Childhood syndrome linked to coronavirus may take weeks to show up, the study indicates
From CNN's Maggie Fox
Bulbar conjunctival injection is shown in the case study of a 6-month-old infant admitted and diagnosed with classic Kawasaki disease, who also screened positive for Covid-19 in the setting of fever and minimal respiratory symptoms. American Academy of Pediatrics A baffling condition called Multi-Inflammatory Syndrome in Children (MIS-C) started showing up in kids about three weeks after the peak of the coronavirus pandemic passed through, a team at a large New York health system reported Monday. The team at Northwell Health reported on 33 cases of the syndrome, which many doctors believe is some sort of delayed response to a coronavirus infection. All 33 children recovered with treatment, the team reported in the Journal of Pediatrics. Dr. Charles Schleien, who chairs the pediatrics department at Northwell’s Cohen Children’s Medical Center in New Hyde Park, said doctors were at first mystified by what was happening. “We were pretty shocked as it was playing out,” Schleien told CNN on Monday. “The whole syndrome came out of the blue. We had been comfortable for months [in the belief] that kids weren’t affected all these months by coronavirus.” The flow of affected children peaked about five weeks after Covid-19 hit New York City and the surrounding areas hard, Schleien and colleagues reported in the Journal of Pediatrics. “These are families I am sure thought they were off the hook,” Schleien said. Many showed up in shock, with plummeting blood pressure that required immediate treatment. “We treated these kids as they were coming in having no idea what it was,” Schleien added. As many other medical centers have reported, the symptoms at first looked like Kawasaki Disease, a rare syndrome that usually affects very young children. “We treated them as though they had Kawasaki Disease despite the age range,” Schleien said. The children with MIS-C ranged in age from 2 to 17. Almost all had gastrointestinal pain and diarrhea, the team reported. They also had clear evidence of inflammation as shown on blood tests, and 79% of them required intensive care. All tested positive for coronavirus. Schleien said the team excluded a handful of other children who did not test positive. Other teams have reported that MIS-C patients had no symptoms of infection before, but that most of them later tested positive for antibodies to coronavirus, indicating a past infection. All got a treatment of some sort, including aspirin and intravenous immune globulin (IVIG), a standard Kawasaki treatment. Some also got the antiviral remdesivir or strong anti-inflammatory medications normally used to treat conditions such as rheumatoid arthritis. All recovered and Schleien said he does not know which treatments helped or hurt. Some may have heart damage. “They are all going to be seeing cardiologists for a while yet,” Schleien said. He said parents and pediatricians need to make sure that any children with lasting fevers and diarrhea get examined right away.
Coronavirus model projects 201,129 deaths in US by October
From CNN's Jen Christensen
A closely watched model that predicts Covid-19 deaths is now forecasting there will be more than 201,000 deaths in the United States by October 1. The projections continue to show that the fall is going to be difficult, with a sharp rise in daily deaths forecast in September and October. Last week, the model, from the Institute for Health Metrics and Evaluation at the University of Washington, predicted 170,000 deaths for this same time period. The model was often cited by the White House early in the pandemic and is one of 19 models currently featured on the US Centers for Disease Control and Prevention website. As of today, the model projects that 201,129 people will die from Covid-19 in the US by October 1, with a possible range of 171,551 to 269,395 deaths. Ali Mokdad, one of the model’s creators, said they’ve raised the number of projected deaths for two reasons. “Increased mobility and premature relaxation of social distancing led to more infections and we see it in Florida, Arizona, and other states. This means more projected deaths,” Mokdad told CNN in an email. “The second part is that we are now projecting to October 1st, which means that an increase in this wave will results in our starting point for the second wave (more seeding), so the second wave will be higher and we are capturing parts of that. Remember the second wave starts at the end of August-early September.” Daily deaths are expected to decrease through June and July and remain relatively stable through August, but the model forecasts a sharp rise in deaths through September. In the model, projected daily deaths nearly double from 743 on September 1 to 1,241 on October 1. The model’s uncertainty does increase the farther out it projects in time. To make the model, analysts use cell phone data to show people’s increased mobility. As people move around, they have a higher chance of coming into contact with someone who is sick, but it isn’t entirely clear exactly how mobility corresponds with infections. Wearing a mask and physical distancing can reduce the rate of disease transmission. IHME has also said that it looks at other factors in making the model, including the numbers of people who wear masks, air pollution figures, testing, pneumonia trends, and population density, among other factors. The IHME model has been criticized for some of its assumptions and predictions. At one point, it projected that deaths would stop in the summer, many experts at the time called that unrealistic. Since then, IHME has revised its methodology. Mokdad said that it is important for people to remember to remain cautious about interacting with others. “We all need to wear our masks and stay away from each other to reduce the circulation and to be in a better place at the beginning of the second wave,” Mokdad said.
NIH launches a national database to collect medical information from Covid-19 patients
From CNN’s Shelby Lin Erdman
The National Institutes of Health has launched a national database to collect medical information on coronavirus patients in the United States. “This effort aims to transform clinical information into knowledge urgently needed to study COVID-19, including health risk factors that indicate better or worse outcomes of the disease, and identify potentially effective treatments,” the agency said in a statement Monday. The NIH said the platform data will include clinical, laboratory and diagnostic information from hospitals, labs and other health care providers The database will help researchers and health care providers answer critical questions relating to Covid-19 illness — for example, who might need kidney dialysis, who may need a ventilator or what kinds of therapies a particular patient may need. “By leveraging our collective data resources, unparalleled analytics expertise, and medical insights from expert clinicians, we can catalyze discoveries that address this pandemic that none of us could enable alone,” said Melissa Haendel, the director of the National Center for Data to Health (CD2H) at the Oregon Health & Science University School of Medicine. The NIH’s National Center for Advancing Translational Sciences, which is paying for the new database, said it should help address future pandemics, too. The agency said that the only identifying data on the platform will include the zip code of the health care group providing the information and the dates of service. No other personal patient information will appear on the site. Only approved users will be able to access the site and they can only study the information while on the platform and only for Covid-19 research and public health surveillance, the NIH said.
Colorado to allow restaurants to reopen
From CNN’s Jennifer Henderson
Colorado Gov. Jared Polis announced Monday new safer-at-home guidelines, which will go into effect on June 18. Residential summer camps can reopen, allowing only 10 children indoors and 25 children outdoors. Indoor events, including museums, receptions, and conferences, can also start to open. Meanwhile, restaurants, houses of worship, and bars will be able to open with 25% capacity or up to 50 people. Non-critical manufacturing facilities can allow an in-person workforce.
United Airlines will temporarily ban passengers not wearing masks
From CNN's Pete Muntean and Greg Wallace
United Airlines says that starting Thursday, passengers who do not wear a mask in flight will be banned — at least temporarily — from flying with the carrier, pending a “comprehensive incident review” and subject to some exceptions. Flight attendants will warn passengers who don’t comply and offer them a mask. If further de-escalation is unsuccessful, the flight attendant will file a report after the flight reaches its destination. After a review, the passenger could be placed on an “internal travel restriction list” and unable to fly “for a duration of time to be determined.” United sent out an internal memo to employees on Monday evening laying out the new guidelines, ratcheted up from an initial pandemic policy of keeping passengers who refuse masks from boarding and flight attendants “strongly encouraging” passengers to wear masks in flight. The world’s third-largest airline says passengers who are eating or drinking do not need to wear a mask as well as those with certain medical conditions or small children.
Brazil reports more than 20,000 new coronavirus cases
From CNN's Rodrigo Pedroso and Taylor Barnes
The Brazilian health ministry reported at least 20,647 new cases of novel coronavirus on Monday, bringing the country’s total to at least 888,271. Brazil also recorded at least 627 new Covid-19 deaths over the past 24 hours, bringing the country’s death toll to at least 43,959, according to the health ministry. Monday also marks one month that Brazil has been without a health minister. The ministry has been led on an interim basis following the May 15 resignation of Nelson Teich. Since Teich’s resignation, Brazil's health ministry has been led by Eduardo Pazuello, an army general and the former executive secretary of the ministry. Brazilian President Jair Bolsonaro signed a decree making Pazuello’s role as interim minister official on June 2. Teich’s resignation in May was the second departure of a Brazilian health minister during the Covid-19 outbreak following Bolsonaro’s firing of Teich’s predecessor, Luiz Henrique Mandetta, in April.
Airlines to step up enforcement on passengers not wearing masks
From CNN's Greg Wallace and Pete Muntean
Major US airlines announced they intend to more strictly enforce mask-wearing aboard their planes, including potentially banning passengers who refuse to wear a mask. The announcement comes in lieu of a federal regulation requiring all passengers to wear masks – the sort of enforceable measure that governs requirements to wear seatbelts and not smoke. Seven major airlines – including American Airlines, Delta Air Lines, Southwest Airlines, and United Airlines – pledged to roll out new policies requiring masks, enforced with a penalty as severe as a ban on flying with that particular airline. “Each carrier will determine the appropriate consequences for passengers who are found to be in noncompliance of the airline’s face covering policy up to and including suspension of flying privileges on that airline,” said Airlines for America, the carriers’ industry group. The lack of federal action has driven the airlines to act, according to a source familiar with the discussions. The airlines are expected to lay out specific policies as well as enforcement procedures for crewmembers to follow in the coming days, the source said.
Austin mayor extends stay-at-home orders to August 15
From CNN's Raja Razek
Austin Mayor Steve Adler tweeted Monday that he is extending stay home orders to August 15, as the number of Covid-19 hospitalizations increase statewide. Texas reported on Monday a record high number of Covid-19 hospitalizations. At least 2,326 people have been hospitalized. There have been at least 89,108 cases of Covid-19, and at least 1,983 deaths in the state. Stay Home Orders extended to August 15th. We have rise in #COVID19 cases & are now in Stage 4 risk. Wear a mask when you go outside & don't go places where people aren't wearing masks. New orders encourage businesses to require social distancing & face coverings while in Stage 4. pic.twitter.com/EmJvQcQbiM — Mayor Adler (@MayorAdler) June 15, 2020 CNN's Ashley Killough contributed to this post.
MLB commissioner changes stance on 2020 season: "I'm not confident"
From CNN's Jill Martin
In an interview that aired on ESPN, Major League Baseball commissioner Rob Manfred was asked Monday if he was confident that there will be a 2020 MLB season. “I’m not confident,” Manfred said. “I think there’s a real risk. As long as there’s no dialogue, that real risk is going to continue.” During the weekend, both MLB and the Major League Baseball Players Association (MLBPA) traded statements, with the union saying that further dialogue between the two parties “would be futile,” while MLB said, “We are disappointed that the MLBPA has chosen not to negotiate in good faith over the resumption of play...” “I know the owners are 100% committed to getting baseball on the field,” Manfred told ESPN on Monday. “Unfortunately, I can’t tell you that I’m 100% certain that’s going to happen.” On Wednesday, Manfred told ESPN that he was “100%” sure that there would be a season saying at that time, “I can tell you, unequivocally, we are going to play Major League Baseball this year.” MLBPA Executive Director Tony Clark later issued this statement in response to the MLB: “Players are disgusted that after Rob Manfred unequivocally told Players and fans that there would ‘100%’ be a 2020 season, he has decided to go back on his word and is now threatening to cancel the entire season. Any implication that the Players Association has somehow delayed progress on health and safety protocols is completely false, as Rob has recently acknowledged the parties are ‘very, very close.’ This latest threat is just one more indication that Major League Baseball has been negotiating in bad faith since the beginning. This has always been about extracting additional pay cuts from Players and this is just another day and another bad faith tactic in their ongoing campaign.”
FDA warns against giving malaria drugs with coronavirus drug
From CNN's Maggie Fox
The US Food and Drug Administration warned against giving a controversial drug to patients who are also getting the one drug that has any authorization for use in treating coronavirus. Mixing remdesivir and either chloroquine or hydroxychloroquine could reduce the effectiveness of remdesivir, the FDA warned. Earlier on Monday, the FDA removed the emergency use authorization it had given the two malaria drugs, leaving remdesivir as the only drug that has the authorization for Covid-19. “The agency is not aware of instances of this reduced activity occurring in the clinical setting but is continuing to evaluate all data related to remdesivir,” the FDA said.
More on this: Hydroxychloroquine and chloroquine were touted by President Trump as good drugs to take to treat coronavirus, and he said last month that he himself was taking hydroxychloroquine to prevent coronavirus infection. Several studies have shown not only that the drugs do not help patients with Covid-19, but they might raise the risk of serious side-effects. On Monday, the FDA said the drugs do not meet "the statutory criteria" for emergency use authorization as they are unlikely to be effective in treating Covid-19 based on the latest scientific evidence. Remdesivir is an infused antiviral drug made by Gilead Sciences Inc.
Imperial College London begins human trials of UK government-funded Covid-19 vaccine
From CNN's Lauren Kent
Researchers at Imperial College London will begin human trials of a UK government-funded Covid-19 vaccine this week, the UK Department for Business, Energy, and Industrial Strategy said in a statement. Beginning this week, 300 healthy human participants between the ages of 18 and 70 will receive two doses of the vaccine. The vaccine was already shown to be safe and effective in animal trials and "has undergone rigorous pre-clinical safety tests," according to the government statement. "If the vaccine shows a promising immune response, then larger Phase III trials would be planned to begin later in the year with around 6,000 healthy volunteers to test its effectiveness," the statement said. "Ultimately, the researchers hope that if clinical trials are successful, the vaccine could provide protection against COVID-19 both in the UK and around the world." The vaccine involves a "new approach" that uses synthetic strands of genetic code, called RNA, which are based on the virus' genetic material. When injected, the vaccine prompts a person's muscle cells to produce virus proteins. "The trials will be the first test of a new self-amplifying RNA technology, which has the potential to revolutionize vaccine development and enable scientists to respond more quickly to emerging diseases," the statement said. The UK government has contributed $51.4 million (41 million pounds) towards the Imperial College London vaccine development, and another $6.3 million (5 million pounds) has been donated by members of the public. Oxford University is also working on a vaccine in partnership with UK-based global biopharmaceutical company AstraZeneca. In May, Oxford University announced that its vaccine research moved to the second phase of human trials, which involves 10,260 participants, including a small number of older adults and children.
Arkansas governor signs executive orders protecting businesses from liability due to coronavirus
From CNN’s Janine Mack
Arkansas Gov. Asa Hutchinson signed three executive orders protecting businesses from liability if a customer or employee is exposed to coronavirus. A reporter asked Hutchinson if he was concerned that he was sending mixed messages to the public. “We can't have life on hold for six months to a year until there's a vaccination,” the governor said. “We have to be able to carry on life and business.” Arkansas reported at least 12,917 cases of Covid-19 and at least 182 deaths since the pandemic began, according to Dr. Jose Romero, Interim Secretary of Health with the state's Department Health. According to the Department of Health, there were 416 new Covid-19 cases in the state within the last 24 hours. On Friday, Arkansas reported 731 new positive cases of coronavirus, the largest spike since the pandemic began. “I hope we don’t repeat (that number)," Hutchinson said Monday.
At least 116,000 people have died from coronavirus in the US
There are at least 2,107,632 cases of coronavirus in the US, and at least 116,029 people have died, according to a tally from Johns Hopkins University. So far on Monday, Johns Hopkins reported 13,574 new cases and 297 deaths. The totals include cases from all 50 states, the District of Columbia, and other US territories, as well as repatriated cases.
Chicago bars and breweries to reopen for outdoor services this week
From CNN's Raja Razek
Bars and breweries in Chicago will reopen on Wednesday, the city announced Monday. "Beginning Wednesday, June 17, bars, lounges, taverns, breweries and other drinking establishments that sell alcohol for on-site consumption without a Retail Food License will be able to open for outdoor service only," the city said in a statement. The Lakefront Trail will open daily east of Lake Shore Drive for limited hours; however, beaches and parks east of Lake Shore Drive will remain closed, according to the statement.
WNBA announces plan to begin 2020 season
From CNN's Kevin Dotson
The Women's National Basketball Association has announced plans to begin a shortened 2020 season in late July. The season will be played entirely at the IMG Academy in Bradenton, Florida. Instead of the previously scheduled 36 games, each of the league's 12 teams will play 22 regular-season games, followed by the traditional postseason format. The WNBA announced that players will still receive full salaries and benefits, despite the abbreviated schedule and the fact that the season will be played without fans in attendance. The WNBA also committed to making social justice initiatives a focus during the season.
US stocks finish higher after a turbulent day
From CNN’s Anneken Tappe
US stocks ended in the green on Monday, following a roller coaster of a trading day. Stocks fell sharply at the opening bell as investors were spooked by a resurgence of Covid-19 cases in the US, as well as in China. But the market soon recovered. Action from the Federal Reserve helped boost sentiment: The central bank finally launched its Main Street Lending Program to help small and medium-sized businesses, and it also committed to buying corporate bonds.
Here's what happened today:
The Dow swung more than 1,000 points between its high and low point of the session. The index closed up 0.6%, or 158 points.
The S&P 500 finished 0.8% higher
The Nasdaq Composite climbed 1.4%.
Red Cross now testing all blood donations for Covid-19 antibodies
From CNN Health’s Naomi Thomas
The Red Cross will now be testing all blood, plasma and platelet donations for Covid-19 antibodies, according to a press release issued Monday.
“The Red Cross hopes that testing for Covid-19 antibodies will provide its valued donor's insight into whether they may have been exposed to this coronavirus,” it says.
Regardless of whether a donor experienced symptoms or not, the test will show whether their immune system has produced the antibodies for the coronavirus. The antibody test, which has been authorized by the US Food and Drug Administration, does not diagnose donors with a current infection. The Red Cross hopes these tests will increase interest in blood donation. Donors can expect results within seven to ten days either on the Red Cross Blood Donor App or website. “As a humanitarian organization and member of the broader health community, the Red Cross has adapted our services to help meet the needs of this extraordinary time,” said Chris Hrouda, president of The Red Cross Biomedical Services, in the press release. Even though many blood drives continue to be canceled for precautionary reasons, blood donations remain vital, as surgeries and treatments that had been temporarily paused start to take place again.
Rhode Island summer camps can resume this month
From CNN’s Anna Sturla
Rhode Island's in-person summer camps will be allowed to resume on June 29, according to Gov. Gina Raimondo. That includes some sleep-away options, she said. The governor also announced today the number of positive Covid-19 cases increased by 32 for a total of at least 16,093. Deaths increased by six for a total of at least 851. The state is currently in phase two of its reopening plan.
The Oscars have been delayed until April 2021
From CNN's Sandra Gonzalez
Film's biggest night is being rescheduled for the first time in 40 years due to the coronavirus pandemic. The Academy of Motion Picture Arts and Sciences announced on Monday that the 93rd Oscars will no longer take place on February 28 as planned. Instead, the board of governors said the show will take place on April 25, 2021. "For over a century, movies have played an important role in comforting, inspiring, and entertaining us during the darkest of times. They certainly have this year. Our hope, in extending the eligibility period and our Awards date, is to provide the flexibility filmmakers need to finish and release their films without being penalized for something beyond anyone's control," said Academy President David Rubin and Academy CEO Dawn Hudson in a joint statement. In addition to the delay, the Academy agreed to extend the eligibility window for films, which usually corresponds to the calendar year. For the 2021 Oscars, the new window will be extended until February 28, 2021.
New York AG asks Apple, Google to prohibit contact-tracing apps from abusing people's data
From CNN’s Brian Fung
New York Attorney General Letitia James called on Apple and Google today to prohibit third-party contact tracing apps from abusing consumers’ data. In letters to the two companies, James said that contact tracing apps created by third parties do not appear to be held to the same standard as apps that work in conjunction with Apple and Google’s own Bluetooth-based Exposure Notification protocol, which must be designed under strict specifications. "It is imperative that apps that use sensitive health information be developed only by public health agencies, to ensure that appropriate protections are in place and to provide accountability,” James wrote to the companies. James urged the companies to take concrete steps to safeguard the data gathered by third-party contact tracing apps, including by requiring apps to disclose whether they participate in the exposure notification program and barring them from using targeted advertising.
GOP congressman tests positive for coronavirus
From CNN's Haley Byrd
South Carolina Rep. Tom Rice announced on Facebook that he is recovering from coronavirus after he and his family contracted it recently. Rice said his case has been mild, with symptoms including a low fever and mild cough. "I never stopped eating or drinking or working or moving,” he wrote. "The only bad thing is I have completely lost sense of taste and smell. CAN’T TASTE BACON!!!"
Kellyanne Conway says she hopes Tulsa rally attendees will adhere to "the reasonable guidelines"
From CNN's Nikki Carvajal
Trump adviser Kellyanne Conway said the campaign will conduct temperature checks and give out face masks and hand sanitizer at the President’s upcoming rally in Tulsa, Oklahoma, as Tulsa health officials express skepticism over whether this is the right time for a large campaign event. “I saw the campaign tweeted out they’ve got about a million RSVPs, that’s quite extraordinary,” Conway said at the White House Monday. “And that they’re doing temperature checks, giving everybody a face mask, and hand sanitizer.” “It sounds like the campaign is taking steps that comport with what the CDC has said, and possibly even Tulsa, or state of Oklahoma guidelines,” she continued. “I’d have to look at that, see what phase they’re in. They’re pretty well along there in Oklahoma.” Conway called those decisions “good,” and “a recognition that there are guidelines in place that should be followed.” “We certainly hope that the people in Oklahoma will adhere to all the reasonable guidelines,” she added.
Some context: Earlier Monday, Principal Deputy Communications Director for the Trump campaign Erin Perrine told Fox Business that “the campaign takes the safety and health of the American people very seriously,” and would be “taking precautions to make this a safe rally for rallygoers.” CNN reported Sunday the director of the Tulsa Health Department said he wishes President Trump would postpone his planned campaign rally set to take place there on Saturday, citing concerns about a significant increase in local cases of Covid-19. In an interview with the local newspaper, Tulsa World, Dr. Bruce Dart said, "I wish we could postpone this to a time when the virus isn't as large a concern as it is today." The city's health department on Friday said it recorded its highest daily increase of coronavirus cases to date.
2020 US Open of Surfing canceled due to Covid-19 concerns
From CNN's Kevin Dotson
The 2020 US Open of Surfing has been canceled due to the Covid-19 pandemic, tournament organizers announced Monday. The annual event was to have taken place in early August at Huntington Beach, California. Tournament organizers vow the event will return in 2021. "The decision to cancel was made after careful consideration, with the health and safety of fans, athletes, staff, and the local community remaining the top priority," their statement said.
Report: Several Dallas Cowboys and Houston Texans test positive for Covid-19
From CNN's Wayne Sterling
Several Dallas Cowboys and Houston Texans players have tested positive for coronavirus, sources tell NFL Network's Ian Rapoport and Tom Pelissero. According to the report, none of the players were in the teams' facilities and both teams followed proper health protocols. The Cowboys tell CNN in a statement on Monday, "Due to federal and local privacy laws, we are unable to provide information regarding the personal health of any of our employees." CNN has reached out to the Texans and the NFL for confirmation.
WHO continues to review its use of hydroxychloroquine in Solidarity Trial
From CNN's Jacqueline Howard
The World Health Organization is still reviewing the use of hydroxychloroquine in its Solidarity Trial, a multi-country clinical study of Covid-19 treatment options. Dr. Mike Ryan, executive director of WHO's Health Emergencies Program, said during a briefing in Geneva on Monday that the executive group reviewing the Solidarity Trial is meeting this week. "We’ll come back to you on Wednesday with an update on those deliberations and where we go from here," Ryan said. During Monday's briefing, WHO officials were asked about their hydroxychloroquine study in wake of the US Food and Drug Administration pulling its emergency use authorization for the drugs hydroxychloroquine and chloroquine for the treatment of Covid-19. In May, WHO temporarily paused the hydroxychloroquine arms of its Solidarity Trial due to concerns surrounding the drug's safety and in order to review its own data. Then earlier this month, after that review, WHO announced that it would resume studying hydroxychloroquine as a potential Covid-19 treatment in the trial. Yet in the days following, a separate trial in the United Kingdom, called the Recovery Trial, announced plans to stop using hydroxychloroquine in its study due to there being "no evidence of benefit," according to the researchers. That spurred WHO to conduct another review of the hydroxychloroquine arm in its Solidarity Trial, which is still underway.