Live Covid-19 Updates: Global Cases and Deaths – The New York Times
October 8, 2020
Heres what you need to know:Nevada has suspended the use of two companies rapid coronavirus testing in nursing homes.Credit...Julia Rendleman for The New York Times
The coronavirus tests kits are small and fast they produce results in as a little as 15 minutes and when they were first distributed to nursing homes around the country in August by the federal government, they were welcomed with open arms.
At last it seemed, there was a solution to the delays and equipment shortages that had stymied efforts to use laboratory-based tests to curb outbreaks.
But now Nevada has ordered its nursing facilities to immediately suspend the use of two of the rapid virus tests after their performance was found to be lacking, according to a directive issued by the states department of health.
The order was prompted by a spate of false-positive results, in which the tests mistakenly found that healthy people were infected. The state directed that use of the kits be discontinued until the accuracy of the tests can be further evaluated, the Nevada document said.
The rapid tests are manufactured by two companies: Quidel, and Becton, Dickinson and Company, Representatives for the companies defended their products and said they were conducting investigations into the reports of false positives in Nevada.
Lisa Sanders, director of media relations at LeadingAge, an association of nonprofit providers of aging services, said that several nursing homes in other states had been experiencing issues with BD and Quidels tests and reporting them to her organization and the American Health Care Association in recent weeks.
In submitting their applications to the Food and Drug Administration for emergency clearance, both BD and Quidel declared that their tests had no false positives.
But shortly after the tests were rolled out across the state this summer, nursing homes began to report that people who had been evaluated by both the rapid tests and a slower but highly reliable laboratory test, called P.C.R., were getting conflicting results. Among 39 positive antigen test results from both BD and Quidel, 23 were found by P.C.R. to be negative an error rate of nearly 60 percent.
The results, which were collected from a dozen facilities where thousands of tests had been performed, prompted the state to pivot away from antigen tests like BDs and Quintels to viral RNA tests such as P.C.R., according to the directive.
Susan Butler-Wu, a clinical microbiologist at the University of Southern California, said the findings in Nevada could be emblematic of a larger issue: the use of tests in ways for which they were not designed or validated.
Both BDs and Quidels tests received F.D.A. clearance for use within the first five days of the onset of symptoms. The instructions that come with BDs test have noted that the performance of this test has not been evaluated for use in patients without signs and symptoms of respiratory infection and performance may differ in asymptomatic individuals.
Shannon Litz, a spokeswoman for Nevadas department of health and human services, said in an email that the agency would be re-evaluating the tests performance before resuming their use.
President Trump returned to the Oval Office on Wednesday, even as a full picture of his health remained unclear and many of his aides were in quarantine amid a West Wing outbreak that continues to grow.
White House officials said he went in for an update on the stimulus talks that he called off Tuesday. And two people close to the White House said advisers were exploring a resumption of travel events for the president next week.
Despite the presidents insistence on returning to seeming normalcy, experts on the virus say he is entering a pivotal phase in the disease seven to 10 days after the onset of symptoms when some patients take a turn for the worse.
Underscoring the potential dangers, a White House memo instructed staff members to follow new safety protocols, among them some that Mr. Trump has previously dismissed. They include surgical masks and protective eye covers. Many health experts believe West Wing outbreak is a result of White House officials ignoring precautions recommended by public health experts.
Mr. Trump told the White House medical staff that he was feeling great and was symptom-free, according to a statement released Wednesday by his physician, Dr. Sean P. Conley. But Dr. Conley offered few further details about the presidents treatment, including whether he was still taking a steroid.
Dr. Conleys statement said Mr. Trump has not needed supplemental oxygen since returning from the hospital. But the full picture of the his health remains murky. Doctors, for instance, have not shared results of the presidents chest X-rays or lung scans, crucial measures of the severity of his illness.
The president trailing in the polls and just a month away from the election is trying to project the image of a healthy leader, and not of a patient with Covid-19. He has said he plans to be at the next debate, on Oct. 15, when it is possible he could still be contagious. His opponent, former Vice President Joseph R. Biden Jr., says there should not be a debate if the president still has the virus.
Since leaving the hospital Monday evening, the president has returned to minimizing the seriousness of the pandemic even as many states in the country are experiencing serious outbreaks.
Montana and Oklahoma, where hospitals are strained, set single-day case records on Tuesday, according to a Times database. And Alaska, Indiana, Minnesota, Montana, North Dakota, Utah and Wyoming reported more cases in the last week than they have during any seven-day period of the pandemic.
President Trump, releasing a direct-to-camera video of himself addressing the nation, said Wednesday that getting Covid-19 had been a blessing and claimed he would provide hundreds of thousands of doses of unapproved drugs to Americans free of charge.
I think this was a blessing from God that I caught it, Mr. Trump said in the nearly five-minute video, released after nearly two days of him being out of public view.
The coronavirus has killed more than one million people, including more than 211,000 Americans, but because of it, Mr. Trump said, he was treated with an experimental antibody cocktail, still in clinical trials, that is produced by Regeneron.
I call that a cure, said Mr. Trump, whose skin appeared darkened by makeup and who appeared to struggle to get air at times.
It is impossible to know if the treatment has cured the president or even if he has beaten the disease. Most people with Covid-19 eventually recover, and medical experts have also said that Mr. Trump is most likely still battling it.
And the Regeneron antibody cocktail is not the only drug that Mr. Trump was prescribed. He has also been taking the antiviral drug remdesivir, as well as the dexamethasone, a steroid.
But the president was unstinting in his endorsement.
I feel great I feel, like, perfect, declared Mr. Trump, who has made broad claims about other unproven drugs in the past, some of them hotly debated.
The president has been desperate to announce some kind of definitive treatment, or a vaccine, ahead of the election, in which nearly all polls show him trailing former Vice President Joseph R. Biden Jr.
The president said that everyone should have access to the as-yet-approved drug for free and that he would make sure it was in every hospital as soon as possible. He did not provide any details, other than saying the military could help distribute the drug.
Good luck, Mr. Trump said, ending the video.
transcript
transcript
Well, the American people have witnessed what is the greatest failure of any presidential administration in the history of our country. And here are the facts: 210,000 dead people in our country in just the last several months. Over 7 million people who have contracted this disease. One in five businesses closed. Were looking at frontline workers who have been treated like sacrificial workers. We are looking at over 30 million people who in the last several months had to file for unemployment. And heres the thing: On Jan. 28, the vice president and the president were informed about the nature of this pandemic. They were informed that its lethal in consequence, that it is airborne, that it will affect young people, and that it would be contracted because it is airborne. And they knew what was happening and they didnt tell you. Can you imagine if you knew on Jan. 28 as opposed to March 13 what they knew, what you might have done to prepare? They knew and they covered it up.
At the vice-presidential debate on Wednesday night, Senator Kamala Harris of California wasted no time in prosecuting the case against the Trump administrations handling of the coronavirus crisis.
The American people have witnessed what is the greatest failure of any presidential administration in the history of our country, she said in her opening remarks on Wednesday.
Ms. Harris, in her debate debut as former Vice President Joseph R. Biden Jr.s running mate, accused President Trump and Vice President Mike Pence of hiding the truth of the pandemic from the American people.
They knew what was happening and they didnt tell you, she said. They knew and they covered it up.
Ms. Harris said a Biden administration would put in place a national strategy for contact tracing and coronavirus testing, which she said would be free for all Americans. Mr. Trump, she said, does not deserve any more chances to solve the problem.
This administration has forfeited their right to re-election, she said.
Mr. Pence, for his part, sought to highlight Chinas role in the coronavirus pandemic, saying, First and foremost, China is to blame for the coronavirus, and President Trump is not happy about it.
As he has before, Mr. Pence praised Mr. Trumps decision early in the pandemic to suspend travel from China, though he incorrectly characterized it as a ban on all travel from China. The virus ended up reaching the United States primarily through Europe.
The Chinese governments failures in the early stages of the outbreak in Wuhan are well documented, but the Trump administrations singular focus on those failures has often served to elide its own, equally well-documented failures, compared with efforts in other wealthy countries, in containing the virus once it arrived in the United States.
Ms. Harris noted that Mr. Trump had disbanded the Obama administrations pandemic response team and had withdrawn American disease experts who were monitoring potential threats in China.
The coronavirus hung over Wednesdays debate as it has hung over all of American life for months. There was no handshake. The candidates were seated 12 feet apart. Two plexiglass dividers stood between them, providing an illusion of protection that scientists said would not actually do anything against an airborne virus.
After President Trump was hospitalized for the coronavirus, Ms. Harriss team had been pushing for stronger safety measures, including the plexiglass, in case Mr. Pence was infected. (He has tested negative, but tests are not always accurate until several days after exposure.) Aides to Mr. Pence had criticized the plans, but after negotiations, his staff accepted the placement of the dividers.
Boston is delaying the next step in its plan to reopen public school classrooms as the citys rate of positive test results climbs.
The district, which serves 54,000 students, making it one of the nations 100 largest, began the year with remote learning on Sept. 21 and planned to allow students to return to classrooms in phases, with most students given the option to attend school in-person two days a week.
Last week, the city allowed a group of high-needs students, including some students with disabilities, students facing homelessness, and English language learners, to return to classrooms for the first time. Kindergarten students were expected to return as soon as Oct. 15, with older students moving into schools in waves over the following days.
But Mayor Marty Walsh had said that the city would only allow in-person to continue if the seven-day average positivity rate citywide remained under 4 percent. In recent days, as the city has experienced an increase in cases, the positivity rate has topped that threshold.
Mr. Walsh wrote on Twitter on Wednesday that the city would delay the return of kindergarten students, bringing them back no sooner than Oct. 22, and that it would continue to adjust its plans as needed based on new testing data.
He said that, based on the guidance of public health experts and in consultation with state officials, the city had decided that the high-needs students who started in-person learning last week could continue to go to school.
For many of these students, not being in school presents risk that cannot be mitigated the way that the risk of #COVID19 can be, Mr. Walsh wrote.
New York City completed reopening schools on a hybrid model last week, but 100 public schools, and roughly 200 private schools, have already been closed in areas that have seen sharp upticks in cases. Most other big cities are holding off on in-person schooling for now, but thousands of smaller districts have reopened, especially in the South and the Midwest.
Massachusetts has seen a steady rise in coronavirus cases since early July, and some public health experts have urged Gov. Charlie Baker to roll back the states reopening process.
Global Roundup
More than 40 percent of patients hospitalized in intensive care units in the Paris region have Covid-19, the French authorities said this week, warning that local hospitals were coming under increasing strain from an influx of new cases.
Over 2,300 Covid-19 patients are hospitalized in Ile-de-France, the region that includes the French capital and that is the countrys most populated. Nearly 450 of them are in intensive care, and some hospitals have started to defer surgeries to make additional room.
Aurlien Rousseau, the head of the health authority for Ile-de-France, warned that Covid-19 patients could take up half of all intensive care units within the next 10 to 15 days if new restrictions put in place over the past week did not make an impact.
The new restrictions in Paris include the closure of all bars for at least two weeks. Gyms, dance halls and enclosed swimming pools are also closed to adults, and university classrooms and lecture halls can operate only at half capacity or below. Restaurants can remain open if they follow a strict health protocol.
Models from the Pasteur Institut, using data from Sept. 25, before any of the new restrictions were put in place, warned that the regions intensive care units, at their current capacity, would be completely full with Covid-19 patients by November if nothing changed.
Mr. Rousseau stressed the need for residents to further reduce social interactions. It is demanding, but its the condition to limit the number of infections and to protect the health system, he said on Twitter.
France reported nearly 19,000 new daily cases on Wednesday, a record so far, as President Emmanuel Macron said that we must go toward more restrictions in regions where the epidemic was picking up speed, despite improvements in other areas.
We are not in a normal time, and we wont be for several months, Mr. Macron told French television on Wednesday evening.
Mr. Macron did not detail how restrictions might be tightened, but the health minister is expected to announce any new measures at a news conference on Thursday evening.
Nearly 7,400 people are hospitalized because of Covid-19 around France, including 1,400 people in intensive care. That is a far cry from the peak in April, when hospitals around the country had more than 32,000 Covid-19 patients, but a worrying increase since late August, when that number was around 4,500.
Hospitals in other regions are also coming under increasing pressure from a rise in the number of infections, including the area around Marseille, in southern France, where restrictions had already been tightened last month, and in the northern Hauts-de-France region.
In other news around Europe:
Scotland will further tighten restrictions on its hospitality sector, closing pubs and canceling events around Glasgow, to avoid the likelihood of a second lockdown, the government said on Wednesday. Elsewhere in the country, pubs and restaurants will not be able to serve customers indoors after 6 p.m starting Friday. We have a duty to balance all the different harms caused by the pandemic, Nicola Sturgeon, the first minister, said, adding that without more restrictions, there was a real risk the virus will run out of control by the end of this month. Scotland reported over 1,000 new cases on Wednesday, with a dramatic spike in infections in those over the age of 70. The government will also provide 40 million in funding for businesses affected by the new measures.
State governors in Germany agreed Wednesday to restrict domestic travelers from renting rooms if they are coming from a virus hot spot. Those who live in areas where cases surpass 50 per 100,000 people in a week are discouraged from non-essential travel and will have to present a negative test result to book a room in a hotel or resort. The news came as Germans prepared for their traditional two-week October school break, during which many families travel, and amid a rise in cases. The health authorities registered 2,828 new infections across Germany on Tuesday, a figure not seen in the country since April. Bars and restaurants in Berlin must also close at 11 p.m. starting this weekend.
Members of the governments of Brussels and Wallonia, two out of three of Belgiums regions, are in quarantine after two ministers tested positive for the virus. The news comes as Belgium implements rules limiting social interactions to three people outside of families in response to a rise in cases. The city of Brussels also announced on Wednesday that it would shut down all bars and cafes for a month.
With less than a month to go before Election Day, the pandemic-driven economic outlook is not a good one.
Job growth in the United States has stalled, layoffs are mounting, and there are no signs more financial help is coming anytime soon for families enduring hardships.
Households and businesses have gone two months without the enhanced unemployment benefits, low-interest loans and other programs that helped prop up the economy in the spring.
President Trump announced on Tuesday that he was cutting off stimulus negotiations until after the election. He later added confusion by urging Congress to act IMMEDIATELY to revive a lapsed loan program for small businesses and to approve funds for airlines and another round of stimulus checks.
But the only talks that seemed to be moving forward at all on Wednesday were on airlines. Speaker Nancy Pelosi of California and Steven Mnuchin, the Treasury secretary, spoke in the morning about the prospects of a stand-alone bill for airline relief.
Jerome H. Powell, the Federal Reserve chairman has argued that failing to provide enough support carried risks for the economy.
Too little support would lead to a weak recovery, creating unnecessary hardship for households and businesses, he said in a speech on Tuesday.
Already, many furloughs are turning into permanent job losses, and major companies like Disney and Allstate are embarking on new rounds of layoffs. The hotel industry is warning of thousands of closures, and tens of thousands of small businesses are weighing whether to close up shop for good. An estimated one of every seven small businesses in the United States had shut down permanently by the end of August 850,000 in all according to data from Womply, a marketing platform. The deeper those wounds, the longer the economy will take to heal.
After President Trump indicated that he might want to revive some stimulus measures, stocks on Wall Street rose on Wednesday, broadly erasing Tuesdays losses. The bounce was just the latest in a series of head-spinning turns for the market.
The gridlock in Washington is a reversal from the spring, when lawmakers acted out of fear of an imminent economic collapse and approved trillions of dollars in aid to households and businesses. The effort was largely successful.
But most of the aid programs expired over the summer, and in recent weeks economic gains have faltered. Economists across the ideological spectrum agree that the loss of momentum is likely to get worse if more aid doesnt arrive soon.
The California governors office wants people who dine in restaurants to put their masks back on their faces in between bites.
The recommendation appears to contradict advice from the World Health Organization, which warns mask wearers to avoid touching their masks as much as possible, and to wash their hands before and after touching it hardly practical to do at a dining table between mouthfuls.
The tweet on the subject issued by the office of Gov. Gavin Newsom on Saturday also seemed to contradict itself. An accompanying graphic instructs diners to minimize the number of times you take your mask off. An illustration shows a diner wearing her mask while perusing a menu, maskless while taking a bite, and then wearing the mask again with an empty plate.
The unusual and confusing suggestion to take the mask on and off repeatedly throughout a meal attracted mockery online. Its confirmed, I live in the dumbest state, one Twitter user responded.
As most states do in some form, California requires mask-wearing in public spaces. Many counties in the state restrict restaurants to outdoor seating only, or limit their indoor seating to 25 percent of capacity. The state has reported more than 840,000 cases of the virus so far, and more than 16,000 deaths, according to a New York Times database.
Experts have taken different approaches to mask-wearing while dining out. In an interview with The Daily Show last month, Dr. Anthony Fauci said he wears his mask around his neck while eating and drinking in public, and then places it over his face while youre waiting for the waiter or during other lulls in the meal.
Orthodox Jewish and other religious leaders lashed out at Gov. Andrew M. Cuomo on Wednesday over new coronavirus restrictions on schools, businesses and houses of worship, as protests broke out in Brooklyn overnight, leading to scenes of chaos and the injury of at least one person.
The new restrictions, announced by Mr. Cuomo on Tuesday, are intended to combat worrisome outbreaks of the coronavirus in Brooklyn, Queens and New York Citys northern suburbs. The rules would shut down nonessential businesses and schools and impose tight restrictions on houses of worship, where attendance in the hardest-hit areas would be limited to 10 people. In other neighborhoods, attendance would be limited to 25 people.
On Wednesday, Mayor Bill de Blasio of New York City said that the restrictions in portions of Brooklyn and Queens, as outlined by the state, would go into effect on Thursday.
The rules which will be put in place before an important Jewish holiday, Shemini Atzeret seem to specifically target Orthodox synagogues that have become scenes of large gatherings of worshipers clustered together, with many not wearing face coverings.
The number of virus cases in the affected areas of Brooklyn and Queens has been rising for weeks, especially in Orthodox Jewish communities. Local leaders said that surge was driven by denialism, wishful thinking around herd immunity and misinformation.
Other religious leaders from communities affected by the new rules were also outraged. The Roman Catholic Diocese of Brooklyn, which has 1.5 million followers and 210 churches in Brooklyn and Queens, said it was taken by surprise by the governors announcement. Bishop Nicholas DiMarzio of Brooklyn condemned the new rules as outrageous.
Orthodox Jewish leaders, who also said they were not consulted before the governor announced the new restrictions, said they were appalled by the action. In a letter posted late Tuesday from four Orthodox Jewish lawmakers representing the affected areas said Mr. Cuomo has chosen to pursue a scientifically and constitutionally questionable shutdown of our communities.
Their frustration was reflected on the street, where video shared widely on social media showed hundreds of Hasidic men, most of them without masks, gathering after midnight and setting fires along 13th Avenue in the Borough Park neighborhood.
The crowd soon turned violent. One man can be heard yelling Snitch! in a video as the crowd beats a man the mob believed to be disloyal.
On Wednesday, Mr. Cuomo said that he sympathized with those who were upset with the restrictions. But, he added, these limitations are better than going back to close down.
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Live Covid-19 Updates: Global Cases and Deaths - The New York Times