- Ńîšóĺú´ŤĂ˝Ňîl Health News Original Stories 2
- Bringing âPoogieâ Home: Hospice In The Time Of COVID-19
- âWe Miss Them All So Muchâ: Grandparents Ache As The COVID Exile Grinds On
- Political Cartoon: 'Number One?'
- Covid-19 1
- 100,000 Lives Lost: 'Great-Grandmother With An Easy Laugh', He 'Liked His Bacon Crispy', 'Nurse With Zest For Travel'
- Federal Response 5
- Trump Administration Puts Testing Responsibility On States, Falsely Claims Supplies Can Meet Demand
- Former White House Aide Got $3M Mask Contract To Supply Navajo Hospitals Days After Creating PPE Firm
- U.S. Bans Flights From Brazil After Country's Case Total Climbs To Second-Highest In World
- Trump, Republicans Wager Anti-China Rhetoric Will Play With Base, But Will It Work More Broadly?
- Secret Policy Prevents Most Vulnerable Inmates From Getting Safe, House Arrest Offered To Celebs, Probe Finds
- Elections 2
- Trump, Biden Strike Different Tones On Memorial Day Reflecting Partisan Divide On Pandemic
- Trump Threatens To Move National Convention From North Carolina If State Is Still Shut Down
- From The States 5
- Americans Flock To Beaches, Pools On Memorial Day Despite Pandemic
- Some States Have Hand On Emergency Break As They Reopen, But Others Don't Have Surge Plan
- Sooner Than Expected: California Releases Plan For Reopening Of Churches, Synagogues, Mosques
- Meatpacking Plants' Resistance To Disclosing Positive Cases Paints Murky Picture About Outbreak Status
- Minority Advocates Complain About Restrictions Loosening In Massachusetts; Slow Reopening Of Beaches In Florida Is Underway
- Pharmaceuticals 2
- WHO Temporarily Halts Anti-Malarial Drug Trial For Safety Review
- Early-Stage Data Of Chinese Vaccine Looks Promising, But Experts Warn Method Has Failed In Past
- Marketplace 1
- As Special Enrollment Periods Close, Officials Worry Americans Out Of Work Don't Know How To Seek Help
- Science And Innovations 1
- Plasma From Recovered Patients May Help Modestly With Recovery, But Results Are Far From Certain
- Capitol Watch 2
- Next Coronavirus Relief Package Could Be Defining Issue For Parties In Upcoming In Election
- Nursing Homes' Multi-Million Dollar Lobbying Machine Gets To Work On Liability Protections
- Economic Toll 1
- For States Whose Economies Rely On Tourism And Commerce, There's 'No Playbook' For Recovery
- Health Care Personnel 1
- 'This Is The Job We Sign Up For': Pregnant Health Care Worker Says Yes To Serving In Hospital Despite Risks
- Public Health 1
- COVID Anxiety Is Leading People To Make Irrational Decisions When It Comes To Other Medical Care
- Health IT 1
- Security Breaches Of Medical Data Down, Yet 446,0000 Patients Still Impacted By Cyberattacks Last Month
- Editorials And Opinions 3
- Viewpoints: Health Care Lessons On Losing 100,000 American Lives To COVID; No Mask, No Social Distancing Will Push Death Rates Higher
- Perspectives: Ethical Decisions About Who Gets Vaccine First Have To Include Minorities; Future Health Needs Cry Out For Mobile Heath Model
- Different Takes: One-Government Approach Would Concentrate Everyone's Efforts; Not Paying Sick Pay To Workers Is An Appalling Injustice
From Ńîšóĺú´ŤĂ˝Ňîl Health News - Latest Stories:
Ńîšóĺú´ŤĂ˝Ňîl Health News Original Stories
Bringing âPoogieâ Home: Hospice In The Time Of COVID-19
One family took up the challenge of taking their mother, who had serious medical problems and the coronavirus, from the hospital to die at home. But because of the risk of infection, home hospice can be a daunting experience. (Melissa Bailey, 5/26)
âWe Miss Them All So Muchâ: Grandparents Ache As The COVID Exile Grinds On
The pandemic has forced millions of families to weigh the risks of vulnerable grandparents getting too close to their beloved grandchildren â against the heartache of staying away. (JoNel Aleccia, 5/26)
Political Cartoon: 'Number One?'
Ńîšóĺú´ŤĂ˝Ňîl Health News provides a fresh take on health policy developments with "Political Cartoon: 'Number One?'" by Dave Granland.
Here's today's health policy haiku:
WHEN FACETIME ISN'T ENOUGH
Grandparents across
The country are 'aching' from
Not seeing loved ones.
- Anonymous
If you have a health policy haiku to share, please Contact Us and let us know if we can include your name. Haikus follow the format of 5-7-5 syllables. We give extra brownie points if you link back to an original story.
Opinions expressed in haikus and cartoons are solely the author's and do not reflect the opinions of Ńîšóĺú´ŤĂ˝Ňîl Health News or KFF.
Summaries Of The News:
The New York Times offers a glimpse of the Americans behind the grim death toll as the country nears 100,000 deaths. The confirmed cases in the country stands at 1,637,456, as of Monday. Meanwhile, WHO warns of coming spikes and that the first wave has not yet passed.
As the U.S. approaches a grim milestone in the outbreak, The New York Times gathered names of the dead and memories of their lives from obituaries across the country. (5/24)
Before dawn broke in Riverside, Calif., political scientist Kim Yi Dionne grabbed her iPhone from the bedside table to check the grim daily toll of covid-19. Deaths were a bit lower in the United States that morning. But like other hardened watchers of such tallies, Dionne was skeptical that the pandemic was easing. More likely it was just a quirk, she thought, a product of the natural rise and fall in the statistical flow, a bureaucratic rhythm in counting the dead. This macabre ritual â searching for meaning in numbers that pulse up and down, day after day â is one countless Americans have adopted. (Timberg, 5/24)
The U.S. Centers for Disease Control and Prevention (CDC) on Monday reported 1,637,456 cases of the new coronavirus, an increase of 15,342 cases from its previous count, and said that the number of deaths had risen by 620 to 97,669. The CDC reported its tally of cases of the respiratory illness known as COVID-19, caused by a new coronavirus, as of 4 pm ET on May 24 versus its previous report a day earlier. (5/25)
Countries where coronavirus infections are declining could still face an âimmediate second peakâ if they let up too soon on measures to halt the outbreak, the World Health Organization said on Monday. The world is still in the middle of the first wave of the coronavirus outbreak, WHO emergencies head Dr Mike Ryan told an online briefing, noting that while cases are declining in many countries they are still increasing in Central and South America, South Asia and Africa. (5/25)
The risks of reigniting coronavirus outbreaks are complicating efforts to fend off further misery for the many millions who have lost jobs, with a top health expert warning that the world is still in the midst of a âfirst waveâ of the pandemic.â Right now, weâre not in the second wave. Weâre right in the middle of the first wave globally,â said Dr. Mike Ryan, a World Health Organization executive director. (Kurtenbach, 5/26)
Trump Administration Puts Testing Responsibility On States, Falsely Claims Supplies Can Meet Demand
âFor months, it was a tennis game, it was going back and forth between the feds and the states, and itâs now landed with the states,â said Scott Becker, executive director of the Association of Public Health Laboratories.
The Trump administrationâs new testing strategy, released Sunday to Congress, holds individual states responsible for planning and carrying out all coronavirus testing, while planning to provide some supplies needed for the tests. The proposal also says existing testing capacity, if properly targeted, is sufficient to contain the outbreak. But epidemiologists say that amount of testing is orders of magnitude lower than many of them believe the country needs. (Mandavilli and Edmondson, 5/25)
The 81-page document from the Department of Health and Human Services says, âState plans must establish a robust testing program that ensures adequacy of COVID-19 testing, including tests for contact tracing, and surveillance of asymptomatic persons to determine community spread.â It says the federal government will âensure that States have the collection supplies that they need through December 2020.â To that end, the administration plans to acquire and distribute 100 million swabs and 100 million tubes of viral transport media. The HHS document, which The Washington Post first reported, recommends that all states âhave an objective of testing a minimum of 2 percent of their population in May and June.â (5/25)
As states reopen and lift restrictions, health experts have emphasized that adequate testing, which has been a central challenge since the beginning of the pandemic, is necessary to detect coronavirus and trace its spread. The US has experienced significant challenges in testing, including flawed testing sent to states at the beginning of the pandemic that slowed containment efforts, lack of testing supplies to ensure Americans are properly tested and mixed messaging on who can get tested. The White House has frequently emphasized what it sees as the states' responsibility to handle testing, saying in a blueprint on testing last month that the federal government is the "supplier of last resort." (Duster and Fox, 5/25)
Democratic leaders said Monday that President Trumpâs strategy for coronavirus testing is to âdeny the truthâ about the current lack of supplies. Democrats, including Speaker Nancy Pelosi (Calif.) and Senate Minority Leader Charles Schumer (N.Y.), reacted in a statement to the Trump administrationâs plan for testing that was submitted to Congress on Sunday. The congressional leaders alleged the administration âstill does not have a serious planâ to boost testing to prevent COVID-19 from spreading further. (Coleman, 5/25)
The beaches of the Jersey Shore are set to reopen on Friday. But in a state where nearly 11,000 people have been killed by COVID-19, the same public health system that struggled to implement widespread testing faces what could be an even larger challenge: preventing a second wave of infection that experts say is almost inevitable without coordinated, aggressive efforts. And more than almost any state in the country, New Jersey relies on small, local health departments, which have found themselves stretched far beyond their missions by the pandemic. (Campbell and Kaplan, 5/22)
In other testing and tracing news â
Elected officials, businesses and others are depending on coronavirus testing and infection-rate data as states reopen so that they will know if a second wave of contagion is coming â and whether another round of stay-at-home orders or closings might be needed. But states are reporting those figures in different ways, and that can lead to frustration and confusion about what the numbers mean. In some places, there have been data gaps that leave local leaders wondering whether they should loosen or tighten restrictions. (Smith, 5/24)
The Washington region is just weeks from having enough testing equipment, laboratory capacity and contact tracers to contain the spread of the novel coronavirus, assuming the public cooperates, officials said. Despite having one of the highest rates in the country of people testing positive for the infection, the region is expected to achieve its desired capacity to conduct testing and tracing in June or early July, according to public health officials in the District, Maryland and Virginia. (McCartney, 5/25)
A new study in JAMA Internal Medicine examines COVID-19 prevalence in a single Seattle-area combined assisted and independent care facility, and shows that symptomatic surveillance alone does not provide an accurate picture of COVID-19 prevalence in that setting. While many residents complained of COVID-19 symptoms, few had the virus when tested twice over a period of weeks. (Soucheray, 5/22)
âThis is the revenge of the viruses,â said Dr. Peter Piot, the director of the London School of Hygiene and Tropical Medicine. âIâve made their lives difficult. Now theyâre trying to get me.â Dr. Piot, 71 years old, is a legend in the battles against Ebola and AIDS. But Covid-19 almost killed him. âA week ago, I couldnât have done this interview,â he said, speaking recently by Skype from his London dining room, a painting of calla lilies behind him. âI was still short of breath after 10 minutes.â (McNeil, 5/26)
Maps showing the spread of COVID-19 are invaluable for public health researchers, health care professionals and policymakers. Most are generated based on statistics reported to the government. A new website, covidnearyou.org, asks everyday people to join in self-reporting coronavirus symptoms, using crowdsourcing to help picture where the disease is spreading or receding. Its real-time data help compensate for the fact that testing is still not sufficiently widespread. (Said, 5/25)
Indian Health Services found that 247,000 of the masks supplied by the company of Zach Fuentes -- President Donald Trumpâs former deputy chief of staff -- are unusable while thousands more are not the correct type. The Navajo Nation has been extremely hard hit by the pandemic.
A former White House aide won a $3 million federal contract to supply respirator masks to Navajo Nation hospitals in New Mexico and Arizona 11 days after he created a company to sell personal protective equipment in response to the coronavirus pandemic. Zach Fuentes, President Donald Trumpâs former deputy chief of staff, secured the deal with the Indian Health Service with limited competitive bidding and no prior federal contracting experience. (Torbati and Willis, 5/22)
Michelle Tom stared into the screen. The Navajo doctor had just finished a grueling shift at the Winslow Indian Health Care Center urgent care facility in Winslow, Ariz., caring for Covid-19 patients. Now, she was spending her Friday night speaking via livestream to Native American youth about the pandemic. âIâve seen it hit everyone,â she said of the coronavirus. âBut I have the strength of my ancestors, the strength of my prayers, and the strength of all of you. We have to keep talking about it, especially to our young people.â (Gable, 5/26)
Native communities in the U.S. have suffered disproportionately from COVID-19, with higher rates of infection and death. The Navajo Nation has implemented a series of strict lockdown measures in an effort to protect its population, but health care facilities have still been overwhelmed. In fact, tribes across the country see the pandemic as representing an existential threat. (Sy, 5/25)
U.S. Bans Flights From Brazil After Country's Case Total Climbs To Second-Highest In World
âTodayâs action will help ensure foreign nationals who have been in Brazil do not become a source of additional infections in our country,â said the White House press secretary, Kayleigh McEnany. The country with the highest total is the United States.
The United States, citing Brazilâs surging coronavirus crisis, has banned flights from the nation, delivering a blow to its embattled leader, who has tried to use his warm relations with President Trump to bolster his political standing. In recent weeks, coronavirus cases and deaths have exploded in Brazil, Latin Americaâs most populous country. Its president, Jair Bolsonaro, a pandemic skeptic, had ignored the warnings of health experts and mocked social distancing measures. (Casado and Kurmanaev, 5/24)
The White House did not give a reason for bringing the travel restriction forward. The U.S. Department of Homeland Security, which oversees immigration issues, did not immediately respond to a request for comment. The travel ban was a blow to right-wing Brazilian President Jair Bolsonaro, who has followed the example of U.S. President Donald Trump in addressing the pandemic, fighting calls for social distancing and touting unproven drugs. (5/25)
The announcement Sunday follows other travel bans implemented by the U.S. National Security Adviser Robert OâBrien said earlier Sunday on CBS that he thought a decision on a Brazil travel ban could come that day. âWe hope thatâll be temporary. But because of the situation in Brazil, weâre going to take every step necessary to protect the American people,â he said. (Lucey, 5/24)
As the white van approached Perfect Love Street, one by one chatting neighbors fell silent, covered their mouths and noses and scattered. Men in full body suits carried an empty coffin into the small, blue house where Edgar Silva had spent two feverish days gasping for air before drawing his last breath on May 12. âIt wasnât COVID,â Silvaâs daughter, Eliete das Graças insisted to the funerary workers. She swore her 83-year-old father had died of Alzheimerâs disease, not that sickness ravaging the cityâs hospitals. (Brito, 5/26)
Trump, Republicans Wager Anti-China Rhetoric Will Play With Base, But Will It Work More Broadly?
President Donald Trump, his administration and other Republicans are going all-in on the anti-China messaging. In other news from the administration: the Pentagon charts its own course on "reopening," Trump urges schools to reopen as soon as possible and the White House task force members implore people to be smart about social distancing.
Republicans are amplifying President Trump's anti-China rhetoric on Capitol Hill and in campaign ads across the country as the White House seeks to blame Beijing for a pandemic that has devastated the U.S. economy and killed almost 100,000 people in the U.S. Itâs a message thatâs playing well with Trumpâs base â nearly a third of voters say they view China as âthe enemyâ â and is reminiscent of the hard-line, anti-immigrant positions that helped catapult him to the White House in 2016. But itâs unclear if ratcheting up the pressure on China will prove to be a winning campaign strategy with the broader electorate amid sagging poll numbers and daily news reports detailing Trumpâs slow and shaky response to the COVID-19 pandemic. (Wong, 5/23)
China's handling of the coronavirus pandemic is akin to the Soviet Union's response to Chernobyl, President Donald Trump's national security adviser, Robert O'Brien, said Sunday. "The cover-up that they did of the virus is going to go down in history along with Chernobyl," O'Brien told Chuck Todd on NBC's "Meet the Press," referring to the 1986 nuclear disaster in Ukraine. "We'll see an HBO special about 10 or 15 years from now." (Mueller, 5/24)
The Pentagon is actively planning on living with the coronavirus well into 2021, putting it at risk of angering President Trump as he expresses confidence that the disease is on the wane. Defense officials have extended a freeze on troop movement, held ships in port and laid the framework for what the military will look like in an extended pause because of the COVID-19 pandemic. On Tuesday, a leaked Pentagon memo revealed that top Defense Department (DOD) officials are planning for the possibility that the military could be dealing with the virus beyond this year. (Mitchell, 5/25)
resident Donald Trump has issued a call for schools forced to close amid the coronavirus pandemic to be "opened ASAP," as new polling suggests that Americans do not believe it is safe yet to send children back to school. Trump shared the sentiment in a tweet on Sunday night, writing: "Schools in our country should be opened ASAP." "Much very good information now available," the president said, tagging British political adviser and commentator Steve Hilton and Fox News in his tweet. (Da Silva, 5/25)
As the United States approaches the grim milestone of 100,000 deaths and the long Memorial Day weekend brings large crowds, Dr. Deborah Birx said itâs âour job to continue to communicateâ the importance of social distancing. On Friday, Birx â the coordinator of the White House coronavirus task force â said people could enjoy the outdoors as long as they remained mindful of protecting one another. (Dugyala, 5/24)
A Bureau of Prisons policy has kept all but 1.8% of federal inmates behind bars, where the virus rages, according to a ProPublica report, while some celebrity prisoners, like President Trump associate Paul Manafort, serve out sentences at home.
Even as the Justice Department announced that federal prisons would release vulnerable, nonviolent inmates to home confinement to avoid the spread of COVID-19, the agency was quietly adopting a policy that makes it harder for inmates to qualify for release, not easier. The result has been that more than 98% of inmates remain in federal custody, while a handful of celebrity inmates, like former Trump campaign chair Paul Manafort, have been released to home detention. In two memos, one in late March and a second in early April, Attorney General William Barr directed the Federal Bureau of Prisons, which is part of the Justice Department, to begin identifying inmates who could safely be released to home confinement â essentially house arrest. (MacDougall, 5/26)
Scottie Edwards died of COVID-19 just weeks before he would have gotten out of the Westville Correctional Facility in Indiana. Edwards, 73, began showing symptoms of the disease in early April, according to the accounts of three inmates who lived with him in a dormitory. He was short of breath, had chest pain, and could barely talk. He was also dizzy, sweaty and throwing up. (Harper, 5/26)
Trump, Biden Strike Different Tones On Memorial Day Reflecting Partisan Divide On Pandemic
President Donald Trump played golf over the weekend and attended Memorial Day events unmasked, in line with his messaging the country should open. Meanwhile, presumptive Democratic nominee Joe Biden and his wife, Jill, donned black masks as they appeared outside for the first time in months. In other election news: Trump might be losing older voters' support; voter registration could plummet amid the pandemic; mail-in-voting advocates are getting antsy; and more.
President Trump visited a golf course for the first time in two months on Saturday, as he pushes the nation to reopen for business. Joe Biden, remaining at his Delaware home since mid-March, has urged caution about public outings. As the nation looks to recover from the coronavirus pandemic, the 2020 presidential rivals are placing bets on how voters will view the outbreak by November. Their conflicting strategies show that the two campaigns believe the race will turn on very different outcomes. (Thomas and Bender, 5/23)
President Trump and former Vice President Joe Biden made public appearances on Memorial Day, approaching the day differently amid the coronavirus pandemic. It was the first time Mr. Biden was seen outside his Delaware neighborhood in two months. In an unannounced stop at the Delaware Memorial Bridgeâs Veterans Memorial Park near his hometown of Wilmington, Mr. Biden was accompanied by his wife and a Secret Service detail, all of whom wore masks. He spoke briefly with a local elected official from a distance in a visit that lasted less than 10 minutes. (Restuccia and Siddigui, 5/25)
Joseph R. Biden Jr., who has been campaigning from his home for more than two months during the coronavirus crisis, on Monday made his first public appearance since mid-March, visiting a veterans memorial in Delaware. He and his wife, Jill Biden, wearing black masks, laid a wreath of white flowers in a Memorial Day commemoration that had not been publicly announced before the trip. Mr. Biden, a practicing Catholic, made the sign of the cross. (Glueck and Haberman, 5/25)
President Trump paid tribute Monday to veterans and victims of the coronavirus pandemic as the U.S. death tally neared 100,000, ignoring calls by the cityâs mayor to reconsider making an appearance here. âTens of thousands of service members and national guardsmen are on the front lines of our war against this terrible virus, caring for patients, delivering critical supplies and working night and day to safeguard our citizens,â Mr. Trump said. âAs one nation, we mourn alongside every single family that has lost loved ones, including the families of our great veterans.â (Restuccia, 5/25)
In a flurry of tweets and retweets Saturday and Sunday, Trump mocked former Georgia gubernatorial candidate Stacey Abramsâs weight, ridiculed the looks of House Speaker Nancy Pelosi (D-Calif.) and called former Democratic presidential rival Hillary Clinton a âskank.â He revived long-debunked speculation that a television host with whom Trump has feuded may have killed a woman and asserted without evidence that mail-in voting routinely produces ballot stuffing. (Gearan, 5/24)
Allen Lehner was a Republican until Donald Trump became his partyâs nominee in 2016. The 74-year-old retiree says he couldnât bring himself to vote for someone who lied, belittled others, walked out on his bills and mistreated women â but he also couldnât bring himself to vote for Hillary Clinton. So he didnât vote. Trump has done nothing since to entice Lehner back. (Johnson and Rozsa, 5/25)
No door to door canvassing. Public gatherings are canceled. Motor vehicle offices are closed. Naturalization ceremonies are on hiatus. Almost every place where Americans usually register to vote has been out of reach since March and it's led to a big drop in new registrations right before a presidential election that was expected to see record turnout. (Fessler, 5/26)
Americans are expected to vote by mail in record numbers in November, but authorities are running out of time to secure the vast number of ballots and ballot-processing machines needed to ensure a smooth process, election and industry officials say. Many Americans will likely want or need to avoid polling stations in the fall because of the coronavirus pandemic. A Department of Homeland Security-led working group said weeks ago that local governments should have started preparing in April if they want to ready their vote-by-mail systems for the November election. (Corse and McMillan, 5/23)
Legislation outlining vote-by-mail procedures for the September and November elections in Massachusetts âabsolutely cannot wait another month,â electoral reform advocates say, as they renew their push for action on Beacon Hill. Under normal circumstances, local departments need several months to prepare fully for major statewide elections, particularly in a presidential year. But with the COVID-19 pandemic upending most aspects of public life â and with voters broadly supporting mail-in ballots â reform advocates argued it is critical for lawmakers to quickly find consensus on the myriad proposals before them. (Lisinski, 5/25)
When President Donald Trump doesnât like the message, he shoots the messenger. So it was this past week when he took very personally a scientific study that should give pause to anyone thinking of following Trumpâs lead and ingesting a potentially risky drug for the coronavirus. He branded the studyâs researchers, financed in part by his own administration, his âenemy.â (Yen, Marchione and Woodward, 5/25)
A majority of voters in a new Hill-HarrisX poll support mandatory face masks in at least some public settings during the coronavirus panemic. Forty percent of registered voters in the May 18-19 survey said wearing face masks should be required in both indoor and outdoor public spaces, while another 28 percent said facial coverings should be mandatory in public indoor spaces only. (5/22)
New results from an ongoing health tracking poll conducted by the Kaiser Family Foundation show Americans' attitudes about how and when to resume activities after stay-at-home mandates lift are starkly divided along political lines, with Republicans more than Democrats saying they intend to go to the salon, attend large gatherings, and eat in restaurants in the coming months. (Soucheray, 5/22)
In early April, Jason Furman, a top economist in the Obama administration and now a professor at Harvard, was speaking via Zoom to a large bipartisan group of top officials from both parties. The economy had just been shut down, unemployment was spiking, and some policymakers were predicting an era worse than the Great Depression. The economic carnage seemed likely to doom President Donald Trumpâs chances at reelection. Furman, tapped to give the opening presentation, looked into his screen of poorly lit boxes of frightened wonks and made a startling claim. (Lizza and Lippman, 5/26)
Trump Threatens To Move National Convention From North Carolina If State Is Still Shut Down
President Donald Trump says that he wants to move the Republican National Convention if North Carolina's Democratic Gov. Roy Cooper can't guarantee that the event will be allowed to proceed as normal. The gathering could draw thousands, which is currently prohibited by the state's lock-down rules. While some Republicans quietly consider a pared down convention, Trump insists that it will continue as planned despite the crisis.
President Trump on Monday threatened to yank the Republican National Convention from Charlotte, N.C., where it is scheduled to be held in August, accusing the stateâs Democratic governor of being in a âshutdown moodâ that could prevent a fully attended event. The president tweeted that he had âLOVEâ for North Carolina, a swing state that he won in 2016, but he added that without a âguaranteeâ from the governor, Roy Cooper, that the event could be held at full capacity, âwe would be spending millions of dollars building the Arena to a very high standard without even knowing if the Democrat Governor would allow the Republican Party to fully occupy the space.â (Haberman, 5/25)
"I love the Great State of North Carolina, so much so that I insisted on having the Republican National Convention in Charlotte at the end of August," Trump tweeted. "Unfortunately, Democrat Governor, @RoyCooperNC is still in Shutdown mood & unable to guarantee that by August we will be allowed full attendance in the Arena. In other words, we would be spending millions of dollars building the Arena to a very high standard without even knowing if the Democrat Governor would allow the Republican Party to fully occupy the space." (Thomas, 5/25)
The threat singling out a Democratic governor who has followed federal guidelines echoed Trumpâs pressure on other Democratic-led states to reopen as the coronavirus pandemic pushes the economy to the worst crisis since the Great Depression, with approximately 38Â million Americans filing for unemployment and scores of businesses shuttering. Trump, who sees a revived economy as critical to his reelection, also has encouraged protests against Democratic governors who have imposed stay-at-home orders consistent with federal health officialsâ recommendations. (Kim and Sullivan, 5/25)
The Republican National Convention is scheduled to take place in late August at an arena in Charlotte that can hold as many as 20,000 people. Republicans âmust be immediately given an answer by the Governor as to whether or not the space will be allowed to be fully occupied,â Mr. Trump wrote in a series of tweets. âIf not, we will be reluctantly forcedâŚto find, with all of the jobs and economic development it brings, another Republican National Convention site.â (Restuccia, 5/25)
Trumpâs remarks amounted to a shift in the partyâs posture. Republicans have said they are intent on forging ahead with the convention and have been raising millions of dollars needed to stage the event. The party has set a goal of raising $65 million. The president has remained in touch with top party officials, including Republican National Committee Chairwoman Ronna McDaniel, and has privately said he is determined to hold a convention. (Isenstadt and Cohen, 5/25)
The convention is currently scheduled for Aug. 24-27, in Charlotte, North Carolina, a state which recently reported its highest number of new cases in a single day. North Carolina entered the second phase of its reopening Friday, but gatherings of groups over 10 people indoors, and 25 people outdoors, are still prohibited. (Timm and Alba, 5/25)
Americans Flock To Beaches, Pools On Memorial Day Despite Pandemic
Despite warnings from state leaders and public health experts, many Americans ventured out to beaches, boardwalks and other entertainment venues during the warm holiday weekend. In spots, the numbers often made physical distancing impossible. Meanwhile the pandemic also impacted the ways Memorial Day observances were conducted.
The Memorial Day weekend marking the unofficial start of summer in the U.S. meant big crowds at beaches and warnings from authorities Sunday about people disregarding the coronavirus social-distancing rules and risking a resurgence of the scourge that has killed nearly 100,000 Americans. ... Sheriffâs deputies and beach patrols tried to make sure people kept their distance from others as they soaked up the rays on the sand and at parks and other recreation sites around the country. (Anderson and Mahoney, 5/25)
On a holiday that usually mixes somber remembrance and blissful renewal, the nation marked an unusually grim Memorial Day in which losses from the past merged with ones from the present. Gray skies and rain in much of the United States on Monday provided a muted backdrop as crowds flocked to beaches, amusement parks, lakes and boardwalks on the first long weekend since the coronavirus began to tear through the country, taking almost 100,000 lives with it. For many people, the day was an attempt to turn the page from the lockdowns of the past two months to something more resembling the traditional beginning of summer. (Oppel and Burch, 5/25)
Americans settled for small processions and online tributes instead of parades Monday as they observed Memorial Day in the shadow of the pandemic, which forced communities to honor the nationâs military dead with modest, more subdued ceremonies that also remembered those lost to the coronavirus. (Forliti and Brown, 5/26)
In some places, scaled-down ceremonies were broadcast over the internet, as shutdowns to curb the spread of the virus put a damper on what is usually a day of flag-waving parades and crowds celebrating the unofficial start of the U.S. summer. Spots that would be bustling on a normal Memorial holiday had noticeably thinner crowds. Perhaps half of those gathered at the Vietnam Veterans Memorial in Washington wore face coverings, recommended as one way to fight infection. Only about one in 10 did so on the boardwalk by the beach in Ocean City, New Jersey. (Allen, 5/25)
Even in a typical year, Memorial Day in the U.S. can be a confusing mixture of joy and sadness â at once a hearty welcome to summertime, brimming with picnics and parties, and a somber remembrance of the service members who died in wars. But this has been no typical year. Into the holiday's characteristic contrast of opposites the coronavirus pandemic has tossed a rather large wrench, which has only served to rend that divide wider. (Dwyer, 5/25)
Vacationers flocked to the Lake of the Ozarks over the holiday weekend, flouting social distancing guidelines as they packed into yacht clubs, outdoor bars and resort pools in the Missouri tourist hot spot. Images of the revelry rippled across social media, showing people eating, drinking and swimming in close quarters. In one picture shared by the news station KSDK, dozens of people could be seen crammed on an outdoor patio underneath a sign reading, âPlease practice social distancing.â (Hawkins, 5/24)
Images of a jampacked pool party at Lake of the Ozarks in Missouri over the Memorial Day weekend prompted St. Louis County to issue a travel advisory and the Kansas City health director to call for self-quarantine of the revelers. The advisory by the St. Louis County Public Health Department cited news reports of large crowds at Lake of the Ozarks, where hundreds of people were recorded squeezed closely together amid the coronavirus epidemic. (Helsel, 5/26)
In Ocean City, Md., videos showed visitors thronging the boardwalk, only some wearing masks. From Newport Beach, Calif., to the Tampa area along Floridaâs Gulf Coast, crowds were sometimes dense â in the latter case, forcing authorities to close jammed parking lots. In midtown Houston on Saturday, more than 100 partygoers packed into a swimming pool area at a club, flouting social distancing orders to maintain space or wear masks a day after Texas Gov. Greg Abbott (R) eased restrictions on bars and restaurants. (Nakashima, 5/25)
Packing beaches, pool parties and outdoor gatherings all over the US, many Americans used the holiday weekend to mark the unofficial beginning of summer -- ditching the face masks and social distancing urged by health officials. Many people, undoubtedly, continued to abide by new restrictions set in place to curb the spread of the coronavirus -- staying in small groups, wearing masks and keeping a distance from others. But in some parts of the country, Memorial Day happenings looked not at all unlike any other year. (Maxouris, 5/26)
The festivities played out as the number of U.S. deaths from Covid-19 approached 100,000. The U.S. death toll stood at more than 97,800 on Monday, which was close to 30% of the global total of about 345,000. The total number of confirmed coronavirus cases exceeded 5.4 million world-wide Monday, with more than 1.6 million of those in the U.S., according to data from Johns Hopkins University. The pandemic didnât stop some of the traditional Memorial Day salutes. In Los Angeles, 18 vintage warplanes flew low and in formation Monday as a tribute to veterans and health-care workers. (Lazo, Berger and Michaels, 5/25)
Some States Have Hand On Emergency Break As They Reopen, But Others Don't Have Surge Plan
Some states have set guidelines to watch out for if reopening triggers another spike that could overwhelm the health system. But others are reopening without any plans to shut down again. The upcoming summer will likely hint at what's coming in the fall. Meanwhile, a look back at past pandemics shows the dangers of reopening too soon.
Alabama hasnât met the White Houseâs gating criteria for reopening, and its capital cityâs health care system has been overwhelmed this month as the number of positive coronavirus cases there more than doubled. Montgomery Mayor Steven Reed has warned that major hospitals have run out of ICU beds and nearly 500 people have tested positive over the past two weeks. Yet the state took another step forward in its three-week-old push to reopen, allowing entertainment venues like arcades, theaters and bowling alleys to open Friday afternoon. (McCaskill and Goldberg, 5/24)
Whatâs certain is the coming few months will say a lot about the state of the country, the publicâs psyche and how much death and illness itâs willing to accept. With so much confusing data and contradictory political messaging on the reopening before the November elections, there is a road map to follow this summer to know if the fall will be a time of true recovery or deepening despair. Here are five story lines this summer that will reveal whether the U.S. has turned the corner. (Goldberg, Ollstein and Ehley, 5/25)
As coronavirus lockdowns loosen and some Americans flock to restaurants, beaches, and other outdoor spaces for Memorial Day weekend, the question of reopening too quickly is striking an eerily familiar tone. The global flu epidemic of 1918 remains the deadliest on record. According to the Centers for Disease Control and Prevention, the pandemic killed an estimated 50 million worldwide and over half a million in the United States. J. Alexander Navarro of the University of Michiganâs Center for History of Medicine is one of the organizers of the âInfluenza Archive,â a collection of information cataloging and studying the effects of the 1918 pandemic in 43 major U.S. cities. (Usero, 5/24)
The novel coronavirus arrived in an Indiana farm town mid-planting season and took root faster than the fields of seed corn, infecting hundreds and killing dozens. It tore through a pork processing plant and spread outward in a desolate stretch of the Oklahoma Panhandle. And in Coloradoâs sparsely populated eastern plains, the virus erupted in a nursing home and a pair of factories, burning through the crowded quarters of immigrant workers and a vulnerable elderly population. As the death toll nears 100,000, the disease caused by the virus has made a fundamental shift in who it touches and where it reaches in America, according to a Washington Post analysis of case data and interviews with public health professionals in several states. (Thebault and Hauslohner, 5/24)
D.C. Mayor Muriel E. Bowser (D) said Monday that the city is âback on trackâ to move toward a gradual reopening after seeing a slight spike in new cases over the weekend. Meanwhile, Virginia reported a record number of new cases â mostly in the Washington suburbs â but the areaâs leaders said they are planning for a transition to Phase 1 of reopening starting at the end of the week. Bowser said she would wait until Wednesday to decide whether to move to Phase 1 of the cityâs reopening on Friday. She said she wants to see 14Â days of declining community spread â calculated by the date of symptom onset and excluding cases at confined facilities such as nursing homes â before she makes a decision. (Chason and Zauzmer, 5/25)
Some scientists looking for ways to prevent a return to exponential growth in coronavirus infections after lockdowns are lifted are zeroing in on a new approach: Focus on avoiding superspreading events. The theory is that banning mass public events where hundreds of attendees can infect themselves in the space of a few hours, along with other measures such as wearing face masks, might slow the pace of the new coronavirusâs progression to a manageable level even as shops and factories reopen. (Pancevski, 5/24)
A spike in reported coronavirus cases in Redmond last week has been tied to family and social gatherings in the area. The Oregonian/OregonLive reports last weekâs breakdown of coronavirus cases by ZIP code in Oregon reported eight new cases of COVID-19 in the central Oregon town. That brought Redmond up to only 18 reported cases to date, but amounted to an 80% change over the previous week â the highest in the state. (5/25)
Montgomery County rushed to create its own data dashboard last week, so elected leaders could justify to constituents why they remain stuck in a coronavirus shutdown. In Anne Arundel County, local officials secured their own virus tests, contact tracers and protective equipment, skeptical the state would provide enough. (Cox, 5/25)
As the total number of coronavirus infections in the Washington region topped 90,000 Sunday and fatalities hit 3,880, a one-day spike in the Districtâs numbers raised questions about whether it can begin reopening as expected on Friday. And social media Âimages of a crowded Ocean City boardwalk and an unmasked Virginia governor mingling with beachgoers had many wondering whether safety guidelines meant to contain the disease were being taken seriously enough. (Heim, Tan, Vozzella and Zauzmer, 5/24)
When it comes to economic recovery, the coronavirus remains Public Enemy No. 1. But not far behind is an equally insidious force: uncertainty. In conversations with business leaders in recent days, itâs clear that simple uncertainty, as much as any particular policy or public-health imperative, is holding back the economy. Here are the kinds of questions they are asking: Are consumers ready to venture out in force even if they are free to do so? How does a big business navigate a patchwork of different state and local reopening plans and policies? How do we make mass transit safe enough for workers and consumers alike to return to normal life with confidence? (Seib, 5/25)
The forced distancing required by the coronavirus prompted several cities to quickly close some public roads to make room so cooped-up residents anxious to get outside for exercise could do so safely. Now, following moves to shut, narrow or repurpose streets from Oakland to Tampa, cities including Washington are seeking to understand how those emergency closures might have lasting impacts on some of urban Americaâs most important, and contested, real estate. (Laris, 5/25)
One hundred-forty clients at a hair salon in Missouri may have been exposed to COVID-19 after a second hairstylist at the location tested positive for the coronavirus. On Friday, the city of Springfield said 91 people â 84 clients and seven employees â had been exposed after a stylist worked for eight days while showing symptoms. Now, 56 more clients have been "potentially directly exposed," the city said Saturday, saying the second stylist at the Great Clips salon tested positive and worked for five days while "experiencing very mild symptoms." (Kesslen, 5/24)
As the rapid spread of COVID-19 disproportionately devastates black communities across the country, African Americans in the hair care business say stay-at-home orders and social distancing has crushed an industry which relies solely on clientele for a steady income. "When COVID hit it was like losing my livelihood overnight," Tiana Brown, 34, owner of That Chics Hair Suite in New Jersey, told ABC News. "I am a full-time stylist. That is my only income." (Eubanks, 5/26)
Sooner Than Expected: California Releases Plan For Reopening Of Churches, Synagogues, Mosques
Religious gatherings, banned in the state since March 19, can resume by following new state guidelines for reopening. Some church leaders are acting in open defiance of those new rules while others decide to wait longer to reunite their congregations. Church reopening news is reported from New Jersey, Florida and Virginia, as well.
Rabbi Shalom Rubanowitz looks forward to reopening his synagogue doors â if his congregation can balance the laws of God and California during the coronavirus pandemic. On Monday, the state released a framework that will permit counties to allow in-person worship services. They include limiting worshipers to 100 or less, taking everyone's temperature, limiting singing and group recitations and not sharing prayer books or other items. (Dazio and Jablon, 5/26)
Church services, which had been banned since Newsom's March 19 order, would look dramatically different under new state Department of Public Health guidelines. Religious services and funerals can host a maximum of 100 people, or 25 percent of building capacity, whichever is lower. The state also advised caution around church singing. A religious choir practice in Washington state became a "superspreading" event in March that resulted in the majority of attendees contracting Covid-19 and two deaths, according to the Centers for Disease Control and Prevention. (Mays, 5/25)
Trump said Friday he was designating all houses of worship nationwide as essential, claiming he would âoverride the governorsâ if they did not allow them to reopen. While several lawsuits have been filed challenging Newsomâs restrictions on in-person religious services, the stateâs 9th Circuit Court of Appeals last week found in his favor against San Diegoâs South Bay United Pentecostal Church, 2-1. (Budryk, 5/25)
Places of worship in California can reopen for services, but only after they make major modifications based on a set of guidelines released Monday by state health officials. The guidelines, issued by the California Department of Public Health, leave it to the discretion of individual counties to decide whether religious gatherings in their jurisdictions can resume. If local officials give the go-ahead, places of worship must limit attendance to 25% capacity or a maximum of 100 attendees â whichever is lower â for at least the first 21 days after reopening. (Federis, 5/25)
Places of worship "may not be safe for those with preexisting conditions" despite orders from President Donald Trump that they be allowed to reopen immediately, White House coronavirus coordinator Deborah Birx said Sunday. "Although it may be safe for some to go to churches and social distance, it may not be safe for those with preexisting conditions," Birx told Chris Wallace on "Fox News Sunday.â "That's why in 'phase one' and 'phase two,' we've asked for those individuals with vulnerabilities to really ensure that they are protected and sheltering in place while we open up America." (Mueller, 5/24)
No holding hands during the Lordâs Prayer. No hymnals or holy water. And no congregating with friends outside after services. More than two months after much of the United States shut down because of the coronavirus pandemic, some houses of worship are beginning to reopen their doors, albeit with a long list of social distancing guidelines in place. (Sonmez, Kornfield and Hawkins, 5/24)
For weeks, local officials received conflicting signals from state leaders and meatpacking companies about how much information to release Now as areas start to reopen, some worry that lack of transparency hides a worrying outbreak. Other industry news reports on worker shortages and soaring prices.
The Smithfield Foods plant in Tar Heel, N.C., is one of the worldâs largest pork processing facilities, employing about 4,500 people and slaughtering roughly 30,000 pigs a day at its peak. And like more than 100 other meat plants across the United States, the facility has seen a substantial number of coronavirus cases. But the exact number of workers in Tar Heel who have tested positive is anyoneâs guess. Smithfield would not provide any data when asked about the number of illnesses at the plant. Neither would state or local health officials. (Corkery, Yaffe-Bellany and Kravitz, 5/25)
Tyson Foods, the largest meat processor in the United States, has transformed its facilities across the country since legions of its workers started getting sick from the novel coronavirus. It has set up on-site medical clinics, screened employees for fevers at the beginning of their shifts, required the use of face coverings, installed plastic dividers between stations and taken a host of other steps to slow the spread. Despite those efforts, the number of Tyson employees with the coronavirus has exploded from less than 1,600 a month ago to more than 7,000 today, according to a Washington Post analysis of news reports and public records. (Telford, 5/25)
When Martha Kebedeâs adult sons immigrated from Ethiopia and reunited with her in South Dakota this year, they had few work opportunities. Lacking English skills, the brothers took jobs at Smithfield Foodsâ Sioux Falls pork plant, grueling and increasingly risky work as the coronavirus sickened thousands of meatpacking workers nationwide. One day half the workers on a slicing line vanished; later the brothers tested positive for the COVID-19 virus. (Groves and Tareen, 5/26)
One California city is grappling with COVID-19 outbreaks at nine of its industrial facilities, including one food processing plant that reported having at least 153 positive cases, according to health officials. The Los Angeles County Department of Public Health said the largest outbreak occurred at the Farmer John meatpacking plant in Vernon, California, which is owned by Smithfield Foods and produces Dodger Dogs, among other products. (Effron, 5/25)
Supermarket customers are paying more for beef than they have in decades during the coronavirus pandemic. But at the same time, the companies that process the meat for sale are paying farmers and ranchers staggeringly low prices for cattle. Now, the Agriculture Department and prosecutors are investigating whether the meatpacking industry is fixing or manipulating prices. (Nylen and Crampton, 5/25)
In other worker safety news â
As the country reopens, employers are looking into how to safely bring back their workers. One recurring question: Should they be tested for the new coronavirus? Some businesses are moving ahead. In Indianapolis, the family-owned Shapiroâs Delicatessen tested about 25 employees in its parking lot this month. Amazon plans to spend as much as $1 billion this year to regularly test its work force, while laying the groundwork to build its own lab near the Cincinnati airport. (Eder, Gabler, Kliff and Murphy, 5/22)
The security guard said no. It didnât matter that the visitor was from the Shelby County Health Department. It didnât matter that she was there to investigate health conditions at a Nike distribution center where, five days earlier, company officials learned a temporary worker had died after testing positive for the novel coronavirus. The security guard staffing the gate at the sprawling site said that without an appointment, no one could come in. (Thomas, 5/23)
By the end of April, employees at a Walmart in Quincy, Mass., were panicking: Sick colleagues kept showing up at work. Other employees disappeared without explanation. The storeâs longtime greeter was in the hospital and on a ventilator, dying of covid-19. Local health officials grew alarmed as employees and their relatives reported sick co-workers. Shoppers called to complain about crowded conditions. âWe have had consistent problems with Walmart,â wrote Ruth Jones, Quincyâs health commissioner, in an April 28 email to the Massachusetts attorney generalâs office. âThey have a cluster of Covid cases among employees and have not been cooperative in giving us contact information or in following proper quarantine and isolation guidelines.â (Dungca, Abelson, Bhattarai and Kornfield, 5/24)
As Massachusetts begins to slowly reopen its economy, people who are not able to do their jobs remotely may be asked to return to work. This brings up a lot of questions around safety for businesses and workers alike, as not everyone may feel safe coming to the workplace. ...For whenever you may return to work, here's what workers should know about what employers are required to do to keep them safe on the job, as well as what to do if theyâre sick and how to report violations of state and federal rules. (Ruckstuhl, 5/26)
Media outlets report on news from Massachusetts, Florida, Texas, Nevada, Oklahoma and Indiana.
Black and Latinx activists marched to the Massachusetts State House on Monday to advocate for communities of color, who they say are disproportionately affected by the coronavirus crisis and the stateâs reopening plans. The group said it represents about 50 organizations in Boston, including the local chapter of Latinx organization Mijente and the Black Boston COVID-19 Coalition. The group gathered outside of steakhouse Davioâs on the corner of Arlington and Stuart Street surrounding a black chair painted with the words: âessential workers have no seat at the table.â (Gardizy, 5/25)
The state reported Monday afternoon 44 new deaths from the coronavirus, bringing Massachusettsâ death toll to 6,416, while the number of people who have tested positive for COVID-19 also rose to 93,271, with 596 newly reported cases. The stateâs three-day average of COVID-19 deaths was 67 as of May 22, which marked the eighth straight day of decline. (Hilliard, 5/25)
Starting Monday, thousands of previously shuttered businesses will have the go-ahead to reopen â with lots of new COVID-19 related rules and restrictions. The state wants all businesses and workers â from hair salons to office spaces, to pet groomers and car washes â to practice social distancing, sanitizing and mask-wearing. The agency responsible, in large part, for ensuring they comply with all the rules? Your local health department. (Jarmanning, 5/25)
Health care centers and hospitals are the first facilities in Massachusetts to roll out these changes, following Gov. Charlie Bakerâs reopening plan. The stateâs largest health care center, the East Boston Neighborhood Health Center, with more 300,000 visits a year, launches its plan for a new normal today. (Bebinger, 5/26)
Total coronavirus cases in Florida neared 52,000 on Monday, with 2,252 deaths, as many residents took advantage of relaxed restrictions during the Memorial Day weekend. Numbers released Monday by the Florida Department of Health show 879 new cases since a day earlier, along with 15 new deaths. After setting quarantine and social distancing guidelines that forced many businesses to close in March, Florida Gov. Ron DeSantis began allowing restaurants and retail stores to open at limited capacities May 4 in all but the three South Florida counties. (5/25)
Nursing homes, jails and prisons have become well-known locations for coronavirus outbreaks, but Houston Mayor Sylvester Turner has identified another major hotspot for COVID-19 cases in his city: homeless shelters. Speaking at a Houston food distribution drive Saturday, where he was volunteering, Turner said 77 of the 183 additional people who had tested positive for the virus lived in homeless shelters, ABC13 Houston reported." We are now testing people in our homeless shelter, and what we are finding is there are people who are infected with this virus,â Turner said, according to the news report. âWe are engaging in social distancing and spreading them out.â (Davila, 5/24)
While testing for COVID-19 is becoming available to more Clark County residents, testing of the homeless remains haphazard even though they are considered at high risk from the disease. âWe really donât know what the prevalence of COVID is right now in our homeless population,â Southern Nevada Health District clinical services director JoAnn Rupiper acknowledged in an interview. (Erickson, 5/25)
Gov. Steve Sisolak will discuss the next phase of Nevadaâs reopening at a news conference Tuesday evening, according to the governorâs office. ...Last week, Sisolakâs office said the governor could potentially announce a date for beginning the second phase of reopenings at a Tuesday briefing, depending on whether data collected through the holiday weekend continued to âreflect positive or consistent trends.â (Michor, 5/25)
This year, people in Oklahoma City will be able to interact with individuals experiencing homelessness in a new, high-tech way. Starting in July, City Care will begin rolling out an information campaign around a pilot program with a Seattle-based app company called Samaritan to offer a platform for community members to financially support a small group of people experiencing homelessness. (Branch, 5/25)
The Indiana State Department of Health on Monday announced 354Â additional coronavirus cases, bringing the total to 31,715 after the department made corrections to the previous day's total. The state also reported 8Â new deaths, for a total of 1,832. As of today, the state reported 226,251 administered tests. Of those, 14% tested positive, according to the state health department's online dashboard. (Slaby, 5/25)
WHO Temporarily Halts Anti-Malarial Drug Trial For Safety Review
Previous studies have found negative side effects of hydroxychloroquine while so far it has not been proven to be an effective coronavirus treatment. President Donald Trump pushed for doctors to prescribe the drug and said he was taking a regime himself as a preventive measure.
The World Health Organization said Monday that it will temporarily drop hydroxychloroquine â the anti-malarial drug U.S. President Trump says he is taking â from its global study into experimental COVID-19 treatments, saying that its experts need to review all available evidence to date. In a press briefing, WHO director-general Tedros Adhanom Ghebreyesus said that in light of a paper published last week in the Lancet that showed people taking hydroxychloroquine were at higher risk of death and heart problems, there would be âa temporary pauseâ on the hydroxychloroquine arm of its global clinical trial. (Cheng and Keaten, 5/25)
âThe executive group has implemented a temporary pause of the hydroxychloroquine arm within the Solidarity trial while the safety data is reviewed by the data safety monitoring board,â Tedros told an online briefing. He said the other arms of the trial - a major international initiative to hold clinical tests of potential treatments for the virus - were continuing. (5/25)
Dr. Soumya Swaminathan, the WHO's chief scientist, said the organization's investigators and regulators in individual countries have raised enough red flags to prompt the halt. "So the steering committee met over the weekend and decided that in the light of this uncertainty that we should be proactive, err on the side of caution and suspend enrollment, temporarily, into the hydroxychloroquine arm," she said. (Li, 5/25)
The WHO has 3,500 patients from 17 countries enrolled in what it calls the Solidarity Trial. This is an effort overseen by the WHO to find new treatments for COVID-19. The patients in the trial have been randomly assigned to be treated with hydroxychloroquine which is a common malaria drug, or 3 other experimental drugs for treating COVID-19 in various combinations. Only the hydroxychloroquine part of the trial is being put on hold. "The review will consider data collected so far in the Solidarity Trial and in particular robust, randomized available data to adequately evaluate the potential benefits and harms from this drug [hydroxycholoroquine]," WHO Director General Tedros Adhanom Ghebreyesus said during an online press conference from Geneva on Monday. (Beaubien, 5/25)
The implications of the findings are limited by the fact that they are from an observational study and not a randomized controlled trial, which is the gold standard for evaluating whether a drug is truly safe and effective against a disease. Still, the authors of the study say they present another case against continued use of the drugs in COVID-19 patients outside of a clinical trial. (Dall, 5/22)
The meeting came a day after the Lancet published the largest observational study of the malaria drugs to date, and as some national regulators began expressing concern about using the drug. WHO officials estimated the pause would last a week or two as the trialâs data safety monitoring board considers information already collected from the Solidarity trial and other ongoing studies to determine whether itâs safe to continue with hydroxychloroquine. (Wheaton, 5/25)
The other arms of the "Solidarity Trials" being overseen by the WHO, which involve multiple countries and potential treatments for COVID-19, will continue, Tedros said. "This concern relates to the use of hydroxychloroquine and chloroquine in COVID-19," he added. "I wish to reiterate that these drugs are accepted as generally safe for use in patients with autoimmune diseases or malaria." (Wise, 5/25)
A new study underlines safety concerns about using the malaria drugs hydroxychloroquine and chloroquine to treat Covid-19, and heightens questions about whether or not the drugs are effective at all. The study, which was published in the Lancet, cannot answer the question of whether or not hydroxychloroquine and chloroquine can help patients fight off Covid-19 or whether the drugs increase or decrease the death rates in those patients. Those answers can only come from large studies in which patients are randomly assigned to either receive the drugs or a placebo. Dozens of such studies are ongoing. (Herper, 5/22)
In other pharmaceutical news â
Fujifilm Holdings Corp (4901.T) will continue research on Avigan into June, Japanâs government said on Tuesday, effectively dashing hopes by Prime Minister Shinzo Abe that the drug would be approved as a COVID-19 treatment this month. (5/25)
A drug maker in Bangladesh has become the first company to sell a generic version of remdesivir, the latest sign of how the push to ensure widespread access to Covid-19 medicines and vaccines has become an urgent issue in poor countries. Following an emergency decree issued by the Bangladesh government, Beximco Pharmaceuticals is donating copies of the Gilead Sciences (GILD) medicine to state-run hospitals free of charge, but will sell the intravenous treatment to private clinics. Moreover, the company is reportedly willing to export its version if other governments request the drug, although it does not have a license from Gilead to do so. (Silverman, 5/22)
Remdesivir, the only drug cleared to treat Covid-19, sped the recovery time of patients with the disease, but its benefit appeared much more limited in patients who needed mechanical ventilation as part of their treatment, according to eagerly awaited results of a clinical trial. Initial results from the study, which led to the drugâs emergency authorization by the Food and Drug Administration, were released late last month. Full data were published late Friday in the New England Journal of Medicine. (Herper, 5/22)
Early-Stage Data Of Chinese Vaccine Looks Promising, But Experts Warn Method Has Failed In Past
The testing strategy in use involves using a modified virus to carry genetic instructions to a human cell. The method isn't among the most successful in terms of vaccine development. Meanwhile, former FDA Commissioner Scott Gottlieb predicts the United States will have a better vaccine sooner than China.
A vaccine developed in China appears to be safe and may protect people from the new coronavirus, researchers reported on Friday. The early-stage trial, published in the Lancet, was conducted by researchers at several laboratories and included 108 participants aged 18 to 60. Those who received a single dose of the vaccine produced certain immune cells, called T cells, within two weeks. Antibodies needed for immunity peaked at 28 days after the inoculation. (Mandavilli, 5/22)
Data on the vaccine, made by CanSino Biologics, were published Friday in the Lancet, the first time Phase 1 trial data from any Covid-19 vaccine have been published in a scientific journal. The results are likely to be closely examined, particularly in Canada, which recently announced it would test the vaccine and produce it there if results of the early studies were positive. The study found that one dose of the vaccine, tested at three different levels, appeared to induce a good immune response in some subjects. But about half of the volunteers â people who already had immunity to the backbone of the vaccine â had a dampened immune response. (Branswell, 5/22)
The United States will have a "better" vaccine than China â and it will have it sooner, former Food and Drug Administration Commissioner Scott Gottlieb predicted Sunday. Data on the potential vaccines in clinical development in China "didn't look overwhelmingly strong," Gottlieb told Margaret Brennan on CBS' "Face the Nation." "Those vaccines, if they do work, probably are going to provide lower levels of immunity than the platforms that the U.S. and Europeans are working with," he said. "So I think we're going to have a better vaccine, and I think we're probably going to have it sooner based on where we are in clinical development, some of the early progress that we've shown." (Mueller, 5/24)
In other vaccine news â
Food and Drug Administration stalwart Janet Woodcock will temporarily step aside as the director of the agencyâs Center for Drug Evaluation and Research to work solely on a White House initiative meant to accelerate Covid-19 treatments, Commissioner Stephen Hahn announced Friday in an agency-wide email obtained by STAT. The news is monumental for the FDA: Woodcock has served as the permanent director of CDER for more than a decade, since 2008. She joined the FDA in 1986 and is widely considered the most experienced regulator at the agency. (Florko, 5/22)
Patients in clinical trials are usually faceless. But as the experimental Covid-19 vaccine being developed by Moderna Therapeutics has begun advancing through studies, it has found a much more visible advocate: trial volunteer Ian Haydon, a 29-year-old in Seattle. Haydon has spoken about the vaccine on CNN and CNBC. He even said heâd volunteer to be exposed to the novel coronavirus, SARS-CoV-2, if researchers want to test to see if the vaccine was actually effective. But up until now he has left out a key detail: He is, apparently, one of three people in the trial who had a systemic adverse reaction to the vaccine. (Herper, 5/26)
Some 80 million babies around the world are at higher risk of diseases like diphtheria, measles, and polio as the coronavirus pandemic hinders routine vaccination programs, global health officials warned Friday. Vaccine campaigns have been disrupted in at least 68 countries, according to data released by the World Health Organization, UNICEF, the Sabin Vaccine Institute, and Gavi, the Vaccine Alliance. The interruptions could affect 80 million children under 1 year old in those countries. (Joseph, 5/22)
Some states that opened special enrollment periods for worker who lost their jobs because of the pandemic, but those sessions are coming to an end, and industry officials fear that only a small fraction of people who need coverage even know where to look. In other industry and costs news: federal aid for hospitals, plummeting profits, and medical bills.
Many laid-off workers who lost health insurance in the coronavirus shutdown soon face the first deadlines to qualify for fallback coverage under the Affordable Care Act. Taxpayer-subsidized health insurance is available for a modest cost â sometimes even free â across the country, but industry officials and independent researchers say few people seem to know how to find it. For those who lost their health insurance as layoffs mounted in late March, a 60-day âspecial enrollmentâ period for individual coverage under the ACA closes at the end of May in most states. (Alonso-Zaldivar, 5/25)
HHS will redistribute provider grant funds that insurers and other entities have returned to the department in future funding tranches, an agency spokesperson said. Several insurers have said they received and chose to return unsolicited payments from the $30 billion that the HHS sent out based on Medicare fee-for-service reimbursement. The widespread reduction in doctors' visits and elective procedures amid the COVID-19 pandemic has drained providers of revenue but has so far benefited insurers' bottom lines. Large, publicly traded insurers don't expect the pandemic to negatively impact their 2020 earnings. (Cohrs, 5/22)
Eight weeks after Congress created a $100 billion fund to aid providers struggling due to the COVID-19 pandemic, some providers that serve women, children and vulnerable populations still haven't gotten any of the money. CMS sent payments at warp speed to hospitals and providers that bill fee-for-service Medicare, starting distribution two weeks after the Coronavirus Aid, Relief, and Economic Security (CARES) Act was signed into law. The distribution wasn't perfect â HHS sent funds to hospitals that had closed and several insurers that ended up returning the money. But the department has taken the opposite approach in sending money to Medicaid providers. (Cohrs, 5/21)
Louisianaâs health care facilities are set to receive over a billion dollars of federal coronavirus rescue funds, a staggering sum that demonstrates the depth of the crisis in area hospitals even as executives warn that the financial toll could end up being much bigger. The payout, which represents the stateâs share of $72 billion in relief aid from the federal CARES Act that has been distributed so far to health care providers, was distributed to almost 5,000 facilities in Louisiana. (Woodruff, 5/25)
Hospitals' operating margins continued to plummet in April as COVID-19 sunk revenues, new data show. Hospitals' median operating margin fell to negative 29% in April, dropping 282% relative to last year, according to Kaufman Hall's analysis of around 800 hospitals. As hospitals delayed non-urgent procedures to manage COVID-19 cases, operating room minutes decreased 61%âmore than triple the decline seen in March. (Kacik, 5/21)
A former combat pilot and emergency room physician, Dr. Stephen Markovich knows a thing or two about performing under pressure. And those traits have certainly been tested as the president and CEO of Columbus-based OhioHealth has guided the 12-hospital system through the COVID-19 pandemic. He established an incident command center that meets daily and said heâs given his leadership team the autonomy they need to create a plan thatâs flexible and adaptable. (Weinstock, 5/25)
Kaiser Health News:
âAn Arm And A Legâ: Tips For Surviving COVID With Your Financial Health Intact
In early April, Katelyn was in a financial bind. At home and sick with COVID-19, she hadnât been paid in weeks. And her bills were due. âMy landlord is kinda beating down my door right now,â she said in a voicemail to the podcast hotline: (724) 276-6534; thatâs 724 ARM N LEG. Weeks later, Katelyn got back in touch: She had made it through with her financial health intact, thanks to a combination of playing hardball with one company and knowing how to play nice with others. (Weissmann, 5/26)
Plasma From Recovered Patients May Help Modestly With Recovery, But Results Are Far From Certain
The death rates in the small study were 12.8% among those who got the antibodies, compared with 24.4% among the patients who did not get this treatment, but analyses like this are fraught with difficulties when it's impossible to meet the gold-standard of clinical trials. In other scientific news: infection risk, obesity and what exactly R0 means.
A small study of patients who were severely ill from the coronavirus hints that treatment with antibodies from recovered patients may modestly help recovery and survival, scientists reported on Friday. The study, although far from conclusive, is said to be the largest of subjects recovering from Covid-19, the illness caused by the coronavirus. Thirty-nine hospitalized patients were given intravenous infusions of antibodies from patients who had recovered from the condition. (Kolata, 5/22)
Guidelines from the Centers for Disease Control and Prevention making the rounds this week on the internet are clarifying what we know about the transmission of the coronavirus. The virus does not spread easily via contaminated surfaces, according to the C.D.C. For those who were worried about wiping down grocery bags or disinfecting mailed packages, the news headlines highlighting this guidance in recent days might have brought some relief. But this information is not new: The C.D.C. has been using similar language for months. (Fortin, 5/22)
The parents and two brothers of Silvia Deyanira Melendez, 24, are all in therapy after losing their daughter and sister to COVID-19 on March 28. "I donât have the words to say how beautiful and nice to the family she was," her father, Marcos Melendez, said Friday. She weighed more than 300 pounds with a body mass index of 60, double the BMI considered obese. This most likely contributed heavily to her Type 2 diabetes, hypertension and a heart condition that required open heart surgery two years ago. (O'Donnell, 5/23)
If you've been reading coronavirus news coverage, you've likely stumbled across a reference to a term called "R0." ... Pronounced "R-naught," the reproductive number is an indicator of how contagious a disease is, or how easily it spreads from person to person in a community. The number is important because government leaders are using R0 as a proxy for determining whether their respective COVID-19 outbreaks are growing, shrinking and or holding steady. (Schumaker, 5/26)
Next Coronavirus Relief Package Could Be Defining Issue For Parties In Upcoming In Election
Negotiations are likely to ramp up when lawmakers come back from recess, but what will their offers look like?
Congress is at a crossroads in the coronavirus crisis, wrestling over whether to âgo big,â as House Speaker Nancy Pelosi wants for the next relief bill, or hit âpause,â as Senate Majority Leader Mitch McConnell insists. Itâs a defining moment for the political parties heading toward the election and one that will affect the livelihoods of countless Americans suddenly dependent on the federal government. Billions in state aid, jobless benefits and health resources are at stake. As questions mount over Washingtonâs proper role, itâs testing the ability of President Donald Trump and Congress to do the right thing. (Mascaro, 5/26)
Senate Republicans are examining offering cash incentives for unemployed Americans returning to work, looking for an alternative to the extension of enhanced jobless benefits supported by Democrats. Republicans are concerned that the current $600 a week unemployment paymentâon top of state unemployment benefitsâis so generous that it is discouraging people from going back to work and damping the economyâs reopening amid the coronavirus pandemic. Democrats want to extend the payments, which are set to end in July, into next year, an idea Republicans have rejected. (Hughes and Wise, 5/24)
Nursing Homes' Multi-Million Dollar Lobbying Machine Gets To Work On Liability Protections
The industry is vigorously seeking protection from lawsuits that will likely stem from the wave of deaths in nursing homes across the country. But advocates urge lawmakers not to protect nursing homes were neglect and understaffing were big problems even before the pandemic. In other news: how warnings about overrun hospitals put nursing home patients at risk; the White House fails to meet its goal on nursing home testing; a veterans' home that had chronic issues to begin with; and a national reckoning.
As an unprecedented catastrophe unfolds in which more than 28,000 people have died of Covid-19 in care facilities, the nursing home industry is responding with an unprecedented action of its own: Using its multi-million dollar lobbying machine to secure protections from liability in lawsuits. At least 20 states have swiftly taken action within the last two and a half months to limit the legal exposure of the politically powerful nursing home industry, which risks huge losses if families of coronavirus victims successfully sue facilities hit by the pandemic. Now, the industry is turning its energies to obtaining nationwide protections from Congress in the upcoming coronavirus relief bill. (Severns and Roubein, 5/26)
Warnings of overrun hospitals were "an error" that resulted in the spread of coronavirus in nursing homes, and those who issued them should face "some accountability," AHCA President and CEO Mark Parkinson said Sunday. "The country was too concerned with hospitals being overrun, and there were consequences to that," Parkinson, a former Kansas governor and the current president and CEO of the American Health Care Association, told Chris Wallace on "Fox News Sunday." "One of the consequences is that nursing homes were left out. Our residents weren't a high priority for testing. We weren't given the equipment that we needed." (Mueller, 5/24)
Nearly two weeks ago the White House urged governors to ensure that every nursing home resident and staff member be tested for the coronavirus within 14 days. Itâs not going to happen. A review by The Associated Press found that at least half of the states are not going to meet White Houseâs deadline and some arenât even bothering to try.Only a handful of states, including West Virginia and Rhode Island, have said theyâve already tested every nursing home resident. (Suderman, 5/25)
Donald Bushey rarely talked about his military service. The Air Force veteran served for 14 years, including one in the Vietnam War, but he preferred to focus on hunting, fishing and his other passions. His military service, however, provided a lifeline to his family in recent years. As a veteran, Bushey qualified for a spot in the Soldiersâ Home in Holyoke, a state-run facility in western Massachusetts. Busheyâs placement in the home in January 2019 eased some of the pressure on his wife of 63 years, Jean, and their six children after he was diagnosed with Parkinsonâs disease and suffered a stroke, one of their daughters said. (Lamothe, 5/24)
With over 37,600 deaths, nursing home fatalities now account for nearly 40% of deaths from the novel coronavirus in the U.S., according to an ABC News analysis of the latest public health data. In at least 18 states, nursing home deaths account for over 50% of coronavirus-related deaths, placing a continued stress on the infrastructure for American elder care even as much of the nation tries to return to some sense of normalcy. (Mosk, Rubin, Pecorin and Freger, 5/26)
And in global news â
On the Isle of Skye off the western coast of Scotland, residents thought they had sealed themselves off from the coronavirus. They shuttered hotels. Officials warned of police checks. Traffic emptied on the only bridge from the mainland. But the frailest spot on the island remained catastrophically exposed: Home Farm, a 40-bed nursing home for people with dementia. Owned by a private equity firm, Home Farm has become a grim monument of the push to maximize profits at Britainâs largest nursing home chains, and of the governmentâs failure to protect its most vulnerable citizens. (Mueller, 5/25)
Italyâs nursing homes, ravaged by the coronavirus pandemic which claimed the lives of thousands of residents, face financial pressures that threaten to put many out of business and create a fresh elderly care crisis. (Parodi, 5/26)
For States Whose Economies Rely On Tourism And Commerce, There's 'No Playbook' For Recovery
California's economic strengths have now become the state's weaknesses as it tries to game out a recovery plan. In other news on the economic toll: racial and gender disparities in business and job losses; hard-hit families that were stretched to near-breaking point before the crisis; and paid sick leave is moving to front of mind during pandemic.
Locked down in their homes, the four former California governors clicked into a Zoom call and one after another described how they dealt with the crises that had defined their time in office. For Pete Wilson, it was the 1994 Northridge earthquake. Gray Davis evoked the electricity disaster that drove him out in a recall election, and Arnold Schwarzenegger and Jerry Brown lamented the Great Recession. But the former governors agreed that nothing they confronted was as dire or will be more consequential than what the current occupant of the office, Gov. Gavin Newsom, now faces. (Arango and Fuller, 5/26)
The number of working African American business owners in the United States plummeted more than 40 percent as the coronavirus shut down much of the economy â a far steeper drop than other racial groups experienced, according to an analysis confirming fears the pandemic would deepen inequalities in the business world. Closures and social distancing to slow the virusâs spread have taken a disastrous toll across racial groups, with the total number of active business owners dropping 22 percent from February to April, based on granular data from the federal governmentâs employment surveys that was made available last week. (Knowles, 5/25)
In a pandemic, single mothers must shoulder all the responsibilities at home â educating schoolchildren, caring for aging parents, cooking, cleaning and household management. Now single moms have been hit particularly hard by the unemployment crisis, losing jobs at a far higher rate than other families with children, according to a Stateline analysis of census microdata provided by the University of Minnesota. (Henderson, 5/26)
The economic devastation caused by the coronavirus has hit women particularly hard, a contrast to the 2009 downturn that was known as "the men's recession." The latest employment figures show that women, by a 10-point margin, have seen the majority of the job losses as large parts of the economy have shut down. The difference could have implications for the recovery and what policymakers need to do to ensure itâs not drawn out. (Elis, 5/25)
Inside crowded courtyard buildings, where blue-collar Latino families share apartments meant for one, the sick are multiplying. Isabela Rivera was the first in her home to test positive for the novel coronavirus. Unable to fully isolate in the three-bedroom apartment she and her husband, Danilo, share with two other Northern Virginia families, the Riveras sent their 7-year-old son to live with a family friend. (Olivo, Lang and Harden, 5/25)
Seattle provides a pronounced version of the nationâs economic divide between companies and workers who can operate primarily online through the coronavirus pandemic and those who canât. The Emerald Cityâs high-tech image stems from companies such as Amazon.com Inc. and Microsoft Corp. âboth based in the Seattle area and among its largest employers. Their businesses have remained strong during the national downturn, providing job security to headquarters employees who can generally work from home. Neither company has announced staff layoffs in the region since much of the countryâs economic activity shut down in March to prevent the virusâs spread. (Mackrael and Tangel, 5/24)
The two-Âbedroom apartment near an old cemetery in Glassboro, N.J., may not look like much, but it means everything to Chekesha Sydnor-ÂJones and her family. After an eviction, they spent 2018 crammed into a motel room. After scrimping and saving, Sydnor-ÂJonesâs family was able to put a monthâs deposit down on a rental in this middle-Âclass town and move into an actual home. The space is tight â Sydnor-ÂJonesâs three adult daughters shared the finished attic with her 10-year-old daughter; her 18-year-old son has one bedroom on the main floor, and she and her partner have the other. (Hannah-Jones, 5/23)
The coronavirus pandemic has exposed differences in how society values and treats workers and has led to a few temporary measures to modify the inequities baked into the system. Many relatively low-wage workers were deemed essential and have had to continue showing up at work during the COVID-19 outbreak. (Lawrence, 5/26)
Reuters reports on a doctor navigating her pregnancy while working in a downtown Los Angeles hospital that mostly serves lower-income Hispanic and African-American populations. News on health care workers reports on New York's decision to extend death benefits to families and on more people who have lost their lives, as well.
After putting a coronavirus patient onto a ventilator to help him to breathe, Dr. Zafia Anklesaria noted to herself that her baby never kicked during emergency procedures. It was not until she was back in her office and had removed most of her protective equipment that he made his presence known. (Nicholson and Cooke, 5/26)
Gov. Andrew M. Cuomo of New York said the state would pay death benefits to the families of frontline workers who died fighting the Covid-19 pandemic. (5/25)
Kaiser Health News/The Guardian:
Lost On The FrontlineÂ
A nurse who was crafting plans to open her own nursing home. An upbeat patient transporter who was also a sewing wiz. A surgical technician who was easy to befriend. These are some of the people just added to âLost on the Frontline,â a special series from The Guardian and KHN that profiles health care workers who die of COVID-19. (5/26)
COVID Anxiety Is Leading People To Make Irrational Decisions When It Comes To Other Medical Care
Patients with cancer, heart disease and strokes, among other illnesses, are delaying or forgoing critical procedures that could keep them alive. In other public health news: are face shields the new masks?; cities start launching anti-discrimination campaigns; what parents should know about hiring babysitters; Americans talk about how the crisis affected their lives; and more.
It was the call Lance Hansen, gravely ill with liver disease, had been waiting weeks for, and it came just before midnight in late April. A liver was available for him. He got up to get dressed for the three-hour drive to San Francisco for the transplant surgery. And then he panicked. âWithin five minutes after hanging up, he started hyperventilating,â his wife, Carmen, said. âHe kept saying: âIâm going to get Covid, and then Iâm going to die. And if I die, I want my family there.â I couldnât believe what I was hearing.â (Hafner, 5/25)
Almost 47 percent of Maineâs adult population has delayed medical care since the start of the coronavirus pandemic in mid-March, according to a recent survey by the U.S. Census Bureau. That rate is third-highest among states, behind only Oregon and Virginia. It is a side effect of business restrictions put into place by the state and health providers because of the virus. (Schroeder, 5/26)
Prescriptions for anti-anxiety medications and sleep aids have risen during the pandemic, prompting doctors to warn about the possibility of long-term addiction and abuse of the drugs. âMany physicians have a low threshold for prescribing them. Itâs very problematic,â says Bruce J. Schwartz, deputy chair and professor of psychiatry and behavioral sciences at Montefiore Medical Center in New York. âMany people do develop a dependency on these medications.â (Petersen, 5/25)
The debate over whether Americans should wear face masks to control coronavirus transmission has been settled. Governments and businesses now require or at least recommend them in many public settings. But as parts of the country reopen, some doctors want you to consider another layer of personal protective equipment in your daily life: clear plastic face shields. âI wear a face shield every time I enter a store or other building,â said Dr. Eli Perencevich. âSometimes I also wear a cloth mask if required by the storeâs policy.â (Sheikh, 5/24)
The New York City Commission on Human Rights is launching a massive effort to combat anti-Asian bias as reports of COVID-19-related discrimination skyrocket. "This type of discrimination and harassment is not something that happens out of nowhere in a pandemic, this is based in deep-seated miseducation and racism," said Carmelyn Malalis, the commissioner of the New York City Commission on Human Rights. "I know that people doubt that there is any such thing as anti-Asian discrimination, and people have said that to my face." (Thorbecke, 5/26)
Room 5 of the COVID-19 critical care unit was largely silent, save for the occasional alarms from machines keeping Ron Panzok alive. Few people entered the room. Physical examinations were limited to once per day to reduce the chances of spreading the coronavirus responsible for putting Panzok, 66, of New York City, in North Shore University Hospital, part of Northwell Health, on Long Island in mid-March. Hospital restrictions prevented his family from visiting. (Edwards, 5/25)
Reopening states after the COVID-19 lockdown raises unnerving questions for working parents who depend on some form of child care, from nannies to day camp. Instead of coming home with a snotty nose, is your child going to bring back the coronavirus? And how do you know your in-home babysitter or nanny, even your childâs teacher, isnât a symptom-free spreader?The short answer is that there are no easy answers. Every familyâs budget and needs and risk tolerance are going to be different. (Allen, Rose and Chen, 5/23)
People on the frontlines of the outbreak talk about how covid-19 has disrupted their lives. (5/26)
Many Western societies have not had to face death at the scale of COVID-19 since World War II, nearly 75 years ago. Could the grim reality of the coronavirus pandemic change the way we deal with life and loss? (Brabant, 5/25)
Kaiser Health News:
Bringing âPoogieâ Home: Hospice In The Time Of COVID-19
After she landed in the hospital with a broken hip, Parkinsonâs disease and the coronavirus, 84-year-old Dorothy âPoogieâ Wyatt Shields made a request of her children: âBring me home.â Her request came as hospital patients around the world were dying alone, separated from their loved ones whether or not they had COVID-19, because of visitation restrictions aimed at curbing the spread of the virus. Bringing home a terminally ill patient with COVID-19 bears extra challenges: In addition to the already daunting responsibility of managing their loved oneâs care, families must take painstaking precautions to keep themselves safe. (Bailey, 5/26)
Kaiser Health News:
âWe Miss Them All So Muchâ: Grandparents Ache As The COVID Exile Grinds On
Across America, where more than 70 million people are grandparents, efforts to prevent infection in older people, who are most at risk of serious COVID-19 illness, have meant self-imposed exile for many. At the opposite extreme, some grandparents have taken over daily child care duties to help adult children with no choice but to work. âAll the grandparents in the country are aching,â said Madonna Harrington Meyer, a sociology professor at Syracuse University in New York. âSome are aching because they canât see their grandchildren â and some are aching because they canât get away from them.â (Aleccia, 5/26)
Life for everyone in the Bay Area right now â with the intense handwashing, fear of leaving the home and fear of causing harm to others âresembles some of the classic OCD struggles. And indeed, OCD sufferers with contamination-related compulsions are facing heightened anxiety during the pandemic. But many others are reporting that years of therapy have made them the calmest person in their household. (Hartlaub, 5/25)
Providers, insurers and other health care business associates reported 38 breaches in April. During the same month last year, 50 breaches were reported. In other health information technology news, the Red Cross calls on the world's governments to take "immediate and decisive" action against medical hackers, especially during such a crucial time as the pandemic.
Healthcare providers, insurers and their business associates reported 38 breaches affecting nearly 446,000 patients to the federal government last month. That's down 55.8% from the number of patients affected in breaches reported in April of last year, when organizations reported 50 breaches affecting just over 1 million people, according to data from the HHS' Office for Civil Rights, the agency that maintains the government's database of healthcare breaches. In March 2020, organizations reported 39 breaches that exposed data on more than 834,000 people. (Cohen, 5/22)
The Red Cross called for an end to cyberattacks on healthcare and medical research facilities during the coronavirus pandemic, in a letter published Tuesday and signed by a group of political and business figures. Such attacks endanger human lives and governments must take âimmediate and decisive actionâ to stop them, the letter stated. (Bing, 5/26)
Fresh Cases Further Divide German Government Over Restrictions
Developments in the global pandemic are reported out of Germany, Sweden, Japan, Spain, Italy, China and other nations.
Germanyâs federal government and state governors squared up Monday for a battle over plans to end pandemic-related restrictions despite fresh clusters of cases across the country. The country has seen a steady decline in the overall number of COVID-19 cases thanks to measures imposed 10 weeks ago to limit personal contacts. (Jordans, 5/25)
There's no sophisticated technology in the northern Berlin office where Filiz Degidiben spends her days tracking down contacts of people infected with the novel coronavirus. Her main tools are the phone by her side, a yellow calendar on the wall and a central database, accessible from her desktop computer, that was developed with infectious diseases such as measles in mind. âWhen coronavirus came, I wanted to help,â said Degidiben, who used to work assisting people with filling out forms in the social services department. (Morris and Beck, 5/25)
Sweden's controversial approach to fighting the coronavirus pandemic has so far failed to produce the expected results, and there are calls within the country for the government to change its strategy. "We have a very vivid political debate," Karin Olofsdotter, Sweden's ambassador to the United States, told NPR. "I don't think people are protesting on the streets but ... there's a very big debate, if this [strategy] is the right thing to do or not, on Facebook and everywhere." (Mai, 5/25)
A day after Japan ended its state of emergency, Tokyo residents took to the streets with a mixture of relief and trepidation as they prepared for a ânew normalâ of living with the novel coronavirus. (Okamoto and Kim, 5/26)
A flood of new court cases, some with little precedent, is expected to deluge a Spanish judicial system already gasping for breath, bogged down by delays and lagging in technology. In a country known for its litigiousness, lawyers and judges are bracing for a period of turmoil and disorder in the wake of the coronavirus pandemic. One judge expects as many as 150,000 people to file for bankruptcy, up from a few thousand last year. Lawyers representing Spaniards who lost loved ones to the virus have already filed a lawsuit against the government, arguing that it is guilty of negligent homicide. (Minder, 5/25)
Drawn outdoors by ideal weather, Italians this weekend gathered at beaches, bars and piazzas, drinking and sometimes flouting social distancing rules while soaking in the nationâs celebratory post-lockdown mood. But on Monday, as images of nightlife played on Italian TV, a chorus of politicians warned that the country had gotten reckless and risked backsliding in its fight against the coronavirus. âThis weekend has not been serene,â Giuseppe Sala, the mayor of Milan, said in a message posted on Facebook. âWe cannot imagine another one like it.â (Harlan and Pitrelli, 5/25)
The central Chinese city of Wuhan said early Monday that it had collected coronavirus swab tests from more than nine million of its 11 million people over the past 10 days, an ambitious response to the re-emergence of a handful of fresh cases this month at the initial center of the pandemic. Most of those nine million samples have already been processed, according to a daily record of nucleic-acid tests by Wuhan health authorities. As of Sunday, they said, the mass testing identified 218 asymptomatic carriers of the coronavirus, who were put under quarantine and monitored for symptoms. Just one of those cases was later recategorized as a confirmed case. (Fan, 5/25)
China created a smartphone tool to trace and track the movement of potential coronavirus patients. Now, plans to make that kind of health tracking permanent are stirring concerns in a country where personal privacy was once said to be an afterthought. Anger spread across Chinese social media sites over the weekend following an announcement that officials in the eastern city of Hangzhou could create a permanent version of a smartphone-based health-rating system developed to fight Covid-19. The news led some internet users to accuse the city of exploiting the pandemic to expand state monitoring of residents. (Lin, 5/25)
Opinion writers weigh in on these pandemic issues and others.
Patricia Cabello Dowd was 57, worked for 28 years as a senior quality manager at a Silicon Valley semiconductor manufacturer, was married for almost 25 years, had a daughter, exercised regularly and loved reading, scrapbooking, traveling, going to movies and wine tasting. She is believed to be the first known U.S. casualty of the novel coronavirus, dying Feb. 6 of a ruptured heart caused by her bodyâs struggle to defeat the virus. In the 15½ weeks since Ms. Dowd collapsed in her kitchen in San Jose, nearly 100,000 other people in this country have died of covid-19. The U.S. death toll on Monday afternoon stood at more than 97,000. (5/25)
As a nation, as a people we have always found solace in the ritual of mourning and of remembrance: the candles, the church bells, the gentle words, the flowers left to mark a spot where a life ended. When tragedy strikes â a terror attack, a natural disaster, a lone gunman with his sights set on an elementary school filled with children â we take the time to grieve. So how to wrap our brains around the number of deaths wrought by this pandemic? (5/26)
Letâs create a holiday for health policy. Not now. But eventually. A holiday that celebrates that the worst of the pandemic is behind us and makes a space to mourn what weâve lost. A holiday to talk about health care policy. Itâs an unrepentantly dry topic. But it has earned a holiday. (Dubin, 5/24)
This week, the United States is set to pass another sorrowful milestone in the coronavirus pandemic: 100,000 dead from COVID-19. It bears repeating: One hundred thousand Americans dead since the first known coronavirus death in the U.S. in February. Itâs a staggering figure, the equivalent of a Vacaville, Calif., or a Tuscaloosa, Ala., wiped out in just three months. Itâs a number thatâs no more or less meaningful than 99,337 or 100,152 to the people who died alone, hooked up to a ventilator in a hospital room or gasping for breath through fluid-filled lungs at home. And itâs certainly not as large a figure as it might have been but for widespread stay-at-home restrictions. (5/26)
When our son was very young, we used to tell him he had won at miniature golf because he had the highest score. I think of that whenever I hear President Donald Trump use phrases like âamazingly wellâ and âbadge of honorâ to describe Americaâs response to the coronavirus. There is no disputing our high scores. We officially topped 1.6 million cases on Friday and now near the dreaded milestone of 100,000 deaths. (Thatâs 28% of the worldâs COVID-19 deaths and 30% of its cases, though we account for only 4% of its people.) Weâre heading toward 40 million unemployed and a 30% unemployment rate â a downturn âwithout modern precedentâ and âsignificantly worse than any recession since World War II," in the words of Federal Reserve Chairman Jerome Powell. (Jill Lawrence, 5/26)
We recently received the death certificate for my mother, who died May 4 in an assisted-living facility near New York City. âAcute Respiratory Distress Syndromeâ was the primary cause. And the secondary â no surprise â was âsuspected Covid-19.â The White House, the Centers for Disease Control and Prevention and the states are debating the proper theoretical (and politically beneficial) way to tally Covid-19 deaths. One group, led by President Trump, feels the current tally is too high. The other, including Dr. Anthony Fauci, the nationâs top infectious disease expert, thinks it may be an underestimate. (Elisabeth Rosenthal, 5/25)
This year, Memorial Day comes as the US quickly approaches 100,000 deaths from Covid-19, surpassing the number of US military members who died in Vietnam. Soon, it may approach the number of American soldiers who died in World War I. President Donald Trump has ordered the flags to be flown at half-staff at federal buildings and monuments through Memorial Day to honor the nation's victims of the virus. (Janice Blanchard, 5/25)
It was the murderous dictator Joseph Stalin who supposedly said that one death was a tragedy, one million deaths a mere statistic. One hundred thousand deaths are difficult to get oneâs mind around. The toll in our nation from covid-19, as it reaches that horrific milestone, must be seen as a catastrophe â and an indictment. The long Memorial Day weekend gave the pandemic an indelible visual image: President Trump, wearing a ball cap but no mask, enjoying himself on his Northern Virginia golf course. Last week, you will recall, Trump declared it was âessentialâ that Americans be able to spend Sunday at church services. He chose to head for the links instead. (Eugene Robinson, 5/25)
In his inaugural address Jan. 20, 2017, President Donald Trump painted an unrecognizably dark picture of our country culminating with the bizarre declaration, "This American carnage stops right here and stops right now." Just over three years later, almost 100,000 people in the United States have died from the coronavirus outbreak and almost 39 million have had to file for unemployment, all on Trump's watch. Trump's incompetence and failure of leadership have ushered in an unprecedented public health crisis that continues to threaten the lives and livelihoods of countless Americans and has disproportionately impacted vulnerable communities. (Halie Soifer, 5/26)
Sometime in the next few days, the 100,000th American will succumb to Covid-19 in a pandemic that President Donald Trump once predicted would just "miraculously" disappear. Yet despite, and perhaps because of, his earlier cavalier attitude, Trump spent the long holiday weekend bemoaning everything but the tragic roll call of death -- while also finding time to claim he got "great reviews" for handling the crisis. (Stephen Collinson, 5/26)
My corona dreams are so crazy and vibrant, with star turns by politicians, celebrities, zombies and my late mother, that sometimes as I wake, I groggily think the virus that devoured the globe has to be a dystopian vision. Then, still sliding into consciousness, I muse that Donald Trump lumbering around the White House must have been a dream, too. How is it possible that this man is actually president? But the Trump carnival of dread, with its twin fixations on masks and unmasking, is all too real. (Maureen Dowd, 5/23)
No country has been as simultaneously praised and criticized as Sweden has for its response to the novel coronavirus. Each day brings new discussion, much of it heated, of the merits of the Swedish model. In general, opinions fall into one of two camps: those saying the country has found a uniquely effective way to address the pandemic (as Nils Karlson, Charlotta Stern, and Daniel B. Klein have argued in these pages) and those saying it has found a uniquely reckless way of endangering the health of its people. What both sides agree on is that the Swedish experience holds lessons for others, either as a model to be emulated or as a cautionary tale. At the end of the day, however, the two camps are mostly talking past each other. (Josh Michaud, 5/20)
Editorial pages focus on these health care issues and others.
The ethical challenges that have arisen so far in the coronavirus pandemic largely boil down to the age-old struggle between individual freedoms and the public good... Ethical questions in the next phase of the pandemic are bound to be more fractious. They will turn from our common goal of maximizing the greater good to brokering disagreements between individual groups that may not be so easy to resolve. (Jauhar, 5/23)
Garlic and sesame oil will not, we repeat, will not safeguard you from the new coronavirus, unless the garlic keeps others at a safe distance. Nor is bathing in bleach a good idea. The myths traveling the social media circuits about COVID-19 are sometimes ludicrous and occasionally dangerous. Yet at the same time, the evolving advice from experts about this novel threat has left the public uncertain what to believe. The news media havenât always helped matters by publicizing seemingly dramatic findings prematurely or without adequate vetting or context. (5/26)
The 2008 financial crisis led the public to discover the limits of economics. The Covid-19 pandemic risks having the same effect on scientists and medical doctors. Since the start of the outbreak, citizens have struggled to get clear answers to some basic questions. Consider masks, for example: The World Health Organization said early on that there was no point in encouraging healthy people to use them, but now most doctors agree that widespread mask-wearing is a good idea. There was also confusion around lockdowns: In the U.K., scientists argued for weeks over the merits of closing businesses and keeping people at home â a quarrel that may have cost the country lives. And now that the outbreak is fading in Italy, there is growing debate between the countryâs public health experts and doctors over whether the virus has lost strength or remains just as deadly. (Ferdinando Giugliano, 5/25)
The coronavirus pandemic has upended existing approaches to health care and forced the medical community to reimagine health care delivery. Patient visits not related to COVID-19 have dramatically decreased as facilities implement infection control strategies and patients stay home for fear of contracting the virus. Beyond COVID-19, patients experience several barriers to accessing essential health care services at traditional brick-and-mortar institutions. Financial instability, housing insecurity, lack of transportation, and stigma often render people unable or unwilling to enter health care facilities. (Elsie M. Taveras, Craig Regis, and Josh Kraft, 5/26)
American workers are the best in the world. Hard-working, dedicated, committed and innovative. We can achieve anything with American might and ingenuity. In the history of this country, times have tested us but we always emerge stronger, better prepared, more enlightened and together. (Rep. Debbie Dingell, 5/21)
The COVID-19 pandemic has intensified the debate over whether authoritarian states are gaining the upper hand across the world. Although there are plenty of signs that strongmen leaders have used the crisis to try to tighten their grip on power, the coronavirus has revealed the vulnerabilities of autocracies rather than their strength. In contrast, democracies are showing their capacity for innovation and adaptation, as one would expect, and signs of renewal, as one would hope. (Robin Niblett, 5/26)
As the health-care system and society-at-large scramble to respond to the coronavirus pandemic, long-held norms and practices are being torn up like disposable paper gowns. Answering my patientsâ questions, Iâve noticed another big change underway: Patients and providers are finally talking about how much stress is affecting our health. (Dan Henderson, 5/26)
On May 25, 1720, a ship named the Grand Saint-Antoine arrived in the port of Marseille, France, laden with cotton, fine silks, and other goods. The invisible cargo it also carried, the bacteria known as Yersinia pestis, launched the Great Plague of Provence, the last major outbreak of bubonic plague in Europe. Over a two-year period, the bubonic plague spread throughout southeastern France, killing up to half of the residents of Marseille and as much as 20% of the population of Provence. (Cindy Ermus, 5/25)
Opinion pages focus on these COVID issues and others.
In ordinary times, states handle the public health crises that affect their residents. That usually works well, because challenges in California can vastly differ from those in Connecticut. But these are not ordinary times. Covid-19 does not respect state lines. So without explicit federal coordination of the response to and the recovery from this pandemic, the American people are left largely unaware of health and safety guidelines, unsure of best practices, and unnerved to see states competing against each other for lifesaving resources such as test kits, personal protective equipment, and ventilators. (Howard K. Koh, 5/22)
For all the rhetoric praising front-line medical and support staff in the pandemic, St. Louis-area nursing homes are committing an appalling injustice against them: sending them home when their risky jobs expose them to the coronavirus but refusing to offer paid leave. This puts those workers in an impossible situation. This is the same nursing-home industry thatâs asking Missouri for liability protection as it navigates the pandemic. As weâve said editorially, such protection is a reasonable ask under these circumstances, provided there are some stringent conditions. Paid sick leave for infected workers should absolutely be among those conditions. (5/24)
An unusual silence fills the waiting area of my fellow pediatricianâs office in suburban Maryland. On a typical day, one would expect to see the animated bustle of children. Nowadays, only two out of 10 scheduled visits might take place. Unused vaccine vials rapidly accumulate as families shelter at home. With lockdowns and fears of the pandemic, this scene has been playing out in pediatriciansâ offices around the country. (Anita Shet, 5/26)
At various points over the last few weeks, news reports have told stories of booming hospitals: emergency departments overwhelmed by patients, imminent shortages of both ICU beds and ventilators, and even the need to create makeshift field hospitals to accommodate extra patients. At the same time, they also showed how hospitals are furloughing staff and cutting salaries and retirement benefits. And Congress has allocated $100 billion to bail out hospitals in financial trouble. How can hospitals be so busy and still be losing so much money? (Zahir Kanjee, Ateev Mehrotra and Bruce Landon, 5/26)
âHow come this virus is making me so sick?â As a doctor taking care of COVID-19 patients, I get this question a lot. Iâm trained to describe the biological pathways of this virus to them. But I also know that for some of my patients, most of whom are people of color, immigrants, and under-resourced, that part of the answer may be that society didnât care enough to keep their air clean. (Gaurab Basu, 5/25)
The separation of children and families at the border was deemed unconstitutional with an executive order to stop back in June 2018. So why are children still at risk of the government separating them from their parents? (Dr. Suzan Song, 5/25)
Many long-term care facility residents would be far safer in their own homes, but they need assistance with everyday living. Even people already receiving services at home from home care workers are finding that, during the coronavirus pandemic, those workers are less available and that following stay-at-home orders can be complicated. There is a successful alternative to institutional care that allows people of all ages with disabilities to live at home with support: self-direction of home and community-based services, available under Medicaid and the Veterans Administrationâs Veterans Directed Care program. (Kevin Mahoney, 5/25)