Live Coronavirus News Updates

Will Americans follow guidance to wear masks? Trump says he won’t.

The United States on Saturday experienced its first full day under a federal recommendation that people wear cloth masks when they go out in public in many instances, the latest effort to contain the coronavirus pandemic that has seen more than 1 million people worldwide become infected.

With President Trump having undercut the new guidance of the Centers for Disease Control and Prevention by immediately declaring that he would not wear a mask himself, it was far from clear how many Americans would ultimately embrace the recommendation.

The recommendation for masks in the United States followed an intense West Wing debate over several days as a divided Trump administration wrestled with whether to request such a drastic change in Americans’ social behavior.

Ultimately, the C.D.C. suggested that people wear what it described as “simple cloth face coverings” when they are in places, like grocery stores and pharmacies, where it might be more challenging to keep away from others.

“It is critical to emphasize that maintaining 6-feet social distancing remains important to slowing the spread of the virus,” the C.D.C. wrote in its recommendation, which it said was partly intended to “help people who may have the virus and do not know it from transmitting it to others.”

But Mr. Trump, in an appearance at the White House on Friday evening, repeatedly described the recommendation as voluntary and made clear that he did not intend to wear a mask.

Federal officials are scheduled to speak at the White House on Saturday afternoon.

He also said that 85,000 people had volunteered to help New York fight the coronavirus and that 22,000 of them were from out of state, and that the Chinese government was facilitating a donation of 1,000 ventilators to New York as the state rushes to increase its supply.

Mr. Cuomo tried to encourage New Yorkers not to lose hope even as he said he expected the numbers of those infected and dying to continue to surge in the nation’s largest and most lethal outbreak.

“This is a painful, disorienting experience,” he said. “But we find our best self, our strongest self — this day will end. We will get through it, we will get to the other side of the mountain. But we have to do what we have to do between now and then.”

In New Jersey, Gov. Philip D. Murphy announced that there had been 200 more deaths in the state since Friday, bringing New Jersey’s total to 846 — which he noted was more than the number of New Jersey residents who died in the Sept. 11 terrorist attacks.

Citing shore towns increasingly crowded by those fleeing other hot spots, Mr. Murphy announced that New Jersey would move to make it easier for municipalities or counties to block “rentals to transient guests or seasonal tenants” during the crisis, including at hotels and motels.

Mayor Bill de Blasio said New York City was heading into “the toughest time,” and repeated his calls for a national enlistment system to help move doctors and health care workers around the country to areas with high need.

“This is going to be like having many Katrinas,” Mr. de Blasio said on MSNBC’s “AM Joy.” . “This is going to be a reality where you are going to have many cities and states simultaneously in crisis, needing health care professionals, needing ventilators.”

The mayor has said that the city will need 45,000 more medical personnel to fight the pandemic through April and May.

Dr. Sheldon H. Teperman, director of the trauma center at NYC Health + Hospitals/Jacobi in the Bronx, said that the disease had particularly thinned the ranks of specialized critical-care nurses at city-run hospitals, with some falling ill or needing to care for sick family members.

“If we could get critical-care nurses, if volunteers would just come, we could save more lives,” Dr. Teperman said

The Centers for Disease Control and Prevention has begun to conduct tests to find out whether people have been previously infected with the coronavirus, officials said Saturday.

Such testing can help determine how widespread the disease has been and whether there have been significant numbers of people who were infected but did not become ill. The tests, called serology tests, detect antibodies that the immune system makes in response to the virus.

According to Dr. Joe Bresee, deputy incident manager of the agency’s Covid-19 response, testing will focus on three groups: people in areas with a high concentration of cases; people in a representative sample of other areas from around the country; and special groups of people who are likely to have had a higher risk of exposure, like health care workers.

Antibodies to other viruses confer immunity, but it is not yet certain that they do for the novel coronavirus. Still, Dr. Anthony S. Fauci, the top U.S. infectious disease expert, said last week that “if this virus acts like every other virus that we know, once you get infected, get better, clear the virus, then you’ll have immunity that will protect you against re-infection.”

And while some countries, like Italy and Britain, have raised the possibility of giving people with antibodies permits to allow them to return to the work force, officials with the C.D.C. said their testing was to determine the virus’s trail and to plan ahead.

The C.D.C. also said on Saturday that it had expanded the coronavirus information it publishes online, adding a weekly report that will include figures on outpatient and emergency department visits, hospitalizations, deaths and data on testing for the virus.

The first report confirms an aspect of the epidemic that has already been noted: People 65 and over are most likely to become severely ill if infected. Those 50 and older also have a somewhat higher than average risk of serious illness.

At least 17 Egyptian doctors and nurses have tested positive for the coronavirus, the National Cancer Institute in Cairo said on Saturday, raising fears the pandemic could have a devastating effect on health facilities in the Arab world’s most populous country.

The outbreak was the first reported among medical workers in Egypt, which recorded an increase in the rate of infections over the weekend: The health ministry recorded 120 cases on Friday, raising the total to 985, with 66 deaths.

Cairo University, which runs the cancer hospital, said in a statement that all medical workers at the facility were being tested, and that the hospital would be closed and sanitized.

The Egyptian medical syndicate, an association representing hundreds of thousands of medical workers, said in a statement that it was “shocked” by the number of cases and urged the authorities to supply protection equipment and apply strict testing protocols.

It said in a post on Facebook that the infected medical workers had been placed in quarantine.

The coronavirus pandemic has sickened more than 1.1 million people, according to official counts. As of Saturday morning, at least 59,000 people have died, and the virus has been detected in at least 175 countries. Here’s the view from around the globe.

  • Spain: The country reported 7,026 new cases, for a total of 124,736, surpassing Italy as the nation with the most infections in Europe. Spain said that 809 coronavirus patients, including a 5-year-old, had died overnight. It was the lowest toll in a week, bringing total deaths to 11,744. Also on Saturday, Prime Minister Pedro Sánchez said that the nationwide lockdown would be extended another 15 days.

  • France: Officials reported 68,605 test-confirmed cases of Covid-19 around the country and 7,560 deaths, as well as 6,838 patients in intensive care. In an encouraging sign, the country has recorded fewer and fewer new patients in intensive care each day over the past week — on Saturday there were 176 new patients, versus 486 a week ago.

  • Britain: Thousands of prisoners in Britain will be granted early release within weeks in an effort to contain the spread of the virus in cells and facilities where social distancing rules are impossible to maintain, the Ministry of Justice said. The announcement comes as the country reported a record 708 deaths overnight, bringing the total to more than 4,300.

  • Ecuador: The health minister said there was a “sharp rise” in coronavirus deaths on Friday in Guayaquil, the center of the country’s outbreak, with the toll rising to 1,500 from 700. The government has said it is building a “special camp” for coronavirus patients in Guayaquil, where residents are under strict quarantine and curfew measures, leaving police officers and soldiers to collect the bodies of the dead from homes — as many as 150 a day — and have been tasked with burying the dead.

  • Republic of Georgia: A 79-year-old woman in the South Caucasus region became the country’s first reported death related to the pandemic. Medical officials said she had other underlying conditions. Georgia, a nation of 3.7 million people, reported a total of 157 confirmed cases.

  • Germany: The country has identified 91,000 coronavirus infections, more reported cases than all but the United States, Spain and Italy. But thanks to widespread testing and other measures, its percentage of fatal cases has been remarkably low — 1.3 percent. By contrast, the reported rate is about 10 percent in Spain, France and Britain, 4 percent in China and 2.5 percent in the United States. Even South Korea, a model of flattening the curve, has a rate of 1.7 percent.

Having the right antibodies to the virus in one’s blood — a potential marker of immunity — may soon determine who gets to work and who does not, who is locked down and who is free.

That debate is in some ways ahead of the science. Researchers are uncertain, if hopeful, that antibodies in fact indicate immunity. But that has not stopped politicians from grasping at the idea as they come under increasing pressure to open economies and avoid inducing a widespread economic depression.

An experimental vaccine is ready to test in people as soon as the Food and Drug Administration grants permission, researchers at the University of Pittsburgh Medical Center said.

Mice given the vaccine produced high levels of antibodies against the new coronavirus. But only clinical trials can determine whether it will be safe and effective in humans.

“Testing in patients would typically require at least a year and probably longer,” Dr. Louis D. Falo Jr., a member of the research team, said. “This particular situation is different from anything we’ve ever seen, so we don’t know how long the clinical development process will take. Recently announced revisions to the normal processes suggest we may be able to advance this faster.”

Another vaccine, made by Moderna, is already in a clinical trial, which started March 15. Dozens more candidates are being developed by other companies.

The University of Pittsburgh’s vaccine will be given in an unusual way: through a small patch dotted with 400 “microneedles” made of sugar mixed with a coronavirus protein. The microneedles penetrate the skin and the sugar melts, releasing the full protein dose in 10 minutes or less, and alerting the immune system to start making antibodies to fight the virus.

“It’s not painful,” Dr. Falo said in an interview. “The needles don’t reach any nerves, nor do they reach blood vessels. They’re a little more than half a millimeter long, and the width of a human hair.”

This approach takes advantage of the skin’s ability to set off a powerful immune response. Skin is the body’s first line of defense against a constant bombardment of bacteria and viruses from the environment, and it is teeming with cells that act like scouts for the immune system, looking for things that shouldn’t be there.

Since the 1960s War on Poverty, a network of community health clinics around the nation have served as a health care refuge for people with no health insurance and few financial resources. But the effects of the coronavirus pandemic have left many of these clinics in dire financial straits.

Around the country, nonprofit community health centers provide primary care to about 29 million people regardless of their ability to pay. But now they are laying off workers and cutting back in-person appointments because of a loss of revenues from the kinds of procedures that usually bring in money, such as dental work — all now canceled with the need for social distancing.

One clinic in rural Washington State has laid off more than a third of its work force. A network of clinics in the Boston area has cut back a fourth of its staff.

“I worry a lot,” said Chuck Jones, the chief executive of the Boston-area clinics, Harbor Health Services, “that if community health centers go away, we won’t as a society hear the struggles of these people.”

The Chinese government held a nationwide day of mourning on Saturday, the day of the annual Tomb Sweeping Festival, a traditional time for honoring ancestors. Flags flew at half-staff, and alarms and horns sounded for three minutes starting at 10 a.m. Xi Jinping and other leaders of the ruling Communist Party attended a ceremony in Beijing.

It will probably not be enough to soothe many families in the city of Wuhan, who have chafed against the state’s efforts to assert control over the grieving process.

Officials are pushing relatives to bury their dead quickly and quietly, and they are suppressing online discussion of fatalities as doubts emerge about the true size of China’s toll from the virus. If China’s tallies are vastly understated, as the C.I.A. has been warning the White House since at least early February, predictive modeling for the United States and other countries would be thrown off, or robbed of a major pool of data.

The police in Wuhan, where the pandemic began, have been dispatched to break up groups on WeChat, a popular messaging app, set up by relatives of coronavirus victims. Government censors have scrubbed social media of images that showed relatives lining up at Wuhan funeral homes to collect ashes. Officials have assigned minders to relatives to follow them as they pick burial plots, claim their loved ones’ remains and bury them, grieving family members say.

Liu Pei’en, whose father died after contracting the coronavirus in a Wuhan hospital, said officials had insisted on accompanying him to a funeral home to pick up his father’s remains. Later, they followed him to the cemetery where they watched him bury his father, he said. Mr. Liu saw one of his minders take photos of the funeral, which was over in 20 minutes.

“My father devoted his whole life to serving the country and the party,” Mr. Liu, 44, who works in finance, said by phone. “Only to be surveilled after his death.”

Reporting was contributed by Alan Blinder, Denise Grady, Michael Ives, Raphael Minder, Jason Horowitz, Elian Peltier, Nada Hussein, Constant Méheut, Christopher F. Schuetze, Katrin Bennhold, Yonette Joseph, Elaina Plott, Dan Barry, Caitlin Dickerson, Alisha Haridasani Gupta, Thomas Gibbons-Neff, Eric Schmitt, Matthew Haag, Peter Eavis, Niraj Chokshi, David Gelles, Christopher Flavelle, Zolan Kanno-Youngs, Nicholas Bogel-Burroughs, Alan Feuer, Helene Cooper, Katie Benner, Alan Rappeport, Michael D. Shear, Sheila Kaplan, Sarah Mervosh, Jack Healy, Amy Qin, Cao Li, Yiwei Wang, Albee Zhang, Alexandra Stevenson, Steve Eder, Henry Fountain, Michael H. Keller and Muyi Xiao.

source: nytimes.com