Patronus Medical Blog

Patronus Medical COVID-19 Update - 010

Posted by Kerri Wright on Apr 7, 2020 9:57:34 AM

6 April 2020

Current as of 1100 EDT/ 0800 PDT



Current COVID-19 Statistics:

1,289,380 - Worldwide Cases (48,959 increase, up 4%)*

270,372 - Worldwide Recovered Patients

70,590 - Worldwide Fatalities


337,971 - U.S. Cases (26,471 increase, up 8.4%)*

17,582- U.S. Recovered Patients

9,654 - U.S. Fatalities



United States Locations

2,545 - Arizona Cases

15,718 - California Cases (1,720 increase, up 13%)*

371 - Hawai’i Cases

1,101 - Idaho Cases

298 - Montana Cases

123,160 - New York Cases (1,129 increase, up 1%)*

- 67,551 - New York City Cases (2,596 increase, up 4%)

1,836 - Nevada Cases

2,638 - North Carolina Cases

3,633 - Tennessee Cases

7,294 - Texas Cases (increase 482, up 7%)*


*Calculations based on previous day’s statistics


Daily Message:

The number of confirmed COVID-19 cases reached well beyond one million this weekend, with 50% of those cases having been recorded in the last eight days alone. 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. Many domestic and national authorities have issued extensions to initial lockdown mandates. In the coming week, 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. Countries approaching the apex of the disease cycle (figures showing around 23 days after a lockdown is imposed), need to look toward an exit strategy complete with a comprehensive plan on how to phase out restrictions on movement in a safe manner. Predictive models for the United States demonstrate a grim April, which has prompted health authorities to issue new advice on protective measures for the public, such as wearing a face mask and stricter enforcement of social distancing practices. Inconsistent protocols and insufficient medical supplies continue to hamper the global and domestic fight against COVID-19.


Important Updates:

International Desk 

AFRICA - The continent has relatively few reported cases of COVID-19; however, there are growing fears that this number is a result of lack of testing and a delayed arrival of the disease to the continent. Lack of sufficient medical supplies including ‘personal protective equipment’ (PPE), access to medication, and inconsistent availability of electricity makes the continent particularly disadvantaged to combatting this disease. Fortunately, many countries have already implemented proactive policies limiting the restriction of movement.

ASIA - Asia’s Eastern countries are experiencing a “second wave” of the virus. The majority of these cases have been identified as imported which has yielded a retriggering of travel restrictions. 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.

JAPAN - The Prime Minister declared a state of emergency to commence on 7 April until 6 May. The measure covers six municipalities including Tokyo. The Prime Minister has asked for businesses to close voluntarily and for citizens to limit their actions outside of the home.

CARIBBEAN - Many of the island nations continue to report few infections, with the Dominican Republic an exception. However, the United Nations has expressed grave concern that mounting cases could overburden the limited healthcare infrastructure.


  • A 24 hour curfew is in place from 2 - 9 April. People will be confined to their homes during the total lockdown with the exception of emergencies and to procure food. For more information click, here.

THE BAHAMAS - Dozens of cruise ships are hovering off the Bahamian coast as they are flagged to the country. The Bahamian authorities issued a memo last week stating that the hospital infrastructure is only capable of sustaining treatments for the small Bahamian population and cannot absorb any infected or potentially infected COVID patients.

  • A complete lockdown will be in effect, beginning Wednesday, 8 April at 2100 (9pm) until 1700 (5pm) on Tuesday, 14 April. ALL services with the exception of hospitals, defense, and emergency public sector utilities are closed.
  • Grocery shopping will be strictly regulated and allowed on days based on the first letter of a person’s last
  • On 14 April, the previously imposed 24 hour curfew will be reinstated; however,
  • a complete lockdown will remain in effect every weekend in April from
  • Incoming international flights have been suspended, including private airstrips.

DOMINICAN REPUBLIC (D.R.) - The U.S. State Department issued an advisory on 3 April encouraging all American citizens wishing to return to the U.S. should do so immediately or risk remaining in the country for an indefinite period of time. Both Delta and Jet Blue are operating flights out of the DR.

  • On 3 April a State of Emergency was declared for a 25 day period.
  • 3 April a curfew was extended to the entire territory, residents must stay home from 1700-0600 (5pm-6am).

EUROPEAN UNION (E.U.) - The continent as a whole has over 631,000 cases and over 48,000 deaths. Spain, Italy, and France have been the most adversely affected to date, but numbers in the United Kingdom and Germany continue to rise. Figures now show that three weeks of lockdown have yield results in the hardest hit countries, with case numbers leveling off. However, much like in the U.S., individual states are at various stages in the disease progression continuing to hamper the vital medical and food supply chain throughout the continent.

GERMANY - The country continues to report relatively high case numbers reaching over 100,000, but remains an anomaly with low death rates at just over 1,600 when compared to its neighbor France with around 94,000 cases and over 8,000 deaths.

  • Under lockdown until 19 April.
  • Draft measures for post-pandemic policies include: reopening businesses in schools in certain regions, continuation of strict social distancing practices and bans on large gatherings, obligatory masks on public transit and in public buildings, and the relaxation of border controls.

ITALY - On Sunday, Italy reported the lowest number of COVID related deaths in two weeks. The number of critical care patients dropped for the second straight day and number for new infections has decreased for five consecutive days.

  • The country is currently under lockdown until 13 April.

PORTUGAL - Over the weekend the country extended existing restrictions and implemented new ones temporarily in anticipation of the Easter holiday.

  • The state of emergency (lockdown policy) has been extended until 17 April.
  • From 9 - 13 April all airports will be closed to commercial flights and domestic travel banned.
  • From 9 - 13 April, citizens will not be permitted to travel outside of their municipalities except for work.

SPAIN - Over the weekend, Spain surpassed Italy with the total number of cases now standing at 135,032. The death toll, did however drop for the first time in 10 days on Sunday.

  • The country extended its lockdown over the weekend to last until 25 April.

UNITED KINGDOM - Prime Minister, Boris Johnson, who tested positive for the virus on 26 March was admitted to the hospital last night and has been moved to intensive care today due to persistent symptoms.

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

CANADA - Domestic travel restrictions are becoming more prevalent amidst mitigation efforts.

  • Quebec has installed checkpoints for vehicles entering the province permitting only essential traffic to pass.
  • New Brunswick, Newfoundland and Labrador, Nova Scotia, Manitoba, Prince Edward Islands, and Yukon provinces are requesting all travelers from outside the region to self-isolate for a period of 14 days.
  • Nunavut and The Northwest Territories have banned all non-residents from entering with some exceptions..

MEXICO - The Mexican authorities have implemented a loose lockdown for its residents expected to last until 30 April.

UNITED STATES - The U.S. braces for a tough week ahead and has deployed U.S. military units from all branches to assist domestically with this week’s expected surge.

OCONUS Desk - The number of U.S. cases now stands over 337,000, nearly triple that of the trailing three most affected countries combined. With the death toll inching toward, 10,000, the U.S. Surgeon General cautioned Americans to brace for a surge in COVID-19 fatalities this week, stating that it could be, “...the hardest moment for many Americans in their entire lives.” New York State, New Jersey, and Michigan are the states most severely affected and New York City, Detroit, and New Orleans the metropolitan areas most affected. The CDC and the White House have encouraged the use of face masks in public spaces to mitigate further spread of the virus..

ARIZONA - Arizona residents are now under a stay-at-home order until 30 April. The governor has ordered six million N95 masks from Honeywell for Arizona residents.

  • Effected 4 April, certain businesses such as hair salons, tattoo parlors, and spas are ordered to close. Gathering places such as swap meets and pool must close as well.
  • Public parks remain open, social distancing is encouraged.

CALIFORNIA - On 1 April the governor encouraged California residents to wear face masks in public. Many counties have now taken it a step further requiring citizens to wear a mask in public. This order extends to requiring all businesses to outfit their employees with masks and gloves, failure to comply can result in a $1,000 fine.

HAWAI’I - Reports indicate that over a third of Hawaii’s 371 cases are under the age of 40. Oahu remains the most affected with 237 or 70% of the state’s cases, with Maui trailing in second at 36 cases. Efforts have been made to curb a widespread outbreak of the virus on all of Hawaii’s islands.

  • Inter-island travelers are required to self-isolate for 14 days and essential workers must wear PPE.

IDAHO - 31 of Idaho’s 44 counties are now experiencing confirmed cases. Ada County added 17 new cases over the weekend bringing its total to 402, just barely trailing behind Blaine County at 410 cases. On Friday, Blaine county reportedly outpaced Italy and New York City for greatest number of infections per capita; with 23,000 residents it has an infection rate of approximately 178 per 10,000 people.

MONTANA - Projection models have been adjusted to match the current pace of infections and has reduced the total number of expected deaths from 268 to just 22, and predicts that the state will not fall short to ICU bed needs. The new predicted surge for the state is 13 April adjusted from 26 April.

  • A “stay-at-home” order is in effect until 10 April.

NEW YORK - Cases in New York continue to rise at an alarming rate. The latest projections put the state’s apex at the end of April. New York City’s COVID-related fatalities are rising at faster than any other subnational region. Deaths in the city outpace that of any other epicenter at this stage in the disease cycle. Mayor de Blasio stated on Sunday that the city has enough medical supplies to get through Tuesday or Wednesday, but is in desperate need for more PPE and ventilators. Authorities are scrambling to gather vital medical equipment and prepare makeshift facilities in order to weather the predicted storm.

  • New Yorkers have been advised to wear face coverings in public and remain under lockdown.

NORTH CAROLINA - Over 80 of the state’s 100 counties have a confirmed COVID-19 case. Mecklenburg, Wake, and Durham Counties are the most adversely affected.

  • The state is under mandatory lockdown.

TENNESSEE - The governor has issued a mandatory stay-at-home directive until 14 April, revising last week’s stay safe order.

TEXAS - On 31 March, the governor issued an Executive Order renewing an early directive asking people to avoid dining in at restaurants and bars. It also called for the closure of businesses such as gyms and spas to close until 30 April and the cessation of in-classroom schooling until 4 May. However, cases continued to rise over the weekend, ranging between a 7-11% increase. Models show that the virus is expected to peak on 2 May in Texas.


Useful Precautions:

The CDC recommends that all Americans wear a face mask in public. Due to the short supply of disposable hospital grade surgical face masks, the CDC has provided guidance on how to use and make cloth face masks. The World Health Organization (WHO) has also issued guidance on how to properly use a mask during the COVID-19 outbreak.

Benefits of wearing a mask 

  1. 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.
  2. 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.
  3. 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.
  4. 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:

  1. 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].
  2. Cover mouth and nose with mask and make sure there are no gaps between your face and the mask.
  3. Avoid touching the mask while using it; if you do, clean your hands with alcohol-based hand rub or soap and water.
  4. Replace the mast with a new one as soon as it is damp and do not reuse single-use masks.
  5. 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:


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.