No images? Click here Click here to subscribe to the daily brief. July 9, 2020 - Brief Issue 75 The Coronavirus Daily Brief is a daily news and analysis roundup edited by New America’s International Security Program and Arizona State University. Subscribe or listen here to get the top weekly stories as a podcast at the start of each week. Top Headlines United States Reaches 3 Million Coronavirus Cases and Sets Record of 60,000 New Daily Cases; Arizona Has Highest Per Capita Rate of Coronavirus Cases in the U.S. (Health & Science) New Study Finds Asymptomatic and Presymptomatic Spread of the Virus May Account for Nearly Half of Coronavirus Cases (Health & Science) New Global Analysis Outlines How Other Countries Have Reopened Their Schools as U.S. Wrestles With Next Steps (Health & Science) President Trump Tweets for FDA to “Act Now” on a New Hydroxychloroquine Study that Scientists Say is Flawed (Health & Science) Reopened Churches and Their Youth Programs Are Spreading Coronavirus Cases Across the U.S. (Health & Science) Analysis of Health Records of 17 Million People in England Confirms Risk Factors for COVID-19 Deaths (Health & Science) Bolsonaro Rejects Aid to Indigenous People, Uses Homophobic Slur to Mock to Masks (Around the World) Serbian Leader Backtracks on Reimposing COVID-19 Curfew Due to Protests (Around the World) Japan Faces Uptick in Cases, But the Government is Putting the Economy First (Around the World) India’s Transmission Rate is Increasing (Around the World) South Africa May Run out of ICU Beds in Four Weeks (Around the World) Harvard, MIT Sue Administration Over New Rules Blocking International Students from Staying in U.S. for Online Courses (U.S. Government & Politics) Despite CDC Recommendations, Trump Threatens to Cut Funding to Schools Remaining Online (U.S. Government & Politics) Despite Federal Aid, United Airlines Expected to Furlough 36,000 Employees (U.S. Economy) Pandemic Weakening the Dollar, Triggering “Death’s Cross” (U.S. Economy) NYC Schools Plan Return to Some In-Person Classes this Fall (U.S. Society) Health & Science There have now been 3,055,144 coronavirus cases in the United States, and 132,309 people have died (Johns Hopkins). Around 953,420 people have recovered, and the United States has conducted 37,431,666 tests. Worldwide, there have been 12,051,561 confirmed cases of coronavirus, with 549,735 deaths. At least 6,598,230 people have recovered from the virus. On Wednesday, the United States reached the 3 million coronavirus cases mark, adding 1 million cases in just 28 days (CNN). The United States reached its first 1 million cases 99 days after the first reported case was identified on January 21. Forty-three days later, the United States reached 2 million, and less than one month later, the U.S. has passed 3 million. The United
States now accounts for nearly 25 percent of global coronavirus cases, but less than 5 percent of the global population (NPR). On Tuesday, President Trump tweeted for the U.S. Food and Drug Administration (FDA) to “Act now” on a new observational study that found hydroxychloroquine was linked to a reduction in deaths in hospitalized COVID-19 patients, and the president’s trade adviser, Peter Navarro discussed a request for emergency use authorization from the FDA in an interview with the White House press pool (BioCentury, STAT). As we noted Monday, scientists have criticized the study’s methodological flaws. Peter Bach, director of the Center for Health Policy and Outcomes at Memorial Sloan Kettering Cancer Center, told BioCentury the study was “unconvincing” because of “severe” baseline imbalances. An editorial published in the same journal as the study pointed out several confounding factors, including treatment with steroids like dexamethasone, which has now been shown—in a large, randomized, controlled study—to save lives in hospitalized COVID-19 patients. Patients who received hydroxychloroquine in the new study also received steroids twice as often as the patients who did not receive hydroxychloroquine. As we wrote at length in Monday’s brief, large, randomized, controlled studies are
the gold standard for determining whether a treatment is effective. Observational studies look at a collection of individual cases that are affected by numerous variables; such studies try to compensate for the variables as much as possible and some studies do it better than others, but even the best cannot rule them out entirely. Observational studies cannot offer the evidence that a large, randomized, controlled trial can; instead, they are “often used to decide what ideas to test in randomized studies, to make sure that results from randomized studies translate to the real world, and to detect side effects” writes STAT. Five randomized, controlled studies
covering over 5,600 patients reported that hydroxychloroquine or chloroquine did not demonstrate the looked-for benefit to patients, writes BioCentury. Some large, randomized, controlled studies of hydroxychloroquine are still ongoing, as we noted in a brief last Wednesday, including the United Kingdom’s COPCOV study of the drug as a preventative, and—if they are done well—will offer yet more data that can help govern clinical decisions. Scientists are watching for the response from the FDA, which some have perceived as yielding to political pressure: “The FDA cannot afford another misstep if it wants to maintain credibility with American
people,” which will be “essential” to any future vaccine efforts, said Luciana Borio, who served as the FDA’s acting chief scientist from 2017 to 2019 (STAT). Analysis of Health Records of 17 Million People in England Confirms Risk Factors for COVID-19 Deaths An analysis of the health records of 17 million people in England—about 40 percent of the population—helps confirm several known risk factors for COVID-19 and adds new depth of information and research to the subject. The elderly, men, minorities, and people with certain health conditions are more vulnerable to COVID-19, found the authors of the study that is the largest of its kind, they say, and was published in Nature Wednesday (NYT, Nature). “A lot of previous work has focused on patients that present at hospital,” said Dr. Ben Goldacre of the University of Oxford, one of study’s authors. “That’s useful and important, but we wanted to get a clear sense of the risks as an everyday person. Our starting pool is literally everybody” (NYT). The study tracked over 17 million adults over three months; over 10,900 of them died of COVID-19 or its complications, according to hospital records. The study found that patients older than 80 were hundreds of times more likely to die than patients under the age of 40, a disparity that was “jaw-dropping,” Goldacre said. Men were more likely to die than women, and people with medical conditions like obesity, diabetes, severe asthma, and compromised immunity tended to have worse outcomes. About 11 percent of the people in the study who identified as nonwhite had a higher risk of dying from COVID-19 than white patients, even after statistical adjustments for age, sex, and medical conditions like heart disease that are more prevalent in some groups. “This highlights a lot of what we already know about Covid-19,” said Uchechi Mitchell, a public health expert at the University of Illinois at Chicago who was not involved in the study. “But a lot of science is about repetition. The size of the study alone is a strength, and there is a need to continue documenting disparities.” Bonus Reads: “Warning of serious brain disorders in people with mild coronavirus symptoms,” (Guardian); and “A mathematical model reveals the influence of population heterogeneity on herd immunity to SARS-CoV-2,” (Science). Around the World Americas Bolsonaro Rejects Aid to Indigenous People, Uses Homophobic Slur to Mock to Masks Brazilian President Jair Bolsonaro rejected a plan on Wednesday that would obligate the federal government to provide drinking water, disinfectants, and a guarantee of hospital beds to indigenous communities amid the pandemic (Reuters). According to his office, the provisions in the law, which were approved by the Brazilian Congress, were “against the public interest” and “unconstitutional,” by creating expenses for the federal government without new sources of revenue to cover them. Brazil has an indigenous population of around 850,000, all of whom are more vulnerable to COVID-19 because they live in remote areas with little access to healthcare systems. Bolsonaro vetoed 16 parts of the law, but did allow provisions for adequate testing, ambulance services, and medical equipment. “The vetoes deny the minimum necessary for the survival of these communities,” Brazilian indigenous advocacy group Instituto Socioambiental (ISA) said in a statement. Also on Wednesday, Bolsonaro, one day after testing positive for coronavirus himself, reportedly used homophobic language to mock the use of face masks (Guardian). The Folha de São Paulo, a leading newspaper, claimed Brazil’s far-right leader had baited presidential staff who were using protective masks, claiming such equipment was “coisa de viado” (a homophobic slur that roughly translates as “for fairies”). The newspaper further reported that despite Brazil’s intensifying coronavirus crisis, which has caused nearly 67,000 deaths and 1.6 million infections, Bolsonaro insisted on greeting visitors on Wednesday with a handshake and shunned masks. Europe Serbian Leader Backtracks on Reimposing COVID-19 Curfew Due to Protests Violence erupted in Serbia’s capital on Wednesday for the second day in a row as demonstrations against the President’s handling of the country’s coronavirus outbreak continued (AP). President Aleksandar Vucic conceded to the protesters’ demands; he had announced on Tuesday that a weekend curfew would be reintroduced two months after it was first lifted, but then backtracked and said no curfew would be enacted. Protesters and political opponents say that the autocrat contributed to the spike in deaths and new cases that the country has been experiencing after he lifted the previous lockdown measures and claim that he did so to cement his grip on the country after the June 21 parliamentary election. Vucic has denied those claims. Clashes between the police and the crowd resulted in 43 police officers and 17 protesters being injured on Wednesday, with 23 arrests made (Reuters). On Tuesday, Serbia recorded 13 more coronavirus deaths, its highest daily toll to date, as well as 299 newly recorded infections (Guardian). Italy’s Health Minister Mulls Mandatory Hospitalizations for Positive Cases Italy’s health minister proposed “sectioning,” or mandatory isolation and treatment, of people who refuse hospital treatment for COVID-19 and suspended flights from Bangladesh as the country deals with several new outbreaks. The potential move towards forced hospitalizations was proposed after a man who developed coronavirus symptoms after returning from a business trip to Serbia and resisted treatment in a hospital (Guardian). Five other people tested positive and 89 others were quarantined after the man attended a funeral and a birthday party. Health Minister Roberto Speranza reminded the public that those who break isolation rules currently face jail time and anyone who negligently spreads the virus risks a prison sentence of up to 12 years. The minister also said the flights from Bangladesh were suspended after “a significant” number of the over 200 passengers arriving in Rome on Monday from Dhaka tested positive. “After all the sacrifices made we cannot afford to import infections from abroad,” Speranza said. “Better to continue to follow the line of utmost caution.” Catalonia Makes Masks Mandatory The Spanish region of Catalonia is making face masks in public spaces compulsory at all times starting Thursday morning. The region is struggling with a renewed outbreak of coronavirus cases around Lleida, forcing 200,000 residents back into lockdown and pushing hospitals to capacity (Guardian). While Spain has ordered the use of masks since June indoors and outdoors if social distancing cannot be maintained, the Catalan government explained its decision to toughen the national directive, with spokeswoman Meritxell Budó saying: “We understand we should go a little further and enforce mask-wearing regardless of the physical distance between people. It is very important to protect ourselves and others.” Asia Japan Faces Uptick in Cases, But the Government is Putting the Economy First Tokyo recorded 224 new infections on Thursday, according to Japanese public broadcaster NHK, surpassing a record set in April (NYT). Yet, there is no appetite for another shutdown that would place additional stress on the economy; the virus will be addressed with measures “that would not further harm the economy,” according to Tokyo’s governor, Yuriko Koike (WaPo). At the end of June, the government abruptly dismantled a panel of medical experts that had been working on the national response to the virus, replacing it with a group of business experts. Tokyo’s municipal government also abandoned an alert system that would reimpose shutdowns if the virus began spreading again. “The situation is different today from early April when we issued the state of emergency,” said Yasutoshi Nishimura, the economy minister, who is in charge of the government’s coronavirus response. But scientists are worried because many of the new infections are in young people, and some are severe. India’s Transmission Rate is Increasing On Thursday, India confirmed 25,000 new infections, and its transmission rate is rising for the first time since March, reports the Associated Press. Research by the Institute of Mathematical Sciences in Chennai shows that India’s virus reproduction rate increased in the first week of July to 1.19 after steadily falling from peak transmission of 1.83 in March. India’s infections have skyrocketed since the lockdown restrictions were eased and the government has also increased testing to more than 200,000 samples a day. Africa South Africa May Run out of ICU Beds in Four Weeks Health Minister Zweli Mkhize told parliament that South Africa is likely to run out of intensive-care unit beds within four weeks, even if the number of infections, which are expected to hit a high point in August, are lower than initially projected (Bloomberg). “Fewer people were infected in May and June than was previously projected even under the optimistic scenario,” Mkhize said. The number of infections has surged in the past few days, with a total of 224,665 confirmed cases reported so far, the highest number in Africa (Johns Hopkins). A Silent Epidemic in Africa Many health experts are concerned about the lack of reliable data in regards to the coronavirus in Africa. Some African nations have been reluctant to acknowledge epidemics or to expose their weak healthcare systems to scrutiny, while others simply cannot carry out significant testing because they have been consumed by poverty or ravaged by conflict (Reuters). But sharing information and data is critical to fighting the pandemic across the continent, and as things currently stand, it is impossible to fully gauge the severity of the spread of the virus. According to data collected by Reuters, Africa, with a population of 1.3 billion people, has over 493,000 confirmed cases and 11,600 deaths. By comparison, Latin America, with roughly half the population, has 2.9 million cases and 129,900 deaths. While the official numbers make it seem like Africa has largely escaped a major outbreak, the reality is certain to be much worse, as World Health Organization special envoy Samba Sow warned of a possible “silent epidemic” if testing is not prioritized. “We cannot help a country against its own will,” Michel Yao, head of emergency operations for the WHO in Africa, told Reuters. “In some countries, they are having meetings and not inviting us. We are supposed to be the main technical advisor.” U.S. Government & Politics Harvard, MIT Sue Administration Over New Rules Blocking International Students from Staying in U.S. for Online Courses Harvard and the Massachusetts Institute of Technology (MIT) filed a lawsuit on Wednesday against the Trump administration, aiming to temporarily prohibit the government from enforcing U.S. Immigration and Customs Enforcement (ICE) rules to strip international students of their visas. As we noted in Monday’s brief, ICE announced that it would bar foreign students from remaining in the country if their university classes are taught entirely online, and requires international students to be on campus if their courses are taught in a hybrid model. Many universities spoke out against the new rules, as international students make up a significant portion of the student body and contribute a large portion of tuition fees. The lawsuit claims that the rules aim to “create as much chaos for universities and international students as possible” (NYT). Despite CDC Recommendations, Trump Threatens to Cut Funding to Schools Remaining Online On Wednesday morning, President Trump said he disagreed with the Centers for Disease Control and Prevention (CDC) school guidelines, and threatened to cut federal funding to schools planning to stay closed and continue online learning in the fall. The CDC has consistently recommended that schools with in-person students should maintain social distancing, regularly disinfect surfaces, and close communal areas, but the agency has not specifically addressed the question of whether schools should offer in-person classes. The President is able to control federal funding, which accounts for about 10 percent of school budgets across the country, and can influence emergency funds appropriated by Congress throughout the pandemic. Already dealing with decades of budget cuts, schools are heavily reliant on emergency funds to properly adjust their teaching methods and classrooms for coronavirus (NYT, CNN). U.S. Economy Despite Federal Aid, United Airlines Expected to Furlough 36,000 Employees United Airlines announced Wednesday that it expects to furlough up to 36,000 employees if travel demand does not rebound by late September. The announcement threatens the jobs of nearly 40 percent of United’s workforce, and will see the majority of cuts in flight attendants and customer service agents (NYT). Employees are being offered early retirement options as an alternative to the furloughs. United and other airlines continue to struggle financially, despite a $25 billion stimulus package distributed to the industry in March. The funds required airlines to maintain employment numbers through the end of September. The airlines have called for additional funds. Sara Nelson, president of the Association of Flight Attendants, said that “the United Airlines projected furlough numbers are a gut punch, but they are also the most honest assessment we’ve seen on the state of the industry” (WaPo). Pandemic Weakening the Dollar, Triggering “Death’s Cross” The pandemic is weakening the dollar, as coronavirus cases resurge across the United States, according to a Wednesday report in Reuters. The dollar is off 6 percent from recent highs, and bets against the dollar are at their highest point since 2018. Reuters writes, “A decline in the dollar earlier this week set off a technical formation known as a ‘Death Cross,’ which occurs when the 50-day moving average crosses below the 200-day moving average, according to analysts at BofA Global Research. Past occurrences of the Death Cross have been followed by a period of dollar weakness eight out of nine times since 1980 when the 200-day moving average has been declining, as it is now, analysts at the bank said.” Walgreens Plans to Rebrand as Healthcare Provider Walgreens will begin adding physicians’ offices to its stores in a move to rebrand as a healthcare company. Walgreens has partnered with VillageMD to open more than 500 clinics at its drugstores over the next five years. The $1 billion deal has been in the works for the past year, and is expected to increase profits as coronavirus drives down in-store sales and rivals CVS, Amazon, and Walmart diversify their offerings (WSJ).
U.S. Society NYC Schools Plan Return to Some In-Person Classes this Fall New York City Mayor Bill de Blasio plans to move forward with a hybrid learning model this fall, mixing two to three days of in-person classes with online instruction. The plan was announced shortly after President Trump threatened cuts to schools that continue with online learning (NYT). Face masks will be required for all people in school buildings, with the goal of decreasing class sizes to less than 12 students per teacher. While the mayor’s office hopes the new guidelines will decrease infection rates, President Trump continues to push schools to reopen completely (WSJ). Parents across the county have expressed concerns about the effectiveness and challenges of online learning, but the majority report a preference for continued remote learning (WaPo, WSJ). Analysis & Arguments Bryce Covert argues that the pandemic strengthens the case for getting rid of the tip adjusted minimum wage (New Republic). Lisa Feldman Barrett provides some suggestions for how to make online courses more worthwhile (NYT). David A. Graham argues against criticism of the Paycheck Protection Program (Atlantic). Anna-Catherine Brigida profiles a family separated between El Salvador and the United States by Trump’s policies and coronavirus (Intercept). A comment in the Lancet criticizes the Trump administration’s decision to withdraw from the World Health Organization. Readers can send in tips, critiques, questions, and suggestions to coronavirusbrief@newamerica.org. The Brief is edited by Melissa Salyk-Virk and David Sterman and co-edited by Emily Schneider and Narisara Murray, with Brianna Kablack and Senior Editor Peter Bergen. Read previous briefs here and stream and subscribe to our weekly podcast here. About New America New America is dedicated to renewing the promise of America by continuing the quest to realize our nation's highest ideals. Read the rest of our story, or see what we've been doing recently in our latest Annual Report. Help us to continue advancing policy solutions and journalism by making a donation to New America. |