Minggu, 05 April 2020

Coronavirus Live Updates: New U.S. Hot Spots Emerge; Trump Predicts ‘a Lot of Death’ - The New York Times

Credit...Anna Moneymaker/The New York Times

President Trump veers from predicting ‘a lot of death’ to revisiting Easter services.

Veering from grim warnings to baseless assurances in a single news conference, President Trump on Saturday predicted a surging death toll in what he said may be “the toughest week” of the coronavirus pandemic before also dispensing unproven medical advice. He suggested again that Americans might be able to congregate for Easter services next Sunday.

“There will be a lot of death,” he said at the White House, where he and other American officials depicted some parts of the United States as climbing toward the peaks of their crises, while warning that new hot spots were emerging in Pennsylvania, Colorado and Washington, D.C.

At one point Mr. Trump, who initially set Easter Sunday as a target date for reopening the country before backing off, said that the holiday would be a particularly sad day for Americans prohibited from gathering in large numbers. He said that he would like to consider relaxing social distancing rules for Easter services and that he had weighed the possibility of allowing church gatherings outdoors with “great separation.”

“It’s something we should talk about,” he added, though he did not announce any changes to existing federal recommendations. “But somebody did say that, ‘Well, then you’re sort of opening it up to that little, you know, do we want to take a chance on doing that when we’ve been doing so well?’”

More than 8,000 people have died from the coronavirus in the United States, and the White House has said that its projections show that the virus could claim at least 100,000 lives in the country.

“The next two weeks are extraordinarily important,” said Dr. Deborah Birx, the White House’s coronavirus response coordinator. “This is the moment to not be going to the grocery store, not going to the pharmacy, but doing everything you can to keep your family and your friends safe, and that means everybody doing the six-feet distancing, washing their hands.”

Dr. Birx also said that Detroit, New York and Louisiana — the current hot spots — were likely to reach a peak in the next six to seven days, citing predictions by the Institute for Health Metrics and Evaluation.

The U.S. will stockpile an anti-malarial drug, the president says, despite scant proof that it works on the coronavirus.

President Trump appeared to suggest on Saturday that the federal government was placing large amounts of the anti-malarial drug hydroxychloroquine in its Strategic National Stockpile, speaking optimistically about its potential to treat coronavirus patients and saying he would consider taking it himself if needed.

But only anecdotal reports and one small clinical trial have shown any benefits, and the F.D.A. has not approved the drug for coronavirus treatments. Also, a spike in interest in the drug has now left patients who rely on it for chronic diseases wondering whether they will be able to fill their prescriptions.

“We’re going to be distributing it through the Strategic National Stockpile,” Mr. Trump said at a White House news conference, adding, “We have millions and millions of doses of it.”

The U.S. Department of Health and Human Services received 30 million doses of hydroxychloroquine sulfate last month from Sandoz, a division of Novartis, a Swiss pharmaceutical company, for use in clinical trials and potentially treating coronavirus patients.

Previous reports from China and France that hydroxychloroquine seemed to help patients, along with enthusiastic comments from Mr. Trump, have created a buzz around the drug and the closely related chloroquine, which have been used for decades to treat autoimmune diseases like lupus and rheumatoid arthritis. The subsequent surge in demand has led to hoarding and shortages.

Finland, a ‘prepper nation,’ has an enviable supply of masks.

As some nations scramble to find protective masks, ventilators and gowns to fight the coronavirus, one Nordic country is confronting the pandemic with a large network of medical supplies: Finland.

The stockpile, considered one of Europe’s best and built up over years, has cast a spotlight on Finland’s preparedness and exposed the vulnerability of other nations that lack their own.

Finland’s system has been in place since the 1950s, the authorities said. Norway, Sweden and Denmark also amassed large stockpiles of medical and military equipment, fuel and food during the Cold War era. Later, most of them all but abandoned those stockpiles. But Finland did not.

Its history, including fighting off a Soviet invasion in 1939, has taught the nation of 5.5 million to prepare for the worst, said Tomi Lounema, the chief executive of Finland’s National Emergency Supply Agency.

“Finland is the prepper nation of the Nordics, always ready for a major catastrophe or a World War III,” said Magnus Hakenstad, a scholar at the Norwegian Institute for Defense Studies.

When the coronavirus hit, Finland’s government tapped into its supply of medical equipment for the first time since World War II. Two weeks ago, as the country’s coronavirus cases ticked up — by Sunday, the country had recorded more than 1,880 cases and 25 deaths — the health ministry ordered that stored masks be sent to hospitals around the country.

“The masks are old, but they are still functioning,” Mr. Lounema said this weekend. As for how many masks are being stored and where, he said that information was classified.

By Sunday, the global coronavirus cases had increased to more than 1.1 million, with over 64,000 deaths.

In Spain, the authorities reported another drop in the death toll: 674 died overnight — the lowest in 10 days — for a total of about 12,400, second in the world to Italy. With more than 130,000 reported cases, however, Spain had the highest number in Europe as of Sunday morning.

Also Sunday, South Sudan confirmed its first case of Covid-19, the disease caused by the virus, according to the country’s vice president, Riek Machar. A 29-year-old woman who arrived in the country from Ethiopia on Feb. 28 was being treated in isolation.

In Iran, the death toll rose to 3,603, a health ministry spokesman told state television on Sunday. The spokesman, Kianush Jahanpur, said 151 people had succumbed in the past 24 hours. The nation, the Middle Eastern country worst-hit by the epidemic, now has 58,226 infections, he said.

When the hospital patients you’re treating are your family members.

Twelve doctors at her hospital and the chief executive were sickened with the coronavirus. A colleague had died. Patients as young as 19 were being placed on ventilators.

But Michele Acito, the director of nursing at Holy Name Medical Center — in the hardest-hit town in New Jersey’s hardest-hit county — felt that she was holding up.

The her mother-in-law, sister-in-law and brother-in-law arrived.

The pandemic that has crippled New York City is now enveloping New Jersey’s densely packed cities and suburbs. The state’s governor said on Friday that New Jersey was about a week behind New York, where the surging coronavirus has brought increasing anxiety among medical workers.

As of Sunday morning, at least 847 people in New Jersey had died of the virus, and 34,124 had been infected. New Jersey has the nation’s second-highest number of cases after New York, where about 115,000 people have been infected and more than 3,500 have died.

At Holy Name in Teaneck, just across the Hudson River from Manhattan, two doctors are among the 150 patients being treated for the virus. Two patients died within 72 hours.

One of them was Edna Acito, Ms. Acito’s mother-in-law. She had turned 89 on Thursday. A team of medical workers sang “Happy Birthday” from the hallway. The older woman’s nine children expressed their love through an iPad as Ms. Acito held her hand. She died early Saturday.

“You compartmentalize,” Ms. Acito, 57, said. “You go home. You shower it off. But when you have a family member here, you can’t scrub that off.”

Modi calls for a lights-out vigil in India during the lockdown.

As India’s reported coronavirus cases rose past 3,000 and the authorities fanned out to find more infected people who had attended a packed religious gathering in the capital, Prime Minister Narendra Modi called for a nine-minute lights-out vigil for Sunday night.

Many dismissed it as a publicity stunt.

Mr. Modi has asked India’s 1.3 billion people, who are under the world’s largest lockdown, to turn off the electricity and “light a lamp, brighten everyone else’s path.” He presented it as an enormous solidarity exercise to “bring our nation closer and strengthen the battle against Covid-19.”

While many Indian TV channels and corporations cheered the prime minister on, opposition politicians dismissed his call as a gimmick.

“There is so much more the nation was expecting,” said Shashi Tharoor, a top politician from the Indian National Congress, the leading opposition party.

Mr. Modi “has not dealt with the lack of personal protective equipment, of kits for rapid testing; even doctors are complaining that they cannot do their work,” Mr. Tharoor said. “All this was about was symbolism,” he added. “It was like preparing a giant photo op for the nation. Photo ops will not solve the problems created by the coronavirus.”

Many health experts say they believe that India has far more cases than reported. The percentage of people being tested is much lower than in many other countries.

The authorities have zeroed in on an Islamic seminary in Delhi that held a large gathering in March where many attendees then dispersed nationwide and later became sick from the virus. More than 1,000 cases across India — nearly a third of the official total — have been traced o that one gathering, health officials said on Sunday.

U.K. police investigate cellphone mast fires amid a conspiracy theory.

The police in Britain are investigating fires at cellphone masts in three locations as possible arson, as unfounded rumors spread online claiming links between 5G cellphone networks and the coronavirus.

The government has dismissed the rumors, as cellphone masts in Liverpool, Birmingham and Belfast were set alight last week, according to local news media reports.

“There is absolutely no credible evidence of a link between 5G and coronavirus,” the Department for Digital, Culture, Media and Sport wrote on Twitter on Friday.

On Sunday, Queen Elizabeth II is expected to address this “time of disruption” in a televised speech and thank health care employees and other key workers, according to a statement from Buckingham Palace. The address, from Windsor Castle, was filmed by a single cameraman wearing protective equipment, the BBC reported.

Britain had nearly 42,000 confirmed cases and over 4,300 reported coronavirus-linked deaths as of Sunday morning.

In Scotland, 14 residents at a care home in Glasgow died within one week, a spokeswoman said. All of them had underlying health conditions, and none were tested for the coronavirus, as tests in the country are conducted only upon hospital admission.

But an association with the virus is possible, as two workers at the facility, Burlington Court Care Home, had tested positive and were being treated in separate hospitals.

More than one million Chinese students are stranded overseas.

One student fantasized about buying a $30,000 seat on a private jet. One mother, frustrated with her inability to bring her daughter home, sent masks instead. One group of desperate parents made an unusually public appeal to the Chinese government for help.

The coronavirus outbreak has stranded more than one million Chinese students in empty dormitories and fearful towns and cities around the world.

Many of those overseas students want to flee back to China, where official numbers suggest that the authorities have made progress in containing the pandemic. Fear, politics and the competing priorities of the Chinese government stand in the way.

Virtually all flights to and from China have been canceled as Beijing tries to keep infected travelers from reigniting the contagion there. Remaining seats are breathtakingly expensive. For students trapped in the United States, their families worry that tense relations between Beijing and Washington will hinder Chinese-run evacuation efforts.

The fears led one group of parents to publicly petition the Chinese government, a risky move in a country that increasingly tries to keep a lid on dissent. In an open letter posted online and addressed to the Chinese ambassador to the United States, the parents of 200 students in the New York area carefully praised the Chinese government’s support for its citizens overseas. Then it cited the “Wolf Warrior” series of films, huge hits in China, in which patriotic soldiers from the People’s Liberation Army protect Chinese people from overseas threats.

The stranded students have put Beijing in a bind. It is anxious to tame the coronavirus outbreak that raged through the country before it spread abroad, putting its economy in free fall. Bringing in people from abroad, the government believes, invites further spread.

24 hours in Pandemic America.

A drug recovery meeting hosted online. A police officer wearing a face mask. A pastor without a congregation. A funeral director trying to bury the dead.

The merciless threat slipped into the country, emptying its streets, shuttering its stores, wrecking its economy and forcing its people to retreat indoors.

In this pandemic nation, once crowded cities now feel abandoned, as if everyone suddenly moved out. There is no rush hour. “Closed” signs hang from the front doors of business after business. But there are new connections, too.

For many, the coronavirus pandemic involves the most dramatic kind of fight — for life, for food, for money. For others, it can feel absurdly trifling as they stay inside — a fight against boredom, binge eating, isolation.

This was 24 hours in a new America this week.

The rising heroes of the coronavirus era? Nations’ top scientists.

If it weren’t the age of social distancing, people would stop them on the street to take selfies. Instead, they get adoring messages on social media. Others appear on television daily.

The new celebrities emerging across Europe as the coronavirus burns a deadly path through the continent are not actors or singers or politicians. Instead, they are epidemiologists and virologists who have become household names after spending most of their lives in virtual anonymity.

While nurses and doctors treat patients on the front lines, epidemiologists and virologists who have spent careers in lecture halls and laboratories have become the most trusted sources of information in an era of deep uncertainty, diverging policy and raging disinformation.

After a long period of popular backlash against experts and expertise, which underpinned a sweep of political change and set off culture wars in much of the developed world, societies besieged by coronavirus isolation and desperate for facts are turning to these experts for answers.

“During a crisis, heroes come to the forefront because many of our basic human needs are threatened, including our need for certainty, meaning and purpose, self-esteem, and sense of belonging with others,” said Elaine Kinsella, a psychology professor at the University of Limerick in Ireland who has researched the role of heroes in society.

“Heroes help to fulfill, at least in part, some of these basic human needs,” she added.

The scientist-heroes emerging from the coronavirus crisis rarely have the obvious charisma of political leaders, but they show deep expertise and, sometimes, compassion.

In Italy, one of the hardest-hit nations in the world, Dr. Massimo Galli, the director the infectious diseases department at Luigi Sacco University Hospital in Milan, swapped his lab coat for a suit and accepted that he “would be overexposed in the media” in order to set things straight, he told one talk show.

In Greece, which has so far been spared a major outbreak, a wide audience tunes in when Prof. Sotirios Tsiodras addresses the nation every day at 6 p.m.

His delivery is flat, and he relies heavily on his notes as he updates the country on the latest figures of those confirmed sick, hospitalized or deceased. Occasionally, he offers practical advice, like a solution of four teaspoons of bleach per liter of water can be sprayed on surfaces for disinfection.

Reporting was contributed by Jeffrey Gettleman, Matina Stevis-Gridneff, Michael Crowley, Denise Grady, Sheri Fink, Azi Paybarah, Alexandra Stevenson, Tiffany May, Christina Anderson, Henrik Pryser Libell, Raphael Minder and Iliana Magra.

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2020-04-05 12:18:25Z
52780708718636

Coronavirus Live Updates: New U.S. Hot Spots Emerge; Trump Predicts ‘a Lot of Death’ - The New York Times

Credit...Anna Moneymaker/The New York Times

President Trump veers from predicting ‘a lot of death’ to revisiting Easter services.

Veering from grim warnings to baseless assurances in a single news conference, President Trump on Saturday predicted a surging death toll in what he said may be “the toughest week” of the coronavirus pandemic before also dispensing unproven medical advice. He suggested again that Americans might be able to congregate for Easter services next Sunday.

“There will be a lot of death,” he said at the White House, where he and other American officials depicted some parts of the United States as climbing toward the peaks of their crises, while warning that new hot spots were emerging in Pennsylvania, Colorado and Washington, D.C.

At one point Mr. Trump, who initially set Easter Sunday as a target date for reopening the country before backing off, said that the holiday would be a particularly sad day for Americans prohibited from gathering in large numbers. He said that he would like to consider relaxing social distancing rules for Easter services and that he had weighed the possibility of allowing church gatherings outdoors with “great separation.”

“It’s something we should talk about,” he added, though he did not announce any changes to existing federal recommendations. “But somebody did say that, ‘Well, then you’re sort of opening it up to that little, you know, do we want to take a chance on doing that when we’ve been doing so well?’”

More than 8,000 people have died from the coronavirus in the United States, and the White House has said that its projections show that the virus could claim at least 100,000 lives in the country.

“The next two weeks are extraordinarily important,” said Dr. Deborah Birx, the White House’s coronavirus response coordinator. “This is the moment to not be going to the grocery store, not going to the pharmacy, but doing everything you can to keep your family and your friends safe, and that means everybody doing the six-feet distancing, washing their hands.”

Dr. Birx also said that Detroit, New York and Louisiana — the current hot spots — were likely to reach a peak in the next six to seven days, citing predictions by the Institute for Health Metrics and Evaluation.

The U.S. will stockpile an anti-malarial drug, the president says, despite scant proof that it works on the coronavirus.

President Trump appeared to suggest on Saturday that the federal government was placing large amounts of the anti-malarial drug hydroxychloroquine in its Strategic National Stockpile, speaking optimistically about its potential to treat coronavirus patients and saying he would consider taking it himself if needed.

But only anecdotal reports and one small clinical trial have shown any benefits, and the F.D.A. has not approved the drug for coronavirus treatments. Also, a spike in interest in the drug has now left patients who rely on it for chronic diseases wondering whether they will be able to fill their prescriptions.

“We’re going to be distributing it through the Strategic National Stockpile,” Mr. Trump said at a White House news conference, adding, “We have millions and millions of doses of it.”

The U.S. Department of Health and Human Services received 30 million doses of hydroxychloroquine sulfate last month from Sandoz, a division of Novartis, a Swiss pharmaceutical company, for use in clinical trials and potentially treating coronavirus patients.

Previous reports from China and France that hydroxychloroquine seemed to help patients, along with enthusiastic comments from Mr. Trump, have created a buzz around the drug and the closely related chloroquine, which have been used for decades to treat autoimmune diseases like lupus and rheumatoid arthritis. The subsequent surge in demand has led to hoarding and shortages.

Finland, a ‘prepper nation,’ has an enviable supply of masks.

As some nations scramble to find protective masks, ventilators and gowns to fight the coronavirus, one Nordic country is confronting the pandemic with a large network of medical supplies: Finland.

The stockpile, considered one of Europe’s best and built up over years, has cast a spotlight on Finland’s preparedness and exposed the vulnerability of other nations that lack their own.

Finland’s system has been in place since the 1950s, the authorities said. Norway, Sweden and Denmark also amassed large stockpiles of medical and military equipment, fuel and food during the Cold War era. Later, most of them all but abandoned those stockpiles. But Finland did not.

Its history, including fighting off a Soviet invasion in 1939, has taught the nation of 5.5 million to prepare for the worst, said Tomi Lounema, the chief executive of Finland’s National Emergency Supply Agency.

“Finland is the prepper nation of the Nordics, always ready for a major catastrophe or a World War III,” said Magnus Hakenstad, a scholar at the Norwegian Institute for Defense Studies.

When the coronavirus hit, Finland’s government tapped into its supply of medical equipment for the first time since World War II. Two weeks ago, as the country’s coronavirus cases ticked up — by Sunday, the country had recorded more than 1,880 cases and 25 deaths — the health ministry ordered that stored masks be sent to hospitals around the country.

“The masks are old, but they are still functioning,” Mr. Lounema said this weekend. As for how many masks are being stored and where, he said that information was classified.

By Sunday, the global coronavirus cases had increased to more than 1.1 million, with over 64,000 deaths.

In Spain, the authorities reported another drop in the death toll: 674 died overnight — the lowest in 10 days — for a total of about 12,400, second in the world to Italy. With more than 130,000 reported cases, however, Spain had the highest number in Europe as of Sunday morning.

Also Sunday, South Sudan confirmed its first case of Covid-19, the disease caused by the virus, according to the country’s vice president, Riek Machar. A 29-year-old woman who arrived in the country from Ethiopia on Feb. 28 was being treated in isolation.

In Iran, the death toll rose to 3,603, a health ministry spokesman told state television on Sunday. The spokesman, Kianush Jahanpur, said 151 people had succumbed in the past 24 hours. The nation, the Middle Eastern country worst-hit by the epidemic, now has 58,226 infections, he said.

Modi calls for a lights-out vigil in India during the lockdown.

As India’s reported coronavirus cases rose past 3,000 and the authorities fanned out to find more infected people who had attended a packed religious gathering in the capital, Prime Minister Narendra Modi called for a nine-minute lights-out vigil for Sunday night.

Many dismissed it as a publicity stunt.

Mr. Modi has asked India’s 1.3 billion people, who are under the world’s largest lockdown, to turn off the electricity and “light a lamp, brighten everyone else’s path.” He presented it as an enormous solidarity exercise to “bring our nation closer and strengthen the battle against Covid-19.”

While many Indian TV channels and corporations cheered the prime minister on, opposition politicians dismissed his call as a gimmick.

“There is so much more the nation was expecting,” said Shashi Tharoor, a top politician from the Indian National Congress, the leading opposition party.

Mr. Modi “has not dealt with the lack of personal protective equipment, of kits for rapid testing; even doctors are complaining that they cannot do their work,” Mr. Tharoor said. “All this was about was symbolism,” he added. “It was like preparing a giant photo op for the nation. Photo ops will not solve the problems created by the coronavirus.”

Many health experts say they believe that India has far more cases than reported. The percentage of people being tested is much lower than in many other countries.

The authorities have zeroed in on an Islamic seminary in Delhi that held a large gathering in March where many attendees then dispersed nationwide and later became sick from the virus. More than 1,000 cases across India — nearly a third of the official total — have been traced o that one gathering, health officials said on Sunday.

Coronavirus has pummeled a Brooklyn hospital and its patients.

Residents from the I.C.U. at the Brooklyn Hospital Center presented their cases to the attending physicians last week speaking in shorthand and at auctioneer-like speed.

“Admitted for acute hypoxic respiratory failure secondary to likely Covid-19.”

“Admitted for acute hypoxic respiratory failure secondary to confirmed Covid-19.”

“Admitted for acute hypoxic respiratory failure, high suspicion of Covid-19.”

Nearly every patient in a bed in the new intensive care unit, just as in the main one, was breathing with the help of a mechanical ventilator.

There were patients in their 80s and in their 30s. Patients whose asthma and diabetes helped explain their serious illness. And patients who seemed to have no risk factors at all. Patients from nursing homes. Patients who had no homes. Pregnant women, some of whom would not be conscious when their babies were delivered to increase their odds of surviving to raise their children.

This was the week that the coronavirus crisis pummeled hospitals throughout New York City, where deaths reached more than 2,000, as the governor warned that vital equipment and supplies would run short in just a few days. The mayor pleaded for more doctors, and hospital officials and political leaders said that the situation would get even worse.

At the Brooklyn Hospital Center — a medium-size independent community hospital — that toll was evident. Deaths attributed to the virus more than quintupled from the previous week. The number of inpatients confirmed to have Covid-19, the disease caused by the virus, grew from 15 to 105, with 48 more awaiting results. Hospital leaders estimated that about a third of doctors and nurses were out sick.

The hospital temporarily ran out of protective plastic gowns, of the main sedative for patients on ventilators, and of a key blood pressure medication. The sense of urgency and tragedy was heightened by a video, circulating online, showing a forklift hoisting a body into a refrigerated trailer outside the hospital.

Some nurses cared for five critically ill patients at a time, when the norm there was just two. The array of doctors, nurses, pharmacists and respiratory therapists accustomed to working in the I.C.U. needed reinforcements, so a podiatrist and two of her resident trainees, a neurosurgery physician assistant, surgery residents and a nurse anesthetist joined in to help.

Dr. James Gasperino, the chair of medicine and vice president for critical care at the hospital, conferred in the hallway with the director of respiratory therapy. The hospital had 98 ventilators, many acquired in recent days. Employees were running simulations to practice how they might use each ventilator to treat two patients, a difficult and risky proposition.

“We’re doing this because the alternative is death,” Dr. Gasperino said.

U.K. police investigate cellphone mast fires amid a conspiracy theory.

The police in Britain are investigating fires at cellphone masts in three locations as possible arson, as unfounded rumors spread online claiming links between 5G cellphone networks and the coronavirus.

The government has dismissed the rumors, as cellphone masts in Liverpool, Birmingham and Belfast were set alight last week, according to local news media reports.

“There is absolutely no credible evidence of a link between 5G and coronavirus,” the Department for Digital, Culture, Media and Sport wrote on Twitter on Friday.

On Sunday, Queen Elizabeth II is expected to address this “time of disruption” in a televised speech and thank health care employees and other key workers, according to a statement from Buckingham Palace. The address, from Windsor Castle, was filmed by a single cameraman wearing protective equipment, the BBC reported.

Britain had nearly 42,000 confirmed cases and over 4,300 reported coronavirus-linked deaths as of Sunday morning.

In Scotland, 14 residents at a care home in Glasgow died within one week, a spokeswoman said. All of them had underlying health conditions, and none were tested for the coronavirus, as tests in the country are conducted only upon hospital admission.

But an association with the virus is possible, as two workers at the facility, Burlington Court Care Home, had tested positive and were being treated in separate hospitals.

More than one million Chinese students are stranded overseas.

One student fantasized about buying a $30,000 seat on a private jet. One mother, frustrated with her inability to bring her daughter home, sent masks instead. One group of desperate parents made an unusually public appeal to the Chinese government for help.

The coronavirus outbreak has stranded more than one million Chinese students in empty dormitories and fearful towns and cities around the world.

Many of those overseas students want to flee back to China, where official numbers suggest that the authorities have made progress in containing the pandemic. Fear, politics and the competing priorities of the Chinese government stand in the way.

Virtually all flights to and from China have been canceled as Beijing tries to keep infected travelers from reigniting the contagion there. Remaining seats are breathtakingly expensive. For students trapped in the United States, their families worry that tense relations between Beijing and Washington will hinder Chinese-run evacuation efforts.

The fears led one group of parents to publicly petition the Chinese government, a risky move in a country that increasingly tries to keep a lid on dissent. In an open letter posted online and addressed to the Chinese ambassador to the United States, the parents of 200 students in the New York area carefully praised the Chinese government’s support for its citizens overseas. Then it cited the “Wolf Warrior” series of films, huge hits in China, in which patriotic soldiers from the People’s Liberation Army protect Chinese people from overseas threats.

The stranded students have put Beijing in a bind. It is anxious to tame the coronavirus outbreak that raged through the country before it spread abroad, putting its economy in free fall. Bringing in people from abroad, the government believes, invites further spread.

24 hours in Pandemic America.

A drug recovery meeting hosted online. A police officer wearing a face mask. A pastor without a congregation. A funeral director trying to bury the dead.

The merciless threat slipped into the country, emptying its streets, shuttering its stores, wrecking its economy and forcing its people to retreat indoors.

In this pandemic nation, once crowded cities now feel abandoned, as if everyone suddenly moved out. There is no rush hour. “Closed” signs hang from the front doors of business after business. But there are new connections, too.

For many, the coronavirus pandemic involves the most dramatic kind of fight — for life, for food, for money. For others, it can feel absurdly trifling as they stay inside — a fight against boredom, binge eating, isolation.

This was 24 hours in a new America this week.

The rising heroes of the coronavirus era? Nations’ top scientists.

If it weren’t the age of social distancing, people would stop them on the street to take selfies. Instead, they get adoring messages on social media. Others appear on television daily.

The new celebrities emerging across Europe as the coronavirus burns a deadly path through the continent are not actors or singers or politicians. Instead, they are epidemiologists and virologists who have become household names after spending most of their lives in virtual anonymity.

While nurses and doctors treat patients on the front lines, epidemiologists and virologists who have spent careers in lecture halls and laboratories have become the most trusted sources of information in an era of deep uncertainty, diverging policy and raging disinformation.

After a long period of popular backlash against experts and expertise, which underpinned a sweep of political change and set off culture wars in much of the developed world, societies besieged by coronavirus isolation and desperate for facts are turning to these experts for answers.

“During a crisis, heroes come to the forefront because many of our basic human needs are threatened, including our need for certainty, meaning and purpose, self-esteem, and sense of belonging with others,” said Elaine Kinsella, a psychology professor at the University of Limerick in Ireland who has researched the role of heroes in society.

“Heroes help to fulfill, at least in part, some of these basic human needs,” she added.

The scientist-heroes emerging from the coronavirus crisis rarely have the obvious charisma of political leaders, but they show deep expertise and, sometimes, compassion.

In Italy, one of the hardest-hit nations in the world, Dr. Massimo Galli, the director the infectious diseases department at Luigi Sacco University Hospital in Milan, swapped his lab coat for a suit and accepted that he “would be overexposed in the media” in order to set things straight, he told one talk show.

In Greece, which has so far been spared a major outbreak, a wide audience tunes in when Prof. Sotirios Tsiodras addresses the nation every day at 6 p.m.

His delivery is flat, and he relies heavily on his notes as he updates the country on the latest figures of those confirmed sick, hospitalized or deceased. Occasionally, he offers practical advice, like a solution of four teaspoons of bleach per liter of water can be sprayed on surfaces for disinfection.

Reporting was contributed by Jeffrey Gettleman, Matina Stevis-Gridneff, Michael Crowley, Denise Grady, Sheri Fink, Alexandra Stevenson, Tiffany May, Christina Anderson, Henrik Pryser Libell, Raphael Minder and Iliana Magra.

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2020-04-05 11:47:00Z
52780708718636

Coronavirus Live Updates: New Hot Spots Emerge; Trump Warns of ‘a Lot of Death’ - The New York Times

Credit...Anna Moneymaker/The New York Times

President Trump veers from predicting ‘a lot of death’ to revisiting Easter services.

Veering from grim warnings to baseless assurances in a single news conference, President Trump on Saturday predicted a surging death toll in what he said may be “the toughest week” of the coronavirus pandemic before also dispensing unproven medical advice. He suggested again that Americans might be able to congregate for Easter services next Sunday.

“There will be a lot of death,” he said at the White House, where he and other American officials depicted some parts of the United States as climbing toward the peaks of their crises, while warning that new hot spots were emerging in Pennsylvania, Colorado and Washington, D.C.

At one point Mr. Trump, who initially set Easter Sunday as a target date for reopening the country before backing off, said that the holiday would be a particularly sad day for Americans prohibited from gathering in large numbers. He said that he would like to consider relaxing social distancing rules for Easter services and that he had weighed the possibility of allowing church gatherings outdoors with “great separation.”

“It’s something we should talk about,” he added, though he did not announce any changes to existing federal recommendations. “But somebody did say that, ‘Well, then you’re sort of opening it up to that little, you know, do we want to take a chance on doing that when we’ve been doing so well?’”

More than 8,000 people have died from the coronavirus in the United States, and the White House has said that its projections show that the virus could claim at least 100,000 lives in the country.

“The next two weeks are extraordinarily important,” said Dr. Deborah Birx, the White House’s coronavirus response coordinator. “This is the moment to not be going to the grocery store, not going to the pharmacy, but doing everything you can to keep your family and your friends safe, and that means everybody doing the six-feet distancing, washing their hands.”

Dr. Birx also said that Detroit, New York and Louisiana — the current hot spots — were likely to reach a peak in the next six to seven days, citing predictions by the Institute for Health Metrics and Evaluation.

The U.S. will stockpile an anti-malarial drug, the president says, despite scant proof that it works on the coronavirus.

President Trump appeared to suggest on Saturday that the federal government was placing large amounts of the anti-malarial drug hydroxychloroquine in its Strategic National Stockpile, speaking optimistically about its potential to treat coronavirus patients and saying he would consider taking it himself if needed.

But only anecdotal reports and one small clinical trial have shown any benefits, and the F.D.A. has not approved the drug for coronavirus treatments. Also, a spike in interest in the drug has now left patients who rely on it for chronic diseases wondering whether they will be able to fill their prescriptions.

“We’re going to be distributing it through the Strategic National Stockpile,” Mr. Trump said at a White House news conference, adding, “We have millions and millions of doses of it.”

The U.S. Department of Health and Human Services received 30 million doses of hydroxychloroquine sulfate last month from Sandoz, a division of Novartis, a Swiss pharmaceutical company, for use in clinical trials and potentially treating coronavirus patients.

Previous reports from China and France that hydroxychloroquine seemed to help patients, along with enthusiastic comments from Mr. Trump, have created a buzz around the drug and the closely related chloroquine, which have been used for decades to treat autoimmune diseases like lupus and rheumatoid arthritis. The subsequent surge in demand has led to hoarding and shortages.

Modi calls for a lights-out vigil in India during the lockdown.

As India’s reported coronavirus cases rose past 3,000 and the authorities fanned out to find more infected people who had attended a packed religious gathering in the capital, Prime Minister Narendra Modi called for a nine-minute lights-out vigil for Sunday night.

Many dismissed it as a publicity stunt.

Mr. Modi has asked India’s 1.3 billion people, who are under the world’s largest lockdown, to turn off the electricity and “light a lamp, brighten everyone else’s path.” He presented it as an enormous solidarity exercise to “bring our nation closer and strengthen the battle against Covid-19.”

While many Indian TV channels and corporations cheered the prime minister on, opposition politicians dismissed his call as a gimmick.

“There is so much more the nation was expecting,” said Shashi Tharoor, a top politician from the Indian National Congress, the leading opposition party.

Mr. Modi “has not dealt with the lack of personal protective equipment, of kits for rapid testing; even doctors are complaining that they cannot do their work,” Mr. Tharoor said. “All this was about was symbolism,” he added. “It was like preparing a giant photo op for the nation. Photo ops will not solve the problems created by the coronavirus.”

Many health experts say they believe that India has far more cases than reported. The percentage of people being tested is much lower than in many other countries.

The authorities have zeroed in on an Islamic seminary in Delhi that held a large gathering in March where many attendees then dispersed nationwide and later became sick from the virus. More than 1,000 cases across India — nearly a third of the official total — have been traced o that one gathering, health officials said on Sunday.

Coronavirus has pummeled a Brooklyn hospital and its patients.

Residents from the I.C.U. at the Brooklyn Hospital Center presented their cases to the attending physicians last week speaking in shorthand and at auctioneer-like speed.

“Admitted for acute hypoxic respiratory failure secondary to likely Covid-19.”

“Admitted for acute hypoxic respiratory failure secondary to confirmed Covid-19.”

“Admitted for acute hypoxic respiratory failure, high suspicion of Covid-19.”

Nearly every patient in a bed in the new intensive care unit, just as in the main one, was breathing with the help of a mechanical ventilator.

There were patients in their 80s and in their 30s. Patients whose asthma and diabetes helped explain their serious illness. And patients who seemed to have no risk factors at all. Patients from nursing homes. Patients who had no homes. Pregnant women, some of whom would not be conscious when their babies were delivered to increase their odds of surviving to raise their children.

This was the week that the coronavirus crisis pummeled hospitals throughout New York City, where deaths reached more than 2,000, as the governor warned that vital equipment and supplies would run short in just a few days. The mayor pleaded for more doctors, and hospital officials and political leaders said that the situation would get even worse.

At the Brooklyn Hospital Center — a medium-size independent community hospital — that toll was evident. Deaths attributed to the virus more than quintupled from the previous week. The number of inpatients confirmed to have Covid-19, the disease caused by the virus, grew from 15 to 105, with 48 more awaiting results. Hospital leaders estimated that about a third of doctors and nurses were out sick.

The hospital temporarily ran out of protective plastic gowns, of the main sedative for patients on ventilators, and of a key blood pressure medication. The sense of urgency and tragedy was heightened by a video, circulating online, showing a forklift hoisting a body into a refrigerated trailer outside the hospital.

Some nurses cared for five critically ill patients at a time, when the norm there was just two. The array of doctors, nurses, pharmacists and respiratory therapists accustomed to working in the I.C.U. needed reinforcements, so a podiatrist and two of her resident trainees, a neurosurgery physician assistant, surgery residents and a nurse anesthetist joined in to help.

Dr. James Gasperino, the chair of medicine and vice president for critical care at the hospital, conferred in the hallway with the director of respiratory therapy. The hospital had 98 ventilators, many acquired in recent days. Employees were running simulations to practice how they might use each ventilator to treat two patients, a difficult and risky proposition.

“We’re doing this because the alternative is death,” Dr. Gasperino said.

More than one million Chinese students are stranded overseas.

One student fantasized about buying a $30,000 seat on a private jet. One mother, frustrated with her inability to bring her daughter home, sent masks instead. One group of desperate parents made an unusually public appeal to the Chinese government for help.

The coronavirus outbreak has stranded more than one million Chinese students in empty dormitories and fearful towns and cities around the world.

Many of those overseas students want to flee back to China, where official numbers suggest that the authorities have made progress in containing the pandemic. Fear, politics and the competing priorities of the Chinese government stand in the way.

Virtually all flights to and from China have been canceled as Beijing tries to keep infected travelers from reigniting the contagion there. Remaining seats are breathtakingly expensive. For students trapped in the United States, their families worry that tense relations between Beijing and Washington will hinder Chinese-run evacuation efforts.

The fears led one group of parents to publicly petition the Chinese government, a risky move in a country that increasingly tries to keep a lid on dissent. In an open letter posted online and addressed to the Chinese ambassador to the United States, the parents of 200 students in the New York area carefully praised the Chinese government’s support for its citizens overseas. Then it cited the “Wolf Warrior” series of films, huge hits in China, in which patriotic soldiers from the People’s Liberation Army protect Chinese people from overseas threats.

The stranded students have put Beijing in a bind. It is anxious to tame the coronavirus outbreak that raged through the country before it spread abroad, putting its economy in free fall. Bringing in people from abroad, the government believes, invites further spread.

24 hours in Pandemic America.

A drug recovery meeting hosted online. A police officer wearing a face mask. A pastor without a congregation. A funeral director trying to bury the dead.

The merciless threat slipped into the country, emptying its streets, shuttering its stores, wrecking its economy and forcing its people to retreat indoors.

In this pandemic nation, once crowded cities now feel abandoned, as if everyone suddenly moved out. There is no rush hour. “Closed” signs hang from the front doors of business after business. But there are new connections, too.

For many, the coronavirus pandemic involves the most dramatic kind of fight — for life, for food, for money. For others, it can feel absurdly trifling as they stay inside — a fight against boredom, binge eating, isolation.

This was 24 hours in a new America this week.

The rising heroes of the coronavirus era? Nations’ top scientists.

If it weren’t the age of social distancing, people would stop them on the street to take selfies. Instead, they get adoring messages on social media. Others appear on television daily.

The new celebrities emerging across Europe as the coronavirus burns a deadly path through the continent are not actors or singers or politicians. Instead, they are epidemiologists and virologists who have become household names after spending most of their lives in virtual anonymity.

While nurses and doctors treat patients on the front lines, epidemiologists and virologists who have spent careers in lecture halls and laboratories have become the most trusted sources of information in an era of deep uncertainty, diverging policy and raging disinformation.

After a long period of popular backlash against experts and expertise, which underpinned a sweep of political change and set off culture wars in much of the developed world, societies besieged by coronavirus isolation and desperate for facts are turning to these experts for answers.

“During a crisis, heroes come to the forefront because many of our basic human needs are threatened, including our need for certainty, meaning and purpose, self-esteem, and sense of belonging with others,” said Elaine Kinsella, a psychology professor at the University of Limerick in Ireland who has researched the role of heroes in society.

“Heroes help to fulfill, at least in part, some of these basic human needs,” she added.

The scientist-heroes emerging from the coronavirus crisis rarely have the obvious charisma of political leaders, but they show deep expertise and, sometimes, compassion.

In Italy, one of the hardest-hit nations in the world, Dr. Massimo Galli, the director the infectious diseases department at Luigi Sacco University Hospital in Milan, swapped his lab coat for a suit and accepted that he “would be overexposed in the media” in order to set things straight, he told one talk show.

In Greece, which has so far been spared a major outbreak, a wide audience tunes in when Prof. Sotirios Tsiodras addresses the nation every day at 6 p.m.

His delivery is flat, and he relies heavily on his notes as he updates the country on the latest figures of those confirmed sick, hospitalized or deceased. Occasionally, he offers practical advice, like a solution of four teaspoons of bleach per liter of water can be sprayed on surfaces for disinfection.

Reporting was contributed by Jeffrey Gettleman, Matina Stevis-Gridneff, Michael Crowley, Denise Grady, Sheri Fink, Alexandra Stevenson and Tiffany May.

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2020-04-05 10:18:56Z
52780708718636

Death at home: the unseen toll of Italy's coronavirus crisis - Reuters

MILAN (Reuters) - It took Silvia Bertuletti 11 days of frantic phone calls to persuade a doctor to visit her 78-year-old father Alessandro, who was gripped by fever and struggling for breath.

FILE PHOTO: A priest blesses the coffin of a woman who died from coronavirus disease (COVID-19) at her funeral, as Italy struggles to contain the spread of coronavirus disease (COVID-19), in Seriate, Italy March 28, 2020. REUTERS/Flavio Lo Scalzo

When an on-call physician did go to her house near Bergamo, at the epicentre of the coronavirus outbreak in northern Italy, on the evening of March 18, it was too late.

Alessandro Bertuletti was pronounced dead at 1:10 a.m. on March 19, 10 minutes before an ambulance called hours earlier arrived. The only medication he had been prescribed, over the phone, was a mild painkiller and a broad-spectrum antibiotic.

“My father was left to die alone, at home, without help,” Bertuletti, 48, said. “We were simply abandoned. No one deserves an end like that.”

Interviews with families, doctors and nurses in Italy’s stricken Lombardy region indicate that Bertuletti’s experience is not uncommon, that scores are dying at home as symptoms go unchecked and that phone consultations are not always enough.

In Bergamo province alone, according to a recent study of death records, the real death toll from the outbreak could be more than double the official tally of 2,060, which only tracks hospital fatalities.

As the global fight to save lives centres on boosting the supply of hospital ventilators, some doctors say a lack of primary healthcare is proving just as costly because medics cannot or will not make home visits, in line with a worldwide tactic of switching to remotely delivered medical advice.

“What led to this situation is that many family doctors didn’t visit their patients for weeks,” said Riccardo Munda, who is doing the work of two doctors in Selvino and Nembro, two towns near Bergamo, after a colleague caught the virus.

“And I can’t blame them, because that’s how they saved their own skin.”

He said many deaths could be avoided if people at home received prompt medical help, but doctors were swamped, lacked enough masks and suits to protect themselves from infection and were discouraged from making visits unless absolutely necessary.

“Doctors give people at home a treatment. But if this treatment doesn’t work, if there is no doctor who checks and changes or adjusts the medicines, then the patient dies.”

While hospital workers were given priority access to masks, some family doctors say they went without and so felt unable to visit patients safely.

A spokeswoman for the state-run ATS health agency in Bergamo said authorities in the Lombardy region, rated among the world’s most efficient for health services, told family doctors to “deal with patients by phone as much as possible”, limiting home visits “to reduce contagion and waste of protective equipment”.

She said 142 doctors in the Bergamo area were either sick or in quarantine but they had all been replaced.

Authorities are now moving to reinforce primary care in line with recommendations by the World Health Organization, which says that delivering primary healthcare safely should be a priority for governments right after intensive care capacity.

In Bergamo province six special units of doctors started operating on March 19, each equipped to visit sick people at home. In nearby Milan, where deaths at home and in centres for the elderly more than doubled in the second half of March, similar units began operating only on March 31.

HIDDEN DEATH TOLL

Italy’s official death toll reached 15,362 on Saturday, almost a third of the global total, but there is growing evidence that this vastly understates the real total because so many people are dying at home.

A study by local newspaper L’Eco di Bergamo and research consultant InTwig, using data provided by local municipalities, estimates that 5,400 people died in the Bergamo province during the month of March, or six times more than a year ago.

Of these, it reckons that as many as 4,500 people succumbed to the coronavirus - more than double the official tally. This took into account 600 people who died in nursing homes and evidence provided by doctors, it said.

The ATS did not respond to a request for comment on the study’s findings.

Pietro Zucchelli, director of the Zucchelli funeral home that serves several villages in the Seriana Valley around Bergamo, said over the past two weeks more than 50 percent of his job had been collecting bodies from people’s homes.

Before, most of the dead were in hospitals or nursing homes.

Munda, the doctor working in Selvino and Nembro, said he had been visiting patients at home since late February, administering antibiotics for bacterial pneumonia and oxygen therapy if required.

He said that although antibiotics were no cure for the virus, they could treat some of the debilitating complications and help patients recover without hospitalisation.

To protect himself, he bought 600 euros’ worth of face masks which he sterilises at home with steam every evening.

More than 11,000 health workers have contracted the virus in Italy and 80 have died, many of them family doctors.

‘BE PATIENT’

The Bertuletti family’s ordeal shows how primary care, a health system’s first line of defence, has sometimes buckled in the face of the coronavirus outbreak.

In several European countries and in the United States, doctors are encouraged to carry out phone consultations whenever possible, rather than seeing patients face to face.

With her own family doctor in hospital, Bertuletti says she repeatedly phoned his replacement, who at first told her to give her father a paracetamol-based painkiller used to reduce fever.

As her father got worse, Bertuletti called him back. “He said: ‘I am not forced to do house visits, be patient’,” she said.

The doctor who dealt with Bertuletti, contacted by Reuters, declined to be identified, but said through tears that medics had to make terrible choices.

He said that he had been receiving between 300 to 500 phone calls a day and was covering for a sick colleague.

“I had to make a selection, I couldn’t visit those who had a cough and fever, I could only go to see the most serious cases.”

The association of family doctors in the province of Bergamo estimates that 70,000 people in the area may be infected.

“Despite our best efforts, it’s not possible to take everyone to hospital and sometimes families prefer to keep the sick at home out of fear they may not have another chance to say goodbye,” Bergamo’s mayor, Giorgio Gori, said.

Like him, mayors across Lombardy are crying out for help.

“We have citizens who are sick at home and feel abandoned, I could give you hundreds of examples,” Giovanna Gargioni, mayor of Borghetto Lodigiano, wrote in a March 27 letter to regional health authorities on behalf of a group of local mayors.

Even in Milan, Lombardy’s main city and Italy’s financial capital, doctors say that pledges by regional authorities to provide protective gear like face masks and to give swabs to medical personnel had yet to materialise for some.

“We are working without protection, and no one tested us,” said Roberto Scarano, a surgeon and family doctor in the city.

“Meanwhile, the virus is spreading in people’s homes, entire families are getting infected and no one’s taking care of them.”

Slideshow (4 Images)

Ambulances that used to arrive within minutes of a call to emergency services now can take hours, medics say. Oxygen bottles are so scarce that nurses rush to claim them back from bereaved families as soon as patients die.

“We are used to seeing people die, but normally it feels like you are accompanying them at the end of the road,” said Maura Zucchelli, a nurse at Itineris, a private company which provides medical assistance at home in the Bergamo area.

“Now you go to people’s homes, and within 48-72 hours the patient is dead. It’s draining. It’s like war.”

Editing by Mark Bendeich and Mike Collett-White

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2020-04-05 10:17:42Z
CAIiEK_Exwx-v7Ifz6utlFY95LUqFggEKg0IACoGCAowt6AMMLAmMIT6lwM

Sabtu, 04 April 2020

Number of coronavirus intensive care patients in Italy drops for first time - Reuters

MILAN (Reuters) - Italy reported its lowest daily rise in COVID-19 deaths for nearly two weeks on Saturday and said the number of patients in intensive care had fallen for the first time.

Municipal workers distribute masks and gloves at the Rialto market, as new restrictions for open-air markets were implemented by the Veneto region to prevent the spread of the coronavirus disease (COVID-19), in Venice, Italy, April 4, 2020. REUTERS/Manuel Silvestri

Officials urged the country not to flout strict lockdown measures they said were starting to show results, although new cases rose by 4,805 on Saturday which was slightly higher than recent daily increases.

The Civil Protection department reported 681 deaths, bringing the total to 15,632 since the outbreak of the new coronavirus epidemic in northern Italy on Feb. 21. It was the lowest daily rise in deaths since March 23.

The total number of confirmed cases rose to 124,632 from 119,827 reported on Friday but for the first time, the number of patients in badly stretched intensive care units fell, with 3,994 patients being treated, down 74 from 4,068 on Friday.

“This is an important piece of news because it allows our hospitals to breathe,” Civil Protection head Angelo Borelli told a regular daily briefing where he has announced the grim daily tally of the world’s most deadly outbreak of the disease.

For days, Italian officials have said that broadly stable rises in the number of cases suggested that the outbreak had reached a plateau and that the numbers would begin to go down - if strict lockdown measures were respected.

But with Easter approaching and video footage circulating on social media of groups walking outside in cities including Naples, Rome and Milan, there were fears that the signs of progress were leading more people to flout the rules.

“Some images spread on social media, which show a relaxation in the behaviour of some people - fortunately only a few - , should not be taken as an example, they should be deplored,” said Domenico Arcuri, the government’s special commissioner for the coronavirus emergency.

“We can’t have the idea that we’ve already reached the moment to return to normal,” he said.

The government of Lombardy, the northern region at the epicentre of the crisis where more than 49,000 cases have been recorded, made a similar plea and issued a directive ordering people to cover their mouth and nose whenever they go outside.

Italy is still one of the countries worst affected by the new coronavirus, accounting for almost a quarter of worldwide deaths from COVID-19, the highly infectious disease associated with the virus.

But as more countries in Europe have reported severe outbreaks of their own, it has become less of an outlier.

As the case numbers have flattened in Italy, there has been increasing discussion about eventually rolling back a lockdown that has closed most businesses and slammed the brakes on an already fragile economy.

With the government looking at ways to protect the economy, a senior official said it planned to extend its powers to protect key companies from foreign takeover.

Additional reporting by Giulio Piovaccari; Editing by David Clarke

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2020-04-04 22:59:30Z
CAIiEMp8Z-_h2OHoovKK-t_2_aIqFggEKg0IACoGCAowt6AMMLAmMIT6lwM

Number of coronavirus intensive care patients in Italy drops for first time - Reuters

Municipal workers distribute masks and gloves at the Rialto market, as new restrictions for open-air markets were implemented by the Veneto region to prevent the spread of the coronavirus disease (COVID-19), in Venice, Italy, April 4, 2020. REUTERS/Manuel Silvestri

MILAN (Reuters) - The death toll from the COVID-19 epidemic in Italy rose by 681 to 15,362, a somewhat lower rise than those seen in recent days, while the number of patients in intensive care fell for the first time, the Civil Protection Agency said on Saturday.

The total number of confirmed cases rose to 124,632 from 119,827 reported on Friday, an increase of 4,805, slightly higher than the numbers over recent days which have encouraged hopes that the spread of the disease has reached a plateau.

Of those originally infected nationwide, 20,996 were declared recovered on Saturday, compared with 19,758 a day earlir.

There were 3,994 people in intensive care, down from a previous 4,068, the first time the total had fallen since the outbreak of the epidemic in northern Italy on Feb. 21.

Reporting by James Mackenzie

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2020-04-04 22:11:46Z
CAIiEMp8Z-_h2OHoovKK-t_2_aIqFQgEKg0IACoGCAowt6AMMLAmMJSCDg

Number of coronavirus intensive care patients in Italy drops for first time - Reuters

MILAN (Reuters) - Italy reported its lowest daily rise in COVID-19 deaths for nearly two weeks on Saturday and said the number of patients in intensive care had fallen for the first time.

Municipal workers distribute masks and gloves at the Rialto market, as new restrictions for open-air markets were implemented by the Veneto region to prevent the spread of the coronavirus disease (COVID-19), in Venice, Italy, April 4, 2020. REUTERS/Manuel Silvestri

Officials urged the country not to flout strict lockdown measures they said were starting to show results, although new cases rose by 4,805 on Saturday which was slightly higher than recent daily increases.

The Civil Protection department reported 681 deaths, bringing the total to 15,632 since the outbreak of the new coronavirus epidemic in northern Italy on Feb. 21. It was the lowest daily rise in deaths since March 23.

The total number of confirmed cases rose to 124,632 from 119,827 reported on Friday but for the first time, the number of patients in badly stretched intensive care units fell, with 3,994 patients being treated, down 74 from 4,068 on Friday.

“This is an important piece of news because it allows our hospitals to breathe,” Civil Protection head Angelo Borelli told a regular daily briefing where he has announced the grim daily tally of the world’s most deadly outbreak of the disease.

For days, Italian officials have said that broadly stable rises in the number of cases suggested that the outbreak had reached a plateau and that the numbers would begin to go down - if strict lockdown measures were respected.

But with Easter approaching and video footage circulating on social media of groups walking outside in cities including Naples, Rome and Milan, there were fears that the signs of progress were leading more people to flout the rules.

“Some images spread on social media, which show a relaxation in the behaviour of some people - fortunately only a few - , should not be taken as an example, they should be deplored,” said Domenico Arcuri, the government’s special commissioner for the coronavirus emergency.

“We can’t have the idea that we’ve already reached the moment to return to normal,” he said.

The government of Lombardy, the northern region at the epicentre of the crisis where more than 49,000 cases have been recorded, made a similar plea and issued a directive ordering people to cover their mouth and nose whenever they go outside.

Italy is still one of the countries worst affected by the new coronavirus, accounting for almost a quarter of worldwide deaths from COVID-19, the highly infectious disease associated with the virus.

But as more countries in Europe have reported severe outbreaks of their own, it has become less of an outlier.

As the case numbers have flattened in Italy, there has been increasing discussion about eventually rolling back a lockdown that has closed most businesses and slammed the brakes on an already fragile economy.

With the government looking at ways to protect the economy, a senior official said it planned to extend its powers to protect key companies from foreign takeover.

Additional reporting by Giulio Piovaccari; Editing by David Clarke

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2020-04-04 21:23:59Z
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