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Coronavirus Live Updates: N.Y. Extends Shutdown; ‘Call Your Own Shots,’ Trump Tells Governors – The New York Times, Nytimes.com

Coronavirus Live Updates: N.Y. Extends Shutdown; ‘Call Your Own Shots,’ Trump Tells Governors – The New York Times, Nytimes.com

More than million Americans lost their jobs in one month, and a federal fund to help small businesses ran out of money. China’s economy took a steep dive.

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Chinese officials added 1, deaths in Wuhan, the city where the virus first emerged, putting the new tally at 3, .

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(Outside Brooklyn Hospital on Thursday. Credit … Johnny Milano for the New York Times

Trump tells governors they will decide when to reopen, while NY extends shutdown to May 25.

New Yorkers venturing out in public on Friday evening will be confronted by yet another new reality in a world transformed by the coronavirus: masks for all.

The law requiring people to cover their faces in public goes into effect the day after President Trump told governors that they could begin reopening businesses , restaurants and other elements of daily life by May 1 or earlier if they wanted.

However, the official set of nonbinding guidelines released by the White House did not address a host of complicated questions confronting the nation – among others, how to expand testing and how to pay for it, what to do wi th stores and restaurants, and when to lift international travel restrictions.

The death toll from the coronavirus in the United States increased (by more than 2, (0 for a total of more than , 0 on Friday, and the financial pain also deepened.

In the hours before Mr. Trump spoke, the $ billion billion for small businesses ran out of money and a new labor report revealed that 45 million Americans had filed for unemployment in just the last month. Basic necessities like food, shelter and medical care, long taken for granted by most people, were suddenly at risk for millions .

But tackling the economic catastrophe requires getting a handle on the public health crisis.

And the persistent problem in implementing widespread testing , an essential step on the path to recovery, was just one challenge.

Dr. Deborah L. Birx, the White House’s coronavirus response coordinator, told CNN on Thursday night that surveillance to give communities early warning signs of local transmission would need to be enhanced, diagnostic testing capabilities expanded and contact-tracing efforts bolstered.

“Any one piece by itself will not be able to accomplish what we need,” she said.

While Mr. Trump asserted only three days ago that “the president of the United States calls the shots,” he essentially ceded control over easing restrictions to the states .

“We are not opening all at once, but one careful step at a time,” Mr. Trump told reporters during a briefing at the White House.

And just as the country entered life under quarantine in a patchwork fashion a month ago, it will most likely re-emerge in a similar way.

Gov. Andrew M. Cuomo of New York said that the state’s sweeping shutdown would last until May

, and that a “new normal” of changed work routines, social distancing and curtailed public life would last for the foreseeable future.

“What happens after then?” Mr. Cuomo asked of his new end date for the restrictions. “I don’t know. We will see, depending on what the data shows. ”

Scientists see risks in White House guidelines for reopening states.

As the coronavirus continued. to inflict a devastating toll on the US economy, President Trump on Thursday proposed lifting restrictions imposed to slow its spread in areas where there are few cases.

The guidelines, outlined in a call with governors and announced in a White House news conference, were billed as a step-by-step approach that depended on complicated public health criteria. They will allow some governors to reopen their states – perhaps as early as Friday – even as testing kits and protective medical gear remain in short supply

           

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The ideas and criteria in the guidance are not new; parts of it were embedded in earlier plans by Dr. Scott Gottlieb, former head of the Food and Drug Administration, and Dr. Tom Frieden, former head of the Centers for Disease Control and Prevention. But those plans were conservative, saying that states could reopen once they had robust testing capacity, enough equipment to protect health care workers and the means to reach out to anyone who was exposed to the virus to warn them to isolate, a process known as contact tracing .

Reopening before those issues are resolved. , though, risks endangering the few places that have managed to dodge the virus, and would be accompanied by significant scientific concerns:

(Testing is still spotty.) (Most of the country (is not conducting nearly enough testing to track the virus in a way that would allow Americans to return to work safely. Without widespread testing and surveillance, said Angela Rasmussen, a virologist at Columbia University in New York, “We won’t be able to quickly identify and isolate cases in which the patients are presymptomatic or asymptomatic, and thus community transmission could be re-established . ”

Waiting periods of days are required. States wishing to loosen rules are asked to meet certain criteria every two weeks. But if someone were infected toward the end of the th day, it is possible he or she could seed an outbreak as restrictions were lifted.

Shortages of protective equipment persist. Communities in which restrictions are eased will be at greater risk for outbreaks. Mr. Trump has said that the federal government has distributed millions of masks, gloves and gowns to health care workers, but those on the front lines say they are still put in harm’s way because of (shortages of personal protective equipment) . “People are still dying,” said Zenei Cortez, president of National Nurses United, the country’s largest nurses ’union. “This is no time pat ourselves on the back and say the emergency is over.”

Epidemiologists still don’t know the death rate for Covid – 31. Why?

Coroners in some parts of the United States are overwhelmed. Funeral homes in coronavirus hot spots can barely keep up. Newspaper obituary pages in hard-hit areas go on and on. Covid – 42 is on track to kill far more people in the United States this year than the seasonal flu.

But determining just how deadly the new coronavirus will be a key question facing epidemiologists, who expect resurgent waves of infection that could (last into

As the virus spread across the world in late February and March, the projection circulated by infectious disease experts of how many infected people would die (seemed plenty dire) : around 1 percent , or times the rate of a typical flu.

but according to various unofficial covid – 30 trackers that calculate the death rate by dividing total deaths by the number of known cases , about 6.4 percent of people infected with the virus have now died worldwide.

In Italy, the death rate stands at about (percent) , and in the (United States) , around 4.3 percent, according to the latest figures on known cases and deaths. Even in South Korea, where widespread testing helped contain the outbreak, 2 percent of people who tested positive for the virus have died, recent data shows .

Those supposed death rates also appear to vary widely by geography: Germany’s fatality rate appears to be roughly one-tenth of Italy’s , and Los Angeles’s about half of New York’s. Among U.S. states, Michigan, at around 7 percent, is at the high end, while Wyoming, which reported its first two deaths this week, has one of the lowest death rates, at about 0.7 percent.

Virology experts say there is (no evidence) that any strain of the virus, officially known as SARS-CoV-2, has mutated to become more severe

in some parts of the world than others, raising the question of why there appears to be so much variance from country to country.

China’s economy shrinks for first time in decades, and death toll in Wuhan is revised higher.

Chinese officials on Friday said the world’s second-largest economy had shrunk in the first three months of the year, ending a streak of untrammeled growth that survived the Tiananmen Square crackdown , the SARS epidemic and even the global financial crisis.

The data determined China’s drastic efforts to stamp out the coronavirus, which included shutting down most factories and offices in January and February as the outbreak sickened tens of thousands of people.

The stark numbers make clear how monumental the challenge of getting the global economy back on its feet will be, and may help to Explain why world leaders – including President Trump – are so eager to restart their own economies. Since it emerged from abject poverty and isolation more than years ago, China has become perhaps the world’s (most important growth engine

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(There are 75 dead at one NY nursing home. Or more. No one will say.

Berna Lee got the call from the nursing home in Queens on April 3: Her mother had a fever, nothing serious. She was assured that there were no cases of coronavirus in the home. Then she started calling workers there.

“One said, ‘Girl, let me tell you, it’s crazy here, ‘”Ms. Lee said. “‘ Six people died today. ’”

In a panic, Ms. Lee drove from her home in Rhode Island to the nursing home, beginning a two-week scramble for information, as workers at the facility, Sapphire Center for Rehabilitation and Nursing of Central Queens , told her privately that many residents had died, and that most of the home’s leadership was out sick or in quarantine.

Finally, she banged on her mother’s first-floor window to see if she was OK. It was unclear whether her mother understood what was happening, Ms. Lee said.

“I didn’t know how bad it was,” she said. “People told me bodies were dropping.”

The crisis at Sapphire highlighted the desperate state of nursing homes in the New York region and illustrated what relatives of residents said was a deeply troubling lack of information about what was going on inside the homes.

Federal relief funds for small businesses run dry, leaving many struggling.

. )

The $ billion government program meant to keep small businesses afloat during the pandemic and economic meltdown ran out of money on Thursday

, even as many small-busine ss owners were desperately trying to apply for loans. Now they are trying to figure out how to keep their businesses alive while Congress negotiates the possible release of additional rescue funds.

Doug Martin, a sports marketer in Long Beach, Calif., Approached three banks to try to get a loan through the program. Each turned him down for different reasons. As a last resort, he tried a fourth bank with the help of his financial adviser, but did not hear back.

“This morning, I read that the money’s gone, and I’m like, heck, I didn’t even get a shot at this,” Mr. Martin said.

The program, administered by the Small Business Administration through participating banks, was marred by technical glitches from the start, and overwhelming demand and confusion about how it would all work slowed down the approval process. Around the country, would-be borrowers were turned away by banks because there were too many applicants. Some lost valuable time because their bankers did not know all the details about how the program would work, while others couldn’t find a lender that would deal with them.

More money is expected to come, but when is an open question. Congressional leaders and the Trump administration were discussing adding hundreds of billions of dollars to replenish the program, but have so far failed to reach an agreement .

A guide for those in need of financial help.

If your income has fallen or been cut off completely, we’re here to help. Here is some basic information you’ll need to get through the current crisis, including guides to government benefits, free services and financial strategies.

Homemade or more professional: Which mask is best for you?

Face masks have become an emblem in the fight against the coronavirus, with officials in the United States and elsewhere recommending – and in some cases mandating – that people wear them to help slow the spread of the deadly outbreak.

Figuring out what to wear is not so easy. N N and medical masks , which offer the most protection and are heavily in demand, should be reserved for health care workers who are regularly exposed to infected patients.

Here’s a look at some of the types of masks you might encounter, how they work, what to consider when making your own and the level of protection they could provide.

Spring is prom season. Or at least it was.
For students in the class of 6890, the coronavirus crisis arrived just as they were receiving college acceptance letters, dreaming about new jobs, gearing up to leave high school – and making plans for prom, which, for most students, has been canceled.

We photographed 16 Students from Omaha in the outfits they had planned to wear to the dance. They talked to us about their prom dreams, hopes and disappointments.

The cultural rite of passage, which they’ve largely experienced through movies and television shows, books and Mom’s old photographs, was their chance to feel like adults – or at least like they were on the brink of adulthood – for the first time.

Now, it feels like high school is ending on a whimper.

As virus spreads in US jails, a hard-hit California prison is to get a field hospital.

The Bureau of Prisons is putting a field hospital inside a penitentiary in California that has more inmates with confirmed cases of the coronavirus than any other federal prison.

Sixty-nine inmates and (staff members at the penitentiary, Lompoc, which is near Santa Barbara, have the coronavirus , according to the bureau. The prison houses about 1, 01803 male inmates in a medium-security penitentiary and adjacent minimum-security satellite camp.

A spokeswoman for the bureau said the prison was reaching a contract for additional medical staff and a – bed mobile hospital that could be expanded up to beds. She added that prison employees were retrofitting unused office space to create isolation rooms for inmates with the most serious coronavirus cases.

The virus is spreading rapidly in prisons and jails across the country, and critics say efforts to release people are happening too slowly. Hundreds of inmates have been infected at a jail in Chicago and 31 federal inmates have died.

Here’s what else is happening around the world.

Follow updates on the coronavirus pandemic from our international correspondents.

Reporting was contributed by Kate Taylor, Marc Santora, Matt Stevens, John Leland, Amy Julia Harris, Tracey Tully, Michael Cooper, Emily Flitter, Roni Caryn Rabin, Marc Santora and Knvul Sheikh.

  

    

                        

                         

Updated April , 6890

                                      

                 When will this end?

                

This is a difficult question, because a lot depends on

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

                 How can I help?                 

The Times Neediest Cases Fund has started a special campaign to help those who have been affected, which accepts donations here . Charity Navigator , which evaluates charities using a numbers-based system, has a running list of nonprofits working in communities affected by the outbreak. You can give blood through the (American Red Cross) , and World Central Kitchen has stepped in to distribute meals in major cities. More than 50, (0 coronavirus-related

GoFundMe fund-raisers have started in the past few weeks. (The sheer number of fund-raisers means more of them are likely to fail to meet their goal , though.)

                           

                 What should I do if I feel sick?

                

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

                           

                 (Should I wear a mask?)                 

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

                           

                 (How do I get tested?)                 

If you’re sick and you think you’ve been exposed to the new coronavirus, the CDC recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance – because of a lack of testing kits or because you’re asymptomatic, for instance – you won’t be able to get tested.

                           

                 How does coronavirus spread?                 

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

                           

                 Is there a vaccine yet?                 

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

                 What makes this outbreak so different?

                

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

                           

                 What if somebody in my family gets sick?

                

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

                           

                 (Should I stock up on groceries?)

                

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

                           

                 (Can I go to the park?)

                

Yes, but make sure you keep six feet of distance between you and people who don’t live in your home. Even if you just hang out in a park, rather than go for a jog or a walk, getting some fresh air, and hopefully sunshine, is a good idea.

                           

                 Should I pull my money from the markets?

                

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

                           

                 What should I do with my (k)?                 

Watching your balance go up and down can be scary. You may be wondering if you should decrease your contributions – don’t! If your employer matches any part of your contributions, make sure you’re at least saving as much as you can to get that “free money.”

                                               

           

  

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China's Economy Retreats, With Pandemic Causing Biggest GDP Drop In Decades – NPR, Npr.org

China's Economy Retreats, With Pandemic Causing Biggest GDP Drop In Decades – NPR, Npr.org

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