Michigan Governor Gretchen Whitmer extended a state of emergency declaration until May 28, over the objections of some state lawmakers. Whitmer signed a series of executive orders hours before the state of emergency was set to expire on April 30 and extended it to May 28, citing the growing number of cases and deaths in the state from the disease. The governor said that in some counties in western and northern Michigan, cases are doubling every six days or faster.
When the order was extended, the state had 41,379 confirmed COVID-19 cases and 3,789 deaths, according to data from the Center for Systems Science and Engineering at Johns Hopkins University. Wayne County, Michigan, is the fourth-highest county of deaths in the nation with 1,782 coronavirus-related fatalities, according to the data.
Whitmer has faced fierce backlash for her strict stay-at-home mandate. She extended the order earlier this month until May 15 but eased some restrictions on public activities as the state’s coronavirus cases stabilize. Whitmer said that while she understands that people are anxious to get back to work and are restless, Thursday’s protests were “disturbing. … Swastikas and the confederate flag, nooses and automatic rifles do not represent who we are as Michiganders. There is nothing that I want more than to just flip the switch and return to normal, but that’s not how it’s going to work, unfortunately. The only way we can get through this and take the next steps forward is if we all continue to do our part.”
Hundreds of people protested outside the Michigan Capitol building in Lansing-defying social distancing rules, many of them armed with assault rifles and wearing tactical gear. The crowd packed into the Capitol rotunda and tried to storm onto the floor of the legislative chamber. Protesters held signs, waved American flags and even carried firearms, while some chanted “Let us in!” and “This is the people’s house, you cannot lock us out.” Others tried to get onto the House floor but were blocked by state police and sergeants-at-arms.
The House and Senate had voted to approve legislation that would allow them to sue Whitmer over her emergency declarations as armed protesters stormed the state capitol. They also voted on another bill that would extend some of her emergency measures, but crucially not the stay-at-home order. Their bill would also allow restaurants, bars and gyms to reopen. Whitmer vowed to veto the bill. Amid the chaos Democrat Senator Sylvia Santana was pictured wearing a bulletproof vest and surgical mask while at her desk, as a colleague tweeted an image of rifle-wielding men on a balcony above her.
The governor is claiming authority to rule by executive order under two pieces of legislation – the 1976 Emergency Management Act and a similar 1945 law that allows a governor to declare a state of emergency and assume emergency powers. Arguments center around the fact that the 1976 law says governors must go to the Legislature if they want to extend the state of emergency past 28 days. The 1945 act says governors decide when the emergency is over.
Whitmer’s extended order bans gyms, theaters, bars and casinos from opening, and limits restaurants to carry-out and delivery orders only. Restaurants can allow up to five people inside at a time to pick up orders, but only if they follow social distancing guidelines by staying six feet apart. The restrictions do not apply to office buildings, grocery stores, markets, food pantries, pharmacies, drug stores, medical equipment/supplies providers, health care facilities, residential care facilities, juvenile justice facilities, warehouse and distribution centers, or industrial and manufacturing sites.
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The Food and Drug Administration (FDA) announced the emergency use authorization for the antiviral drug remdesivir, after preliminary results from a federal trial showed the drug could speed recovery in patients infected with the coronavirus. The finding, which has not yet been peer reviewed, came after another study found no benefit for the drug in severely ill patients in China. The new results suggest a moderate improvement in the death rate of patients taking remdesivir, whose hospital stays were shortened, on average, from 15 days to 11.
The issuance of an EUA is different than FDA approval. In determining whether to issue an EUA, the FDA evaluates the available evidence and carefully balances any known or potential risks of any unproven products with any known or potential benefits of making them available during the emergency. Based on evaluation of the emergency use authorization criteria and the scientific evidence available, it was determined that it is reasonable to believe that remdesivir may be effective in treating COVID-19, and that, given there are no adequate, approved, or available alternative treatments, the known and potential benefits to treat this serious or life-threatening virus currently outweigh the known and potential risks of the drug’s use.
The emergency use authorization (EUA) allows for remdesivir to be distributed in the U.S. and administered intravenously by health care providers, as appropriate, to treat suspected or laboratory-confirmed COVID-19 in adults and children hospitalized with severe disease. Severe disease is defined as patients with low blood oxygen levels or needing oxygen therapy or more intensive breathing support such as a mechanical ventilator.
The EUA requires that fact sheets that provide important information about using remdesivir in treating COVID-19 be made available to health care providers and patients, including dosing instructions, potential side effects and drug interactions. The EUA is temporary and will be effective until the declaration that circumstances exist justifying the authorization of the emergency use of drugs and biologics for prevention and treatment of COVID-19 is terminated. It may be revised or revoked if it is determined the EUA no longer meets the statutory criteria for issuance.
Possible side effects of remdesivir include increased levels of liver enzymes, which may be a sign of inflammation or damage to cells in the liver; and infusion-related reactions, which may include low blood pressure, nausea, vomiting, sweating, and shivering.
The top coronavirus task force scientist Dr. Anthony Fauci welcomed news of the first potential treatment for COVID-19. The U.S. government will coordinate the donation and distribution of remdesivir to hospitals in cities most heavily impacted by COVID-19. Given the severity of illness of patients appropriate for remdesivir treatment and the limited availability of drug supply, hospitals with intensive care units and other hospitals that the government deems most in need will receive priority in the distribution of remdesivir.
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Dozens of nurses held a protest and vigil outside the White House reading the names of 50 healthcare workers who have died after becoming infected by the coronavirus on the job. The protest was organized by National Nurses United, which is demanding the Occupational Safety and Health Administration require adequate personal protective equipment for healthcare workers.
The Centers for Disease Control and Prevention reported 9,200 healthcare workers have tested positive for COVID-19, though the CDC admits the true rate is likely much higher. CDC data shows that 73% of the health workers falling ill are female and their median age is 42. US officials also say they have no comprehensive way to count those who lose their lives trying to save others. A limited CDC infection tally said 27 healthcare worker have died but stressed that the count was drawn from just 16% of the nation’s Covid-19 cases, so the true numbers of healthcare infections and deaths are certainly far higher.
Some states, including Ohio, have reported rates of healthcare worker illness as high as 20% but have not revealed data at the county, city or hospital levels. One health system, Henry Ford in the Detroit area, reported that more than 700 employees tested positive for Covid-19. Yet they have declined to say how many workers died, as in Ohio, to protect patient privacy. Media reports have shown case after case of healthcare workers across the US saying they do not have adequate protective gear to keep from getting sick.
The New York State Nurses Association filed a lawsuit the New York Department of Health and two hospitals Monday for their failure to provide adequate safety measures at the start of the coronavirus crisis. The lawsuits alleges the failures of Gov. Andrew Cuomo’s administration and the two hospitals for not providing sufficient protective equipment, like masks and gowns. NYSNA executive director Pat Kane said that more than 70% of her nurses reported being exposed to the dangerous disease and that most are still untested.
Media outlets revealed last month that at one of the hospitals named in the suit, a shortage of gowns was so dire that nurses battling the coronavirus pandemic at Mount’s Sinai’s Midtown West hospital resorted to wearing trash bags over their uniforms for protection. One of there coworkers, a beloved assistant nursing manager, Kious Kelly, died from the coronavirus. At the time of her death, Mount Sinai insisted there was no shortage of PPE.
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The US Senate overwhelmingly approved $484 billion in new coronavirus aid with most of the money replenishing the Paycheck Protection Program, set up to provide forgivable loans to small businesses. The bill adds another $310 billion to the Paycheck Protection Program, another $75 billion for hospitals, $25 billion for testing and $60 billion for emergency disaster loans and grants.
The bill provides no new stimulus checks for U.S. households, no additional money for food stamps, no limits on fossil fuel bailouts, no funds for election security, no bailout for the U.S. Postal Service and no additional funds for hard-hit state and local governments. Lawmakers were criticized for refusing to take up new assistance to hard-hit U.S. residents — like cash payments and food aid — in the latest relief bill. They were also criticized for not regulating the disbursement of the initial funds which allowed big businesses like corporate chain restaurants getting tens of millions of dollars in loans meant for small businesses.
They contend lawmakers are failing to provide for millions of unemployed people who are unable to pay rent and increasingly at risk of going hungry. Progressive lawmakers are demanding $2,000 monthly payments to all U.S. households and open enrollment in Medicare for uninsured and unemployed people, when lawmakers take up another round of funding, the so-called phase four coronavirus bill.
Senators are in talks for a phase four bill with priorities for that legislation including federal assistance for people having trouble paying rent, according to a Democratic source. Schumer also cited the need for funds for election reform, hazard pay for essential workers, including doctors, nurses and grocery store clerks, and funding for the U.S. Postal Service. Many are skeptical since the virus bailouts have already cost over $2 trillion, pushing our annual deficit this year to close to $4 trillion.
The pandemic continues to batter the U.S. economy as the Labor Department reported another 4.4 million U.S. workers filed for unemployment benefits over the last week, raising new jobless claims over the past five weeks to more than 26 million — a scale that hasn’t been seen since the Great Depression. As of March 13, there were already 7.1 million unemployed Americans, according to the U.S. Bureau of Labor Statistics. When the figures are combined, it would equal more than 33 million unemployed, or a unemployment rate of 20.6%—which would be the highest level since 1934.
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Many Governors across the US are ending stay at home order- many of which have been in place for over a month. Reopening states to business is a difficult and controversial topic. Should states reopen too early, coronavirus cases may spike again, undoing the good social distancing did for weeks. Should they continue to stay closed, small businesses across the state may never recover and fiscal crises could severely damage many states.
Here are the states with orders set to expire:
Alaska Gov. Mike Dunleavy allowed nonessential businesses to reopen for regular business hours, with varying restrictions by sector, on April 24. Many travel and fishing restrictions have also been lifted. Alabama Gov. Brian Kemp said businesses like gyms, hair salons and barber shops could open on April 24 with theaters and restaurants reopening on April 27. Arkansas Gov. Asa Hutchinson never put an official stay-at-home order in place and has announced he hopes to ease some closures on May 4 with an announcement on when restaurants can accept dine-in customers on April 29.
Colorado’s stay-at-home order expired on April 27, moving to a new phase which allows retail businesses to do curbside pickup, other businesses can reopen with medical precautions and elective surgeries may resume. Businesses such as salons, dog groomers, personal trainers and elective medical services will be allowed to open May 1. On May 4, offices may reopen with 50% capacity.
Idaho Gov. Brad Little announced his plan to reopen the state beginning on May 1 and proceeding with four steps through June 13. The first phase would allow most retail establishments and places of worship to reopen, subject to strict social distancing guidelines. Indiana Gov. Mike Holcomb said elective surgeries may resume April 27 and he planned to lessen restrictions in early May.
Iowa has not had a stay-at-home order since April 20 and Gov. Kim Reynolds lifted the ban on nonessential surgeries beginning April 27. Kansas Gov. Laura Kelly said she is moving forward with the goal of reopening the state on May 3 if crucial guidelines are in place. Minnesota Gov. Tim Walz has projected May 4 as a reopening date.
Missouri Gov. Mike Parson is not extending the state’s stay-at-home order, set to expire on May 4. On that day, all businesses may reopen following social distancing guidelines. The mayors of Kansas City and St Louis have stay at home orders with end dates of May 15, which will supersede the state wide order and remain in effect for several counties. Montana Gov. Steve Bullock said the state’s stay-at-home order will be expire on May 3rd and certain nonessential businesses can begin to reopen beginning April 27.
Ohio’s stay-at-home order will expire May 1. Health procedures that do not require an overnight stay in the hospital may resume as well as dental and veterinary services. On May 4, manufacturing, distribution, construction and office work can resume with increased distancing and other health measures. On May 12, retail and other services may resume. Besides that, the stay-at-home order remains in place and gatherings are still limited to fewer than 10 people.
Oklahoma will lift restrictions on barber shops, nail salons, spas, elective surgeries and state parks on April 24. Movie theaters, gyms and restaurants will be allowed to reopen May 1. Pennsylvania Gov. Tom Wolf announced a phased reopening set to begin on May 8. Tennessee’s stay-at-home order would expire on April 30.
On May 1, Texas will allow retail stores, restaurants, movie theaters, malls and museums and libraries to operate at 25% capacity. However in rural counties with few cases, businesses can operate at 50% capacity. The target date for Phase 2 is May 18. Washington Gov. Jay Inslee released a plan to reopen businesses no earlier than May 4 on contingencies of a slowing of the spread of the virus.
Delaware, District of Columbia, Louisiana, Maine, Michigan, New Mexico, South Carolina, Virginia and Vermont have orders set to expire on May 15. New York will also reopen portions of the state on May 15. Connecticut’s stay at home expires on May 20. Wisconsin’s order will expire on May 26. Hawaii’s order will expire on May 30. California, New Jersey, Utah and West Virginia have no end dates to their orders.
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Two research teams in California started the first large scale community testing for Covid 19 antibodies The testing of 3,300 people in Santa Clara County found that 2.5 to 4.2% of those tested were positive for antibodies — a number suggesting a far higher past infection rate than the official count. Based on the initial data, researchers estimate that the range of people who may have had the virus to be between 48,000 and 81,000 in the county of 2 million — as opposed to the approximately 1,000 in the county’s official tally at the time the samples were taken.
While the initial findings suggest that the number of those infected is much higher, it also means the fatality rate is lower than originally thought. As more tests are done, we’ll have a better idea of how many were infected and what the fatality rate is. The results also suggest more research and analysis is needed to know how many people who tested positive for antibodies never knew they had the virus because they had no symptoms.
Antibody testing has been touted by public health experts and governors in many states that have extended stay at home orders, as a tool to help determine when Americans can get back to normal life. The tests can determine not just whether someone has recovered but whether a person has been exposed to the virus in the past.
While there is no guarantee of total, long-term immunity even if a person has antibodies, doctors hope that those who do have them may have some degree of immunity protection. Experts hope that could be a tool to help determine who could potentially more safely re-enter the workforce — and just as importantly — when. Public health experts are calling for more antibody tests and, until the U.S. has more widespread testing and contact tracing, say they still believe social distancing is a cornerstone to controlling the pandemic.
States across the US have extended stay at home orders and many have said they can safely reopen once they have the capability to do widespread antibody testing. Scientists say the tests will be critical in the weeks and months ahead, when they may be used for disease surveillance, therapeutics, return-to-work screenings, and more. But the tests must be deployed appropriately, they added, and with an acknowledgment of unanswered questions.
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Several thousand cars flooded the streets around the state Capitol in Lansing, Mich. to protest the governor’s extended stay-at-home order. Operation Gridlock, as the protest was named, was conceived as a drive-in protest that would block Lansing streets. Organizers said they support some coronavirus restrictions around social distancing, but believed Whitmer has gone too far. As such, they say they planned a protest that would still maintain social distancing guidelines — without contributing to the spread of infection.
At least 200 people broke from the instructions of organizers, getting out of their vehicles to congregate around the steps of the Capitol building, flouting social-distancing guidelines to remain 6 feet apart, and not wearing masks. Many mask-less protesters, some of whom flew Confederate flags and open-carried AR-15 and AK-47 variants, gathered to demand an end to outbreak-reduction efforts and a premature return to normalcy.
The state of Michigan has the third-highest number of COVID-19 cases, 32,000 and over 2,400 deaths. Gov. Gretchen Whitmer has faced a steady drumbeat of criticism for issuing one of the most stringent stay-at-home orders. Among other things, it bars landscapers from working and shutters many greenhouses and nurseries. She extended her original order last week to now end April 30th. The new version of the order banned travel between homes. As of Monday, more than a quarter of the state’s workforce had filed for unemployment benefits. Southeast Michigan and Detroit remain a hot spot — claiming the lion’s share of COVID-19 cases and deaths. Detroit has more than 7,700 positive cases.
Over the past 10 days, the number of patients hospitalized with COVID-19 dropped 6.7%, to 3,374. During the same period, the number of patients on a ventilator decreased from 1,441 to 1,102, a 24% decline, according to data from the Michigan Department of Health and Human Services. Dr. Joneigh Khaldun, the state’s chief medical officer, attributed the progress to the governor’s March 24 stay-at-home order that was previously extended to April 13.
Whitmer is expected to extend her stay-at-home order, which expires at the end of the month, until there is a larger testing capacity and a significant decline in the number of new cases and deaths. Although the numbers are declining, dozens of people are still dying each day. Some counties that have been hard hit are seeing a decline in new cases but the number of deaths continue to rise.
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The coronavirus outbreak has hit workers in the food processing industry hard, with meatpacking plants reporting explosions in coronavirus cases. In Sioux Falls, South Dakota, a Smithfield Foods pork processing plant that employs 3, 700 people closed down indefinitely after the mayor put pressure on the CEOs to shut down for two weeks as the virus continued to spread through the plant.
The mayor spent two weeks asking them to shut down to no avail with daily reports of more workers becoming infected. He finally forced their hand by releasing a letter, signed by the governor, requesting that the plant shut down and released it to the press. At the time of the closure, the plant had 238 workers that tested positive. Now, just 3 weeks after their first worker tested positive, there are more than 700 workers who are confirmed to have Covid 19 and another 143 infections that were traced to them. The number of confirmed cases from the Smithfield plant represent 55% of the states’ cases.
Cargill Meat Solutions, a 900-worker plant in Hazleton, Pa., that packages meat in plastic for supermarket shelves in Pennsylvania and surrounding states, shut down temporarily as 130 hourly workers have tested positive for COVID-19 and a rash of employees called out sick. Three other Pennsylvania plants closed due to the virus. According to a union rep, JBS Beef in Souderton, CTI Foods hamburger-grinding plant in King of Prussia and Empire Kosher Poultry Inc. in Mifflintown are all closed amid outbreaks among employees. A 70-year-old union steward at the JBS Beef slaughterhouse in Souderton died on April 3 from respiratory failure brought on by the pandemic virus.
Meat-processing plants across several other states including Colorado, Iowa, and Nebraska are reporting COVID-19 outbreaks. A federal food inspector in New York died from the disease last month. Some companies are temporarily closing to sanitize facilities while also boosting hourly pay and offering bonuses to workers in an “essential” industry. Cargill said it would reopen its Hazleton plant as soon as it is safe. In late March, Cargill and the United Food and Commercial Workers negotiated a $2 per hour raise for shifts worked between March 23 and May 3. JBS Beef employees will be eligible for a one-time $500 bonus on May 15.
The World Health Organization, the U.S. Food and Drug Administration, and the Centers for Disease Control and Prevention say COVID-19 cannot be spread through food. It’s an “unstable virus” that is mostly spread through sneezing and person-to-person contact. Stomach acids also mostly neutralize the virus if it’s eaten as well.
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France extended its coronavirus lockdown another four weeks until May 11. President Emmanuel Macron announced the extension in a televised address. France has reported over 140,000 cases and over 17,000 coronavirus deaths. From May 11 onward, he said, quarantine will be “gradually” lifted, starting with nurseries, K-12 schools, and some shops.
Macron’s address was his third since March 17, when the government ordered 67 million French people to stay home, allowing them out just once a day to exercise, buy food or medicine, or seek medical care. In the sobering televised address, Macron was apologetic, admitting he thought they were ready for the crisis but they clearly were not. He acknowledged state failures in rolling out testing and supporting healthcare workers, and admitted that he didn’t have all the answers. Macron said they have faced up to that and have had to make very difficult decisions that required them to adapt constantly as fragmentary information continued to change. “This moment, let’s be honest, has revealed cracks, shortages. Like every country in the world, we have lacked gloves, hand gel, we haven’t been able to give out as many masks as we wanted to our health professionals.”
France has seen progress with slowing the spread but Macron urged that that is no reason to lift the order. “I fully understand the effort I’m asking from you,” Macron told the nation, adding that the current rules were working. “When will we be able to return to a normal life? I would love to be able to answer you. But to be frank, I have to humbly tell you we don’t have definitive answers,” he said.
“Over the next four weeks, the rules must be respected,” he explained. Macron said the four-week extension will give France the ability to test anyone presenting COVID-19 symptoms, which will allow for better containment of the virus. He said that by May 11, France would be able to test every citizen presenting COVID-19 symptoms which is why the orders have to be extended.
He offered a rough timeline for how the country may reopen, starting with schools and shops in May and ending with restaurants, hotels, cafés and cinemas in July. International arrivals from non-European countries will remain prohibited until further notice. “We’ll end up winning,” Macron said. “But we’ll need to live with the virus for a few months.”
After a steady increase in cases until the first week of April, the number of patients in French hospitals’ intensive care units has started to decline, prompting health authorities to call a plateau in the epidemic. French hospitals are just about coping, while nursing homes are still overwhelmed. Some of that pressure has been eased by a massive effort to transfer patients by plane, helicopter or even high-speed train from hospitals in the east and Paris to the west.
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While the US has become the global epicenter for the Covid-19 pandemic, New York State is the US’s epicenter, far leading in confirmed cases and deaths. Over 200,000 of the confirmed cases in the US are in New York and over 10,000 people in the state have died. Almost 110,000 of those cases are concentrated in New York City. About 25% of New York State’s COVID19 deaths are residents of nursing homes and adult care facilities. There are about 96,000 residents at 613 licensed nursing homes in New York State. More than 5,500 residents at 338 nursing homes have tested positive for the coronavirus.
For the first time since the coronavirus crisis struck New York, there were fewer admissions to the intensive care unit on Thursday, April 9th than the day before. It’s one of a number of encouraging signs that the worst may have passed. The governor said that he is “cautiously optimistic” that we are slowing the infection rate. He cited a dramatic decline in hospitalizations and even a negative statistic for the first time in the ICU.
Governor Cuomo said that social distancing policies and compliance by the public greatly flattened the curve after the death toll stabilized but he warned the situation is still dire and New Yorkers would need to maintain strict measures to continue the trend. Gov. Andrew Cuomo: “If we are plateauing, we are plateauing at a very high level, and there’s tremendous stress on the healthcare system. And to say to this healthcare system — which is at maximum capacity today, right? This is a hospital system where we have our foot to the floor and the engine is at red line and you can’t go any faster. And by the way, you can’t stay at red line for any period of time, because the system will blow.”
Cuomo said schools and nonessential businesses will now remain closed and he announced fines for violating social distancing rules would increase from a maximum of $500 to $1,000. As of today, New York State has nearly 5,000 recorded deaths from COVID-19, with over 131,000 confirmed cases and over 16,000 hospitalizations. While the total number of statewide cases of Covid 19 hospitalizations is plateauing, confirmed cases are rising in some areas as they fall in others.
Cuomo announced that the state would issue a number of additional guidelines, including requiring that cloth masks be provided, cost-free to essential workers, by businesses, and the expansion of who is eligible to receive an antibody test. Cuomo again said testing would be the key to restarting the economy. It’s been almost a month since stores around the state have been shut, its employees home and out of work, and trying to apply for unemployment benefits. This week 347,000 New Yorkers filed for unemployment, bringing the number of jobless claims since March 14 to over 800,000.
When asked when he thought things would return to normal for the hard hit state, Cuomo said “As far as when things could go back to normal, well, when will we return to normal? I don’t think we return to normal. I don’t think we return to yesterday, where we were. I think if we are smart, we achieve a new normal.”
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