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New York City Region Is Now an Epicenter of the Coronavirus Pandemic | New York City Region Is Now an Epicenter of the Coronavirus Pandemic |
(32 minutes later) | |
Three weeks after its first coronavirus infection was discovered, the New York City region reached an alarming milestone on Sunday: It now accounts for roughly 5 percent of the world’s confirmed cases, making it an epicenter of the pandemic and increasing pressure on officials to take more drastic measures. | Three weeks after its first coronavirus infection was discovered, the New York City region reached an alarming milestone on Sunday: It now accounts for roughly 5 percent of the world’s confirmed cases, making it an epicenter of the pandemic and increasing pressure on officials to take more drastic measures. |
Moving to stem the crisis on multiple fronts, Gov. Andrew M. Cuomo of New York pleaded with federal officials to nationalize the manufacturing of medical supplies and ordered New York City to crack down on people congregating in public. He suggested some streets could be closed, allowing pedestrians more space. | Moving to stem the crisis on multiple fronts, Gov. Andrew M. Cuomo of New York pleaded with federal officials to nationalize the manufacturing of medical supplies and ordered New York City to crack down on people congregating in public. He suggested some streets could be closed, allowing pedestrians more space. |
The governor on Sunday announced measures intended to prepare for a wave of patients, including setting up temporary hospitals in three New York City suburbs and erecting a massive medical bivouac in the Jacob Javits Center on Manhattan’s West Side. | The governor on Sunday announced measures intended to prepare for a wave of patients, including setting up temporary hospitals in three New York City suburbs and erecting a massive medical bivouac in the Jacob Javits Center on Manhattan’s West Side. |
Already, hospitals across the New York region are reporting a surge of coronavirus patients and a looming shortage of critical supplies like ventilators and masks. | Already, hospitals across the New York region are reporting a surge of coronavirus patients and a looming shortage of critical supplies like ventilators and masks. |
A rapid increase in testing has revealed the extent of the outbreak: Community spread of the highly contagious virus now appears commonplace. | A rapid increase in testing has revealed the extent of the outbreak: Community spread of the highly contagious virus now appears commonplace. |
All told, more than 15,000 people in New York State have tested positive, with the vast majority in the New York City region. That is about half of the cases in the United States. Worldwide, the pandemic has sickened more than 314,700 people, according to official counts. | All told, more than 15,000 people in New York State have tested positive, with the vast majority in the New York City region. That is about half of the cases in the United States. Worldwide, the pandemic has sickened more than 314,700 people, according to official counts. |
About one in eight patients in New York State has been hospitalized, and 114 people had died by Sunday morning, state officials said, though the toll in New York City rose rapidly during the course of the day. Mr. Cuomo said most of the deceased were over age 70, a cohort considered particularly susceptible to the disease’s respiratory attacks. | About one in eight patients in New York State has been hospitalized, and 114 people had died by Sunday morning, state officials said, though the toll in New York City rose rapidly during the course of the day. Mr. Cuomo said most of the deceased were over age 70, a cohort considered particularly susceptible to the disease’s respiratory attacks. |
New York City had an eerie feel all weekend long — bright and sunny, but with commercial streets largely deserted now that restaurants and most stores have been closed to curb the coronavirus. | New York City had an eerie feel all weekend long — bright and sunny, but with commercial streets largely deserted now that restaurants and most stores have been closed to curb the coronavirus. |
The governor’s newest actions came as New York adopted its toughest measures to stem the spread of the virus: As of 8 p.m. on Sunday, all nonessential businesses were ordered closed, an edict that darkened storefronts from Brooklyn to Buffalo. Residents were told to stay inside except for necessities like food, medicine and short bouts of exercise. | The governor’s newest actions came as New York adopted its toughest measures to stem the spread of the virus: As of 8 p.m. on Sunday, all nonessential businesses were ordered closed, an edict that darkened storefronts from Brooklyn to Buffalo. Residents were told to stay inside except for necessities like food, medicine and short bouts of exercise. |
Mr. Cuomo and Mayor Bill de Blasio have repeatedly emphasized that New York City would not be locked down, saying that all transportation links, including subways and commuter railways, would continue to function — at times on limited schedules. | Mr. Cuomo and Mayor Bill de Blasio have repeatedly emphasized that New York City would not be locked down, saying that all transportation links, including subways and commuter railways, would continue to function — at times on limited schedules. |
“There’s not going to be chaos, there’s not going to be anarchy,” Mr. Cuomo said. | “There’s not going to be chaos, there’s not going to be anarchy,” Mr. Cuomo said. |
But he also warned of months of restrictions. | But he also warned of months of restrictions. |
“The timeline, nobody can tell you, it depends on how we handle it,” Mr. Cuomo said. “But 40 percent, up to 80 percent of the population will wind up getting this virus. All we’re trying to do is slow the spread, but it will spread.” | “The timeline, nobody can tell you, it depends on how we handle it,” Mr. Cuomo said. “But 40 percent, up to 80 percent of the population will wind up getting this virus. All we’re trying to do is slow the spread, but it will spread.” |
While groceries, car repair and takeout food were exempted, the state and city’s normally vibrant commercial and social life was being put “on pause,” as Mr. Cuomo put it, resulting in enormous numbers of layoffs and frantic shoppers’ stockpiling food and other supplies in advance of the 8 p.m. deadline. | While groceries, car repair and takeout food were exempted, the state and city’s normally vibrant commercial and social life was being put “on pause,” as Mr. Cuomo put it, resulting in enormous numbers of layoffs and frantic shoppers’ stockpiling food and other supplies in advance of the 8 p.m. deadline. |
In New York City, where hundreds of new cases were being reported in every borough, Mayor de Blasio was equally blunt about the days ahead. | In New York City, where hundreds of new cases were being reported in every borough, Mayor de Blasio was equally blunt about the days ahead. |
“We are now in New York City the epicenter of this crisis in the United States of America,” Mr. de Blasio said. “I am not happy to tell you that. You’re not happy to hear it.” | “We are now in New York City the epicenter of this crisis in the United States of America,” Mr. de Blasio said. “I am not happy to tell you that. You’re not happy to hear it.” |
Earlier in the day, Mr. de Blasio warned, “The worst is yet to come. April is going to be a lot worse than March. And I fear May could be worse than April.” | Earlier in the day, Mr. de Blasio warned, “The worst is yet to come. April is going to be a lot worse than March. And I fear May could be worse than April.” |
Late Sunday, the city released stark new figures that showed 1,800 people hospitalized, including 450 in intensive care units. All told, the city reported 10,764 positive cases of coronavirus, with more than 3,000 cases each in Brooklyn and Queens. There were now 99 fatalities. | Late Sunday, the city released stark new figures that showed 1,800 people hospitalized, including 450 in intensive care units. All told, the city reported 10,764 positive cases of coronavirus, with more than 3,000 cases each in Brooklyn and Queens. There were now 99 fatalities. |
The mayor, who has been harshly critical of the federal response, said he spoke to Mr. Trump and Vice President Mike Pence late Sunday, and said the two men seemed to sense the urgency of the situation. “I want to see this help arrive rapidly,” Mr. de Blasio said, who said the city’s public hospitals were “10 days away from running out of really basic supplies.” | The mayor, who has been harshly critical of the federal response, said he spoke to Mr. Trump and Vice President Mike Pence late Sunday, and said the two men seemed to sense the urgency of the situation. “I want to see this help arrive rapidly,” Mr. de Blasio said, who said the city’s public hospitals were “10 days away from running out of really basic supplies.” |
Indeed, hospitals in the New York City region were confronting a wave of patients even as they prepared for more dire circumstances. | Indeed, hospitals in the New York City region were confronting a wave of patients even as they prepared for more dire circumstances. |
The governor told the hospitals to double capacity in expectation of a rising tide of sick people. The influx was already apparent at places like NewYork-Presbyterian, where officials said they’d seen more than 500 coronavirus patients by Sunday morning. The hospital instituted a variety of rules to control spread of the virus, including banning partners from pregnant women’s delivery rooms. | The governor told the hospitals to double capacity in expectation of a rising tide of sick people. The influx was already apparent at places like NewYork-Presbyterian, where officials said they’d seen more than 500 coronavirus patients by Sunday morning. The hospital instituted a variety of rules to control spread of the virus, including banning partners from pregnant women’s delivery rooms. |
The state was also repurposing existing health care facilities including nursing homes to act as temporary hospitals, even as the Federal Emergency Management Agency and the U.S. Army Corps of Engineers made plans to turn the Javits Center into a temporary medical center. | The state was also repurposing existing health care facilities including nursing homes to act as temporary hospitals, even as the Federal Emergency Management Agency and the U.S. Army Corps of Engineers made plans to turn the Javits Center into a temporary medical center. |
All told, upward of 2,000 beds will be prepped inside the convention center, some manned by federal emergency personnel. The governor was still asking for more help with staffing and supplies, saying that the states were vying for the same emergency products, causing prices for basic items like protective masks to soar. | All told, upward of 2,000 beds will be prepped inside the convention center, some manned by federal emergency personnel. The governor was still asking for more help with staffing and supplies, saying that the states were vying for the same emergency products, causing prices for basic items like protective masks to soar. |
“This state cannot manage it, states all across the country can’t manage it,” said Mr. Cuomo, a third-term Democrat, adding, “I’m competing with California and Illinois and Florida, and that’s not the way it should be.” | “This state cannot manage it, states all across the country can’t manage it,” said Mr. Cuomo, a third-term Democrat, adding, “I’m competing with California and Illinois and Florida, and that’s not the way it should be.” |
Updated June 12, 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. |
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. |
He also asked President Trump to utilize the Defense Production Act, a Cold-War-era law which allows factories to be repurposed, mixing praise for the president with more direct appeals for assistance from federal authorities. | He also asked President Trump to utilize the Defense Production Act, a Cold-War-era law which allows factories to be repurposed, mixing praise for the president with more direct appeals for assistance from federal authorities. |
New York was not alone in tightening rules surrounding businesses and its citizens’ daily lives: there were similar strictures in California and Illinois, and in neighboring New Jersey, which reported nearly 2,000 cases as well, including 20 deaths. | New York was not alone in tightening rules surrounding businesses and its citizens’ daily lives: there were similar strictures in California and Illinois, and in neighboring New Jersey, which reported nearly 2,000 cases as well, including 20 deaths. |
There were also signs that emergency personnel were beginning to bear the brunt of the disease. New York City police officials said Sunday that the department had 98 confirmed cases, including 28 civilian employees. | There were also signs that emergency personnel were beginning to bear the brunt of the disease. New York City police officials said Sunday that the department had 98 confirmed cases, including 28 civilian employees. |
There were also numerous reports of infections among inmates and guards at jails. | There were also numerous reports of infections among inmates and guards at jails. |
Mr. Cuomo went out of his way to criticize the behavior of some New York City residents, who he said were endangering themselves and others by continuing to crowd parks, playgrounds and public spaces. | Mr. Cuomo went out of his way to criticize the behavior of some New York City residents, who he said were endangering themselves and others by continuing to crowd parks, playgrounds and public spaces. |
“It’s insensitive, it’s arrogant, it’s self-destructive, it’s disrespectful to other people and it has to stop,” Mr. Cuomo said. “And it has to stop now.” | “It’s insensitive, it’s arrogant, it’s self-destructive, it’s disrespectful to other people and it has to stop,” Mr. Cuomo said. “And it has to stop now.” |
To that end, he ordered city officials to immediately come up with a plan to shut down such behavior, including ideas like closing streets to traffic. | To that end, he ordered city officials to immediately come up with a plan to shut down such behavior, including ideas like closing streets to traffic. |
Mr. Cuomo stopped short of calling for closing parks, noting that the city’s larger public green spaces — such as Van Cortlandt Park in the Bronx, Central Park in Manhattan and Prospect Park in Brooklyn — were big enough to allow people to be outside without close contact with others. | Mr. Cuomo stopped short of calling for closing parks, noting that the city’s larger public green spaces — such as Van Cortlandt Park in the Bronx, Central Park in Manhattan and Prospect Park in Brooklyn — were big enough to allow people to be outside without close contact with others. |
The speaker of the New York City Council, Corey Johnson, said playgrounds as well as volleyball and basketball courts should be closed. | The speaker of the New York City Council, Corey Johnson, said playgrounds as well as volleyball and basketball courts should be closed. |
Mr. de Blasio said that playgrounds will remain open for now, but warned that they aren’t regularly disinfected. Parents must take “full responsibility” for keeping their child healthy and away from other children, the mayor said. | Mr. de Blasio said that playgrounds will remain open for now, but warned that they aren’t regularly disinfected. Parents must take “full responsibility” for keeping their child healthy and away from other children, the mayor said. |
Thousands of tests continued to be conducted, even as some city leaders suggested that the disease had become so endemic that resources might be better used on treating patients than identifying them. | Thousands of tests continued to be conducted, even as some city leaders suggested that the disease had become so endemic that resources might be better used on treating patients than identifying them. |
Councilman Mark D. Levine, a Manhattan Democrat who chairs the health committee, said on Twitter on Sunday that the number of positive cases was unimportant. | Councilman Mark D. Levine, a Manhattan Democrat who chairs the health committee, said on Twitter on Sunday that the number of positive cases was unimportant. |
“Only one thing matters now: treatment of the gravely ill,” Mr. Levine wrote. | “Only one thing matters now: treatment of the gravely ill,” Mr. Levine wrote. |
At the same time, the state said it was actively seeking ways to combat the virus, buying large batches of three drugs — hydroxychloroquine, azithromycin and chloroquine — and aiming to begin drug trials this week. | At the same time, the state said it was actively seeking ways to combat the virus, buying large batches of three drugs — hydroxychloroquine, azithromycin and chloroquine — and aiming to begin drug trials this week. |
President Trump has promoted the drugs as potentially helpful in curbing the pandemic, but medical experts have cautioned that their effectiveness has not yet been shown in clinical trials. | President Trump has promoted the drugs as potentially helpful in curbing the pandemic, but medical experts have cautioned that their effectiveness has not yet been shown in clinical trials. |
As he has repeatedly done since the coronavirus has overtaken his state, Mr. Cuomo sought on Sunday to balance calls for action with reassurances about people’s resilience in hard times. | As he has repeatedly done since the coronavirus has overtaken his state, Mr. Cuomo sought on Sunday to balance calls for action with reassurances about people’s resilience in hard times. |
“We overcome challenges,” he said. “And this is a period of challenge for this generation.” | “We overcome challenges,” he said. “And this is a period of challenge for this generation.” |
Jeffery C. Mays, Luis Ferré-Sadurní and Elaine Chen contributed reporting from New York. | Jeffery C. Mays, Luis Ferré-Sadurní and Elaine Chen contributed reporting from New York. |