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Screenings Were Porous as Trump Spurred Exodus From Virus Hot Spots Screenings Were Porous as Trump Spurred Exodus From Virus Hot Spots
(7 days later)
WASHINGTON — President Trump’s go-to defense of his early response to the coronavirus is his decision to close down travel from China, the virus’s original epicenter, and then from ravaged Europe.WASHINGTON — President Trump’s go-to defense of his early response to the coronavirus is his decision to close down travel from China, the virus’s original epicenter, and then from ravaged Europe.
But those hasty decisions led to exoduses of American citizens, with packed, chaotic airports and, according to a new congressional report, porous screenings for passengers who could have been bringing the coronavirus home with them.But those hasty decisions led to exoduses of American citizens, with packed, chaotic airports and, according to a new congressional report, porous screenings for passengers who could have been bringing the coronavirus home with them.
Medical officials on contract from the Department of Homeland Security checked the temperature of just 10 percent of more than 250,000 travelers at U.S. airports arriving from travel-restricted countries during a 10-week span from January to March, according to a report released Thursday by the House Oversight and Reform Committee, undercutting one of the centerpieces of Mr. Trump’s argument that his administration responded aggressively to respond to the coronavirus pandemic.Medical officials on contract from the Department of Homeland Security checked the temperature of just 10 percent of more than 250,000 travelers at U.S. airports arriving from travel-restricted countries during a 10-week span from January to March, according to a report released Thursday by the House Oversight and Reform Committee, undercutting one of the centerpieces of Mr. Trump’s argument that his administration responded aggressively to respond to the coronavirus pandemic.
If customs officers noticed symptoms among travelers returning from restricted countries, they referred them to the medical officials on contract stationed at the airport.If customs officers noticed symptoms among travelers returning from restricted countries, they referred them to the medical officials on contract stationed at the airport.
But out of more than 250,000 travelers those medical officials screened, just under 1,500 were given a third screening by Centers for Disease Control and Prevention officials between Jan. 17 and March 29. And C.D.C. officials were the ones primarily determining whether a traveler displaying symptoms needed to be federally quarantined.But out of more than 250,000 travelers those medical officials screened, just under 1,500 were given a third screening by Centers for Disease Control and Prevention officials between Jan. 17 and March 29. And C.D.C. officials were the ones primarily determining whether a traveler displaying symptoms needed to be federally quarantined.
Homeland security officials from the Countering Weapons of Mass Destruction Office told the committee that the informal policy was to check one of every 10 passengers because they “don’t want to slow things down,” according to the report.Homeland security officials from the Countering Weapons of Mass Destruction Office told the committee that the informal policy was to check one of every 10 passengers because they “don’t want to slow things down,” according to the report.
The findings of the report undercut previous statements made by homeland security officials and Mr. Trump, who has pointed to his decision to implement travel restrictions against China, Iran and more than two dozen European countries as evidence that his administration responded aggressively to the pandemic. While Kenneth T. Cuccinelli II, the acting deputy secretary of homeland security, said the screening helped “reduce and delay the biggest peak in the virus,” many American citizens returning to the United States have also reported a lack of screenings.The findings of the report undercut previous statements made by homeland security officials and Mr. Trump, who has pointed to his decision to implement travel restrictions against China, Iran and more than two dozen European countries as evidence that his administration responded aggressively to the pandemic. While Kenneth T. Cuccinelli II, the acting deputy secretary of homeland security, said the screening helped “reduce and delay the biggest peak in the virus,” many American citizens returning to the United States have also reported a lack of screenings.
The release of the report also comes as new evidence emerges that the tidal wave of infections that has killed more than 75,000 Americans came largely from New York City, via travelers from Europe, not China.The release of the report also comes as new evidence emerges that the tidal wave of infections that has killed more than 75,000 Americans came largely from New York City, via travelers from Europe, not China.
“Due to denials and delays, the administration lost critical time it could have used to prepare and build up capacity to mitigate — a capacity we are now struggling to build while the virus wreaks havoc in our hospitals and homes,” said Representative Raja Krishnamoorthi, an Illinois Democrat who is chairman of the House Oversight subcommittee on economic and consumer policy.“Due to denials and delays, the administration lost critical time it could have used to prepare and build up capacity to mitigate — a capacity we are now struggling to build while the virus wreaks havoc in our hospitals and homes,” said Representative Raja Krishnamoorthi, an Illinois Democrat who is chairman of the House Oversight subcommittee on economic and consumer policy.
The Department of Homeland Security did not respond to requests for comment. When pressed over whether his administration responded early enough to combat the pandemic, Mr. Trump has repeatedly pointed to one of his favored topics: border restrictions.The Department of Homeland Security did not respond to requests for comment. When pressed over whether his administration responded early enough to combat the pandemic, Mr. Trump has repeatedly pointed to one of his favored topics: border restrictions.
“I think we’ve made a lot of really good decisions,” Mr. Trump said during a White House briefing last month. “The big decision was closing the border or doing the ban — people coming in from China.”“I think we’ve made a lot of really good decisions,” Mr. Trump said during a White House briefing last month. “The big decision was closing the border or doing the ban — people coming in from China.”
In addition to barring foreigners from China, Iran, the United Kingdom, Ireland and much of Europe, he has also cited the risks of spreading the coronavirus to effectively seal the southwestern border to asylum-seeking migrants. Updated June 22, 2020
More than 16,700 migrants were stopped by border officials in April, according to Customs and Border Protection data released Thursday, down from more than 34,000 in March and a steep decline from last May’s total of 144,116 the highest single monthly total of border arrests in more than a decade. But Customs and Border Protections officers used authority granted to the surgeon general to immediately turn away 14,416 of those migrants last month without the chance to have their claim of fear heard. 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.
Updated June 16, 2020
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.
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.
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.
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.
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.
In addition to barring foreigners from China, Iran, the United Kingdom, Ireland and much of Europe, he has also cited the risks of spreading the coronavirus to effectively seal the southwestern border to asylum-seeking migrants.
More than 16,700 migrants were stopped by border officials in April, according to Customs and Border Protection data released Thursday, down from more than 34,000 in March and a steep decline from last May’s total of 144,116 — the highest single monthly total of border arrests in more than a decade. But Customs and Border Protections officers used authority granted to the surgeon general to immediately turn away 14,416 of those migrants last month without the chance to have their claim of fear heard.
While the administration’s border restrictions have prevented migrants, many fleeing violence and persecution, from entering the United States, the congressional report found that American citizens returning from coronavirus hot spots overseas passed too easily through controls.While the administration’s border restrictions have prevented migrants, many fleeing violence and persecution, from entering the United States, the congressional report found that American citizens returning from coronavirus hot spots overseas passed too easily through controls.
After announcing the barring of foreigners from China in late January, Mr. Trump expanded the travel restrictions to more than two dozen European countries in March. American citizens returning from those countries or South Korea were funneled to 13 designated airports, where they were met by a customs officer, asked questions about their travel and medical history, and could be referred to a screening by a medical official.After announcing the barring of foreigners from China in late January, Mr. Trump expanded the travel restrictions to more than two dozen European countries in March. American citizens returning from those countries or South Korea were funneled to 13 designated airports, where they were met by a customs officer, asked questions about their travel and medical history, and could be referred to a screening by a medical official.
But Mr. Trump’s erroneous announcement from the White House that he would be “suspending all travel from Europe to the United States,” when it only applied to foreigners, sparked a race to return to the U.S. and chaotic crowds at airports. Administration officials “were so focused on getting staffed up” that they did not address the need for social distancing measures before the restrictions were implemented, according to a statement from the oversight committee.But Mr. Trump’s erroneous announcement from the White House that he would be “suspending all travel from Europe to the United States,” when it only applied to foreigners, sparked a race to return to the U.S. and chaotic crowds at airports. Administration officials “were so focused on getting staffed up” that they did not address the need for social distancing measures before the restrictions were implemented, according to a statement from the oversight committee.