Some states unveil plans to reopen, but others say it's too soon

National coronavirus updates: Some states unveil plans to reopen, but others say it's too soon

Updated: 10:00 AM EDT Apr 18, 2020

The latest: There have been more than 700,000 coronavirus cases in the United States, according to the Johns Hopkins University tally.The U.S. death toll has surpassed 37,000 people, according to Johns Hopkins.Globally, there have been more than 2.2 million cases with more than 155,000 deaths.Wuhan, China, where the first case of coronavirus was recorded, has added nearly 1,300 new deaths to its death toll. China has recently faced increased U.S. scrutiny to be transparent in its reporting on the virus.President Donald Trump unveiled guidelines this week to help states loosen restrictions. He told governors it's their decision on when and how to reopen.Governors of some states have started detailing plans to reopen, while other states have extended existing stay-at-home orders. With new guidelines from the federal government, some governors have rolled out plans to begin lifting measures in place battling the spread of the coronavirus — but other officials say it's still too early.In Florida, residents flocked to Jacksonville beaches after officials announced a soft opening Friday night allowing for recreational activities for several hours each day. In Texas and Minnesota, state leaders announced they'd be lifting some of the measures in place in the coming days — still requiring residents to keep a distance and avoid big crowds.But some health experts and medical groups have warned the U.S. is still behind in its testing capacity — a key factor in the country's reopening process to help determine and track just how many people are infected.In a three-part guideline released this week, the White House said states can enter the first phase toward reopening once they see a continued decrease over two weeks. President Donald Trump, who has said governors will call the shots on when to reopen their state, said this week the states with the lowest number of cases could begin reopening "literally tomorrow."Meanwhile, an influential model of the virus that's often cited by the White House says some states with a low number of cases could begin lifting measures starting May 4. Those include Vermont, West Virginia, Montana and Hawaii.Others, including Iowa, North and South Dakota, Nebraska, Utah, Arkansas, and Oklahoma, may need to wait until late June or early July."Actual decisions by states to relax social distancing should be informed by meeting critical metrics closer to these dates, including a very low number of estimated infections in the community — less than one estimated infection per 1 million people," the Institute for Health Metrics and Evaluation at the University of Washington, where the model was created, said in a news release.Montana, still recording one of the lowest numbers of cases in the country, says it's not prepared to reopen."Even the gating criteria (of two straight weeks with new cases slowing down) that the president put out yesterday — we haven't met those criteria," Gov. Steve Bullock said Friday.PGlmcmFtZSBpZD0iaHR2LWNvdmlkLW1hcCIgc3JjPSJodHRwczovL2NvdmlkLTE5LWFzc2V0cy5odHZ0b29scy51cy9pbmRleC5odG1sIiBzY3JvbGw9Im5vIiBzdHlsZT0iYm9yZGVyOm5vbmU7Ij48L2lmcmFtZT4KWhere measures are being liftedTexas Gov. Greg Abbott issued an executive order Friday easing some measures next week — ordering state parks to reopen by Monday but directing residents to wear face coverings, keep a distance and stay in groups of five people or less.Texas has more than 18,000 reported infections, according to a tally by Johns Hopkins University, making it one of the states with the most cases.The governor also directed retail stores to begin reopening April 24 and instead deliver products to customers' cars and homes. He said the process of reopening the state will happen gradually and will be guided by medical experts.U.S. Rep. Lloyd Doggett, criticizing the governor's decision, said there will be a "cost in lives of doing it prematurely when there's so many questions about the accuracy of testing, of so many dangers from ignoring social distancing. I find his orders troubling."In Minnesota, Gov. Tim Walz signed an order allowing many outdoor activities -- including golfing, boating, hunting and biking — to resume Saturday morning, as long as residents follow social distancing guidelines, avoid crowded spaces and stay close to home."The only way this is going to work even with something like golf or shooting ranges or trails, is if we follow those, washing our hands, stay home (guidelines). If you're sick, cough into your sleeve, wear a mask." Walz said in a news conference Friday.US still behind on testing, expert saysExperts have for long said one of the major determining factors behind governors' decisions to reopen their economies should be testing, and medical experts continue to insist the country is behind.Vice President Mike Pence said Friday the White House coronavirus task force believes the U.S. has the testing capacity for states to begin easing their measures — the first of three phases in the federal guide of reopening the country.Dr. Tom Frieden, the former director of the U.S. Centers of Disease Control and Prevention, says the country's current number of conducted tests — less than 150,000 a day — are not nearly enough."If we were just testing the highest priority people and nobody else, we'd need about three times as many tests," Frieden told CNN. But as the U.S. is testing lower priority people as well, the country would need 10 to 20 times more tests than that, Frieden said.And earlier this week, the Association of American Medical Colleges sent a letter to the government's task force saying labs are facing critical shortages."Laboratories across the country are working day and night to expand testing capacity but are severely hampered by shortages of needed reagents, swabs for testing, PPE, and specialized equipment designed by companies to be used with their own machines," it said.The World Health Organization has warned there is no evidence to suggest the presence of antibodies in blood can determine whether someone has immunity to the coronavirus. Dr. Mike Ryan, the WHO’s executive director for health emergencies, said Friday there was no indication so far that a large proportion of the population had developed immunity. “There’s been an expectation, maybe, that herd immunity may have been achieved and that the majority of people in society may already have developed antibodies. I think the general evidence is pointing against that... so it may not solve the problem the governments are trying to solve.”The number of recovered coronavirus patients who have retested positive for the virus has raised concerns about how antibodies work in response to COVID-19.While scientists say there is no evidence yet that a person who has retested positive can spread the virus further, there haven’t been any conclusive studies to rule that out.Professor Chris Dye, of the Oxford Martin School at Britain's University of Oxford, said substantial work to develop accurate antibody tests for coronavirus infection was ongoing.“The WHO are right to highlight that any antibody test, if we get one, won’t be able to definitely say whether someone is immune to the infection, because we just don’t know enough yet about how immunity works with COVID-19," he told the Science Media Centre.Such tests would need to be sensitive enough to ensure that infections were not missed, and specific enough to be confident that a positive result is correct, he said."Before an antibody test can be used to indicate that someone is immune to further infection, the level of protection must be demonstrated in experimental trials," Dye added.More protests planned over stay-at-home ordersAside from the continued uncertainty over the country's testing capacity, governors face a new pressure: angry residents demanding an end to stay-at-home orders over concerns of the economic impact.Protesters have gathered in Michigan, Ohio, Kentucky, Minnesota, North Carolina, Utah and California to voice their opposition to the measures."A small segment of the state is protesting and that's their right," Michigan Gov. Gretchen Whitmer told CNN. "The sad part is, though, that the more they're out and about, the more likely they are to spread COVID-19," Whitmer said, "and the more likely we're going to have to take this posture for a longer period of time."More are planned for the coming days, including in Wisconsin, Kansas and Missouri.Ben Dorr, who organized the group Wisconsinites Against Excessive Quarantine, told CNN affiliate WFRV he fears economic destruction."Hundreds of thousands of workers are out of work. Hundreds and thousands of small family businesses are being destroyed right now under this quarantine, under this lockdown," Dorr told the news station."Many small businesses couldn't afford to keep their doors closed for a week or two, now we're talking another month. Thousands of small businesses will shut their doors forever," he added. W2lmcmFtZSBzcmM9Imh0dHBzOi8vZDJjbXZicTdzeHgzM2ouY2xvdWRmcm9udC5uZXQvZW1haWwvcHJvZF9jb3JvbmF2aXJ1c19pZnJhbWVfYXJ0aWNsZS5odG1sIiBoZWlnaHQ9IjQxNCIgc3R5bGU9IndpZHRoOjEwMCU7Ym9yZGVyOm5vbmU7b3ZlcmZsb3c6aGlkZGVuIiBzY3JvbGxpbmc9Im5vIiBmcmFtZWJvcmRlcj0iMCIgYWxsb3dUcmFuc3BhcmVuY3k9InRydWUiXVsvaWZyYW1lXQ==

The latest:

There have been more than 700,000 coronavirus cases in the United States, according to the Johns Hopkins University tally.The U.S. death toll has surpassed 37,000 people, according to Johns Hopkins.Globally, there have been more than 2.2 million cases with more than 155,000 deaths.Wuhan, China, where the first case of coronavirus was recorded, has added nearly 1,300 new deaths to its death toll. China has recently faced increased U.S. scrutiny to be transparent in its reporting on the virus.President Donald Trump unveiled guidelines this week to help states loosen restrictions. He told governors it's their decision on when and how to reopen.Governors of some states have started detailing plans to reopen, while other states have extended existing stay-at-home orders.

With new guidelines from the federal government, some governors have rolled out plans to begin lifting measures in place battling the spread of the coronavirus — but other officials say it's still too early.

In Florida, residents flocked to Jacksonville beaches after officials announced a soft opening Friday night allowing for recreational activities for several hours each day. In Texas and Minnesota, state leaders announced they'd be lifting some of the measures in place in the coming days — still requiring residents to keep a distance and avoid big crowds.

But some health experts and medical groups have warned the U.S. is still behind in its testing capacity — a key factor in the country's reopening process to help determine and track just how many people are infected.

In a three-part guideline released this week, the White House said states can enter the first phase toward reopening once they see a continued decrease over two weeks.

President Donald Trump, who has said governors will call the shots on when to reopen their state, said this week the states with the lowest number of cases could begin reopening "literally tomorrow."

Meanwhile, an influential model of the virus that's often cited by the White House says some states with a low number of cases could begin lifting measures starting May 4. Those include Vermont, West Virginia, Montana and Hawaii.

Others, including Iowa, North and South Dakota, Nebraska, Utah, Arkansas, and Oklahoma, may need to wait until late June or early July.

"Actual decisions by states to relax social distancing should be informed by meeting critical metrics closer to these dates, including a very low number of estimated infections in the community — less than one estimated infection per 1 million people," the Institute for Health Metrics and Evaluation at the University of Washington, where the model was created, said in a news release.

Montana, still recording one of the lowest numbers of cases in the country, says it's not prepared to reopen.

"Even the gating criteria (of two straight weeks with new cases slowing down) that the president put out yesterday — we haven't met those criteria," Gov. Steve Bullock said Friday.

Where measures are being lifted

Texas Gov. Greg Abbott issued an executive order Friday easing some measures next week — ordering state parks to reopen by Monday but directing residents to wear face coverings, keep a distance and stay in groups of five people or less.

Texas has more than 18,000 reported infections, according to a tally by Johns Hopkins University, making it one of the states with the most cases.

The governor also directed retail stores to begin reopening April 24 and instead deliver products to customers' cars and homes. He said the process of reopening the state will happen gradually and will be guided by medical experts.

U.S. Rep. Lloyd Doggett, criticizing the governor's decision, said there will be a "cost in lives of doing it prematurely when there's so many questions about the accuracy of testing, of so many dangers from ignoring social distancing. I find his orders troubling."

In Minnesota, Gov. Tim Walz signed an order allowing many outdoor activities -- including golfing, boating, hunting and biking — to resume Saturday morning, as long as residents follow social distancing guidelines, avoid crowded spaces and stay close to home.

"The only way this is going to work even with something like golf or shooting ranges or trails, is if we follow those, washing our hands, stay home (guidelines). If you're sick, cough into your sleeve, wear a mask." Walz said in a news conference Friday.

US still behind on testing, expert says

Experts have for long said one of the major determining factors behind governors' decisions to reopen their economies should be testing, and medical experts continue to insist the country is behind.

Vice President Mike Pence said Friday the White House coronavirus task force believes the U.S. has the testing capacity for states to begin easing their measures — the first of three phases in the federal guide of reopening the country.

Dr. Tom Frieden, the former director of the U.S. Centers of Disease Control and Prevention, says the country's current number of conducted tests — less than 150,000 a day — are not nearly enough.

"If we were just testing the highest priority people and nobody else, we'd need about three times as many tests," Frieden told CNN. But as the U.S. is testing lower priority people as well, the country would need 10 to 20 times more tests than that, Frieden said.

And earlier this week, the Association of American Medical Colleges sent a letter to the government's task force saying labs are facing critical shortages.

"Laboratories across the country are working day and night to expand testing capacity but are severely hampered by shortages of needed reagents, swabs for testing, PPE, and specialized equipment designed by companies to be used with their own machines," it said.

The World Health Organization has warned there is no evidence to suggest the presence of antibodies in blood can determine whether someone has immunity to the coronavirus.

Dr. Mike Ryan, the WHO’s executive director for health emergencies, said Friday there was no indication so far that a large proportion of the population had developed immunity.

“There’s been an expectation, maybe, that herd immunity may have been achieved and that the majority of people in society may already have developed antibodies. I think the general evidence is pointing against that... so it may not solve the problem the governments are trying to solve.”

The number of recovered coronavirus patients who have retested positive for the virus has raised concerns about how antibodies work in response to COVID-19.

While scientists say there is no evidence yet that a person who has retested positive can spread the virus further, there haven’t been any conclusive studies to rule that out.

Professor Chris Dye, of the Oxford Martin School at Britain's University of Oxford, said substantial work to develop accurate antibody tests for coronavirus infection was ongoing.

“The WHO are right to highlight that any antibody test, if we get one, won’t be able to definitely say whether someone is immune to the infection, because we just don’t know enough yet about how immunity works with COVID-19," he told the Science Media Centre.

Such tests would need to be sensitive enough to ensure that infections were not missed, and specific enough to be confident that a positive result is correct, he said.

"Before an antibody test can be used to indicate that someone is immune to further infection, the level of protection must be demonstrated in experimental trials," Dye added.

More protests planned over stay-at-home orders

Aside from the continued uncertainty over the country's testing capacity, governors face a new pressure: angry residents demanding an end to stay-at-home orders over concerns of the economic impact.

Protesters have gathered in Michigan, Ohio, Kentucky, Minnesota, North Carolina, Utah and California to voice their opposition to the measures.

"A small segment of the state is protesting and that's their right," Michigan Gov. Gretchen Whitmer told CNN. "The sad part is, though, that the more they're out and about, the more likely they are to spread COVID-19," Whitmer said, "and the more likely we're going to have to take this posture for a longer period of time."

More are planned for the coming days, including in Wisconsin, Kansas and Missouri.

Ben Dorr, who organized the group Wisconsinites Against Excessive Quarantine, told CNN affiliate WFRV he fears economic destruction.

"Hundreds of thousands of workers are out of work. Hundreds and thousands of small family businesses are being destroyed right now under this quarantine, under this lockdown," Dorr told the news station.

"Many small businesses couldn't afford to keep their doors closed for a week or two, now we're talking another month. Thousands of small businesses will shut their doors forever," he added.


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