Category: Corona Virus

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Which Country Has Flattened the Curve for the Coronavirus? – The New York Times

March 21, 2020

Just a few weeks ago, China was overwhelmed by the coronavirus pandemic that began in Wuhan. Since then, it has drastically reduced the number of new cases, what is known as flattening the curve.

South Korea appears to be headed on a similar path.

These charts track the number of new confirmed cases each day. Each red line is the seven-day moving average, which smooths out day-to-day anomalies in how the data are reported by authorities. The number of cases in China had a big jump in mid-February because officials changed the way cases were counted.

Despite their close proximity to China, Singapore, Hong Kong and Taiwan have managed to keep the number of cases down with some success, through vigilant monitoring and early intervention.

But recent spikes in those places suggest that they are still at risk. For example, 21 of the 23 new cases in Taiwan and at least 13 of the new cases in Hong Kong on Wednesday were people who had recently traveled overseas.

More countries are now implementing travel bans or mandatory quarantine for returning travelers, as the pandemic continues to ravage the world, sickening more than 210,000 people as of Wednesday evening.

In the United States and five other countries, the number of known coronavirus cases is still growing rapidly. They have all reported more than 4,000 new cases in the past week.

These six countries have had less severe outbreaks so far but still reported more than 1,000 new cases each in the past week.

Heres a look at the trajectories of coronavirus cases in all of the countries that have had more than 50 confirmed cases so far. Scales are adjusted in each country to make the curve more readable. The countries are sorted by the number of new cases in the past week.

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Which Country Has Flattened the Curve for the Coronavirus? - The New York Times

How You Can Help Victims of the Coronavirus Pandemic – The New York Times

March 21, 2020

The coronavirus that started in Wuhan, China, late last year has spread to at least 154 countries and killed thousands.

Some countries and regions have been hit harder than others. In many areas, daily life has come to a halt, local economies have unraveled, and medical facilities are coping with a shortage of crucial supplies.

Many charities and organizations are helping those affected by the pandemic. Here is what you can do to support them.

Charity Navigator, which evaluates charities using a numbers-based system, has a running list of nonprofits working in communities affected by the outbreak. There are organizations that focus on medical services, relief supplies and more.

GlobalGiving is a large global crowdfunding community that connects nonprofits, donors and companies. It has set a goal of reaching $5 million in donations. Money received will go toward sending emergency medical workers to communities in need, providing medical supplies to hospitals and helping deliver essentials to families.

Relief International, which operates in 16 countries throughout Africa, the Middle East and Asia, has focused some of its efforts on helping Iran, where more than 20,000 infections and at least 1,500 deaths have been reported.

The group has so far provided more than 50,000 pieces of medical protective gear, including 24,000 masks and 5,000 pairs of goggles, as well as 40,000 kits to test for the coronavirus; 85 percent of all donated funds go directly to its programs.

Heart to Heart International is distributing urgently needed equipment and medication to its partners around the world. Medical supplies are also being delivered to providers on the front lines.

Those seeking to give something other than money can look to the American Red Cross. There is a severe blood shortage because of a high number of blood drive cancellations during the outbreak, it said. Healthy donors are urged to give blood, platelets or AB plasma.

World Central Kitchen has stepped in to distribute meals to children and others in New York City, Washington, D.C., and Little Rock, Ark., after many schools closed. Beginning Monday, it will give food to families in Los Angeles, where schools are also closed.

Feeding America is the nations largest domestic hunger-relief organization, with a network of 200 food banks and 60,000 food pantries across the country. Its COVID-19 Response fund will help food banks across the country.

UNICEF is providing hygiene and medical kits to schools and health clinics.

Save the Children has partnered with No Kid Hungry to make sure schools and community programs have the support they need to keep children fed during the pandemic.

First Book has the goal of delivering seven million books to children in the United States who do not have internet access or home libraries so they can continue learning while schools are closed.

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How You Can Help Victims of the Coronavirus Pandemic - The New York Times

What Does Coronavirus Do to the Body? – The New York Times

March 21, 2020

As cases of coronavirus infection proliferate around the world and governments take extraordinary measures to limit the spread, there is still a lot of confusion about what exactly the virus does to peoples bodies.

The symptoms fever, cough, shortness of breath can signal any number of illnesses, from flu to strep to the common cold. Here is what medical experts and researchers have learned so far about the progression of the infection caused by this new coronavirus and what they still dont know.

The virus is spread through droplets transmitted into the air from coughing or sneezing, which people nearby can take in through their nose, mouth or eyes. The viral particles in these droplets travel quickly to the back of your nasal passages and to the mucous membranes in the back of your throat, attaching to a particular receptor in cells, beginning there.

Coronavirus particles have spiked proteins sticking out from their surfaces, and these spikes hook onto cell membranes, allowing the viruss genetic material to enter the human cell.

That genetic material proceeds to hijack the metabolism of the cell and say, in effect, Dont do your usual job. Your job now is to help me multiply and make the virus, said Dr. William Schaffner, an infectious disease specialist at Vanderbilt University Medical Center in Nashville.

As copies of the virus multiply, they burst out and infect neighboring cells. The symptoms often start in the back of the throat with a sore throat and a dry cough.

The virus then crawls progressively down the bronchial tubes, Dr. Schaffner said. When the virus reaches the lungs, their mucous membranes become inflamed. That can damage the alveoli or lung sacs and they have to work harder to carry out their function of supplying oxygen to the blood that circulates throughout our body and removing carbon dioxide from the blood so that it can be exhaled.

If you get swelling there, it makes it that much more difficult for oxygen to swim across the mucous membrane, said Dr. Amy Compton-Phillips, the chief clinical officer for the Providence Health System, which included the hospital in Everett, Wash., that had the first reported case of coronavirus in the United States, in January.

The swelling and the impaired flow of oxygen can cause those areas in the lungs to fill with fluid, pus and dead cells. Pneumonia, an infection in the lung, can occur.

Some people have so much trouble breathing they need to be put on a ventilator. In the worst cases, known as Acute Respiratory Distress Syndrome, the lungs fill with so much fluid that no amount of breathing support can help, and the patient dies.

Dr. Shu-Yuan Xiao, a professor of pathology at the University of Chicago School of Medicine has examined pathology reports on coronavirus patients in China. He said the virus appears to start in peripheral areas on both sides of the lung and can take a while to reach the upper respiratory tract, the trachea and other central airways.

Dr. Xiao, who also serves as the director of the Center For Pathology and Molecular Diagnostics at Wuhan University, said that pattern helps explain why in Wuhan, where the outbreak began, many of the earliest cases were not identified immediately.

The initial testing regimen in many Chinese hospitals did not always detect infection in the peripheral lungs, so some people with symptoms were sent home without treatment.

Theyd either go to other hospitals to seek treatment or stay home and infect their family, he said. Thats one of the reasons there was such a wide spread.

A recent study from a team led by researchers at the Icahn School of Medicine at Mount Sinai found that more than half of 121 patients in China had normal CT scans early in their disease. That study and work by Dr. Xiao show that as the disease progresses, CT scans show ground glass opacities, a kind of hazy veil in parts of the lung that are evident in many types of viral respiratory infections. Those opaque areas can scatter and thicken in places as the illness worsens, creating what radiologists call a crazy paving pattern on the scan.

Not necessarily. Dr. Compton-Phillips said the infection can spread through the mucous membranes, from the nose down to the rectum.

So while the virus appears to zero in on the lungs, it may also be able to infect cells in the gastrointestinal system, experts say. This may be why some patients have symptoms like diarrhea or indigestion. The virus can also get into the bloodstream, Dr. Schaffner said.

The Centers for Disease Control and Prevention says that RNA from the new coronavirus has been detected in blood and stool specimens, but that its unclear whether infectious virus can persist in blood or stool.

Bone marrow and organs like the liver can become inflamed too, said Dr. George Diaz, section leader for infectious diseases at Providence Regional Medical Center in Everett, Wash., whose team treated the first U.S. coronavirus patient. There may also be some inflammation in small blood vessels, as happened with SARS, the viral outbreak in 2002 and 2003.

The virus will actually land on organs like the heart, the kidney, the liver, and may cause some direct damage to those organs, Dr. Schaffner said. As the bodys immune system shifts into high gear to battle the infection, the resulting inflammation may cause those organs to malfunction, he said.

As a result, some patients may endure damage that is inflicted not just by the virus, but by their own immune system as it rages to combat the infection.

Experts have not yet documented whether the virus can affect the brain. But scientists who studied SARS have reported some evidence that the SARS virus could infiltrate the brain in some patients. Given the similarity between SARS and Covid-19, the infection caused by the new coronavirus, a paper published last month in the Journal of Medical Virology argued that the possibility that the new coronavirus might be able to infect some nerve cells should not be ruled out.

About 80 percent of people infected with the new coronavirus have relatively mild symptoms. But about 20 percent of people become more seriously ill and in about 2 percent of patients in China, which has had the most cases, the disease has been fatal.

Experts say the effects appear to depend on how robust or weakened a persons immune system is. Older people or those with underlying health issues, like diabetes or another chronic illness, are more likely to develop severe symptoms.

Dr. Xiao conducted pathological examinations of two people in China who went into a hospital in Wuhan in January for a different reason they needed surgery for early stage lung cancer but whose records later showed that they had also had coronavirus infection, which the hospital did not recognize at the time. Neither patients lung cancer was advanced enough to kill them, he said.

One of those patients, an 84-year-old woman with diabetes, died from pneumonia caused by coronavirus, Dr. Xiao said the records showed.

The other patient, a 73-year-old man, was somewhat healthier, with a history of hypertension that he had managed well for 20 years. Dr. Xiao said the man had successful surgery to remove a lung tumor, was discharged, and nine days later returned to the hospital because he had a fever and cough that was determined to be coronavirus.

Dr. Xiao said that the man had almost certainly been infected during his first stay in the hospital, since other patients in his post-surgical recovery room were later found to have coronavirus. Like many other cases, it took the man days to show respiratory symptoms.

The man recovered after 20 days in the hospitals infectious disease unit. Experts say that when patients like that recover, it is often because the supportive care fluids, breathing support, and other treatment allows them to outlast the worst effects of the inflammation caused by the virus.

A lot. Although the illness resembles SARS in many respects and has elements in common with influenza and pneumonia, the course a patients coronavirus will take is not yet fully understood.

Some patients can remain stable for over a week and then suddenly develop pneumonia, Dr. Diaz said. Some patients seem to recover but then develop symptoms again.

Dr. Xiao said that some patients in China recovered but got sick again, apparently because they had damaged and vulnerable lung tissue that was subsequently attacked by bacteria in their body. Some of those patients ended up dying from a bacterial infection, not the virus. But that didnt appear to cause the majority of deaths, he said.

Other cases have been tragic mysteries. Dr. Xiao said he personally knew a man and woman who got infected, but seemed to be improving. Then the man deteriorated and was hospitalized.

He was in I.C.U., getting oxygen, and he texted his wife that he was getting better, he had good appetite and so on, Dr. Xiao said. But then in the late afternoon, she stopped receiving texts from him. She didnt know what was going on. And by 10 p.m., she got a notice from the hospital that he had passed.

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What Does Coronavirus Do to the Body? - The New York Times

Trump has scoreboard obsession. It hasnt worked with coronavirus – POLITICO

March 21, 2020

He's a man that hears what he wants to hears and he puts it through the lens of a marketer. He is a marketer, said Georges Benjamin, executive director of the American Public Health Association. His image is, Im on top of this, Im tough, and anything he hears that supports that theory of the case, he grabs and utilizes.

Those around Trump disagree. They say his numbers-focused mindset is a crisis asset. Trumps specific obsession with the number of coronavirus cases is the right approach, argued former White House press secretary Sean Spicer, who made headlines when he insisted wrongly that Trump had drawn the largest ever inaugural crowd.

Having a metric-based business mentality is what you need during periods of crisis, said Spicer, who visited the White House at least twice this week. Either people are getting better and its being contained or its not. Its the only judge of success.

More broadly, Trumps team thinks the numbers are in his favor, arguing the administration started taking action the first week of January. Since then, Trump has up a task force, declared a public health emergency, requested billions from Congress and announced early restrictions on travel from China. Trump aides also note the administration has facilitated the shipments of test kits to U.S. and foreign labs.

For years, Trump has been obsessed with records, ratings and statistics, mentioning them constantly and often inflating the figures, failing to acknowledge the human aspect or overhyping his own role. Theres interest rates and unemployment rates, crowd sizes and polls, stock markets gains and immigrant apprehension numbers.

Before running for office in 2016, Trump had spent his five decades in the real estate, marketing and reality TV businesses. He sold himself to voters on that background, touting his ability to strike deals with countries and companies alike.

Once in office, he talked about policy moves like one-off deals, often becoming preoccupied with certain figures.

For example, he has constantly complained about trade deficits when the value of what the country imports exceeds its exports spouting off the amount with each country. $500 billion a year with China, $100 billion with Japan, $17 billion with Canada.

When Trump has struck new deals with China, Mexico and Canada and others, hes always noted how much the agreement will reduce each trade deficit.

When youre in the real investment business, the performance is only based on numbers and thats all that matters, said a Republican who speaks to Trump. He spent a lifetime on it. Hes not going to think differently now. Thats how you judge real estate. Thats all they have. Its all about the money.

But Trump has been accused of forgetting the people behind the numbers.

In August, Trump touted the crowd size of a rally held at the same time as an event of then Democratic presidential candidate Beto O'Rourke - while visiting medical staff who had treated victims of a mass shooting.

That criticism has resurfaced during the coronavirus pandemic.

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Trump has scoreboard obsession. It hasnt worked with coronavirus - POLITICO

Here’s What Is In The ‘Families First’ Coronavirus Aid Package Trump Approved – NPR

March 21, 2020

Jessica Mendoza (center), a Virginia Hospital Center outpatient lab specialist, and James Meenan (right), the director of the Virginia Hospital Center outpatient lab, make final preparations before opening a drive-through coronavirus testing site on Wednesday in Arlington, Va. President Trump signed a bill Wednesday that includes funding for testing. Drew Angerer/Getty Images hide caption

Jessica Mendoza (center), a Virginia Hospital Center outpatient lab specialist, and James Meenan (right), the director of the Virginia Hospital Center outpatient lab, make final preparations before opening a drive-through coronavirus testing site on Wednesday in Arlington, Va. President Trump signed a bill Wednesday that includes funding for testing.

President Trump signed a second coronavirus emergency aid package into law Wednesday evening, after it passed with overwhelming support from the Senate.

The legislation follows a first emergency funding bill, which allocated roughly $8 billion for coronavirus prevention, preparation and response efforts.

The latest package, named the Families First Coronavirus Response Act, responds to the growing health and economic crises with provisions for paid sick leave, free testing and expanded unemployment benefits.

Each of the agencies getting funding must give a report on how the money has been used within the next month.

Here's a breakdown of what the act includes.

The legislation seeks to make testing for the coronavirus free to the public (without having to use deductibles or copayments). It includes a variety of waivers in order for testing costs to be covered by either insurance or government programs.

Additionally, it includes a temporary 6.2% increase in federal payments to Medicaid for states.

The Children's Health Insurance Program, for low-income children, will include temporary coverage of diagnostic products.

An additional $60 million will go to the Department of Veterans Affairs for testing veterans, $64 million to the Indian Health Service for testing members of Native American tribes and $1 billion to the National Disaster Medical System for reimbursing testing costs for those without health insurance.

The bill establishes a federal emergency paid-leave benefits program to provide payments to some employees.

It requires employers with fewer than 500 employees to provide two weeks' worth of paid sick leave if employees are unable to work because they're subject to quarantine or isolation, are experiencing symptoms of COVID19, are caring for someone who is in quarantine or isolation and/or have children in schools that have closed.

Employers themselves will receive tax credits to offset the costs of providing this paid leave.

Under the legislation, an employer cannot require employees to find a replacement worker for themselves or require them to use other paid time off.

For those who are self-employed, there will be a tax credit equivalent to the sick leave amount.

The legislation also gives up to three months of paid family and medical leave, equivalent to no less than two-thirds of the person's pay.

The legislation boosts unemployment benefits, with nearly $1 billion in state grants to cover processing and paying unemployment insurance.

It also raises the amount of assistance to states with high unemployment for those who have exhausted benefits already.

Nearly a billion dollars is being given to provide access to meals for those without food security. Half that amount will go toward funding for the Special Supplemental Nutrition Program for Women, Infants, and Children, also known as WIC.

Another $400 million is allocated for an emergency food assistance program that will be available through Sept. 30, 2021.

Certain households will be eligible for help if a child's school has been closed for at least five consecutive days because of the health crisis.

The legislation allows certain waivers in order to expand who qualifies for benefits through the Supplemental Nutrition Assistance Program and suspends the program's work requirements.

An additional $100 million will be set aside for nutrition assistance grants for U.S. territories (Northern Mariana Islands, Puerto Rico and American Samoa).

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Here's What Is In The 'Families First' Coronavirus Aid Package Trump Approved - NPR

Why the Covid-19 coronavirus is worse than the flu, in one chart – Vox.com

March 21, 2020

A question we keep hearing about the Covid-19 pandemic: Isnt this disease a lot like the flu?

A quick unambiguous answer: No, this is not like the seasonal flu. It is worse.

Yes, some of the symptoms of Covid-19 resemble flu especially fever and coughs. But this virus is worse for the destruction it may cause, not only in human lives, but to our society.

This is not to downplay the flu; that disease is still an annual blight we could be even more proactive about fighting (annual flu shots are important!). And its still true that tens of thousands of people die from the flu each year in the US.

But also, keep in mind: Thats in a given year. Covid-19 hasnt been around a year or even half a year. Before January, this virus was not known to science, at all. Its just getting started. And while there is still a lot of uncertainty over this virus, and how it will play out, from what we know so far, this is a threat to take extremely seriously.

While the exact death rate is not yet clear, the evidence so far does show the disease kills a larger proportion of people than the flu (and its particularly lethal for people older than 80).

It also has a higher potential to overwhelm our health care system and hurt people with other illnesses.

Currently, there is no vaccine to combat it, nor any approved therapeutics to slow the course of its toll on the human body. (Doctors can treat cytokine storm syndrome, an immune response that may in some cases be dealing the fatal blow to those dying of Covid-19.)

Sober-minded epidemiologists say that 20 to 60 percent of the worlds adult population could end up catching this virus.

Biologically, it behaves differently than the flu. It takes one to 14 days for people with Covid-19 infection to develop symptoms (five days is the median). For the flu, its around two days. That potentially gives people more time to spread the illness asymptomatically before they know they are sick.

Around the country, health care providers are worried about their facilities being overrun with an influx of patients, and having to ration lifesaving medical supplies. Some flu seasons are worse than others but facilities are anticipating flu cases, and prepare for them. Many hospitals, as Voxs Dylan Scott has reported, and struggling in their preparations for Covid-19.

Four or so months ago, this virus is believed to have made the leap from animals to humans for the very first time. No human immune system had seen it before November, so no human had any natural immunity to it. That means its more contagious than the flu about twice as contagious, perhaps more; the numbers are still being worked out.

The threat of it causing massive outbreaks that overwhelm health systems around the world is serious. Its bad enough to roil our stock markets, put people out of work, and potentially cause a recession. It could potentially kill millions, both here and abroad.

Its possible that Covid-19 will become endemic meaning it will be a disease that regularly attacks humans and will not go away until theres a treatment or a vaccine.

Again: Yes, flu variants kill tens of thousands of people a year in the US. But imagine if there was another kind of flu, except potentially with a higher case fatality rate, Angela Rasmussen, a Columbia University virologist, told me recently. Which is definitely a problem because the seasonal flu kills 30,000 to 60,000 Americans every year. And even if its the same case fatality rate of seasonal flu, that still presents a substantial public health burden.

We do not want this to happen.

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Why the Covid-19 coronavirus is worse than the flu, in one chart - Vox.com

Fact-Checking 5 Trump Administration Claims On The Coronavirus Pandemic – NPR

March 21, 2020

Not all of President Trump's announcements at his daily press conference have been exactly on the mark. Evan Vucci/AP hide caption

Not all of President Trump's announcements at his daily press conference have been exactly on the mark.

President Trump has made a lot of promises about actions that his administration is taking to fight the coronavirus pandemic.

Not all of them have been exactly on the mark and some have yet to pay off as advertised.

Naval hospital ships

The president announced on Wednesday that the Navy would dispatch its two hospital ships, the USNS Comfort and the USNS Mercy, to help treat patients and free up land-based hospitals for coronavirus patients.

"So those two ships are being prepared to go, and they can be launched over the next week or so," Trump said, calling the ships in "tip-top shape."

Well, not so much.

The Navy said that the Comfort was actually undergoing repairs in Norfolk, Va., and it would be weeks before it would be ready to sail to New York. And the Mercy, based in San Diego, would take several days before it was staffed with doctors and nurses and be ready for deployment somewhere on the West Coast.

Although the deployments may still go ahead, the ships likely won't sail right away.

FDA drug approval

On Thursday, Trump touted that the Food and Drug Administration had "approved" use of an anti-malaria drug called chloroquine to treat patients afflicted with the coronavirus.

The president sounded excited.

"We're going to be able to make that drug available almost immediately," Trump said, calling it "a tremendous breakthrough" and a potential "game-changer."

But FDA commissioner Stephen Hahn tried to tamp down Trump's enthusiasm, saying that "a large, pragmatic clinical trial" would be needed first to determine the drug's usefulness before making it available to coronavirus patients.

Hahn said he couldn't "speculate about a timeline" for the drug's availability.

Trump's enthusiasm for hydroxychloroquine spilled into another press conference on Friday, when he again described it as a potential wonder drug.

And again, a public health official this time, Dr. Anthony Fauci, a top immunologist on the White House's response team tried to rein in the optimism by echoing the need for clinical proof that it would make a difference.

On Thursday, Trump said another drug, Remdesivir, had "also been approved, or very close to approved" by the FDA for treating patients coronavirus. In fact, that drug is undergoing a clinical trial and is months away from being ready for use.

The website

Last Friday, Trump said at a Rose Garden news conference that Google has 1,700 engineers developing a new website that would help Americans determine whether they should seek testing for the coronavirus.

The president sought to cast his own project as a triumph compared with the initial failure of President Barack Obama to roll out a website as part of the changes to the health care market enacted in 2009.

"Google is helping to develop a website," Trump said. "It's going to be very quickly done unlike websites of the past to determine whether a test is warranted and to facilitate testing at a nearby convenient location."

Within hours, Google attempted to clarify the president's comments. It said an affiliated company, Verily, was working on the project but on a limited scale only for people in the San Francisco area.

"Verily is in the early stages of development," Google said, "and planning to roll testing out in the Bay Area, with the hope of expanding more broadly over time."

The website is now functional in "select counties in the Bay area."

Medical supplies

On Wednesday, Trump met with a group of nurses at the White House, telling them that the administration had arranged for a major new supply of the type of respirator in high demand during the pandemic.

"We've ordered 500 million N95 masks to drive private production," Trump said. He also said that construction companies were being asked to donate unused masks. The next day at a briefing, Vice President Pence stated: "We've vastly increased the supply of medical masks."

But hospitals continue to report that they are running short of masks, as are pharmacists. Authorities are taking donations from unlikely sources, including financial institutions such as Goldman Sachs.

Loose-fitting surgical masks aren't appropriate for dealing with the pandemic authorities say; the Centers for Disease Control and Prevention released a graphic detailing the important differences between a surgical mask and an N95 respirator.

Trump acknowledged the shortfall in supplies on Friday when he said he had invoked the Cold War-era Defense Production Act, which permits him to direct production of essential items.

"We are using it," Trump said, "for certain things that we need," citing ventilators and masks.

It still isn't clear how much equipment is needed to respond to current and future patients in the pandemic beyond what's in hand today and when or whether the demand will be met.

Testing

One of the most frequent exaggerations coming from the administration is the availability of coronavirus tests.

When he visited the CDC in Atlanta earlier this month, Trump claimed that "They have the tests. And the tests are beautiful. Anybody that needs a test gets a test."

Pence made a similar claim last week, saying that "a million tests are in the field" and that "by the end of this week, another 4 million tests will be distributed."

Even so, anecdotal reports abound about Americans who feel sick struggling to be able to confirm a diagnosis with an actual test. Fauci acknowledged that there clearly is a gap between the supply and the demand.

At the same time, he echoed assurances by Trump and Pence that the situation is improving.

"I get the same calls that many of you get ... for one reason or another they can't get [tests]," Fauci said on Friday. "That is a reality that is happening now. Is it the same as it was a few weeks ago? Absolutely not."

The anecdotal nature of the accounts means it's difficult to assess what the spread might be between the testing capacity available now, or set to come onstream soon, and the pool of people who satisfy the administration's guidelines to request one.

Trump and Pence say they don't want every American particularly those who are feeling well to be tested. It still isn't clear, however, how big the gap remains between requests for tests considered valid under Trump's and Pence's conditions and the capacity to support them.

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Fact-Checking 5 Trump Administration Claims On The Coronavirus Pandemic - NPR

Watch the Footprint of Coronavirus Spread Across Countries – The New York Times

March 18, 2020

As the new coronavirus shuts down countries around the world, the impact can be seen from space.

A satellite that detects traces of human activity tailpipe emissions from cars and trucks, fossil fuel burned in power plants and other industrial activities shows striking reductions in pollution across China and Italy since the outbreak first started.

Both countries have taken unprecedented measures to limit the movement of people in the hope of slowing or even containing the spread of the disease. Even in South Korea, which has put more modest restrictions on the movement of its citizens, pollution appeared to fall.

Its the first time in history weve seen something like this, said Marco Percoco, an associate professor of transportation economics at Bocconi University in Milan, referring to the speed and the size of the pollution declines in Italy and China.

December 2019 to March 2020

December 2018 to March 2019

December 2019 to March 2020

December 2018 to March 2019

Italy is facing the largest coronavirus outbreak outside of China, with nearly 30,000 illnesses and 2,100 deaths reported so far.

Early cases were clustered in the north, where the outbreak has been especially severe, but the disease has continued to spread throughout the country.

In early March, the government imposed emergency measures restricting the movement of roughly 16 million people throughout northern Italy, including major cities like Venice and Milan. Bars, restaurants and other gathering places were closed, and citizens were asked to avoid all unnecessary movement. Soon after, similar restrictions were extended countrywide.

The impact of those restrictions can be seen in pollution readings gathered by the European Space Agencys Sentinel-5P satellite. The images show that emissions of nitrogen dioxide, a gas closely linked to vehicle exhaust, are considerably lower across northern Italy compared to the same time period last year. The region regularly struggles with wintertime smog.

The satellite data was analyzed for The New York Times by Descartes Labs, a geospatial analysis group.

In a separate analysis made public this weekend, researchers from Bocconi University reported a sizeable decline in several types of air pollution in Milan during the lockdown, including nitrogen dioxide levels and particulate matter pollution, a byproduct of burning fossil fuels that is highly damaging to human health.

It is clear people are not moving by cars, said Dr. Percoco, an author on the study, noting that vehicle emissions are a major source of particulate matter and other pollution in Italian cities. Few people are on the streets, he said, with many Italians staying home to avoid the virus.

December 2019 to March 2020

December 2018 to March 2019

December 2019 to March 2020

December 2018 to March 2019

Decembeer 2019 to March 2020

Decembeer 2018 to March 2019

The drop in pollution was even starker in China, where the new coronavirus was first detected. The largest emissions reductions were seen surrounding the city of Wuhan, in Hubei Province.

Chinese officials put the region on lockdown in late January, following the Chinese New Year holiday, and have only recently begun relaxing restrictions to allow workers in key industries to return to their jobs. That includes public transportation workers and those involved in making medical supplies and other necessities.

The unprecedented lockdown, which barred the movement of nearly 35 million people, caused widespread economic disruptions, including a slowdown in manufacturing and electricity generation.

Pollution across the region plunged accordingly.

What we saw in China was a very rapid effect, said Joanna Joiner, an atmospheric physicist at NASA. The agencys own analysis found that nitrogen dioxide emissions over eastern and central China were significantly lower during January and February this year compared to what is normal for the period.

Every year, pollution dips across the country during the weeklong Lunar New Year celebration, as factories shut down and people stay home from work. (The holiday falls in late January or early February each year). But usually, emissions rebound as the country reopens for business. This year, they stayed at lower levels for weeks.

A smaller decrease in nitrogen dioxide pollution can also be seen in South Korea, around the capital, Seoul. The South Korean government did not bar the movement of its citizens but encouraged strict social distancing by closing down schools and universities, asking people to work from home and canceling large gatherings.

The social distancing measures, as well as an increasing number of people in self-quarantine, appear to have had an impact on air pollution, said Minwoo Sun, a coordinator at the Global Air Pollution Unit of Greenpeace East Asia. But further analysis is needed to fully understand the depth of coronavirus impact on South Koreas air, he added.

As more countries shut down life as usual to slow the spread of coronavirus, we may see further drops in pollution around the world, Dr. Joiner said.

Were seeing changes in human behavior, in how people are moving around and how theyre using fuels, she said. Pollution wont hide from the satellite data. Its going to tell us whats going on.

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Watch the Footprint of Coronavirus Spread Across Countries - The New York Times

Coronavirus Briefing: What Happened Today – The New York Times

March 18, 2020

Checks may come to Americans as jobs vanish

With big pieces of the U.S. economy rapidly shutting down because of the coronavirus outbreak, President Trump urged Congress to go big with a stimulus package that would include sending checks directly to many Americans.

The details were in flux. Steven Mnuchin, secretary of the Treasury, told Republican senators privately that the administration wanted to pump about $850 billion more into the economy. About $250 billion would be used to give all but the highest earners about two weeks pay each. The checks would go out sometime in April.

The pandemic is beginning to hit workers hard. Restaurants, coffee shops, gyms and other businesses are laying people off. So are hotel chains: Marriott International is furloughing tens of thousands of employees. A flood of people inquiring about unemployment insurance in New York State crashed the website.

In less directly affected industries, employers are largely trying to keep people on the payroll, even if it means cutting hours. But many lack the means to keep that up for very long.

Its simple math, said Deborah Weinswig, founder of Coresight Research, a business consulting firm. You cant have all expenses and no revenue.

Kevin Hassett, a former top economic adviser to Mr. Trump, thinks the U.S. economy could shed as many as a million jobs in March because of the coronavirus. The left-leaning Economic Policy Institute projects up to three million jobs lost by summer.

One bright spot: Amazon said it would hire 100,000 workers to handle an expected surge in demand for home delivery of household goods.

Laid off because of the virus? Theres a good chance you qualify for unemployment benefits. If youre new to all of that, here are the basics.

Researchers are racing to come up with a drug to fight the coronavirus, either by destroying it or by interfering with how it attacks the body, our science correspondent Carl Zimmer reports. At least 50 possible drugs are being studied.

Scientists at Mount Sinai Hospital in New York and the Pasteur Institute in Paris are already testing some drugs on coronavirus grown in their labs. Findings are expected at the end of the week.

A key piece of the puzzle is understanding exactly how the virus hijacks host cells. For that, researchers at the Quantitative Biosciences Institute at the University of California, San Francisco, have drawn a map of the coronavirus. That job, which might typically take two years, was done in a few weeks.

I got to the lab and said, Weve got to drop everything else, said Dr. Nevan Krogan, the institutes director. Everybody has got to work around the clock on this.

Theres work on a vaccine, too. The first human testing of an experimental vaccine began Monday in Seattle, with 45 healthy adult subjects ages 18 to 55. The trial is expected to take at least a year.

The Trump administration plans to immediately turn back anyone attempting to illegally enter the United States from Mexico in an effort to limit the spread of the coronavirus, several officials told The New York Times.

The administration officials said ports of entry would remain open to American citizens, green-card holders and foreigners with proper documentation, as well as to commercial traffic.

But the order calls for anyone found to have entered the United States away from a legal crossing point, including asylum seekers, to immediately be returned to Mexico, and not be detained or given any hearing in the United States.

Officials said the effort was intended to prevent a virus outbreak inside border detention facilities, which they feared could spread quickly among the immigrant population and border patrol agents.

President Trump has already announced restrictions on travel from China and numerous countries in Europe, where there are large outbreaks of the virus. But Mexico has had only 82 confirmed cases to date far fewer than the United States. The measure would not affect the border with Canada, which has more than 470 cases.

A new project from The Timess graphics team explores just how far coronavirus testing in the United States has lagged behind other countries. Recent data shows that about 125 people per million have been tested in the United States; Italy has tested more than 16 times as many, and South Korea more than 40 times.

The coronavirus has now been identified in all 50 U.S. states, and more than 100 deaths in the country have been linked to the illness.

France, with more than 6,600 reported cases and 148 deaths, went into lockdown on Tuesday at noon, turning Paris into a ghost town. The European Union banned all nonessential travel to 26 member countries for the next 30 days.

The French Open, a Grand Slam tennis tournament scheduled for May, was postponed until September. The Brooklyn Nets said four members of the team, including the all-star Kevin Durant, had tested positive.

St. Patricks Day passed without parades in New York City, Boston and Dublin. Bars and pubs were closed in all three cities. In Ireland, people were encouraged to celebrate the day virtually using the hashtag #StPatricksDayTogether.

Florida moved to bar beach groups of more than 10, after photos showed Gulf Coast beaches packed this week.

Two famous island resorts in the U.S. North Haven, off the coast of Maine, and North Carolinas Outer Banks are trying to seal themselves off from the virus by barring all visitors.

In Greece, the government forced the Greek Orthodox Church to suspend services. Doctors Without Borders called for the countrys overcrowded migrant camps to be evacuated.

Survive your self-quarantine: Here are our suggestions for what to watch, listen to, cook and do with your kids.

Manage your anxiety: A psychiatrist explains how simple awareness training can hack your brain to keep panic at bay.

Dont fall for myths: Vitamin C wont ward off the virus; neither will zinc, echinacea or green tea. And wearing gloves may not be protective as you think.

Master hand-washing: Experts taught us the proper technique for keeping your hands clean, including how to turn off a faucet and to scrub often-overlooked areas like fingertips and wrists. They recommend liquid soap over bars, and clean cloth or paper towels over hand dryers.

Pandemics are anti-urban, preying on the human longing for connection and the draw toward centers of capital and creativity, Michael Kimmelman, The Timess architecture critic, observes.

But its not just crowded metropolitan areas. Rick Rojas writes about how a cluster of cases has upended a rural Kentucky town.

Wall-to-wall crowds packed Disney World on Sunday, the last day the theme park was open.

One good thing that may come out of the crisis? Our tech columnist, Kevin Roose, writes: The virus is forcing us to use the internet as it was always meant to be used to connect with one another, share information and resources and come up with collective solutions to urgent problems.

The coronavirus isnt a temporary disruption its the start of a completely different way of life, writes the editor in chief of the M.I.T. Technology Review.

Seeking one last hurrah, carefree young people around the world have flouted restrictions and thrown lockdown-themed parties.

How Cardi Bs off-the-cuff video became a coronavirus anthem: It started as a 46-second monologue. It was remixed into a dance track. Now the rapper and the D.J. who transformed Cardi B's clip are promising itll help the needy.

The pandemic has brought most major sports to a standstill, but the Tokyo Olympics, set to begin in late July. Can they possibly take place?

My three kids and I are using the time to get creative together in the kitchen and reconnect with from scratch cooking. We kicked things off this morning with colorful new drinks using fruits and herbs. Tomorrow, Ill be baking my first homemade bread I found a two-hour recipe that looks amazing!

Chana Davis, Vancouver

Let us know how youre dealing with the outbreak. Send us a response here, and we may feature it in an upcoming newsletter.

Sign up here to get the briefing by email.

Lara Takenaga and Tom Wright-Piersanti contributed to todays newsletter.

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Coronavirus Briefing: What Happened Today - The New York Times

Europeans Erect Borders Against Coronavirus, but the Enemy Is Already Within – The New York Times

March 18, 2020

BRUSSELS The gilded museum of Europe is hollow and echoing. The great squares and stadiums are empty, the museums shut, the churches hesitant about services, the fine restaurants and cool bars shuttered.

The coronavirus is not only spreading, but also infecting societies with a sense of insecurity, fear and fragmentation. Above all, it has severed humanity from its conceit of control and of the invincibility of its institutions, science, technology and democracies.

If that is true nearly everywhere the virus goes, it is all the more so in Europe, with its history of Enlightenment, where life is lived, ordinarily, on an intimate scale, bumping shoulders on the street or in the cafe, greeting friends with kisses on the cheeks.

No more. Today, Europeans are told to hide away, erecting borders between countries, inside their cities and neighborhoods, around their homes to protect themselves from their neighbors, even from their grandchildren.

Confronting a virus that respects no borders, this modern Europe without borders is building them everywhere. But different states have different answers, and each discrete and disparate step has increased the sense of the coming apart, and the feeling that the problem is someone elses creation.

The paradox of a virus that knows no borders is that the solution requires borders, not just between countries but within them, said Nathalie Tocci, an adviser to the European Union. But putting them up in an uncoordinated way doesnt help.

Putting them up at all, in fact, may not make much difference. The invisible threat is already within.

Even so, there is inevitably a turn back to the state for expertise, control and reassurance. As the pandemic spreads from Italy to Spain, France, Germany and beyond, there is a growing sense of the need for harsh, even authoritarian methods, many of them taken from China.

THE LATEST Read our live global coverage of the coronavirus outbreak.

After watching the epidemic in China with extraordinary indifference, Europe has been terrified by Italy. Suddenly, many of the continents countries are trying to lock down, to protect themselves and their citizens. The idea of European solidarity, and of a borderless Europe where citizens are free to travel and work, seems very far away.

If the pandemic has the logic of war, requiring strong action, the enemy may be the person standing next to you.

Its not anymore a question of borders between states, but between individuals, said Ivan Krastev, who directs the Center for Liberal Strategies in Sofia, Bulgaria, and is a permanent fellow at the Institute of Human Sciences in Vienna.

It is now the individual you fear, Mr. Krastev said. Everyone around you may be a danger, carrying the virus. The person may not know hes a danger to you, and the only one who isnt a danger is the one you never meet, the one who stays at home.

The welcoming kiss, la bise, is suddenly dangerous, as is the hug of happiness or condolence.

Mr. Krastev has written tellingly about Europes migration crisis, calling it as big a shock as the fall of Communism. But now no one is talking of opening borders, he said. Now its not migrants you fear, but everyone.

The narrative of the migrant crisis included metaphors of hordes, invasion and even insects, and claims that migrants were bringing disease. They wanted to come from their wretched lives to a Europe that they considered safe and rich. But it is no longer safe.

Now, migrants will wonder, Is the plague worse than the war? Mr. Krastev said. You cannot negotiate with the plague or flee it.

A decade ago, Dominique Mosi, a French political scientist married to an Italian, wrote a book called The Geopolitics of Emotion, explaining the strains caused by globalization in terms of humiliation, hope and fear. Today, he said, the dominating emotion is fear.

The crisis of Covid-19 is adding uncertainty to uncertainty, fear upon fear, accelerating a process of anxiety about a world that is moving too fast, Mr. Mosi said, referring to the disease caused by the new coronavirus.

With terrorism, economic panic, strategic uncertainty, climate change and migration, he said, the fundamentals seem uncertain and the future unknowable.

Now comes an enemy unseen. You can put your hand on a door handle and get the virus thats the maximum of fear, he said. He misses touching and kissing his grandchildren, he said, and begins to think of death.

Yet mobilization of society is even more difficult and necessary because the enemy is invisible, he said. Paris has lived through terrorism and saw 150 killed in one night in 2015, he noted. It was brutal but visible, he said, whereas in the end, the number of dead from the virus will be much more numerous, but its invisible, and weve never lived through that.

So it is difficult for governments who learned to urge calm on their populations in times of terrorism to now learn how to frighten them into acting for the common good.

During the great Black Death of the 14th century, which took so many lives, people believed that God had condemned those who died and chose whom to spare. But in a secular society its harder to find the morality in who is dying, Mr. Krastev said. Instead you have all these conspiracy theories, with talk of the foreign virus and even a Chinese spokesman suggesting that the American military was to blame.

In 2003, George Steiner, the European philosopher who died last month at 90, wrote a famous essay for the Nexus Institute called The Idea of Europe. But that idea is under threat.

Europes cultural identity, Mr. Steiner wrote, is founded on several characteristics largely missing in the United States, where car culture, suburban sprawl and great open spaces engender a sense of separateness.

In Europe, it is a culture of coffee houses and cafes, where people meet, read, write and plot. They are places, Mr. Steiner said, for assignation and conspiracy, for intellectual debate and gossip, for the flneur and the poet or metaphysician at his notebook, open to all.

Europes is also a pedestrian culture, founded on squares and small streets, usually named after scholars and statesmen, famous for their works and their massacres. Europe is walked, he wrote, and distances are on a human scale.

In this plague time, with cafes closed and squares empty of residents and tourists, both of those characteristics are destroyed, leading to isolation and loneliness, Mr. Krastev said.

But perhaps most important, Mr. Steiner wrote, is the European sense of death and decay, which he called an eschatological self-awareness which, I believe, may well be unique to European consciousness.

Deep in Christianity and European philosophy was a more or less tragic finality, he wrote, adding: It is as if Europe, unlike other civilizations, had intuited that it would one day collapse under the paradoxical weight of its achievements and the unparalleled wealth and complication of its history.

These are hardly the end of days, but the mood is grim. Still, it is sometimes broken by surprising acts of common humanity and solidarity, Ms. Tocci noted.

An Italian, she is staying at home in Rome with her husband and children, filling out a police form when she ventures out into the street, even to go to the grocery store, and trying to concentrate on the nicer aspects of quarantine.

You rediscover some small things, spending time with the children and the family, keeping up with her father by Skype, noting that for once, social media is proving to be more beneficial than meretricious.

Italians have been singing together from their segregated balconies and displaying a united appreciation for their exhausted medical workers, she noted.

Whats beautiful about it, so far, is that it hasnt led to alienation, Ms. Tocci said. People are afraid but mostly showing responsibility and solidarity. There are so many messages going around, some of them full of hilarity and a shared community.

Even on my dreary and empty Brussels street, someone has hung an Italian flag from an apartment window. And there are still, in the grocery stores, where people move silently and carefully around one another, moments of shared emotion. A woman with a full shopping cart was trying to balance a package of toilet paper and dropped her phone. I picked it up and gave it to her, then thought how foolish I had been, but she thanked me and smiled ruefully, understanding the ambivalence.

Mr. Krastev is trying to decide whether to stay in Vienna or uproot his family for a month to Bulgaria, where medical facilities are weaker but the virus seems less prevalent, and where he has a more traditional network of family and friends.

Where is the place of greater safety, a question for all refugees, he wondered. His daughter had just returned from Spain and didnt understand why she couldnt stay there. But I told her, The Spain you like will disappear in 48 hours.

Many noted La Peste, or The Plague, an allegorical novel published in 1947 by Albert Camus, seeing it as a lesson not just in how people behave in pandemics, but in how nature bursts forth to mock our pretenses.

When the bubonic plague finally lifts in his joyous city, the main character, Dr. Bernard Rieux, remembers that the illness never dies or disappears, but bides its time. Perhaps the day would come, he thinks, when, for the misfortune and instruction of men, the plague would rouse its rats and send them to die in a happy city.

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Europeans Erect Borders Against Coronavirus, but the Enemy Is Already Within - The New York Times

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