Patronus Medical Blog

Patronus COVID-19 Update March 30, 2020

Posted by Kerri Wright on Mar 31, 2020 11:59:12 AM

 

30 March 2020

Current as of 2330 EDT/ 2030 PDT

 

Current COVID-19 Statistics:

785,709 - Worldwide Cases (63,420 increase, up 8.9%)* 165,837 - Worldwide Recovered Patients

37,680 - Worldwide Fatalities

 

164,274 - U.S. Cases (21,772 increase, up 15.3%)* 5,847- U.S. Recovered Patients

3,164 - U.S. Fatalities

 

 

United States Locations 1,157 - Arizona Cases

7,390 - California Cases (1,143 increase, up 18.2%)* 204 - Hawai’i Cases

431 - Idaho Cases 177 - Montana Cases

67,384 - New York Cases (7,642 increase, up 12.8%)*

- 38,087 - New York City Cases (4,319 increase, up 12.8%) 1,377 - Nevada Cases

1,198 - North Carolina Cases 1,937 - Tennessee Cases

2,818 - Texas Cases (increase 502, up 17.8%)*

 

*Calculations based on previous day’s statistics

Daily Message:

While there is no question that the spread of the virus is accelerating, the stage in which regions, countries, and states are experiencing the outbreak varies greatly. At this point most countries have implemented restrictive border controls and limitations on internal movements; however, early predictions of a 14-21 day quarantine are now being reevaluated. Many domestic and national authorities are contemplating or have already issued extensions to their initial mandates. In the coming week or two, European nations are predicted to reach an apex in critical cases, whereas North America, South America, and Africa lag behind at varying paces. The ongoing restrictions on movement will be imperative in the coming weeks and months, while demand on medical supplies and capacity of healthcare facilities will be significantly stretched.

 

Important Updates:

International Desk

AFRICA - NIGERIA - Nigeria’s principal cities of Abuja and Lagos as well as Ogun state are set for a two week lockdown beginning today, 30 March. The country has already closed its borders and suspended domestic flights.

ASIA - CHINA - The country has experienced its fourth day in declining new COVID-19 cases; however, Beijing is still taking measures to stamp out a second wave of infections from abroad. International flights to the city have been reduced to just one per airline per week and the city is effectively closed to foreign visitors at the moment.

CARIBBEAN - While confirmed cases remain low, Caribbean nations are slowly starting to see an uptick in caess. There is on-going risk of imported cases from tourists.

ANTIGUA AND BARBUDA - The government has declared a state of emergency and has introduced a curfew from 2000 - 0600 (8pm - 6am) for two weeks. Beginning today, 30 March the country has closed its borders to all yachts for a 14-day period, after which the ban will be reassessed. The number of confirmed cases remain at 7, all currently being monitored.

DOMINICAN REPUBLIC (D.R.) - The Dominican Republic leads the region in the highest number of cases at 901. At present, there are four areas primarily affected: the National District, Samana, Puerto Plata, and Santiago.

EUROPEAN UNION (E.U.) - While Italy and Spain have been the bloc’s hotbeds, other countries brace for growing infection rates. Germany and the United Kingdom both experienced a major uptick over the weekend and have expressed concern that restrictions on daily life could continue for months. Some studies in Europe are showing that government intervention has already reduced the mortality predictions by 59,000 deaths.

GERMANY - While the country is recording over 66,000 cases, the death toll remains under 625. Some in Europe are wondering why their case fatality rate (about .72%) is so much lower than other nations with high infection rates (i.e. Italy at 10% and Spain at 8%). There is some evidence that early testing and tracking of infected persons has helped slow the virus by implementing mandatory quarantines on encounters of known cases. They also acted early in locking down elderly homes and communities, a demographic that is disproportionately inclined to present with critical cases.

ITALY - The number of deaths in Italy has surpassed 11,500 over the weekend and Monday; however, total daily fatalities have slowly been declining over the past few days as have the number of new infections. Chinese health officials have recommended that instead of quarantining people with mild cases at home, they should be sent to make-shift facilities away from their families or neighbors. For now Italy continues to quarantine mild cases using home-isolation, but Milan has now begun converting hotels into convalescent facilities for cases with mild symptoms. Italy’s lockdown is set to expire on 3 April, but government officials have stated that it will be extended.

PORTUGAL - The country has reported far fewer deaths than its border neighbor, Spain, but is also behind the curve of infection. The Health Minister expects the virus will peak around 14 April whereas Spain is expected to peak by the end of the week. Also today, the government announced it will temporarily grant full citizenship rights to all migrants.

RUSSIA - Moscow’s number of confirmed cases jumped this weekend forcing officials to impose a citywide lockdown starting Monday, 30 March. Two thirds of the country’s cases have been recorded in Moscow.

SPAIN - The Prime Minister announced that Spain must have tighter restrictions on movement in order to reduce hospital saturation of COVID-19 patients. The new mandate, placed on top of the 14 March directive, allows for only essential workers to leave their homes and is in place until 9 April.

NORTH AMERICA - Non-essential land crossings between the U.S. and Canada/Mexico continue to remain in effect.

CANADA - Cases gradually continue to climb in Canada with the province of Ontario seeing its largest single day increase in confirmed cases with 351. Canada has also asked all persons arriving into the country to self-isolate for 14-days, instructions can be found here.

MEXICO - Confirmed cases of the virus surpassed 1,000 in Mexico today prompting the declaration of a health emergency. The government has extended its suspension of non-essential activities until 30 April. It has also banned all gatherings of 50 or more people. Companies or individuals that ignore the restrictions could face penalties.

UNITED STATES - Over the weekend the death toll rose to over 2,400 deaths, a number that doubled in just two days. Confirmed cases continue to climb and reached over 164,000 on Monday.

OCONUS Desk - The United States continues to grapple with the increasing number of cases nationwide with nearly a third of those cases reported in the state of New York. New Jersey is also posting alarming numbers due to its proximity to New York. The CDC issued a travel advisory urging all residents of Connecticut, New Jersey, and New York to refrain from all non-essential travel for the next 14 days in an effort to further perpetuate the spread of the virus. Also, on 29 March, the President issued a continuation of the six-feet social distancing rule until 30 April.

ARIZONA - Today Governor Ducy announced a stay-at-home order for Arizona residents which will come into effect at 1700 (5pm ) on Tuesday, 31 March. Essential services can continue to operate under the order, the government released a definition of essential services on 18 March. He has encouraged people to go outside as long as they observe the six foot social distancing rule. Many golf courses remain open.

CALIFORNIA - The Governor continues to stress how critical it will be to secure supplies in the days and weeks to come. Models are predicting California will reach its peak in new cases during the last week in April. The number of confirmed infections remains considerably lower than that of New York, much of this has been attributed to the early shelter-in-place ordinances issued in the state’s larger cities prior to the statewide stay-at-home mandate as well as low availability of testing. Numbers are likely to increase, but the state’s health experts maintain that if residents can abide by the mandate, the trajectory looks more manageable than initial projections.

HAWAI’I - Authorities are concerned about residents failing to comply with the guidance on social distancing. Government officials stated that if the restrictions are not adhered to, the state will see an increase in cases of 8% in two days, 15% in four days, and 43% in six days. A reminder that all visitors and residents arriving to the state via aircraft, private or commercial, are subject to a mandatory 14-day quarantine.

IDAHO - The state reported a single day high of 112 new cases and an increase in deaths. Ada, Blaine, and Canyon counties have recorded the most cases to day. The state is currently in the middle of a 21-day order to stay at home issued on 25 March.

MONTANA - A “stay-at-home” directive went into effect on 28 March that will last until 10 April. The governor stated today that the state is one day away from running out of testing kits from the CDC.

NEW YORK - The number of cases out of New York continues to rise and fears that the hospital critical care capacity is not sufficient continues to be an on-going problem. The President approved four more emergency hospitals in New York in anticipation of overflow patients. State authorities are predicting the state will need 140,000 hospital beds when the virus is expected to peak in the next 2 - 3 weeks. The state of Rhode Island is taking harsh measures at their border with Connecticut, stopping all vehicles with a New York license plate and asking them to self-quarantine for 14-days; the National Guard has been deployed to do the same thing at other ports of entry (bus depots, train stations, and airports). The governor did announce a positive trend in the rate of new cases, stating it had dropped from doubling every two days to doubling every four days.

NORTH CAROLINA - The governor issued a “stay-at-home” ordinance that goes into effect today, 30 March at 1700 (5pm). All non-essential businesses must close by tomorrow and citizens are asked to observe the six feet social distancing if they must leave their homes. In addition, gatherings of more than 10 are banned until further notice.

TENNESSEE - Governor Lee called for non-essential business to close today, 30 March, but stopped short of ordering an official stay-at-home mandate. He is encouraging residents to stay home. Currently 77 of the state’s 95 counties are reporting

COVID-19 cases. The state’s Health Department issues a helpful weekly update with useful local resources.

TEXAS - The governor has yet to issue a statewide “stay-at-home” order, but many large cities and counties in the state issued those orders last week. The governor is however, requiring a mandatory 14-day quarantine for all persons having traveled from California, Connecticut, Louisiana, New Jersey, New York, Washington, Atlanta, Chicago, Detroit, and Miami to Texas. This also applies to motorists driving into the state from Louisiana. Texas saw an alarming 37% increase in cases from Saturday to Sunday much of which is attributed to increased testing. The majority of cases are emerging out of Harris and Dallas counties, but nearly half of the state’s 254 counties have at least one case.

Useful Precautions:

Given travel advisory change to Level 4 (Do Not Travel), the State Department has issued guidance for international travelers. As a consequence of the outbreak, U.S. embassy staff may be limited in certain countries; however, the State Department has provided some useful contact information regarding COVID-19 emergencies for U.S. citizens (and permanent residents) still stranded abroad.

  • Contact the local embassy or consulate, OR
  • Call the assistance call center:
    • From the U.S. & Canada 1-888-407-4747
    • From overseas +1-202-501-4444
  • Enroll in the STEP program

 

Credible Information Sources:

 

Our Continued Commitment:

We at Patronus Medical have as one of our primary concerns the health and well-being of Private Health clients. While at the site level, it is important for all to be AT LEAST in alignment with local jurisdictional and public health guidance and/or mandates, Patronus will continue to assist and provide recommendations based on the unique characteristics and requirements of those sites, with an eye toward balancing best practice public health interventions, and workplace and worker safety, with the need to ensure to the extent possible continuity of operations and site essential tasks.