Coronavirus in the US

West Virginia orders residents to stay home
CNN

West Virginia Gov. Jim Justice has issued a stay-at-home order that will go into effect Tuesday at 8 p.m.

“Because bordering states are taking action that may cause folks to make their ways into West Virginia it’s a real problem, we can’t have that happen,” he said at a news conference Monday.

Justice said his initial intentions were to close all nonessential businesses, but after additional consultations, he realizes the situation has become even more serious.

Mexico City closes museums, gyms and theaters as coronavirus cases rise
From CNN’s Natalie Gallón in Mexico City

Effective Monday, Mexico City is temporarily suspending various activities throughout the capital in an effort to reduce the contagion curve and to avoid situations where the city’s hospitals could become overwhelmed, Mexico City’s Mayor Claudia Sheinbaum said in a video on her official Twitter account.

The new measures include closing museums, gyms, movie theaters, night clubs, zoos, sports centers and bars until April 20, Sheinbaum said adding that private and public events of 50 people or more will also be suspended. Schools have already been closed across the country since Friday.

Sheinbaum’s message came as Mexico City saw Covid-19 cases double from 21 positive cases on Wednesday to 45 on Sunday.

“I know these measures affect the economies of a lot of families,” she said, adding that her government is working on an economic plan for those who will be heavily impacted.

“It’s a global sanitary crisis,” she said, asking for citizens to collaborate, listen and stay home.

Obviously no one should be playing it by ear because everyone will be hit the same at some point. Just some are trying to muster as much normalcy possible for as long as it is attainable in their state.

Even Wuhan had many “essential” people out and about. Tools showing how social distancing works show benefits even without 100% compliance. “Going away” vs. flattening the curve are 2 different things.

I’m seeing reports on Twitter that in Madrid, doctors are denying respirators to people over 65, and removing such people from respirators, to give them to younger patients. I’ve seen videos of health providers in tears reporting this decision.

And the Tokyo olympics have officially been postposed. Smart decision. But sad.

True. However, I would say that preventing the collapse of our ability to provide critical medical care, and protecting our healthcare workforce (and their families) from illness and desperation are high priorities. People of all ages and walks of life dying preventable deaths due to chaos and scarce resources would certainly have negative and far-reaching consequences for our economy, not to mention our society. I think it is imperative that we do the best we can to manage the curve through this first peak of the epidemic in the US.

We can’t look very far ahead with any degree of certainty. The situation is unprecedented. I think that calls for a conservative outlook on protecting our medical infrastructure and saving lives. It also calls for all hands on deck for research into testing, treatment and vaccines, with bureaucracy minimized, and funding maximized. Glad my Governor agrees.

Nytimes has made all covid articles free.

US vice president: FEMA is “the hub” for coronavirus efforts
From CNN’s Jason Hoffman

Vice President Mike Pence told the nation’s governors today that Federal Emergency Management Agency "is now the hub of all our efforts” when it comes to helping the states combat coronavirus.

Pence said the effort to fight coronavirus should be “locally executed, state managed and federally supported.”

Pence, who is at FEMA headquarters leading a teleconference with the governors, said he hopes the actions taken by President Trump to activate the National Guard in three states, deploy field hospitals and deploy more personal protective equipment, “gives each of you confidence that we are going to do whatever it takes to make sure that our states and your courageous local health officials have the support that you need to meet this moment.”

Pence said that Dr. Deborah Birx, the response coordinator for the vice president’s coronavirus task force, would be discussing new breakthroughs on data so states can better focus their resources to the point of the need, and also how states can expand the capacity of ventilators going forward.

South Africa will go under lockdown for 3 weeks over coronavirus
From CNN’s Max Ramsay in London

South Africa will enforce a three-week lockdown due to the coronavirus outbreak, the country’s President Cyril Ramaphosa said in a televised address Monday.

The lockdown will start at midnight on March 26 and end at midnight on April 16, Ramaphosa said.

During this time, “all South Africans will have to stay at home,” Ramaphosa said. People who are exempted from the order include emergency and security services and those involved in critical services like food production and banking.

“Individuals will not be allowed to leave their homes except under strict circumstances,” the President said, including to seek medical care and buy food.
He said the lockdown “is necessary to disrupt the chain of transmission” and that it would “save lives of hundreds of thousands of our people.”

Defense forces will be deployed to support police to ensure the measures are followed, Ramaphosa added.

Hospitals across Oklahoma have 9 days worth of personal protective equipment
From CNN’s Maria Cartaya

Hospitals in Oklahoma have 9.3 days worth on average of personal protective equipment on hand to treat patients and potential coronavirus patients, according to Oklahoma Gov. Kevin Stitt’s office.

The Governor’s Solution Task Force has a heat map that labels hospitals in three categories based on their available supply, Stitt’s chief of communications Charlie Hannema told CNN.

The task force has also established a tiered system to ensure highest priority sites are supplemented to maintain adequate inventory.

US Defense Secretary says military “can’t meet everybody’s needs”
From CNN’s Ryan Browne

US Secretary of Defense Mark Esper said he has heard from 10 governors requesting field hospitals from the military, but he “can’t meet everybody’s needs” with what the military has in their inventory.

“I’ve spoken with 7, 8, 9, 10 governors so far each one of them has had requests for field hospitals, those who have been along the coastline have talked about the need for ships so we clearly can’t meet everybody’s needs with what we have in our inventory so we rely on FEMA to do the assessment, validation and then the prioritization,” he said.

Esper said he looks at the use of military field hospitals as a way to bridge a gap in needs.

“How I foresee our hospitals being used is during the early stages of the pandemic, the virus hitting a city where they’re still trying to ramp up capability, bed space, we can come in for a short period of time, for a few weeks to provide that capacity until they get either gyms converted, hotels converted, college dorms converted, all those things that the Corps of Engineers is working on right now," he said.

Who is your governor? If NY, they haven’t done too well. They were so late to close down. What have they been doing when WA and CA were struggling with their cases? My state again close down when we just passed 100 cases. NYC is even worse. They now have more cases than states of CA or WA and still struggling with shut down decision. We may have to have Wuhan type lock downs to NYC. Isolated them to protect neighboring region.

Britain advises all UK nationals abroad to return now
From CNN’s Lindsay Isaac

Britain’s Foreign Secretary Dominic Raab has advised all British travelers abroad to return now.

In a statement, Raab warned international travel is becoming highly limited with the further closure of air routes, land borders and domestic restrictions introduced daily.

“We are strongly urging UK travellers overseas to return home now where and while there are still commercial routes to do so. Around the world, more airlines are suspending flights and more airports are closing, some without any notice. Where commercial routes don’t exist, our staff are working round the clock to give advice and support to UK nationals. If you are on holiday abroad the time to come home is now while you still can," he said.

The UK government is working with airlines to keep routes open and is calling for international action to keep air routes open for a sufficient period of time to enable international travelers to return on commercial flights.

Seattle hospital monitoring nearly 300 potential coronavirus patients remotely
From CNN’s Sonia Moghe

Providence St. Joseph’s Health in Seattle, Washington, is currently monitoring 279 Covid-19 positive and presumptive positive patients remotely from their homes.

It’s helping free up hundreds of beds, and reducing exposure for health care workers to possible cases, and patients who may not end up having Covid-19 to the virus, the hospital said.

Patients, who test positive, or are currently awaiting their test results, are sent home with a thermometer and a pulse oximeter, which helps check oxygen levels and heart rate, said Hargobind Khurana, medical director of the hospital’s telehealth services. They input their temperature, oxygen level and heart rate into the app. Their vitals are monitored and an automated system checks in every few hours to make sure their symptoms are not worsening.

“The majority of the patients do not require hospital admissions. There’s a percentage of people who require high level care, supplemental oxygen. There’s a small percentage who’d require ICU care. About three-fourths of patients who have the disease can be monitored at home,” Khurana said.

Netherlands bans all public gatherings until June 1
From CNN’s Mick Krever in London

The Dutch Justice Minister announced Monday that the government will ban all public gatherings in the Netherlands until June 1, removing the previous limit of 100 people and extending previously announced measures.

Ferdinand Grapperhaus, Minister of Justice and Security, also said that the government is empowering mayors to fine people or businesses who disregard the rules.

“If we want to control the coronavirus, we have no other choice,” Grapperhaus said at a news conference.

He said that there would be an exception for some funerals and church weddings, and young children would still be able to play together outside.

“We are going to make it possible as part of the emergency ordinance for mayors to determine that hefty fines be applied for violating the rules that we are establishing, for example for stores that do not adhere to the door policy, but also for people that do not stay a meter and half apart and form groups," Grapperhaus said.

“And I can assure you that these are hefty fines for the Netherlands and by Dutch standards.”

Virginia will close schools for the rest of the academic year
From CNN’s Stephanie Gallman

Virginia Gov. Ralph Northam announced today that he will close schools in the state for the rest of the academic year.

Canada is reporting a significant spike in coronavirus cases
From CNN’s Paula Newton

Canada reported a significant increase in Covid-19 cases, especially in its largest provinces of Ontario, Quebec and British Columbia.

Most recent data collected from each province indicates at least 2,000 cases with 23 deaths. On Monday alone, new cases spiked by nearly a third.

Canadian officials say they have now tested more than 100,000 people and will be able to test as many as 10,000 people per day.

Ontario and Quebec tightened business and travel restrictions with an order for all nonessential businesses to close by Tuesday.

“We must slow community spread through relenting social distancing. A key reason we want to delay and flatten the epidemic curve is to buy time for research and innovation to occur,” said Dr. Theresa Tam, Canada’s chief public health officer during a news conference Monday.

Germany is to take in six coronavirus patients from Italy for treatment. The patients from Lombardy, the Italian region worst-affected by the virus, will be transported to Saxony in the next few hours, according to a report in La Repubblica.

The rest of Europe views the UK’s coronavirus plan with disbelief

Here in Spain, the number of deaths is rising, but I am more worried about my friends and family in Britain and the US

Giles Tremlett is a journalist and author based in Madrid

Yesterday, in the small Spanish country town where I go to fill up my water supply, an ambulance with flashing lights went up the deserted main street. Two municipal police cars followed it slowly, making it look already like a funeral procession. Only three other people were out, and two of them were wearing face masks.

When I first saw pictures like this from China and Iran, for some reason, I didn’t take seriously that it would also happen in Spain – my home for the past 25 years. It wasn’t just me who thought this, many politicians and experts were saying the same.

How wrong we were. Italy has overtaken China, becoming the country with the greatest number of deaths in the pandemic. Spain took third place from Iran yesterday, and will likely take only three days to move ahead of China. Little surprise, then, that the government has now extended our almost total lockdown to a full month.

Ideas of cultural or national superiority are the greatest risk factor of all at a time like this. Nowhere is that a more serious danger right now than in the United Kingdom and the United States – two countries especially prone to such delusions.

In fact, watching the UK from a distance has felt like scrambling out of your car at the front of a multiple pile-up on the motorway, only to see other cars smashing into the rear 20 minutes later. Didn’t anyone warn them about what lay ahead? Surely everyone knew. That is what it looks like from mainland Europe – the new centre of the pandemic.

If you think that what is happening in southern Europe is a result of corruption, incompetence, lower household income or poor public health systems, then you are fooling yourself. All the signs suggest that the UK and the US are heading in exactly the same direction. Both countries are just a week or so behind.

Italy put in place some of the most stringent travel regulations against China, well before most of the rest of Europe. It has more hospital beds per capita than the US. Spain has one of the healthiest populations and longest lifespans in the world. Its health professionals are good enough to provide a considerable part of the NHS workforce. Spain does not have an especially elderly population either – the over-65s account for just 1% point more than the UK.

From my remote country house, a long way from my elderly neighbours, I have been viewing the daily briefings by Boris Johnson and his advisers with a mixture of incredulity and occasional admiration. How can they be so sure that their approach of managing and mitigating the flow of the pandemic – hardly used by anyone else – is right?

The health experts sound convinced, but Boris Johnson’s air-punching promises about “turning the tide” remind me of King Cnut. There are other recognisable and worrying elements. The UK government’s reaction chimes too easily with Johnson’s “sceptered isle” nationalism and blitz-style nostalgia. It also fits the “wild card” thinking of Dominic Cummings. Donald Trump and his cheerleaders, meanwhile, appear convinced that America’s “greatness” will itself provide a magical coat of protection.

Politicians and experts must make hard choices – and they may still be right. I certainly hope so. Yet hubris, in this case, will be paid for in lives.

If the rest of the world looks upon the UK’s coronavirus planning with skepticism, that is because it is a clear outlier. A plucky nation boldly going its own way is a perfectly reasonable pitch for Brexit. It does not sound so convincing during a pandemic.

Commentators in Spanish newspapers and on the radio are aghast. “They are putting us all in danger,” warned a group of Spanish scientists in eldiario.es. French ministers were talking about a special ban on people from the UK.

The British “herd immunity” model (which the government has since pivoted on) was certainly not embraced by countries in Asia, which have been spectacularly successful at stopping the virus so far. They must be looking at Europe and the US with utter bewilderment.

Trump calls this a “Chinese” pandemic, but it will probably take more lives in both the US and the UK than in China itself. Yet these two higher income countries, with much smaller populations, had many more months to prepare.

Spain failed to implement early widespread testing (and is only just starting), but at least we are 10 days into our month-long lockdown. That terrifying daily leap of a third in the number of deaths will have begun to flatten out before that period ends. The UK, however, has already had more deaths than when Spain (or China) went into quarantine – and it still has not fully locked itself down.

Recently, my neighbours in Madrid called me to tell of police vans patrolling the streets, loudspeakers blaring, reminding people to stay indoors. For all the madrileño capacity for resistance (and a three-year siege during the Spanish civil war surely matches the blitz spirit), it is grim. So, too, was that ambulance going up the street.

And yet I find myself more worried for family and friends in the UK and the US than for those of us here in Spain. You are just behind us. You, too, may soon overtake Iran and China. When this is all over, we will count the dead and discover which governments did the best job of protecting their people. Ideas of national superiority will have to be buried with them.

• Giles Tremlett is a journalist and author based in Madrid

https://www.theguardian.com/commentisfree/2020/mar/23/europe-views-uk-coronavirus-plan-disbelief

They have rules, - no gatherings are allowed in NY - no birthday parties, no weddings, no … , but just like in CA, there are people who ignore them, especially in NYC.

NYC is to come up with a plan that ensures the rules are being followed.

From The Atlantic: “Why a Tiny Colorado County Can Offer COVID-19 Tests to Every Resident”

https://www.theatlantic.com/science/archive/2020/03/coronavirus-tests-everyone-tiny-colorado-county/608590/

France and China are seeking emergency G20 talks over coronavirus.

The two countries have agreed on the need for emergency talks by leaders of the G20 major economies to coordinate an international response to the coronavirus crisis, the French presidency has said.

French President Emmanuel Macron spoke by phone with his Chinese counterpart Xi Jinping today, after Saudi Arabia, which currently presides over the G20, last week called for a “virtual” summit.

“The two leaders agreed a summit would be helpful in particular on the health front… and on the economic front” the Elysee Palace said in a statement, citing “coordinated fiscal and monetary measures.”

Saudi Arabia has called for an extraordinary videoconference of G20 leaders as the economic fallout from the coronavirus lockdowns spreading worldwide hammered financial markets, putting many countries on course for a recession. (Guardian)

[ Macron has, IMO, shown much leadership in encouraging broader measures and unification in fighting Covid-19.]

Coronavirus pandemic is accelerating, the WHO says

The spread of the coronavirus is accelerating, the World Health Organization (WHO) has said, with more than 300,000 cases now recorded and infections reported from nearly every country worldwide.

It took 67 days from the first reported case to reach the first 100,000 cases of Covid-19, but it took only 11 days for the second 100,000 cases, and just four days for the third 100,000 cases, WHO director general Tedros Adhanom Ghebreyesus, said.

Speaking in an online briefing to journalists he said:

But we are not prisoners to statistics. We’re not helpless bystanders. We can change the trajectory of this pandemic.

He called for global political commitment to change the trajectory of the pandemic, urging countries to take both defensive and attacking measures.

Asking people to stay at home and other social distancing measures are an important way of slowing down the spread of the virus and buying time, but they are defensive measures.

To win we need to attack the virus with aggressive and targeted tactics - testing every suspect case, isolating and caring for every confirmed cases and tracing and quarantining every close contact.”

Guardian

5 Chicago hotels will house coronavirus patients
From CNN’s Artemis Moshtaghian

The city of Chicago has partnered with five hotels to house some quarantined people and isolated coronavirus patients, as well as others who need assistance.

This establishes a capacity of more than 1,000 patients by Tuesday and likely 2,000 by the end of the week, thereby relieving the burden on Chicago hospitals and allowing them to focus their critical beds on those patients that need acute care.

Hotel operations staff will be properly trained for this situation and will not directly interact with quarantined guests — that will be the responsibility of public health employees, Mayor Lori Lightfoot said at a news conference on Monday.

Lightfoot said she plans on working up an agreement with Metro South Medical Center in Blue Island, Illinois, to utilize its currently vacant hospital facility, which will open up an additional 200 rooms that will become available starting this Thursday.

The mayor said Chicago created its plan based on what worked in other countries to respond to immediate medical needs where it is necessary to isolate and quarantine individuals who are at risk to slow the spread of coronavirus.

Three Chicago YMCA locations and other city-wide organizations are “stepping up to support individuals experiencing homelessness” by opening up their doors to the at risk homeless community in Chicago, Mayor Lightfoot said. The mayor pointed out that the homeless population are particularly at risk due to the social distancing required to best combat the spread of coronavirus and as a result Chicago shelters are facing new challenges related to space and capacity.

A number of French fashion houses have announced they will be producing coronavirus masks

Design houses Yves Saint Laurent and Balenciaga will shift their attentions from high fashion to producing surgical face masks to aid the global coronavirus assault, their parent company Kering said.

In a statement posted on its website, Kering said:

The French workshops of Kering’s houses Balenciaga and Yves Saint Laurent are preparing to manufacture masks while complying with the strictest health protection measures for their staff members.

Kering also said it would purchase three million masks from China and import them for the French health services.

Another Kering company, Gucci, has committed to donating 1.1 million masks and 55,000 protective medical gowns to aid Italy’s fight against the coronavirus, the statement said.

Kering’s French rival, LVMH, has for its part launched into the production of sanitising hand gel for hospitals at three perfume and cosmetics factories in France.

Guardian

A huge thank you to all those 30,000 people who stepped forward to help!!!

Andrew Cuomo
@NYGovCuomo
·
2h

NYS put out a call for retired healthcare professionals to enlist in NY’s #Coronavirus response.

We also called on qualified medical & nursing school students to enlist.

I’m proud that 30,000 people have responded.

We still need more! Enlist now: http://health.ny.gov/assistance

Andrew Cuomo
@NYGovCuomo
·
2h
On Tuesday New York is beginning FDA-approved drug trials for very sick #Coronavirus patients.

The FDA also approved
@HealthNYGov
to proceed with a trial of an experimental antibody therapy on a compassionate care basis.

We are fighting this virus in every way.

The Ontario and Quebec governments have announced the near-complete shutdown of their provinces’ economies in a bid to halt the spread of the novel coronavirus.

Ontario Premier Doug Ford announced plans on Monday for non-essential businesses to close across the province, but said food, medicine and “essential products” would remain available.

Quebec Premier François Legault made a similar announcement on Monday, mandating that all non-essential businesses in Quebec were to close Tuesday night until April 13.

Only grocery stores, pharmacies, banks, media and and a few other services will be allowed to stay open, Mr. Legault said in Quebec City. Companies that can operate with employees working remotely can also continue, he said.

https://www.theglobeandmail.com/politics/article-ontario-quebec-order-non-essential-businesses-to-close/