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Tuesday, Mar 3 2020

Full Issue

Death Toll Climbs In U.S. As Wash. Nursing Facility Patients, Staff And Responders Continue To Be Monitored

Eight of Washington state's 18 cases, as well as four of the deaths, are linked to the Life Care Center nursing home in Kirkland, Wash. After declaring a state of emergency, King County officials announced highly unusual plans to purchase a motel that could be converted into an isolation center for people who get sick.

The U.S. death toll from the coronavirus rose to six on Monday, and patients were being treated in at least 15 states, deepening fears about the outbreak's rapid spread and the medical, psychological and economic toll it will exact on the United States. Four deaths announced Monday and two others this weekend all occurred in Washington state, the center of the nation鈥檚 most serious outbreak. Eight of the state鈥檚 18 cases, as well as four of the deaths, are linked to the Life Care Center nursing home in Kirkland, Wash., and at least 50 other residents and staff members have reported coronavirus-like symptoms. (Sacchetti, Hernandez, O'Grady and Wan, 3/2)

The nursing home was the site of four of the nation鈥檚 deaths and has four other confirmed cases, including one woman in her 80s who is in critical condition, according to King County鈥檚 public health department. New cases were also reported in California, Massachusetts, Oregon, New Hampshire and Illinois on Monday as state officials attempted to quell fears. At least 50 people have been diagnosed with the novel infection within the U.S., not including repatriated Americans. (Calfas, Carlton and Craymer, 3/2)

Movie nights have been canceled. Residents are restricted to their rooms, their meals delivered by workers in protective gear. Ambulances come and go, taking elderly patients who have fallen ill to the hospital two miles away. Life Care Center, which advertises a 鈥渉omelike and welcoming atmosphere鈥 in the Seattle suburb of Kirkland, has become the focal point of the coronavirus outbreak in the United States. Four of the six people who have died of the virus in this country were residents of the 190-bed nursing care facility. Several other residents and at least one employee have tested positive. One-quarter of the city鈥檚 firefighters are in quarantine as a result of recent visits, and officials said on Monday that some have developed flu-like symptoms. (Baker and Weise, 3/2)

"Current residents and associates continue to be monitored closely, specifically for an elevated temperature, cough and/or shortness of breath," officials said in a statement on the Life Care website. "Any resident displaying these symptoms is placed in isolation. Associates are screened prior to beginning work and upon leaving." (Silverman, Yan and Almasy, 3/3)

The outbreak in the counties near Seattle is the most concentrated of the coronavirus clusters detected so far in the U.S. While other areas have reported single cases or small groups, many in travelers returning from abroad, the Washington state illnesses appear to represent an outbreak with transmission going on in the community. 鈥淎s we test more, we will see more,鈥 Duchin said. 鈥淚t is impossible for me to predict what the peak of this outbreak may be.鈥 Many new confirmed cases will be mild as testing expands." (Langreth and Cortez, 3/2)

Firefighter Jessica Brassfield donned gloves as she entered the Life Care Center of Kirkland, a nursing home in Kirkland, Wash., not long after midnight Wednesday. But she didn鈥檛 wear a mask. The Life Care Center, health authorities later discovered, was harboring the new coronavirus. Now, Ms. Brassfield and 18 other Kirkland firefighters who responded to health-related calls at the facility in recent weeks are under isolation by public-health officials. Eight more are quarantined, according to a union official. (Evans and Carlton, 3/2)

A growing number of schools in western Washington state and Oregon are scrambling this week to temporarily close and sanitize classrooms following the confirmation of additional cases of coronavirus and at least six deaths linked to the disease in Washington. The decision to cancel classes Monday in at least a dozen schools in the greater Seattle area indicates how essential it is for school districts to have contingency plans and could be a preview for communities across the country weighing what preventative steps to take, health experts say. (Ortiz, 3/2)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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