Covid-19 Updates

The John Hopkins Center for Health Security has provided the following updates on Copid-19. (26th March 2020)

EPI UPDATE The WHO COVID-19 Situation Report for March 25 reported 414,179 confirmed COVID-19 cases (40,712) and 18,440 deaths (2,202 new) globally. As of 1030 AM EDT, the Johns Hopkins CSSE dashboard reported 491,623 confirmed cases along with 22,169 deaths and 118,245 people recovered. 
Pakistan continues to report a steady increase in COVID-19 cases. As of today, the Pakistan Ministry of National Health Services reported 1,057 lab-confirmed cases (66 new), more than three times the number of cases 6 days ago. As we reported previously, there is concern about importing COVID-19 cases arriving from Iran, and as discussed below, there is concern that a recent mass gathering in Pakistan could have facilitated transmission domestically and to other countries. The New York Times reported today that thousands of migrant workers coming from areas of Iran where COVID-19 is circulating widely, and are returning to different towns across Afghanistan, raising concerns of potential transmission across the country.  
The US CDC reported 54,453 total (confirmed and presumptive) COVID-19 cases (10,270 new) and 737 deaths (193 new) nationwide on March 25. The Johns Hopkins CSSE dashboard is reporting 69,246 US cases and 1,046 deaths as of noon EDT on March 26. The dashboard reports that New York City accounts for 20,011 of these cases and 280 of the deaths. 
SPAIN COVID-19 UPDATE The Spanish Ministry of Health reported 56,188 confirmed cases and 4,089 deaths, making it the country with the second-most deaths. Reports from various media outlets highlight the stress the outbreak is having on the Spanish health care system. Physicians and other medical personnel have had to make difficult decisions about which patients will receive limited supplies of life-saving resources. 
US RESPONSE The US Senate unanimously approved a $2 trillion relief package. While still awaiting approval from the US House of Representatives, if approved and enacted this package would become the largest in US history. According to NPR and the Washington Post, the package includes payments to qualifying Americans earning less than $75,000 and an expansion of unemployment insurance that allows for four months of full pay and raises the maximum unemployment insurance benefit by $600 per week. Additionally, the package would provide $150 billion in funding to the health system, including funding to increase supply of ventilators and other materials.
In an NPR interview, US Department of Defense Secretary Mark Esper warned that the US military is not able to deploy enough medical beds and other resources to meet the demands from state and local health officials. Secretary Esper stated that the military could provide a few thousand beds at most, whereas New York alone requested 90,000 hospital beds. New York City, as one of the most affected US epicenters, has reported over 20,000 cases and 280 deaths
A record 3.28 million workers have filed for unemployment benefits. States reporting the largest increases in unemployment include Pennsylvania, California, Massachusetts. New Jersey, and Ohio. Industries including restaurants, hotels, automakers, and airline industries, have been the most impacted by COVID-19 social distancing measures.
GLOBAL RESPONSE More countries around the world have enacted dramatic measures to limit the rate of COVID-19 spread. Several countries have enlisted their military and police forces in efforts to ensure that their constituents adhere to social distancing measures. Some countries, like India, have had trouble enforcing such measures given the size of the country’s population, the broad nature of the measure, and the fast implementation. The forceful nature of enforcing COVID-19 mitigation measures has sparked conversations about the preservation of human rights during pandemic response. Globally, healthcare systems are struggling to keep up with the increased number of COVID-19 patients and a growing deficit of medical supplies. Reports from Australia document public mistreatment of healthcare workers, fueled by concerns that they are spreading for COVID-19. This report comes alongside stories of members of the public stealing medical supplies and personal protective equipment as fears of an outbreak increase. 

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