Patronus Medical COVID-19 Update- 008
1 April 2020
Current as of 2315 EDT/ 2015 PDT
Current COVID-19 Statistics:
937,091 - Worldwide Cases (77,295 increase, up 9%)* 193,764 - Worldwide Recovered Patients
47,208 - Worldwide Fatalities
216,515 - U.S. Cases (25,799 increase, up 13.6%)*
8,593- U.S. Recovered Patients
5,119 - U.S. Fatalities
United States Locations 1,530 - Arizona Cases
9,870 - California Cases (1,317 increase, up 15.4%)* 256 - Hawai’i Cases
668 - Idaho Cases 217 - Montana Cases
84,025 - New York Cases (7,976 increase, up 10.5%)*
- 47,439 - New York City Cases (4,320 increase, up 10%) 1,279 - Nevada Cases
1,754 - North Carolina Cases 2,933 - Tennessee Cases
4,607 - Texas Cases (increase 682, up 17.4%)*
*Calculations based on previous day’s statistics
The number of confirmed COVID-19 cases is on track to hit one million tomorrow. 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. Early predictions of a 14-21 day quarantine are now being reevaluated with many domestic and national authorities issuing 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. As the infection winds down in Eastern Asian countries, they are faced with new imported cases from abroad making the recent ease of travel restrictions potentially short lived. Predictive models for the United States demonstrate a grim April, which leaves authorities reconsidering public health measures such as wearing a face mask and stricter enforcement of social distancing practices.
UNITED NATIONS - Secretary General Guterres, stated on 31 March that the current COVID-19 outbreak is the greatest global crisis since World War II. His justification for such a statement was that the disease is a threat to everyone in the world and the economic impact will be felt worldwide. He stressed that these factors increase instability and enhanced conflicts.
AFRICA - SOUTH AFRICA - The government announced it will dispatch over 10,000 officials to citizens’ homes to conduct welfare checks and screening. Authorities said they wish to take a defensive approach when tackling the outbreak. While infections were initially projected to top 5,000 by the end of April; however, the increase in cases has tapered off. This has been attributed to early swift action and strict lockdown measures.
ASIA - The continent’s big actors seem to be slowly emerging from the initial wave of the coronavirus infection; however, in the past week many of these countries have experienced a uptick in new cases imported from abroad. China, Hong Kong, Singapore, Taiwan have barred foreigners all together while Japan and South Korea have implemented restrictive quarantine and tracking measures for all visitors.
CARIBBEAN - Many of the Caribbean island nations continue to report relatively low numbers, with the Dominican Republic an exception; however the United Nations has expressed grave concern for a potential overburdened healthcare infrastructure should more cases mount.
ANTIGUA AND BARBUDA - The government plans to implement a 24 hour curfew for 7 days set to begin at 12:01am on Thursday, 2 April. People will be confined to their homes during this total lockdown. Only essential workers are allowed to leave their residences with the exception of emergencies and to procure food. No social events, including weddings are permitted during the lockdown, funerals are restricted to 10 mourners.
THE BAHAMAS - Many of the large cruise lines have ships registered in the Bahamas. Today The U.S. Coast Guard turned away some of these vessels with known COVID-19 infections on board and advised them to seek medical assistance from their flagged state first. Bahamians are currently under a curfew from 2100 - 0500 (9pm - 5am). Incoming international flights have been suspended, including private airstrips. Commercial airlines have halted service out of the Bahamas, but some charter flights are still operating. The U.S. Embassy has more country-specific information here.
DOMINICAN REPUBLIC (D.R.) - The Dominican Republic leads the region in the highest number of cases at 1,284. At present, there are four areas primarily affected: the National District, Samana, Puerto Plata, and Santiago. Reports that access to certain areas or cities may be blocked by authorities, most notably San Francisco.
EUROPEAN UNION (E.U.) - Europe as a whole continues to post big numbers with over 474,000 cases and nearly 37,000 deaths. France, Italy, the United Kingdom, and Spain all reported their greatest single-day death toll on Tuesday since the start of the outbreak. While the death toll mounts, some of hardest hit countries maintain that new cases have plateaued or even dropped. Much like the U.S.; however, individual states are at various stages in the disease progression which will only continue to hamper the vital medical and food supply chain throughout the continent.
ITALY - Italy is extending its mandatory lockdown until 13 April after deaths topped 13,000 today. The statistics of Italy’s new cases and deaths has been yo-yoing over the past few days, but the Prime Minister sees it beginning to level off. While this may be a sign of good news, the government is not taking any chances at a resurgence in new cases.
PORTUGAL - The government is set to extend the state of emergency an additional 15 days in an effort to contain further spread of the virus. An official vote will take place on 2 April, but little resistance is anticipated. The Health Minister expects the virus to peak around 14 April, but the Prime Minister Costa cautioned that restrictions on movements could be in place for up to three months. TAP airlines also announced it will lay off 90% of its workforce effective 1 April and will only be using its fleet to repatriate Portuguese citizens through 4 May.
RUSSIA - Moscow is now under strict lockdown with residents only allowed to leave for essential reasons. Russia has taken a draconian approach to monitoring its citizens stating that it is working with an IT company to track coronavirus patients in “self-isolation”. At present, anyone caught spreading misinformation about the virus could face five years in prison and those caught violating quarantine could face up to seven years in prison.
SPAIN - Despite further restrictions on movement put in place two days ago, the number of confirmed cases in Spain has topped 100,000, third only to Italy and the U.S. The country has now suffered more than 800 deaths per day for five days in a row. The areas most affected, Catalonia and Madrid are reporting a lack of vital medical equipment.
NORTH AMERICA - Non-essential land crossings between the U.S. and Canada/Mexico continue to remain in effect.
CANADA - Quebec has recorded the largest number of COVID-19 cases and as such they have been taking stricter measures than other provinces. On 31 March they installed checkpoints at several provincial crossings to inhibit all non-essential travel. These checkpoints caused major backups in the capital Ottawa, Ontario which borders Quebec. The question of a federal domestic restriction of movement is now on the table.
MEXICO - Northern Mexico experienced an initial first wave of COVID-19 cases imported from Colorado, thought to be acquired from Italian skiers. The wealthy community of San Pedro Garza Garcia is one of the country’s micro hotbeds for the virus. Recent reports out of Juarez demonstrate that community spread infections are also on the rise.
PANAMA - Like many other nations, Panama has been on a nationwide lockdown; however, its residents were still flocking to the outdoors in droves. It has taken a unique approach to limiting the number of people on the streets. Panama divided the days of the week people are allowed outside by sex. The idea is it will be easier to police if they alternate which days men and women can go outside. As it stands no one is permitted out on Sundays.
UNITED STATES - The nuclear powered aircraft carrier, the USS Theodore Roosevelt, was forced to dock in Guam after reporting sick crew members. At present 100 sailors are confirmed to have the virus while the captain has requested well crew members disembark for quarantine to prevent further spread. Unconfirmed reports indicate another aircraft carrier patrolling the Pacific, The USS Ronald Reagan, also has two COVID cases on board.
OCONUS Desk - Nearly 90% of Americans are under a stay-at-home order, with all but 12 states under such a mandate. Early figures reported in King County, Washington, the country’s first epicenter have demonstrated that social distancing does progressively improve the situation. The President had issued a continuation of the six-feet social distancing rule until 30 April. He has also delivered a sober warning to the public that the death toll in the U.S. could mount to 200,000.
ARIZONA - Arizona residents are now under a stay-at-home order until 30 April. Community spread has now been observed statewide with Maricopa, Pima, Navajo, Coconino, and Pinal counties most adversely affected respectively.
CALIFORNIA - With the state approaching nearly 10,000 cases, the department of education announced on 31 March that all public schools will be closed for the rest of the academic year. An early projection model shows that California could experience only about a third of what New York is projecting if residents continue to take measures to flatten the curve. Model’s also expect California’s apex to come at the end of April or early May and would tally 122 deaths per day.
HAWAI’I - The state’s case count has more than doubled since 27 March with over 250 total cases. 182 or 70% of infections have been observed on Oahu, with Maui trailing in second at 26 cases. In an effort to contain the spread between Hawaii’s islands, the state has now banned inter-island travel.
IDAHO - The state has experienced its second spike in cases this week, with 142 new infections reported on 31 March. 29 of Idaho’s 44 counties have confirmed cases of COVID-19; Ada and Blaine counties lead the state in total number of cases, both of which have surpassed 200. A sample of statewide COVID testing demonstrates 9.1% positive results.
MONTANA - A “stay-at-home” directive went into effect on 28 March that will last until 10 April. Gallatin, Yellowstone, and Flathead counties have reported the greatest number of cases.
NEW YORK - Cases in New York continue to rise at an alarming rate. New York’s neighboring states, Connecticut and New Jersey, are also experiencing accelerating rates of infection. Regional cooperation between the three states is paramount in both containment measures and resource sharing as numbers continue to escalate. In a 24 hour period, New York experienced an uptick in nearly 8,000 cases, nearly 400 deaths, an increase of 1,300 hospitalizations, and over 300 ICU admits. Latest projects put the state’s apex at the end of April. The governor has grown increasingly frustrated with people not adhering to social distancing practices and has now closed all city parks and is mulling over legally requiring people to abide by the practice. New York City continues to struggle with the greatest number of cases in the U.S. Mayor de Blasio has designated 5 April as the demarcation line before a massive surge is expected to hit the city. Authorities scramble to gather vital medical equipment and prepare makeshift facilities in order to weather the predicted storm.
NORTH CAROLINA - The state is now in its second day of mandatory lockdown. Over 80 of the state’s 100 counties have a confirmed COVID-19 case. Mecklenburg, Wake, and Durham Counties are the most adversely affected.
TENNESSEE - Tennessee has experienced a 20% increase in cases in the last 24 hours. The governor has still not issued a mandatory stay-at-home order, but has encouraged residents to remain at home during the outbreak. Knoxville has issued stricter measures empowering enforcement employees to take “corrective action” against people violating the safer-at-home order within the city limits.
TEXAS - Models show that the virus is expected to peak on 2 May in Texas. In response to what has been observed in New York, authorities for Harris County and Houston have extended the stay-home-work-safe order through the end of April. El Pase has updated its previous order placing greater restrictions on social gatherings and requiring all people that travel more than 100 miles outside of the city limits to quarantine for two weeks upon return to the city. A strict measure has been passed in Laredo requiring all persons to cover their mouth and nose if they enter a building other than their home or use outdoor gas stations and public transit.
The World Health Organization (WHO) has issued guidance on how to properly use a mask during the COVID-19 outbreak.
Benefits of wearing a mask
- Wearing a face mask can reduce, but not eliminate, spreading the disease through droplets released from a person’s nose and mouth. At present the disease is most commonly transmitted through mucus droplets.
- If you are healthy and taking care of a person with a suspected COVID infection, or around infected people, it could reduce the chances of inhaling droplets released from the infected person.
- Seeing the use of face masks serves as a reminder that conditions are not normal and to practice social distancing. It can also encourage people to take additional hygiene measures.
- If a person accidentally touches their face, it can reduce the chances of the virus gaining access to the mucus portals such as the nose and mouth.
How to effectively use a mask
Masks must be used in combination with proper hand hygiene (i.e. frequent hand washing or use of hand sanitizer) in order to be most effective. The WHO has laid out the following guidelines prior to use:
- Before putting on a mask, clean hands with alcohol-based rub [60% or greater alcohol content] or soap and water [for at least 20 seconds].
- Cover mouth and nose with mask and make sure there are no gaps between your face and the mask.
- Avoid touching the mask while using it; if you do, clean your hands with alcohol-based hand rub or soap and water.
- Replace the mast with a new one as soon as it is damp and do not reuse single-use masks.
- To remove the mask: remove it from behind (do not touch the front of mask); discard immediately in a closed bin; clean hands with alcohol-based hand rub [60% or greater alcohol content] or soap and water [for at least 20 seconds].
NOTE: Glasses and goggles can provide an added layer of protection by hindering the spread of infected tears to others or by preventing acquiring the disease through the eye ducts (either by touching or mucus droplets).
Credible Information Sources:
- CDC COVID-19 Information
- Johns Hopkins Global COVID-19 Map
- National Institutes of Health COVID-19 Profile
- S. State Department Travel Advisories
- S. State Department Travel Guidance
- World Health Organization COVID-19 Profile
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.