Patronus Medical Blog

Patronus Medical COVID-19 Update - 020 11 June 2020

Posted by Kerri Wright on Jun 17, 2020 9:45:51 AM

Current as of 2300 EDT/ 2000 PDT

Current COVID-19 Statistics:

7,487,676 - Worldwide Cases (174,015 increase, up 2.4%)*

3,523,386 - Worldwide Recovered

420,236 - Worldwide Fatalities

 

2,021,990 - U.S. Cases (25,030 increase, up 1.3%)*

538,645 - U.S. Recovered

113,774 - U.S. Fatalities

 

 

United States Locations

31,267 - Arizona Cases

142,491 - California Cases (4,569 increase, up 3.3%)*

692 - Hawai’i Cases

3,260 - Idaho Cases

563 - Montana Cases

380,892 - New York Cases (736 increase, up .2%)*

- 208,517 - New York City Cases (399 increase, up .2%)

10,473 - Nevada Cases

39,536 - North Carolina Cases

28,340 - Tennessee Cases

82,658 - Texas Cases (2,721 increase, up 3.4%)*

*Calculations based on previous day’s statistics

 

International Locations                 

26 - Antigua/Barbuda Cases

103 - Bahamas Cases

99,031 - Canada Cases

21,437 - Dominican Republic Cases

129,184 - Mexico Cases

35,910 - Portugal Cases

Daily Message:

 

Despite the easing of restrictions on movement and a gradual reopening of industry, concerns over the recent spikes in infections have some U.S. states, like Arizona, reconsidering reinstating restrictions. The importance of social distancing and the use of face coverings must be encouraged in areas with dense populations, including demonstrations, in order to keep COVID-19 numbers below states’ trigger points. A reintroduction of stay-at-home orders could occur if figures indicate that the medical surge capacity within a state is threatened. Internationally, some Caribbean countries have begun opening their borders to international travelers this month, with Asia and Europe hoping to reopen their borders to international visitors by the 1st of July. Travelers should expect mandatory health screenings and may be subject to COVID-19 testing. Disruption in international travel, at least at the onset, could be commonplace as countries may arbitrarily extend travel bans from certain regions or countries based on internal or international politics. Furthermore, a resurgence in COVID-19 cases in the United States could see longer travel bans for Americans.

Important Updates:

International Desk

NORTH AMERICA - Travel restrictions between the U.S. and Canada/Mexico’s land borders are in place until 22 June, but it is likely the U.S./Canada border will remain closed until late July. Crossings are limited to essential travel only. For a complete list of allowances please click here. Air and sea traffic is permitted between the countries, but flights may be routed to specific airports equipped to conduct additional health screenings.

 

CANADA - Travel to Canada is still restricted to citizens, foreign nationals, permanent residents, and refugees with some exceptions for American citizens and family separation - exemptions can be viewed here. Canadian provinces are currently opening up, but continued border restrictions with the U.S. are still in effect.

  • Travelers (residents and foreigners) entering via land or air must submit travel information upon arrival. Anyone returning from outside of Canada must self-isolate for 14-days. Click here for entry
  • All air travelers must wear masks.
  • International flights are restricted to airports in Calgary, Montreal, Toronto, and Vancouver.
  • Some provinces require visitors to self-isolate for 14 days irrespective of international or domestic arrival.

 

MEXICO - Mexico has recorded its largest single-day increase in infections, adding 4,883 new cases to the national to total. The authorities have a four phased traffic light system for reopening: red, orange, yellow, and green. Most areas remain red including Mexico City and the state of Baja California Sur which limits activities to those deemed essential, but Zacatecas has graduated to orange and may recommence some non-essential services. Mexico City continues to be the most adversely affected with over 34,000 cases and hospitals at 80% occupancy. The number of new cases in the state of Baja California Sur (BCS) reached a record yesterday with 54 new cases. The total number of cases in BCS is 886 with the majority of active cases found in the municipalities of Los Cabos (104) and La Paz (127).

  • The national government is easing restrictions on states based on benchmarks that define their COVID-category: red, orange, yellow, and green.

 

UNITED STATES (U.S.) - The U.S. continues to maintain a travel ban for visitors from the following countries with limited exceptions: Brazil, China, E.U. Schengen Zone, Iran, Ireland, and the United Kingdom. Those who meet exemption requirements must fly into one of the approved 15 international airports.

  • As of 10 June, the Department of State recommenced passport

 

WORLD HEALTH ORGANIZATION (W.H.O.) - The W.H.O. endorsed widespread use of facemasks in public spaces, a policy many countries have already adopted. The organization reiterated that respirator masks, such as the N95, are more effective than traditional surgical masks and that eye protection and face shields add further protection.

 

AFRICA - The spread of COVID-19 is accelerating across the continent which, to date, has been least affected by the virus. There are over 200,000 cases in Africa, 75% of which have been recorded in only 10 countries, namely South Africa. South Africa’s significantly higher rates could be a result of increased testing capabilities.

 

ASIA - Many Asian countries have reduced infection rates to manageable figures; however, countries like India and Iran struggle to contain the outbreak. While nations remain reticent to open up their borders, travel ban policies are slowly being relaxed.

 

CHINA - Mainland China reported seven new active infections and one asymptomatic case today. The capital also saw its first community acquired case in two months.

 

JAPAN - The country’s declining infection rate has prompted the re-opening of international travel. Currently 111 countries and regions are banned from entry, but under a new quota plan, Japan would allow 250 travelers per day from Australia, New Zealand, Thailand, and Vietnam. Visitors will be required to present proof of no-disease upon arrival. Travelers from China, South Korea, and the U.S. will be welcomed in the second phase.

 

CARIBBEAN - The region appears to have successfully dodged the curve of COVID-19. Countries are anxious to kickstart their economies and some have cautiously reopened their borders to international travelers.

 

ANTIGUA AND BARBUDA -. The country has reopened for tourism with some restrictions.

  • Curfew hours have been reduced to 23:00 - 05:00 (11pm - 5am), but extended until 31 July.
  • Face masks are required in public including markets and grocery stores.
  • VC Bird International Airport is open, the following protocols are in place until 13 September:
    • All passengers are required to wear a mask.
    • Visitors are required to register with the Ministry of Health by filling out this form or calling

+1-268-462-2675 .

  • A Health Declaration Form must be completed prior to arrival. Port Health Authorities will administer health screenings and passengers will be monitored for COVID-19 accordingly. In some cases passengers may have to submit to a rapid COVID test at the airport or place of lodging.
  • A limited number of entrances/exits will be open to access terminals.
  • Only travelers and employees will be allowed entry into the terminals.
  • Online check-in is encouraged.
  • Passengers arriving by private sailing craft are subject to Port Health Authority regulations.
  • A state of emergency is in effect until 31 July.

 

THE BAHAMAS - The country plans to open its doors to tourists beginning 1 July at which point travel will be permissible between all Bahamian islands. The government released a draft Tourism Readiness and Recovery Program which outlines a health and safety framework for reopening certain sectors. Effective 8 June, professional and commercial services restarted with restrictions, while outdoor dining at restaurants begins tomorrow. Weekend lockdowns will be lifted 13 June, but a 2100-0500 (9pm - 5am) Monday - Sunday curfew will remain in effect.

  • Individuals can apply for a COVID-19 Authorization Travel Card for travel to specific Family Islands. People must register with the Ministry of Health, click here for the application or here for further information.
  • Travel from some islands require passengers to complete a travel health form prior to departure.
  • Private-plane charters can recommence on 15 June and international commercial flight on 1 July. Travelers should expect additional screening at the airport.

 

DOMINICAN REPUBLIC (D.R.) - The state of emergency is set to expire 13 June, but will likely be extended. However, Phase IV which includes reactivating tourism is expected by 1 July.

  • A curfew is in place from 1900-0500 (7pm-5am) Monday - Saturday and 1700-0500 (5pm - 5am).
  • It is mandatory to wear a mask in public.
  • All air, land, and sea borders are closed until 13 June.

 

EUROPEAN UNION (E.U.) - The European Commission forges ahead to remove internal border controls on 15 June, but has back stepped plans to allow non-essential travel at the same time. Instead member states are encouraged to restrict travel from outside of the bloc until 30 June and introduce a gradual reopening of travel thereafter. Europe’s action plan to reopen its borders centers around providing guidance on ID border checks, health and sanitation protocols at hotels, and safety

 

precautions for all modes of transportation. Visitors should expect additional screenings, use of contract-tracing apps, and the possibility of 14 day self-isolation periods upon arrival depending on the country’s policies.

  • Internal border controls will be lifted 15 June.
  • Non-essential travel from outside of the E.U. pushed back to 30 June.

 

PORTUGAL - Portugal moved into phase III on 1 June which eased restrictions on many industries. A complete list of the phased reopening strategy can be consulted here in Portuguse. Limited flights between the U.S. and Portugal have recommenced for Potuguese passport holders; Americans will not be allowed into the country until 1 July at the earliest. The following protocols are still in effect:

  • Face masks are required in public;
  • social distancing is enforced; and
  • gatherings of up to 20 are prohibited.
  • Beaches are open.
  • 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.
  • The land border between Portugal and Spain is set to reopen 22 June.

 

SPAIN - Much of Spain has entered Phase III this week, while some of the larger cities withhold their application to move out of PhaseII until after the state of emergency is lifted. Click here, for a complete list of allowances under Phase II and III.

  • The state of emergency has been extended until 21 June.
  • Face masks are required in public.
  • 1 July, international travels will be welcome with restrictions.

 

Domestic Desk - The U.S. topped 2 million COVID-19 cases this week as demonstrations persisted throughout the country. Over a half of a dozen states have seen an increase in cases since Memorial Day weekend, with some states seeing record hospitalizations. Fears of a second wave hit the U.S. this week prompting some states to reconsider reinstating previous

stay-at-home orders.

 

ARIZONA - The state experienced an overwhelming increase in cases since it began repealing its stay-at-home orders on 15 May, since then, Arizona has seen a 115% increase in new infections. The alarming numbers have reactivated the state’s hospitals’ coronavirus emergency plan. The state’s health chief went on record this week stating that the governor is reviewing his options and will implement one of three policies: a) institute a field hospital plan; b) reinstate the stay-at-home order; c) both options.

  • Restaurant dine-in services are permitted.
  • Gyms and pools are open.
  • Anyone returning from an area with substantial community spread like New York City must quarantine for 14-days.

 

CALIFORNIA - Despite a significant increase in cases over the past week, Governor Newsom announced the state will move into Phase III of its reopening plan. Counties have the final authority on graduating into the next phase and may impose more stringent restrictions than the state. Phase III will see the reopening of personal care businesses like gyms, hair salons, and places of worship. Phase IV will open the “highest risk parts of the economy” i.e. concerts and live audience sporting events. For a real time update on California’s current phase, please click here.

  • A statewide stay-at-home order is in place, non-essential movements are still discouraged.
  • Some counties like San Diego allow dine-in at restaurants with reduced occupancy.
  • Most beaches and parks have reopened, including public golf courses.

 

 

HAWAI’I - The state is currently classified at the third impact level, “act with care,” which acknowledges some new infections, but minor impact on the public’s health and wellbeing. Medium-risk businesses are now permitted to reopen in the counties of O’ahu, Maui, and Kaua’i. The ban on gatherings of 50 people will be lifted in most areas by mid-June. A roadmap for reopening Hawai’i can be viewed here. The ban on inter-island travel will be lifted 16 June.

  • Travelers will be subject to temperature checks and required to fill out a health disclosure form.
  • Travelers are required to self-isolate for 14 days until 31 July, for inter-island travel until 16 June.
  • Beaches and parks are open, commercial water activities are also open.
  • Honolulu will remain under a stay-at-home order until 30 June with some minor concessions.

 

IDAHO - The governor has set in motion a four step plan to reopen the state that will continue through 13 June. Idaho is currently in Stage IV. Vulnerable populations are free to move about, but are encouraged to take safety precautions. Large events are also permitted at this time.

  • A stay-healthy order was implemented on 1 May requiring businesses to adhere to social distancing requirements.
  • Personal care businesses like gyms, restaurants, and salons are open.
  • Guidance for gatherings can be found here.
  • Only individuals returning from high risk areas or states are required to quarantine for 14-days.

 

MONTANA - The state is currently implementing a “phased reopening”. Montana moved into Phase II on 1 June. Gatherings of up to 50 persons are permitted and bars, casinos, and gyms can operate at 75% capacity.

  • Residents are asked to wear a mask or face covering in public.
  • Gyms, museums, and theaters are open, but must adhere to strict guidelines.

 

NEVADA - Earlier this week, the state reported an above daily average increase in COVID-19 cases. The increase in cases has been attributed to more widespread testing, but health authorities maintain that Nevada has flattened the curve. The ‘Roadmap to Recovery’ is in effect in the state. The state is currently in Phase II, but the governor indicated it will move into Phase III tomorrow easing restrictions on gatherings and schools.

  • Face coverings are strongly encouraged in public.
  • Golf courses and tennis courts can open with modifications.
  • Casinos are open.

 

NEW YORK - As part of the phased reopening strategy districts may enter into Phase I once they have met three criteria: a decline in new hospitalizations, an increase in the total available hospital and ICU beds. New York City entered Phase I of recovery this week with both Mid-Hudson Valley and Long Island entering Phase II, the rest of the state remains in Phase II. The governor expressed the need for widespread testing in the wake of the demonstrations. The governor encourages participants in the protests to get tested and has outlined a variety of resources. The governor has released a guide to reopening entitled, New York Forward.

  • Employers of essential employees must provide cloth or surgical masks if employees engage with the public.
  • The stay-at-home order is in effect until 13 June.

 

NORTH CAROLINA -The state is experiencing a surge in new infections which could prompt a reinstatement of stay-at-home orders according to the state’s secretary of Health and Human Services. The state has implemented a three phase plan to reopen and is currently under Phase II safer-at-home. North Carolina is expected to stay in this phase until 26 June. The governor has recently included people participating in large demonstrations in guidance on who should be tested for COVID-19.

  • Gatherings of 10 or less inside and less than 25 outside are now permitted.
  • Masks must be worn in public.

 

TENNESSEE - Some counties such as Memphis and Shelby are moving ahead into Phase III on 15 June, whereas other cities and counties like Memphis will remain in Phase II as a result of the uptick in coronavirus cases this week. The governor has released reopening guidance for most industries, please reference the complete list here.

  • People are urged to wear masks in public, essential employees must wear masks.
  • Telework and social distancing are encouraged.
  • The state of emergency has been extended until 30 June.

 

TEXAS - The state saw record numbers of hospitalizations this week, surging past 2,000. Texas is currently in Phase III of reopening. Occupancy limits on religious services, childcare, and local government operations have been lifted. However, some larger cities have maintained more stringent policies. Austin will likely extend stay-at-home orders and face mask requirements beyond 15 June as a result of the spike in COVID cases.

  • Movie theaters, malls, museums and libraries can operate at 50% capacity.
  • Restaurants and bars can operate at 50% capacity and 75% beginning 12 June.
  • Outdoor gatherings greater than 500 are subject to restrictions.
  • Personal care facilities such as salons are no longer under occupancy restrictions.

 

Useful Precautions:

As communities begin to reopen, it is important to remember some key health tips while conducting daily activities. The CDC has published guidance on resuming such tasks with a reminder to: stay at home when sick; use online services when possible; wear a face covering in public; observe social distancing etiquette; and wash or sanitize your hands after activities in public. The CDC recommends the following:

 

1.        Grocery Shopping

  • Do not shop if you are sick or have symptoms of COVID-19
  • Order online or use curbside pickup when available
  • Protect yourself and others by maintaining physical distancing; wearing a mask; disinfecting shopping carts; using touchless payment; and avoid touching eyes, nose, and mouth. If you are in a vulnerable population, consider shopping during designated special hours.
  • Use hand sanitizer after leaving the store
  • Wash your hands with soap and water for 20 seconds when you return home

 

2.        Delivery and Takeout

  • Limit in person contact by paying online and ask delivery person to leave package outside of your house
  • Wash your hands after receiving deliveries or mail

 

3.        Banking

  • Bank online whenever possible
  • Use drive-thru tellers, ATMs, or mobile banking apps to reduce face-to-face interactions
  • Ensure your bank has taken health precautions (i.e. plexiglass dividers and staff wearing masks)
  • Try not to use commonly touched items such as pens
  • Sanitize your hands after leaving the bank and wash your hands with soap and water at home

 

4.        Pumping Gas

  • Use disinfecting wipes on any surfaces before you touch them, or use gloves
  • Sanitize your hands after leaving fueling and wash your hands with soap and water at home

 

Credible Information Sources:

Topics: Covid-19, Coronavirus