16 April 2020
Current as of 2300 EDT/ 2000 PDT
Current COVID-19 Statistics:
2,165,500- Worldwide Cases (74,448 increase, up 3.6%)*
550,453 - Worldwide Recovered
145,593 - Worldwide Fatalities
671,425 - U.S. Cases (34,525 increase, up 5.4%)*
56,236 - U.S. Recovered
33,286 - U.S. Fatalities
United States Locations 4,241 - Arizona Cases
28,157 - California Cases (1,050 increase, up 3.9%)*
541 - Hawai’i Cases
1,609 - Idaho Cases
415 - Montana Cases
223,691 - New York Cases (9,912 increase, up %4.6)*
- 123,146 - New York City Cases (3,157 increase, up 2.6%)
3,321 - Nevada Cases
5,668 - North Carolina Cases
6,263 - Tennessee Cases
17,263 - Texas Cases (increase 1,073, up 8%)*
*Calculations based on previous day’s statistics
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. Throughout the week, many countries including the United States, released roadmaps outlining criteria to reopen economies and get people back to some semblance of normal. A phased easing of restrictions with effective monitoring mechanisms such as widespread testing coupled with modified public health practices appear to be common themes. However, authorities are reluctant to give definite timelines and the public remains reticent of a resurgence. In the interim, social distancing and stay-at-home measures should continue to be observed.
WORLD HEALTH ORGANIZATION (WHO) - This week, the WHO outlined six key benchmarks for emerging from the global coronavirus pandemic. “[One], transmission is controlled. [Two] the health system capacities are in place to detect, test, isolate and treat every case and trace every contact. [Three], that outbreak risks are minimized in special settings like health facilities and nursing homes. [Four], that preventive measures are in place in workplaces, schools and other places where it’s essential for people to go. [Five], that important risks can be managed. [Sixth], that communities are fully educated, engaged and empowered to adjust to the ‘new norm’.
AFRICA - While most of the continent’s nations are on lockdown global health experts fear that Africa’s fragile healthcare system will struggle to meet the demands of the virus. The 54 country continent is particularly vulnerable because of large immunocompromised populations (i.e. high prevalence of HIV, Tuberculosis, and malaria). There is also mounting concern about exacerbated food insecurity and starvation as a result of the economic impact of mandated lockdowns.
ASIA - Asia’s Eastern countries are experiencing a “second wave” of infection prompting a retriggering of lockdowns and travel restrictions.
CHINA - The nation has recorded its highest number of new cases in six weeks. A number of these cases were imported and observed along its northern border with Russia. Reinfection has triggered concern in the country; authorities have implemented a lockdown of 600,000 people in Henan Province after a physician returning from Wuhan infected several people despite having already passed a 14-day quarantine period.
JAPAN - Several Japanese prefectures called a state of emergency after consistently posting new daily cases in the double digits after lifting previously implemented lockdown measures. Tokyo has also re-issued an order to close all restaurants.
CARIBBEAN - Many of the island nations continue to report few infections, with the Dominican Republic an exception. However, secondary economic repercussions face the region as thoughts look beyond the COVID crisis.
ANTIGUA AND BARBUDA - The nation continues to adhere to strict lockdown measures, but has begun easing restrictions on the construction and landscape industries.
- A 24 hour curfew has been extended until 24 April. Some restrictions have been eased including outdoor recreational time for citizens from 0700-1200 daily.
- People are obliged to wear face masks in public places.
- All foreign yachts continue to be barred from docking, while all other sea vessels must report to Nevis Street Pier in Saint John’s.
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 24 hour curfew has been extended until 30 April, but activities like grocery shopping is permitted.
- Grocery shopping is strictly regulated and allowed on days based on the first letter of a person’s last name.
- A total lockdown will remain in effect every weekend in April, all stores will be closed.
- All airports, beaches, and seaports are closed including domestic travel.
DOMINICAN REPUBLIC (D.R.) - COVID-19 infections continue to mount in the DR, now at 3,755. Mitigation efforts have pressed authorities to extend previously issued emergency declarations and restrictions on movement.
- A State of Emergency was extended until 30 April.
- A nationwide curfew is in place until 18 April, residents must stay home from 1700-0600 (5pm-6am).
- Starting today 16 April, it is mandatory to wear a mask in public.
- The government has lifted restrictions on movement across municipal and provincial borders.
- The presidential election has been postponed until June.
EUROPEAN UNION (E.U.) - Figures now show that four weeks of lockdown have yielded results in the hardest hit countries, with new infections leveling off. In response to several E.U. member states rolling back restrictions early in the week, the European Commission issued guidance on a gradual easing of restrictions and encouraged that it be done in stages. The Commission seemed hopeful that if proper measures were taken on the ground to protect vulnerable populations, travel restrictions and border closures could be lifted in a second phase.
GERMANY - Chancellor Merkal announced that the country will slowly begin a “re-entry plan” beginning next week where some businesses will be permitted to open and others will follow in a progressive easing of restrictions.
Germans are still on lockdown until 30 April and sporting matches are banned until 31 August.
ITALY - The Prime Minister is encouraged with the falling infection rates and a decrease in fatalities, but warns citizens that relaxation of restrictions will be phased and measured.
- Lockdown measures have been extended to 3 May, but some businesses like book shops reopened 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 Prime Minister has promised widespread availability of face masks and hand sanitizer as the country looks beyond the lockdown.
- The state of emergency (lockdown policy) has been extended until 2 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 - The Prime Minister has stressed that there will be a measured and calculated easing of restrictions. The government also intends to distribute 10 million face masks to be worn on public transit.
- The country extended its lockdown over the weekend to last until 25 April.
- Border controls with France and Portugal have been extended until 25 April.
NORTH AMERICA - Non-essential land crossings between the U.S. and Canada/Mexico continue to remain in effect.
CANADA - Prime Minister Trudeau announced today that border restrictions with the United States will not be lifted for a significant time.
- 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 - Projections indicate Mexico will reach the height of the outbreak on 22 April.
- Today the government announced an extension of its stay-at-home order until 30 May.
UNITED STATES - Commander of the U.S. Forces Japan declared a public health emergency for all military bases in Japan until 15 May. This comes after Japan experienced a resurgence in COVID-19 cases this week.
OCONUS Desk - The number of U.S. cases now stands over 641,000, but there are signs that new infections may be leveling off in some of those areas initially hardest hit. The federal and state governments are eager to look toward the next chapter in the outbreak cycle, the eventual unwinding of restrictive mandates, and the eventual return to daily life. The White House released a three step plan this week on how to phase activities back into public life. The general guidance was given to individual states purposely absent of timelines acknowledging that states are at various stages of the disease progression cycle and may encounter resurgences in new infections. The White House urged that lockdown measures only be relaxed and reponening steps initiated if: there is a two week downward trend in cases; hospitals in the area are adequately equipped for a surge; and widespread testing available. The phases are as follows:
- Restaurants, movie theaters, places of worship, sporting venues, and gyms can reopen if social distancing measures are in place and elective surgeries can recommence. Bars, senior living facilities, and schools should remain shut during this stage and those at high-risk should remain home.
- Schools can reopen and nonessential travel can recommence. Gatherings should be kept to 50 or less. Vulnerable populations should continue to stay at home and telework should still be encouraged if possible.
- At risk persons can reintegrate into public life, but should observe social distancing. Workplace staffing can resume and senior care facilities can accommodate visitors. Large public venues can open with limited social distancing restrictions.
ARIZONA - There were 272 new cases reported today, bringing the state’s total to 4,234. The counties most adversely affected are Maricopa with 2,264 cases, Pima with 760, and Navajo with 410.
- 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 - Despite the number of infections at just over 28,000 in California, Governor Newsom has thanked residents for staying home sayin it has contributed to successfully flattening the curve. He also outlined a roadmap this week to get back to “normal”. He intends to work in collaboration with regional partners in what is called the Western States Pact, to reopen the economy. The governor has not issued a timeframe for setting this plan in motion, but will revisit the question in two weeks.
- A statewide stay-at-home order is in place until 3 May and 15 May for Los Angeles.
HAWAI’I - Despite a downward trend in infections, state health officials maintain a lot more needs to be down before the state can reopen. The mayor of Honolulu is looking at easing some of the restrictions, but stops short of fully lifting the stay-at-home order. Unemployment has reached 37% in Hawaii this week.
- Inter-island travelers are required to self-isolate for 14 days and essential workers must wear PPE.
IDAHO - A non-profit has secured thousands of COVID-19 and antibody tests for Idahoans in hopes that widespread testing will help the state flatten the curve and get people safely returned to work.
- The self-isolate order has been extended until 30 Apri
- A stay at home order is in effect 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 - The governor announced a 20% dip in deaths today as well as a decrease in new critically ill patients since the outbreak first appeared in the state. While the government looks toward the future through a newly formed regional pact with neighboring states, the governor made clear that 2,000 new infections per day is still reason to maintain lockdown measures.
- 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 which has been extended until 15 May.
NORTH CAROLINA - The governor urged the continued necessity for social distancing as cases continue to mount. The state saw an increase of 300 new infections today bringing the total to 5,668. The state has not reached its apex yet and health authorities are having trouble honing when that might occur, but insist that the hospital systems are equipped to handle the surge.
- 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 - Nasheville and 12 surrounding counties have successfully begun shrinking the number of infections; however, this trend has not been observed in the rest of the state.
- The governor extended the stay-at-home directive to 30 April.
TEXAS - The governor is expected to announce a plan tomorrow outlining an easing of restrictions and reopening the economy.
- Austin and Travis counties are under stay at home orders until 8 May and require people to wear face masks while in
- Businesses such as gyms and spas are closed until 30 April.
- In-classroom schooling has ceased until 4 May.
COVID-19 is affecting people around the world, challenging not only our physical health, but also our mental health. As the world is adjusting to coronavirus infections, stay at home orders, and social isolation, our minds are experiencing a wide variety of emotions and feelings such as increased levels of worry, stress, and anxiety. This is why during times of social isolation it is important to find ways to boost your mental health. Below are some signs of distress and useful tips from the CDC on how to cope with the stress of a global disaster. For detailed information, click here and here.
Look out for these common signs of distress:
- Feelings of numbness, disbelief, anxiety or fear
- Changes in appetite, energy, and activity levels
- Difficulty concentrating
- Difficulty sleeping or nightmares and upsetting thoughts and images
- Physical reactions, such as headaches, body pains, stomach problems, and skin rashes
- Worsening of chronic health problems
- Anger or short temper
- Increased use of alcohol, tobacco, or other drugs
CDC recommendations for coping with stress from outbreak:
- Take breaks from watching, reading, or listening to news stories, including social media to stop the constant flood of stories related to the pandemic
- Take care of your body
- Take deep breaths, meditate, or stretch
- Try eating a more balanced and healthier meal
- Exercise regularly and get plenty of sleep
- Avoid alcohol and drugs
- Make time to unwind
- Connect with others
Credible Information Sources:
- CDC COVID-19 Information
- Johns Hopkins Global COVID-19 Map
- National Institutes of Health COVID-19 Profile
- 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.