Whole of Iran on coronavirus red alert due to rise in deaths, health official says

(Reuters) – A senior Iranian health official has declared a coronavirus red alert covering the entire country as daily deaths and cases increase at an alarming rate, Iranian state TV reported on Friday.

Iran, one of the Middle Eastern countries hardest hit by the pandemic, has been divided up into white, orange/yellow and red regions based on the number of infections and deaths.

The death toll rose by 144 to 23,952 on Friday, while the total number of identified cases spiked by 3,049 to 416,198, health ministry spokeswoman Sima Sadat Lari said on television.

“The color classification doesn’t make sense anymore. We no longer have orange and yellow. The entire country is red,” deputy health minister Iraj Harirchi said on television.

“If the current course continues, the death toll will reach 45,000,” he added, without giving a time frame.

In the northwestern city of Tabriz, for instance, the number of hospitalized patients had jumped from under 40 a day to 160, and in the Shi’ite Muslim holy city of Qom it had increased from 10 a day to 160, Harirchi said, again without providing a time period for the increases.

He said only a 95% use of masks and a 50% fall in gatherings could reduce the death toll.

(Editing by Hugh Lawson, London Editing Desk)

What you need to know about the coronavirus right now

(Reuters) – Here’s what you need to know about the coronavirus right now:

Biden rejects Trump claim that vaccine is imminent

U.S. Democratic presidential candidate Joe Biden on Thursday bluntly contradicted President Donald Trump’s suggestion that a coronavirus vaccine may be only weeks away, warning Americans they cannot trust the president’s word.

“The idea that there’s going to be a vaccine and everything’s gonna be fine tomorrow – it’s just not rational,” Biden said during a CNN town hall in Moosic, Pennsylvania.

Trump again said on Wednesday that a vaccine for COVID-19 could be ready for distribution ahead of the Nov. 3 election.

Most health experts, including Robert Redfield, the director of the Centers for Disease Control and Prevention, have said a vaccine will likely not be widely available until mid-2021.

Israel imposes second lockdown

Israel will enter a second nationwide lockdown on Friday at the onset of the Jewish high-holiday season, forcing residents to stay mostly at home amid a resurgence in new coronavirus cases.

The country’s initial lockdown was imposed in late March and eased in May as new cases tapered off, reaching lows in the single digits.

But in the past week, new cases have reached daily highs of over 5,000, and Israeli leaders now acknowledge they lifted measures too soon.

The new lockdown will last three weeks and coincides with the start of the Jewish New Year, Rosh Hashana, traditionally a time for large family gatherings and group prayer.

UK COVID hospital admissions double every eight days

Britain’s health minister said that the novel coronavirus was accelerating across the country, with hospital admissions doubling every eight days, but he refused to say if another national lockdown would be imposed next month.

The United Kingdom has reported the fifth-highest number of deaths from COVID-19 in the world after the United States, Brazil, India and Mexico, according to data collected by Johns Hopkins University of Medicine.

COVID-19 cases started to rise again in Britain in September, with between 3,000 and 4,000 positive tests recorded daily in the last week. More than 10 million people are already in local lockdowns.

China reports highest new cases since Aug. 10

Mainland China reported 32 new COVID-19 cases on Thursday, marking the highest daily increase in more than a month and up sharply from nine cases reported a day earlier.

Although the latest increase still remains well below the peaks seen at the height of the outbreak in China early this year, it is the biggest since Aug. 10 and suggests continued COVID-19 risks stemming from overseas travelers coming into the country as the pandemic rages on in other parts of the world.

The National Health Commission said that all new cases were imported infections. Mainland China has not reported any local COVID-19 infections since mid-August.

Canada’s Ontario clamps down on parties

Canada’s most populous province will clamp down on social gatherings to prevent “reckless careless people” from spreading the coronavirus at illegal parties, Ontario Premier Doug Ford said on Thursday.

His warning came as the nation’s top medical officer said authorities could potentially lose the ability to manage the pandemic.

Indoor social events in Toronto, Canada’s biggest city – along with Ontario’s Peel and Ottawa regions – would be authorized to include no more than 10 people, down from a previous limit of 50, Ford said.

“This is a serious situation, folks. We will throw the book at you if you break the rules,” he told a news conference.

(Compiled by Linda Noakes; Editing by Hugh Lawson)

Global coronavirus cases surpass 30 million: Reuters tally

By Jane Wardell

(Reuters) – Global coronavirus cases exceeded 30 million on Thursday, according to a Reuters tally, with the pandemic showing no signs of slowing.

India was firmly in focus as the latest epicenter, although North and South America combined still accounted for almost half of the global cases.

Global new daily case numbers reached record levels in recent days and deaths neared 1 million as the international race to develop and market a vaccine heated up.

The official number of global coronavirus cases is now more than five times the number of severe influenza illnesses recorded annually, according to World Health Organization data.

Around the world, there have been almost 1 million deaths, considered a lagging indicator given the two-week incubation period of the virus. That has well exceeded the upper range of 290,000 to 650,000 annual deaths linked to influenza.

India this week became only the second country in the world, after the United States, to record more than 5 million cases. On Thursday, it reported another record daily rise in cases of almost 98,000.

The south Asian nation, the world’s second most populous country, has been reporting more new daily cases than the United States since mid-August and accounts for just over 16% of global known cases.

Reported deaths in India have been relatively low so far but are showing an uptick, and the country has recorded more than 1,000 deaths every day for the last two weeks.

The United States has about 20% of all global cases, although it has just 4% of the world’s population. Brazil, the third worst-hit country, accounts for roughly 15% of global cases.

It took 18 days for global cases to surge from 25 million to more than 30 million. It took 20 days for the world to go from 20 million to 25 million and 19 days to go from 15 million to 20 million.

The global rate of new daily cases is slowing, reflecting progress in constraining the disease in many countries, despite a few big surges.

Australia on Thursday reported its lowest single-day case rise since June as strict lockdown measures in its second largest city of Melbourne, the center of the country’s second wave, appeared to pay off.

Health experts stress that official data almost certainly under-reports both infections and deaths, particularly in countries with limited testing capacity.

The race to develop and bring to market a novel coronavirus vaccine has grown increasingly frenetic in recent weeks with about 200 candidates in development globally.

U.S. President Donald Trump has said his country could have a vaccine ready for distribution before the U.S. election on Nov. 3, while a Chinese health official this week said China may have a vaccine ready for public use as early as November.

While the trajectory of the coronavirus still falls far short of the 1918 Spanish flu, which infected an estimated 500 million people, killing at least 10% of them, experts worry the available data is underplaying the true impact of the pandemic.

(Reporting by Jane Wardell; editing by Robert Birsel and Lisa Shumaker)

U.S. CDC reports 196,277 deaths from coronavirus

(Reuters) – The U.S. Centers for Disease Control and Prevention (CDC) on Thursday reported 6,613,331 cases of the new coronavirus, an increase of 41,464 cases from its previous count, and said the number of deaths had risen by 1,224 to 196,277.

The CDC’s tally of cases of the respiratory illness known as COVID-19, caused by the new coronavirus, was as of 4 p.m. ET on Sept. 16 versus its previous report a day earlier.

The CDC figures do not necessarily reflect cases reported by individual states.

(Reporting By Mrinalika Roy in Bengaluru; Editing by Aditya Soni)

New York City again delays in-person learning at public schools

NEW YORK (Reuters) – With only four days’ notice, New York City Mayor Bill de Blasio delayed the start of in-person learning at public schools for a second time for most students on Thursday as the city grapples to safely reopen during the coronavirus pandemic.

While virtual lessons via the internet are already underway, in-person learning had previously been delayed from Sept. 10 to Monday, Sept. 21, for those students who opted in.

Now, only pre-kindergarten children and students with special learning needs will start on Monday, the mayor said at a news conference. Elementary school students will begin Tuesday, Sept. 29. Middle school and high school students will start Oct. 1.

“This is a huge undertaking,” said de Blasio, who oversees the largest school district in the United States, serving more than 1.1 million children. “It is difficult. It’s challenging.”

Most other major school districts in the United States have scrapped plans to resume in-person learning for now. Efforts in New York City, which in the spring was the U.S. epicenter of the global pandemic, are being closely watched.

The mayor was joined by leaders of teachers’ unions, who had expressed concerns about efforts to mitigate the spread of the coronavirus. De Blasio has sought to reassure school staff that ventilation systems are being upgraded, nurses are being hired, protective equipment is being stockpiled and access to testing is being improved.

“If we’re going to do this, we must make sure that we get this right,” Michael Mulgrew, president of the United Federation of Teachers, said at the news conference.

De Blasio said a total of 4,500 additional educators have been hired.

The city had previously agreed with the unions that there would be monthly coronavirus testing of students and staff, with systems in place to send home classrooms or shut down entire schools if new COVID-19 cases are found.

(Reporting by Jonathan Allen and Maria Caspani in New York; Editing by Bill Berkrot)

U.S. weekly jobless claims remain perched at higher levels; housing marches on

By Lucia Mutikani

WASHINGTON (Reuters) – The number of Americans filing new claims for unemployment benefits fell less than expected last week and applications for the prior period were revised up, suggesting the labor market recovery had shifted into low gear amid fading fiscal stimulus.

The weekly jobless claims report from the Labor Department on Thursday, the most timely data on the economy’s health, also showed nearly 30 million people were on unemployment benefits at the end of August.

Signs the labor market was stalling came a day after the Federal Reserve vowed to kept interest rates near zero for a long time. The U.S. central bank noted that the COVID-19 pandemic “will continue to weigh on economic activity” in the near term and “poses considerable risks to the economic outlook over the medium term.” Fed Chair Jerome Powell said more fiscal support was likely to be needed for the economy.

Initial claims for state unemployment benefits fell 33,000 to a seasonally adjusted 860,000 for the week ended Sept. 12. Data for the prior week was revised to show 9,000 more applications received than previously reported. Economists polled by Reuters had forecast 850,000 applications in the latest week.

Un-adjusted claims dropped 75,974 to 790,021 last week. Economists prefer the un-adjusted claims number given earlier difficulties adjusting the claims data for seasonal fluctuations because of the economic shock inflected by the coronavirus crisis. Despite last week’s big drop in un-adjusted claims, they remain extraordinarily high.

A total 658,737 applications were received for the government-funded pandemic unemployment assistance last week. The PUA is for the self-employed, gig workers and others who do not qualify for the regular state unemployment programs. Altogether, 1.45 million people filed claims last week.

The claims data added to reports this week showing a slowdown in retail sales and production at factories in August.

U.S. stocks opened lower. The dollar was steady against a basket of currencies. U.S. Treasury prices were higher.

STALL SPEED

After declining from a record 6.867 million at the end of March as businesses reopened after being shuttered to stem the spread of the coronavirus, claims have flattened, with layoffs spilling over to industries that were not initially impacted by the mandated closures.

A program to help businesses with wages expired in August, while $25 billion in government assistance for airlines’ payroll expires this month. Last week’s claims covered the period during which the government surveyed businesses for the non-farm payrolls component of September’s employment report.

The economy created 1.371 million jobs in August after adding 1.734 million in July. About 10.6 million of the 22.2 million jobs lost at the depth of the coronavirus crisis have been recovered.

While other sectors of the economy are losing steam, the housing market continues to power ahead, thanks to record-low interest rates and a migration to suburbs and low-density areas, spawned by the pandemic. Unemployment has disproportionately affected low-wage workers, who are typically renters.

A separate report from the Commerce Department on Thursday showed singe-family home building, which accounts for the largest share of the housing market, increased 4.1% to a seasonally adjusted annual rate of 1.021 million units in August.

Further gains are likely, with building permits for single-family housing units accelerating 6.0% to a rate of 1.036 million units. A 22.7% tumble in starts for the volatile multi-family housing segment, however, led to a 5.1% drop in overall home building to a rate of 1.416 million units last month.

(Reporting by Lucia Mutikani; Editing by Andrea Ricci)

Moderna would seek limited emergency use of COVID-19 vaccine based on early data

By Julie Steenhuysen

CHICAGO (Reuters) – If Moderna Inc’s COVID-19 vaccine proves to be at least 70 percent effective, the company plans to seek emergency authorization for its use in high-risk groups, the company’s chief executive told Reuters.

Moderna’s vaccine candidate – mRNA-1273 – is nearing the finish line in its push to enroll 30,000 individuals in a late-stage trial of a novel coronavirus vaccine. But the company may be able to declare victory early if it is able to show that people who got the vaccine fared much better in its trial that people who didn’t.

Vaccines must demonstrate they are at least 50% more effective than a placebo to be considered for approval. To prove that, government officials have said, at least 150 COVID-19 infections must be recorded among trial participants with at least twice as many occurring among the placebo group.

If a vaccine is especially effective, companies could have their answer sooner.

An independent safety board will take a first look at Moderna’s data as soon as a total of 53 people in the trial become infected with COVID-19. Moderna is projecting the interim analysis will occur in November, but it could come as early as October.

If most of the people who got sick got the placebo shot, that would indicate the vaccine was protecting those inoculated and could be enough evidence to seek U.S. regulatory approval for Emergency Use Authorization (EUA).

“If the interim readout is deemed by the independent safety committee as positive with 70 or 80 or 90% efficacy, we will indeed consider approval,” Stephane Bancel, Moderna’s chief executive officer, said in a telephone interview.

“At such a level of efficacy, if we get there, we can protect a lot of lives in the people at the highest risk, and so, we will consider filing for an EUA for a very limited population,” Bancel said.

He said the FDA will determine whether the benefit of the vaccine to a small group of high-risk individuals outweighs the risk of not having a full readout of safety data from all 30,000 study participants.

The two groups of high-risk individuals who might be covered in such an EUA would be healthcare workers and the elderly, Bancel said.

Bancel said the company wants to gather more data on the safety of the vaccine in the study population over a period of several months before seeking full FDA approval.

Moderna released its study protocol on Thursday, making public details on how its vaccine will be evaluated. If the vaccine does not reach the efficacy mark after 53 cases, the data safety and monitoring board will take another interim look at the data after 106 cases, and a final look after 151 people in the trial become infected with the virus.

Public health officials have said that approving a vaccine for widespread use based on a small number of cases would not offer enough safety information to show how the vaccine would perform.

Moderna, which has never brought a vaccine to market, has received nearly $1 billion from the U.S. government under its Operation Warp Speed program. It has also struck a $1.5 billion supply agreement with the United States.

In a presentation to investors on Tuesday, Pfizer Inc said the company has enrolled more than 29,000 people in its 44,000-volunteer trial to test an experimental COVID-19 vaccine the company is developing with German partner BioNTech.

Pfizer expects to have enough data to show whether the vaccine works by the end of October.

(Reporting by Julie Steenhuysen; editing by Peter Henderson and Cynthia Osterman)

NIH launches trial of Rigel drug for severe COVID-19

By Deena Beasley

(Reuters) – The U.S. National Institutes of Health on Thursday launched a clinical trial of fostamatinib, currently used to treat a blood platelet-destroying autoimmune disorder, in patients hospitalized with severe COVID-19, the disease caused by the novel coronavirus.

The tablets, sold under the brand name Tavalisse by Rigel Pharmaceuticals Inc, have shown in lab and animal studies the ability to block production of sticky, web-like substances that the immune system produces to trap foreign invaders.

For reasons that are still not clearly understood, the immune systems of some COVID-19 patients can overreact, creating an inflammatory cascade that can be toxic to organs, cause blood clots and worsen pneumonia.

Fostamatinib is designed to block activity of an enzyme that regulates parts of the body’s immune response, including “neutrophil extracellular traps,” or NETs, that white blood cells release to ensnare and kill pathogens.

“I am most excited about this drug because I know that as a targeted therapy it inhibits NETs, which we think is a big contributor to mortality,” said Dr. Richard Childs, clinical director of the National Heart, Lung, and Blood Institute.

The randomized, placebo-controlled Phase 2 trial will enroll 60 patients at the NIH Clinical Center in Bethesda, Maryland, Inova Health System’s Northern Virginia hospital and possibly other Inova locations.

The primary objective is evaluation of safety.

The trial is likely to take two or three months, and Rigel is considering how a larger study might be conducted, said Raul Rodriguez, the company’s chief executive officer.

Other immune system-modulating drugs are being used in COVID-19 patients, including the decades-old steroid dexamethasone, which is so far the only medication shown to improve their chance of survival.

“The problem is the steroid is a non-targeted therapy. It will also hit parts of the immune system that are very important for fighting off the virus or other infections,” Childs said. “Some patients that get COVID will get a bacterial infection … we see that all the time with influenza.”

Researchers at Imperial College London are also running an open-label study of fostamatinib in patients with COVID-19 pneumonia.

The drug is approved in the United States and Europe for treating adult chronic immune thrombocytopenia, a rare autoimmune disorder in which the body’s immune system destroys healthy platelets, leading to easy or excessive bruising and bleeding.

(Reporting by Deena Beasley; Editing by Timothy Gardner)

U.S. CDC reports 195,053 deaths from coronavirus

(Reuters) – The U.S. Centers for Disease Control and Prevention (CDC) on Wednesday reported 6,571,867 cases of the new coronavirus, an increase of 34,240 cases from its previous count, and said the number of deaths had risen by 961 to 195,053.

The CDC’s tally of cases of the respiratory illness known as COVID-19, caused by a new coronavirus, was of 4 p.m. ET on Sept. 15 versus its previous report a day earlier.

The CDC figures do not necessarily reflect cases reported by individual states.

(Reporting by Dania Nadeem in Bengaluru; Editing by Krishna Chandra Eluri)

Lilly says antibody drug cuts COVID-19 hospitalization, may seek emergency use nod

By Deena Beasley

(Reuters) – Eli Lilly and Co on Wednesday said a single infusion of its experimental antibody treatment reduced the need for hospitalization and emergency room visits for clinical trial patients with moderate COVID-19.

The company said it will discuss the interim results, which have not yet been reviewed by outside experts, with global regulators. The New York Times reported that Lilly Chief Scientific Officer Daniel Skovronsky said the company would talk with the U.S. Food and Drug Administration about the possibility of an emergency use authorization.

The mid-stage study tested three different doses of LY-CoV555, a manufactured copy of a an antibody produced by a patient who recovered from COVID-19. Antibody treatments work by recognizing and locking onto foreign invaders to prevent infection of healthy cells.

Of the total 302 patients treated with the Lilly drug, five or 1.7%, had to be hospitalized or required an emergency room visit. That compared with 6% in the placebo group, Lilly said.

“These data are not a home run but … are among the most encouraging COVID treatment data we’ve seen, particularly given this is in mild-to-moderate outpatients where there has simply been no treatment progress until now,” Raymond James analyst Steven Seedhouse said in a research note.

Oddly, only the middle 2,800-milligram dose achieved the trial’s main goal of reducing the amount of virus detected in patients compared with a placebo 11 days after treatment. Lilly said most trial participants, including those given a placebo, had completely cleared the virus by day 11. Some analysts suggested that future studies may want to use an earlier time point than 11 days.

Most hospitalizations occurred in patients with underlying risk factors such as obesity or advanced age. Lilly said future study would focus on people in these higher-risk groups.

No drug-related serious adverse events or trial deaths were reported.

Lilly said the trial will enroll 800 patients with mild-to-moderate COVID-19, with the next segment testing LY-CoV555 in combination with a second Lilly antibody, LY-CoV016, which binds to a different area of the coronavirus.

The antibodies, given by intravenous infusion, are also being tested for preventing COVID-19 in nursing home residents and staff and for treating patients already hospitalized with COVID-19.

Several companies including Regeneron Pharmaceuticals Inc and Vir Biotechnology are also testing antibody treatments for COVID-19.

Lilly’s shares were up 1.3% to $152.

(Reporting by Deena Beasley in Los Angeles and Manas Mishra in Bengaluru; Editing by Shinjini Ganguli and Bill Berkrot)