Patronus Medical Blog

Patronus Medical COVID-19 Update March 24, 2020

Posted by Kerri Wright on Mar 25, 2020 6:17:35 PM


Patronus Medical COVID-19 Update

24 March 2020

Current as of 2345EDT/ 2045 PDT


Current COVID-19 Statistics:

422,915 - Worldwide Cases (47,457 increase, up 12.6%)* 108,573 - Worldwide Recovered Patients

18,915 - Worldwide Fatalities

55,148 - U.S. Cases (11,934 increase, up 27.6%)* 349 - U.S. Recovered Patients

796 - U.S. Fatalities

United States Locations 326 - Arizona Cases

2,590 - California Cases (509 increase, up 24.5%)* 90 - Hawai’i Cases

90 - Idaho Cases

51 - Montana Cases

26,376 - New York Cases (5,501 increase, up 26.4%)* 284 - Nevada Cases

510 - North Carolina Cases

1,001 - Texas Cases (increase 246, up 32.6%)*

*Calculations based on previous day’s numbers

Daily Message:

Global cases of COVID-19 have surpassed 400,000, an increase of nearly 13% in one day. Most countries have now banned travel imported from abroad and lockdowns are finally being replicated in Africa, the Middle East, and South Asia. Several of the hardest hit countries have grown increasingly more desperate, some have even called in the army to enforce “shelter-in-place” mandates, and many others are handing down harsher punishments for violations of state directives. Domestically, a universal “shelter-in-place” directive has yet to be seen, but most states and counties have implemented drastic restrictions on daily activities and limitations on movement in an effort to contain the spread of the disease. For the first time in recent history, some

U.S. states are implementing domestic travel restrictions, including mandatory quarantining periods.

Important Updates:

International Desk

WORLD HEALTH ORGANIZATION (WHO) - The director of the WHO said on Monday that the “coronavirus pandemic is accelerating” at an alarming rate. “It took 67 days from the first reported case to reach 100,000 cases, 11 days for second 100,000 cases, and just four days for the third 100,000 cases.” These figures are concerning and should be considered when looking at how the case numbers in each U.S. state are trending. It will become increasingly imperative to protect frontline workers including healthcare staff and the essential labor force.

ASIA - CHINA - The country announced it will lift a two month lockdown in the city of Wuhan, the epicenter of the outbreak, on 8 April. Some lockdown measures will be removed on Wednesday, 25 March in other cities inside of Hubei Province.

CARIBBEAN - The spread of the coronavirus continues to remain relatively low, but should continue to be monitored.

ANTIGUAL AND BARBUDA - All three confirmed cases have been imported from abroad. The health authorities are working diligently to prevent the virus from entering the community at large.

DOMINICAN REPUBLIC (D.R.) - Following the closure of its borders on 19 March, the authorities have now placed restrictions on all non-essential movements. A nationwide curfew has been put into effect banning movement from 8 p.m. to 6 a.m. until 3 April. Bars and restaurants have been closed and events are prohibited. Public transportation has also been indefinitely suspended.

EUROPEAN UNION (E.U.) - With nearly 195,000 cases and over 10,000 deaths, the European Union continues to struggle to contain the fallout from the virus despite extreme limitations on movement.

FRANCE - Cases continue to rise in France despite strict enforcement of a nationwide lockdown. France became the fifth country in the world to surpass 1,000 fatalities from COVID-19 today.

ITALY - Italy’s president announced today that fines will be raised for those disobeying the lockdown order. The country had seen a downturn in fatalities over the last two days after a spike this past weekend, but a recorded 743 deaths today reversed the trend.

PORTUGAL - The Portuguese have been asked to stay home and only leave for emergencies or to procure essential goods. Restaurants are permitted to provide takeaway service only and companies are encouraged to organize telework for their employees. The mandate is expected to last until 2 April. The British government has published a full list of restrictions in both English and Portguese, here.

SPAIN - Spain continues to struggle to combat the virus. It saw 514 deaths in a single day bringing the country’s death toll close to 2,700. In addition, nearly 40,000 people are infected with the virus, 5,400 of those cases (13%) are healthcare workers.

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

CANADA - Canada has recalled its citizens home. It is orchestrating the greatest peacetime airlift to coordinate repatriating stranded Canadians abroad. Internally, non-essential business will come to a halt in Ontario and Quebec today. Other Canadian provinces that have already implemented such mandates will hand out fines up to $1,000 CAD for citizens or businesses that do not comply.

MEXICO - President Lopez Obrador announced a suspension of events with 100+ people and has asked that all gatherings, public and private, be banned throughout the month. The country implemented a social distancing strategy on 20 March and remains behind the U.S. and Europe on the outbreak curve, but the number of cases are starting to grow.

UNITED STATES - The U.S. is on track to become the world’s next epicenter, a designation first given to China and currently held by Italy. The White House Coronavirus Task Force has demonstrated incredible concern for the growing infection rate in New York City and in response has asked any traveller that has recently passed through the city (and greater area) to self-isolate for a 14-day period.

OCONUS Desk - The United States has seen a 28% increase in cases over the last 24 hours, that means nearly 12,000 new cases have been added bringing the total count over the 55,000 mark. Most states have issued various versions of “stay-at-home” orders with several states still holding out on blanket mandates. Alaska, Florida, and Hawai’i become the first states to place restrictions on domestic travel requiring all travelers to undergo mandatory quarantine. No other states have announced such intentions. Additionally, in the coming weeks, the U.S. will see an extraordinary strain on the healthcare infrastructure as the number of COVID cases surge. Medical supplies are expected to become increasingly difficult to access.

ARIZONA - The state saw a 38% increase in cases overnight, with a majority found Maricopa County. The governor released an Executive Order today defining essential services. He also issued a statement saying that he is not ready to hand down a “shelter-in-place” order yet. Most counties have already implemented their own version of “stay home” already.

CALIFORNIA - Stricter enforcement of the social distancing and stay at home order were observed today. Many surfers and beach goers in the state were ushered out of the water by local law enforcement. Governor Newsom stated in a press conference today that half of the state’s positive COVID-19 cases are between 18-49 years old. Younger people appear to be disportionately affected in the state; however, more severe cases have been observed in older demographics. Newsom went on to say that securing critical supplies in the days to come will be essential. The 1,000 bed Navy medical ship, Mercy, is set to dock in Los Angeles on Friday in support of the anticipated demand on healthcare facilities in the weeks to come.

HAWAI’I - Effective Thursday, 26 March, all visitors and residents arriving to the state via aircraft, private or commercial, will be required to complete a mandatory 14-day quarantine. Failure to comply could be met with a $5,000 fine or one year in jail. A statement from the Governor’s Office can be viewed here. Alaska’s governor issued the same order to go into effect tomorrow, 25 March and beginning today, Florida requires anyone traveling from Connecticut, New Jersey, or New York to submit to a day self isolate period as well.

IDAHO - The Mayor of Boise has ordered residents to observe the 6ft social distancing practice effective Wednesday, 25 March for the next 30 days. The police department has been charged with enforcing the order. Groups of 10+ are banned and all indoor fitness facilities are to close. Coeur d’Alene also passed an emergency ordinance closing all bars and restaurants within the city limits.

MONTANA - The governor issued a statement extending statewide school closures to 10 April. All non-essential business including: bars, casinos, and gyms will also continue to be closed until 10 April. The governor also banned gatherings of 10 or more people outside of private residences.

NEW YORK - The state saw a 26% increase in new cases, over 5,500 positive tests, in a one day period. New York’s cases are nearly doubling every three days, a trend that has been observed in Italy and Spain. Nearly 60% of the new cases are emerging out of New York City (NYC). The alarming number of cases in NYC triggered a statement from the White House Coronavirus Task Force today imploring people that have traveled to or passed through the city to quarantine for 14-days. NYC has become the epicenter of the outbreak in the United States. Governor Cuomo stated that the peak of infection could arrive in two to three weeks, rapidly accelerating the preparation time for critical cases. It is now anticipated that New York will need up to 140,000 hospital beds to treat COVID patients, at present there are around 53,000 beds available. The state is also concerned about a shortage of supplies including ventilators and personal protective equipment. Navy hospital ship, Comfort, has been deployed to provide additional support.

NEVADA - In an emergency order issued tonight, the governor has officially barred gatherings of 10 or more people in an effort to contain the spread of COVID. This mandate applies to groups congrating inside or outside, but does not apply to essential businesses. Last week the governor shut down Las Vegas and called for the closure of all non-essential business.

NORTH CAROLINA - Durham and Mecklenburg County issued “stay-at-home”orders today. These will take effect Wednesday, 25 March and last three weeks. These orders come on the heels of the governor’s announcement yesterday banning gatherings of 50 or more and closure of businesses like gyms and movie theaters to close by Wednesday (25 March).

TEXAS - The state observed a 33% increase (nearly 250 cases) in confirmed COVID cases today. Governor Abbott issued an executive order calling for a statewide shutdown of all schools, bars, restaurants, and gyms on Friday, but continues to resist a call for a “stay-at-home” mandate. However, major cities such as: Austin, Dallas, El Paso, Houston, and San Antonio have taken stricter measures calling for “shelter-in-place” directives to take effect this week.

Useful Precautions:

Given travel advisory change to Level 4 (Do Not Travel), the State Department has issued guidance for international travelers. Foreign travel is not advised as the outbreak mounts. Countries are imposing restrictive travel measures, mandatory quarantines, and/or are closing their borders without notice. It is recommended that U.S. citizens return immediately.

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.