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Coronavirus Cases in the United States Reach 34, and More Are Expected Coronavirus Cases in the United States Reach 34, and More Are Expected
(4 days later)
At least 34 people in the United States are infected with the coronavirus spreading from China, federal health officials said on Friday.At least 34 people in the United States are infected with the coronavirus spreading from China, federal health officials said on Friday.
“This new virus represents a tremendous public health threat,” Dr. Nancy Messonnier, director of the National Center for Immunization and Respiratory Diseases, said at a news briefing.“This new virus represents a tremendous public health threat,” Dr. Nancy Messonnier, director of the National Center for Immunization and Respiratory Diseases, said at a news briefing.
But so far there has been no community spread of the infection in the United States, she added; all of the cases have been linked to overseas travel.But so far there has been no community spread of the infection in the United States, she added; all of the cases have been linked to overseas travel.
Eleven of the infections were diagnosed in travelers who fell ill after returning on their own from overseas, and two of their close contacts became infected. The other 21 patients are people who were returned to the United States by the State Department.Eleven of the infections were diagnosed in travelers who fell ill after returning on their own from overseas, and two of their close contacts became infected. The other 21 patients are people who were returned to the United States by the State Department.
More infections are expected among the people who were passengers aboard the Diamond Princess cruise ship and are currently in quarantine, Dr. Messonnier said.More infections are expected among the people who were passengers aboard the Diamond Princess cruise ship and are currently in quarantine, Dr. Messonnier said.
The coronavirus swept through the Diamond Princess after it docked in Yokohama, Japan, and the passengers were not allowed to disembark. More than 600 people onboard have been infected with the virus, testing has shown.The coronavirus swept through the Diamond Princess after it docked in Yokohama, Japan, and the passengers were not allowed to disembark. More than 600 people onboard have been infected with the virus, testing has shown.
Passengers from the ship account for 18 of the 21 cases in repatriated people in the United States. The other three patients had been evacuated earlier from Wuhan, China, the center of the epidemic.Passengers from the ship account for 18 of the 21 cases in repatriated people in the United States. The other three patients had been evacuated earlier from Wuhan, China, the center of the epidemic.
Because the Diamond Princess passengers may have been in contact with infected people on the ship, “they are considered at high risk for infection,” Dr. Messonnier said.Because the Diamond Princess passengers may have been in contact with infected people on the ship, “they are considered at high risk for infection,” Dr. Messonnier said.
Ten other passengers from the Diamond Princess tested positive for the virus in Japan, but are not being counted among the infected yet, because the C.D.C. has not confirmed the tests.Ten other passengers from the Diamond Princess tested positive for the virus in Japan, but are not being counted among the infected yet, because the C.D.C. has not confirmed the tests.
They will most likely be added to the case count, Dr. Messonnier said. Several Americans remain critically ill with the infection in Japanese hospitals.They will most likely be added to the case count, Dr. Messonnier said. Several Americans remain critically ill with the infection in Japanese hospitals.
On Thursday, the State Department posted an advisory urging U.S. citizens to “reconsider” traveling by cruise ship to or within Asia. The department had already advised against travel to China.On Thursday, the State Department posted an advisory urging U.S. citizens to “reconsider” traveling by cruise ship to or within Asia. The department had already advised against travel to China.
Of 329 people who were evacuated on two State Department flights, 18 are hospitalized, Dr. Messonnier said: 11 in Nebraska, five near California’s Travis Air Force Base and two near Lackland Air Force Base in San Antonio.Of 329 people who were evacuated on two State Department flights, 18 are hospitalized, Dr. Messonnier said: 11 in Nebraska, five near California’s Travis Air Force Base and two near Lackland Air Force Base in San Antonio.
Fourteen of the Americans were found to have positive test results for the virus just before boarding two charter flights back to the United States. The State Department overruled objections from C.D.C. officials and placed the infected on the plane with healthy passengers.Fourteen of the Americans were found to have positive test results for the virus just before boarding two charter flights back to the United States. The State Department overruled objections from C.D.C. officials and placed the infected on the plane with healthy passengers.
Reports of the disagreement were first published by The Washington Post.Reports of the disagreement were first published by The Washington Post.
Asked during the briefing about the episode, Dr. Messonnier referred the question to Dr. William Walters, executive for operational medicine at the State Department’s medical services bureau.Asked during the briefing about the episode, Dr. Messonnier referred the question to Dr. William Walters, executive for operational medicine at the State Department’s medical services bureau.
Dr. Walters said that the test results arrived shortly before the passengers were to board the plane, and that on the flight the infected people were seated separately from the rest. He also said that despite the positive tests, the infected people had no symptoms.Dr. Walters said that the test results arrived shortly before the passengers were to board the plane, and that on the flight the infected people were seated separately from the rest. He also said that despite the positive tests, the infected people had no symptoms.
“The decision was the right one in bringing these people home,” he said.“The decision was the right one in bringing these people home,” he said.
Dr. Messonnier said that decisions were being made “in real time" and that “different perspectives will be brought to the table.” Nonetheless, she added, “We are one U.S. government working together.”Dr. Messonnier said that decisions were being made “in real time" and that “different perspectives will be brought to the table.” Nonetheless, she added, “We are one U.S. government working together.”
The response to the outbreak is being handled “seamlessly,” she said.The response to the outbreak is being handled “seamlessly,” she said.
So far, Dr. Messonnier said, there has been no community spread of the disease in the United States, which means no cases in which the source of the infection is not known.So far, Dr. Messonnier said, there has been no community spread of the disease in the United States, which means no cases in which the source of the infection is not known.
But looking ahead, community spread within the country is very possible and maybe even likely, she said.But looking ahead, community spread within the country is very possible and maybe even likely, she said.
Cases detected by local health departments in travelers returning independently from overseas, or in their close contacts, are counted separately from infections in people who were evacuated from China by the State Department.Cases detected by local health departments in travelers returning independently from overseas, or in their close contacts, are counted separately from infections in people who were evacuated from China by the State Department.
Updated June 2, 2020 Updated June 5, 2020
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.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.)
More than 40 million people — the equivalent of 1 in 4 U.S. workers — have filed for unemployment benefits since the pandemic took hold. One in five who were working in February reported losing a job or being furloughed in March or the beginning of April, data from a Federal Reserve survey released on May 14 showed, and that pain was highly concentrated among low earners. Fully 39 percent of former workers living in a household earning $40,000 or less lost work, compared with 13 percent in those making more than $100,000, a Fed official said.
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 reason for the distinction, Dr. Messonnier said, is that the cases found locally more accurately represent what is happening within the United States.The reason for the distinction, Dr. Messonnier said, is that the cases found locally more accurately represent what is happening within the United States.
The C.D.C. is still performing most of the testing for the virus, Dr. Messonnier said. The agency had sent diagnostic test kits to all the states, so they could perform their own tests instead of sending samples to Atlanta. But the new kits were flawed and have yet to be replaced.The C.D.C. is still performing most of the testing for the virus, Dr. Messonnier said. The agency had sent diagnostic test kits to all the states, so they could perform their own tests instead of sending samples to Atlanta. But the new kits were flawed and have yet to be replaced.
Passengers quarantined at Lackland Air Force Base were to be moved on Friday to a different part of the base, to less uncomfortable quarters with more reliable heating and cooling, a C.D.C. official, Dr. Nancy Knight, told them during a conference call on Thursday.Passengers quarantined at Lackland Air Force Base were to be moved on Friday to a different part of the base, to less uncomfortable quarters with more reliable heating and cooling, a C.D.C. official, Dr. Nancy Knight, told them during a conference call on Thursday.
She said all were being offered tests for the virus, but would be required to stay for the full 14-day quarantine even if they tested negative. The reason is that if an infected person is still in the incubation period, the test may not be able to detect the virus yet.She said all were being offered tests for the virus, but would be required to stay for the full 14-day quarantine even if they tested negative. The reason is that if an infected person is still in the incubation period, the test may not be able to detect the virus yet.
Anyone with a positive test will be tested again and will not be released until two consecutive tests give negative results, Dr. Knight said. The samples have to be sent to Atlanta, so each test takes a few days to complete.Anyone with a positive test will be tested again and will not be released until two consecutive tests give negative results, Dr. Knight said. The samples have to be sent to Atlanta, so each test takes a few days to complete.
The testing is not mandatory, so people who have no symptoms and decline testing will be free to go after 14 days.The testing is not mandatory, so people who have no symptoms and decline testing will be free to go after 14 days.
In couples staying in the same room at the base, if one becomes ill, then the other must begin the 14-day quarantine process all over again, starting with the day the partner’s symptoms began.In couples staying in the same room at the base, if one becomes ill, then the other must begin the 14-day quarantine process all over again, starting with the day the partner’s symptoms began.
Because the quarantine is on a military base, all incoming mail has to be inspected, which can delay delivery by several days. One man on the conference call with Dr. Knight said he was expecting prescription medicine by mail and worried that his supply would run out before he would be allowed to receive the new shipment.Because the quarantine is on a military base, all incoming mail has to be inspected, which can delay delivery by several days. One man on the conference call with Dr. Knight said he was expecting prescription medicine by mail and worried that his supply would run out before he would be allowed to receive the new shipment.
Officials on the call did not offer a way to expedite delivery for him.Officials on the call did not offer a way to expedite delivery for him.
As of Friday, the coronavirus has infected more than 76,000 people, the vast majority in mainland China, and has killed at least 2,240.As of Friday, the coronavirus has infected more than 76,000 people, the vast majority in mainland China, and has killed at least 2,240.