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Coronavirus Ravages 7 Members of a Single Family, Killing 4 Coronavirus Ravages 7 Members of a Single Family, Killing 4
(2 days later)
Grace Fusco — mother of 11, grandmother of 27 — would sit in the same pew at church each Sunday, surrounded by nearly a dozen members of her sprawling Italian-American family. Sunday dinners drew an even larger crowd to her home in central New Jersey.Grace Fusco — mother of 11, grandmother of 27 — would sit in the same pew at church each Sunday, surrounded by nearly a dozen members of her sprawling Italian-American family. Sunday dinners drew an even larger crowd to her home in central New Jersey.
Now, her close-knit clan is united anew by unspeakable grief: Mrs. Fusco, 73, died on Wednesday night after contracting the coronavirus — hours after her son died from the virus and five days after her daughter’s death, a relative said.Now, her close-knit clan is united anew by unspeakable grief: Mrs. Fusco, 73, died on Wednesday night after contracting the coronavirus — hours after her son died from the virus and five days after her daughter’s death, a relative said.
On Thursday, another child who had contracted the virus, Vincent Fusco, died, the relative, Roseann Paradiso Fodera, said.On Thursday, another child who had contracted the virus, Vincent Fusco, died, the relative, Roseann Paradiso Fodera, said.
Three other children remain hospitalized, two of them in critical condition, said Ms. Paradiso Fodera, the family’s lawyer who is Mrs. Fusco’s cousin and is serving as a spokeswoman.Three other children remain hospitalized, two of them in critical condition, said Ms. Paradiso Fodera, the family’s lawyer who is Mrs. Fusco’s cousin and is serving as a spokeswoman.
Mrs. Fusco’s eldest child, Rita Fusco-Jackson, 55, of Freehold, N.J., died Friday; after her death, the family learned she had contracted the virus. Her eldest son, Carmine Fusco, of Bath, Pa., died on Wednesday, Ms. Paradiso Fodera said.Mrs. Fusco’s eldest child, Rita Fusco-Jackson, 55, of Freehold, N.J., died Friday; after her death, the family learned she had contracted the virus. Her eldest son, Carmine Fusco, of Bath, Pa., died on Wednesday, Ms. Paradiso Fodera said.
Mrs. Fusco, of Freehold, died after spending Wednesday “gravely ill” and breathing with help from a ventilator, unaware that her two oldest children had died, Ms. Paradiso Fodera said.Mrs. Fusco, of Freehold, died after spending Wednesday “gravely ill” and breathing with help from a ventilator, unaware that her two oldest children had died, Ms. Paradiso Fodera said.
Nearly 20 other relatives are quarantined at their homes, awaiting test results and praying in isolation, unable to join together to mourn their deep collective loss. Friends are doing what they can from afar.Nearly 20 other relatives are quarantined at their homes, awaiting test results and praying in isolation, unable to join together to mourn their deep collective loss. Friends are doing what they can from afar.
“If they’re not on a respirator, they’re quarantined,” Ms. Paradiso Fodera said.“If they’re not on a respirator, they’re quarantined,” Ms. Paradiso Fodera said.
“It is so pitiful,” she added. “They can’t even mourn the way you would.”“It is so pitiful,” she added. “They can’t even mourn the way you would.”
As of Thursday afternoon, nine New Jersey residents had died after contracting the virus, which has infected at least 742 people statewide.As of Thursday afternoon, nine New Jersey residents had died after contracting the virus, which has infected at least 742 people statewide.
Nationwide, at least 10,822 people across every state, plus Washington, D.C., and three U.S. territories, have tested positive for coronavirus, and at least 172 have died, according to a New York Times database.Nationwide, at least 10,822 people across every state, plus Washington, D.C., and three U.S. territories, have tested positive for coronavirus, and at least 172 have died, according to a New York Times database.
But the virus’s devastating toll on a single family is considered as rare as it is perplexing.But the virus’s devastating toll on a single family is considered as rare as it is perplexing.
The state’s health commissioner, Judith M. Persichilli, has said Ms. Fusco-Jackson had no underlying health problems.The state’s health commissioner, Judith M. Persichilli, has said Ms. Fusco-Jackson had no underlying health problems.
Ms. Paradiso Fodera said the woman’s younger siblings were also in good health before contracting the virus.Ms. Paradiso Fodera said the woman’s younger siblings were also in good health before contracting the virus.
“They’re young and they don’t have any underlying conditions,” Ms. Paradiso Fodera said.“They’re young and they don’t have any underlying conditions,” Ms. Paradiso Fodera said.
It was unclear whether Mrs. Fusco, a heavyset woman, had underlying health problems.It was unclear whether Mrs. Fusco, a heavyset woman, had underlying health problems.
She and four of her children were being treated at CentraState Medical Center in Freehold, about an hour south of Manhattan, relatives said. Mr. Fusco died at a Pennsylvania hospital near his home, Ms. Paradiso Fodera said.She and four of her children were being treated at CentraState Medical Center in Freehold, about an hour south of Manhattan, relatives said. Mr. Fusco died at a Pennsylvania hospital near his home, Ms. Paradiso Fodera said.
The family has deep ties to the horse-racing industry near Freehold Raceway. Some trained horses. Others raced them. The children’s father, Vincenzo L. Fusco, did both, according to his obituary.The family has deep ties to the horse-racing industry near Freehold Raceway. Some trained horses. Others raced them. The children’s father, Vincenzo L. Fusco, did both, according to his obituary.
A person who had contact with a man who died in New Jersey on March 10, becoming the state’s first coronavirus-related fatality, had attended a recent Fusco family gathering, Ms. Persichilli has said.A person who had contact with a man who died in New Jersey on March 10, becoming the state’s first coronavirus-related fatality, had attended a recent Fusco family gathering, Ms. Persichilli has said.
The first New Jersey man to die has been identified by a close friend and the harness track where he worked, Yonkers Raceway, as John Brennan.The first New Jersey man to die has been identified by a close friend and the harness track where he worked, Yonkers Raceway, as John Brennan.
Ms. Paradiso Fodera said the gathering was a routine Tuesday dinner.Ms. Paradiso Fodera said the gathering was a routine Tuesday dinner.
“A party to most people was a regular dinner to them,” she said before counting names on a family tree that listed 27 grandchildren.“A party to most people was a regular dinner to them,” she said before counting names on a family tree that listed 27 grandchildren.
The gathering on March 3 is believed to be the source of the virus, and information about the number of people infected there led to a new intensity in Ms. Persichilli’s warnings over the weekend against even small get-togethers with friends or relatives.The gathering on March 3 is believed to be the source of the virus, and information about the number of people infected there led to a new intensity in Ms. Persichilli’s warnings over the weekend against even small get-togethers with friends or relatives.
“I cannot emphasize enough how important it is to take personal responsibility and to avoid even small gatherings,” Ms. Persichilli said during a briefing for reporters on Sunday.“I cannot emphasize enough how important it is to take personal responsibility and to avoid even small gatherings,” Ms. Persichilli said during a briefing for reporters on Sunday.
Dr. James Matera, chief medical officer of CentraState Medical Center, said he had discussed the uniqueness of treating so many members of the same family with the state’s health commissioner and officials at the Centers for Disease Control and Prevention.Dr. James Matera, chief medical officer of CentraState Medical Center, said he had discussed the uniqueness of treating so many members of the same family with the state’s health commissioner and officials at the Centers for Disease Control and Prevention.
He said officials are in the process of evaluating the patients’ medical histories to look for clues about why the disease might have progressed so rapidly, and been so potent.He said officials are in the process of evaluating the patients’ medical histories to look for clues about why the disease might have progressed so rapidly, and been so potent.
“I don’t know if it’s a strain thing,” Dr. Matera said. “I would consider these particular people to be unusual.”“I don’t know if it’s a strain thing,” Dr. Matera said. “I would consider these particular people to be unusual.”
Ms. Fusco-Jackson died a day before her test for coronavirus came back positive on Saturday evening.Ms. Fusco-Jackson died a day before her test for coronavirus came back positive on Saturday evening.
Her relatives are urging officials at CentraState or the C.D.C. to conduct an autopsy to learn more about how the virus killed Ms. Fusco-Jackson. She had been in good health, they said, and taught religious education classes at the Roman Catholic church where many members of the large extended family worshiped, St. Robert Bellarmine in Freehold.Her relatives are urging officials at CentraState or the C.D.C. to conduct an autopsy to learn more about how the virus killed Ms. Fusco-Jackson. She had been in good health, they said, and taught religious education classes at the Roman Catholic church where many members of the large extended family worshiped, St. Robert Bellarmine in Freehold.
Ms. Fusco-Jackson, a mother of three, also sang in the choir, coordinated parish weddings and volunteered in the church’s gardening club, the pastor, Msgr. Sam Sirianni, said.Ms. Fusco-Jackson, a mother of three, also sang in the choir, coordinated parish weddings and volunteered in the church’s gardening club, the pastor, Msgr. Sam Sirianni, said.
Updated June 1, 2020 Updated June 2, 2020
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.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.
Yes, but make sure you keep six feet of distance between you and people who don’t live in your home. Even if you just hang out in a park, rather than go for a jog or a walk, getting some fresh air, and hopefully sunshine, is a good idea.
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.
Charity Navigator, which evaluates charities using a numbers-based system, has a running list of nonprofits working in communities affected by the outbreak. You can give blood through the American Red Cross, and World Central Kitchen has stepped in to distribute meals in major cities.
She had attended a retreat for students preparing for the sacrament of confirmation on Feb. 29, but her contact with participants was minimal, the church said on Facebook.She had attended a retreat for students preparing for the sacrament of confirmation on Feb. 29, but her contact with participants was minimal, the church said on Facebook.
“I can’t tell you enough about her,” Monsignor Sirianni said on Wednesday in an interview. “She was always willing to assist and to lead.”“I can’t tell you enough about her,” Monsignor Sirianni said on Wednesday in an interview. “She was always willing to assist and to lead.”
The family was among the founding members of the church, he added.The family was among the founding members of the church, he added.
“Until this virus came, they were still the family that would gather for Sunday dinner,” Monsignor Sirianni said. “If grandma was there, everybody came.”“Until this virus came, they were still the family that would gather for Sunday dinner,” Monsignor Sirianni said. “If grandma was there, everybody came.”
The church has since been deep-cleaned, and Monsignor Sirianni, like all members of the parish staff, is operating under quarantine based on possible exposure.The church has since been deep-cleaned, and Monsignor Sirianni, like all members of the parish staff, is operating under quarantine based on possible exposure.
“It means I turn to the Lord even more,” Monsignor Sirianni said. “What came to mind last week was. ‘Lord save your people.’ And that’s been one of my mantras when I go to pray.”“It means I turn to the Lord even more,” Monsignor Sirianni said. “What came to mind last week was. ‘Lord save your people.’ And that’s been one of my mantras when I go to pray.”
He said he was struggling to come to terms with being unable to visit the sick at CentraState.He said he was struggling to come to terms with being unable to visit the sick at CentraState.
In addition to those who have tested positive for coronavirus at CentraState, a midsize hospital that operates as a nonprofit, 27 community members who have been tested for the virus but are awaiting results are hospitalized as their cases remain under investigation, Dr. Matera said on Wednesday.In addition to those who have tested positive for coronavirus at CentraState, a midsize hospital that operates as a nonprofit, 27 community members who have been tested for the virus but are awaiting results are hospitalized as their cases remain under investigation, Dr. Matera said on Wednesday.
He said the lengthy turnaround time for test results leaves patients in the dark and burdens the hospital’s limited resources. Patients who might ultimately test negative for coronavirus, and be healthy enough to leave the hospital, are instead being kept in isolation.He said the lengthy turnaround time for test results leaves patients in the dark and burdens the hospital’s limited resources. Patients who might ultimately test negative for coronavirus, and be healthy enough to leave the hospital, are instead being kept in isolation.
If tests were returned more quickly, more patients could be discharged.If tests were returned more quickly, more patients could be discharged.
“That opens up beds,” Dr. Matera said. “It lowers the anxiety of the staff.”“That opens up beds,” Dr. Matera said. “It lowers the anxiety of the staff.”
Ms. Fusco-Jackson’s relatives also believe that speedier test results could have made a difference in her care.Ms. Fusco-Jackson’s relatives also believe that speedier test results could have made a difference in her care.
“They didn’t treat her as a confirmed case because everything is so delayed,” Ms. Paradiso Fodera said. “It’s a big bureaucracy. The testing result time is important.”“They didn’t treat her as a confirmed case because everything is so delayed,” Ms. Paradiso Fodera said. “It’s a big bureaucracy. The testing result time is important.”
Susan C. Beachy contributed research.Susan C. Beachy contributed research.