Tag Archives: Coronavirus

New York braces for COVID-19 onslaught as state’s dead nears 9/11 toll

By Maria Caspani and Nathan Layne

NEW YORK (Reuters) – New York state has recorded nearly 500 coronavirus-related deaths in a single day, bringing the statewide total to nearly 3,000, or about the same number killed in the Sept. 11, 2001 attacks, Governor Andrew Cuomo said on Friday.

New York City has mere days to prepare for the worst of the novel coronavirus onslaught, the city’s mayor Bill de Blasio said and pleaded for federal government help to end a shortage of medical staff and ventilators.

The city has suffered more than a quarter of U.S. deaths in the outbreak.

“I think somehow in Washington, there’s an assumption (that) there’s weeks to prepare,” de Blasio said on MSNBC. “There’s not weeks anymore. It is days now.”

Emergency Medical Technicians transport a patient into Bronx-Lebanon Hospital during the outbreak of the coronavirus disease (COVID-19) in the Bronx borough of New York City, New York, U.S., April 2, 2020. REUTERS/Brendan Mcdermid

New York state recorded 2,935 fatalities over 24 hours, up from 2,373 a day earlier, Cuomo said. It was the “highest single increase in the number of deaths since we started,” he said.

The Sept. 11 attacks killed nearly 3,000 people, the majority of them at New York City’s World Trade Center.

De Blasio is asking for 1,000 nurses, 150 doctors and 300 respiratory therapists as the number of COVID-19 cases in the city is expected to rise sharply next week.

New York City has yet to receive a resupply for the up to 3,000 ventilators needed by next week, de Blasio said, urging President Donald Trump to mobilize medical personnel from the U.S. military.

“They are not mobilized for action,” de Blasio, a Democrat, told WNYC radio. “The president has to give that order right now.” Trump is a Republican.

More than 25% of the 6,058 U.S. coronavirus deaths tallied by Johns Hopkins University as of Friday morning were in New York City. Infections in the United States totaling 240,000 account for about 24% of the more than 1 million cases worldwide.

“We all know New York is bad but we know the worst is yet to come,” said Naila Shereen, an internal medicine specialist who rotates through various hospitals in New York.

New statistics on Friday confirmed that hundreds of thousands of Americans had lost their jobs because of the pandemic, although economists say the real figure is far more than that because huge swathes of the U.S. economy began shutting down last month to avoid spreading the virus.

‘BLOODLETTING’

U.S. employers cut 701,000 jobs last month, ending a record 113 straight months of employment growth, the Labor Department said. In the last two weeks, nearly 10 million workers have filed for jobless benefits.

“What we are watching in real time is the greatest bloodletting in the American labor market since the Great Depression,” said Joe Brusuelas, chief economist at RSM in Austin, Texas.

While the economic pain is spread across the country, New York is bearing the brunt of the grim march of the coronavirus in terms of cases, sickness and death. The virus causes the flu-like respiratory illness COVID-19 for which there is no vaccine.

“It’s very painful. You see your friends and people you work with, they’re getting sick,” Thomas Riley, a nurse in New York City who recovered after testing positive for the coronavirus, told CNN on Friday.

He said medical staff had very little protective equipment.

“It feels like we’re in a war, we’re soldiers in a war and we’re being sent out without camouflage, without Kevlar. We have no defenses against this and they’re giving us very little,” Riley said.

Cuomo said on Thursday his state’s apex – or the worst point – of the crisis would likely be on the “shorter end” of a projected range of seven to 30 days ahead. Most of the state’s coronavirus-related hospitalizations have been in the New York City area.

There are more than 102,863 coronavirus cases in New York state, up from 92,381 a day earlier, Cuomo said.

Anthony Fauci, a doctor and leading member of Trump’s coronavirus task force, said social distancing is beginning to work even though the United States is still far from over the worst.

“There’s no doubt…the mitigation activities, the physical separation that we’re doing clearly is having a positive impact. You don’t see it dramatically yet… but there’s no doubt that’s its having an effect,” Fauci told Fox News.

“It’s going to get worse – much worse – before it gets better… but it will turn around,” said Fauci, director of the National Institute of Allergy and Infectious Diseases.

He said Americans should cover their face in public but remain isolated as much as possible, adding that face masks must be reserved for medical personnel battling the highly-infectious disease. “This is…an addition to the physical separation, not as a substitute,” Fauci said.

On Thursday, the Trump administration appeared ready to join local officials in advising Americans to wear face coverings in public to help curb the spread of the virus.

Deborah Birx, another member of Trump’s coronavirus task force, said the U.S. Centers for Disease Control and Prevention (CDC) would in coming days add a recommendation on masks to guidelines on protective measures.

New York City’s de Blasio and Los Angeles Mayor Eric Garcetti have both urged residents to cover their faces when near others in public, even if they have no symptoms.

(Reporting by Maria Caspani and Nathan Layne; Additional reporting by Peter Szekely, Lucia Mutikani, Lisa Lambert, Susan Heavey, Steve Holland and Dan Whitcomb; Writing by Alistair Bell; Editing by Frank McGurty and Howard Goller)

Special Report: How the COVID-19 lockdown will take its own toll on health

By M.B. Pell and Benjamin Lesser

NEW YORK (Reuters) – It’s the most dramatic government intervention into our lives since World War II. To fight the coronavirus outbreak, governments across the globe have closed schools, travel and businesses big and small. Many observers have fretted about the economic costs of throwing millions of people out of work and millions of students out of school.

Now, three weeks after the United States and other countries took sweeping suppression steps that could last months or more, some public health specialists are exploring a different consequence of the mass shutdown: the thousands of deaths likely to arise unrelated to the disease itself.

The longer the suppression lasts, history shows, the worse such outcomes will be. A surge of unemployment in 1982 cut the life spans of Americans by a collective two to three million years, researchers found. During the last recession, from 2007-2009, the bleak job market helped spike suicide rates in the United States and Europe, claiming the lives of 10,000 more people than prior to the downturn. This time, such effects could be even deeper in the weeks, months and years ahead if, as many business and political leaders are warning, the economy crashes and unemployment skyrockets to historic levels.

Already, there are reports that isolation measures are triggering more domestic violence in some areas. Prolonged school closings are preventing special needs children from receiving treatment and could presage a rise in dropouts and delinquency. Public health centers will lose funding, causing a decline in their services and the health of their communities. A surge in unemployment to 20% – a forecast now common in Western economies – could cause an additional 20,000 suicides in Europe and the United States among those out of work or entering a near-empty job market.

None of this is to downplay the chilling death toll COVID-19 threatens, or to suggest governments shouldn’t aggressively respond to the crisis.

A recent report by researchers from Imperial College London helped set the global lockdown in motion, contending that coronavirus could kill 2 million Americans and 500,000 people in Great Britain unless governments rapidly deployed severe social distancing measures. To truly work, the report said, the suppression effort would need to last, perhaps in an on-again, off-again fashion, for up to 18 months.

In the United States, the White House this week said the final toll could rise to 240,000 dead. States have responded to the dire warnings, and the escalating number of cases revealed each day, by extending stay-at-home shutdowns.

The medical battle against COVID-19 is developing so rapidly that no one knows how it will play out or what the final casualty count will be. But researchers say history shows that responses to a deep and long economic shock, coupled with social distancing, will trigger health impacts of their own, over the short, mid and long term.

Here is a look at some.

SHORT TERM CONSEQUENCES

Domestic Violence

Trapped at home with their abusers, some domestic violence victims are already experiencing more frequent and extreme violence, said Katie Ray-Jones, the chief executive officer of the National Domestic Violence Hotline.

Domestic violence programs across the country have cited increases in calls for help, news accounts reported – from Cincinnati to Nashville, Portland, Salt Lake City and statewide in Virginia and Arizona. The YWCA of Northern New Jersey, in another example, told Reuters its domestic violence calls have risen up to 24%.

“There are special populations that are going to have impacts that go way beyond COVID-19,” said Ray-Jones, citing domestic violence victims as one.

Vulnerable Students

Students, parents and teachers all face challenges adjusting to remote learning, as schools nationwide have been closed and online learning has begun.

Some experts are concerned that students at home, especially those living in unstable environments or poverty, will miss more assignments. High school students who miss at least three days a month are seven times more likely to drop out before graduating and, as a result, live nine years less than their peers, according to a Robert Wood Johnson Foundation report.

Among the most vulnerable: the more than 6 million special education students across the United States. Without rigorous schooling and therapy, these students face a lifetime of challenges.

Special needs students “benefit the most from highly structured and customized special education,” said Sharon Vaughn, executive director of the The Meadows Center for Preventing Educational Risk at the University of Texas. “This means that they are the group that are most likely to be significantly impacted by not attending school both in the short and long term.”

In New Jersey, Matawan’s Megan Gutierrez has been overwhelmed with teaching and therapy duties for her two nonverbal autistic sons, eight and 10. She’s worried the boys, who normally work with a team of therapists and teachers, will regress. “For me, keeping those communications skills is huge, because if they don’t, that can lead to behavioral issues where they get frustrated because they can’t communicate,” Gutierrez said.

MEDIUM TERM CONSEQUENCES

Soaring Suicides

In Europe and the United States, suicide rates rise about 1% for every one percentage point increase in unemployment, according to research published by lead author Aaron Reeves from Oxford University. During the last recession, when the unemployment in the United States peaked at 10%, the suicide rate jumped, resulting in 4,750 more deaths. If the unemployment rate increases to 20%, the toll could well rise.

“Sadly, I think there is a good chance we could see twice as many suicides over the next 24 months than we saw during the early part of the last recession,” Reeves told Reuters. That would be about 20,000 additional dead by suicide in the United States and Europe.

Less than three weeks after extreme suppression measures began in the United States, unemployment claims rose by nearly 10 million. Treasury Secretary Steven Mnuchin warned the rate could reach 20% and Federal Reserve economists predicted as high as 32%. Europe faces similarly dire forecasts.

Some researchers caution that suicide rates might not spike so high. The conventional wisdom is that more people will kill themselves amid skyrocketing unemployment, but communities could rally around a national effort to defeat COVID-19 and the rates may not rise, said Anne Case, who researches health economics at Princeton University. “Suicide is hard to predict even in the absence of a crisis of Biblical proportions,” Case said.

This week, the Air Force Academy in Colorado Springs, Colorado, relaxed its strict social isolation policies after the apparent suicides of two cadet seniors in late March, The Gazette, a Colorado Springs newspaper, reported. While juniors, sophomores and freshmen had been sent home, the college seniors were kept isolated in dorms, and some had complained of a prison-like setting. Now, the seniors will be able to leave campus for drive-thru food and congregate in small groups per state guidelines.

Public Health Crippled

Local health departments run programs that treat chronic diseases such as diabetes. They also help prevent childhood lead poisoning and stem the spread of the flu, tuberculosis and rabies. A severe loss of property and sales tax revenue following a wave of business failures will likely cripple these health departments, said Adriane Casalotti, chief of government affairs with the National Association of County and City Health Officials, a nonprofit focused on public health.

After the 2008 recession, local health departments in the U.S. lost 23,000 positions as more than half experienced budget cuts. While it’s become popular to warn against placing economic concerns over health, Casalotti said that, on the front lines of public health, the two are inexorably linked. “What are you going to do when you have no tax base to pull from?” she asked.

Carol Moehrle, director of a public health department that serves five counties in northern Idaho, said her office lost about 40 of its 90 employees amid the last recession. The department had to cut a family planning program that provided birth control to women below the poverty line and a program that tested for and treated sexually transmitted diseases. She worries a depression will cause more harm.

“I honestly don’t think we could be much leaner and still be viable, which is a scary thing to think about,” Moehrle said.

LONG TERM CONSEQUENCES

Job-loss Mortality

Rises in unemployment during large recessions can set in motion a domino effect of reduced income, additional stress and unhealthy lifestyles. Those setbacks in income and health often mean people die earlier, said Till von Wachter, a University of California Los Angeles professor who researches the impact of job loss. Von Wachter said his research of past surges in unemployment suggests displaced workers could lose, on average, a year and a half of lifespan. If the jobless rate rises to 20%, this could translate into 48 million years of lost human life.

Von Wachter cites measures he believes could mitigate the effects of unemployment. The Coronavirus Aid, Relief, and Economic Security Act approved by the White House last week includes emergency loans to businesses and a short-time compensation program that could encourage employers to keep employees on the payroll.

Young People Suffer

Young adults entering the job market during the coronavirus suppression may pay an especially high price over the long term.

First-time job hunters seeking work during periods of high unemployment live shorter and unhealthier lives, research shows. An extended freeze of the economy could shorten the lifespan of 6.4 million Americans entering the job market by an average of about two years, said Hannes Schwandt, a health economics researcher at Northwestern University, who conducted the study with von Wachter. This would be 12.8 million years of life lost.

Thousands of college graduates will enter a job market at a time global business is frozen. Jason Gustave, a senior at William Paterson University in New Jersey who will be the first in his family to graduate from college, had a job in physical therapy lined up. Now his licensure exam is postponed and the earliest he could start work is September.

“It all depends on where the economy goes,” he said. “Is there a position still available?”

WHAT COMES NEXT

In the weeks ahead, a clearer picture of the disease’s devastation will come into focus, and governments and health specialists will base their fatality estimates on a stronger factual grounding.

As they do, some public health experts say, the government should weigh the costs of the suppression measures taken and consider recalibrating, if necessary.

Dr. Jay Bhattacharya, who researches health policy at Stanford University, said he worries governments worldwide have not yet fully considered the long term health impacts of the impending economic calamity. The coronavirus can kill, he said, but a global depression will, as well. Bhattacharya is among those urging government leaders to carefully consider the complete shutdown of businesses and schools.

“Depressions are deadly for people, poor people especially,” he said.

(Reporting in New York by M.B. Pell and Benjamin Lesser. Data editing by Janet Roberts. Editing by Ronnie Greene)

Sweden’s liberal pandemic strategy questioned as Stockholm death toll mounts

By Johan Ahlander and Philip O’Connor

STOCKHOLM (Reuters) – A spike in novel coronavirus infections and deaths in Stockholm has raised questions about Sweden’s decision to fight the outbreak without resorting to the lockdowns that have left much of Europe at a standstill.

Governments across Europe have closed schools and taken draconian measures to limit exposure to possible carriers with Germany for example enforcing bans on more than two people meeting in public.

Among Sweden’s Nordic neighbours, Denmark has closed its borders and shut its schools, as has Norway, while Finland has isolated its main urban region.

Yet Swedes are able to go to restaurants, get a haircut and send their children to school even as the number of confirmed cases and deaths have mounted, above all in Stockholm which accounts for more than half the fatalities.

An analysis of smartphone location data showed that while visits to public places has fallen steeply in most European countries, Sweden is bucking the trend.

But Sweden’s liberal approach, which aims to minimise disruption to social and economic life, is coming under fire as the epidemic spreads in the capital.

“We don’t have a choice, we have to close Stockholm right now,” Cecilia Soderberg-Naucler, Professor of Microbial Pathogenesis at the Karolinska Institute, told Reuters.

She is one of around 2,300 academics who signed an open letter to the government at the end of last month calling for tougher measures to protect the healthcare system.

“We must establish control over the situation, we cannot head in to a situation where we get complete chaos. No one has tried this route, so why should we test it first in Sweden, without informed consent?” she said.

Sweden reported 612 new cases on Friday, bringing the total to around 6,000. The death toll has reached 333, with fatalities now running at about 25-30 a day, according to the Swedish Health Agency.

A STORM IN STOCKHOLM

There are growing signs the virus is spreading at elderly care homes, again mainly in the capital, where some staff at hospitals and nursing homes have publicly warned of a lack of protective equipment such as masks.

Facing what a local official has called “a storm” of COVID-19 cases, Stockholm has opened a field hospital at a convention complex south of the city centre and called on anyone with medical training to help care for the sick.

At a news conference this week centre-left Prime Minister Stefan Lofven fielded questions over whether the rising number of cases at Sweden’s nursing homes was evidence of a failing strategy.

“I don’t think it is a sign of that. This is what things look like around Europe,” he said. “We have said all along that things will get worse before they get better.”

Sweden has focused on isolating and treating the sick rather than closing down swathes of society.

Gatherings of more than 50 people have been banned, high schools and universities have moved teaching online and people have been told not to take unnecessary trips, all quite low-key measures in a European context.

The public face of Sweden’s pandemic fight, Health Agency Chief Epidemiologist Anders Tegnell, only months ago a little known civil servant but now rivalling the prime minister for publicity, has questioned how effectively lockdowns can be enforced over time.

“It is important to have a policy that can be sustained over a longer period, meaning staying home if you are sick, which is our message,” said Tegnell, who has received both threats and fan mail over the country’s handling of the crisis.

“Locking people up at home won’t work in the longer term,” he said. “Sooner or later people are going to go out anyway.”

(Additional reporting by Simon Johnson; Editing by Niklas Pollard and Giles Elgood)

3M to make more face masks, ramp up imports to U.S. after Trump order

3M to make more face masks, ramp up imports to U.S. after Trump order
(Reuters) – 3M Co said on Friday it would increase the production of respirators and import more masks into the United States, after President Donald Trump invoked a law to help ease a shortage in the items needed to protect health staff against the coronavirus.

The company said it will work closely with the Federal Emergency Management Agency to prioritize orders for the masks.

Trump slammed 3M in a tweet late on Thursday after earlier announcing he was invoking the Defense Production Act to get the company to produce face masks.

The Defense Production Act, which was passed in 1950, grants the president the power to expand industrial production of key materials or products for national security and other reasons.

U.S. trade adviser Peter Navarro said that the government had some issues making sure that enough of the masks produced by 3M around the world were coming back to the United States.

“The narrative that we aren’t doing everything we can as a company is just not true,” 3M Chief Executive Officer Mike Roman told CNBC television in an interview on Friday.

3M said on Friday it has secured China’s approval to export to the U.S. 10 million N-95 respirators manufactured by the company in China.

(Reporting by Ankit Ajmera in Bengaluru; Editing by Devika Syamnath)

With over a million coronavirus cases, economic freefall looms

By Cate Cadell and Lisa Shumaker

BEIJING/NEW YORK (Reuters) – Global cases of the new coronavirus have shot past 1 million with more than 53,000 fatalities, a Reuters tally showed on Friday, as death tolls soared in the United States and western Europe while the world economy nosedived.

In the space of just 24 hours, 6,095 infected people died – nearly twice the total number of deaths in China, where the virus and COVID-19, the disease it causes, originated.

Atop the grim tally of officially reported data are Italy, with 13,915 deaths, and Spain, with 10,935. But the United States is becoming the new epicentre, with 243,635 cases – by far the most of any nation – and 5,887 deaths.

In China, where draconian containment measures stabilised the epidemic, coronavirus “martyrs” will be mourned on Saturday with a three-minute silence.

Though the official figures are shocking enough, health experts and even some governments acknowledge they do not capture the full spread. The virus mostly goes undetected in people with minor symptoms or none at all.

With airlines largely grounded, businesses closed, layoffs mounting and millions of people under lockdown, the economic fallout is set to be worse than the 2008 financial crisis.

Rather, comparisons are being drawn with such traumatic periods as World War Two or the 1930s global Depression.

ECONOMIES IN FREEFALL

Morgan Stanley predicted that the U.S. economy, the world’s biggest, would shrink 5.5% this year, the steepest drop since 1946, despite an unprecedented aid package. An eye-watering 38% contraction is predicted for the second quarter.

The bank said Britain was heading for a slump that could be worse in the short term than the 1930s.

Global stocks slipped, but then recovered as Wall Street headed into positive territory in morning trade.

Morgues and hospitals in New York City were struggling to treat or even bury victims of the virus, and state governor Andrew Cuomo predicted similar misery for the rest of the country.

Staff at one medical centre in Brooklyn were seen disposing of gowns and caps in a sidewalk trash can after loading bodies into a refrigerated truck.

After initially playing down the crisis, U.S. President Donald Trump’s administration was set to advise Americans to wear masks if venturing out.

Spain and Italy were also counting their daily dead, but prayed they were plateauing as data at least showed a slowdown in daily increases.

Some 900,000 Spanish workers have lost their jobs. Double that number have done so in Turkey, the opposition said.

Britain, accused by the opposition of being slow to respond to the threat of the virus, unveiled a hospital installed in an exhibition centre in under two weeks to provide thousands of extra beds, and promised a tenfold increase in testing.

But Prime Minister Boris Johnson’s extended self-isolation, after testing positive, was a reminder of the risk.

In a video message from Downing Street, he said he still had fever.

In France, the government did something that was shunned even in wartime, cancelling the end-of-high-school “baccalaureat” exam for the first time since its inception in 1808 under Napoleon Bonaparte.

DISASTER FOR DEVELOPING WORLD

While prosperous nations reel, there are fears of potentially far worse impact in places already struggling with poverty, insecurity and weak health systems.

In Iraq, three doctors and two officials said there were thousands of cases, many times more than publicly reported.

In India, many poor labourers were desperate, and hungry, after losing jobs in a lockdown ordered at four hours’ notice by Prime Minister Narendra Modi.

“I’m very sure that he works only for the big people and not for a man like me,” said former Modi supporter Ravi Prasad Gupta, laid off from a pipe plant.

Aware that religious gatherings have in some parts aided the virus’s spread, both Pakistan and Bangladesh sought to stop people going to mosques for Friday prayers, while Saudi Arabia imposed a curfew in the holy cities of Mecca and Medina.

Though there was little cause for cheer anywhere, one positive offshoot of the crisis has been a massive drop in atmospheric pollution. One expert said carbon dioxide emissions could fall this year by the largest amount since World War Two.

New Google data from mobile phones in 131 countries showed huge changes in human behaviour as people are told to stay home and businesses shut. For example, in Italy and Spain, visits to retail and recreation locations including restaurants and cinemas plunged 94% in March.

But authorities are still nervous about public criticism in many places, not only authoritarian states.

The U.S. Navy relieved the captain of the aircraft carrier Theodore Roosevelt of his command on Thursday, punishing him for the leak of a scathing letter to superiors seeking stronger measures to a curb a coronavirus on board.

(Reporting by Reuters bureaux worldwide; Writing by Daniel Wallis and Andrew Cawthorne; Editing by Howard Goller and Kevin Liffey)

Why is New Orleans’ coronavirus death rate nearly three times New York’s? Obesity is a factor

By Brad Brooks

(Reuters) – The coronavirus has been a far deadlier threat in New Orleans than the rest of the United States, with a per-capita death rate almost three times that of New York City. Doctors, public health officials and available data say the Big Easy’s high levels of obesity and related ailments may be part of the problem.

“We’re just sicker,” said Rebekah Gee, who until January was the health secretary for Louisiana and now heads Louisiana State University’s healthcare services division. “We already had tremendous healthcare disparities before this pandemic – one can only imagine they are being amplified now.”

Along with New York and Seattle, New Orleans has emerged as one of the early U.S. hot spots for the coronavirus, making it a national test case for how to control and treat the disease it causes. Chief among the concerns raised by doctors working in the Louisiana city is the death rate, which is close to three times that of New York and over four times that of Seattle, based on publicly reported data.

New Orleans residents suffer from obesity, diabetes and hypertension at rates higher than the national average, conditions that doctors and public health officials say can make patients more vulnerable to COVID-19, the highly contagious respiratory disease caused by the coronavirus.

Some 97% of those killed by COVID-19 in Louisiana had a pre-existing condition, according to the state health department. Diabetes was seen in 40% of the deaths, obesity in 25%, chronic kidney disease in 23% and cardiac problems in 21%.

Orleans Parish, which encompasses the city, reported 115 deaths as of Wednesday, giving it 29.5 coronavirus deaths per 100,000 people. That rate for New York City was at 10.8 on Wednesday.

New Orleans could be a harbinger for the potential toll the pandemic could take in other parts of the South and Midwest that also have high rates of obesity, diabetes, and hypertension.

A host of other factors could contribute to New Orleans’ high death rate from COVID-19, ranging from access to healthcare and hospital quality, to the prevalence of other conditions, including lung disease, health officials say.

But they also note that it is clear that obesity-related conditions are playing a role in the deaths. That could be a warning sign for the United States at large, where chronic obesity is more common than in other developed countries, they said.

Hospitals are reporting cases across the generations -mothers and daughters, fathers and sons – being intubated and cared for in the same intensive care units, said Tracey Moffatt, the chief nursing officer at Ochsner Health, the largest healthcare provider in Louisiana. The prevalence of obesity, diabetes, hypertension and heart disease in New Orleans and Louisiana plays into that, she said.

Those family members often suffered from the same medical conditions before becoming sick, leaving them similarly vulnerable to the coronavirus despite their age gaps.

“We had a case where a mom was already in the ICU and the daughter, who was obese, came in,” she said. “The daughter asked staff to wheel her by her mom’s room so she could say goodbye before she herself was intubated. We knew the mother was going to pass away.”

Both patients suffered from obesity.

‘MORE VULNERABLE’

The Centers for Disease Control and Prevention this week released for the first time a report showing that 78% of COVID-19 patients in ICUs in the United States had an underlying health condition, including diabetes, cardiovascular disease and chronic lung disease.

The CDC report was based on a sample of under 6% of reported coronavirus infections, but doctors in Louisiana said it was consistent with what they are seeing, and it is in line with what other countries like Italy and China have faced.

Those percentages, said Dr. Joseph Kanter, an emergency department doctor and the top public health official in New Orleans, are likely similar in cities across the United States.

“What we worry about here is that we have more people in our communities with those conditions,” he said. “We’re more vulnerable than other communities, and the number of deaths we’ve seen illustrates that.”

The New Orleans metropolitan statistical area ranks among the worst in the United States for the percentage of residents with diabetes, high blood pressure and obesity, a Reuters analysis of CDC data shows. An estimated 39% have high blood pressure, 36% are obese and about 15% have diabetes.

Nationally, the median is 32% with high blood pressure, 31% obese and 11% with diabetes.

“The burden of disease in Louisiana and the Deep South is higher than in the rest of the country,” said Gee. “Invariably that means that the South is going to be hard hit by this.”

(This story corrects headline, paragraphs 1 and 3 to reflect actual death toll of Orleans Parish of 115 deaths; Inserts new paragraph 6 with breakdown of figures.)

(Reporting by Brad Brooks in Austin, Texas, additional reporting by Ryan McNeill in London; Editing by Scott Malone, Rosalba O’Brien and Dan Grebler)

How quarantine in my childhood home brought my family closer

By Nora Savosnick

OSLO, Norway (Reuters) – When President Trump announced the ban on travel from Europe last month, I was more than 3,000 miles away from my Norwegian childhood home, a 24-year-old photographer creating a life of my own in New York City.

I had to start thinking about whether I would risk my U.S. work visa – and my newfound freedom – to go home for nationalized health care and, most of all, to see my family. My mum recovered from cancer a few years ago: What if I couldn’t see her if she became sick again?

That evening I went on a first date to a trendy and still-crowded New York City restaurant. We said goodbye with a wave after applying hand sanitizer. As I eagerly awaited the after-text to see if he was into me, he sent me a message to go home to Norway while I still had the chance.

The next morning my parents called. “I want you to be here in case you should be sick,” said my mum, Chava Savosnick. “It’s kind of scary to have my daughter on the other side of the world in these times.”

In a panic, I bought a ticket back to Norway. I braced myself for a return to childhood, quarantined in my parents’ basement.

The basement looks the same as it did when I was 16, drinking my first few sips of hard cider with my friend Elena. The same books, the same movies, the same sofa bed. It felt comforting and a little claustrophobic at the same time.

So far, my mum hasn’t caught me drinking – or even snagging a scoop of forbidden ice cream. My childhood had very few sugary treats. As an adult rebelling against those childhood restrictions, I’d buy at least three Ben and Jerry’s pints a week.

Now, because I had to be in quarantine for two weeks after my arrival from America, my parents were in total control of my diet. I was rationed on the number of days I can fry my breakfast or have even a single egg. My mum is worried about my cholesterol and potential for high blood pressure.

I’ve learned that my 60-something parents are healthier than me. My mum walks as fast as a New Yorker, uses weights, and exercises every day. My dad, Mats Haraldsson, rides his bike for hours as a warm-up to his fitness regimen. He’s an amateur lumberjack who still chops his own wood for the fireplace. It’s how he heats our home. I probably will never live up to their fitness lifestyle, but I should take more yoga classes.

This time of enforced togetherness has been a time of discoveries – of differences, but also of finding common ground that we might have forgotten about, or never even known before.

In my bedroom there’s a giant photograph of a tree that my father took when he was young. When I was a child, it had hung in the room where I slept when we visited my grandmother, so I’ve known it my whole life. When I went to art school, my father gave me the camera he used to take the photo.

I never pieced it together before living in quarantine, but my dad helped inspire my love of photography. He thought about being a professional photographer, but he was worried about if he could make a living at it. He’s very security-minded.

“I didn’t think I had the skills to take it to a professional level, but it was something I enjoyed for a few years,” he says.

Now, during the quarantine, I’ve inspired him to pick up his camera again.

As my mum says: “How you look at the quarantine is your choice. You can look at the quarantine as a problem, or you can look at the quarantine as something that gives you two weeks to be with yourself, to think about things, and to develop things which you have no time for otherwise.”

One night during my quarantine, we sat down and interviewed each other about what this time has meant to us, and to the world at large. We’d never done anything like that before, and it was fun and sometimes moving.

My mother said it was hard to keep her distance from me when I arrived home.

“When you came from New York, you know, the natural thing for me is to go forward to you and kiss you and hug you, you know, my little girl,” she said. But even though we couldn’t touch, “it’s nice to, you know, have this feeling of having you close to me.”

My dad said he was glad I was home. “We have to gather in these days,” he said.

We talked about what we were most worried about. For me, it’s my mum. She’s in a higher-risk category, and she’s been coughing. I’m afraid that without showing any symptoms, I’ve brought the disease with me from New York.

My mum fears getting ill, but she also worries about her country and the world as a whole.

“I’m a bit worried about how this is going to develop. Yes, not only because I’m in the risk group, but for the whole society. What’s going to happen?” she said. “What kind of a Norway will this be when the virus is over or if it will be over?

“I am scared that it should get up the worst in people. And I hope it will take up the best in people.”

We looked for the blessings in this time we never wanted or expected.

“There have been many plagues in the history of humanity, and we have always continued in one way or another,” my dad said. “Maybe it will put us back to enjoy today because we don’t know so much about tomorrow.”

My mum, who knows something about not taking life for granted, said: “You have to live every day. And maybe don’t think so much about the future. The future will come, but what the future will be, we don’t know. But it will come. So it is to live every day as good as possible and enjoy every day.”

This disease has shown us how interconnected we all are, in scary ways, but possibly also good ones. We’ve seen how one place in the world might affect the rest of us.

“So it’s in everybody’s interest that things are going fine all over the place, because it might affect us,” my mum mused. “So maybe we will be more responsible and more conscious about how we act towards other places in the world.”

For me, I think we’re facing a huge change. We’ve been treating this planet terribly for a long time, and I think we might come out of this as better people but also with a better planet.

But on a more personal level, even though I’ve sometimes felt restless and confined in my old home, this quarantine has given me a precious time with my parents.

I’m the journalist, but they interviewed me that night too. This is what I said.

“The best part is that I’m getting a lot closer to you guys, and I don’t think I would ever get this close if it hadn’t been for me literally being locked down in this house. … And I think a lot of people will come out of this knowing the people they lived in the house with better. And I’m very grateful for that.”

(Reporting by Nora Savosnick; editing by Kari Howard)

What about us? Russia’s coronavirus supplies to United States spark criticism at home

By Gabrielle Tétrault-Farber and Andrew Osborn

MOSCOW (Reuters) – A Russian medical equipment delivery to the United States to help fight the coronavirus drew anger from critics of the Kremlin on Thursday who pointed out that Russia was itself experiencing severe shortages of such items.

A Russian military plane carrying protective gear and ventilators landed in New York City on Wednesday. The Russian Foreign Ministry said Moscow had paid half the cost with the other half picked up by Washington.

Critics of President Vladimir Putin said the delivery was a publicity stunt that squandered precious medical resources which Russia’s regions are lacking.

“Russia has actually sold the United States masks and medical equipment when doctors and nurses across the country are left without masks and are infecting one another,” prominent opposition politician Alexei Navalny wrote on Twitter.

“It’s monstrous. Putin is crazy.”

The Kremlin has cast the move as a goodwill gesture at a time when it says all nations need to unite to take on coronavirus and said it hopes Russia might be able to access U.S. medical equipment in future if necessary.

“There is always criticism like this”, Interfax news agency quoted Kremlin spokesman Dmitry Peskov as saying.

Russia has so far recorded 3,548 coronavirus infections in 76 of its more than 80 regions. Thirty people have died across the country, authorities say.

The Health Ministry said on Wednesday it was pleased with Russian regions’ readiness to tackle the virus. But some say they are experiencing shortages of the most basic equipment.

Doctors at a hospital in the Moscow region told the Novaya Gazeta newspaper they had been asked to sew their own masks, while state television in Bashkortorstan, a region about 1,000 kilometres (620 miles) east of Moscow, last month showed viewers how to make their own masks because pharmacies had run out.

The Alliance of Doctors, a trade union for medical workers which is often critical of the authorities, said it had been collecting money across Russia to buy protective gear for doctors and was distraught to see the country now shipping the same equipment to the United States.

“It’s just making a mockery of everything,” the trade union wrote on Twitter.

Another Russian Twitter user pointed out that while ventilators had landed in New York, similar shipments were not reaching needy Russian cities such as Saratov and Voronezh.

Russia’s Health Ministry said on Thursday that the country had enough ventilators to meet its current needs and that hospitals would receive another 8,000 by the end of May.

Russia’s delivery has angered some people in the United States too. Former U.S. diplomat Brett McGurk was among those criticising President Donald Trump for serving up what he called “a propaganda bonanza” to Putin.

Moscow has also flown several flights carrying medical supplies to Italy, which has recorded more than 13,000 dead. Several European Union and NATO officials characterised the aid as a geopolitical move to extend Russian influence in Europe.

(Reporting by Andrew Osborn and Gabrielle Tétrault-Farber; editing by Philippa Fletcher)

Stuck at home and jobless, Americans confront growing costs of coronavirus

By Doina Chiacu and Susan Heavey

WASHINGTON (Reuters) – A record 6.6 million Americans filed for unemployment benefits last week, the U.S. government said on Thursday, after another four states told residents to stay at home in the latest signs of the human and economic cost of the coronavirus.

Initial jobless claims rocketed as more states imposed stay-at-home orders, forcing large and small businesses to curtail output or shut altogether. More than 80 percent of Americans in 39 states are now under orders to remain at home to contain the spread of the virus.

Florida, Georgia, Mississippi and Nevada told residents to stay home on Wednesday, when the death toll soared by 925 to more than 4,800 nationwide. Confirmed U.S. cases climbed to 214,000, nearly double that of Italy, with the second most.

Globally, the number of confirmed infections approached 1 million with nearly 47,000 fatalities, led by Italy with over 13,000 dead.

More gloomy news came on Thursday when the Labor Department reported a whopping 6.6 million people filed for jobless claims in the past week, double the previous record set a week ago.

“It takes your breath away,” said Justin Hoogendoorn, head of fixed income strategy and analytics at Piper Sandler in Chicago. “Obviously the immediate reaction to something like that is going to be fear, especially when (jobless claims) were just about double what economists were even predicting, thinking dire scenarios.”

The new evidence of the pandemic’s impact on the economy follows a growing consensus by health experts that the respiratory illness could kill 100,000 to 240,000 people even if lockdown orders remain in place and Americans abide by them.

To deal with the mounting number of fatalities, the U.S. Defense Department is looking to provide up to 100,000 body bags after the Federal Emergency Management Agency placed an order for that many, a Pentagon official told Reuters on Wednesday.

New York City crematories are extending their hours, burning bodies into the night, with bodies piling up so quickly that city officials are surveying cemeteries elsewhere in the state for temporary interment sites.

Funeral homes and cemetery directors describe a surge in demand unseen in decades as COVID-19 cases, the respiratory ailment caused by the novel coronavirus, surpassed 40,000 infections in the city, killing more than 1,000.

“We’ve been preparing for a worst-case scenario, which is in a lot of ways starting to materialize,” said Mike Lanotte, executive director of the New York State Funeral Directors Association.

NEW ORLEANS HIT HARDThe coronavirus is even more lethal in New Orleans, which has a per-capita death rate much higher than in New York City. Doctors, public health officials and available data say the Big Easy’s high levels of obesity and related ailments may be part of the problem.

“We’re just sicker,” said Rebekah Gee, head of Louisiana State University’s healthcare services division.

The outbreak will get worse and social distancing is the only way to contain it, said Dr. Anthony Fauci, director of the National Institute for Allergy and Infectious Diseases.

“We just have to do it,” Fauci told NBC’s Today show on Thursday. “That is our major weapon against this virus right now. We don’t have a vaccine that’s deployable. This is the only thing we have.”

He called on U.S. states to review the exemptions they have granted to their stay-at-home orders when he was asked whether businesses such as hair salons and florists should remain open.

“I urge the people at the leadership at the state level to really take a closer look at those kinds of decisions,” Fauci said.

An emergency stockpile of medical equipment maintained by the U.S. government has nearly run out of protective gear for doctors and nurses, as governors and healthcare providers across the country clamor for protective gear and medical equipment such as ventilators, which help COVID-19 patients breathe.

New York City, the epicenter of the U.S. outbreak, has appointed former police commissioner James O’Neill to oversee the city’s medical supply chain.

U.S. Senate Democratic Leader Chuck Schumer of New York called on Trump to follow suit and appoint a national czar with military experience to oversee the production and distribution of medical supplies.

“The system that the administration has in place is horrible,” Schumer told MSNBC, adding he would send a letter to Trump later on Thursday.

Fellow Democratic Senator Dick Durbin echoed Schumer, telling CNBC, “We are begging, pleading, scratching around at every way, shape or form to bring in the protective equipment that we need” for his state of Illinois.

Trump tweeted that New York has received more federal aid than any other state and said the man he describes as “Cryin’ Chuck Schumer” and local officials should stop complaining, saying they should have stocked up long ago.

Trump also said on Twitter that 51 large cargo planes with medical supplies were on their way to the states and the federal government was “sending many ventilators today” without giving details.

(Reporting by Doina Chiacu, Susan Heavey and Barbara Goldberg; Writing by Daniel Trotta; Editing by Howard Goller)

 

Factbox: Latest on the spread of the coronavirus around the world

(Reuters) – The World Health Organization (WHO) voiced deep concern on Wednesday about the rapid escalation and global spread of the coronavirus. “In the next few days, we will reach 1 million confirmed cases and 50,000 deaths worldwide,” WHO Director-General Tedros Adhanom Ghebreyesus said.

DEATHS, INFECTIONS

** More than 935,000 people have been infected across the world and over 46,900 have died, according to a Reuters tally.

** For an interactive graphic tracking the global spread, open https://tmsnrt.rs/3aIRuz7 in an external browser.

** U.S.-focused tracker with state-by-state and county map, open https://tmsnrt.rs/2w7hX9T in an external browser.

EUROPE

** Italy’s daily death toll on Wednesday was the lowest in six days, but the overall number of new infections grew and the government extended a national lockdown until at least mid-April.

** Britain’s prime minister promised to ramp up testing after his government faced criticism for being slower than some European peers to roll out mass checks.

** France became the fourth country to exceed 4,000 deaths, while Spain’s death toll topped 10,000.

** The restrictive measures Ireland put in place last week may well be extended beyond the initial deadline of April 12, deputy prime minister said.

** The separatist government of Spain’s Catalonia region abandoned its initial reluctance and asked the national military for assistance.

** Serbia will revoke a decree giving the government control over information on the outbreak, following protests and the detention of a journalist for reporting a major hospital lacked protective gear and properly trained staff.

** Poland may face a peak in infections in April, government spokesman said, adding that further curbs on people’s movements could not be ruled out.

** EU executive chief expressed concern that restriction measures taken by Hungary went too far and insisted they should be limited in time and subject to scrutiny.

AMERICAS

** Four new states imposed sweeping stay-at-home directives on Wednesday, putting over 80% of Americans under lockdown as the number of deaths in the United States nearly doubled in three days.

** About 1,000 sailors from a virus-hit U.S. aircraft carrier were under quarantine at a U.S. naval base on Guam on Thursday.

** Presidents Donald Trump and Jair Bolsonaro discussed cooperation between United States and Brazil, as Brazil’s health minister warned that infection rates and lack of medical supplies were a big concern.

** Brazil confirmed its first indigenous coronavirus case deep in the Amazon rainforest.

** Mexico’s president urged companies to keep paying workers or face public scorn, even as criticism of his economic management grows.

ASIA AND THE PACIFIC

** Mainland China logged fewer new infections on Thursday, but measures restricting movement were tightened in some areas due to a fear of more imported cases.

** India reported its biggest single day increase in cases as officials raced to track down some 9,000 people exposed to the country’s biggest infection cluster during a Muslim missionary group’s gathering last month.

** Facing calls to declare a state of emergency, Japan’s prime minister was derided on social media for instead offering people cloth masks, pointing to growing frustration with his handling of the crisis.

** Indonesia plans to give special assistance to residents of Jakarta within two weeks to limit the exodus from the capital during the Ramadan holiday period.

** South Korea will allow coronavirus patients to vote by mail or as absentees in parliamentary elections this month.

** WHO expects the number of cases in Malaysia to peak in mid-April, saying there are signs of a flattening of the infection curve.

** Singapore suffered its fourth death on Thursday, a day after it reported a record number of new cases that took its total to 1,000.

** Australia’s most populous state said police enforcement of restrictions on personal movement would last three months.

MIDDLE EAST AND AFRICA

** Iran’s president said the United States had missed an opportunity to lift sanctions on his country, though he said the penalties had not hampered Tehran’s fight against the virus which has killed more than 3,100 people in the country.

** Turkey’s tourism minister said he expected flights to return to normal by the end of June, as the country planned to step up measures if the virus keeps spreading and people ignore “voluntary” quarantine rules.

** Israel’s health minister and his wife were diagnosed with the virus.

** Egypt has ordered manufacturers to channel medical protective equipment to public hospitals.

** Zambia recorded its first death.

ECONOMIC FALLOUT

** World stocks were pinned down on Thursday by the rising death toll and deepening economic pain, with another record week of jobless claims expected in the United States. [MKTS/GLOB]

** World food prices fell sharply in March, hit by a drop in demand and a plunge in global oil prices, the United Nations food agency said.

** The European Commission will propose a package to help the EU economy, including a short-time work scheme, easier access to funds for farmers and fishermen, and financing for development projects.

** British consumers will receive a three-month freeze on loan and credit card payments, under plans outlined by the financial regulator.

** Kuwait’s central bank announced a stimulus package to support vital sectors and small and medium enterprises.

** China will relax or remove restrictions on car purchases in some regions to help sales of new vehicles, while accelerating plans to boost the scrapping of old ones.

** Light vehicle sales in the United States fell nearly 27% in March, compared with a month earlier.

** Mexico’s economy is forecast to contract by as much as 3.9% in 2020, the finance ministry said on Wednesday, adding that the numbers incorporated a “drastic” virus impact.

** Factories fell quiet across much of the world in March as the pandemic paralyzed economic activity, with evidence mounting that the world is sliding into deep recession.

(Compiled by Sarah Morland, Milla Nissi, Aditya Soni and Uttaresh.V; Editing by Tomasz Janowski, William Maclean, Sriraj Kalluvila)