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Couple Tests Positive for Coronavirus After Returning From Vacation in Hawaii Couple Tests Positive for Coronavirus After Returning From Vacation in Hawaii
(3 days later)
A married couple tested positive for the coronavirus in Japan this week after returning from a 10-day vacation in Hawaii, during which the man began showing symptoms, health officials said.A married couple tested positive for the coronavirus in Japan this week after returning from a 10-day vacation in Hawaii, during which the man began showing symptoms, health officials said.
The husband and wife, who are both in their 60s, visited two Hawaiian islands in late January and early February, and the man grew ill while the couple was staying in a time-share in Honolulu, the authorities said on Saturday.The husband and wife, who are both in their 60s, visited two Hawaiian islands in late January and early February, and the man grew ill while the couple was staying in a time-share in Honolulu, the authorities said on Saturday.
Word of the couple’s positive tests raised concerns among health officials in Hawaii, who said they were working to track down people the couple had met during their time there.Word of the couple’s positive tests raised concerns among health officials in Hawaii, who said they were working to track down people the couple had met during their time there.
“All of the state agencies have been preparing for exactly this scenario, where someone visits the island and the virus is present,” Gov. David Ige said at a news conference. Mr. Ige said the situation was of serious concern, but that the state was prepared to deal with it.“All of the state agencies have been preparing for exactly this scenario, where someone visits the island and the virus is present,” Gov. David Ige said at a news conference. Mr. Ige said the situation was of serious concern, but that the state was prepared to deal with it.
The man fell ill during the second week of his vacation in Hawaii. At the time, officials said, the couple was staying at a time-share in Honolulu, on the island of Oahu. Before that, the couple had been in Maui, but the man showed no symptoms while he was there. It remained unclear if the woman showed any symptoms while on vacation.The man fell ill during the second week of his vacation in Hawaii. At the time, officials said, the couple was staying at a time-share in Honolulu, on the island of Oahu. Before that, the couple had been in Maui, but the man showed no symptoms while he was there. It remained unclear if the woman showed any symptoms while on vacation.
Officials said that the man began showing signs of illness on Feb. 3, and wore a mask when he went outside the time-share, the Grand Waikikian by Hilton Grand Vacations, in the Waikiki neighborhood of Honolulu. Representatives for Hilton did not respond to a message seeking more information.Officials said that the man began showing signs of illness on Feb. 3, and wore a mask when he went outside the time-share, the Grand Waikikian by Hilton Grand Vacations, in the Waikiki neighborhood of Honolulu. Representatives for Hilton did not respond to a message seeking more information.
Several days later, on Feb. 7, the couple returned to Nagoya, Japan’s fourth-largest city. A day later, the man visited a hospital after developing a fever, but he was not admitted, Japan’s health ministry said. He learned he had pneumonia two days later, but was again released from a hospital.Several days later, on Feb. 7, the couple returned to Nagoya, Japan’s fourth-largest city. A day later, the man visited a hospital after developing a fever, but he was not admitted, Japan’s health ministry said. He learned he had pneumonia two days later, but was again released from a hospital.
On Thursday, he was taken in an ambulance to a hospital for the third time, and Hawaii health officials learned on Friday morning that he had tested positive for the coronavirus. His wife also went to the hospital on Friday with a fever, and on Saturday, she was also confirmed to have the virus.On Thursday, he was taken in an ambulance to a hospital for the third time, and Hawaii health officials learned on Friday morning that he had tested positive for the coronavirus. His wife also went to the hospital on Friday with a fever, and on Saturday, she was also confirmed to have the virus.
Dr. Sarah Park, the state epidemiologist for the Hawaii Department of Health, said that the man was most likely infected either before he came to Hawaii or while he was on his way to Hawaii in late January. He did not have symptoms of the coronavirus while he was on Maui, officials said, and he wore a mask on the plane when he returned to Japan.Dr. Sarah Park, the state epidemiologist for the Hawaii Department of Health, said that the man was most likely infected either before he came to Hawaii or while he was on his way to Hawaii in late January. He did not have symptoms of the coronavirus while he was on Maui, officials said, and he wore a mask on the plane when he returned to Japan.
“I don’t believe the man was significantly infectious,” Lt. Gov. Josh Green, who is an emergency physician, said in an interview on Friday. “He could not transmit the virus, because he was not symptomatic at the time he was on the island.”“I don’t believe the man was significantly infectious,” Lt. Gov. Josh Green, who is an emergency physician, said in an interview on Friday. “He could not transmit the virus, because he was not symptomatic at the time he was on the island.”
The Centers for Disease Control and Prevention has said that while it may be possible to spread the virus before showing symptoms, it is much more likely to spread after symptoms begin.The Centers for Disease Control and Prevention has said that while it may be possible to spread the virus before showing symptoms, it is much more likely to spread after symptoms begin.
Updated June 12, 2020Updated 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.
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.
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.
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.
The lieutenant governor said that the authorities were contacting the management at the guest facilities where the couple stayed, as well as those who were working there.The lieutenant governor said that the authorities were contacting the management at the guest facilities where the couple stayed, as well as those who were working there.
“The only way to do this right is to contact everyone,” he said. “We are not worried about minimal contact, but those who had extensive contact will be given whatever support is necessary.”“The only way to do this right is to contact everyone,” he said. “We are not worried about minimal contact, but those who had extensive contact will be given whatever support is necessary.”
He said state health officials were focusing on anyone who might have been in contact with the man after Jan. 27.He said state health officials were focusing on anyone who might have been in contact with the man after Jan. 27.
The coronavirus, also known as Covid-19, has sickened more than 66,000 people worldwide, the vast majority in China, and killed at least 1,523 since the outbreak began in the city of Wuhan, China. In the United States, only 15 people have been infected, most of whom have mild symptoms.The coronavirus, also known as Covid-19, has sickened more than 66,000 people worldwide, the vast majority in China, and killed at least 1,523 since the outbreak began in the city of Wuhan, China. In the United States, only 15 people have been infected, most of whom have mild symptoms.
Barbara Tanabe contributed reporting.Barbara Tanabe contributed reporting.