As the coronavirus pandemic's U.S. death toll raced past 1,000 people, authorities in New York, New Orleans and other hot spots grappled on Thursday with a surge in cases and a dire shortage of supplies, staff and hospital beds.
Medical facilities were running short of ventilators and protective masks and were hampered by limited testing capacity as the number of confirmed U.S. cases of coronavirus rose to about 70,000.
New York Governor Andrew Cuomo told a news conference that the expected shortfall of ventilators - machines that support breathing for people who have lost the ability on their own - was substantial.
The state's death toll stood at 385, up from 285 a day earlier, the highest in the US.
Mr. Cuomo said based on the large number of hospitalised patients on ventilators, that number is expected to continue to increase.
The number of confirmed infections in New York rose to 37,000 - about half the U.S. total - including 6,400 in the last day.