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2nd COVID-19 case of unknown origin reported in California – Global News

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California health officials on Friday confirmed the second case of novel coronavirus in the United States believed to have been transmitted to a person who didn’t travel internationally or come in close contact with anyone who had it.

Health officials in San Jose said the patient was an older adult woman with chronic health conditions who does not have a travel history or any known contact with a traveler or infected person. It comes a day after state officials said a woman hospitalized at UC Davis Medical Center in Sacramento had contracted the illness after no known contact.

“This new case indicates that there is evidence of community transmission, but the extent is still not clear,” said Dr. Sara Cody, health officer for Santa Clara County and director of the County of Santa Clara Public Health Department.






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World Health Organization raises COVID-19 risk to highest level


World Health Organization raises COVID-19 risk to highest level

Officials were able to get quick confirmation because the test was done by the Santa Clara County Public Health Laboratory with test kits received from the federal Centers for Disease Control and Prevention. Officials submitted the woman’s specimens for testing Thursday and received the results Thursday night.

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The California Department of Public Health said Friday that the state will receive enough kits from the CDC to test up to 1,200 people, a day after Gov. Gavin Newsom complained to federal health officials that the state had already exhausted its initial 200 test kits.

State official also said the federal government decided it will not need to use the Fairview Developmental Center in Orange County to isolate passengers from the Diamond Princess cruise ship. That’s because of the imminent end of the isolation period for those passengers and the relatively small number of persons who ended up testing positive, officials said.


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The CDC had originally estimated that as many as half the passengers would test positive. But the state said the actual number has been “substantially lower.” A federal judge had granted officials in Costa Mesa a temporary restraining order blocking the transfers during the time when state officials said the facility had been “critically needed.”

Cody said the newly confirmed case in Santa Clara County is not linked to two previous cases in that county, nor to others in the state.

The Santa Clara County resident was treated at a local hospital and is not known to have traveled to Solano County, where public health officials have identified dozens of people — but less than 100 — who had close contact with the case announced Thursday. They are quarantined in their homes. and a few who have shown symptoms are in isolation, officials said.

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COVID-19: CDC reports first case in U.S. with unknown connection


COVID-19: CDC reports first case in U.S. with unknown connection

At UC Davis Medical Center, at least 124 registered nurses and other health care workers were sent home for “self-quarantine” after the woman with the virus was admitted, National Nurses United, a nationwide union representing RNs, said Friday.

“Despite University of California medical facilities being generally better prepared and equipped to treat challenging medical cases, the … case highlights the vulnerability of the nation’s hospitals to this virus,” the union said.

The case of the infected women marks an escalation of the worldwide outbreak in the U.S. because it means the virus could spread beyond the reach of preventative measures like quarantines, though state health officials said that was inevitable and that the risk of widespread transmission remains low.

California public health officials on Friday said more than 9,380 people are self-monitoring after arriving on commercial flights from China through Los Angeles and San Francisco. That’s up from the 8,400 that Newsom cited on Thursday, though officials said the number increases daily as more flights arrive.


READ MORE:
First COVID-19 case in U.S. with unknown connection reported in California

Officials are not too worried, for now, about casual contact, because federal officials think the coronavirus is spread only through “close contact, being within six feet of somebody for what they’re calling a prolonged period of time,” said Dr. James Watt, interim state epidemiologist at the California Department of Public Health.

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The virus can cause fever, coughing, wheezing and pneumonia. Health officials think it spreads mainly from droplets when an infected person coughs or sneezes, similar to how the flu spreads.

As infectious disease experts fanned out in the Solano County city of Vacaville, some residents in the city between San Francisco and Sacramento stocked up on supplies amid fears things could get worse despite official reassurances, while others took the news in stride.

The woman in the community who has coronavirus first sought treatment at NorthBay VacaValley Hospital in Vacaville, before her condition worsened and she was transferred to the medical center in Sacramento.






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Trump says U.S. mulling over COVID-19 travel ban extension


Trump says U.S. mulling over COVID-19 travel ban extension

Sacramento County’s top health official told The Sacramento Bee on Friday that he expects several medical workers to test positive themselves in the next few days. Numerous workers at both hospitals have been tested, but the tests were sent to labs approved by the CDC and generally take three to four days to complete.

Peter Beilenson, Sacramento County’s health services director, said he expects even those who test positive to become only mildly ill.

Confusion over how quickly the woman was tested for coronavirus concerned McKinsey Paz, who works at a private security firm in Vacaville. The company has already stockpiled 450 face masks and is scrambling for more “since they’re hard to come by.” The company’s owner bought enough cleaning and disinfectant supplies to both scrub down the office and send home with employees.

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But they appeared to be at the extreme for preparations.


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Eugenia Kendall was wearing a face mask, but in fear of anything including the common cold. Her immune system is impaired because she is undergoing chemotherapy, and she has long been taking such precautions.

“We’re not paranoid. We’re just trying to be practical,” said her husband of 31 years, Ivan Kendall. “We wipe the shopping carts if they have them, and when I get back in the car I wipe my hands — and just hope for the best.”

Experts in both communities are interviewing immediate family members and expanding their net to include more distant family members who may have been in contact, social gatherings like church that the patient may have attended and any possible time spent at work or events like a concert.






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COVID-19: U.N. official says ‘window of opportunity’ for virus containment is narrowing


COVID-19: U.N. official says ‘window of opportunity’ for virus containment is narrowing

Besides the woman, all the other cases in the U.S. have been for people who traveled abroad or had close contact with others who traveled.

Earlier U.S. cases included 14 in people who returned from outbreak areas in China, or their spouses; three people who were evacuated from the central China city of Wuhan; and 42 American passengers on the Diamond Princess cruise ship.

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The number of people sickened by the virus hovered Friday around 83,000, and there were more than 2,800 deaths, most of them in China.

© 2020 The Canadian Press

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COVID-19 cases jump by 40 in Manitoba – Brandon Sun

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Manitoba announced 40 new cases of COVID-19 in the province on Thursday, the largest single-day increase so far during the pandemic.

Thursday’s numbers bring the total number of cases up to 167, including 11 in the Prairie Mountain Health region, said the province’s chief public health officer, Dr. Brent Roussin. The total number of deaths remains at one, and five people are in intensive care.

The news follows the announcement on Wednesday that community transmission had started in the province. Roussin said there are five cases that Manitoba Health can’t trace back to travel or contact with another infected person. At this point, community transmission is only happening in Winnipeg, but he said everyone in the province should be taking the same social distancing measures.

“We want to ensure that people are aware that once we see this virus in the community at low levels, it’s possible to acquire that virus should you not practise social distancing,” he said.

“Stay home if you can, it limits your risk to acquiring this virus, it limits the risk to others of spreading this virus, so stay home as much as you can. That will be your biggest contribution to decreasing the spread of this virus.”

Now is not the time for any travel, even to cottages, Roussin said. While people may believe it allows them to more effectively isolate, it will put increased strain on rural health-care systems if they do get sick.

Several outbreaks of the virus have been identified in Manitoba health-care facilities, including at a personal care home in Gimli and the Health Sciences Centre in Winnipeg. Approximately 40 nurses at the Health Sciences Centre are self-isolating after possible exposure to the virus, while one worker at Betel Home in Gimli tested positive, he said.

In response, Lanette Siragusa, Shared Health’s chief nursing officer, announced health-care workers in hospitals, testing centres and other places will begin wearing surgical masks, gloves and gowns during all contact with patients. She said Manitoba Health has enough personal protective equipment to sustain the measure and more will be distributed according to need.

Shared Health is working on implementing the change at sites across the province and she said more information would be shared with people Thursday. 

“We have plans for this eventuality and the escalation of cases in recent days at health-care facilities means it is time for us to implement this change,” she said.

Hospital patients and personal care home residents who had close contact with people who tested positive for COVID-19 are also being tested, she said.

“These cases cause us all a great deal of concern, and we cannot emphasize enough the responsibility that all Manitobans have to do what we can to slow the spread of this virus,” she said.

In response to a question about opening hospitals dedicated to the virus, Siragusa said Manitoba Health is planning COVID-19 wards in hospitals across the province. It isn’t feasible to have all cases in one building, but hospitals — including the Brandon Regional Health Centre — could focus staff in one area to treat all patients with the virus.

“The concept is we can’t have it all in one site, but we can have them all united in one unit so the staff are concentrated there,” she said.

According to a spokesperson for Prairie Mountain Health, 342 people had been tested so far at the Brandon testing site as of the end of the day on April 1. At the Dauphin testing site, 23 people had been tested as of April 1.

Both testing sites are by referral only and are not walk-in clinics.

As of Thursday, the Cadham Provincial Laboratory had performed 11,327 tests in total.

» dmay@brandonsun.com

» Twitter: @DrewMay_

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Ontario needs 900 new ICU beds to cope with coming surge in COVID-19 patients, models suggest – CBC.ca

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Ontario will have to add nearly 900 new intensive-care beds to its existing supply to be able to handle the surge in COVID-19 patients forecast under the best-case scenario in provincial models of the pandemic.

The province has an estimated 415 ICU beds available now, as the Ford government attempts to create the hundreds of new spaces experts expect they’ll need.

The additional beds would result in an approximate total of 1,300 dedicated ICU beds for COVID-19 patients.

The models released by the province on Friday suggest an increase in demand that could, in the best-case scenario, peak on April 18, but remain below Ontario’s total capacity if all 900 new beds are made available by then.

In the worst-case scenario, demand for ICU beds would rise sharply until at least the end of April, exceeding the province’s capacity as early as April 14, even with all 900 new spaces. 

However, that scenario will likely never come to pass, as signs indicate that the number of COVID-19 patients isn’t actually increasing as quickly as researchers thought it would. 

As seen in this graph released Friday as part of COVID-19 modelling projections, provincial health experts predict that there will be 80,000 cases by the end of April if the province sticks to its current intervention measures. (Ontario Ministry of Health and Long-Term Care)

Health officials say a continued commitment to physical distancing will help Ontario avoid the untenable strain on hospitals suggested by the worst-case numbers.

“If we can keep the prevalence of the disease to a lower level, the capacity that we have online, or that we could bring online, would indeed be sufficient,” said Matthew Anderson, president and CEO of Ontario Health.

The latest models also suggest that between 3,000 and 15,000 people will die of COVID-19 in Ontario during the pandemic. The model also forecasts 80,000 total cases by the end of April.

Few ICU beds remain at several GTA hospitals

Data obtained by CBC News shows a rapidly dwindling number of ICU beds in the Greater Toronto Area.

Just nine critical-care beds remain available among the 153 ICU beds in the hospitals of the Central Local Health Integration Network. Reports also show just 18 ICU beds available among the 130 critical care beds among the hospitals in the Mississauga Halton Local Health Integration Network

The Ontario government has given permission to all hospitals in the province to expand their capacity for COVID-19 patients, though it is not yet clear if they will have the staff necessary to accommodate that growth.

Health Minister Christine Elliott said the province is recruiting retired nurses, medical students and other volunteers to help staff overstretched hospital departments. 

Elliott said other hospitals may begin renting hotels, motels or retirement homes to increase capacity. Others, she said, are using field hospitals to prepare for the influx of patients. 

Christine Elliott says the province set up a website where people can volunteer to help staff overstretched hospital departments. 1:44

“That is something that is calibrated on an hour-by-hour basis, depending on where the outbreaks are happening,” Elliott said on Friday.

“We are ready to go, depending on where the hotspots are with COVID-19 and what each individual hospital needs, but they all have an individual plan in place right now to expand their capacity.”

There’s a ‘war being fought,’ emergency doctor warns

But some frontline workers say there’s not much more room to expand past their current capacity. 

Dr. Brett Belchetz, a Toronto emergency room physician, said although their hospital isn’t yet overrun, they’re not far from their limit. 

“If volumes are going to go up tremendously … we certainly will very quickly be in a situation where we will not have the equipment or the space or the supplies to care for those people,” Belchetz said in an interview with CBC Toronto.  

Although he said fewer COVID-19 patients are arriving at his emergency room, most of the people who are coming in are quite sick. 

Dr. Brett Belchetz says it’s been a ‘crazy few weeks’ in his hospital’s emergency room. (CBC)

And what people need to understand, Betchez said, is that “there is a war being fought out there.” 

If the province’s COVID-19 restrictions are unsuccessful, he said there won’t be enough ventilators to help all patients who are critically ill.

“The only way that we can stop that from happening is to prolong the outbreak to make sure we don’t have all those cases at the same time,” Beltchetz said.

“We cannot let our guard down.”

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Google Mobility Reports a slippery slope: cyber security expert – Global News

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In an effort to assist governments with ensuring residents are remaining in their homes during the COVID-19 outbreak Google has provided Mobility Reports which depict growing and shrinking trends in a number of activities.

In both Nova Scotia and New Brunswick the sections outlining retail and recreation, grocery and pharmacy, transit use and attending the workplace all declined significantly.

READ MORE: Nova Scotia surpasses 200 COVID-19 cases

However, two other sections actually saw increases: residential, which refers to time spent at home, climbed by eight percent in New Brunswick and five in Nova Scotia. But the other – parks – rose dramatically by 101 per cent and 95, respectively.

For Nova Scotia Premier Stephen McNeil, the last section continues to be a source of frustration while a state of emergency continues in the province.

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“At a glance, Nova Scotia is not doing well when it comes to staying away from our parks and beaches,” he said Friday before the conclusion of the day’s COVID-19 update with Dr. Robert Strang, the province’s chief medical officer of health.

“We don’t need online graphs to tell us what we need to do. We need to stay the blazes home.”

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This type of data tracking isn’t new, nor is the idea of government’s using it to keep tabs on their citizens.






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Coronavirus outbreak: ‘Critical time’ as Nova Scotia sees signs of community spread, officials say

But it’s what’s done in the coming weeks and months surrounding the use of this technology that some cyber security experts say requires strong surveillance.

“History shows us governments, when they take on emergency powers during a crisis, don’t generally give those powers back,” explained David Shipley, CEO of Beauceron Security, a Fredericton firm that specializes in helping businesses become and remain secure online. “Any attempts to use this data has to have some careful consideration given to the sunset clauses.”

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“We need to know that after this emergency is over clearly they’re going to stop using that data and they’re going to delete the data they have gained,” he said.

Within the current climate, residents have been asked to remain at home as much as possible to curb the spread of the novel coronavirus.

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Tracking devices during this state of emergency can certainly help give local governments and law enforcement a better idea of how well that is or isn’t being observed.

READ MORE: Surge in Canadian mobile and data use leads to complaints about service

But Shipley warns that the data gained from tracking mobile users isn’t foolproof and could lead to problems if used to target or surveil individuals, rather than amass information.

“The data can be flawed,” Shipley said.

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“The data accuracy of location data depends on the quality of the measurement,” he explained. “If you’re a person living in an urban area in Atlantic Canada like Halifax and you’re close to your wifi and other data points, the more data points the more accurate it is.”

“But if you’re living in rural Atlantic Canada and you only have the cell phone signal for example, maybe not the GPS data, it can be as inaccurate as a couple of miles.”

The possibility of the data coming through inaccurately Shipley says should influence how it’s used, likening it to political polls rather than a scientific study.






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He says while it can be used as a guide, citing how a mobility report uptick in trips to parks could then be followed up on, it’s critical that the way people’s personal data is monitored closely and their right to privacy isn’t taken away unknowingly.

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“Using good data to make public policy decisions at an aggregate, anonymous level, again with respect to individual privacy and ultimately freedom, there’s potential,” he explained. “But tracking down individuals and treating us all like we’re under house arrest is a future I don’t think we signed up for.”

Although right now there’s no indication individual surveillance is being considered, it’s not that far-fetched according to Shipley who says it’s already ongoing elsewhere in the world.

“We actually saw examples in Asia, South Korea and Taiwan, where folks who took their devices off of them actually got visits from police because now they couldn’t be tracked,” Shipley explained. “If people start knocking on your doors to make sure you’re respecting quarantine because you haven’t had your device on you, well that’s effectively house arrest.”

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Questions about COVID-19? Here are some things you need to know:

Health officials caution against all international travel. Returning travellers are legally obligated to self-isolate for 14 days, beginning March 26, in case they develop symptoms and to prevent spreading the virus to others. Some provinces and territories have also implemented additional recommendations or enforcement measures to ensure those returning to the area self-isolate.

Symptoms can include fever, cough and difficulty breathing — very similar to a cold or flu. Some people can develop a more severe illness. People most at risk of this include older adults and people with severe chronic medical conditions like heart, lung or kidney disease. If you develop symptoms, contact public health authorities.

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To prevent the virus from spreading, experts recommend frequent handwashing and coughing into your sleeve. They also recommend minimizing contact with others, staying home as much as possible and maintaining a distance of two metres from other people if you go out.

For full COVID-19 coverage from Global News, click here.”

© 2020 Global News, a division of Corus Entertainment Inc.

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