This article is from the source 'nytimes' 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.nytimes.com/2020/03/02/health/coronavirus-testing-cdc.html

The article has changed 41 times. There is an RSS feed of changes available.

Version 19 Version 20
As Coronavirus Numbers Rise, C.D.C. Testing Comes Under Fire As Coronavirus Numbers Rise, C.D.C. Testing Comes Under Fire
(32 minutes later)
The coronavirus has found a crack in the nation’s public health armor, and it is not one that scientists foresaw: diagnostic testing.The coronavirus has found a crack in the nation’s public health armor, and it is not one that scientists foresaw: diagnostic testing.
The Centers for Disease Control and Prevention botched its first attempt to mass produce a diagnostic test kit, a discovery made only after officials had shipped hundreds of kits to state laboratories.The Centers for Disease Control and Prevention botched its first attempt to mass produce a diagnostic test kit, a discovery made only after officials had shipped hundreds of kits to state laboratories.
A promised replacement took several weeks, and still did not permit state and local laboratories to make final diagnoses. And the C.D.C. essentially ensured that Americans would be tested in very few numbers by imposing stringent and narrow criteria, critics say.A promised replacement took several weeks, and still did not permit state and local laboratories to make final diagnoses. And the C.D.C. essentially ensured that Americans would be tested in very few numbers by imposing stringent and narrow criteria, critics say.
On Monday, following mounting criticism of the federal response, Trump administration officials promised a rapid expansion of the country’s testing capacities. With the help of private companies and academic centers, as many as a million diagnostic tests could be available by the end of this week, said Dr. Stephen Hahn, commissioner of the Food and Drug Administration.On Monday, following mounting criticism of the federal response, Trump administration officials promised a rapid expansion of the country’s testing capacities. With the help of private companies and academic centers, as many as a million diagnostic tests could be available by the end of this week, said Dr. Stephen Hahn, commissioner of the Food and Drug Administration.
But many scientists wonder if the moves come too late.But many scientists wonder if the moves come too late.
As of Monday evening, 103 Americans were infected with the coronavirus in the United States. Six deaths have been reported. Dozens of patients, in several states, may have caught the virus in their communities, suggesting that the pathogen already may be circulating locally.As of Monday evening, 103 Americans were infected with the coronavirus in the United States. Six deaths have been reported. Dozens of patients, in several states, may have caught the virus in their communities, suggesting that the pathogen already may be circulating locally.
The case numbers are rising not just because the virus is spreading, but because federal officials have taken steps toward expanded testing. The persistent drumbeat of positive test results has raised critical questions about the government’s initial management of the outbreak.The case numbers are rising not just because the virus is spreading, but because federal officials have taken steps toward expanded testing. The persistent drumbeat of positive test results has raised critical questions about the government’s initial management of the outbreak.
Why weren’t more Americans tested sooner? How many may be carrying the virus now?Why weren’t more Americans tested sooner? How many may be carrying the virus now?
Most disturbing of all: Did a failure to provide adequate testing give the coronavirus time to gain a toehold in the United States?Most disturbing of all: Did a failure to provide adequate testing give the coronavirus time to gain a toehold in the United States?
“Clearly, there have been problems with rolling out the test,” said Dr. Thomas Frieden, former director of the C.D.C. “There are a lot of frustrated doctors and patients and health departments.”“Clearly, there have been problems with rolling out the test,” said Dr. Thomas Frieden, former director of the C.D.C. “There are a lot of frustrated doctors and patients and health departments.”
Still, Dr. Frieden said he thought the situation was improving. Other experts, although supportive of the agency, were mystified that federal officials could have committed so many missteps.Still, Dr. Frieden said he thought the situation was improving. Other experts, although supportive of the agency, were mystified that federal officials could have committed so many missteps.
“The incompetence has really exceeded what anyone would expect with the C.D.C.,” said Dr. Michael Mina, an epidemiologist at Harvard University. “This is not a difficult problem to solve in the world of viruses.”“The incompetence has really exceeded what anyone would expect with the C.D.C.,” said Dr. Michael Mina, an epidemiologist at Harvard University. “This is not a difficult problem to solve in the world of viruses.”
Despite repeated inquiries from The New York Times, C.D.C. officials have never provided a full account of the obstacles the agency faced in producing a diagnostic test. On Monday, officials appeared to have removed figures on the agency website counting how many Americans had been tested, and abruptly canceled a news conference just as it was to begin.Despite repeated inquiries from The New York Times, C.D.C. officials have never provided a full account of the obstacles the agency faced in producing a diagnostic test. On Monday, officials appeared to have removed figures on the agency website counting how many Americans had been tested, and abruptly canceled a news conference just as it was to begin.
In February, the C.D.C. rolled out a three-step diagnostic test and distributed testing kits — each of which could run about 800 tests — to state and local health laboratories. But some of the components of the diagnostic kits were flawed, and produced inconclusive results.In February, the C.D.C. rolled out a three-step diagnostic test and distributed testing kits — each of which could run about 800 tests — to state and local health laboratories. But some of the components of the diagnostic kits were flawed, and produced inconclusive results.
A three-step replacement was promised but never arrived; the agency has not fully explained why, except to say that there was a manufacturing defect. As a result, diagnostic testing was only conducted at the agency’s labs in Atlanta.A three-step replacement was promised but never arrived; the agency has not fully explained why, except to say that there was a manufacturing defect. As a result, diagnostic testing was only conducted at the agency’s labs in Atlanta.
The C.D.C. eventually rolled out a two-step replacement and permitted a few laboratories, where the kits had been working, to continue using their tests. But those with only one working component of the test still could not diagnose patients on their own.The C.D.C. eventually rolled out a two-step replacement and permitted a few laboratories, where the kits had been working, to continue using their tests. But those with only one working component of the test still could not diagnose patients on their own.
Getting results from the C.D.C. took days, however, and in any event the criteria for testing were strict — among them, the patient must have had recent travel to China or contact with someone known to be infected.Getting results from the C.D.C. took days, however, and in any event the criteria for testing were strict — among them, the patient must have had recent travel to China or contact with someone known to be infected.
Doctors nationwide complained of a bottleneck, both because of the restrictive test criteria and because of the agency’s limited testing capacity. The agency said it had the capacity to test about 400 specimens a day.Doctors nationwide complained of a bottleneck, both because of the restrictive test criteria and because of the agency’s limited testing capacity. The agency said it had the capacity to test about 400 specimens a day.
The test criteria were “too stringent, and people aren’t getting tested,” said Lauren M. Sauer, an assistant professor of emergency medicine at Johns Hopkins Medicine.The test criteria were “too stringent, and people aren’t getting tested,” said Lauren M. Sauer, an assistant professor of emergency medicine at Johns Hopkins Medicine.
“I’ve heard from so many colleagues that tests were turned down,” she added.“I’ve heard from so many colleagues that tests were turned down,” she added.
By the end of last week, as the first cases of possible community transmission began to emerge in California and Washington State, the C.D.C. broadened the number of patients who qualified for testing to include travelers returning from places like South Korea and Italy, and hospitalized patients who were very ill and whose symptoms could not be otherwise explained.By the end of last week, as the first cases of possible community transmission began to emerge in California and Washington State, the C.D.C. broadened the number of patients who qualified for testing to include travelers returning from places like South Korea and Italy, and hospitalized patients who were very ill and whose symptoms could not be otherwise explained.
“We have been really frustrated, because one of the things that is a hallmark of public health labs is that we are usually ‘ready, set, go,’ and here we were — ‘ready, set, wait’,” said Scott Becker, chief executive of the Association of Public Health Laboratories.“We have been really frustrated, because one of the things that is a hallmark of public health labs is that we are usually ‘ready, set, go,’ and here we were — ‘ready, set, wait’,” said Scott Becker, chief executive of the Association of Public Health Laboratories.
Late last week, the Food and Drug Administration broke the logjam, authorizing state and local laboratories to do initial testing on their own. If labs had developed and validated a test, they could use it for diagnosis instead of relying on the C.D.C.’s version or waiting for a replacement.Late last week, the Food and Drug Administration broke the logjam, authorizing state and local laboratories to do initial testing on their own. If labs had developed and validated a test, they could use it for diagnosis instead of relying on the C.D.C.’s version or waiting for a replacement.
The move greatly expanded the nation’s testing capacity, even as the C.D.C. said it was shipping out new test kits to the states.The move greatly expanded the nation’s testing capacity, even as the C.D.C. said it was shipping out new test kits to the states.
By that time, however, the agency had tested just under 500 Americans with suspected infections identified by public health officials in the United States.By that time, however, the agency had tested just under 500 Americans with suspected infections identified by public health officials in the United States.
Other nations have tested patients by tens of thousands. China has probably tested millions.Other nations have tested patients by tens of thousands. China has probably tested millions.
“How come the South Koreans can do 10,000 tests a day and we can’t?” said Ralph Baric, who studies coronaviruses and emerging diseases at University of North Carolina.“How come the South Koreans can do 10,000 tests a day and we can’t?” said Ralph Baric, who studies coronaviruses and emerging diseases at University of North Carolina.
“Once you knew you had asymptomatic spread and community spread in China, why is it that the United States of America hasn’t created tens of thousands of tests?”“Once you knew you had asymptomatic spread and community spread in China, why is it that the United States of America hasn’t created tens of thousands of tests?”
Soon after the virus surfaced in China, the C.D.C. got to work on its own test. “Generally, C.D.C. provides these tests for the world,” said Dr. Frieden.Soon after the virus surfaced in China, the C.D.C. got to work on its own test. “Generally, C.D.C. provides these tests for the world,” said Dr. Frieden.
But German researchers were devising their own test, which was quickly adopted by the World Health Organization for distribution around the world.But German researchers were devising their own test, which was quickly adopted by the World Health Organization for distribution around the world.
After the C.D.C.’s version turned out to be flawed, the agency continued to pursue it, despite the fact that another diagnostic test was already in wide use.After the C.D.C.’s version turned out to be flawed, the agency continued to pursue it, despite the fact that another diagnostic test was already in wide use.
With F.D.A. approval, the agency could simply have embraced the test used by the W.H.O., Dr. Mina said. The government could do so even now.With F.D.A. approval, the agency could simply have embraced the test used by the W.H.O., Dr. Mina said. The government could do so even now.
“It’s just a very American approach to say, ‘We’re the U.S., the major U.S. public health lab, and we’re going to not follow the leader,’” Dr. Mina said.“It’s just a very American approach to say, ‘We’re the U.S., the major U.S. public health lab, and we’re going to not follow the leader,’” Dr. Mina said.
Updated June 12, 2020Updated June 12, 2020
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.
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.
New kits were released over the past weekend, and more are on the way, Alex M. Azar II, the secretary of health and human services, said on Sunday.New kits were released over the past weekend, and more are on the way, Alex M. Azar II, the secretary of health and human services, said on Sunday.
The demand for testing is continuing to grow.The demand for testing is continuing to grow.
“It seems like we can’t get tested,” complained Jennifer Knight of Queens, who returned with her partner and a group of friends more than a week ago from Milan, near where the virus is spreading.“It seems like we can’t get tested,” complained Jennifer Knight of Queens, who returned with her partner and a group of friends more than a week ago from Milan, near where the virus is spreading.
Several members of the group had fallen ill, either in Milan or since returning, four members of the group said in interviews. Ms. Knight has had migraines and a sore throat, but her partner has had a fever and a bad cough as well.Several members of the group had fallen ill, either in Milan or since returning, four members of the group said in interviews. Ms. Knight has had migraines and a sore throat, but her partner has had a fever and a bad cough as well.
Staff at an urgent care clinic told her over the phone that they did not do coronavirus testing. So did a hospital in Brooklyn.Staff at an urgent care clinic told her over the phone that they did not do coronavirus testing. So did a hospital in Brooklyn.
“Whenever we make an attempt to get tested, we’re pushed out the door,” she said. She and her partner are now largely self-quarantined in her apartment.“Whenever we make an attempt to get tested, we’re pushed out the door,” she said. She and her partner are now largely self-quarantined in her apartment.
In Rhode Island, Onésimo T. Almeida, an author and professor at Brown University, had been coughing, sneezing and registering a fever for nearly a week after returning home to Providence from a conference in Portugal. A friend of his who attended had later tested positive for the virus.In Rhode Island, Onésimo T. Almeida, an author and professor at Brown University, had been coughing, sneezing and registering a fever for nearly a week after returning home to Providence from a conference in Portugal. A friend of his who attended had later tested positive for the virus.
But when Dr. Almeida called the Rhode Island Department of Health and asked to be tested, he was told that he did not fit the criteria to be screened.But when Dr. Almeida called the Rhode Island Department of Health and asked to be tested, he was told that he did not fit the criteria to be screened.
On Monday, however, the health department called Dr. Almeida and asked him to drive to a hospital, where medical staff would get into his car in the afternoon and test him after all — in the parking lot.On Monday, however, the health department called Dr. Almeida and asked him to drive to a hospital, where medical staff would get into his car in the afternoon and test him after all — in the parking lot.
A doctor swabbed his mouth, nose and throat through the driver’s side window, in what he imagined looked like a drunk-driving test.A doctor swabbed his mouth, nose and throat through the driver’s side window, in what he imagined looked like a drunk-driving test.
He is now waiting for the test results. “I’m looking forward to getting back to teaching, and I’m looking forward to going outside,” he said.He is now waiting for the test results. “I’m looking forward to getting back to teaching, and I’m looking forward to going outside,” he said.
Testing may well become more widespread in the next few weeks. But that may not help contain the coronavirus if it is being spread by people who are asymptomatic.Testing may well become more widespread in the next few weeks. But that may not help contain the coronavirus if it is being spread by people who are asymptomatic.
“There has been a silent epidemic of Covid-19 in the United States that is not going to be silent any longer,” said Michael Osterholm, an epidemiologist at the University of Minnesota, referring to the official name of the coronavirus illness.“There has been a silent epidemic of Covid-19 in the United States that is not going to be silent any longer,” said Michael Osterholm, an epidemiologist at the University of Minnesota, referring to the official name of the coronavirus illness.
“Testing will show it. This is not a surprise — it shouldn’t have been.”“Testing will show it. This is not a surprise — it shouldn’t have been.”
Reporting was contributed by Nicholas Bogel-Burroughs and Joseph Goldstein in New York.Reporting was contributed by Nicholas Bogel-Burroughs and Joseph Goldstein in New York.