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Officials in North Dakota reported more than 460 new cases, its single-day record, and West Virginia, which has had one of the lowest per capita rates of cases in the U.S., also hit a record, with more than 340 cases.




Trump appointees at the Health and Human Services Department have meddled in the C.D.C.’s weekly disease reports.

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Political appointees at the Department of Health and Human Services have repeatedly asked the Centers for Disease Control and Prevention to revise, delay and even scuttle reports on the coronavirus that they believed were unflattering to President Trump.

Current and former senior health officials with direct knowledge of phone calls, emails and other communication between the agencies confirmed on Saturday a report in Politico late Friday that the C.D.C.’s public Morbidity and Mortality Weekly Reports have been targeted by senior officials in the Health and Human Services’ communications office.

The reports, which one former top health official called the “holiest of the holy” in agency literature, are written largely for scientists and public health experts, to update them on trends in infectious diseases, not only the coronavirus but also other outbreaks around the country. They are guarded so closely by agency staff that political appointees only see them just before they are published.

The reports became the subject of intense scrutiny this summer by Michael Caputo, a Republican political operative and former Trump campaign official the White House installed as the top spokesman at the department in April, despite his having no background in health.

The solemn ceremonies held at and near the Sept. 11 memorial in lower Manhattan on Friday provided a poignant resonance in the face of a pandemic that has crippled the country for months and brought particularly devastating loss to New York City.

Outside the memorial plaza, a widow holding a picture of her husband admitted that the anxiety she normally felt on this anniversary was compounded by her fears over the coronavirus. A woman who lost her cousin when the twin towers fell equated the dedication of rescue workers in 2001 with the toil of health care professionals this year.

A retired firefighter said the lingering effects of the virus made him think of the continued ailments suffered by emergency workers who inhaled toxic dust, smoke and fumes at the site of the attack.

Even the notable politicians who attended, including Vice President Mike Pence and Joe Biden, the Democratic candidate for president, made concessions to the current threat. They, too, wore masks, gave no speeches and distanced themselves as they stood among the crowd.

It has been 19 years since passenger jets hijacked by terrorists slammed into the World Trade Center and the Pentagon and crashed into a field in Shanksville, Pennsylvania. Nearly 3,000 lives were lost, some 2,700 of them in New York, in the deadliest attack in the country’s history, a blow to America’s psyche.

Now, the United States confronts a far deadlier calamity. During the pandemic, the United States has exceeded the death toll of Sept. 11, 2001, by orders of magnitude. In New York City alone, more than 23,000 people have died of the virus.

In both tragedies, the eyes of the nation turned to New York, looking to see how a city brought to its knees would stagger back to recovery.

“It’s two of the most traumatic things that have ever happened to New York City, and it’s probably changed it forever,” said Diane Massaroli, whose husband, Michael, was killed in the World Trade Center.

“We just have to find a different way to live now,” she said, her hands clutching a bouquet of roses and an old wedding photograph. “Like I had to find a different way to live then.”

Mr. Caputo himself said on Saturday the Politico’s report was largely accurate, but he denied that there was any overt pressure involved. He said that the primary person involved in critiquing the reports, Paul Alexander, an assistant professor of health research at McMaster University in Canada whom he hired to advise him on the science of the pandemic, simply offered direct reactions to the drafts of the C.D.C.’s Morbidity and Mortality Weekly Reports.

“He digs into these M.M.W.R.s and makes his position known, and his position isn’t popular with the career scientists sometimes,” Mr. Caputo said of Mr. Alexander. “That’s called science. Disagreement is science. Nobody has been ever ordered to do anything. Some changes have been accepted, most have been rejected. It’s my understanding that that’s how science is played.”

In emails obtained by Politico and confirmed to The Times by a health official with direct knowledge of them, Mr. Alexander accused C.D.C. scientists of attempting to “hurt the president,” referring to the weekly reports as “hit pieces on the administration.” Mr. Alexander asked Dr. Robert R. Redfield, the C.D.C. director, to edit reports that had already been published that he believed overstated the risks of the virus for children and undermined the administration’s efforts to encourage school reopenings.

The meddling from H.H.S. concerned Dr. Redfield, according to one former senior health official, who often pushed back when Mr. Caputo called to pester him about the reports.

Inside the C.D.C., employees expressed outrage and demoralization on Saturday over the reports of interference.

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