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Latinos in Some States Have Seen Higher Rates of Infection Latinos in Some States Have Seen Higher Rates of Infection
(3 days later)
This briefing has ended. Follow our latest coverage of the coronavirus pandemic.This briefing has ended. Follow our latest coverage of the coronavirus pandemic.
Epidemiologists around the country are examining more and more evidence that the coronavirus is impacting Latinos, especially in certain states and communities, with particular force.Epidemiologists around the country are examining more and more evidence that the coronavirus is impacting Latinos, especially in certain states and communities, with particular force.
Other groups, including African-Americans, also have been hard hit. But for doctors like Eva Galvez, who works as a family physician for a network of clinics in northwestern Oregon, the disparity for Latinos has become alarming. In tests of low-income patients over the past several weeks, she said, Latinos were 20 times as likely as other patients to have the virus.Other groups, including African-Americans, also have been hard hit. But for doctors like Eva Galvez, who works as a family physician for a network of clinics in northwestern Oregon, the disparity for Latinos has become alarming. In tests of low-income patients over the past several weeks, she said, Latinos were 20 times as likely as other patients to have the virus.
Oregon is just one of many states where Latinos are showing a disproportionate level of impact. In Iowa, Latinos account for more than 20 percent of coronavirus cases though they are only 6 percent of the population. Latinos in Washington State make up 13 percent of the population but 31 percent of cases. In Florida, Hispanics are just over a quarter of the population but account for two of every five virus cases where the patient’s ethnicity is known.Oregon is just one of many states where Latinos are showing a disproportionate level of impact. In Iowa, Latinos account for more than 20 percent of coronavirus cases though they are only 6 percent of the population. Latinos in Washington State make up 13 percent of the population but 31 percent of cases. In Florida, Hispanics are just over a quarter of the population but account for two of every five virus cases where the patient’s ethnicity is known.
Public health experts say Latinos may be more vulnerable to the virus as a result of the same factors that have put minorities at risk across the country. Many have low-paying service jobs that require them to work through the pandemic, interacting with the public. A large number also lack access to health care, which contributes to higher rates of diabetes and other conditions that can worsen infections. But the virus has not discriminated: its effects, experts said, had been seen among both immigrants and Latinos from multigenerational American familiesPublic health experts say Latinos may be more vulnerable to the virus as a result of the same factors that have put minorities at risk across the country. Many have low-paying service jobs that require them to work through the pandemic, interacting with the public. A large number also lack access to health care, which contributes to higher rates of diabetes and other conditions that can worsen infections. But the virus has not discriminated: its effects, experts said, had been seen among both immigrants and Latinos from multigenerational American families
In Latino communities with a longer history in the United States — like those in Arizona, California, New Mexico and Texas — the differences are narrower, at least according to the official data reported by the states. Experts say one reason is that places with more established Latino communities have a wider spectrum of professional and middle-class families with more wealth, who can work from home or take advantage of other options for weathering the pandemic.In Latino communities with a longer history in the United States — like those in Arizona, California, New Mexico and Texas — the differences are narrower, at least according to the official data reported by the states. Experts say one reason is that places with more established Latino communities have a wider spectrum of professional and middle-class families with more wealth, who can work from home or take advantage of other options for weathering the pandemic.
Now, though, officials worry that those disparities could grow as the annual harvest season begins this month and seasonal farmworkers flood into states already seeing large differences in infection rates. In Oregon, officials are scrambling to enact far-ranging changes to work rules and living conditions for migrant workers, fearing that without them the virus could sweep through the 160,000 workers who typically toil in the fields, eat and bunk in proximity.Now, though, officials worry that those disparities could grow as the annual harvest season begins this month and seasonal farmworkers flood into states already seeing large differences in infection rates. In Oregon, officials are scrambling to enact far-ranging changes to work rules and living conditions for migrant workers, fearing that without them the virus could sweep through the 160,000 workers who typically toil in the fields, eat and bunk in proximity.
President Trump’s go-to defense of his early response to the coronavirus is his decision to close down travel from China, the virus’s original center, and then from ravaged Europe.President Trump’s go-to defense of his early response to the coronavirus is his decision to close down travel from China, the virus’s original center, and then from ravaged Europe.
But those hasty decisions led to exoduses of American citizens, packed airports and, according to a new congressional report, very few rigorous screenings for passengers who could have been bringing the virus home with them.But those hasty decisions led to exoduses of American citizens, packed airports and, according to a new congressional report, very few rigorous screenings for passengers who could have been bringing the virus home with them.
Medical officials on contract from the Department of Homeland Security checked the temperatures of just 10 percent of the more than 250,000 travelers who got some screening when they arrived at U.S. airports from travel-restricted countries during a 10-week span from January to March, according to a report released Thursday by the House Oversight and Reform Committee. The finding raised questions about one of the centerpieces of Mr. Trump’s argument that his administration responded aggressively to contain the outbreak.Medical officials on contract from the Department of Homeland Security checked the temperatures of just 10 percent of the more than 250,000 travelers who got some screening when they arrived at U.S. airports from travel-restricted countries during a 10-week span from January to March, according to a report released Thursday by the House Oversight and Reform Committee. The finding raised questions about one of the centerpieces of Mr. Trump’s argument that his administration responded aggressively to contain the outbreak.
If customs officers noticed symptoms in travelers returning from restricted countries, they were told to refer them to federal or local medical officials at the airport for more screening.If customs officers noticed symptoms in travelers returning from restricted countries, they were told to refer them to federal or local medical officials at the airport for more screening.
But officials from the Countering Weapons of Mass Destruction Office, which is part of the Homeland Security agency, told the committee that the informal policy was to check one of every 10 passengers because they “don’t want to slow things down,” according to the report.But officials from the Countering Weapons of Mass Destruction Office, which is part of the Homeland Security agency, told the committee that the informal policy was to check one of every 10 passengers because they “don’t want to slow things down,” according to the report.
And they said that just under 1,500 arriving passengers were passed along for more rigorous screening by officials with the Centers for Disease Control and Prevention between Jan. 17 and March 29.And they said that just under 1,500 arriving passengers were passed along for more rigorous screening by officials with the Centers for Disease Control and Prevention between Jan. 17 and March 29.
One patient was found dead in bed, 12 hours after falling on a wet floor and sustaining a head injury. Sick residents who were awaiting the results of coronavirus tests shared rooms with healthy residents. Since March, at least 53 have died after testing positive.One patient was found dead in bed, 12 hours after falling on a wet floor and sustaining a head injury. Sick residents who were awaiting the results of coronavirus tests shared rooms with healthy residents. Since March, at least 53 have died after testing positive.
Those were among the findings of a federal inspection last month of a northern New Jersey nursing home, Andover Subacute and Rehabilitation Center II, that is now the site of one of the state’s largest outbreaks.Those were among the findings of a federal inspection last month of a northern New Jersey nursing home, Andover Subacute and Rehabilitation Center II, that is now the site of one of the state’s largest outbreaks.
The report, released on Thursday by the Centers for Medicare and Medicaid Services, offers the first detailed glimpse into how the pandemic has ravaged nursing homes across the country.The report, released on Thursday by the Centers for Medicare and Medicaid Services, offers the first detailed glimpse into how the pandemic has ravaged nursing homes across the country.
It was released on the same day that members of the National Guard arrived in Andover, N.J., to assist at the nursing home, a 543-bed facility that has been chronically short of staff members and masks and has over the past two years received poor grades from federal and state inspectors.It was released on the same day that members of the National Guard arrived in Andover, N.J., to assist at the nursing home, a 543-bed facility that has been chronically short of staff members and masks and has over the past two years received poor grades from federal and state inspectors.
Nursing homes have been hit particularly hard by the outbreak. A tally by The Times found that more than 118,000 residents and staff members at nursing homes and other long-term care facilities have contracted the virus, and more than 19,600 have died.Nursing homes have been hit particularly hard by the outbreak. A tally by The Times found that more than 118,000 residents and staff members at nursing homes and other long-term care facilities have contracted the virus, and more than 19,600 have died.
But a separate Times investigation also found that, when the pandemic struck, a majority of the nation’s nursing homes were losing money, some were falling into disrepair, and others were struggling to attract new occupants.But a separate Times investigation also found that, when the pandemic struck, a majority of the nation’s nursing homes were losing money, some were falling into disrepair, and others were struggling to attract new occupants.
Their troubled state was years in the making. Decades of ownership by private equity and other private investment firms left many nursing homes with staggering bills and razor-thin margins, while competition from home care attendants and assisted-living facilities further gutted their business. Even so, many of their owners still found creative ways to wring profits out of them, according to an analysis of federal and state data.Their troubled state was years in the making. Decades of ownership by private equity and other private investment firms left many nursing homes with staggering bills and razor-thin margins, while competition from home care attendants and assisted-living facilities further gutted their business. Even so, many of their owners still found creative ways to wring profits out of them, according to an analysis of federal and state data.
President Trump said on Thursday that he and Vice President Mike Pence, as well as the White House staff, would be tested every day for the coronavirus after a military aide who has had contact with the president was found to have the virus.President Trump said on Thursday that he and Vice President Mike Pence, as well as the White House staff, would be tested every day for the coronavirus after a military aide who has had contact with the president was found to have the virus.
Asked by reporters about the aide, whom a senior administration official described as a personal valet to the president, Mr. Trump played down the matter. “I’ve had very little contact, personal contact, with this gentleman,” he said. But he added that he and other officials and staff members at the White House would be tested more frequently.Asked by reporters about the aide, whom a senior administration official described as a personal valet to the president, Mr. Trump played down the matter. “I’ve had very little contact, personal contact, with this gentleman,” he said. But he added that he and other officials and staff members at the White House would be tested more frequently.
A White House spokesman said that Mr. Trump and Mr. Pence had both tested negative for the virus since their exposure to the aide. But the episode raised new questions about how well-protected Mr. Trump and other top officials are as they work at the White House, typically without wearing masks.A White House spokesman said that Mr. Trump and Mr. Pence had both tested negative for the virus since their exposure to the aide. But the episode raised new questions about how well-protected Mr. Trump and other top officials are as they work at the White House, typically without wearing masks.
The president has said that the White House uses a test kit made by Abbott, which can return results on the spot in as little as five minutes. But health professionals have warned that the Abbott test kit produces less reliable results than those shipped to labs but which can take days.The president has said that the White House uses a test kit made by Abbott, which can return results on the spot in as little as five minutes. But health professionals have warned that the Abbott test kit produces less reliable results than those shipped to labs but which can take days.
The military aide’s illness was first reported by CNN, and was made public the day before eight World War II veterans — each older than 95, an age group at high statistical risk for serious illness from the coronavirus — were scheduled to take part in a photo-op at the White House and an event at the World War II Memorial nearby to celebrate the 75th anniversary on Friday of the German surrender, known as V-E Day.The military aide’s illness was first reported by CNN, and was made public the day before eight World War II veterans — each older than 95, an age group at high statistical risk for serious illness from the coronavirus — were scheduled to take part in a photo-op at the White House and an event at the World War II Memorial nearby to celebrate the 75th anniversary on Friday of the German surrender, known as V-E Day.
The event will include an opportunity for the veterans to take pictures at the White House with the secretaries of defense and state; the first lady, Melania Trump; and the president, according to a schedule prepared by the Greatest Generations Foundation, which organized the event.The event will include an opportunity for the veterans to take pictures at the White House with the secretaries of defense and state; the first lady, Melania Trump; and the president, according to a schedule prepared by the Greatest Generations Foundation, which organized the event.
Tensions are flaring in black and Hispanic neighborhoods in New York over the enforcement of social distancing rules, leading some prominent elected officials to charge that the New York Police Department is engaging in a racist double standard as it struggles to shift to a public health role in the pandemic.Tensions are flaring in black and Hispanic neighborhoods in New York over the enforcement of social distancing rules, leading some prominent elected officials to charge that the New York Police Department is engaging in a racist double standard as it struggles to shift to a public health role in the pandemic.
The arrests of black and Hispanic residents, several of them filmed and posted online, occurred on the same balmy days as other photographs showing police officers handing out masks to mostly white visitors at parks in Lower Manhattan, Williamsburg and Long Island City.The arrests of black and Hispanic residents, several of them filmed and posted online, occurred on the same balmy days as other photographs showing police officers handing out masks to mostly white visitors at parks in Lower Manhattan, Williamsburg and Long Island City.
On Thursday, the Brooklyn district attorney’s office became the first prosecutor in the city to release statistics on social distancing enforcement. In the borough, the police arrested 40 people for social distancing violations from March 17 through May 4, the district attorney’s office said.On Thursday, the Brooklyn district attorney’s office became the first prosecutor in the city to release statistics on social distancing enforcement. In the borough, the police arrested 40 people for social distancing violations from March 17 through May 4, the district attorney’s office said.
Of those arrested, 35 people were black, four were Hispanic and one was white. More than a third of the arrests were made in the predominantly black neighborhood of Brownsville, while no one was arrested in the more white neighborhood of Park Slope.Of those arrested, 35 people were black, four were Hispanic and one was white. More than a third of the arrests were made in the predominantly black neighborhood of Brownsville, while no one was arrested in the more white neighborhood of Park Slope.
The tension over the enforcement of social distancing measures came as New York City’s mayor said on Thursday that the city might begin limiting entry to some parks to prevent overcrowding as the weather warms. He did not clarify which parks but said more details would be provided on Friday.The tension over the enforcement of social distancing measures came as New York City’s mayor said on Thursday that the city might begin limiting entry to some parks to prevent overcrowding as the weather warms. He did not clarify which parks but said more details would be provided on Friday.
With unemployment claims surpassing 33 million since March, the nation’s near-term economic outlook hinges on whether patchwork reopenings can mend the damage from the pandemic — and how soon.With unemployment claims surpassing 33 million since March, the nation’s near-term economic outlook hinges on whether patchwork reopenings can mend the damage from the pandemic — and how soon.
Nearly 3.2 million Americans were added to state jobless rolls last week, the Labor Department said Thursday, and economists expect the monthly jobs report on Friday to put the April unemployment rate at 15 percent or higher — a Depression-era level.Nearly 3.2 million Americans were added to state jobless rolls last week, the Labor Department said Thursday, and economists expect the monthly jobs report on Friday to put the April unemployment rate at 15 percent or higher — a Depression-era level.
But even a figure of that magnitude almost certainly understates the calamity. Officials in some states say more than a quarter of their work force is unemployed. And experts say it is impossible to calculate how many jobs might come back as states lift shelter-in-place rules.But even a figure of that magnitude almost certainly understates the calamity. Officials in some states say more than a quarter of their work force is unemployed. And experts say it is impossible to calculate how many jobs might come back as states lift shelter-in-place rules.
“We don’t know what normal is going to look like,” said Martha Gimbel, an economist and labor market expert at Schmidt Futures, a philanthropic initiative.“We don’t know what normal is going to look like,” said Martha Gimbel, an economist and labor market expert at Schmidt Futures, a philanthropic initiative.
The biggest questions are how many workers will be willing to go back, how many businesses will have full-time jobs for them and how quickly customers will return to the shopping and spending habits that stoke the consumer-driven economy.The biggest questions are how many workers will be willing to go back, how many businesses will have full-time jobs for them and how quickly customers will return to the shopping and spending habits that stoke the consumer-driven economy.
At the same time, many employers may not survive, particularly small ones, while others are likely to operate with reduced hours and staff members. Most Americans are uneasy about the moves to reopen, with 67 percent saying they would be uncomfortable going into a store and 78 percent saying they would be uncomfortable eating at a restaurant, according to a survey that The Washington Post and the University of Maryland released this week.At the same time, many employers may not survive, particularly small ones, while others are likely to operate with reduced hours and staff members. Most Americans are uneasy about the moves to reopen, with 67 percent saying they would be uncomfortable going into a store and 78 percent saying they would be uncomfortable eating at a restaurant, according to a survey that The Washington Post and the University of Maryland released this week.
Frontier Airlines on Thursday became the first United States carrier to announce plans to take passengers’ temperatures before boarding commercial flights, the latest effort to make travel safer as parts of the American economy continue to reopen.Frontier Airlines on Thursday became the first United States carrier to announce plans to take passengers’ temperatures before boarding commercial flights, the latest effort to make travel safer as parts of the American economy continue to reopen.
Beginning June 1, anyone with a temperature of 100.4 degrees or higher will be denied boarding, Frontier said.Beginning June 1, anyone with a temperature of 100.4 degrees or higher will be denied boarding, Frontier said.
The requirement came as several major transit agencies and facilities also announced measures to limit the spread of virus.The requirement came as several major transit agencies and facilities also announced measures to limit the spread of virus.
Amtrak said it would require passengers to wear face coverings in stations and on trains and buses starting Monday. The coverings can be removed only when passengers are eating in designated areas, in private rooms or when seated alone or with a companion in their own pair of seats, Amtrak said.Amtrak said it would require passengers to wear face coverings in stations and on trains and buses starting Monday. The coverings can be removed only when passengers are eating in designated areas, in private rooms or when seated alone or with a companion in their own pair of seats, Amtrak said.
The Los Angeles County Metropolitan Transportation Authority said that it would also require riders on buses and trains to wear face coverings beginning Monday. Its announcement came one day after Los Angeles International Airport said that, starting Monday, it would require anyone in its terminals to wear a face covering.The Los Angeles County Metropolitan Transportation Authority said that it would also require riders on buses and trains to wear face coverings beginning Monday. Its announcement came one day after Los Angeles International Airport said that, starting Monday, it would require anyone in its terminals to wear a face covering.
Some Los Angeles transportation workers had urged the agency to make face coverings mandatory as it prepared to restore bus and rail service. At least 58 agency employees or contractors, including 16 bus drivers, have tested test positive for the virus.Some Los Angeles transportation workers had urged the agency to make face coverings mandatory as it prepared to restore bus and rail service. At least 58 agency employees or contractors, including 16 bus drivers, have tested test positive for the virus.
The agency said enforcement of the mask requirement would be “a work in progress.” It said it wanted to avoid putting its officers “in an untenable position where confrontations with riders escalate — as we’ve seen happen in other cities.”The agency said enforcement of the mask requirement would be “a work in progress.” It said it wanted to avoid putting its officers “in an untenable position where confrontations with riders escalate — as we’ve seen happen in other cities.”
A new study offers some hope in the fight against the coronavirus: Nearly everyone who has had the disease — regardless of age, sex or severity of illness — eventually makes antibodies.A new study offers some hope in the fight against the coronavirus: Nearly everyone who has had the disease — regardless of age, sex or severity of illness — eventually makes antibodies.
Antibodies are immune molecules produced by the body to fight pathogens. Typically, these proteins confer protection against the invader.Antibodies are immune molecules produced by the body to fight pathogens. Typically, these proteins confer protection against the invader.
Several countries, including the United States, are hoping that antibody tests — flawed though many may be — can help decide who is immune to the virus and can return to work. People who are immune could replace vulnerable individuals, especially in high-transmission settings, building in the population what researchers call shield immunity.Several countries, including the United States, are hoping that antibody tests — flawed though many may be — can help decide who is immune to the virus and can return to work. People who are immune could replace vulnerable individuals, especially in high-transmission settings, building in the population what researchers call shield immunity.
The new study also eased a worry that only some people — those who were severely ill, for example — might make antibodies. In fact, the level of antibodies did not differ by age or sex, the researchers found, and even people who had only mild symptoms produced a healthy amount.The new study also eased a worry that only some people — those who were severely ill, for example — might make antibodies. In fact, the level of antibodies did not differ by age or sex, the researchers found, and even people who had only mild symptoms produced a healthy amount.
“The question now becomes to what extent those are neutralizing antibodies, and whether that leads to protection from infection — all of which we should presume are yes,” said Sean Whelan, a virologist at Washington University in St. Louis.“The question now becomes to what extent those are neutralizing antibodies, and whether that leads to protection from infection — all of which we should presume are yes,” said Sean Whelan, a virologist at Washington University in St. Louis.
As Mr. Trump rushes to reopen the economy, a battle has erupted between the White House and the Centers for Disease Control and Prevention over the agency’s detailed guidelines to help schools, restaurants, churches and other establishments safely reopen, Abby Goodnough and Maggie Haberman report.As Mr. Trump rushes to reopen the economy, a battle has erupted between the White House and the Centers for Disease Control and Prevention over the agency’s detailed guidelines to help schools, restaurants, churches and other establishments safely reopen, Abby Goodnough and Maggie Haberman report.
A copy of the C.D.C. guidance obtained by The New York Times includes sections for child care programs, schools and day camps, churches and other “communities of faith,” employers with vulnerable workers, restaurants and bars, and mass transit administrators. The recommendations include using disposable dishes and utensils at restaurants, closing every other row of seats in buses and subways while restricting transit routes between areas experiencing different infection levels, and separating children at school and camps into groups that should not mix throughout the day.A copy of the C.D.C. guidance obtained by The New York Times includes sections for child care programs, schools and day camps, churches and other “communities of faith,” employers with vulnerable workers, restaurants and bars, and mass transit administrators. The recommendations include using disposable dishes and utensils at restaurants, closing every other row of seats in buses and subways while restricting transit routes between areas experiencing different infection levels, and separating children at school and camps into groups that should not mix throughout the day.
But White House and other administration officials rejected the recommendations over concerns that they were overly prescriptive, infringed on religious rights and risked further damaging an economy that Mr. Trump was banking on to recover quickly.But White House and other administration officials rejected the recommendations over concerns that they were overly prescriptive, infringed on religious rights and risked further damaging an economy that Mr. Trump was banking on to recover quickly.
Updated June 5, 2020 Updated June 12, 2020
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.
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.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.
A spokesman for the C.D.C. said the guidance was still under discussion with the White House, and a revised version could be published soon.A spokesman for the C.D.C. said the guidance was still under discussion with the White House, and a revised version could be published soon.
The rejection of the guidelines is the latest confusing signal as the Trump administration struggles to balance Mr. Trump’s desire to reopen the country quickly against the advice of public health experts, who have counseled reopening methodically via steps tied to reduced rates of infection and expanded efforts to control the spread of the virus.The rejection of the guidelines is the latest confusing signal as the Trump administration struggles to balance Mr. Trump’s desire to reopen the country quickly against the advice of public health experts, who have counseled reopening methodically via steps tied to reduced rates of infection and expanded efforts to control the spread of the virus.
More than half the states have begun to reopen their economies or plan to do so soon, but most fail to meet the criteria recommended by the Trump administration.More than half the states have begun to reopen their economies or plan to do so soon, but most fail to meet the criteria recommended by the Trump administration.
In more than half of the states that are easing restrictions, case counts are trending upward, positive test results are on the rise, or both, raising concerns among public health experts.In more than half of the states that are easing restrictions, case counts are trending upward, positive test results are on the rise, or both, raising concerns among public health experts.
Hydroxychloroquine, the malaria drug frequently promoted by Mr. Trump, neither helped nor harmed coronavirus patients at NewYork-Presbyterian Columbia University Irving Medical Center in Manhattan, researchers reported.Hydroxychloroquine, the malaria drug frequently promoted by Mr. Trump, neither helped nor harmed coronavirus patients at NewYork-Presbyterian Columbia University Irving Medical Center in Manhattan, researchers reported.
As a result, the hospital is no longer recommending it as a treatment for its Covid-19 patients.As a result, the hospital is no longer recommending it as a treatment for its Covid-19 patients.
The authors of the report, in The New England Journal of Medicine, say the drug should be used only in controlled clinical trials where patients are picked at random to receive one treatment or another. Controlled trials, which are underway around the world, are the most reliable way of finding out whether a drug works.The authors of the report, in The New England Journal of Medicine, say the drug should be used only in controlled clinical trials where patients are picked at random to receive one treatment or another. Controlled trials, which are underway around the world, are the most reliable way of finding out whether a drug works.
In the last several weeks, federal agencies and medical societies have issued safety warnings about hydroxychloroquine and the closely related drug chloroquine. The Food and Drug Administration said last month that the drugs could cause dangerous heart rhythm abnormalities in coronavirus patients and should be used only in clinical trials or hospitals where patients can be closely monitored. The National Institute of Allergy and Infectious Diseases issued a similar warning, saying there was “insufficient data” to recommend the drugs.In the last several weeks, federal agencies and medical societies have issued safety warnings about hydroxychloroquine and the closely related drug chloroquine. The Food and Drug Administration said last month that the drugs could cause dangerous heart rhythm abnormalities in coronavirus patients and should be used only in clinical trials or hospitals where patients can be closely monitored. The National Institute of Allergy and Infectious Diseases issued a similar warning, saying there was “insufficient data” to recommend the drugs.
The new study did not include information on tests of heart rhythm.The new study did not include information on tests of heart rhythm.
Hydroxychloroquine is approved to treat malaria and the autoimmune diseases lupus and rheumatoid arthritis. But anecdotal reports from China and France early in the epidemic suggested that it might also help fight the coronavirus. With no proven treatment, doctors around the world began using it in a desperate effort to save dying patients, and Mr. Trump suggested people should take it. But there is little evidence to support its continued use against the virus, and the French report was later discredited.Hydroxychloroquine is approved to treat malaria and the autoimmune diseases lupus and rheumatoid arthritis. But anecdotal reports from China and France early in the epidemic suggested that it might also help fight the coronavirus. With no proven treatment, doctors around the world began using it in a desperate effort to save dying patients, and Mr. Trump suggested people should take it. But there is little evidence to support its continued use against the virus, and the French report was later discredited.
The pandemic has plunged California into a fiscal hole of historic proportions, state finance officials said Thursday, projecting an 18 percent unemployment rate through next summer and a staggering $54.3 billion state budget deficit.The pandemic has plunged California into a fiscal hole of historic proportions, state finance officials said Thursday, projecting an 18 percent unemployment rate through next summer and a staggering $54.3 billion state budget deficit.
The analysis released by the state’s Department of Finance, which advises Gov. Gavin Newsom, reversed earlier projections of record reserves and a $5.6 billion surplus and came as the state reeled from a collapsing economy, the nation’s fifth-highest virus death toll and the approach of a potentially devastating fire season.The analysis released by the state’s Department of Finance, which advises Gov. Gavin Newsom, reversed earlier projections of record reserves and a $5.6 billion surplus and came as the state reeled from a collapsing economy, the nation’s fifth-highest virus death toll and the approach of a potentially devastating fire season.
Unemployment, the department said, would more than quadruple from the 3.9 percent rate California boasted at the start of the year, and tax revenues would be $41.2 billion less than originally forecast.Unemployment, the department said, would more than quadruple from the 3.9 percent rate California boasted at the start of the year, and tax revenues would be $41.2 billion less than originally forecast.
Expenses are also about to soar, the department said, with the pandemic alone expected to add some $13 billion in unplanned spending for the state’s virus response and increased caseloads for welfare and Medi-Cal, the state’s version of Medicaid.Expenses are also about to soar, the department said, with the pandemic alone expected to add some $13 billion in unplanned spending for the state’s virus response and increased caseloads for welfare and Medi-Cal, the state’s version of Medicaid.
Gov. Gretchen Whitmer of Michigan said Thursday that she would allow manufacturing workers — including those at the major auto companies — to go back to work beginning Monday.Gov. Gretchen Whitmer of Michigan said Thursday that she would allow manufacturing workers — including those at the major auto companies — to go back to work beginning Monday.
Ms. Whitmer, a Democrat who has been the target of demonstrations protesting virus restrictions she has ordered, has extended her stay-at-home order through May 28.Ms. Whitmer, a Democrat who has been the target of demonstrations protesting virus restrictions she has ordered, has extended her stay-at-home order through May 28.
But on Thursday she moved to allow some manufacturers to bring back their workers next week, paving the way for the auto industry to resume production. Major auto companies have been hoping to restart most of their manufacturing operations by May 18, which will require others in the supply chain to resume work earlier.But on Thursday she moved to allow some manufacturers to bring back their workers next week, paving the way for the auto industry to resume production. Major auto companies have been hoping to restart most of their manufacturing operations by May 18, which will require others in the supply chain to resume work earlier.
The road test is a rite of passage for millions of American teenagers. But last month, Georgia waived that requirement for most drivers to help fight the spread of the virus. The state said this week that it had issued licenses to nearly 20,000 teenagers without requiring road tests.The road test is a rite of passage for millions of American teenagers. But last month, Georgia waived that requirement for most drivers to help fight the spread of the virus. The state said this week that it had issued licenses to nearly 20,000 teenagers without requiring road tests.
“These teens held a permit for a year and a day and complied with all Georgia’s mandatory driver education requirements,” including 40 hours of supervised training behind the wheel, said Susan Sports, a spokeswoman for the state’s Department of Driver Services. They also had the consent of a parent or responsible adult.“These teens held a permit for a year and a day and complied with all Georgia’s mandatory driver education requirements,” including 40 hours of supervised training behind the wheel, said Susan Sports, a spokeswoman for the state’s Department of Driver Services. They also had the consent of a parent or responsible adult.
Georgia is not the only state amending its licensing process. In Wisconsin, the Department of Transportation said in a statement on Tuesday that drivers under 18 who had successfully completed their required training and who had a parent or guardian’s endorsement would be able to get a probationary license without completing a road test. Texas has also modified its procedures for individuals with a learner’s license seeking a provisional license.Georgia is not the only state amending its licensing process. In Wisconsin, the Department of Transportation said in a statement on Tuesday that drivers under 18 who had successfully completed their required training and who had a parent or guardian’s endorsement would be able to get a probationary license without completing a road test. Texas has also modified its procedures for individuals with a learner’s license seeking a provisional license.
The changes have caused concern. Motor vehicle crashes are the leading cause of death for American teenagers, according to the Centers for Disease Control and Prevention.The changes have caused concern. Motor vehicle crashes are the leading cause of death for American teenagers, according to the Centers for Disease Control and Prevention.
“There’s concern that with waiving the road test, states are permitting teens to achieve a license when they could possibly be benefiting from additional practice,” said Jeanette Casselano, a spokeswoman for AAA.“There’s concern that with waiving the road test, states are permitting teens to achieve a license when they could possibly be benefiting from additional practice,” said Jeanette Casselano, a spokeswoman for AAA.
In the early days of the pandemic, Mike DeWine, the mild-mannered Republican governor of Ohio, gained a national profile for moving quickly to shut down his state while other leaders hesitated. The rates of infection in Ohio have stayed lower than elsewhere in the Midwest.In the early days of the pandemic, Mike DeWine, the mild-mannered Republican governor of Ohio, gained a national profile for moving quickly to shut down his state while other leaders hesitated. The rates of infection in Ohio have stayed lower than elsewhere in the Midwest.
But now, Mr. DeWine is facing an open revolt from members of his own party.But now, Mr. DeWine is facing an open revolt from members of his own party.
Republicans have accused his administration of goosing virus statistics to scare Ohioans. One state senator attacked Mr. DeWine for “micromanaging” residents and having no faith in them. Republican lawmakers in Ohio on Wednesday voted to limit the authority of the state’s health director, Dr. Amy Acton, who appears at Mr. DeWine’s side in his daily news briefings. Mr. DeWine said he would veto the bill.Republicans have accused his administration of goosing virus statistics to scare Ohioans. One state senator attacked Mr. DeWine for “micromanaging” residents and having no faith in them. Republican lawmakers in Ohio on Wednesday voted to limit the authority of the state’s health director, Dr. Amy Acton, who appears at Mr. DeWine’s side in his daily news briefings. Mr. DeWine said he would veto the bill.
Mr. DeWine said on Thursday that barbershops, hair salons, day spas, nail salons and other services could reopen on May 15, when restaurants could begin serving diners outside. By May 21, he said, they could begin to offer dine-in service.Mr. DeWine said on Thursday that barbershops, hair salons, day spas, nail salons and other services could reopen on May 15, when restaurants could begin serving diners outside. By May 21, he said, they could begin to offer dine-in service.
The intraparty warfare in Ohio is part of a growing rebellion by Republican legislators across the country against their governors — both Democratic and Republican — arguing that stay-at-home orders and nonessential business closures are smothering the economy and violating rights.The intraparty warfare in Ohio is part of a growing rebellion by Republican legislators across the country against their governors — both Democratic and Republican — arguing that stay-at-home orders and nonessential business closures are smothering the economy and violating rights.
Republicans in Pennsylvania tried in late April to overturn the Democratic governor’s stay-at-home order. In Louisiana, Republicans voted to strip the governor of his administration’s ability to penalize businesses for violating such an order. In Wisconsin and Michigan, Republican lawmakers sued the governors outright.Republicans in Pennsylvania tried in late April to overturn the Democratic governor’s stay-at-home order. In Louisiana, Republicans voted to strip the governor of his administration’s ability to penalize businesses for violating such an order. In Wisconsin and Michigan, Republican lawmakers sued the governors outright.
And in Massachusetts, a federal judge on Thursday ruled that gun stores could reopen, a rebuke to the state’s Republican governor, who had ordered them to close.And in Massachusetts, a federal judge on Thursday ruled that gun stores could reopen, a rebuke to the state’s Republican governor, who had ordered them to close.
For three weeks, the Food and Drug Administration allowed the sale of several types of N95-style face masks for American health care workers despite evidence that the masks were not effective for blocking the virus.For three weeks, the Food and Drug Administration allowed the sale of several types of N95-style face masks for American health care workers despite evidence that the masks were not effective for blocking the virus.
Millions of the masks, produced in China, have been bought by or donated to American hospitals and distributed to others on the front line of the outbreak. But starting in mid-April, tests conducted by the C.D.C. revealed that some of the products did not meet medical standards for protection against the virus.Millions of the masks, produced in China, have been bought by or donated to American hospitals and distributed to others on the front line of the outbreak. But starting in mid-April, tests conducted by the C.D.C. revealed that some of the products did not meet medical standards for protection against the virus.
It was not until Thursday, though, that the F.D.A. barred more than 65 of the 80 authorized manufacturers in China from exporting N95-style face masks to the United States for medical use, citing poor quality.It was not until Thursday, though, that the F.D.A. barred more than 65 of the 80 authorized manufacturers in China from exporting N95-style face masks to the United States for medical use, citing poor quality.
“The U.S. Food and Drug Administration is concerned that certain filtering facepiece respirators (respirators) from China may not provide consistent and adequate respiratory protection to health care personnel exposed to Covid-19,” the agency wrote in a letter to health care providers around the country.“The U.S. Food and Drug Administration is concerned that certain filtering facepiece respirators (respirators) from China may not provide consistent and adequate respiratory protection to health care personnel exposed to Covid-19,” the agency wrote in a letter to health care providers around the country.
N95 masks, many of which are also produced in China, provide better protection against coronavirus particles than cloth or surgical masks, and they are coveted by health care providers and emergency medical workers. On April 3, drastic shortages of the N95 masks led the F.D.A. to allow imports of similar masks, also from China.N95 masks, many of which are also produced in China, provide better protection against coronavirus particles than cloth or surgical masks, and they are coveted by health care providers and emergency medical workers. On April 3, drastic shortages of the N95 masks led the F.D.A. to allow imports of similar masks, also from China.
Reporting was contributed by Emily Badger, Peter Baker, Alan Blinder, Nicholas Bogel-Burroughs, Jonah Engel Bromwich, Benedict Carey, Ben Casselman, Patricia Cohen, Keith Collins, Michael Cooper, Karen Crouse, Michael Crowley, Nicholas Fandos, Manny Fernandez, Matthew Futterman, Rick Gladstone, James Glanz, Matthew Goldstein, Abby Goodnough, Denise Grady, Maggie Haberman, Tiffany Hsu, Shawn Hubler, Miriam Jordan, Inyoung Kang, Sheila Kaplan, Lauren Leatherby, Michael Levenson, Apoorva Mandavilli, David Montgomery, Andy Newman, Richard A. Oppel Jr., Tariq Panja, Alicia Parlapiano, Linda Qiu, Campbell Robertson, Marc Santora, Michael D. Shear, Ashley Southall, Jennifer Steinhauer, Eileen Sullivan, Tracey Tully, Pete Wells and Carl Zimmer.Reporting was contributed by Emily Badger, Peter Baker, Alan Blinder, Nicholas Bogel-Burroughs, Jonah Engel Bromwich, Benedict Carey, Ben Casselman, Patricia Cohen, Keith Collins, Michael Cooper, Karen Crouse, Michael Crowley, Nicholas Fandos, Manny Fernandez, Matthew Futterman, Rick Gladstone, James Glanz, Matthew Goldstein, Abby Goodnough, Denise Grady, Maggie Haberman, Tiffany Hsu, Shawn Hubler, Miriam Jordan, Inyoung Kang, Sheila Kaplan, Lauren Leatherby, Michael Levenson, Apoorva Mandavilli, David Montgomery, Andy Newman, Richard A. Oppel Jr., Tariq Panja, Alicia Parlapiano, Linda Qiu, Campbell Robertson, Marc Santora, Michael D. Shear, Ashley Southall, Jennifer Steinhauer, Eileen Sullivan, Tracey Tully, Pete Wells and Carl Zimmer.