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Americans Abroad Ask Whether to Stay, and Risk Infection, or Fly Home, and Risk Infection Americans Abroad Ask Whether to Stay, and Risk Infection, or Fly Home, and Risk Infection
(8 days later)
WASHINGTON — The travel plan was as exhausting as it was risky for the 77-year-old cancer survivor wondering how to leave self-isolation in Ecuador and return home to New Hampshire without catching the coronavirus.WASHINGTON — The travel plan was as exhausting as it was risky for the 77-year-old cancer survivor wondering how to leave self-isolation in Ecuador and return home to New Hampshire without catching the coronavirus.
“It’s not for the faint of heart and promises to be very grueling, but we wanted to gauge interest,” the American Embassy in Quito, Ecuador, wrote in a notice last month to Americans looking to get back to the United States as the deadly pandemic spread.“It’s not for the faint of heart and promises to be very grueling, but we wanted to gauge interest,” the American Embassy in Quito, Ecuador, wrote in a notice last month to Americans looking to get back to the United States as the deadly pandemic spread.
It was a nonstarter for Bob Rand, who remains in Ecuador with an immune system already compromised from previous rounds of chemotherapy to treat Stage 4 cancer. He makes annual trips there to visit a son working in Quito.It was a nonstarter for Bob Rand, who remains in Ecuador with an immune system already compromised from previous rounds of chemotherapy to treat Stage 4 cancer. He makes annual trips there to visit a son working in Quito.
But it turned out to be the last U.S. government flight out of Ecuador, leaving few, if any, options available for American citizens trying to avoid becoming sick.But it turned out to be the last U.S. government flight out of Ecuador, leaving few, if any, options available for American citizens trying to avoid becoming sick.
The March 29 itinerary called for Mr. Rand and other travelers to take a C-130 military cargo plane to Panama, where they would remain onboard for a 12-hour layover. They would have no food or water, except what they carried in the single 50-pound bag each passenger was allowed to bring.The March 29 itinerary called for Mr. Rand and other travelers to take a C-130 military cargo plane to Panama, where they would remain onboard for a 12-hour layover. They would have no food or water, except what they carried in the single 50-pound bag each passenger was allowed to bring.
From Panama, they would fly to a naval base in Norfolk, Va., and passengers would have to find their own transportation the rest of the way home.From Panama, they would fly to a naval base in Norfolk, Va., and passengers would have to find their own transportation the rest of the way home.
For Mr. Rand, that meant booking a commercial flight or renting a car for the trip back to North Hampton, N.H. — almost certainly coming into contact with people who had not spent weeks in isolation, as he had.For Mr. Rand, that meant booking a commercial flight or renting a car for the trip back to North Hampton, N.H. — almost certainly coming into contact with people who had not spent weeks in isolation, as he had.
“But at the end of the day, you’ll be back in the United States and will have a great story to tell,” the embassy said in its notice.“But at the end of the day, you’ll be back in the United States and will have a great story to tell,” the embassy said in its notice.
Mr. Rand does not regret passing up the cargo flight. “That would have been tough on me,” he said this week in a telephone interview.Mr. Rand does not regret passing up the cargo flight. “That would have been tough on me,” he said this week in a telephone interview.
But a month later, and with coronavirus cases doubling by the week in Ecuador, Mr. Rand now wonders whether he would be better off taking one of a dwindling number of weekly commercial flights to the United States — even if it means interacting with strangers who ultimately could infect him.But a month later, and with coronavirus cases doubling by the week in Ecuador, Mr. Rand now wonders whether he would be better off taking one of a dwindling number of weekly commercial flights to the United States — even if it means interacting with strangers who ultimately could infect him.
“I think I’d rather be home surrounded by doctors than be sick down here,” he said.“I think I’d rather be home surrounded by doctors than be sick down here,” he said.
Those who had assumed they could stay overseas, and wait for the pandemic to ebb, now face an unnerving choice: Either stick it out, and prepare for the possibility they will be infected with the virus and treated in foreign hospitals, or chance catching it on the way back to the United States.Those who had assumed they could stay overseas, and wait for the pandemic to ebb, now face an unnerving choice: Either stick it out, and prepare for the possibility they will be infected with the virus and treated in foreign hospitals, or chance catching it on the way back to the United States.
The State Department is winding down government-organized flights that have so far brought home 65,000 Americans from across the world. Some continue in limited numbers, in areas like the Indian subcontinent and Africa, but “these flights will not go on forever,” Ian Brownlee, a deputy assistant secretary of state, told reporters on Wednesday.The State Department is winding down government-organized flights that have so far brought home 65,000 Americans from across the world. Some continue in limited numbers, in areas like the Indian subcontinent and Africa, but “these flights will not go on forever,” Ian Brownlee, a deputy assistant secretary of state, told reporters on Wednesday.
The department is also helping commercial airlines cut through foreign regulations that have restricted flights during the pandemic. At least four flights carrying Americans to the United States left Peru over the last week, officials said, after diplomats lobbied the government in Lima to ease its closed borders.The department is also helping commercial airlines cut through foreign regulations that have restricted flights during the pandemic. At least four flights carrying Americans to the United States left Peru over the last week, officials said, after diplomats lobbied the government in Lima to ease its closed borders.
But there still are at least 17,000 American citizens or legal residents abroad who have indicated they need help and, at this point, the State Department is urging them to take any available flights out.But there still are at least 17,000 American citizens or legal residents abroad who have indicated they need help and, at this point, the State Department is urging them to take any available flights out.
Dr. William Walters, the State Department’s deputy chief medical officer, said the risk of catching the virus was nearly as high on the government-sponsored flights as it was on commercial airlines. What will make a difference in Americans’ health, he said, is where they will be able to get medical treatment.Dr. William Walters, the State Department’s deputy chief medical officer, said the risk of catching the virus was nearly as high on the government-sponsored flights as it was on commercial airlines. What will make a difference in Americans’ health, he said, is where they will be able to get medical treatment.
“You can come back to the United States where you are a citizen and you have access to health care and you have access to an infrastructure that is still intact,” Dr. Walters said.“You can come back to the United States where you are a citizen and you have access to health care and you have access to an infrastructure that is still intact,” Dr. Walters said.
Updated June 24, 2020
Scientists around the country have tried to identify everyday materials that do a good job of filtering microscopic particles. In recent tests, HEPA furnace filters scored high, as did vacuum cleaner bags, fabric similar to flannel pajamas and those of 600-count pillowcases. Other materials tested included layered coffee filters and scarves and bandannas. These scored lower, but still captured a small percentage of particles.
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 don’t 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 country’s 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 it’s 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 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.
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 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.
But by hunkering down, in developing countries in particular, where the virus has yet to peak, “you will be an American citizen in a foreign country that didn’t have great infrastructure to begin with,” he said. “And now you have less rights and less access to less infrastructure.”But by hunkering down, in developing countries in particular, where the virus has yet to peak, “you will be an American citizen in a foreign country that didn’t have great infrastructure to begin with,” he said. “And now you have less rights and less access to less infrastructure.”
Mr. Brownlee warned that commercial flights to the United States also might end in the coming days — making it all the more urgent for Americans to grab any opportunities “while they exist.”Mr. Brownlee warned that commercial flights to the United States also might end in the coming days — making it all the more urgent for Americans to grab any opportunities “while they exist.”
More than half of the Americans the State Department has helped so far were departing from countries in Central and South America; an additional 4,000 are still seeking assistance, Mr. Brownlee said.More than half of the Americans the State Department has helped so far were departing from countries in Central and South America; an additional 4,000 are still seeking assistance, Mr. Brownlee said.
Hundreds of thousands of Americans live in Brazil, Mr. Brownlee said, but there are now fewer than a dozen flights to the United States each week. The number of commercial flights from Honduras, Guatemala and Ecuador have also decreased in recent days.Hundreds of thousands of Americans live in Brazil, Mr. Brownlee said, but there are now fewer than a dozen flights to the United States each week. The number of commercial flights from Honduras, Guatemala and Ecuador have also decreased in recent days.
The death toll in Ecuador during the outbreak was 15 times higher than the official number of coronavirus deaths reported by the government, according to an analysis by The New York Times. The numbers suggest that the South American country is suffering one of the worst outbreaks in the world.The death toll in Ecuador during the outbreak was 15 times higher than the official number of coronavirus deaths reported by the government, according to an analysis by The New York Times. The numbers suggest that the South American country is suffering one of the worst outbreaks in the world.
The State Department so far has helped more than 3,500 Americans leave Ecuador, including more than 110 this week. But Mr. Rand so far has been unable to book a seat.The State Department so far has helped more than 3,500 Americans leave Ecuador, including more than 110 this week. But Mr. Rand so far has been unable to book a seat.
As he considers where he might receive medical treatment should he need it, Mr. Rand has grown increasingly anxious. Most well-equipped private hospitals in Quito are not treating coronavirus patients, he said, and the public hospitals are already overextended.As he considers where he might receive medical treatment should he need it, Mr. Rand has grown increasingly anxious. Most well-equipped private hospitals in Quito are not treating coronavirus patients, he said, and the public hospitals are already overextended.
He is now hoping to fly out on a United Airlines flight next week that will route him from Quito through Houston for an overnight layover, and then to Chicago, before he arrives in Boston — ironically, as many transfers as the trip on the U.S. military cargo plane.He is now hoping to fly out on a United Airlines flight next week that will route him from Quito through Houston for an overnight layover, and then to Chicago, before he arrives in Boston — ironically, as many transfers as the trip on the U.S. military cargo plane.
But at least he will be back in the United States. “Things could get tricky here,” said Mr. Rand, who has been in self-isolation in Ecuador with his son and a small group of friends since March 16. “I’m beginning to think, ‘Uh-oh.’”But at least he will be back in the United States. “Things could get tricky here,” said Mr. Rand, who has been in self-isolation in Ecuador with his son and a small group of friends since March 16. “I’m beginning to think, ‘Uh-oh.’”