U.S. coronavirus death toll rises past 3,000 on deadliest day

By Stephanie Kelly and Daniel Trotta

NEW YORK (Reuters) – The U.S. death toll from the coronavirus pandemic climbed past 3,000 on Monday, the deadliest day yet in the country’s mounting crisis, while New York cheered the arrival of a gleaming 1,000-bed U.S. Navy hospital ship as a sign of hope in the city’s desperate fight.

In a grim new milestones marking the spread of the virus, total deaths across the United States hit 3,017, including at least 540 on Monday, and the reported cases climbed to more than 163,000, according to a Reuters tally.

People in New York and New Jersey lined both sides of the Hudson River to cheer the U.S Navy ship Comfort, a converted oil tanker painted white with giant red crosses, as it sailed past the Statue of Liberty accompanied by support ships and helicopters.

The Comfort will treat non-coronavirus patients, including those who require surgery and critical care, in an effort to free up other resources to fight the virus, the Navy said.

“It’s a wartime atmosphere and we all have to pull together,” said New York City Mayor Bill de Blasio, who was among the dignitaries to greet the ship’s arrival at the Midtown Manhattan pier.

Hospitals in the New York City area have been overrun with patients suffering from COVID-19, the respiratory illness caused by the virus. Officials have appealed for volunteer healthcare workers.

“We can’t take care of you if we can’t take care of ourselves,” said Krystal Horchuck, a nurse with Virtua Memorial Hospital in New Jersey. “I think a lot of us have accepted the fact that we are probably going to get this. It’s just that we want to survive. We’re all being exposed to it at some point.”

The United States has the most confirmed cases in the world, a number that is likely to soar when tests for the virus become more widespread.

President Donald Trump told a White House briefing that more than 1 million Americans had been tested for coronavirus – less than 3% of the population. While the United States has ramped up testing after a series of setbacks, it still lags countries like Italy and South Korea on a per capita basis.

In California, another hard-hit state, Governor Gavin Newsom said the number of COVID-19 hospitalizations had nearly doubled over the past four days and the number of ICU patients had tripled. Officials there also appealed for medical volunteers.

CENTRAL PARK HOSPITALS

To ease the pressure in New York, construction of a 68-bed field hospital began on Sunday in Manhattan’s Central Park. The white tents being set up evoked a wartime feel in an island of green typically used by New Yorkers to exercise, picnic and enjoy the first signs of spring.

The makeshift facility, provided by the Mount Sinai Health System and non-profit organization Samaritan’s Purse, is expected to begin accepting patients on Tuesday, de Blasio said.

New York Governor Andrew Cuomo, one of the most prominent public figures of the coronavirus crisis, told a news conference the state might have to step in to close playgrounds in the country’s most populous city in order to enforce social distancing and slow the spread of the virus.

Cuomo and de Blasio are among a growing chorus of officials who have voiced frustration at Trump’s handling of the crisis and a shortage of ventilators and personal protective equipment.

“I am not engaging the president in politics,” Cuomo, a Democrat, said of Trump, a Republican. “My only goal is to engage the president in partnership.”

Ford Motor Co said on Monday it will produce 50,000 ventilators over the next 100 days at a Michigan plant in cooperation with General Electric’s healthcare unit, and can then manufacture 30,000 a month.

Officials in states hard hit by the pandemic have pleaded with the Trump administration and manufacturers to speed up production of ventilators to cope with a surge in patients struggling to breathe. On Friday, Trump said he would invoke powers under the Defense Production Act to direct manufacturers to produce ventilators.

CHILLING NUMBERS

U.S. health officials are urging Americans to follow stay-at-home orders until the end of April to contain the spread of the virus, which originated in China and has infected about three-quarters of a million people around the world.

“If we do things together well – almost perfectly – we could get in the range of 100,000 to 200,000 fatalities,” Dr. Deborah Birx, coordinator of the White House’s coronavirus task force, told NBC’s “Today” show.

Dr. Anthony Fauci, the head of the National Institute of Allergy and Infectious Diseases, said at a White House briefing that he expected a coronavirus outbreak in the fall, as well, but he said the nation would be better prepared to respond.

Authorities in New Orleans were setting up a field hospital at the Ernest N. Morial Convention Center – the same site where thousands of Hurricane Katrina refugees gathered in 2005 – to handle an expected overflow of patients.

Dr. Thomas Krajewski, an emergency room doctor at St. Barnard Parish hospital in New Orleans, said he had watched patients be admitted to the hospital and seem ready to get better only to get worse.

“Many of them have passed away already in a way that … it’s not normal,” he said. “It’s not something that any of us had prepared to do. And we’re kind of writing the book as we go.”

The governors of Maryland, Virginia and Arizona issued “stay-at-home” orders as cases rose in those states, as did Washington, D.C.

At the Stateville Correctional Center in Crest Hill, Illinois, 12 prisoners were hospitalized and several required ventilators, while 77 more showing symptoms were isolated at the facility, officials said.

Renowned country and folk singer John Prine was among the latest celebrities – including several members of Congress – to come down with the virus. Prine was in stable condition on Monday after being hospitalized with symptoms of the illness, his wife said on Twitter. Prine, a 73-year-old cancer survivor, lives in Nashville, Tennessee.

(This story refiles to add dropped word “care” in the 7th paragraph)

(Reporting by Maria Caspani in New York, Daniel Trotta in Milan, Barbara Goldberg and Stephanie Kelly in New York and Doina Chiacu and Lisa Lambert in Washington; Writing by Paul Simao and John Whitesides; Editing by Howard Goller, Bill Tarrant and Leslie Adler)

U.S. has most coronavirus cases in world, next wave aimed at Louisiana

By Maria Caspani and Daniel Trotta

NEW YORK (Reuters) – The number of U.S. coronavirus infections climbed above 82,000 on Thursday, surpassing the national tallies of China and Italy, as New York, New Orleans and other hot spots faced a surge in hospitalizations and looming shortages of supplies, staff and sick beds.

With medical facilities running low on ventilators and protective masks and hampered by limited diagnostic testing capacity, the U.S. death toll from COVID-19, the respiratory disease caused by the virus, rose beyond 1,200.

“Any scenario that is realistic will overwhelm the capacity of the healthcare system,” New York Governor Andrew Cuomo told a news conference. He described the state’s projected shortfall in ventilators – machines that support the respiration of people have cannot breathe on their own – as “astronomical.”

“It’s not like they have them sitting in the warehouse,” Cuomo added. “There is no stockpile available.”

At least one New York City hospital, New York-Presbyterian/Columbia University Medical Center in Manhattan, has begun a trial of sharing single ventilators between two patients.

While New York was the coronavirus epicenter in the United States this week, the next big wave of infections appeared headed for Louisiana, where demand for ventilators has already doubled. In New Orleans, the state’s biggest city, Mardi Gras celebrations late last month are believed to have fueled the outbreak.

Louisiana Governor John Bel Edwards said New Orleans would be out of ventilators by April 2 and potentially out of bed space by April 7 “if we don’t flatten the infection curve soon.”

“It’s not conjecture, it’s not some flimsy theory,” Edwards told a press conference. “This is what is going to happen.”

Nurse Tina Nguyen administers a nasal swab at a coronavirus testing site outside International Community Health Services in the Chinatown-International District during the coronavirus disease (COVID-19) outbreak in Seattle, Washington, U.S. March 26, 2020. REUTERS/Lindsey Wasson

About 80% of Louisiana’s intensive care patients are now on breathing machines, up from the normal rate of 30-40%, said Warner Thomas, chief executive of Ochsner Health System, the state’s hospital group.

Scarcities of protective masks, gloves, gowns and eyewear for doctors and nurses – reports abound of healthcare workers recycling old face masks, making their own or even using trash bags to shield themselves – have emerged as a national problem.

“Our nurses across the country do not have the personal protective equipment that is necessary to care for COVID patients, or any of their patients,” Bonnie Castillo, head of the largest U.S. nurses union, National Nurses United, told MSNBC.

In an ominous milestone for the United States as a whole, at least 82,153 people nationwide were infected as of Thursday, according to a Reuters tally from state and local public health agencies. China, where the global pandemic emerged late last year, had the second highest number of cases, 81,285, followed by Italy with 80,539.

At least 1,204 Americans have died from COVID-19, which has proven especially dangerous to the elderly and people with underlying chronic health conditions, Reuters’ tally showed.

MORE BEDS NEEDED

For New York state, Cuomo said a key goal was rapidly to expand the number of available hospital beds from 53,000 to 140,000.

New York hospitals were racing to comply with Cuomo’s directive to increase capacity by at least 50%. At Mount Sinai Hospital’s Upper East Side location, rooms were being constructed within an atrium to open up more space for beds.

At Elmhurst Hospital in New York’s borough of Queens, about a hundred people, many wearing masks with their hoods pulled up, lined up behind barriers outside the emergency room entrance, waiting to enter a tent to be screened for the coronavirus.

The city coroner’s office has posted refrigerated trucks outside Elmhurst and Bellevue Hospital to temporarily store bodies of the deceased.

Deborah White, vice chair of emergency medicine at Jack D. Weiler Hospital in the city’s Bronx borough, said 80% of its emergency room visits were patients with coronavirus-like symptoms.

A ventilator shortfall and surge in hospitalizations has already raised the prospect of rationing healthcare.

Asked about guidelines being drafted on how to allocate ventilators to patients in case of a shortage, New Jersey Governor Phil Murphy told reporters such bioethical discussions “haunted him” but were unavoidable.

Outside New York and New Orleans, other hot spots appeared to be emerging around the country, including Detroit.

Brandon Allen, 48, was buying groceries in Detroit for his 72-year-old mother, who has tested positive and was self-quarantining at home.

“It’s surreal,” Allen said. “People around me I know are dying. I know of a couple people who have died. I know a couple of people who are fighting for their lives. Everyday you hear of another person who has it.”

RECORD UNEMPLOYMENT CLAIMS

Desperate to slow virus transmissions by limiting physical contact among people, state and local governments have issued stay-at-home orders covering about half the U.S. population. A major side effect has been the strangulation of the economy, and a wave of layoffs.

The U.S. Labor Department reported Thursday the number of Americans filing claims for unemployment benefits last week soared to a record of nearly 3.28 million – almost five times the previous weekly peak of 695,000 during the 1982 recession.

Dr. Anthony Fauci, director of the U.S. National Institute of Allergy and Infectious Diseases, said warmer weather may help tamp down the U.S. outbreak as summer approaches, though the virus could re-emerge in the winter.

“We hope we get a respite as we get into April, May and June,” Fauci said on WNYC public radio.

Washington state Governor Jay Inslee said he may extend a stay-at-home order tentatively set to expire April 6, encouraged by what he called a “very modest improvement” in the Seattle area.

Washington experienced the first major U.S. outbreak of COVID-19 and has been among the hardest-hit states. As of Thursday the state reported about 3,200 cases and 147 deaths.

In California’s Coachella Valley, a region rife with retirees who are especially vulnerable, 25 members of the state’s National Guard helped a non-profit distribute food to people stuck in their homes, as most of the regular volunteers are senior citizens.

More than 10,000 troops have been deployed in 50 states to provide humanitarian aid during the pandemic.

(Reporting by Maria Caspani in New York and Daniel Trotta in Milan; Additional reporting by Gabriella Borter, Catherine Koppel, Lucia Mutikani, Doina Chiacu, Susan Heavey, Nathan Layne, Lisa Lambert, Michael Martina, Rebecca Cook, Barbara Goldberg, Rich McKay and Dan Whitcomb; Writing by Will Dunham and Steve Gorman; Editing by Howard Goller, Bill Tarrant, Cynthia Osterman and Daniel Wallis)

California declares emergency over coronavirus as death toll rises in U.S

By Steve Gorman and Dan Whitcomb

LOS ANGELES (Reuters) – The U.S. death toll from coronavirus infections rose to 11 on Wednesday as new cases emerged around New York City and Los Angeles, while Seattle-area health officials discouraged social gatherings amid the nation’s largest outbreak.

The first California death from the virus was an elderly person in Placer County, near Sacramento, health officials said. The person had underlying health problems and likely had been exposed on a cruise ship voyage between San Francisco and Mexico last month.

It was the first coronavirus fatality in the United States outside of Washington state, where 10 people have died in a cluster of at least 39 infections that have emerged through community transmission of the virus in two Seattle-area counties.

Although the Placer County patient who died was not believed to have contracted the virus locally, that case and a previous one from the San Francisco Bay Area linked to the same ocean liner have led health authorities to seek other cruise passengers who may have had close contact with those two individuals.

Hours after the person’s death was announced, California Governor Gavin Newsom declared a statewide emergency in response to the coronavirus, which he said has resulted in 53 cases across the nation’s most populous state.

“The State of California is deploying every level of government to help identify cases and slow the spread of this coronavirus,” Newsom said in a statement.

Newsom said the cruise ship, named the Grand Princess, had later sailed on to Hawaii and was returning to San Francisco, but would not be allowed into port until passengers had been tested for the virus.

“We are holding that ship off the coast,” Newsom said.

Six new coronavirus patients were confirmed in Los Angeles County, public health officials said on Wednesday. One was a federal contractor who may have been exposed while conducting medical screenings at Los Angeles International Airport, the U.S. Department of Homeland Security reported.

Three others likely were infected while traveling recently to northern Italy, one of the areas hardest hit in the global outbreak. Of the six in Los Angeles County, only one has been hospitalized. The other five are recovering in home isolation.

The greater Seattle region represents the biggest concentration of cases detected in the United States from a virus that has killed more than 3,000 people worldwide, mostly in China, where the epidemic originated in December.

With most of the Seattle-area cases not linked to travel or exposure to people who might have been infected abroad, that means the virus has gone from being an imported phenomenon to taking up residence in Washington state, health officials say.

At least 18 cases, including six deaths, were connected to a long-term nursing facility for the elderly, called LifeCare Center of Kirkland, in a Seattle suburb.

‘DISTANCING MEASURES’

Seattle health authorities urged a number of measures for curbing further spread of the disease, including recommendations for anyone aged 60 and older and individuals with underlying chronic health problems or compromised immunity to stay home and away from large gatherings and public places.

They also urged companies to allow their employees to work from home as much as possible, stagger shifts to ease commuter congestion on public transportation and avoid large work-related gatherings.

“The distancing measures that we’re recommending are essential because we need to slow the spread of the disease to the point where we are able to continue to handle the load,” said Patty Hayes, the public health director for Seattle and King County.

A growing number of U.S. companies are adopting such steps. On Wednesday Microsoft Corp asked its employees in the Seattle region near its headquarters and in the San Francisco Bay Area to work from home if possible until March 25.

In New York state, the number of cases rose to 10 on Wednesday. Three family members and a neighbor of a lawyer who was previously identified as infected tested positive. The neighbor’s wife and three of his children have also contracted the virus, Governor Andrew Cuomo said.

About 1,000 people in suburban Westchester County, where the two families live, were under self-quarantine orders because of possible exposure, Cuomo said.

“We are, if anything, being overcautious,” he said.

AIPAC, the pro-Israel lobby, said Wednesday that people in a group from New York that attended its 18,000-person policy conference in Washington, D.C., this week potentially had been in contact with an individual who contacted the coronavirus before the conference.

Dozens of Congress members attended the conference, as well as Vice President Mike Pence.

EMERGENCY FUNDS

U.S. lawmakers reached bipartisan agreement on an $8.3 billion emergency bill to help fund efforts to contain the virus. The bill garnered enough votes to pass in the House of Representatives.

More than $3 billion would be devoted to research and development of coronavirus vaccines, test kits and therapeutics. There are currently no approved vaccines or treatments for the fast-spreading illness.

The administration is working to allow laboratories to develop their own coronavirus tests without seeking regulatory approval first, U.S. Health Secretary Alex Azar said.

The latest data from the U.S. Centers for Disease Control and Prevention listed 129 confirmed and presumed cases in the United States, up from the previous 108. They were 80 reported by public health authorities in 13 states plus 49 among people repatriated from abroad, according to the CDC website.

Those figures do not necessarily reflect Wednesday’s updates from three states.

(Reporting by Steve Gorman in Los Angeles and Laila Kearney in New York; Additional reporting by Dan Whitcomb in Los Angeles, Maria Caspani and Hilary Russ in New York, David Morgan and Richard Cowan in Washington; writing by Grant McCool; Editing by Bill Berkrot, Lisa Shumaker, Cynthia Osterman, Leslie Adler and Lincoln Feast.)