Covid-19 Information: Reside Updates – The New York Occasions
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New coronavirus cases and hospitalizations are on the downswing in the United States and around the world, but hot spots along the East Coast have been sticking around longer compared to the rest of the country.
In the current wave of regional outbreaks, eight states that border the Atlantic Ocean have seen upticks in the past few months and only recently have started to level off or decline.
South Carolina leads the nation with the highest rate of new virus cases, followed by New York, New Jersey, Rhode Island, North Carolina, Florida, Delaware and Georgia.
It has become a familiar pattern across the country — cases go up in one region, and down in another — a sequence driven in some part by weather. A few months ago, the Upper Midwest, where it starts to get cold in the fall, was outpacing other regions in new infections. And before that, cases in the Sunbelt surged.
“It’s whack-a-mole,” said Leana Wen, an emergency physician and public health professor at George Washington University. “One part of the country sees a surge, and then another, and then it declines.”
In New York City on Tuesday, Mayor Bill de Blasio said that he believed the city’s case numbers and positive test rates had not declined more dramatically because of population density, a legacy of poverty and a high number of New Yorkers without health care.
“There’s challenges for sure,” Mr. de Blasio said at a news conference. “But I feel very good about our ability to turn it around with intensive vaccination — if we can get supply.”
According to health data, the city’s seven-day average positive test rate was 7.3 percent on Sunday, the latest day for which data was available, down from a recent peak of 9.7 percent from Jan. 2-4. (New York State, which compiles testing data and calculates statistics differently from the city, most recently reported the city’s seven-day average at 4.49 percent, down from 6.4 percent on Jan. 4-7.)
New cases have declined to half their peak globally, largely because of steady improvements in some of the same places that endured devastating outbreaks this winter. The global decline has been driven by six countries, led by the United States, which still leads the world in the number of new cases a day, based on a seven-day average, followed by Brazil and France.
Public health experts in the worst-hit countries attribute the progress to some combination of increased adherence to social distancing and mask wearing, the seasonality of the virus and a buildup of natural immunity among groups with high rates of existing infection.
“It’s a great moment of optimism, but it’s also very fragile in a lot of ways,” said Wafaa El-Sadr, an epidemiologist at Columbia University’s Mailman School of Public Health. “We see the light at the end of the tunnel, but it’s still a long tunnel.”
The emergence of new variants of the virus, however, has caused great concern, increasing the pressure to get people vaccinated as soon as possible. A variant first found in Britain is spreading rapidly in the United States, and it has been implicated in surges in Ireland, Portugal and Jordan. The variant first found in South Africa, which weakens the effectiveness of vaccines, has also surfaced in the United States.
Allison McCann, Lauren Leatherby and Josh Holder contributed reporting.
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State lawmakers across the country, most of them Republicans, are moving aggressively to strip the powers of governors, often Democrats, who have taken on extraordinary authority to limit the spread of the coronavirus for nearly a year.
In a kind of rear-guard action, legislatures in more than 30 states are trying to restrict the power of governors to act unilaterally under extended emergencies that have traditionally been declared in brief bursts after floods, tornadoes or similar disasters. Republicans are seeking to harness the widespread fatigue of many Americans toward closed schools, limits on gatherings and mask mandates as a political cudgel to wield against Democrats.
Lawmakers frame the issue as one of checks and balances, arguing that governors gained too much authority over too many aspects of people’s lives. These legislators are demanding a say in how long an emergency can last, and insisting that they be consulted on far-reaching orders like closing schools and businesses.
But governors respond that a pandemic cannot be fought by committee. They say that the same Republicans who politicized the science of the pandemic last year, following former President Donald J. Trump in waging a new battle in the culture wars, should not be trusted with public health.
Last April, when governors in all 50 states declared disaster emergencies for the first time in the country’s history, support for their initial stay-at-home orders to slow the virus’s spread was generally bipartisan.
But that soon evaporated as Mr. Trump, obsessed about the economy in an election year, played down the virus. Supporters echoed his dismissal of health experts and defied governors who filled the federal leadership vacuum to manage the pandemic — especially Democratic governors whom the president took to insulting, issuing cries to “liberate” states like Michigan.
Across the country, lawmakers in 37 states have introduced more than 200 bills or resolutions this year to clip the emergency powers of governors, according to the lobbying firm Stateside, which focuses on state governments.
Credit…Doug Mills/The New York Times
Federal regulators have informed Pfizer and BioNTech that they plan to approve the companies’ request to store their vaccine at standard freezer temperatures instead of in ultra-cold conditions, potentially expanding the number of sites that could administer shots, according to two people familiar with the companies who spoke on condition of anonymity.
The Food and Drug Administration is expected to announce new guidance to providers as early as Tuesday, modifying documents related to the emergency use authorization that was previously granted for the vaccine, they said.
Pfizer and BioNTech, its German partner, said Friday that they had submitted new data to the F.D.A. showing their vaccine could be safely stored at -13 to 5 degrees Fahrenheit for up to two weeks. That could open up the possibility that smaller pharmacies and doctors’ offices could administer shots using their existing refrigerators or freezers.
Regulators had previously approved distribution only if the vaccine was stored in freezers that kept it between -112 and -76 degrees Fahrenheit. Pfizer ships its vials in specially designed containers that can be used as temporary storage for up to 30 days, then refilled with dry ice every five days. The vaccine can be refrigerated for up to five days in a standard refrigerator if it had not yet been diluted for use in patients.
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President Biden’s nominee for health secretary, Xavier Becerra, appeared before a Senate committee Tuesday morning, where he is facing tough questions from Republicans who are trying to paint him as an extremist and to use his confirmation as a political cudgel against Democrats up for re-election in 2022.
If confirmed, he will immediately face a daunting task in leading the department at a critical moment, during a pandemic that has claimed half a million lives and taken a particularly devastating toll on people of color. He would be the first Latino to serve as secretary of the federal Department of Health and Human Services.
Mr. Becerra, a former member of Congress who is now attorney general of California, lacks direct experience as a health professional. But he took a deep interest in health policy while in Washington, and has more recently been at the forefront of legal efforts on health care, leading 20 states and the District of Columbia in a campaign to protect the Affordable Care Act from being dismantled by Republicans.
Republicans and their allies in the conservative and anti-abortion movements have seized on Mr. Becerra’s defense of the A.C.A. as well as his support for abortion rights. Senator Tom Cotton, Republican of Arkansas, took to Twitter on Monday, where he branded Mr. Becerra an “unqualified radical” in a post that featured a political advertisement targeting Democrats who support Mr. Becerra’s confirmation.
“Any Senator supporting him will pay a price with voters,” Mr. Cotton wrote.
The Conservative Action Project, an advocacy group, issued a statement on Monday signed by dozens of conservative leaders, including several former members of Congress, complaining that Mr. Becerra had a “troubling record” with respect to “policies relating to the sanctity of life, human dignity and religious liberty.”
They cited in particular his vote against banning “late-term abortion,” and accused him of using his role as attorney general “to tip the scales in favor of Planned Parenthood,” a group that advocates abortion rights.
Democrats are emphasizing Mr. Becerra’s experience leading one of the nation’s largest justice departments through an especially trying period. In a statement, Senator Patty Murray, who will preside over Tuesday’s hearing as chairwoman of the Senate health committee, said Mr. Becerra had “proven himself as an executive leader” and spotlighted his commitment to social justice.
“He has held companies accountable for flouting Covid-19 safety rules and putting workers at risk,” Ms. Murray said. And, she added, “he has worked throughout his career to advocate on behalf of communities of color across health, immigration, education and more.”
Heading into Tuesday’s hearing, Mr. Becerra has been making the rounds on Capitol Hill; as of Monday he had met with at least 40 senators. Andrew Bates, a spokesman for the Biden transition, called him a “tested, qualified leader” who has “decades of health policy experience,” including “a strong record of fighting to lower costs for patients.”
Tuesday’s session was the first of two confirmation hearings held this week by the Senate Committee on Health, Education, Labor and Pensions. On Thursday, the panel will consider the nominations of Dr. Vivek Murthy for surgeon general and Dr. Rachel Levine for assistant secretary of health.
If the Senate approves, Dr. Murthy would reprise his role as surgeon general under former President Barack Obama, and Dr. Levine would become the first openly transgender official to win Senate confirmation.
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The United States reached a staggering milestone on Monday, surpassing 500,000 known coronavirus-related deaths in a pandemic that has lasted almost a year. The nation’s total virus toll is higher than in any other country in the world. It has far surpassed early predictions of loss by some federal experts. And it means that more Americans have died from Covid-19 than did on the battlefields of World War I, World War II and the Vietnam War combined.
“The magnitude of it is just horrifying,” said Jeffrey Shaman, a professor of environmental health sciences at Columbia University who has modeled the virus’s spread and says that the scale of loss was not inevitable, but a result of the failure to control the virus’s spread in the United States.
The United States accounts for about 20 percent of the world’s known coronavirus-related deaths, but makes up just 4.25 percent of the global population.
About one in 670 Americans has died of Covid-19, which has become a leading cause of death in the country, along with heart disease and cancer, and has driven down life expectancy more sharply than in decades. The losses have been searingly personal for the relatives and friends of the 500,000.
“It never goes away,” the Rev. Ezra Jones of Chicago said of his grief for his uncle, Moses Jones, who died of the coronavirus in April.
The harrowing milestone comes amid hopeful news: New virus cases and deaths have slowed dramatically, and vaccine distribution has gradually picked up pace. But uncertainty remains about emerging virus variants, some more contagious and possibly more lethal, so it may be months before the pandemic is contained. Scientists say the trajectory of the U.S. death toll will depend on the speed of vaccinations, the effects of the variants and how closely people stick to guidelines like mask-wearing and social distancing.
Last March, in the early days of the pandemic, Dr. Anthony S. Fauci, the nation’s top infectious disease expert, and Dr. Deborah L. Birx, the official coordinating the coronavirus response at the time, projected that even with strict stay-at-home orders, the virus might kill as many as 240,000 Americans — a number that seemed unimaginable at the time.
“As sobering a number as that is, we should be prepared for it,” Dr. Fauci said at the time.
Less than a year later, the virus has killed more than twice that number.
U.S. deaths from Covid-19 came faster as the pandemic wore on. The country’s first known Covid-19 death occurred in Santa Clara County, Calif., on Feb. 6, 2020, and by the end of May, 100,000 people had died. It took four months for the nation to log another 100,000 deaths; the next, about three months; the next, just five weeks.
The virus has reached every corner of America, devastating dense cities and rural counties alike through surges that barreled through one region and then another.
In New York City, more than 28,000 people have died of the virus — or roughly one in 295 people. In Los Angeles County, the toll is about one in 500 people. In Lamb County, Texas, where 13,000 people live scattered on a sprawling expanse of 1,000 square miles, the loss is one in 163 people.
The virus has torn through nursing homes and other long-term care facilities, spreading easily among vulnerable residents: They account for more than 163,000 deaths, about one-third of the country’s total.
Virus deaths also have disproportionately affected Americans along racial lines. Over all, the death rate for Black Americans with Covid-19 has been almost two times higher than for white Americans, according to the Centers for Disease Control and Prevention; the death rate for Hispanics was 2.3 times higher than for white Americans. And for Native Americans, it was 2.4 times higher.
By Monday, about 1,900 Covid deaths were being reported, on average, most days — down from more than 3,300 at peak points in January. The slowing came as a relief, but scientists said variants made it difficult to project the future of the pandemic, and historians cautioned against turning away from the scale of the country’s losses.
“There will be a real drive to say, ‘Look how well we’re doing,’” said Nancy Bristow, chair of the history department at the University of Puget Sound in Tacoma, Wash., and author of “American Pandemic: The Lost Worlds of the 1918 Influenza Epidemic.” But she warned against inclinations now to “rewrite this story into another story of American triumph.”
Credit…Stefani Reynolds for The New York Times
The enormous scale of illness and death wrought by the coronavirus is traced in figures that have grown so far beyond the familiar yardsticks of daily life that they can sometimes be difficult to get a handle on.
The news on Monday that the United States had recorded 500,000 Covid-19-related deaths in just a year is just the latest example.
One way to put that in context is to compare it to other major causes of death in 2019, the year before the pandemic took hold in the country.
500,000 deaths is …
Three times the number of people who died in the U.S. in any kind of accident, including highway accidents, in 2019 (167,127).
More than eight times the number of deaths from influenza and pneumonia (59,120).
More than 10 times the number of suicides (48,344).
More than the number of deaths from strokes, diabetes, kidney disease, Alzheimer’s and related causes, combined (406,161).
Only heart disease (655,381) and cancer (599,274) caused more deaths.
When full data for 2020 is available from the Centers for Disease Control and Prevention, Covid-19 will certainly be one of the leading killers. But trying to project where it will rank may be complicated. A very large share of deaths from Covid-19 have been people who were medically vulnerable because of other significant health problems like cancer, lung or heart disease. Some number of them would probably have succumbed to those causes, and been counted in those categories, if their deaths had not been hastened by Covid-19.
Credit…Bryan Tarnowski for The New York Times
The world needs monkeys, whose DNA closely resembles that of humans, to develop Covid-19 vaccines. But a global shortage, resulting from the unexpected demand caused by the pandemic, has been exacerbated by a recent ban on the sale of wildlife from China, the leading supplier of the lab animals.
The latest shortage has revived talk about creating a strategic monkey reserve in the United States, an emergency stockpile similar to those maintained by the government for oil and grain.
As new variants of the coronavirus threaten to make the current batch of vaccines obsolete, scientists are racing to find new sources of monkeys, and the United States is reassessing its reliance on China, a rival with its own biotech ambitions.
The pandemic has underscored how much China controls the supply of lifesaving goods, including masks and drugs, that the United States needs in a crisis.
American scientists have searched private and government-funded facilities in Southeast Asia as well as Mauritius, a tiny island nation off southeast Africa, for stocks of their preferred test subjects, rhesus macaques and cynomolgus macaques, also known as long-tailed macaques.
But no country can make up for what China previously supplied. Before the pandemic, China provided over 60 percent of the 33,818 primates, mostly cynomolgus macaques, imported into the United States in 2019, according to analyst estimates based on data from the Centers for Disease Control and Prevention.
The United States has about 22,000 lab monkeys — predominantly pink-faced rhesus macaques — at its seven primate centers. About 600 to 800 of those animals have been subject to coronavirus research since the pandemic began.
Scientists say monkeys are the ideal specimens for researching coronavirus vaccines before they are tested on humans. The primates share more than 90 percent of our DNA, and their similar biology means they can be tested with nasal swabs and have their lungs scanned. Scientists say it is almost impossible to find a substitute to test Covid-19 vaccines in, although drugs such as dexamethasone, the steroid that was used to treat former President Donald J. Trump, have been tested in hamsters.
The United States once relied on India to supply rhesus macaques. But in 1978, India halted its exports after Indian news outlets reported that the monkeys were being used in military testing in the United States. Pharmaceutical companies searched for an alternative, and eventually landed on China.
But the pandemic upset what had been a decades-long relationship between American scientists and Chinese suppliers.
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Over the past year, hospital intensive care units have been overrun with critically ill Covid-19 patients, who develop severe pneumonia and other organ dysfunction. At times, the influx of coronavirus cases overwhelmed the resources in the units and the complexity of the care these patients required.
An interactive graphic by The New York Times explores how coronavirus surges affected I.C.U.s and their specialty medical staff.
New cases in the United States have fallen since their peak in early January, but almost three-quarters of the nation’s I.C.U. beds were occupied over the week ending Feb. 18.
The national average for adult I.C.U. occupancy was 67 percent in 2010, according to the Society of Critical Care Medicine, though this number and all hospitalization figures vary depending on the place, time of year and size of hospital.
When the coronavirus rips through a community, I.C.U.s fill up. Hospitals have been forced to improvise, expanding capacity by creating I.C.U.s in areas normally used for other purposes, like cardiac or neurological care, and even hallways or spare rooms.
Elective surgeries often get put on hold to keep beds available, and early in the pandemic, hospitals saw huge drops in people admitted for any reason other than Covid-19. I.C.U. staff members, regardless of specialty, often spent most or all of their time on Covid patients.
“We’re all exhausted,” said Dr. Nida Qadir, the co-director of the medical intensive care unit at Ronald Reagan UCLA Medical Center. “We’ve had to flex up quite a bit.”
Credit…Octav Ganea/Inquam Photo, via Reuters
Two European soccer giants, Atlético Madrid and Chelsea, will meet in the Champions League on Tuesday. The site of this much anticipated game? Bucharest, Romania.
On Wednesday, Manchester City will play the German team Borussia Mönchengladbach. That game will be in Budapest, the Hungarian capital, where the English champion Liverpool beat Germany’s RB Leipzig last week.
In the Europa League, the continent’s second-tier club championship, neutral sites are now almost as common as home games. Last week, Spanish and English teams played in Italy, and teams from Norway and Germany met in Spain. On Thursday, a week after the London club Arsenal played to a draw against Portugal’s Benfica in Rome, the teams are set to meet again in the second leg of their not-home-and-home tie near Athens.
The pandemic has wreaked havoc with international sports schedules for a year, and that chaos continues to affect soccer’s biggest club tournaments. The reasons — government edicts, travel restrictions and quarantine rules — vary around Europe. In some countries, teams are still allowed to travel to and from their opponents’ stadiums without issue. In others, countries have blocked visitors from entire nations, or drawn up onerous rules that make such travel impractical in a soccer season when teams often play two or three games a week.
UEFA, the European soccer governing body that runs the competitions, has decided that if restrictions adversely affect any game, it will be played at a neutral site where travel is permitted. But the decision to play knockout games in places seemingly chosen at random has led to confusion, and not a little grumbling.
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On Sunday afternoon, several hundred people gathered in the small town of Codogno, about 35 miles south of Milan.
The group, including local dignitaries, army veterans and hospital workers, was meeting for the unveiling of a small garden, featuring a quince tree and a sculpture with three steel columns. Inscribed on a platform below the columns were the words “Resilience,” “Community” and “Restart.”
The garden is one of Italy’s first memorials to those who have died after contracting the coronavirus, and it was dedicated on the anniversary of the day news broke that a 38-year-old resident of Codogno, who became known as Patient One, had the virus. That man was Italy’s first known case of local transmission. The next day, the police sealed the town, and no one could enter or leave.
“It was horrific, absurd and unimaginable that this nightmare could unfold in Codogno,” Francesco Passerini, the town’s mayor and the driving force behind the memorial, said in a telephone interview before the ceremony. “Nearly everyone has lost someone,” he added.
For some, it may seem too early to create a memorial to a pandemic that is still raging. More than 200 people were reported to have died from Covid-19 in Italy on Sunday, and the country is in a state of emergency until at least the end of April, with strict travel restrictions in place.
But the memorial in Codogno and others planned elsewhere in Europe are not intended as sweeping monuments to the historical moment, but simple places to grieve and reflect.
Credit…Noriko Hayashi for The New York Times
While the pandemic has been difficult for many in Japan, the pressures have been compounded for women. As in many countries, more women have lost their jobs. In Tokyo, the country’s largest metropolis, about one in five women live alone, and the exhortations to stay home and avoid visiting relatives have exacerbated feelings of isolation.
Other women have struggled with the deep disparities in the division of housework and child care during the work-from-home era, or suffered from increases in domestic violence and sexual assault.
The rising psychological and physical toll of the pandemic has been accompanied by a worrisome spike in suicide among women. In Japan, 6,976 women died by suicide last year, nearly 15 percent more than in 2019. It was the first year-over-year increase in more than a decade.
Each suicide — and suicide attempt — represents an individual tragedy rooted in a complex constellation of reasons. But the increase among women, which extended across seven straight months last year, has concerned government officials and mental health experts who have worked to reduce what had been among the highest rates of suicide in the world. (While more men than women died by suicide last year, fewer men did so than in 2019. Over all, suicides increased slightly less than 4 percent.)
The situation has reinforced longstanding challenges for Japan. Talking about mental health issues, or seeking help, is still difficult in a society that emphasizes stoicism.
The pandemic has also amplified the stresses in a culture that is grounded in social cohesion and relies on peer pressure to drive compliance with government requests to wear masks and practice good hygiene. Women, who are often designated as primary caregivers, at times fear public humiliation if they somehow fail to uphold these measures or get infected with the coronavirus.
In one widely publicized account, a 30-something woman who had been recuperating from the coronavirus at home died by suicide. The Japanese news media seized on her note expressing anguish over the possibility that she had infected others and caused them trouble, while experts questioned whether shame may have driven her to despair.
Lucia DeClerck, the oldest resident of a New Jersey nursing home, learned that she had contracted the coronavirus 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 home’s 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. And within two weeks she was back in her room, holding her rosary beads and wearing her trademark sunglasses and knit hat.
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: “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. DeClerck’s 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.
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.
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.
She had also been vaccinated, which most likely contributed to her recovery. The first studies of Britain’s 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.
Europe’s oldest known resident, Sister André, contracted the virus at 116. She celebrated her 117th birthday with a glass of Champagne this month at a nursing home in Toulon, France.