May 22, 2020 9:42 am
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Categories: Coronavirus (2019-nCoV) NY Times

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ImageHospital workers outside of Maimonides Medical Center this month.
Credit…Dave Sanders for The New York Times

An anti-malaria drug promoted by the president may be harmful when taken to treat the virus.

The malaria drugs hydroxychloroquine and chloroquine, which President Trump has promoted, did not help coronavirus patients and may have done harm, according to a new study based on the records of nearly 15,000 patients who received the drugs and 81,000 who did not.

Mr. Trump has said he has been taking hydroxychloroquine in hopes of preventing a virus infection.

His promotion of the drug has been criticized by medical experts and has led to an uptick in reported use by Americans.

People who received the drugs were more likely to have abnormal heart rhythms, according to the study, which was published in the The Lancet.

But the study was observational, meaning that the patients were not picked at random to receive the drug or not. This type of study cannot provide definitive evidence about drug safety and effectiveness.

Even so, the authors of the study recommended that the drugs not be used outside clinical trials, and they said carefully controlled trials were urgently needed.

The country enters a Memorial Day weekend to remember (or forget).

Credit…Bryan Anselm for The New York Times
Credit…Bryan Anselm for The New York Times
Credit…Sarah Rice for The New York Times
Credit…Sarah Rice for The New York Times

Mobbed beaches. Crowded parades. Congested public ceremonies. Jam-packed backyard barbecues. Memorial Day, which has come to signal the beginning of hot weather across much of the United States, typically brings millions shoulder to shoulder, towel to towel.

But this year, these first rites of summer are taking place as the country grapples with the pandemic and cautiously emerges from months of quarantine. People are eager for social interaction and fun, yet public health officials warn that those impulses could result in an uptick in cases.

Many traditional Memorial Day events have been canceled or replaced with socially distant formats. Elected officials and event organizers are struggling to bring back as much normalcy as possible without jeopardizing public health. The results have been hopeful, maddening and bewildering. But many Americans are pressing on, and trying to preserve what is important while letting go of what is not.

The Memorial Day ceremony in Fort Walton Beach, Fla., is on but organizers are begging the public not to come. The boardwalk in Ocean City, Md., opened this month, but signs reminded that groups of 10 or more were discouraged. And in Massachusetts, beaches will reopen for swimming on Memorial Day, but volleyball is banned and sunbathers must place their towels 12 feet apart.

Here are some general tips for planning a trip to the beach.

People are also beginning to feel the negative health effects of social isolation, which Steve Cole, a social genomics researcher at the University of California, Los Angeles, argued can increase the chances of chronic disease and other types of illnesses the longer it goes on.

“We don’t want to be packed like sardines in a crowd,” he said, “but at the same time, a lone human being is a recipe for death.”

The mayor of Montgomery warns of a shortage of I.C.U. beds, as cases rise in Alabama.

As all 50 states begin to open back up in some way, some epidemiologists are seeing warning signs of a possible resurgence in the South, including Montgomery, Ala., where Mayor Steven L. Reed raised alarms going into the Memorial Day weekend.

Mr. Reed, who earlier this week said there was just one I.C.U. bed remaining at certain area hospitals, said he spoke out after hearing from hospital leaders that the situation was becoming unsustainable.

“We are in a very dangerous predicament,” he said on MSNBC on Thursday night.

Mr. Reed, a Democrat whose position is officially nonpartisan, attributed an uptick in cases in Montgomery to changes in people’s behavior amid an early decision by Gov. Kay Ivey, a Republican, to relax restrictions across Alabama, including the reopening of entertainment venues on Friday.

“It has sent a message that the battle with Covid-19 is over and it has been won,” he said. “We are still in this battle. We can’t afford to relax now.”

Mia Mothershed, a spokeswoman for Jackson Hospital in Montgomery, said on Friday that the hospital had reached capacity in its 30 I.C.U. beds due to a combination of coronavirus and other patients. “We have absolutely no beds available here,” she said.

New policies at airports and on planes will make traveling a bit stranger.

Credit…Sandy Huffaker/Getty Images

Airports this Memorial Day weekend are likely to be far emptier than usual, but people who plan to travel can expect to encounter lots of changes and new inconveniences.

Take security. As travelers wait in line to be screened, they can expect to see signs and other markings reminding them to maintain their distance from one another, the Transportation Securityministration said on Thursday.

Most of the agency’s rules will remain in place, but one will be relaxed: Passengers can now bring up to 12 ounces of hand sanitizer, up from the standard three ounces.

Airlines have beenopting many changes, too.

Travelers who need to check a bag or print a ticket might find sneeze guards separating them from a ticketing agent. And if they opt to use a kiosk, passengers may interact with one that they don’t have to even touch.

The boarding process may be different, too, with some airlines loading planes back to front to limit contact among passengers. Others are boarding fewer people at a time to limit crowding at the gate or on the jet bridge.

On board, most major airlines now require passengers and flight crews to wear face masks, though enforcement has been inconsistent.

Most of the traveling public, though, remains at home. As of Wednesday, the number of people screened at T.S.A. airport checkpoints was still more than 90 percent below last year’s levels.

Beach towns have a message for New York City residents: Go away.

In the Hamptons, the locals have put up barricades to limit parking and deployed enforcement officers to ticket outsiders. Jersey Shore towns have banned short-term leases and Airbnb rentals. The Suffolk County executive’s office taunted Mayor Bill de Blasio: “Do your job. Figure out a plan to safely reopen your beaches.”

In normal times, the Memorial Day weekend start of beach season sparks a mass migration from New York City to Long Island, the Jersey Shore and, to a lesser extent, Connecticut. But the beach closings in the city have led to a backlash from local officials in those areas, who say they fear that their shorelines will be overwhelmed by an exodus of sun-starved New Yorkers.

To maintain social distancing, beaches across the region are moving to limit access to everyone. On the Jersey Shore, some towns are reducing parking and keeping their iconic boardwalks closed. In Spring Lake, beachgoers must now buy daily beach badges invance; nearby Asbury Park is limiting sales of beach badges and selling them only through an online app.

In Connecticut, state beaches are allowing people to gather in groups of five people or fewer, with 15 feet between beach blankets.

And special rules have also beenopted to keep outsiders away. Westchester County, just north of the city, has restricted its beaches at Playland in Rye and Croton Point Park to county residents. In Groton, Conn., only residents can use Eastern Point Beach on weekends and holidays.

But New York City is seriously considering opening its beaches in June, should the pandemic continue to ebb.

Lifeguards began training this week in anticipation of a possible June reopening, a spokeswoman for Mr. de Blasio said.

Mr. de Blasio has warned New Yorkers not to take mass transit to the beach and said that for now, beaches are intended only for those who live near them. He also said last week that the city would enforce strict limits on crowding at beaches and fence them off if necessary.

On Friday morning, the mayor said that “hundreds of officers” will be at the beaches this weekend to back up parks workers on enforcing restrictions.

Global markets are uneasy, but the S&P 500 is positioned to post a weekly gain.

Credit…Hiroko Masuike/The New York Times

The S&P 500 is on track to end with a gain for the week.

It was a turbulent week for markets, with shares alternating between gains and losses as investors assessed new economic developments and the prospect of businesses reopening.

And although the S&P 500 was slightly lower in early trading Friday,ding to losses from the day before, a big rally on Monday positioned the index for an overall gain.

Worldwide, Friday was uneasy for markets as China’s pledges to combat the damage of the coronavirus fell short of those by other countries, and Beijing’s efforts to tighten its grip in Hong Kong worried investors.

At the annual National People’s Congress, China’s leaders unveiled a plan to spend another $140 billion to combat the pandemic’s economic effects, an amount that falls short of what other countries have earmarked to fight the outbreak-related global economic crisis.

China’s plan to place Hong Kong firmly under Beijing’s control and crack down on new antigovernment protests triggered a sharp decline in the city’s stock market — which fell more than 5 percent.

Hundreds of millions of dollars in unemployment funds were lost to fraud even as jobless claims soar.

Credit…Alex Edelman/Agence France-Presse — Getty Images

A sophisticated fraud network targeting Washington State’s unemployment system claimed hundreds of millions of dollars before officials were able to identify and crack down on the attack, state officials said Thursday.

“I realize this is a jaw-dropping figure,” said Suzi LeVine, the commissioner of the state Employment Security Department. The fraudulent claims had been filed on behalf of tens of thousands of people, and many involved individuals who had not lost their jobs, she said.

“I hate to say it, but this is going to take longer and look grimmer than we thought,” said Nicholas Bloom, an economist at Stanford University.

The stunning scale of the job losses, and the billions of dollars in benefits approved by Congress to sustain workers without incomes, has made unemployment systems ill-equipped to handle the surge of claims vulnerable to fraud.

The U.S. Secret Service said in a memo last week that it appeared that an international group of fraudsters was targeting unemployment systems, particularly in Washington State. Officials said there was also evidence of attacks in Florida, Massachusetts, North Carolina, Oklahoma, Rhode Island and Wyoming.

Investigators said the impostors appeared to be working with an extensive database of personal information stolen in earlier hacking attacks that allowed them to submit claims.

Washington State had moved to make payments available quickly and deliver them to direct-deposit accounts. But the state began realizing the scope of the problem when people who had not filed for unemployment received mail saying that they had.

Ms. LeVine said the state had increased security on its systems and delayed payments to prevent further fraud. That has blocked thousands of other claims worth anditional hundreds of millions of dollars.

Todress the problem, the city will increase to 1.5 million the number of meals it distributes each day by next week. A million meals will be delivered; the rest will be available for pickup at schools.

Trump, refusing to wear a mask in public on tour of Ford plant, ordered flags to be lowered to half-staff.

Credit…Stephanie Keith for The New York Times

President Trump on Thursday called for flags at the White House, on public grounds across the country and on naval vessels to be flown at half-staff in honor of the victims of the coronavirus, a rare acknowledgment of the lives lost from anministration that typically likes to downplay the death toll and take credit for lives it claims it saved.

“Our nation mourns for every life lost to the coronavirus pandemic, and we share in the suffering of all those who endured pain and illness from the outbreak,” read the proclamation that was signed by Mr. Trump.

He ordered American flags to be flown at half-staff through Sunday.

On Memorial Day, the president said, the flags at half-staff would be honoring the nation’s war dead. The announcement came several hours after Speaker Nancy Pelosi and Senator Chuck Schumer, the minority leader, had written to Mr. Trump asking him to fly flags at half-staff when the country reaches 100,000 Covid-19 deaths, which is expected in the coming days.

In their letter to Mr. Trump, Ms. Pelosi and Mr. Schumer called for “a national expression of grief.”

Almost 95,000 people have now died in the United States, according to a tally by The New York Times, and an average of more than 1,000 deaths a day are still being recorded.

Mr. Trump has not led any observance of national mourning since the pandemic began claiming American lives by the thousands. In his recent public comments, he has steered clear of talking about the deaths, focusing instead on the need to reopen the country — a process he describes as a “transition to greatness” — and defending his own handling of the crisis.

Touring a Ford plant in Michigan earlier on Thursday, Mr. Trump declined to wear a mask in front of the cameras, despite the plant’s guidelines that required anyone on the site to have a face covering to protect from the spread of the coronavirus.

The president said he wore one when he was alone with Ford executives, but took it off for the public portion of his tour.

“I didn’t want to give the press the pleasure of seeing it,” he said.

A church that defied coronavirus restrictions was burned to the ground, and arson is expected.

Credit…Kelly McMillen/Marshall County Sheriff’s Department, via Associated Press

A church in northern Mississippi burned to the ground this week in what the police believe was arson because of a spray-painted message at the scene that seemed to criticize the church’s defiance of coronavirus restrictions.

First Pentecostal Church had sued Holly Springs, Miss., which is about an hour southeast of Memphis, arguing that the city’s stay-at-home order had violated the church’s right to free speech and interfered with its members’ abilities to worship.

After firefighters put out the blaze early on Wednesday morning, the police found the message “Bet you stay home now you hypokrits” spray-painted on the ground near the church’s doors, according to Maj. Kelly McMillen of the Marshall County Sheriff’s Department.

The church also filed a lawsuit against the city, which has about 8,000 residents, in April. A lawyer for the church said in the lawsuit that the police had cited Mr. Waldrop on Easter for holding a service in violation of the city’s order, and had later shut down a Bible study.

What happened to the great American logistics machine?

Credit…Hiroko Masuike/The New York Times

It started with silence, or something close to silence, or perhaps it was simply the absence of a low-level hum that nobody knew was humming until it stopped. In the quiet we realized that, until the pandemic arrived, we had lived in a vast, elaborate, whirring contraption that delivered culture and commerce at spectacular speeds, with astonishing efficiency.

Logistics — the science of making Thing A and delivering it to Point B — had become a national art form, the corporate answer to jazz, stand-up comedy and end-zone dances. America was like an operating system that upgraded itself so regularly that its design and endless enhancements were taken for granted.

Now, the heart of the great American logistics machine is beating slowly and erratically, and in some places it has gone into full-on cardiac arrest. Inevitably, one of our many reactions is pure bewilderment.

Us?

Wait. Us?

Rationing meat. Scrambling for masks. Running low on crucial drugs. The early shortages for the pandemic — swabs, toilet paper, ventilators — were a foreshadowing, not an aberration. We still don’t have enough good tests. Our national pantry, long bursting, lacks essentials. Come to think of it, it’s also missing some nonessentials. Just try to buy a bicycle.

Let us acknowledge the obvious: The country is flunking a curriculum that it basically wrote. Which is baffling. American supremacy in logistics has been a calling card for decades, even among people unfamiliar with the L-word.

Watch what it was like inside one New York hospital during the peak of the city’s outbreak.

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transcript

‘Lord Have Mercy’: Inside One of New York’s Deadliest ZIP Codes

In early March, doctors at St. John’s hospital in Far Rockaway identified the first Covid-19 patient in Queens. Now, there is an uneasy lull and the staff fears a second wave will come.

“One, two, three. One, two, three. One, two, three. One, two, three. One, two, three. One, two, three. Got to roll — Roll him. Before, you didn’t really have time to think about it. You just had to get it done. Now you get time to sit back and look at what you’ve been doing, and start processing your feelings. That could be one of my family members. That could be me.” “Tower Five, Donyale. St. John’s is the only hospital on the peninsula. It’s a lot of people that I’ve known my whole life. My first night 10 people died, right in front of me. And it was just — yeah, that was a lot.” “I’m the director of the Emergency Department. I’m the first line of defense. How are you? My name is Dr. Lee, OK? Nobody’s ever trained for this type of scenario or the stuff that we saw this past month. All right, that should make you feel comfortable. I don’t think it’s going to hit me for a while.” “I think there’s a feeling, like can we take a breath? Can we back up? Take that moment, but still keep your hand on the gas.” “Is my stethoscope over there? It’s night and day. The volume has been drastically down. However, I’m still concerned. It’s calm. Nothing’s going on. But that’s part of the E.D. — you don’t know what’s coming through that door. I’m sure this is a great look with a goggle on top, you know what I mean? Maybe I spoke too soon. They’re coming in. Here you go. Patient with shortness of breath and fever. That looks like from a nursing home. How are you doing? My name’s Dr. Lee.” “He’s going to go to 53.” “People need to understand the gravity. Can you call respiratory for me, please? I’m intubating somebody in 53. In a peak, we had close to 60 patients intubated. We are surrounded by nursing homes. In that sense, we got hit pretty hard. I was never in a battle or any other armed type of deal, but that’s what it felt like when we are triaging the patients a certain way. Give me a four mat — is respiratory coming? And this was the first time in my lifetime that I actually went through that.” “There you go.” “Raise the bed. Two more. All right, ready? Let go.” “There’s got to be one in the bag, in the box.” “So we pulled the stylet out, balloon 22 at the lip. The chance they’re coming off the ventilator is very, very low. Good collar change. And I’ve got to protect their airway. And afterwards, we deal with what comes next.” “I feel like it wiped out a generation, like that generation that was hanging on with a lot of comorbidities. I just feel like it just came in and just —” “The day we maxed out, I think we were 112 patients in here. So outside the ambulance door, the stretchers went down the ramp to the bottom of the entrance where they drive in. And we literally, we just go out there and look and see, OK, who to pull off the list first? Because we knew — how many people can we intubate?” “I called two families, back to back, I went home two days crying in a row. And I held the phone, and they got to say goodbye to their loved one — terrible.” “What else do you do? I mean, you hate to say it. But we’re not God. But are you going to revive the 95 year old or the 42 year old?” “I’ll never be prepared. I don’t think you’re ever prepared for that.” “You know what the saddest thing was? You get someone in alert, talking to you from her house — I remember 72-year-old lady, Polish lady, very nice, couldn’t breathe. Oxygenation was awful. She broke her bridge because she was breathing so hard. And she was so upset about this piece of broken tooth. She said, ‘You have to wrap it. I can’t afford to fix it when I get home.’ I knew, as I was wrapping that tooth, you’re not going home. You’re going to be dead by tomorrow. And I said, ‘OK,’ and I’m wrapping it in a plastic bag, and sticking it in behind her insurance card. ‘Oh, thank you. God bless you. Thank you for fixing my — saving my tooth so I can fix it when I go home.’ She was dead the next day I came back in.” “Yeah.” “The poor families. It must be awful. It has to be, just to not be with them.” “I’ll be right back.” “I’m sorry. The thing that hit me was when my dad got infected. He’s a healthy working man. He owns his deli. I wouldn’t say never gets sick, but he rarely gets sick. Then I got a phone call from my mother saying that my dad didn’t look good. I thought maybe, maybe we just caught it in time. But he was intubated, put on a ventilator. He’s been on it for the past four weeks. I don’t think he’s going to make it. And we have — might as well just say it here — we have to figure out we’re going to do.” “I feel a responsibility to this place, this community. We are safety net hospital. Said there’s nine in there. Working in the morgue right now, I’m still trying to figure out why God placed me here at this moment. Once I go outside, I’m in a zone with it. It’s set up like an airplane. You looking for somebody there in Section 5, Row D. You couldn’t have told me that we’d have did that a month and a half ago.” My son’s grandfather’s best friend, man. Jesus. One, two, three — stop. One, two, three — all the way. It’s more emotional for me now than it was two months ago. It’s starting to tap into my pain. We got this thing, we man up and get it done. We don’t go to somebody and say, ‘I’m hurting.’ And if we’re going to recover from this correctly, we’re going to have to do that.” “That’s what I don’t know is, how we’re going to move forward? Any update?” “No.” “I was born here in this hospital. My dad was born in this hospital, and all my siblings. In the beginning, I was leaving and crying every day. But thank God, it’s changing. It seems like it’s changing. Mr. Style?” “Yes.” “How are you this evening?” “I feel good.” “You feel good? I’m going to feed you, OK?” “Yes.” “We’re going to start with the soup because I know you like your soups.” “Yes.” “Right? How is that?” “Wonderful.” “I’m going to miss you when you leave me today. You know that? Reach your hand straight, and there’s your teacup.” “OK.” “All right. Put the straw to your mouth. Here’s the straw. OK, close your mouth. Go ahead. Drink. Dealing with Covid, people are scared when they find out that they have that. You don’t want to be the person that’s just running in the room and running back out. What’s most exciting about going home? What are you excited about?” “Oh, sometimes here, I’m just lonely by myself. And when I’m at home, my grandson is with me. I’m comfortable at home. I cannot see, but I can find my way around the house by touching furniture.” “Hey, this is St. John’s calling. Your dad is ready to go now. Somebody’s going home.” “Thank you for everything, OK?” “Yeah. It was a pleasure. I’m excited for you. You’re going home.” “Yeah. Thank you!” “Yes. Thank you.” “All right, thank you.” “I feel like we’ve seen the worst of it. I’m hoping that the numbers don’t go back up. But the reality is that they could. Just dealing with the unknown right now.” “Can we call respiratory? CPAP? It’s time to think, and it is time to work. What’s her SAT? That’s been taught by my dad, my mom. Just in case, set the intubation stuff set up, all right? I hope I’m wrong, but I still think the second wave is coming. I hope I’m wrong.” “You ever hear the saying, men cry in the dark? I’ve cried one time since this happened, and I’ve carried 100 — it’s got to be 150 people out of here. One, two, three. Big, small, men, women, people I know, grew up with them, grew up with their children. One, two, three. I would do everything in my being to make sure that this doesn’t happen again.”

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In early March, doctors at St. John’s hospital in Far Rockaway identified the first Covid-19 patient in Queens. Now, there is an uneasy lull and the staff fears a second wave will come.CreditCredit…Emily Rhyne/The New York Times

“Before, you didn’t really have time to think about it — you just had to get it done,” said one worker at St. John’s Episcopal Hospital. “Now, you get time to sit back and look at what you’ve been doing, and start processing your feelings. That could be one of my family members. That could be me.”

This is how to fix your work-from-home tech.

The last thing you need right now is a spotty Wi-Fi signal interrupting your workday. Good news! There are some simple steps you can take to improve that. And, while you’re at it, take a look at the rest of your computer setup and see what may be slowing you down. A little tweak can make working from home less miserable.

Global updates: China abandons growth target for the year and more from our international correspondents.

Parting with years of precedent, China on Friday abandoned an annual growth target for 2020, in an acknowledgment that restarting its economy after the outbreak will be a slow and difficult process.

In his annual report to lawmakers meeting in Beijing, Premier Li Keqiang said that the country had made major achievements in its response to the epidemic and that economic development was a top priority. But while he set goals to limit inflation and unemployment, he did not announce a target for economic growth for the year.

Coronavirus cases in China have slowed to a small fraction of what they were in January, but the pandemic was weighing heavily on the country’s politics and economy as top officials began a tightly choreographed legislative pageant.

In one sense, the National People’s Congress is a chance for China’s leaders, who won broad public support for curbing the spread of the outbreak, to push back against growing international criticism over their early missteps in Wuhan. President Xi Jinping has described his government’s containment efforts as a “people’s war” against the virus.

Reporting was contributed by Denise Grady, Alan Blinder, Eileen Sullivan, Mike Baker, Karen Barrow, Nicholas Bogel-Burroughs, Kassie Bracken, Niraj Chokshi, Dana Rubinstein, Keith Bradsher, Chris Buckley, Sarah Mervosh, Annie Karni, Corey Kilgannon, Alan Rappeport, Emily Rhyne, Biance Giaever, Marc Santora, Jeanna Smialek and Farah Stockman.

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