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TUESDAY, MAY 19, 2020 | FREEP.COM PART OF THE USA TODAY NETWORK Up North granted a partial reopening Whitmer loosens restrictions Whitmer first put her stay-at-home order in craft. place that those businesses will be able to ad- Bars and restaurants will be allowed to op- just in time for Memorial Day “We’re seeing it’s safe to take mit the public and it comes just ahead of the erate as long as they do so at half their capacity, this step at this time. ... In some Memorial Day weekend. and offices where work can’t be done remotely regions of the state, they’ve Todd Spangler Detroit Free Press The impacted counties are: may also open, subject to social distancing USA TODAY NETWORK just not been hit as hard.” ❚ In the northern Lower Peninsula: Alpena, rules. Gov. Gretchen Whitmer Antrim, Benzie, Charlevoix, Cheboygan, Craw- Short-term vacation rentals continue to be Retail businesses in northern parts of Mich- ford, Emmet, Grand Traverse, Kalkaska, Leela- closed for now and the change doesn’t affect igan, including bars and restaurants, will be nesses and offices in the Upper Peninsula and nau, Manistee, Missaukee, Montmorency, Ot- other parts of the governor’s order, with school able to reopen Friday as coronavirus-related 17 counties in the northern Lower Peninsula, sego, Presque Isle, Roscommon and Wexford. remaining closed, for instance. People will also cases and deaths continue to fall rapidly across including those around Traverse City, to re- ❚ On the Upper Peninsula: Alger, Baraga, still be required to wear masks and make every the state, Gov. Gretchen Whitmer said Monday. open as long as they follow guidelines intended Chippewa, Delta, Dickinson, Gogebic, Hought- effort to keep 6 feet away from others as Whitmer issued an executive order Monday to slow the virus’ spread. on, Iron, Keweenaw, Luce, Mackinac, Mar- allowing nonessential and non-exempt busi- It marks the first time in two months since quette, Menominee, Ontonagon and School- See REOPENING, Page 6A

CORONAVIRUS UPDATE AUTOWORKERS STREAM BACK INTO PLANTS Infection totals 1 in 3 avoid Michigan: At least 4,915 deaths, 51,915 cases Assembly lines crank up U.S.: 90,338 deaths, medical care 1,508,168 cases World: 318,213 deaths, 4,795,941 cases because of (As of 9 p.m. Monday)

Sewage testing could COVID-19 track coronavirus METRO, 4A Redford man nearly lost life Duggan: Detroit ready to after suffering heart attack reopen for business 5A Kristen Jordan Shamus Detroit Free Press USA TODAY NETWORK Survivors warn of reopening too fast Michael Devine had chest pain. 7A He thought it was heartburn. He thought it would go away. He tried to will it away. Limited service for Up Because in the middle of a pandemic, De- North restaurants, bars vine, 51, of Redford didn’t want to have to go to MICHIGAN BUSINESS, 8A the hospital. He wanted to avoid the one place where he knew there would be people with WHO will launch COVID-19. independent probe So Devine chose to wait it out — like nearly NATION+WORLD, 11A one-third of Americans who said they also put off getting medical care to avoid the risk of exposure to novel coronavirus, according to a new poll from the American College of Emer- Inside today’s Free Press gency Physicians and Morning Consult. ❚ Obituaries...... 10A Autoworkers arrive to start their shifts Monday at the FCA plant on Mound Road. It was the first day back in As many as 80% of the 2,201 adults polled ❚ Life+Tech...... 6B two months after being shut down because of the coronavirus epidemic. PHOTOS BY KIRTHMON F. DOZIER/DFP April 18-20 for the survey said they were con- ❚ Comics ...... 7B cerned about contracting COVID-19 in a hos- ❚ Puzzles ...... 8B-9B pital emergency room. Some are nervous despite Eric D. Lawrence and Phoebe Wall Howard “Nobody wants to go to the hospital, espe- Detroit Free Press | USA TODAY NETWORK cially during this time of COVID-19,” Devine safety measures put in place said. “No way you want to go.” Weather In the predawn darkness along Mound Road north of De- In addition to worries about contracting troit on Monday, the autoworkers hurried toward the un- the virus, Devine said he was also concerned High 67° ❚ Low 53° known. that he would add unnecessary stress to a Showers early. Forecast, 2A The first day back to work in two months since the coro- health system already taxed by the pandemic, navirus pandemic shut down manufacturing came with its taking medical resources from severely ill share of nervousness for many of those heading inside Fiat coronavirus patients who needed critical Chrysler Automobiles’ Warren Truck Assembly before 5 a.m. care. Volume 190 | No. 15 ©2020 $2.50 Of those who paused long enough to speak to a Free Press “I felt like this would just interrupt a doctor Home delivery pricing inside reporter only one said he was truly comfortable coming back. that’s working with a patient that’s more im- Subscribe: 800-395-3300 Classified: 586-977-7500; 800- The rest said it was too soon or talked about the loss of life portant, you know, somebody that probably 926-8237 from COVID-19. At this plant alone, where the popular, older has COVID-19 on a ventilator.” version of the Ram 1500 pickup is built, the toll has been tragic, The decision to avoid treatment could have with four dead, although it’s not known where any of them killed Devine, who works in distribution for a contracted the virus. manufacturing company that has aided in the WEAHII-11000v Autoworker Laruante Gary arrives prepared with his mask to start his shift. See AUTOWORKERS, Page 7A See MEDICAL CARE, Page 6A

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The coronavirus pandemic

To reopen, businesses must have a COVID-19 plan

Jennifer Dixon Detroit Free Press workplace infection-control practices and the ecutive directive that allows the director of the “The vast majority of Michigan businesses USA TODAY NETWORK proper use of personal protective equipment. Department of Labor and Economic Opportu- are doing their part to slow the spread of CO- Employers must also spell out how employ- nity to appoint a director of COVID-19 work- VID-19, but we must do more to ensure Michi- As businesses in Michigan begin to reopen, ees who have COVID-19 symptoms or a place safety to coordinate state efforts to mon- ganders are safe at work,” Whitmer said in a they will be required to follow strict safety COVID-19 diagnosis should alert their compa- itor and enforce workplace safeguards. statement. guidelines to protect their workers and cus- ny. And employers also must spell out how And state agencies that enforce workplace “This executive order, and the director of tomers from the novel coronavirus, according workers can report unsafe working conditions. safety regulations will be required to publicly COVID-19 workplace safety, will help ensure to an executive order signed Monday by Gov. The executive order provides detailed in- post citations against employers that fail to fol- employers take the needed measures to protect Gretchen Whitmer. structions for employers in construction, man- low the rules outlined in Whitmer’s workplace workers and customers from the spread of CO- The 12-page executive order requires em- ufacturing, retail, research labs, offices and safety order. VID-19,” she said. ployers to develop a COVID-19 preparedness restaurants. The governor’s order comes as federal and “We’re grateful to Gov. Whitmer for taking and response plan that can be readily provided As companies reopen, they must designate state occupational safety agencies have action today to save lives and hold down the to employees, labor unions and customers. one or more work site supervisors to monitor launched investigations into workplace fatal- spread of this awful virus,” Ron Bieber, presi- The governor’s order comes as she allows COVID-19 control strategies, and this person ities at four hospitals in Michigan and a nurs- dent of the Michigan AFL-CIO, said in a news retailers, restaurants and offices to reopen must be present at all times that workers are ing home whose employees died of complica- release from the governor’s office. across much of northern Michigan and the Up- on-site. tions from the coronavirus. “It’s not right to force people back to work per Peninsula starting Friday. The rules also require employers to provide Those investigations were opened earlier without making sure they’re kept safe. Anyone Employers that are reopening must develop nonmedical face masks to their workers; keep this month by the federal Occupational Safety returning to work should know they’ll be safe their preparedness plans by June 1, or within employees 6 feet apart, and when that’s not and Health Administration and the Michigan in their workplace, and our state should be act- two weeks of resuming in-person activities, possible, require workers to wear masks; in- Occupational Safety and Health Administra- ing to hold bad actors accountable,” Bieber whichever is later. crease cleaning and disinfecting; and make tion, also known as MIOSHA, according to rec- said. The governor’s workplace safety order also cleaning supplies available to workers. ords kept by OSHA and reviewed by the Free Contact Jennifer Dixon: 313-223-4410 or requires employers to provide training on Also on Monday, the governor signed an ex- Press. [email protected]

stroke symptoms. Medical care “It’s found out later on that they actually test positive for COVID as well,” said Jagannathan, Continued from Page 1A who works out of three Michigan hospital sys- tems — Garden City Hospital, which is run by coronavirus response by producing ventilator Prime Healthcare, MidMichigan Medical Cen- parts. ter, which is run by the University of Michigan “I had your typical signs of heart attack,” De- Health System, and McLaren Health Care. vine said. “My right jaw hurt. My left arm was Lutz agreed, adding that hospital systems killing me and the middle of my chest was hurt- are ready and able to help people who need ing. ... These are signs of a heart attack, and I emergency treatment without exposing them was ... just in denial. to coronavirus. “I’m like, you know, I think it’s indigestion. I “We’re very focused on trying to provide a ... don’t ... think it’s that serious.” safe environment for the patients,” he said. After more than a week of off-and-on symp- “We have policies and procedures to screen, toms, Devine said he woke up in the middle of and make sure everyone’s safe to come to the the night of April 21 into April 22, and “it felt like hospital and that we can treat them ... safely.” there was an elephant on my chest.” But Lutz said he hadn’t realized that some Still, he decided to go to work that morning. patients, like Devine, were not only concerned He’d just been called back after a nearly mon- about getting coronavirus at the hospital, but thlong furlough, and said he was excited to get they also are worried about being an unneces- back on the job. sary drain on the health care system during the But as he drove to work the morning of April pandemic. 22, Devine made a quick decision to instead go “I wasn’t really thinking that patients were to the emergency room at Beaumont Hospital thinking they may be a burden to the health in Farmington Hills. care system,” Lutz said. “I think we need to help There, doctors discovered he had, in fact, them out and say, ‘We do have the capabilities suffered a heart attack. still to handle it. ... We’re not overwhelmed.’ I “He underwent a cardiac catheterization, think there was a brief time and there we were. and he actually had two critical- That has passed. ly blocked arteries that we had “We want people to come in for the same to open up with stents,” said Dr. things they were going to come in with before. Anthony Lutz, a general cardiol- If you were concerned enough to think you ogist for Beaumont Health, not- needed to come to the hospital, we still want ing that Devine’s right coronary you to come to the hospital. We have the capa- and ramus arteries were bilities to treat you and you’re not going to be Lutz blocked. exposed to COVID-19 any more than the gener- “Those arteries were supply- al population.” ing the inferior wall of his heart. So it has re- Devine said he’s grateful he survived his or- duced the squeeze of his heart some. I think deal. At 51, he knows he’s young to have had a he’ll still recover from it, but he did suffer a heart attack. There’s no family history of heart heart attack because those arteries blocked up, Michael Devine, 51, of Redford wanted to avoid the hospital but eventually went. He found out disease, and he’s otherwise healthy. His big- and that had been going on for some time. he had suffered a heart attack. “I think I got very lucky. I really do.” JUNFU HAN/DETROIT FREE PRESS gest risk factor is that he was a smoker. Those chest pains, you know, if we could have He’s since given that up. gotten to them earlier, we might have been able “I think I’m lucky,” he said. “I think I got very to hold off the heart attack.” scared to come to the hospital over fears that “The common symptoms of stroke are going lucky. I really do. ... God must have a certain Lutz said he and other physicians are very they’re going to get sick or be exposed and to be weakness in one side of the body, partic- reason.” concerned about patients like Devine who maybe be worse off had they not come to the ularly weakness that comes and goes and gets Devine has recovered enough to return to aren’t coming to the emergency room when hospital.” better,” Jagannathan said. “That sign is called a work, and also has started to make other life- they have serious symptoms that could be Dr. Jay Jagannathan, a neurosurgeon spe- transient ischemic attack or TIA. ...The other style changes, too. signs of heart attack or stroke. cializing in cranial and spinal surgery in private symptoms are going to be ... loss of coordina- “If I follow these steps, I can have many “From our cardiology standpoint, we’ve practice, said even if patients are hesitant to go tion, loss of sensation one side of the body, se- years left. ... If I keep doing the right things, I’ll seen a dramatic decline in people presenting to an emergency room, they should, at the very vere headaches, double vision.” have longevity,” he said. with chest pain and heart attacks and arrhyth- least, call their primary care physician to get Increasingly, he said, doctors are seeing mia complaints that we’re typically used to advice if they are having any emergency symp- blood clots and stroke in COVID-19 patients. Contact Kristen Shamus: 313-222-5997 or seeing,” he said. toms, whether they are similar to heart attack Some people, he said, don’t know they have [email protected]. Follow her on Twit- “And I think after talking to patients, they’re or stroke. coronavirus at all. Their first symptoms are ter @kristenshamus.

people returning to work, the governor said, and one of the few that remains in place as optimistic that the governor may be coming Reopening but details still need to be worked out on that cases and deaths continue to drop precipitous- around to what we have known for some time, and other related issues ahead of the relaxing ly. that our citizens are ready and able to safely re- Continued from Page 1A of the rules at 12:01 a.m. Friday. As of Sunday, Michigan reported 638 more sume daily life.” As of Monday, Michigan’s Upper Peninsula confirmed cases of coronavirus, also known as U.S. Rep. John Moolenaar, R-Midland, Whitmer has cautioned she could return to and the affected northern Lower Peninsula COVID-19, statewide, and 11 deaths, the most whose district includes some of the affected stricter sanctions if infection rates climb again. counties accounted for 4,453 of the state’s encouraging daily figures reported since late counties on the Lower Peninsula, said he But it still represents a significant move for- 51,915 cases — less than 9% of the total March. knows people across the region are eager to re- ward. It was not immediately clear when the gov- Michigan has had 51,915 confirmed cases of open their businesses. “We’re seeing it’s safe to take this step at this ernor would relax restrictions in other parts of coronavirus and 4,915 deaths, making it one of “I hope more regions of the state will be able time,” Whitmer said during a briefing with re- Michigan. The Whitmer administration divid- the hardest hit states in the U.S. since the to reopen soon and that everyone will take the porters on Monday, where she also outlined re- ed the state into eight regions in order to make state’s first reported case March 10. steps that are needed to protect employees and quirements that businesses across the state more local decisions about when to reopen Whitmer — whose orders have been the customers,” he said. begin to develop plans — to be finalized by businesses. Monday’s announcement only af- subject of protests at the state Capitol and law- Traverse City Mayor Jim Carruthers, who June 1 — on how they will protect workers, pro- fected Regions 6 and 8. suits filed by Republican opponents — some- appeared at the briefing with Whitmer, said he vide them equipment to keep them from con- Dr. Joneigh Khaldun, the state’s chief med- what relaxed an earlier order on April 24, al- was pleased by the governor’s decision but that tracting the virus and conform to social dis- ical executive, said trends in cases and deaths lowing manufacturing and construction to re- people must remain “mindful” of the threat tancing requirements that workers are sepa- in the Detroit and Grand Rapids areas are posi- start with certain guidelines in place and per- and take precautions. rated. tive but that case levels remain too high to relax mitting retail other than those considered “It’s horrible to see all the houses and busi- She said allowing for a limited reopening in restrictions on social distancing and business- essential, such as pharmacies and grocery nesses closed,” he said. “But we need to make northern Michigan made sense at this point, es just yet. stores, which had already been open, to pro- sure we protect the well-being and safety of however. “They’re not quite ready to move (to the next vide curbside delivery. our (residents). ... We still must practice social “In some regions of the state, they’ve just phase of reopening),” she said. The current stay-at-home order is effective distancing. We still must wear masks ... but if not been hit as hard,” she said. But she warned statewide until May 28, though Whitmer had we do our part as a community, as a state, we that people still need to keep their distance and Change comes amid protests, lawsuit discussed making changes by region depend- can stop this.” that local officials may enforce more strict rules ing on the case numbers, deaths and testing. Contact Todd Spangler: tspangler@free — such as requiring outdoor seating at bars Monday’s announcement comes as Whitm- Senate Majority Leader Mike Shirkey, R- press.com. Follow him on Twitter @tsspangler. and restaurants — if they deem it necessary. er faces increased pressure to relax her stay-at- Claklake, who has helped lead efforts fighting Read more on Michigan politics and sign up for Child care would be allowed in order to help home order, one of the toughest in the nation Whitmer’s orders, saying he was “cautiously our elections newsletter.