Updated at 5:38 p.m.: Revised to include statewide data.
Dallas County on Tuesday reported 18 more COVID-19 deaths and 412 new coronavirus cases.
The latest victims were mostly in their 60s or older, but one was a Dallas woman in her 30s who did not have underlying high-risk health conditions.
Nine of the victims lived in Dallas, five were Garland residents, two were from Mesquite and one each lived in DeSoto and Irving.
County Judge Clay Jenkins said in a written statement that case numbers remain low because less testing took place last week, but officials believe the numbers are trending in our favor.
Of the new cases, 300 were confirmed and 112 were probable. The numbers bring the countys overall case total to 277,705, including 243,340 confirmed and 34,365 probable. The death toll is 2,874.
Health officials use hospitalizations, intensive-care admissions and emergency room visits as key metrics to track the real-time impact of COVID-19 in the county. In the 24-hour period that ended Monday, 540 COVID-19 patients were in acute care in hospitals in the county. During the same period, 349 ER visits were for symptoms of the disease.
According to the state, 257,725 people in Dallas County have received at least one dose of a coronavirus vaccine, while 116,941 are fully vaccinated.
Jenkins said the countys vaccination site would open Wednesday for people who were due to get second doses on or before Feb. 16. On Thursday, the site will be open for people due for second doses on or before Feb. 17.
Jenkins also said Dallas County, in partnership with the White House, FEMA and the U.S. Department of Defense, will administer about 3,000 first doses of vaccine a day to the countys underserved populations starting Wednesday.
Across the state, 11,809 more cases were reported Tuesday, including 9,704 new cases and 2,105 older ones recently reported by labs.
The state also reported 234 COVID-19 deaths, raising its toll to 41,641.
Of the new cases, 7,556 were confirmed and 2,148 were probable. Of the older cases, 463 were confirmed and 1,642 were probable.
The states case total is now 2,606,275, including 2,259,407 confirmed and 346,868 probable.
There are 7,014 COVID-19 patients in Texas hospitals, including 1,813 in the Dallas-Fort Worth area. On Monday, 11.3% of patients in the hospital region covering the Dallas-Fort Worth area were COVID-19 patients below the 15% threshold the state has used to define high hospitalizations.
The seven-day average positivity rate statewide for molecular tests, based on the date of test specimen collection, was 13.1% as of Monday. For antigen tests, the positivity rate for the same period was 3.7%. A molecular test is considered more accurate and is sometimes also called a PCR test; an antigen test is also called a rapid test. Gov. Greg Abbott has said a positivity rate above 10% is cause for concern.
According to the state, 3,146,940 people in Texas have received at least one dose of a coronavirus vaccine, while 1,422,169 are fully vaccinated.
About 1,000 doses of COVID-19 vaccine spoiled last week when winter weather knocked out power to millions of Texans, state officials said Tuesday.
Imelda Garcia, associate commissioner for the Texas Department of State Health Services, called it a small amount of doses of the total received by the state each week. As providers get back into their officers, the state may get some more reports of additional lost vaccine, she said.
Tarrant County reported 368 coronavirus cases and five deaths Tuesday.
The latest victims were two Fort Worth men in their 50s, an Arlington man older than 90, a Haltom City woman older than 90 and a Saginaw woman in her 80s. All five had underlying high-risk health conditions.
Of the new cases, 246 were confirmed and 122 were probable. The numbers bring the countys case total to 239,188, including 203,949 confirmed and 35,239 probable. The death toll is 2,794.
According to the county, 629 people were hospitalized with the virus as of Monday.
According to the state, 197,531 people in Tarrant County have received at least one dose of a coronavirus vaccine, while 110,369 are fully vaccinated.
The state added 310 coronavirus cases and three deaths to Collin Countys totals Tuesday.
No details about the latest victims were available.
Of the new cases, 124 were confirmed and 186 were probable. The numbers bring the countys case total to 81,702, including 69,011 confirmed and 12,691 probable. The death toll is 697.
According to the county, 265 people are hospitalized with the virus.
According to the state, 121,421 people in Collin County have received at least one dose of a coronavirus vaccine, while 47,016 are fully vaccinated.
Denton County reported 837 coronavirus cases Tuesday. No additional deaths were reported.
The newly reported cases bring the countys case total to 61,991, including 47,500 confirmed and 14,491 probable. The death toll is 398.
According to the county, 129 people are hospitalized with the virus.
According to the state, 68,287 people in Denton County have received at least one dose of a coronavirus vaccine, while 30,288 are fully vaccinated.
The Texas Department of State Health Services has taken over reporting for these other North Texas counties. In some counties, new data may not be reported every day.
The latest numbers are:
Staff writer Allie Morris contributed to this report.
Ask Lucia DeClerck how she has lived to be 105, and she is quick with an answer.
Prayer. Prayer. Prayer, she offers. One step at a time. No junk food.
But surviving the coronavirus, she said, also may have had something to do with another staple: the nine gin-soaked golden raisins she has eaten each morning for most of her life.
Fill a jar, she explained. Nine raisins a day after it sits for nine days.
Her children and grandchildren recall the ritual as just one of Ms. DeClercks endearing lifelong habits, like drinking aloe juice straight from the container and brushing her teeth with baking soda. (That worked, too: She did not have a cavity until she was 99, relatives said.)
We would just think, Grandma, what are you doing? Youre crazy, said her 53-year-old granddaughter, Shawn Laws ONeil, of Los Angeles. Now the laugh is on us. She has beaten everything thats come her way.
It is a long list. Born in 1916 in Hawaii to parents who came from Guatemala and Spain, she lived through the Spanish flu, two world wars and the deaths of three husbands and a son.
She moved to Wyoming, California and back to Hawaii before finally arriving in New Jersey, where she lived with her oldest son. After turning 90, she moved to an adult community in Manahawkin, N.J., along the Jersey Shore, where she remained active until she injured herself in a fall about four years ago.
She is just the epitome of perseverance, Ms. ONeil said. Her mind is so sharp. She will remember things when I was a kid that I dont even remember.
Ms. DeClerck, the oldest resident of her South Jersey nursing home, learned that she had contracted the virus on her 105th birthday, Jan. 25, the day after she had gotten her second dose of the Pfizer-BioNTech vaccine, according to Michael Neiman, the homes administrator.
At first, she said she was scared. She did not like being isolated, and she missed the daily chatter from the parade of caregivers at Mystic Meadows Rehabilitation and Nursing, a 120-bed facility in Little Egg Harbor.
She showed few symptoms, Mr. Neiman said. And within two weeks she was back in her room, holding her rosary beads and wearing her trademark sunglasses and knit hat.
Feb. 23, 2021, 8:18 p.m. ET
To her two surviving sons, five grandchildren, 12 great-grandchildren and 11 great-great grandchildren, who call her Grandma Lucia, she has a new moniker, Ms. ONeil said: The 105-year-old badass who kicked Covid.
On Monday, she got a shout-out from Gov. Philip D. Murphy, who described a phone call with her during a coronavirus news briefing. What an uplifting conversation, the governor said.
Ms. DeClercks family gathered in January 2020 at Mystic Meadows to celebrate her 104th birthday before the onset of the pandemic. When they learned that she had contracted the virus, they braced for the worst.
We were very concerned, her son, Phillip Laws, 78, said.
But shes got a tenacity that is unbelievable, he added. And shes got that rosary all the time.
A devout Catholic, Ms. DeClerck led rosary prayers each week at the nursing home and, before the pandemic, was a fixture at weekly Mass.
She raised three sons and ran a corner store for decades with her first husband, Henry Laws Jr., in Los Angeles. She married twice more after returning to Hawaii, where she worked as a home health aide and welcomed grandchildren for summerlong visits.
Ms. DeClerck is one of 62 residents of Mystic Meadows to have contracted the virus; four patients died, including three who were receiving hospice care, Mr. Neiman said.
Were as careful as possible, he said, but this finds a way of sneaking in.
In January, residents were being tested twice a week, and a rapid test in the last week of the month showed that Ms. DeClerck had contracted the virus.
At first she was a little apprehensive, a little scared, but she said, God will protect me, Mr. Neiman said.
She had also been vaccinated, which most likely contributed to her recovery. The first studies of Britains mass inoculation program showed strong evidence on Monday that even one dose of vaccine can help slash coronavirus-related hospitalizations.
Ms. DeClerck is not the oldest person to beat the virus.
Europes oldest known resident, Sister Andr, contracted the virus at 116. She celebrated with a glass of Champagne on her 117th birthday earlier this month at a nursing home in Toulon, a city in southeastern France.
Like Sister Andr, Ms. DeClerck may be ready for a toast.
But it is likely to involve gin and a handful of golden raisins.
Her family is following suit. Now all of us are rushing out and getting Mason jars and yellow raisins and trying to catch up, Ms. ONeil said.
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Central Europe braced for third wave of coronavirus Financial Times
BANGKOK (Reuters) - Thailand will start vaccinating priority groups including health workers against COVID-19 by the end of this week, its prime minister said on Tuesday, a day ahead of the arrival of the countrys first coronavirus vaccines.
FILE PHOTO: A healthcare worker takes a nasal swab sample from a migrant worker during proactive testing at their work place, amid the spread of the coronavirus disease (COVID-19) outbreak, in Samut Sakhon province, Thailand January 29, 2021. REUTERS/Soe Zeya Tun
Thailand will receive the first 200,000 of two million doses of Sinovac Biotechs CoronaVac on Wednesday. The Chinese vaccine was given emergency use authorisation on Monday.
We will start injecting the target groups within three days after the vaccines arrive, Prime Minister Prayuth Chan-ocha said in a Facebook post.
The Sinovac vaccines will be given to priority groups in 13 provinces, the COVID-19 taskforce said. More than half of the 200,000 doses will be earmarked for Samut Sakhon, the epicentre of Thailands latest outbreak, and the capital, Bangkok.
Prayuth said 800,000 more doses will arrive in March and the remaining one million in April, some of which will be used for the second inoculations for priority groups.
Prayuth also said that 26 million doses of vaccines on order from AstraZeneca, which has authorised a Thai firm to manufacture its vaccine, will be ready around May to June.
Thailand has also reserved a further 35 million doses from AstraZeneca.
Thailand will also receive 117,000 imported doses of the AstraZeneca vaccine on Wednesday, health minister Anutin Charnvirakul told reporters.
Those were part of the 150,000 early doses he had previously said AstraZeneca would provide from another Asian country.
Authorities have received some documents from Johnson & Johnsons Janssen and have been contacted by Moderna and Pfizer, all with a view to registering their COVID-19 vaccines, according to Prayuth.
Thailand is aiming to administer 10 million doses a month from June when its mass vaccination campaign is in full swing.
Reporting by Panarat Thepgumnpanat; Writing by Patpicha Tanakasempipat; Editing by Martin Petty
Gov. John Bel Edwards administration has quietly added new groups of people to the next phase of vaccine priority, giving clergy, veterinarians and the faculty and staff of colleges and universities priority for the shots.
The University of Louisiana System in an email to its faculty said the Louisiana Department of Health had added higher education faculty and staff members to the Phase 1B Tier 2 of the vaccine rollout. Currently, the state is in "Phase 1B Tier 1," and it's not clear when Edwards plans to move to the next tier.
The email cited an LDH memo dated Feb. 18 that made two changes not announced by Edwards last week, when he retooled the current group of eligible people to add K-12 teachers and others. The memo said clergy and institutes of higher education faculty and staff were part of the next tier of eligible people. Veterinarians and staff were also added.
A spokesperson for the LDH confirmed the move Monday.
The state had already put judiciary personnel, corrections officers and jailers, food processing and agricultural workers, veterinarians and staff, postal personnel and others in the next-in-line group.
A date for when that group will get the vaccine hasnt yet been announced.
Edwards last week said he would add K-12 and daycare teachers and staff, along with pregnant women and people aged 55-64 with a list of specified health conditions, to the current eligibility group. People who are 65 and older already had access to the vaccine.
Louisiana received more than 90,000 doses of vaccine this week, an uptick from previous weeks that Edwards cited as a reason he was expanding the priority groups. A host of interest groups -- including state and federal judges -- have lobbied the governor to prioritize themselves or their workers for immunizations.
While quarantined in her bedroom with the coronavirus, 16-year-old Ellie Jotte stuck her nose in her sweetest-smelling candles, bottles of perfume and all kinds of fruit- and flower-scented lotions.
Nothing.
Nearly four months later, the teenagers senses of smell and taste are still messed up. Some days, Ellie smells nothing at all, and others, she gets a whiff of scent or a burst of taste, but often, its not quite right.
Chomping on peanut butter pretzels the other day, she tasted the salt but not the peanut butter. But then, I was eating a carrot and it literally tasted like peanut butter, she said.
A recent order of french fries tasted the exact same as the chicken, which is to say, not good. One main flavor: bitter, said Ellie, who is a sophomore at Regis Jesuit High School in Aurora.
The fact that COVID-19 has disrupted peoples ability to smell, for days or months, has been well-documented at this point in the pandemic, but researchers arent sure yet why. Even less is known about the long-term effects on children who have not regained their sense of smell months after recovering from the coronavirus, a phenomenon that doctors believe is vastly underreported. Kids are less likely to articulate to a doctor or even to their parents that they cannot smell or taste normally.
A new olfaction training clinic and study opening at Childrens Hospital Colorado in early March will focus on helping teens and children age 5 and older regain their sense of smell. The theory is that through repeated exposure to certain odors, children can increase their sensitivity and retrain their nose to communicate with their brain.
Various pre-pandemic studies have found positive results from olfaction training in adults, but only one study involved children, said Dr. Kenny Chan, a professor at the University of Colorado School of Medicine and chair of the otolaryngology department at Childrens Hospital.
Previous research has found that if you keep exposing known odorants to patents, that somehow it would get the connection going, he said.
The clinic will use four essential oils: orange, lavender, eucalyptus and peppermint. Children and teens will smell each oil for 20 seconds, twice per day, for three months. Parents, after receiving training from a nurse practitioner who will check in regularly via telehealth appointments, will record their responses, noting whether their kids can distinguish between the oils or smell any of them at all.
Chan is well aware that a 5-year-old child is unlikely to spit out the word eucalyptus.
No, they wont, he said. If they say, This smells like a plant, this smells like a forest, it will be good enough.
And Chan has doubts that children will specifically name lavender or peppermint, either. Hes hoping for flower to identify lavender, and probably candy or toothpaste if they can smell the peppermint oil. If they get a whiff of citrus while smelling the orange essential oil, thats considered progress.
We have to be very generous when we train these kids. For example, This smells like a fruit that you know.
We have to be very generous when we train these kids, he said, noting that coaxing is allowed. For example, This smells like a fruit that you know.
The study is for 5-year-olds and up because preschoolers and toddlers likely could not answer questions about the four scents. Chan wont know how well the participants could discern those scents before joining the study, only whether they improved during the three months.
Kids who attend the clinic and whose parents decide to enroll them in the accompanying study will take a 40-scent smell test thats been in use for decades, the University of Pennsylvania Smell Identification Test, or the UPSIT. After three months, theyll take the test again to see whether their olfactory senses have improved.
Chan is particularly interested in finding out if losing sense of smell for longer makes it harder for a child to get it back. Hes hoping to study a broad range of kids, including those who havent been able to smell for a few weeks and those who caught COVID-19 early on in the pandemic but still have trouble smelling and tasting.
Research during the past year has found that about 45-50% of adults with coronavirus experience a loss of smell or taste for some length of time, and a fraction of those people still cant smell several months later. Doctors, including one at Childrens Hospital Colorado, have reported that 5-10% of children with coronavirus lose their sense of smell, but many doctors believe the true numbers are much higher.
Chan suspects that many young children with COVID-19 who were otherwise asymptomatic still have trouble with smell and taste, and that their parents are unaware. He suggests parents regularly ask their kids if they can smell certain odors, and if they cant, to go get a coronavirus or antibody test.
Humans have a sense of smell not only to enjoy food and other pleasant fragrances, but to survive, Chan said. If you think about it, if a house is on fire and you cant smell the smoke? Thats a survival sensory organ that we need, he said.
Nerve endings at the top of the nose are connected to olfactory bulbs, which are in the front of the brain. Odors dissolve in the liquid surrounding the lining of the cells in the top of the nose, allowing nerve fibers to fire and elicit smell. Sense of smell is linked to taste, which begins with receptor cells on the tongue.
Long before COVID-19, researchers studied cases of post-viral loss of smell, but it took a worldwide communal disease to bring the peripheral-neurological side effect to common conversation.
The known causes of olfaction dysfunction include being born without olfactory bulbs, and whiplash from a traumatic event such as a vehicle crash that shears off the nerve endings that connect the nose and the olfactory bulbs. Less is understood about how viral infections, including the coronavirus, destroy the sense of smell long term, but researchers are finding that viruses could damage the support cells surrounding those nerve endings, Chan said.
Olfactory research was revived by the pandemic, and similar smell-training clinics involving children are in the works around the country, including in Seattle.
Ellie hasnt enrolled in the clinic, but has been smelling the four essential oils in her room at home. On Dr. Chans advice, Ellies mom, Sonia Jotte, picked up the collection of oils at Costco.
So far, Ellie has had mixed results, much like her daily attempts to taste and smell her favorite foods, including Taco Bell and Bad Daddys burgers.
She can always detect the citrus scent of the orange, and the peppermint usually has a distinct smell. But she regularly mixes up the eucalyptus and the lavender, and has realized she has a better chance of getting lavender correct if she smells that one first.
The Greenwood Village teen first got sick in late October and complained of a sore throat coming on. The sore throat didnt worsen, but soon came a runny nose, what sounded to her mom like horrible congestion (though Ellie said she could breathe just fine), and the loss of smell and taste.
Sonia Jotte believes her daughter was exposed at a dance class the week before the symptoms arrived. Ellie went in for a COVID-19 test the same day the dance studio called and told Sonia that the dance teacher had tested positive.
Ellie quarantined in her bedroom, where her mom delivered her food. The precautions worked: no one else in the family, including Ellies dad and younger sister, got sick. Ellie kept requesting apples. She couldnt taste them, but her tongue could tell they were sweet, and she liked that they were juicy.
Sonia, a pediatrician who is not currently practicing, began researching why her daughter couldnt smell. When she read that COVID-19 was causing inflammation in the nose at the neurological level, she asked Ellies doctor for a steroid prescription. It didnt have much effect.
Now, after about four months, the fact that Ellie can smell or taste intermittently makes them believe she will eventually regain her sense of smell.
Some days are really good and she can walk in the house and smell a candle, and other days she cant smell anything at all. The other day she said, I can taste my Taco Bell today!
Some days are really good and she can walk in the house and smell a candle, and other days she cant smell anything at all, Sonia said. The other day she said, I can taste my Taco Bell today!
Ellie said that even when she can taste, its not how it was before. Its not like she can taste the whole taco or burger more like a burst of taste shoots through for a second, like the flavor of hot sauce or salt. Sometimes she concentrates hard, willing herself to taste, and there is no sensation, only bland nothing.
And some scents she used to love are now foul in her nose. She walked into a room a few days ago and was affronted by the sickeningly sweet smell of a burning candle, one that she used to like.
I couldnt stand it. I hated it, she said. I had to blow it out.
Still, Ellie has faith that her nose is making progress. If I keep trying new things and working toward it, she said, I know it will come back.
The most obvious interpretation of beating COVID-19 would be that transmission of the coronavirus has stopped, a scenario some public-health experts have hashtagged #ZeroCOVID. But the experts I spoke with all agreed that this wont happen in the U.S. in the foreseeable future. This would require very high levels of vaccination coverage, said Celine Gounder, an infectious-disease specialist at NYU who served on Joe Bidens coronavirus task force during the transition. The U.S. may never reach vaccination rates of 75 to 85 percent, the experts said.
Read: The good news of COVID-19 is sticking for now
The question is not when do we eliminate the virus in the country, said Paul Offit, the director of the Vaccine Education Center and an expert in virology and immunology at the Childrens Hospital of Philadelphia. Rather, its when do we have the virus sufficiently under control. Well have a much, much lower case count, hospitalization count, death count, Offit said. What is that number that people are comfortable with? In his view, the doors will open when the country gets to fewer than 5,000 new cases a day, and fewer than 100 deaths.
That latter threshold, of 100 COVID-19 deaths a day, was repeated by other experts, following the logic that it approximates the nations average death toll from influenza. In most recent years, the flu has killed 20,000 to 50,000 Americans annually, which averages out to 55 to 140 deaths a day, said Joseph Eisenberg, an epidemiologist at the University of Michigan. This risk was largely considered acceptable by the public, Eisenberg said. Monica Gandhi, an infectious-disease specialist at UC San Francisco, made a similar calculation. The end to the emergency portion of the pandemic in the United States should be heralded completely by the curtailing of severe illness, hospitalizations, and deaths from COVID-19, she said. Fewer than 100 deaths a dayto mirror the typical mortality of influenza in the U.S. over a typical yearis an appropriate goal.
The flu test proposed here is not a perfect apples-to-apples comparison. Deaths attributed to COVID-19 are directly reported to public-health authorities, while the mortality numbers from seasonal flu are CDC estimates based on national surveillance data that have been fed into statistical models. But researchers believe that the straightforward counts of influenza deathsjust 3,448 to 15,620 in recent yearsare substantially too low; while direct counts of COVID-19 deaths are likely to be more accurate. One big reason: Far more COVID-19 tests are done in a single day than flu tests in an entire year, and flu tests have a greater tendency to return false negatives.
In any case, we are nowhere near 100 COVID-19 deaths a day. Since last spring, states have not reported fewer than 474 deaths a day, as measured by a rolling seven-day average at the COVID Tracking Project at The Atlantic. Right now, the country as a whole is still reporting close to 2,000 deaths a day, and just two weeks ago that number was more than 3,000. So, if were going by the flu test, we still have a very long way to go.
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