Category: Covid-19

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Study: Blood type, genetics may factor in severity of COVID-19 symptoms – WOWT

June 24, 2020

(CNN) - Whether a person gets a severe form of COVID-19 could depend on blood type and their DNA, according to a new study conducted by a team of European scientists.

Their findings, published in the New England Journal of Medicine, could help explain why some people get seriously ill with the virus while most barely show any symptoms at all.

The researchers found people with type A blood are at a higher risk of contracting the virus and getting extremely sick from it, while people with type O blood have a lower risk.

The researchers can't say if your blood type is the main reason you may be more or less susceptible to the virus, but they detected genetic variations common in the sickest patients and those could just happen to be linked to a person's blood type.

The variations could be associated with a person's immune response.

An overwhelming overreaction of the immune system is blamed for the deadliest effects of the coronavirus in many patients.

The difference in risk between blood types is small. Researchers say the findings are more useful for designing drugs or vaccines against coronavirus.

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Study: Blood type, genetics may factor in severity of COVID-19 symptoms - WOWT

The Pets Left Behind by Covid-19 – The New York Times

June 24, 2020

As a trained disaster responder, Dr. Robin Brennen was well versed in proper safety procedures when she entered a coronavirus patients apartment on Manhattans Upper West Side in late March. She pulled on protective plastic bootees, a face mask and an eye shield.

Then, with a gloved hand, she picked up the rest of her equipment: a 5-pound bag of cat kibble and a litter box.

The pandemics devastating human toll in New York City has been well documented. But it has also affected peoples lives in ways that have gotten less attention, including what happens to the pets of those who become seriously ill.

Dr. Brennen, a veterinarian at Animal Care Centers of NYC, is part of a team of specialists who help the animal companions that have been left behind.

Across the city, animal specialists in full-body personal protective gear enter homes to feed, at no charge, famished pets whose owners are hospitalized with the virus, or to take custody of pets belonging to patients who do not return home.

Pet owners who have died of the virus have left behind dogs, guinea pigs and cats, at least one of which starved to death before anyone had checked the owners apartment, according to Animal Care Centers of NYC.

For cats, which are susceptible to coronavirus infection, the citys standard strategy is to essentially quarantine them in their homes for at least 14 days, with city animal specialists monitoring them. (It is unclear whether cats can pass the disease to humans.)

On the Upper West Side that day in March, residents of the co-op building had alerted Dr. Brennens organization that a woman who lived there was in intensive care battling the virus, and that her two beloved cats had been left behind.

Dr. Brennen went in and fed the cats twice a week.

I knew how much she wanted those cats and loved them, she said. And I wanted them to be there for her when she got home.

Ultimately, the cats owner died; a neighbor later adopted them.

They dont have her, but they had people willing to help her, said Dr. Brennen, the animal care organizations vice president of animal health and welfare. And that is something."

Some virus patients, intubated and in intensive care units, have been unable to tell anyone that their dog or cat has been left behind, leaving neighbors to figure it out from plaintive pet sounds down the hall.

In late April, New York Citys emergency management and animal welfare offices introduced a hotline for people who were struggling to care for their pets because of the virus.

Some questions that come into the hotline, which is staffed by members of local animal rescue groups and representatives of the city agencies, are fairly basic. One example: Can my dog get the virus? (There have been few documented cases of dogs contracting the disease.)

The hotlines primary goal is to help struggling or sick New Yorkers avoid surrendering their pets, connecting callers to things like subsidized emergency veterinary medicine and the citys network of free pet food pantries.

But sometimes, surrendering pets is the only option: As of June 17, roughly 145 had been turned over via the hotline. The animals have been cared for by Dr. Brennens organization and by the American Society for the Prevention of Cruelty to Animals in Manhattan.

Animals surrendered by people who have contracted the virus must be quarantined for 14 days. After that, they can be adopted.

It is so important, especially at this time, that this human-animal bond is taken care of, said Christine Kim, the city animal welfare offices senior community liaison. This is the time when people need that the most.

Updated June 22, 2020

A commentary published this month on the website of the British Journal of Sports Medicine points out that covering your face during exercise comes with issues of potential breathing restriction and discomfort and requires balancing benefits versus possible adverse events. Masks do alter exercise, says Cedric X. Bryant, the president and chief science officer of the American Council on Exercise, a nonprofit organization that funds exercise research and certifies fitness professionals. In my personal experience, he says, heart rates are higher at the same relative intensity when you wear a mask. Some people also could experience lightheadedness during familiar workouts while masked, says Len Kravitz, a professor of exercise science at the University of New Mexico.

The steroid, dexamethasone, is the first treatment shown to reduce mortality in severely ill patients, according to scientists in Britain. The drug appears to reduce inflammation caused by the immune system, protecting the tissues. In the study, dexamethasone reduced deaths of patients on ventilators by one-third, and deaths of patients on oxygen by one-fifth.

The coronavirus emergency relief package gives many American workers paid leave if they need to take time off because of the virus. It gives qualified workers two weeks of paid sick leave if they are ill, quarantined or seeking diagnosis or preventive care for coronavirus, or if they are caring for sick family members. It gives 12 weeks of paid leave to people caring for children whose schools are closed or whose child care provider is unavailable because of the coronavirus. It is the first time the United States has had widespread federally mandated paid leave, and includes people who dont typically get such benefits, like part-time and gig economy workers. But the measure excludes at least half of private-sector workers, including those at the countrys largest employers, and gives small employers significant leeway to deny leave.

So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was very rare, but she later walked back that statement.

Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus whether its surface transmission or close human contact is still social distancing, washing your hands, not touching your face and wearing masks.

A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study.

The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nations job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April.

States are reopening bit by bit. This means that more public spaces are available for use and more and more businesses are being allowed to open again. The federal government is largely leaving the decision up to states, and some state leaders are leaving the decision up to local authorities. Even if you arent being told to stay at home, its still a good idea to limit trips outside and your interaction with other people.

Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days.

If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.)

If youve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.

When Howard Katz, 61, a limousine driver from Massapequa, on Long Island, was hospitalized with the virus in April, his primary concern was not for himself, his sister, Cynthia Hertz, said. Instead, he was worried about Lucy, his Shiba Inu, who was readjusting after surgery for an illness that necessitated removing her eyes.

Ms. Hertz said she and her boyfriend spent three days calling vets, dog boarding facilities and rescue shelters to find someone to care for Lucy. No one would.

They were afraid, she said. Lucy could be carrying the Covid, and nobody was able to help.

A call to the pet hotline connected her with Jenny Coffey, the community engagement director at the rescue group Animal Haven.

The group, which Ms. Coffey said had fielded 215 cases so far, arranged for Lucy to stay at a Long Island boarding facility for three weeks. The cost was covered by a grant from Red Rover, a group that provides financial help to people with pets in crisis.

It was like a lifeline for my brother, said Ms. Hertz, adding that Mr. Katz was overjoyed to be reunited with Lucy after three weeks in a hospital and rehabilitation center. I didnt know if he was going to make it if something had happened to Lucy.

Entering homes where the virus is believed to have been present can be nerve-racking, said Feraz Mohammed, an animal control officer at Animal Care Centers of NYC.

On one recent day, Mr. Mohammed drove an agency van covered with images of cats and dogs to a South Bronx apartment building. A resident who was thought to have contracted the virus had been hospitalized; her dog and cat had not had food or water for five days.

Mr. Mohammed pulled on a mask, gloves and a Tyvek suit, meticulously sealing the openings around his wrists and ankles with tape. Then he grabbed his dog-catching stick and cat carrier.

Upstairs, a blond mop of a dog bounded out of the apartment, a blur of canine joy. Mr. Mohammed snapped a leash on the small dog and then went inside. He fished a tabby cat out from under the couch, and he cooed gently at the two pets as he brought them downstairs and locked them in cages in the truck.

Once we get them fed, get them water, he said, stroking the little dogs head, it makes me feel better about all of this.

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The Pets Left Behind by Covid-19 - The New York Times

Initial COVID-19 infection rate may be 80 times greater than originally reported – Penn State News

June 24, 2020

UNIVERSITY PARK, Pa. - Many epidemiologists believe that the initial COVID-19 infection rate was undercounted due to testing issues, asymptomatic and alternatively symptomatic individuals, and a failure to identify early cases.

Now, a new study from Penn State estimates that the number of early COVID-19 cases in the U.S. may have been more than 80 times greater and doubled nearly twice as fast as originally believed.

In a paper published today (June 22) in the journal Science Translational Medicine, researchers estimated the detection rate of symptomatic COVID-19 cases using the Centers for Disease Control and Preventions influenza-like illnesses (ILI) surveillance data over a three week period in March 2020.

We analyzed each states ILI cases to estimate the number that could not be attributed to influenza and were in excess of seasonal baseline levels, said Justin Silverman, assistant professor in Penn States College of Information Sciences and Technology and Department of Medicine. When you subtract these out, youre left with what we're calling excess ILI cases that can't be explained by either influenza or the typical seasonal variation of respiratory pathogens.

The researchers found that the excess ILI showed a nearly perfect correlation with the spread of COVID-19 around the country.

Said Silverman, This suggests that ILI data is capturing COVID cases, and there appears to be a much greater undiagnosed population than originally thought.

Remarkably, the size of the observed surge of excess ILI corresponds to more than 8.7 million new cases during the last three weeks of March, compared to the roughly 100,000 cases that were officially reported during the same time period.

At first, I couldnt believe our estimates were correct, said Silverman. But we realized that deaths across the U.S. had been doubling every three days and that our estimate of the infection rate was consistent with three-day doubling since the first observed case was reported in Washington state on Jan. 15.

The researchers also used this process to estimate infection rates for each state, noting that states showing higher per capita rates of infection also had higher per capita rates of a surge in excess ILI. Their estimates showed rates much higher than initially reported but closer to those found once states began completing antibody testing.

In New York, for example, the researchers model suggested that at least 9% of the states entire population was infected by the end of March. After the state conducted antibody testing on 3,000 residents, they found a 13.9% infection rate, or 2.7 million New Yorkers.

Excess ILI appears to have peaked in mid-March as, the researchers suggest, fewer patients with mild symptoms sought care and states implemented interventions which led to lower transmission rates. Nearly half of the states in the country were under stay-at-home orders by March 28.

The findings suggest an alternative way of thinking about the COVID-19 pandemic.

Our results suggest that the overwhelming effects of COVID-19 may have less to do with the virus lethality and more to do with how quickly it was able to spread through communities initially, Silverman explained. A lower fatality rate coupled with a higher prevalence of disease and rapid growth of regional epidemics provides an alternative explanation to the large number of deaths and overcrowding of hospitals we have seen in certain areas of the world.

Other collaborators on the project included Nathaniel Hupert of Weill Cornell Medicine and New York-Presbyterian Hospital, and Alex Washburne of Montana State University.

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Initial COVID-19 infection rate may be 80 times greater than originally reported - Penn State News

Phillies have two more players test positive for COVID-19 following outbreak at spring training facility – CBS Sports

June 24, 2020

ThePhiladelphia Philliestested 32 additional players and staff members following a coronavirus outbreak at the team's spring training facility in Clearwater, Florida last week. On Monday, the team announced one player and two additional staff members in Clearwater tested positive for COVID-19. The team also said another player who had not been at the club's spring facility tested positive, bringing the total number of cases in the organization to 12 (seven players and five staff members).

Five Phillies players and three staff members have tested positive for the novel coronavirus (COVID-19)last week, the team confirmed on Friday. The identities of those infected is unknown.

Soon after the Phillies announced the original eight cases Friday, the Toronto Blue Jaysclosed their Dunedin, Florida. spring training facilityafter a pitcher on the 40-man roster began experiencing COVID-19 symptoms. The pitcher had recently spent time with players in the Phillies' minor league system, and Toronto's spring complex in Dunedin is 2.4 miles apart from the Phillies' Clearwater facility. MLB reportedly ordered all spring training facilities shut down and disinfected Friday.

The Phillies released the following statement Friday:

Phillies are confirming that five players and three staff members working at the club's Clearwater facility have tested positive for COVID-19. The first confirmed case occurred this past Tuesday, June 16. In addition, eight staff members have tested negative for the virus, while 12 staff members and 20 players (both major league and minor league players) living in the Clearwater area are in the process of being tested and are awaiting the results of those tests.

Managing Partner John Middleton said, "The Phillies are committed to the health and welfare of our players, coaches and staff as our highest priority, and as a result of these confirmed tests, all facilities in Clearwater have been closed indefinitely to all players, coaches and staff and will remain closed until medical authorities are confident that the virus is under control and our facilities are disinfected."

In terms of the implications of this outbreak on the Phillies' 2020 season, the club declines comment, believing that it is too early to know.

Want unique sports takes from a former front office executive's perspective? Listen below and be sure tosubscribe to the Nothing Personal with David Samson podcastfor the truth behind sports biggest stories.

In addition, theSan Francisco Giantshave shut down their training facility in Scottsdale, Arizona.Per Andrew Baggarly, Giants president of baseball operations Farhan Zaidi said the decision was made "after one person who had been in the facility and one family member exhibited mild symptoms and were tested."

The Astros on Friday also announced that a player at their Palm Beach, Florida facilities tested positive "several days ago" and is recovering after experiencing mild symptoms.

In Florida -- where the state's reopening process has started-- the daily total of coronavirus cases is rising with the state's hospitalization count nearly doubling since May 4. Clearwater is in Pinellas County, which had record-high single-day case numbers, with 203 new COVID-19 cases on Thursday. Cases have also surged in Arizona recently.

The COVID-19 outbreak comes withnegotiations between MLB and the Players Associationat their end. MLB commissioner Rob Manfred said Monday night that he is planning to implement a 2020 season, which could reportedly start July 24.

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Phillies have two more players test positive for COVID-19 following outbreak at spring training facility - CBS Sports

Novak Djokovic, Three Other Players Test Positive For COVID-19 – ATP Tour

June 24, 2020

World No. 1 Novak Djokovic is among four players who have tested positive for COVID-19 following their participation in the Adria Tour, an exhibition series.

Djokovic confirmed today that he and his wife Jelena had tested positive for the virus. Grigor Dimitrov, Borna Coric and Viktor Troicki, who also played in the series, which has made stops in Belgrade, Serbia, and Zadar, Croatia, have also tested positive.

Djokovic said in a statement: "We organised the tournament at the moment when the virus has weakened, believing that the conditions for hosting the tour had been met... I am extremely sorry for each individual case of infection. I hope that it will not complicate anyone's health situation and that everyone will be fine."

Djokovic said that he would self-isolate for the next 14 days and that he would have another test in five days.

Djokovic, who is now back in Belgrade, issued a second statement Tuesday evening (CET), saying in part, "I am so deeply sorry our tournament has caused harm. Everything the organisers and I did the past month, we did with a pure heart and sincere intentions. We believe the tournament met all the health protocols and the health of our region seemed in good condition to finally unite people for philanthropic reasons. We were wrong and it was too soon. I cant express enough how sorry I am for this and every case of infection."

Djokovic confirmed that his two children had tested negative for the virus.

ATP STATEMENT ON POSITIVE COVID-19 TESTSThe ATP wishes a complete and quick recovery for the ATP players and members of their staff who tested positive for COVID-19 following involvement in the Adria Tour exhibition tournament. The ATP continues to urge strict adherence to responsible social distancing and health and safety guidelines to contain the spread of the virus.

In planning for the resumption of the ATP Tour season from 14 August, ATP and other stakeholders have made exhaustive plans to mitigate risks through a variety of precautions and protocols to be implemented at ATP events. We continue to plan and adjust these precautions and protocols according to latest medical information and prioritise safety in assessing every decision.

Editor's Note: This story was updated Tuesday 8.45pm CEST to include an excerpt of Novak Djokovic's additional statement.

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Novak Djokovic, Three Other Players Test Positive For COVID-19 - ATP Tour

What a Negative COVID-19 Test Really Means – The Atlantic

June 24, 2020

Its still unclear how good COVID-19 tests are at finding these presymptomatic cases, but the timing of the test matters. As soon as the coronavirus finds its way into a new host, it hijacks cells to copy itself. The amount of virus builds over this time, peaking at or right before symptom onset, which can take two to 14 days but usually takes an average of five or six. Accordingly, public-health authorities have advised getting tested about four days after exposure.

Read: The protests will spread the coronavirus

This is a reasonable recommendation, given the knowns, but surprisingly little data exists on how early COVID-19 tests can detect infection before symptom onset. One model using COVID-19 cases from seven previously published studies suggests that the false-negative rate is 100 percent on day one of exposure, which falls to 38 percent on day five (when symptoms on average appear) and then a minimum of 20 percent on day eight. But in combing the literature, the researchers behind this model found only one case where a patient was tested before feeling sickas part of a cluster at a chalet in the French Alps. Moreover, the model doesnt address a whole other set of people who never develop symptoms at all. It gave no information about people who are permanently asymptomatic, Justin Lessler, an epidemiologist at Johns Hopkins University who co-authored that study, told me.

More data are likely to come soon. On Tuesday, the Food and Drug Administration released recommendations for labs and manufacturers that want to validate COVID-19 tests in people who dont have symptoms. (Currently, no tests are FDA-authorized for screening asymptomatic people.) Testing large numbers of asymptomatic peoplesuch as by pooling samplesto identify potential silent carriers will also be an essential part of the reopening strategy for schools and businesses.

Read: COVID-19 can last for several months

For individuals, however, the FDA cautions that negative results do not rule out infection. It asks that asymptomatic tests include this statement: Negative results must be considered in the context of an individuals recent exposures, history, presence of clinical signs and symptoms consistent with COVID-19. And this, in the face of imperfect COVID-19 tests, is key to interpreting a negative result. It depends on your probability of having COVID-19 in the first place.

Consider again the decision to visit elderly relatives after a negative test. If you have symptoms or you work in a place where youre at high risk for exposure, then even with a negative test, you might want to think really hard about it, Steven Woloshin, a co-director of the Center for Medicine and Media at the Dartmouth Institute, explained to me. If youre at low risk because you live in some remote area, youre practicing social distancing, you always wear a mask, and you feel fine, a negative test is probably a true negative. So even with widespread testing, social distancing and masks will continue to be important for controlling the spread of COVID-19.

We want to hear what you think about this article. Submit a letter to the editor or write to letters@theatlantic.com.

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What a Negative COVID-19 Test Really Means - The Atlantic

6 Trump Staffers Test Positive For COVID-19 Ahead Of Tulsa Rally – NPR

June 21, 2020

A crowd of supporters wait for a Trump campaign rally on Saturday. This is the first political rally since the start of the coronavirus pandemic. Michael B. Thomas/Getty Images hide caption

A crowd of supporters wait for a Trump campaign rally on Saturday. This is the first political rally since the start of the coronavirus pandemic.

Six campaign staffers working on the advance team for President Trump's rally in Tulsa, Okla., have tested positive for COVID-19, the campaign said Saturday. Trump is still attending the rally.

"Per safety protocols, campaign staff are tested for COVID-19 before events. Six members of the advance team tested positive out of hundreds of tests performed, and quarantine procedures were immediately implemented," Tim Murtaugh, the campaign communications director, said in a statement. He added that none of those staffers or anyone in immediate contact with them will attend the rally. "As previously announced, all rally attendees are given temperature checks before going through security, at which point they are given wristbands, face masks and hand sanitizer."

Those face masks, however, will not be required, White House press secretary Kayleigh McEnany told reporters during a briefing Friday afternoon.

"I won't be wearing a mask," she said. "It's a personal decision. I'm tested regularly. I feel that it's safe for me to not be wearing a mask, and I'm in compliance with CDC guidelines, which are recommended but not required."

The Centers for Disease Control and Prevention recommends that everyone wear "cloth face coverings in public settings where other social distancing measures are difficult to maintain." The Trump campaign is requiring that everyone who attends the rally sign a waiver releasing the campaign and the president of any liability if guests are exposed to COVID-19.

This is the first Trump rally since the pandemic began spreading across the U.S. in February and comes amid a wide dispute over whether the rally should even take place. On Friday, the Oklahoma Supreme Court rejected an appeal in a lawsuit filed this week by a group of Tulsa residents who were fighting to have organizers enforce social distancing measures. The lawsuit said that the rally could increase the spread of COVID-19, because it is held indoors at a 19,000-seat center in Oklahoma, a state that has seen a spike in the virus. Tulsa was also supposed to be under curfew for the weekend, but it was lifted on Friday.

"Last night, I enacted a curfew at the request of Tulsa Police Chief Wendell Franklin, following consultation with the United States Secret Service based on intelligence they had received," Tulsa Mayor G.T. Bynum said in a statement. "Today, we were told the curfew is no longer necessary so I am rescinding it."

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6 Trump Staffers Test Positive For COVID-19 Ahead Of Tulsa Rally - NPR

How PGA Tour pro Nick Watney’s positive COVID-19 test revealed the need for ongoing adjustments – ESPN

June 21, 2020

HILTON HEAD ISLAND, S.C. -- As illnesses go, Nick Watney likely proceeded like someone who simply was not at his best. He certainly was not violently ill Friday when he showed up at Harbour Town Golf Club. And despite warm, humid temperatures, he felt well enough to attempt to play the second round of the RBC Heritage.

But he knew something might be amiss due to the Whoop band he wears around his arm, a tool many golfers use as a way of regulating their health.

Watney, who tested positive for the coronavirus on Friday and withdrew from the tournament, relayed to Rory McIlroy via a text that an elevated respiratory rate via that band first told him "maybe I could have it.''

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And so Watney, 39, conveyed that to tour officials, consulted a physician, took another COVID-19 test -- he was negative for the one he took on Tuesday -- and then awaited the results at the course, while going about his business to prepare for the second round of the tournament.

It's fair to question why he was allowed to proceed in that manner, and perhaps that is a flaw in the PGA Tour's health and safety protocols as part of the coronavirus pandemic.

Why would you allow a symptomatic person to come to the course and practice?

Then again, doesn't Watney deserve credit for seeking medical attention when it's quite possible he could have tried to carry on and not said anything?

Therein lies the danger of banning someone who has "symptoms'' -- while also highlighting that no system can be perfect and there is some risk involved as sports attempt to come back after a lengthy shutdown.

"I hope not because it's not about yourself, right?'' McIlroy said when asked Saturday if he could see someone not reporting symptoms if they otherwise felt OK. "This virus isn't about ... most people that get it that are healthy are going to recover from it and be OK, but it's the people that you can infect. That's the big risk. I'd like not to think that people, if they were symptomatic, that they wouldn't report.''

And yet perhaps a player not in McIlroy's tax bracket might consider doing just that. Maybe he believes the risk is worth it, because he's in contention or needs the FedEx Cup points or sees an opportunity to make money after being denied that chance for so long.

There might be a hole in the PGA Tour's policy, but at least Watney took it upon himself to investigate.

"At this point, with who we have out here ... you have some older caddies out here, a lot of people out here. You have to err on the side of caution,'' U.S. Open champion Gary Woodland said. "Nick Watney is one of the nicest guys we have on tour. I hear he feels horrendous that he might infect someone else, which definitely wasn't the intent at all. I feel horrible for him, wish him the best.

"But for anybody's case, you better play it safe.''

As it stands now, the tour's policy allows a player who has been tested but not yet received a result to use practice areas. But he is not allowed to use the facilities, such as the locker room or clubhouse. Is that enough?

Perhaps a separate practice area could be set up. Maybe more of an emphasis on staying away from others until the result is known. While extreme, if as was the case on Friday when Watney was waiting for a result, hold his tee time so that there is not a rush to prepare and put yourself around others.

The tour also continues to stress to players and caddies their own responsibilities. It is not requiring them to stay in a specific hotel and it is not enforcing any lockdown orders away from the course. And depending on the area of the country the tour visits, outside variables come into play.

Carlos Ortiz told a story about the packed restaurants on Hilton Head Island, how he wanted to visit a few of them but ultimately decided to leave due to the crowds.

"It's a 30-minute wait and once you get in there, there's no social distancing, packed tables right by each other, kids running around,'' Ortiz said after shooting 63 at Harbour Town on Saturday. "Nobody wearing a mask. We talked about it on Tuesday when we saw it. We were like, "Oh, somebody's going to get corona here. It's crazy how busy it is here.''

Ortiz said he felt "paranoid'' when he learned of Watney's positive test.

"I think it's just a warning,'' he said. "We just need to be more careful.''

There is nothing to suggest Watney did anything but get unlucky. He did not test positive when he arrived on Tuesday. A few days later, he was feeling symptoms, and now the PGA Tour has its first COVID-19 case.

Watney, who has five PGA Tour victories, must now self-isolate in South Carolina for 10 days at the Tour's expense. There were 11 others the PGA Tour identified as having come in contact with him this week, all were tested on Friday, with the results negative.

McIlroy was not among those tested, feeling he was not close enough to Watney at any time to warrant it.

But he also knows this is a week-by-week endeavor. Positive tests are inevitable. Avoiding complacency remains the way for golf to continue safely.

"Starting up, people weren't nave,'' he said. "Statistically and looking at the numbers, someone was going to get it, and even being as careful as you can be, things happen, and you pick it up from somewhere.

"We're still in the middle of a pandemic. I think we've done really well to start golf again and get back up and play golf tournaments. I don't think anyone was blind to the fact that someone could catch the virus, and it's a shame that Nick did. But it's one case, and as long as it's contained to that and we move forward, we can keep playing.''

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How PGA Tour pro Nick Watney's positive COVID-19 test revealed the need for ongoing adjustments - ESPN

Data: Joplin, Mo. is nation’s top spot for COVID-19 growth over past week – KY3

June 21, 2020

JOPLIN, Mo. -- The Joplin, Missouri area is the nation's top spot for COVID-19 growth over the past week, according to data from the Dartmouth Atlas of Health Care Project.

In a seven-day stretch that ended June 18, the Joplin area's average daily growth rate of COVID-19 cases was 11.9 percent, according to the data. In that same span, the next closest daily growth rate was Tyler, Texas at 9.1 percent.

Jasper County, which includes Joplin and neighboring communities, has reported 196 cases as of Saturday afternoon. According to the Missouri DHSS, the county's case count has increased by 89.42 percent over the past seven days from 104 to 196.

Among the Joplin area's latest cases, 31 cases were reported at Spring River Christian Village, a retirement and assisted living facility in Joplin, retroactive to June 17.

According to a news release, the Christian Horizons COVID-19 Task Force reported one positive case at the facility. More than 300 tests were conducted in response, which determined 22 residents and 9 associates tested positive.

The Dartmouth Atlas of Healthcare Project analyzed on information from 306 hospital referral regions. Other data from the project includes new COVID-19 Cases, current cases and deaths per 100,000 over the past 14 days based on US hospital referral region.

The Joplin hospital referral region included parts of southeast Kansas, southwest Missouri to the Arkansas line, in addition to parts of northeast Oklahoma.

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Data: Joplin, Mo. is nation's top spot for COVID-19 growth over past week - KY3

Daughter speaks out after her father dies of Covid-19: ‘It was preventable’ – The Guardian

June 21, 2020

As her father lay dying in a hospital bed in Arizona, after testing positive for Covid-19, Lina Washington pleaded with him to keep fighting.

When they hung up, Washington scrolled through Instagram. She saw stories of friends and former classmates drinking and socializing at crowded bars and clubs, even as coronavirus infections rose exponentially across the state. Yet there they were, smiling, maskless, as if the threat had disappeared and life returned to normal.

Would they be so reckless, she wondered, if they knew that just a few miles away doctors and nurses were toiling around the clock to save her fathers life?

People dont think that it can happen to them, Washington, a high school friend and classmate, told me during a phone interview this week. And that carelessness, that hubris, that arrogance may have cost my dad his life.

Robert Edward Washington Jr died on 11 June from complications related to the virus, less than a month after returning to work as a security guard at a tribal casino in Chandler.

In the days since his death, Washington said, she has been on a warpath, demanding accountability and leadership from public officials and business leaders. She has directly challenged Arizona governor Doug Ducey over his response to the pandemic and implored him to do more to protect vulnerable residents.

His death was preventable, she said. Im just speaking out to ensure nobody else has to feel this pain.

In the last few days, as new coronavirus cases in Arizona have climbed to their highest levels of the pandemic, Washington has amplified her calls for stricter safety precautions. She is a television sports reporter in Sacramento, California, but she grew up in the Phoenix area. She has given interviews to every local TV news station and has spoken to the Arizona Republic. Nationally, she has been featured on ABC and MSNBC.

Some of her sharpest criticism has been expressed on Twitter.

I know my AZ friends arent taking this seriously, Washington tweeted on Thursday. I see what Old Town & Mill Ave look like every weekend on IG & its obscene. Youre putting people like my dad at risk by not wearing a mask at the very least. A Covid-19 death happened to me & could happen to you. Wake up.

On Friday, Washington filmed herself walking inside a Walmart in Tempe, after she saw multiple customers shopping without masks.

If you get sick, you get sick, a customer told her, which she shared in a tweet. She proceeded to call out Governor Ducey, writing: WHERE IS THE ACCOUNTABILITY?!

Two days earlier, Ducey had said he would no longer prohibit local governments from requiring masks, a reversal amid mounting pressure from mayors and public health officials. Wearing a mask for the first time at a news briefing, Ducey conceded that the virus was widespread in the state and urged Arizonans to act responsibly to protect one another.

Gila River Hotels & Casinos, which operates Lone Butte, where Washingtons father worked, posted a statement on Twitter to announce it was closing for two weeks, as the Gila River Indian Community moved to make protective face coverings mandatory on community lands.

This move comes after the death of one of your employees, my dad, who returned to work on 15 May, Washington responded. It was the same day Arizona lifted its stay-at-home order.

Were open, Phoenix! the casino tweeted that morning, encouraging guests to come and reclaim your fun.

Washington said she begged her father to stay home. But he was stubborn, a trait she says she inherited. He told her he needed to work, to ensure he had health and life insurance.

That night, he worked at the security desk, Washington said, exposing him to nearly every customer. Many employees were required to wear protective gear. Guests of the casino were encouraged to wear masks but not required to do so.

Washington said her father called her the next day and told her 80% of the people waiting to get into the casino at 4.30 in the morning werent wearing masks.

Within 10 days of him returning back to work he had tested positive for Covid and two weeks after that he was dead, she said.

I really wonder how many people were in that line that I knew, that we probably went to school with, she said, adding: I know so many people who would do that. Because its Arizona, and we dont really care about one another in ways like other communities do. Especially people who look like me and my dad.

Washingtons fathers death came amid a national reckoning over racism in America that has affected Washington professionally and personally. Inspired by the Black Lives Matter demonstrations, she helped start a community art project to benefit black youth organizations in Sacramento. It was just getting off the ground when she learned her father was ill.

It was a perfect storm, a black woman, in news, with a dad in the hospital with coronavirus, she said. It just all came down at once and then my worst fears were realized.

Washington said she was reluctant at first to speak out. As a sports reporter, she would rather be talking about the Sacramento Kings NBA season than her fathers death. But she said she felt a responsibility to use her platform to raise awareness.

Im just grateful that me expressing my pain is making a difference and putting a face to Covid in Arizona, she said.

Robert Washington was 68. He was a diabetic and had overcome prostate cancer. Black Americans infected with the virus are 2.3 times more likely to die from it than white Americans.

The last time Washington saw her father in person was in March. During a visit to Arizona, she asked him to sit for an interview.

Filmed in his backyard, Robert Washington recalled his adolescence in Ohio. A talented athlete, he excelled in nearly every sport he played. Football earned him a full scholarship to the University of Notre Dame in the early 1970s.

He was a devoted father who took her to dance, taught her to drive and prepared her for the challenges of being a black woman in an industry dominated by white men. He would take her to work at his shoeshine stand at America West Arena, so she could watch the Phoenix Suns play.

He was my best friend, she said, her voice breaking. I wish I could call him right now.

Washington will lay her father to rest on Sunday, Fathers Day.

Read more from the original source:

Daughter speaks out after her father dies of Covid-19: 'It was preventable' - The Guardian

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