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Birx warns of disturbing rise of coronavirus cases in 12 cities

White House coronavirus task force coordinator Deborah BirxDeborah BirxAtlas departure from White House cheered by public health officials Scott Atlas resigns as coronavirus adviser to Trump The Hill's Morning Report - Presented by Mastercard - Coast-to-coast fears about post-holiday COVID-19 spread MORE said in a private meeting with local and state health officials that the task force is tracking increases in the virus in 12 U.S. cities.

"There are cities that are lagging behind and we have new increases in Miami, New Orleans, Las Vegas, San Jose, St. Louis, Indianapolis, Minneapolis, Cleveland, Nashville, Pittsburgh, Columbus and Baltimore, so we're tracking this very closely,” Birx said in the audio, first obtained by the nonprofit Center for Public Integrity. “We're working with the state officials to make sure we're responding together, but when you first see that increased test positivity, that is when to start the mitigation efforts."

"I know it may look small, and you may say that only went from 5 to 5.5 [percent], and we're going to wait and see what happens," she added. "If you wait another three to four, even five, days, you'll start to see a dramatic increase in cases. So finding and tracing those very early individuals is really critical."

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Local officials in cities with rising rates of test positivity, Birx said in the Wednesday call, should practice aggressive mitigation.

However, two sources familiar with the call told CNN that at least two of the cities mentioned, Baltimore and New Orleans, were not represented during the call, and health officials there were unaware it was taking place, with Baltimore officials only learning their city was of particular concern when media outlets reached out for comment.

The White House pushed back, providing CNN with a list of officials in both cities who were invited to participate. Sources in the offices of both cities' mayors said the White House had flagged the invitations for both cities' administrations Thursday.

President TrumpDonald John TrumpBiden says GOP senators have called to congratulate him Biden: Trump attending inauguration is 'of consequence' to the country Biden says family will avoid business conflicts MORE has frequently expressed optimism about the trajectory of the pandemic, repeatedly suggesting it may eventually “disappear." However, he conceded this week at a press briefing that it will “probably, unfortunately, get worse before it gets better.”

White House Deputy Press Secretary Judd Deere told CNN Birx’s comments aligned with the president’s own public statements.

"This doesn't deviate from what the president said yesterday,” he said. “The virus is still with us, we have some states and metros with significant outbreaks, and we must take this incredibly seriously."