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‘I Keep Hearing Painful Coughs’: Life on Quarantined Cruise Ship ‘I Keep Hearing Painful Coughs’: Life on Quarantined Cruise Ship
(32 minutes later)
Things were looking up on Thursday for the more than 2,000 passengers quarantined on a cruise ship in Yokohama, Japan: Meals were coming on a more regular schedule. The internet was upgraded to a wider bandwidth. And there was even official approval to breathe some fresh air.Things were looking up on Thursday for the more than 2,000 passengers quarantined on a cruise ship in Yokohama, Japan: Meals were coming on a more regular schedule. The internet was upgraded to a wider bandwidth. And there was even official approval to breathe some fresh air.
Still, on the second day of a planned two-week quarantine, there was persistent concern about the spreading coronavirus and dread about long days ahead stuck inside the cabins.Still, on the second day of a planned two-week quarantine, there was persistent concern about the spreading coronavirus and dread about long days ahead stuck inside the cabins.
As Japanese health officials concluded the screening of the 273 passengers potentially exposed to the virus, they said that 61 had tested positive. The passengers were removed from the ship and taken to medical facilities.As Japanese health officials concluded the screening of the 273 passengers potentially exposed to the virus, they said that 61 had tested positive. The passengers were removed from the ship and taken to medical facilities.
“I keep hearing painful coughs from a foreigner in a nearby room,” one passenger wrote on Twitter, noting with concern that crew members were delivering meals from room to room. “I might get infected today or tomorrow.”“I keep hearing painful coughs from a foreigner in a nearby room,” one passenger wrote on Twitter, noting with concern that crew members were delivering meals from room to room. “I might get infected today or tomorrow.”
Other passengers who have been whiling away some of the time on social media told of more hopeful signs. One noted that supplies were being moved into the port and that ambulances were in position. Another said that entertainment crews had been calling guest rooms to cheer people up, and that toilet paper had been distributed.Other passengers who have been whiling away some of the time on social media told of more hopeful signs. One noted that supplies were being moved into the port and that ambulances were in position. Another said that entertainment crews had been calling guest rooms to cheer people up, and that toilet paper had been distributed.
Some posted a letter that had been delivered to their rooms saying that the ship was negotiating with Japanese quarantine officials to allow small groups with face masks to breathe air on open decks.Some posted a letter that had been delivered to their rooms saying that the ship was negotiating with Japanese quarantine officials to allow small groups with face masks to breathe air on open decks.
“I am so looking forward to it,” said Yardley Wong, a passenger in a windowless room who is traveling with her 6-year-old son. She said permission had been granted, with those in windowless rooms like hers allowed out first.“I am so looking forward to it,” said Yardley Wong, a passenger in a windowless room who is traveling with her 6-year-old son. She said permission had been granted, with those in windowless rooms like hers allowed out first.
The cruise ship, the Diamond Princess, with a total of about 3,700 people on board, arrived in Yokohama on Monday night after a 14-day trip to Southeast Asia. They have been forced to stay on the vessel since an 80-year-old Hong Kong man who disembarked last month tested positive for the virus.The cruise ship, the Diamond Princess, with a total of about 3,700 people on board, arrived in Yokohama on Monday night after a 14-day trip to Southeast Asia. They have been forced to stay on the vessel since an 80-year-old Hong Kong man who disembarked last month tested positive for the virus.
Princess Cruises, the company that owns the Diamond Princess, has canceled two other planned cruises on the ship departing from Yokohama this month.Princess Cruises, the company that owns the Diamond Princess, has canceled two other planned cruises on the ship departing from Yokohama this month.
The Diamond Princess is not the only cruise ship caught up in the coronavirus epidemic, which has killed hundreds of people in China. A ship called the World Dream is idling in the Kai Tak Cruise Terminal in Hong Kong after eight people from mainland China who were on a previous journey were found to be infected with the coronavirus.The Diamond Princess is not the only cruise ship caught up in the coronavirus epidemic, which has killed hundreds of people in China. A ship called the World Dream is idling in the Kai Tak Cruise Terminal in Hong Kong after eight people from mainland China who were on a previous journey were found to be infected with the coronavirus.
The World Dream, which is carrying about 3,600 passengers and crew members, had traveled from China to Vietnam in January. It is being held in Hong Kong’s Victoria Harbor as health officials test passengers, and a top official said a quarantine of the entire ship had not been ruled out.The World Dream, which is carrying about 3,600 passengers and crew members, had traveled from China to Vietnam in January. It is being held in Hong Kong’s Victoria Harbor as health officials test passengers, and a top official said a quarantine of the entire ship had not been ruled out.
In Japan, fears were growing in places where the Diamond Princess had made port calls before returning to Yokohama.In Japan, fears were growing in places where the Diamond Princess had made port calls before returning to Yokohama.
Health officials in Naha, the capital of Okinawa Prefecture, said that 13 people had left the ship there last Saturday and not returned. Some have left the country.Health officials in Naha, the capital of Okinawa Prefecture, said that 13 people had left the ship there last Saturday and not returned. Some have left the country.
The 2,600 passengers who disembarked for at least a few hours on Saturday “did not display symptoms at the quarantine screen station,” said Takahiro Hayamizu, an official at the Naha public health office. “We don’t have detailed information on who they were, so we cannot track down their route in Okinawa.”The 2,600 passengers who disembarked for at least a few hours on Saturday “did not display symptoms at the quarantine screen station,” said Takahiro Hayamizu, an official at the Naha public health office. “We don’t have detailed information on who they were, so we cannot track down their route in Okinawa.”
Updated June 5, 2020 Updated June 12, 2020
Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks.
So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement.So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement.
A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study.A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study.
The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nation’s job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April.The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nation’s job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April.
Mass protests against police brutality that have brought thousands of people onto the streets in cities across America are raising the specter of new coronavirus outbreaks, prompting political leaders, physicians and public health experts to warn that the crowds could cause a surge in cases. While many political leaders affirmed the right of protesters to express themselves, they urged the demonstrators to wear face masks and maintain social distancing, both to protect themselves and to prevent further community spread of the virus. Some infectious disease experts were reassured by the fact that the protests were held outdoors, saying the open air settings could mitigate the risk of transmission.Mass protests against police brutality that have brought thousands of people onto the streets in cities across America are raising the specter of new coronavirus outbreaks, prompting political leaders, physicians and public health experts to warn that the crowds could cause a surge in cases. While many political leaders affirmed the right of protesters to express themselves, they urged the demonstrators to wear face masks and maintain social distancing, both to protect themselves and to prevent further community spread of the virus. Some infectious disease experts were reassured by the fact that the protests were held outdoors, saying the open air settings could mitigate the risk of transmission.
Exercise researchers and physicians have some blunt advice for those of us aiming to return to regular exercise now: Start slowly and then rev up your workouts, also slowly. American adults tended to be about 12 percent less active after the stay-at-home mandates began in March than they were in January. But there are steps you can take to ease your way back into regular exercise safely. First, “start at no more than 50 percent of the exercise you were doing before Covid,” says Dr. Monica Rho, the chief of musculoskeletal medicine at the Shirley Ryan AbilityLab in Chicago. Thread in some preparatory squats, too, she advises. “When you haven’t been exercising, you lose muscle mass.” Expect some muscle twinges after these preliminary, post-lockdown sessions, especially a day or two later. But sudden or increasing pain during exercise is a clarion call to stop and return home.Exercise researchers and physicians have some blunt advice for those of us aiming to return to regular exercise now: Start slowly and then rev up your workouts, also slowly. American adults tended to be about 12 percent less active after the stay-at-home mandates began in March than they were in January. But there are steps you can take to ease your way back into regular exercise safely. First, “start at no more than 50 percent of the exercise you were doing before Covid,” says Dr. Monica Rho, the chief of musculoskeletal medicine at the Shirley Ryan AbilityLab in Chicago. Thread in some preparatory squats, too, she advises. “When you haven’t been exercising, you lose muscle mass.” Expect some muscle twinges after these preliminary, post-lockdown sessions, especially a day or two later. But sudden or increasing pain during exercise is a clarion call to stop and return home.
States are reopening bit by bit. This means that more public spaces are available for use and more and more businesses are being allowed to open again. The federal government is largely leaving the decision up to states, and some state leaders are leaving the decision up to local authorities. Even if you aren’t being told to stay at home, it’s still a good idea to limit trips outside and your interaction with other people.States are reopening bit by bit. This means that more public spaces are available for use and more and more businesses are being allowed to open again. The federal government is largely leaving the decision up to states, and some state leaders are leaving the decision up to local authorities. Even if you aren’t being told to stay at home, it’s still a good idea to limit trips outside and your interaction with other people.
Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks.
Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days.Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days.
If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.)If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.)
Taking one’s temperature to look for signs of fever is not as easy as it sounds, as “normal” temperature numbers can vary, but generally, keep an eye out for a temperature of 100.5 degrees Fahrenheit or higher. If you don’t have a thermometer (they can be pricey these days), there are other ways to figure out if you have a fever, or are at risk of Covid-19 complications.Taking one’s temperature to look for signs of fever is not as easy as it sounds, as “normal” temperature numbers can vary, but generally, keep an eye out for a temperature of 100.5 degrees Fahrenheit or higher. If you don’t have a thermometer (they can be pricey these days), there are other ways to figure out if you have a fever, or are at risk of Covid-19 complications.
The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being 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 don’t replace hand washing and social distancing.The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being 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 don’t replace hand washing and social distancing.
If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.
If you’re sick and you think you’ve been exposed to the new coronavirus, the C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance — because of a lack of testing kits or because you’re asymptomatic, for instance — you won’t be able to get tested.If you’re sick and you think you’ve been exposed to the new coronavirus, the C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance — because of a lack of testing kits or because you’re asymptomatic, for instance — you won’t be able to get tested.
Passengers traveled by buses and taxis after arriving in Okinawa, and officials are trying to trace their routes.Passengers traveled by buses and taxis after arriving in Okinawa, and officials are trying to trace their routes.
“Citizens are concerned and wondering what to do, saying they met passengers at the port,” Mr. Hayamizu said.“Citizens are concerned and wondering what to do, saying they met passengers at the port,” Mr. Hayamizu said.
On board the Diamond Princess, there have been no further health checks since quarantine officers first came on board, said David Abel, a passenger from Britain who has been chronicling his situation in videos posted on Facebook.On board the Diamond Princess, there have been no further health checks since quarantine officers first came on board, said David Abel, a passenger from Britain who has been chronicling his situation in videos posted on Facebook.
“We do not know if there are people on board still that have got symptoms,” he said.“We do not know if there are people on board still that have got symptoms,” he said.
Although the passengers were a long way from going home, there was a sense among some that the vacation was over. Towels and bedsheets were no longer being changed on a regular basis.Although the passengers were a long way from going home, there was a sense among some that the vacation was over. Towels and bedsheets were no longer being changed on a regular basis.
“We’re no longer on a cruise,” Mr. Abel said. “Those days are gone.”“We’re no longer on a cruise,” Mr. Abel said. “Those days are gone.”
Eimi Yamamitsu and Hisako Ueno contributed reporting.Eimi Yamamitsu and Hisako Ueno contributed reporting.