Tag Archives: precautions

Texas back in business? Barely, y’all, as malls, restaurants empty

By Brad Brooks

AUSTIN, Texas (Reuters) – The Domain mall in Austin, Texas, is open for business – unlike most of its 100 upscale shops – as the state entered its first work week of eased pandemic restrictions in the hopes of rekindling the economy.

A dozen or so people were strolling about the sprawling open-air shopping center Monday afternoon, with three seated on the patio of a Tex-Mex restaurant. Only one shopper wore a mask, and the loudest noises were from songbirds perched in the live oak trees along the deserted pedestrian thoroughfares.

“I’ve seen one customer today – they didn’t buy anything,” said Taylor Jund, who was keeping watch over an empty Chaser clothing store. “There’s absolutely no one coming around here.”

While protests across the United States demand state governments allow business to reopen and people to get back to work, the vast majority of Americans balk at relaxing stay-at-home orders too quickly, according to Reuters/Ipsos opinion polling.

Texas, Georgia, and other southern states are leading the way in letting stay at home orders expire and gradually allowing people to go about their business. But the early days of the opening in Texas show that many residents might want to stay home anyway.

“The cases of coronavirus aren’t really going down, so I suspect people aren’t comfortable going to malls or getting back to normal life,” David Tamayo said while sitting on a shaded bench with his girlfriend at The Domain, where he said they came to relax outdoors.

Restaurants, retail stores, and malls in Texas are now allowed to open at 25% capacity in most areas. Stores in rural counties with five or fewer cases can operate at 50%. A second phase is planned for May 18 if infection rates decline.

On Monday, Texas reported that it had 884 deaths from COVID-19 and 32,332 cases total, though it has among the lowest per capita testing rate of any state.

PLEXIGLASS BARRIERS

With temperatures in the 90s, Texans flocked to parks, beaches and rivers over the weekend. Beachgoers packed the shore in the resort town of Galveston, though police said most people seemed to be practicing social distancing.

A large gathering of youth at a lake outside Lubbock, in West Texas, prompted authorities to say on Sunday they were closing the beach there back down.

Still, in most spots in the state – which is larger than France – there has been plenty of room for outdoor recreation and social distancing.

Christy Armstrong, who works for a food distribution company, made the rounds with her restaurant clients across the Houston area on Monday. During a stop at Arnaldo Richards’ Picos Mexican restaurant in central Houston, she saw a handful of customers sitting at a bar, separated from one another by Plexiglas barriers.

“It’s sad to know that this is the first Monday we’ve reopened, and a lot of the places are still very empty,” Armstrong said. “I’m a little shocked it’s so dead out.”

But patience, and even closing down again if there are coronavirus flare-ups, should be foremost on business owners’ minds, said Laura Hoffman, president of Austin’s Chamber of Commerce.

She said the most important thing for businesses was to figure out how to safely reopen and for the Chamber to help them do that, sharing lessons learned at places that have stayed open all along, such as grocery stores.

“We have to look at this pandemic as a long-term condition,” she said. “We must strike the balance between keeping people healthy and reopening.”

(Reporting by Brad Brooks in Austin; Additional reporting by Callaghan O’Hare in Houston; Editing by Bill Tarrant and Gerry Doyle)

No hugs, handshakes as U.S. churches take new precautions against coronavirus

By Rich McKay

ATLANTA (Reuters) – With a wide smile and arms outstretched, but quickly dropped into double elbow bumps, James Harper warmly greets fellow congregants at Our Lady of Lourdes Catholic Church on Sunday in Atlanta’s Old Fourth Ward neighborhood.

“We’re all tight here,” said Harper, 51, a salesman. “Normally it’s nothing but deep hugs. But it’s a different day now.”

Churches across the United States are advising parishioners to avoid direct contact with fellow members as an oft-reiterated warning against spreading the coronavirus, which emerged in China last year and causes the sometimes deadly respiratory illness COVID-19.

At least 19 people have died out of about 450 reported cases in the United States. The outbreak has killed more than 3,600 worldwide.

Reverend Jeffery Ott, pastor of Our Lady of Lourdes, said that the biggest change on Sunday was omitting the ceremonial sharing of wine in the common cup, or chalice, during the Holy Communion service, as well as receiving the wafer or bread in the hand only, not the mouth.

“Traditionalist may want the service, but this is not just the flu,” he said. “We are all responsible to stop the spread.”

The instructions, now widespread across archdioceses across the nation, involve changes to relatively new ceremonies, such as the exchange of peace, which was introduced in the 1960s, as well as age-old traditions such as Holy Communion that are at the core of Catholic ritual.

Thomas Groome, a professor of theology at Boston College and a former priest, said the new measures show how seriously the church is taking the risks of coronavirus.

“All of these things are traditions that many are sentimental about,” he said. “But none of these symbols are essentials to the church.”

Traditionally Catholics embrace or shake hands during the so-called “exchange of peace” while repeating the greeting “peace be with you.”

But the Roman Catholic Archdiocese of Atlanta is one of many that have told parishes to discourage physical contact during the ritual, which is designed to remind worshippers they are members of a community. Some dioceses want the “peace” ceremony eliminated all together until the coronavirus outbreak abates.

As an alternative to touching, the Archdiocese of New York is encouraging worshippers to wave at fellow parishioners during the greeting, said Joseph Zwilling, a spokesman for the archdiocese.

Groome said that at his church in Boston, the congregation nods or trades fist-bumps.

“This is the responsible thing to do,” he said.

In the Archdiocese of Miami, churches have been urged to empty the holy water fonts at the church doors as a precaution. When entering a church, many Catholics dip their fingers in the fonts and make the sign of the cross with the water which a priest had blessed. Experts say it is an obvious conduit for infection.

Keeping people healthy is more important than tradition, Reverend Ott said.

“Some of our older members might not like the changes but we have to be responsible,” he said.

(Reporting by Rich McKay in Atlanta; Editing by Daniel Wallis)

Mixed messages, test delays hamper U.S. coronavirus response

By Julie Steenhuysen, Andrew Hay and Brad Brooks

(Reuters) – Even as U.S. officials warn of an inevitable outbreak of coronavirus in the United States, and are alerting Americans to take precautions, some health agencies charged with protecting the public appear unprepared to deal with the threat.

Barely more than a handful of public health departments across the country are able to test for the novel virus, which began in China and has spread to at least 44 countries. The federal government has less than 10% of the protective masks required to protect healthcare workers and the public. And Washington still does not have adequate funding in place to support health departments’ efforts, though more money is on the way.

Conflicting messaging from the White House and top U.S. officials regarding the severity of the threat has only added to the uncertainty.

The U.S. Centers for Disease Control and Prevention (CDC) this week for the first time advised American businesses, schools, hospitals and families to prepare for domestic acceleration of the virus, which has infected more than 80,000 people worldwide and killed nearly 3,000.

President Donald Trump on Wednesday assured Americans that the risk of coronavirus transmission in the United States was “very low.” Despite an explosion of cases in China over the past two months, the Trump administration only this week put in a request for $2.5 billion to aid in the response, an amount both Republicans and Democrats have said is too small.

Critics of the federal response say the United States squandered precious weeks by focusing too narrowly on keeping the coronavirus from crossing U.S. borders rather than marshalling resources to prepare American communities for a widespread domestic outbreak that officials now say was inevitable.

“This has been a realistic risk for a month, and the signal to trigger that kind of preparedness has only been going out in the last few days in an explicit way,” said Jeremy Konyndyk, a senior policy fellow at the Center for Global Development in Washington. “That’s a huge problem.”

An employee carries cans of freeze dried food to put into boxes as part of personal protection and survival equipment kits ordered by customers preparing against novel coronavirus, at Nitro-Pak in Midway, Utah, U.S. February 27, 2020. REUTERS/George Frey

FEW BEING TESTED

There are 60 confirmed U.S. cases of the novel coronavirus, which causes the disease known as Covid-19, U.S. health officials said on Wednesday. But experts admit they have no way of knowing the true figure because access to testing at present is severely limited.

So far, the U.S. strategy has focused almost exclusively on testing infected travelers, using a test that looks for genetic material from the virus in saliva or mucus. As of February 23, fewer than 500 people from 43 states had been or are being tested for the virus.

Currently, just seven state and local health departments have the ability to screen for the virus, the Association of Public Health Laboratories (APHL) said on Wednesday. CDC-developed tests issued three weeks ago were producing inaccurate results in some labs, so new tests had to be made and cleared by the U.S. Food and Drug Administration (FDA), leaving many labs with no local testing capability, the group said.

The CDC and FDA have worked out a fix that will allow 40 more public health labs to do testing by the end of next week, the APHL’s Chief Executive Scott Becker told Reuters.

In the meantime, the burden has fallen largely on the CDC, which does testing for most of the country on its campus in Atlanta.

“Unfortunately, we are now in the bottom tier in countries capable of doing population-based testing,” said Dr. Michael Osterholm, director of the Center for Infectious Disease Research and Policy at the University of Minnesota.

U.S. patients typically wait 24 to 48 hours to find out whether they have tested positive and need to be quarantined, health officials said, during which time those who are infected can spread the virus to others

The CDC’s test is restricted solely for use by public health labs, but if the virus begins spreading widely in the United States, hospitals will need to be able to do the tests themselves, public health experts say. Such testing is typically done using kits produced by commercial companies. Several privately developed tests are in the works, but none have yet won approval from the FDA.

Some health experts also fault the narrow testing criteria that the United States is using to screen for potential infections. Currently, individuals with flu-like symptoms are only tested for the coronavirus if they have traveled to a country where the virus is spreading. This has raised concerns that there are far more cases in the United States than are currently recorded.

“If the majority of testing is all around airports or travelers, we won’t know whether it’s circulating in communities,” said Dr. Tom Inglesby, director of the Center for Health Security of the Johns Hopkins Bloomberg School of Public Health.

Those worries were reinforced on Wednesday when the CDC confirmed the first U.S. case of coronavirus in a California patient with no apparent travel history. The University of California Davis said in a statement the patient was transferred to the hospital with severe pneumonia and the hospital requested testing. But since the patient didn’t fit the CDC’s criteria, those tests were delayed by several days.

On Thursday, CDC said it is broadening those criteria to allow testing when the virus is suspected.

MASKS IN SHORT SUPPLY

Around 15 state health departments contacted by Reuters raised concerns about challenges they would face in the event of community spread, including worries about not having enough personal protective gear to safeguard frontline medical workers.

The U.S. Department of Health and Human Services on Tuesday estimated that the United States would need 300 million face masks to protect healthcare workers and the public from people infected with the virus. The country has fewer than 20 million of the kind of masks needed to protect healthcare workers in the Strategic National Stockpile, a government repository of medical supplies needed to address public health emergencies.

“There is a real concern the availability of this equipment may be limited, in part because of the public buying it in a panic when they don’t need it,” said Matt Zavadsky, head of the National Association of Emergency Medical Technicians.

President Donald Trump’s administration is considering invoking special powers through a law called the Defense Production Act to quickly expand domestic manufacturing of protective masks and clothing to combat the coronavirus in the United States, two U.S. officials told Reuters.

With no Covid-19 vaccine or proven anti-viral medicine available, states are planning to isolate sick people in their homes, both to slow community spread and reduce pressure on hospitals, according to the CDC.

Their ability to track a rapidly expanding web of patients who test positive, and all the people with whom they have had contact, is of major concern, according to chief epidemiologists in several states.

Health departments in some states have purchased disease surveillance software to help them with that task. The state of Washington’s system, for instance, tracks patients and people they have had contact with, and asks them about their condition. If someone reports symptoms that merit hospitalization, the patient and doctors are informed of that.

The CDC said in a news conference on Tuesday that transmission of the virus could be slowed by the closure of schools and businesses and the cancellations of concerts and other mass gatherings.

But exactly who would make those decisions or how they would be enforced isn’t clear and could vary widely throughout the nation.

In Texas, for example, such decisions may be made by local officials, said Chris Van Deus, a spokesman with the Texas health department.

“Texas is a home rule state so the buck really stops with county judges and mayors,” Van Deus said.

Another concern is a flood of patients into health systems that are already overburdened in many parts of the country, particularly during winter flu season.

Washington state is considering temporary drive-through care facilities to stop potential coronavirus carriers entering healthcare facilities, mindful that hospitals can amplify outbreaks, as was the case with the viruses that cause MERS and SARS.

New Mexico is working with healthcare systems to turn outpatient facilities into care units if needed, said State Epidemiologist Michael Landen.

“The biggest challenge is getting a consistent message to the public with respect to their options with dealing with this virus,” Landen said.

(Reporting by Julie Steenhuysen in Chicago, Andrew Hay in Taos, New Mexico and Brad Brooks in Austin, Texas; Editing by Marla Dickerson)