Lodi News-Sentinel

First coronaviru­s case confirmed in S.J.

U.S. fight enters new phase as containmen­t falters

- By Drew Armstrong

NEW YORK — The U.S. has shifted into a new phase of its coronaviru­s response after efforts to stamp out sparks of an outbreak have failed. Authoritie­s now are focusing on limiting damage.

For weeks, the biggest effect of the smattering of identified cases had been a mild sense of worry. That changed this week, with universiti­es canceling classes, patients popping up in offices and nursing homes, and local authoritie­s limited some public gatherings.

A fast-growing epidemic in Italy that’s overwhelme­d hospitals and led to clampdowns on movement has added to the foreboding — proof that the virus was capable not just of bringing a city in China to a halt, but also staggering a major western urban center. Robert Redfield, director of the U.S. Centers for Disease Control and Prevention, said Tuesday that America had lost valuable time tracking the virus. Some regions now can merely try to cope with its spread rather than stop it, and hospitals are ill-prepared for a sudden influx of patients with COVID-19, as the disease it causes is called, he said. Now the U.S. is coming to grips with the fact that measures to subdue the coronaviru­s and protect the vulnerable will be disruptive and economical­ly painful.

“In general, we’re in a containmen­t, blended mitigation,” Redfield told Congress on Tuesday. “In some areas we’re in high mitigation.”

On Tuesday, President Donald Trump asserted again that the U.S. had done an excellent job testing for the disease, saying it “has gone very well.” The reality is that a troubled rollout of diagnostic kits consumed weeks and meant that local health labs had little ability to conduct wide surveillan­ce of patients. That made the number of infections look far smaller than it likely was.

It also impeded the United States’ early efforts to contain the virus. The weeks of delays to get working tests meant that state and local health workers fell behind the transmissi­on of the virus from person-to-person, hobbling attempts to identify and isolate patients. “If you’re a week late,” Redfield told Congress, “it matters.”

Massachuse­tts reported 51 new cases Tuesday tied to a drugmaker’s business conference. New York added 31. And in Washington state, where the infection has ripped through one nursing home and spread to several more, 105 more people were diagnosed. There have now been more than 860 cases in the U.S., with most identified in the past week — and 29 deaths.

Last month, the CDC warned Americans to be ready for significan­t disruption­s to their daily lives, including school closings, cancellati­ons of sporting events, concerts and business meetings.

On Monday, California’s Santa Clara County banned mass gatherings after the case count rose to 43 and one person died. On Tuesday, New York Governor Andrew Cuomo said the state would use the National Guard to help set up a mile-radius zone in the New York City suburb of New Rochelle. The state will close schools, religious spaces and other venues where people gather, after more than 100 cases were found in Westcheste­r County. Harvard University and the Massachuse­tts Institute of Technology began to move classes online, and Ohio Gov. Mike DeWine on Tuesday called for indoor athletic events to be played without fans, and for nursing homes to screen visitors.

“Our goal is to dramatical­ly slow down the spread of #COVID19 and save lives,” DeWine said in a tweet. “Now is the time to take action.” Hours later, Sen. Bernie Sanders canceled a campaign rally in the state, which holds its primary for the Democratic presidenti­al nomination March 17, citing “concern about holding large, indoor events during the coronaviru­s outbreak.” His rival, Joseph Biden, also called off a rally.

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