Coronavirus in the US

Pentagon prepares to ready Navy hospital ships to support coronavirus response
From CNN’s Barbara Starr

Gen. Mark Milley, chairman of the Joint Chiefs of Staff, is preparing to sign orders that could lead to the deployment of both of the US Navy’s hospital ships and a mobile hospital facility, according to two defense officials.

The two hospital ships are the USNS Mercy, currently in port in San Diego, and the USNS Comfort in Norfolk where it is undergoing maintenance. The third element that is part of the expected so-called “warning order” is a Navy Expeditionary Medical Facility, which is a mobile field hospital that has full resuscitation and emergency stabilizing surgical capability.

According to the Navy website, an EMF is “designed to be assembled and operational in 10 days,” as a self-sustaining medical facility.

Defense Secretary Mark Esper on Tuesday referred to the hospital ships noting, “We have already given orders to the Navy a few days ago to lean forward in terms of getting them ready to deploy. They provide capabilities.”

A warning order from Milley will then formalize the process and lead to decisions on calling up to active duty troops or other medical care organizations to operate the ships. Activating the EMF could lead to Seabees being called to build the hospital.

But a limiting factor remain on how all of the medical needs for ships and hospital get manned.

“All of those doctors and nurses either come from our medical treatment facilities or they come from the Reserves which means civilians and so what we have go to be very conscious of and careful of as we call up these units and use them to support the states that we aren’t robbing Peter to pay Paul,” Esper said. “What I don’t want to do is take reservists from a hospital where they are needed just to put them on a ship somewhere else where they are needed so we have to be very conscious of that.”
Esper said he had spoken to several governors about that very challenge.

UK police may detain “infectious” persons under new coronavirus “emergency bill” proposals
From CNN’s Mia Alberti in Lisbon

Proposed emergency legislation to tackle coronavirus in the UK will allow police and immigration officials to detain a person who is, or might be “infectious,” according to the government’s website.

“Public support and compliance is crucial and we are grateful for the flexibility people have shown, but we need to ensure police and immigration officers have the authority to enforce these measures where necessary. Therefore, the bill will enable the police and immigration officers to detain a person, for a limited period, who is, or may be, infectious and to take them to a suitable place to enable screening and assessment,” an outline of the “coronavirus bill” on the UK government websites said.
This is a step up from the March 3 government guidelines in which authorities could only detain those not respecting mandated quarantines. The bill will also enable UK Border Force to temporarily suspend operations at airports or transport hubs “if there are insufficient resources to maintain border security.”

According to the UK government, the bill also increases the protections for health professionals and independent workers. It will be introduced to Parliament this week.

It will allow “recently retired NHS staff and social workers to return to work” without any impact in their pensions, reduce paperwork to allow quicker discharges, insure health professionals working outside their area of expertise and allow volunteers to pause their normal jobs up to four weeks, the government website said.

“This could benefit more than 3 million people who already volunteer in health and care settings and bolster the NHS’s capacity to respond to the virus,” the outline said.

Independent workers in self-isolation without symptoms since day one will also be able to access statutory sick pay.

UK Health Secretary Matt Hancock said the new measures “will only be used when it is absolutely necessary and must be timed to maximize their effectiveness, but crucially they give the government the powers it needs to protect lives."

The legislation will be limited – for 2 years – and not all of these measures will come into force immediately, the website said.

“By planning for the worst and working for the best we will get through this,” Hancock said in a statement.

The UK’s Chief Medical Officer Professor Chris Whitty said the UK’s approach to COVID-19 “has and will remain driven by the scientific and clinical evidence.”

French prime minister says UK must up its coronavirus quarantine measures
From Pierre Bairin in Paris

French Prime Minister Edouard Philippe has warned the UK must up its coronavirus quarantine measures, in a further sign that some European leaders are uneasy with the UK’s approach to reducing the spread of virus.

Speaking on French state TV channel France 2, Philippe said: “There are confinements in Italy, in Spain. But for instance, if the UK continues not to apply any measures, we will find it difficult to accept British nationals on our territory.”

His comments came after European Council President Charles Michel announced EU member states had agreed to reinforce EU external borders by applying a coordinated temporary restriction of non-essential travel to the EU for a period of 30 days. The ban applies to people traveling into Europe from countries that are not part of European Union, the EFTA (European Free Trade Association) area, or the UK. The UK currently still has freedom of movement within the EU until the end of the Brexit transition period.

However, under EU law, EU citizens or members of their family may be expelled from the host Member State on grounds of public policy, public security or public health.

“The President has fought hard with the European authorities to make a coherent response possible,” Philippe told France 2. "On the issue of containment, it may make sense to do sanitary border control. Closing borders completely also means making it more complicated to get the products we need.
“It is not illegitimate to re-establish health controls at borders. We must ensure that entry into the European area is controlled,” Philippe added.

South Carolina will close bars and some restaurant services on Wednesday
From CNN’s Jamiel Lynch

South Carolina Governor Henry McMaster has issued an executive order closing all South Carolina restaurants and bars except for delivery and takeout, he announced at a news conference.

McMaster is also asking the Department of Revenue to extend state tax deadlines until June 1st for filing and payments.

Australia announces six months of isolation measures

Australians have been told they face at least six months of restrictions to their daily lives as the country’s prime minister, Scott Morrison, set out a host of measures designed to combat the spread of the virus.

Morrison has advised Australians not to gather in groups of more than 100, declared a human biosecurity emergency and told Australians they should not to travel internationally, adding that the anti-virus measures are likely to be in place for at least six months.

He also asked Australians to stop hoarding household items, saying it was not helpful, and said he was considering further economic measures.

However, he advised Australians that they government considers domestic travel to be low-risk and said schools should remain open. (Guardian)

Wisconsin, March 17 (updated): 89 cases.

Gov. Evers announced he will issue an emergency order Wednesday, March 18 to waive work search requirements and modify the availability requirements for unemployment insurance benefits for workers impacted by COVID-19.

A news release noted Gov. Evers is working with the Wisconsin State Legislature to quickly act to waive the one-week waiting period for benefits so that much-needed unemployment insurance funds make it to affected workers quickly.

Gov. Evers announced that his order will waive the requirement that UI claimants conduct at least four weekly work search actions during the COVID-19 emergency. His order will also ensure that claimants who are otherwise eligible but out of work due to COVID-19 are considered available for work and therefore eligible for benefits.

“Tomorrow’s emergency order will take advantage of the federal guidance related to administering unemployment insurance benefit claims during the pandemic period and allows the program to support our workers who have been affected by the COVID-19 outbreak,” Gov. Evers said. “I am urging the Wisconsin State Legislature to quickly act and repeal the one week waiting period for UI benefits, so UI funds can quickly get to affected workers to support those households and our communities.

The problem is that the donor and phlebotomist need to come within 6 feet of each other, and then everything the donor may have touched (like the chair or the blood pressure cuff used in preliminary screening) needs to be scrubbed with soap before the next donor can use it.

Tunisia is impose a curfew from 6pm to 6am from Wednesday, its president has said. The country declared 24 cases, closed mosques, cafes and markets, closed its land borders and suspended international flights.

Elsewhere in the region, Morocco’s King Mohammed VI has ordered the army to use field hospitals to help health services fight the coronavirus outbreak.

The country has confirmed 44 cases and two deaths. Most cases were found in Moroccans resident in Spain, Italy and France who had returned home for visits. Morocco has suspended all international flights, closed mosques, schools, entertainment and sports venues and non-essential shops as a precautionary measure against the pandemic.

One country already feeling serious economic effects is Bulgaria, where the prime minister Boyko Borissov has said the nation has already entered into a fiscal deficit.

Reuters reports that the Balkan country raised the salaries of medics involved in treating infected patients by 1,000 levs (£466.56) per month and extended 500m levs to support affected companies to service loans.

On Tuesday alone, confirmed cases in the European Union country jumped by 30% to 81, and the country sealed off the ski resort of Bansko.

Borissov said his main aim was to protect the small and open economy and carefully manage the state’s finances, discarding what he called populist calls for tax breaks and a freeze on payments of electricity and water bills.

We are already entering into a budget deficit. From a surplus, we are entering into deficit. If this crisis prolongs…it will be even bigger.

**Ireland expects to see 15,000 or more cases of coronavirus in the Republic by the end of the month and yet more in the following weeks, the taoiseach Leo Varadkar has said.

Making a rare live broadcast on Ireland’s state broadcaster RTÉ, Varadkar said it had been a St Patrick’s day “like no other, a day that none of us will ever forget”. He warned the nation:

This is the calm before the storm, before the surge. And when it comes, and it will come, never will so many ask so much of so few. We will do all that we can to support them.

Varadkar said there was a global and national emergency caused by a pandemic the like of which had never been seen before.

In years to come, let them say of us when things were at their worst, we were at our best.

The taoiseach said more restrictions of social interactions would be introduced. He said the best strategies to deal with the virus focus on testing, contact tracing and social distancing.

Many of you want to know when this will be over. The truth is we don’t know yet … In short we are asking people to come together as a nation by staying apart.

Older people and those with a long-term illness will be asked to stay at home for several weeks at some point during the pandemic, Varadkar added.

We are putting in place the systems to ensure that if you are one of them, you will have food, supplies and are checked on. We call this ‘cocooning’ and it will save many lives, particularly the most vulnerable, the most precious in our society.

And he expressed pride in the work being done by Ireland’s healthcare workers.

I am so proud of all of them. Not all superheroes wear capes - some wear scrubs and gowns. All of our healthcare workers need us to do the right thing in the weeks ahead. Our community services and hospitals are being tooled up. Essential equipment is on the way. Retired staff are returning to service. People are training for changed roles.

Varadkar added that the economic impact is likely to be enormous.

Everyone in our society must show solidarity in this time of national sacrifice. For those who have lost their jobs and had their incomes reduced temporarily, there must be help and understanding from those who can give it, particularly the banks, government bodies and utilities.

We went into this crisis with a strong economy and the public finances in good order. We have the capacity and credit rating to borrow billions if we need to.

I am confident that our economy will bounce back but the damage will be significant and lasting. The bill will be enormous and it may take years to pay it.

The Irish government has already signed off a €3bn (£2.69bn) package for health, social welfare and support for businesses.

Varadkar has urged people to only access news from trusted sources, expressing concern about the impact of false information.

We need to halt the spread of the virus but we also need to halt the spread of fear. So please rely only on information from trusted sources. From government… from the HSE, from the World Health Organisation and from the national media.

Do not forward or share messages that are from other, unreliable sources. So much harm has already been caused by those messages and we must insulate our communities and the most vulnerable from the contagion of fear.

Fear is a virus in itself.

He closed his address with a message of solidarity to those countries currently worst hit by Covid-19.

To all of those across the world who have lost a loved one to this virus – we are with you. To all those living in the shadow of what is to come – we are with you.

Viruses pay no attention to borders, race, nationality or gender. They are the shared enemy of all humanity. So it will be the shared enterprise of all humanity that finds a treatment and a vaccine that protects us.

Tonight, I send a message of friendship and of hope from Ireland to everyone around the world this Saint Patrick’s Day.

Guardian

[ Sobering yet inspiring and, yes, it did make me tear up. :cry: ]

Wow. The COVID-19 tracker I like to follow (the one at 1.point3.acres) shows a big uptick in new cases reported today - 1700 new cases reported so far today versus 941 cases reported yesterday. Sobering.

Not going to look for the exact date when they did it, but the WHO has stood pat on their upward revision to a mortality rate of 3.4% for weeks. That works out to be almost 300% more than the Diamond Princess mortality, which suggests the WHO estimate might end up being a little high. Lack of medical care will push it towards the upper bound, treatment will push it down.

Saw a study earlier today that suggested better than 80% of cases are either asymptomatic or mild enough they not going to get logged without an antibody test. Which would suggest that it’s been circulating and what is happening in Italy might not be a different strain - just the fatal tip of the iceberg.

Don’t have time to get lost in the statistical weeds these days, but… case fatality rate seems irrelevant, unless deaths only matter if you’ve been diagnosed with the disease.

Coronavirus has now spread to all 50 states, US death toll passes 100

The new coronavirus that’s rapidly spreading throughout the U.S. reached all 50 states on Tuesday as the U.S. death toll also passed 100.

The virus has now infected more than 5,809 people across the country and killed at least 100. There were just 62 confirmed cases of the rapidly spreading virus in the U.S. on March 1, according to the World Health Organization. (CNBC)

Here’s the CDC’s coronavirus guidance for pregnant health care workers
From CNN’s Shelby Lin Erdman

The US Centers for Disease Control and Prevention updated its website Tuesday to add information for pregnant health care professionals about the novel coronavirus and to post tips for disinfecting homes where people are sick with the virus.

The CDC said pregnant health care personnel should follow the same risk assessment and infection control guidelines around coronavirus patients as other health care workers, but the agency also said it does not have information on adverse pregnancy outcomes in women with COVID-19.

“Information on COVID-19 in pregnancy is very limited; facilities may want to consider limiting exposure of pregnant HCP to patients with confirmed or suspected COVID-19, especially during higher risk procedures (e.g., aerosol-generating procedures) if feasible based on staffing availability,” it said.

The agency also added new information on its website on about disinfecting the home if someone is sick. The guidance says to wear disposable gloves to clean and disinfect, and urges cleaning and disinfecting frequently touched surfaces, such as tables, countertops, light switches, doorknobs and cabinet handles every day.

MN DOH(called MDH) has let Hospitals and clinics know that they are running out of tests. At this point, no outpatients will be tested, only health care employees and inpatients. I would imagine that some others might be tested, but you’ll have to jump through quite a few hoops. At this point, it’s choosing between the bad, and worst case. There are no good cases.

 If someone comes into an ER, they will be tested for Flu, and sent home if that test comes back negative. Of course, since they are coming in the front door that everyone else comes in, they have been spreading the virus around the waiting and examination rooms. The very few negative pressure rooms are no longer being cleaned in between patients...which sort of defeats the purpose.

Bottom line is that if you aren’t really sick, don’t go to the ER, or even Urgent Care!

Tesla factory is still open for business amid ‘shelter in place’ order

Tesla is keeping its Fremont, California car plant running during “shelter in place” orders initiated across counties in the San Francisco Bay Area to curb the COVID-19 coronavirus outbreak, including Alameda County where the factory is based.

In the the “everybody” e-mail about remaining at work despite the efforts to contain COVID-19, CEO Elon Musk wrote:

“I’d like to be super clear that if you feel the slightest bit ill or even uncomfortable, please do not feel obligated to come to work. I will personally be at work, but that’s just me. Totally ok if you want to stay home for any reason.”

[ I don’t consider this essential. ]

Tower at Chicago’s Midway airport is closed after ‘several’ air traffic controllers test positive

The air traffic control tower at Chicago’s Midway International Airport was closed Tuesday after “several” technicians there tested positive for coronavirus, the Federal Aviation Administration said.

The airport is still open but is operating at a reduced rate, according to the agency.

“The air traffic control tower at Midway Airport is temporarily closing while we ensure a safe work environment for air traffic controllers and technicians,” the FAA said in a statement.

Group run by former Google CEO to hold meeting with venture capitalists about ways to fight coronavirus

A group founded by the former CEO and executive chairman of Google is huddling with venture capitalists to discuss how they can quickly use their resources to help fight the coronavirus.

Seth Bannon, a founding partner of venture capital firm Fifty Years, told CNBC in an interview that the group, Schmidt Futures, is hosting a conference call on Wednesday with philanthropists, including leaders of firms like Bannon’s, to discuss groups they can start funding that are looking to combat COVID-19.

The 2020 Olympics are still happening, insists the IOC — but skepticism is starting to creep in

The 2020 Summer Olympics haven’t been canceled or postponed. But people are starting to consider the possibility that they’ll be the next major event to go.

The Olympics are set to start July 24 in Tokyo. Yesterday, French Olympic Committee president Denis Masseglia told Reuters that if the COVID-19 coronavirus isn’t contained by the end of May, he couldn’t see how the Olympics could happen on time.

The comment contradicted Japan’s Olympic minister Seiko Hashimoto, who said March 13 that “The IOC and the organizing committee are not considering cancellation or a postponement – absolutely not at all.”

The IOC reinforced its commitment to starting the Olympics on time in a statement Tuesday, but hedged Hashimoto’s statement by saying there is “no need for any drastic decisions at this stage.”

CNBC

Doesn’t matter what you consider essential… but it matters whether the definition of “Essential Businesses” in section 10.f of http://www.acphd.org/media/559658/health-officer-order-shelter-in-place-20200316.pdf includes the Tesla factory in “Gas stations and auto-supply, auto-repair, and related facilities” in section 10.f.vi in the eyes of the county government and courts.

Austin: <<<in a="" noon="" press="" conference,="" also="" prohibited="" gatherings="" of="" more="" than="" 10="" people="" in="" tactic="" “social=”" distancing"="" meant="" to="" mitigate="" potential="" spread="" the="" respiratory="" ailment="" that="" is="" now="" global="" pandemic.="">>>.

I wonder what my parents’ church will do. I would not be surprised if they defy this.

Maybe 3.4% will wind up being too low. Spain and Italy are much higher right now.

Case fatality rate will let you project and plan better - or would have. We’ve somewhat squandered that lead.

I hope you report them if they do meet.

Treasury Secretary warns US could see 20% unemployment rate due to coronavirus, source says
From CNN’s Jeremy Diamond

Treasury Secretary Steven Mnuchin warned Republican senators Tuesday that the coronavirus pandemic could drive up US unemployment to 20%, a Republican Senate source told CNN.

Mnuchin’s comments came as he urged Republican senators to act on economic stimulus measures totaling $1 trillion designed to avert that kind of worst case scenario.

In the same meeting, Mnuchin also said he is concerned the economic ramifications of the coronavirus pandemic could be worse than the 2008 financial crisis, the source said.

Mnuchin’s comments, which were first reported by Bloomberg News, come amid a rising sense of urgency at the White House and on Capitol Hill to confront the increasingly serious threat of the coronavirus pandemic — on both the public health and economic fronts.

Kroger CEO says company has hired 2,000 people and have 10,000 openings amid coronavirus demand

Kroger has hired more than 2,000 people in the last week to keep up with increased demand from the coronavirus outbreak, CEO Rodney McMullen told CNBC on Tuesday. Kroger, the largest supermarket chain in the U.S., currently has more than 10,000 openings for positions across plants, warehouses and stores, McMullen said.

Kroger, which also owns Harris Teeter and Fred Meyer, has about 460,000 employees, McMullen said.

Grocers across the U.S. have struggled to keep shelves filled during the coronavirus outbreak as consumers stock up on food and items such as toilet paper and hand sanitizer. CNBC

The bioethanol fuel industry should have vast supplies.