Coronavirus deadliest in New York City’s black and Latino neighborhoods, data shows

By Maria Caspani and Jonathan Allen

NEW YORK (Reuters) – Some New York City neighborhoods have seen death rates from the novel coronavirus nearly 15 times higher than others, according to data released by New York City’s health department on Monday, showing the disproportionate toll taken on poor communities.

The data shows for the first time a breakdown on the number of deaths in each of the city’s more than 60 ZIP codes. The highest death rate was seen on the edge of Brooklyn in a neighborhood dominated by a large subsidized-housing development called Starrett City.

Civic leaders had been pushing for the more granular data, which they said would show stark racial and economic disparities after New York City became the heart of one of the worst coronavirus outbreaks in the world in March and April.

In the wealthy, mostly white enclave of Gramercy Park in Manhattan, the rate is 31 deaths per 100,000 residents, the data shows. A long subway ride away in Far Rockaway in the borough of Queens, which is more than 40% black and 25% Latino or Hispanic, the death rate is nearly 15 times higher: 444 deaths per 100,000 residents.

“It’s really heartbreaking and it should tug at the moral conscience of the city,” Mark Levine, chairman of the City Council’s health committee, said in an interview. “We knew we had dramatic inequality. This, in graphic form, shows it’s even greater than maybe many of us feared.”

Poor black and Latino New Yorkers are much more likely to do low-paid, essential jobs that cannot be done remotely, putting them at higher risk of exposure, Levine said. They are also more likely than rich, white New Yorkers to live in smaller, more crowded apartments.

Due to inequalities in access to healthcare, they are also more likely to have underlying health conditions, such as diabetes or hypertension, Levine said.

The city had been releasing a daily update of cases of COVID-19, the illness caused by the virus, by ZIP code, but only gave a breakdown of deaths for each of the city’s five boroughs.

The coronavirus has killed at least 20,800 people in the city so far, according to health department data.

(Reporting by Jonathan Allen and Maria Caspani in New York; Editing by Leslie Adler)

Where U.S. coronavirus cases are on the rise

By Chris Canipe and Lisa Shumaker

(Reuters) – Most U.S. states reported a drop in new cases of COVID-19 for the week ended May 17, with only 13 states seeing a rise in infections compared to the previous week, according to a Reuters analysis.

Tennessee had the biggest weekly increase with 33%. Louisiana’s new cases rose 25%, and Texas reported 22% more cases than in the first week of May, according to the Reuters analysis of data from The COVID Tracking Project, a volunteer-run effort to track the outbreak.

(Open https://tmsnrt.rs/2WTOZDR in an external browser for a Reuters interactive)

Michigan saw new cases rise 18% after five weeks of declines. Michigan was hit hard early in the outbreak and has seen more than 4,800 deaths.

Nationally, new cases of COVID-19 are down 8% in the last week, helped by continued declines in New York and New Jersey. Nearly all 50 U.S. states, however, have allowed some businesses to reopen and residents to move more freely, raising fears among some health officials of a second wave of outbreaks.

The Centers for Disease Control and Prevention (CDC) has recommended states wait for their daily number of new COVID-19 cases to fall for 14 days before easing social distancing restrictions.

As of May 17, 13 states had met that criteria, down from 14 states in the prior week, according to the Reuters analysis.

WHERE NEW CASES ARE FALLING

Kansas and Missouri saw the biggest declines in new cases from the previous week, after an outbreak at a St. Joseph, Missouri meatpacking plant resulted in over 400 cases in the first week of May. St. Joseph sits on the Kansas-Missouri border, just north of Kansas City.

Washington D.C. saw a 32% decline after several weeks of growth.

Georgia, one of the first states to reopen, saw new cases fall 12% in the past week and now has two consecutive weeks of declining cases.

Globally, coronavirus cases top 4.5 million since the outbreak began in China late last year. On a per-capita basis, the United States has the third-highest number of cases, with about 45 for every 10,000 people, according to a Reuters analysis.

(Reporting by Chris Canipe in Kansas City, Missouri, and Lisa Shumaker in Chicago)

In patchwork restart, parts of New York and other U.S. states reopen

By Doina Chiacu and Nathan Layne

WASHINGTON (Reuters) – Less populated areas of New York, Virginia and Maryland took their first steps towards lifting lockdowns on Friday, part of a patchwork approach to the coronavirus pandemic that has been shaped by political divisions across the United States.

Construction and manufacturing facilities in five out of 10 New York state regions were given the green light to restart operations, although New York City, the country’s most populous metropolis, remained under strict limits.

Joe Dundon, whose construction business in Binghamton, New York, was able to start up again after shutting down in March, said he had a long backlog of kitchen and bathroom remodeling projects and several estimates lined up for Friday.

“We are more than excited to get back to work,” he said.

New York state, home to both bustling Manhattan and hilly woods and farmland that stretch to the Canadian border, has been the global epicenter of the pandemic but rural areas have not been nearly as badly affected as New York City.

Statewide, the outbreak is ebbing. Coronavirus hospitalizations in New York declined to 6,394, a third of the level at the peak one month ago, Governor Andrew Cuomo said on Friday. The number of new coronavirus deaths was 132 on Thursday, the state’s lowest daily total since March 25, he told a news briefing.

Cuomo said New York would join the nearby states of New Jersey, Connecticut and Delaware in partially reopening beaches for the Memorial Day holiday weekend on May 23-25.

Pockets of Virginia and Maryland were allowing an array of businesses to reopen, in contrast to the region’s biggest cities – Washington, D.C., and Baltimore – which extended their stay-at-home orders for fear of a spike in coronavirus cases and deaths.

The patchwork approach has largely formed along demographic and political lines. Republican governors have pushed to reopen more quickly to jumpstart the crippled economy, especially in Southern states such as Georgia and Texas which were among the first to allow stores and businesses to reopen.

Democratic governors have been more cautious, especially about big cities, citing concerns for public health from a virus that has killed more than 85,000 Americans.

New York and Virginia are run by Democratic governors while Maryland’s governor, Larry Hogan, is a moderate Republican in a state that is strongly Democratic.

PANDEMIC DIVISIONS

Political divisions were on display in Wisconsin this week after its Supreme Court invalidated the governor’s stay-at-home order, causing confusion as local leaders responded in various ways across the Midwestern state.

Milwaukee Mayor Tom Barrett decided to keep his city’s stay-at-home order in place, although he told Reuters he may relax some guidelines later this month. He said he was concerned there would be outbreaks in surrounding areas that would find their way into his city of nearly 600,000 people.

“By definition a pandemic means that it is everywhere and the spread of the disease does not stop at city boundaries,” Barrett said.

The eagerness to ease restrictions reflects the devastating economic toll of COVID-19, the illness caused by the virus. More than 36 million Americans have submitted unemployment claims since mid-March, and government data on Friday showed that retail sales plunged 16.4% last month, the biggest decline since the government started tracking the series in 1992.

The U.S. House of Representatives cleared the way on Friday to push ahead with a $3 trillion Democratic bill that would double the amount of aid approved by Congress to ease the human and economic toll of the coronavirus pandemic.

But it lacked support from Republicans, who control the U.S. Senate.

Having staked his Nov. 3 re-election hopes on a strong economy, Republican President Donald Trump has urged states to reopen despite warnings of health experts, including some on his White House task force, that a premature lifting of lockdowns could spark more virus outbreaks.

Trump said on Friday the U.S. government was working with other countries to develop a coronavirus vaccine at an accelerated pace but made clear his view that the country could move on from the epidemic without one.

“Vaccine or no vaccine, we’re back,” Trump told an event in the White House Rose Garden.

Trump has also voiced support for protesters, sometimes armed, who have urged states to swiftly reopen their economies.

In Pennsylvania, hundreds of demonstrators gathered on the steps of the state capitol building in Harrisburg where they waved American and Trump 2020 flags and homemade signs, calling for the governor to fully reopen the state. Motorists including a man dressed as Santa Claus in a red convertible honked their horns in approval as they drove by.

Pennsylvania ranks 12th among U.S. states in COVID-19 cases per capita, according to a Reuters tally.

Thirty of its 67 counties are under a stay-at-home order that allows only essential business and travel to take place until June 4. Businesses are allowed to be open in the other 37 counties but must follow safety orders.

(Reporting by Nathan Layne in Wilton, Connecticut, Brendan O’Brien in Chicago, Rich McKay in Atlanta and Richard Cowan, Susan Cornwell and Doina Chiacu in Washington; Writing by Alistair Bell; Editing by Howard Goller, Cynthia Osterman and Daniel Wallis)

Rare syndrome tied to COVID-19 kills three children in New York, Cuomo says

By Nathan Layne

(Reuters) – Three children in New York have died from a rare inflammatory syndrome believed to be linked to the novel coronavirus, Governor Andrew Cuomo said on Saturday, a development that may augur a pandemic risk for the very young.

Both Cuomo and his counterpart in the neighboring state of New Jersey also spoke on Saturday about the pandemic’s growing toll on mental health, another factor on the minds of governors as they weigh the impact of mounting job losses against health risks in moving to loosen restrictions on daily life.

Nearly all of the 50 U.S. states will have taken steps to relax lockdown measures by this weekend, including states like Arizona and Mississippi, which are reporting increasing infections of COVID-19, the disease caused by the virus, highlighting the risk of a new wave of outbreaks.

Cuomo told a daily briefing that he was increasingly worried about a syndrome that shares symptoms with toxic shock and Kawasaki disease, which he said included inflammation of the blood vessels and potentially fatal damage to the heart.

He said three children – including a five-year old disclosed on Friday – have died from such symptoms while also testing positive for COVID-19 or related antibodies, suggesting a link that was still not fully understood.

Cuomo, who has emerged as a leading national voice on states’ response to the coronavirus crisis, said state health officials were reviewing 73 similar cases, which have rattled a prior assumption that children were largely not susceptible to the novel coronavirus.

“We are not so sure that is the fact anymore. Toddler, elementary school children are presenting symptoms similar to Kawasaki disease or toxic shock-like syndrome,” Cuomo said. “It’s very possible that this has been going on for several weeks and it hasn’t been diagnosed as related to COVID.”

Cuomo said state health officials had partnered with the New York Genome Center and the Rockefeller University to look at whether there is a genetic basis for the syndrome and have been asked by the federal Centers for Disease Control and Prevention to develop national criteria for identifying and treating cases.

The syndrome shares symptoms with toxic shock and Kawasaki disease, which is associated with fever, skin rashes, swelling of the glands, and in severe cases, inflammation of arteries of the heart. Scientists are still trying to determine whether the syndrome is linked with the new coronavirus because not all children with it have tested positive for the virus.

At a separate briefing, New Jersey Governor Phil Murphy said the death of a four-year old disclosed on Friday was not related to the syndrome. “This is a very specific situation with this blessed little kid and we are going to leave it at that.”

‘TOXIC MIX’

New York and New Jersey are at the epicenter of the pandemic in the United States, accounting for nearly half of the 77,737 American deaths from COVID-19, according to a Reuters tally, and the two states have among the strictest lockdown rules still in place.

They are also at the center of a devastating economic toll underscored in government data released on Friday showing the U.S. unemployment rate rose to 14.7% last month, up from 3.5% in February and shattering the post-World War Two record of 10.8% set in November 1982.

Cuomo said his state has seen increasing reports of mental health issues, substance abuse and domestic violence, all tied to the economic stress and isolation of the lockdowns.

On Friday a study released by the Well Being Trust and the American Academy of Family Physicians estimated an additional 75,000 people could lose their lives to suicide, drugs and other contributors to “deaths of despair” stemming from the crisis.

Murphy echoed those concerns.

“The cure for the health crisis is keeping people isolated,” Murphy told his briefing. “You add to that job loss, small businesses that have been crushed. It’s a toxic mix.”

Cuomo said 226 New Yorkers died from COVID-19 on Friday, up from 216 a day earlier, but less than half the levels recorded two weeks ago. He said hospitalizations and intubations continued their downward trend, further evidence the state has gained a measure of control over the virus.

Murphy said an additional 166 residents of his state had died over the past 24 hours from COVID-19, bringing its total fatalities to 9,116, while total cases rose by 1,759 to 137,085.

On a positive note, Murphy said the number of people hospitalized for the disease continued to fall, with the 422 patients discharged over the past 24 hours outpacing the 364 newly admitted for treatment.

Yet Murphy warned against complacency and said his constituents should continue to practice social distancing.

“We are not out of the woods, folks. Let’s not forget that,” he said.

(Reporting by Nathan Layne in Wilton, Connecticut; Editing by Daniel Wallis and Dan Grebler)

Overnight closure of New York subways may presage bigger changes

By Nathan Layne

NEW YORK (Reuters) – New York City’s subway, the ear-splitting, nerve-jangling system that New Yorkers and tourists alike love to hate, is taking the unprecedented step of halting overnight service in order to clean train cars, a likely prelude to bigger changes as the largest U.S. mass transit system works to rebound from a pandemic that has slashed ridership.

The subway system, whose more than 600 miles of track criss-cross four of New York’s five boroughs, will close between 1 a.m. and 5 a.m. beginning May 6 to allow crews to disinfect the cars each night to prevent further spread of the novel coronavirus, New York Governor Andrew Cuomo said on Thursday. The city’s buses will also be cleaned every night, he said.

Commuter advocates and transit experts saw the move, the first for a subway system known for its round-the-clock service, as signaling a period of sweeping change for the Metropolitan Transportation Authority, the state-controlled agency that oversees a system that until recently carried 9 million passengers a day.

The MTA is talking with transport agencies around the world to glean best practices while looking at how to enforce social distancing and at staggered hours for businesses returning to work, an issue being discussed with governors and corporate and labor leaders, a spokesman for the agency said.

MTA’s plan to “bring riders back” to the transit system will focus on safety, the agency’s spokeswoman, Abbey Collins, said. “We will also be asking our customers to change their behavior, including wearing face coverings.”

The changes come as the MTA grapples with a more than 90% decline in subway ridership as New York locked down to fight the coronavirus. The agency has also stopped collecting bus fares in order to protect its drivers, further denting revenues.

Earlier this month MTA Chairman Pat Foye asked for another $3.9 billion in federal aid, on top of the $3.8 billion already allocated to the agency, to cover pandemic-related costs expected to climb as high as $8.5 billion.

Foye has said federal funding also is needed to preserve a $51.5 billion capital budget for 2020-2024 aimed at modernizing the subway’s antiquated signal systems and expansion projects.

Philip Plotch, the author of “Last Subway: The Long Wait for the Next Train in New York City,” said the MTA would have to look at cutting capacity for each subway car to achieve some measure of social distancing. Under normal conditions, each car can carry about 100 riders, though he expects ridership to remain depressed for some time.

“A lot of businesses are not going to want to open,” he said. “Clearly you are not going to have the same level of tourists, and schools are going to be slow for a while.”

“A SHADOW OF ITS FORMER SELF”

New York has been at the center of the pandemic in the United States, accounting for nearly half of the 60,000 Americans killed by COVID-19, the disease caused by the virus.

When the virus hit, the city was in the process of rewriting the bus routes in all five boroughs, part of a reform of a transit system that has been criticized for not serving the communities most in need.

Ben Fried, a spokesman at TransitCenter, a foundation which advocates for improving public transit systems, pointed to San Francisco’s move to concentrate bus service on the highest ridership lines and serve hospitals and low-income areas as a potential model for New York.

“I think that is the way to position transit for the future and for safe operations in a post-COVID world,” Fried said. “If the bus system can absorb that it means there is going to be less crowding on the subway. Even if it’s 5 to 10 percent it would be significant.”

Danny Pearlstein, policy and communications director at Riders Alliance, a commuter advocacy group, said the closing of early-morning subway service should be temporary. It is more important that the MTA look at ways to increase the frequency of subway service, especially during rush hour, he said, though that would rely on federal funding that may or may not materialize.

Pearlstein also advocated a rethink to cater train and bus service more toward essential workers such as nurses and grocery and pharmacy clerks, who may take earlier- or later-than-normal trains.

“The subway has been seen as great equalizer. What we need now is equitable service,” Pearlstein said. “If New York is not going be a shadow of its former self, transit has to work for people in different ways than it has in the past.”

(Reporting by Nathan Layne in Wilton, Connecticut; Editing by Leslie Adler)

New York police break up massive crowd at rabbi’s funeral that defied virus shutdown

By Nathan Layne and Maria Caspani

NEW YORK (Reuters) – New York police broke up a massive crowd of ultra-Orthodox Jews who took part in a rabbi’s funeral in defiance of a statewide coronavirus shutdown, and the mayor walked back comments on the gathering that some Jewish leaders called discriminatory.

City Police Commissioner Dermot Shea told a news conference on Wednesday that some 12 summonses were issued for a variety of offenses at the Brooklyn gathering on Tuesday night, which he estimated involved “thousands of people crammed onto one block.”

Mayor Bill de Blasio personally oversaw the dispersal of the Hasidic residents in Brooklyn’s Williamsburg section who had gathered late on Tuesday for the funeral of Rabbi Chaim Mertz, who died of COVID-19, the disease caused by the coronavirus.

A Jewish congregation had worked with police on a plan to close streets so the funeral could adhere to social-distancing rules, said Mitchell Silber, executive director at the Community Security Initiative, a program to protect Jewish institutions.

Both the rabbi’s congregation and the police were surprised at the number of people who attended, he said.

“This was a single event, planned by one congregation. The troubling incident last night should not negatively reflect on Hasidim, the Williamsburg community, Orthodox Jewry or the entire Jewish community,” Silber told Reuters.

Some Jewish leaders criticized de Blasio, who wrote on Twitter late on Tuesday that he had instructed the city’s police department to “summons or even arrest those who gather in large groups.”

“This is about stopping this disease and saving lives,” the mayor wrote on Twitter. The disease has killed more than 23,000 people in New York state despite stay-at-home orders and a shutdown of schools and businesses.

The criticism was for de Blasio’s having addressed the tweet to “the Jewish community, and all communities.”

Jonathan Greenblatt, the CEO of the Anti-Defamation League noted that New York City is home to more than one million Jews.

“The few who don’t social distance should be called out – but generalizing against the whole population is outrageous especially when so many are scapegoating Jews,” Greenblatt wrote on Twitter.

Rabbi Mark Dratch, executive vice president of the Rabbinical Council of America representing Orthodox rabbis, said he was concerned the comments could encourage anti-Semitism.

“We are very concerned about the mayor’s comment which stigmatizes an entire community for the irresponsible behavior of a small group,” Dratch said in an email to Reuters.

At a news conference with Shea, de Blasio said he regretted the way he expressed concern about the gathering of mourners but that he spoke “out of passion” for the safety of the people of his city, the epicenter of the country’s crisis.

“Again this is a community I love, this is a community I’ve spent a lot of times working with. And if you saw anger and frustration, you’re right,” de Blasio said. “I spoke out of real distress and people’s lives were in danger before my eyes, and I was not going to tolerate that.”

At the news conference, Shea said, “People have to be accountable for their own actions regardless of what neighborhood, ethnicity, where they come from – we cannot have what we had last night.”

David Harris, chief executive of the AJC global Jewish advocacy group, said de Blasio has been a “good friend” of the Jewish community and the Twitter comments that offended many in the community had been out of character.

(Reporting by Nathan Layne in Wilton, Connecticut and Maria Caspani in New York; Editing by Howard Goller)

U.S. stay-at-home frustration spreads; coronavirus-battered New York says may be past the worst

By Maria Caspani and Nathan Layne

NEW YORK (Reuters) – Demonstrations to demand an end to stay-at-home measures that have pummelled the U.S. economy spread to Texas on Saturday as the governor at the epicentre of the U.S. coronavirus crisis said his state of New York may finally be past the worst.

New York, which has recorded nearly half the country’s deaths from COVID-19, the respiratory disease caused by the highly infectious virus, on Saturday reported 540 coronavirus-related deaths for April 17, down from 630 a day earlier and the lowest daily tally since April 1.

The number of patients in the state requiring intensive care and ventilators to help them breathe was also down.

“If you look at the past three days, you could argue that we are past the plateau and we’re starting to descend, which would be very good news,” New York Governor Andrew Cuomo said in his daily briefing.

Some 2,000 people were still being hospitalized with COVID-19 every day, Cuomo said, and he noted 36 of the latest New York deaths occurred at nursing homes, which have been ravaged by the pandemic nationwide.

In neighboring New Jersey, both the number of new hospitalizations and new coronavirus cases were also slightly down from the day before, Governor Phil Murphy said. But he added: “We are not out of the woods, we have not yet plateaued.”

Illinois reported 125 new coronavirus deaths and an additional 1,585 cases but said the growth rate was slowing.

Murphy said he had a “concerning” call with Senate minority leader and fellow Democrat Chuck Schumer, who told him there was no momentum in the U.S. Congress for direct aid to states whose economies were suffering from the stay-at-home orders aimed at curbing the spread of the virus.

Without federal aid, the state will see “historic” layoffs, he said.

More than 22 million Americans have filed for unemployment benefits in the past month as closures of businesses and schools and severe travel restrictions have hammered the economy.

But an influential research model said late on Friday the strict adherence to the orders imposed in 42 of the 50 U.S. states was a key factor behind an improved outlook for the country’s coronavirus death toll.

The University of Washington’s predictive model, regularly updated and often cited by state public health authorities and White House officials, projected the virus would take 60,308 U.S. lives by Aug. 4, down 12% from a forecast earlier in the week.

The model predicted some states may be able to begin safely easing restrictions as early as May 4.

PUSHBACK

Many have already started pushing back against the measures.

Governor Murphy chastised an official in Atlantic County, home to Atlantic City, for expressing frustration in a Facebook post over the effect of the closures on the casino-dependent local economy. County surrogate Jim Curcio said his comments were his personal opinion.

“I’ve lived here all my life and when we go into a recession here we seem to be the last to come out of it and people suffer terribly and the most vulnerable suffer the most,” Curcio told Reuters on Saturday. “What is happening to the private sector is my breaking my heart.”

On Saturday, several dozen protesters gathered in the Texas capital of Austin chanting “USA! USA!” and “Let us work!”

In Brookfield, Wisconsin, hundreds of demonstrators cheered as they lined a main road and waved American flags to protest at the extension of that state’s “safer at home” order.

Earlier in the week, scattered protests erupted in the capitols of Ohio, Minnesota, Michigan and Virginia. The demonstrators mostly flouted the social-distancing rules and did not wear the face masks recommended by public health officials.

As of Friday night, New York has mandated the statewide wearing of masks for anyone out in public and unable to practice social distancing.

Republican President Donald Trump appeared to encourage protesters with a series of Twitter posts on Friday calling for them to “LIBERATE” Michigan, Minnesota and Virginia, all run by Democratic governors.

Trump had touted a thriving economy as the best case for his re-election in November.

Several states, including Ohio, Michigan, Texas and Florida, have said they aim to reopen parts of their economies, perhaps by May 1 or even sooner, but appeared to be staying cautious.

Florida’s Republican governor Ron DeSantis reopened some beaches with restrictions from Friday evening, but also said on Saturday that schools will remain closed and continue distance learning the rest of this school year.

Fellow Republican Governor Greg Abbott of Texas has also extended school closures to the end of the academic year.

Health experts say that to avoid a second wave of infections as people return to work, extensive testing must be available to track infections, as well as contact tracing and antibody testing to learn who had been previously infected and might have some immunity.

Vice President Mike Pence said on Friday the United States had the capacity to do a sufficient amount of testing for states to move into a phase one of reopening.

Governors and state health officials say there is nowhere near enough test kits and equipment available, however.

The United States has by far the world’s largest number of confirmed coronavirus cases, with more than 720,000 infections and over 37,000 deaths.

The handful of states that did not issue stay-at-home orders have all seen significant surges in new cases.

(Reporting by Nathan Layne in Wilton, Connecticut, Maria Caspani in New York, Jennifer Hiller in Houston and Idrees Ali in Washington; Writing by Bill Berkrot and Sonya Hepinstall; Editing by Daniel Wallis)

U.S. coronavirus death toll tops 30,000, New Yorkers told to wear masks

By Maria Caspani and Doina Chiacu

NEW YORK/WASHINGTON (Reuters) – The U.S. coronavirus death toll – the highest in the world – surged past 30,000 on Wednesday after doubling in a week, while the hardest-hit state of New York ordered residents to wear masks in certain settings to combat the pandemic.

The sobering milestone was reached at a time when states spared the worst of the pandemic were mulling a partial lifting of restrictions on business and social life by May 1, a target date promoted by President Donald Trump.

The goal of getting the country back to work took on more urgency with the release of two government reports showing plummeting retail sales and factory output last month.

U.S. deaths on Wednesday stood at 30,400, according to a Reuters tally, with 630,000 confirmed coronavirus cases. After the first U.S. death, reported on Feb. 29, it took 38 days to reach 10,000 deaths and nine days to jump from 10,000 fatalities to 30,000.

A University of Washington model, often cited by the White House, this week predicted the total U.S. deaths in the pandemic could reach about 68,800 by early August. That suggests the United States has not even reached the halfway point in possible fatalities.

Italy, with more than 21,000, has the second-most reported deaths caused by the pathogen that first emerged last year in China, followed by Spain with more than 18,500. Worldwide, the pathogen has killed at least 133,000 people.

After saying earlier this week that New York had passed the worst of the crisis, Governor Andrew Cuomo on Wednesday ordered his state’s 19 million residents to wear masks or substitutes when in any public situation that may not allow them to be at least six feet away from others. New Yorkers will have three days to comply with the order, aimed at ensuring the mask wearer does not infect others.

Cuomo said 752 people died in his state in the past day – down slightly from the previous day but still high, although hospitalizations declined in a sign the crisis was easing.

“If you are going to be in public and you cannot maintain social distancing then have a mask, and put that mask on,” Cuomo told a news briefing.

New York is following the lead of a few places that already have policies regarding face coverings in certain circumstances, including Los Angeles. Health experts have recommended the use of face masks after initially discouraging the public from wearing them, out of concern over a short supply for medical professionals treating coronavirus patients.

Cuomo also gave an outline of how he would begin to reopen businesses, starting with the most essential and those where the risk of infection spread was smallest.

With evidence that the outbreak is slowing in states like New York, political leaders have engaged in an acrimonious debate over when to try to reopen the economy without paving the way for a deadly second wave of infections.

States and local governments have issued “stay-at-home” or “shelter-in-place” orders affecting about 94% of Americans to curb the spread of COVID-19, the respiratory illness caused by the virus.

ECONOMIC CALAMITY

The restrictions have battered the U.S. economy, with mandatory business closures aimed at curbing the pathogen’s spread leaving millions of Americans unemployed.

Fresh government data released on Wednesday gave another glimpse at the damage. Retail sales dropped by 8.7% in March, the government reported, the biggest decline since tracking began in 1992. Consumer spending accounts for more than two-thirds of U.S. economic activity.

In addition, output at U.S. factories declined by the most since 1946 as the pandemic fractured supply chains.

Economists believe the economy entered recession in March.

“The economy is almost in free fall,” said Sung Won Sohn, a business economics professor at Loyola Marymount University in Los Angeles.

Trump, who initially downplayed the coronavirus threat and then called for a reopening of the economy by April 12, now has embraced May 1 target date.

“There are a number of states – 19, 20 states – that really have had limited impact from it. So I think we will see some states that are – the governors feel that they’re ready – we’re poised to assist them with that reopening,” Robert Redfield, director of the U.S. Centers for Disease Control and Prevention, told ABC’s “Good Morning America.”

Healthcare workers have faced unique health threats while working on the front lines trying to tackle the pandemic. Reuters has identified more than 50 nurses, doctors and medical technicians who have died after being diagnosed with COVID-19 or showing symptoms of it. At least 16 were in New York state.

“The emergency room is like a war zone,” said Raj Aya, whose wife Madhvi Aya – a physician’s assistant in Brooklyn – was one of the healthcare workers who died in New York.

(Reporting by Nathan Layne, Lucia Mutikani, Doina Chiacu, Susan Heavey, Maria Caspani, Lisa Shumaker, Gabriella Borter, Peter Szekely, Kristina Cooke and Jessica Resnick-Ault; Writing by Will Dunham and Maria Caspani; Editing by Frank McGurty, Alistair Bell and Cynthia Osterman)

With cheers, New York nurses greet reinforcements from across the U.S.

NEW YORK (Reuters) – With loud cheers and applause, medical staff at New York’s Northwell Health network greeted 46 nurses on Tuesday who had arrived from all over the United States to reinforce hospitals as they battle the coronavirus pandemic.

U.S. deaths from the novel coronavirus topped 24,000 on Tuesday, according to a Reuters tally. There were nearly 583,000 confirmed cases, over 200,000 of which were in New York state alone.

Treating the large number of patients with COVID-19, the disease caused by the new coronavirus, has challenged hospitals in its U.S. epicenter. They have scrambled to find enough ventilators and other equipment, as well as beds and staff.

Northwell, the largest healthcare provider in New York, said it had contracted medical staffing companies to help it buttress efforts to treat patients at 18 hospitals across New York City, Long Island and Westchester county.

The “clap-in,” with dozens of staff cheering loudly and holding signs saying “Nurses are the heart of healthcare” and “Welcome, healthcare heroes,” was a surprise for the nurses who arrived on Tuesday afternoon for a half-day training session. Hailing from states including California, South Carolina, and Indiana, they are undergoing training in subjects ranging from operating ventilators to dealing with electronic medical records.

“It’s so heartwarming to see so many nurses come from so far away to assist us in our time of need,” said Maureen White, executive vice president and chief nurse executive at Northwell.

About 300 nurses from other areas have been enlisted over the past three weeks, said Launette Woolforde, Northwell’s registered nurse and vice president for nursing education.

Marybella Cole, who had arrived in New York from Lewiston, Idaho, said community was important to her.

“There’s no bigger calling than something like this,” she said.

Raymond Woods said he had left kids and grandchildren behind in Indiana so he could help.

“I have never been more proud to be a nurse. This is by far the most rewarding career I’ve had in my life,” he said.

(Reporting by Andrew Hofstetter; Writing by Bernadette Baum; Editing by Rosalba O’Brien)

Six U.S. states to coordinate gradual reopening after coronavirus shutdown

By Maria Caspani and Jessica Resnick-Ault

NEW YORK (Reuters) – Six states in the U.S. Northeast took the first tentative step on Monday toward reopening their economies by forming a regional panel to develop a strategy for the gradual lifting of restrictions aimed at stanching the coronavirus pandemic.

The announcement of the panel, to include economic and health officials from each state as well as the chief of staff of all six governors, came after President Donald Trump insisted that any decision on restarting the economy was his to make.

The states of New York, New Jersey and Connecticut, with a total population of 32 million, will join with neighboring Delaware, Pennsylvania and Rhode Island in coordinating their efforts to reopen the economy as more signs the outbreak has stabilized emerged over the weekend.

The joint planning reflected growing concern among health officials and political leaders that easing stay-at-home orders too soon could allow the pandemic to re-accelerate, undoing hard-won progress the country has made in recent weeks.

“Nobody has been here before, nobody has all the answers,” New York Governor Andrew Cuomo said during an open conference call with his five counterparts. “Addressing public health and the economy: which one is first? They’re both first.”

Cuomo said earlier on Monday that reopening “is a delicate balance” that involved “recalibrating” which businesses and activities are essential.

The number of deaths reported in the United States overall on Sunday was 1,513, the smallest increase since April 6. The largest number of fatalities is still in and around New York City, the most populous U.S. city with about 8.4 million people.

Tensions between state governors and U.S. President Donald Trump have bubbled up since the outbreak worsened a month ago and surfaced in the debate about when and how to restart economic activity.

“It is the decision of the president, and for many good reasons,” Trump said on Twitter on Monday. He went on to write that his administration was working closely with the governors.

“A decision by me, in conjunction with the governors and input from others, will be made shortly!” Trump’s tweet said.

Legal experts say a U.S. president has limited power under the U.S. Constitution to order citizens back to their places of employment, or cities to reopen government buildings, transportation, or local businesses to reopen.

‘WORST IS OVER’ BUT…

Cuomo said on Monday that “the worst is over” for his state, the U.S. epicenter of the virus, but he hedged his remark with a warning that gains achieved through social distancing could be undone if “we do something stupid” and relax those restrictions too quickly.

“We can control the spread. Feel good about that,” Cuomo said. “The worst is over, if we continue to be smart going forward.”

Political leaders said a reopening of the economy may hinge on more widespread testing and cautioned that lifting of stay-at-home restrictions too early could reignite the outbreak. The Trump administration has signaled May 1 as a potential date for easing the restrictions.

The United States, with the world’s third-largest population, has recorded more fatalities from COVID-19 than any other country, with more than 23,000 deaths as of Monday morning, according to a Reuters tally.

Wyoming reported its first death from the coronavirus on Monday, the final U.S. state to report a fatality.

Official statistics, which exclude deaths outside of hospitals, have understated the actual number of people who have succumbed to COVID-19, the respiratory disease caused by the new coronavirus, health experts said. (Graphic: https://tmsnrt.rs/2w7hX9T)

More than 10,000 people have died in New York state, and the death rate was “basically flat at an horrific level of pain and sorrow,” Cuomo said, referring to a flattening of the curve as seen on a graph.

In New York City, three indicators have to show a sustained decline before the city could consider the outbreak to be in a less dangerous phase, Mayor Bill de Blasio said: the daily number of people admitted to hospitals, the number of people in intensive care units, and the percentage of positive tests for the virus.

New York City Health Commissioner Dr. Oxiris Barbot acknowledged a “tightening” of the supply chain for swabs needed in coronavirus testing, and said it was part of a “national and international challenge” to ramp up testing.

Chris Sununu, the Republican governor of New Hampshire, said testing for the coronavirus had improved “but we don’t have enough. Nobody has enough.”

“There’s just a limited supply for a massive amount of demand,” Sununu told CNN.

To ease the impact of the shutdown on the U.S. economy, the two top Democrats in the U.S. Congress urged Republicans on Monday to authorize more funding for national testing. An effort to rush fresh assistance to U.S. small businesses stalled in Congress as the health emergency failed to overcome partisan differences between Republicans and Democrats.

(Reporting by Maria Caspani Jessica Resnick-Ault; additional reporting by Doina Chiacu and Lisa Lambert in Washington and Nathan Layne in Wilton, Connecticut; Writing by Grant McCool; Editing by Frank McGurty and Howard Goller)