A panel of experts assembled by the Johns Hopkins Bloomberg School of Public Health is recommending a return to stay-home orders if health care systems are in crisis.|| Coronavirus updates | Maryland's latest numbers | Where to get tested ||Johns Hopkins coronavirus experts have a sobering message for anyone who still isn't taking the pandemic seriously."(COVID) has really, in such a short time, taken over our health care system," said Dr. Amber D'Souza, a Johns Hopkins professor of epidemiology.The number of Marylanders who died from coronavirus complications also spiked in the last day by 19.Maryland's surge in coronavirus cases is not slowing down. In the last day, the state set a record for the number of new confirmed cases, adding 2,910 new positive cases, which is Maryland's largest one-day increase reported to date.Thursday marks 16 straight days of 1,000 or more new daily cases.Hospitals reached their highest points since May as 48 more coronavirus patients in were admitted to Maryland hospitals in a 24-hour period, but the number of people who need intensive care treatment decreased by 10.Many people are already doing the basics -- wearing a mask, social distancing, washing hands frequently. Perhaps the most-dreaded action recommended is to reinstate stay-home orders when hospital systems are in crisis.On Thursday, the Johns Hopkins panel of experts discussed what leaders, and everyone for that matter, should do to try and reverse the dangerous trend of increasing coronavirus cases.The panel shared insights into the current pandemic response, recommending a targeted approach, not a single set of rules."We can target restrictions at a very fine geographic scale, to specific venues, to ZIP codes. There is no need for a one-size-fits-all full lockdown of the entire country," said Dr. David Dowdy, a Johns Hopkins associate professor of epidemiology. "Because we are experiencing a widespread, severe resurgence, I think the actions we should be taking right now really relate to pulling the emergency brake," said Dr. Caitlin Rivers, a senior scholar and assistant professor of epidemiology at the Johns Hopkins Bloomberg School of Public Health Center for Health Security.The panel's recommendations include some things already known, like wearing face coverings, social distancing, avoiding large gatherings and washing hands frequently. But they do also suggest stay-home orders be reinstated when health care systems are in crisis.They also suggest officials stockpile personal protective equipment and make information more publicly available. They said scaling up contact tracing is important, as is ramping up vaccine distribution plans."I think it is quite possible that this is the final surge, but I think the key is to try and limit the damage that's done over the next two to three months or more until we have a vaccine," Dowdy said.The panel said government needs to step up to help people stay afloat financially."People are not patronizing businesses if they worry that it is not safe. So leaving them open is not enough. I think, regardless of what we do in terms of restrictions, we need to provide funding and support to those businesses during this difficult time," Rivers said.The experts advised letting the vaccine create the so-called herd immunity. Even if there's a vaccine available by the end of the year, it will not be widely available until the summer."All the precautions we are taking now, we will need to continue for a while," Dowdy said. "Still wearing masks, still avoiding large indoor gatherings, still maintaining distance from other people."Hopkins experts warn this will be a long, hard slog, calling it the most serious part of the pandemic, but if the public remains vigilant, we will get this under control.