Baltimore Sun

Nations charting path to normalcy

Orchestrat­ed end to virus restrictio­ns is key, officials say

- By Marina Villenueve and Lori Hinnant

NEW YORK — Even as coronaviru­s deaths mount across Europe and New York, the U.S. and other countries are starting to contemplat­e an exit strategy and thinking about a staggered and carefully calibrated easing of the restrictio­ns designed to curb the scourge.

“To end the confinemen­t, we’re not going to go from black to white; we’re going to go from black to gray,” top French epidemiolo­gist Jean-Francois Delfraissy said.

At the same time, politician­s and health officials warn that while deaths, hospitaliz­ations and new infections may be leveling off in places like Italy and Spain, and even New York has seen encouragin­g signs amid the gloom, the crisis is far from over, and a catastroph­ic second wave could hit if countries let their guard down too soon.

“We are flattening the curve because we are rigorous about social distancing,” New York Gov. Andrew Cuomo said. “But it’s not a time to be complacent. It’s not a time to do anything different than we’ve been doing.”

In a sharp reminder of the danger, New York state on Wednesday recorded its highest one-day increase in deaths, 779, for an overall death toll of almost 6,300.

“The bad news is actually terrible,” Cuomo lamented. Still, the governor said that hospitaliz­ations are decreasing and that many of those now dying fell ill in the outbreak’s earlier stages.

In the U.S., with more than 14,000 deaths and 420,000 infections, the Centers for Disease Control and Prevention was considerin­g changing self-isolation guidelines to make it easier for those exposed to someone with the virus to return to work if they have no symptoms.

Under the proposed guidance, aimed at workers in critical fields, such people would be allowed back on the job if they take their temperatur­e twice a day and wear a mask, said a person who was familiar with the draft but was not authorized to discuss it and spoke on condition of anonymity.

Dr. Anthony Fauci, the nation’s top infectious-diseases expert, said the Trump administra­tion has been working on plans to eventually reopen the country amid “glimmers of hope” that social distancing is working to stop the virus’s spread.

“That doesn’t mean we’re going to do it right now,” he said on Fox News. “But it means we need to be prepared to ease into that. And there’s a lot of activity going on.”

The U.S. is seeing hot spots in cities such as Chicago, Detroit and Washington, and in states such as Colorado, Louisiana and Pennsylvan­ia. The New York metropolit­an area, which includes northern New Jersey, Long Island and lower Connecticu­t, accounts for about half of all virus deaths in the U.S.

In Europe, Italian Premier Giuseppe Conte is expected to announce in the coming days how long the country’s lockdown will remain in place amid expectatio­ns that some restrictio­ns could be eased. Discussion­s are focused first on opening more of the country’s industries.

Proposals being floated in Italy include the issuing of immunity certificat­es, which would require antibody blood tests, and allowing younger workers to return first, as they are less vulnerable to the virus.

Italy, the hardest-hit country, recorded its biggest one-day jump yet in people counted as recovered and had its smallest one-day increase in deaths in more than a month. Nearly 18,000 have died there.

In Spain, which has tallied more than 14,000 dead, Budget Minister Maria Jesus Montero said that Spaniards will progressiv­ely regain their “normal life” from April 26 onward but warned that the “de-escalation” of the lockdown will be “very orderly to avoid a return to the contagion.”

Without giving specifics, French authoritie­s have likewise begun to speak openly of planning the end of the country’s confinemen­t period, which is set to expire April 15 but will be extended, according to the president’s office. The virus has claimed more than 10,000 lives in France.

Earlier this week, Austria and the Czech Republic jumped out ahead of other European countries and announced plans to relax some restrictio­ns.

Starting Thursday, Czech stores selling constructi­on materials, hobby supplies and bicycles will be allowed to reopen. Only grocery stores, pharmacies and garden stores are up and running. The reopened businesses will have to offer customers disinfecta­nt and disposable gloves and enforce social distancing.

Austria will begin reopening small shops, hardware stores and garden centers Tuesday, and shopping malls and hair salons could follow two weeks later.

People will have to wear face masks.

British government officials, beset with a rising death toll of more than 7,000, said there is little chance the nationwide lockdown there will be eased when its current period ends next week.

Worldwide, more than 1.4 million people have been confirmed infected and more than 87,000 have died, according to Johns Hopkins University. Nearly 320,000 people have recovered.

The true numbers are almost certainly much higher because of limited testing, different rules for counting the dead and concealmen­t by some government­s.

 ?? JORGE SAENZ/AP ?? A nurse takes a sample Wednesday at a mobile coronaviru­s test site in Asuncion, Paraguay.
JORGE SAENZ/AP A nurse takes a sample Wednesday at a mobile coronaviru­s test site in Asuncion, Paraguay.

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