Coronavirus Alert: U.S. Cases Top 1 Million, Lockdowns Ease, Resurgence Concerns Loom


Coronavirus Alert: U.S. Cases Top 1 Million, Lockdowns Ease, Resurgence Concerns Loom



COVID-19, caused by a member of the coronavirus family named SARS-CoV-2, is short for coronavirus disease 2019.

The Latest Numbers (as of April 28, 2020, at 6 p.m. EDT)

Cases have surpassed 1 million in the United States and 3.1 million worldwide. With more than one million confirmed cases out of more than three million worldwide, and more than 58,000 deaths, the United States has the highest number of infections and fatalities in the world.
The Johns Hopkins Coronavirus Resource Center maintains an ongoing count of the COVID-19 cases and deaths in the United States and worldwide. As of April 28, the tally is:
·         Total cases worldwide: 3,110,219 (up from 3,034,801 Monday)
·         Total deaths worldwide: 216,160 (up from 210,551 Monday)
·         Total recoveries: 923,724 (up from 891,548 Monday)
·         Total cases in the United States: 1,010,717 (up from 985,374 Monday)
·         Total deaths in the United States: 58,365 (up from 55,906 Monday)
New York’s single-day death toll remains low. In his Tuesday briefing, New York’s Governor Andrew Cuomo told reporters that the single-day death toll had fallen to 335 — a significant drop from 422 on Friday, and the lowest count since the end of March. For the first time in more than a month, less than 1,000 people were admitted to hospitals for coronavirus treatment on Monday.
There are signs worldwide that the virus is slowing. The Wall Street Journal indicated that the spread of the virus appears to be slowing. Japan had its lowest daily level of new infections in three weeks on Monday with just 39 new cases in Tokyo. The daily infection rate has fallen to 1.5 percent from a high of about 12 percent. Vietnam reported having just two infections in the past 10 days. New Zealand confirmed one new case on Monday. “There is no widespread undetected community transmission in New Zealand,” said Prime Minister Jacinda Ardern. “We have won that battle.” Britain is seeing a downward trend in hospitalizations, and Spain is easing its lockdown as the country recorded its lowest death toll on Saturday of 288, according to the BBC.
Still, some countries are experiencing significant increases in infections. Aljazeera News said Turkey on Monday recorded 2,357 new cases. Canada's daily death toll reached 2,489 from 2,350 the previous day. An analysis in The New York Times on Friday showed that the number of coronavirus-related deaths in Ecuador may be far higher than officially reported. President Trump pledged on Friday to send more ventilators to the country, according to Reuters. On Tuesday, Russia extended its nonworking period until May 11 and announced a record 6,411 new cases, according to The Washington Post.
More than 5.7 million Americans have been tested so far. A total of 5,776,829 individuals have been tested in the United States for the detection of SARS-CoV-2 as of April 28, according to the Johns Hopkins Coronavirus Resource Center.

 Some states have begun to ease lockdowns. Governor Brian Kemp of Georgia on Friday started allowing specific businesses to resume operations while maintaining safety guidelines. Kemp cited increased testing and slowing case numbers for the easing of restrictions.
AlaskaMontana, OklahomaSouth CarolinaTennessee, and Texas have set policies in motion to allow some businesses to reopen over the next two weeks.
In Ohio, Governor Mike DeWine is letting offices reopen on May 4 and retail business can resume operations on May 12 as part of his Responsible Restart Ohio Plan.
Governor Greg Abbott’s Strike Force to Open Texas will allow his stay-at-home order to expire this week, with certain businesses permitted to reopen on Friday. Retail businesses, restaurants, cinemas, and malls can reopen but must limit capacity to 25 percent.
NPR said that as Tennessee restaurants open their doors to dine-in customers today for the first time in almost a month, the state has reported 478 newly confirmed COVID-19 infections, its highest single-day jump. 
Macy’s, Gap, TGI Friday's, and other national chains say they will pass on the early phase of reopening in states such as Georgia and South Carolina, according to The Wall Street Journal.
Anthony Fauci, MD, director of the National Institute of Allergy and Infectious Diseases, has cautioned that returning too quickly to life as it was before the pandemic could backfire, according to The Los Angeles Times.
On Monday, Colorado and Nevada joined California, Oregon, and Washington in the Western States Pact committing to work together to slow the spread of the virus and share information. “We must have a multifaceted and bold approach in order to slow the spread of the virus, to keep our people safe and help our economy rebound,” said Colorado Governor Jared Polis.
With the New York State lockdown set to expire on May 15, Governor Andrew Cuomo said that construction and manufacturing might begin to reopen. On Tuesday, he outlined a 12-step plan to reopen parts of the state while trying to keep the coronavirus pandemic from flaring up again.
Italy and France have announced plans to ease the nationwide lockdown. In an interview on Sunday, Italian Prime Minister Giuseppe Conte shared plans for Italy to reopen its economy and daily life beginning on May 4, according to The Wall Street Journal. Conte advised citizens to remain vigilant with social distancing measures or the infection rate could resurge.
On Tuesday, French Prime Minister Édouard Philippe unveiled plans to let shops and markets resume operations starting May 11 but not bars and restaurants, the BBC reported. A gradual reopening of schools in France will begin as well.
On Monday, Dr. Tedros Adhanom Ghebreyesus, the head of the World Health Organization, warned that lifting restrictions means “balancing lives against livelihoods,” according to The New York Times.
The transmission rate rises in Germany as restrictions ease. Deutsche Welle said that figures from the Robert Koch Institute (RKI) for disease control showed Monday that the infection rate has ticked up to 1.0, meaning each infected person is passing the virus on to one other. When Germany began to reopen the country in mid-April, the infection rate had dropped as low as 0.7. Chancellor Angela Merkel has warned that if infection rates increase it may push the limits of the country’s health system.
Certain cancers may triple the risk of dying from coronavirus, a study says. Research published Tuesday in Cancer Discovery suggests that cancer patients with blood or lung malignancies, or tumors that have spread throughout the body, face a threefold higher risk of death from the coronavirus. The study out of China included 105 cancer patients and 536 age-matched non-cancer patients. Patients with hematological cancer, lung cancer, or metastatic cancer (stage 4) had the highest frequency of severe events, noted the investigators.
Poison center calls spiked after Trump commented on disinfectants. Poison control centers in a number of states have reported a rise in calls about exposure to household cleaners since President Trump made remarks suggesting that disinfectants should be looked into as a possible treatment for the coronavirus, reported The Hill on SundayThe Atlanta Journal-Constitution on Tuesday published an account of two men in Georgia drinking liquid cleaning products over the weekend in an attempt to ward off COVID-19.
Dr. Birx sees encouraging signs, but social distancing will probably remain through summer. On Sunday’s "Meet the Press," Deborah Birx, MD, the White House coronavirus task force coordinator, said that many social distancing measures that have been established will most likely keep going through the summer to keep the outbreak under control. She stressed that a “breakthrough” on coronavirus testing is urgently needed to get a more accurate view of how and where the virus is spreading. The latest trends in cases, hospitalizations, and deaths nationwide, however, have given her “great hope” that there will be slow reopenings over the next months.
Tyson, in a full-page ad, warned that the food supply chain is breaking. A full-page ad published in Sunday editions of The New York TimesThe Washington Post, and the Arkansas Democrat-Gazette, penned by Tyson Foods Chairman of the Board John Tyson, said that “the food supply chain is breaking” due to recent closures of meat processing facilities. Outbreaks at major meatpacking plants in Logansport, Indiana; Waterloo, Iowa; Sioux Falls, North Dakota; and elsewhere around that country have forced these operations to shutter. Tyson cautions that there will be a limited supply of products available in grocery stores until the processing facilities are able to reopen.
The CDC added six new symptoms of COVID-19. Since the coronavirus epidemic began, the Centers for Disease Control and Prevention (CDC) has told people to watch for fever, cough, and shortness of breath. The CDC has now expanded the list of possible virus indicators to include chills, repeated shaking with chills, muscle pain, headache, sore throat, and new loss of taste or smell. Symptoms usually appear within 2 to 14 days of exposure.
The first U.S. dog tested positive for coronavirus. North Carolina’s WRAL-TV reported that the first dog in the country has tested positive with COVID-19. Winston, a pug belonging to a family in Chapel Hill, was found to have the illness during a test conducted by Duke University. Family members also tested positive for COVID-19, and it is suspected that they got the virus through the father, who works in the emergency room at UNC Hospitals.
Earlier this month, CNN reported that two cats in New York had tested positive for the novel coronavirus after showing respiratory symptoms. According to a joint statement from the U.S. Department of Agriculture and the CDC, the cats “were the first pets in the United States to test positive.”
An ER doctor on the front lines in New York City has died by suicide. Lorna Breen, MD, the medical director of the emergency department at NewYork–Presbyterian Allen Hospital, died by suicide on Sunday, according to The New York Times. Dr. Breen had been caring for coronavirus patients and recently recovered from the virus herself. Her father told the media that his daughter and her colleagues were putting in 18-hour days and sleeping in hallways, and that ambulances at her hospital couldn't get in because it was so busy. At the time of her death, Breen was visiting her family in Virginia, where she had been treated for exhaustion at a local hospital and was recuperating.
Scientists are exploring a link between COVID-19 and childhood inflammatory illness. Earlier this week, Britain’s Paediatric Intensive Care Society issued an alert to doctors noting that in the past three weeks the number of children with “a multisystem inflammatory state requiring intensive care” has increased. The organization indicated a “growing concern” that either a COVID-19-related syndrome was emerging in children or that a different, unidentified disease might be responsible. Similar cases identified in Italy and Spain appear to be Kawasaki disease.
“Doctors need to be aware that COVID infection may be triggering this inflammation,” says Marc Eisenberg, MD, a cardiologist at Columbia University Irving Medical Center in New York City. “Doctors can then initiate early treatment to hopefully prevent these long-term complications, such as aneurysms of the coronary arteries. The treatment usually consists of aspirin and an IV [intravenous] immunoglobulin treatment.”
The Olympics chief says the Games could be canceled. The Tokyo Olympics, which are currently rescheduled for July 23 through August 8, 2021, may be “scrapped” if the pandemic is not over by next year, said Tokyo 2020 Olympic Games Organizing Committee President Yoshiro Mori in an interview Tuesday, according to Forbes magazine. Still, Mori underscored that he expected the Games to take place as rescheduled. “The Olympics would be much more valuable than any Olympics in the past if we could go ahead with it after winning this battle. We have to believe this, otherwise our hard work and efforts will not be rewarded,” Mori said.
The NBA eyes May 8 to reopen practice sites for players. The NBA, which had planned on reopening some practice facilities as early as Friday, has pushed that date to May 8 at the earliest. The organization wants to make sure that these areas are safe before allowing some select workouts. Current restrictions will limit activity to no more than four players at a facility at any one time. 
Could heartburn medication offer relief from coronavirus? The journal Science reported that New York City hospitals have been conducting trials of famotidine, the active compound in the over-the-counter heartburn drug Pepcid, as a possible coronavirus treatment. The article says that the research has been kept secret for fear that the drug supply would be snatched up before investigators could secure a research stockpile.
The study, conducted by Northwell Health, has enrolled 187 COVID-19 patients in critical status so far and is aiming for about 1,200. Reports from China suggest that the drug could have a positive effect on severe respiratory illness because it may inhibit a key enzyme that helps the virus replicate. Scientists indicate that they should have a better idea if the drug may work or not in a few weeks after initial results are analyzed.
President Trump approved the $4.8 billion stimulus package, and the SBA website crashed. As the Small Business Administration (SBA) opened form request for emergency aid on Monday, its computer system for processing loans crashed, according to The New York Times. On Friday, President Trump signed into law a $4.84 billion relief package approved by the House and Senate. The measure will increase funding for small businesses, hospitals, and COVID-19 testing.
At least 47 tested positive aboard a Navy warship. CNN reported Monday that close to 50 sailors have tested positive for COVID-19 aboard the U.S. Navy warship USS Kidd; the vessel has a crew of about 330. This follows the news of an ongoing outbreak aboard the San Diego-based aircraft carrier USS Theodore Roosevelt. A total of 955 of that crew tested positive.
The FDA has warned of hydroxychloroquine use outside of a hospital setting. The U.S. Food and Drug Administration (FDA) on Friday cautioned against the use of hydroxychloroquine or chloroquine for COVID-19 outside of a hospital setting or clinical trial. The consumer health agency cited serious heart rhythm problems in patients with coronavirus who received the medication often in combination with azithromycin (Zithromax, Z-Pak). The heart rhythm problems include QT interval prolongation (a condition that can cause fast, chaotic heartbeats) and a dangerously rapid heart rate called ventricular tachycardia.
Matthew G. Heinz, MD, hospitalist and internist at Tucson Medical Center in Arizona, told Everyday Health, “Chloroquine and hydroxychloroquine are not benign substances and can have serious adverse effects on COVID-19 patients, especially the elderly and those who suffer from cardiac disease.”
You can read more about the latest coronavirus research in our article on fast-track research.

How to Help

Blood Donors Needed

The American Red Cross is seeking people who have fully recovered from the coronavirus to sign up to donate plasma to help current COVID-19 patients. You may qualify to donate plasma if you meet specific convalescent plasma and regular blood donation requirements. The FDA offers more information about plasma donations on its website.

Help the Hungry

As the result of job losses, school closures, and health concerns related to the COVID-19 pandemic, many communities and individuals are in need across America. Feeding America is seeking donations to support food banks nationwide.

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