Coronavirus Information: Dwell Updates – The New York Instances

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Coronavirus Live Updates: Worldwide Cases Reach 20 Million

The C.D.C. urges health officials to be ready to distribute a vaccine by November and expresses concerns about the politicized timing.

The Centers for Disease Control and Prevention has notified public health officials in all 50 states and five major cities to prepare to distribute a coronavirus vaccine to health care workers and other at risk groups as early as late October or early November.

The new C.D.C. Guidance is the latest sign of an accelerating race for a vaccine to provide significant relief from a pandemic that killed more than 184,000 Americans. The documents were sent out last week, the day President Trump told the nation in his speech to the Republican Convention that a vaccine could arrive before the end of the year.

In the past week, both Dr. Anthony S. Fauci, the country's foremost infectious disease expert, and Dr. Stephen Hahn, head of the Food and Drug Administration, stated in interviews with news organizations that a vaccine might be available to certain groups before clinical trials are completed, if the data were mostly positive.

Public health experts agree that agencies at all levels of government should urgently prepare for the potentially large and complex effort to vaccinate hundreds of millions of Americans. However, the possibility of a rollout in late October or early November has also heightened concerns that the Trump administration is trying to expedite distribution of a vaccine before Election Day on November 3rd – or simply suggest that one is possible.

"This first deployment schedule in late October is extremely worrying in terms of public health politicization and potential safety implications," said Saskia Popescu, an infection prevention epidemiologist in Arizona. "It's hard not to see this as a push for a pre-election vaccine."

On August 27, three documents were sent to public health officials in all states and territories, as well as New York, Chicago, Philadelphia, Houston, and San Antonio. They outlined detailed scenarios for the distribution of two unnamed vaccine candidates, each of which required two doses per week apart from that – in hospitals, mobile clinics, and other facilities that provide easy access to the first target recipients.

The guidelines indicated that health professionals, including long-term carers, along with other key workers and national security personnel, would be among the first to receive the product.

People 65 years of age and older, as well as people belonging to “ethnic and racial minorities”, Native American people, and incarcerated people – all communities known to be at greater risk of contracting the virus and developing serious illnesses – were also prioritized in the documents.

The National Academies of Science, Engineering, and Medicine on Wednesday unveiled a 114-page plan approved by the C.D.C. and the National Institutes of Health, which proposed a complicated four-phase system as a priority.

The C.D.C. Its guidance noted that "limited Covid-19 vaccine doses may be available through early November 2020." It also said that its plans are still hypothetical, noting, "The Covid-19 vaccine landscape is evolving and is uncertain, and these scenarios could evolve as more information becomes available. " A C.D.C. The spokeswoman confirmed that the documents had been sent but declined to comment.

A Minnesota man is the first person known to have died of Covid-19 after participating in the Sturgis Motorcycle Rally in South Dakota last month, a 10-day event that gathered hundreds of thousands of people , many of whom paid little attention to social distancing or the wearing of masks, and health officials feared it could become a superspreader event.

Minnesota state health officials confirmed the death, saying the man was in his sixties and had underlying health conditions. He has been in the hospital for several weeks, they said.

In South Dakota, coronavirus has risen sharply since the rally in Sturgis, a small town north of Rapid City in the western part of the state. And cases related to the rally have been reported in a number of other states; Minnesota alone has confirmed more than 50 cases dating back to the Sturgis rally.

Prior to Aug. 1, Meade County, which includes Sturgis, had only reported 71 coronavirus cases in the first six months of the pandemic. As of September 1, it was up to 305, according to the State Health Department. Among them are 26 cases identified when the city of Sturgis held a coronavirus test event for residents after the rally. 650 people took part.

In total, South Dakota has reported more than 2,000 new cases in the past week and has set multiple daily records, according to a database from the New York Times.

Despite the numerous cases in South Dakota, Governor Kristi Noem has said she has no plans to tighten restrictions in the state or issue a mask ordinance.

"I won't change my recommendations that I can see in the near future," said Ms. Noem, a Republican, at the Sioux Falls Rotary Club on Monday. “I think here we expected. None of this is surprising and we will continue to evaluate and see what the future looks like. "

Another mass event, the South Dakota State Fair, is set to open on Thursday in Huron, S.D. and will last through Labor Day. "Exposure to Covid-19 is an inherent risk in any public place where people are present," warns the fair on its website, adding, "By visiting the South Dakota State Fairgrounds, you are voluntarily assuming all risks associated with it exposure to Covid-19. ”

New studies show that inexpensive steroid drugs can help critically ill people survive Covid-19.

International clinical studies published Wednesday confirmed hopes that cheap, widely available steroid drugs can help seriously ill patients survive Covid-19, the disease caused by the coronavirus.

Following the release of the new data, the World Health Organization on Wednesday strongly recommended steroids for the treatment of patients with severe or critical Covid-19 worldwide. However, the agency recommended that the drugs not be passed on to patients with mild illnesses.

The new studies include an analysis that pooled data from seven randomized clinical trials that evaluated three steroids in over 1,700 patients. The study concluded that each of the three drugs reduced the risk of death.

This paper and three related studies were published in the journal JAMA along with an editorial describing the research as "an important step forward in treating patients with Covid-19".

Corticosteroids should now be the first line of treatment for critically ill patients, the authors added. The only other drug that has been shown to be effective in critically ill patients is remdesivir.

Steroids like dexamethasone, hydrocortisone, and methylprednisolone are commonly used by doctors to boost the body's immune system and reduce inflammation, swelling, and pain. Many Covid-19 patients do not die from the virus, but from the body's overreaction to the infection.

Analysis of pooled data found that steroids were linked to a one-third reduction in deaths in Covid-19 patients. Dexamethasone had the strongest results: a 36 percent decrease in deaths in 1,282 patients treated in three separate studies.

In June, researchers at Oxford University discovered that dexamethasone appeared to improve survival rates in critically ill patients. The researchers had hoped that other inexpensive steroids could help these patients.

Taken together, the new studies will increase confidence in steroid use and remove the persistent reluctance of some doctors, said Dr. Todd Rice, Associate Professor of Medicine and Critical Care Physician at Vanderbilt University School of Medicine.

"This shows that steroids are clearly beneficial in this population and clearly should be given unless you absolutely cannot for some reason, which must be a fairly rare opportunity," he said.

Silvio Berlusconi, Italy's former Prime Minister, was tested positive for the corona virus after a "check-up", his employees said on Wednesday.

Mr Berlusconi, 83, works in his villa near Milan, where he will spend the isolation time after a prepared statement. He will continue his political activities, including daily television and social media interviews, to support his party's candidates in the upcoming regional elections.

His doctor, Dr. Alberto Zangrillo told the Italian news agency ANSA that Mr Berlusconi was asymptomatic.

Mr Berlusconi, also a media mogul, recently returned from a vacation at his villa in Sardinia where he met political allies and friends, including Flavio Briatore, a businessman whose upscale nightclub provoked one of the largest groups of coronavirus infections on the island. Mr Briatore also tested positive last week.

Some regions of the country set up tents for rapid tests at ports, airports and train stations after it was found that tourists returning from Sardinia had recently had many cases. The island's beaches and clubs were very busy this year as Italians wanted to spend their holidays closer to home.

As news spread that Mr Berlusconi had the virus, politicians from across the spectrum flooded social media with comments and good wishes.

"I would like to send my best wishes to Silvio Berlusconi for a speedy recovery of the entire democratic community," wrote Nicola Zingaretti, leader of the Democratic Party and one of the first political leaders to fall ill with the virus last March, on Twitter. "He will be strong in this fight too."

Matteo Salvini, leader of the Right League party, hugged his "friend" on social media, while Giorgia Meloni of the extremist party Fratelli d & # 39; Italia, Brothers of Italy, referred to Mr Berlusconi as the "lion". on Twitter and wrote that he "will overcome this brilliantly too".

In March, when the pandemic hit Italy, Mr Berlusconi was criticized for fleeing the country he once ruled. He posted pictures of himself working at his daughter's villa near Nice, France.

The judge orders the University of California to stop considering SAT or ACT results due to the pandemic.

A state judge has banned the University of California's vast and influential system from using SAT and ACT test results to make decisions about which students to admit and whether to award scholarships. He said that by taking the tests, students with disabilities were wrongly violating pandemic conditions.

"The obstacles for students with disabilities have been greatly exacerbated by the Covid-19 pandemic, which has disrupted test sites, closed schools and restricted access to school counselors," said Justice Brad Seligman of the Alameda County's Supreme Court injunction on Tuesday .

The system's board of directors, the Board of Regents, voted in late May to end the use of standardized test results in the admission of California students for the next four academic years. In the meantime, the system would look for a replacement test that would not be burdened with allegations of bias against black, Hispanic, and poor students who have followed the SAT and ACT for the past several years.

The judge's decision comes two months before the fall 2021 approval application deadline. The system had already decided to make submission of test results optional due to the pandemic, and some U.C. Campus like Berkeley decided not to include them in admission.

The judge's injunction means the test results cannot be used anywhere in the United States. System for admissions or grant decisions as long as the underlying lawsuit – a challenge to the legitimacy of the tests – is pending.

The University of California said in a statement that "an injunction may affect the university's efforts to implement adequate and comprehensive admissions guidelines and its ability to attract and enroll students from different backgrounds and experiences." The statement said the university was considering appealing.

Trump's new coronavirus advisor has questioned masks and alerted government scientists.

Dr. Scott W. Atlas has argued that the science of wearing masks is uncertain, that children cannot pass the coronavirus on and that the role of government is not to eradicate the virus but to protect its most vulnerable citizens, like Covid -19 makes its course.

Ideas like these, ideologically laden and scientifically controversial, have Dr. Atlas, a radiologist and senior fellow at Stanford University's Conservative Hoover Institution, was herded into the White House by Mr. Trump. Dr. Atlas is not an epidemiologist or an infectious disease expert, but his frequent Fox News appearances and ideological security caught the president's eye.

Mr. Trump has Dr. Atlas embraces despite disrupting the balance of power within the White House's coronavirus task force with ideas that, in the opinion of those familiar with the task force's deliberations, are believed by leading government doctors and scientists to be false – even dangerous – be felt.

That could be the point.

"I think Trump clearly doesn't like the advice he got from the experts – Fauci, Birx etc – so he's slowly shifted from their advice to someone who tells him what he wants to hear," said Dr . Carlos del Rio, an infectious disease expert at Emory University. He was referring to Dr. Anthony S. Fauci, the country's foremost infectious disease scientist, and Dr. Deborah L. Birx, the White House coronavirus response coordinator.

Pompeo defends US decision to withdraw from W.H.O. to stay out of the development and distribution of a vaccine.

Secretary of State Mike Pompeo accused the World Health Organization of being ineffective and politically influenced on Wednesday as he defended the Trump administration's rejection of a coordinated global initiative to distribute a coronavirus vaccine.

At least 172 countries are negotiating to join the so-called Covax program. This is the only global effort by governments and manufacturers to approve and market a vaccine. So far, nine potential vaccines have been evaluated, and nine more are underway, according to W.H.O.

Earlier this year, the Trump administration accused the W.H.O. for not doing enough to stop the pandemic, including what officials called China's permission to cover up the severity and spread of the coronavirus. In July, the United States began a year-long resignation from the W.H.O. with a formal notification to the United Nations.

Since then, the United States has worked independently with health organizations that are also part of the W.H.O. Efforts including a $ 1.6 billion pledge to Gavi, the Vaccine Alliance. So far, according to the State Department, the United States has committed to spending $ 20.5 billion on global measures to fight coronavirus, including vaccines.

"There is no nation that has been or will be as committed to the delivery of vaccines around the world as the United States of America," Pompeo said on Wednesday, asking about the American refusal to join Covax, as first reported by the Washington Post.

At least 92 vaccine candidates are currently under active preclinical testing in laboratories around the world. According to a database maintained by The Times, 69 of them are slated to begin clinical trials before the end of 2021.

In a statement, the W.H.O. has referred to the United States as an "important partner" in global health efforts since the organization was founded by the United States in 1948. "The response to this pandemic has to be collective – no one is safe until everyone is safe," said the W.H.O. said.

Neymar, the most expensive football player, is one of the three players on the Paris St. Germain team who tested positive in last week's Champions League final and became the latest high-profile football stars ahead of the new season.

Neymar has to miss out at the start of his club's final campaign due to strict protocols that require players who test positive to isolate themselves from the rest of the squad.

His team, which paid a record $ 263 million for the striker in 2017, confirmed that three of his players had tested positive without giving the names of individual athletes. However, people familiar with the matter said Neymar was among the trios and spoke on condition of anonymity as the players were not publicly identified.

A spokeswoman for Neymar declined to comment. Media reports identified the other players as Ángel di María and Leo Parades, two teammates who accompanied Neymar on vacation on the Spanish island of Ibiza.

The cases doubted the availability of the three P.S.G. Player for his first league game in defense of his French league title on September 10th. The virus has already disrupted the start of the French season. The opening match between Marseille and Saint Etienne was postponed after Marseille reported four positive tests.

P.S.G. said it will run more tests on players and staff over the next few days.

A German company has started marketing a coronavirus antibody test that patients can use to prick their fingers at home and send in a test strip for evaluation without having to go without a doctor.

The test called AProof by Adversis Pharma belongs to Dr. Alexander Edwards, who follows antibody testing at the University of Reading in the UK, on ​​the first home antibody testing. He called the new test a "major development".

The test kit contains two lancets with fingerprints, a paper card and a return envelope addressed to a laboratory in Leipzig. The customer pricks a finger, puts drops of blood on the paper, puts it in a plastic bag and returns the sample to the laboratory.

According to the company, the results are available online 24 to 48 hours after receiving the card for people in Germany and later for customers outside the country. The kit developed with the University of Leipzig costs 59 US dollars (or 49 euros).

Adversis Pharma said the test is highly sensitive to coronavirus antibodies, but admitted that it had false positive results.

Antibodies can develop days or weeks after being infected with the coronavirus, and antibody tests are not recommended for diagnosing the infection. Dr. Jörg Gabert, a director of the company, said he expected the test to be used by people who believe they have been infected in the past but have not been diagnosed.

It's not clear what consumers should do about a positive antibody test. While researchers generally assume that antibodies offer some protection against the coronavirus, no one is yet sure how strong the immunity can be or how long it will last.

Antibodies to the virus decrease within weeks or months of recovering from infection, and scientists have difficulty understanding the role another branch of the body's disease-fighting machinery called cellular immunity plays in protecting people. who have recovered.

Scientists are already finding cases of reinfection – patients who have apparently recovered from the coronavirus but were re-infected just a few weeks later. Until more is known, the World Health Organization has warned against using antibody tests to confirm people are immune.

US ROUNDUP

In the speech, Biden criticized Trump in the reopening of schools.

Taking up his argument that Mr. Trump is failing his handling of the virus in the country, Joseph R. Biden Jr. said on Wednesday that Mr. Trump is hurting the country's parents, teachers and school children by pushing for schools be opened again.

"President Trump has no real plan as to how we can safely open our schools," Biden said in a brief speech in Wilmington, Delaware after receiving a briefing from an expert group. “No real plan for how parents can feel safe for their children. He offers nothing but failure and delusions. From start to finish, American families and our children pay the price for failure. "

The Biden campaign said that Mr. Biden and his colleague, Senator Kamala Harris, asked Mr. Trump to work with congressional leaders to provide emergency funding for schools of at least $ 200 billion. Mr. Biden and Ms. Harris would also instruct the Federal Emergency Management Agency to provide federal aid to K-12 schools to help them reopen and operate during the crisis, the campaign said.

Mr Trump called for schools to reopen this fall, threatening to cut federal funding for school districts that contradicted his wishes. But his efforts to put pressure on schools did not have the desired effect, and many districts decided to start the school year with distance learning.

Prior to Mr Biden's speech, he and his wife, Jill Biden, a professor at Community College, were briefed by a group of experts including Sylvia Mathews Burwell who served as Secretary of Health and Human Services for President Barack Obama and who is now President of the American University and Linda Darling-Hammond, President of the California State Board of Education.

Symone Sanders, a senior advisor for the Biden campaign, said Mr Trump "tried to reopen schools because he believes it will help his own re-election".

"We believe this is an important contrast for voters," said Ms. Sanders. "President Trump, who continues to ignore science and has no plan to get the virus under control, and Joe Biden, who works with the experts to come up with an effective plan to fight the virus and reopen schools safely."

Elsewhere in the US:

  • In New York City where Eating indoors is prohibitedThe mayor said on Wednesday that he felt the industry should be given more clarity this month on a possible schedule and set of standards for the reopening. "We have to decide that in the next few weeks," said the mayor, "whether it is good or bad news."

  • One day after the New York school system delayed the start of classes, Governor Philip D. Murphy was from New Jersey said state schools are still on their way to reopen next week. Mr. Murphy said 434 school districts in New Jersey should open with a hybrid model that combines personal and remote learning, while 68 will start with all personal instruction, 242 with remote learning only, and 22 with "some" combination. "

  • How Iowa Joni Ernst, the state junior senator and Republican in a tight race for re-election, has seen the most new cases per capita in any state in the past seven days, suggesting that health care providers had a financial motive for faking cases.

  • A Trump administrative regulation could enable millions of tenants who have suffered financially from the pandemic Avoid eviction until the end of the year. While the new policy, which goes into effect Sept. 4th, might bring some relief to some American renters, there is a lot of fine print about who is eligible for benefit (you have to pass a five-step test), whether you want it to be expected that the landlord (possibly) owes everything in January and what penalties the landlord faces if the policy is ignored (up to $ 250,000 or a year in prison or both, depending on the situation)

Greece reported the first case of the coronavirus in the Moria camp for migrants on the Aegean island of Lesbos. Migration ministry said the facility would be locked for two weeks as health inspectors tested other residents. The camp's living conditions have been worsened by human rights groups as it houses nearly 12,000 people, four times its maximum capacity of 3,000. The patient is a 40-year-old Somali man who left after securing refugee status but "returned illegally to Moria and lived in a tent outside the camp," the ministry said.

In other news around the world:

  • Direct international flights to Beijing, the capital of China, will be gradually resumed, officials said on Wednesday with duty from Thailand, Cambodia, Pakistan, Greece, Denmark, Austria, Sweden and Canada.

  • In the VaticanPope Francis greeted his first audience since the pandemic more than six months ago. St. Peter's Church has been closed to visitors since mid-March because the virus heavily burdened Italy. Francis said it was “nice” to meet people “face to face, not screen to screen,” referring to his virtual audience.

  • Hungary reported a daily record with 365 new cases on Wednesday. The country that had relatively few cases – According to a New York Times database, 6,257 have banned most overseas travelers, causing returning citizens to isolate themselves.

  • After mass demonstrations in Berlin last weekend against the government of GermanyDue to the coronavirus regulations, the city decided to require masks for large protests. Now the organizers are planning a big event to mark the 30th anniversary of German reunification on October 3rd at Lake Constance in the south.

  • Also in GermanyThe state of Saxony will allow 8,500 fans – one fifth of the stadium's capacity – to take part in a soccer match between RB Leipzig and Mainz 05 on September 20. The country's top division was closed in March but restarted to end its season with no fans in attendance; RB Leipzig convinced the local and state authorities that it could limit the risk of infection by keeping the quantities small, using masks and not selling alcohol.

  • After almost three decades of economic growth Australia officially fallen into recession after its economy contracted 7 percent in the second quarter, the government said on Wednesday. The decline in quarterly G.D.P. is the largest on record in 1959.

Tenants and landlords should know that about the new eviction moratorium.

A Trump administrative regulation could allow millions of tenants who have suffered financially from the pandemic to avoid evictions by the end of the year. While the new policy, which goes into effect Sept. 4th, might bring some relief to some American renters, there is a lot of fine print about who is eligible for benefit (you have to pass a five-step test), whether you want to expect it , dass der Vermieter (möglicherweise) im Januar alles schuldet und welche Strafen dem Vermieter drohen, wenn die Police ignoriert wird (je nach Situation bis zu 250.000 USD oder ein Jahr Gefängnis oder beides).

Der Times-Korrespondent Ron Lieber spricht diese und weitere Fragen an. Er bittet die Leser außerdem, zusätzliche Fragen zu der neuen Richtlinie an hubforhelp@nytimes.com zu senden.

Die Berichterstattung wurde von Troy Closson, Trip Gabriel, Michael Gold, Anemona Hartocollis, Sheila Kaplan, Thomas Kaplan, Juliana Kim, Niki Kitsantonis, Isabella Kwai, Ron Lieber, Benjamin Novak, Richard C. Paddock und Tariq Panja verfasst. Gaia Pianigiani, Roni Caryn Rabin, Campbell Robertson, Christopher F. Schütze, Michael D. Shear, Dera Menra Sijabat, Daniel E. Slotnik, Sheryl Gay Stolberg, Eileen Sullivan, Jim Tankersley, Katie Thomas, Mark Walker, Katherine J. Wu, Noah Weiland und Elaine Yu.

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