Fight emerges over unemployment benefits in next relief bill | TheHill – The Hill

A recent boost to unemployment benefits is shaping up to be a major flashpoint in negotiations over the next coronavirus relief package.

For weeks, out-of-work Americans have been eligible to receive an extra $600 a week on top of regular jobless benefits from their state. The extra amount was part of the $2.2 trillion pandemic response bill signed into law by President TrumpDonald John TrumpTrump slams Fox after hydroxychloroquine warning: 'Looking for a new outlet' Trump threatens permanent freeze on WHO funding without 'major' reforms within 30 days Schumer: Trump's statements on hydroxychloroquine 'is reckless, reckless, reckless' MORE in late March.

Now, Democrats are eager to extend that benefits bump beyond the end of July, when the program is slated to expire. And theyre drawing battle lines ahead of talks between the White House and Congress on another rescue package.

The virus and its impact on the economy will extend beyond July 31, Sen. Jack ReedJohn (Jack) Francis ReedJob losses approach Depression territory as election looms Overnight Defense: Navy secretary nominee: Service in 'rough waters' after 'failure of leadership'| Senate fails to override Trump's Iran war powers veto| Top Armed Services Republican expects to address Pentagon border wall funds in defense policy bill Navy secretary nominee: Service in 'rough waters' after 'failure of leadership' MORE (D-R.I.), who has introduced legislation to extend the benefits, told The Hill on Monday. Youll still have people that are in a very difficult situation, and their jobs are not available, they really cant find alternate employment and they have to support their families.

In addition, it will provide the kind of support for our economy that is necessary, he added. This money typically is going to the family and then being spent on groceries, on essentials immediately, and thats keeping the economy moving.

On the other side of the aisle, many Republicans are concerned the enhanced benefits are serving as a disincentive for people to return to work at a time when the economy is struggling to stabilize.

Calls from Democrats to extend unemployment bonuses will kill small businesses and make long-term unemployment much worse, Sen. Ben SasseBenjamin (Ben) Eric SasseSasse rips 'thugs in China' in high school graduation speech Commerce Department cracks down on Huawei's access to chips Sasse wins Republican Senate primary MORE (R-Neb.) said in a statement. Everyone wants to help workers who lost their jobs, but we shouldnt make it impossible for small businesses to hire again by pitting them against a crummy government system that makes not working pay more than working.

Unemployment benefits are administered at the state level, and states vary in both how much money they provide and who is eligible. Regular employment benefits typically are not 100 percent wage replacement.

In 2019,states' average weekly amounts ranged from $213 in Mississippi to $536 in Hawaii, according to the Labor Department.

The coronavirus pandemic has led to a dramatic increase in joblessness, as many businesses have been forced to close or scale back operations at least temporarily or have laid off workers due to scant revenue.

More than 36 million new unemployment claims have been filed since mid-March. In the week ending May 2, there were 22.8 million continuing claims filed, the Labor Department said.

Lawmakers chose to boost weekly benefits by $600 in the March legislation signed by Trump known as the CARES Act in an effort to replace 100 percent of wages for the average worker when the benefits are added to regular unemployment benefits. They decided to increase benefits by a flat amount across the board in order to minimize the administrative burdens on states, letting states distribute the enhanced benefits as quickly as possible.

As a result, some people are receiving more in unemployment benefits than they were in wages. A paper from researchers at the University of Chicago found that 68 percent of jobless workers eligible for unemployment insurance will get benefits that exceed lost earnings.

Republicans and Democrats differ in how to help unemployed workers weather the coronavirus storm.

Democrats argue that expanded benefits are crucial and should be extended. A $3 trillion coronavirus relief package House Democrats passed on Friday would extend the extra $600 per week through Jan. 31.

Many Democrats have also expressed interest in linking the expanded benefits to health and economic conditions. For example, a proposal from Reed, Sen. Michael BennetMichael Farrand BennetJob losses approach Depression territory as election looms An evidence-based response to rising child poverty reform and expand the Child Tax Credit Bipartisan group of senators asks Treasury, SBA to loosen coronavirus loan restrictions MORE (D-Colo.) and Rep. Don Beyer (D-Va.) would extend the $600 boost until 30 days after the coronavirus crisis ends; recipients would then receive smaller additional amounts ranging from $200 per week to $450 per week depending on the unemployment rate in their state. Those amounts would continue until the jobless rate comes down to levels that are close to those from before the coronavirus.

Passing emergency relief legislation that incorporates automatic triggers will strengthen unemployment benefits to sustain people whose lives have been upended through no fault of their own until they can safely go back to work, Bennet said.

Speaker Nancy PelosiNancy PelosiTop Democrat to introduce bill to limit Trump's ability to fire IG's Pelosi says 'morbidly obese' Trump taking hydroxychloroquine 'not a good idea' Senate Republicans demand answers from Trump on IG firing MORE (D-Calif.) said during a press conference last week that there is broad support in her caucus for automatic extensions of benefits depending on economic conditions, but that the nonpartisan Congressional Budget Office (CBO) uses a methodology that results in these types of proposals being scored as expensive.

I do think it's more efficient to have the stabilizers, the CBO notwithstanding, she said.

Republicans, however, argue that the benefits are too generous and discourage people who were laid off from reentering the workforce.

Before the CARES Act passed, several Republicans unsuccessfully tried to amend the legislation so that benefits would be capped at 100 percent of a workers wages before they were laid off. Since implementation, GOP lawmakers have continued to express concerns about the $600 increase to unemployment insurance (UI), and have criticized the extension of the boost in House Democrats bill.

Was it necessary to do something to pump up UI? Absolutely, Sen. Rob PortmanRobert (Rob) Jones PortmanSenate Republicans demand answers from Trump on IG firing Bipartisan lawmakers call on Pompeo to defend Israel against ICC probes Senate GOP crafting wishlist for next coronavirus package MORE (R-Ohio) said on CNBC last week. But the level that we took it to makes it very difficult for many small businesses in Ohio and around the country to bring their employees back.

The White House has also raised concerns.

The Trump Administration supports policies that get people back to work our concerns with UI have not changed as it incentivizes people to stay home, raising the unemployment rate, a senior administration official said. Well continue to work with Congress to sort out details.

Republicans are floating changes theyd like to see. Some still want to cap payments at 100 percent of a recipients pre-unemployment wages, though lawmakers didnt take that step in the CARES Act because it would be difficult for states to administer.

Portman and Rep. Kevin BradyKevin Patrick BradyKey House Republican calls Democrats' coronavirus bill a 'recipe for a prolonged recession' Battle brewing over how to get more relief money to Americans Second NJ man accused of stealing N95 masks intended for hospital MORE (Texas), the top Republican on the House Ways and Means Committee, have suggested allowing people to keep getting some amount of benefit for a set amount of time when they return to work, in an effort to encourage reentry into the workforce.

Democratic lawmakers and outside groups backing the boost to unemployment benefits say they are open to allowing people to keep some or all of their extra weekly payment when they go back to work. They also countered GOP concerns about the fact that some people are getting more in unemployment benefits than they were getting in wages, with Beyer arguing its likely that millions of people will still be unemployed at the end of the year because their jobs havent come back yet, not because they could get more money by collecting unemployment benefits.

Weve got to concentrate on all the people who really do need it, who are not going to be hired back, he said.

Beyer added that those getting more in unemployment payments than they were in wages before they lost their jobs have not had a lot of advantages in life to begin with.

How unemployment payments are treated in any subsequent coronavirus relief law remains to be seen. While Democrats have expressed interest in quick action on another package, Republicans have been in less of a rush. White House economic adviser Kevin Hassett said Monday that another package may not be needed.

A spokesman for Senate Finance Committee Chairman Chuck GrassleyCharles (Chuck) Ernest GrassleySchumer on Trump IG firing: What is GOP going to do about it? Senate Republicans demand answers from Trump on IG firing Pelosi wants Trump to justify sacking of State IG MORE (R-Iowa) said the governments response needs to match conditions on the ground.

No one can say with certainty what the economy will look like months from now when funding runs out, especially with 50 different state responses, the spokesman added.

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Fight emerges over unemployment benefits in next relief bill | TheHill - The Hill

As Suncor ponders Terra Nova’s future, N.L. offshore workers worry about their own – CBC.ca

The union representing some 400 workers on the Terra Nova FPSOoil platform is sounding the alarm about a scenario that could see the vessel not produce any oil for the next two years.

"The members are very worried about their future, and the future of Newfoundland (and Labrador)," said Unifor Local 2121 president Dave Mercer.

Companies that supply the offshore are also feeling the pinch from an oil industry that has been thrown into crisis by a global pandemic.

"The impact directly is the loss of some supply ships that we supply. They're tied up or moved on somewhere else. We don't have that business or as much," said Gary Squires, manager at St. John's-based Campbell's Ship Supplies, which providessupplies to supply ships and drill rigs in the offshore.

Campbell's has a workforce of 25, and so far has been able to avoid any layoffs, said Squires.

His comments reflecta moodnow permeating an industry that represents some 30 per cent of the value of the province's gross domestic product, and uncertainty about the future of the Terra Nova FPSO is the latest dark cloud to cast a shadow over the offshore sector.

"Now it's time for the government to step up," said Mercer, whose union represents nearly 800 workers on the Terra Nova and Hibernia oil platform.

Workers on the Hebron and SeaRose FPSO platforms are not unionized.

Suncor, the majority owner and operator of Terra Nova, confirmed this week that it was unable to formalize a Plan B for a life extension overhaulof the aging floating, production, storage and offloading vessel, which has been producing oil on the Grand Banks since 2002.

As a result,the partnership that owns the vessel has decided to remove the Terra Nova from the offshore by this summer,and sail it to port at a location yet to be named, for an unknown duration.

"Obviously we're very concerned about the impacts to industry, the impacts to employment, the impacts to Newfoundlanders and Labradorians of the challenges that the industry is facing," said provincial Natural Resources Minister Siobhan Coady.

Coadyhas been in discussions with the operator, but said there's no indication yet how many jobs will be lost, or when the Terra Nova might return to the offshore and resume production, but she acknowledged it could very well be 2022.

Mercer said the union is also scrambling for information.

"It's all so fluid," he said.

Suncor released a statement Tuesday that said, "No decisions have been made to shut down production operations on Terra Nova until 2022."

But with so much uncertainty caused by the global pandemic, oil markets that are extremely volatile, and the immense planning that goes into a refit like the one proposed for the Terra Nova, insiders predict a lengthy shutdown for the vessel.

The Terra Nova was supposed to be at a dockyard in Spain by now, undergoing a half-billion-dollar life extension refit that would extend the oil field for 10 years, and allow the vessel to produce an additional 80 million barrels of oil.

But with Spain hit hard by the COVID-19 virus, those plans have been scuttled, and when Suncor was unable to come up an with an alternative plan, the decision was made to mothball the vessel.

That means the number of producing fields in the offshore will fall from four to three, and the hundreds of workers whose livelihoods are connected to the Terra Nova are now in doubt.

"There's only so much we can say. It's becoming very difficult to take care of our members," said Mercer.

The Terra Nova hasn't produced oil since it was ordered late last year to suspend operations by the board that regulates the offshore for a safety infraction.

There were hopesthat Suncor could resume production and carry out the refit at a later date, but sources say some partners were unwilling to spend the money required to recertify the Terra Nova, at a time when companies are slashing spending in order to manage through a collapse in the market.

Suncor was engaged in ongoing talks with the Canada-Newfoundland and Labrador Offshore Petroleum Board about a plan to restart production, but a resolution was never reached.

"As of yesterday we were still in very active discussions with Suncor on their recent proposal to resume production and thought those discussions were continuing," the C-NLOPB wrote in a statement to CBC.

"While we sympathize with the workforce affected by yesterday's announcement, we are not privy to the commercial considerations faced by Suncor and its partners."

Meanwhile, calls for the federal government to offer a lifeline to the oil sector continue.

"Wereally need is an investment in accelerating exploration in offshore Newfoundland and Labrador," said Coady.

The province and industry groups want Ottawa to offer tax breaks and other incentives to encourage oil companies to keep looking for new discoveries, similar to those offered in Norway and the United Kingdom.

Federal Natural Resources Minister Seamus O'Regansaid Wednesday he is in talks with the province and those in the industry.

"We are looking for options," said O'Regan, who specifically referenced "incentive-based exploration."

But O'Regan would not put a timeline on when those measures might be announced.

"We want to make sure we get it right," he said

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As Suncor ponders Terra Nova's future, N.L. offshore workers worry about their own - CBC.ca

Induction Healthcare to get a new zest for life with acquisition – Digital Health

Induction Healthcare has announced it intends to acquire the cash and shares of health tech company Zesty Limited in a deal worth about 13million.

Subject to the approval of shareholders, the deal will see Zesty founder James Balmain become joint-CEO of the enlarged business alongside Inductions CEO, Hugo Stephenson.

The proposed acquisition comprises of 500,000 in cash plus shares equivalent to 41.9% of the existing company and approximately 29.5% of the enlarged share capital. It is estimated to be worth 12.7million.

London-based Zestys platform provides an integration layer with a hospitals electronic patient record (EPR) or patient administration system (PAS) and through its portal, allows patients to manage their hospital outpatient appointments, read their administrative and clinical correspondence, attend a video based consultation and store a personal copy of their clinical record.

In 2017, the company was named among 50 of the most forward-thinking digital UK companies in the 2018 Digital Innovators Power List.

While Induction has an app, which allows doctors to access basic information (e.g. extension numbers) instantly.

This acquisition will form a platform which connect patients, clinicians and healthcare information together in one place.

Balmain said: I see the frustration that clinical teams and patients feel every day. Basic things, like updating a patient record or booking an appointment are just not easy enough. So an app for doctors, connected to an app for patients makes total sense.

Induction and Zesty coming together can help improve the way healthcare is delivered.

I am excited by the reach and capability of the new combined Induction Group. We will be working as hard as we can to help bring clinical teams and patients together, in an efficient and low-friction way.

The deal is expected to be completed in June 2020.

Stephenson, CEO of Induction, said: Zesty has demonstrated that it can improve patient experience while saving hospitals time and money through its market leading patient portal and outpatient bookings engine.

In the process, Zesty has solved the problem of integrating with different electronic patient record systems.

Connecting the most used app by NHS doctors (Induction) and the most used app by NHS trusts (MicroGuide) with patients and their health records, has the potential to deliver the right resources to the right places at the right time a transformational opportunity for healthcare.

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Induction Healthcare to get a new zest for life with acquisition - Digital Health

The economy on life support: Business leaders respond to budget 2020 – The Spinoff

Budget 2020: The government has unveiled a massive $50bn spending package, including an eight week extension to the wage subsidy. Duncan Greive asks the business community: is it enough?

The government this afternoon unveiled a massive new $50bn programme of spending much bigger than anyone expected, according to Kiwibank senior economist Jeremy Couchman. The centrepiece for business is an eight-week extension to the wage subsidy scheme for the hardest-hit firms that are able to prove a loss of revenue of 50% or more over the previous month.

When presenting it to parliament, finance minister Grant Robertson was at pains to place employment at the heart of the matter. This budget is about jobs, he said. Keeping people in their jobs whenever we can. Supporting businesses and sectors to create new jobs through infrastructure, housing and more. Directly creating jobs that help restore our environment and conservation estate. And training and retraining people for new jobs at a scale we have never seen before.

Beyond the wage subsidy extension, key elements included a:

Economists and business representatives are broadly supportive of a budget they describe as strange and non-traditional, in part because it was pulled together really quickly. Yet KPMGs Riria Te Kanawa described herself as a bit underwhelmed by the precision and ambition of its spending targeting Mori business.

While the scale of the budget, which projects an increase of debt to debt to 53.6% of gross domestic product by 2023, was generally thought commensurate to the challenge of the Covid-19 economic crisis, there was some disquiet about what was characterised as putting the economy on life support. Economists spoken to by The Spinoff wondered whether the support was too thinly spread, and too reliant on stimulus spending versus unleashing private sector investment.

The government is projecting a government-led recovery, said Eric Crampton of think tank the New Zealand Initiative, who expressed disappointment at what he saw as a lack of evidence that it is looking for opportunities that New Zealands relatively Covid-free status can provide.

Kirk Hope of sector advocacy group Business NZ was more positive, grading the budget at 7.5/10 from a business perspective, singling out the focus on infrastructure and education training and re-training and a continuing emphasis on R&D as critically important. He wondered whether the kinds of programmes targeted at growing businesses were large enough to make a difference, citing a $10m ecommerce transition scheme as seeming inadequate to the scale of what will be required of retail.

Lockdown was catastrophic for the economy, particularly the retail sector. Stats NZs just-released Eftpos data for April revealed a drop in spending at once extraordinary and entirely predictable.

May will be less awful but still a long way down, with the first half operating under level three. June was set to be when reality bit when the first tranche of the wage subsidy was set to run out and we got a sense of which businesses were fit to survive the winter. An extension to the wage subsidy, targeting those businesses which have suffered a catastrophic 50% drop in revenues, will push that date of reckoning out into the beginning of August, just weeks out from Septembers general election.

Business NZs Hope said his membership would welcome that extension. It gives you another two months cover, he said, adding that the big question is: how quickly will we get demand back into the economy? He believes that will define the extent to which the most-impacted industries, like hospitality and retail, will be able to survive once the subsidy finally and inevitably runs out.

The budgets targeted employment spending for Mori was largely contained in a $200m employment spend. We have listened and today have announced the establishment of a $50 million Mori trades training fund, which is part of a wider Mori employment package of more than $200 million, said employment minister Willie Jackson. Government will work in partnership with iwi and Mori to help grow job opportunities in the regions together.

KPMGs Riria Te Kanawa says that despite a $33m expansion of MBIEs Vision Mtauranga programme, she was underwhelmed by the budgets business-focussed spending for Mori. If you look at megatrends, like tech, theres not a lot there. Some Pasifika spending for STEM, but I didnt see an equivalent for Mori. She wanted to see a focus on fostering entrepreneurship, and also believes the emphasis on cadetships is backwards-looking [Some of those jobs] are likely to be automated over time.

At the other end of the employment spectrum, Te Kanawa says that many Mori were already doing it tough before Covid, and that rather than simply pushing towards job training, much more needs to be done on helping long-term unemployed gain work-readiness. Some of our people arent job ready, she says. We need to teach them how to grow their own kai, repair their homes. That will build their self-worth.

The New Zealand Initiatives Crampton was frustrated by a lack of vision for export-led growth, believing more consideration should have been given to sectors which could bring in export earnings as a result of New Zealands elimination of the virus. He cited the screen production sector as having huge potential to host major productions while much of the rest of the world battles the virus, and was curious about why the government was still putting $12m in to promote New Zealand as a production destination without any ability to bring key workers in to make those productions.

Crampton added that the projected migration numbers suggest that the government think borders should remain closed to overseas workers for at least a year before slowly opening up. Despite boosts to the education sector through major trades and retraining programmes, he said the lack of ability for international students to enter and quarantine would prevent our exploiting that opportunity.

The backdrop to the budget is a visceral disruption to economic life as we know it. The New Zealand economy is projected to shrink by 4.6% in the year to June, the worst such contraction since the 30s. The Great Depression is etched into our collective memory for good reason it was the 20th centurys most profound period of human suffering to occur in peacetime. Poverty was abject, with few social safety nets around to catch the masses of unemployed.

In New Zealand, the real unemployment rate women and Mori were then-excluded from official statistics was thought to have reached 30%. GDP per capita collapsed, taking seven years to surpass 1929s level. Riots broke out in Auckland, Wellington and Dunedin with unemployed men sent to remote labour camps.

This is what haunts todays budget a sense of government wanting to pull whatever levers it can to avoid creating a modern sequel to that level of pain. The 1930s saw the election of New Zealands first Labour government, with Michael Joseph Savage sewing social safety nets which remain to this day that are reinforced in some places and fraying in others.

The big difference between 1929 and 2020 is that rather than austerity, the prescription announced today is the countrys biggest-ever stimulus. This budgets stated ambition is to protect as many jobs as possible, and lay the groundwork for the creation of tens of thousands of new ones to replace those lost.

Prior to the budget, prime minister Jacinda Ardern underlined this, describing employment as the governments number one priority. She characterised its reasoning for this by leaning on another Labour government.

It harks back to the sentiment of Norman Kirk, that all anyone ever needs is something to do, somewhere to live, someone to love and something to hope for, said Ardern. Employment helps form a foundation. It supports families, pays the bills, helps provide self-value and worth, and when times are tough like this, workplaces can provide an important support network.

While the state employs hundreds of thousands, job losses will be almost entirely confined to the private sector, and thus any recovery depends in large part on how the business community makes it through the rest of the year. Based on the verdict of those well-placed to understand its fears and hopes, this budget is of a scale commensurate to the challenge. What the business sector requires is certainty and confidence, said Business NZs Hope. This provides a continuation of the governments view that business is going to be central to the recovery.

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Salt reduction: Preservation without sodium and delivering on taste – FoodIngredientsFirst

13 May 2020 --- Salt reduction remains high on the agenda for food manufacturers and brands tapping into increased demand for healthy products with a clean label. Under pressure following official recommendations from the World Health Organization (WHO) to drive down salt intake in the global population by 30 percent by 2025, food innovators face the ongoing challenges on lessening their reliance on sodium. This must be achieved, of course, without compromising on taste and delivering on health and wellness characteristics demanded by consumers who still expect the enrichment, complexity and premiumization in their savory choices with a low salt label.

Low sodium-based launches have grown considerably over the past five years, notes Innova Market Research, with a 7 percent average annual growth of food & beverage launches tracked with low/reduced sodium claims (Global, 2015-2019). Baby & Toddler foods have the highest percentage of launches with low/reduced sodium claims, citing the importance of salt reduction from an early age while Sauces & Seasonings and Soft Drinks are second and third, respectively. This is followed by Snacks (9 percent), Bakery (7 percent) and Cereals (6 percent).

While salt reducing focused NPD is obviously popular across various categories, taking away some of the standards from a manufacturers toolbox, such as salt, MSG and yeast extract, can create taste challenges.

Food manufacturers are now looking for solutions that allow them to reduce the sodium levels of their products, while also achieving the great taste and texture that consumers expect. It is, however, not only food producers who are increasingly aware of the importance of salt reduction in food public consciousness and awareness of the health impact of excess sodium has risen just as much, Mark Austin, Global Business Development Manager, DSM Food Specialties tellsFoodIngredientsFirst.

A recent DSM survey, which interviewed 5,000 people across 10 countries, found that 65 percent of respondents seek foods that contain less salt, while 71 percent and 66 percent of people questioned also reported looking for products that have lower levels of sugar and fat respectively.

This means that to really meet consumer needs for better-for-you products, producers must take a holistic approach to develop healthier options, considering not just salt reduction, but sugar and fat, too. The clean label movement has seen more consumers seeking products with shorter and more recognizable ingredient lists, with 71 percent of people in DSMs survey checking product labels and 66 percent buying goods made with ingredients they are familiar with, he continues.

When it comes to salt reduction, this means that producers must continue to look towards creating clean label solutions with reduced sodium content that appeal to consumers, Austin adds.

DSMs portfolio of yeast extract solutions for salt reduction can support food manufacturers in delivering healthy, tasty and appealing products. Yeast extracts are widely known for their rich savory taste profile, which can help producers create an authentic taste in low-sodium products. Part of DSMs sodium reduction toolbox, the Maxarome portfolio including Maxarome Select is ideally suited for a broad range of savory applications and can reduce salt levels in food, without compromising on taste or texture.

Suitable for both plant-based and meat dishes, these solutions have the ability to enhance the salty perception of goods, while delivering on umami, meaty or vegetable flavors, and masking off-notes and bitterness, notes Austin.

Processed food remains the leading contributor to salt intake in peoples diets. In industrial countries, approximately 75-80 percent of dietary salt is obtained through processed food, while 5-10 percent occurs naturally and the remaining 10-15 percent stems from salt that is added during cooking or at the table, continues Austin.

With the pressure from public health associations to reduce sodium intake continuing to grow, however, the need for manufacturers to adapt to ensure their product offering meets these demands is increasingly important, he says.

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Salt in the plant-based spaceSalt levels in plant-based products have recently come under scrutiny by UK organization, Action on Salt (AoS). It has recently published studies linking cutting salt helps support lower blood pressure which, it says, provide strong evidence for salt reduction as a major public health strategy for the UK which currently has voluntary salt reduction targets.

In the plant-based space specifically, AoS calls on the government to get tough on the eating out sector which lags far behind the food sold in retailers. This follows AoSs recent survey findings that show many healthy sounding plant-based and vegan meals served at UK restaurants, fast food and coffee chains, contain more salt than eight McDonalds hamburgers. Nearly half (45 percent) of meals eaten out of the home contain 3 g or more salt in just a single meal thats half the maximum daily limit for an adult. Additionally, over one in five dishes provide more than half an adults maximum daily recommendation for saturated fat.

Recognizing the demand for reduced salt in plant-based formulations, Roquette recently expanded its plant-based protein ingredient range that taps into the salt reduction trend. NUTRALYS L85M is a new specialty ingredient that further expands the existing range of NUTRALYS pea protein from Roquette. Beyond new tastes and new textures, Roquette will now offer its customers the ability to create plant-based meats with less salt to meet consumers demands and expectations when managing their daily sodium intake.

For Laura Queiroz Simon, Biorigin Global Product Manager, sodium reduction is no longer a trend, it is a confirmation of conscious consumption. She flags several categories that tap into convenience trends such as snacks and ready meals, as having a lot of opportunities to reduce the sodium content and to be more pressured by consumers and regulatory bodies.

Plant-based recipes tend to have a neutral taste profile and to compensate by giving more savory to these recipes the food companies are using salt. We know that consumers are aware and are pressuring the plant-based food industries to reformulate their recipes to reduce the salt and use clean label ingredients, she tells FoodIngredientsFirst.

The consumption is pushed by health concerns and consumers know that there is no point in consuming less meat in favor of plant alternatives if these recipes have a long list of ingredients with artificial additives and colors. Its well known that consumers avoid buying products with ingredients that are difficult to understand and are focusing on looking for products that contain ingredients perceived as natural, she says.

Meanwhile, Biorigin brings ingredients that help to reduce up to 50 percent sodium. Naturally rich in amino acids and nucleotides, there is a line of specific ingredients to promote the umami flavor the fifth basic flavor that brings a subtle and market sensation, increasing salivation and it is often perceived as a combination of sweet and salty flavors, allowing to compensate the salty taste loss and provide the overall recipe taste balance.

Bioenhance SFE 201 is designed to deliver a clean savory and umami notes, working in synergy with the recipe and compensating the sodium reduction. It is also able to mask off flavors when using different salts than Sodium Chloride (NaCl).

Biorigin offers a range of yeast extracts from standard savory to umami and roasted profiles to fulfill several applications and sodium reduction challenges and natural flavors that improve the salt perception with no sodium addition, maintaining the recipe taste profile, the company flags.

No need to compromiseFor Eelco Heintz, Product & Innovation Manager atNiacet, increasing consumer awareness of the harmful effects of excessive sodium consumption on health is driving demand for sodium reducing ingredients. At the same time, several countries have introduced legislation trying to tackle the issue. As a result, consumers are making a conscious effort to reduce sodium consumption and proactively checking sodium content on labels, he tells FoodIngredientsFirst.

As alternatives to the commonly used sodium-based preservatives gain ground, antimicrobials have an important role to play. There is no need to compromise between food safety and a healthy sodium content, he notes.

Next to sodium reduction there is an increased demand for shelf life extension and improved safety in a variety of food types, adds Heintz. Sodium-based preservatives are common, but there are preservation ingredients available that do not contain any sodium. Provian K, made with potassium salts, is one such example of a preservative that is proven to keep food safe and extend shelf life while reducing salt. Similarly, clean label solutions, such as Provian NDV, are made from naturally fermented vinegar and also contain no sodium, he explains.

Provian products are powdered organic acid-based preservatives, which makes it possible to simultaneously address both trends of salt reduction and increased shelf life.Originally, we focused on processed meat and poultry products, but this quickly expanded to other processed foods like fish, salads, spreads and a variety of ready-to-eat (RTE) products, Heintz notes.

Processed foods often contain a lot of salt, partly due to the high quantities of sodium-based preservatives used in them. However, by using high quality preservatives, manufacturers can create healthier products with lower levels of sodium. Preservatives such as Provian are highly effective at lower dosages, which will increase safety and extend shelf-life while reducing the amount of sodium in the final product, he says.

Not everyone is aware of the consequences of high salt intake. There are often cases of the public media warning against high salt intake, usually related to kidney or cardiovascular disease. Additionally, there is a clear trend visible of healthy and conscious living in the wider population. However, more can still be done, and it is obvious that awareness of sodium intake and a healthy sodium/potassium balance needs to be part of this trend, Heintz says.

Another category where salt reduction is an emerging trend is bakery. Baked goods substantially contribute to the daily sodium intake and a reduction is necessary to reach the goals set by governments and WHO. The industry has seen a voluntary reduction of sodium chloride content, but more still needs to be done. ProBake, from Niacet, offers world-leading standards in mold control with preservative options that contain no sodium, he adds.

Whats next?Rising demand for healthier, low-sodium food with a great taste and texture will continue to fuel product innovation and reformulation. Broader health trends will continue to drive thegrowing consumer trend for low-sodium clean label ingredients in their food. Consumers like the idea of products with easily identifiable ingredients, which can be difficult with preservatives as they often need to be labeled with a chemical name. However, preservatives made from natural ingredients can be used in products with natural claims and clean label ingredients. Niacets Provian NDV, for instance, is an effective clean label preservative, made from naturally fermented vinegar.

Manufacturers are searching for effective nutritional solutions for salt reduction that help them meet the trend for better-for-you food and stay ahead of the curve. Meanwhile, the continuing boom for plant-based products, innovation and R&D, will drive the need for more salt reducing solutions globally while more regulation is expected to be introduced around the world, forcing formulators who havent already done so to act.

By Gaynor Selby

To contact our editorial team please email us at editorial@cnsmedia.com

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Reliance Foundation gives a new lease of life to womenfolk in Gujarat – Times Now

Reliance Foundation gives a new lease of life to womenfolk in Gujarat 

The lockdown imposed in the wake of the novel coronavirus pandemic has entered its fourth phase in India, and with the extension the challenges do not seem to be easing out for the marginalised communities anytime soon. Out of jobs and with very little or no money, these underprivileged people are desperate to get back to their work and normal life. Talking about a particular case in Jasdan, Gujarat, several self-help group (SHG) members have lost their usual source of income during the lockdown. However, despite the difficulties, the members didnt lose their spirit and were keen to keep working in order to sustain their families and contribute to their community.

Reliance Foundation the philanthropic arm of Reliance Industries came to the forefront to help these people revive their livelihoods. Focusing on the women folk, the organisation identified those women who had their own sewing machines and helped in aligning them with various government initiatives.

Under the National Rural Livelihood Mission programme a poverty alleviation project implemented by the Ministry of Rural Development, Government of India, five women from the self-help groups in three villages of Jasdan were given orders to stitch face masks. Setting a positive example, these women have stitched over 1500 masks till now. These masks are being sold to the public and the income generated is helping the women sustain their families during the lockdown.

This is just one of the many initiatives that Reliance Foundation has undertaken to help people from the marginalised communities to sail through the current challenging times. From donating ration and dry food kits, distributing free fuel for ambulances, setting up dedicated COVID-19 hospital, feeding stray animals, helping stranded migrants reach their homes to supporting self-help groups under various initiatives, Reliance Foundation is doing all this and more to ease the impact of the lockdown.

Check the latest facts on Covid-19here. Times Fact India Outbreak Report by TIMES NETWORK and Protiviti is a comprehensive analysis that highlights the impact of the pandemic in India and projects the possible number of active cases in the weeks ahead.

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Reliance Foundation gives a new lease of life to womenfolk in Gujarat - Times Now

Illinois Threatens to Fine Defiant Businesses as Reopening Tensions Rise Nationally – The New York Times

Heres what you need to know:

Illinois makes it a misdemeanor for business owners who flout pandemic restrictions.

The owners of restaurants, bars and other establishments in Illinois that open too soon can now be charged with a Class A misdemeanor under a measure enacted by the governor.

Gov. J.B. Pritzker, a Democrat, filed an emergency rule on Friday that his office said was intended to prevent the spread of the coronavirus as a growing number of businesses defy stay-at-home orders across the country.

In Illinois, where a stay-at-home order remains in effect through May, a Class A misdemeanor carries a punishment of up to a year in jail and up to a $2,500 fine. The rule also applies to businesses such as barbershops and gyms, according to Mr. Pritzkers office.

Jordan Abudayyeh, a spokeswoman for Mr. Pritzker, said in an email Sunday that the measure provided an additional enforcement tool for businesses that refuse to comply with the most critical aspects of the stay-at-home order.

As of Sunday, 4,177 people had died from Covid-19 in Illinois, according to state health officials, and there have been 94,191 confirmed cases of the virus.

Conservative state lawmakers have criticized the measure. Senator Dan McConchie, a Republican and a member of the Senates Public Health Committee, called it an affront to the separation of powers in a Twitter post on Sunday.

Ms. Abudayyeh, the governors spokeswoman, said that bringing misdemeanor charges against business owners was not a first resort.

Law enforcement has relied heavily on educating business owners about the order and always first discusses the regulations with business owners to urge compliance, she said. Only businesses that pose a serious risk to public health and refuse to comply with health regulations would be issued a citation. The rule gives law enforcement a tool that may be more appropriate and less severe than closing the business altogether.

In neighboring Wisconsin last week, the state Supreme Court struck down the states stay-at-home extension, siding with Republican legislators in a high-profile challenge of the emergency authority of a statewide official during the pandemic.

Governors struggle to find the right balance on reopening.

The pain of the coronavirus shutdown, in terms of wrecked economies and shattered lives, has been unmistakable. Now, governors across the country are contemplating the risks of reopening, particularly if it produces a surge of new cases and deaths.

This is really the most crucial time, and the most dangerous time, Gov. Mike DeWine of Ohio, a Republican, said on the CNN program State of the Union on Sunday. All of this is a work in progress. We thought it was a huge risk not to open. But we also know its a huge risk in opening.

The push to reopen has been fueled by swelling frustration, as unemployment soars, businesses declare bankruptcy or announce they cannot survive the shutdowns, and fears intensify about enduring economic devastation. Some businesses have even reopened in defiance of state orders.

Gov. Gavin Newsom of California, a Democrat, said on CNN, I deeply understand the stress and anxiety that people have, that entire dreams have been torn asunder because of the shutdowns, their savings account depleted and their credit ratings destroyed.

The question is, he added, how do you toggle back and make meaningful modifications to the stay-at-home order?

But governors also acknowledged concerns about a fresh resurgence of the coronavirus, and they are haunted by images of restaurants and stores packed with patrons with uncovered faces.

This is a virus were still learning a lot about, Mr. DeWine said.

The response to the virus has been defined by the balance between trying to curb the viruss spread and trying to minimize the economic harm. In much of the country, the pendulum has swung toward favoring the economy.

The shift has come as the national figures for reported new cases of the virus have declined in recent weeks, and as more states have allowed a wider array of businesses to return to operation. More than two-thirds of states have relaxed restrictions significantly. California, New York and Washington are among those partially reopening on a regional basis. Illinois, Michigan and New Jersey remain fully shut down.

This economy will recover; it may take a while.

Jerome H. Powell, the chairman of the Federal Reserve, said that while he expected the U.S. economy to recover from the sharp and painful downturn brought about by the coronavirus, that process would take time potentially until the end of 2021.

This economy will recover; it may take a while, Mr. Powell said in a preview of the CBS program 60 Minutes, which is scheduled to air Sunday evening. It may take a period of time, it could stretch through the end of next year, we dont really know.

Asked whether the economy could recover without an effective vaccine, Mr. Powell suggested that it could make a start, but not get all the way there.

Assuming that theres not a second wave of the coronavirus, I think youll see the economy recover steadily through the second half of this year, he said. For the economy to fully recover, people will have to be fully confident, and that may have to await the arrival of a vaccine.

The interview with Mr. Powell, which CBS said was recorded on May 13, follows a blunt speech he gave the same day, warning that the economy may need more financial support to prevent permanent job losses and waves of bankruptcies.

Wondering what a coronavirus test is like? Watch Cuomo get swabbed on live TV.

transcript

transcript

Im going to show you how fast and easy it is to take the test. And demonstrate why there should be no reluctance. This is Dr. Elizabeth Dufort, who is in the appropriate P.P.E. wear. Nice to see you, doctor. You make that gown look good. Head up a little bit. Head up. Close your eyes. Close my eyes. Why do I need to close my eyes? You can question the doctor. Thats OK. Why do I need to close my eyes? For comfort. Comfort. It might make you tear a little bit. If I fall asleep? Then well have you sit down. Thats it? Thats it. Nothing else. Told you. Thank you very much, doctor. That is the whole test. Im not in pain. Im not in discomfort. Closing my eyes was a moment of relaxation. There is no reason why you should not get the test.

Gov. Andrew M. Cuomo provided a lasting image on Sunday for fellow New Yorkers who may be apprehensive about getting tested for the coronavirus he invited a doctor to stick a swab up his nose during his live news briefing on the pandemic.

It is so fast and so easy that even a governor can take this test, Mr. Cuomo said.

Mr. Cuomo then stood up and turned to a doctor, who was holding a cotton swab and was wearing coveralls, a face shield and gloves. Camera shutters clicked furiously as the doctor guided the swab up the Mr. Cuomos nostril.

Thats it? he said. Thats it? Nothing else?

New York has the capability of conducting 40,000 tests per day at 700 sites, said Mr. Cuomo, who noted that testing would be critical to monitoring the spread of the virus as the state begins to reopen.

There is nothing about this test that should intimidate people from not taking this test, he said.

Calling into a golf broadcast, Trump says he wants big, big stadiums loaded with people.

In a telephone appearance during a televised charity golf exhibition Sunday, President Trump said he enthusiastically supported the return of live sporting events during the pandemic.

We want to get sports back, we miss sports, Mr. Trump said during NBCs broadcast of a skins game match involving Rory McIlroy, Dustin Johnson, Rickie Fowler and Matthew Wolff. We need sports in terms of the psyche of our country. And thats what were doing.

While Sundays exhibition was contested without spectators, Mr. Trump said he hoped that future events would be teeming with fans.

We want to get it back to where it was, we want big, big stadiums loaded with people, he said.

He later added, We want to get back to normal where you have the big crowds where theyre practically standing on top of each other, not where theyre worried.

I would love to be able to have all sports back, Dr. Fauci said. But as a health official and a physician and a scientist, I have to say, right now, when you look at the country, were not ready for that yet.

Thirteen sick sailors seemed to recover. Then they tested positive again.

Thirteen sailors aboard the virus-stricken aircraft carrier Theodore Roosevelt have retested positive for Covid-19 after seeming to have recovered from the disease, Navy officials said on Sunday.

The infected sailors, who had all tested negative twice before reboarding the Roosevelt in recent days, have been removed from the warship to self-quarantine. The Roosevelt has been docked in Guam since March 27 as Navy officials wrestle with how to deal with sickened sailors, disinfect the vessel and prepare for it to resume operations in the Western Pacific.

Navy officials have said they are aggressively screening and testing as crew members return to the Roosevelt after quarantining at the U.S. military base in Guam, as well as at hotels and in other lodging there. Officials on the ship are requiring masks and repeatedly cleaning and sanitizing to prevent another outbreak of the virus, which has infected about 1,100 crew members since March. One sailor has died.

About 2,900 of the 4,800 crew members are now back on board. They are under strict orders to report to doctors the slightest cough, headache or other flulike symptom. In the past week or so, the new testing even turned up a sailor who tested positive for tuberculosis. That set off a wild contact-tracing scramble that found no other cases on board, Navy officials said.

The results of the Navys latest investigation into events surrounding the Roosevelt are due by the end of this month.

Recent research in South Korea suggested that dozens of patients there who had tested positive a second time after recovering from the illness appeared to be false positives caused by lingering but likely not infectious bits of the virus.

You could feel it going through your veins. A teens battle with a virus-linked syndrome.

When a sprinkling of a reddish rash appeared on Jack McMorrows hands in mid-April, his father figured the 14-year-old was overusing hand sanitizer not a bad thing during a global pandemic.

When Jacks parents noticed that his eyes looked glossy, they attributed it to late nights of video games and TV.

When he developed a stomachache and didnt want dinner, they thought it was because I ate too many cookies or whatever, said Jack, a ninth-grader in Woodside, Queens, who loves Marvel Comics and has ambitions to teach himself Stairway to Heaven on the guitar.

But over the next 10 days, Jack felt increasingly unwell. His parents consulted his pediatricians in video appointments and took him to a weekend urgent care clinic. Then, one morning, he awoke unable to move.

He had a tennis ball-size lymph node, raging fever, racing heartbeat and dangerously low blood pressure. Pain deluged his body in a throbbing, stinging rush, he said.

You could feel it going through your veins and it was almost like someone injected you with straight-up fire, he said.

Jack, who was previously healthy, was hospitalized with heart failure that day, in a stark example of the newly discovered severe inflammatory syndrome linked to the coronavirus that has already been identified in about 200 children in the United States and Europe and killed several.

Colorado offers an alternative, much lower, count of its Covid-19 deaths.

What is the difference between deaths among Covid-19 cases and deaths due to Covid-19? In Colorado, that distinction in wording changes the total by about 30 percent.

Until Friday, the Colorado Department of Public Health and Environment had been including anyone who had Covid-19 at the time of death in the official total, a practice consistent with the C.D.C.s counting criteria. By that reckoning, Colorado had 1,192 deaths as of Friday.

But the state said it would now also report a lower figure those for whom the disease is considered the sole cause of death, with no other complicating factors. Counting that way knocks the states total down to 892.

Gov. Jared Polis, a Democrat, defended the change on Sunday.

The C.D.C. criteria include anybody who died with Covid-19, he said on Fox News. What the people of Colorado and the people of the country want to know is how many people died of Covid-19.

Health experts have warned for weeks that inconsistent reporting protocols and insufficient testing have led to an undercounting of coronavirus deaths nationally. North Dakota and Alabama have both experimented with death counts similar to Colorados new approach, but have continued to report the C.D.C.s way.

Mr. Polis acknowledged that the virus, which he called a bad bug, can be particularly dangerous for older people and people with underlying medical conditions those who would be most likely to be excluded from the states sole-cause count.

As Alaskas salmon season opens, another coronavirus case adds to concerns.

A second fisheries worker in Alaska has tested positive for the coronavirus, adding to fears that the isolated fishing towns that have so far avoided infections could face challenges as thousands of seasonal workers pour in for the start of Alaskas summer seafood rush.

State officials said the positive case was identified Friday in the city of Dillingham. The infected worker, an employee of Trident Seafoods, had recently arrived and tested positive at the end of a mandatory 14-day quarantine.

Earlier this month, a worker who had arrived in the fishing community of Cordova also tested positive.

Some locals have expressed concern about the fishing season, which began in Cordova with the pursuit of the famed Copper River salmon. In Dillingham, hospital leaders at the Bristol Bay Area Health Corporation had requested that the fishing season remain closed, arguing that the arrival of thousands of outsiders put the community at risk.

To prepare for the influx of workers, state and local government officials have put in place strict quarantine procedures, social-distancing requirements and aggressive testing. Some companies are requiring their workers to stay on site, where the seasonal crews often sleep in bunkhouses.

State officials said the worker who tested positive in Dillingham was removed from the area. None of that persons contacts in the city have so far tested positive.

Congress appears no closer to a deal on further stimulus spending.

The passage of a $3 trillion stimulus package by the House on Friday appeared to bring Congress no closer this weekend to a deal on coronavirus aid, as pleas for more assistance collided with a conservative push to wait and see whether staggered state reopenings and previous aid packages arrest the economic free-fall.

The Republican-controlled Senate is not expected to take up the legislation that the Democratic-controlled House approved on Friday. Instead, the Senate will turn to a number of pending nominations before an expected Memorial Day recess. Speaker Nancy Pelosi urged Republicans to reconsider.

Time is of the essence, she said in an interview aired Sunday on the CBS program Face the Nation. In the past bills, they put forth their proposal, and then we worked in a bipartisan way that we anticipate now.

They may think its OK to pause, but people are hungry across America, she added. Hunger doesnt take a pause.

Republican leaders have played down what Democrats say is an immediate need for relief, arguing that it was too early to allocate additional funds after Congress previously passed close to $3 trillion in relief.

Senator Mitch McConnell of Kentucky, the majority leader, has laid down a red line, saying that strengthening liability protections for health workers and businesses moving to reopen must be part of any future package.

Ms. Pelosi said on Sunday that she had no red lines, but she singled out a provision in the bill passed on Friday that would strengthen federal protections for essential workers.

The best protection for our workers and their employers is to follow very good OSHA mandatory guidelines, she said, referring to the Occupational Safety and Health Administration. That protects the workers, protects their lives, as well as protects the employer if they follow the guidelines. Remember, when people go to work, they go home.

The legislation the House passed on Friday, which Democratic leaders acknowledged amounted to an opening offer, faces some opposition from within their party, including in the Senate.

I think what Pelosi did in the House it is significant, said Senator Bernie Sanders, a Vermont independent who caucuses with the Democrats. I have some disagreements with it, and I want to see the Senate improve on it.

Fall school openings are shrouded in uncertainty.

A major question on the minds of many parents is whether their childrens schools will reopen in the fall. So far the plans and guidelines that have emerged are a patchwork, and state leaders are divided about whether it is possible to have the schools ready in time and what it will take to do it safely.

Gov. Jared Polis of Colorado said on Sunday that starting the school year open would not guarantee that they stayed that way. There might be times, if theres an outbreak at a school, that it has to convert to online for a period of weeks until its reasonably safe to return to school, he said on Fox News Sunday.

Governor Polis said his state was considering measures like staggering start times, class schedules and breaks to minimize crowds in hallways.

California will proceed slowly and methodically in allowing crowds to gather again anywhere, including schools, Gov. Gavin Newsom said on Sunday, and that may mean that some schools in the state reopen while others remain closed.

Its all predicated on data, on science, not just observed evidence, he said on CNN. Each part of California is unique.

Both governors noted that while children were not often affected as severely by the virus as adults are, they were potential spreaders.

This is no question from an epidemiological perspective that this is a less severe, almost infinitesimal fatality rate for kids, Mr. Polis said. But the thing is, kids live with parents, they live with grandparents, kids are around teachers, so thats where it gets a little bit more complicated.

Health issues that affect minority groups are making the pandemic worse, Azar says.

Alex M. Azar II, the secretary of health and human services, suggested in televised remarks on Sunday that the high death toll from Covid-19 in the United States, compared with other nations, was due at least in part to the prevalence of underlying health issues in minority communities.

Unfortunately, the American population is very diverse, and it is a population with significant unhealthy comorbidities that do make many individuals in our communities, in particular African-American minority communities, particularly at risk, Mr. Azar said on the CNN program State of the Union, adding, That is an unfortunate legacy of our health care system that we certainly do need to address.

The host, Jake Tapper, pressed Mr. Azar on whether he was trying to place the blame for the pandemic on its victims. I want to give you an opportunity to clear it up, Mr. Tapper said, because it sounded like you were saying that the reason that there are so many dead Americans is because were unhealthier than the rest of the world, and I know thats not what you meant.

Mr. Azar responded: We have a significantly disproportionate burden of comorbidities in the United States obesity, hypertension, diabetes these are demonstrated facts that make us at risk for any type of disease burden, of course, but that doesnt mean its the fault of the American people.

The federal agency that issues visas is almost broke.

The United States Citizenship and Immigration Services, the federal agency that administers the countrys lawful immigration system, says it could be insolvent by summer, and has asked Congress for $1.2 billion to stay afloat.

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Illinois Threatens to Fine Defiant Businesses as Reopening Tensions Rise Nationally - The New York Times

Coronavirus pandemic in the US: Live updates – CNN International

Rice University was one of the first universities to announce that it would limit classes after the Thanksgiving break. The Houston school is scheduled to reopen for its fall semester in August, Rice University President David Leebron said, but it will conclude in-person classes before Thanksgiving due to a possibility of a second coronavirus wave.

As we thought about it,the important thing was really to bevery flexible, very agile andvery adaptable.And that meant if we had to makequick decisions to go completelyonline, we could make a quickdecision to do that, he added.

Leebron said the university decided to also offer "dual delivery," meaning that every possible class will be taught simultaneously both in person and remotely.

The university hasnt yet worked out all the details, but Leebron said it wanted to be able to accommodate students with health conditions who are concerned about in-person classes as well as students who may have a hard time getting to campus, particularly international students.

Leebron said the coronavirus will fundamentallychange the university system in some ways.

I thinkuniversities are going to becomemore nimble, more flexible, morepersonalized for students I think it is going to makeuniversities, in that sense,better into the future, he said. But,again, I want to emphasize ourstudents made very clear theyreally do want to be back witheach other and on our campus, he said.

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Coronavirus pandemic in the US: Live updates - CNN International

A.C.L.U. Warns Against Fever-Screening Tools for Coronavirus – The New York Times

Airports, office buildings, warehouses and restaurant chains are rushing to install new safety measures like fever-scanning cameras and infrared temperature-sensing guns. But the American Civil Liberties Union warned on Tuesday against using the tools to screen people for possible coronavirus symptoms, saying the devices were often inaccurate, ineffective and intrusive.

In a new report, Temperature Screening and Civil Liberties During an Epidemic, the A.C.L.U. said that such technologies could give people a false sense of security, potentially leading them to be less vigilant about health measures like wearing masks or social distancing. The group also cautioned that the push for widespread temperature scans during the pandemic could usher in permanent new forms of surveillance and social control.

The organizations advisory reflects a wider tension in the United States over concerns about reopening the economy at a time when the virus is still spreading undetected in various regions of country.

In particular, the report said that infrared temperature-sensing guns can be unreliable partly because they gauge skin temperature, in contrast to oral thermometers, which calculate core body temperature. The guns provide a superficial measure, the report noted, that can vary if a person is sunburned, is sweating or has just come in from outside.

Similarly, the report said that many free-standing thermal cameras, which gauge a persons temperature at a distance, can be inaccurate, finicky and may need to be frequently recalibrated.

Even if the temperature-scanning tools were more accurate, however, the A.C.L.U. said they could miss many people who were infected with the coronavirus but not running a fever.

Nobody should imagine that blanketing our public spaces with thermal sensors is going to serve as any kind of effective automated Covid detection network, Jay Stanley, a senior policy analyst with the A.C.L.U., wrote in the report, or that this technology is likely to contribute significantly to stemming the spread of the virus.

To meet surging demand from factories, warehouses and office buildings, technology makers haven been rushing to market a range of thermal cameras as coronavirus fever-screening tools. Companies have been encouraged to do so by the Food and Drug Administration. The agency said in April that it would temporarily allow device makers to market thermal cameras, which have not been vetted by federal health regulators, for temperature checks in places like warehouses and factories.

But IPVM, an independent site that tests surveillance cameras, reported this year that numerous makers of temperature scanners had overstated their accuracy or made false claims. Among other things, the site identified systems that automatically adjusted peoples temperatures to put them in the normal range or that failed to detect high fevers. The site also found companies that were marketing heat-sensing tools designed simply to detect the presence of humans, or for fire detection, as fever-screening devices.

A core issue is there are no independent tests of thermal camera performance, IPVM said in a recent overview of the technology. This has allowed manufacturers to tout products meant for body/fire detection as a fever solution, or falsely claim pinpoint accuracy at long distances.

In its report, the A.C.L.U. recommended that public health experts study the effectiveness of temperature-scanning technologies to determine if the trade-offs are worth it. Otherwise, the group said, the fever-screening systems should not be deployed.

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A.C.L.U. Warns Against Fever-Screening Tools for Coronavirus - The New York Times

‘Something we’ve never seen before’: Scientists still trying to understand baffling, unpredictable coronavirus – USA TODAY

Dr. Anthony Fauci told senators "it is without a doubt that there will be infections" in the fall and warned of more deaths without adequate response. USA TODAY

MILWAUKEE The new coronavirus has spread like wildfire, killed and spared people of all ages and all health conditions, baffled doctors, defied guidance and conventional wisdom, and produced an unprecedented array of symptoms.

There's never been a virus like it.

"This gets into every major biological process in our cells," said Nevan J. Krogan, a molecular biologist at the University of California, San Francisco, who has studied HIV, Ebola, Zika, dengue and other viruses over the past 13 years.

"At the molecular level, it's something we've never seen before, and then look at what it does to the body the long list of symptoms we've never seen that before."

As Americans debate the reopening of businesses, bars, schools and other aspects of everydaylife, it's important to understandthe virus weare up against andwhy it has sown so muchsuffering and confusion.

At first, the virus was thought to be mostlya risk to older adults and people with chronic illnesses; its primary point of attack, the lungs. Then 30- and 40-years-olds with the virus began dying of strokes. Recently,a small number of infected childrenhave died of a mysterious illness resembling Kawasaki disease.

'Like a war': Pfizer head of vaccines talks finding a treatment for coronavirus

Symptoms of COVID-19 range from fever, coughing and shortness of breath tothe lossof smell and taste andthe angry red swelling that has come to be known as "COVID toes."Studies have found that damage fromSARS-CoV-2, the virus that causes the disease COVID-19,isn't limited to the lungs; itcan includethe heart, liver, kidneys, gastrointestinal systemand bowels.

To understand avirus' "motivation" why it does what it does keep in mind that it is aparasite. Itlives inside its humanor animal hosttaking what it needs at the expense ofthehost.

As long as itfinds hosts withoutimmunity, and as long as its ownmutations do not weakenits ability to spread and multiply,the virusthrives.

Key benchmarks of a virus are how widely it spreads and how deadly it is to those it infects.

In the five months since it was first identified in Wuhan, China, SARS-CoV-2 has infected more than 4.5 million people across the globe, killing more than 300,000.

"The thing that strikes me about the clinical aspect is the shear amount of transmissibility," said Megan Freeman, a virologist and specialist in pediatric infectious diseases at UPMC Children's Hospital of Pittsburgh.

"There are very few viruses that are more contagious than this one," agreed Mark Schleiss, an investigator for the Institute of Molecular Virology at the University of Minnesota.

A single COVID-19 patient spreads the diseaseto a median of 5.7 people, making it twice as contagiousasthe 1918 Spanish flu, according to areport in the journal Emerging Infectious Diseases.

A death crisis in New Jersey: How one mortician races to keep up with COVID-19

The rateof infection in the U.S.whatexperts are referring towhen they talkabout "flattening the curve" has slowed. Even so, thenation is still averaging about 1,000 COVID-19 deaths a day, roughly twice the number of deaths from 9/11 every week.

Thousands of theworld's best scientists have worked with remarkable speed seeking to understand the new coronavirus. They deciphered its genetic code in barely a week and have produced scores of papers suggesting possible treatments and vaccines.

"The canvas we call COVID-19 was blank 16 weeks ago," said Gregory Poland, director of Mayo Clinic's Vaccine Research Group. "We've filled in a lot of dots, but we have so much more to go."

"We don't understand HIV that well in my opinion," Krogan said, "and we've been studying that for decades."

Scientistsknow somebut not all of the reasons the new coronavirusspreads so easily. Freeman points to several factors, including one thatdistinguishes SARS-CoV-2from the virus it closely resembles, Severe Acute Respiratory Syndrome (SARS).

SARS attacks the lower respiratory system, whose job it is to pullin air from the upper respiratory system.

SARS-CoV-2, however, attacks the upper respiratory system, the pathway that allows air to travelin and out of the lungs aswe breathe. The upperairway is also the system involved when we cough.

The upper respiratory system offers a more efficient means of spreading, Freeman said.

"That's why it is more transmissible. ... When this emerged probably there was some mutation that adapted it to use the upper airway, and the upper airway has made it very successful."

A seconddifference between SARS and SARS-CoV-2involvesthebond that allows viral cells to attach to human cells andinfect them. With both viruses, this bond forms between theSpike Protein on the virus and a regiononthe outside of the human cell called the ACE-2 receptor.

Both viruses usethis bond to enter cells,but the bond is much stronger with the new coronavirus than it was with SARS. That is why many of the potential treatments so far are designed tounderminethat bond.

"You always want to target the Achilles' heel of the virus, something the virus does not have the luxury of changing too much" explained Maria Elena Bottazzi, a professor of pediatrics at Baylor College of Medicineand co-developer of a potential SARS vaccine that is going to be tested on SARS-CoV-2.

Althoughpublic health leaders compared the new coronavirus to seasonal flu early on, coronaviruses have a special feature that separates them from other viruses likeflu. Theyhave their ownproofreading system that helps limit mistakes in theirgenetic code known as mutations.

"Flu viruses make six and a half times more mistakes than coronaviruses do," Freemansaid.

Even as the spread of the virus slows in the United States, some researchers fear what will happen if major outbreaks hitpoorer, densely populated cities in Africa.

"Look at the problems we've had," Poland warned. "Now amplify that through areas that have civil wars, that have corruption, that have scarce resources. That's a humanitarian disaster in the making."

The virus' skill at spreading poses one challenge; what it does inside the human body poses another.

Much of what scientists have learned so far about the new coronavirus suggests that it is aremarkabledestroyer at both the micro and macro levels, decimatingindividual cells andentireorgans.

At the molecular level, the virus disrupts some of the mostfundamental functions of life: cell division; the systemcells use to talk with one another; and their abilitytomake proteins.

The proteins ourbodies make help uscarry out almost every human action from eating and walkingto breathing and thinking.

Once a person ingests the new coronavirus, it enters the lungs and directly infects the air sacs, the microscopic workhorses that take in the air we breathe. In serious cases, the air sacs fillwith fluid, leaving less and less room for oxygen. This is a feature of what is known asCOVID-19 pneumonia.

The pneumoniacan lead to Acute Respiratory Distress Syndrome, a severe breathing condition that deprivesthe vital organs of oxygen.

A healthy blood oxygen level is usually between 95% and 100%. Below 90% is low. Some COVID-19 patients have been found to have blood oxygen levels below 65%.

As the air sacs are infected and damaged, this triggersthe immune system, which can lead to a dangerous condition calleda cytokine storm. In a cytokine storm, the immune system goes into overdrive andwinds up killing both healthy and diseased cells.

One of the most subtle and deadlyoffshoots of low blood oxygen is a condition called silent hypoxia.

As described by emergency room doctor Richard Levitan in a commentary inThe New York Times, silenthypoxia allows patients to develop low blood oxygen levels without realizing the problem until it dips intodangerous territory. Theybreathe faster to compensate for the lack of oxygenbut are unaware they arebreathing faster.

Levitan suggested that people can bypass long waits for coronavirustests,usinga simple devicecalleda pulse oximeteras an early warning system for detecting COVID-19 pneumonia.The device, which fits over your finger, measures blood oxygen levels, and can be boughtat pharmacies without prescription for about $30.

Unfortunately, SARS-CoV-2 does not restrictits damage to the lungs.

The virus also causes blood clots, which haveled to people in their 30s and 40s dying from strokes.

And then there are the recent cases in New York and Paris of childrenwith COVID-19 who develop symptoms closely resemblingKawasaki disease. The diseasebegins with a rash and fever, inflames blood vessels, andeventually can damage the coronary arteries that deliver blood to the heart.

"What is it about COVID-19 that it produces Kawasaki disease?" said Schleiss, at the University of Minnesota, who estimates he has seen more than 1,000 Kawasaki cases in his medical career.

"I don't think SARS-CoV-2 is a cause of Kawasaki disease, but it is the cause of something very similar."

Every few weeks, SARS-CoV-2 seems to reveal new and disturbing oddities.

A recent studyfrom China published in the journal JAMA Network Open, reported finding the new coronavirus in the semen of six of 38 infected men, raising concern that it may be possible to transmit the virus through sexual contact.

The virus also hasbeen found in patientstool samples and untreated wastewater. The Centers for Disease Control and Prevention has reported that standard methods atwastewater treatment plants should be effectiveenough to protect workers.

Such discoveries, however, raisefundamental questions, as we try to return toour old lives. Have we yet determined all of the ways the virus can spread from one person to another? Are there activities that may poserisks we have not anticipated?

At the University of California, San Francisco, Krogan said it will be important to examine the genetic scripts of both those who suffer severe cases of COVID-19and those who getmild or no disease at all.

"There are 30-year-olds and some of them are asymptomatic and others are on respirators. What the hell is that all about?"

Follow Mark Johnson on Twitter: @majohnso

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'Something we've never seen before': Scientists still trying to understand baffling, unpredictable coronavirus - USA TODAY

The Pandemics Long-Lasting Effects on Weddings – The Atlantic

Social-distancing measures are likely to make big wedding celebrations essentially impossible for the rest of this year. The Centers for Disease Control and Prevention still recommends that Americans cancel gatherings of more than 10 people for organizations that serve higher-risk populations, and many states have imposed limits on the number of people who can gather for any sort of party or event.

Read: A guide to staying safe as states reopen

Dave Grossman, who lives in New York City, was supposed to get married in April at an old luxury hotel 25 miles outside the citybut in early March, New York State officials directed residents to cancel any gatherings of more than 50 people. Grossman and his fiance initially rescheduled their wedding for August, but then the venue announced it was closing for the remainder of the year. Now theyre not sure when, or where, theyll get married.

Grossman, 44, and his fiance, 40, both had a specific vision for what they wanted their wedding day to look like. Watching their dream crumble before their eyes, Grossman said, has been devastating: This was supposed to be the most exciting timelike, Were getting married soon! Instead, its all stress. Naturally, though, the idea of a smaller, more low-key wedding is now starting to look more and more appealing to the pair.

When the coronavirus first hit, Kristen Maxwell Cooper, the editor in chief of the wedding website The Knot, initially saw a lot of couples push their ceremonies to later this year. But the pandemic has become a more prolonged ordeal than many of those couples expected at firstso some are turning to what Maxwell Cooper and her team at The Knot have dubbed mini-monies, for miniature ceremonies. Small enough to comply with size limits on gatherings and also to responsibly practice social distancing, these are pared-down, minimalist events with usually around 10 peoplejust their family, maybe, she said. Some or all of the ceremony may be virtual. They may have a virtual officiant or something like that. Maxwell Cooper added that most of the couples shes seen opt for the mini-mony still plan to have a bigger celebration later on, after restrictions have lifted.

Read: We need to stop trying to replicate the life we had

Amy Jones, a wedding planner in Connecticut, told me that a few of her clients whose weddings were planned for spring and summer 2020 have chucked their original plans for a big event and gone the mini-mony route. This is especially true of those who want to get married on the sooner side so they can start a family. But more common, as Jones and other people who work in wedding-adjacent industries told me, are the clients who are (perhaps optimistically) rescheduling their weddings for the same weekend next year. As a result, scores of weddings that were supposed to take place in 2020 have been moved to 2021, and they land on the calendar on top of the weddings that were already planned for 2021 before the coronavirus arrived.

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The Pandemics Long-Lasting Effects on Weddings - The Atlantic

Coronavirus Testing For The Dead? It Can Help Reveal The Scope Of The Pandemic : Shots – Health News – NPR

Medical examiners and coroners are the last stop for investigating unexpected deaths, including those who may have died of COVID-19. In April, the Cook County Medical Examiner opened a surge center to handle overflow from Chicago-area hospital morgues. Charles Rex Arbogast/AP hide caption

Medical examiners and coroners are the last stop for investigating unexpected deaths, including those who may have died of COVID-19. In April, the Cook County Medical Examiner opened a surge center to handle overflow from Chicago-area hospital morgues.

As the coronavirus pandemic has unfolded, all eyes have been on the medical workers and public health disease detectives fighting on the front lines and sometimes giving their lives to bring the coronavirus under control.

But as efforts to test for the coronavirus and trace cases continues, medical examiners and coroners play a vital if often unsung role. These "last responders" are typically called on to investigate and determine the causes of deaths that are unexpected or unnatural, including deaths that occur at home.

In the early days of the outbreak, a scarcity of tests often hampered their efforts. Now, as that equipment gradually becomes more widely available, these professionals may be able to fill in answers about how people died and if those deaths were related to the coronavirus. And these confirmed cases can also help investigators trace contacts who may also be infected.

Those changes won't happen at once or uniformly across the country, experts predict. In addition, an increase in postmortem testing is likely to put coroners and medical examiners in the middle of a debate heating up about the true number of COVID-19 casualties.

Determining how many people the virus has killed is an ongoing bone of contention. Some defenders of the Trump administration's response charge that death estimates are inflated, often because they include people who were presumed to have died of the disease but not tested for it. Administration critics counter that the chaotic rollout of testing and treatment led to thousands of needless deaths that aren't represented in the official death toll.

Even now, months after the emergence of COVID-19 in the United States, the availability of test kits and testing materials, such as nasal swabs, remains inadequate in many places. Public health experts agree that broad-based testing is critical for people to safely emerge from lockdown and for businesses and other institutions to safely reopen.

"Some localities are prioritizing testing sick people over dead people, and that's probably a good decision if they have limited testing available," says Dr. Sally Aiken, the medical examiner for Spokane County, Washington, who is also president of the National Association of Medical Examiners.

As availability increases, however, stepping up postmortem COVID-19 testing could uncover important clues about the spread of the virus, experts say.

During the pandemic, many sick people have stayed at home and died there rather than seeking help at hospitals overwhelmed with coronavirus patients.

In April in New York City, for example, a reported 200 residents died at home each day, compared with 20 such deaths before the pandemic, a spokesperson for the city's medical examiner told WNYC, the local public radio station.

Tests were not possible in many of those instances. But with more tests, such cases are now getting attention.

"Most of the ones we test are the individuals who die at home," says Gary Watts, the coroner in Richland County, S.C., who is president of the International Association of Coroners and Medical Examiners.

If family or friends say the person had symptoms consistent with COVID-19, the coroner's office will typically do a nasal swab to test for the virus, he says. If the test is positive and the office can determine the cause of death without an autopsy, one will generally not be performed.

Coroners and medical examiners have similar responsibilities but their backgrounds are often different. Coroners are typically elected officials who may or may not have a medical degree. Medical examiners are typically medical doctors and may have a specialty in forensic pathology.

Like Watts, Dr. Kent Harshbarger, the coroner for Montgomery County, Ohio, which includes the city of Dayton, says his office now has enough tests to determine if COVID-19 was involved in suspect deaths, unlike during the pandemic's early days.

With more postmortem testing, "you can do better contact tracing," he says.

A few medical examiners and coroners are now stepping up testing significantly, performing tests on all the bodies that are brought in, says Aiken.

"They're surprised at some of the people who are positive," including suicides and car accidents, she says.

One reason for increasing testing is to protect the staff who are handling the bodies, says Dr. Judy Melinek, a forensic pathologist in the San Francisco area and CEO of PathologyExpert.

If a body at the morgue is positive for COVID-19, "you want to avoid doing an autopsy unless it's absolutely necessary," Melinek says, because of the risk of becoming exposed to the virus through aerosolized particles or blood. Plus, she noted, the Occupational Safety and Health Administration recommends against performing autopsies in COVID-19 deaths.

Even if coroners and medical examiners aren't doing extensive nasal-swab testing on the recently deceased, they can provide vital information later on, some note.

It's standard practice to take blood samples from patients who are sent to the morgue, and coroners and medical examiners typically keep blood samples on hand for up to a year. Testing those blood samples for antibodies to the coronavirus, which would indicate a prior infection, could give public health experts a clearer sense of when the virus arrived in the United States and the extent of its spread.

It won't identify every undiagnosed infection, since antibodies don't show up until one to three weeks after infection occurs, according to the federal Centers for Disease Control and Prevention. People may die before then. Still, postmortem antibody testing could provide useful information, experts say.

"If we can figure out when [the virus] arrived in the U.S., we can figure out a lot more about how this virus came through and was undetected," Melinek says.

Going forward, as public health experts and politicians contemplate decisions about reopening the country for business and the possibility of a resurgence of the virus, the more concrete information available the better, experts say.

"Postmortem testing is helpful and important when it is balanced by the logistical feasibility of doing it," says Lorna Thorpe, a professor of epidemiology at New York University Grossman School of Medicine. "When politics enters this space, it's nice to have confirmed cases so that it can't be critiqued."

Kaiser Health News (KHN) is a nonprofit news service covering health issues. It is an editorially independent program of the Kaiser Family Foundation that is not affiliated with Kaiser Permanente.

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Coronavirus Testing For The Dead? It Can Help Reveal The Scope Of The Pandemic : Shots - Health News - NPR

U.S. and China Trade Coronavirus Accusations, Sparking Fears of a New Cold War – The New York Times

Britains government promised 100,000 daily tests. It delivered, but at a cost.

On May 1, a visibly relieved Matt Hancock announced that the British government had exceeded its target of 100,000 coronavirus tests a day. As health secretary, Mr. Hancock had set the goal after enduring intense criticism for the countrys lagging coronavirus testing program.

He called the milestone an incredible achievement.

But leaked documents and interviews with doctors, lab directors and other experts show that the push to hit the April 30 deadline and arguably salvage Mr. Hancocks career placed a huge strain on public laboratories and exposed other problems that are now slowing efforts to further expand coronavirus testing.

Days before the deadline, some hospitals in England were given 48 hours to rapidly expand testing to thousands of health care workers and patients, even though they were not exhibiting any symptoms of the virus, the documents show.

At the same time, public labs across the country raced through limited supplies of the chemical reagents needed to carry out a flood of tests after the government promised to replenish their supplies. Two weeks later, some labs still havent received the stocks they need, forcing some to reduce the number of new tests they can process, several lab managers said.

Britain has recorded the most coronavirus deaths of any country in Europe, and Prime Minister Boris Johnson and his Conservative government have come under mounting criticism for an often-inconsistent response to the pandemic, especially on testing.

The pandemic is battering U.S.-China relations, raising fears of a new Cold War.

Evil. Lunacy. Shameless. Sick and twisted. China has hit back at American criticism of its handling of the coronavirus pandemic with an outpouring of vitriol as acrid as anything seen in decades.

The bitter recriminations have plunged relations between China and the United States to a nadir, with warnings in both countries that the bad blood threatens to draw them into a new kind of Cold War.

At about the same time, China, citing the urgency of the pandemic, demanded that the United States promptly pay its delinquent United Nations assessments, which by some calculations now exceed $2 billion. China, the second-biggest financial contributor to the U.N. budget behind the United States, fully paid on May 1. The United States responded by saying it customarily pays assessments at years end and that China was eager to distract attention from its cover-up and mismanagement of the Covid-19 crisis.

The cycle of tit-for-tat statements and actions is solidifying longstanding suspicions in Beijing that the United States and its allies are bent on stifling Chinas rise as a global economic, diplomatic and military power.

Hard-liners are calling on Beijing to be more defiant, emboldened by the Trump administrations efforts to blame China for the rising death toll in the United States. Moderates are warning that Beijings strident responses could backfire, isolating the country when it most needs export markets and diplomatic partners to revive its economy and regain international credibility.

Now, the clash with the United States over the pandemic is fanning broader tensions on trade, espionage and other fronts disputes that could intensify as President Trump makes his contest with Beijing a theme of his re-election campaign.

Our Southeast Asia bureau chief describes parenting through the pandemic.

Hannah Beech, the Southeast Asia bureau chief for The Times, is based in Bangkok and covers conflict and natural disasters in about a dozen countries. Among them is Myanmar, where she has reported on the militarys campaign of ethnic cleansing targeting the Rohingya Muslim minority. In the course of her reporting in the region, she has met children whose parents killed themselves as suicide bombers and others who watched as soldiers bayoneted their relatives.

I didnt want to be that parent, the one who talks about how when I was a child I had to walk uphill both ways, in the snow, just to get to school.

For one thing, I spent some of my childhood in Bangkok, where I now live with my husband and two sons. There is no snow in Bangkok and not much uphill.

So when my boys, ages 10 and 12, ask me at dinner what I did on a reporting trip going away again, as they call it I often hesitate.

Well, Mama interviewed women who were raped when they were trying to flee their homes, doesnt seem quite right for the dinner table. Or, Well, Mama put Mentholatum under her nose because it makes death smell a little less bad.

But I dont want to coddle them either. My husband and I ensure that the kids eat what we eat, even if its okra. We make them read The Times.

I find myself, too often, comparing them, in their privileged bubble of international school and summer camp in Maine, to the boy I met in a refugee camp or the girl with the big eyes who lost her parents in one of Southeast Asias drumbeat of disasters: earthquakes, tsunamis, typhoons, landslides, floods, plane crashes, bombings.

Brazils health minister stepped down after less than a month.

Brazils health minister, Nelson Teich, announced on Friday that he was stepping down less than a month after taking the job, after clashing with President Jair Bolsonaro over the presidents refusal to embrace social distancing and quarantines.

While governors and mayors in much of the country have urged Brazilians to stay home as much as possible, Mr. Bolsonaro has implored them to go out and work, arguing that an economic unraveling would be more damaging to the country than the virus. This week he classified beauty salons and gyms as essential businesses that should remain open.

Brazil has recorded more than 200,000 confirmed infections and over 14,000 deaths, and those figures, among the highest in the world, are rising sharply. Experts say the numbers grossly undercount the toll extent of the epidemic because Brazil has limited testing capacity.

Officially, Brazil is recording more than 800 deaths per day, second only to the United States.

During a news conference Friday afternoon, Mr. Teich did not provide a reason for his resignation.

Life is made up of choices, and today I chose to leave, he said. I didnt accept the job for the position itself. I accepted it because I thought I could help the country and its people.

A replacement had not been announced as of Friday afternoon. It was unclear whether Mr. Bolsonaro intended to appoint a new minister with medical expertise. The second-highest ranking official at the ministry, Eduardo Pazuello, is an active-duty Army general who has been in the job a few weeks.

Germany enters recession as its economy, Europes largest, grinds to a halt.

The German economy suffered its worst contraction since the 2008 global financial crisis, shrinking by 2.2 percent in the January-March period from the previous quarter as the shutdown of activity to halt the spread of the coronavirus pummeled growth. Those figures, combined with a revision downward to the economic growth tally for the end of 2019, mean that Germany has entered a recession.

The German government, which reported the data on Friday, said the biggest hit came in March and will probably be worse in April, when consumer spending, capital investment and exports a major driver of growth in Germany fell off a cliff.

Things will get worse before they get better, Carsten Brzeski, the chief eurozone economist at ING, said in a note to clients.

While the worst of the pandemic is beginning to ease, with Germany and other countries slowly easing their lockdowns, Germanys contraction was a reminder that even if the virus dissipates, the economic fallout could put pressure on the European and global economy for months or years. Germany is not only Europes largest economy, it is one of the most dynamic in the world.

Germany and its neighbors are spending hundreds of billions of euros in fiscal measures to stem the damage, and economists say more stimulus will be needed. Still, the huge fiscal support that Germany has provided to businesses and individuals, equal to around 30 percent of gross domestic product, could allow it to exit the economic crisis earlier and stronger than most other countries, Mr. Brzeski wrote.

Nations led by women offer lessons in handling an unprecedented crisis.

And like several other countries that have done well in handling the pandemic, they are led by women.

These successes may not prove anything intrinsic about womens leadership, but could, experts say, offer valuable lessons about crisis management.

For starters, the presence of a female leader can signal that a country has more inclusive political institutions and values. That bodes well for a handling a crisis: Taking information from diverse sources and having the humility to listen to outsiders are crucial for successful pandemic response, Devi Sridhar, the Chair of Global Health at the University of Edinburgh Medical School, wrote in the British Medical Journal.

Ms. Merkels government, for example, considered epidemiological models, the input of medical providers and the success of South Koreas efforts. By contrast, governments in many countries with high death tolls have relied primarily on their own advisers, with few channels for dissent or outside views.

President Trumps refusal to wear a mask aligns with a common view that a strong leader exhibits a swaggering notion of masculinity projecting power, acting aggressively and showing no fear.

Women, however powerful, often have to avoid such behaviors or risk being seen as unfeminine, said Alice Evans, a sociologist at Kings College London.

Male leaders can overcome gendered expectations. But it may be less politically costly for women to adopt cautious, defensive policies because it does not violate perceived gender norms.

Ms. Ardern, after imposing a strict lockdown, addressed New Zealand via a casual Facebook Live from her home. She expressed empathy for the anxious and offering rueful apologies to those startled by the emergency cellphone alert that announced the lockdown order.

Filmmakers are working again in Iceland and Australia. Heres how.

Baltasar Kormakur, the Icelandic director best known in the United States for Everest and Contraband, turned to a color-coded armband system to get his Netflix sci-fi series Katla back into production in Reykjavik after the coronavirus shut it down in mid-March.

The producer Lucas Foster made the difficult and expensive decision to isolate his entire cast and crew in a small town in Australia to make a reimagined horror film based on the Stephen King short story Children of the Corn.

The two filmmakers are among the few who have found their way back into production amid a pandemic. Everyone wants to know how they did it.

Mr. Kormakur uses armbands to keep groups of people apart: Those wearing yellow can be near the camera; the actors, and the makeup and costume professionals wear black and spent most of their prep time in a cordoned-off area of the set; and the producers, script supervisors and visual effects people wear red and are sequestered near the monitors. A lucky few have blue armbands, giving them access to all areas of the set.

This way we could monitor each other, he said. Its hard with crews. People have a tendency to roam, and its easy to lose control of it.

On Mr. Fosters set, the cast and crew were required to fill out wellness questionnaires at the beginning and end of each day. Temperatures were checked. Surfaces were sanitized.

During one particularly challenging sequence shot at night, the actors were dressed in neoprene suits both to keep them warm and to offer them another level of protection when they came in close contact during the scene.

Ty, a British rapper known for a lyrically thoughtful, musically polyglot approach to hip-hop and for serving as a bridge between generations of British rap, died on May 7 in London. He was 47.

His death was announced on a GoFundMe page that had been established by a family friend, Diane Laidlaw, while he was hospitalized with complications of the coronavirus. He was placed in a medically induced coma, woke from it and later died of pneumonia.

In the late 1990s and 2000s, just before the early flickers of the rap-adjacent genre known as grime presaged a sound and scene with a firm British identity, Ty was among the most adventurous British M.C.s a wordplay-focused scene-builder indebted to American movements like the Native Tongues and the New York underground. Though he received critical acclaim, including a nomination for the prestigious Mercury Music Prize in 2004, he often expressed his frustrations with how the more commercial strains of hip-hop tended to shut out unconventional voices.

Ty didnt fit neatly into any hip-hop archetypes, in England or anywhere else. I hate the word alternative, he told The Independent in 2008. I hate the word off-key, I hate the word jazzy and I hate the word laid-back. Im not a laid-back person.

But even though he was difficult to neatly categorize, Ty was widely respected for his relaxed but complex storytelling. Charlie Sloth, the British hip-hop D.J. and radio host, called him a true foundation of UK rap in a Twitter tribute.

Chinas economy, now a bellwether, shows hints of recovery. Can it last?

Many countries have been watching Chinas economic performance closely because it is several months ahead of the rest of the world in coping with the virus, which has sickened more than 4.4 million people and killed more than 300,000. The Chinese economy shrank in the first three months of this year for the first time since Mao Zedong died in 1976.

Factories caught up on orders that they had struggled to fill earlier this year, when the coronavirus pandemic raced across the country. The countrys industrial production was up 3.9 percent from April of last year, better than most economists expected. Production had been down 1.1 percent in March from a year earlier and had plunged in February, when the virus outbreak was at its worst in China.

But shopping and fixed asset investment stayed weak. Retail sales were down 7.5 percent in April compared to a year earlier, marginally worse than economists expectations.

We should be aware that given the continuous spread of the epidemic abroad, the stability and recovery of the national economy is still faced with multiple challenges, said Liu Aihua, the director general of the agencys department of comprehensive statistics.

Strong exports kept factories busy last month. Many factories were catching up on orders placed while Chinese cities were locked down. But orders for further exports have stalled, according to surveys of purchasing managers.

Despite the progress, tens of millions of migrant workers are unemployed. Many white-collar workers have suffered pay cuts. Weak consumption has some economists wondering how long China can sustain an economic rebound.

For Britains unlikely national hero, The first step was the hardest.

Tom Moore is charming, droll and confoundingly energetic. At age 99, he was mowing the lawn and driving his car. When he broke his hip 18 months ago, he bought a treadmill to speed his rehabilitation.

Hannah Ingram-Moore, his daughter, said she knew her dad was a good story, but nothing could have prepared them for the media whirlwind that has swept Mr. Moore, a decorated World War II veteran, to superstardom.

He has become a one-man fund-raising powerhouse for Britains National Health Service, a national symbol of British pluck and an all-around hero all by doing 100 laps of an 82-foot walk on the brick patio next to his garden in Marston Moretaine, a tranquil village an hour north of London.

The first step was the hardest, he said in an interview conducted by video link. After that, I got into the swing of it and kept on going.

It was his daughter who suggested posting a charity challenge online to try to raise 1,000, about $1,220, for the N.H.S.

He did a bit better than that.

Before long, news outlets from multiple continents were broadcasting pictures of Captain Tom ambling with his walker, military medals gleaming on his blue blazer. With deaths mounting and the economy crumbling, he was an antidote to a time with no actual antidotes.

Mr. Moore, who turned 100 on April 30, raised 32.8 million.

He drew a direct line from the beleaguered health workers of today to the soldiers of his generation.

In the war, we were fighting on the front line and the general public was standing behind us, Mr. Moore said. In this instance, the doctors and nurses and all the medical people, theyre the front line.

Sweden stayed open while much of Europe was shut. New numbers show the toll.

Swedens coronavirus outbreak has been far deadlier than those of its neighbors, but the country is still better off than many others that enforced strict lockdowns.

By late March, nearly every country in Europe had closed schools and businesses, restricted travel, and ordered citizens to stay home. But one stood out for its decision to stay open: Sweden.

The New York Times measured the impact of the pandemic in Sweden by comparing the total number of people who have died in recent months to the average over the past several years. The totals include deaths from Covid-19, as well as those from other causes, including people who could not be treated or decided not to seek treatment.

In Stockholm, where the virus spread through migrant communities, more than twice the usual number of people died last month. That increase far surpasses the rise in deaths in American cities like Boston and Chicago, and approaches the increase seen in Paris.

Across Sweden, almost 30 percent more people died during the epidemic than is normal this time of year, an increase similar to that of the United States and far higher than the small increases seen in its neighboring countries. While Sweden is the largest country in Scandinavia, all have strong public health care systems and low health inequality across the population.

Its not a very flattering comparison for Sweden, which has such a great public health system, said Andrew Noymer, a demographer at the University of California at Irvine. Theres no reason Sweden should be doing worse than Norway, Denmark and Finland.

Slovenia becomes the first country in Europe to declare its epidemic over.

Slovenia became the first European country to declare an end to its national coronavirus epidemic on Friday, easing border crossings into the small Alpine country for residents of the European Union and announcing that classes in some schools and day care centers would resume as early as Monday.

Its a success, and we did it together, Jelko Kacin, a government spokesman, said at a daily televised briefing on Friday.

The spread of the coronavirus in Slovenia is under control and there is no longer a need for extraordinary restrictions, the government said in a statement, but added that preventive measures such as social distancing and wearing masks in closed spaces would remain in place for the population of some two million.

Slovenia moved quickly and early to introduce measures to stem the spread of the virus, with the government declaring a nationwide epidemic on March 12 and imposing tight restrictions on movement around the country as the disease ravaged neighboring Italy. The public has largely abided by the tough rules and the number of deaths and confirmed infections from the virus has remained comparatively low.

With the new announcement, citizens of E.U. countries can now freely cross into Slovenia at designated border crossings, the government said. But citizens outside the bloc will have a 14-day quarantine period after entry.

Earlier this month, the government began easing restrictions and lifted the ban on movement within the country. Last week, cafes, shops and museums reopened and public transportation resumed. Cultural events in theaters and concert halls will remain suspended at least until the end of the month.

But throughout the crisis, the right-wing government of Prime Minister Janez Jansa has faced criticism, with the opposition accusing him of exploiting the pandemic to silence critics, including the nations public broadcaster, and empower police.

Forget soda and snacks. These vending machines are selling the new essentials: Masks.

As public life begins again in Germany, face masks have become an essential accessory, required in schools, in museums, on public transportation and in most businesses.

Now a number of the countrys ubiquitous vending machines Germany has nearly 580,000 are being restocked to provide easy access to masks.

At least six leading vending machine operators are now offering masks and disinfectants in their machines.

We recognized early on that there is a real need to obtain the most important hygiene articles quickly and easily in order to actively counteract the spread of the coronavirus, Manuela Zimmermann, the head of Selecta Germany, a large operator that will restock 500 of its machines to carry masks and disinfectants. Our machines are there, where the people are.

A mask is 2 euros ($2.17) at a Selecta machine.

Holger Ballwanz, the director of a vending machine company in Berlin, has taken the idea one step further, introducing a tiny vending machine designed to just sell one item face masks.

His company Flavura, which typically specializes in coffee vending machines, came up with a design he calls the Maskomat, which he says is easier to set up and maintain and takes up less space than a traditional vending machine.

Imagine I get to the barber and realize Ive forgotten my mask in the office, he said in a telephone interview. A barber could have one of those in the shop.

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U.S. and China Trade Coronavirus Accusations, Sparking Fears of a New Cold War - The New York Times

Does Texas really rank high in coronavirus recoveries? – The Texas Tribune

In explaining his cautious optimism about Texas response to the novel coronavirus, Gov. Greg Abbott has often homed in on one cheery-sounding figure: the number of Texans he says have recovered from the virus, which, he boasts, tops that of almost every other state.

The Texas figure, which stands at 28,371, is not an actual tally of the patients no longer experiencing any symptoms, but instead an estimate based on a string of assumptions about the virus longevity. And its difficult to say where Texas really ranks in recoveries, in part because many states, including most of the countrys most populous California, Florida and Pennsylvania do not report the number at all. PolitiFact Texas recently rated Abbotts claim about Texas high ranking half-true.

Some states dont report how many patients have recovered because it simply isnt feasible to track everyone who tested positive for the virus, and there are too many conflicting methods for estimating the count.

And experts say recovery estimates mean little: There is no cure for the new coronavirus, so the number of recoveries best reflects how many people have fallen ill from the virus in a given state the more infections, the more recoveries.

At a press conference Monday, Abbott made a slightly different claim, reporting that with the help of our hospitals, our recovery rate is one of the best in the country. PolitiFact found earlier this month that Texas ranked 16th for recovery rate among states that are reporting recoveries. A spokesman for the governor did not return a request for comment about his source for the claim.

The Centers for Disease Control and Prevention uses clinical criteria to determine when a person is recovered enough to stop self-isolating: either a negative coronavirus test, or improvement in respiratory symptoms and fever over a period of several days.

Texas calculates its recovery total by splitting surviving patients into two groups: an estimated 20% who require hospitalization and an estimated 80% who do not. Texas considers the surviving patients who required hospitalization recovered after 32 days and those who did not require hospitalization recovered after 14 days.

Its working with the tools you have and the knowledge that you have, said Angela Clendenin, an epidemiologist and biostatistician at Texas A&M University School of Public Health. The formulas are sound. They make logical sense. But at the same time, knowing that that's probably the closest we can get to an estimate doesnt always mean its going to be highly accurate.

Many coronavirus patients are never tested because they are asymptomatic or only mildly symptomatic. As many as tens of thousands may not be captured in the states figures, Clendenin said.

And the 14-day recovery assumption may be off base, with some patients reporting long-term health impacts. How to classify the people who experience lasting respiratory issues as a result of the virus?

Other states calculate the number differently or not at all.

It would take a lot of resources to track status on each individual daily until they recovered, said Will Finn, a spokesman for the state of Washington. Because of that, the state is not able to track recoveries, he said.

A spokesperson for Floridas health department said some states and countries measure a case as recovered when a person has had COVID-19 for more than 14 days, while others [rely] upon hospital discharge data neither of which completely capture recovery of the full COVID positive population.

Michigan, for example, includes patients who are alive 30 days after the onset of the illness.

If states are using different criteria, then comparisons are not meaningful, said Shelley Payne, a professor of medical education at the University of Texas at Austin. Tracking the number of new infections and the rate of infections is more important, Payne said.

White House guidelines do not identify recovered patients as a metric states should consider when weighing how fully to reopen, and Abbott hasnt identified it as one either. But the recovery total he boasts about does factor into another important metric for the state: its hospitalization rate.

Abbott has said he uses the hospitalization rate to determine how much to reopen the states economy. The hospitalization rate is calculated using the estimated total of recovered patients.

That rate, which the state reports has been decreasing, is calculated by dividing the number of people who are hospitalized by the number of active cases, a figure arrived at by subtracting the estimated recoveries from total confirmed cases. That means the important metric is based on the states recovery estimate.

Abbott has also boasted that the states estimate of recovered COVID-19 patients has surpassed the number of patients with active COVID-19 cases. But that is only logical, because the number of estimated recovered patients accumulates over time. It would require a spike in cases for the number of active COVID-19 patients to overtake the total number of patients who have recovered over a period of more than two months.

Disclosure: Texas A&M University and the University of Texas at Austin have been financial supporters of The Texas Tribune, a nonprofit, nonpartisan news organization that is funded in part by donations from members, foundations and corporate sponsors. Financial supporters play no role in the Tribune's journalism. Find a complete list of them here.

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Does Texas really rank high in coronavirus recoveries? - The Texas Tribune

The coronavirus exposed the US’ reliance on India for generic drugs. But that supply chain is ultimately controlled by China – CNN

"When the hoarding started, my 30-day supply was in back order," said Thebarge. "The scenario really scared me, what would happen to me if I couldn't get HCQ?"

While the US seems to hold sway with its ally India in obtaining the finished product, there's a bigger issue earlier in the supply chain.

India gets around 68% of its raw materials -- known as active pharmaceutical ingredients (APIs) -- from China. Any disruption in that supply chain can create a major problem, especially during a pandemic.

As scientists and pharmaceutical companies race to find an effective treatment and vaccine for Covid-19, there are fears the current vulnerabilities in the supply chain could expose the US -- and other countries -- to drug shortages, just when they need them most.

The US has pledged to "Buy American" drugs going forward, and Indian plans to ramp up its own API production, but will they be able to replace supplies from China during this pandemic -- or even the next?

Karan Singh, managing director of Indian pharmaceutical company ACG Worldwide, says the government realized its huge population was never going to be able to afford imported patented drugs, and needed to find a solution.

Indian companies excelled in reverse engineering big-name drugs and launched copycat versions -- legally. But it wasn't only India that wanted these products, and in the mid-1980s, regulatory changes opened up the US market more open to cheap copycat drugs, too.

Naturally, the pharmaceutical giants, which had invested millions of dollars in creating new drugs, pushed back, and in 1995 the World Trade Organization (WTO) introduced an agreement giving drug patents 20 years' protection -- and companies were given 10 years to comply.

The WTO conceded that member states could grant licenses to manufacturers to make generic versions of patented medicines needed to protect public health.

Now that company is working to reverse engineer three drugs being tested to fight Covid-19 -- Remdesivir, Favipiravir and Baloxavir. "Twenty years later we are again in the forefront here in India with regards to medicines necessary to combat Covid-19," said Dr Yusuf Hamied, chairman of Cipla.

Still, overcoming challenges from intellectual property rights is only half the story.

"(When) China shut down because of Covid-19, we got desperate," said Vinay Pinto, executive director at Wallace Pharma, one of the country's leading manufacturers of HCQ.

"We are still facing a lot of difficulty in getting imports from China," PC Mishra, director of India's Directorate General of Foreign Trade said in late April. "If we compare March 2020 and 2019, imports from China are down by 40%."

Jayasree Iyer, the executive director of Access to Medicine Foundation, a non-profit that analyzes pharmaceutical industries, says there is also a fear among pharma companies that they "may not have enough stocked-up APIs for their next set of commitments."

India used to have a thriving bulk drug and API industry, but when import restrictions were lifted in the early 1990s, its generic drug manufacturers began getting raw materials from China, where some APIs can cost up to 30% less, according to the CII-KPMG report.

"Large incentives were given by the Chinese government to Chinese pharmaceutical companies to set up large API plants," said Singh of ACG Worldwide. "Because of the sheer size and scale of these facilities they were able to leverage economies of scale to drive cost down."

There are now more than 7,000 API manufacturers in China compared to around 1,500 plants in India, where big players like Sun Pharma and Cipla are a rarity, according to the CII-KPMG report.

This is not the first time India's pharma sector has been affected by a slowdown in China.

After that, the Indian government explored the idea of building Mega Pharma Parks to produce APIs but the project was reportedly shelved due to a lack of financial assistance.

However, the most recent supply shortages have caused a rethink.

On March 21, the Indian government revived plans for Bulk Pharma Parks as part of a $1.3 billion package to boost domestic production of bulk drugs and exports.

It includes establishing three bulk drug parks with common infrastructure facilities and a production-linked incentive scheme to promote domestic production of 53 critical key starting materials, drug intermediates and APIs.

"This is a much-needed step, but we will have to see how it's implemented at state level. In the past we have faced immense challenges for environmental clearances or accessing finance," said Dr Kamal Vashi, Vice President of Mangalam Drugs and Organics, one of India's API manufacturing companies.

The United States, too, has recognized the need to become more self-sufficient.

Speaking about Trump's "Buy American" executive order, he said that after this pandemic, the American government would source essential medicines, medical supplies and equipment only from American companies.

The push to reduce the US's reliance on other countries for drugs has gained bipartisan support.

"India is the source of 24.5% of generic drugs sold in the US," she said. "This appears to suggest that we don't need to worry about generics coming from China. In fact, India is dramatically dependent on China for raw materials and chemical intermediates that are used to make active pharmaceutical ingredients."

In short, the US will only not be reliant on China if it cuts ties with India, too.

Nicole Longo, public affairs director at pharmaceutical lobbying group PhRMA, says US plans to move all pharmaceutical manufacturing onshore vastly "underestimate the significant time, resources and other feasibility challenges and complexities involved."

"They also ignore the strength of a robust and geographically diverse global supply chain," she added.

Indian pharmaceutical companies say it will take time to build up their API production capacity -- and reduce their reliance on China.

"Covid-19 has been an eye opener," said Dinesh Dua, Chairman of Pharmaceuticals Export Promotion Council (Pharmexcil). "The government has done more in the past few weeks than what it has done in the past few years. But even if we start now, it will take us at least 10 years to end our dependency on China."

Philippe Andre, who audits pharmaceutical companies' manufacturing practices in China, endorses a more collaborative approach. "The solution would have to be international, through some sort of system where the producer countries would have to ensure they have sufficient capacity to continue supplying the world during a crisis," he said.

For now, India appears to have little choice but to rely on China for the majority of its APIs -- and the US to rely on India for the majority of its drugs. The true test of that supply chain will will come when -- or perhaps if -- scientists find a treatment or vaccine for Covid-19.

See the article here:

The coronavirus exposed the US' reliance on India for generic drugs. But that supply chain is ultimately controlled by China - CNN

F.D.A. Clears Another Coronavirus Testing Kit for Use at Home – The New York Times

The Food and Drug Administration on Saturday granted emergency clearance for a coronavirus testing kit that will enable individuals to take a nasal sample at home and send it to a laboratory for diagnostic testing, the second such approval it has made.

Dr. Jeffrey Shuren, director of the agencys Center for Devices and Radiological Health, said in a statement that the new test not only provides increased patient access to tests, but also protects others from potential exposure. Health care workers can risk infection when they administer diagnostic tests.

The kit, made by Everlywell, will contain a swab for individuals to use to take a sample from inside the nostrils, and a tube filled with a saline solution to put it in for sending to one of two private lab companies: Fulgent Therapeutics or Assurance Scientific Laboratories. The company plans to partner with additional laboratories.

Some public health researchers have warned that at-home nasal swab tests can be less accurate than the specimen collection performed by health care providers, which involves inserting a long nasal swab through the nose into the back of the throat.

Christina Song, an Everlywell spokeswoman, said consumers will first take an online screening survey to determine whether they meet federal guidelines for the test. The survey will be reviewed quickly by health care providers affiliated with PWNHealth, the companys telemedicine partner. If a consumer qualifies for the test, one will be shipped out immediately.

From the moment that you hit the order button, to the moment that you get the test results on your phone or device, that process is designed to take three to five days, Ms. Song said.

The test kits will be available later this month, according to Ms. Song, and will cost $135.

In announcing its authorization for the Everlywell testing kit, the F.D.A. said the company had leveraged data from studies supported by the Bill and Melinda Gates Foundation and UnitedHealth Group to show that the specimens would stay stable during shipping.

Everlywell makes a variety of products that individuals can buy online or in stores, among them at-home test kits for diabetes, sexually transmitted diseases and high cholesterol.

Some of the companys products, such as those purporting to test for food sensitivities, have come under criticism. Everlywell was also one of several businesses that drew attention from members of Congress in March for entering the market for coronavirus test kits in March without F.D.A. approval.

Everlywell, which had promoted its at-home kit as a consumer product, said in a statement at the time that it had not sold any of the kits to consumers, but was providing the test materials at cost to hospitals and health care organizations who can commit to providing the test for free to their workers and patients.

The F.D.A.s announcement on Saturday follows other recent emergency use authorizations for coronavirus testing kits that also permit individuals to take samples at home. One, sold by LabCorp, also uses a nasal swab to collect a sample, which is then sent to the lab. The other, developed by a Rutgers University laboratory, called RUCDR Infinite Biologics, in partnership with Spectrum Solutions and Accurate Diagnostic Labs, is for collecting a saliva sample.

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F.D.A. Clears Another Coronavirus Testing Kit for Use at Home - The New York Times

Delaware County Woman Claims She Contracted Coronavirus After Nursing Home Staff Placed Positive Patients In Her Room – CBS Philly

WALLINGFORD, Pa. (CBS) Pennsylvania health officials are placing a focus on nursing homes, who have bear the brunt of COVID-19 cases. Now, the state is announcing new steps to prevent further outbreaks.

For more than a month, Donna Osowski was a resident at ManorCare Health Services in Wallingford.

The 68-year-old was recovering from a stroke, needing physical therapy to walk. She went into the facility as the pandemic began to flare up.

Credit: CBS3

They were putting me into another room and I said, Oh, am I going in by myself? And she said, No, youre going in with another woman, but she only has a 99 fever,' Osowski said. I said, What? Thats one of the symptoms.

Well, they put me in this room by myself, then they bring her down. Shes coughing a lot. I said you people are really kidding me, Osowski said.

Download The New And Improved CBS Philly App!

State data shows the number of COVID-19 deaths in long-term care facilities approaches 75% of all deaths in some counties.

Osowski, a grandmother to nine boys, says staff members continued to place COVID-19 positive residents in her room. She eventually contracted the virus herself.

I was completely healthy when I went in there, Osowski said.

Pennsylvania officials have been faulted by family members of nursing home residents for a lack of preparedness to contain the virus.

CBS3 questioned state leaders if enough had been done to assist nursing homes.

Thats a very difficult question, obviously, Pennsylvania Emergency Management Director Randy Padfield said. The challenge is that no two nursing homes or long-term care facilities are created equally. So trying to generalize against a number of them is very difficult. Theyre all prepared to different degrees.

Pennsylvania COVID-19 Cases Top 63,000, Death Toll Climbs To 4,500

ManorCare Wallingfords parent company released the following statement, reading in part: We have taken significant additional precautions to minimize risk to patients and employees and have had systems and processes in place to help reduce the risks associated with the novel coronavirus We are in very close communication with our medical director, clinical support team, and local and state health officials about the appropriate steps to serve the best interests of our patients, employees and visitors.

Read the full statement below.

Meanwhile, the state is ramping up testing for residents and staff of nursing facilities to gauge the full toll the virus has taken.

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Delaware County Woman Claims She Contracted Coronavirus After Nursing Home Staff Placed Positive Patients In Her Room - CBS Philly

Where New Yorkers Moved to Escape Coronavirus – The New York Times

Top 50 metropolitan destinations

outside New York City

Miami-

Fort Lauderdale-

West Palm Beach

Top 50 metropolitan destinations

outside New York City

Miami-Fort Lauderdale-

West Palm Beach

Top 50 metropolitan destinations

outside New York City

Miami-Fort Lauderdale-

West Palm Beach

Top 50 metropolitan destinations

outside New York City

Miami-

Fort Lauderdale-

West Palm Beach

By The New York TimesArrows are sized by the proportion of requests for that destination.

New York City has long been a cheek-to-jowl town with cramped apartments and determined strivers. But starting in March, as the coronavirus outbreak here began, parts of the city emptied out, with many leaving from New York's wealthiest neighborhoods. Mail-forwarding requests show where a number of them went. Some abandoned the Upper West Side for sunny Miami. Others left Gramercy Park for New Jersey. Some left Brooklyn apartments for California.

In March, the United States Post Office received 56,000 mail-forwarding requests from New York City, more than double the monthly average. In April, the number of requests went up to 81,000, twice the number from a year earlier. Sixty percent of those new requests were for destinations outside the city.

By The New York TimesSource: U.S. Postal Service

The empty feeling is the most pronounced in Manhattan. In April, a little more than half of those requests for destinations outside New York City originated in Manhattan, led by neighborhoods on the Upper West and Upper East Sides.

The data from neighborhoods that saw the most requests mirrors cell phone data showing that the city's wealthiest areas saw the most movement.

Right after Covid hit, everyone just blasted out of here, Councilwoman Helen Rosenthal said of the Upper West Side. You could walk just in the middle of Columbus Avenue. And I often did.

Miles of normally cramped streets are empty, and garbage collection is lower in those neighborhoods than in recent years. In Times Square, you can practically hear the hum of electronic signs glowing above empty sidewalks.

Many New Yorkers who fled their homes in the city moved to nearby areas in Long Island, New Jersey and upstate New York.

The Hamptons are a summer

home destination for many

New York City residents.

The Hamptons are a summer

home destination for many

New York City residents.

The Hamptons are a summer

home destination for many

New York City residents.

By The New York TimesSource: U.S. Postal Service

In most locations, the United States Postal Service allows individuals and families who normally get mail at a given location to temporarily forward their mail somewhere new, for up to a year.

Now, mail that used to go to Hells Kitchen in Manhattan is going to Maine and Connecticut. Lower East Side letters are being rerouted to Florida and Pennsylvania. Packages meant for Park Slope, Brooklyn, are going to Texas and Rhode Island.

New York City

region excluding

the city

32% of requests

Miami-

Fort Lauderdale-

West Palm Beach

N.Y.C. region

excluding

the city

32% of

requests

Miami-

Ft. Lauderdale-

W. Palm Beach

N.Y.C. region

outside the city

Miami-Ft. Lauderdale-

West Palm Beach

New York City

region excluding

the city

32% of requests

Miami-

Fort Lauderdale-

West Palm Beach

By The New York TimesSource: U.S. Postal Service

After being laid off from his job as a theater stage hand, Kurt Gardner, his wife and their young daughter left their crowded two-bedroom apartment in the Windsor Terrace section of Brooklyn for the familys three-bedroom summer home in eastern Suffolk County, on Long Island.

Mr. Gardner, 50, said he hears about friends in the city who have to wait outside an hour for Trader Joes. The Gardners now live near a well-stocked supermarket with practically no lines. Theyre surrounded by open space, and their daughter doesnt have to worry about socially distancing at Prospect Park, he said.

As for their mail, it comes maybe once a week, Mr. Gardner said. He and his wife filed mail-forwarding requests in mid-March, but he said much of his mail from March never arrived.

Brooklyn had the second-highest number of mail-forwarding requests, which were concentrated in neighborhoods like Dumbo and Brooklyn Heights.

Mail-forwarding requests

by ZIP code in April

Mail-forwarding

requests by ZIP

code in April

By The New York TimesSource: U.S. Postal Service

Black and Hispanic neighborhoods, including many areas where essential workers live, tended to have far fewer mail-forwarding requests. Roman Suarez works for a union in New York City and travels on weekends doing stand-up comedy. He was in Texas when his boss in New York called to say things were shutting down. I immediately rushed home, said Mr. Suarez, 42, who lives in the Bronx. He picks up medication and groceries for about three dozen family members who live nearby. I just stayed and made myself available for my family, he said.

His neighbors, many of whom work for the city, or in health care, stayed too, he said. His neighborhood, just east of the Bronx Zoo, had fewer than a quarter as many mail-forwarding requests as the Upper East or Upper West Sides.

My father was a cab driver. My mom was a hairdresser, so I understood service to your community, Mr. Suarez said. He recalled living through other challenging times in the city, from Hurricane Gloria in 1985 to the Sept. 11 terror attacks in 2001. Whenever New York goes through stuff, the best thing to do is just be there.

Metropolitan area

Mail-forwarding requests

New York-Newark-Jersey City

16,041

Miami-Fort Lauderdale-West Palm Beach

1,830

Philadelphia

1,456

Bridgeport-Stamford-Norwalk, Conn.

1,456

Washington-Arlington-Alexandria

1,298

Los Angeles-Long Beach-Anaheim

1,131

Boston-Cambridge-Newton

1,092

Kingston, N.Y.

963

Atlanta

710

Torrington, Conn.

Read more:

Where New Yorkers Moved to Escape Coronavirus - The New York Times

5 Things To Watch This Week In Politics And Coronavirus – NPR

Then-President Obama and then-President-elect Donald Trump shake hands during a transition planning meeting in the Oval Office at the White House in November of 2016. Jim Watson/AFP via Getty Images hide caption

Then-President Obama and then-President-elect Donald Trump shake hands during a transition planning meeting in the Oval Office at the White House in November of 2016.

With Joe Biden on the ballot, so is the legacy of Barack Obama, and it appears we're about to see a throwdown between the last president and the current one and their polar opposite worldviews.

Amid criticism of his handling of the coronavirus pandemic, President Trump has been falsely laying blame on Obama for leaving the "cupboard bare" when it comes to the national stockpile of emergency medical supplies and equipment.

And lately, Trump and conservatives have been running with allegations of potentially criminal activity by Obama administration officials for their handling of surveillance that later led to the investigation and guilty plea of Michael Flynn, Trump's three-week national security adviser. (The Department of Justice now wants to drop its case against Flynn.)

In the past week, Trump has tweeted "Obamagate" (on its own, as a retweet or as a hashtag) 18 times. Three times, he's tweeted simply "Obamagate!" with nothing else.

Neither Trump nor White House officials have been able to identify a specific crime, but it sure helps fire up the base.

Obama, for his part, seemed to reply with one word of his own Thursday: "Vote."

And then, on Saturday, he had more words during two virtual commencement addresses.

"[T]his pandemic has fully, finally torn back the curtain on the idea that so many folks in charge know what they're doing," Obama told graduates of historically black colleges and universities. "A lot of them aren't even pretending to be in charge."

Then, when speaking to graduating high school students, he said: "Do what you think is right. Doing what feels good, what's convenient, what's easy that's how little kids think. Unfortunately, a lot of so-called grownups, including some with fancy titles and important jobs, still think that way which is why things are so screwed up."

Wow.

And a week earlier, when talking to former officials from his administration, leaked audio revealed that Obama called Trump's handling of the coronavirus an "absolute chaotic disaster" and an example of what happens when a "what's in it for me" mindset "is operationalized in our government."

Pressed about Obama's remarks Sunday, Trump said he hadn't heard them, but noted, "Look, he was an incompetent president, that's all I can say, grossly incompetent."

Welcome to the 2020 presidential campaign. Reelections are always a referendum on the sitting president. But with Biden, Obama's vice president, at the top of the Democratic ticket, it's somewhat of a referendum on Obama, too.

And there's reason for Trump to want or even need to try and take Obama down a few pegs. Currently, Obama is among the most popular politicians in the country and one of the highest-polling political figures (besides his wife, Michelle.)

It's a clear and stark choice offered up to voters and one Trump seems to want front and center. He even tweeted at Republican Senate Judiciary Chair Lindsey Graham, who says he wants to hold hearings on the Flynn case, to call Obama to testify.

"Do it @LindseyGrahamSC, just do it," Trump tweeted. "No more Mr. Nice Guy."

Graham responded, telling reporters he thinks that would "be a bad precedent" to compel a former president to testify and would "open up a can of worms."

"I understand President Trump's frustration," Graham said, before warning, "but be careful what you wish for. Just be careful what you wish for."

1. Coronavirus death toll approaches 90,000: About 90,000 people are now confirmed to have died from COVID-19 in the United States, and though new cases are slowing, the country is still on pace for 100,000 deaths from the coronavirus before the end of the month.

That slowing of new cases is good news, but with two-thirds of states significantly relaxing stay-at-home restrictions, experts are concerned about a potential resurgence.

"We're seeing a decline; undoubtedly, that is something good to see," Jeffrey Shaman, an epidemiologist at Columbia University, told The New York Times. "But what we are also seeing is a lot of places right on the edge of controlling the disease."

Another good sign, though: New York Gov. Andrew Cuomo tweeted on Sunday that his state now has "more testing capacity than New Yorkers are using." And he wants not only symptomatic New Yorkers to get tested, but also those who "have been in contact with someone with COVID." That's a first step in what experts say is one of the most important things to do to try and contain the virus test as many people, including those without symptoms, as often as possible.

President Trump and Vice President Pence look on as a video plays of New York Gov. Andrew Cuomo giving a press conference in April. Jim Watson/AFP via Getty Images hide caption

President Trump and Vice President Pence look on as a video plays of New York Gov. Andrew Cuomo giving a press conference in April.

2. Will the Senate make a push for another relief package? Health versus the economy has been the tension since the beginning of the lockdowns. Unemployment has hit almost 15%, the highest since the Great Depression. And as deaths spiked in April, 20 million jobs were lost. Congress has passed four relief packages; the Democratic-led House has passed another, but Senate Republicans and the White House have balked at a fifth major package. "We have not yet felt the urgency of acting immediately," Senate Majority Leader Mitch McConnell, R-Ky., said last week.

On Tuesday, there could be more clarity on the state of the economy and what more the administration is planning to do to support people and the economy in the coming weeks when Treasury Secretary Steven Mnuchin and Federal Reserve Chair Jerome Powell appear before the Senate Banking Committee, as required by the CARES Act.

3. Watching for fallout from inspectors general firings: The firing of the State Department's inspector general, Steve Linick announced on a Friday night, which is where bad news goes to be buried in Washington is raising more questions than answers. Linick is the fourth inspector general the Trump administration has sought to remove in the past six weeks. A Democratic congressional aide told NPR's Michele Kelemen that Linick was looking into Secretary of State Mike Pompeo's conduct.

The move triggered Republican Sens. Mitt Romney, Susan Collins and Chuck Grassley to question Trump's motives. Romney said the move "chills" the IGs' essential independence and called the moves "a threat to accountable democracy." Collins said Trump had not provided "the kind of justification for the removal ... required" by law. Grassley pointed out that "written reasons" are "required" and that "A general lack of confidence simply is not sufficient." But what does the Republican Senate do to maintain the accountability that they say Trump is threatening or not abiding by? So far, during the Trump presidency, it's done little to hold him in check.

4. Senate Republicans move ahead with Hunter Biden probe: On Wednesday, the Senate Homeland Security Committee will vote on a subpoena to Blue Star Strategies. That's a company that worked with the Ukrainian energy company Burisma, which hired Biden's son Hunter to sit on its board. Republican senators are looking into whether Blue Star "sought to leverage Hunter Biden's membership on the board of directors for Burisma." Call it the impeachment backlash.

With Romney signaling he will vote in favor of the subpoena, it is expected to pass, NPR's Philip Ewing and Claudia Grisales report.

5. Supreme Court opinions Monday: The Supreme Court is expected to issue opinions Monday. We are keeping an eye out for an LGBTQ employment discrimination case, as well as whether the court thinks the Trump administration acted lawfully in shutting down the Deferred Action for Childhood Arrivals, or DACA, program. When the DACA case was argued last fall, the court's conservative majority appeared it would go along with the Trump administration. Both of these decisions could be released at any time in the next few weeks.

"After much reflection, I've concluded that circumstances don't lend themselves to my success as a candidate for president this year, and therefore I will not be a candidate."

Rep. Justin Amash of Michigan announcing via Twitter the end of his short-lived Libertarian bid for the presidency. There was much Democratic hand-wringing that Amash could cost Biden votes, especially in Michigan.

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5 Things To Watch This Week In Politics And Coronavirus - NPR

Coronavirus Is Making Young People Very Sick. I Was One of Them. – The New York Times

The day before I got sick, I ran three miles, walked 10 more, then raced up the stairs to my fifth-floor apartment as always, slinging laundry with me as I went.

The next day, April 17, I became one of the thousands of New Yorkers to fall ill with Covid-19. I havent felt the same since.

If you live in New York City, you know what this virus can do. In just under two months, an estimated 24,000 New Yorkers have died. Thats more than twice the number of people we lost to homicide over the past 20 years.

Now I worry for Americans elsewhere. When I see photographs of crowds packing into a newly reopened big-box store in Arkansas or scores of people jammed into a Colorado restaurant without masks, its clear too many Americans still dont grasp the power of this disease.

The second day I was sick, I woke up to what felt like hot tar buried deep in my chest. I could not get a deep breath unless I was on all fours. Im healthy. Im a runner. Im 33 years old.

In the emergency room an hour later, I sat on a hospital bed, alone and terrified, my finger hooked to a pulse-oxygen machine. To my right lay a man who could barely speak but coughed constantly. To my left was an older man who said that he had been sick for a month and had a pacemaker. He kept apologizing to the doctors for making so much trouble, and thanking them for taking such good care of him. I cant stop thinking about him even now.

Finally, Dr. Audrey Tan walked toward me, her kind eyes meeting mine from behind a mask, goggles and a face shield. Any asthma? she asked. Do you smoke? Any pre-existing conditions? No, no, none, I replied. Dr. Tan smiled, then shook her head, almost imperceptibly. I wish I could do something for you, she said.

I am one of the lucky ones. I never needed a ventilator. I survived. But 27 days later, I still have lingering pneumonia. I use two inhalers, twice a day. I cant walk more than a few blocks without stopping.

I want Americans to understand that this virus is making otherwise young, healthy people very, very sick. I want them to know, this is no flu.

Even healthy New Yorkers in their 20s have been hospitalized. At least 13 children in New York state have died from Covid-19, according to health department data. My friends 29-year-old boyfriend was even sicker than I was and at one point could barely walk across their living room.

Maybe you dont live in a big city. Maybe you dont know anybody who is sick. Maybe you think we are crazy for living in New York. Thats fine. You dont have to live like us or vote like us. But please learn from us. Please take this virus seriously.

When I was at my sickest, I could barely talk on the phone. Id like to say that I caught up on some reading, but I didnt. Im a newswoman, but I couldnt look at the news.

Instead, I closed my eyes and saw myself running along the New York waterfront, healthy and whole, all 8.5 million of my neighbors by my side. I pictured myself doing the things I havent gotten to do yet, like getting married, buying a house, becoming a mother, owning a dog.

I stared at the wall of photographs beside my living room window and promised the people in them over and over again that we would see each other soon.

I watched movies, dozens of them. I rediscovered Air Force One and fantasized about what it would be like if Harrison Ford were actually president right now. I stayed up late at night doing breathing exercises and streaming episodes of Longmire, a show about a Wyoming sheriff in which the good guys always win.

One thing I learned is how startlingly little care or advice is available to the millions of Americans managing symptoms at home.

In Germany, the government sends teams of medical workers to do house calls. Here in the United States, where primary care is an afterthought, the only place most people suffering from Covid-19 can get in-person care is the emergency room. Thats a real problem given that it is a disease that can lead to months of serious symptoms and turn from mild to deadly in a matter of hours.

The best care I received came from my friends. Fred, an emergency room resident treating patients at a New York hospital, called me on his bike ride to work, constantly checking in and asking about my symptoms. Chelsea, my college roommate and a physician assistant, has largely managed my recovery from pneumonia. Zoe, my childhood friend and a nurse, taught me how to use a pulse oximeter and later, the asthma inhaler I now use.

Through them, I became an amateur expert. This is the advice they gave me. Heres what Im telling my family and my friends: If you can, get an oximeter, a magical little device that measures your pulse and blood oxygen level from your fingertip. If you become sick and your oxygen dips below 95 or you have trouble breathing, go to the emergency room. Dont wait.

If you have chest symptoms, assume you may have pneumonia and call a doctor or go to the E.R. Sleep on your stomach, since much of your lungs is actually in your back. If your oxygen is stable, change positions every hour. Do breathing exercises, a lot of them. The one that seemed to work best for me was pioneered by nurses in the British health system and shared by J.K. Rowling, author of the Harry Potter series.

Nearly a month later, Im still sleeping on my stomach and still cant go for a run. But I will be able to do those things, and much more. For now, every conversation with an old friend brings a new rush of love. Every sunny day feels like the first time I saw the ocean as a child and wanted to leap right in.

Many of my neighbors didnt make it. I know because I heard the ambulances come for them late at night. The reports from the citys heroic E.M.T. force suggest that for many of these New Yorkers, it was already too late.

Why are more people dying of this disease in the United States than in anywhere else in the world? Because we live in a broken country, with a broken health care system. Because even though people of all races and backgrounds are suffering, the disease in the United States has hit black and brown and Indigenous people the hardest, and we are seen as expendable.

I wonder how many people have died not necessarily because of the virus but because this country failed them and left them to fend for themselves. That is the grief for me now, that is the guilt and the rage.

As I began to recover, others died.

There was Idris Bey, 60, a U.S. Marine and New York City Fire Department E.M.T. instructor who received a medal for his actions after the Sept. 11 attack.

There was Rana Zoe Mungin, 30, a New York City social studies teacher whose family said she died after struggling to get care in Brooklyn.

There was Valentina Blackhorse, 28, a beautiful young Arizona woman who dreamed of leading the Navajo Nation.

Theirs were the faces I saw when I lay on my stomach at night, laboring for every deep breath, praying for them and for me. Those are the Americans I think about every time I walk outside now in my tidy Brooklyn neighborhood, stepping slowly into the warming spring sun amid a crush of blooming lilacs and small children whizzing blissfully by on their scooters.

I hope the coronavirus never comes to your town. But if it does, I will pray for you, too.

See original here:

Coronavirus Is Making Young People Very Sick. I Was One of Them. - The New York Times