This article is from the source 'bbc' and was first published or seen on . It last changed over 40 days ago and won't be checked again for changes.

You can find the current article at its original source at https://www.bbc.co.uk/news/world-us-canada-51649897

The article has changed 18 times. There is an RSS feed of changes available.

Version 11 Version 12
Coronavirus: Should Americans be worried? Coronavirus: Should Americans be worried?
(3 days later)
The coronavirus that began in Wuhan, China, has now reached dozens of countries and has started to spread across the US in earnest.The coronavirus that began in Wuhan, China, has now reached dozens of countries and has started to spread across the US in earnest.
So how prepared is the country?So how prepared is the country?
How fast is Covid-19 spreading?How fast is Covid-19 spreading?
Thousands of new cases across the world are being reported each day, and the true scale could be 10 times higher.Thousands of new cases across the world are being reported each day, and the true scale could be 10 times higher.
There are 233 confirmed cases in the US, 48 in Canada. There are 607 confirmed cases in the US, 76 in Canada.
Fourteen people have died in the US due to the virus. Twenty-four people have died in the US due to the virus and one person has died in Canada.
Thirty-three new cases of Covid-19 were reported in a single weekend at the end of February.Thirty-three new cases of Covid-19 were reported in a single weekend at the end of February.
Officials say risk remains low for the general US public, but this could change.Officials say risk remains low for the general US public, but this could change.
California Governor Gavin Newsom declared a state of emergency on Wednesday after the first reported death from coronavirus in his state.California Governor Gavin Newsom declared a state of emergency on Wednesday after the first reported death from coronavirus in his state.
A cruise ship carrying 3,500 people is being held off the coast of California while tests for coronavirus are carried out on dozens of passengers and crew members. A cruise ship carrying 3,500 people has docked in California as tests for coronavirus are being carried out on dozens of passengers and crew members.
One passenger died and at least four others became infected on a previous leg of the voyage - a round trip from San Francisco to Mexico.One passenger died and at least four others became infected on a previous leg of the voyage - a round trip from San Francisco to Mexico.
What do I need to know about the coronavirus?
How prepared is the US?How prepared is the US?
President Donald Trump has claimed the situation is "well under control", while officials at the Centres for Disease Control (CDC) warn the virus will spread and may severely disrupt daily life.President Donald Trump has claimed the situation is "well under control", while officials at the Centres for Disease Control (CDC) warn the virus will spread and may severely disrupt daily life.
On 6 March, the president signed an $8.3bn (£6.4bn) emergency funding bill to develop a vaccine and help states combat the virus.
Concerns have deepened amid the sharp rise in the number of cases reported in the first week of March. Nine new infections were disclosed Wednesday in New York, along with 12 additional patients in Washington. New Jersey and Tennessee have also reported their first cases of coronavirus.Concerns have deepened amid the sharp rise in the number of cases reported in the first week of March. Nine new infections were disclosed Wednesday in New York, along with 12 additional patients in Washington. New Jersey and Tennessee have also reported their first cases of coronavirus.
US health chief Alex Azar has asked Congress for $2.5bn (£1.9bn) - with over $1bn needed to develop a vaccine. The rest would fund quarantine efforts and supplies, including surgical masks. Mr Azar said the US only has 30 million - and it needs 300 million. An anonymous whistleblower at the Department of Health and Human Services has complained that government workers interacting with quarantined Americans were not provided with proper safety gear, and were allowed to come and go from the secure zone freely. US health chief Alex Azar has denied the allegations.
Congress is expected to approve a package worth $8.3bn for the response after it became clear that more cases were emerging.
An anonymous whistleblower at the Department of Health and Human Services has complained that government workers interacting with quarantined Americans were not provided with proper safety gear, and were allowed to come and go from the secure zone freely. Mr Azar has denied the allegations.
What are the main concerns?What are the main concerns?
High medical costs make the virus particularly problematic - many Americans avoid doctor's visits because of unaffordable charges.High medical costs make the virus particularly problematic - many Americans avoid doctor's visits because of unaffordable charges.
Last month, a Florida man with symptoms had a coronavirus test and was handed a $3,270 bill from his insurance company.Last month, a Florida man with symptoms had a coronavirus test and was handed a $3,270 bill from his insurance company.
There have also been reports of people not being able to arrange to be tested for the virus. Vice-President Mike Pence, who is in charge of the task force co-ordinating the response to the crisis, has said that "any American can be tested, no restrictions, subject to doctor's orders".There have also been reports of people not being able to arrange to be tested for the virus. Vice-President Mike Pence, who is in charge of the task force co-ordinating the response to the crisis, has said that "any American can be tested, no restrictions, subject to doctor's orders".
Taking sick leave is another concern. Not all employers offer paid leave and workplace culture often pushes employees to go to work ill.Taking sick leave is another concern. Not all employers offer paid leave and workplace culture often pushes employees to go to work ill.
This could contribute to the virus spreading, as infected people may not show significant symptoms for up to 14 days.This could contribute to the virus spreading, as infected people may not show significant symptoms for up to 14 days.
What's happening with testing?What's happening with testing?
By the end of the first week of March, officials expect around 40 public health labs to be able to test for the virus. Mr Pence has said tests are available in all state labs. Last week, he pledged some 1.5 million tests would be made available.
The US has 75,000 diagnostic kits currently, Mr Azar told ABC News, with production set to "expand radically". Once these kits go out, over 100 labs should have testing capacity by early March.
The administration has also granted labs permission to develop and use their own diagnostic tests even as they are being reviewed by the national drug agency.The administration has also granted labs permission to develop and use their own diagnostic tests even as they are being reviewed by the national drug agency.
At least 3,600 people have been tested so far. The CDC has faced criticism for its decision to stop disclosing the number of Americans to receive testing in recent days.
Critics say the shortage of test and facilities has contributed to the community spread of the virus and some have raised doubts that health officials can meet the demand for more tests.Critics say the shortage of test and facilities has contributed to the community spread of the virus and some have raised doubts that health officials can meet the demand for more tests.
The CDC said it had tested 1,583 people for the virus as of 5 March.
The tests themselves have also had problems. Last month, some health centres noted difficulties using CDC tests. Kits developed at the CDC's lab in Atlanta were contaminated, Axios reported. Officials say the manufacturing issues have since been resolved.The tests themselves have also had problems. Last month, some health centres noted difficulties using CDC tests. Kits developed at the CDC's lab in Atlanta were contaminated, Axios reported. Officials say the manufacturing issues have since been resolved.
Where can you get tested in the US?
You will need a doctor to refer you to either the CDC or a state health department for testing. Your doctor can take a sample - a nose or throat swab - but it must be processed at a proper facility.
You should call your doctor's office first - officials advise against going to an emergency room for testing.
Mr Pence has said that the coronavirus test would be designated as an essential benefit so that it would be covered by all private insurance as well as Medicare and Medicaid (federal health programmes for the elderly and low-income Americans).
At least four states - California, Washington New York and Nevada - have mandated some insurers to cover tests.
Even if the test is covered, however, patients may still have to pay fees for office or emergency room visits and any other tests, as well as hospital stays.
And those who work at self-insured companies and uninsured Americans do not have these protections.
What should you do?What should you do?
You should wash your hands regularly - using soap and water for at least 20 seconds, avoid contact with people who have respiratory illness symptoms and stay away from animals.You should wash your hands regularly - using soap and water for at least 20 seconds, avoid contact with people who have respiratory illness symptoms and stay away from animals.
The CDC does not recommend wearing a face mask if you are not sick or taking care of someone who is ill.The CDC does not recommend wearing a face mask if you are not sick or taking care of someone who is ill.
It may be useful to ensure you have enough supplies - like extra water, non-perishable food and medicines - in case you need to self-quarantine.It may be useful to ensure you have enough supplies - like extra water, non-perishable food and medicines - in case you need to self-quarantine.
You might want to discuss work-from-home options with your employer and plan for child care if schools need to close.You might want to discuss work-from-home options with your employer and plan for child care if schools need to close.
How do you self-quarantine?
If you self-isolate for 14 days, that means not going to work, school, or other public places and avoiding any public transit, including ride-shares and taxis.
Friends and family can drop off supplies, but you shouldn't have any visitors. If you share a home with others, the key is to limit contact as much as possible. Try to avoid using the kitchen when others are there and make sure you clean all surfaces daily.
While the CDC has encouraged businesses to not punish workers who self-quarantine, in the US, the decision is still ultimately left to the employers.
Many states do not have laws regarding whether an employer can fire an employee who is in quarantine, Forbes reported.
A February survey by the Business Group on Health, published by the New York Times, found 68% of employers would pay employees for a quarantine, even if they were unable to work from home, while 12% would pay only for a set amount of time. Another 20% said they had not yet made a decision.
New York Governor Andrew Cuomo on Monday said he would be taking steps towards a paid sick leave bill, which he has championed in the past.