November 19 coronavirus news

By Nectar Gan, Adam Renton, Sebastian Shukla, Meg Wagner and Melissa Macaya, CNN

Updated 1:28 a.m. ET, November 23, 2020
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2:01 p.m. ET, November 19, 2020

There's a coronavirus outbreak on a US Navy warship, official says

From CNN's Ryan Browne

The guided missile destroyer USS Michael Murphy (DDG 112) arrives at Joint Base Pearl Harbor-Hickam in Hawaii on November 21, 2012.
The guided missile destroyer USS Michael Murphy (DDG 112) arrives at Joint Base Pearl Harbor-Hickam in Hawaii on November 21, 2012. Diana Quinlan/US Navy

There has been a major coronavirus outbreak aboard a US Navy guided missile destroyer.

The virus has spread to nearly a quarter of the USS Michael Murphy's 300-person crew, according to a US Navy official.

The ship has been in port in Hawaii so there has been limited operational impact due to the outbreak.

The US Navy did not immediately respond to a request for comment. NBC was first to report the outbreak aboard the ship.

CNN reported on Wednesday that the US military reported a record high number of coronavirus cases on Tuesday with 1,314 new cases, according to Defense Department statistics.

There are currently about 25,000 active Covid-19 cases in the ranks, and another 44,390 service members have recovered from the virus, according to the Pentagon. The number of military cases has grown over the last few weeks as case counts have increased in the general population.

1:28 p.m. ET, November 19, 2020

More than 21% of Covid-19 cases in assisted living facilities end in death

From CNN’s Jen Christensen

Assisted living facilities have been a hotspot for Covid-19 deaths in this pandemic.

By Oct.15, the proportion of Covid-19 cases that were fatal in these facilities was at least 21%, a new report from the US Centers for Disease Control and Prevention found.

It is likely higher, but only 39 states track these deaths. For perspective, for the general population, only 2.5% of Covid-19 cases end in death, the CDC noted.

The CDC has been tracking cases in skilled nursing facilities. Those institutions where residents need more care have a federal reporting requirement if they get a Covid-19 case. There is no such requirement for assisted living facilities, where the seniors live more independently, but get some assistance with bathing, housekeeping, and medication management.

From this new CDC data published Thursday in the Morbidity and Mortality Weekly Report, researchers found 22% of all assisted living facilities had one or more Covid-19 cases among the residents or staff.

Residents are at a higher risk for Covid-19 because they live in close proximity with other community members. Their advanced age and underlying conditions put them at a higher risk for a more severe disease.

To prevent the spread of Covid-19 in these facilities, the CDC recommends that each facility identify a point of contact at the local health department so they have a relationship if there is an outbreak. Managers should educate residents, staff, and residents’ families about Covid-19.

They should have a plan for when the facility needs to restrict access for families and staff. The facilities should encourage the use of masks and social distancing, as well as step up infection control and find ways to rapidly identify and respond to cases.

12:50 p.m. ET, November 19, 2020

Key West will now require masks to be worn outdoors

From CNN's Melissa Alonso 

Customers wear masks at the Farmers Market in Key West, Florida on September 17.
Customers wear masks at the Farmers Market in Key West, Florida on September 17. Daniel Slim/AFP/Getty Images

The city of Key West, Florida, will now require face masks to be worn outside, regardless of social distancing.

The city announced the move in a tweet following a commission meeting on Thursday.  

As of Wednesday, Key West has had 1,382 total Covid-19 cases, Mayor Terri Johnston said during a weekly update on Facebook.  

The island city has a population of 24,565, according to the US Census Bureau.  

"It's [going to] take a collective effort of each and every one of us in order to get our numbers down," Johnston said ahead of Thursday's commission meeting. 

12:45 p.m. ET, November 19, 2020

CDC urges Americans to skip Thanksgiving travel

From CNN's Maggie Fox

A general view of the Centers for Disease Control headquarters is seen in Atlanta on April 23.
A general view of the Centers for Disease Control headquarters is seen in Atlanta on April 23. Tami Chappell/AFP/Getty Images

The US Centers for Disease Control and Prevention recommends that Americans should not travel for Thanksgiving, and has posted updated guidelines for safely celebrating the holiday.

"CDC is recommending against travel during the Thanksgiving Day period," Dr. Henry Walke, Covid-19 incident manager for the CDC, told reporters in a conference call.

"Right now, especially as we are seeing exponential growth in cases and the opportunity to translocate disease or infection from one part of the country to another leads, to our recommendation to avoid travel at this time," he added.

Walke warned that if people gather in multiple generations, someone in that gathering could have diabetes or kidney disease, or simply be older and more vulnerable.

"What is at stake is the increased chance of one of your loved ones becoming sick and then being hospitalized and dying around the holidays," Walke said.

Plus, about 40% of infections are asymptomatic. 

"One of our concerns is people over the holiday season will get together and they may actually be bringing infection with them to that small gathering and not even know it," Walke said.

Walke said he is not visiting his own family. "I haven’t seen my parents since January. I’m staying home and I have older parents who would like to see me and who would like to see my children as well," he said.

The CDC also advised that students who have been away at college don’t count as household members and need to keep their distance when they come home for holidays.

The same goes for people who have been away on military duty. 

“People who have not been living in your household for the 14 days before you are celebrating should not be considered members of your household and so you should take those extra precautions, even wearing masks within your own home,” Dr. Erin Sauber-Schatz, the CDC’s lead for Community Intervention and Critical Population Task Force, told reporters.

Families can also ask college students or other people who would normally be loosely considered household members to quarantine as much as possible for 14 days before coming home.

Safer gatherings can be held outside as much as possible, the CDC recommends. People can wear masks when together, and place chairs and furniture farther apart.

12:14 p.m. ET, November 19, 2020

The White House coronavirus task force will hold a press briefing today 

From CNN's Betsy Klein

The White House coronavirus task force will hold a press briefing at 4 p.m. ET today, according Vice President Mike Pence's office. 

It is unclear whether or not President Trump will attend. 

The briefing comes a day after the US death toll from coronavirus surpassed 250,000 deaths. In less than 10 months, Covid-19 has killed more people than strokes, suicides and car crashes typically do in a full year — combined.

12:02 p.m. ET, November 19, 2020

German official: "No one knows what the virus will do"

German Finance Minister Olaf Scholz
German Finance Minister Olaf Scholz CNN

German Finance Minister Olaf Scholz said Thursday that the country’s new restrictions are already helping and the country is on “the right path.” However, he warned “there is nothing someone can say about the next month because no one knows what the virus will do.”

Germany is in a nationwide partial lockdown that requires restaurant and bars to remain closed. It also requires people to avoid travel, "keep their contacts to an absolute minimum” and limit public meetings to members of two different households.

Schools and shops have remained open. German federal and state leaders will meet next week to decide on introducing further restrictions. 

Speaking in an exclusive interview with CNN’s Richard Quest, Scholz said that he is “quite confident” about the economic future.

“We stabilized the economy with extra 14 billion euros just for the month of November and this will help that we can continue with our economic development which is better than we expected weeks and months ago,” he said.  

CNN’s Eleanor Pickston contributed to this report.

11:22 a.m. ET, November 19, 2020

Delirium may be a primary symptom of Covid-19 in older adults, study says

From CNN's Naomi Thomas

Delirium was common among elderly patients with Covid-19 who came to the emergency department, according to a study published Thursday in JAMA Network Open, and many of them did not have other typical signs or symptoms of the disease.

“In this multicenter retrospective cohort study, 28% of 817 older patients with Covid-19 infection had delirium on arrival to the ED, and delirium was the sixth most common presenting symptom or sign overall,” read the study, from lead authors Dr. Maura Kennedy of Massachusetts General Hospital and Harvard Medical School and Benjamin Helfand of the University of Massachusetts Medical School.

“Delirium at presentation was significantly associated with increased risk for poor hospital outcomes, including ICU stay, discharge to a rehabilitation facility, and death," the study said.

Of the 226 patients with delirium, 37, or 16%, had delirium as their primary symptom. Importantly, the authors said, 84 of those 226, or 37%, had no fever or shortness of breath. 

More on the study: The study was conducted at seven sites across the United States and included older adults who went to emergency departments on or after March 13. 

Some of the factors associated with delirium included being older than 75, living in a nursing home or assisted living facility, prior use of psychoactive medication, vision or hearing impairment, stroke and Parkinson’s disease. 

“Our study demonstrates that it is critical to recognize that older adults with Covid-19 may present with delirium as the primary or sole symptom,” the study says. “In addition, delirium is an important risk marker to identify patients at high risk for poor outcomes, including death.” 

Remember: The study does have some limitations, including the fact that they suspect that the delirium rate observed is an underestimate, they were unable to evaluate site-specific data and enrollment occurred primarily in the Northeast during a time when it was undergoing a surge in Covid-19 infections. 

12:40 p.m. ET, November 19, 2020

New York City mayor expects indoor dining and gyms to close in a week or 2

From CNN's Sheena Jones

New York City Mayor Bill de Blasio speaks during a press conference in New York on November 19.
New York City Mayor Bill de Blasio speaks during a press conference in New York on November 19. NYC Media

New York City Mayor Bill de Blasio said he expects New York Gov. Andrew Cuomo will close indoor dining and gyms in the next week or two.

The mayor said in a news conference this morning that after speaking with the governor at length yesterday and with cases showing a clear uptick, the city will move to the orange zone. In that zone, indoor dining and gyms will be closed.  

The mayor also reiterated, “We will bring our schools back, but we have to reset the equation.”

Yesterday, de Blasio announced that the city's public schools would close today as coronavirus cases rise in the city.

De Blasio said for those who might feel a little better if they knew indoor dining and gyms were going to be closed, “It’s just a matter of time.” 

“It’s very likely to be in the next week or two,” de Blasio said. 

This comes after the governor said Wednesday New York City’s Covid-19 numbers could warrant putting the city into an orange zone soon.  

Chairman of the NYC Council Health Committee, Mark Levine responds:

10:41 a.m. ET, November 19, 2020

“It’s exhausting and terrifying": Single mom facing loss of unemployment benefits shares her story 

From CNN's Adrienne Vogt

Karin Smith.
Karin Smith. CNN

Karin Smith, a Florida resident and single mom of a 14-year-old boy, is one of millions of Americans who may lose expanded unemployment benefits on Dec. 26.

She said she is able to qualify for food stamps, but has given up on going to food banks because “if they open at 9, you have to be there at 5 a.m. to hope to get anything.” 

“It's constant stress. There's no time of day when it's a little bit easier. You don't get home from work and, you know, have a glass of wine and it's all better. It's never-ending. I don't know who thinks that you can live on $275 a week,” she said in an interview on CNN. 

Smith previously worked for the Department of Education in data compliance and has been searching for a new job.

“It's not laziness … A job making $8 an hour is not going to pay my $1,650 rent, let alone all the other expenses I have because I had a good job,” she said. 

Smith said her son is old enough to understand her stress and has tried to help with his own suggestions, like buying a motor home and moving them into it because he doesn’t want to lose their dog or cat. 

“Your kids watch you. They can read you like a book, and he knows way more than I would like about how frail it is,” she said. “… His level of anxiety is through the roof.”

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