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Coronavirus Live Updates: U.S. Deaths Surpass China’s, but China’s Figures Remain in Doubt
Mar 31, 2020 24 mins, 58 secs
新冠病毒疫情最新消息 Here’s what you need to know:Models predicting expected spread of the virus in the U.S. paint a grim picture.Trump says he “hasn’t heard about testing for weeks,” but governors say they still lack test kits.The C.D.C. is reviewing its guidance on wearing masks. The U.S. death toll passes China’s as questions mount about some countries’ statistics.Britain counts non-hospital deaths for the first time, leading to a statistical jump.CNN’s Chris Cuomo tests positive for the virus.Europe debates using cellphone data to combat the virus without compromising privacy.ImageMedical workers transferred the bodies of people who had died after contracting the virus to a temporary morgue in Brooklyn on Monday.Credit...Justin Lane/EPA, via ShutterstockModels predicting expected spread of the virus in the U.S. paint a grim picture.The American public on Tuesday is expected to get its first look at the statistical models guiding the policy decisions that have led governors and mayors across the country to order more than 250 million people to stay at home. The findings are expected to be unsettling. Dr. Deborah Birx, the White House coordinator for the virus response team, tried to brace both President Trump and the country for some tough weeks ahead. Even if all of the social distancing guidelines are followed “perfectly,” Dr. Birx said, the death toll in the nation could reach 100,000 to 200,000. The United States already has the highest number of reported infections in the world, with 160,000, and has yet to fully ramp up testing, meaning that many cases are going undetected. As the death toll ticked past 3,000 on Tuesday, the nation was set to overtake that of China, where 3,305 people have reportedly succumbed to the virus, although the Chinese figures are coming under increasing scrutiny. Nations across Europe also continue to see a steady rise in new infections and deaths. France has surged past 3,000 fatalities. And the virus has ravaged Italy and Spain — where the countries’ combined death toll on Tuesday moved above 20,000, roughly half the global total — demonstrating the high price nations can pay if the virus outstrips the capacity of a nation’s health care system. ‘We Take the Dead From Morning Till Night’No country has been hit harder by the coronavirus than Italy, and no province has suffered as many losses as Bergamo. Photos and voices from there evoke a portrait of despair. In the United States, the outbreak in New York remains the largest in the nation, with more than 1,200 deaths, and is weeks away from its apex, Gov. Andrew M. Cuomo warned. More than 250 coronavirus patients died between Sunday and Monday, and the governor said that number could ultimately reach 800 a day. “I want to prepare for that apex, because this virus has been ahead of us every step of the way,” he told reporters. In Michigan, state officials reported 50 additional deaths on Monday, even as they cautioned that the outbreak was still in the early stages. Gov. John Bel Edwards of Louisiana said his state was a few weeks behind New York, as he reported a surge in deaths to 185 from 34 in just 24 hours. Virginia, Maryland and the District of Columbia became the latest places to order residents to stay at home. The models used by the White House team are standard epidemiological tools but are not precise, as the results can vary widely depending on how closely people follow the guidelines. In other words, the assumptions built into the models can shape the results. Trump says he “hasn’t heard about testing for weeks,” but governors say they still lack test kits.VideotranscriptBackbars0:00/1:25-1:25transcript Listen to the Call: Bullock and Trump Discuss TestingGov. Steve Bullock of Montana discussed the difficulty of getting access to coronavirus tests on a conference call with President Trump and other governors.“Literally, we are one day away if we don’t get test kits from the C.D.C. Then we wouldn’t be able to be tested in Montana. We have gone, time and time again, to the private side of this. The private market, in where the private market is telling us that it’s a national resource that are then taking our orders apart. Basically, we’re getting our orders canceled. And that’s for PPE. That’s for testing supplies. That’s for testing equipment. So, while we’re trying to do all the contact tracing, we don’t have adequate tests to necessarily do it. We don’t have the [inaudible] along the way, and we’re not finding markets to be able to do that. Along the way are private suppliers. So we do have to rely on a national chain of distribution or we’re not going to get it. But we are doing our best to try to do exactly that. Like, Gallatin County would be an example where we have almost half of our overall state’s — those are the positives. We’re trying to shift the supply to really isolate that and do the contact tracing, but we just don’t have enough supplies to even do the testing.” “Right. Tony, uh, you can answer it if you want, but I haven’t heard about testing in weeks. We’ve tested more now than any nation in the world. We’ve got these great tests, and we come out with another one tomorrow where, you know, it’s almost instantaneous testing. But I haven’t heard about testing being a problem.” Gov. Steve Bullock of Montana discussed the difficulty of getting access to coronavirus tests on a conference call with President Trump and other governors. A day after President Trump said he “hasn’t heard about testing for weeks,” suggesting that a chronic lack of test kits was no longer a problem in the U.S., the Republican governor of Maryland said his state was “flying blind” in its fight against the virus because of a lack of available tests. Gov. Larry Hogan, speaking on CNN on Tuesday morning, said that the dearth of testing kits had left Maryland “sort of guessing about where the outbreaks are and about what the infection rate in the hospitalization rates are.” But Mr. Hogan was careful not to blame the federal government, and said Washington had taken “great steps” to address the testing issue: “Everyone of us is in this together,” he said. Mr. Trump made his remark that he “hasn’t heard about testing in weeks” in a conference call with governors on Monday. America’s governors painted a different picture on the ground: one said that his state was “one day away” from not being able to test anyone at all. Though the United States and South Korea both confirmed their first cases on Jan. 20, America has been much slower to ramp up testing. Last week, the United States surpassed the number of tests performed in South Korea, but the American population is more than six times larger, and Americans are much less likely to have been tested. Mr. Hogan, who is chairman of the National Governors Association, also raised testing issues in an op-ed in The Washington Post, which he co-authored with Gov. Gretchen Whitmer, Democrat of Michigan. “There simply aren’t enough test kits,” they wrote. Ms. Whitmer and Mr. Hogan also wrote that the nation’s governors need a testing site in the nation’s capital to help identify sick federal workers and prevent them from infecting their colleagues. Many of the more than 400,000 federal workers in the region, they said, are still reporting to work every day and cannot risk infection because of their “mission critical” jobs. In Washington, lawmakers were debating whether to move forward with another round of emergency measure. The Senate’s top Republican suggested on Tuesday that another round of government help might not be needed to confront the public health and economic crisis brought on by the pandemic, even as top Democrats press to move quickly on what they call “Phase 4.” Senator Mitch McConnell, Republican of Kentucky and the majority leader, told the radio host Hugh Hewitt that lawmakers should “wait and see” whether such a measure is needed, while Speaker Nancy Pelosi, Democrat of California, has begun an aggressive push for it, saying that Congress must swiftly pass one. See Which States and Cities Have Told Residents to Stay at HomeIn an attempt to stop the spread of the coronavirus, more than half the states and the Navajo Nation have given directives, affecting about three in four U.S. residents. The C.D.C. is reviewing its guidance on wearing masks. The Centers for Disease Control is reconsidering its guidance that people not wear masks as new data shows that many individuals who show no symptoms are carrying the virus and infecting others. The C.D.C. and the World Health Organization have repeatedly said that the general public does not need to wear masks. And as health care workers around the world face shortages of N95 masks and protective gear, public health officials have warned people not to hoard masks. But Dr. Robert Redfield, the C.D.C. director, told NPR on Monday that the agency was reevaluating its guidelines based on data showing that as many as 25 percent of infected people remain asymptomatic. “That’s important, because now you have individuals that may not have any symptoms that can contribute to transmission, and we have learned that in fact they do contribute to transmission,” he said. He suggested that masks might cut down on spread from those people, and said that is “being aggressively reviewed as we speak.” He also said that people who are just becoming ill may already be infectious up to 48 hours before they show symptoms. “This helps explain how rapidly this virus continues to spread across the country, because we have asymptomatic transmitters and we have individuals who are transmitting 48 hours before they become symptomatic,” he added. Places like Hong Kong and Taiwan that jumped into action early with universal mask wearing and social distancing have gotten their coronavirus cases under much greater control. Dr. Scott Gottlieb, the former commissioner of the Food and Drug Administration, said on Sunday that the C.D.C. should put out designs for cloth masks for the general public. “The value of the mask isn’t necessarily to protect you from getting sick, although it may offer some protection,” he told CBS News, adding, “When someone who’s infected is wearing a mask, they’re much less likely to transmit infection.” In the radio interview, Dr. Redfield also said that social distancing measures — including staying six feet or more away from others in public spaces, and staying home — were important to keep in place for now. The U.S. death toll passes China’s as questions mount about some countries’ statistics.The United States’ coronavirus death toll has moved past China’s official count, a bleak milestone hours before the Trump administration planned to release the models that fueled fears that as many as 200,000 Americans could die because of the pandemic. Although the count from mainland China — 3,305 deaths — has been a subject of intense skepticism, and although Italy and Spain have reported more than 20,000 fatalities between them, the swelling toll in the United States is a grim indication of the outbreak’s scale. The U.S., despite widespread concerns about the availability of testing for the virus, already had the highest known number of infections in the world, and the American toll was at least 3,430 deaths, as of late Tuesday morning. But there are mounting concerns that some countries, including China, North Korea and Indonesia, are not being forthcoming about the scope of their outbreaks. China on Tuesday announced more than 1,500 coronavirus cases that had not previously been made public, giving in to pressure for greater transparency nearly two weeks after officials there first announced zero new local infections. Questions about the accuracy of China’s numbers have circulated since the start of the outbreak there, even as the country has touted its apparent success in bringing it under control. The 1,541 newly announced cases were people who had tested positive but were asymptomatic, according to an official at China’s National Health Commission. China had not previously included asymptomatic patients in its public tallies of confirmed cases, even though the World Health Organization recommends doing so, and many within China and abroad had expressed fear about the true scale of the epidemic. It was not immediately clear whether the 1,541 figure represented the total number of asymptomatic infections detected in China, or merely a fraction. The South China Morning Post, a Hong Kong-based newspaper, recently reported that asymptomatic cases could number as many as 43,000, or one-third of China’s total case count, citing classified government data. In the case of North Korea, many observers doubt its claims to not have a single coronavirus case, though some attribute it to a lack of testing equipment. Others accuse the government of hiding an outbreak​ to preserve order. In Indonesia, the government has for weeks reported zero cases. Yet in a sign that the virus is spreading there, Jakarta’s governor says deaths in the capital may be around 283, nearly four times the official count. Coronavirus Map: Tracking the Global OutbreakThe virus has infected more than 815,100 people in at least 171 countries. Britain counts non-hospital deaths for the first time, leading to a statistical jump.The British government on Tuesday offered its first count of deaths from the coronavirus among people who were not hospitalized, an indication that the true toll might be over 20 percent higher than previously reported. By March 20, a total of 210 deaths in England and Wales were related to the virus, new figures from the Office of National Statistics showed, compared with a previous count of 170 hospital deaths reported by the health department. The figures are from a period before the steep surge in the number of infections and deaths that is threatening to overwhelm the country’s health service. Officials said on Monday that the death toll had risen to 1,408, primarily in England and Wales. The revised figures from the statistics office could suggest that including those who died outside hospitals might push the national death toll above the current figure of 1,740. But it is not clear whether the difference between hospital deaths and total deaths might have widened or narrowed as the outbreak grew. CNN’s Chris Cuomo tests positive for the virus.Chris Cuomo, the CNN anchor and younger brother of Gov. Andrew M. Cuomo of New York, has tested positive for the coronavirus and is quarantining at his home, the network said on Tuesday. Mr. Cuomo is “feeling well,” according to a memo distributed to CNN staff members, and plans to continue hosting his prime-time program from a studio at his home. He confirmed the news himself in a tweet on Tuesday. Mr. Cuomo, 49, is one of the most prominent members of the American news media to be diagnosed with the virus so far. His illness is also notable in part because of the outsize role his brother, Governor Cuomo, has played in leading the response to the virus in the hard-hit state of New York. Governor Cuomo, who called his brother Chris his “best friend,” said at a briefing that “He is going to be fine: he’s young, in good shape, strong — not as strong as he thinks.” Europe debates using cellphone data to combat the virus without compromising privacy.Tracking the movements of infected people is critical for stemming the spread of disease. And at a time when cellphones are a powerful personal tracking tool, it is not surprising that governments want to harness that potential to aid in the fight against the coronavirus. But in the European Union, which has strict laws to protect people’s digital privacy, using such technology is a complicated and thorny issue. That friction is coming to the fore in Germany, where the government is considering introducing an app that would allow the authorities to quickly alert anyone who may have come into contact with someone who is found to have been infected. As researchers across Europe scramble to develop an app that would respect personal privacy while still helping track the virus, Germany’s justice minister, Christine Lambrecht, said on Tuesday that the government could not require people to use such technology. “Voluntary use is a very important aspect here,” she told the public broadcaster Deutschlandfunk. “We will not and we do not want to get around that.” Digital tracking measures have been credited with keeping public life going in Singapore and South Korea, while still limiting the spread of the virus. In Europe, Poland is using an app to track the movements of an estimated 10,000 people who are under home quarantine because they either tested positive for coronavirus or recently returned from abroad. Users are required to upload selfies several times a day to prove that they are following the rules of self-isolation, and any lapse in compliance results in an alert being sent to the police. In Croatia, rights groups are pushing back against proposed legislation to monitor cellphones, saying that it would be “an unnecessary violation of human rights.” Germany’s health minister has called for a nationwide debate about the ethics of using such technology. Polls have shown an increasing willingness among Germans to rely on digital technology to combat the spread of the virus, in exchange for a return to more personal freedom. Asian countries that seemed to have it under control embrace stricter measures, suggesting that containment success can be tenuous.Across Asia, countries and cities that seemed to have brought the epidemic under control are suddenly tightening their borders and imposing stricter containment measures, fearful about a wave of new infections imported from elsewhere. The moves portend a worrisome sign for the United States, Europe and the rest of the world still battling a surging outbreak: Any country’s success with containment could be tenuous, and the world could remain on a kind of indefinite lockdown. Even when the number of new cases starts to fall, travel barriers and bans in many places may persist until a vaccine or treatment is found. The risk otherwise is that the infection could be reintroduced inside their borders, especially given the prevalence of asymptomatic people who might unknowingly carry the virus with them. Following a recent uptick in cases tied to international travelers, China, Hong Kong, Singapore and Taiwan barred foreigners from entering altogether in recent days. Japan has barred visitors from most of Europe, and is considering denying entry to travelers from countries including the United States. South Korea imposed stricter controls, requiring incoming foreigners to quarantine in government facilities for 14 days upon arrival. In China, international flights have been cut back so severely that Chinese students abroad wonder when they will be able to get home. In Singapore, recently returned citizens must share their phones’ location data with the authorities each day to prove they are sticking to government-ordered quarantines. In Taiwan, a man who had traveled to Southeast Asia was fined $33,000 for sneaking out to a club when he was supposed to be on lockdown at home. “Even countries that have been relatively successful in managing the pandemic are only as safe as the weakest links in the system,” said Kristi Govella, an assistant professor of Asian studies at the University of Hawaii, Manoa, who added that in the absence of cooperation among countries, “closing borders is one of the ways that individual governments can control the situation.” Stocks dip as Wall Street winds down its worst month since 2008.U.S. stocks dipped and European indexes were unsteady on Tuesday as investors remained jittery after a period of staggering volatility in financial markets amid the coronavirus pandemic. The S&P 500 dropped less than 1 percent, and stocks in Europe pared back most of their early gains. Though the worst of the recent swings in asset prices seem to have subsided, financial markets are trying to find footing even as the number of coronavirus cases climbs worldwide. Stocks have rebounded off their lowest point of the month — including a surge last week — but March is likely to be the worst month for the S&P 500 since October 2008, when investors feared an economic collapse in the wake of the global financial crisis. For other financial markets, the damage has been even more severe. Oil prices are down more than 50 percent this month, and other commodities have also slumped, reflecting expectations for a global economic slowdown. As consumers stay home and factories are closed, millions of workers have lost their jobs. Wall Street economists and analysts continue to downgrade expectations for the economy, even after lawmakers in Washington enacted a $2 trillion spending plan. Goldman Sachs now expects U.S. economic output to plunge at an annualized rate of 34 percent in the second quarter. The unemployment rate will hit 15 percent, the bank predicted in a research note on Tuesday. E.U. countries send medical supplies to Iran.More than a year after France, Germany and Britain said they were setting up a trading mechanism to work around U.S. sanctions against Iran, they have sent a first shipment of medical goods to the coronavirus-ravaged country, Germany’s foreign ministry said on Tuesday. The statement said that the trade mechanism, known as Instex, and its Iranian counterpart would continue to work on further transactions and deliveries of humanitarian goods, which are not forbidden by United States sanctions. The United States reimposed harsh sanctions on Iran in 2018 when President Trump pulled out of the 2015 Iran nuclear deal. It became almost impossible for European companies to continue trading with Iran because of secondary sanctions that forbid any such trade using the American banking system. Instex was announced in January 2019 as a kind of barter system to allow Europeans to buy Iranian oil and gas in exchange for European products. Because few European countries were willing to risk American sanctions, however, the system has been limited to items like pharmaceuticals and medical supplies. This month, the three European countries, all signatories to the Iran nuclear deal and eager to try to maintain it, offered Iran an aid package valued at 5 million euros, nearly $5.5 million, to help fight the coronavirus. Iran had over 41,495 reported coronavirus cases and 2,757 deaths as of Tuesday. Kenyan police are accused of abuses as they enforce an overnight curfew aimed at stopping the virus. The authorities in Kenya are investigating a string of deaths and injuries related to the enforcement of a nationwide dusk-to-dawn curfew, one of several wide-ranging measures aimed at containing the spread of the coronavirus in the country. The office of the director of public prosecutions announced on Tuesday that it had ordered an investigation into the killing of Yasin Moyo, a 13-year-old boy who was hit by a stray bullet and died of his injuries on Monday night as officers enforced the curfew in a neighborhood on the outskirts of Nairobi, the capital. The inspector general of Kenya’s police force said he had asked investigators to undertake “a forensic analysis of all firearms” held by officers who were on duty in the area at time of the shooting. The case is the latest to rock the East African nation since an overnight curfew was introduced on Friday. Hours before it began, images and videos shared on social media showed police officers firing tear gas and beating and detaining commuters at a ferry terminal in the coastal city of Mombasa. On Tuesday, the government-mandated Independent Police Oversight Authority said it would investigate the incident, along with other reports of excessive use of force by police. The 7 p.m. to 5 a.m. curfew is among a raft of new policies aimed at halting the virus. Officials have also closed schools and universities, banned religious gatherings and suspended international flights. Kenya had 59 confirmed cases of the virus on Tuesday, and at least one death. Police officials in Britain and elsewhere are also enforcing restrictions on movement and have sometimes been accused of overreach. There is “a strong temptation for the police to lose sight of their real functions and turn themselves from citizens in uniform into glorified school prefects,” Jonathan Sumption, a former Supreme Court judge, told the BBC on Monday. The police in Britain have been given an extended set of powers, including the authority to instruct people to leave a place or return home, and issue fines to anyone who is out in public for anything other than necessary shopping, exercising once a day, or traveling to and from essential work. Officers have issued summons for people for taking drives “out of boredom” and reprimanded others for sitting in the park. In France, more than a quarter of a million people have been fined since restrictions on movement were announced, according to Interior Ministry figures. And in Italy, the country hardest hit by the outbreak in Europe, anyone violating quarantine rules can be fined up to 3,000 euros, about $3,300. Hospitals across Europe say essential medicines are running low as supply chain is disrupted.VideoOver 12,000 health care workers have contracted Covid-19 in Spain amid grave shortages in personal protective equipment. Nurses and doctors showed us how they make their own gowns, masks and shields.CreditCredit...Courtesy of Alfonso Vidal Some of Europe’s largest and best-funded hospitals issued an urgent warning on Tuesday, saying that they were rapidly running out of essential drugs and that more coordination from countries across the continent was desperately needed. And it is not just a lack of protective gear and ventilators that is cause for concern. The European University Hospital Alliance, a group that includes some of the largest universities and hospital networks in Europe, said that closed borders and export bans were wreaking havoc with distribution lines and causing shortages of things like painkillers and muscle relaxants. “In the absence of European collaboration to ensure a steady supply of these drugs, front-line Covid hospitals may no longer be able to provide adequate intensive care in one to two weeks from now,” said the alliance, which includes hospitals in Paris, London, Berlin and Barcelona. In France, which has recorded more than 3,000 deaths, the military is airlifting patients from areas that are hardest hit to hospitals in France that are not overrun, or Germany, Switzerland and Luxembourg. In Spain, some health workers are refusing to work in a field hospital that was set up at an exhibition center in Madrid and was billed as the “largest hospital in Spain.” “We cannot expose our professionals and let them enter without protection” into the exhibition center, said Alicia Martín, a union representative. Eugenia Cuesta, an emergency room nurse at a Madrid hospital, said the situation across the country was unacceptable. “They’re turning us into health care kamikazes,” she said in a video interview. Spain reported over 9,000 new cases on Tuesday and set a new daily record overnight of 849 deaths, totaling over 8,000 casualties. Italy has counted more than 11,500 deaths across the country, and banners at the Vatican were flown at half-staff on Tuesday as the nation observed a moment of silence for the dead. A broader reach for Viktor Orban, as leaders worldwide expand power amid the crisis.Exactly 32 years after a group of young activists gathered to form Fidesz — which is now Hungary’s governing party — its leader, Prime Minister Viktor Orban, has been granted the authority to rule the country unchallenged indefinitely. The party, which controls Parliament, on Monday adopted a sweeping act extending a state of emergency in response to the coronavirus. The measure allows Mr. Orban to suspend elections and existing legislation and to rule by decree until he declares the emergency over. The situation is an example of how the crisis has accelerated democratic backsliding in the West, as countries across the world face increasing political and economic uncertainty. Since Mr. Orban was propelled back into power in 2010, his party has adopted a new Constitution, altered election laws and stacked the justice system with loyalists. His allies also control the state news media and most of the country’s private media outlets. “The new state we are building,” Mr. Orban said in 2014, “is an illiberal state.” Some monitoring groups say that Hungary has an authoritarian regime, and others rank the country as one of the most corrupt in Europe. Now, the reshaping of its democratic framework has cemented Mr. Orban’s control over the small Eastern European nation. Here are images of a silent New York City.The lights are still on in Times Square. Billboards blink and storefronts shine in neon. If only there were an audience for this spectacle. But the thoroughfares have been abandoned. The energy that once crackled along the concrete has eased. The throngs of tourists, the briskly striding commuters, the honking drivers have mostly skittered away. In their place is a wistful awareness that plays across all five of New York City’s boroughs: Look how eerie the brilliant landscape has become. Look how it no longer bustles. This is not the New York City anyone signed up for. Tips for getting through the coronavirus marathonExperts keep saying to plan for this to last for a long time. And with many communities a week or more into being homebound, the novelty is wearing off. Here are some tips to help fight burnout, manage antsy teenagers, and even freshen up a home to make it better suit current needs. Reporting and research were contributed by Michael Cooper, Alan Blinder, Karen Zraick, Michael D. Shear, David D. Kirkpatrick, Corina Knoll, Elisabetta Povoledo, Aurelien Breeden, Constant Méheut, Selam Gebrekidan, Marc Santora, Megan Specia, Joanna Berendt, Benjamin Novak, Raphael Minder, Elian Peltier, Steven Erlanger, Iliana Magra, Donald G. McNeil Jr., Anna Schaverien, Maria Abi-Habib, Sameer Yasir, Raymond Zhong, Knvul Sheikh, Melissa Eddy, Choe Sang-Hun, Abdi Latif Dahir, Michael M. Grynbaum, Adeel Hassan and Richard C. Paddock.

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