Morning Briefing
Summaries of health policy coverage from major news organizations
Growing Number Of Checkpoints Pose Problems For Travelers Crossing State Borders; Infection Rate In Farm Country Haunts Indiana's Health Officials
Americans have long held the open road as integral to their freedom. But with the coronavirus pandemic, the once unthinkable has begun to happen: States have set up checkpoints to discourage other states鈥 residents from crossing their borders. Texas, Delaware, Florida and Rhode Island are stopping drivers with out-of-state license plates and ordering them to quarantine for two weeks, if they intend to stay in the state. Those entering the state for 鈥渆ssential鈥 business reasons, such as commercial traffic, appear to be exempt. (Povich, 4/8)
The coronavirus pandemic surged into Sean Durbin鈥檚 farm-speckled Indiana county much faster than most other parts of rural America, contributing to at least 10 deaths and dozens of serious illnesses. Decatur County and two other counties in southeast Indiana have among the highest per-capita infection rates in the country, topping the Seattle area and some counties near hard-hit Detroit. As Decatur County鈥檚 public health preparedness coordinator, Durbin is working to stem the spread of the virus, even as he grieves the loss of a close friend to COVID-19 and stays apart from his wife so she can help with their new grandchild. (Davies and Cummings, 4/9)
Governor Charlie Baker said Wednesday that Massachusetts is still 鈥渙n the upward slope" of the coronavirus pandemic and a period of 鈥渟erious strain鈥 on the health care system is still ahead. But he also held out some hope that the steps that officials have taken to blunt the impact of the pandemic are working. (Finuane and Andersen, 4/8)
Massachusetts continues to prepare for an expected spike in coronavirus cases. The State Department of Public Health has issued guidelines intended to help health care provider prioritize who gets care, if there are too many intensive care patients, and not enough ventilators. Meanwhile, the number of coronavirus cases, and COVID-19 related deaths continues to rise. (Walters, 4/8)
For some Eastie neighbors, staying home means missing pay, without the promise of an unemployment check. Leila, my first-generation student,聽has been moving between three houses each day, following the ebb and flow of her parents鈥 work schedules. Sometimes we catch her in the car for our Zoom calls, writing notes in the condensation on the windshield. She comes to every call but says it's hard聽to do her school assignments because she鈥檚 always on the go. (Thomas, 4/9)
This city鈥檚 convention center typically draws vibrant crowds for trade shows and exhibitions, but seemingly overnight it now looks ready to handle a pandemic. Row after row of hospital beds line the 50,000-square-foot floor. Cabinets along the perimeter hold critical drugs and medical supplies. A trailer of portable showers stands at one end of the room, a movable X-ray machine at another. This MASH-style field hospital in the DCU Center will be ready to accept its first patients Thursday 鈥 one of three pop-up hospital sites to treat the fast-rising numbers of people in Massachusetts sickened by coronavirus. (McCluskey, 4/8)
After California ordered 200 million masks a month to protect essential workers from coronavirus, will states and nations elsewhere lose out? Gov. Gavin Newsom says no. Newsom announced Tuesday night that California 鈥 which boasts the fifth largest economy in the world 鈥 will channel nearly $1 billion toward obtaining 200 million masks a month for California鈥檚 healthcare personnel, grocery store clerks, homeless outreach teams and other frontline workers at heightened risk for the coronavirus. (White, Murphy and Marinucci, 4/8)
Kaiser Health News: Newsom鈥檚 Ambitious Health Care Agenda Crumbles In A 鈥楻adically Changed鈥 World
This was supposed to be a big health care year for California. Democratic Gov. Gavin Newsom in January unveiled ambitious proposals to help him achieve his goal of getting every Californian health care coverage. Though it was far less than the single-payer promise Newsom had made on the gubernatorial campaign trail, his plans, if adopted, would have expanded the health care system as no other state has. (Hart, 4/9)
San Francisco now plans to lease 7,000 hotel rooms to provide shelter for homeless people as well as first responders and health care workers battling the spread of the coronovirus, city officials said Wednesday. This would more than triple the rooms now under contract. The city already has committed $35 million for the next three months to lease the first batch of units. The overall effort would cost San Francisco roughly $105 million 鈥 some but not all of which would be reimbursed by the federal and state governments. (King, 4/8)
Hospitals in New York City, where more people have died of COVID-19 than in the 9/11 terrorist attacks, are critically low on ventilators, which help patients breathe through a tube in their throat. California is amassing thousands of ventilators to meet an expected demand in May, but doesn鈥檛 need them all yet. In fact, the state lent hundreds of them to harder-hit areas this week. (Moench, 4/8)
Even as the last passengers disembarked the Coral Princess, the latest cruise ship in the U.S. with reported cases of COVID-19, the U.S. Coast Guard said over 100 cruise ships and 90,000 crew members are still stuck at sea in or near U.S. ports and waters. Last week, two cruise ship crew members had to be medically evacuated from Royal Caribbean's Oasis of the Seas and one from the Celebrity Infinity, who later passed away 鈥渄ue to undetermined medical reasons.鈥 The Coast Guard confirmed that all three crew members had "COVID-19 like symptoms." (Kaji, Benitez and Maile, 4/8)
Another 10,000 National Guard troops are expected to be activated to help deal with the coronavirus in the next week or two, the聽National Guard Bureau chief聽said Wednesday. 鈥淲e鈥檝e been accelerating at sort of more than 1,000 a day. ... We could easily get this up another [10,000] or more than that in the next week or two,鈥 Gen. Joseph Lengyel told reporters at the Pentagon. About 28,400 Guardsmen are deployed throughout the United States, with Lengyel saying that figure will reach well over 30,000聽鈥渋n the next couple of days.鈥 (Mitchell, 4/8)
Charlotte Figi, the Colorado Springs girl who, as a gleeful and fragile child, launched a movement that led to sweeping changes in marijuana laws across the globe, has died from complications related to the new coronavirus. She was 13. ... Charlotte had Dravet syndrome, a rare and debilitating form of epilepsy that first appears when children are young. From the time she was just 3 months old, Charlotte suffered hundreds of small and large seizures a day. Pharmaceutical treatments proved ineffective .... Paige Figi said Charlotte鈥檚 seizures reduced dramatically when she began taking CBD oil. (Ingold, 4/8)
Gov. Brian Kemp extended Georgia鈥檚 shelter in place聽order through the end of April and imposed new restrictions on senior care facilities Wednesday as he faced criticism from local officials who urged him to take more drastic steps to contain the coronavirus outbreak.聽The governor extended the stay at home orders hours after he聽renewed a public health emergency declaration that grants him unprecedented authority to curb the pandemic. He said it gives him the 鈥渢ools we鈥檙e going to need鈥 to combat the highly contagious disease.聽 (Bluestein, 4/8)
Kaiser Health News: Retiree-Rich Palm Beach County Leads Florida In COVID-19 Deaths
No place in Florida has recorded more deaths from COVID-19 than Palm Beach County, the tropical vacation and retirement destination that bills itself 鈥 chutzpah notwithstanding 鈥 as 鈥淭he Best of Everything.鈥 As of Wednesday afternoon, 69 people in the South Florida county of 1.5 million had died after being infected with the novel coronavirus. The death toll outpaces the state鈥檚 two more populated counties, including Miami-Dade, which has nearly twice the population and 49 deaths. (Galewitz, 4/8)
A downtown New Orleans hotel where nearly 200 homeless people have been housed during the coronavirus pandemic is failing to follow basic health protocols, including the use of masks and gloves and social distancing, and is ill-equipped to deal with a rash of drug overdoses and other health emergencies, according to medical staff who have volunteered there. (Baurick, 4/8)
Detroit's number of COVID-19 cases and deaths continue to rise, but Mayor Mike Duggan said the city is trending in聽the right direction. The city reported 247 total deaths on Wednesday, a daily increase of 26. The total number of cases was 5,834, up 333 from Tuesday. (Guillen, 4/8)
Blake's Hard Cider is the latest distillery to jump into the hand sanitizer arena.聽The Armada-based and family owned and operated craft distillery is utilizing its cannery operations to produce hand sanitizer.聽Blake's said it is producing the sanitizer according to World Health Organization standards in gallon size for $30 to distribute to hospitals, health care facilities and large companies. They are making it available for shipping throughout Michigan.聽(Selasky, 4/8)
Like many Louisiana residents with developmental disabilities, the Gritters receive a Medicaid waiver to pay for that help. But the fear of exposure and the need for social distancing is making life even more challenging for families like the Gritters who care for vulnerable members. (Pagones, 4/8)
A doctor who tested positive for聽coronavirus in March was the first person to donate plasma to a new program designed to help COVID-19 patients.聽Dave Lal, a聽pediatric surgeon聽at Children鈥檚 Hospital of Wisconsin, donated plasma to the Versiti Blood Center of Wisconsin's聽convalescent plasma program on Monday. The聽donation聽will be provided to聽hospitals participating in the program, which could help those who are severely ill with coronavirus.聽One plasma donation can be used to treat multiple patients, according to Versiti. (Casey, 4/8)
Wisconsin passed a grim milestone on Wednesday.As the state recorded the 100th coronavirus death and the number of cases climbed, sales of Harley-Davidson motorcycles fell, election results won't be known until next week聽and Milwaukee County bus passengers may have to wait longer for a ride because of limits to the number of people on board. Plus everyone wants to know 鈥斅爃ow much longer will this last? (Jones, 4/8)
North Las Vegas City Council members unanimously passed an ordinance Wednesday that will put teeth into emergency directives from the governor or city manager. The immediate goal of the ordinance is to levy civil and criminal penalties against landlords and property managers who evict commercial or residential tenants during the coronavirus pandemic. Though Gov. Steve Sisolak signed an order on March 29 that puts a moratorium on evictions, some tenants still face lockouts. (Apgar, 4/8)
The聽Marion County Emergency Operations Center announced Wednesday morning that a temporary morgue facility has been secured for use, if needed, during the anticipated surge of coronavirus聽patients in the coming weeks. (VanTryon, 4/8)
Overall crime might have dipped recently due to coronavirus restrictions, but the number of homicides in Indianapolis has not.聽The city has seen 45 criminal homicides, of 54 total homicides that include self-defense and accidental deaths as of April 6, according to an IndyStar analysis and data聽provided by the Indianapolis Metropolitan Police Department.聽That's higher than the amount of criminal homicides at this聽time last year聽鈥 34聽鈥 and in 2018聽鈥 35聽鈥 when Indianapolis set a new record for homicides.聽(Hill, 4/9)