Daily Archives: June 22, 2020

Two hair stylists with the coronavirus wore masks. So did their 140 clients. Of those tested, none got sick – cleveland.com

Posted: June 22, 2020 at 6:07 pm

CLEVELAND, Ohio In Missouri, two hair stylists who tested positive for COVID-19 after working in close contact with 140 clients and six coworkers. Local health officials feared it would be the start of a major outbreak.

But it wasnt.

The reason? Employees and patrons at the Great Clips salon were required to wear masks, health officials said.

The result appears to be one of the clearest real-world examples of the ability of masks to slow the spread of the novel coronavirus, the Washington Post wrote this month. Local health officials are studying the details of the Springfield, Missouri, incident, including what types of face coverings were used and what other precautions were taken.

The fact that none of the exposed people became ill is something we need to think about, said Dr. Claudia Hoyen, director of pediatric infection control at University Hospitals Rainbow Babies and Childrens Hospital.

There are definite lessons we can learn from this, Hoyen said. This is a good example of why we all should be wearing masks.

The coronavirus that causes COVID-19 spreads when infected persons expel the virus in airborne droplets while talking or coughing. When people wear a mask, fewer droplet are released, and the ones that are released dont travel as far, Hoyen said.

I believe masks play a role in protecting people from the coronavirus, she said.

The salons policies of spreading out patrons chairs, staggering appointments and other measures, also helped prevent the spread of the disease, local health officials said.

When MetroHealth Systems Dr. Nick Dreher heard about what happened at the Great Clips hair salon, he wondered were they lucky, or were they smart?

There was some luck involved, but also smart choices in the form of social distancing, sanitizing tools and surfaces, and requiring masks, said Dreher, medical director of the Population Health Innovation Institute at MetroHealth.

They did a lot of things right, he said.

Social distancing and other measures dont afford 100% protection from COVID-19, but they do help, Dreher said.

All those who had close contact with the sick hair stylists in Missouri were offered free testing but only 46 agreed to be tested. Dreher called the incident a good outcome, not a perfect outcome, because not everyone in the pool of 140 people were tested.

While mask-wearing may have averted an outbreak in Missouri, the opposite happened recently in Florida.

A group of 16 friends tested positive for the illness after celebrating a birthday in a crowded bar. At least seven bar employees have also reportedly tested positive for the disease, according to news reports. Members of the birthday group said no one was wearing masks.

New research is also examining the effectiveness of wearing a face covering in slowing the spread of COVID-19.

Scientists at University of California, San Diego, Caltech and Texas A&M looked at the worlds three COVID-19 epicenters: Wuhan, China; Italy, and New York City. They saw that in Wuhan, where mask-wearing is part of the culture, the spread was relatively slow. But case numbers continued to climb in Italy and New York City, despite lockdown and stay-at-home orders.

A separate study funded by the World Health Organization and recently published in the journal Lancet reviewed more than 170 studies and found evidence that wearing face coverings reduces the risk of COVID-19 infection.

Hoyen hopes the examples in Florida and Missouri, combined with new research, make wearing a mask more acceptable.

If everybody wears masks, were all much more protected, she said.

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Two hair stylists with the coronavirus wore masks. So did their 140 clients. Of those tested, none got sick - cleveland.com

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Coronavirus could die out on its own, according to Italian expert: Report – silive.com

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STATEN ISLAND, N.Y. -- According to an infectious disease expert in Italy, the coronavirus (COVID-19) has weakened over time and could die out before a vaccine is needed.

Prof. Matteo Bassetti, head of the infectious diseases clinic at the Policlinico San Martino hospital, says he believes COVID over the past month or so has been losing its virulence, the Sunday Telegraph reported.

He bases that theory in part on the fact patients who would previously have died are now recovering.

In March and early April the patterns were completely different, Bassetti said. People were coming to the emergency department with a very difficult to manage illness and they needed oxygen and ventilation; some developed pneumonia.

Now, in the past four weeks, the picture has completely changed in terms of patterns. There could be a lower viral load in the respiratory tract, probably due to a genetic mutation in the virus which has not yet been demonstrated scientifically. Also we are now more aware of the disease and able to manage it.

I think the virus has mutated because our immune system reacts to the virus and we have a lower viral load now due to the lockdown, mask-wearing, social distancing. We still have to demonstrate why its different now.

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Coronavirus could die out on its own, according to Italian expert: Report - silive.com

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The Latest: Surge in U.S. virus cases raises fear that progress is slipping – Press Herald

Posted: at 6:07 pm

The latest on the coronavirus pandemic around the U.S. and the world.

ST. PETERSBURG, Fla. Coronavirus cases in Florida surpassed 100,000 on Monday, part of an alarming surge across the South and West as states reopen for business and many Americans resist wearing masks or keeping their distance from others.

The disturbing signs in the Sunshine State as well as places like Arizona, Alabama, Louisiana, Texas and South Carolina along with countries such as Brazil, India and Pakistan are raising fears that the progress won after months of lockdowns is slipping away.

It is snowballing. We will most certainly see more people die as a result of this spike, said Dr. Marc Boom, CEO and president of Houston Methodist Hospital, noting that the number of COVID-19 hospital admissions has tripled since Memorial Day to more then 1,400 across eight hospital systems in the Houston metropolitan area.

He predicted that in three weeks hospitals could be overwhelmed, and he pleaded with people to cover their faces and practice social distancing.

It is possible to open up at a judicious pace and coexist with the virus, but it requires millions and millions of people to do the right thing. Right now, we dont have that because people have let their guard down, Boom said.

The number of newly confirmed coronavirus cases across the country per day has reached more than 26,000, up from about 21,000 two weeks ago, according to an Associated Press analysis of data compiled by Johns Hopkins University. The analysis looked at a seven-day rolling average through Sunday.

Over 120,000 deaths in the U.S. have been blamed on the virus.

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White House relaxes its own virus screening as D.C. hits phase two

The White House is cutting back on screening visitors for the coronavirus as President Donald Trump pushes to reopen the country.

In conjunction with Washington, D.C., entering Phase Two today, the White House is scaling back complex-wide temperature checks, White House spokesman Judd Deere said in a statement on Monday.

The White House had been conducting temperature checks in a makeshift medical tent at the press entrance since March. The tent was gone on Monday, as Washington entered its second phase of reopening, allowing the businesses such as restaurants and gyms to open under limited conditions.

In addition to social distancing, hand sanitizer, regular deep cleaning of all work spaces, and voluntary facial coverings, every staff member and guest in close proximity to the president and vice president is still being temperature checked, asked symptom histories, and tested for COVID-19, Deere said.

A notice posted in the briefing room lists symptoms of the virus and recommends social distancing.

On Saturday, Trump held his first rally since the pandemic began, drawing a crowd in Tulsa, Oklahoma, far smaller than he and his camaign had touted. Health experts had warned that a large indoor rally would fuel the viruss spread in Oklahoma.

The U.S. reported 33,894 new cases on Saturday, its highest total since May 1. About 120,000 people have died from the virus in the U.S.

Germany works to tame meatpacking outbreak

BERLIN German Chancellor Angela Merkels spokesman said everything needs to be done to contain an outbreak of the coronavirus linked to a large slaughterhouse where over 1,300 people have tested positive for COVID-19.

Steffen Seibert said 20 workers at the Toennies meat plant in the western Guetersloh region have been hospitalized and several are in intensive care.

We very much hope that all those who have fallen ill survive, Seibert told reporters in Berlin on Monday. This is an outbreak that needs to be taken very seriously.

Authorities have scrambled to stop the outbreak from spreading, by ordering mass tests of all workers and putting thousands of people into quarantine. The outbreak at Toennies, where many workers are migrants from Eastern Europe, has pushed up Germanys daily infection rate.

Authorities have dispatched virologists, contact tracing teams and the German army to help contain the outbreak.

Germanys disease control center says the country has seen 190,359 confirmed cases and 8,885 virus-related deaths about five times fewer deaths than in Britain.

Netherlands reports no deaths in last 24 hours

THE HAGUE, Netherlands The Dutch public health institute says that no COVID-19 deaths have been reported in the last 24 hours, the first time since March 12 that no new deaths have been seen.

The institutes Monday death tallies are sometimes lower than other days of the week due to weekend reporting lags.

The official Dutch death toll in the coronavirus pandemic stands at 6,090. The true toll is higher because not all people who have died with suspected COVID-19 were tested.

Tesla delays annual meeting until September

SAN FRANCISCO Due to coronavirus restrictions in Silicon Valley, Tesla Inc. is delaying its annual shareholders meeting from July 7 probably until Sept. 15.

The electric car and solar panel company announced the delay in a regulatory filing Monday after CEO Elon Musk revealed it overnight on Twitter.

The event likely will be combined with what Musk has touted as Battery Day, when the company is supposed to announce new battery technology that will work for 1 million miles and have longer range than current models.

In the filing with the U.S. Securities and Exchange Commission, Tesla said its board believes that stockholders appreciate the interpersonal connection and dynamic of an in-person annual meeting.

It reprinted Musks tweets saying Sept. 15 was a tentative date, and the meeting would be held at the companys factory in Fremont, California.

Croatia bans visits to nursing homes

ZAGREB, Croatia Croatian authorities have banned visits to nursing homes and hospitals in the Croatian coastal town of Zadar following an outbreak of the new coronavirus at an exhibition tennis tournament there.

Tennis players Grigor Dmitrov from Bulgaria, Borna Coric from Croatia and two more people have tested positive after participating in the Adria Tour event organized by top-ranked Novak Djokovic of Serbia.

Authorities said Monday that dozens more tests are underway in Zadar, while Croatias state HRT television reported that Prime Minister Andrej Plenkovic also will be tested after visiting the event.

Djokovics team said he has returned to Serbia and was tested there, while the event has been canceled.

Croatia has reopened in hopes of salvaging the summer tourism season along the Adriatic Sea coast. The European Union nation will hold a national election on July 5.

Seouls mayor fears virus resurgence

SEOUL, South Korea The mayor of South Koreas capital fears the country is losing control over a virus resurgence and said Seoul will reimpose stronger social distancing measures if the daily jump in infections doesnt come below an average of 30 over the next three days.

If Seoul gets penetrated (by the virus), the entire Republic of Korea gets penetrated, Park Won-soon said Monday in a televised briefing, referring to South Korea by its formal name.

He also lamented what he described as complacency of citizens in social distancing, citing an increase in public transportation usage that he says has been approaching last years levels in recent weeks.

Citing research by health experts, Park the country could be possibly reporting as much as 800 new cases a day a month from now if it fails to stem current trends in transmissions. He said the basic reproduction number of virus carriers, which measures the number of infections caused by an individual, has reached nearly 1.8 for the period between April 30 and June 11. Any number above 1 indicates a growing epidemic.

In a separate briefing, Jeong Eun-kyeong, director of the Korea Centers for Disease Control and Prevention, acknowledged that the country was now going through a second wave of the virus, following a surge in late February and March centered around the southeastern city of Daegu.

The country has been reporting around 40 to 50 new cases per day since late May, mostly from the Seoul metropolitan area, where about half of South Koreas 51 million people live.

South Korea was reported around 500 new case per day in early March but managed to control the outbreak with an active testing and contact tracing campaign.

UN warns pandemic could jeopardize supply of AIDS drugs to developing nations

LONDON The U.N. AIDS agency is warning that the coronavirus pandemic could jeopardize the supply of AIDS drugs in developing countries and could lead to deadly shortages in the next few months.

In a statement Monday, UNAIDS said a survey it recently conducted found that lockdowns and border closures to stop the spread of COVID-19 were affecting both the production and distribution of the medicines, which could result in higher costs and shortages in the next two months.

As of June 2019, UNAIDS estimated that more than 24 million people were on life-saving anti-retroviral drugs and that losing access now could risk their health and the further spread of HIV.

I call on countries and buyers of HIV medicines to act swiftly in order to ensure everyone who is currently on treatment continues to be on it, Winnie Byanyima, executive director of UNAIDS, said in a statement.

UNAIDS said the sharp reduction in air and sea transport was complicating the distribution of raw materials and that social distancing was reducing manufacturing capacity. This could lead to a shortage of medicines or price increases, with some of the treatment courses for children estimated to be those worst affected.

The UNAIDS analysis was based on information collected from eight generic manufacturers of AIDS drugs in India, who account for more than 80% of the generic anti-retroviral drug supply globally. Governments in seven other countries that produce generic AIDS medications were also surveyed.

Beijing officials say they have contained outbreak

BEIJING A Beijing government spokesperson said the city has contained the momentum of a recent coronavirus outbreak that has infected more than 200 people, after the number of daily new cases fell to single digits.

The situation is developing in a good direction but the prevention situation remains grave and complex, Xu Hejian said at a Monday news conference.

Xu spoke after the city reported nine new cases in the previous day, down from more than 20 daily for eight straight days. A massive testing campaign found 236 confirmed cases of COVID-19 and 22 more without any symptoms. China does not include the latter in its official case count.

The Transport Ministry said tests of more than 100,000 of the citys ubiquitous delivery drivers were expected to be competed Monday, as authorities expand testing to more groups.

The outbreak took hold in a huge wholesale food market crowded with workers and buyers. Additional cases traced to the same outbreak have been found in neighboring Hebei province and nearby Tianjin city.

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Coronavirus: What’s happening around the world Monday – CBC.ca

Posted: at 6:07 pm

The latest:

Alarming surges in coronavirus cases across the U.S.raised fears Monday that the outbreak is spiralling out of control and that hard-won progress against the scourge is slipping away because of resistance among many Americans to wearing masks and staying away from others.

Confirming predictions that the easing of state lockdowns over the past month-and-a-half could lead to a comeback by the virus, cases surpassed 100,000 in Florida, hospitalizations are rising dramatically in Houston, and a startling onein fiveof those tested in Arizona are proving to be infected.

Over the weekend, the virus seemed to be everywhere at once: Six staff members helping set up for President Donald Trump's rally in Tulsa, Okla., tested positive, as did 23 Clemson University football players in South Carolina.

At least 30 members of the Louisiana State University team were isolated after becoming infected or coming into contact with someone who was. Meatpacking plants were also hit with outbreaks.

PHOTOS | COVID-19 precautions at Tulsa Trump rally:

"It is snowballing. We will most certainly see more people die as a result of this spike," said Dr. Marc Boom, CEO and president of Houston Methodist Hospital, noting that the number of COVID-19 hospital admissions has tripled since Memorial Day to more than 1,400 across eight hospital systems in the Houston metropolitan area.

He predicted that in three weeks hospitals could be overwhelmed, and he pleaded with people to cover their faces and practise social distancing.

"It is possible to open up at a judicious pace and coexist with the virus, but it requires millions and millions of people to do the right thing. Right now, we don't have that" because people have let their guard down, Boom said.

Texas is among a number of states including Arizona, Alabama, Florida and South Carolina whose governors have resisted statewide mask requirements, leaving the matter to local authorities.

In Orlando, 152 coronavirus cases were linked to one bar near the University of Central Florida campus, said Dr. Raul Pino, a state health officer in the resort city.

"A lot of transmission happened there," Pino said. "People are very close. People are not wearing masks. People are drinking, shouting, dancing, sweating, kissing and hugging, all the things that happen in bars. And all those things that happen are not good for COVID-19."

Although he asked health officials to renew calls for people to wear masks and keep their distance, Gov. Ron DeSantis has not signalled he will retreat from reopening the state after three months of shutdowns that have damaged the economy.

In Louisiana, Gov. John Bel Edwards weighed whether to proceed with any further loosening of restrictions amid a spike in cases. Some businesses have closed again because of infections among staff members or patrons. And a cluster of bars near LSU reported at least 100 customers and employees tested positive.

Arizona, in particular, is seeing disturbing trends in several benchmarks, including the percentage of tests that prove positive for the virus. Arizona's is the highest in the nation.

The state's positive test rate is at a seven-day average of over 20 per cent, well above the national average of 8.4 per cent and the 10 per centlevel that public health officials say is a problem. When the positive test rate rises, it means that an outbreak is worsening not just that more people are getting tested.

At Maryland's Fort Washington Medical Center on the outskirts of the nation's capital, workers described a scramble to find new beds, heartbreaking encounters with family members of critically ill patients and their frustration with Americans who do not believe the coronavirus threat is real.

Meanwhile, New York City, once the most lethal hot spot in the U.S., lifted more of its restrictions, moving a big step closer to normal. Restaurants can serve diners outdoors, customers can browse through stores and get a haircut, and children can return to playgrounds.

In Illinois, museums, gyms and zoos can reopen on Friday with restrictions. Indoor dining can resume at 25 per cent capacity, and some places, such as the Lincoln Park Zoo, will require reservations.

Worldwide, ninemillion people have been confirmed infected by the virus and about 470,000 have died, according to a tally by Johns Hopkins University, though experts say the actual numbers are much higher because of limited testing and cases in which patients had no symptoms.

As of 5:45 p.m. ET on Monday, Canada had 101,605 confirmed and presumptive coronavirus cases, with the majority in Quebec and Ontario. Of those cases, 64,307 of the cases were listed as resolved or recovered. A CBC News tally of deaths based on provincial information, regional health data and CBC's reporting stood at 8,473.

Ontario reported 161 new cases on Monday, bringing the total number of cases in that province to 33,637 with 2,647 deaths.

Quebec reported 69 new cases, bringing the total number of cases there to 54,835 with 5,417 deaths.The daily figure is the lowest Quebec has seen since March 21, and the first time Quebec has had no new deaths to report since March 17, when the province reported its first COVID-19-related death.

Saudi Arabia says this year's hajj will not be cancelled, but due to the coronavirus, only "very limited numbers" of people will be allowed to perform the major Muslim pilgrimage.

The kingdom said Tuesday that only people of various nationalities already residing in the country would be allowed to perform the hajj. The government did not specify how many people would be permitted to take part.

The announcement came asSaudi Arabia ended its nationwide curfew over the weekend.

India reported a record number of newcases on Monday and the deaths of more than 400 people in the past 24 hours.

Nearly 14,000 people have died from the disease caused by the virus since India's first case in January. The death toll there remains low when compared to countries with similar numbers of cases but public health experts fear its hospitals will be unable to cope with a rise in cases.

Despite the peak of infections projected to be weeks if not months away Prime Minister Narendra Modi relaxed most curbs of a near three-month lockdown on June 8 in order to ease economic pain.

Brazil the country with the second-most infections and deaths in the world behind the U.S. has "certainly seen a spike in cases" in the last 24 hours, said the WHO's Mike Ryan, adding there were "worrying increases" throughout Latin America.

In the state of Rio de Janeirowhich has recorded almost 100,000 COVID-19 cases and 9,000 deaths the health secretariat in a statement on Monday confirmed Health Secretary Fernando Ferry has left the post, without providing a reason.

The state's governor, Wilson Witzel, fired his prior health secretary in mid-May after a failure to construct several promised field hospitals for treatment of COVID-19 patients.

WATCH | Brazil deeply affected by COVID-19 due to high population, WHO says:

Africa's reported cases of COVID-19 have surpassed 300,000 as the spread of the disease quickens across the continent.

The Africa Center for Disease Control and Prevention said Monday the continent now has 306,567 confirmed cases, including 8,115 deaths and 146,212 recoveries. It took more than 90 days for Africa's 54 countries to reach 100,000 cases, 19 days to reach 200,000 and now 12 days to go above 300,000. The actual number of cases is believed to be much higher because testing across the continent is low.

South Africa, with 97,302 cases, accounts for nearly a thirdof the continent's total cases. The country had initially hoped it could control the disease through testing and tracing. But despite conducting more than 1.3 million tests, the highest number in Africa, it currently takes an average of 12 days to get results, which medical experts say is much too long to do any effective tracking and quarantining.

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Flushing the Toilet May Fling Coronavirus Aerosols All Over – The New York Times

Posted: at 6:07 pm

Heres one more behavior to be hyper-aware of in order to prevent coronavirus transmission: what you do after you use the toilet.

Scientists have found that in addition to clearing out whatever business youve left behind, flushing a toilet can generate a cloud of aerosol droplets that rises nearly three feet. Those droplets may linger in the air long enough to be inhaled by a shared toilets next user, or land on surfaces in the bathroom.

This toilet plume isnt just gross. In simulations, it can carry infectious coronavirus particles that are already present in the surrounding air or recently shed in a persons stool. The research, published Tuesday in the journal Physics of Fluids, adds to growing evidence that the coronavirus can be passed not only through respiratory droplets, but through virus-laden feces, too.

And while it remains unknown whether public or shared toilets are a common point of transmission of the virus, the research highlights the need during a pandemic to rethink some of the common spaces people share.

The aerosols generated by toilets are something that weve kind of known about for a while, but many people have taken for granted, said Joshua L. Santarpia, a professor of pathology and microbiology at the University of Nebraska Medical Center who was not involved in the research. This study adds a lot of the evidence that everyone needs in order to take better action.

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Typically, the coronavirus is most at home in cells in the lungs and upper respiratory tract. But studies have found it can also dock to cell receptors in the small intestine. Patients have been reported to experience diarrhea, nausea and vomiting among other symptoms.

And researchers have found viable virus particles in patients feces, as well as traces of viral RNA on toilet bowls and sinks in their hospital isolation rooms, although experiments in the lab have suggested that material may be less likely to be infectious compared with virus that is coughed out.

A computer simulation of the toilet flushing mechanism showed that when water pours into the toilet and generates a vortex, it displaces air in the bowl. These vortices move upward and the centrifugal force pushes out about 6,000 tiny droplets and even tinier aerosol particles.

Depending on the number of inlets in the toilet, flushing can force anywhere from 40 to 60 percent of the produced aerosols high above the seat.

Its very alarming, said Ji-Xiang Wang, who studies fluid dynamics at Yangzhou University and was a co-author of the study.

Its virtually impossible to keep bathrooms sanitized all the time, and sharing a toilet may be unavoidable for family members, even when one person is sick and isolating in a separate room at home, Dr. Wang said.

As cities around the world navigate the reopening of restaurants, offices and other businesses, more and more people will also need to use public or shared restrooms. But while diners can be moved outdoors and employees spaced out, people may find it harder to practice social distancing in small bathrooms.

Aerosolized particles may still linger in single-use toilets, and bathrooms are frequently poorly ventilated spaces, which can increase the risk of exposure to infection. Users also have to consider risks from high-touch surfaces, like doorknobs and faucets.

Experience with other coronaviruses shows how quickly the fecal-oral route can lead to spread of disease. In March 2003, more than 300 people living in the Amoy Gardens apartment complex in Hong Kong got infected with the original SARS coronavirus because infectious fecal aerosols spread through faulty plumbing and ventilation systems.

While Dr. Wang acknowledged that scientists had yet to look at toilet aerosols in real-world situations involving the new coronavirus, other research has shown that viral RNA was found in shared toilet areas at one hospital in Wuhan, China.

But researchers do not know how much infectious virus is in aerosols or whether people with more severe cases of Covid-19 shed more virus than patients with milder illness, he said.

Thankfully, people can also easily prevent the spread of infections from the toilet plume.

Close the lid first and then trigger the flushing process, Dr. Wang said, which he acknowledged isnt always possible in public bathrooms.

Updated June 22, 2020

A commentary published this month on the website of the British Journal of Sports Medicine points out that covering your face during exercise comes with issues of potential breathing restriction and discomfort and requires balancing benefits versus possible adverse events. Masks do alter exercise, says Cedric X. Bryant, the president and chief science officer of the American Council on Exercise, a nonprofit organization that funds exercise research and certifies fitness professionals. In my personal experience, he says, heart rates are higher at the same relative intensity when you wear a mask. Some people also could experience lightheadedness during familiar workouts while masked, says Len Kravitz, a professor of exercise science at the University of New Mexico.

The steroid, dexamethasone, is the first treatment shown to reduce mortality in severely ill patients, according to scientists in Britain. The drug appears to reduce inflammation caused by the immune system, protecting the tissues. In the study, dexamethasone reduced deaths of patients on ventilators by one-third, and deaths of patients on oxygen by one-fifth.

The coronavirus emergency relief package gives many American workers paid leave if they need to take time off because of the virus. It gives qualified workers two weeks of paid sick leave if they are ill, quarantined or seeking diagnosis or preventive care for coronavirus, or if they are caring for sick family members. It gives 12 weeks of paid leave to people caring for children whose schools are closed or whose child care provider is unavailable because of the coronavirus. It is the first time the United States has had widespread federally mandated paid leave, and includes people who dont typically get such benefits, like part-time and gig economy workers. But the measure excludes at least half of private-sector workers, including those at the countrys largest employers, and gives small employers significant leeway to deny leave.

So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was very rare, but she later walked back that statement.

Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus whether its surface transmission or close human contact is still social distancing, washing your hands, not touching your face and wearing masks.

A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study.

The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nations job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April.

States are reopening bit by bit. This means that more public spaces are available for use and more and more businesses are being allowed to open again. The federal government is largely leaving the decision up to states, and some state leaders are leaving the decision up to local authorities. Even if you arent being told to stay at home, its still a good idea to limit trips outside and your interaction with other people.

Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days.

If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.)

If youve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.

You should also wash your hands frequently and thoroughly, especially if youre using a shared restroom where the toilet doesnt have a lid or the flush is automatically triggered on standing up. Avoid touching your face, and keep your mask on in the bathroom, which could prevent some exposure to the coronavirus.

Dr. Wang hopes the new research will help lead to improvements in bathroom design, including increased attention to contactless dispensers for soap and paper towels, and toilets that flush only after they have been covered with a lid.

Other experts are already considering indoor ultraviolet lights and automated disinfectant sprays that will zap the coronavirus and relieve some of the pressure on keeping public toilets clean.

And Dr. Santarpia said that Dr. Wangs study could point to a way of monitoring coronavirus clusters.

You could simply monitor samples from a shared bathroom on a daily basis, he said. And if something were to come up positive, you could then go look at everyone who was there and who they had contact with, rather than testing everybody all the time.

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Flushing the Toilet May Fling Coronavirus Aerosols All Over - The New York Times

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Letter: Liberal Democrats have failed on promises to the cities – STLtoday.com

Posted: at 6:05 pm

Just because things are broken in blue states does not mean America has a systemic racism problem. It means liberalism and the Democratic Party have failed. The violence and mayhem seen over the past few weeks are perfect examples of how liberalism doesnt work. The liberal Democrats have been promising everything to people for decades, and not delivered any solutions. They promised to end racism and discrimination. They promised to eliminate police officers killing black people. They promised to get even with people who have more money than you. They were going to get even with all those corporations that dont hire you.

And yet they dont fix anything.

The Democratic Party cant admit their ideas dont work, so they blame America and they blame President Donald Trump. But this current blame game doesnt hold water. All of these cities on fire have been totally run by Democrats for decades. Its time the media call them out on it.

Steve Sullivan St. Charles

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Is the liberal international order ending? What is next? | Daily Sabah – Daily Sabah

Posted: at 6:05 pm

Following the end of World War II, with fascism defeated, the West under the U.S.' hegemonic leadership created multilateral institutions including the United Nations, the World Bank, the International Monetary Fund (IMF) and the General Agreement on Tariffs and Trade (GATT) that became the World Trade Organization (WTO) in 1995 to support an international system favorable for liberal economic relations and democracies. During the Cold War years, the Communist bloc, although part of the U.N., emerged as a competing group. During the 1990s, however, most former communist countries became part of the same liberal international system. Over the decades, multilateral cooperation expanded into various other issues including the environment, health, skies, space, open seas, human rights and proliferation of nuclear weapons under U.S. leadership. Even though the U.S. role and policies in this world system have often been criticized, many believe that the sustainability of it has depended on its leadership.

Yet, the U.S. hegemonic guidance has become increasingly questionable, especially during the current administration. President Donald Trump withdrew the U.S. from several multilateral treaties, including the Joint Comprehensive Plan of Action (Iran nuclear deal), the Paris Agreement on climate change and recently the Treaty on Open Skies, in addition to defunding the World Health Organization (WHO). He disregarded the WTO when he engaged the U.S. in a trade war with China seeking bilateral trade deals. He pulled out of negotiations of multilateral trade and investment agreements, namely the Trans-Pacific Partnership (TPP) and Transatlantic Trade and Investment Partnership (TTIP), and renegotiated the North American Free Trade Agreement (NAFTA). Institutions of the liberal order and long-term U.S. allies have been repeatedly criticized by Trump. Although the U.S.' hegemonic leadership has been questioned from time to time in past decades, it is now more pronounced under his administration.

The Foundation for Political, Economic and Social Research (SETA) in Washington, D.C., organized a webinar on June 1 with Alexander Cooley and Daniel Nexon, authors of the book "Exit from Hegemony: The Unraveling of the American Global Order." They argue that the international order has been undergoing a fundamental transformation and that Trump is just a symptom of this change. Russia, as a strong nuclear power, and China, as the worlds economic powerhouse, have been demonstrating illiberal domestic and foreign policy behaviors targeting the Western order, pushing counter-norms, promoting alternative institutions and being revisionist powers in their regions. Weaker nations have started to seek alternative patronage and security partnerships with these states, rather than the U.S. and its allies. For example, Saudi Arabia is seeking close relations with China. Various transnational networks also promote illiberalism, ethnic nationalism and extremist values, thus challenging the anti-authoritarian and progressive networks of the 1990s. These developments are eroding the liberal international order and the Trump administration, with its "America First doctrine, contributes to the further weakening of the system rather than reasserting American leadership.

Indeed, scholars such as Yale H. Ferguson and Richard W. Mansbach have written along these lines before, but these ideas have become more pronounced these days. The Trump administration, instead of bolstering U.S. leadership, is undermining it. The U.S. no longer shows plausible authority to solve regional conflicts either. The obvious example is the Israeli-Arab/Palestinian conflict. Although U.S. policies have been far too lenient to Israel's demands in the past, with the Trump administration, the U.S. has become an open supporter of Israeli positions, including its declaration of Jerusalem as its capital and its annexation of the West Bank, disregarding the rights of Palestinians.

Based on these developments, many international relations scholars are observing that the liberal world order is crumbling as U.S. power is losing its effectiveness. The fate of U.S. leadership in the coming years and decades is uncertain. For some, the Trump administration has damaged America's status to the extent that U.S. hegemonic leadership is not recoverable. The reassertion of America's superpower status now would require strong cooperation among advanced industrialized countries that embrace democracy and the institutions and values of the liberal international order. Without it, Trumps presidency might mark the end of the system, which was the product of the U.S. strong leadership during the post-war period.

Evolution of reality

It seems that current international institutions are not going to hold without American leadership and the cooperation of major powers, contrary to what proponents of liberal internationalism hope for. Will global interdependence ensure increasing cooperation? Will interdependence and the spread of liberal democracies preserve peace and cooperation? It is clear that it is not the end of history as Francis Fukuyama argued in the 1990s, with the participation of former communist countries in modern economic systems. What the world order is evolving into is debatable. Donald J. Puchala, in his book, "Theory and History in International Relations," argues that the system is evolving into a balance of power system, which was, historically speaking, susceptible to major power confrontations, conflicts and wars.

The U.S. relative economic power has also been declining for decades now. The U.S. share of world gross domestic product (GDP) has declined from about 50% of the world economy at the end of World War II to about 20% today. Cooley and Nexon also show in their book that in the 1980s, Group of Seven (G-7) economies with the U.S.' as the biggest accounted for half of the world economy, and BRICS (Brazil, Russia, India, China, South Africa) countries among them the Chinese economy being largest controlled about 15% of global GDP. The BRICS share of the world economy caught up with the G-7 countries share, both being around 31%, in the middle of the last decade. Now, there are multiple economic power centers, including the European Union, North America and Asia. Chinese and Asian growth, however, has been more robust than the rest of the world. In Asia, India is another country with large economic potential, as its economy has grown rapidly in recent decades. Japan had a lost decade in the 1990s in terms of its economic growth, but it was still the second-largest economy in the 1980s and remains financially powerful.

Russia has not been as big economically, but with its strong military power and its nuclear weapons arsenal, it started to reassert itself in the 2000s, creating its own sphere of influence under former Prime Minister and current President Vladimir Putins rule. Chinas economic and political influence has been increasing with its Belt and Road Initiative and its increasing presence in Africa. Its influence on Asias economy and politics has been growing for the past three decades. In the 2000s, China's expanded influence created arguments about the transition of power. In Zhiqun Zhus book "U.S.-China Relations in the 21st Century: Power Transition and Peace," China is expected to become the next superpower. The theory builds on the experiences of past power transitions, all of which occurred with a war between the dominant power and the newly emerged power. Zhu in his book hopes that the transition this time will be peaceful.

The change and its effect

Even as we observe historical similarities of great power rivalries, we still have a very changed world. If we just compare this century with the 19th century, for example, all great powers of this generation have nuclear stockpiles, which means that any war among them could result in mutually assured self-destruction. Would this not deter statesmen and peoples of these countries from engaging in a possibly disastrous war?

In addition to nuclear technologies, unprecedented levels of communication and transportation technologies along with liberal government policies have led to multidimensional globalization, creating our global village. As all parts of the world become interconnected, people living in different corners of the globe increasingly become aware of one another, cognizant of common environmental, health and economic problems. Even though nation-states and national borders have not withered away and national identities are still strong, wouldnt people put enough pressure on their governments to solve common problems rather than escalate conflicts that reduce the welfare level of all peoples?

Economic and financial globalization is strong. Financial markets are globally connected and its institutions operate worldwide, while multinational corporations and their operations have grown tremendously. All economies are more dependent on global trade, as it grew faster than the worlds average economic growth rate since World War II. Now, production, finance and trade are global, and the welfare of nations is tied to one another. Wouldnt such a level of interdependence sufficiently pressure governments to cooperate in order to ensure the continuity of their economic well-being? Of course, such globalization is reversible, but with a huge cost in losses for all countries. Who would want that?

And yet, we are about to enter the age of artificial intelligence (AI). As machines and tools get smarter, economic and social life will change, and such changes will lead to power changes within and among countries. I am not able to describe what is coming next, but it seems to me that the world is evolving into something unique and quite different from its historical episodes. Your thoughts?

*Associate professor and chair of the Department of Business Administration, American University of Iraq, Sulaimaniah

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The Liberal Party’s rocky relationship with multilateralism – The Strategist

Posted: at 6:05 pm

Covid-19 is a shared crisisa reminder that many problems are best solved or, indeed, can only be solved through cooperation. At the heart of successful international cooperation is the concept that each country shares, rather than yields, a portion of its sovereign decision-making. And in return, each gets something from it that is greater than their contribution.

Australian Foreign Minister Marise Payne, National Security College, 16 June 2020

Australias foreign minister has made a wonderful argument for multilateralism.

Stress argument. Marise Payne does battle for the heart and mind of her party. Paynes Australia and the world in the time of Covid-19 confronts the multilateral rejectionism in the Liberal Party over the past 25 years.

The speech is one of Paynes strongest because it draws on the personality and philosophy that have marked her career. Reflecting her life inside the party, the speech builds a bridge between conservative instincts and liberal principles.

Some might see it as offering mere truisms on multilateralism. Not so in the Liberal Party context. For the Libs, this is a fight about whats true and the true faith.

Payne does gentle pushback joined to persuasion in support of principlethe way she usually navigates rough party terrain.

The bridge Payne offers the Libs is that national interests can be well served by multilateralism. She is mounting a sophisticated case to counter the rejectionism that John Howard directed at the United Nations and multilateral institutions.

The rejectionist view is that the UN is a distraction from, even an impediment to, Australias core foreign policy interest; Australia should engage multilaterally only when the system is doing practical stuff that clearly serves our national interests. A decade ago, I noted that Howards phobia about the UN was on full display in his memoir:

There have beentwo strands of Australian political opinion on the United Nations: Evatt Enthusiasm and Menzies Scepticism. [Robert] Menzies preferred the reassurance of great and powerful friends to the ambition of the world body. John Howard shares that sentiment and has pushed the Menzies position so far that hes almost created a new category. Howard has gone from scepticism and sniping about the UN to give the Menzies strand a grudging, even rejectionist tinge.

Australias second-longest-serving prime minister had a mental tic about the UN that became a rejectionist party mindset. The Lib chant of bilateral good, multilateral bad is a strange mix of Oz pragmatism and US neocon rants.

Rejectionism can be risible: during the foreign policy debate for the 2010 election, Julie Bishop made the exasperated point that the Libs werent actually arguing that Australia should withdraw from the UN.

The chant oversimplifies Howard. His rejectionism in retirement isnt an accurate guide to what he did in power. In office, he often embraced multilateral institutions and instruments. His national interest language fed a quiet commitment to internationalist solutionsthe same bridge Payne offers the party.

Rejectionism coloured Prime Minister Scott Morrisons negative globalism moment in October in his Lowy Institute foreign policy lecture: We should avoid any reflex towards a negative globalism that coercively seeks to impose a mandate from an often ill-defined borderless global community. And worse still, an unaccountable internationalist bureaucracy. Globalism must facilitate, align and engage, rather than direct and centralise.

Morrison ordered the Department of Foreign Affairs and Trade to do a comprehensive audit of global institutions and rule-making processes where we have the greatest stake.

As Canberras truest multilateralism believer, DFAT looked beyond Morrisons coercion language to embrace his thought that Australia hasnt been involved as it should be in setting global standards.

The audit is done andsurprisethe PMs diagnosis is absolutely correct. And the answer is that Australia needs to do much more on the multilateral stage (theres a reason DFATs art is called diplomacy). Greg Earl offers a characteristic Earlism (astute and dry): the Libs have discovered the joys of positive globalism.

Presenting the audit findings, Payne demonstrates anew that a foreign ministers most important diplomatic relationship is with her prime minister. She reorients ScoMos negative globalism to the positive.

The audit, she says, affirmed that multilateral organisations, especially international standard-setting bodies, create rules that are vital to Australias security, interests, values and prosperity.

Most politicians learn by doing. And the pandemic has given the Morrison government deep lessons, in the Payne telling:

Covid-19 has shown that our international order is as important as ever. There is need for reform in several areas, but the pandemic has brought into stark relief the major role of international institutions in addressing and coordinating a global response to a global problem across multiple lines of effort. What has been exposed is the magnitude of the consequences if we fail to ensure these institutions are fit for purpose, accountable to member states, and free from undue influence.

Australia wants global institutions fit for purpose, free from undue influence, with a strong Indo-Pacific focus. The UN and its agencies must be reformed to improve transparency, accountability and effectiveness. Oz foreign policy will seek to preserve system fundamentals:

rules that protect sovereignty, preserve peace, and curb excessive use of power, and enable international trade and investment

international standards related to health and pandemics, plus areas such as transport and telecommunications that underpin the global economy, which will be vital to a post-Covid-19 economic recovery

norms that underpin universal human rights, gender equality and the rule of law.

New rules are needed, Payne said, for critical technologies, including cyber and artificial intelligence, critical minerals and outer space.

Multilateral rules and norms enlist nations to deal with nasty stuff. The news headlines from the speech focused on the kick at Russia and China for pushing disinformation about the pandemic: [I]t is troubling that some countries are using the pandemic to undermine liberal democracy to promote their own more authoritarian models.

Fighting words unite the party, as Payne points the Libs to the golden goals of globalism and the valuable norms of multilateralism.

The Libs know they want rules: the 2016defence white paperreferred torules60 times45 of them in the formulation rules-based global order. The answer to the rejectionists lies in the ambitious complexities of that simple phrase: a rules-based global order.

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Liberal Party pays tribute to Jovito Salonga on his 100th birth anniversary – Manila Bulletin

Posted: at 6:05 pm

Published June 22, 2020, 1:19 PM

By Mario B. Casayuran

The leadership of the 74-year-old Liberal Party (LP) paid tribute today to former Senate President Jovito R. Salonga who was born 100 years ago.

Senator Francis N. Pangilinan, LP president, described Salonga as a true patriot and statesman.

Pangilinan said Salonga served as leader of the Liberal Party guided by his wisdom, selflessness, and love for country. Salonga was the 14th chief of the Senate of the Philippines.

Salonga, who served as Senate President from 1987 to 1992, led a group of 12 senators in rejecting the proposed extension of the RP-US Military Base Agreement in September, 1991.

Ka Jovy has endured many battles that maimed his body, but not his spirit. He has confronted the plagues of dictatorship, corruption, and economic crisis, and he carried on, Pangilinan said.

How fascinating it would have been if the gentle sage and fighter that is Ka Jovy were here, amid a pandemic endangering the peoples health and livelihood, and an anti-terrorism bill threatening their rights, he stressed.

Birthdays are for celebration of life, struggles, and triumphs. We are grateful for the encounters and lessons we had with Ka Jovy in his lifetime. We are fired up to carry his work forward, he added.

Pangilinan said that Salonga represents the enduring LP tradition of service and love of country.

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FERC schedules technical conferences on carbon pricing, offshore wind integration challenges – Utility Dive

Posted: at 6:02 pm

Dive Brief:

Federal regulators on Thursday announced they would hold two technical conferences based on issues raised by stakeholders one on carbon pricing and one on whether current grid operator frameworks are suitable for offshore wind integration.

Transmission development company Anbaricfiled a complaint with the Federal Energy Regulatory Commission against the PJM Interconnection last November, asking the commission to find that PJM's transmission interconnection procedures deny meaningful access to offshore wind and similar remote generation technologies. FERC dismissed the complaint, but agreed to hold a technical conference to explore the issue more.

The commission also announced it would host a commissioner-led technical conference on carbon pricing, in response to a request from competitive power suppliers, clean energy advocates, the gas industry and others. "When such a broad group of voices asked the commission to convene an exchange of ideas, I think it's important that we do so," FERC Chair Neil Chatterjee said during the meeting.

Commissioners were broadly in consensus on the importance of the offshore wind and carbon pricing conferences during Thursday's monthly open meeting.

"The fact that we're going to be having a technical conference on how to develop offshore wind and the transmission issues involved with it is very important," Commissioner Bernard McNamee said during the meeting, echoing comments from Commissioner Richard Glick, the lone Democratic appointee on the commission.

Glick said he agreed with the commission's decision to dismiss the Anbaric complaint, but said key questions related to offshore wind and transmission "warrant further investigation." Specifically, he pointed to Anbaric's argument that transmission planning under the eastern regional transmission operators' jurisdiction and elsewhere should plan transmission ahead of offshore wind deployment, to avoid expensive and inefficient development.

"Offshore platform transmission projects, where the transmission is built in anticipation of generation, may be the most efficient approach for accommodating the growth of offshore wind," said Glick. "I commend Chairman Chatterjee for noticing a technical conference to explore whether existing RTO [and]ISO frameworks can accommodate this anticipated growth."

As more eastern states set large offshore wind goals, having a system to minimize costs as well as environmental harm to the ocean, and maximizing efficiency is essential, Anbaric argued in its complaint. On land, the grid already exists and is relatively easier to connect to, but things are "very different" with the ocean, Theodore Paradise, senior vice president of transmission strategy and counsel at Anbaric told Utility Dive.

"We're talking about tens of gigawatts across the Atlantic seaboard to start to meet some of these targets in the near term, not really that many years out," he said. "You can't just run a radial to each wind farm. It's super expensive, that's a ton of cables, kind of spaghetti on the ocean floor, as some people describe it. environmentally, it's kind of a disaster which is ironic because that's what you're trying to avoid."

Overall, the company is pleased with the commission's decision to hold a technical conference, and Paradise says it could lead to a rulemaking process that would address their initial complaints with PJM. "Getting to the technical conferences is a really good outcome from today," he said. Offshore wind advocates were pleased with the move as well.

"FERC's initiative to take a holistic look at how offshore wind can be better integrated in organized markets is forward-thinking, given the significant growth expected for the U.S. offshore wind industry in the near future," Laura Morton, senior director of policy and regulatory affairs for offshore at the American Wind Energy Association, said in an email to Utility Dive.

Offshore wind stakeholders have also criticized the commission for its December order directing PJM to adopt a minimum offer price rule for all new generation that receives a state subsidy, which most analysts agree is likely to raise the prices for offshore wind and make it more difficult for the resource to compete in the wholesale capacity market.

Chatterjee on Thursday told reporters that the decision to hold the technical conference was directly related to the anticipated growth of offshore wind, but that the two issues are related in that the conference and the MOPR "are similarly forward looking."

"I've always been a big believer in renewables and their ability to compete in the marketplace if given the chance. But if you don't have a competitive marketplace then all generation types, including renewables, will be harmed in the long run," he said.

FERC also announced it would examine carbon pricing more closely through a technical conference, as was requested by a diverse array of stakeholders, including NextEra Energy, Vistra Energy, Calpine, the American Council on Renewable Energy, the Natural Gas Supply Association, Advanced Energy Economy and others. The coalition applauded the commission's move in a statement.

"Carbon pricing in organized markets could be a powerful and cost-effective tool to drive down emissions and achieve state policy goals while preserving the benefits of competition," the group said. "There is overwhelming support for a FERC-led conference on carbon pricing from all corners, including state regulators."

The group first wrote to FERC in April, asking the commission to examine more closely how the policy could help states reach their clean energy goals. Chatterjee said he expects the conference to be a "lively exchange," and will likely include discussions over whether FERC even has the legal authority to implement carbon pricing.

"Certainly some of my colleagues will be raising those questions," he said.

The staff-led offshore wind technical conference will be held Oct. 27 and the commissioner-led carbon pricing conference will be held Sept. 30.

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