May 18, 2020 coronavirus news | CNN

May 18 coronavirus news

GUANGZHOU, CHINA:  China's top Severe Acute Respiratory Syndrome (SARS) expert Zhong Nanshan, in his office at the Guangzhou Institute of Respiratory Diseases 10 June 2005, in Guangzhou, southern China's Guangdong province.                     AFP PHOTO/GOH CHAI HIN  (Photo credit should read GOH CHAI HIN/AFP via Getty Images)
Top adviser warns China vulnerable to second wave
04:26 - Source: CNN

What you need to know

  • The numbers: More than 4.7 million cases of Covid-19 have been recorded worldwide, including at least 317,000 deaths.
  • World health meeting: The World Health Organization’s virtual 73rd World Health Assembly (WHA) is being held, with Chinese President Xi Jinping making the case for China’s transparency in remarks to the opening ceremony.
  • World wants answers: More than 100 countries have proposed a draft resolution calling for an independent “evaluation” into the pandemic, which will be presented to the WHO.
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Our live coverage of the coronavirus pandemic has moved here.

Trump's doctor says potential benefit of taking hydroxychloroquine outweighs the risk

US President Donald Trump tells reporters that he is taking zinc and hydroxychloroquine during a meeting in the State Dining Room of the White House, on Monday, in Washington.

The potential benefits of US President Donald Trump’s decision to take hydroxychloroquine as a prophylactic against the coronavirus outweigh the risks, according to his White House physician.

Conley wrote that the President is “in very good health and has remained symptom free.” He also added that Trump has been tested numerous times and that the tests have been “all negative, to date.” 

He added that two weeks ago, “one of the President’s support staff tested positive for Covid-19.” 

The background: Earlier Monday, Trump told reporters he is taking daily doses of hydroxychloroquine, a drug he’s long touted as a potential coronavirus cure. 

Medical experts and the US Food and Drug Administration question its efficacy and warn of potentially harmful side effects. “A couple of weeks ago, I started taking it,” Trump said. He later said he’d been taking the drug every day for a week and a half.

The admission was a dramatic development in Trump’s attempts to promote hydroxychloroquine as a treatment for coronavirus, but at least one study has shown the drug does not work against Covid-19 and could cause heart problems. 

The study was published in the Journal of the American Medical Association. It follows a study published in the New England Journal of Medicine that also showed the drug doesn’t fight the virus.

The FDA has warned against the use of hydroxychloroquine and chloroquine to treat the novel coronavirus and said the drugs should only be used in hospitals or clinical trials because they can kill or cause serious side effects. These include serious heart rhythm problems in Covid-19 patients treated with the medications, especially when they are combined with the antibiotic azithromycin or other drugs that can affect the heart.

Hydroxychloroquine is approved to treat or prevent malaria and to treat autoimmune conditions such as lupus and rheumatoid arthritis.

Key coronavirus model revises US death projection slightly downward

A medical laboratory scientist inserts a patient's swab sample into the coronavirus testing machine in the lab at Stamford Hospital in Stamford, Connecticut on May 14.

A key coronavirus model often cited by the White House has revised its death projection for the United States slightly downward, now predicting that 143,360 people will die by August 4. That’s about 3,700 fewer deaths than the model predicted when last updated on May 12.

The shift is small, but it marks a departure from recent increases in the model’s death projections, which have been largely based on increases in mobility across the country and the easing of social distancing measures. As people have been moving around more – and as social distancing measures have been relaxed – the model has projected more deaths.

But in today’s release, researchers at the Institute for Health Metrics and Evaluation at the University of Washington, who built the model, say that fewer people are forecasted to die in certain parts of the country. 

That suggests that expected increases in coronavirus cases may not have materialized yet in certain places – at least not to the extent that the model was projecting.

Coronavirus deaths in Latin America surpass 30,000

Health workers interview people with symptoms of Covid-19 at San Lorenzo's Pedro Bidegain Stadium on May 18, in Buenos Aires, Argentina.

The number of deaths from Covid-19 in Latin America has surpassed 30,000 as of Monday evening, according to Johns Hopkins University’s tally.

Brazil has more deaths from the novel coronavirus than any other Latin America country, with 16,792 total deaths reported Monday, according to Brazil’s Ministry of Health.

Immunotherapy and steroids successful in treating coronavirus-related syndrome in children

Young patients hospitalized with coronavirus-related multi-system inflammatory syndrome in children, or MIS-C, recovered rapidly after treatment with immune globulin and steroids, according to a new study.

In the small analysis, researchers in France and Switzerland reviewed data from 35 children between the ages of 2 and 16 hospitalized in intensive care between late March and the end of April with symptoms including “fever, cardiogenic shock or acute left ventricular dysfunction with inflammatory state.”

Of the children in the study, 31 tested positive for coronavirus and none had underlying cardiovascular disease; 17% of patients were overweight; all experienced unusual lethargy; and 83% exhibited gastrointestinal symptoms. Almost all of the patients needed respiratory assistance, the researchers said.

Most of the children received intravenous immune globulin treatment, a blood product made up of antibodies to help strengthen the body’s immune system. Twelve were also treated with steroids and 23 were treated with a therapeutic dose of the blood thinner heparin, the researchers reported. None of the patients studied died, Damien Bonnet of the Necker Hospital for Sick Children in Paris and colleagues wrote.

The study also concluded that, while MIS-C shares similarities with atypical Kawasaki disease, “prominent clinical signs are largely different.”

While the early signs of the syndrome may be severe with some patients needing help breathing and keeping their blood circulating, most recovered rapidly after treatment with immune globulin and steroids.

Catch up: Here are the latest coronavirus headlines you might have missed

As Monday winds down, here are the top coronavirus stories from around the world:

  • China: Chinese President Xi Jinping delivered remarks at the opening ceremony of the World Health Assembly, making the case for the country’s transparency over the virus, proposing a series of steps to deal with the virus and pledging $2 billion over two years to the World Health Organization.
  • Sports: Clubs in Spain’s top two soccer divisions can begin training in groups of up to 10 players starting today. Additionally, all 20 English Premier League clubs voted unanimously to return to small-group training beginning on tomorrow.
  • Symptoms: Loss of sense of smell or taste have been added to the official list of coronavirus symptoms in the United Kingdom, the Department of Health and Social Care said. Anosmia emerged as a potential Covid-19 symptom in March.
  • Race for a vaccine: Study subjects who received Moderna’s Covid-19 vaccine had positive early results, according to a statement issued by the US-based biotech company. “All eight initial participants” in the trial developed neutralizing antibodies to the virus.
  • Immunity: Patients who re-tested positive for coronavirus are not contagious, South Korean health officials said. This comes after a lab analysis of 108 cases and epidemiology investigations on 285 cases was conducted to determine whether coronavirus patients should be quarantined for two weeks after being released from hospital.
  • European Union: German Chancellor Angela Merkel and French President Emmanuel Macron announced a new Franco-German fund worth 500 billion euros as part of the European Union’s coronavirus recovery plan.
  • Travel restrictions: Travelers arriving in Norway without a business reason to come will be sent back, the country’s prime minister said. Any decision to lift travel restrictions depends on how the coronavirus outbreak is developing and concerns around importing new cases.

Delirium may be common in hospitalized coronavirus patients, study finds

Delirium, confusion and agitation may be common in patients hospitalized with severe coronavirus infections, according to a new review of studies. However, most patients should recover over the long-term, researchers said Monday.

Jonathan Rogers of University College London and colleagues reviewed what happened with patients infected with two other coronaviruses: SARS in 2002-2004 and Middle East Respiratory Syndrome virus or MERS, which still occasionally causes cases.

“If infection with [the novel coronavirus] follows a similar course to that with SARS-CoV or MERS-CoV, most patients should recover without experiencing mental illness,” Rogers and colleagues wrote in their review, published in Lancet Psychiatry

The researchers looked at 72 different studies on SARS, MERS and Covid-19 – focusing in on any links between the diseases and psychiatric problems.

Here’s what they found:  

  • About a third of patients infected with SARS or MERS experienced post-traumatic stress disorder or PTSD within about three years.
  •  About 15% of such patients were diagnosed with depression within about two years, and 15% were diagnosed with anxiety at the one-year point.

“Our analysis of more than 3,550 coronavirus cases suggests that most people will not suffer from mental health problems following coronavirus infection,” Rogers said in a statement.

Some context: Other teams have reported that delirium is common during and after hospital treatment for Covid-19, just as it was with SARS and MERS. 

The research team cautioned that many of the studies they reviewed were of “low or medium quality,” and Rogers said that more data is needed on psychiatric symptoms associated with Covid-19.

Monitoring patients for those symptoms, he said, should be a routine part of care.

Brazil now has third highest number of coronavirus cases in the world

Brazil topped 250,000 coronavirus cases Monday, surpassing the UK’s total and making it the country with the third highest number of global confirmed cases. 

Brazil’s Ministry of Health also reported 674 new deaths Monday, bringing the death toll in Brazil to 16,792.

The ministry also reported 13,140 new cases of the novel coronavirus in the 24-hour period between Sunday and Monday, bringing the country’s total to 254,220, behind the US and Russia.

Some background: President Jair Bolsonaro has faced criticism with his anti-lockdown rhetoric even as cases skyrocket. He has repeatedly dismissed Covid-19 as a “little flu” and urged businesses to reopen, even as many governors scramble to implement social isolation measures and slow the spread.

Bolsonaro also recently saw a second health minister leave his government in the span of a few weeks.

Qatar closes shops and stops nonessential "commercial activities" until May 30

Workers wearing masks ride bicycles at Qatar's touristic Souq Waqif bazar in the capital Doha, on Sunday, May 17, as the country begins enforcing the world's toughest penalties for failing to wear masks.

Qatar is closing its shops and halting all “commercial activities” beginning tomorrow until May 30, Qatar News Agency (QNA) reported, citing Qatari officials.

Pharmacies, markets, catering services and restaurants that offer delivery services will remain open, according to QNA.

“The Ministry of Trade and Industry will determine which other services will be exempt from this decision,” the report added.

Beginning Tuesday, “all residents are obliged, upon going out and traveling, to have no more than two people in one vehicle,” with exceptions of taxis or ambulances, QNA said. 

Additionally, citizens must install an app beginning Friday from the Interior Ministry to receive coronavirus updates.

Qatar’s council warned people who do not follow the new guidelines could be fined or imprisoned, QNA reported.

Qatar has at least 33,969 confirmed coronavirus cases and approximately 15 deaths, according to Johns Hopkins University tally.

South Sudan's vice president and wife test positive for coronavirus

South Sudan’s Vice President Riek Machar announced today that he has tested positive for coronavirus, according to a statement released by his office.

His wife Angelina Teny, who serves as defense minister, also tested positive.

Machar said that starting today, he will self-quarantine for 14 days in his residence. He added that he is feeling healthy and showing no symptoms of the virus.

By the numbers: South Sudan has reported 282 cases of coronavirus and four deaths, according to the World Health Organization’s tally.

Turkey announces nationwide curfew during Eid al-Fitr holidays

Turkish President Recep Tayyip Erdogan chairs the cabinet meeting via video conference call in Istanbul, Turkey on Monday, May 18.

Turkey will be under a nationwide four-day curfew for the Eid al-Fitr holiday between May 23-26 as a part of pandemic measures, President Recep Tayyip Erdogan announced in a speech Monday.

The celebration of Eid al-Fitr, called Eid for short, marks the end of the Muslim holy month of Ramadan, and is usually celebrated in large family gatherings and through communal holiday prayers at neighborhood mosques.

As a part of the normalization process, starting on May 29, some mosques that meet requirements in the country will be allowed to hold communal prayers for two out of the five daily prayers required for Muslims, according to Erdogan.

Turkey allowed shops, malls and hairdressers to reopen last week.

Turkey will continue its age-specific lockdown, prohibiting people over the age 65 and below the age of 20 from leaving their homes. The age groups will continue to be allowed out on specified days as a part of the new normalization process, Erdogan said.

The 2019-2020 education year has been concluded and schools will resume in September. Kindergartens and nurseries, however, will reopen on June 15, Erdogan said.

Norway prime minister's message to travelers: If you don't have a work reason to come, we'll send you back

Prime Minister Erna Solberg

Travelers arriving in Norway without a business reason to come will be sent back, the country’s Prime Minister Erna Solberg told CNN’s Hala Gorani on Monday.

Any decision to lift travel restrictions depends on how the coronavirus outbreak is developing and concerns around importing new cases, she said.

Solberg said Norway is “so in control of the infections” that future localized outbreaks will be handled with intensive testing and “specialized lockdowns.”

She said the country’s economic situation was serious.

“We have never been after the second World War in a situation like this in Norway,” Solberg said. She estimated the country faces a 4% GDP fall, but pointed to small businesses reopening as a positive sign.

She acknowledged that low oil prices hurt an oil-producing country like Norway.

While backing national and international investigations into the outbreak, Solberg said, “We should have an open mind on this, not targeting persons or singular organizations.”

Spain coronavirus mortality rates fall sharply since peak of pandemic, top health official says

A worker at an egg stall in Valencia's Central Market serves a customer after the Ministry of Health authorized the whole of the Valencian Community to move to phase 1 of the de-escalation on Monday, May 18, in Valencia, Spain.

The number of daily deaths due to coronavirus in Spain fell to 59 on Sunday, the lowest daily figure since March 16, according to data reported by the Spanish Health Ministry on Monday.

The total number of coronavirus-related deaths in Spain stands at 27,709.

Of the total cases, the number of health workers infected is 51,090, representing 22% of all Covid-19 infections in the country, according to the Health Ministry.

The mortality rate is significantly declining, from 11% at the height of the epidemic at the end of March, to 2% at the beginning of May, Dr. Fernando Simón, the country’s Director of the Center for Health Emergencies, said at a briefing Monday.

Simón said the government has instituted a new system for reporting Covid-19 cases, allowing for detection and treatment much more quickly.

This has cut the time between a person showing symptoms to being diagnosed with the virus down to 4 days, from between 7 to 17 days previously.

UK defends decision to wait months before adding smell to list of potential coronavirus symptoms

Jonathan Van-Tam, the deputy chief medical adviser for England

The deputy chief medical adviser for England on Monday defended the government’s decision not to add loss of the sense of smell to the list of possible symptoms of coronavirus until today.

“Anosmia has been recognized for some time now as a possible symptom of Covid-19,” Jonathan Van-Tam said, using the medical term for loss of the sense of smell.

But he said it was not the only possible symptom, and “very rarely” appeared on its own as an early warning of the virus.

“What we had to do was do some very careful analysis behind the scenes” of which symptoms beyond fever and cough were “useful or important to add” to the list, Van-Tam said.

“And even if it was barn-door obvious that anosmia was part of this, we wanted to be sure that adding it to cough and fever — as opposed to just listing it, adding it in formally in to our definition — was the right thing to do,” Van-Tam added.

The government added the symptom today.

Challenged by a reporter to say how many cases of coronavirus were missed as a result of not listing the condition as a symptom earlier, Van-Tam said, “I don’t have those figures to my fingertips,” but added that Public Health England data on the first several hundred confirmed cases in the country showed 0.44% reported loss of sense of smell on its own as a symptom.

Italy records lowest daily increase in coronavirus deaths since beginning of lockdown

After a two-month coronavirus lockdown, people are seen on the streets of Pisa, Italy as the government gradually lifts sanitary restrictions on Monday, May 18. 

A total of 99 people died in Italy due to coronavirus in the past day – the lowest daily increase recorded since the beginning of the nationwide lockdown on March 9, the national Civil Protection Agency said Monday.

At least 32,007 coronavirus patients have died in the country so far, the agency said, adding that there are currently 66,553 active cases of coronavirus across Italy – down by 1,798 since Sunday. 

Bars, restaurants, retail stores, hairdressers and museums reopened Monday in most Italian regions after nearly 10 weeks of lockdown.

Merkel and Macron unveil coronavirus recovery plan for EU

German Chancellor Angela Merkel listens during a joint press conference on the COVID-19 pandemic with French President Emmanuel Macron, who attends via video link, in Berlin, Germany, on Monday, May 18.

German Chancellor Angela Merkel and French President Emmanuel Macron announced a new Franco-German fund worth 500 billion euros as part of the European Union’s coronavirus recovery plan.

Speaking during a joint video conference today, Merkel confirmed that the European Commission will borrow money to boost the European economy, which has been severely weakened by emergency measures implemented to tackle the coronavirus pandemic. 

“The recovery fund of 500 billion euro will provide EU budgetary expenditure for the most affected sectors and regions,” she added. 

Macron joined Merkel on the video conference and noted that the new stimulus fund would be backed by the European Central Bank on the financial market.

“These 500 billion euros will have to be repaid,” Macron said, but “not by the beneficiaries” he added.

The French president also mentioned the need to “reduce our dependence on the outside in strategic sectors” and “better fight against predatory investments from other powers.”

UK adds 160 new coronavirus deaths

A driver is tested for the coronavirus at a drive-thru facility at the Edinburgh Airport in Scotland, on Friday, May 15.

The UK recorded 160 new coronavirus-related deaths, bringing the total deaths to 34,796 as of Sunday evening local time, the British government announced Monday.

More than 246,000 have tested positive so far, the Department of Health and Social Care said on Twitter.

Meanwhile, loss of sense of smell or taste has been added to the official list of coronavirus symptoms in the UK, the government agency said Monday.

Up to 70,000 cases could have been undiagnosed: The announcement comes after the head of the UK’s coronavirus symptom app, Tim Spector, criticized the government’s failure to expand their list of symptoms. Spector estimated that an additional 50,000 to 70,000 cases in the UK have gone undiagnosed due to the lack of recognition of other symptoms such as loss of or changes in a person’s sense of smell or taste.

Iran says it has been "hit hard" by coronavirus but has flattened the curve

Iran's Health Minister Saeed Namaki attends a cabinet meeting in Tehran, on March 25. 

Iran’s Health Minister Saeed Namaki acknowledged his country is suffering badly because of the coronavirus pandemic, speaking at the World Health Organization’s virtual 73rd World Health Assembly.

“My country has been hit hard by the outbreak,” Namaki said, “however we have managed to flatten the curve.”

Iran has so far recorded at least 122,492 coronavirus cases and 7,057 deaths, according to a tally from Johns Hopkins University.

Australia: Leaders must investigate and determine if WHO's powers need to be stronger

Australian Health Minister Greg Hunt is seen during a press conference on May 15 in Canberra, Australia.

Australia may support new powers for the World Health Organization in the wake of the coronavirus pandemic, Health Minister Greg Hunt said at the World Health Organization’s virtual 73rd World Health Assembly (WHA).

He urged the international community to “learn lessons” to determine whether the WHO’s mandate and powers need to be strengthened.

He stated that Australia supports an impartial and comprehensive review into the global response to the outbreak.

Meanwhile, speaking at the virtual assembly, UK’s Health Secretary Matt Hancock said the UK supports an inquiry into the global response to coronavirus “at the appropriate point.”

“For now we must all remain focussed on the fight against the virus, and of course a vaccine will be our best weapon in this fight,” Hancock said.

Some background: More than 100 countries have proposed a draft resolution calling for an independent “evaluation” into the coronavirus pandemic.

The motion comes with international support from countries such as India, New Zealand, Russian Federation, the European Union and its member states, as well as the United Kingdom and Northern Ireland. The United States is not one of the signatories.

The draft does not specifically mention China or Beijing, but China has been facing mounting international scrutiny for its initial handling of the COVID-19 outbreak.

Italian PM Conte says next few months will be “very hard” as the country starts to reopen

Italian Premier Giuseppe Conte holds a press conference in Rome on May 16.

The next few months will be “very hard” but “we will do everything we can to help everyone”, Italian Prime Minister Giuseppe Conte said in a letter to Italians published Monday in the daily newspaper Leggo.

On Monday, in most Italian regions bars, restaurants, retail stores, hairdressers and museums reopened after nearly 10 weeks of lockdown, as the badly hit European country entered the so-called “Phase 2” of its coronavirus restrictions.

Such measures include social distancing and the use of masks in public spaces and on public transportation.

Gyms and sport centres will be allowed to reopen from May 25, while from June 3 people will be permitted to travel outside their region of residence.

On Saturday, the prime minister announced that if the number of coronavirus cases keep decreasing, the government will allow people to enter Italy from abroad starting June 3.

Each Italian region will be able to decide whether to extend or restrict such measures, based on the assessments of the epidemiological data of their territories, the government said in a statement Saturday.