Originally posted by the Voice of America. Voice of America content is produced by the Voice of America, a United States federal government-sponsored entity, and is in the public domain. US Grapples With Coronavirus Surge VOA News With the number of new confirmed coronavirus cases each dayin the United Statesabout double the levels of a month ago, thecountry'stop infectious disease expert is calling the state of the outbreak "really not good." In an online conference call Monday,Dr. Anthony Fauci,director National Institute of Allergy and Infectious Diseases, cited the spike in cases after U.S. states lifted many restrictions put in place to try to stop the spread of the disease. He compared the situation to what is happening in Europe, where countries have seen some increases in cases followingreopenings, butthoseoccurred after a huge drop from the levels seen at the peak of the outbreak. "We went up, never came down to baseline, and now we're surging back up.Soit's a serious situation that wehave toaddress immediately," Fauci said. The number of confirmed cases has been rising in about 40 of the 50 U.S. states, witha higherpercentage of tests coming back positive and hospital systemswarning of beds filling up. In a letter Monday, three top U.S. medical organizations -- the American Medical Association,American Nurses Association and American Hospital Association -- urged Americans to wear masks, observe social distancing guidelines and wash their hands. The groups called the coronavirus outbreak "the worst public health crisis in generations" and said the preventive steps backed by health officialsmonths ago"were too quickly abandoned." "We are not powerless in this public health crisis, and we can defeat it in the same way we defeated previous threats to public health -- by allowing science and evidence to shape our decisions and inform our actions," the letter said. White House chief of staff Mark Meadows reiterated Monday in an interview withthe cable news networkFox News that the Trump administration is leaving decisions on coronavirus restrictions up to state and local leaders instead of the federal government. .