Las Vegas Review-Journal (Sunday)

Virus grip spreads in U.S. as toll doubles

- By Kat Stafford and Martha Irvine

DETROIT — The coronaviru­s continued its spread across the United States with fatalities doubling in two days and authoritie­s saying Saturday that an infant who tested positive had died. It pummeled big cities such as New York, Detroit, New Orleans and Chicago and made its way into rural America as hot spots erupted in small Midwestern towns and Rocky Mountain ski havens. Worldwide infections surpassed the 660,000 mark with more than 30,000 deaths as new cases also stacked up quickly in Europe, according to a tally by Johns Hopkins University. The U.S. leads the world in reported cases with more than 120,000. Confirmed deaths surpassed 2,000 on Saturday, twice the number two days before. Still, five countries have higher death tolls: Italy, Spain, Chi

na, Iran and France. Italy has more than 10,000 deaths, the most of any country.

Illinois Gov. J.B. Pritzker said Saturday that an infant with COVID-19 died in Chicago and the cause of death is under investigat­ion. Officials didn’t release other informatio­n, including whether the child had other health issues.

“If you haven’t been paying attention, maybe this is your wake-up call,” Illinois Department of Public Health Director Dr. Ngozi Ezike said.

New York remained the worst-hit U.S. city. Gov. Andrew Cuomo said defeating the virus will take “weeks and weeks and weeks.” The U.N. donated 250,000 face masks to the city, and Cuomo delayed the state’s presidenti­al primary from April 28 to June 23.

‘This is off the charts’

Some states without known widespread infections began to try to limit exposure from visitors from harder-hit areas.

Rhode Island National Guard troops were instructed to go door to door in coastal communitie­s to find New Yorkers and advise them about a mandatory 14-day quarantine for people from the state.

And in Florida, Gov. Ron DeSantis has ordered anyone arriving from Louisiana to self-quarantine and said law enforcemen­t officers would set up checkpoint­s to screen cars from the state.

Louisiana has surpassed 3,300 infections with 137 dead from COVID-19, according to the health department. Gov. John Bel Edwards said the region was on track to run out of ventilator­s by the first week of April.

Cases also have been rising rapidly in Detroit, where poverty and poor health have been problems for years. The number of infections surged to 1,381, with 31 deaths, as of noon Saturday. The city’s homeless population is especially vulnerable, officials said.

“At this time, the trajectory of Detroit is unfortunat­ely even more steep than that of New York,” said Dr. Teena Chopra, the medical director of infection prevention and hospital epidemiolo­gy at the Detroit Medical Center.

“This is off the charts,” she said. Chopra said many patients have ailments like asthma, heart disease, diabetes and hypertensi­on. She also acknowledg­ed that in Detroit, one of the nation’s largest African American cities, there is a distrust among some in the community of the medical system and government because of racism.

“In Detroit, we are seeing a lot of patients that are presenting to us with severe disease, rather than minor disease,” said Chopra, who worried about a “tsunami” of patients.

President Donald Trump approved a major disaster declaratio­n for Michigan and Colorado, providing money for the outbreak. He has done the same for New York, Louisiana and Illinois.

Cases in Chicago and suburban Cook County accounted for about three-fourths of Illinois’ 3,026 total as of Friday. Chicago Mayor Lori Lightfoot closed lakeshore parks after people failed to practice social distancing despite a statewide shelter-at-home order.

Rural areas see spread too

The governor of Kansas also issued a stay-at-home order to start Monday, as the virus takes hold in more rural areas where doctors worry about the lack of ICU beds.

A cluster of three counties in rural Indiana have surging rates of confirmed cases. One of them, Decatur, population 26,000, has 30 cases with one confirmed death and another suspected, said Sean Durbin, the county’s public health emergency preparedne­ss coordinato­r. Several cases were traced to large gatherings earlier in the month, including a religious retreat and a high school basketball tournament.

The county health department has run out of personal protective equipment, Durbin said. The last supply from the federal stockpile arrived more than a week ago and contained 77 N95 masks and two dozen face shields.

“I wish there was a stronger word for disappoint­ed,” he said. “I’m calling on them to do better.”

Blaine County, Idaho, a scenic ski haven for wealthy tourists, now has around 100 confirmed cases of COVID-19, the highest rate per capita outside the New York area. Two people have died.

Europe under heavy strain

The virus continues to strain health systems in Italy, Spain and France. Lockdowns of varying degrees have been introduced across Europe, nearly emptying streets in normally bustling cities.

Germany has fewer deaths than some neighborin­g countries but has closed nonessenti­al shops and banned public gatherings of more than two people until April 20. It still had its share of grim news: 12 residents of a nursing home in the northern town of Wolfsburg have died since Monday after being infected, news agency dpa reported.

In Spain, where stay-at-home restrictio­ns have been in place for nearly two weeks, the death toll rose to 5,812.

Another 8,000 confirmed infections pushed that count above 72,000 cases. But Spain’s director of emergencie­s, Fernando Simón, saw hope in that the rate of infection is slowing and figures “indicate that the outbreak is stabilizin­g and may be reaching its peak in some areas.”

 ?? Kathy Willens The Associated Press ?? Nurses take donated flowers Saturday up a ramp outside Elmhurst Hospital Center’s emergency room in New York.
Kathy Willens The Associated Press Nurses take donated flowers Saturday up a ramp outside Elmhurst Hospital Center’s emergency room in New York.

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