This article is from the source 'nytimes' and was first published or seen on . It last changed over 40 days ago and won't be checked again for changes.

You can find the current article at its original source at https://www.nytimes.com/2020/03/20/us/coronavirus-cruise-ship-costa-luminosa.html

The article has changed 36 times. There is an RSS feed of changes available.

Version 12 Version 13
Hundreds Exposed to Coronavirus on Cruise Ship Fly Home Hundreds Exposed to Coronavirus on Cruise Ship Fly Home
(3 days later)
KEY WEST, Fla. — In the end, said passengers who fled a cruise ship because of a coronavirus outbreak at sea, the evacuation and journey back to the United States was more harrowing, chaotic and frightening than their ill-fated maritime voyage.KEY WEST, Fla. — In the end, said passengers who fled a cruise ship because of a coronavirus outbreak at sea, the evacuation and journey back to the United States was more harrowing, chaotic and frightening than their ill-fated maritime voyage.
Weak and sick from no food for nearly 24 hours, several passengers fainted. Two went into respiratory distress. Others had fevers so high that they had to be separated from the rest of the travelers aboard the chartered flight. Several had severe coughs.Weak and sick from no food for nearly 24 hours, several passengers fainted. Two went into respiratory distress. Others had fevers so high that they had to be separated from the rest of the travelers aboard the chartered flight. Several had severe coughs.
“This was almost as much of a debacle as the cruise was,” said Jennifer Catron, a former medic who spent the entire nine-and-a-half hour flight providing medical care. At one point, she took over the in-flight announcements and begged passengers to donate spare peanuts to help revive those who were passing out from low blood sugar.“This was almost as much of a debacle as the cruise was,” said Jennifer Catron, a former medic who spent the entire nine-and-a-half hour flight providing medical care. At one point, she took over the in-flight announcements and begged passengers to donate spare peanuts to help revive those who were passing out from low blood sugar.
“It was probably scarier than the cruise,” Ms. Catron said of the flight, which landed at about 6:30 a.m. Friday and then idled on the tarmac in Atlanta for about five hours, because health officials learned that three of the evacuees had tested positive for the coronavirus.“It was probably scarier than the cruise,” Ms. Catron said of the flight, which landed at about 6:30 a.m. Friday and then idled on the tarmac in Atlanta for about five hours, because health officials learned that three of the evacuees had tested positive for the coronavirus.
The test results became known to officials during the flight, triggering the hourslong delay that frustrated, angered and scared those on the plane. The Carnival Corp. confirmed that the tests were taken before the passengers left France, but the results came while the plane was en route.The test results became known to officials during the flight, triggering the hourslong delay that frustrated, angered and scared those on the plane. The Carnival Corp. confirmed that the tests were taken before the passengers left France, but the results came while the plane was en route.
The return trip itself had been a harrowing all-night odyssey, with busloads of the passengers stuck for hours in Marseille, France, before boarding the flight to Atlanta.The return trip itself had been a harrowing all-night odyssey, with busloads of the passengers stuck for hours in Marseille, France, before boarding the flight to Atlanta.
The long voyage had been doomed almost from the start.The long voyage had been doomed almost from the start.
The Costa Luminosa cruise ship, owned by Carnival, left Fort Lauderdale on March 5. Its destination: Venice, Italy.The Costa Luminosa cruise ship, owned by Carnival, left Fort Lauderdale on March 5. Its destination: Venice, Italy.
Three days later, an Italian woman was evacuated in Puerto Rico because she had symptoms of the coronavirus. Her test results were delayed, and it took a week for the ship’s captain to enact strict sanitary protocols. On Saturday, Puerto Rico’s Department of Health announced that she had died.Three days later, an Italian woman was evacuated in Puerto Rico because she had symptoms of the coronavirus. Her test results were delayed, and it took a week for the ship’s captain to enact strict sanitary protocols. On Saturday, Puerto Rico’s Department of Health announced that she had died.
Another man, who had been on an earlier leg of the trip, died of the disease in the Cayman Islands on Saturday. The same day, several passengers with symptoms got off the ship in the Canary Islands.Another man, who had been on an earlier leg of the trip, died of the disease in the Cayman Islands on Saturday. The same day, several passengers with symptoms got off the ship in the Canary Islands.
“It made our cruise actually living hell,” said Anna Smirnova, 67, from California. “People were scared, and nobody knew what to do next.”“It made our cruise actually living hell,” said Anna Smirnova, 67, from California. “People were scared, and nobody knew what to do next.”
The cruise was to be a grand affair with stops in Antigua, Puerto Rico, Málaga, Spain, the Canary Islands and Marseille. But Antigua and Spain would not let the 1,400 passengers disembark.The cruise was to be a grand affair with stops in Antigua, Puerto Rico, Málaga, Spain, the Canary Islands and Marseille. But Antigua and Spain would not let the 1,400 passengers disembark.
Since last Saturday, the passengers had been isolated in their cabins. The ship arrived on Thursday at Marseille where the Americans, Canadians and French were allowed to get off.Since last Saturday, the passengers had been isolated in their cabins. The ship arrived on Thursday at Marseille where the Americans, Canadians and French were allowed to get off.
The French health authorities tested a few dozen people who had fevers, and the French media reported that 36 of the French people’s tests came back positive. Carnival said the French authorities have not shared that information with the company.The French health authorities tested a few dozen people who had fevers, and the French media reported that 36 of the French people’s tests came back positive. Carnival said the French authorities have not shared that information with the company.
Before the test results for the Americans were known, the passengers climbed aboard buses and headed to the airport, where they sat in a parking lot for five hours. They then took a red-eye that the cruise line chartered, with nothing to eat but juice and snacks.Before the test results for the Americans were known, the passengers climbed aboard buses and headed to the airport, where they sat in a parking lot for five hours. They then took a red-eye that the cruise line chartered, with nothing to eat but juice and snacks.
“It was so crowded. There were so many sick people coughing,” said Nilda Caputi, 82, who lives in Fort Lauderdale. “It was horrible. I’m old, but I’m healthy. These people were really sick and very old, in wheelchairs with a pitiful cough.”“It was so crowded. There were so many sick people coughing,” said Nilda Caputi, 82, who lives in Fort Lauderdale. “It was horrible. I’m old, but I’m healthy. These people were really sick and very old, in wheelchairs with a pitiful cough.”
In emails sent from the plane, Ms. Catron chronicled the journey: “This plane is a medical disaster,” she said at one point, adding that one man looked about “60 with bronchitis like coughs” and like he was going to “fall over at any minute.”In emails sent from the plane, Ms. Catron chronicled the journey: “This plane is a medical disaster,” she said at one point, adding that one man looked about “60 with bronchitis like coughs” and like he was going to “fall over at any minute.”
“This is NUTS!” she wrote.“This is NUTS!” she wrote.
Ms. Catron said the crew considered diverting the plane to Bermuda, but feared that if they did, the local hospitals would turn them away once they learned the passengers had been aboard a cruise ship with travelers who had the coronavirus.Ms. Catron said the crew considered diverting the plane to Bermuda, but feared that if they did, the local hospitals would turn them away once they learned the passengers had been aboard a cruise ship with travelers who had the coronavirus.
Once the plane landed in Atlanta, Kelea Edgar Nevis, 57, texted journalists in real time whenever someone fainted.Once the plane landed in Atlanta, Kelea Edgar Nevis, 57, texted journalists in real time whenever someone fainted.
7:58 a.m.: Another HOUR. We’re stuffed in here like sardines and it’s hot.7:58 a.m.: Another HOUR. We’re stuffed in here like sardines and it’s hot.
8:09 a.m.: People are starving.8:09 a.m.: People are starving.
8:11 a.m.: People are starting to gather. We’re going to have a mutiny on here shortly.8:11 a.m.: People are starting to gather. We’re going to have a mutiny on here shortly.
8:30 a.m.: Even the crew doesn’t know what we’re doing as we race across runway after runway to who knows where.8:30 a.m.: Even the crew doesn’t know what we’re doing as we race across runway after runway to who knows where.
9:20 a.m.: Everyone is up in arms.9:20 a.m.: Everyone is up in arms.
At 9:46 a.m., more than three hours after landing, Ms. Nevis wrote that the plane no longer had toilet paper or tissues. “Still no food since lunch yesterday French time,” she texted. Ms. Catron called 911.At 9:46 a.m., more than three hours after landing, Ms. Nevis wrote that the plane no longer had toilet paper or tissues. “Still no food since lunch yesterday French time,” she texted. Ms. Catron called 911.
Eventually, health officials removed the sick passengers before the others walked off the plane.Eventually, health officials removed the sick passengers before the others walked off the plane.
Nobody told Ms. Catron or the others, they said, that two people from Florida and one from Massachusetts had tested positive for the virus.Nobody told Ms. Catron or the others, they said, that two people from Florida and one from Massachusetts had tested positive for the virus.
Kristen Nordlund, a spokeswoman for the Centers for Disease Control and Prevention, said the plane was diverted to a remote part of the Atlanta airport and that all the passengers were screened. The sick passengers were separated, she said.Kristen Nordlund, a spokeswoman for the Centers for Disease Control and Prevention, said the plane was diverted to a remote part of the Atlanta airport and that all the passengers were screened. The sick passengers were separated, she said.
“C.D.C. is working with the state of Georgia and other federal partners to determine a plan for these passengers,” she said in a statement. “Passengers with no symptoms upon arrival were given health information advising them to stay home for 14 days after returning from travel, monitor their health and practice social distancing as they continued to their final destination.”“C.D.C. is working with the state of Georgia and other federal partners to determine a plan for these passengers,” she said in a statement. “Passengers with no symptoms upon arrival were given health information advising them to stay home for 14 days after returning from travel, monitor their health and practice social distancing as they continued to their final destination.”
Updated June 5, 2020 Updated June 12, 2020
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 it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks.
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.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.
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.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 nation’s 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.The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nation’s 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.
Mass protests against police brutality that have brought thousands of people onto the streets in cities across America are raising the specter of new coronavirus outbreaks, prompting political leaders, physicians and public health experts to warn that the crowds could cause a surge in cases. While many political leaders affirmed the right of protesters to express themselves, they urged the demonstrators to wear face masks and maintain social distancing, both to protect themselves and to prevent further community spread of the virus. Some infectious disease experts were reassured by the fact that the protests were held outdoors, saying the open air settings could mitigate the risk of transmission.Mass protests against police brutality that have brought thousands of people onto the streets in cities across America are raising the specter of new coronavirus outbreaks, prompting political leaders, physicians and public health experts to warn that the crowds could cause a surge in cases. While many political leaders affirmed the right of protesters to express themselves, they urged the demonstrators to wear face masks and maintain social distancing, both to protect themselves and to prevent further community spread of the virus. Some infectious disease experts were reassured by the fact that the protests were held outdoors, saying the open air settings could mitigate the risk of transmission.
Exercise researchers and physicians have some blunt advice for those of us aiming to return to regular exercise now: Start slowly and then rev up your workouts, also slowly. American adults tended to be about 12 percent less active after the stay-at-home mandates began in March than they were in January. But there are steps you can take to ease your way back into regular exercise safely. First, “start at no more than 50 percent of the exercise you were doing before Covid,” says Dr. Monica Rho, the chief of musculoskeletal medicine at the Shirley Ryan AbilityLab in Chicago. Thread in some preparatory squats, too, she advises. “When you haven’t been exercising, you lose muscle mass.” Expect some muscle twinges after these preliminary, post-lockdown sessions, especially a day or two later. But sudden or increasing pain during exercise is a clarion call to stop and return home.Exercise researchers and physicians have some blunt advice for those of us aiming to return to regular exercise now: Start slowly and then rev up your workouts, also slowly. American adults tended to be about 12 percent less active after the stay-at-home mandates began in March than they were in January. But there are steps you can take to ease your way back into regular exercise safely. First, “start at no more than 50 percent of the exercise you were doing before Covid,” says Dr. Monica Rho, the chief of musculoskeletal medicine at the Shirley Ryan AbilityLab in Chicago. Thread in some preparatory squats, too, she advises. “When you haven’t been exercising, you lose muscle mass.” Expect some muscle twinges after these preliminary, post-lockdown sessions, especially a day or two later. But sudden or increasing pain during exercise is a clarion call to stop and return home.
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 aren’t being told to stay at home, it’s still a good idea to limit trips outside and your interaction with other people.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 aren’t being told to stay at home, it’s still a good idea to limit trips outside and your interaction with other people.
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 it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks.
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.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 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.)
Taking one’s temperature to look for signs of fever is not as easy as it sounds, as “normal” temperature numbers can vary, but generally, keep an eye out for a temperature of 100.5 degrees Fahrenheit or higher. If you don’t have a thermometer (they can be pricey these days), there are other ways to figure out if you have a fever, or are at risk of Covid-19 complications.Taking one’s temperature to look for signs of fever is not as easy as it sounds, as “normal” temperature numbers can vary, but generally, keep an eye out for a temperature of 100.5 degrees Fahrenheit or higher. If you don’t have a thermometer (they can be pricey these days), there are other ways to figure out if you have a fever, or are at risk of Covid-19 complications.
The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks don’t replace hand washing and social distancing.The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks don’t replace hand washing and social distancing.
If you’ve 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.If you’ve 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.
If you’re sick and you think you’ve been exposed to the new coronavirus, the C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance — because of a lack of testing kits or because you’re asymptomatic, for instance — you won’t be able to get tested.If you’re sick and you think you’ve been exposed to the new coronavirus, the C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance — because of a lack of testing kits or because you’re asymptomatic, for instance — you won’t be able to get tested.
Several passengers acknowledged that they or someone in their party had high temperatures when the C.D.C. checked. But as long as their temperatures fell after repeated tries, they were allowed to go home.Several passengers acknowledged that they or someone in their party had high temperatures when the C.D.C. checked. But as long as their temperatures fell after repeated tries, they were allowed to go home.
Passengers said they booked flights to California, Arizona, Florida and elsewhere across the United States and Canada.Passengers said they booked flights to California, Arizona, Florida and elsewhere across the United States and Canada.
Ms. Nordlund did not respond to questions asking whether it made sense to allow people who had been instructed to self-isolate to travel on commercial aircraft, potentially exposing them to other passengers.Ms. Nordlund did not respond to questions asking whether it made sense to allow people who had been instructed to self-isolate to travel on commercial aircraft, potentially exposing them to other passengers.
“We got off the plane and you had to mark off a form asking, ‘Do you have a fever? Do you have a cough?’ I put that I had a fever and I went through secondary screening, because I was feeling terrible,” said Kelly Edge, a passenger from Miami. “I watched three-quarters of the people from the ship, and they did not do that. They marked themselves safe, got their temperatures taken and that was it.”“We got off the plane and you had to mark off a form asking, ‘Do you have a fever? Do you have a cough?’ I put that I had a fever and I went through secondary screening, because I was feeling terrible,” said Kelly Edge, a passenger from Miami. “I watched three-quarters of the people from the ship, and they did not do that. They marked themselves safe, got their temperatures taken and that was it.”
“They are roaming free,” she continued.“They are roaming free,” she continued.
Ms. Edge said she went to an urgent care clinic afterward.Ms. Edge said she went to an urgent care clinic afterward.
A fever is considered a telltale marker for the coronavirus, which has killed more than 10,000 people globally. (However, the man who had been aboard the Costa Luminosa and died in the Cayman Islands never had a fever, hospital officials there said.)A fever is considered a telltale marker for the coronavirus, which has killed more than 10,000 people globally. (However, the man who had been aboard the Costa Luminosa and died in the Cayman Islands never had a fever, hospital officials there said.)
A Georgia state official who was not authorized to speak about the case said the three people who tested positive for the coronavirus were not exhibiting symptoms, and that 13 others, who were sick on the plane, had not been tested.A Georgia state official who was not authorized to speak about the case said the three people who tested positive for the coronavirus were not exhibiting symptoms, and that 13 others, who were sick on the plane, had not been tested.
In the early afternoon, the passengers were being sent to a hangar for screening. State officials said they had encouraged the Department of Health and Human Services to send two commercial buses to the airport to be standing by once the screening was complete.In the early afternoon, the passengers were being sent to a hangar for screening. State officials said they had encouraged the Department of Health and Human Services to send two commercial buses to the airport to be standing by once the screening was complete.
In a statement, Carnival said that its affiliate, Costa Crociere, which owns Costa Cruises, “worked closely with the French health authorities to conduct medical screenings and interview guests to prioritize those who required additional evaluation.”In a statement, Carnival said that its affiliate, Costa Crociere, which owns Costa Cruises, “worked closely with the French health authorities to conduct medical screenings and interview guests to prioritize those who required additional evaluation.”
Ten of the evacuated American and Canadian passengers had been tested in France, and three came back positive.Ten of the evacuated American and Canadian passengers had been tested in France, and three came back positive.
“We are working closely with C.D.C. and Georgia health officials to determine next steps,” the company said.“We are working closely with C.D.C. and Georgia health officials to determine next steps,” the company said.
The company did not say why they let the people leave without medical attention, food or test results. Nor does Carnival know whether the people who disembarked in the Canary Islands tested positive.The company did not say why they let the people leave without medical attention, food or test results. Nor does Carnival know whether the people who disembarked in the Canary Islands tested positive.
There are still 864 crew and 719 passengers from other countries on the ship, which is off the coast of southern France. More people were disembarked Friday, but the Italians will be returned to Savona, Italy.There are still 864 crew and 719 passengers from other countries on the ship, which is off the coast of southern France. More people were disembarked Friday, but the Italians will be returned to Savona, Italy.
Ms. Catron decided that flying home to Virginia would be irresponsible, and she said she was trying to find a place to spend the night in Atlanta.Ms. Catron decided that flying home to Virginia would be irresponsible, and she said she was trying to find a place to spend the night in Atlanta.
“We had so many medically unstable people who should never have been on that plane,” she said. “It was the most irresponsible thing I have ever seen.”“We had so many medically unstable people who should never have been on that plane,” she said. “It was the most irresponsible thing I have ever seen.”
Richard Fausset contributed reporting from Atlanta.Richard Fausset contributed reporting from Atlanta.