Patronus Medical Blog

Patronus Medical COVID-19 Update - 015

Posted by Kerri Wright on May 8, 2020 9:25:19 AM

8 May 2020

Current as of 2200 EDT/ 1900 PDT

 

Current COVID-19 Statistics:

3,859,559 - Worldwide Cases (106,340 increase, up 2.8%)*

1,289,644 - Worldwide Recovered

269,729 - Worldwide Fatalities

 

1,256,972 - U.S. Cases (28,369 increase, up 4.9%)*

195,036 - U.S. Recovered

75,670 - U.S. Fatalities

 

United States Locations

9,954 - Arizona Cases

62,360 - California Cases (1,744 increase, up 2.9%)*

629 - Hawai’i Cases

2,178 - Idaho Cases

456 - Montana Cases

327,469 - New York Cases (3,491 increase, up 1%)*

- 180,216 - New York City Cases (6,928 increase, up 4%)

5,855 - Nevada Cases

13,540- North Carolina Cases

14,096 - Tennessee Cases

36,047 - Texas Cases (1,119 increase, up 3.2%)*

 

*Calculations based on previous day’s statistics

Daily Message:

With countries’ reopening strategies defined, governments have begun gradually easing restrictive measures at least at the domestic level. There is a global sense of urgency to reignite economies and get industries back up and running; however there is calculated hesitation and a desire to conduct staged reopenings so as not to suffer a resurgence in infections. Asian countries now on the other side of the outbreak have implemented more draconian measures to monitor and prevent further spread of the virus. It seems unlikely such extreme measures will be implemented in the United States, but a new normal with obligatory engineered hygienic solutions seem inevitable in the short term. Travel for the foreseeable future will be changed, much like the enhanced security screenings implemented at airports after 9/11, we should expect similar health screenings to become standard in airline, boat, and train travel. International borders are unlikely to open for the next few months, but many countries dependent on tourism are striving to reduce their infection rates in hopes of opening their borders by mid-summer to tourists from other low-risk areas. At present, mandatory quarantine is required for most international travelers regardless of citizenship. The key to reopening international travel is to circumnavigate this protocol by potentially providing proof that the traveler is COVID-free. Over the coming weeks and months, countries will assess domestic gains in the fight against COVID-19 which will shape policies pertaining to foreign travelers.

Important Updates:

International Desk

NORTH AMERICA - Travel restrictions between the U.S. and Canada/Mexico land borders are in place until 20 May.

 

CANADA - Provinces are gradually reopening, but Prime Minister Trudeau still urges caution imploring people to still stay home unless absolutely necessary. The PM released a set of principles for reopening the economy last week and on Monday, many businesses began the next phase by lifting restrictions on parks and some public spaces. Quebec remains the province most adversely affected by the illness with over 34,300 cases trailed by Ontario with just over 19,000.

  • Restaurant patios in Manitoba reopen table service with social distancing restrictions.
  • Ontario will reopen retail businesses on Monday, 11 May.
  • Quebec has delayed reopening businesses, schools, and daycares until 25 May.
  • Face coverings in public are required in most municipalities.

 

MEXICO - The outbreak in Mexico is expected to apex between 8-10 May with hospitals shoulding high traffic two weeks later. The burden is expected to hit heaviest in Baja California, Mexico City and State, Sinaloa, Tabasco, and Quintana Roo. Authorities continue to encourage residents to shelter in place during this time. The number of cases in the state of Baja California Sur remains low at 369 infections and the majority (120) found in the municipality of Los Cabos.

  • A stay-at-home order is in effect until 30 May.

 

UNITED STATES - The death toll in the U.S. topped 75,500 today. While the disease seems to have plateaued, it has not abated or taken a downward trend. The country looks to reignite airline travel, at least domestically for the moment. Today, it was announced that TSA officers will be required to wear masks at airport security checkpoints and many major airlines also put out a statement this week requiring passengers to wear a mask when flying. Frontier Airlines will be now screening passengers temperatures, those registering 100.4F (38C) or higher may not be permitted to fly. We can expect these kinds of public health measures to be implemented by others in the industry. The State Department’s Travel Advisory still stands at a Level 4 - Do Not Travel, but with the travel restriction between Canada and Mexico up for reassessment on 20 May, we could see a slow ebbing of international travel restrictions.

 

AFRICA - The World Health Organization (WHO) released a worrying prediction today claiming that COVID-19 could kill between 83,000 and 190,000 on the continent within the first year and infect between 29 and 44 million people if mitigation policies fail.

 

ASIA - Some of Asia’s Eastern countries have been experiencing a “second wave” of infection which has prompted a retriggering of lockdowns and travel restrictions; however some of those countries such as Japan and Hong Kong, have seen a decline in cases. For those looking past the outbreak, restrictions are being relaxed, but residents find themselves having to adapt to new health protocols. With countries in the region experiencing different stages and severities of the disease, restrictions on international travel do not appear to be going anywhere anytime soon.

 

HONG KONG - People returned to work on Monday, but they are settling into a new normal. People are required to wear a face mask at all times in public, most companies require temperature tests before entry into the building, and elevators are equipped with hand sanitizer and reduced occupancy requirements. Hong Kong has been relatively

 

successful in curbing the spread of the virus with just over 1,000 infections in a population of 7.5 million. Early, stringent mitigation efforts have yielded positive results with no community acquired cases in two weeks.

  • Entry is barred to all non-residents.
  • Residents traveling into the country are subjected to testing and mandatory quarantine.

 

SINGAPORE - The number of cases has jumped to nearly 22,000 total infections, an increase of over 5,000 in a week, the highest in Southeast Asia. These cases are primarily being observed in the migrant worker communities.

  • The city-state is in lockdown until 1 June.

 

CARIBBEAN - On account of the region’s environment and climate, social distancing practices were more easily implemented than in other areas of the world. For this reason, the region has experienced relatively low levels of infection.

ANTIGUA AND BARBUDA - The country continues to remain on a 24 hour curfew until 14 May; however retailers are now permitted to conduct business from 0600-1800 every day with the enforcement of strict social distancing practices. Beaches are now open Monday to Friday from 0600-1800 with some restrictions. For a complete list of allowances, visit the government’s reference page.

  • Residents are only permitted to leave their homes for essential reasons or exercise from 0600-1800.
  • People are obliged to wear face masks in public places.
  • VC Bird International Airport has extended its closure to commercial flights until 14 May.
    • Persons with a travel history to: Canada, China, Europe, Iran, South Korea, Singapore, and the S. within the past 28 days WILL NOT be permitted into the country.
  • All maritime ports are closed until 14 May, including yachts regardless of flag.
  • A state of emergency is in effect until 23 May.

 

THE BAHAMAS - Last week, the government’s emergency powers were extended until 30 May.

  • The country’s 24 hour curfew has been extended until 30 May, essential activities are permitted.
  • Grocery shopping is strictly regulated and allowed on days based on the first letter of a person’s last name.
  • A total lockdown is in effect every weekend in May (2100 Friday - 0500 Monday), all stores will be closed.
  • All domestic inter-island traffic (by air or sea) is temporarily banned.
  • All airports, beaches, and seaports are closed including domestic travel. Some flights to the U.S. are permitted, click here for more information from the U.S. Embassy in Nassau.

 

DOMINICAN REPUBLIC (D.R.) - The government approved an extension of the state of emergency until 17 May. The country has increased their public surveillance dispatching additional military and police to patrol the streets.

  • A nationwide curfew is in place until 17 May, residents must stay home from 1700-0600 (5pm-6am).
  • It is mandatory to wear a mask in public.
  • All air, land, and sea borders are closed until 17 May.

 

EUROPEAN UNION (E.U.) - The E.U. is finally seeing the outbreak slow with some of the bloc’s hardest hit countries such as Italy and Spain posting steady declines in infections. However, the economic fallout of shutting down the continent for nearly two months might send shockwaves throughout the bloc. The European Commission released a prediction today that Europe could experience a 7.4% decline in its economy, a number that has not been seen since the end of WWII. While many European countries have begun easing of restrictions within their borders, the approach to permitting international travel varies. Some countries like Germany have extended restrictions on travel out to mid-June while others like Croatia which depend heavily on tourism, are considering allowing visitors from countries with low infection rates.

 

GERMANY - Chancellor Merkel announced on Wednesday that their approach to slowing the spread of the virus is working and as such the government has begun opening up the country. The government hopes to open schools in the coming week and allow hotels to receive guests by the end of the month.

  • All shops are permitted to reopen this week.
  • Face masks are required in public.
  • In some federal states, restaurants and bars are open, restricting parties to two households and requiring six feet distancing between tables.

 

ITALY - Italy entered Phase II of its recovery program this week by easing lockdown measures people allowing many industries to work. This period is expected to last until 17 May when Italy hopes to roll back restrictions even further. At present vacations and non-essential travel are still prohibited and schools are not in session. Regional restrictions for areas hardest hit like Lombardy are still intact.

 

PORTUGAL - President de Sousa announced earlier in the week that lockdown measures are now lifted. Portugal’s authorities monitored and took measured action during the outbreak to keep infection rates down. While residents have more liberty to go outside, people are still encouraged to stay home. The following protocols are still in effect:

  • Face masks are required in public;
  • social distancing is enforced; and
  • gatherings of 10 or more are prohibited.
  • There is still a legal obligation to self-quarantine if an individual has tested positive or been exposed to someone who has tested positive for COVID-19.

 

UNITED KINGDOM (U.K.) - The U.K. surpassed Italy for the highest number of COVID-19 deaths in Europe with over 30,600 deceased. The government is under pressure to reopen the economy and plans to announce minimal concessions on Saturday, where Scotland, Northern Ireland, and Wales have all decided to extend out their

stay-at-home mandates. The U.K. maintains it will allow a gradual easing of restrictions if the reproductions number or R factor remains between a 0.5-0.9, if it hits 1.0, that will be an indication that residents are not abiding by social distancing rules and stricter measures will be put back in place.

 

SPAIN - The Prime Minister has stressed that there will be a measured and calculated easing of restrictions and is hopeful for a return to life under a “new normal” by mid-June.

  • The country is under lockdown until 9 May, but people may go outside for exercise beginning 2 May.
  • Border crossings with Portugal are prohibited and have been extended until 15 May.

 

OCONUS Desk - There are over 1.256 million cases in the United States and no indication that the pandemic is slowing nationwide. There is a growing divide between those urging caution by insisting that lockdown measures stay in place until a longer downward trend is observed, and those wanting to reopen the economy. The CDC and the White House are currently hammering out the details on guidance for reopening the country. A 17-page CDC draft report on how to safely get back to work for a variety of industries was released by the media today; however, it may be several more days before a final version is complete. Both the federal and state governments are eager to get people back to work and a handful of states began permitting non-essential employees back in the workplace this week. The White House has 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.

 

ARIZONA - Governor Ducy has extended the stay-at-home order through 15 May. He also announced non-essential businesses may begin providing delivery, curb-side, or appointment based services. Bars, gyms, restaurants, and theaters are not included in this initial phase of reopening.

  • 8 May retailers can offer in-store services if they observe safety protocols, social distancing measures, and reduce occupancy of their stores.
  • Public parks remain open, social distancing is encouraged.
  • Elective surgeries are permitted if the facility meets certain criteria.

 

CALIFORNIA - Governor Newsom has rolled out a four-part plan to get the state up and running in a safe manner. The state will cautiously move into Phase II tomorrow, 8 May. Phase II involves a tempered easing of workplace restrictions for industries where teleworking is not a possibility. This includes reopening of bookstores, clothing stores, florists, and sporting goods stores with the implementation of safety modifications. The third phase of the roadmap consists of opening personal care businesses like gyms, hair salons, and religious gatherings, but is not expected to be implemented for several months. Finally, Phase IV will open the “highest risk parts of the economy” i.e. concerts and live audience sporting events. The state has already seen a mild relaxing of restrictions as many beaches and parks opened this week.

  • A statewide stay-at-home order is in place, an easing of this mandate has begun, but non-essential movements are still discouraged.
  • Some beaches and parks (county dependent) are open.
  • Golf courses began opening in San Diego last weekend and courses in Los Angeles are set to open 9 May.

 

HAWAI’I - The governor announced Tuesday a revocation of the stay-at-home order and replaced it with a safer-at-home order after the state observed 14 consecutive days where new COVID-19 infections remained in the single digits. The governor said this will allow some businesses classified as low-risk to reopen today, 7 May. The list includes: malls, landscaping companies, and wholesale warehouses if reduced occupancy requirements are in place. Places of worship, gyms and other personal care facilities are not included in this phase of reopening.

  • Residents are currently under a safer-at-home order until 31 May.
  • Travelers are required to self-isolate for 14 days.
  • Essential employees are mandated to wear a face mask while at work.
  • Beaches and parks are open for exercise.

 

IDAHO - The governor announced a four step plan to reopen the state that began 1 May and continues through 13 June. From 1-15 May spaces like houses of worship and daycares can open barring adherence to strict sanitation and social distancing practices. Personal care businesses such as gyms and salons as well as restaurants will be permitted to open 16 May.

Restaurants will be required to submit approval to local public health districts. Phase III (30 May) will see the ban lifted on non-essential travel and bars are expected to open in Phase IV on June 13.

  • A stay-healthy order was implemented on 1 May requiring businesses to adhere to social distancing requirements.
  • Social gatherings are strongly discouraged.
  • Anyone entering Idaho must self quarantine for 14 days.

 

MONTANA - The state is currently implementing a “phased reopening”. Some small schools began opening this week, the first state in the country to allow children back into the classroom.

  • Residents are asked to wear a mask or face covering in public.
  • Gyms, museums, and theaters can reopen 15 May and must adhere to strict guidelines.
  • Anyone entering Montana must self quarantine for 14 days.

 

NEVADA - The governor announced a ‘Roadmap to Recovery’ will be announced Thursday, 30 April.

 

  • The stay-at-home order has been extended through 15 May.
  • Retail stores are allowed to provide pick up services.
  • State parks near Las Vegas are closed, other state parks are open for day use.
  • Golf courses and tennis courts can open with modifications.

 

NEW YORK - Despite the governor’s announcement of additional measures to the state’s phased reopening strategy, New York is still experiencing over 600 new hospitalizations per day. While this number is down from 1,000 per day last week, the governor seems perplexed as to why that number is still so high despite stringent lockdown measures. Downstate New York, including New York City and the six southern counties continue to see the highest numbers of infection. Once New York’s

stay-at-home order is dissolved, certain regions in the state may experience continued restrictions while others might see a more swift return to personal freedoms.

  • 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 until 15 May.

 

NORTH CAROLINA - With the stay-at-home order set to expire tomorrow, 8 May, the governor announced a three phase plan to reopen the state. Tomorrow Phase I will commence with the reopening of some retailers that observe strict social distancing protocols. The stay-at-home order will remain in effect until Phase II on 22 May, but has been modified to allow limited commercial activity..

  • The state is under a mandatory stay-at-home order until 22 May.
  • Gatherings must be kept to 10 or less.

 

TENNESSEE - The governor has allowed gyms, personal care services, restaurants, and retailers to reopen as long as social distancing restrictions are observed.

  • Employees are instructed to wear masks.
  • Non-contact recreation businesses like golf and bowling will reopen 8 May.

 

TEXAS - Phase I of the governor’s plan to reopen the state began 1 May by opening certain businesses at 25% capacity in cities and 50% capacity in rural areas. Phase II of the plan is expected to start on 18 May.

  • Austin and Travis counties are under stay at home orders until 8 May and people must wear face masks in public.
  • Restaurants, movie theaters, malls, museums and libraries can open at 25% capacity.
  • State parks and beaches are open, but park goers are required to wear a mask and stay in groups of five or less.
  • Salons and other personal care facilities will reopen tomorrow, 8 May.
  • Gyms, non-essential manufacturing, and business offices will be allowed to reopen on 18 May with at 25% capacity.

    Useful Precautions:

As more and more public places, businesses, and retailers begin to open, it is important to bear in mind a few cleaning and disinfecting habits that can help prevent the spread of the virus. The CDC has provided extensive guidance on things to remember about reducing risk and exposure:

  • Coronaviruses, including COVID-19, naturally die on surfaces within hours to a few days. Elevated temperatures and sunlight exposure can reduce survival times on objects.
  • Routine cleaning of surfaces with soap and water can lower the risk of spreading the virus.
  • Using disinfectants to kill surface germs will also reduce the risk of spreading the disease. The EPA has a list of disinfectants that are known to combat COVID-19. Using a simple 10% bleach solution or 60% rubbing alcohol are both effective at killing the virus.
  • Remember to use the appropriate personal protection equipment (PPE) when using harsh chemicals or disinfectants.

 

 

The CDC offers further guidance on creating a plan to clean and disinfect commonly used areas, workplaces, and homes:

  1. Create a plan
    • Evaluate and determine what needs to be cleaned.
    • Depending on the surface, how will the area be cleaned?
    • What supplies and equipment will be needed to properly execute the plan?
  2. Execute plan
    • Wipe down the dirty surface with soap and water before disinfection.
    • Ensure use of the appropriate cleaning products.
    • Follow manufacturer instructions for use.
  3. Maintain and revise if necessary
    • Sustain normal cleaning routine.
    • Implement healthy and safe cleaning practices.
    • Continue to observe practices that will reduce exposure to COVID-19.

 

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: Patronus Medical, Covid-19, Coronavirus