From: San Antonio, TX
Minnesota, Texas and Arizona are big states trending up (bad). Can't figure out how Vermont is doing so well and New Hampshire isn't. Happy to say New York continues to be among the lowest R0 states in the Continental U.S. Some of the mid=state will have partial reopening Friday and most of the rest is getting close. These are partial reopening, not much at first, but the trends are excellent. Economy-wise tourism will be last, but much of the rest of the economic engine should come back on line over the summer. I think they are waiting for after the Memorial Day weekend to open some things like the beaches (that's me, beach rat, big, ocean waves and swim out until the life guard has to whistle for me to come in). Transit and schools are the big challenge but they have a plan for both. Germany and Korea had to relock some hot spots. In both cases the hotspots were centered around bars and clubs so that's a good data point. Can't figure out how they are going to open up much of the offices in NYC while PPE is still a bit difficult to find and employers are required to provide. Better, but if you figure 1 mask , per person , per day, that is millions of masks per day.
If by "trending up" you mean "more cases" in Texas, that's to be expected based upon the testing expansion. The raw numbers, taken out of context can disguise the big picture. Testing in Texas is 'lumpy'. Some days we're testing 9,000/day, other days 28,000/day. Overall attack rate (number of positives/number tested) is currently between 5-7%.
For a while in mid-April, about 8-10% of samples tested were positive. When we were only averaging about 4,000-6,000 tests/day.
Urgent care clinics are offering testing services, provided that individuals meet the (clinical) criteria for testing. Public Health departments are doing more testing of prisons, nursing homes and other confined or at risk local populations. We tend to get 'lumps' of cases when one of those testing blasts comes through. I think there's also a modest area of focal concentration of positives in and around the Dallas area identified recently.
But nothing that I'm seeing is 'troubling' or 'bad' in terms of trends. Mortality and case count in Texas has continued to be substantially below average. ICU beds are plentiful and underpopulated. We have a 1:11 ratio of ventilators in use: ventilators available, should it come to that measure of success.
Governor Abbot's done a good job of partial reopening state-wide. Balanced, judicious and timely. Later this week, more things will be getting the green light to reopen. The state has handled the outbreak very well and the proof is in the pudding.