is reflected in the glass, in Barcelona, Spain. America's failure so far to contain the spread of the coronavirus as it moves across the country has been met with astonishment and alarm on both sides of the Atlantic. (AP PhotoEmilio Morenatti, File)

FILE - In this March 2, 2020, file photo, tourists pull their trolleys as they walk through a nearly empty St. Mark's Square on a rainy day in Venice. America's failure so far to contain the spread of the coronavirus as it moves across the country has been met with astonishment and alarm on both sides of the Atlantic. (AP PhotoFrancisco Seco, File)

FILE - In this April 24, 2020, file photo, a man wears a mask to protect against the spread of the coronavirus as he walks along the Trocadero square close to the Eiffel Tower in Paris. America's failure so far to contain the spread of the coronavirus as it moves across the country has been met with astonishment and alarm on both sides of the Atlantic. (AP PhotoMichel Euler, File)