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What a Speech Reveals About Trump’s Plans for Nuclear Weapons

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What a Speech Reveals About Trump’s Plans for Nuclear Weapons

Within hours of the expiration last week of the final arms control treaty between Moscow and Washington, the State Department sent its top arms diplomat, Thomas G. DiNanno, to Geneva to lay out Washington’s vision for the future. His public address envisioned a future filled with waves of nuclear arms buildups and test detonations.

The views of President Trump’s administration articulated in Mr. DiNanno’s speech represent a stark break with decades of federal policy. In particular, deep in the speech, he describes a U.S. rationale for going its own way on the global ban on nuclear test detonations, which had been meant to curb arms races that in the Cold War had raised the risk of miscalculation, and war.

This annotation of the text of his remarks aims to offer background information on some of the specialized language of nuclear policymaking that Mr. DiNanno used to make his points, while highlighting places where outside experts may disagree with his and the administration’s claims.

What remains unknown is the extent to which Mr. DiNanno’s presentation represents a fixed policy of unrestrained U.S. arms buildups, or more of an open threat meant to spur negotiations toward new global accords on ways to better manage the nuclear age.

Read the original speech.

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New York Times Analysis

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1

Established in 1979 as Cold War arsenals grew worldwide, the Conference on Disarmament is a United Nations arms reduction forum made up of 65 member states. It has helped the world negotiate and adopt major arms agreements.

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2

In his State Department role, working under Secretary of State Marco Rubio, Mr. DiNanno is Washington’s top diplomat for the negotiation and verification of international arms accords. Past holders of that office include John Bolton during the first term of the George W. Bush administration and Rose Gottemoeller during Barack Obama’s two terms.

3

This appears to be referring to China, which has 600 nuclear weapons today. By 2030, U.S. intelligence estimates say it will have more than 1,000.

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4

Here he means Russia, which is conducting tests to put a nuclear weapon into space as well as to develop an underwater drone meant to cross oceans.

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5

In this year’s federal budget, the Trump administration is to spend roughly $90 billion on nuclear arms, including basic upgrades of the nation’s arsenal and the replacement of aging missiles, bombers and submarines that can deliver warheads halfway around the globe.

6

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A chief concern of many American policymakers is that Washington will soon face not just a single peer adversary, as in the Cold War, but two superpower rivals, China and Russia.

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7

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The 1987 Intermediate-Range Nuclear Forces Treaty or I.N.F. banned all weapons capable of traveling between 500 and 5,500 kilometers, or 310 and 3,420 miles, whether armed with nuclear or conventional warheads. The Trump administration is now deploying a number of conventionally armed weapons in that range, including a cruise missile and a hypersonic weapon.

8

The destructive force of the relatively small Russian arms can be just fractions of the Hiroshima bomb’s power, perhaps making their use more likely. The lesser warheads are known as tactical or nonstrategic nuclear arms, and President Vladimir V. Putin of Russia has repeatedly threatened to use them in Ukraine.

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9

Negotiators of arms control treaties have mostly focused on long-range weapons because the delivery vehicles and their deadly warheads are considered planet shakers that could end civilization.

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10

This underwater Russian craft is meant to cross an ocean, detonate a thermonuclear warhead and raise a radioactive tsunami powerful enough to shatter a coastal city.

11

The nuclear power source of this Russian weapon can in theory keep the cruise missile airborne far longer than other nuclear-armed missiles.

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12

Russia has conducted test launches for placing a nuclear weapon into orbit, which the Biden administration quietly warned Congress about two years ago.

13

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The term refers to the five permanent members of the United Nations Security Council—China, France, Russia, the United Kingdom and the United States.

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A top concern of American officials is that Beijing and Moscow might form an alliance to coordinate their nuclear forces. Their joint program to develop fuel for atom bombs is seen as an indication of this emerging threat.

15

This Trump administration plan is dated November but was made public in December.

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16

Released last year, this Chinese government document sought to portray Beijing as a leader in reducing the global threat of nuclear weapons.

17

Typically, arms control treaties have not required countries to destroy warheads so their keepers put them into storage for possible reuse. The United States retains something on the order of 20,000 small atom bombs meant to ignite the larger blasts of hydrogen bombs.

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18

An imminent surge centers on the nation’s Ohio-class submarines. The Trump administration has called for the reopening of submarine missile tubes that were closed to comply with the New START limits. That will add as many 56 long-range missiles to the fleet. Because each missile can hold multiple arms, the additional force adds up to hundreds more warheads.

19

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This refers to weapons meant for use on a battlefield or within a particular geographic region rather than for aiming at distant targets. It is often seen as synonymous with intermediate-range weapons.

20

Here, the talk turns to the explosive testing of nuclear weapons for safety, reliability and devising new types of arms. The United States last conducted such a test in 1992 and afterwards adopted a policy of using such nonexplosive means like supercomputer simulations to evaluate its arsenal. In 1996, the world’s nuclear powers signed a global ban on explosive testing. A number of nations, including the United States and China, never ratified the treaty, and it never officially went into force.

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21

In new detail, the talk addresses what Mr. Trump meant last fall when he declared that he had instructed the Pentagon “to start testing our Nuclear Weapons on an equal basis” in response to the technical advances of unnamed foreign states.

22

Outside experts say the central issue is not whether China and Russia are cheating on the global test ban treaty but whether they are adhering to the U.S. definition. From the treaty’s start in 1996, Washington interpreted “zero” explosive force as the compliance standard but the treaty itself gives no definition for what constitutes a nuclear explosion. Over decades, that ambiguity led to technical disputes that helped block the treaty’s ratification.

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23

By definition, all nuclear explosions are supercritical, which means they split atoms in chain reactions that become self-sustaining in sufficient amounts of nuclear fuel. The reports Mr. DiNanno refers to told of intelligence data suggesting that Russia was conducting a lesser class of supercritical tests that were too small to be detected easily. Russian scientists have openly discussed such small experiments, which are seen as useful for assessing weapon safety but not for developing new types of weapons.

24

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This sounds alarming but experts note that the text provides no evidence and goes on to speak of preparations, not detonations, except in one specific case.

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The talk gave no clear indication of how the claims about Russian and Chinese nuclear testing might influence U.S. arms policy. But it repeated Mr. Trump’s call for testing “on an equal basis,” suggesting the United States might be headed in that direction, too.

26

The talk, however, ended on an upbeat but ambiguous note, giving no indication of what Mr. DiNanno meant by “responsible.” Even so, the remark came in the context of bilateral and multilateral actions to reduce the number of nuclear arms in the world, suggesting that perhaps the administration’s aim is to build up political leverage and spur new negotiations with Russia, China or both on testing restraints.

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Trump Plans to Fire F.D.A. Commissioner Marty Makary

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Trump Plans to Fire F.D.A. Commissioner Marty Makary

President Trump has signed off on a plan to fire Dr. Marty Makary, commissioner of the Food and Drug Administration, after a series of clashes over vaping, oversight of the abortion pill and a series of new drug application denials that rattled biotech companies, according to a person briefed on the matter, who was not authorized to discuss it publicly.

Dr. Makary had a high profile for an F.D.A. commissioner, appearing frequently on television and podcasts to sell the work he was doing at the agency on improving the food supply, speeding up some drug approvals and trying to restore agency morale after thousands of staff members left.

He tried to walk the tightrope between the business-friendly Make America Great Again movement, pledging to get rid of regulations that slow down innovation and to attract more drug trials to the United States. He was an ally of Health Secretary Robert F. Kennedy Jr.’s Make American Healthy Again supporters, voicing the skepticism of the pharmaceutical industry and authorizing natural food dyes.

Ultimately, Dr. Makary’s efforts were not enough to overcome the grievances of a growing band of enemies focused on selling tobacco, opposing abortion and seeing biotech therapies authorized.

Mr. Trump’s decision to dismiss him was first reported by The Wall Street Journal.

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The decision could still change, given Mr. Trump’s propensity to change his mind Dr. Makary has also proven persuasive with Mr. Trump in beating back previous efforts to oust him.

Leaving the White House Friday evening, Mr. Trump dismissed the idea that Dr. Makary would be fired.

“I’ve been reading about it, but I know nothing about it,” he said.

The White House has pressured Dr. Makary for months to authorize flavored e-cigarettes, according to a person close to the conversations. The approvals were a top wish of major tobacco companies that have been top donors to Mr. Trump. In March, the F.D.A. issued a memo saying that it would only authorize e-cigarettes in flavors such as mint, tea and spices. The memo said the fruit and candy flavors would be unlikely to pass muster, given their appeal to young people.

Pressure continued, though, and on Tuesday the F.D.A. authorized blueberry and mango flavored e-cigarettes by Glas, a small company based in Los Angeles.

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Abortion foes including Susan B. Anthony Pro-Life America have continued to turn up the heat on Dr. Makary, reiterating their call for his firing on Thursday. The group’s leaders and others view Dr. Makary as dragging his feet on a safety review of the abortion pill mifepristone, which they viewed as a way to highlight what they believe are dangers of the drug. Former Vice President Mike Pence, who also opposes abortion rights, amplified criticism of Dr. Makary on social media as well.

The administration has been under pressure from conservatives to tighten regulations on the prescribing and dispensing of mifepristone. The Supreme Court is reviewing a federal appeals court ruling that temporarily blocked abortion providers from prescribing the drug through telemedicine and sending it to patients by mail.

Biotech companies and their investors have also raised alarms with the White House about agency decisions to reject a series of treatments for rare diseases. The F.D.A. typically turns down about 20 percent of the applications it receives for drug approvals from companies.

Dr. Makary has been aggressive in defending the decisions, which he said came from career scientists who found the medications ineffective.

Dr. Makary also had to contend with a health secretary who seemed to view the F.D.A. as an avenue for getting his favored products authorized, exemplified by Mr. Kennedy’s social media post saying that the agency would end its “war on” stem cell treatments, peptides and raw milk. Mr. Kennedy pushed the F.D.A. to reverse a 2023 ban and allow the use of a number of peptides, unproven compounds purported to offer anti-aging or muscle-recovery benefits.

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Before leading the F.D.A., Dr. Makary was a cancer surgeon and health policy researcher at Johns Hopkins University School of Medicine. He was also the author of several books about the health care system.

Some of Dr. Makary’s more popular moves included encouraging broader use of hormone replacement products for women and lifting the F.D.A.’s warnings on them. He helped speed some promising drugs to market, including a pancreatic cancer therapy and the pill form of the popular GLP-1 weight loss drugs.

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Californians were aboard hantavirus-stricken cruise ship. Is there a risk to the public?

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Californians were aboard hantavirus-stricken cruise ship. Is there a risk to the public?

Some California residents were among the 147 passengers and staff aboard a luxury cruise ship stricken by a suspected outbreak of hantavirus that has left three people dead and several others severely ill, officials confirmed Thursday.

California public health officials say they are monitoring the situation after being notified by the U.S. Centers for Disease Control and Prevention that some state residents were passengers on the MV Hondius. The precise status of those individuals, however, remains murky.

Hantavirus is a rare but deadly disease that attacks the lungs and is typically contracted by humans through inhalation of particles contaminated with the urine, feces or saliva of a wild rodent.

However, Dr. Tedros Adhanom Ghebreyesus, director-general of the World Health Organization, confirmed Thursday that the Andes virus — a form of hantavirus that can spread from person to person — was involved in the outbreak.

Here’s what we know:

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The MV Hondius cruise ship anchored at a port in Praia, Cape Verde, on Wednesday.

(Misper Apawu / Associated Press)

As its name suggests, the Andes virus is typically found in South America. The Dutch-flagged MV Hondius was on a 46-day journey that traveled from Antarctica with stops in Argentina.

In the case of human-to-human transmission, a person would first be infected by a wild rodent’s contaminated particles and then pass the infection to someone else, said Dr. Gaby Frank, director of the Johns Hopkins Special Pathogens Center.

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“In previous outbreaks of Andes virus, transmission between people has been associated with close and prolonged contact, particularly among household members, intimate partners and people providing medical care,” Ghebreyesus said. “That appears to be the case in the current situation.”

None of the remaining passengers or crew members on the ship are symptomatic, he said.

The ship was not permitted to allow passengers to disembark at its original destination, Cape Verde, and is sailing for Spain’s Canary Islands.

“I want to be unequivocal here: This is not SARS-CoV-2. This is not the start of a COVID pandemic. This is an outbreak that we see on a ship. There’s a confined area,” Dr. Maria Van Kerkhove, who leads the WHO’s epidemic and pandemic management, said at a briefing. “This is not the same situation we were in six years ago. It doesn’t spread the same way like coronaviruses do.”

California passengers on the cruise

On April 1, 114 guests boarded the cruise ship in Ushuaia, Argentina. Twenty-three days later, 30 passengers — including six people from the United States — disembarked on a stop in St. Helena, a remote island about 1,100 miles off the coast of Africa, according to the cruise operator Oceanwide Expeditions.

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Public health agencies in California, Georgia and Arizona were notified by the CDC that some of their residents were among the passengers on the cruise. It’s unclear whether these individuals disembarked on April 24, however.

The CDC is assisting local health authorities with monitoring California residents who were aboard the cruise, according to a statement by the California Department of Public Health on Friday.

As of Friday, one passenger has returned to their California residence and is in contact with local public health officials, and at least one other remains aboard the ship, according to the state agency.

“We understand that news of an unusual outbreak can be concerning,” said Dr. Erica Pan, director of the California Department of Public Health. “Unlike influenza and COVID-19, years of experience in South America have shown that this Andes hantavirus rarely spreads between people.”

Officials said the current public health protocol is to do daily symptom monitoring and reporting.

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“As there are no known cases of Andes hantavirus infection from people without symptoms, and any spread has usually been limited to people with prolonged close contact with an ill person with this virus, the risk to the general public in California is extremely low,” the agency said in a statement.

In a statement earlier this week, the CDC also said that the risk to the American public “is extremely low” at this time.

“We urge all Americans aboard the ship to follow the guidance of health officials as we work to bring you home safely,” the agency said.

The others who exited the ship on April 24 were individuals from Canada, Denmark, Germany, the Netherlands, New Zealand, Switzerland, Sweden, Singapore, St. Kitts and Nevis, Turkey and the United Kingdom.

Of the remaining passengers still aboard the ship headed for Spain’s Canary Islands, California Department of Public Health said none were ill as of Friday.

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How many people have been infected?

The number of lab-confirmed hantavirus cases has risen to five, according to the WHO. There are three additional suspected cases.

A timeline of reported cases of hantavirus aboard the cruise ship can be found here.

The WHO is monitoring reports of other people with symptoms “who may have had contact with one of the passengers. In each case, we are in close contact with the relevant authorities,” Tedros said.

The first passenger to have been infected, a Dutchman, became sick aboard the cruise ship on April 6 and died on April 11.

No samples were taken, because his symptoms were similar to other respiratory diseases. His widow left the ship with his body on April 24 during the scheduled stop at St. Helena.

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“She deteriorated during a flight to Johannesburg on the 25th of April and died the next day,” Tedros said.

Before boarding the cruise ship, the Dutch couple had traveled through Argentina, Chile and Uruguay on a bird-watching trip, “which included visits to sites where the species of rat that is known to carry Andes virus was present,” Tedros said.

After leaving the ship, the woman was briefly aboard a KLM aircraft in Johannesburg bound for Amsterdam but was barred from the flight due to her medical condition, the airline said in a statement.

Dutch news outlets reported that a flight attendant on a KLM airplane — who briefly had contact with the widow — started feeling sick and had mild symptoms and was in isolation at a hospital in Amsterdam.

The flight attendant has since tested negative for the Andes virus, Dr. Jeremy Faust, an emergency medicine physician, wrote on his Substack blog, Inside Medicine, citing a text message sent to him by Tedros.

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“It is still possible that the flight attendant contracted the Andes virus. However, given our understanding of the virus, this information means that the flight attendant’s symptoms are not caused by the Andes hantavirus, but by some other medical illness,” Faust wrote.

More cases may be reported, because the incubation period — the time it takes between exposure to the virus and the onset of illness — for the Andes strain of the hantavirus is up to six weeks.

What we know about hantavirus

There are roughly 50 identified species of hantavirus. The virus that’s found in the Americas tends to cause a cardiopulmonary syndrome, a condition that affects the heart and the lungs, according to Frank.

There have been 890 laboratory-confirmed cases of hantavirus disease reported in the U.S. since surveillance began in 1993, according to the most recent data from the CDC.

From 1980 to 2025, 99 California residents have been diagnosed with a hantavirus infection, according to the California Department of Public Health.

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CDC officials said 38% of people who develop respiratory symptoms may die from the disease.

Still, the data suggest that contracting hantavirus is rare, said Dr. Afif El-Hasan, member of the American Lung Assn.’s national board of directors.

There is no vaccine or specific antiviral medicine for hantavirius.

Intensive-care treatment may include intubation and oxygen therapy, fluid replacement and use of medications to lower blood pressure, according to the American Lung Assn.

The signs of hantavirus

Early symptoms of hantavirus are similar to the flu and include fatigue, fever and muscle aches, according to the CDC. Symptoms start to develop within one to eight weeks after contact with an infected rodent.

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Half of those who contract the virus also experience headaches, dizziness, chills, nausea, vomiting, diarrhea and abdominal pain.

Four to 10 days after the initial phase of the illness, another round of symptoms can develop, which include coughing, shortness of breath and possible tightness in the chest as the lungs fill with fluid.

Even though contracting hantavirus in the U.S. continues to be a rare event, El-Hasan said, people should take these initial symptoms seriously and promptly seek medical care.

How to protect yourself

Hantavirus cases can occur year-round, but the peak seasons in the United States are the spring and summer, which coincide with the reproductive seasons for deer mice.

To lessen your risk of infection, keep wild rodents out of your home and other enclosed spaces by sealing any holes and placing snap traps.

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If you find evidence of mice, wear personal protective equipment and disinfect the area. When you’re done, put everything, including cleaning materials, in a bag and toss it in your trash bin.

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Hantavirus Is Nothing Like Coronavirus, but It’s Bringing Some ‘Covid P.T.S.D.’

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Hantavirus Is Nothing Like Coronavirus, but It’s Bringing Some ‘Covid P.T.S.D.’

Medical workers in protective suits. Contact tracing. P.C.R. tests and World Health Organization briefings.

Just when much of the public had presumed to have left those ominous images and turns of phrase intertwined with the Covid-19 pandemic in the rearview mirror, a deadly hantavirus outbreak aboard a Dutch cruise ship has dredged up familiar anxieties.

Health experts, aware of the scars Covid left on people, including those who are still dealing with it, have sought to dispel comparisons between hantavirus and coronavirus. They said this week that the viruses spread quite differently and were not close in magnitude.

Still, those reassurances have not quelled the public’s anxiety or its appetite for medical advice from some of the same doctors who commanded attention on television as Covid-19 marched across the globe.

“I have Covid P.T.S.D.,” Dr. Celine R. Gounder, editor at large for public health at KFF Health News and an infectious disease expert, said in an interview on Thursday. “There are parts of New York City I cannot walk by without seeing the refrigerated mortuary trucks. I had to get rid of certain things I was using during the pandemic, clothing or otherwise, because it was triggering. So I completely get where people are coming from.”

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“That said,” Dr. Gounder was swift to emphasize, “not all infectious diseases are created equal.”

In Spain, the president of the Canary Islands lodged a protest against allowing the cruise ship to dock there, while a flurry of threads have begun to appear on social media sites pondering whether it was safe to travel at all.

The mention of masks particularly reverberated on the far right politically, where some have begun using the outbreak to warn against the prospect of new restrictions or government mandates.

Three passengers who were traveling on the Dutch cruise ship MV Hondius died during the hantavirus outbreak, which has sickened at least five other people aboard the vessel with symptoms of the rare disease. On Sunday, the ship is expected to approach the island of Tenerife, where passengers will be brought by boats for evacuation flights to their home countries.

Most strains of the virus, which is primarily carried by rodents, cannot be spread from person to person. But the one identified in the ship outbreak, the Andes strain, can move between people, according to medical experts, who underscored that it requires repeated close contact.

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“This is not coronavirus,” Dr. Maria Van Kerkhove, the W.H.O.’s head of epidemic and pandemic preparedness, said at a news conference in Geneva on Thursday. “This is a very different virus.”

Dr. Van Kerkhove said she could understand the intense demand for answers about the cluster of infections.

“I want to be unequivocal here: This is not SARS-CoV-2,” she said, referring to the virus that causes Covid. “This is not the start of a Covid pandemic.”

Around the world, health authorities monitored suspected cases of hantavirus infection. A number of these potential patients tested negative. But the concerns were a reminder of how every allergy season sneeze or wheeze could prompt existential dread in the early months of the Covid pandemic.

In an appearance on the “Today” show on Thursday, Dr. Ashish Jha, who oversaw the Biden administration’s pandemic response as it wound down, said he was confident that public health authorities could contain the spread of the hantavirus if they followed longstanding contact tracing protocols.

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“We’ve got to track down everybody who left the cruise ship and figure out where they are, make sure that we’re monitoring them,” he said. “If they develop any symptoms, then they’ve got to get isolated.”

Such attempts at reassurance may be interpreted differently by some critics of the Trump and Biden administration’s responses to the Covid pandemic.

The far-right commentator Glenn Beck on Thursday signaled the need to resist a return to Covid-era measures on his show.

“They’ll do exactly the same thing they did last time, and then our kids won’t go to school, and we’ll have masks,” Mr. Beck said.

Plenty of others on social media sought to introduce levity in the moment, harking back to quirky rituals and skills they honed during the pandemic.

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“Practicing my dancing for when the hantavirus becomes the new covid,” one young woman wrote in a post.

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