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Mr. Adams introduced a new color-coded alert system in March to let New Yorkers know when they are at greater risk. On Tuesday, the city entered the orange, or “high” risk level, which comes with the recommendation that the city require face masks in all public indoor settings. The guidelines also recommend that Mr. Adams consider requiring masks at schools and bring back a proof-of-vaccination requirement at restaurants and gyms.

Mr. Adams said that the situation had changed since March, and that he was focused on distributing antiviral medications and home tests.

“We’re staying prepared and not panicking,” Mr. Adams said. “When I look at the hospitalizations and deaths, the numbers are stable.”

Earlier this week, New York City health officials strongly recommended that all individuals wear medical-grade masks in offices, grocery stores, schools and other public indoor settings. Mr. Adams has echoed that advice, but he said earlier this week that he would not consider mandates until “there comes a time that our hospitals are in a state of emergency, or we’re trending that way, and my doctors that run the hospitals tell me this is what we need to do.”

Mr. Adams has received criticism for not moving aggressively enough to contain the virus, including from Dr. Jay Varma, a senior health adviser to former Mayor Bill de Blasio. Asked on Wednesday about that criticism, Mr. Adams thanked Dr. Varma for his service, but said that he would set his own policy.