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At least 6,900 deaths from the virus in the United States are related to nursing homes. Epidemiologists expect resurgence of infection waves that could last until 2022. President Trump published tweets openly fomenting protests against viral restrictions in three states with Democratic governors, less than a day after having advised the governors to “make up your own mind” when it reopens. need to know: Trump tweets to “FREE” states where people protest viral restrictions. Trump and Cuomo reject the federal response to the epidemic. At least 6,900 people in the United States living in or connected to nursing homes have died from the virus. Governors of Texas, Michigan, Wisconsin, Idaho and other states are seeking to ease restrictions, despite inadequate testing. Lack of testing poses a serious challenge to reopening, health experts say. doctors prescribe hydroxychloroquine, but don’t know if it works. With difficult social distance on ships, the crew of Mercy, a Navy hospital, travels ashore. ImageProtesters gathered at the Statehouse on Monday in C olumbus, Ohio.Credit… Joshua A. Bickel / The Columbus Dispatch, via Associated PressTrump, tweets to “RELEASED” states where people protest viral restrictions. President Trump began on Friday openly fomenting right-wing protests against social restrictions in states where groups of his conservative supporters have violated orders to stay at home, less than a day after announcing guidelines on the how governors could decide on an orderly reopening of their communities. In a series of capitalized tweets, Trump said, “RELEASE THE MICHIGAN! “And” LIBERATE MINNESOTA! – two states whose Democratic governors have imposed social displacement restrictions that have closed businesses and schools and forced people to stay at home. He also tweeted “LIBERATE VIRGINIA, and save your big 2nd amendment. He is under siege! »M. Trump’s tweets were a remarkable example of a president urging protesters. Earlier this week, more than 1,000 protesters organized by conservative groups blocked the streets around the State Capitol in Lansing, Michigan, to complain that the restrictions were bad for small businesses. Other protesters, not in vehicles, waved banners in support of Trump and protested Governor Gretchen Whitmer, who was the target of his anger, chanting, “Lock her up.” In St. Paul, Minn., A group called “Liberating Minnesota” held a demonstration Friday in violation of house arrest orders outside the home of Governor Tim Walz. Hundreds showed up, according to reports. The group’s Facebook page says that “the time has come to demand that Governor Walz and our state lawmakers end this lockdown!” Trump’s tweets started moments after Fox News reported by network reporter Mike Tobin on protests in Minnesota and elsewhere. The report featured a protester from Virginia saying “Those of us who are healthy and want to get out of our house and do business, we have to start again.” It’s time. “Mrs. Whitmer had become a critic – and a target – of Mr. Trump before his calls for state release. “Right now, the governor is focused on saving lives and protecting Michigan families,” a governor spokesperson said on Friday. “As the governor said, we are not going to reopen Michigan’s economy via a tweet.” And when Governor Ralph Northam of Virginia was asked about the president’s comment at a press conference on viruses on Friday, he said, “I don’t have time to get involved in the Twitter wars. The message of support for these efforts by Mr. Trump is radically different from the one he delivered from the White House on Thursday evening. During a briefing for journalists, the president unveiled guidelines that governors could use to decide when it was prudent to phase out restrictions to minimize the risk of the dangerous pathogen reemerging. “We are not opening all of a sudden, but a cautious step at a time,” Trump said Thursday after telling governors earlier today that “you are going to call your own shots.” When asked about the protesters at the briefing on Thursday, the president expressed sympathy for the plight of those affected by the restrictions, saying that “it has been a difficult process for people. You know, I told you: there is death and there are also problems staying at home. It’s not just, “Isn’t it great to stay at home?” They have – they suffer. But he dodged the question of whether he would urge protesters to listen to local authorities, adding that “I think they are listening. I think they are listening to me. They seem to be protesters who love and respect this opinion. And my opinion is the same as that of almost all governors. The president’s decision to embrace the protests may be good policy for him. While large majorities in the country – including Republicans – are concerned about the dangers of reopening the country too quickly, this may not be the case for its most fervent supporters. Sixty-five percent of highly conservative voters said they were more worried about reopening too slowly, according to a Pew Research Center poll released Thursday. Trump and Cuomo are fighting over the federal response to the epidemic.Videotranscripttranscript’This Is Mayhem ‘, Cuomo Says of Federal Response to CoronavirusGov. Andrew M. Cuomo of New York said he was frustrated with the level of coordination between the federal and state governments on coronavirus testing. No government agency, no public health expert, people’s actions are ironing out the curve. We have responded to the crisis. The federal government cannot wipe their hands and say, “Oh, the states are responsible for the tests.” We cannot do it. We cannot do it without federal help. I am ready to do what I can and more. But I tell you, I do not do relations with China. I’m not an international supply chain, and that’s where the federal government can help. Also, keep in mind that the federal government is developing and testing capacity. So we find ourselves in this bizarre situation that we were the last time: 50 states are fighting over all these precious resources. In this case, it’s tests, and then the federal government steps in and tells the companies that I want to buy the tests as well. It’s chaos. We need a coordinated approach between the federal government and the states. OK, it’s the States. But then don’t ask the states, give them that massive commitment that has never been done before, and give them no resources to do it. Let’s answer the president: First of all, if he sits at home in front of the television, maybe he should get up and go to work, right? Second, let’s keep emotion and politics out of this personal ego, if we can. Andrew M. Cuomo of New York said he was frustrated with the level of coordination between the federal and state governments on coronavirus testing.CreditCredit… Cindy Schultz for The New York TimesGov. On Friday, Andrew M. Cuomo of New York and Mr. Trump traded beards for more federal aid to help the state fight the virus, the latest escalation between the two. Trump went wild on Twitter telling him to “spend more time” doing “and less time” complaining “. Cuomo said another 630 people died of the virus in New York on Thursday, according to official state figures, bringing the total death toll confirmed to 12,822. The daily death toll, Cuomo said, ” refuse to drop dramatically, “adding that the toll was” breathtaking in his pain, sorrow, and tragedy. ” ” Stop talking! Trump wrote of the federal aid New York has already received – “far more money, aid and equipment than any other state.” Cuomo retaliated at mid-briefing and criticized the president for rejecting the need to assist states, particularly with regard to the extent of testing that states must safely lift the restrictions. Cuomo said again that the state could not fully reopen its economy without more widespread testing, which would require both supplies and operational capacity that the health system currently does not have. “We cannot do it without the help of the federal government,” he said. As is the case now, he said, “We don’t have a test system that can do this volume or that can be accelerated to do it. Cuomo again refused to predict a timeline for the state’s reopening, saying the speed at which the infection appeared to be spreading in New York was not yet slow enough to say that the epidemic was entirely over. under control. “You will see states that have fewer problems opening earlier,” he said. “It is undeniable and completely logical. It depends on that state. The governor also said he would issue a decree ordering New York laboratories to work with the state health department to make sure they prioritize diagnostic tests. And with growing concern over the number of deaths in nursing homes, he said he would issue a decree requiring nursing homes to notify families when there are cases of viruses in their facilities. Cuomo, who extended the state’s large closure until at least May 15, made his daily appearance hours before the start of the mandate for New York residents to wear face covers in public places where they cannot stay six feet from others. On buses and subways as well as in rental vehicles, everyone, including the driver or operator, must wear a coating, he said. The rule also applies to children as young as 2 years old. The Centers for Disease Control and Prevention recommend that people wear cloth face covers to protect those around them, a move that came after the research showed that many people were infected but had no symptoms. . (Public health officials have warned against purchasing or hoarding the N95 masks needed by health care workers.) Health officials have urged people to combine the masks with social distancing, suggesting that one tactic has not replaced the other’s need. In New Jersey, Governor Philip D. Murphy said Friday that another 323 people had died from the virus, bringing the state’s recorded deaths to over 1,400 in the past four days. The state has seen a sharp increase in virus-related deaths in the past week, with the number of deaths nearly doubling from 1933 to 3840. At least 6,900 people in the United States living in nursing homes or connected to nursing homes died from the virus. The first warning of the devastation Coronavirus could cause inside American nursing homes came in late February, when residents of a suburban Seattle facility perished one by one while families waited helpless outside. In the six weeks that followed, lethally shocking epidemics continued to ravage nursing homes across the country. Now, a New York Times count revealed that the number of people living in or related to nursing homes who died from the coronavirus was at least 6,900, much higher than previously known. In New Jersey, 17 bodies crammed into a home morgue nurse, and more than a quarter of the residents of a Virginia home died. At least 24 people in a Maryland facility have died; more than 100 residents and workers were infected in another Kansas; and people have died in centers for military veterans in Florida, Nevada, New York, Maine, Massachusetts, Oregon and Washington. Overall, about one-fifth of deaths from the virus in the United States have been linked to nursing homes or other long-term health care facilities, The Times case study shows. And more than 36,000 residents and employees across the country have contracted it. The virus is known to be more deadly for immunocompromised aging people and small, confined environments like nursing homes, where workers move frequently from one room to room, are particularly vulnerable to the spread of infection. But oversights and setbacks also contributed to the crisis. In interviews with more than two dozen workers in long-term care facilities as well as resident family members and health care experts, a portrait emerged from an unequipped system to deal with assault and disintegration amid the growing crisis. Governors of Texas, Michigan, Wisconsin, Idaho and other states are seeking to ease restrictions, despite inadequate testing. Texas will allow all stores in the state to open next week for “take-away retail,” allowing choice -up and delivery but not store purchases. Minnesota will reopen golf courses and driving ranges this weekend. Vermont will let its farmer’s markets reopen on May 1. Across the country, governors began announcing plans to ease restrictions in their states on Friday, although cases continue to increase in parts of the country and inadequate testing will make their jobs difficult. to identify and contain future epidemics. They are taking action as Trump, who was eager to restart the economy, released a set of guidelines on Thursday with suggestions on when and how to reopen. Governors are grappling with growing economic damage and hardship caused by the pandemic. But their decision to temporarily let certain companies reopen is in progress, because the national balance sheet remains high. Public health experts warn against taking action too early, fearing new waves of epidemics that will be difficult to identify from the start unless testing is speeded up considerably. But many states and localities are beginning to ease the restrictions. Texas Republican Governor Greg Abbott Outlined His Plans For Retail Shopping On Friday And Also Said He Will Lift Restrictions On Certain Medical Procedures And Reopen State Parks While Requiring Masks And Distancing social. But Abbott said the group working to reopen Texas – which he described as a “strike force” – had determined it wouldn’t be safe for the kids to go back to school, so the kids schools will remain closed for the rest of the school year. The governor has announced that he will announce a reopening on April 27 and even more in May. In Minnesota, Democrat Walz said Friday that golf courses and driving ranges could reopen Saturday morning and that many other activities outdoors could also resume. , including boating, fishing, hunting and hiking. Some businesses that support these activities, including bait stores, shooting ranges and game farms, may also open. But campgrounds, recreational equipment rentals, charter boats, and guided fishing will remain closed. In Michigan, Ms. Whitmer, who imposed one of the strictest home stay orders in the country, said Friday it hoped to ease regulations two weeks on May 1. Whitmer, a Democrat who has been criticized by some residents and business leaders, said any decision would depend on what the infection data said as that date approaches. His state follows only New York and New Jersey in terms of the number of residents whose deaths are linked to the virus. “It is two weeks from now, and the information, data and testing capacity is changing so rapidly that it is difficult to predict precisely where we will be in a week, let alone two weeks,” said the governor. from ABC’s “Good Morning America” ​​after thousands of protesters, who were mostly left in vehicles, demonstrated outside the State Capitol in Lansing and accused Ms. Whitmer of going too far. Phil Scott of Vermont, a Republican, said Friday that he would allow certain state-owned businesses to reopen by Monday, provided they involve very little contact and involve no more than two people. The governor gave the green light to a handful of businesses – property managers, real estate agents and some construction crews – but said they had to comply with safety guidelines, such as social isolation and harboring. of a mask. The state will open its farmers markets on May 1. So far, the state has registered 779 cases and 35 deaths. Tony Evers of Wisconsin, a Democrat, said Thursday that golf courses can open with certain restrictions and that for-hire lawn care can be done by one person. Stores selling materials to make face masks can open for curbside pickup, he said. In Idaho, Governor Brad Little, a Republican, said businesses that were once deemed non-essential, such as craft stores, candle stores or dog groomers could open to allow curbside or delivery services until at least the end of the month. He noted that they should prepare to reopen completely in May with social distancing and sanitation rules in place. Ron DeSantis of Florida, who speaks frequently with Trump and has been criticized for his initial piecemeal approach to fighting the virus, said Friday that he would refer to the White House guidelines on reopening but wouldn’t necessarily respect everything they offer. “We’re obviously going to use that as a sort of benchmark,” said DeSantis, a Republican, at a press conference in Fort Lauderdale. “It doesn’t mean Florida will do whatever they say or don’t say. As of Friday morning, Florida had more than 24,000 cases and nearly 700 deaths. Some local leaders in Florida are starting to tiptoe toward reopening. Mayor Lenny Curry of Jacksonville announced Thursday that Duval County beaches and parks will reopen at 5 p.m. Friday, for limited hours, and limited to remote social recreational activities. But just as the country entered quarantine life in a patchwork fashion, it is ready to loosen restrictions in the same varied manner, meeting local needs for In Maryland, where cases and deaths continue to increase, Gov. Larry Hogan, a Republican, said at a press conference on Friday that four things must be “firmly in place” before moving on to the lifting of restrictions: expanded tests, increased hospital capacity for an increase in the number of patients, personal protective equipment and a robust contact tracing operation. He said he would take stock of progress in these areas and detail the state’s plans next week. Authorities said the schools would remain closed until at least May 15. Gavin Newsom of California, a Democrat, suggested that restaurant owners should take a temperature test before being seated once that state begins a gradual reopening; more than 22 million Americans have lost their jobs in recent weeks – a toll that roughly matches the combined total of 23 states – and many governors, as well as Mr. Trump, fear the growing economic repercussions of prolonged closings, but to fight the economic catastrophe, we must master the public health crisis. Deborah L. Birx, the White House virus response coordinator, told CNN on Thursday evening that surveillance to give communities early warning of local transmission should be strengthened, diagnostic testing capabilities expanded and efforts to find reinforced contacts. himself will not be able to accomplish what we need, “she said. Lack of testing poses a serious challenge for reopening, say health experts. To give people a sense of security as states begin to relax restrictions, increased testing capacity is needed, experts say, and the country is far behind in performing enough tests to responsibly enlighten these decisions. he ultimate goal is to separate the sick from the healthy so that Americans will feel safe and return to a somewhat normal life and the virus will no longer spread to communities. , which requires more widespread testing. The capacity for such tests has increased, but not quickly enough, say public health experts. Supplies continue to run out and some areas only test people with specific symptoms. Tests to determine if someone has ever had the virus are slowly rolling out, and most have not been controlled by the Food and Drug Administration. Without extensive testing and surveillance, said Angela Rasmussen, a virologist at Columbia University at New York, “We won’t be able to quickly identify and isolate cases in which patients are presymptomatic or asymptomatic, and thus community transmission could be restored. »M. Trump, whose administration has been criticized for its slowness in deploying the tests as the virus settles in the United States, has sought to present the tests as a state responsibility, even though many governors argue for more federal aid. “States must step up their tests!” Trump wrote in a Twitter message on Friday as New York Governor Andrew M. Cuomo asked for more help from the federal government to produce larger-scale tests.

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However, reopening before these problems are resolved may endanger the few places that have managed to avoid the worst effects of the virus and would be accompanied by other important scientific concerns: wait times of 14 days are necessary . States wishing to relax the rules are encouraged to meet certain criteria every two weeks, but this leaves open the possibility that someone infected late in the 14th day may end up sowing an outbreak after restrictions have been lifted. protective equipment persists. One of the biggest fears of reopening parts of the economy is that communities with fewer restrictions will be at higher risk for epidemics, which will create new demands for already scarce medical supplies. Partial reopenings are risky. Although Mr. Trump has suggested that the relaxation of restrictions may occur in a piecemeal fashion, even county by county, it does not work with the contagious nature of the virus. Even in rural areas where the population is less dense, large groups of infections – possibly hundreds in the same workplace – have occurred in states that had seen relatively few cases. The recent history of South Dakota – where hundreds of infections have been attributed to a single pork processing plant – shows that only one site can trigger a firestorm. Doctors prescribe hydroxychloroquine but do not not know if it works. For weeks, doctors across the country have given hydroxychloroquine to patients at various stages of their illness related to Covid-19, and as a preventative for some if exposed by members family or health care facilities, but even after treating hundreds of patients with the antimalarial drug, the physicians interviewed did not report clear results or remarkable recoveries that can be attributed to the drug. At Lenox Hill Hospital in Manhattan, most Covid-19 patients who are not on the verge of death are receiving a five-day regimen of hydroxychloroquine, the long-used antimalarial drug that President Trump has repeatedly promoted remedies like “what you have to lose” remedy. While his own senior health officials are more cautious – noting that there is limited evidence on the benefits of the drug – doctors across the country have been prescribing the drug for weeks. Bushra Mina, chief of pulmonary medicine at Lenox Hill, does not know if hydroxychloroquine helps his patients. He is well aware that there are no rigorous clinical trials showing that the drug works. But he can’t wait for the evidence to come, he said, when people die. “I think it’s a battle, and your options are very limited,” said Dr. Mina. “You’re really looking for what you can do with all the evidence you have.” Hydroxychloroquine and a related drug, chloroquine, have been used for decades to treat and prevent malaria, and hydroxychloroquine has been used by people with lupus and rheumatoid arthritis because it is known to calm the immune system. . In laboratory tests, it has been shown to block coronavirus against invasive cells, although it has not been proven in human trials. Medication is not recommended for people with abnormal heart rhythms as it can make them worse. With difficult social distance on ships, the crew of Mercy, a Navy hospital, travels ashore. USNS hospital ship Mercy, moored in the port of Los Angeles, most of the military crew leave the ship to reach the hotels ashore. Sailors will be transported by bus from their hotels to work their shifts on board the Mercy. Navy spokesman Lt. Andrew Bertucci said Friday the decision was made to better facilitate social distancing. “The plan is to significantly reduce the number of contacts between crews,” said Lt. Bertucci. “It will ultimately be safer for the crew and the patients. Between 800 and 900 crew members lived full time on the Mercy, but that number will drop to around 100 to 200 in the coming days. As of Thursday, 150 sailors left the ship, and the same number is expected to be transferred to hotels daily until Sunday. Lt. Bertucci noted that the crew aboard the U.S.N.S. Comfort, which is docked in New York, recently moved most of its crew to hotels ashore as well, after a total of seven crew members tested positive for Covid-19 since the ship’s arrival to assist hospitals in the region to be treated with non-Covid. patients et plus de 100 membres d’équipage qui avaient été en contact avec ces sept personnes ont quitté le navire en quarantaine de précaution. Tous les marins de Mercy en quarantaine ont été testés négatifs pour le coronavirus et sont régulièrement surveillés au cas où ils développeraient des symptômes.Le commandant de l’équipe de traitement médical de la Mercy, le capitaine John Rotruck, est mis en quarantaine à bord du navire dans sa cabine après une enquête a révélé qu’il était à proximité d’un membre d’équipage positif pour Covid. Le capitaine Rotruck a testé négatif pour le nouveau coronavirus, et a déclaré que sa capacité à poursuivre la mission du navire est inchangée.Le navire continuera à traiter les patients qu’il a déjà à bord et acceptera de nouveaux patients à la demande des autorités locales. Jusqu’à présent, la Californie et le Texas ont beaucoup investi. L’argent du programme de protection des chèques de paie de la Small Business Administration, qui a manqué de fonds jeudi, a beaucoup coulé vers la Californie et le Texas, les entreprises de construction et les fabricants obtenant le plus grand nombre de prêts, plutôt que plus. Selon les nouvelles données, près de 350 milliards de dollars du programme de protection des chèques de paie ont également touché de manière disproportionnée les États qui ont subi moins d’infections et de décès dus au virus, comme le Kansas, que les États les plus touchés comme New York et le New Jersey. , lors de l’ajustement pour la taille de l’économie des petites entreprises dans chaque État. Les nouvelles données, qui incluent les approbations de prêts jusqu’à jeudi, les entreprises d’hébergement et de restauration ont reçu moins de 9% de l’argent du programme, soit environ 30,5 milliards de dollars, bien qu’elles aient subi les pertes d’emplois les plus importantes de toute l’industrie pendant cette récession. Les entreprises de construction ont reçu la plus grande part, avec un peu plus de 13%, soit environ 45 milliards de dollars. Le programme a été conçu pour que les banques distribuent les prêts, que le gouvernement fédéral remboursera dans la plupart des cas. Cette structure a favorisé les entreprises ayant des relations existantes avec les banques. les fonctionnaires ont inclus des données sur les plus grandes institutions de crédit du programme, bien qu’elles n’aient pas été identifiées. Le principal prêteur a distribué plus de 14 millions de dollars de prêts d’une taille moyenne de plus de 500 000 $ par prêt – ce qui suggère que l’institution accordait des prêts à des entreprises relativement importantes.Voici un guide pour ceux qui ont besoin d’une aide financière.Si vos revenus ont chuté ou été complètement coupés, nous sommes là pour vous aider. Voici quelques informations de base dont vous aurez besoin pour traverser la crise actuelle, y compris des guides sur les prestations gouvernementales, les services gratuits et les stratégies financières.Les épidémiologistes ne connaissent toujours pas le taux de mortalité dans le monde pour Covid-19.Coroners dans certaines parties des États-Unis Les États sont dépassés. Les salons funéraires dans les points chauds des virus peuvent à peine suivre. Les pages nécrologiques de journaux dans les zones durement touchées continuent indéfiniment. Covid-19 est en passe de tuer beaucoup plus de personnes aux États-Unis cette année que la grippe saisonnière, mais déterminer à quel point le nouveau virus sera mortel est une question clé pour les épidémiologistes, qui s’attendent à des vagues d’infection résurgentes qui pourraient durer jusqu’en 2022 Comme le virus s’est propagé à travers le monde à la fin de février et en mars, la projection diffusée par les experts en maladies infectieuses du nombre de personnes infectées qui mourraient semblait assez terrible: environ 1%, soit 10 fois le taux d’une grippe typique. traçeurs non officiels de Covid-19 qui calculent le taux de mortalité en divisant le nombre total de décès par le nombre de cas connus, environ 6,4% des personnes infectées par le virus sont maintenant décédées dans le monde. En Italie, le taux de mortalité est d’environ 13%, et États-Unis, environ 4,3%, selon les derniers chiffres sur les cas et décès connus. Même en Corée du Sud, où des tests généralisés ont aidé à contenir l’épidémie, 2% des personnes testées positives pour le virus sont décédées, selon des données récentes.Ces taux de mortalité supposés semblent également varier considérablement selon la géographie: le taux de mortalité en Allemagne semble être à peu près un -le dixième de l’Italie et Los Angeles environ la moitié de New York. Parmi les États américains, le Michigan, à environ 7%, est dans le haut de gamme, tandis que le Wyoming, qui a signalé ses deux premiers décès cette semaine, a l’un des taux de mortalité les plus bas, à environ 0,7%. Les experts en virologie affirment qu’il n’y a aucune preuve que n’importe quelle souche du virus, officiellement connue sous le nom de SARS-CoV-2, a muté pour devenir plus sévère dans certaines parties du monde que dans d’autres, ce qui soulève la question de savoir pourquoi il semble y avoir tant de variances d’un pays à l’autre.San Francisco’s Chinatown Le 24 janvier, à la veille du Nouvel An chinois, le Dr Jian Zhang, directeur général de l’hôpital chinois de San Francisco, a vu une photo alarmante sur WeChat. Un ancien collègue d’une école de médecine était sur le point de rejoindre plus de 100 autres prestataires de soins de santé qui se sont précipités à Wuhan pour aider à gérer l’épidémie. Zhang a immédiatement reconnu la menace. « Douze heures », se souvient-elle avoir réfléchi. « Nous avons des vols directs de Wuhan à San Francisco, et cela ne prend que 12 heures. » Elle savait que ceux qui rendaient visite à de la famille en Chine pendant le Nouvel An lunaire seraient bientôt de retour.Une tempête parfaite semblait se diriger vers les 22 blocs carrés qui composent Chinatown, l’un des quartiers les plus densément peuplés des États-Unis. De nombreux résidents plus âgés du quartier vivent dans des hôtels exigus en chambre individuelle. Les voyages entre le quartier chinois et la Chine sont constants. Étant donné les voies imprévisibles de cette maladie hautement contagieuse, le Dr Zhang et d’autres dirigeants du quartier chinois sont bien conscients que les circonstances pourraient changer en un instant. Mais le quartier a jusqu’à présent résisté au virus: l’hôpital chinois, un établissement de soins actifs au cœur du quartier, a admis son premier patient Covid-19 le 26 mars, trois semaines après l’hospitalisation des patients dans d’autres parties de San Francisco. À la mi-avril, au moins 34 cas de Covid-19 avaient été détectés dans 22 S.R.O. autour de San Francisco. Aucun de ces cas ne se trouvait dans le quartier, bien que trois se trouvaient à sa frontière. L’hôpital chinois était au centre d’un effort pour coordonner les barrières à l’entrée du virus. Celles-ci impliquaient presque toutes les grandes institutions de Chinatown, y compris la presse de langue chinoise et les institutions de quartier profondément engagées, qui étaient toutes imprégnées des souvenirs de précédentes épidémies de maladies infectieuses. Des liens étroits avec les agents de santé de première ligne en Chine ont été inestimables, car l’hôpital chinois s’efforçait d’éviter ce que tout le monde pensait venir. « C’est assez étonnant », a déclaré Aaron Peskin, un superviseur de San Francisco qui représente le quartier. «Chinatown, frappez sur le bois, est vraiment beau.» Ceux que nous avons perdus: Israël Sauz, employé de station-service et nouveau père, décède à 22 ans. Israël Sauz de Tulsa, Okla., Avait hâte de voir son premier enfant, un petit garçon nommé Josiah. Et il ne pouvait pas attendre que le monde le voie aussi. Il s’est donc approché et a pris une photo pour Facebook de son fils, profondément endormi dans une combinaison verte, peu de temps après que le garçon est venu au monde un dimanche le mois dernier.Juste 21 jours plus tard, le 5 avril, M. Sauz était mort. He was 22.The cause was complications related to Covid-19, the disease caused by the virus, according to family friends and the school district where he attended high school.Many in Tulsa may not have recognized his name, but they knew the smiling face — he was an assistant night manager at a busy QuikTrip gas station and convenience store about a mile east of downtown Tulsa. He was still a teenager when he first started working for QuikTrip, a popular chain based in Tulsa.He lived in the Tulsa suburb of Broken Arrow. He and his wife, Krystal, had celebrated their first wedding anniversary two weeks before Josiah was born.Homemade or more professional: Which mask is best for you?Face masks have become an emblem in the fight against the virus, with officials in the United States and elsewhere recommending — and in some cases mandating — that people wear them to help slow the spread of the deadly outbreak.Figuring out what to wear is not so easy. N95 and medical masks, which offer the most protection and are heavily in demand, should be reserved for health care workers who are regularly exposed to infected patients.Here’s a look at some of the types of masks you might encounter, how they work, what to consider when making your own and the level of protection they could provide.Here’s what else is happening around the world.Reporting was contributed by Michael Cooper, Alan Blinder, Eileen Sullivan, Ellen Barry, Mitch Smith, Michael D. Shear, Zach Montague, Dionne Searcey, Michael Gold, Andy Newman, Kate Taylor, Marc Santora, Matt Stevens, John Leland, Amy Julia Harris, Tracey Tully, Emily Flitter, Roni Caryn Rabin, Knvul Sheikh, Manny Fernandez, Adeel Hassan, Peter Baker, Alyson Stamos, Meiying Wu, John Ismay and Michael Schwritz.

Updated April 11, 2020

When will it end?
This is a difficult question because a lot depends on how the virus is contained. A better question might be: “How will we know when to reopen the country?” Dans un rapport de l’American Enterprise Institute, Scott Gottlieb, Caitlin Rivers, Mark B. McClellan, Lauren Silvis et Crystal Watson ont établi quatre objectifs de rétablissement: les hôpitaux de l’État doivent pouvoir traiter en toute sécurité tous les patients nécessitant une hospitalisation, sans recourir à la crise normes de soins; the state needs to be able to at least test everyone who has symptoms; the state is able to conduct monitoring of confirmed cases and contacts; and there must be a sustained reduction in cases for at least 14 days.

How can I help?
The Times Neediest Cases Fund has launched a special campaign to help those affected, which accepts donations here. Charity Navigator, which assesses charities using a number-based system, has an ongoing list of nonprofits working in communities affected by the epidemic. You can donate blood through the American Red Cross, and World Central Kitchen has stepped in to distribute meals in major cities. Over 30,000 GoFundMe fundraisers related to coronaviruses have started in recent weeks. (The high number of fundraisers, however, means that more of them are unlikely to reach their goal.)

What should I do if I feel sick?
If you have been exposed to, or think you may have, a coronavirus and have a fever or symptoms such as coughing or difficulty breathing, call a doctor. They should advise you on whether you should get tested, how to do it, and how to get medical treatment without potentially infecting or exposing other people.

Do I have to wear a mask?
The C.D.C. recommended that all Americans wear cloth masks if they go out in public. This is a change in federal guidelines reflecting new concerns that the coronavirus is spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks are no substitute for hand washing and social distancing.

How can I get tested?
If you are sick and think you may have been exposed to the new coronavirus, C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to get tested. Keep in mind that there is a chance – due to a lack of test kits or because you are asymptomatic, for example – that you will not be able to get tested.

How does coronavirus spread?
It appears to spread very easily from person to person, especially in homes, hospitals and other confined spaces. The pathogen can be carried on tiny respiratory droplets that fall as they are coughed or sneezed out. It can also be transmitted when we touch a contaminated surface and then touch our face.

Is there still a vaccine?
No. Clinical trials are underway in the United States, China and Europe. But US officials and pharmaceutical executives have said that a vaccine remains in at least 12 to 18 months.

What makes this epidemic so different?
Unlike the flu, there is no known treatment or vaccine, and little is known about this particular virus so far. It seems to be more lethal than the flu, but the numbers are still uncertain. And this especially strikes the elderly and people with underlying illnesses – not just those with respiratory illnesses.

What if someone in my family gets sick?
If the family member does not need to be hospitalized and can be cared for at home, you must help him with his basic needs and monitor the symptoms, while keeping as much distance as possible, in accordance with the directives issued. by the CDC If there’s space, the sick family member should stay in a separate room and use a separate bathroom. If masks are available, both the sick person and the caregiver should wear them when the caregiver enters the room. Make sure not to share any dishes or other household items and to regularly clean surfaces like counters, doorknobs, toilets and tables. Remember to wash your hands frequently.

Do I need to stock up?
Plan two weeks of meals if possible. But people should not hoard food or supplies. Despite the empty shelves, the supply chain remains strong. And don’t forget to wipe the handle of the grocery cart with a disinfectant wipe and wash your hands when you get home.

Can I go to the park?
Yes, but make sure you keep six feet away from yourself and people who don’t live in your house. Even if you’re just hanging out in a park, rather than jogging or going for a walk, having fresh air and hopefully sunshine is a good idea.

Should I withdraw my money from the markets?
It’s not a good idea. Even if you’re retired, having a balanced portfolio of stocks and bonds so that your money keeps up with inflation, or even grows, makes sense. But retirees may want to think about having enough money on hand for a year’s living expenses and the big payments needed over the next five years.

What should I do with my 401 (k)?
Watching your balance go up and down can be scary. You may be wondering if you should decrease your contributions – don’t do it! If your employer matches part of your contributions, be sure to save as much as possible to get this “free money.”

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