Coronavirus in the US

NY evening update:

The number of confirmed cases in the state is now 613, including 269 in New York City, officials said.

2nd death in NYS
A 65-year-old man from Suffern, in Rockland County northwest of New York City, died on Thursday, county officials said. The county’s chief medical examiner said the man, who was not identified, had “significant health problems” that likely contributed to his death.

(New York Times)

That’s almost 90 cases more than it was at 12:30 pm today :frowning:

The “second” death happened on Thursday. I assume they linked it to COVID19 only now.

Article on the effects of the COVID-19 forced shift to remote work:
https://www.theguardian.com/technology/2020/mar/13/covid-19-could-cause-permanent-shift-towards-home-working

There was an NIH link in the article and others. I’ll admit I just skimmed the linked articles in the thread. I’m sure there is no study, given the newness of the virus, to elderberries increasing the risk of a more serious Covid-19 reaction. I think the connection is being made that elderberries have shown to increase cytokines and the virus creates a cytokine storm in your body leading to your lungs being overwhelmed. Therefore, don’t take something that might add on to that effect. That’s the logic I came away with from my reading but who knows?

Two New York State Assembly members among state’s coronavirus cases
From CNN’s Laura Ly

New York State Assembly members Helene Weinstein and Charles Barron have both tested positive for coronavirus, according to a statement from Gov. Andrew Cuomo Saturday.

“It is important to note that both members have not been in Albany since early March for separate reasons,” Cuomo’s statement read.

The Capital and Legislative Office Building will undergo “an intensive cleaning,” Cuomo said, and all legislators who came in contact with Weinstein and Barron will be tested.

“Additionally, out of an abundance of caution we are closing the Capitol to visitors effective tomorrow,” Cuomo said.

Detroit Pistons player tests positive for coronavirus
From CNN’s Homero De La Fuente

A player for the Detroit Pistons tested positive for coronavirus, the team announced Saturday. The team would not identify the player.

This is the third NBA player to test positive for coronavirus. The other two were Utah Jazz center Rudy Gobert and guard Donovan Mitchell.

The Pistons are “working closely with team medical staff, state and local government and public health officials and the NBA on reporting. The individual will remain in isolation and under the care of team medical staff," the team’s statement read.

The Pistons played the Jazz on Saturday, March 7. After two players tested positive for coronavirus, the team decided to test players and asked them to self-isolate until further notice.

French politician tests positive for coronavirus
From CNN’s Jennifer Hauser

Brune Poirson, the French Secretary of State to the Minister for Ecological and Inclusive Transition, tested positive for coronavirus, a ministry spokesperson told CNN on Saturday.

The spokesperson added that “despite the symptoms, her health condition showed no worrying signs … In accordance with health authority’s recommendations, all the contact cases have been identified and are quarantined as of now.”

Earlier this week, French Minister of Culture Franck Riester was diagnosed with coronavirus, ministry officials told CNN.

And last week a French MP and parliament staffer tested positive.

Austin, Texas, bans gathering of 250 or more to combat spread of coronavirus
From CNN’s Hollie Silverman

The city of Austin, Texas, is banning gatherings of 250 people or more beginning at 2 a.m. Sunday until at least May 1, according to a news release from the city.

Mayor Steve Adler’s order defines community gatherings as “any indoor or outdoor event that is likely to bring together 250 or more people at the same time in a single room or other confined or enclosed space, such as an auditorium, theatre, stadium arena or event center, meeting hall, conference center, large cafeteria, restaurant, nightclub/bar, or any other confined indoor or confined outdoor space.”

Weddings, religious gatherings, parties, funerals, sporting events, social events, conferences and other large gatherings are just some examples of events that could potentially be included in the ban, the release said.

“The prohibition does not generally include office space or residential buildings, transit including airports, bus stations or terminals, grocery stores, shopping malls, or hospitals and medical offices and facilities,” the release said, with the reason being that people in these areas tend to not be within an arm’s reach of each other for an extended period of time.

The new order will be enforced by peace officers, City of Austin Code Department inspectors and the Office of the Austin Fire Marshall beginning at 7 a.m. Monday, the release says.

Those in violation of the order will face a misdemeanor punishable by a fine of up to $1,000 or jail of up to 180 days.

@ucbalumnus:

There are currently no evidence-based approved treatments for the COVID-19 virus itself. Treatment consists of only supportive cares: respiratory support including supplemental oxygen → mechanical ventilation → ECMO (which is like bypass) for extremes cases, IV rehydration, antibiotics for any secondary bacterial pneumonias, etc.

From what I’ve read, the Chinese and Italians have tried every kind of antiviral and immunomodulator drug available, but there hasn’t been enough time and/or resources to conduct proper randomized controlled trials (RCTs) so we don’t know if actually they help. Most antiviral drugs only target only one specific virus, so there is little reason to think that they would be helpful for a novel virus. (This is very different than antibiotics, which generally target some vulnerability shared across multiple bacteria, thus making them effective against multiple different pathogens.)

I do know that investigators in the US have started RCTs of several experimental drugs for the sickest patients, but it will be a while before we know if anything is even safe, much less effective.

And RE: the oral vaccine from Israel that could be ready in “a few weeks”? Sorry. It just doesn’t work that way.
https://www.timesofisrael.com/israeli-made-oral-vaccine-for-coronavirus-on-track-but-testing-will-take-months/

Therefore, at this point, the best way to save thousands if not millions of our fellow citizens is for the whole country to go into full lockdown sooner rather than later to mitigate any further community spread.

Mexico has registered a rise in the number of confirmed coronavirus cases to 41 – from 26 a day earlier, the Mexican health ministry said on Saturday. The country has not confirmed any deaths from the fast-spreading virus.

The country’s 33 million students will head into earlier and longer Easter vacations at the end of next week after Education Minister Esteban Moctezuma on Saturday announced measures to help avoid the spread of the coronavirus.

Food for thought:

One of the world’s most respected economists, Mohamed El-Erian, has doubled down on his warnings about the scale of the economic shock resulting from the coronavirus crisis.

The chief economic adviser to the insurance company Allianz has written for Bloomberg about what he calls the “huge paradigm shift for economies, institutions, and social norms and practices” now affecting the whole world.

Mohamed A. El-Erian
:heavy_check_mark:
@elerianm
If you have a few minutes, may I please ask you to read this (link below)?
This is only the second time since I’ve been tweeting that I make such an ask…and do so because,by being informed about what’s ahead, we stand a better chance of responding better https://www.bloomberg.com/opinion/articles/2020-03-14/coronavirus-big-economic-shock-can-be-contained-and-reversed?srnd=premium

El-Erian, who voiced his concerns to the Guardian three days ago, goes on to say that the impact will be greater than anything experienced by most people in advanced countries – presumably meaning all those under the age of 75 who can’t remember the second world war or the 1930s depression.

Content:
I’m not prone to making directive calls in columns like this one or to using capital letters in my social media posts. Rather than telling people what to think, I strongly prefer to try to help them reach their own conclusions by providing analysis and insights.

In the last few weeks, however, I’ve made two notable exceptions: in repeatedly urging policy makers, companies and individuals to realize that the coronavirus shock was fundamentally different in that it would trigger unprecedented economic sudden stops, a phenomenon that is extremely unfamiliar outside of fragile or failed states and communities hit by big natural disasters; and, as I anticipated a much bigger and generalized market correction, by urging investors not to keep on buying the dip, an investment strategy that had performed extremely well in recent years.

During the weekend, I used capital letters again in a social media post — this time to warn that the cascading sudden stops were reaching CRITICAL MASS. I reached this conclusion through multiple consultations over many weeks with doctors, economists and behavioral scientists and also by drawing on my experience decades ago working at the IMF on crises in developing countries, including failing states.

Think of what is happening as a huge paradigm shift for economies, institutions and social norms and practices that, critically, are not wired for such a phenomenon. It requires us to understand the dynamics, not only to navigate them well but also to avoid behaviors that make the situation a lot worse.

The bottom line is that the economic disruptions immediately ahead will be more severe and widespread than the ones experienced by the bulk of the population in advanced countries.

We live in a global economy wired for ever deepening interconnectivity; and we are living through a period in which the current phase of health policy — emphasizing social distancing, separation and isolation — runs counter to what drives economic growth, prosperity and financial stability. The effects of these two basic factors will be amplified by the economics of fear and uncertainty that tempt everyone not just to clear out supermarket shelves but sadly also reignite terrible conscious and unconscious biases.

All this will have stressful and immediate negative effects on institutions. Policies will be designed under “fog of war” conditions, including that awful trade-off between the critical need for urgency and both imperfect information and the absence of a playbook. The effectiveness of traditional measures will wane at a time of repeated need for streamlined and yet highly coordinated decision-making at the local, regional, national and international levels. And, if we are not careful, our own behaviors could compound this considerable list of challenges.

Wherever you look, economic activity is shutting down through a combination of government directives and social behaviors. U.S. travel bans, European border closings, nationwide shutdowns and office and school shutdowns have become normal.

The phenomenon is accelerating also at the level of local communities — a popular restaurant’s Friday reservations fell by two-thirds compared with those just a week earlier, and its walk-in traffic declined even more — and it is now reaching critical mass when even isolated and less-fear prone segments of the population will be forced to disengage (after joining the panic buying of supplies). With that, economic damage will be even more immediate and even more widespread. And because it will also be unprecedented for many, it will turbocharge the type of uncertainty, fear and feeling of powerlessness that results in either total paralysis or massive over-reactions

I worry that this combination, by yanking so many out of their comfort zones, will also make us lose sight that this shock can be contained and reversed. And when the economic turnaround comes, and it will come, the economic snapback will be sharp (though, as I will detail in the future, there will also be longer-term implications, including a further impetus for deglobalization).

The most important turnaround catalyst will come from the effective deployment of medical tests, early treatment and, eventually, a combination of self-immunity and vaccine. Everyone can facilitate this process by following medical advice that seeks to protect both individuals and communities.

As to what to do now (and, with apologies, because this will sound like another directive): Government, corporate and household leaders should communicate transparently about the unusual dynamics in play, stressing the unprecedented nature for most, along with the highly unsettling uncertainty and fear that inevitably results from this. They should help draw the path ahead that acknowledges the inconvenient reality of further economic damage before the bottom is reached. Supplement this by advice on how, through a combination of defense and offense, one can navigate the downturn, shorten its duration and accentuate the upturn. And do all this in the context of regular and professional communications, capital letters and all.

https://www.bloomberg.com/opinion/articles/2020-03-14/coronavirus-big-economic-shock-can-be-contained-and-reversed

Guardian

@doschicos,

Well I wasn’t expecting to see that about the Cap building (it’s where my H works.) I may have to tell him to bath himself in Lysol before coming in the house. :wink:

A 78-year-old Canadian who was on a cruise ship isolated in Brazil’s northeastern port of Recife tested positive for coronavirus, Brazilian TV network Globo reported on Saturday, citing a press conference.

The ship with 609 people on board has been isolated in Recife since Thursday morning after this passenger showed symptoms similar to those of the new coronavirus.

An Irish woman who was also in the cruise ship is also being tested.

The remaining passengers and crew members are still being kept in isolation in their cabins. The vessel, with the Bahamas flag, came from the Brazilian port city of Salvador.

The Pernambuco state health secretariat did not immediately confirm the report.
Brazil’s health ministry confirmed on Saturday 121 coronavirus cases in the country, 23 more than on Friday.

In an attempt to contain the spread of the new coronavirus, the Brazilian states of Sao Paulo and Rio de Janeiro, the two most hit by the virus, ordered schools to shut down.

US clothing brand Everlane has joined Apple, Urban Outfitters and Verizon in closing stores over coronavirus concerns. [ and Patagonia]

“Effective tomorrow, we are closing out retail stores until March 28 and offering compensation to our retail team members during this time,” Everlane said in an email to customers.

Apple Inc said it is closing all its retail stores, except those in Greater China, for the next two weeks to minimize the risk of coronavirus transmission, a move that was followed by several U.S. retailers on Saturday.

Apple’s hourly workers will continue to receive pay in alignment with business as usual operation, Cook said, and online sales will continue as usual, said CEO Tim Cook.

Apparel retailer Urban Outfitters Inc., which owns brands including Anthropologie and Free People, said on Saturday it was closing all of its consumer stores worldwide until at least March 28. The company also said it would continue to pay its store employees while stores are closed.

Verizon Communications Inc. said it was temporarily closing “a number of its stores” across the United States in order to expand its work from home policy to include some of its retail employees.

Retailers are bracing for a blow to sales as virus-wary shoppers in Europe and the United States stay home. US retailers including Macy’s Inc, Saks Fifth Avenue and Gap Inc.’s Banana Republic sent notices to shoppers on Thursday saying they were open for business in a move to stem losses due to a steep decline in traffic.

Guardian

In Australia, the Victorian premier Daniel Andrews says the country will need to look at tougher travel rules, similar to those that have been enacted in New Zealand, to slow the spread of Covid-19.

And he says restrictions should be in place for travellers from the United States.

“It’s a little difficult to explain why say China, who have very few new cases, there are travel bans there, but the United States, people are free to travel when we’re seeing many, many new cases and indeed the majority of Victoria’s new cases are connected to those who have travelled from the United States,” Andrews said at a media conference on Sunday.

He said he would be arguing for tougher measures during today’s meeting of the new national cabinet set up to deal with Covid-19.

“I think that arrangements similar to New Zealand will absolutely be on the agenda to be discussed today”.

New Zealand now requires all travellers entering the country to self-isolate for 14 days to try to stop the spread of the virus.

Andrews said he would also move “swiftly” to close Victorian schools if and when he has such advice from health authorities.

“It’s much more likely when, rather than if,” he said. (Guardian)

3 US states report their first coronavirus deaths

As cases in the US continue to rise, reaching nearly every part of the country, states are beginning to report first deaths. Three states confirmed their first deaths today:

In Virginia, the patient was a man in his 70s who contracted the infection from an unknown source. He died from respiratory failure.

In Louisiana, the patient was a 58-year-old Orleans Parish resident with underlying health conditions who was being treated in New Orleans.

In New York, there were two deaths reported today. One was an 82-year-old with emphysema; the other was a 64-year-old with significant health problems, who died on Thursday but was only confirmed to have the virus after death. (CNN)

Golden Princess cruise ship held off New Zealand as some passengers are quarantined
From CNN’s Taylor Barnes in Atlanta

Passengers on the Golden Princess cruise ship docked in a New Zealand harbor are not being allowed to disembark, as three people aboard have been quarantined by the ship’s doctor, according to the Canterbury District Health Board.

One of the quarantined passengers has coronavirus symptoms and is being treated as a suspected case. The two others had been in contact with a confirmed case in the past two weeks, said the health board.

The ship departed Melbourne, Australia, on March 10. It had been on a 13-day New Zealand itinerary, and is now docked in Akaroa, in the Banks Peninsula, while it awaits “precautionary health testing,” said the operator Princess Cruises in a statement to CNN.

Canterbury District Health Board Medical Officer of Health, Ramon Pink, said the local public health team is taking a precautionary approach.

“We realize this is disappointing news for other passengers and tourism/hospitality operators in Akaroa and Canterbury who were expecting to host the passengers today. We cannot risk the potential further spread if this person tests positive," Pink said, according to a release from the health board.

Prime Minister Jacinda Ardern on Saturday announced that all cruise ships will be banned from coming to New Zealand until June 30.

It may be more helpful to readers if you include the links to the articles that you cut and pasted pieces from.

Guardian is sharing reports and photos from social media users of chaos and tightly packed crowds at American airports. Some US airports mentioned – Chicago O’Hare and Dallas/Fort Worth. [Go find them online. Can’t share because it is blog format.It’s nuts. ] Reports of 6 hour wait for bags then 2-3 hours more for customs, waiting shoulder to shoulder. One person reports that police are handing out water and disinfectant wipes.

Here’s some other coverage with photos:

https://wgntv.com/news/coronavirus/photos-long-lines-greet-passengers-at-ohare-during-travel-ban/

https://www.newsbreak.com/texas/dallas/news/0OR0i5nB/travelers-report-long-lines-at-us-customs-after-returning-to-dfw-airport

For the one referenced in the post on elderberries you’re quoting from, I did. #6551.

A lot of the content comes from Covid-19 live news blogs/wires so it is impossible to link to a piece.

On Facebook and reposted by the Guardian - certainly applies to the US, too.

In Australia, Dr Adam Visser, the Director of Critical Care at Toowoomba Hospital in regional Queensland, has posted an impassioned plea for the Australian community to take individual action to help “flatten the curve” and keep intensive care units from being overwhelmed by Covid-19 cases.

I’m an intensive care specialist in a small city.

Coronavirus isn’t just like the flu, but it’s only really very dangerous to the elderly or the already unwell.

Quite a lot of people in their 80s will die, but most of the rest of us will probably be okay.

If you’re in your 70s and you get Coronavirus, you’ve got a really good chance of survival. If I’ve got a bed for you.

If you’re in your 60s and you have a heart attack, you’ve got a really good chance of survival. If I’ve got a bed for you.

If you’re in your 50s and need bowel cancer surgery, you’ve got a really good chance of survival. If I’ve got a bed for you.

If you’re in your 40s and have a bad car accident, you’ve got a really good chance of survival. If I’ve got a bed for you.

If you’re in your 30s and have terrible pre-eclampsia as a complication of pregnancy, you’ve got a really good chance of survival. If I’ve got a bed for you.

If you’re in your 20s and have a bad reaction to a party drug, you’ve got a really good chance of survival. If I’ve got a bed for you.

I have 7 beds equipped with life support machines. We have a plan to increase to about 25. Getting more isn’t a matter or more equipment or more money, that bit is easy. There are not enough skilled staff, even if we all work double shifts every day for six months (and we probably will).

If 50% of my city gets infected, that’s 75,000 people. If 5% of them need life support (which is the estimate), that’s 3750 people. For 25 beds.

And then I might not have a bed for you.

So it’s up to you to flatten the curve. Wash your hands. Stay home.

Visser finished his post asking the prime minister to ‘lock down’ Australia to halt the spread of Covid-19.

Seems like the massive crowded queue at customs and immigration makes for an ideal place for the COVID-19 virus to spread.

Our local school district is closing for a minimum of two weeks. They don’t have a plan in place yet for distance learning or lunches for eligible students.

CHINA - 20 new cases for a total of 80,844. 10 new deaths for a total of 3,199

For the second day, new cases that came to China from overseas surpassed the number of locally transmitted new infections, 16. The remaining four cases were recorded in the city of Wuhan. It also marked the tenth consecutive day where Hubei province recorded zero new infections outside Wuhan.

66,911 patients have recovered and been discharged from hospital

SOUTH KOREA - 76 new coronavirus cases on Sunday, bringing the country’s total to 8,162 with 8 new deaths totaling 75 deaths.

The latest numbers are in line with a downward trend in new cases, down from the 107 recorded on Saturday.

JAPAN - 64 new cases, bringing the nationwide tally to 1,477. It’s the largest single-day increase the country has seen.

Of the 1,477 total cases, 697 are associated with the Diamond Princess cruise ship, and the remaining 780 are land cases.

One Diamond Princess passenger tested positive after having seemingly recovered from the virus. The 70-year-old Japanese man tested positive on February 14, then was released from hospital after testing negative on March 2. Yesterday, he had a high temperature, was re-tested, and diagnosed positive again.

PHILIPPINES - 47 new cases today for a total of 111 and 3 new deaths totaling 8.

Police begin sealing off Metro Manila, home to 12 million

Thousands of police, backed by the army and coast guard, started sealing the densely populated capital from most domestic travellers Sunday in one of Southeast Asia’s most drastic containment moves against the new coronavirus.

Mayors also announced plans to impose a night curfew in Metropolitan Manila. Residents have been asked to stay home except for work and urgent errands under monthlong restrictions that took effect Sunday.

The citywide quarantine means the suspension of domestic travel by land, air and sea to and from the capital region. Large gatherings like concerts, movies and cockfighting will be prohibited and most government work in executive department offices will be suspended in the metropolis. School closures at all levels were extended by a month.

Officials said the temporary restrictions will not amount to a lockdown of the capital because many workers and emergency personnel like medical staff will be able to enter and leave the capital. Residents can move within the metropolis on their way to work or for urgent errands, including medical emergencies, officials said. (Guardian)

The Philippines’ capital region goes under partial lockdown today
From CNN’s Jinky Juro in Manila and Isaac Yee in Hong Kong

Starting today, the Metro Manila region of the Philippines is going under partial lockdown to contain the coronavirus outbreak.

Metro Manila, known officially as the National Capital Region, is comprised of 16 cities, home to about 12.8 million people, according to the latest data from the Philippines Statistic Authority.

The entire country has 64 confirmed cases, according to the World Health Organization.

Here’s what the lockdown will mean.

Movement restricted: The region has suspended all land, sea, and air transport effective today through April 14.

If the situation worsens in a specific community, all households will be isolated, transportation suspended, and health and food services regulated. And people who want to leave quarantined areas will need to be checked by health authorities for symptoms.

Border points: Tens of thousands of police officers and Armed Force members are stationed at more than 70 checkpoints, conducting checks on people coming in and out of the region.

Workers will need to provide proof of employment or business to cross the border. International travelers entering the region need to show a ticket for a flight scheduled 12 hours from entry into Metro Manila.

A travel ban is still in place for those entering the country from greater China, parts of Korea, while heightened checks are in place for those arriving from Italy and Iran.

Social distancing: The lockdown prohibits movie screenings, concerts, sporting events, and community assemblies. People attending essential work-related gatherings and religious events must keep one meter (about three feet) apart.

All schools are suspended until April 14, and the government is strongly urging companies to allow employees to work from home. (CNN)

Illinois Gov. JB Pritzker is on Twitter, posting messages about the chaos at O’Hare, over which he has no jurisdiction or control:

The crowds & lines O’Hare are unacceptable & need to be addressed immediately.

[Trump & Pence]

since this is the only communication medium you pay attention to—you need to do something NOW.

These crowds are waiting to get through customs which is under federal jurisdiction

^^^ Yeah, wed.

This is not 100% true. Behind the scenes there are 3 drugs (Actemra, Sylvant and another) are being used to treat severe COVID 19 patients in China and Italy who have developed ARDS (Acute Respiratory Distress Syndrome). The result was positive. I won’t go into the detail but trust that doctors are trying to save lives and if some drugs out there that could help you bet they will use it.

@suteiki77. There has been much discussion about fast tracking it. I posted this days ago (, seems like weeks ago now). Even though there are stringent testing to be done I bet it will be fast tracked if early testing holds true.