Patronus Medical Blog

Patronus Medical COVID-19 Update - 011

Posted by Kerri Wright on Apr 15, 2020 10:14:29 AM

13 April 2020

Current as of 2130 EDT/ 1830 PDT

 

 

Current COVID-19 Statistics:

1,918,855 - Worldwide Cases (48,823 increase, up 2.6%)*

453,289 - Worldwide Recovered

119,588 - Worldwide Fatalities

 

581,679 - U.S. Cases (31,600 increase, up 5.7%)*

32,988 - U.S. Recovered

23,604 - U.S. Fatalities

United States Locations 3,705 - Arizona Cases

24,105 - California Cases (2,311 increase, up 10.1%)*

504 - Hawai’i Cases

1,426 - Idaho Cases

394 - Montana Cases

195,749 - New York Cases (7,055 increase, up 3.7%)*

- 106,763 - New York City Cases (2,353 increase, up 2.3%)

2,990 - Nevada Cases

4,887 - North Carolina Cases

5,610 - Tennessee Cases

14,557 - Texas Cases (increase 1,073, up 8%)*

 

*Calculations based on previous day’s statistics

 

Daily Message:

The number of confirmed COVID-19 infections is expected to reach two million tomorrow. Many of the hardest hit nations have reached, or are nearing, their apex and are looking toward an exit strategy for currently imposed restrictions on movement.

Although most domestic and national authorities have issued extensions to initial lockdown mandates, officials are eager to get their populations back to “normal life” as quickly and as safely as possible. A common narrative appears to be the notion of a phased easing of restrictions with effective monitoring mechanisms such as widespread testing coupled with public health practices like the donning of face masks. In the interim, social distancing and stay-at-home measures should continue to be observed.

 

Important Updates:

International Desk

WORLD HEALTH ORGANIZATION (WHO) - The head of the WHO warned of a ‘deadly resurgence’ in coronavirus cases should lockdown measures be lifted too early. This announcement came on the heels of some of Europe’s hardest hit countries' decision to slowly start relaxing some restrictions on movement.

 

AFRICA - The disease has reached 52 of the continent’s 54 countries, Comoros and Lesotho the only exceptions. While most nations are on lockdown global health experts fear that Africa’s fragile healthcare system will struggle to meet the demands of the virus. There is a growing concern on how pockets with a high prevalence of HIV and/or Tuberculosis will cope.

 

ASIA - Asia’s Eastern countries are experiencing a “second wave” of the virus. China saw its highest number of cases in five weeks and Singapore posted its largest daily increase in infections. The majority of these cases have been identified as imported which has yielded a retriggering of travel restrictions.

 

CARIBBEAN - Many of the island nations continue to report few infections, with the Dominican Republic an exception. However, fear of a widespread outbreak has prompted many island nations to implement heavy restrictions.

 

ANTIGUA AND BARBUDA -

  • A 24 hour curfew has been extended until 16 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.
  • People are obliged to wear face masks in public places.
  • All foreign yachts continue to be barred from docking.

 

THE BAHAMAS - In an effort to curb an undue burden on the country’s limited medical resources, the government has implemented a rigid lockdown and has prohibited all tourists from entering the country.

  • A complete lockdown is in effect from 8 April - 14 April. ALL services with the exception of hospitals, defense, and emergency public sector utilities are closed.
  • Grocery shopping is strictly regulated and allowed on days based on the first letter of a person’s last name.
  • On 14 April, the previously imposed 24 hour curfew will be reinstated; however,
  • a complete lockdown will remain in effect every weekend in April.
  • All airports, beaches, and seaports are closed.

 

DOMINICAN REPUBLIC (D.R.) - COVID-19 cases continue to mount in the DR, now at 2,620. Mitigation efforts have pressed authorities to extend previously issued emergency declarations and restrictions on movement.

  • On 3 April a State of Emergency was declared for a 25 day period.
  • A nationwide curfew has been extended until 18 April, residents must stay home from 1700-0600 (5pm-6am).
  • A restriction on travel between municipalities and provincial borders is in effect.

 

EUROPEAN UNION (E.U.) - Figures now show that four weeks of lockdown have yielded 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. The E.U. could be facing an existential crisis in terms of fractured relief efforts by its members, with recovering for some states now in view, lack of coordinated economic relief efforts is rattling the foundation of the supranational institution. The Schengen Region countries are currently exempted from open border requirements until 15 May, but decisions are left to the individual member states.

 

FRANCE - Just barely behind Italy and Spain for the total number of infections and highest number of deaths, France continues to struggle to cope with the outbreak. As a result, the President extended the lockdown until 11 May.

 

GERMANY - The country continues to report relatively high case numbers reaching over 130,000, but remains an anomaly with low death rates at just over 3,100 when compared to its neighbor France with around 138,00 cases and nearly 15,000 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, requiring a face mask in public, and the relaxation of border controls.

 

ITALY - The infection rate in the country is slowing to just about 1% where that number stood at 7% two weeks ago. The Prime Minister is encouraged with the falling infection rates and decrease in fatalities, but warns citizens that relation of restrictions will be phased and measured. He is considering extending the current restrictions until May.

  • Lockdown measures have been extended to 3 May, but some businesses like book shops will begin opening tomorrow 14 April.

 

PORTUGAL - The country saw a climb in new cases and fatalities this week, but observed a decline in hospitalizations for the first time in a month. The mortality rate stands at 2.9%, this coupled with signs that the country is not yet on the other side of the outbreak has prompted the government to extend the state of emergency out farther than anticipated.

  • The state of emergency (lockdown policy) has been extended until 1 May.
  • 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 - News that the country is ‘not yet in de-escalation phase’ emerged this week from the Health Minister. The Prime Minister also stressed that when the time comes to return to normal activity, it will be phased.

  • The country extended its lockdown over the weekend to last until 25 April.
  • Some restrictions on essential workers and public transit will slowly begin being lifted on 13 April.
  • Has extended its border controls with France and Portugal until 25 April.

 

UNITED KINGDOM (U.K.) - The death toll has passed 11,000. Officials do not expect to lift restrictions until mid-May.

 

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

 

CANADA - The country looks ahead to reopening businesses in the summer if the current limitations remain in effect. The Prime Minister has cautioned however, that things will not return to normal until a vaccination is developed and widely available. A vaccination could take anywhere from six months to one and a half years to acquire.

  • 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. Projections indicate Mexico will reach the height of the outbreak on 22 April.

 

UNITED STATES - The U.S. experienced a massive surge in cases last week, primarily in New York state and City; however it appears strict measures on movement have contributed to a flattening curve in some states.

 

OCONUS Desk - The number of U.S. cases now stands over 582,000, more than triple that of the trailing three most affected countries combined. With the death toll inching toward, 25,000, cases in the hardest hit state to date, New York, have seen a decline in deaths over the weekend. As different states experience their peaks at various states in the coming weeks, governors stress the importances of staying at home and maintaining social distancing. The federal government has yet to release an exit strategy to get people back to work, but much like how restrictions were phased in we can expect to see those unwind in a similar fashion. At present the White House has given a 30 April deadline, as that date approaches, health authorities will determine the necessity to reassess.

 

ARIZONA - The number of cases increased by 163 in a 24 hour period to over 3,700 cases. The counties most adversely affected are Maricopa with 2,020 cases, Pima with 668, and Navajo with 345.

  • Residents are under a stay-at-home order until 30 April.
  • Effective 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 - While the state is expected to see its peak in COVID deaths on Wednesday, Governor Newsom announced that California has successfully been flattening the curve as a result in compliance with the statewide stay at home orders. He also announced today a Western States Pact - a unified strategy with regional partner states, Oregon and Washington, to reopen the economy. The proposed cooperation outlines criteria for getting people back to work, placing public health as the top priority. The governor is expected to announce a framework lifting California’s restrictions tomorrow (14 April).

 

HAWAI’I - The state saw only five new cases today which has prompted authorities to begin discussing a strategy for relaxing the stay at home restrictions due to expire on 30 April.

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

 

IDAHO - The state is currently experiencing a backlog of COVID tests. The governor has not yet commented as to whether the stay at home order will be extended this week, it is believed the state is waiting on official infection numbers to come in before a decision will be rendered. Ada and Blaine counties remain the two most severely affected with 530 and 458 cases respectively.

  • State under self-isolate order until 15 April.

 

MONTANA - The governor announced an extension to the stay at home order until 24 April.

  • Residents are asked to wear a mask or face covering in public.
  • Incoming travelers are required to self quarantine for 14-days.

 

NEW YORK - With new deaths and hospitalizations decreasing, the governor announced that the “worst was over” for the state most adversely affected in the country. He also announced the early stages of an East Coast Initiative in cooperation with Connecticut, Delaware, New Jersey, Massachusetts, Pennsylvania, and Rhode Island for reopening the region and easing restrictions on movement.

  • Employers of essential employees must provide cloth or surgical masks if employees engage with the public.
  • New Yorkers have been advised to wear face coverings in public and remain under lockdown.
  • Residents are under a stay-at-home order.

 

NORTH CAROLINA - The governor urged the continued necessity for social distancing today. Mecklenburg County remains the most single effective county with nealy 1,000 cases; however, the Triangle region exceeds 1,000 infections.

  • The state is under mandatory lockdown.
  • Effective 13 April, retail stores can only allow in the number of people equating to 20% of its fire capacity.

 

TENNESSEE - The number of cases in the state has climbed to over 5,600 with a 302 increase in 24 hours. The majority of those cases have been observed in Nashville.

  • The governor extended the stay-at-home directive to 30 April.

 

TEXAS - The governor stated Monday that he will announce a plan to begin rolling back restrictions later in the week.

  • Austin and Travis counties have extended the stay at home orders until 8 May and require people to wear face masks while in public.
  • Businesses such as gyms and spas are closed until 30 April.
  • In-classroom schooling has ceased until 4 May.

 

Useful Precautions:

At present there is a lot of information swirling around about the coronavirus, some of this information can be misleading or incorrect. Below are a few common myths and misconceptions about COVID-19 outlined by the World Health Organization, for a complete list click here.

  1. MYTH: 5G mobile spreads COVID-19.

FACT: Viruses cannot travel via radio waves nor mobile networks.

 

  1. MYTH: Exposure to temperatures higher than 77 degrees fahrenheit (25 C) prevents getting COVID-19.

FACT: You can catch coronavirus despite hot temperatures and sun, countries with warmer climates have reported cases of the infection. This extends to regions where it is hot and humid; the virus can be transmitted in all areas. To avoid getting the disease, practice good hand hygiene and avoid touching your eyes, mouth, and nose.

 

  1. MYTH: Being able to hold your breath for 10 seconds without discomfort or coughing means you do not have COVID-19.

FACT: People experience symptoms of COVID-19 in various forms and degrees of severity. The only way you can confirm that you do not have the virus is by getting a laboratory test.

 

  1. MYTH: Drinking alcohol protects someone from getting the coronavirus.

FACT: Drinking alcohol cannot protect you from getting COVID-19. It can lower your body’s immunity and increase the risk of other health problems.

 

  1. MYTH: COVID-19 can only adversely affect the elderly or those with underlying health conditions.

While it has been observed that these populations seem to be disproportionately affected by the disease, a report from the CDC indicates hospitalizations were observed across all age demographics, 20% of which were ages 20-44.

 

  1. Please note that vaccines for pneumonia and influenza do not provide immunity against the coronavirus.

 

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.

Topics: Private Health Management, health, Covid-19, Coronavirus