Tuesday, 5 May 2020

New Illness in N.Y. Children May Be Linked to Virus: Live Updates

On Monday, the New York governor laid out criteria that the state’s regions would have to meet before reopening.

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Gov. Andrew M. Cuomo said that 230 more people had died in New York, a very slight uptick from the 226 reported Monday.

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Gov. Andrew M. Cuomo of New York provides the state’s latest coronavirus statistics.CreditCredit…Victor J. Blue for The New York Times

Cases and deaths in New York State

Feb. 26

May 4

7-day average

New cases

UPDATE Includes confirmed and probable cases where available

See maps of the coronavirus outbreak in New York »

15 children are hospitalized with a mysterious illness that may be linked to the virus.

Fifteen children, many of whom had the coronavirus, have recently been hospitalized in New York City with a mysterious syndrome that doctors do not yet fully understand but that has also been reported in several European countries, health officials announced on Monday night.

Many of the children, ages 2 to 15, have shown symptoms associated with toxic shock or Kawasaki disease, a rare illness in children that involves inflammation of the blood vessels, including coronary arteries, the city’s health department said.

None of the New York City patients with the syndrome have died, according to a bulletin from the health department, which describes the illness as a “multisystem inflammatory syndrome potentially associated with Covid-19.”

The syndrome has received growing attention in recent weeks as similar cases have begun appearing inEuropean countries hit hard by the coronavirus, including the United Kingdom, France, Italy and Spain.

New York City’s health commissioner, Oxiris Barbot, said in a statement: “Even though the relationship of this syndrome to Covid-19 is not yet defined, and not all of these cases have tested positive for Covid-19 by either DNA test or serology, the clinical nature of this virus is such that we are asking all providers to contact us immediately if they see patients who meet the criteria we’ve outlined.”

She urged parents to contact a doctor immediately “if your child has symptoms like fever, rash, abdominal pain or vomiting.”

The mayor said Trump was “stabbing his hometown in the back.”

Mayor Bill de Blasio accused President Trump on Tuesday of “stabbing his hometown in the back” by saying that states hit hard by the virus and run by Democrats should not count on what the president called “bailouts” from the federal government.

In an interview with The New York Post published Tuesday morning, Mr. Trump said that it would be “not fair to the Republicans” to give large infusions of aid to states with Democratic governors “that have been mismanaged over a long period of time.”

“You look at Illinois, you look at New York, look at California, you know, those three, there’s tremendous debt there, and many others,” Mr. Trump said.

Mr. Trump made a distinction between what he termed a bailout and “reimbursement for the plague.”

But Mr. de Blasio jumped on the president’s suggestion that states run by Democrats were less deserving of aid.

“Who cares who runs the states?” the mayor said, his voice rising. “The people need help.”

The mayor held up a letter signed by 111 Texas mayors sent last month to that state’s governor asking for expanded access to federal coronavirus aide. And he pointed to a $25 billion aid packages given to airlines during the crisis as hypocrisy on the president’s part.

Mr. Trump’s comments and Mr. de Blasio’s rejoinders were the latest installment in an ongoing verbal battle between national Republican leaders, including the Senate majority leader, Mitch McConnell, and state and local Democratic officials over the question of federal aid.

Even as he railed against the president, Mr. de Blasio announced that with the help of federal health authorities, the city would begin offering antibody testing to health care workers and first responders, with a goal of testing 140,000 people.

The tests will be available at hospitals, fire houses, police station houses and jails.

“Any first responder or health care worker who wants to take advantage of it, it will be made available for free,” the mayor said.

The nightly subway shutdown starts tonight.

Image

Credit…Johnny Milano for The New York Times

At 1 a.m. on Wednesday, the New York City subway will do something it has not done on a regular basis in at least 50 years.

It will stop.

Starting tonight, the city’s subway system will close from 1 a.m. to 5 a.m. so that trains can be disinfected —- and the homeless people who have been taking shelter there can be rousted and, the authorities say, persuaded into shelters and checked for coronavirus symptoms.

There have not been many overnight commuters lately in any case. Ridership on the subway is down more than 90 percent, with orders having been issued by the governor in March for people not to use mass transit unless it is absolutely necessary.

Only about 11,000 people per night have been using the subway from 1 a.m. to 5 a.m. in recent weeks.

The subway is intended strictly as a way for essential workers to get to and from their jobs.

To serve them, the Metropolitan Transportation Authority is increasing overnight bus service, running 300 extra buses along 61 different routes, according to NY1.

The morgue worker who buys a daffodil for each body bag.

A few days a week, a woman arrives at the Metropolitan Plant and Flower Exchange — a squat, lime-green bunker along Route 17 North in Paramus, N.J. They know her there by her hospital scrubs.

She picks up her standing order: yellow daffodils. If there aren’t any daffodils, she’ll take carnations — yellow, please. That’s the most important part — bright yellow.

She brings the flowers with her to work at Hackensack University Medical Center. They aren’t for her office. They’re not for co-workers or patients. She carries them out back and walks into a parking garage.

Her name is Tanisha Brunson-Malone, 41, a forensic technician at the hospital’s morgue. She performs autopsies and oversees funeral home pickups of patients who have died.

Up two short flights of stairs to a closed-off floor. Where there would normally be parked cars, there are now three long trailers, with loud motors powering their refrigerators.

Inside each trailer are bodies in body bags, stacked on shelves three high, coronavirus victims awaiting pickup.

Ms. Brunson-Malone enters each trailer and walks the aisle between the rows, pausing at each new body bag. There, she carefully places a flower on top.

“One or two, it depends on how many flowers I have,” she said. “Sometimes I run out. I’ll go after work to go pick up more flowers. I know in the morning I’ll need more.”

As deaths fall, Governor Cuomo gives criteria for reopening.

Mr. Cuomo listed seven requirements each of the state’s 10 regions must meet before restrictions meant to slow the virus’s spread could be eased in those areas.

  • A 14-day decline in hospitalizations, or fewer than 15 a day.

  • A 14-day decline in virus-related hospital deaths, or fewer than five a day.

  • A steady rate of new hospitalizations below 2 per 100,000 residents a day.

  • A hospital-bed vacancy rate of at least 30 percent.

  • An availability rate for intensive care unit beds of at least 30 percent.

  • At least 30 virus tests per 1,000 residents conducted a month.

  • At least 30 working contact tracers per 100,000 residents.

Some parts of New York will probably meet the thresholds much sooner than others, the governor said. New York City is likely to reopen last.

“If upstate has to wait for downstate to be ready,” Mr. Cuomo said, “they’re going to be waiting for a long time.”

N.J. schools will stay closed until the end of the academic year.

All public and private schools in New Jersey will remain closed for the rest of the academic year, Gov. Philip D. Murphy said on Twitter on Monday, a week after saying there was “a chance” that they would reopen.

“I had hoped that we could get back to a sense of normal by allowing our children to get back to the schools they love and to be with their friends and classmates,” the governor said at his daily briefing after making the announcement. “But the reality is that we cannot safely reopen our schools.”

Students will continue online-only instruction through the end of the school year, Mr. Murphy said.

“Guided by safety and science, this is the best course of action,” he said on Twitter.

Mr. Murphy’s decision came after New York and Pennsylvania took similar steps. He had repeatedly indicated a preference for schools to reopen, a position shared by President Trump but not by most of his fellow governors.

The announcement about schools staying closed came on a day that New Jersey announced 45 new virus-related deaths for a total of 7,910 fatalities. Because of a weekend failure of the state’s computer system, both numbers are below the true figures, officials said.

“We are certain that these numbers are underreported,” the health commissioner, Judith M. Persichilli said.

Are you a health care worker in the New York area? Tell us what you’re seeing.

As The New York Times follows the spread of the coronavirus across New York, New Jersey and Connecticut, we need your help. We want to talk to doctors, nurses, lab technicians, respiratory therapists, emergency services workers, nursing home managers — anyone who can share what’s happening in the region’s hospitals and other health care centers.

A reporter or editor may contact you. Your information will not be published without your consent.

Reporting was contributed by Jonah Engel Bromwich, Joseph Goldstein, Jesse McKinley, Andy Newman, Elian Peltier, Sarah Nir, Matt Stevens, Tracey Tully and Michael Wilson.

  • Updated April 11, 2020

    • What should I do if I feel sick?

      If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.

    • When will this end?

      This is a difficult question, because a lot depends on how well the virus is contained. A better question might be: “How will we know when to reopen the country?” In an American Enterprise Institute report, Scott Gottlieb, Caitlin Rivers, Mark B. McClellan, Lauren Silvis and Crystal Watson staked out four goal posts for recovery: Hospitals in the state must be able to safely treat all patients requiring hospitalization, without resorting to crisis standards of care; the state needs to be able to at least test everyone who has symptoms; the state is able to conduct monitoring of confirmed cases and contacts; and there must be a sustained reduction in cases for at least 14 days.

    • Should I wear a mask?

      The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks don’t replace hand washing and social distancing.

    • How does coronavirus spread?

      It seems to spread very easily from person to person, especially in homes, hospitals and other confined spaces. The pathogen can be carried on tiny respiratory droplets that fall as they are coughed or sneezed out. It may also be transmitted when we touch a contaminated surface and then touch our face.

    • Is there a vaccine yet?

      No. Clinical trials are underway in the United States, China and Europe. But American officials and pharmaceutical executives have said that a vaccine remains at least 12 to 18 months away.

    • What makes this outbreak so different?

      Unlike the flu, there is no known treatment or vaccine, and little is known about this particular virus so far. It seems to be more lethal than the flu, but the numbers are still uncertain. And it hits the elderly and those with underlying conditions — not just those with respiratory diseases — particularly hard.

    • What if somebody in my family gets sick?

      If the family member doesn’t need hospitalization and can be cared for at home, you should help him or her with basic needs and monitor the symptoms, while also keeping as much distance as possible, according to guidelines issued by the C.D.C. If there’s space, the sick family member should stay in a separate room and use a separate bathroom. If masks are available, both the sick person and the caregiver should wear them when the caregiver enters the room. Make sure not to share any dishes or other household items and to regularly clean surfaces like counters, doorknobs, toilets and tables. Don’t forget to wash your hands frequently.

    • Should I stock up on groceries?

      Plan two weeks of meals if possible. But people should not hoard food or supplies. Despite the empty shelves, the supply chain remains strong. And remember to wipe the handle of the grocery cart with a disinfecting wipe and wash your hands as soon as you get home.

    • Should I pull my money from the markets?

      That’s not a good idea. Even if you’re retired, having a balanced portfolio of stocks and bonds so that your money keeps up with inflation, or even grows, makes sense. But retirees may want to think about having enough cash set aside for a year’s worth of living expenses and big payments needed over the next five years.


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