April 22 coronavirus news

By Joshua Berlinger, Adam Renton, Rob Picheta and Zamira Rahim, CNN

Updated 8:51 p.m. ET, April 22, 2020
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2:12 a.m. ET, April 22, 2020

Indonesia bans citizens from traveling to their hometowns for Eid al-Fitr celebrations

From Eric Cheung in Hong Kong

Indonesia has banned all citizens from traveling to their hometowns for Eid al-Fitr celebrations in an effort to contain the spread of novel coronavirus, the country’s President Joko Widodo said Tuesday.

"I have decided on banning the 'mudik' (Eid al-Fitr exodus) tradition for all citizens," Widodo said after a cabinet meeting on Tuesday, according to the state-run Antara news agency.

Millions of people normally go back to their hometowns to see their families every year in a homecoming tradition known as "mudik," the report said.

Jokowi did not provide specifics on how the ban will be enforced.

The President also said the decision was taken to curb travel after a recent government study showed the majority of the population did not intend to return home for the festival. However, around 24% of Indonesians were still planning to make the journey, Antara reported.

Indonesia has recorded more than 7,000 coronavirus cases and at least 616 deaths, according to Johns Hopkins University.

This post was updated to reflect that Jokowi did not provide specifics on enforcement of the ban.

8:44 p.m. ET, April 21, 2020

Trump agreed to help testing manufacturers get supplies for kits, Cuomo says

US President Donald Trump and New York Gov. Andrew Cuomo.
US President Donald Trump and New York Gov. Andrew Cuomo.

New York Gov. Andrew Cuomo said Tuesday that US President Donald Trump agreed to take ownership of the national supply chain to get coronavirus testing kit manufacturers the supplies they need to produce kits

The problem with bringing testing up to scale is the national manufacturers who make the testing kits and send them to state labs, Cuomo said. Those companies say they have a problem with the supply chain getting swabs, vials and chemicals to produce the testing kits, Cuomo added.

The governor said his meeting at the White House was “very productive, positive, got a lot done."

Some of the meeting focused on the importance of dividing the responsibilities between states and federal government to scale up testing, he said.

The state will be responsible for managing diagnostic and antibody testing, who to test, where to test and tracing cases, Cuomo said.

The goal is to double New York State’s testing from 20,000 diagnostic tests to 40,000 diagnostic and antibody tests, he said.

“It will take several weeks at best, this is an enormous undertaking,” Cuomo added.

8:39 p.m. ET, April 21, 2020

Top health experts caution against reopening society before coronavirus testing capacity expands

From CNN’s Shelby Lin Erdman

As several states make plans for reopening their communities during the coronavirus pandemic, a group of top public health experts cautioned Tuesday against reopening society before testing capacity expands significantly.

Different parts of the country are in different stages of the epidemic, with New York well into the first wave and other places just beginning to see the impact of the disease. This matters, said Dr. Caroline Buckee, Harvard associate professor of epidemiology and the associate director of the university’s Center for Communicable Disease Dynamics. 

Knowing the location of the virus is key to relaxing social distancing and returning to normalcy, Buckee told a symposium sponsored by Harvard’s T.H. Chan School of Public Health and the New England Journal of Medicine.

The lack of testing capacity is a big problem because the disease has “a very broad clinical spread,” Buckee said. So even when people show up at the hospital and get tested there are many more cases in the community, including mild and asymptomatic cases. “And those are the people that are spreading the disease,” she said.

It’s important to learn whether people who have recovered can still spread the disease, noted NEJM editor Dr. Eric Rubin.

“What we really need is some epidemiological data to tell us, 'Are people who have left the hospital going on to transmit the disease?'” Rubin said. “That’s kind of the shoe leather epidemiology, contact tracing, following what happens to the context of those patients, which takes some manpower. 

Buckee added that without knowing the answers, the nation could reopen too soon and risk a deadly second pandemic wave.

“Right now, we don’t have good estimates for where we are on the epidemic curve in different places. So, discussions of relaxation of physical distance, which do seem to be having an effect, curbing some of the worst impacts of the outbreak, need to be based on the capacity to test people so we know where we are,” she said.

8:38 p.m. ET, April 21, 2020

Covid-19 virus lingers longer in sicker patients, Chinese study finds

From CNN’s Maggie Fox

The novel coronavirus lingers for as long as three weeks in the bodies of patients with severe disease, Chinese researchers reported Tuesday.

The virus can be found deep in the lungs and in the stool of patients, and the sicker they are, the longer it stays, the team at a hospital in China’s Zhejiang province reported. But the virus was found in the urine of patients less than half the time, and rarely in the blood at first. 

Their report provides another piece of evidence about the pattern of disease in Covid-19 patients. It was published in the BMJ. Unlike many recently released studies about the coronavirus, this one has gone through peer review, which means other experts have reviewed the findings.

The team tested 96 patients treated in their hospital for Covid-19 between January and March. They tested samples from the nose and throat, from deeper in the respiratory system, in the blood, stool and urine. They wanted to see how long people had virus in their systems and whether it was likely to spread in various ways. The findings support other studies showing that the virus could spread in stool from infected people.

In general, the sicker people were, the longer the virus could be detected. That could be important for doctors to know, so they can predict which patients will fare better, and, perhaps, how long they may remain infectious to others. 

“The median duration of virus in respiratory samples was 18 days,” they wrote. 

More on this: An earlier Chinese study showed that people without symptoms had just as much virus in their noses as people who had Covid-19 symptoms -- something that indicated people who are not sick could be just as likely to spread virus as people who are.

The team in Zhejiang found that sicker people had more virus deeper in their respiratory tracts, however.

They also found differences between men and women with Covid-19. “In this study, we found that the duration of virus was significantly longer in men than in women,” they wrote.

“Our results shed light on the causes of disease severity in men in terms of the duration of the virus. In addition to differences in immune status between men and women, it has also been reported to be related to differences in hormone levels,” the team wrote.


8:49 p.m. ET, April 21, 2020

Italian prime minister unveils 5-point plan to handle the coronavirus outbreak

From CNN's Mia Alberti in Lisbon and Valentina Di Donato in Rome

Italian Prime Minister Giuseppe Conte speaks at the Italian Parliament in Rome, on April 21.
Italian Prime Minister Giuseppe Conte speaks at the Italian Parliament in Rome, on April 21. Roberto Monaldo/LaPresse via AP

Italian Prime Minister Giuseppe Conte outlined a five-point plan for managing the coronavirus epidemic on Tuesday.

Addressing Italy's house of representatives, Conte said that the plan will focus on:

  • Continued social distancing with use of masks and gloves until a vaccine or a therapy is available.
  • Reinforcing the health care system, and paying special attention to care homes to "avoid another out-of-control explosion of contagion."
  • Creating special Covid-19 hospitals designated to cater exclusively to coronavirus patients.
  • Conducting antibody testing in a large study to determine the spread of the virus among the population. Conte said 300,000 serological tests have been requested.
  • Contact tracing. Last week the government officially chose a contract tracing app, called Immuni, which is in the testing phase, but the choice to download it will be voluntary, Conte said.
8:42 p.m. ET, April 21, 2020

ICU admissions in France continue to decline, health official says

From CNN's Barbara Wojazer and Benjamin Berteau in Paris

The number of patients admitted to intensive care in France has declined for the 13th consecutive day, Jerome Salomon, the director of France's health agency, announced on Tuesday.

Salomon, speaking at his daily news conference in Paris, gave an overview of where things stand now:

  • There have so far been at least 117,324 confirmed coronavirus cases in France, including deaths and recoveries.
  • At least 30,106 patients are currently hospitalized.
  • At least 5,433 patients are in intensive care units.
8:55 p.m. ET, April 21, 2020

Netherlands bans large events until September

From CNN's Mick Krever

Dutch Prime Minister Mark Rutte speaks during a news conference in The Hague on April 21.
Dutch Prime Minister Mark Rutte speaks during a news conference in The Hague on April 21. Bart Maat/ANP/AFP/Getty Images

The Netherlands will extend its lockdown for most businesses until May 20 and ban large events until September 1, Dutch Prime Minister Mark Rutte said during a news conference on Tuesday.

“As much as I understand that impatience is creeping in, we know that a rapid easing could lead to the virus immediately getting the chance to peak again,” Rutte said.

The uncertainty is still “too large” for businesses that require close contact, like barbers and nail salons, he said.

Primary students will begin attending school in a staggered fashion starting May 11.

“Children in primary education will, to start with, go to school half of the time,” he said. “For example, one half of the students will go one day and the other half will go the other day.”

He said that social distancing for these students is “not realistic,” but that all evidence indicates that their Covid-19 risk is much lower. 

Some other primary education institutions like nurseries and special education will be able to open to students full time.