CLOSE Elaine Swann, lifestyle expert and founder of The Swann School of Protocol, explains how to turn down a social gathering politely during the pandemic. USA TODAYSome areas of the country will likely again need temporary “drastic” and “draconian” measures — such as shutdowns or the suspension of elective procedures — to protect the nation’s health care system as COVID-19 continues to spread, Dr. Anthony Fauci said Friday. That’s because the nation is facing a “surge upon a surge” of cases that will likely continue to mount, Fauci said in interview with CNN. The number of coronavirus cases was already growing rapidly before Thanksgiving, a time when many Americans traveled and gathered, likely further escalating the virus’ reach.The extent of the Thanksgiving-related surge won’t fully be known until almost Christmas — when yet another surge of cases may again start, the National Institute of Allergy and Infectious Diseases Director said. Infections and deaths continued climbing in recent weeks, leading the influential Institute for Health Metrics and Evaluation model to project on Friday that the U.S. will surpass half-a-million COVID-19 deaths by April. Fauci didn’t disagree, given the uncertainty of the coming weeks.But good news continues on the vaccine front, he said. Some hospitals already have candidate vaccines in hand and

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