Italian nurse on coronavirus duty sees the nightmare return – Tampa Bay Times

Italian nurse on coronavirus duty sees the nightmare return – Tampa Bay Times

Chicago Hits 100K Confirmed Coronavirus Cases, And Illinois Breaks Another Record For New Cases – Block Club Chicago

Chicago Hits 100K Confirmed Coronavirus Cases, And Illinois Breaks Another Record For New Cases – Block Club Chicago

October 31, 2020

CHICAGO The city and state saw grim milestones Friday: Chicago has now had more than 100,000 confirmed cases of coronavirus, while the state broke yet another high for the most cases reported in one day.

Coronavirus has killed 36 more Illinoisans, the state announced Friday. Among the victims were six people from Cook County, including a man in his 40s. At least 9,711 people in Illinois have been killed by COVID-19.

The state also reported a record-high of 6,943 new confirmed cases, bringing the total up to 402,401 for Illinois. The previous record was set only the day before.

The states seven-day positivity rate rose to 7.3 percent up from 6.9 percent the day before with a record 95,111 tests reported. The figure represents total confirmed cases divided by total tests.

Illinois is also now reporting its seven-day test positivity, which measures how many tests were positive out of total tests. As of Friday, its at 8.5 percent, up from 8.2 percent Thursday.

As of Thursday night, 3,092 people were hospitalized with coronavirus in Illinois, including 673 people in the ICU and 288 people using ventilators.

In Chicago, 1,507 new confirmed cases and two deaths from COVID-19 were reported. At least 3,068 Chicagoans have died from the virus and there have been 100,952 confirmed cases.

An average of 841 cases are being reported and three people are dying per day in Chicago.

The citys seven-day test positivity is at 8.1 percent.

Cases are rising and hospitalizations are rising in Chicago and deaths will soon begin to rise, as well, the citys health chief, Dr. Allison Arwady has said.

Officials have said most of Chicagos spread is happening in small gatherings of family and friends, often at home. But theres also been spread at restaurants and bars statewide, and the ban on indoor dining and drinking at restaurants and bars started Friday morning for Chicago.

Officials have said its possible this new, second wave of coronavirus will be even worse than what Chicago experienced in the spring.

Arwady urged Chicagoans to stop seeing people and inviting them home to slow the viruss spread and prevent more cases and deaths.

We need to turn this around and then, just like we were able to a month ago, well be able to move back toward reopening, Arwady said at a Friday morning news conference.

Block Club Chicagos coronavirus coverage is free for all readers. Block Club is an independent, 501(c)(3), journalist-run newsroom.

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View post: Chicago Hits 100K Confirmed Coronavirus Cases, And Illinois Breaks Another Record For New Cases - Block Club Chicago
Coronavirus In Maryland: 4,000 Total Deaths Now Reported As Daily Positive Cases Top 900 For The Third Straight Day – CBS Baltimore

Coronavirus In Maryland: 4,000 Total Deaths Now Reported As Daily Positive Cases Top 900 For The Third Straight Day – CBS Baltimore

October 31, 2020

ANNAPOLIS, Md. (WJZ) Maryland added more than 900 new coronavirus cases for the third straight day on Saturday as the state reached the grim milestone of 4,000 deaths, data from the states health department showed.

As of Saturday, the state has seen 145,281 COVID-19 cases, an increase of 967 in the past day. Ten more deaths were reported, bringing the total to 4,000 deaths.

The number of hospitalizations increased by seven, bringing the total to 520. Of those, 394 patients were in acute care and 126 were in intensive care.

CORONAVIRUS RESOURCES:

The states calculation of the positivity rate also increased to 3.77% Saturday from 3.71% on Friday.

Since the pandemic began, 3,422,662 coronavirus tests have been conducted in the state, of which 1,793,391 have come back negative.

Heres a breakdown of coronavirus cases and deaths by county (probable deaths are listed with an asterisk):

Heres a breakdown of coronavirus cases and deaths by age and gender (probable deaths are listed with an asterisk):

Heres a breakdown of coronavirus cases and deaths by race and ethnicity (probable deaths are listed with an asterisk):

For the latest information on coronavirus go to the Maryland Health Departments website or call 211. You can find all of WJZs coverage on coronavirus in Maryland here.


Read more from the original source:
Coronavirus In Maryland: 4,000 Total Deaths Now Reported As Daily Positive Cases Top 900 For The Third Straight Day - CBS Baltimore
The U.S. Hits the 9-Million Mark as Infections Keep Surging – The New York Times

The U.S. Hits the 9-Million Mark as Infections Keep Surging – The New York Times

October 31, 2020

Heres what you need to know:A drive-through testing site in El Paso this week. The virus has been surging there.Credit...Joel Angel Juarez for The New York Times

With daily reports of coronavirus cases in the United States surging to previously unseen heights, the country has crossed the threshold of nine million known infections since the pandemic began.

On Thursday, the U.S. set another record for new daily cases, more than 89,000, topping the record set last Friday when the country recorded 85,000. Its the equivalent of more than one new case every second.

There is no way to sugarcoat it: We are facing an urgent crisis, and there is an imminent risk to you, your family members, your friends, your neighbors, said Gov. Tony Evers of Wisconsin.

Over the past week, new cases in the United States have averaged more than 75,000 a day, and eight states reported daily records on Thursday. More total cases have been identified in the U.S. than in any other country, though some nations have had more cases in proportion to their populations.

In Wisconsin, more than 200 coronavirus deaths have been announced over the last week, and as case numbers explode, hospitals have been under increasing strain.

Wisconsin, home to eight of the countrys 15 metro areas with the highest rates of recent cases, was among the first states to lose control of the virus this fall. But the surge that started in the Upper Midwest and rural West has now spread far beyond, sending infection levels soaring in places as disparate as El Paso, Chicago and Rexburg, Idaho.

Idahos governor, Brad Little, this week imposed new restrictions on businesses and gatherings. Hospitals throughout the state are quickly filling up or are already full with Covid-19 patients and other patients, and way too many health care workers are out sick with Covid-19, Mr. Little said.

Twenty-one states added more cases in the seven-day period ending Wednesday than in any other seven-day stretch of the pandemic against a backdrop of a bitter presidential contest.

President Trump, in the closing days of his campaign, has assured voters that the virus is vanishing, brushing aside the devastation it has wrought and even mocking people who take precautions including measures his own health advisers recommend to slow the spread of the disease.

Daily reports of deaths from the virus remain far below their spring peaks, averaging around 780 a day. But those, too, have started to tick upward.

There are not many hopeful signs in the recent data.

Reports of new cases are increasing in 42 states. Northeastern states, including New Jersey and Rhode Island, are seeing infection numbers rise after months of stability. And in North Dakota, where more than 5 percent of the population has now tested positive the biggest share of any state reports of new cases continue to soar.

As the nation heads into what some public health experts warn could be a dark winter of coronavirus illness and death, a growing cadre is coalescing around Joseph R. Biden Jr.s call for a national mask mandate, even as they concede such an effort would require much more than the stroke of a presidential pen.

Over the past week, a string of prominent public health experts notably Dr. Anthony S. Fauci, the governments top infectious disease specialist, and Dr. Scott Gottlieb, a former commissioner of food and drugs under President Trump have said it is time to seriously consider a national mandate to curb the spread of the virus.

Overseas, President Vladimir V. Putin of Russia this week became the latest foreign leader to impose a national mandate for citizens to wear masks. Mr. Trump is opposed to a mandate, and Mr. Biden has conceded that a presidential order for all Americans to wear masks would almost certainly face and likely fall to a legal challenge.

Mr. Biden, who echoed warnings of a dark winter during the final presidential debate, is already using his bully pulpit to promote and reinforce a culture of mask wearing. If he is elected, he will almost certainly do more.

Mr. Biden has already said that, as president, he would mandate masks on all federal property, an executive order that could have wide reach. He could use his authority under federal transit law to require masks on public transportation. He could also prod governors who are resisting mask mandates to at least require masks in public buildings in their states.

But that is delicate political terrain in the United States, where Mr. Trump has turned the act of wearing a mask or not wearing one into a political statement. Public health and legal experts say it would be far better for Mr. Biden or Mr. Trump, for that matter to use his powers of persuasion to convince Americans that covering ones face to protect against disease is a patriotic or civic-minded action.

Instead of making it about the presidents coercive authority under law it should be about whether the president can support a norm that supports public health, which is in peoples self interest, said Harold Koh, a law professor at Yale University and an expert in national security and human rights.

Experts say the scientific evidence is growing that face masks can considerably reduce the transmission of respiratory viruses like the one that causes Covid-19. Even when mask wearing does not prevent infection, it can reduce the severity of disease by diminishing the intensity of a persons exposure to the virus. Research also shows that states that have passed mask mandates have had lower growth rates of Covid-19, beginning on the day the mandate was passed.

Even so, any hint of a sweeping federal requirement would go over like a lead balloon, and divide and harden areas of the country in opposition, said Joel White, a Republican strategist with expertise in health policy. Mr. White said the Trump administrations policy, of letting state and local leaders decide about masks, is a far better way to go.

But that has not produced the kind of compliance that public health experts say is necessary to reduce the spread of the virus. As of last week, 33 states and the District of Columbia required mask-wearing in public, according to a list compiled by AARP. But in certain parts of the country, especially heavily Republican states, resistance is deep even when cases are soaring.

In Belgium, all nonessential hospital work has been postponed to deal with an influx of new Covid-19 patients, whose numbers have nearly doubled in the past week, matching levels seen in the first wave of the pandemic in the spring.

Croatia has asked former doctors to come out of retirement to help in hospitals, while National Guard troops have flown from the United States to the Czech Republic to assist overwhelmed health care professionals there.

In the Netherlands, new coronavirus patients have had to be transferred by helicopter to Germany to relieve Dutch intensive-care units.

Across Europe, hospitals are filling up at an alarming pace that harks back to the darkest hours of the first wave of the pandemic in the spring. The authorities are scrambling to slow the spread of a virus that threatens to bring ailing health care systems to the brink of collapse.

Worldwide, more than 500,000 cases were tallied on Wednesday, a record since the start of the pandemic. All 20 countries with the highest rates of new cases over the last week are in Europe. Britain, France, Italy and Spain were among the countries that recorded their highest death tolls in months.

In announcing a new nationwide lockdown in France on Wednesday, President Emmanuel Macron predicted that the second wave of the virus would be more deadly than the first.

In France, one million people are currently estimated to be infected with the coronavirus, and 2,000 new patients are hospitalized every day, according to government data, the highest numbers in the country since mid-April. Doctors have warned that hospitals wont hold in the winter if the virus cant be stemmed, and Mr. Macron bluntly said on Wednesday that if France couldnt put the brakes on the pandemic, doctors would soon have to choose which Covid-19 patients to save.

In Germany, as hospitalizations have doubled in the past 10 days and nearly 1,500 patients are in intensive care, Chancellor Angela Merkel announced new lockdown measures on Wednesday as she vowed to avoid situations that are extremely difficult.

Exhausted health care workers and other epidemics, like the flu, that arrive in winter have led authorities to warn that the worst is yet to come. While in Western Europe, the fear of overwhelmed hospitals brought a feeling of dj-vu from the first wave in the spring, countries in Central and Eastern Europe, which escaped the first wave relatively unscathed, have faced a frighteningly new situation.

Countries like the Czech Republic and Poland imposed tough restrictions in the spring and saw lower infections rates, but soaring cases this fall have laid bare a critical shortage of nurses, doctors, and intensive care beds. In Bulgaria, scores of health care professionals are falling ill with the virus, and an acclaimed doctor became the 19th medical professional there to die of the virus earlier this month. In the Czech Republic, where cases are rising at one of the fastest paces in Europe, Prime Minister Andrej Babis has warned that the countrys health care system could collapse before mid-November.

What happened was somehow predicted but nobody expected its scope, Mr. Babis said after declaring a second national lockdown.

U.S. ROUNDUP

The virus is spreading at a swift pace across Montana, one of the Great Plains and Mountain West states that have been reporting major surges in new virus cases. The state ranks fourth in the country for the number of new cases relative to its population about 70 cases per 100,000 residents based on a seven-day average, compared to about 23 per 100,000 nationwide, according to a Times database.

Residents in some parts of Montana are defying a state mask mandate in the name of individual rights. And hospitalizations are up significantly, according to the Covid Tracking Project, which reports a nearly 100 percent increase between Oct. 3 and Oct. 28. With the spike in cases, health care officials across the state have been bracing for a strain on the system.

Montana is having a moment, but not the kind of #MontanaMoment that the states tourism bureau promoted in 2018. The state website for tourism and business promotion has a new slogan, Montana Aware.

In some ways, the state offers a snapshot of America less than a week from Election Day: divided along political lines and struggling to contain daily case counts that are running higher than at any time since the pandemic began.

Though the state is heavily Republican, it has competitive races this year for governor and for Senate. And President Trump, who won the state by 20 points in 2016, has seen his lead dwindle to single digits over his opponent, Joseph R. Biden Jr., in recent polls.

A Montana State University poll released earlier this month found that Democratic and independent voters are more concerned about health issues and support preventive measures like wearing masks in public.

If you combine that with the dissatisfaction with the direction of the country, I would argue that this benefits Democratic candidates especially in a higher turnout election environment, said David C.W. Parker, one of the university professors who conducted the survey.

Gov. Steve Bullock, a Democrat now running for Senate, mandated that people wear face coverings in public spaces across the state to help slow the spread of the virus. But some local officials have defied the order, creating a patchwork of precautionary measures sometimes varying within a single block.

Mike Cooney, the Democratic candidate for governor, is pro-mask mandate and is most often seen publicly wearing a mask, while the Republican candidate, Greg Gianforte, was recently criticized for hugging supporters without wearing a mask after he attended a concert that has since been linked to new virus cases.

A recent report prepared for the White House urged more precautions for the state, which the federal government has categorized in the red zone for cases.

Given extent of transmission, Montana should limit bar and gym hours and urgently enforce face mask, occupancy restrictions, and social distancing policies in all counties, said the report, which was dated Oct. 25.

Elsewhere in the United States:

Mayor Martin J. Walsh of Boston said on Thursday that city employees would get one paid hour off every two weeks, during normal work shifts, to get tested for the virus. The move is part of a new campaign, called Get the Test Boston, intended to encourage testing. The share of coronavirus tests coming back positive in Boston increased to 7.8 percent, from 6.2 percent a week earlier.

For a month beginning in November, United Airlines will test passengers over the age of 2 for the coronavirus before they board certain flights at Newark Liberty International Airport bound for Heathrow Airport in London. The trial program is intended to help persuade government officials that testing could be a crucial part of reopening international travel. Passengers will have to test negative to board the flights. Anyone who tests positive will be isolated and asked to get in touch with their health care provider, and the airline will help them rebook a flight for a later date.

A ninth-grade student who received a false negative result to a required coronavirus test triggered a super-spreading event that infected three-quarters of the 152 students, counselors and staff who attended a faith-based overnight summer school retreat in Wisconsin in July and August.

The illnesses were mild, and none required hospitalization, according to a description of the outbreak in a new report from the Centers for Disease Control and Prevention that was released on Thursday. The report did not identify the religious organization that sponsored the retreat, or say where in Wisconsin it took place.

The people who attended the boys retreat came from 21 states and territories and two foreign countries. They were required to provide either documentation of a positive test result for antibodies to the coronavirus that causes Covid-19, within the past three months, or proof of a negative result to a diagnostic test taken within a week of departing for the retreat. They were also asked to quarantine within their households for a week before the trip, and told to wear masks while traveling.

Once they were at the retreat, however, only the teachers observed social distancing and wore masks during classes. The students and counselors were not required to do so, and mixed freely.

Classes were held outside but students were seated less than six feet apart, and they slept in dormitories, four to six in a room, and in yurts, with up to eight in a room. Counselors also roomed together in dormitories and yurts. Only the teachers resided in separate housing units.

The ninth grader who was the index patient, and who had tested negative, developed a sore throat, cough and chills two days after arriving, and soon found out that a family member had just tested positive. Although he was quickly isolated and 11 of his close contacts were briefly quarantined, the virus spread. Ultimately at least 116 people at the retreat tested positive for the virus.

Among those who tested negative for the virus were 24 attendees who had previously been exposed to the virus and had antibodies before arriving at the retreat. The C.D.C. report notes that evidence to date is insufficient to determine whether the presence of detectable antibodies indicates protective immunity, or how long such immunity might persist.

The four staff members also tested negative, although one did develop symptoms of the illness and was classified as a probable case.

In April, the coronavirus killed more than 10,000 people in New York City. By early May, nearly 50,000 nursing home residents and their caregivers across the United States had died.

But as the virus continued its rampage over the summer and fall, infecting nearly 8.5 million Americans, survival rates, even for seriously ill patients, appeared to be improving. At a New York hospital system where 30 percent of coronavirus patients died in March, the death rate had dropped to 3 percent by the end of June.

Doctors in England observed a similar trend. In late March, four in 10 people in intensive care were dying. said John M. Dennis, a University of Exeter Medical School researcher. By the end of June, survival was over 80 percent.

Though the virus has been changing slowly as it spreads, most scientists say there is no solid evidence that it has become either less virulent or more virulent.

As older people took greater precautions to avoid infection, however, more of the hospitalized patients were younger adults, who are generally healthier and more resilient. By the end of August, the average patient was under 40.

Were the lower death rates simply a function of the demographic changes, or a reflection of advances in treatment that blunted the impact of the new pathogen?

Researchers at NYU Langone Health zeroed in on this question, analyzing the outcomes of more than 5,000 patients hospitalized at the systems three hospitals from March through August. They concluded the improvement was real, not just the result of a younger patient pool.

Even when they controlled for differences in the patients age, sex, race, underlying health problems and severity of Covid symptoms like blood-oxygen levels at admission they found that death rates had dropped significantly, to 7.6 percent in August from 25.6 percent in March.

A combination of factors contributed to the improved outcomes of hospital patients, experts said. As clinicians gained more experience with the disease, they became better able to manage it, incorporating the use of steroid drugs and non-drug interventions.

Researchers have also credited heightened community awareness. Patients are seeking care earlier in the course of their illness. And outcomes may also have improved as the load on hospitals lightened and there was less pressure on the medical staff.

We dont have a magic bullet cure, but we have a lot, a lot of little things, that add up, said Dr. Leora Horwitz, director of NYU Langones Center for Healthcare Innovation & Delivery Science. We understand better when people need to be on ventilators and when they dont, and what complications to watch for, like blood clots and kidney failure.

Once doctors became aware of the clotting risk, they began to quickly put patients on blood thinners when necessary.

Another problem in the spring was that as hospitals in hard-hit areas like New York City became overwhelmed, doctors who hadnt worked in critical care for many years were being drafted to care for seriously ill patients. Nursing departments, meanwhile, were short-staffed, and equipment was in short supply.

Medical experts worry that the surges in cases around the country could roll back the improvements in mortality rates. The number of hospitalized Covid patients has increased by 40 percent over the last month, and more than 41,000 patients are now hospitalized in the United States.

The United States reached a milestone, of sorts, when last week the Food and Drug Administration approved the first treatment for Covid-19: Veklury, better known by its scientific name, remdesivir.

But the F.D.A.s decision to grant the drug full approval which means its manufacturer, Gilead Sciences, can begin marketing it broadly to doctors and patients has puzzled several outside experts. They say that it may not deserve the agencys stamp of approval because it is, at best, a mediocre treatment for the disease caused by the coronavirus.

One large, government-run trial found that the drug shortens patients recovery times, but the two other studies the F.D.A. used to justify its approval sponsored by Gilead did not compare the treatments with a placebo, the gold standard for evaluating a drug. No studies have shown that it significantly lowers death rates. And a large study sponsored by the World Health Organization found that remdesivir provided no benefit to hospitalized patients.

Experts have also questioned whether Gilead deserves to pocket potential billions from the drug when the government has played a significant role in its development. On Wednesday, the company said that remdesivir, which has been authorized for emergency use since the spring, had brought in $873 million in revenue so far this year.

The F.D.A. doesnt exist to give monetary prizes to drug companies, said Dr. Peter B. Bach, the director of the Center for Health Policy and Outcomes at Memorial Sloan Kettering Cancer Center. The F.D.A. exists to help inform doctors as to what drugs they should give patients in front of them today.

A health care worker in Solano County, Calif., is recovering after being simultaneously infected with both influenza and the coronavirus.

Citing patient confidentiality, health officials disclosed few details about the patient, including age or gender. They said the patient was between the ages of 20 and 65, works in the health care industry and has no other co-morbidities.

It is unclear whether this is the first case of influenza and coronavirus co-infection in the United States this flu season, but it may well not be the last, given the arrival of flu season in the midst of a raging pandemic. Health officials have warned that the nation might be confronted with what some call a twindemic.

Solano County, which sits roughly between Sacramento and the Bay Area, was also the site of the countrys first reported case of coronavirus transmitted through community infection. That occurs when someone is infected despite having had no known contact with anyone else who was infected or who had traveled overseas.

Dr. Bela T. Matyas, Solano Countys health officer, had been keeping in close contact with all health care and residential facilities in Solano County to spot possible outbreaks, and was able to quickly verify the community infection case when it happened in February. Then, in mid-October, Dr. Matyas directed that all people who show flulike symptoms in the county be tested for both influenza and the coronavirus.

The very same people who are at risk of a bad outcome for Covid are also the ones at risk of a bad outcome from flu, Dr. Matyas said in an interview. And having them at the same time, or one right after the other, greatly increases the likelihood of a severe outcome.

For Solano County, the case reported Thursday was not just the first known co-infection. It was also the first confirmed flu infection this season.

The whole point of this is to remind our community that flu is now present and people really need to get vaccinated for flu as quickly as possible, especially those people who are 65 and over, or who have underlying health conditions, Dr. Matyas said.

The patient became infected through contacts with friends and family members, not at work, according to Dr. Matyas. The patient began having symptoms last week, he said, tested positive over the weekend, and is now recovering in isolation.

In our county, over the past four months, over 95 percent of the cases where we are able to identify a source have been exposed when they let their guard down during family and social gatherings, Dr. Matyas said. People wrongly assume that family and friends are safe, and so they dont do social distancing with them, but thats where most of the spread is occurring.

transcript

transcript

I feel very confident that Joe Biden will be elected president on Tuesday, whatever the end count is. But on the election that occurs on Tuesday, he will be elected. On Jan. 20, he will be inaugurated president of the United States. So while we dont want to be overconfident or assume anything, we have to be ready for how we are going to go down a different path. Weve come to a fork in the road when it comes to the coronavirus. The president has taken us on a deadly path. The Heroes Act takes us on a scientific path to help save the lives, the livelihood and the lives of the American people. This weekend should be very interesting to see how many more people will vote in advance. I hope that people will not depend on the mail because they have done all they can to dismantle the postal system. But I salute our postal workers, our letter carriers and those who are making the best of the situation. But even the Postal Service is saying its too late now to mail. Well I want, I want a bill for two reasons. First and foremost, the American people need help, they need real help. And second of all, we have plenty work to do in the Joe Biden administration. Were going to build the infrastructure of America in a green way.

Speaker Nancy Pelosi said on Thursday that she wanted to reach a deal on an economic relief bill during Congresss lame-duck session after the election to clear the decks for a Joseph R. Biden Jr. presidency, expressing optimism that a deal could be done despite months of faltering negotiations.

I want a bill for two reasons, Ms. Pelosi, a California Democrat, said at her last news conference before the election on Tuesday. First and foremost, the American people need help, they need real help. Second of all, we have plenty to do in a Joe Biden administration.

Hours earlier, she had written to Treasury Secretary Steven Mnuchin, requesting a response to key differences in the stumbling relief talks as small businesses continue to struggle and millions of Americans remain out of work because of the coronavirus pandemic.

Your responses are critical for our negotiations to continue, Ms. Pelosi told Mr. Mnuchin.

On Thursday afternoon, Mr. Mnuchin shot back with a letter of his own to Ms. Pelosi, accusing her of a political stunt.

I woke up this morning and read your letter to me in the press, Mr. Mnuchin wrote. Because you sent it to my office at midnight and simultaneously released it to the press, I can unfortunately conclude that it is a political stunt.

Mr. Mnuchin noted that he had spoken to Ms. Pelosi almost daily for the last 45 days and accused her of mischaracterizing the status of their negotiations.

The list of unresolved issues include Democrats demand for aid to state and local governments, the amount of funding for schools and child care, and the terms of a national coronavirus testing plan that Ms. Pelosi has long sought.

Despite Ms. Pelosis wishes, lawmakers and the administration are unlikely to be able to reconcile their differences quickly, particularly given widespread concern among conservatives on Capitol Hill about the scope and size of the package.

Ms. Pelosi, however, has continued to insist that Mr. Mnuchin, the lead negotiator for the White House, agree to final language on a number of issues and respond to Democratic demands.

Ms. Pelosi said Mr. Mnuchin had yet to agree to final testing language, despite his declaration this month that well fundamentally agree with their testing language.


More:
The U.S. Hits the 9-Million Mark as Infections Keep Surging - The New York Times
Coronavirus: First known combination COVID-19 and flu case reported in Bay Area – The Mercury News
With nearly 230 students out with coronavirus absences, a Wauwatosa parents group is pushing for in-person learning – Milwaukee Journal Sentinel

With nearly 230 students out with coronavirus absences, a Wauwatosa parents group is pushing for in-person learning – Milwaukee Journal Sentinel

October 31, 2020

A parents group is trying to push the Wauwatosa School District to adjust their criteria for in-person learning during the coronavirus pandemic.(Photo: Screenshot)

At the same timethe city is havingexponential growth in coronavirus cases, a parents group in Wauwatosa is petitioning for the district to resume in-person school.

The district has been in a hybrid model since the start of the school year as a way to limit the spread of the coronavirus.

But some parents are concerned about the effects of that model, and wantsthe district to shift to in-person learning five days a week.

"They are a population that is least affected from what the research is showing in terms of COVID cases and spreading of COVID," said parent KaitlinLemke, who formed a group that opposes the district.

In Wauwatosa, people ages 0-19 account for the third highest age group of coronavirus cases at 175, behind only the 20-29 and 30-39 age groups. As of Friday, there are 345 active cases in the city, which is 25% of all cases since the pandemic began.

Statewide, 14% of all totalcases come from children.

Children, like adults, who have the virus, even if they are asymptomatic, can spread the virus, according to the Centers for Disease Control and Prevention.

Mike Mejac, another Wauwatosa parent,is also leading the charge to fight the district's approach.

"We thought that there had to be a lot more people that felt like us because we definitely seemed like the minority," said Mejac, who soon realized there were more people who thought like he and Lemke did.

Mejac createda petitionasking for the district to add fourmetrics to its decision-making criteria.

Currently, according to the petition, the district uses the data points ofaggregate new cases over the last 14 days per 100,000; trend of the caseload (definition of statistically significant change not defined); positivity rate of the 14-day average; and hospital capacity. The petition is asking for the district to consider hospitalization and mortality rates per 100,000 of the population and COVID-19 trends in those categories.

The petition said that omitting those metrics could lead to scenarios where the school board could not switch to in-person learningif COVID-19 becomes less of a threat.

"Our approach to this is we are science-thinking, were data-driven and were not by any means anti-mask, anti-Covid, any of that stuff," Mejac said. "We are firmly in the camp that COVID is a risk to our society, but we are looking for ways to balance those risks with the risk of not being able to go to school."

Track COVID-19 in Wisconsin: See the latest numbers and trends

Coronavirus in Wisconsin schools: Search and track COVID-19 cases

As of Thursday, there were 227 students out with coronavirus-related absences, including 16 with the virus. There were 39 staff members out due to COVID-19, including 11 with the virus.

One month ago, there were fewer than 70 students and 20 staff members out with coronavirus-related absences in Wauwatosa.

Wauwatosa School District communications coordinator Sarah Frittitta declined to answer questions from a reporter about the group's efforts.

At the Wauwatosa School Board's Oct. 26 meeting, the district's Medical/Public Health Advisory Panel recommended the district consider safe ways to return 4K through second-grade students to school five days a week, while keeping the rest of the district's students in the hybrid model. It also recommended continuing to "aggressively support" the district's contact tracing efforts.

School nurses and administration areresponsible for identifying all close contacts for anyone who tests positive.

The panel said schools do not appear to be efficient sources of transmission, but there's a high disease burden and community spread in the area.

The Wauwatosa Health Department said this week there has been exponential growthin the number of positive cases in Wauwatosa after the city reported 100 new confirmed cases last weekend and hit a record daily number earlier this month.

The district will decide at its Nov. 2 meeting how it will proceed. Any change would be implemented Dec. 1.

ContactAlec Johnson at(262) 875-9469 oralec.johnson@jrn.com. Follow him on Twitter at @AlecJohnson12.

Our subscribers make this reporting possible. Please consider supporting local journalism by subscribing to the Journal Sentinel at jsonline.com/deal.

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Read more: With nearly 230 students out with coronavirus absences, a Wauwatosa parents group is pushing for in-person learning - Milwaukee Journal Sentinel
How Are Americans Catching the Virus? Increasingly, They Have No Idea – The New York Times

How Are Americans Catching the Virus? Increasingly, They Have No Idea – The New York Times

October 31, 2020

Now, though, any sense of control has vanished. New cases of Covid-19 have tripled since the beginning of October to 850 a day in Grand Forks, and about half the people contacted by the health department say they are not sure how they became infected.

People are realizing that you can get it anywhere, said Kailee Leingang, a 21-year-old nursing student who also works as a state contact tracer in Grand Forks. Even Ms. Leingang has fallen ill, along with several of her colleagues. She traces her case to her parents, who first started showing symptoms. Beyond that, the trail goes cold.

They have no idea, she said of where her parents came in contact with the virus.

Ms. Leingang, isolating at her home with her cat, feels sicker by the day. Dishes have piled up in the sink she is too weak to stand long enough to wash them. But she is still working, calling at least 50 people a day to notify them that their tests came back positive, though her job is no longer to track who else they may have infected. With the high number of cases right now, she said, our team cant afford to have somebody not work.

In earlier, quieter periods of the pandemic, the virus spread with some degree of certainty. In all but the hardest-hit cities, people could ask a common question Where did you get it? and often find tangible answers.

A popular college bar in East Lansing, Mich., Harpers Restaurant and Brewpub, became a hot spot this summer after dozens of people piled into the bar, drinking, dancing and crowding close together. At least 192 people 146 people at the bar and 46 people with ties to those at the bar were infected. Afterward, Gov. Gretchen Whitmer shut down indoor dining in bars in parts of the state.

In Ingham County, which includes much of East Lansing, it is far harder to tell where the virus is spreading now. Of the countys 4,700 reported cases over the course of the pandemic, more than 2,700 have come since the beginning of September.

Much of the new spread may be tied to students at Michigan State University, where students are living off campus and taking classes online. But every day, employers and residents call the Health Department to report random cases that defy easy explanation.


Excerpt from:
How Are Americans Catching the Virus? Increasingly, They Have No Idea - The New York Times
England Weighs Another Nationwide Virus Lockdown – The New York Times

England Weighs Another Nationwide Virus Lockdown – The New York Times

October 31, 2020

LONDON Prime Minister Boris Johnson proposed on Saturday that the government shut down pubs, restaurants and most retail shops throughout England, a stark reversal in the face of grim projections that the country could face a deadly winter from the coronavirus unless it takes draconian action.

Mr. Johnson presented the measures as part of a new tier of restrictions that will cover all of England. But the steps, which take effect on Thursday and last until Dec. 2, amount to a nationwide lockdown something Mr. Johnson resisted for weeks because of the damage he said it would do to the economy.

Weve got to be humble in the face of nature, Mr. Johnson said at a hastily called news conference at 10 Downing Street. In this county, alas, as across much of the Europe, the virus is spreading even faster than the worst-case scenarios of our scientists.

The announcement, after a tense day of meetings of Mr. Johnsons cabinet, would bring England into line with France, Germany, Belgium, and Ireland, all of which have shut down large parts of their countries in recent days amid a rapid-fire resurgence in infections.

As in March, when the virus first engulfed Europe, England has been slower to respond than some of its European neighbors. That equivocation, critics say, has deepened the misery for the country, which has suffered one of Europes highest death tolls and heaviest economic blows from the pandemic.

Even as a second wave of infections swept in last month, Mr. Johnson was caught between a faction of his Conservative Party, which argues that another lockdown would devastate the economy, and his scientific advisers, who argue that it was unavoidable, given the exponential spread of the virus.

Under the current trajectory, the scientists said, hospitals would be stretched to capacity by the first week of December, even including the giant field hospitals that the government built, but never used, last spring.

Mr. Johnson had initially planned to roll out the new measures this coming Monday, but reports of the governments deliberations leaked out on Friday evening, forcing the prime minister to move up his timetable.

They have no choice, said Devi Sridhar, head of the global public health program at the University of Edinburgh. Its better today than tomorrow, and it would have been better yesterday than today.

The government said the measures would be voted on by Parliament next Wednesday, and there were indications that some Conservatives would try to block them, though that seemed unlikely to stop them.

To cushion the economy from the worst effects of the lockdown, Mr. Johnson said the government would extend until December a wage-subsidy program for people whose jobs are threatened by the measures.

Under the plans, people would be required to stay at home unless their workplaces, such as factories or construction sites, need them. They would be allowed to go to school or college and leave home for a few other reasons, like buying food or seeking medical attention. But nonessential shops would be closed, people would be urged not to travel, except for business, and pubs and restaurants would only be allowed to serve take out food.

Scotland, Wales, and Northern Ireland have already instituted similar restrictions, leaving England as an outlier within the United Kingdom.

Until now, the prime ministers approach had been to order targeted lockdowns in hot spots like the cities of Liverpool and Manchester, while allowing less affected places, like London, to operate more or less normally.

Mr. Johnson called this strategy a stitch in time to save nine, though it did not mollify the authorities in those hard-hit cities, whose leaders complained bitterly that the government was singling them out unfairly.

But the latest numbers suggest the tailored approach was no longer enough.

The governments scientific advisory panel, known as SAGE, estimated in report dated Oct. 14 that there were between 43,000 and 75,000 new infections a day in England, a rate that is above the worst-case scenarios calculated only weeks before that. The virus has spread beyond the initial hot spots in the north of England.

Hospital admissions are also running ahead of the worst-case scenario, the panel said, raising the specter that within weeks, the National Health Service will not be able to cope with the influx of patients. That could drive Britains virus-related death toll beyond the 85,000 that scientists estimated could be reached this winter.

On Saturday, Britain reported 21,915 new infections, passing a grim milestone of one million people who have tested positive. It admitted 1,444 patients to the hospital with symptoms of Covid-19, the disease caused by the virus. Nearly 1,000 patients are in intensive care units, while 326 people died on Saturday alone.

Britains total death toll from the virus is 58,925, one of the highest in Europe.

For weeks, politics has colored the debate over how to curb the virus. The leader of the opposition Labour Party, Keir Starmer, called on Mr. Johnson in mid-October to impose a two-week lockdown that scientists said would act as a circuit breaker on the chain of transmissions. He cited a report from SAGE that warned Britain faced a very large epidemic with catastrophic consequences.

Mr. Johnson accused Mr. Starmer of failing to take into account the economic fallout from such a move, which has led influential cabinet ministers, including the chancellor of the Exchequer, Rishi Sunak, to raise alarms.

Imposing the lockdown now, analysts said, could hurt Mr. Johnson within his party because it will look like he is buckling to pressure from the opposition. But polls indicate that the British public is more sympathetic.

Locking down the economy in November is also a way to salvage Christmas. By cutting the transmission rate, the government could relax restrictions in December to allow families and friends to celebrate together.

British papers have been full of headlines about whether Mr. Johnson will cancel Christmas. He has insisted that he wants university students to be reunited with their families during the holidays.

While medical experts generally applauded the planned lockdown, some questioned why the government did not act sooner, like during the midterm school break, which began earlier this month, as public health experts proposed.

Others said the government still had not fixed its test-and-trace system, which continues to fall far short of its goals. Until it does that, experts said, Britain would not be able identify and try to break the chains of transmission setting the stage for further outbreaks after the lockdown is lifted.

You use lockdowns to build up test and tracing, Ms. Sridhar said. We will be stuck in these cycles of lockdown and release until they decide we cant live with this virus because its killing our economy.


Read this article: England Weighs Another Nationwide Virus Lockdown - The New York Times
COVID-19 Daily Update 10-31-2020 – West Virginia Department of Health and Human Resources

COVID-19 Daily Update 10-31-2020 – West Virginia Department of Health and Human Resources

October 31, 2020

TheWest Virginia Department of Health and Human Resources (DHHR) reports as of 10:00 a.m., October 31,2020, there have been 776,609 total confirmatorylaboratory results received for COVID-19, with 24,460totalcases and 457 deaths.

DHHRhas confirmed the deaths of a 62-yearold male from Fayette County, a 70-year old male from Summers County, a 76-yearold female from Logan County, a 78-year old male from Cabell County, a 91-yearold male from Cabell County, and a 79-year old male from Kanawha County.

Theloss of more West Virginians is truly heartbreaking, said DHHR CabinetSecretary Bill J. Crouch. To these families, we extend our deepest sympathy andcommitment to continue working to prevent this deadly virus.

CASESPER COUNTY: Barbour(187), Berkeley (1,665), Boone (404), Braxton (71), Brooke (243), Cabell(1,526), Calhoun (36), Clay (65), Doddridge (72), Fayette (794), Gilmer (65),Grant (199), Greenbrier (210), Hampshire (143), Hancock (234), Hardy (108),Harrison (680), Jackson (410), Jefferson (622), Kanawha (3,799), Lewis (105),Lincoln (260), Logan (796), Marion (410), Marshall (404), Mason (179), McDowell(128), Mercer (794), Mineral (239), Mingo (648), Monongalia (2,348), Monroe(264), Morgan (156), Nicholas (191), Ohio (604), Pendleton (77), Pleasants(34), Pocahontas (73), Preston (214), Putnam (952), Raleigh (855), Randolph(425), Ritchie (48), Roane (115), Summers (135), Taylor (172), Tucker (66),Tyler (48), Upshur (276), Wayne (612), Webster (36), Wetzel (205), Wirt (56),Wood (671), Wyoming (331).

Please note that delaysmay be experienced with the reporting of information from the local healthdepartment to DHHR. As case surveillance continues at the local healthdepartment level, it may reveal that those tested in a certain county may notbe a resident of that county, or even the state as an individual in questionmay have crossed the state border to be tested.

Please visit the dashboard located at www.coronavirus.wv.gov for more information.

Free COVID-19 testing isavailable today in Barbour, Berkeley, Boone, Clay, Hampshire,Jefferson, Logan, Mingo, Monroe, Morgan, Roane, Tyler, Wetzel, and Wyomingcounties.

BarbourCounty, October 31, 1:00 PM 5:00 PM, Barbour County Fairgrounds, 113 FairgroundsWay, Belington, WV

BerkeleyCounty, October 31, 12:00 PM 8:00 PM, Musselman High School, 126 ExcellenceWay, Inwood, WV

Boone County,October 31, 1:00 PM 5:00 PM, Boone County Health Department, 213 Kenmore Drive,Danville, WV

Clay County, October31, 8:00 AM 12:00 PM, Clay County Health Department, 452 Main Street, Clay,WV

HampshireCounty, October 31, 1:00 PM 7:00 PM, Hampshire County High School, 157 TrojanWay, Romney, WV

JeffersonCounty, October 31, 12:00 PM 6:00 PM, Ranson Civic Center, 432 W. 2nd Avenue,Ranson, WV

Logan County,October 31, 10:00 AM 2:00 PM, Old 84 Lumber Building, 100 Recovery Road, PeachCreek, WV

Mingo County,October 31, 10:00 AM 3:00 PM, Williamson Health and Wellness Center, 173 East2nd Avenue, Williamson, WV, (under the tent)

Monroe County,October 31, 12:00 PM 4:00 PM, Monroe County Health Department, 200 HealthCenter Drive, Union, WV

MorganCounty, October 31, 12:00 PM 8:00 PM, Warm Springs Middle School, 271 WarmSprings Way, Berkeley Springs, WV

Roane County,October 31, 9:00 AM 1:00 PM, Roane General Hospital, 200 Hospital Drive,Spencer, WV (flu shots offered)

Tyler/WetzelCounty, October 31, 11:00 AM 2:00 PM, Wetzel-Tyler Health Department, 425 S.4th Avenue, Paden City, WV

WyomingCounty, October 31, 11:00 AM 3:00 PM, Old Board of Education, 19 Park Street,Pineville, WV

Testing is available toeveryone, including asymptomatic individuals. Additional testing will be held Sunday,November 1 in Berkeley, Hampshire, Jackson, Jefferson, Marshall, Mingo, Monroe,Morgan, Putnam, Upshur, and Wyoming counties.

BerkeleyCounty, November 1, 12:00 PM 8:00 PM, Musselman High School, 126 ExcellenceWay, Inwood, WV

HampshireCounty, November 1, 12:00 PM 6:00 PM, Hampshire County High School, 157Trojan Way, Romney, WV

JacksonCounty, November 1, 1:00 PM 5:00 PM, Jackson County Health Department, 504Church Street South, Ripley, WV

JeffersonCounty, November 1, 3:00 PM 8:00 PM, Ranson Civic Center, 432 W. 2nd Avenue,Ranson, WV

MarshallCounty, November 1, 10:00 AM 2:00 PM, Marshall County Health Department, 5136th Street, Moundsville, WV

Mingo County,November 1, 12:00 PM 4:00 PM, Williamson Health and Wellness Center, 173 East2nd Avenue, Williamson, WV (under the tent)

MonroeCounty, November 1, 12:00 PM 4:00 PM, Monroe Health Center, 2869 Seneca TrailSouth, Peterstown, WV

MorganCounty, November 1, 12:00 PM 8:00 PM, Warm Springs Middle School, 271 WarmSprings Way, Berkeley Springs, WV

PutnamCounty, November 1, 12:00 PM 4:00 PM, Valley Park, 1 Valley Drive, Hurricane,WV

UpshurCounty, November 1, 12:00 PM 4:00 PM, Buckhannon Upshur High School, 270 BUDrive, Buckhannon, WV

WyomingCounty, November 1, 11:00 AM 3:00 PM, Old Board of Education, 19 Park Street,Pineville, WV

For more testing locations, pleasevisit https://dhhr.wv.gov/COVID-19/pages/testing.aspx.New sites are added every day.


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COVID-19 Daily Update 10-31-2020 - West Virginia Department of Health and Human Resources
Long-term symptoms of COVID-19 ‘really concerning’, says WHO chief – UN News

Long-term symptoms of COVID-19 ‘really concerning’, says WHO chief – UN News

October 31, 2020

Although were still learning about the virus, whats clear is that this is not just a virus that kills people. To a significant number of people, this virus poses a range of serious long-term effects,said WHO chief Tedros Adhanom Ghebreyesus, speaking in Geneva on Friday during the UN agencys latest virtual press conference.

The situation also underscores how herd immunity is morally unconscionable and unfeasible, he added.

The WHO Director-General described the vast spectrum of COVID-19 symptoms that fluctuate over time as really concerning.

They range from fatigue, a cough and shortness of breath, to inflammation and injury of major organs including the lungs and heart, and also neurological and psychologic effects.

Symptoms often overlap and can affect any system in the body.

It is imperative that Governments recognize the long-term effects of COVID-19 and also ensure access to health services to all of these patients, he said.

This includes primary health care and when needed specialty care and rehabilitation.

Three patients an epidemiologist, a nurse and a 26-year-old software engineer shared their experiences with COVID-19and its long-term consequences.

Professor Paul Garner, an infectious disease epidemiologist at the Liverpool School of Tropical Medicine in England, was fit and well when he fell ill with the disease in March.

For four months, he battled cyclical bouts of fatigue, headaches, mood swings and other symptoms, followed by three months of complete exhaustion.

When I overdid things, the illness would echo back, it would come back. And it was completely unpredictable, he said, speaking via videolink.

Professor Garner reported that his health has only begun to improve within the past two weeks.

I never thought I would have seven months of my life wiped out by this virus, he said. It has just gone, evaporated.

Stories like this underline how people facing the long-term effects of COVID-19 must be given the time and care they need to recover fully, according to the WHO chief.

It also reinforces to me just how morally unconscionable and unfeasible the so-called natural herd immunity strategy is, he said, adding, not only would it lead to millions more unnecessary deaths, it would also lead to a significant number of people facing a long road to full recovery.

He explained that herd immunity is only possible when a safe and effective COVID-19 vaccine has been distributed globally, and equitably.

And until we have a vaccine, Governments and people must do all that they can to suppress transmission, which is the best way to prevent these post-COVID long-term consequences,he stated.


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Long-term symptoms of COVID-19 'really concerning', says WHO chief - UN News
COVID-19 vaccine will be free when approved, health officials say – KING5.com

COVID-19 vaccine will be free when approved, health officials say – KING5.com

October 31, 2020

The Centers for Medicare and Medicaid Services announced that when a COVID-19 vaccine in approved it will be free whether you have insurance or not.

With several COVID-19 vaccines under development around the world, many Americans have wondered how much it'll cost to get the immunization once one is approved.

The Centers for Medicare and Medicaid Services answered that question this week.

THE QUESTION

Will Americans have to pay a lot for a COVID-19 vaccine, once the U.S. Food and Drug Administration approves one?

THE ANSWER

No, it will be free, CMS announced on Wednesday.

WHAT WE FOUND

On Wednesday, CMS said in a news release that Americans wont have to pay out of pocket for a coronavirus vaccine that gains full FDA approval or Emergency Use Authorization. That includes Medicare and Medicaid recipients, people with private insurance -- even those who havent met their deductibles for the year -- and those with no insurance at all.

As a condition of receiving free COVID-19 vaccines from the federal government, providers will be prohibited from charging consumers for administration of the vaccine, the release said.

In a document released Thursday, the World Health Organization showed several vaccines are in Phase 3 development, being given to thousands of people to test their effectiveness and safety.

Four vaccine candidates are currently in large scale Phase 3 trials in the U.S. Pfizer executives said they should have data in early November that shows whether its vaccine effectively prevents coronavirus infections.

The director of the Centers for Disease Control and Prevention has previously emphasized that any vaccine approved this year would be in "very limited supply" at first. It wouldn't be available to most until summer or fall of 2021.

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Visit link: COVID-19 vaccine will be free when approved, health officials say - KING5.com