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Covid-19 Live Updates: Pooled Testing, Once Promising, Is Failing in the U.S. Covid-19 Live Updates: Pooled Testing, Once Promising, Is Failing in the U.S.
(32 minutes later)
Earlier this summer, Trump administration officials hailed a new strategy for catching coronavirus infections: pooled testing.Earlier this summer, Trump administration officials hailed a new strategy for catching coronavirus infections: pooled testing.
The decades-old approach combines samples from multiple people to save time and precious testing supplies. Federal health officials like Dr. Anthony S. Fauci and Adm. Brett Giroir said pooling would allow for constant surveillance of large sectors of the community, and said they hoped it would be up and running nationwide by the time students returned to school.The decades-old approach combines samples from multiple people to save time and precious testing supplies. Federal health officials like Dr. Anthony S. Fauci and Adm. Brett Giroir said pooling would allow for constant surveillance of large sectors of the community, and said they hoped it would be up and running nationwide by the time students returned to school.
But now, when the nation desperately needs more coronavirus tests to get a handle on the virus’s spread, this efficient approach has become worthless in many places, in part because there are simply too many cases to catch.But now, when the nation desperately needs more coronavirus tests to get a handle on the virus’s spread, this efficient approach has become worthless in many places, in part because there are simply too many cases to catch.
Pooled testing only works when the vast majority of batches test negative, among other drawbacks with the procedure. If the proportion of positives is too high, more pools come up positive — requiring each individual sample to then be retested, wasting precious chemicals.Pooled testing only works when the vast majority of batches test negative, among other drawbacks with the procedure. If the proportion of positives is too high, more pools come up positive — requiring each individual sample to then be retested, wasting precious chemicals.
Nebraska’s state public health laboratory, for example, was a pooling trailblazer when it began combining five samples a test in mid-March, cutting the number of necessary tests by about half.Nebraska’s state public health laboratory, for example, was a pooling trailblazer when it began combining five samples a test in mid-March, cutting the number of necessary tests by about half.
But the lab was forced to halt its streak on April 27, when local positivity rates — the proportion of tests that turn up positive — surged past 10 percent. With that many positives, there was little benefit in pooling.But the lab was forced to halt its streak on April 27, when local positivity rates — the proportion of tests that turn up positive — surged past 10 percent. With that many positives, there was little benefit in pooling.
“It’s definitely frustrating,” said Dr. Baha Abdalhamid, the assistant director of the laboratory. In combination with physical distancing and mask-wearing, pooling could have helped keep the virus in check, he added. But the pooling window, for now, has slammed shut.“It’s definitely frustrating,” said Dr. Baha Abdalhamid, the assistant director of the laboratory. In combination with physical distancing and mask-wearing, pooling could have helped keep the virus in check, he added. But the pooling window, for now, has slammed shut.
Still, the strategy has made significant headway in some parts of the country. In New York, where test positivity rates have held at or below 1 percent since June, universities, hospitals, private companies and public health labs are using the technique in a variety of settings, often to catch people who aren’t feeling sick, said Gareth Rhodes, an aide to Gov. Andrew Cuomo and a member of his virus response team. Last week, the State University of New York was cleared to start combining up to 25 samples at once.Still, the strategy has made significant headway in some parts of the country. In New York, where test positivity rates have held at or below 1 percent since June, universities, hospitals, private companies and public health labs are using the technique in a variety of settings, often to catch people who aren’t feeling sick, said Gareth Rhodes, an aide to Gov. Andrew Cuomo and a member of his virus response team. Last week, the State University of New York was cleared to start combining up to 25 samples at once.
Key data of the dayKey data of the day
The number of known deaths in prisons, jails and other correctional facilities among prisoners and correctional officers has surpassed 1,000, according to a New York Times database tracking deaths in correctional institutions.The number of known deaths in prisons, jails and other correctional facilities among prisoners and correctional officers has surpassed 1,000, according to a New York Times database tracking deaths in correctional institutions.
The number of deaths in state and federal prisons, local jails and immigration detention centers — which stood at 1,002 on Tuesday morning — has increased by about 40 percent during the past six weeks, according to the database. There have been nearly 160,000 infections among prisoners and guards.The number of deaths in state and federal prisons, local jails and immigration detention centers — which stood at 1,002 on Tuesday morning — has increased by about 40 percent during the past six weeks, according to the database. There have been nearly 160,000 infections among prisoners and guards.
The actual number of deaths is almost certainly higher because jails and prisons perform limited testing on inmates, including many facilities that decline to test prisoners who die after exhibiting symptoms consistent with the coronavirus.The actual number of deaths is almost certainly higher because jails and prisons perform limited testing on inmates, including many facilities that decline to test prisoners who die after exhibiting symptoms consistent with the coronavirus.
A recent study showed that prisoners are infected at a rate more than five times the nation’s overall rate. The death rate of inmates is also higher than the national rate — 39 deaths per 100,000 compared to 29 deaths per 100,000.A recent study showed that prisoners are infected at a rate more than five times the nation’s overall rate. The death rate of inmates is also higher than the national rate — 39 deaths per 100,000 compared to 29 deaths per 100,000.
The Times’s database tracks coronavirus infections and deaths among inmates and correctional officers at some 2,500 prisons, jails and immigration detention centers.The Times’s database tracks coronavirus infections and deaths among inmates and correctional officers at some 2,500 prisons, jails and immigration detention centers.
The nation’s largest known coronavirus cluster is at San Quentin State Prison in California, where more than 2,600 inmates and guards have been sickened and 25 inmates have died after a botched transfer of inmates in May. “It’s the perfect environment for people to die in — which people are,” said Juan Moreno Haines, an inmate at San Quentin.The nation’s largest known coronavirus cluster is at San Quentin State Prison in California, where more than 2,600 inmates and guards have been sickened and 25 inmates have died after a botched transfer of inmates in May. “It’s the perfect environment for people to die in — which people are,” said Juan Moreno Haines, an inmate at San Quentin.
The S&P 500 closed at a record high on Tuesday, a remarkable display of investor optimism despite the economic decline during the pandemic.The S&P 500 closed at a record high on Tuesday, a remarkable display of investor optimism despite the economic decline during the pandemic.
Technology stocks played a big role in those gains. The recovery has also been fueled by the trillions of dollars pumped into financial markets by the Federal Reserve and enormous spending by the government to protect American workers and businesses from the worst of the downturn.Technology stocks played a big role in those gains. The recovery has also been fueled by the trillions of dollars pumped into financial markets by the Federal Reserve and enormous spending by the government to protect American workers and businesses from the worst of the downturn.
The index rose only slightly, but it was enough to eclipse a high reached in February, before the fast-spreading virus set off a staggering decline in stock prices. The pandemic has since dragged the American economy into one of the steepest downturns since the Great Depression, and sent unemployment soaring.The index rose only slightly, but it was enough to eclipse a high reached in February, before the fast-spreading virus set off a staggering decline in stock prices. The pandemic has since dragged the American economy into one of the steepest downturns since the Great Depression, and sent unemployment soaring.
But last week’s retail sales data showed that Americans kept shopping in July, even as coronavirus infections continued to spread. That was followed on Tuesday by strong earnings reports from Walmart and Home Depot. Separately, the Commerce Department said that construction of new homes in the United States surged nearly 23 percent in July, to the highest annual pace since February.But last week’s retail sales data showed that Americans kept shopping in July, even as coronavirus infections continued to spread. That was followed on Tuesday by strong earnings reports from Walmart and Home Depot. Separately, the Commerce Department said that construction of new homes in the United States surged nearly 23 percent in July, to the highest annual pace since February.
On Tuesday, Amazon was the best-performing stock in the S&P 500, rising 4 percent. Other technology companies such as Apple, Alphabet and Microsoft have attracted investors despite the deep downturn, with buyers betting that those companies are poised to thrive in a stay-at-home economy and emerge from the crisis in an even stronger competitive position.On Tuesday, Amazon was the best-performing stock in the S&P 500, rising 4 percent. Other technology companies such as Apple, Alphabet and Microsoft have attracted investors despite the deep downturn, with buyers betting that those companies are poised to thrive in a stay-at-home economy and emerge from the crisis in an even stronger competitive position.
The virus entered Cherry Springs Village in Hendersonville, N.C., quietly, then struck with force. Nearly every staff member and resident of the long-term care facility would become infected.The virus entered Cherry Springs Village in Hendersonville, N.C., quietly, then struck with force. Nearly every staff member and resident of the long-term care facility would become infected.
They needed help — fast — and the county responded: It sent in a “strike team” of medical workers, emergency responders, clergy and others, in what is becoming a new model for combating Covid-19 in residential care centers.They needed help — fast — and the county responded: It sent in a “strike team” of medical workers, emergency responders, clergy and others, in what is becoming a new model for combating Covid-19 in residential care centers.
Nurses and doctors from hours away came to aid sick residents and replace staff who had contracted the virus. They set up oxygen and IV drips, to avoid sending residents with milder illness to overburdened hospitals.Nurses and doctors from hours away came to aid sick residents and replace staff who had contracted the virus. They set up oxygen and IV drips, to avoid sending residents with milder illness to overburdened hospitals.
Covid-19 strike teams apply an emergency response model traditionally used in natural disasters like hurricanes and wildfires to combating outbreaks in long-term care facilities. Composed of about eight to 10 members from local emergency management departments, health departments, nonprofits, private businesses — and at times, the National Guard — the teams are designed to bring more resources and personnel to a disaster scene.Covid-19 strike teams apply an emergency response model traditionally used in natural disasters like hurricanes and wildfires to combating outbreaks in long-term care facilities. Composed of about eight to 10 members from local emergency management departments, health departments, nonprofits, private businesses — and at times, the National Guard — the teams are designed to bring more resources and personnel to a disaster scene.
“Calling emergency management made sense, because it was a disaster,” said Dr. Anna Hicks, a local geriatrician who helped coordinate the Cherry Springs strike team. “It felt like being in a natural disaster.”“Calling emergency management made sense, because it was a disaster,” said Dr. Anna Hicks, a local geriatrician who helped coordinate the Cherry Springs strike team. “It felt like being in a natural disaster.”
More than 40 percent of all coronavirus deaths in the United States have been tied to nursing homes, according to a New York Times analysis.More than 40 percent of all coronavirus deaths in the United States have been tied to nursing homes, according to a New York Times analysis.
“Desperate times, like a pandemic, call for a different way of thinking,” said Dr. Timothy Chizmar, the emergency medical services director for Maryland. “The idea has roots in trauma settings, where it’s just not possible to take everybody off the scene — sometimes you need to take some medical care to them.”“Desperate times, like a pandemic, call for a different way of thinking,” said Dr. Timothy Chizmar, the emergency medical services director for Maryland. “The idea has roots in trauma settings, where it’s just not possible to take everybody off the scene — sometimes you need to take some medical care to them.”
Though initially coordinated at the top, with governors and state health departments sending the National Guard to the scene, strike teams are now being replicated on a much smaller scale in counties and local jurisdictions, including in states that were hot spots for the virus, like North Carolina.Though initially coordinated at the top, with governors and state health departments sending the National Guard to the scene, strike teams are now being replicated on a much smaller scale in counties and local jurisdictions, including in states that were hot spots for the virus, like North Carolina.
At least seven other states have sent strike teams to long-term care facilities with outbreaks, including Florida, Texas, Massachusetts, New Jersey, Ohio, Wisconsin and Tennessee. Other states have proposed but not yet adopted them.At least seven other states have sent strike teams to long-term care facilities with outbreaks, including Florida, Texas, Massachusetts, New Jersey, Ohio, Wisconsin and Tennessee. Other states have proposed but not yet adopted them.
Idaho, one of the states where new cases peaked this summer, is doing the least amount of testing in the country necessary to understand and contain the virus across the state, according to a New York Times database. Testing is critical to reducing the spread of the virus.Idaho, one of the states where new cases peaked this summer, is doing the least amount of testing in the country necessary to understand and contain the virus across the state, according to a New York Times database. Testing is critical to reducing the spread of the virus.
Harvard researchers developed a formula to determine how many daily tests a specific state should be doing to slow the spread of the virus. The researchers said that, at the very least, there should be enough daily tests to assess anyone with flulike symptoms, plus an additional 10 people for any symptomatic person who tests positive.Harvard researchers developed a formula to determine how many daily tests a specific state should be doing to slow the spread of the virus. The researchers said that, at the very least, there should be enough daily tests to assess anyone with flulike symptoms, plus an additional 10 people for any symptomatic person who tests positive.
The United States is testing only 52 percent of what it should be to slow the spread of the virus, according to the Harvard model, and Idaho is hitting just 16 percent of the daily testing it needs to be doing. The state also has a 16 percent positivity rate, and the World Health Organization has said a positivity rate has to be under 5 percent for at least two weeks to signal that spread is under control. (That figure is based on the assumption that the state or region is meeting their testing target.)The United States is testing only 52 percent of what it should be to slow the spread of the virus, according to the Harvard model, and Idaho is hitting just 16 percent of the daily testing it needs to be doing. The state also has a 16 percent positivity rate, and the World Health Organization has said a positivity rate has to be under 5 percent for at least two weeks to signal that spread is under control. (That figure is based on the assumption that the state or region is meeting their testing target.)
Idaho is also among the states that have reported the highest number of new cases per 100,000 people over the past seven days, even as the number of new cases there has slowed.Idaho is also among the states that have reported the highest number of new cases per 100,000 people over the past seven days, even as the number of new cases there has slowed.
The state’s response to the virus, led by Gov. Brad Little, a Republican, came under fire in the earliest days of the pandemic for not doing enough to stop the spread of the virus. In late March, Idaho saw an average of about 16 new cases a day, compared with the current average, over a seven-day period, of more than 400 a day. Idahoans were told on March 25 to stay at home, and the state started reopening in phases on May 1.The state’s response to the virus, led by Gov. Brad Little, a Republican, came under fire in the earliest days of the pandemic for not doing enough to stop the spread of the virus. In late March, Idaho saw an average of about 16 new cases a day, compared with the current average, over a seven-day period, of more than 400 a day. Idahoans were told on March 25 to stay at home, and the state started reopening in phases on May 1.
But cases started to mount in mid-June, as happened across several states. The amount of testing in Idaho has increased since the onset of the virus, but delays in getting results have hurt efforts to contain the spread.But cases started to mount in mid-June, as happened across several states. The amount of testing in Idaho has increased since the onset of the virus, but delays in getting results have hurt efforts to contain the spread.
Elsewhere in the U.S.:Elsewhere in the U.S.:
The New York Times has identified at least 251 cases of the virus tied to fraternities and sororities at colleges and universities across the United States. The New York Times has identified at least 251 cases of the virus tied to college fraternities and sororities across the United States.
Democrats opened an extraordinary presidential nominating convention on Monday night, offering a vivid illustration of how both the pandemic and widespread opposition to President Trump have upended the country’s politics. Perhaps the most searing critique of Mr. Trump came not from an elected official but from Kristin Urquiza, a young woman whose father, a Trump supporter, died after contracting the virus. Speaking briefly and in raw terms about her loss, Ms. Urquiza said of her father, “His only pre-existing condition was trusting Donald Trump, and for that he paid with his life.”Democrats opened an extraordinary presidential nominating convention on Monday night, offering a vivid illustration of how both the pandemic and widespread opposition to President Trump have upended the country’s politics. Perhaps the most searing critique of Mr. Trump came not from an elected official but from Kristin Urquiza, a young woman whose father, a Trump supporter, died after contracting the virus. Speaking briefly and in raw terms about her loss, Ms. Urquiza said of her father, “His only pre-existing condition was trusting Donald Trump, and for that he paid with his life.”
A large federal study that found an antiviral drug, remdesivir, can hasten the recovery in hospitalized Covid-19 patients has begun a new phase of investigation. Now researchers will examine whether adding another drug, beta interferon — which mainly kills viruses but can also tame inflammation — would improve remdesivir’s effects and speed recovery even more.A large federal study that found an antiviral drug, remdesivir, can hasten the recovery in hospitalized Covid-19 patients has begun a new phase of investigation. Now researchers will examine whether adding another drug, beta interferon — which mainly kills viruses but can also tame inflammation — would improve remdesivir’s effects and speed recovery even more.
The radical disruptions in the rhythms of American life caused by the pandemic continued to ripple through the business world this week, with big retailers like Walmart and Home Depot reporting booming sales, and the aerospace giant Boeing planning further job cuts as the airline industry continues to suffer.The radical disruptions in the rhythms of American life caused by the pandemic continued to ripple through the business world this week, with big retailers like Walmart and Home Depot reporting booming sales, and the aerospace giant Boeing planning further job cuts as the airline industry continues to suffer.
Workers in factories, warehouses and building sites are at especially high risk of infection as American businesses reopen, according to a new report from government public health researchers.Workers in factories, warehouses and building sites are at especially high risk of infection as American businesses reopen, according to a new report from government public health researchers.
The new analysis, published by the Centers for Disease Control and Prevention, helps clarify which economic sectors pose the greatest danger, at a time when states are bracing for a possible new phase of the epidemic in the fall.The new analysis, published by the Centers for Disease Control and Prevention, helps clarify which economic sectors pose the greatest danger, at a time when states are bracing for a possible new phase of the epidemic in the fall.
The study found that more than half of confirmed coronavirus cases traceable to workplace outbreaks in Utah at the height of the epidemic last spring occurred in manufacturing, construction or wholesale trade.The study found that more than half of confirmed coronavirus cases traceable to workplace outbreaks in Utah at the height of the epidemic last spring occurred in manufacturing, construction or wholesale trade.
The C.D.C. report, along with two other just-published findings — one analyzing Covid-19 hospitalizations, the other deaths — also sheds light on racial disparities in the shape and the impact of the epidemic in the U.S.The C.D.C. report, along with two other just-published findings — one analyzing Covid-19 hospitalizations, the other deaths — also sheds light on racial disparities in the shape and the impact of the epidemic in the U.S.
Black and Latino people were far more likely than non-Hispanic white people to be hospitalized for Covid-19, the disease caused by the coronavirus, one study found. But ethnicity was not related to the risk of later dying of the disease, the other study concluded. Both were posted by the medical journal JAMA.Black and Latino people were far more likely than non-Hispanic white people to be hospitalized for Covid-19, the disease caused by the coronavirus, one study found. But ethnicity was not related to the risk of later dying of the disease, the other study concluded. Both were posted by the medical journal JAMA.
In the economic-sector study, public health scientists in Utah examined 210 workplace outbreaks through early June, a period when workplace clusters accounted for more than one in ten confirmed cases in the state. In the economic-sector study, public health scientists in Utah examined 210 workplace outbreaks through early June, a period when workplace clusters accounted for more than one in 10 confirmed cases in the state.
They found that 20 percent of those clusters occurred at manufacturing sites, 15 percent at construction sites, and 14 percent in wholesale facilities. Together, the three sectors accounted for three-fifths of all workplace cases. They found that 20 percent of those clusters occurred at manufacturing sites, 15 percent at construction sites and 14 percent in wholesale facilities. Together, the three sectors accounted for three-fifths of all workplace cases.
The sectors that posed the lowest risk, the study found, were white-collar professions like finance and real estate — and health.The sectors that posed the lowest risk, the study found, were white-collar professions like finance and real estate — and health.
The Utah researchers also found large disparities in which workers tested positive in outbreaks. Across 15 affected sectors, nearly three-quarters of all workplace-related cases were found in nonwhite workers, though only one-quarter of the overall work force was nonwhite.The Utah researchers also found large disparities in which workers tested positive in outbreaks. Across 15 affected sectors, nearly three-quarters of all workplace-related cases were found in nonwhite workers, though only one-quarter of the overall work force was nonwhite.
The study of hospitalizations, by a team based at the University of Minnesota, found similar disparities in susceptibility to Covid-19 particularly for Black people. Looking at 12 states through the month of June, the analysis found that Black people were consistently hospitalized with the disease at disproportionately high rates. They accounted for 32 percent of medical admissions in Ohio, for example, though just 13 percent of the state’s population is Black. Latinos were also disproportionately hospitalized for the disease. The study of hospitalizations, by a team based at the University of Minnesota, found similar disparities in susceptibility to Covid-19, particularly for Black people. Looking at 12 states through the month of June, the analysis found that Black people were consistently hospitalized with the disease at disproportionately high rates. They accounted for 32 percent of medical admissions in Ohio, for example, though just 13 percent of the state’s population is Black. Latinos were also disproportionately hospitalized for the disease.
Minority patients were not, however, any more likely than white patients to die of Covid-19 once they were hospitalized, according to the new analysis of mortality rates appearing in JAMA, which included data from nearly 100 hospitals around the country.Minority patients were not, however, any more likely than white patients to die of Covid-19 once they were hospitalized, according to the new analysis of mortality rates appearing in JAMA, which included data from nearly 100 hospitals around the country.
GLOBAL ROUNDUPGLOBAL ROUNDUP
Faced with a recent resurgence of coronavirus cases, officials in France have made mask-wearing mandatory in business spaces across the country, pleading with people not to let down their guard and jeopardize the hard-won gains made against the virus during a two-month lockdown this spring.Faced with a recent resurgence of coronavirus cases, officials in France have made mask-wearing mandatory in business spaces across the country, pleading with people not to let down their guard and jeopardize the hard-won gains made against the virus during a two-month lockdown this spring.
The government on Tuesday announced the mandate for mask-wearing in business spaces, building on mask policies that had been in place. France “cannot wait for the health situation to get worse,” Elisabeth Borne, the French labor minister, wrote on Twitter. “With our business partners, we want to take every precaution to avoid the propagation of the virus, to protect workers and guarantee the continuity of economic activity.”The government on Tuesday announced the mandate for mask-wearing in business spaces, building on mask policies that had been in place. France “cannot wait for the health situation to get worse,” Elisabeth Borne, the French labor minister, wrote on Twitter. “With our business partners, we want to take every precaution to avoid the propagation of the virus, to protect workers and guarantee the continuity of economic activity.”
The signs of a new wave of infection emerged over the summer as people began resuming much of their pre-coronavirus lives, traveling across France and socializing in cafes, restaurants and parks. Many, especially the young, have visibly relaxed their vigilance.The signs of a new wave of infection emerged over the summer as people began resuming much of their pre-coronavirus lives, traveling across France and socializing in cafes, restaurants and parks. Many, especially the young, have visibly relaxed their vigilance.
In recent days, France has recorded about 3,000 new infections every day, roughly double the figure at the beginning of the month, and the authorities are investigating an increasing number of clusters.In recent days, France has recorded about 3,000 new infections every day, roughly double the figure at the beginning of the month, and the authorities are investigating an increasing number of clusters.
Thirty percent of the new infections are in young adults, ages 15 to 44, according to a recent report. Since they are less likely to develop serious forms of the illness, deaths and the number of patients in intensive care remain at a fraction of what they were at the height of the pandemic. Still, officials are not taking any chances.Thirty percent of the new infections are in young adults, ages 15 to 44, according to a recent report. Since they are less likely to develop serious forms of the illness, deaths and the number of patients in intensive care remain at a fraction of what they were at the height of the pandemic. Still, officials are not taking any chances.
“The indicators are bad, the signals are worrying, and the situation is deteriorating,” Jérôme Salomon, the French health ministry director, told the radio station France Inter last week. “The fate of the epidemic is in our hands.”“The indicators are bad, the signals are worrying, and the situation is deteriorating,” Jérôme Salomon, the French health ministry director, told the radio station France Inter last week. “The fate of the epidemic is in our hands.”
France has suffered more than 30,400 deaths from the virus — one of the world’s worst tolls — and experienced an economically devastating lockdown from mid-March to mid-May. Thanks to the lockdown, however, France succeeded in stopping the spread of the virus and lifted most restrictions at the start of summer.France has suffered more than 30,400 deaths from the virus — one of the world’s worst tolls — and experienced an economically devastating lockdown from mid-March to mid-May. Thanks to the lockdown, however, France succeeded in stopping the spread of the virus and lifted most restrictions at the start of summer.
The course of the pandemic in Europe has followed a somewhat similar trend, with Spain also reporting new local clusters. But important disparities exist among countries. In the past week, as France reported more than 16,000 new cases, Britain reported 7,000, and Italy 3,000, according to data collected by The New York Times.The course of the pandemic in Europe has followed a somewhat similar trend, with Spain also reporting new local clusters. But important disparities exist among countries. In the past week, as France reported more than 16,000 new cases, Britain reported 7,000, and Italy 3,000, according to data collected by The New York Times.
In other developments around the world:In other developments around the world:
While Hong Kong’s latest outbreak appears to be tapering off generally, testing has revealed a new cluster among the port city’s dock workers, who often live in cramped dormitories. As of Monday, 57 dockside laborers were among 65 cases linked to the city’s Kwai Tsing Container Terminals. On Monday, the Union of Hong Kong Dockers called on container companies to expand their accommodation for employees and to hire workers directly instead of outsourcing recruitment to smaller firms.While Hong Kong’s latest outbreak appears to be tapering off generally, testing has revealed a new cluster among the port city’s dock workers, who often live in cramped dormitories. As of Monday, 57 dockside laborers were among 65 cases linked to the city’s Kwai Tsing Container Terminals. On Monday, the Union of Hong Kong Dockers called on container companies to expand their accommodation for employees and to hire workers directly instead of outsourcing recruitment to smaller firms.
Sweden has temporarily recalled its diplomats from North Korea, citing increasing difficulties with travel and diplomatic postings, in part because of the pandemic. The Swedish embassy remains open with local staff, and “Sweden is engaged in dialogue with North Korea on these subjects,” a spokesman for the Swedish Ministry for Foreign Affairs said.Sweden has temporarily recalled its diplomats from North Korea, citing increasing difficulties with travel and diplomatic postings, in part because of the pandemic. The Swedish embassy remains open with local staff, and “Sweden is engaged in dialogue with North Korea on these subjects,” a spokesman for the Swedish Ministry for Foreign Affairs said.
Officials in New Zealand on Tuesday pushed back against President Trump’s assertion that the remote Pacific country was “having a big surge.” New Zealand, where the national election has been delayed from September to October because of a growing cluster in Auckland, has reported 22 deaths and fewer than 1,700 cases during the entire pandemic. “I’m not concerned about people misinterpreting our status,” Prime Minister Jacinda Ardern said.Officials in New Zealand on Tuesday pushed back against President Trump’s assertion that the remote Pacific country was “having a big surge.” New Zealand, where the national election has been delayed from September to October because of a growing cluster in Auckland, has reported 22 deaths and fewer than 1,700 cases during the entire pandemic. “I’m not concerned about people misinterpreting our status,” Prime Minister Jacinda Ardern said.
After a surge in infections in the past week, South Korea tightened social-distancing rules in the Seoul metropolitan area, banning all gatherings of more than 50 people indoors and more than 100 outdoors and shutting down high-risk facilities such as nightclubs, karaoke rooms and buffet restaurants. Prime Minister Chung Sye-kyun also said that churches must switch to online prayer services.After a surge in infections in the past week, South Korea tightened social-distancing rules in the Seoul metropolitan area, banning all gatherings of more than 50 people indoors and more than 100 outdoors and shutting down high-risk facilities such as nightclubs, karaoke rooms and buffet restaurants. Prime Minister Chung Sye-kyun also said that churches must switch to online prayer services.
Greece has locked down two facilities for migrants where new infections have been traced, after another overcrowded reception center was put under lockdown last week, the government said. The infections are part of a recent spike in the number of cases in Greece, which has weathered the pandemic relatively well so far, with just over 7,200 confirmed cases and 230 deaths. But the authorities this week introduced new restrictions to address local outbreaks and have warned of more measures if the upward trend continues.Greece has locked down two facilities for migrants where new infections have been traced, after another overcrowded reception center was put under lockdown last week, the government said. The infections are part of a recent spike in the number of cases in Greece, which has weathered the pandemic relatively well so far, with just over 7,200 confirmed cases and 230 deaths. But the authorities this week introduced new restrictions to address local outbreaks and have warned of more measures if the upward trend continues.
Countries putting their own interests ahead of others in trying to ensure supplies of a possible coronavirus vaccine are making the pandemic worse, the director general of the World Health Organization said on Tuesday, Reuters reported. “No one is safe until everyone is safe,” the agency’s leader, Dr. Tedros Adhanom Ghebreyesus, said during a briefing in Geneva. The organization also said the pandemic was now being driven by young people, many of whom were unaware they were infected, posing a danger to vulnerable groups.Countries putting their own interests ahead of others in trying to ensure supplies of a possible coronavirus vaccine are making the pandemic worse, the director general of the World Health Organization said on Tuesday, Reuters reported. “No one is safe until everyone is safe,” the agency’s leader, Dr. Tedros Adhanom Ghebreyesus, said during a briefing in Geneva. The organization also said the pandemic was now being driven by young people, many of whom were unaware they were infected, posing a danger to vulnerable groups.
Multisystem inflammatory syndrome, the severe illness that strikes some children with the coronavirus, is distinct from both Kawasaki disease and from Covid-19 in adults, according to a new study.Multisystem inflammatory syndrome, the severe illness that strikes some children with the coronavirus, is distinct from both Kawasaki disease and from Covid-19 in adults, according to a new study.
Most children infected with the coronavirus have mild symptoms, if any at all. But on very rare occasions, some develop so-called MIS-C, characterized by widespread inflammation in the heart, lungs, brain, skin and other organs. In the United States, there were 570 confirmed cases of the syndrome and 10 deaths as of Aug. 6.Most children infected with the coronavirus have mild symptoms, if any at all. But on very rare occasions, some develop so-called MIS-C, characterized by widespread inflammation in the heart, lungs, brain, skin and other organs. In the United States, there were 570 confirmed cases of the syndrome and 10 deaths as of Aug. 6.
The study, published Tuesday in Nature Medicine, analyzed immune cells in 15 boys and 10 girls, aged 7 to 14 years, with the syndrome.The study, published Tuesday in Nature Medicine, analyzed immune cells in 15 boys and 10 girls, aged 7 to 14 years, with the syndrome.
When the children were acutely ill with MIS-C, these immune cells behaved much like those in adults with Covid-19. They produced vast amounts of certain disease-fighting molecules, as the adults did, and researchers saw declines in the B and T immune cells that are important for fighting the coronavirus.When the children were acutely ill with MIS-C, these immune cells behaved much like those in adults with Covid-19. They produced vast amounts of certain disease-fighting molecules, as the adults did, and researchers saw declines in the B and T immune cells that are important for fighting the coronavirus.
But another type of immune cell, called neutrophils, increased in the affected children. These cells seem unaffected in adults with Covid-19. The pattern differs from that seen in Kawasaki disease, a similarly rare inflammatory condition in young children.But another type of immune cell, called neutrophils, increased in the affected children. These cells seem unaffected in adults with Covid-19. The pattern differs from that seen in Kawasaki disease, a similarly rare inflammatory condition in young children.
Only 17 of the children with MIS-C had detectable antibodies to the coronavirus, and these children were more likely to have gastrointestinal symptoms, pneumonia and aneurysms.Only 17 of the children with MIS-C had detectable antibodies to the coronavirus, and these children were more likely to have gastrointestinal symptoms, pneumonia and aneurysms.
As of Aug. 3, children account for 7.3 percent of coronavirus cases in the United States, but make up about 22 percent of the overall population. The actual proportion of infected children is likely to be higher, because testing is still focused primarily on adults with symptoms. The figure for children has been increasing steadily as access to testing improves.As of Aug. 3, children account for 7.3 percent of coronavirus cases in the United States, but make up about 22 percent of the overall population. The actual proportion of infected children is likely to be higher, because testing is still focused primarily on adults with symptoms. The figure for children has been increasing steadily as access to testing improves.
New York RoundupNew York Roundup
New York City will require that hotels and short-term rental companies make travelers from dozens of states fill out forms with their personal information before they can have access to their rooms, or provide proof they had already done so, Mayor Bill de Blasio said Tuesday. Those travelers were already required by the state to quarantine for 14 days and to fill out the state’s health form, but the new measure, which goes into effect Friday, is another attempt at ensuring compliance with the rules that many are flouting in the city.New York City will require that hotels and short-term rental companies make travelers from dozens of states fill out forms with their personal information before they can have access to their rooms, or provide proof they had already done so, Mayor Bill de Blasio said Tuesday. Those travelers were already required by the state to quarantine for 14 days and to fill out the state’s health form, but the new measure, which goes into effect Friday, is another attempt at ensuring compliance with the rules that many are flouting in the city.
Both hotels and guests could be subject to fines of up to $2,000 for ignoring the rule, according to a spokeswoman for the mayor. People who had recently traveled to areas outside the city accounted for 15 to 20 percent of cases in the city over the past month, according Dr. Jay Varma, one of the mayor’s health advisers. Mr. de Blasio urged New Yorkers to avoid traveling to places restricted by New York State unless it was necessary.Both hotels and guests could be subject to fines of up to $2,000 for ignoring the rule, according to a spokeswoman for the mayor. People who had recently traveled to areas outside the city accounted for 15 to 20 percent of cases in the city over the past month, according Dr. Jay Varma, one of the mayor’s health advisers. Mr. de Blasio urged New Yorkers to avoid traveling to places restricted by New York State unless it was necessary.
Gov. Andrew M. Cuomo said Tuesday that travelers from Alaska and Delaware will now also be required to quarantine for 14 days, joining a list of 31 other states as well as Puerto Rico and the U.S. Virgin Islands.Gov. Andrew M. Cuomo said Tuesday that travelers from Alaska and Delaware will now also be required to quarantine for 14 days, joining a list of 31 other states as well as Puerto Rico and the U.S. Virgin Islands.
“If you have a choice in travel, don’t go where the problem is,” Mr. de Blasio said, adding that “because, of course, if you go there there’s a chance you bring that disease back.”“If you have a choice in travel, don’t go where the problem is,” Mr. de Blasio said, adding that “because, of course, if you go there there’s a chance you bring that disease back.”
New York State’s list changes each week, which has forced some college students to abandon longstanding travel plans and quickly find accommodations to serve out the quarantine. More than 59,000 private-college students in New York come from states on the list as of Tuesday, according to the Commission on Independent Colleges and Universities.New York State’s list changes each week, which has forced some college students to abandon longstanding travel plans and quickly find accommodations to serve out the quarantine. More than 59,000 private-college students in New York come from states on the list as of Tuesday, according to the Commission on Independent Colleges and Universities.
Elsewhere in the New York area:Elsewhere in the New York area:
New York City will not open gyms before Sept. 2, the mayor said Tuesday as the city needs more time to complete the inspections required under new state guidance. The state had said that gyms could open as early as Aug. 24, but the mayor said that city officials have been focused on reopening schools and child care centers. The state’s guidance on gyms also clarified that rules on capacity and mask-wearing applied in apartment building gyms, and said that buffs, bandannas and gaiters could not be used as face coverings in gyms statewide.New York City will not open gyms before Sept. 2, the mayor said Tuesday as the city needs more time to complete the inspections required under new state guidance. The state had said that gyms could open as early as Aug. 24, but the mayor said that city officials have been focused on reopening schools and child care centers. The state’s guidance on gyms also clarified that rules on capacity and mask-wearing applied in apartment building gyms, and said that buffs, bandannas and gaiters could not be used as face coverings in gyms statewide.
When New York City moved homeless shelter residents into tourist hotels on the Upper West Side of Manhattan, the neighborhood’s values were tested amid national ferment over systemic racism, economic stratification and the disproportionate impact of the virus on people of color and the poor. It also highlights the challenges of keeping the city’s homeless shelter population safe during the pandemic, a task made more difficult because the population has grown to record highs.When New York City moved homeless shelter residents into tourist hotels on the Upper West Side of Manhattan, the neighborhood’s values were tested amid national ferment over systemic racism, economic stratification and the disproportionate impact of the virus on people of color and the poor. It also highlights the challenges of keeping the city’s homeless shelter population safe during the pandemic, a task made more difficult because the population has grown to record highs.
With the planned first day of school in New York City rapidly approaching, the mayor is facing mounting pressure from the city’s teachers, principals and even members of his own administration to delay the start of in-person instruction from Sept. 10 to give educators more time to prepare.With the planned first day of school in New York City rapidly approaching, the mayor is facing mounting pressure from the city’s teachers, principals and even members of his own administration to delay the start of in-person instruction from Sept. 10 to give educators more time to prepare.
Travelers to Connecticut and New Jersey will now be subject to a 14-day quarantine if they are coming from Alaska and Delaware, as well as dozens of other states and two territories, though compliance is voluntary in New Jersey. Connecticut also removed Washington State from its list.Travelers to Connecticut and New Jersey will now be subject to a 14-day quarantine if they are coming from Alaska and Delaware, as well as dozens of other states and two territories, though compliance is voluntary in New Jersey. Connecticut also removed Washington State from its list.
The young people crowded into the pool, standing shoulder to shoulder, as they listened to a D.J. No one was wearing a mask, and no one seemed to care.The young people crowded into the pool, standing shoulder to shoulder, as they listened to a D.J. No one was wearing a mask, and no one seemed to care.
The scene would be incredible anywhere but was especially so in this case. It was in Wuhan, the city in central China where the coronavirus pandemic began late last year.The scene would be incredible anywhere but was especially so in this case. It was in Wuhan, the city in central China where the coronavirus pandemic began late last year.
A series of photographs and videos posted by Agence France-Presse captured the moment on Saturday night, when hundreds of people attended a pool-party rave that would have been unthinkable only months ago.A series of photographs and videos posted by Agence France-Presse captured the moment on Saturday night, when hundreds of people attended a pool-party rave that would have been unthinkable only months ago.
The images seemed to touch a nerve in a world where lockdowns remain in place, where fear of public spaces and entertainment venues remains high, and where the idea of wading into a public pool is tantalizingly off limits to millions of people.The images seemed to touch a nerve in a world where lockdowns remain in place, where fear of public spaces and entertainment venues remains high, and where the idea of wading into a public pool is tantalizingly off limits to millions of people.
It was also another example of how life is slowly returning to normal in China, even in its hardest-hit city, as other countries — even those that coped well with the first wave, like South Korea and New Zealand — struggle with new outbreaks.It was also another example of how life is slowly returning to normal in China, even in its hardest-hit city, as other countries — even those that coped well with the first wave, like South Korea and New Zealand — struggle with new outbreaks.
Shanghai Disneyland reopened in May, while movie theaters reopened across China last month. The step-by-step return of the country’s cultural life has not ignited any significant new outbreaks, though the government remains extraordinarily vigilant.Shanghai Disneyland reopened in May, while movie theaters reopened across China last month. The step-by-step return of the country’s cultural life has not ignited any significant new outbreaks, though the government remains extraordinarily vigilant.
China on Tuesday reported no new locally transmitted cases of the virus on the mainland for the second consecutive day.China on Tuesday reported no new locally transmitted cases of the virus on the mainland for the second consecutive day.
The pool party in Wuhan took place at Maya Beach Water Park in conjunction with a musical festival at an adjacent amusement park called Wuhan Happy Valley. They reopened in June, two months after the city’s 76-day lockdown was lifted, although in a nod to coronavirus precautions, the parks have limited capacity by 50 percent.The pool party in Wuhan took place at Maya Beach Water Park in conjunction with a musical festival at an adjacent amusement park called Wuhan Happy Valley. They reopened in June, two months after the city’s 76-day lockdown was lifted, although in a nod to coronavirus precautions, the parks have limited capacity by 50 percent.
The parks have been holding Saturday night concerts since July 11, featuring some of the country’s biggest performers, including Panta.Q, who performed in Happy Valley last Saturday. Up next Saturday: The singer Big Year.The parks have been holding Saturday night concerts since July 11, featuring some of the country’s biggest performers, including Panta.Q, who performed in Happy Valley last Saturday. Up next Saturday: The singer Big Year.
You don’t need to finish everything to feel productive. Satisfaction can and should come from the smaller accomplishments in your day. Here’s how to refocus your attention on your smaller wins.You don’t need to finish everything to feel productive. Satisfaction can and should come from the smaller accomplishments in your day. Here’s how to refocus your attention on your smaller wins.
Reporting was contributed by Alan Blinder, Alexander Burns, Stephen Castle, Choe Sang-Hun, Troy Closson, Nick Corasaniti, Hannah Critchfield, Brendon Derr, Claire Fu, Thomas Fuller, Trip Gabriel, Michael Gold, Rebecca Griesbach, Amy Harmon, Ethan Hauser, Ann Hinga Klein, Jennifer Jett, Niki Kitsantonis, Gina Kolata, Théophile Larcher, Jonathan Martin, Tiffany May, Constant Méheut, Steven Lee Myers, Norimitsu Onishi, Elian Peltier, Frances Robles, Eliza Shapiro, Michael D. Shear, Daniel E. Slotnik, Mark Walker, Timothy Williams and Karen Zraick.Reporting was contributed by Alan Blinder, Alexander Burns, Stephen Castle, Choe Sang-Hun, Troy Closson, Nick Corasaniti, Hannah Critchfield, Brendon Derr, Claire Fu, Thomas Fuller, Trip Gabriel, Michael Gold, Rebecca Griesbach, Amy Harmon, Ethan Hauser, Ann Hinga Klein, Jennifer Jett, Niki Kitsantonis, Gina Kolata, Théophile Larcher, Jonathan Martin, Tiffany May, Constant Méheut, Steven Lee Myers, Norimitsu Onishi, Elian Peltier, Frances Robles, Eliza Shapiro, Michael D. Shear, Daniel E. Slotnik, Mark Walker, Timothy Williams and Karen Zraick.