Coronavirus pandemic in the US

By Meg Wagner, Fernando Alfonso III and Veronica Rocha, CNN

Updated 8:50 p.m. ET, April 22, 2020
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6:05 p.m. ET, April 22, 2020

Montana's stay-at-home order will be lifted Sunday

From CNN's Allison Flexner

Montana Governor Steve Bullock speaks in Altoona, Iowa on October 13, 2019
Montana Governor Steve Bullock speaks in Altoona, Iowa on October 13, 2019 Scott Olson/Getty Images

Montana's stay-at-home order will be lifted Sunday, as part of a gradual and phased reopening of the state, Gov. Steve Bullock tweeted today.

His phase one measures outlined in a statement include giving local school districts the option to return to in-classroom learning beginning May 7.

Places of worship can become operational on April 26 in a manner consistent with social distancing between people who are not members of the same household.

Main street and retail businesses can become operational on or after April 27 if they can adhere to requirements to limit capacity and maintain strict physical distancing. Employers are directed to develop policies to keep employees and customers safe including teleworking when possible, enforcing social distancing protocols, and other measures.

Restaurants, bars, breweries, and distilleries can begin providing some in-establishment services beginning May 4.

Businesses where groups gather without the ability to social distance including movie theaters, gyms, and other places of assembly will remain closed.

Montana’s travel quarantine will remain in effect.

“Our new normal is going to look different. This virus isn’t gone from Montana. So as we turn to support our main street businesses and get more families back to work during this time – as we should – we must also be sure to continue looking out for those around us and protecting everyone around us,” Bullock said. 

“Once we begin to reopen, we want to be able to stay open. Our personal responsibility to protect those around us – particularly those most vulnerable – remains just as important as any time during this pandemic.”

5:46 p.m. ET, April 22, 2020

Gaming Control Board issues guidelines for reopening of establishments in Nevada

From CNN's Jamiel Lynch

 

The Nevada Gaming Control Board has put out guidelines for the reopening of gaming establishments in the state once the temporary closures end. 

Nevada operations are currently closed under the state's stay-at-home order. The guidelines would go into effect once that order is lifted or changed by the governor.

Establishments must send a reopening plan to the audit and enforcement divisions at least seven days before reopening, or as soon as possible, the memo said.

The board also listed 18 procedures that licensees should follow and have in place when reopening including that the establishment must comply with all prescribed local, state and federal Covid-19 heath requirements.

5:56 p.m. ET, April 22, 2020

Houston residents are now required to wear face coverings to contain Covid-19 outbreak

From CNN’s Sharif Paget

Gary Towler puts on gloves to protect against coronavirus, before entering a grocery store on April 22, in Spring, Texas.
Gary Towler puts on gloves to protect against coronavirus, before entering a grocery store on April 22, in Spring, Texas. David J. Phillip/AP

Harris County Judge Lina Hidalgo announced Wednesday that she will require people to wear face coverings in public to combat the spread of Covid-19 in her county, which includes Houston, Texas.

“I’m signing an order requiring folks who absolutely have to go out in public to wear a face covering,” she said wearing a face mask at news conference with Houston’s Mayor Sylvester Turner. “We have to use every tool in the toolbox."

The order will go into effect April 27 and will last for 30 days, said Hidalgo who emphasized that this new measure is “not a substitute for social distancing.”

Turner will announce a plan tomorrow to distribute 70,000 face coverings "to vulnerable communities," the mayor's office tweeted today.

5:25 p.m. ET, April 22, 2020

San Francisco expands Covid-19 testing to all essential workers

From CNN's Alexandra Meeks

San Francisco Mayor London Breed speaks during a press conference at San Francisco City Hall on March 16.
San Francisco Mayor London Breed speaks during a press conference at San Francisco City Hall on March 16. Justin Sullivan/Getty Images

Beginning today, all essential workers in San Francisco, California, can receive Covid-19 testing, Mayor London Breed announced at a news conference today.

The expanded testing is available to both public and private sector workers and any other resident with symptoms who cannot otherwise access testing, Breed said. 

"We want to ensure all frontline and essential employees that leave their homes every day to serve our residents have a fast, easy, and accessible option for testing,” Breed said. “We also want those who don’t have insurance, or who lack access to health care or access to basic services to know they can be tested through CityTestSF and receive the support and health care they need."

Breed also announced approximately $10.5 million is being allocated to a response and recovery fund to support vulnerable San Franciscans and small businesses during the pandemic.

As of Wednesday, 1,233 San Francisco residents have tested positive for coronavirus and 21 have died, Breed said.

5:32 p.m. ET, April 22, 2020

North Carolina examining ways to ease state restrictions

From CNN's Vivian Kuo

A general view of the Charlotte, North Carolina skyline on April 21.
A general view of the Charlotte, North Carolina skyline on April 21. Streeter Lecka/Getty Images

Stakeholders have been meeting to discuss how North Carolina might be able to ease restrictions while still protecting its residents, said Dr. Mandy Cohen, secretary of the state's Department of Health and Human Services.

“I look forward to sharing more ways in what easing restrictions in the state could look like in the coming days,” Cohen said at a news conference Wednesday.

Cohen said decisions are currently being made on the state level, and not county-by-county.

“I think making decisions at the county level is incredibly challenging given how people move throughout the counties. The virus certainly does not respect county borders. I think it's reasonable to look at regions, but we have to be guided by the data to do that. And we're going to continue our work here. At the moment, we want to be making statewide decisions,” she said. 
5:10 p.m. ET, April 22, 2020

New York crematoriums overwhelmed by the number of dead get help from volunteers

From CNN's Brian Vitagliano

A casket is placed into a hearse outside of a funeral home in New York City on April 16.
A casket is placed into a hearse outside of a funeral home in New York City on April 16. Spencer Platt/Getty Images

Crematoriums in hard hit areas of New York have a backlog of nearly a month and now, volunteers are coming to their aid.

Mike Lanotte, the executive director for the New York state funeral directors association, told CNN that volunteers are helping to ease the burden that downstate crematories are experiencing due to the Covid-19 pandemic. 

Licensed funeral director volunteers, like 58-year-old Dave Penepent, work with multiple funeral homes to pick up and transport bodies of the deceased.

Penepent, who is also an associate professor of Funeral Services Administration at SUNY Canton, said, “I knew that with the backlog of human remains down in the NYC area there was going to be the need to find a solution to get these remains to a final resting place.”

Some context: In the beginning of April, Penepent created “Hands with a Heart” along with four of his students who have been deputized as resident funeral directors. 

“I’m just offering a hand, and what is in that hand? The hearts of the bereaved families. In the middle of our hands is the grieving hearts of the bereaved,” Penepent told CNN. 

Over Easter week Penepent said he and his team transported 70 bodies to crematories out of the area to their final resting place.

This past week “Hands with a Heart” transported 150 bodies, and Penepent says he is looking at close to roughly 250 human remains to be transported this week. Most bodies are going out of state to places like Connecticut, Vermont and Pennsylvania.

5:30 p.m. ET, April 22, 2020

Kansas governor signs executive order to ease license restrictions on health care workers

From CNN’s Sharif Paget in Atlanta

Kansas Gov. Laura Kelly discusses the coronavirus pandemic from the Statehouse in Topeka, Kan. on April 15.
Kansas Gov. Laura Kelly discusses the coronavirus pandemic from the Statehouse in Topeka, Kan. on April 15. John Hanna/AP

 

Kansas Gov. Laura Kelly said she signed an executive order to temporarily ease licensing restrictions on the state’s healthcare workforce to “adjust to the urgent demands” Covid-19 has placed on the health care system.

“The actions I'm taking today will we move roadblocks and bolster the number of qualified health care workers who are able to contribute to our Covid-19 response at their full professional capabilities,” Kelly said at a news conference Wednesday.

The governor said this measure will temporarily wave physician supervision or collaboration requirements from certain medical professionals who are assisting in the state’s response efforts such as physician assistants and registered nurses.

The executive order will also permit registered nurses and licensed practical nurses “who hold a specialty license that is exempt, inactive, or has lapsed within the last five years to provide medical services appropriate to their qualifications,” Kelly said.

She added that the order will also allow students enrolled in programs to become licensed, registered, or certified healthcare professionals to help in whatever appropriate roles are necessary to support a facility's response to the pandemic.

4:46 p.m. ET, April 22, 2020

California will begin allowing scheduled surgeries

From CNN's Cheri Mossburg

 

California Gov. Gavin Newsom at news conference at the Governor's Office of Emergency Services in Rancho Cordova on April 14.
California Gov. Gavin Newsom at news conference at the Governor's Office of Emergency Services in Rancho Cordova on April 14. Rich Pedroncelli/Pool/AP

California Gov. Gavin Newsom on Wednesday encouraged hospitals to move forward with scheduled surgeries.

Newsom emphasized those surgeries include important medical procedures like heart surgery and cancerous tumor.

Elective procedures like cosmetic surgery are not a priority, he said.

Newsom said allowing hospitals to perform scheduled surgeries is the first phase in returning to normalcy in California.

4:58 p.m. ET, April 22, 2020

Rhode Island drafting plan to open parks and beaches

From CNN's Renee Baharaeen

Rhode Island Gov. Gina Raimondo gives an update on the coronavirus during a news conference on March 22.
Rhode Island Gov. Gina Raimondo gives an update on the coronavirus during a news conference on March 22. Kris Craig/Providence Journal/AP

State officials have been asked to draft a plan for reopening parks and beaches in Rhode Island, Gov. Gina Raimondo announced on Wednesday. 

“It's my hope that we will be able to enjoy our parks and beaches in the month of May,” Raimondo said. “We’ll be reopening them, like everything else, in a staged fashion, slowly, with new restrictions, incrementally, leading up to an eventual complete reopening.”

On Wednesday, Rhode Island announced 365 new coronavirus cases and 10 new deaths, bringing the state total to 5,841 cases and 181 deaths. The state has performed a total of 41,722 tests.