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Coronavirus in N.Y.: Toll Soars to Nearly 3,000 as State Pleads for Aid Coronavirus in N.Y.: Toll Soars to Nearly 3,000 as State Pleads for Aid
(7 days later)
New York, the increasingly battered epicenter of the nation’s coronavirus outbreak, on Friday reported its highest number of deaths in a single day, prompting state officials to beg the rest of the United States for assistance and to enact an emergency order designed to stave off medical catastrophe.New York, the increasingly battered epicenter of the nation’s coronavirus outbreak, on Friday reported its highest number of deaths in a single day, prompting state officials to beg the rest of the United States for assistance and to enact an emergency order designed to stave off medical catastrophe.
In the 24 hours through 12 a.m. on Friday, 562 people — or one almost every two-and-a-half minutes — died from the virus in New York State, bringing the total death toll to nearly 3,000, double what it was only three days before. In the same period, 1,427 newly sickened patients poured into the hospitals — another one-day high — although the rate of increase in hospitalizations seemed to stabilize, suggesting that the extreme social-distancing measures put in place last month may have started working.In the 24 hours through 12 a.m. on Friday, 562 people — or one almost every two-and-a-half minutes — died from the virus in New York State, bringing the total death toll to nearly 3,000, double what it was only three days before. In the same period, 1,427 newly sickened patients poured into the hospitals — another one-day high — although the rate of increase in hospitalizations seemed to stabilize, suggesting that the extreme social-distancing measures put in place last month may have started working.
Despite the glimmer of hope, the new statistics were a stark reminder of the gale-force strength of the crisis that is threatening New York, where more than 102,000 people — nearly as many as in Italy and Spain, the hardest-hit European countries — have now tested positive for the virus. The situation, as it has been for weeks, was particularly dire in New York City, where some hospitals have reported running out of body bags and others have begun to plan for the unthinkable prospect of rationing care.Despite the glimmer of hope, the new statistics were a stark reminder of the gale-force strength of the crisis that is threatening New York, where more than 102,000 people — nearly as many as in Italy and Spain, the hardest-hit European countries — have now tested positive for the virus. The situation, as it has been for weeks, was particularly dire in New York City, where some hospitals have reported running out of body bags and others have begun to plan for the unthinkable prospect of rationing care.
“It is hard to put fully into words what we are all grappling with as we navigate our way through this pandemic,” Vicki L. LoPachin, the chief medical officer of the Mount Sinai Health System, wrote in an email to the staff on Friday. “We are healing so many and comforting those we can’t save — one precious life at a time.”“It is hard to put fully into words what we are all grappling with as we navigate our way through this pandemic,” Vicki L. LoPachin, the chief medical officer of the Mount Sinai Health System, wrote in an email to the staff on Friday. “We are healing so many and comforting those we can’t save — one precious life at a time.”
Around the country, the total number of coronavirus cases spiked sharply as of Friday afternoon, exceeding 275,000, with more than 7,000 total deaths. After New York, New Jersey was the state with the highest rate of infection. Globally, more than one million people had been infected and nearly 60,000 had died.Around the country, the total number of coronavirus cases spiked sharply as of Friday afternoon, exceeding 275,000, with more than 7,000 total deaths. After New York, New Jersey was the state with the highest rate of infection. Globally, more than one million people had been infected and nearly 60,000 had died.
Hot spots continued to emerge.Hot spots continued to emerge.
“We continue to watch, in addition, the Chicago area, the Detroit area, and have developing concerns around Colorado, the District of Columbia,” Dr. Deborah Birx, the White House coronavirus response coordinator, said at a daily news briefing on Friday. She added that the government would “move supplies creatively around the country to meet the needs of both the front line health care providers but also every American who needs our support right now.”“We continue to watch, in addition, the Chicago area, the Detroit area, and have developing concerns around Colorado, the District of Columbia,” Dr. Deborah Birx, the White House coronavirus response coordinator, said at a daily news briefing on Friday. She added that the government would “move supplies creatively around the country to meet the needs of both the front line health care providers but also every American who needs our support right now.”
As the inexorable march of contagion in New York continued, Gov. Andrew M. Cuomo issued an impassioned plea to the nation to hurry medical staff and equipment to the state before an expected shortfall of both overwhelmed its already groaning health care system, perhaps as early as next week.As the inexorable march of contagion in New York continued, Gov. Andrew M. Cuomo issued an impassioned plea to the nation to hurry medical staff and equipment to the state before an expected shortfall of both overwhelmed its already groaning health care system, perhaps as early as next week.
Mr. Cuomo, vowing to return the favor, said he would redirect hundreds of lifesaving ventilators and teams of local doctors to other states as soon as the crisis in New York passed its peak.Mr. Cuomo, vowing to return the favor, said he would redirect hundreds of lifesaving ventilators and teams of local doctors to other states as soon as the crisis in New York passed its peak.
But unable to count on reinforcements arriving fast enough, Mr. Cuomo also issued an extraordinary executive order on Friday giving him the power to commandeer ventilators from hospitals in less-affected counties in the state and to redeploy them to hard hit areas in Brooklyn, Queens and Long Island.But unable to count on reinforcements arriving fast enough, Mr. Cuomo also issued an extraordinary executive order on Friday giving him the power to commandeer ventilators from hospitals in less-affected counties in the state and to redeploy them to hard hit areas in Brooklyn, Queens and Long Island.
“I’m not going to let people die because we didn’t redistribute ventilators,” Mr. Cuomo said, adding, “We don’t have enough — period.”“I’m not going to let people die because we didn’t redistribute ventilators,” Mr. Cuomo said, adding, “We don’t have enough — period.”
But Representative Elise Stefanik, a Republican congresswoman who represents a rural district of northern New York, said in a statement that she was “very concerned” about the order.But Representative Elise Stefanik, a Republican congresswoman who represents a rural district of northern New York, said in a statement that she was “very concerned” about the order.
“I represent demographically the largest number of seniors of any district in New York,” she wrote. “This is the most vulnerable age group facing Covid-19 and needs to be considered.”“I represent demographically the largest number of seniors of any district in New York,” she wrote. “This is the most vulnerable age group facing Covid-19 and needs to be considered.”
She and 11 other state and federal Republican officials later issued a joint statement opposing Mr. Cuomo’s action.She and 11 other state and federal Republican officials later issued a joint statement opposing Mr. Cuomo’s action.
As the outbreak entered its second month, New York City in particular hunkered down for what promised to be a long and grueling siege.As the outbreak entered its second month, New York City in particular hunkered down for what promised to be a long and grueling siege.
Earlier in the week, city officials rushed 45 refrigerated trailers to overburdened hospitals where in-house morgues were filling up with bodies. Crematories, under eased restrictions, are now allowed to run around the clock. A special team of 42 military mortuary affairs officers was starting to arrive from Virginia to help the city’s medical examiner.Earlier in the week, city officials rushed 45 refrigerated trailers to overburdened hospitals where in-house morgues were filling up with bodies. Crematories, under eased restrictions, are now allowed to run around the clock. A special team of 42 military mortuary affairs officers was starting to arrive from Virginia to help the city’s medical examiner.
One out of every six police officers in the city had called out sick or was in quarantine, straining the department at the very moment when its 36,000 officers have been asked to enforce new rules intended to slow the spread of infection.One out of every six police officers in the city had called out sick or was in quarantine, straining the department at the very moment when its 36,000 officers have been asked to enforce new rules intended to slow the spread of infection.
To cut back on crowding in emergency rooms, the city’s Fire Department issued new guidelines to thousands of paramedics, telling them not to bring cardiac patients to hospitals unless they were able to find a pulse.To cut back on crowding in emergency rooms, the city’s Fire Department issued new guidelines to thousands of paramedics, telling them not to bring cardiac patients to hospitals unless they were able to find a pulse.
Updated June 24, 2020 Updated June 30, 2020
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.
Scientists around the country have tried to identify everyday materials that do a good job of filtering microscopic particles. In recent tests, HEPA furnace filters scored high, as did vacuum cleaner bags, fabric similar to flannel pajamas and those of 600-count pillowcases. Other materials tested included layered coffee filters and scarves and bandannas. These scored lower, but still captured a small percentage of particles.Scientists around the country have tried to identify everyday materials that do a good job of filtering microscopic particles. In recent tests, HEPA furnace filters scored high, as did vacuum cleaner bags, fabric similar to flannel pajamas and those of 600-count pillowcases. Other materials tested included layered coffee filters and scarves and bandannas. These scored lower, but still captured a small percentage of particles.
A commentary published this month on the website of the British Journal of Sports Medicine points out that covering your face during exercise “comes with issues of potential breathing restriction and discomfort” and requires “balancing benefits versus possible adverse events.” Masks do alter exercise, says Cedric X. Bryant, the president and chief science officer of the American Council on Exercise, a nonprofit organization that funds exercise research and certifies fitness professionals. “In my personal experience,” he says, “heart rates are higher at the same relative intensity when you wear a mask.” Some people also could experience lightheadedness during familiar workouts while masked, says Len Kravitz, a professor of exercise science at the University of New Mexico.A commentary published this month on the website of the British Journal of Sports Medicine points out that covering your face during exercise “comes with issues of potential breathing restriction and discomfort” and requires “balancing benefits versus possible adverse events.” Masks do alter exercise, says Cedric X. Bryant, the president and chief science officer of the American Council on Exercise, a nonprofit organization that funds exercise research and certifies fitness professionals. “In my personal experience,” he says, “heart rates are higher at the same relative intensity when you wear a mask.” Some people also could experience lightheadedness during familiar workouts while masked, says Len Kravitz, a professor of exercise science at the University of New Mexico.
The steroid, dexamethasone, is the first treatment shown to reduce mortality in severely ill patients, according to scientists in Britain. The drug appears to reduce inflammation caused by the immune system, protecting the tissues. In the study, dexamethasone reduced deaths of patients on ventilators by one-third, and deaths of patients on oxygen by one-fifth.The steroid, dexamethasone, is the first treatment shown to reduce mortality in severely ill patients, according to scientists in Britain. The drug appears to reduce inflammation caused by the immune system, protecting the tissues. In the study, dexamethasone reduced deaths of patients on ventilators by one-third, and deaths of patients on oxygen by one-fifth.
The coronavirus emergency relief package gives many American workers paid leave if they need to take time off because of the virus. It gives qualified workers two weeks of paid sick leave if they are ill, quarantined or seeking diagnosis or preventive care for coronavirus, or if they are caring for sick family members. It gives 12 weeks of paid leave to people caring for children whose schools are closed or whose child care provider is unavailable because of the coronavirus. It is the first time the United States has had widespread federally mandated paid leave, and includes people who don’t typically get such benefits, like part-time and gig economy workers. But the measure excludes at least half of private-sector workers, including those at the country’s largest employers, and gives small employers significant leeway to deny leave.The coronavirus emergency relief package gives many American workers paid leave if they need to take time off because of the virus. It gives qualified workers two weeks of paid sick leave if they are ill, quarantined or seeking diagnosis or preventive care for coronavirus, or if they are caring for sick family members. It gives 12 weeks of paid leave to people caring for children whose schools are closed or whose child care provider is unavailable because of the coronavirus. It is the first time the United States has had widespread federally mandated paid leave, and includes people who don’t typically get such benefits, like part-time and gig economy workers. But the measure excludes at least half of private-sector workers, including those at the country’s largest employers, and gives small employers significant leeway to deny leave.
So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement.So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement.
Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks.Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks.
A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study.A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study.
The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nation’s job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April.The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nation’s job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April.
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.)
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.
Mayor Bill de Blasio has been warning that the city was only days away from what he called a “D-Day,” when the outbreak would overwhelm the health care system, putting hundreds, if not thousands, of additional people at risk. In an early morning television appearance on Friday, he made his own appeal to the country, asking for what amounted to a draft for medical personnel.Mayor Bill de Blasio has been warning that the city was only days away from what he called a “D-Day,” when the outbreak would overwhelm the health care system, putting hundreds, if not thousands, of additional people at risk. In an early morning television appearance on Friday, he made his own appeal to the country, asking for what amounted to a draft for medical personnel.
“Unless there is a national effort to enlist doctors, nurses, hospital workers of all kinds and get them where they are needed most in the country in time, I don’t see, honestly, how we’re going to have the professionals we need to get through this crisis,” Mr. de Blasio said.“Unless there is a national effort to enlist doctors, nurses, hospital workers of all kinds and get them where they are needed most in the country in time, I don’t see, honestly, how we’re going to have the professionals we need to get through this crisis,” Mr. de Blasio said.
As the weekend neared, the possibility emerged that the city could finally get relief from the U.S.N.S. Comfort, the Navy hospital ship that arrived in New York to great fanfare on Monday.As the weekend neared, the possibility emerged that the city could finally get relief from the U.S.N.S. Comfort, the Navy hospital ship that arrived in New York to great fanfare on Monday.
Pentagon officials had initially said the ship would treat only non-coronavirus patients in an effort to keep the vessel free from infection. But on Friday, Gen. Mark A. Milley, the chairman of the Joint Chiefs of Staff, said the military was “reassessing” its policy and might allow coronavirus patients aboard the ship.Pentagon officials had initially said the ship would treat only non-coronavirus patients in an effort to keep the vessel free from infection. But on Friday, Gen. Mark A. Milley, the chairman of the Joint Chiefs of Staff, said the military was “reassessing” its policy and might allow coronavirus patients aboard the ship.
General Milley’s comments came after New York hospital executives complained on Thursday that the Comfort was sitting at its berth in New York largely empty while hospitals in the city were overrun.General Milley’s comments came after New York hospital executives complained on Thursday that the Comfort was sitting at its berth in New York largely empty while hospitals in the city were overrun.
In one sign of the strain on hospitals, Lenox Hill Medical Center in Manhattan temporarily experienced a drop in pressure in its oxygen supply on Friday, according to a memo that hospital executives sent to staff members. The cause was apparently the heavy demand.In one sign of the strain on hospitals, Lenox Hill Medical Center in Manhattan temporarily experienced a drop in pressure in its oxygen supply on Friday, according to a memo that hospital executives sent to staff members. The cause was apparently the heavy demand.
To bolster the local health care system, Mr. Cuomo this week enacted an unprecedented plan for all of New York’s hospitals — public and private, upstate and downstate — to work together in a kind of single network. By the end of the week, there were early signs that the effort was working.To bolster the local health care system, Mr. Cuomo this week enacted an unprecedented plan for all of New York’s hospitals — public and private, upstate and downstate — to work together in a kind of single network. By the end of the week, there were early signs that the effort was working.
On Thursday, Woodhull Medical Center, a public hospital in Brooklyn, reached its capacity for treating virus patients and transferred 15 to the Bellevue Medical Center, a public hospital in Manhattan, said Dr. Robert Chin, Woodhull’s emergency department director.On Thursday, Woodhull Medical Center, a public hospital in Brooklyn, reached its capacity for treating virus patients and transferred 15 to the Bellevue Medical Center, a public hospital in Manhattan, said Dr. Robert Chin, Woodhull’s emergency department director.
“So far, we’ve been holding it together,” Dr. Chin said. “Are we ready for what’s coming? I can’t really say — because I don’t know what’s coming.”“So far, we’ve been holding it together,” Dr. Chin said. “Are we ready for what’s coming? I can’t really say — because I don’t know what’s coming.”
Jesse McKinley, William K. Rashbaum, Matt Richtel, Brian Rosenthal, Michael Rothfeld and Ali Watkins contributed reporting.Jesse McKinley, William K. Rashbaum, Matt Richtel, Brian Rosenthal, Michael Rothfeld and Ali Watkins contributed reporting.