FALSE SENSE of SECURITY? What You Should Know About Wearing Gloves and a Mask If You Can’T Work from Home

MONDAY MARCH 23 2020

Coronavirus In this section, you’ll find WHAT YOU information to help keep you NEED TO knowledgeable about the disease and GUIDE KNOW how best to protect yourself and those you care about. This resource will continue to run in our eEditions for as long as it’s needed.

DAILY NEWS ON THE VIRUS WILL BE FOUND IN OUR NEWS SECTION, EXTRA EXTRA.

NEW IN THIS ISSUE: Parents turn teachers amid virus...... PAGE 25

Clogged toilets a side effect of coronavirus cleanup ...... PAGE 3 CRAIG MITCHELLDYER AP

CAROLYN COLE TNS A postal worker delivers mail in Torrance, Calif., wearing a mask and gloves on March 14. Experts warn against thinking gloves and masks will keep you totally safe. FALSE SENSE OF SECURITY? What you should know about wearing gloves and a mask if you can’t work from home

minder not to touch your face. BY NICOLE SANTA CRUZ Think about what your Los Angeles Times hands are coming into contact IF YOU’RE TOUCHING SURFACES, WHAT ELSE ARE YOU TOUCHING WITH with. If you’re touching door- LOS ANGELES knobs, rails or elevator but- As state and local officials THOSE GLOVES? ARE YOU TAKING SOMETHING FROM ONE PERSON tons, wash your hands again. have issued strict stay-at-home ‘‘ “There’s nothing better than mandates to curb the spread of AND GIVING IT TO ANOTHER PERSON? washing hands,” said Steve COVID-19, there are many David Bazzo, a clinical professor of family medicine at UC San Diego Chen, associate dean for clin- workers who don’t have the ical studies at USC. luxury of staying home. What about gloves? There’s the neighbor working more people become infected, Above all, wash your hands seconds. Wash your hands Gloves can serve as a layer at a grocery store with an el- you may be wondering how to First, experts say, hand- before, during and after your of protection but can still derly parent at home, or the stay safe. Here’s the best in- washing is unbeatable. Hot or shift and avoid touching your transmit the novel coronavirus, gas station clerk keeping the formation we have from South- cold water. Use soap. Sing a face. One expert suggested which causes COVID-19, said pumps running. ern California public health song while you’re doing it so using a scented soap so you As the virus spreads and experts. you’re washing for at least 20 could use the scent as a re- SEE GLOVES, PAGE 2

from out of the country. Beware the coronavirus scams: Colloidal silver, Officials are aggressively pursuing scammers, threatening legal action if they continue. various herb remedies and fake test kits The FDA has issued warning letters to seven entities that it says have made false claims plement that can cure or pre- Craigslist, a now-removed post kill the virus within 12 hours. about coronavirus cures or BY ALEJANDRA REYES-VELARDE vent the virus. claimed: “I think I found how to These are just a few examples treatments, including “The Jim Los Angeles Times But that hasn’t stopped scam prevent coronavirus … from my of people who are trying to Bakker Show,” which is already artists from trying to take ad- grandmother’s herbal remedy capitalize on the coronavirus facing legal action from federal LOS ANGELES vantage of people’s fears. recipe card.” And a televange- panic, and there are countless and state agencies. In the midst of the coronavi- In Peru, a curandero claiming list recently promoted his “Sil- others – from price gougers Los Angeles City Attorney rus pandemic, public health to have “a pact with the devil” ver Solution” on his show, sug- selling hand sanitizer for hun- Mike Feuer and county District officials have made it clear: promised to treat coronavirus gesting the concoction would dreds of dollars to fake at-home There is no pill, vaccine or sup- among other ailments. On boost the immune system and coronavirus test kits coming SEE SCAMS, PAGE 3

WHAT’S INSIDE

STAYING INFORMED STAYING HEALTHY STAYING ENTERTAINED What is the coronavi- From washing your Using exercise, online rus, what are its symp- hands, to social concerts, new recipes toms and how does it distancing, everything or binging television differ from other you need to know to shows to make being common illnesses? flatten the curve. stuck at home easier. Getty Images/iStockphoto Pages 4-13 TNS Pages 14-30 TNS Pages 33-45

CONTENT IN THIS SECTION MAY HAVE ALREADY APPEARED IN YOUR DAILY PAPER MONDAY MARCH 23 2020 PAGE 2 Coronavirus guide

FEDERICO RIOS NYT A neighborhood during mandatory isolation in Bogota, Colombia, on March 21. Nature may help diminish the pandemic if aggressive measures to control the spread of infections continue, experts say. That doesn't mean the virus won't return.

act urgently and aggres- BY KNVUL SHEIKH AND ERNESTO LONDOÑO sively to try and contain the virus while case num- New York Times WILL HIGHER bers are relatively low and Communities living in close contacts can easily warmer places appear to be traced and quarantin- have a comparative ad- ed. vantage to slow the trans- TEMPERATURES HELP? “One of the big perils in mission of coronavirus assuming that the virus is infections, according to an less dangerous in warmer early analysis by scientists temperatures, among at the Massachusetts In- particular ages or for any stitute of Technology. Warmer weather may slow, but not specific group is compla- The researchers found cency,” said Julio Frenk, a that most coronavirus physician who served as transmissions had oc- health minister in Mexico curred in regions with low halt coronavirus and is now president of temperatures, between the University of Miami. 37.4 and 62.6 degrees “If people fail to heed the Fahrenheit (or 3 and 17 and Colorado. Coronavi- same course. might have affected the biding their time until warnings and recommen- degrees Celsius). rus cases in California At least two other stud- number of cases in differ- conditions are suitable for dations of public health While countries with have grown at a rate that ies published on public ent countries. infections to spread again. professionals, the results equatorial climates and falls somewhere in be- repositories have drawn The possible correlation Some viruses have the will be disastrous.” those in the Southern tween. similar conclusions for the between coronaviruses opposite pattern. Polio But because high hu- Hemisphere, currently in The seasonal pattern is coronavirus. One analysis cases and climate should and tuberculosis, for ex- midity and heat only align the middle of summer, similar to what epidemiol- by researchers in Spain not lead policymakers and ample, tend to spread perfectly during mainly have reported coronavirus ogists have observed with and Finland found that the public to compla- faster in warmer climes. July and August in some cases, regions with aver- other viruses. Dr. Deborah the virus seemed to have cency. And some viruses may parts of the Northern age temperatures above Birx, the global AIDS found a niche in dry con- “We still need to take have no seasonal variation Hemisphere, Bukhari 64.4 degrees Fahrenheit coordinator in the United ditions and temperatures strong precautions,” Buk- at all. cautioned that the effects (or 18 degrees Celsius) States and also a member between 28.3 degrees and hari said. “Warmer tem- It will take another 4 to of warmer weather on account for fewer than 6% of the Trump adminis- 49 degrees Fahrenheit (or peratures may make this 6 weeks before health reducing transmissions of global cases so far. tration’s coronavirus task minus 2 and 10 degrees virus less effective, but officials will have a clearer might only last for a brief “Wherever the temper- force, said during a recent Celsius). Another group less effective transmission picture of how weather period in some regions. atures were colder, the briefing that the flu, in the found that before the does not mean that there patterns shape the trajec- “This suggests that even number of the cases start- Northern Hemisphere, Chinese government is no transmission.” tory of the coronavirus, if the spread of the coro- ed increasing quickly,” generally follows a No- started imposing aggres- Warmer temperatures said Jarbas Barbosa, as- navirus decreases at high- said Qasim Bukhari, a vember to April trend. sive containment mea- might make it harder for sistant director at the Pan er humidity, its effect computational scientist at The four types of coro- sures, cities with higher the coronavirus to survive American Health Organi- would be limited for re- MIT who is a co-author of navirus that cause the temperatures and more in the air or on surfaces zation, the regional office gions above 40 degrees the study. “You see this in common cold every year humid environments for long periods of time, of the World Health Or- North, which includes Europe, even though the also wane in warmer reported a slower rate of but it could still be conta- ganization that focuses on most of the Europe and health care there is among weather. infection transmission gious for hours, if not the Americas. North America,” he said. the world’s best.” Birx also noted that the early in the outbreak. days, Bukhari said. The fact that local And because so much is The temperature de- pattern was similar with But none of the studies Even seasonal viruses transmission is happening unknown, no one can pendency is also clear the SARS epidemic in have been peer-reviewed like influenza and the across the global south predict whether the virus within the United States, 2003. But she stressed by other scientists, and viruses that cause the signals that this virus may will return with such fe- Bukhari said. Southern that because the virus Bukhari acknowledged common cold don’t com- be more resilient to warm- rocity in the fall. states, like Arizona, Flor- outbreaks in China and that factors such as travel pletely disappear during er temperatures than the ida and Texas, have seen South Korea began later, it restrictions, social dis- summer. They are still flu and other respiratory Manuela Andreoni slower outbreak growth was difficult to determine tancing measures, varia- present at low levels in viruses. That is why World contributed reporting. compared with states like whether the new coro- tions in the availability of many people’s bodies and Health Organization offi- Washington, New York navirus would take the tests and hospital burdens in other parts of the world, cials still urge countries to

FROM PAGE 1 ing the gloves, experts say ple wear protective equip- masks: People will touch The evidence suggests Experts acknowledge to wash your hands. Think ment, it gives them a false the mask, fidget with it, there’s no benefit to wear- that it’s tough to know about how often you’re sense of security, and we drop it, then put it back ing a mask if you’re not how to keep yourself safe. GLOVES changing those gloves, should protect against that on. Sometimes they’re infected, USC’s Chen And for the people who and make sure that the as well,” Bazzo said. upside down or and worn said.. have an elderly parent at David Bazzo, a clinical pair, or pairs, you’re cy- Should you wear a for too long, said Berna- U.S. health officials, home or who must work professor of family med- cling through fit snugly. mask? dette Boden-Albala, the however, have recom- in jobs that require inter- icine at UC San Diego. In Remember, Bazzo said, Answers to this question dean of public health at mended that medical action with others, there short: The gloves may be that if you’re washing are mixed. Masks are UC Irvine. workers treating suspect- isn’t an easy answer. protecting you but also your hands and practicing recommended for people The Centers for Disease ed coronavirus patients “I can say here’s what transmitting the virus. social distancing (as much who are sick to help keep Control and Prevention wear the N95 mask. we know,” Bazzo said. “If you’re touching as you can), that’s prob- them from spreading the has not recommended If an infected person “Here are best practices, surfaces, what else are ably as good as wearing virus, experts said. that people wear masks uses “the mask diligently, and please try to stick to you touching with those gloves. If you’re wearing the for everyday activities, it should reduce transmis- those as best you can gloves?” Bazzo said. “Are Experts also said to use CDC-recommended mask and with a shortage of sion,” Chen said. That because that’s your best you taking something the same precautions you – the N95 respirator – it supplies, experts urged means putting on the chance of preventing from one person and giv- would if you weren’t needs to fit right. caution. Ask yourself mask with your hands spread and trying to keep ing it to another person?” wearing gloves. Experts said they’d seen whom you might be tak- only after they’ve been you and your family safe.” Before and after wear- “Sometimes when peo- widespread misuse of ing it away from. washed. MONDAY MARCH 23 2020 PAGE 3 Coronavirus guide

other bad idea,” unless clogged sewer lines are it’s used in small amounts more than just a headache Americans coping with the and flushed frequently. for residents cooped up in The California State their homes during a pan- Water Resources Control demic. Spills flow into Board warned this week lakes, rivers and oceans, coronavirus are clogging toilets that “even wipes labeled where they can harm ‘flushable' will clog pipes public health and the and interfere with sewage environment, it said. Many say the woes collection and treatment Plumbers said they BY MICHAEL LEVENSON besieging the nation’s throughout the state.” were fielding an increase New York Times infrastructure have been “Flushing wipes, paper in calls from people work- compounded by the lack towels and similar prod- ing from home and self- Many Americans seem of toilet paper on store ucts down toilets will clog quarantining. to be following the recom- shelves, which is leading sewers and cause backups “We have noticed an mendations of public some to use paper towels, and overflows at waste- uptick in the amount of health officials to clean napkins or baby wipes water treatment facilities, clogged main sewer lines and sterilize countertops, instead. creating an additional and, when we dispatch doorknobs, faucets and Across the country – in public health risk in the our technicians, we are other frequently touched Charleston, South Car- midst of the coronavirus pulling baby wipes out of surfaces in their homes. olina; northeastern Ohio; pandemic,” it said. the line and we’re seeing The problem? Many are Lexington, Kentucky; The agency said waste- paper towels and Lysol then tossing the disin- Austin, Texas; and Spo- TAMIR KALIFA NYT water treatment plants wipes,” Mark Russo, vice fectant wipes, paper tow- kane, Washington – waste- A teacher distributing meals to district students while across California were president of Russo Broth- els and other paper prod- water treatment officials their schools are closed for the coronavirus outbreak reporting problems. ers & Co., a plumbing and ucts they used into the have beseeched residents cleans her hands with a disinfecting wipe in Brenham, It noted that most urban heating service in East toilet. not to flush wipes down Texas, on March 17. Sewage systems and toilets are sewage systems depend Hanover, New Jersey, said The result has been a the toilet using the hash- clogging as Americans clean their homes with on gravity and water flow on Saturday. coast-to-coast surge in tag #WipesClogPipes. disinfectant wipes and turn to paper towels, napkins and to move toilet paper and “These items are things backed-up sewer lines and “Flushable wipes are baby wipes to cope with the lack of toilet paper. waste, and were not de- that should never be overflowing toilets, ac- not truly flushable,” said signed to accommodate flushed down the toilet,” cording to plumbers and Jim Bunsey, chief oper- disinfectant wipes and he said. public officials, who have ating officer of the North- do not break up like reg- issued a similar plea to its paper towels, which do pleaded with Americans east Ohio Regional Sewer ular toilet paper.” customers, and said that not break down as easily to spare the nation’s pipes District. “They might go The plumbing repair substituting facial tissue and clog the system. from further strain. down the drain, but they company Roto-Rooter for toilet paper was “an- The board noted that

FROM PAGE 1 something looks good or exciting, the thought often is, ‘Why not?’” SCAMS Others who have a dis- trust of the public health Attorney Jackie Lacey system or don’t have the have formed a coronavi- means to obtain the care rus task force dedicated to WHEN PEOPLE they need sometimes scouring the internet and ‘‘ search for alternative brick-and-mortar stores ARE AT THIS forms of healing, putting for fraudsters and price them at risk as well. gougers. STATE, THEY’RE “I’ve had several pa- Feuer’s office is already WILLING TO TRY tients come to me and investigating two Los say, ‘I heard this works’ Angeles: CEN Group ALMOST about some herb they LLC., which on its web- ANYTHING. heard about, and they site, SafeBabyHealthy- would prefer to try that Child, promoted vitamin April Denise Thames, an than any type of West- C as a coronavirus treat- associate professor of ernized medicine,” ment, and the website psychology and a clinical Thames said. “It’s a com- MondernBeyond.com, neuropsychologist at USC plete scam, because it’s which was selling face not backed by scientific masks claiming to reduce evidence of any kind.” the risk of getting the The scams also show up coronavirus by 95.99%. via emails and robo calls. So far, CEN Group LLC. One robo call claiming has complied with re- to be associated with the quests to take down the World Health Organiza- false claims, Feuer said. DREAMSTIME TNS tion said: “The WHO is On March 12, U.S. Cus- Officials are aggressively pursuing scammers, threatening legal action if they continue to prey on people’s informing you that you toms and Border Protec- coronavirus fears with fake pills, vaccines or supplements they claim can cure or prevent the virus. applied for a coronavirus tion officials at Los An- vaccine and today is the geles International Airport last day to address it. If seized six plastic bags adopting best practices and has been able to elim- were sold out. done the same, and has you have any questions, containing fake coro- such as social distancing inate it within 12 hours” “As people are con- instigated a new policy press 9 for help.” The navirus home testing kits and washing their hands. the woman responded. cerned about their im- about certain medical message is then repeated that were shipped from Scam artists who “Totally eliminate it. Kills mune systems, these and supplies: in Chinese. the United Kingdom. emerge during a health it. Deactivates it.” many other immune herbs “We are temporarily Emails might disguise Dozens of vials inside the crisis are nothing new. Bakker is now facing a are being sold out across banning advertisements themselves as helpful plastic bags were labeled Any time a new panic lawsuit in the state of the nation,” the site read, and commerce listings resources from official “Corona Virus arises, they seize the op- Missouri, and New York before directing people that sell medical face sources, such as the WHO 2019nconvd (COVID-19)” portunity to prey upon a officials have ordered him looking for such products masks,” a Facebook or the Centers for Disease and “Virus1 Test Kit,” frightened population, as to stop promoting his to google Stephen Buhn- spokesperson said. “Our Control and Prevention. according to CBP. was the case with SARS in colloidal silver products, er’s herbs. teams are monitoring the When users click through, Feuer said his coro- 2003 and the H1N1 virus which have since been In response, Buhner COVID-19 situation close- they are actually allowing navirus task force is on in 2009, another outbreak removed from his website. said though he’s not hap- ly and will make neces- access to personal data the lookout for other fake during which we heard Feuer has also taken aim py about Herbal Amy’s sary updates to our pol- like passwords or credit at-home test kits adver- about colloidal silver. at Bakker, saying his of- claims and that the com- icies if we see people card details or download- tised online. Some scammers touted it fice is collaborating with pany used his name with- trying to exploit this pub- ing malicious software, The city attorney a cure-all, insisting that it federal and state officials out permission, he be- lic health emergency for said Nikolas Behar, a wouldn’t talk about the could get rid of cancer, that have already targeted lieves in the effectiveness their own benefit.” cybersecurity expert. details of each investiga- AIDS, tuberculosis, dia- the televangelist. of herbal medicines in When panic and fear Behar said these types tion, or how many cases betes and numerous other Representatives of “The some circumstances. He are pervasive, people are of online scanners are his office was following, diseases. Others pushed Jim Bakker Show,” which said he is not affiliated more likely to fall victim always pervasive and but he promised: “Scam counterfeit Tamiflu pills airs in Los Angeles on with Herbal Amy or any to these types of claims, looking for new targets. artists who are targeting as a cure. satellite and cable TV, did other company selling his because their decision- The coronavirus is simply Angelenos are going to “When people are at not immediately respond herbs. making skills could be “the flavor of the month.” confront our office and this state, they’re willing to a request for comment. “Despite the existence impaired by the height- Officials and experts we’re going to take them to try almost anything,” In Boise, Idaho, a busi- of a few antiviral pharma- ened anxiety, Thames say protecting the public on.” said April Denise Thames, ness called Herbal Amy, ceuticals the only real said. will be, to a great extent, a The crackdown comes an associate professor of which was selling prod- treatments that Western “In times of uncertainty matter of how well health as normal day-to-day psychology and a clinical ucts developed by herb- medicine has developed and distress, there’s a officials can disseminate activities are grinding to a neuropsychologist at USC. alist Stephen Buhner, for viral infections are tendency for people to be educational information halt across the country. In On a recent show, Jim received a warning letter vaccines,” Buhner said in reactive,” Thames said. to those at risk. the Bay Area, seven coun- Bakker – a televangelist from the FDA. the statement. “Unfortu- “We’re all vulnerable to Thames said the public ties are under a shelter-in- who spent almost five According to the letter, nately, vaccines for new it.” should be educated about place order, and in Los years in jail in the 1990s the Herbal Amy site organisms generally take a Officials say that se- the rigorous scientific Angeles County, bars and for defrauding followers claimed that Buhner “ana- year or so to develop, niors, whose decision- process that cures and restaurants have closed or into buying memberships lyzed how coronaviruses hence my desire to create making skills may be vaccinations need to go prohibited dining in. and retreats that support- infect tissues … and herbs an herbal protocol that diminished by age, are through before becoming Nearly 900 people in ed his extravagant life- that are useful to interrupt people could begin using more frequently targeted available to the public. California have tested style – said of his colloidal that process” and that to boost their immunity by scammers looking to “There needs to be a positive for the virus and silver product: “We’ve “Stephen Buhner has used to, and disrupt the tissue make money or steal peo- wide public information 17 have died so far. Ex- tested, it works on just this with other corona infections of, this specific ple’s identities. The health campaign by our national perts say in the next year, about everything.” virus infections, including coronavirus strain.” risks and panic caused by health experts about some up to 70% of the pop- Holding the black “Sil- SARS, it works well.” Facebook, Amazon and the coronavirus makes basic issues … where they ulation will become in- ver Solution” bottle, he By Tuesday, the website other major companies them even more vulner- make clear there’s no fected. asked a guest: “This influ- had taken down those have banned and removed able to scammers home testing, there are no Officials say that not enza that is now circulat- statements and added a advertisements and posts claiming to have a quick cures for coronavirus, and only do the false claims ing the globe, you’re say- note warning that the about bogus cures. In fix for the virus. there is no medication for cures and tests fuel the ing that silver solution products were made in a addition, Amazon has On the other hand, that one can take,” she national anxiety, they would be effective?” kitchen and were not blocked or removed mil- younger adults and teen- said. could prevent sick people It hasn’t been tested on FDA-approved. The web- lions of products suspect- agers may be susceptible “The more pervasive from seeking the help they this strain of the virus, but site also noted that herbs ed of making misleading to scams because, Thames the campaign would be, in need, or discourage “it’s been tested on other high in demand, such as claims about the coro- said, they will often think many languages, the bet- healthy people from strains of the coronavirus Chinese skullcap root, navirus. Facebook has with emotions, “so if ter.” MONDAY MARCH 23 2020 PAGE 4 Coronavirus guide

MARCOS SILVA Getty Images/iStockphoto Conceptual illustration of the coronavirus as if it were observed from a microscope.

rate will decrease further BY PAUL SISSON once they have time to The San Diego Union-Tribune account for all of the infected people who never With novel coronavirus sought medical care. This in the news, there are CORONAVIRUS is not ebola, which has a many questions on many mortality rate of around minds. This compilation 90 percent. of frequently asked ques- FREQUENTLY ASKED QUESTIONS Q: tions attempts to provide Q:Well, if it’s not that some answers to the most deadly, then why have common queries: almost 13,000 people died from coronavirus Q: Q:Why do they call it home until the possible since coronavirus spreads Q: Q:How does reactions can be so force- infection? coronavirus? incubation period of the inside large water droplets coronavirus kill? ful that they cause a pa- A: A:There are a lot of A: A:These viruses are virus passes, and those that land in your eyes, A: A:It’s like any other tient to essentially suffo- people in China. Wuhan spherical with a halo of with the highest risk have nose or mouth, or when respiratory virus such as cate. But, if you get to the City alone has a pop- protein spikes on their been held in quarantine one person touches anoth- influenza. Inhaled water hospital soon enough, ulation of more than 11 surface that are crown- facilities on military bases er, wearing a mask alone droplets with virus parti- there are many modern million with an estimated like in appearance. until the quarantine per- wouldn’t necessarily pre- cles inside get into the techniques to reduce in- 58 million living in Hubei iod passes. This makes it vent you from becoming lungs, and your immune flammation and support province where the out- Q: Q:Should everyone be very unlikely that anyone infected if someone who system immediately tries your breathing until your break is fiercest. There is wearing masks? would encounter someone was sick coughed or to get them out, either my immune system naturally evidence that the Chinese A: A:Definitely not. At with coronavirus in public. sneezed on you. Masks flooding them with mu- fights off the infection. government suppressed least not in America, If everyone goes out are actually found to be cous that you can cough early reports of a novel where the government has and buys a mask or two or most effective when worn out or by causing inflam- Q: Q:Why is coronavirus virus starting to spread in had time to identify and three it will put further by those who are sick, mation of the tiny air sacs so deadly? the community, and, with start monitoring everyone strain on supplies needed because they can catch inside your lungs that are A: A:It’s really not. The no isolation and quaran- returning from China for by health care workers those droplets and prevent critical for moving oxygen mortality rate for coro- tine procedures being symptoms of coronavirus. who really do need these them from moving from the air you breathe navirus currently stands at used in the early days, the Those who are at risk of resources to avoid getting through the air. into your bloodstream. about 2 percent, though infection are told to stay sick doing their jobs. Also, These immune system epidemiologists think that SEE VIRUS, PAGE 5

BY STACEY BURLING The Philadelphia Inquirer

If you’re worried that you might have the new So you think coronavirus, think before you go rushing to an emergency department. If you really do have the new disease, called CO- you have the VID-19, you don’t want to expose fellow patients, who may already be weakened by heart and lung problems. Call the emergency department or your new coronavirus? doctor, area health experts said, and ask for advice. Here are more answers to questions you may have: What should WHAT ARE THE SYMPTOMS OF THE NEW CORONAVIRUS? Unfortunately, there’s a you do now? lot of overlap with the flu – it’s still flu season, although cases are declining – colds, and other respiratory viruses. Key CO- VID-19 symptoms are fever, cough and shortness of breath. Some people have very mild symptoms or are not aware they’re infected. CO- VID-19 symptoms may come on more slowly than those of flu, which tends to have sudden onset, said Martin Topiel, an infectious disease specialist

Getty Images/iStockphoto SEE SICK?, PAGE 5 MONDAY MARCH 23 2020 PAGE 5 Coronavirus guide

FROM PAGE 4 Q: Q:So people are surviving still die, but this ratio of and women carrying guns Q: Q:Why are they calling ber when “swine flu” in coronavirus? Why don’t deaths to confirmed cases and trained to use them. coronavirus COVID-19? 2009 angered pig farmers we ever hear about them? has held for weeks, sug- Why not name it after who said their product VIRUS A: A:According to the gesting that most people Q: Q:What can I do to avoid Wuhan in China where it was being unfairly cast in latest report from the who get infected survive. getting infected? started? an unfavorable light? virus got a foothold that it World Health Organiza- A: A:The main thing is to A: A:It’s sort of a medical might not have otherwise. tion, the vast majority of Q: Q:Why bring quarantined stay at least 6 feet away acronym. CO stands for These answers were Severe respiratory illness people who have been evacuees to Marine Corps from anyone who has corona, VI for virus, D for reviewed for accuracy by sometimes requires in- infected have survived. By Air Base Miramar near coughing or sneezing disease and 19 for the Dr. Mark Sawyer, an tensive care level treat- that organization’s count, San Diego? symptoms, though, if they year when the current infectious disease specialist ment to survive, but hos- there have been nearly A: A:A CDC official said do, they’ve probably got a outbreak started. The at Rady Children’s pitals were quickly inun- 300,000 confirmed cases that military bases are common cold rather than World Health Organiza- Hospital in San Diego. dated, meaning some who so far with around 13,000 ideal because they offer novel coronavirus. Reg- tion followed internation- died would have survived deaths, through March 22. expansive properties sep- ular hand washing also al naming protocols de- had there been a hospital Now it is the case that arated from the general helps a lot for preventing signed to avoid stigmatiz- bed available for them. some of the people who population that are al- all types of respiratory ing any certain place, are currently sick might ready secured with men infections. people or animal. Remem-

CDC TNS This illustration provided by the Centers for Disease Control and Prevention in January shows the 2019 Novel Coronavirus.

FROM PAGE 4 James Garrow, a who are at higher risk for stay away from other What to do if spokesman for the Phila- serious complications, people in, say, the grocery 5 steps to delphia Department of including those 65 and store, you might spread you are sick SICK? Public Health, said Mon- older and those with dia- virus by contaminating wash the Steps to help prevent the day that most people in betes, heart disease, surfaces. right way spread of COVID-19 if you with Virtua Health. this area are unlikely to chronic lung and kidney are sick. have been exposed to the disease; people receiving WHEN CAN YOU GO By following some basic steps on the proper way to wash your • Call ahead: If you WHAT DO YOU DO IF virus at this time. “If you medicine that depresses BACK TO WORK OR hands, you can help reduce have a medical YOU HAVE SYMPTOMS? are otherwise healthy and the immune system; and SCHOOL? your risk and do your part to appointment, call the Patients should call your symptoms are mild, medical personnel who People who’ve been sick protect others, if your healthcare provider their primary care doctors you do not need to seek may have been exposed. should wait at least until community is affected by the and tell them that you have or coronavirus. may have COVID-19. first, said Debra Powell, health-care evaluation for they no longer have symp- chief of the infectious coronavirus.” HOW DO YOU TREAT toms, said Steve Alles, • Wet your hands • If you are sick: disease section at Reading Providers such as Jef- CORONAVIRUS AT director of the Philadel- with clean running You should wear a water (warm or facemask when you Hospital. Medical offices ferson Health and CVS HOME? phia Department of cold), turn off the are around other will triage patients by MinuteClinic are asking Pretty much like a cold, Health’s disease control tap, and apply people. asking about symptoms, patients who think they Powell said. Drink lots of division. soap. travel history and other may have COVID-19 to fluids. You can take Tyle- A report this week from • Stay home: Isolate at home • Lather your hands during their illness. You should possible exposure to the schedule a video visit nol or an NSAID such as German authorities found by rubbing them restrict activities outside your virus. “If you have mild online, through their web- ibuprofen for fever. There that sick people are most together with the home, except for getting symptoms and are con- sites or apps, before going are no treatments specifi- contagious in the early soap. Lather the medical care. backs of your cerned, you probably to an emergency depart- cally for COVID-19. days of infection. Al- hands, between • Stay away should just stay home,” ment or urgent care cen- though they can test posi- your fingers and from others: she said. Those with more ter. WHEN SHOULD YOU tive when their symptoms under your nails. As much as WORRY THAT YOU possible, you serious symptoms will Aditi Joshi, an emergen- have gone, the study said • Scrub your hands should stay in likely be seen by the doc- cy medicine specialist who REALLY NEED TO SEE most people who were for at least 20 a specific room tor. If patients need to go is medical director of A DOCTOR? mildly ill likely are not seconds. Need a and away from other people in timer? Hum the to an emergency depart- JeffConnect, said funnel- Difficulty breathing, infectious after about 10 “Happy Birthday” your home. Also, you should ment or ride in an ambu- ing patients to her pro- high fever and a deeper, days from onset of symp- use a separate bathroom, if song from available. lance, doctors should call gram for screening would productive cough can be toms. beginning to end ahead so emergency per- help emergency depart- signs of pneumonia. For those who have twice. • Cover: Cover your mouth and nose with a tissue when you sonnel know to wear pro- ment staffs focus on peo- These need medical atten- been exposed but have no • Rinse your hands cough or sneeze. tective gear. ple with more serious tion. Older people and symptoms, the incubation well under clean running water. • Dispose: Older adults and those ailments. those with underlying period is up to 14 days. Throw used with chronic ailments Anyone in respiratory health problems should be • Dry your hands tissues in a lined need to take this disease distress, whether from flu especially vigilant. CAN MY PETS using a clean towel trash can. seriously, because they or coronavirus, would be GET THIS? or air dry them. • Wash hands: Immediately are at highest risk of death sent to an emergency WHAT IF ONE PERSON This virus is thought to wash your hands with soap and health complications. department while Jeff- IN THE FAMILY IS SICK have jumped from ani- No sink? Use sanitizer and water for at least 20 “Older patients and indi- Connect calls ahead. AND EVERYBODY ELSE mals to humans, but there seconds. And clean your hands Washing often. viduals who have under- IS FINE? is no evidence that it is hands with lying medical conditions SHOULD YOU GET A Powell thinks you spreading among pets or soap and • Clean and water is disinfect: or are immunocompro- CORONAVIRUS TEST? should all stay home, but from cats and dogs to the best Practice mised should contact their Powell said this is a do your best to isolate the their owners. Still, the way to get routine physician early in the changing situation as tests person with symptoms. A CDC suggests letting rid of cleaning of course of even mild ill- are only slowly becoming bedroom is a good option. family members without germs in high touch surfaces. ness,” the U.S. Centers for more available. Try to stay six feet away symptoms take on pet most situations. If soap and Disease Control and Pre- The CDC released new from the person with care and recommends water are not readily available, • Stay at home until you can use an alcohol-based vention said Monday. guidance Monday on who symptoms. Wipe down that people with symp- hand sanitizer that contains at instructed to leave: The The decision to stay should be tested. You no surfaces they touch fre- toms should avoid close decision to discontinue home least 60% alcohol. home is one people with longer have to have been quently with disinfecting contact such as “petting, Source: CDC isolation precautions should be Graphic: Staff, TNS made on a case-by-case basis, mild symptoms and no traveling or exposed to wipes. Encourage every- snuggling, being kissed or in consultation with healthcare known exposures will someone who had visited one to wash their hands licked, and sharing food.” providers and state and local have to make in conjunc- a country with a lot of frequently. If you must care for your health departments. Source: CDC tion with their employers, COVID-19. Physicians are pets, wash your hands Graphic: Staff, TNS Topiel said. “Just because urged to “use their judg- IF YOU’RE before and after. someone has a cold ment.” Priority is going to SELF-QUARANTINED, “I would say, feed your doesn’t mean they can’t symptomatic cases where CAN YOU RUN dog, but keep him out of come to work,” he said. getting a diagnosis would ERRANDS? your face,” Powell said. That advice could change help keep the infection No. Powell said that as the situation evolves. from spreading; patients even if you’re careful to MONDAY MARCH 23 2020 PAGE 6 Coronavirus guide

ALEX WELSH NYT A health worker puts on gloves during a demonstration of protective equipment training used for the Coronavirus, at a hospital in Northridge, Calif., March 3. When the head of the World Health Organization said this week that the new coronavirus’s death rate was an estimated 3.4%, the figure seemed to shock both experts and President Donald Trump. HOW DEADLY IS CORONAVIRUS? WHAT WE KNOW AND WHAT WE DON’T

of epidemiology at Har- larger number of living monia and weren’t tested, health systems. But ex- overwhelmed, there were BY QUOCTRUNG BUI, vard. “All responses have infected people. There is including an elderly Span- perts say differences be- more deaths,” said Dr. MARGOT SANGER-KATZ AND SARAH KLIFF costs. If we think the risk increasing evidence that ish patient who was tested tween populations in each Thomas Frieden of the New York Times is higher, then we should some people infected with for the coronavirus only country and in the na- experience in China. Frie- be willing to tolerate big- coronavirus have few or after his death. If sick tions’ health systems may den, who was the director When the head of the ger costs, more inconve- no symptoms. Those peo- people are dying without make death rates higher of the Centers for Disease World Health Organiza- nience and the mental ple are the least likely to going to a hospital, they in some places than in Control and Prevention in tion said this week that health loss from social seek or receive tests. could be missed. others. the Obama administra- the new coronavirus’ distancing.” A Limited testing in But the biggest chal- The risk factors for tion, said that when he death rate was an estimat- There are several rea- many countries means lenge for measuring death or severe illness was in government, he ed 3.4%, the figure sons we still don’t know that the reported death deaths right now is that from coronavirus are still worked to expand the seemed to shock both the right number. In- rates probably skew high. people can be infected being studied, but there is country’s strategic reserve experts and President sufficient testing, for ex- “Since most cases are with coronavirus for a strong evidence that older of ventilator machines. Donald Trump. ample, may be making the mild, and testing has not long time before becom- people are at a higher risk Whether there will ulti- “I think the 3.4% num- fatality rate look larger been universal, almost by ing sick enough to be at of dying. There are very mately be enough hospital ber is really a false num- than it actually is – but definition we are failing to risk of death. Currently, few documented cases of capacity for everyone with ber,” Trump said in a Fox deaths where a coronavi- detect and therefore count we are counting everyone children who have devel- serious illness in the Unit- News interview. “Now, rus infection was never all of the cases,” said who tests positive for the oped serious illness. A ed States depends on how this is just my hunch, but diagnosed could make it Mark Lurie, an associate virus as infected and alive. disproportionate number quickly and broadly the based on a lot of con- look smaller. These are professor of epidemiology But, in the future, some of of deaths have been virus spreads. versations,” he added,”I’d the key biases that epide- at Brown University. those people will die of among patients older than Researchers are racing say the number is way miologists and public Over the long term, COVID-19, the illness 65. The share of people to develop treatments for under 1%.” health officials think epidemiologists often do a caused by the virus. over 65 in China is 11%, the disease, as well as a By definition, the case about when looking at the kind of blood testing of Justin Lessler, an epide- and in Italy it’s 23%. vaccine. Once there are fatality rate is the number case fatality estimates so large numbers of people miologist at Johns Hop- In the United States, it’s better ways to help people of deaths divided by the far, and how they might in a given community. By kins, was part of a team of 16%. Countries like Italy, who are infected, the total number of confirmed change in coming weeks testing their immune scientists who studied a with more older people, fatality rate may go down cases, which appears to be and months. systems, they can mea- group of COVID-19 cases may end up with a higher for everyone. what the WHO did to A Not enough people sure how many people in Shenzhen, China. He rate of death. Eventually, scientists arrive at its rate. have been tested have been exposed to a found that most people Smoking may also play should be able to offer still Is 3.4% a misleading The fewer people you disease. That type of re- who died had been sick a role, evidence suggests, more granular estimates number? We spoke to a test for a disease, the search is often the gold for longer than 30 days. and the smoking rates in of risk. This would allow number of experts in epi- fewer infections you are standard for getting a real “Think of when all the different countries vary people of different ages demiology, and they all going to measure. In the infection rate and a better cases outside of Hubei considerably. Smoking and health histories, in agreed that 1% was prob- United States, until last fatality rate, called the have occurred,” he said of among men in China is different countries, to ably more realistic (the week, the only people infection fatality rate. The the province whose capital common. In the United estimate their risk of se- WHO has also said the being tested for the dis- infection fatality rate for is Wuhan. “If it’s 30 days States, smoking rates are rious illness or death. number would probably ease were those who had the flu, for example, is or even two weeks, we’re substantially lower. Other “When I looked at the fall). But they also said traveled to China or were about one tenth to two really at the tip of the health problems, like 3.4% number and where evidence about the spread known to have had con- tenths of 1% – far lower iceberg.” diabetes, cardiovascular they got it, I thought this and severity of the disease tact with other ill people. than any of the estimates Generally, epidemiol- disease and lung ailments is both wrong and irrele- was still too new and Those strict standards for the coronavirus. But ogists like to measure the like asthma, may also vant,” said Dr. Ashish Jha, spotty to know for sure. were driven in part by a that measurement tech- fatality rate for a disease predispose people to a the director of the Har- The fatality rate is a key shortage of reliable tests. nique is most useful after over a set period. They greater chance of severe vard Global Health In- figure that public health But we now know that a disease has already look at everyone who gets illness, though the effects stitute. “It’s not relevant officials use to respond to there were many infected spread widely, so it can’t sick and see how many are still being studied. to nearly any single per- disease outbreaks. The people in the country who be easily used now. are still alive over weeks, The sophistication and son. This is a worldwide more deadly a disease, the weren’t being counted. A The number of deaths months or years, depend- capacity of the health care average.” more aggressive they’re Think about that could be wrong ing on the disease. So far, system most likely mat- As Jha noted, most willing to be in disrupting problem on a much larger Compared with in- scientists have been un- ters a lot, too. Patients people want to know their normal life. But current scale. If there were a mag- fections, deaths are rela- able to do those kinds of with severe COVID-19 personal risk, not the risk data allows scientists to ical way to test everyone tively easy to count, espe- studies for the novel coro- often need complex care for the average person measure only a crude in the world for the dis- cially now that we know navirus. for pneumonia and respi- worldwide. Developing statistic called the case ease, we would know that this disease exists and A Conditions in coun- ratory failure, sometimes estimates with that level fatality rate, which is exactly how many people what its symptoms look tries vary including mechanical of nuance will take even based on reported cases of have the infection. Dis- like. But public health Right now, the global ventilation. The quality of longer than building a an illness. covering every case would experts say we still may estimates are combining that care will probably more reliable infection “It’s essential for under- tend to drive down the not have a complete count deaths and cases from depend on the availability fatality rate. standing how big our fatality rate, since the of all coronavirus deaths. countries around the of ventilators and trained response should be,” said number of deaths would In some countries, frail world with very different staff to monitor them. Marc Lipsitch, a professor be divided over a much people have died of pneu- populations and different “When facilities got MONDAY MARCH 23 2020 PAGE 7 Coronavirus guide

DAVID GOLDMAN AP file A 73-year-old man places a cold compress on his forehead while battling the flu at a hospital in Georgia on Feb. 9, 2018. Doctors can test for the flu and get results within a day, but coronavirus testing as of March is still limited in the United States by availability. FLU AND CORONAVIRUS: SIMILAR SYMPTOMS, DIFFERENT FEARS

life & the economy go on Flu symptoms are more sick, officials urge. Call BY MARILYNN MARCHIONE … Think about that!” Comparing coronavirus, flu intense and usually come ahead, and ask if you need Associated Press But to public health on suddenly, the Yale New to be seen and where. experts, the huge number COVID-19 INFLUENZA Haven Health System Fever, cough and no- Is it the flu, a cold or the of flu deaths is exactly advises. They can include ticeable shortness of new coronavirus? Patients why extraordinary steps Caused by one virus now Caused by any of several a high fever (over 100.5 breath – “if you have those and doctors alike are pars- should be taken to try to called severe acute respiratory different types and strains degrees), extreme exhaus- three components, espe- ing signs of illness to fig- prevent the new coro- syndrome or SARS-CoV-2. of influenza viruses. tion, muscle or body ach- cially if it’s associated with ure out who needs what navirus from spreading es, a dry cough and chills. some recent travel or tests or care and how widely. “It really hits you like a someone you know who’s worried they should be. The flu’s annual return TRANSMISSION bus,” and people may start been exposed to CO- “You have three differ- can’t be stopped because a day well but feel terrible VID-19, those things ent major viruses floating it’s already so embedded Both can be spread from people through droplets in the air from by afternoon, LeRoy said. should prompt you to call around at the same time,” in the population. There is coughing, sneezing or talking. One possible difference: COVID-19 might Flu symptoms can in- for medical attention,” causing somewhat similar still a chance COVID-19 be spread through the airborne route – tiny droplets remaining in the air clude a runny or stuffy LeRoy said. symptoms - but different cases can be limited or can spread the disease even after the ill person is no longer near. nose, headaches and pos- “Mildly ill patients levels of concern, said Dr. spread slowed while treat- sibly vomiting or diarrhea, should be encouraged to Gary LeRoy, president of ments are developed. COVID-19VACCINE INFLUENZA though the latter two are stay home,” the CDC’s the American Academy of more common in children Dr. Sue Gerber told doc- No vaccine is available at this A vaccine is available to Family Physicians. HOW DEADLY than adults, the U.S. Cen- tors on a conference call time, though trials are in prevent dangerous types or So what’s the biggest ARE THE VIRUSES? ters for Disease Control last week. People having progress. reduce severity. danger? And why are we Flu kills about 0.1% of and Prevention says. difficulty breathing should responding to them so those it infects, but that’s INFECTIONS Symptoms of COVID-19 seek care, and older peo- differently? still hundreds of thou- As of March 16, 2020 Per year may appear more slowly. ple or those with other sands of people each year In U.S. Worldwide In U.S. Worldwide They usually include fe- conditions should contact FAMILIAR FOE because it infects millions. Up to ver, a dry cough and no- their doctors early in the 3,813 174,884 Up to COVID-19, the disease Researchers are still 45 million 1 billion ticeable shortness of course of illness, she said. caused by the new coro- trying to understand just breath, according to the navirus, is a flu-like illness how deadly the new coro- DEATHS World Health Organiza- PREVENTION that has killed a small navirus is. The mortality Up to Up to tion. A minority of cases To protect yourself, fraction of the number of rate from infection with 69 6,705 61,000 646,000 develop pneumonia, and wash your hands well and people that the flu kills the virus isn’t known yet the disease is especially often, keep them away every year. Through the because the cases caught Source: Johns Hopkins; Graphic: Phil Holm worrisome for the elderly from your face, and avoid first four months of the in an early part of an out- and those with other med- crowds and standing close outbreak, coronavirus has break are often the most ical problems such as high to people. killed about 4,300 people. severe, people with mild symptoms and recover the United States. blood pressure, obesity, There’s one big differ- Flu kills 290,000 to or no symptoms aren’t after about two weeks. Colds are often suspect- diabetes or heart condi- ence between flu and 650,000 every year being tested, and some- ed because adults get tions. coronavirus: A vaccine around the world, accord- times overwhelmed hospi- SO WHAT DO I HAVE? about two on average each One study of hospital- exists to help prevent the ing to the World Health tals struggle to care for the Flu, cold and coronavi- year, said LeRoy, a family ized patients in China flu and it’s not too late to Organization. sickest patients. Various rus often share certain medicine doctor and asso- found that about half did get it. It won’t protect you To some, that compari- reports have estimated the symptoms, but differences ciate dean at Wright State not have a fever when from catching the coro- son seems comforting fatality rate from less than in intensity and how they University in Dayton, they were admitted but navirus, but may put you because flu is such a fam- 1% to as high as 4% appear can offer clues to Ohio. nearly all developed one. in a better position to fight iliar foe. President Donald among cases diagnosed so which one is causing the “The common cold just it. Trump regularly brings it far, depending on loca- misery. Doctors can test starts out with a sore or WHAT TO DO “You don’t want to have up, noting in a tweet how tion. for the flu and get results scratchy throat, cough, IF YOU'RE SICK a compromised immune many more Americans die Most people infected by within a day, but coro- runny nose, stuffy nose” Don’t go straight to your system if you were to from flu and adding, the new coronavirus de- navirus testing is still and any fever is usually doctor’s office – that just encounter coronavirus,” “Nothing is shut down, velop mild or moderate limited by availability in mild, he said. risks making more people LeRoy said. MONDAY MARCH 23 2020 PAGE 8 Coronavirus guide How to tell the difference between coronavirus, seasonal allergies

ease and is caused by a typically mild and begin difficulty breathing, cough washing your hands fre- according to the NIH. It’s BY KIERSTEN WILLIS coronavirus that was not gradually. Common symp- or a fever, and should get quently with soap and recommended to wash Atlanta Journal-Constitution previously seen in hu- toms include: dry cough, medical attention. water for at least 20 sec- clothing, hair and bedding mans. Defined as an in- tiredness, fever. onds. – the latter in hot water. ATLANTA fectious disease by the Some people may have IF YOU HAVE ALLERGY Additionally, people Also bathe your pets since The timing of the coro- World Health Organiza- these symptoms: nasal SYMPTOMS should avoid touching they can bring pollen navirus pandemic has tion, it had been unknown congestion, runny nose, The NIH stated they their face and if they don’t indoors. Upholstered emerged as spring arrives before WHO said it orig- aches and pains, sore may include the following: have soap and water read- furniture and carpets and allergy season begins. inated as an “outbreak” throat, nausea. sneezing, itching in the ily available, they should should be avoided, ac- As people make runs to that “began in Wuhan, According to WHO, eyes, mouth, nose and use hand sanitizer that cording to the NIH, be- the grocery store to pre- China, in December some people become throat, coughing, runny or contains at least 60 per- cause they can harbor pare to hunker down at 2019.” infected but don’t feel stuffy nose. cent alcohol. allergens. Keep humidity home, they may notice unwell or experience any The American College WHO stated there is no levels low for indoor al- some around them sneez- WHAT ARE SEASONAL symptoms. Around 80 of Allergy, Asthma & evidence that home reme- lergens and vacuum floors ing. But should you be ALLERGIES? percent of people recover Immunology stated that dies, traditional or West- once weekly. worried that a neighbor The National Institutes from the disease without watery eyes can also be a ern medicine can prevent Mild symptoms can be going “achoo” could be an of Health noted seasonal any special treatment symptom. The profession- or cure the disease, but alleviated with over-the- indicator of COVID-19? allergies, or allergic rhin- needed. Still, about one in al association also noted they may be able to pro- counter antihistamines, Here’s the difference itis, is common and af- six people becomes seri- that allergies can be sea- vide comfort and alleviate nasal sprays and decon- between allergy symptoms fects 8 percent of adults ously ill from COVID-19 sonal or occur year round. symptoms. The organiza- gestants, but severe symp- and those of the coro- and children in the U.S. and experiences breathing tion doesn’t recommend toms may sometimes navirus. Also known as hay fever, difficulties. HOW CAN YOU self-medication as a require prescription medi- allergies cause an immune Serious illnesses are PREVENT OR TREAT means of treatment or cations and allergy shots. WHAT IS THE NEW response in the body to more likely to occur in THE CORONAVIRUS? providing a cure for CO- If anyone has the previ- CORONAVIRUS? something that causes no people who fall in the Currently, there is no VID-19. ously outlined symptoms The Centers for Disease problems for most people CDC’s higher-risk group: vaccine in place to prevent and are in doubt, they Control and Prevention – pollen from plants. people who have serious COVID-19, according to HOW CAN YOU should check with their stated coronaviruses are a chronic medical condi- the CDC. Instead, the PREVENT OR TREAT physician. large family of viruses. IF YOU HAVE tions, including lung dis- agency stated the best SEASONAL ALLERGIES? The novel coronavirus, CORONAVIRUS ease, diabetes and heart way to prevent illness is to The best way to control Kiersten Willis: which causes the disease SYMPTOMS disease and older adults. avoid exposure by practic- seasonal allergy symp- Kiersten.Willis(at)ajc.com. COVID-19, is a new dis- WHO stated they are Should people experience ing social distancing and toms is to avoid triggers,

(other conditions) that BY CHRISTEN A. JOHNSON would make their immune Chicago Tribune system more susceptible to not being able to fight, CHICAGO that can make them even Rachael Stewart is plan- more susceptible to hav- ning to meet her second ing bad complications child, a baby boy, in about from coronavirus.” four weeks. A name is She believes practicing chosen, a doula is selected social isolation and dis- and flights are booked for tancing is even more im- her out-of-state mother to perative for pregnant be in attendance for the women, but knows it can birth. be hard during a big tran- But now, Stewart, who sition. lives in Chicago, is com- “In pregnancy you have ing to terms with the fact a higher chance of feeling that many of these “wish anxious or depressed,” list items” have to be said Simon. “Even for rearranged, or canceled, women who’ve just given due to the effects of the birth in the last few coronavirus on hospitals. weeks, it’s a time with Her doula will now high anxiety, baby blues chime in via video, and and depression, and all of her mother, who was those feelings are very flying in from Georgia and valid. It’s really important hadn’t been there the first to seek help if you’re feel- time Stewart gave birth, ing that way and you’re will likely be conferenced ERIN HOOLEY TNS practicing this social disin as well since the Uni- Rachael Stewart, who is pregnant and due April 10 stands outside her Chicago home with her daughter, Mya Moore, 8, tancing, especially in this versity of Chicago Med- and her husband, Clif Stewart, on March 16. Dr. Melissa Simon, an OB-GYN at Northwestern Medicine, says even time of need.” icine Family Birth Center though very little is known about what happens during pregnancy amid coronavirus, the real issue is about contact. Magner said she’s more now only allows one vis- concerned about mental itor in the delivery room. health than her physical “A lot of what I was device,” said Simon. The health during this time. hoping for looks like it coronavirus can live on “Isolation when you’re might not happen,” said Pregnant women share surfaces for hours to days, going through major life Stewart, whose husband according to the Centers changes makes it much will be with her in the for Disease Control and harder,” she said. “When delivery room. concerns about coronavirus Prevention. you’ve got a newborn, Riverside, Ill., resident Pregnant people should you’re not leaving the Sarah Magner is 30 weeks only be tested for CO- house much anyway so it pregnant, and said she is illness shortly after being ed negative for the virus. that limited contact can VID-19 if they are show- extends the likelihood keeping her fingers cross- born, The Guardian re- The study notes that: take a toll on bonding, but ing symptoms for the we’ll be spending an awful ed that some things will ported. The child’s moth- “Findings from this small she says new moms can virus, said Simon. She lot of time inside our four change by her May 22 due er was also diagnosed group of cases suggest still interact with the in- recommends being walls over the next few date, like Elmhurst Hospi- with the virus; she was that there is currently no fant so long as they take triaged at home for the months.” tal’s new labor and deliv- hospitalized before giving evidence for intrauterine the proper precautions. symptoms first, then com- She has plans in place to ery policy that went into birth from what doctors infection caused by verti- “We know this could ing into the hospital if help with potential lone- effect this week, she said. deemed pneumonia, the cal transmission in wo- impact relationships and necessary. No matter liness and isolation, like “The hospital an- news site said. Based on men who develop CO- bonding, but as long as where a woman is in her continuing to teach her nounced there’s no vis- reports, officials don’t VID-19 pneumonia in late you’re practicing good term, she said, they’re prenatal fitness class twice itors and only one partner know if the baby got the pregnancy.” hygiene, you’ll reduce any telling all pregnant wo- a week – but online. in labor and delivery cur- virus in the womb or dur- Dr. Melissa Simon, an chance of transmission,” men the same informa- “I’m excited to be able rently,” said Magner. “We ing birth. The report did OB-GYN at Northwestern said Simon, who encour- tion. to connect with other intended to have a doula not cite whether the Medicine, says even aged women to have this “I want to make sure moms who are going in this delivery, so that mother delivered by cesa- though very little is known conversation with their the people coming into through the same things would exclude having that rean section. about what happens dur- health care provider. the hospital are really the as I am,” said Magner. resource for us and would A February Lancet ing pregnancy amid coro- If you’re breastfeeding ones who need to be eval- “It’s nice to have that certainly limit having to study suggested that verti- navirus, the real issue is an infant and you have the uated,” Simon said. village even if it is virtual see other family or our cal transmission of CO- about contact. coronavirus, or you’re If a pregnant woman is versus in person.” 2-year-old son while we’re VID-19 from a mother to a “After you give birth, suspected to have the showing symptoms of Simon urges pregnant in the hospital after birth.” baby in the womb is un- the baby usually gets put virus, Simon suggests to COVID-19, and she has a women to ask for help if Both Stewart and Magn- likely. The study followed on the mom’s chest and wear a mask, wash your pre-existing chronic con- they are having trouble er are healthy and have nine pregnant women in near the mom’s face and hands, and limit direct dition – such as diabetes, coping with the isolation. had low-risk pregnancies, Wuhan, China, during that’s really where the respiratory drops to the asthma or high blood “Please reach out to but like most places, local their third trimester. Each transmission would hap- baby. If you’re pumping, pressure – those women your health care provider hospitals are taking all woman gave birth via pen,” said Simon. “So make sure all your equip- become priority, no mat- if you need help and need necessary precautions to cesarean section. Some of right now, it’s the contact ment is clean. ter how far along they are to get connected to a limit the spread of CO- the women showed symp- that we need to take pre- “We don’t know how in their pregnancy. hotline or case worker or VID-19, especially for the toms of COVID-19, such caution with after birth, or long the coronavirus can “Pregnant women tend somebody to talk to,” most vulnerable. as fevers and coughs. All during breast feeding as last on a surface, especial- to have a decreased im- Simon said. “We can do A newborn in London the babies in the study well.” ly a surface such as a mune response,” said that for you.” was diagnosed with the were born alive, and test- Simon acknowledges bottle or any pumping Simon,”but if they have MONDAY MARCH 23 2020 PAGE 9 Coronavirus guide

DREAMSTIME TNS The over-the-counter pain reliever ibuprofen has not been linked to complications in those infected with the novel coronavirus, experts say. There’s no good reason to avoid ibuprofen if you’re infected with the coronavirus

rus sweeping across the the U.S. institute’s state- With diseases involving ported that they adminis- That’s a task that Kalil BY MELISSA HEALY world, consumers are ment noted: “There is also two other novel coro- tered corticosteroids to is on. He is principal in- Los Angeles Times hungry for tips on how to no conclusive evidence naviruses – severe acute just under half of the ex- vestigator of a federally protect themselves and that taking ibuprofen is respiratory syndrome tremely ill patients they funded clinical trial that First, some facts: The their loved ones from harmful for other respira- (SARS) and Middle East were seeing. Those pa- last week enrolled its first over-the-counter pain infection. They are keenly tory infections” either. respiratory syndrome tients were experiencing of a planned 400 subjects reliever ibuprofen is not attuned to public health University of Nebraska (MERS) – studies found potentially life-threat- to test whether existing linked to a higher risk of advice, whether it is solid- infectious disease special- that very ill patients who ening immune reactions medicines can treat CO- COVID-19 infection. Nor ly based on evidence, ist Dr. Andre Kalil called it got corticosteroids were to their infections, and the VID-19. The trial, to be has it been linked to com- altogether fabricated, or “crazy” to toss unsupport- no more likely to die than doctors judged that corti- conducted at as many as plications in those in- 45 sites in the United fected with the novel States and 20 sites in coronavirus that has now other countries, will look reached 164 countries. at whether the antiviral When treating pain or a MORE RESEARCH IS NEEDED TO EVALUATE REPORTS THAT IBRUPROFEN MAY medication remdesivir, as fever, you may choose ‘‘ well as similar medica- ibuprofen (such as Advil AFFECT THE COURSE OF COVID-19. CURRENTLY, THERE IS NO EVIDENCE THAT tions, can shorten or re- or Motrin) or acetami- duce the severity of illness nophen (Tylenol) without IBUPROFEN INCREASES THE RISK OF SERIOUS COMPLICATIONS OR OF ACQUIRING in patients with pneumo- needing to worry that your THE VIRUS THAT CAUSES COVID-19. nia induced by the coro- decision has any bearing navirus. on the disease at the cen- National Institute for Allergy and Infectious Diseases It wasn’t just doctors ter of the pandemic. who took Veran to task for And now, the reason for somewhere in between. ed medical advice into a were patients who didn’t sone treatment would his shaky advice. Dart- using this space to dis- French Health Minister cauldron of worldwide take them. But their viral reduce the resulting in- mouth political scientist pense those bland morsels Olivier Veran’s weekend anxiety. loads, a measure of both a flammation in their lungs Brendan Nyhan, who of coronavirus non-news: tweet appears to fall in “There is no clinical patient’s recovery and his and elsewhere. studies the power that A messaged tweeted Sat- that middle region. As it data and there are no ability to infect others, Their numbers, howev- misinformation and con- urday by France’s minis- began circulating widely studies in humans show- were slower to decline. er, were too small to war- spiracy theories have over ter of Solidarity and outside of France this ing that ibuprofen or para- As a result, the World rant any conclusions patients, citizens and Health warning that ibu- week, it left U.S. doctors, cetamol are harmful or Health Organization has about the effects of such consumers, said the profen, an anti-inflamma- public health officials and beneficial” in those with recommended against the treatment. French minister’s com- tory drug,”could be an communications experts COVID-19 infection, Kalil routine use of corticoste- Kalil said the jury re- ments appeared to be at aggravating factor” in shaking their heads in said in an interview Tues- roids (those that work mains very much out on best premature. At worst, COVID-19 infection. (So dismay. day. “Absolutely none.” throughout the body) in the use of corticosteroids. they were counterproduc- could the steroid medica- “More research is need- “This is not my opin- the treatment of SARS He doubted that its much tive, he said. tion cortisone, the tweet ed to evaluate reports that ion,” Kalil said. “It’s just a (which no longer circu- weaker cousin, ibuprofen, “Public health officials said.) ibruprofen may affect the fact.” lates) and MERS (which would have any effect. But need to avoid making In cases of fever, the course of COVID-19,” the Veran’s concerns are still does). he insisted there is “no statements that don’t health minister added, National Institute for not entirely baseless: It made no such pro- scientific data in humans reflect evidence we have,” “take paracetamol” – the Allergy and Infectious Experts said they have nouncements about ibu- in favor or against ibupro- Nyhan said. Sometimes, generic name used in Diseases said in an what scientists call “bi- profen. fen or paracetamol.” officials do need to rely on Europe for acetamino- emailed response. “Cur- ological plausibility.” On the other hand, for Medical professionals educated guesses in a phen. And if you are al- rently, there is no evi- Both nonsteroidal anti- very sick patients, tamp- and public health authori- crisis, “but this doesn’t ready taking anti-inflam- dence that ibuprofen in- inflammatory medications ing down inflammation ties need to “focus on seem to be a decision that matory medication or creases the risk of serious like ibuprofen and corti- may be lifesaving. Chi- what we need to do,” he had to be made today. have medical concerns, complications or of ac- costeroids like cortisone nese physicians scram- said: Find out what works The crisis is confusing consult your doctor, he quiring the virus that tamp down the immune bling to help a first wave and what does not in the enough without public advised. causes COVID-19.” system’s response to in- of patients infected with treatment and prevention health authorities making With a novel coronavi- Driving home the point, fection. the new coronavirus re- of COVID-19. it worse.” MONDAY MARCH 23 2020 PAGE 10 Coronavirus guide

with underlying health BY PAM BELLUCK issues, like diabetes or New York Times another chronic illness, are more likely to develop As cases of coronavirus severe symptoms. infection proliferate Xiao conducted path- around the world and ological examinations of governments take extraor- two people in China who dinary measures to limit went into a hospital in the spread, there is still a Wuhan in January for a lot of confusion about different reason – they what exactly the virus needed surgery for early- does to people’s bodies. stage lung cancer – but The symptoms – fever, whose records later cough, shortness of breath showed that they had also – can signal any number had coronavirus infection, of illnesses, from flu to which the hospital did not strep to the common cold. recognize at the time. Here is what medical Neither patient’s lung experts and researchers cancer was advanced have learned so far about enough to kill them, he the progression of the said. infection caused by this One of those patients, new coronavirus – and an 84-year-old woman what they still don’t know. with diabetes, died from How does this coro- pneumonia caused by navirus cause infection? coronavirus, Xiao said the The virus is spread records showed. through droplets transmit- The other patient, a ted into the air from 73-year-old man, was coughing or sneezing, somewhat healthier, with which people nearby can a history of hypertension take in through their nose, that he had managed well mouth or eyes. The viral for 20 years. Xiao said the particles in these droplets man had successful sur- travel quickly to the back gery to remove a lung of your nasal passages and tumor, was discharged, to the mucous membranes and nine days later rein the back of your throat, turned to the hospital attaching to a particular because he had a fever receptor in cells, begin- and cough that was deter- ning there. mined to be the coro- Coronavirus particles navirus. have spiked proteins stick- Xiao said that the man ing out from their surfac- had almost certainly been es, and these spikes hook infected during his first onto cell membranes, stay in the hospital, since allowing the virus’s genet- other patients in his post- ic material to enter the surgical recovery room human cell. were later found to have That genetic material the coronavirus. Like proceeds to “hijack the many other cases, it took metabolism of the cell and the man days to show say, in effect, ‘Don’t do respiratory symptoms. your usual job. Your job The man recovered now is to help me multiply after 20 days in the hospi- and make the virus,’” said tal’s infectious disease Dr. William Schaffner, an unit. Experts say that infectious disease special- when patients like that ist at Vanderbilt Uni- recover, it is often because versity Medical Center in the supportive care – Nashville, Tennessee. Getty Images/iStockphoto fluids, breathing support and other treatment – How does that process allows them to outlast the cause respiratory worst effects of the in- problems? flammation caused by the As copies of the virus virus. multiply, they burst out and infect neighboring What does the What do scientists still cells. The symptoms often not know about coro- start in the back of the navirus patients? throat with a sore throat A lot. Although the and a dry cough. illness resembles SARS in The virus then “crawls many respects and has progressively down the coronavirus do elements in common with bronchial tubes,” Schaffn- influenza and pneumonia, er said. When the virus the course a patient’s reaches the lungs, their coronavirus will take is mucous membranes be- not yet fully understood. come inflamed. That can Some patients can re- damage the alveoli or lung main stable for over a sacs, and they have to to the body? week and then suddenly work harder to carry out develop pneumonia, Diaz their function of supplying said. Some patients seem oxygen to the blood that professor of pathology at icine at Mount Sinai in The Centers for Disease the virus but by their own to recover but then devel- circulates throughout our the University of Chicago New York found that Control and Prevention immune system as it rages op symptoms again. body and removing car- School of Medicine, has more than half of 121 says that RNA from the to combat the infection. Xiao said that some bon dioxide from the examined pathology re- patients in China had new coronavirus has been Experts have not yet patients in China reco- blood so that it can be ports on coronavirus pa- normal CT scans early in detected in blood and documented whether the vered but got sick again, exhaled. tients in China. He said their disease. That study stool specimens, but that virus can affect the brain. apparently because they “If you get swelling the virus appears to start and work by Xiao show it’s unclear whether in- But scientists who studied had damaged and vul- there, it makes it that in peripheral areas on that as the disease pro- fectious virus can persist SARS have reported some nerable lung tissue that much more difficult for both sides of the lung and gresses, CT scans show in blood or stool. evidence that the SARS was subsequently attacked oxygen to swim across the can take a while to reach “ground glass opacities,” Bone marrow and orga- virus could infiltrate the by bacteria in their body. mucous membrane,” said the upper respiratory a kind of hazy veil in parts ns like the liver can be- brain in some patients. Some of those patients Dr. Amy Compton-Phil- tract, the trachea and of the lung that are evi- come inflamed too, said Given the similarity be- ended up dying from a lips, the chief clinical other central airways. dent in many types of viral Dr. George Diaz, section tween SARS and CO- bacterial infection, not the officer for the Providence Xiao, who also serves as respiratory infections. leader for infectious dis- VID-19, the infection virus. But that didn’t ap- Health System, which the director of the Center Those opaque areas can eases at Providence Re- caused by the new coro- pear to cause the majority included the hospital in For Pathology and Molec- scatter and thicken in gional Medical Center in navirus, a paper published of deaths, he said. Everett, Washington, that ular Diagnostics at Wuhan places as the illness wors- Everett, Washington, last month in the Journal Other cases have been had the first reported case University, said that pat- ens, creating what radio- whose team treated the of Medical Virology ar- tragic mysteries. Xiao said of the coronavirus in the tern helps explain why in logists call a “crazy pav- first U.S. coronavirus gued that the possibility he personally knew a man United States, in January. Wuhan, where the out- ing” pattern on the scan. patient. There may also be that the new coronavirus and woman who got in- The swelling and the break began, many of the some inflammation in might be able to infect fected but seemed to be impaired flow of oxygen earliest cases were not Are the lungs the small blood vessels, as some nerve cells should improving. Then the man can cause those areas in identified immediately. only part of the happened with SARS, the not be ruled out. deteriorated and was the lungs to fill with fluid, The initial testing regi- body affected? viral outbreak in 2002 hospitalized. pus and dead cells. Pneu- men in many Chinese Not necessarily. Comp- and 2003. Why do some people get “He was in ICU, getting monia, an infection in the hospitals did not always ton-Phillips said the in- “The virus will actually very ill but most don’t? oxygen, and he texted his lung, can occur. Some detect infection in the fection can spread land on organs like the About 80% of people wife that he was getting people have so much peripheral lungs, so some through the mucous mem- heart, the kidney, the infected with the new better, he had good appe- trouble breathing, they people with symptoms branes, from the nose liver, and may cause some coronavirus have rela- tite and so on,” Xiao said. need to be put on a venti- were sent home without down to the rectum. direct damage to those tively mild symptoms. But “But then in the late after- lator. In the worst cases, treatment. So while the virus ap- organs,” Schaffner said. about 20% of people be- noon, she stopped receiv- known as Acute Respira- “They’d either go to pears to zero in on the As the body’s immune come more seriously ill; ing texts from him. She tory Distress Syndrome, other hospitals to seek lungs, it may also be able system shifts into high and in about 2% of pa- didn’t know what was the lungs fill with so much treatment or stay home to infect cells in the gas- gear to battle the infec- tients in China, which has going on. And by 10 p.m., fluid that no amount of and infect their family,” trointestinal system, ex- tion, the resulting in- had the most cases, the she got a notice from the breathing support can he said. “That’s one of the perts say. This may be flammation may cause disease has been fatal. hospital that he had help, and the patient dies. reasons there was such a why some patients have those organs to malfunc- Experts say the effects passed.” wide spread.” symptoms like diarrhea or tion, he said. appear to depend on how What trajectory does the A recent study from a indigestion. The virus can As a result, some pa- robust or weakened a virus take in the lungs? team led by researchers at also get into the blood- tients may endure damage person’s immune system Dr. Shu-Yuan Xiao, a the Icahn School of Med- stream, Schaffner said. that is inflicted not just by is. Older people or those MONDAY MARCH 23 2020 PAGE 11 Coronavirus guide

THEODORE PARISIENNE TNS Scores of school buses sit in a parking lot March 16 in Queens, New York, as millions of schoolchildren stay home during the coronavirus pandemic. A CORONAVIRUS GLOSSARY DEFINING TERMS TO HELP YOU MAKE SENSE OF THE PANDEMIC

Incubation period: The place restrictions on the the spread of the virus. spreading quickly, the infected with SARS-CoV-2 BY RONG-GONG LIN II time between when some- activities of individuals or Useful actions can include number of new daily cases for a prolonged period of Los Angeles Times one is infected with a groups in the name of reminding people to stay of infection will be very time. pathogen, such as a virus, protecting the public’s home when they’re sick high, and the hump will This includes people The new coronavirus and when the first symp- health. Federal, state or and disinfecting common- rise steeply. But if the who live with, care for or has thrust a host of un- toms of illness appear. local agencies may issue ly touched surfaces in disease spreads slowly, visit an infected person. It familiar terms into our public health orders, such buildings daily. the number of new daily can also describe people everyday discourse. Some QUARANTINE as restricting people’s One of the main strate- cases will be lower, and who merely share a wait- are brand new; others When someone who has movements or requiring gies is to practice “social the hump will be shorter ing room with an infected aren’t but are being used been exposed to a disease that their movements be distancing.” and wider. patient or who have direct in unexpected ways. but is not visibly sick stays monitored by health au- Slowing the spread of contact with a patient’s Here are some defini- away from others for a thorities. SOCIAL DISTANCING the virus can help prevent infectious secretions (such tions to help you keep up period of time in case they Measures designed to the hospital system from as by being coughed on). with the latest on the are infected. By keeping CONTAINMENT keep people away from being overwhelmed by too global pandemic. their distance, they can A public health strategy crowded places where a many patients. If that OUTBREAK avoid spreading the disin which officials aim to virus could more easily were to happen, critical An increase, often sud- SARS-COV-2 ease to others. A quaran- prevent the spread of an spread. In the case of care units could run out of den, in the number of The official scientific tine usually lasts a little infectious disease beyond COVID-19, health officials the ventilators that are cases of a disease above name of the coronavirus longer than the incubation a small group of people to are encouraging members needed to help people what is normally expected causing the pandemic. It period for a disease, just the broader community. of the public to work from breathe if their lungs fail. among the population in a stands for severe acute to be safe. Containment actions home, cancel mass events During the 1918 Spanish limited area. respiratory syndrome A quarantine can be include restricting travel and maintain about six flu pandemic, officials in coronavirus 2. It was pre- ordered by the U.S. Cen- from affected regions, feet of space between Philadelphia failed to EPIDEMIC viously known as 2019- ters for Disease Control identifying infected peo- themselves and others. A cancel a citywide parade An outbreak that has nCoV. and Prevention, or by ple and tracking down radical measure is to close and acted far more slowly spread to a wider area. This isn’t the only coro- state and local govern- everyone they live with or most businesses and order to ban public gatherings navirus in circulation – ments. have spent time with (con- the public to shelter at than their counterparts in PANDEMIC four other strains are tact tracing), and asking home except for essential St. Louis. As a result, the An epidemic that has responsible for 20% to ISOLATION those who have been activities, such as purchas- peak death rate in Phila- spread over multiple 30% of the common colds When someone who is exposed to the virus to ing food and caring for delphia was much worse countries or continents, we’ve been getting for definitely sick stays away stay at home for a period relatives, while allowing than in St. Louis, accord- usually affecting a large decades. Two other coro- from others so that they of time. Although it did people to go outside for a ing to a study in the Pro- number of people. naviruses were responsib- don’t infect anyone else. not work for COVID-19, walk. ceedings of the National le for severe acute respira- In the case of this coro- containment has been If successful, social Academy of Sciences PRESUMPTIVE tory syndrome (SARS) and navirus, isolation should used to keep a measles distancing measures will published in 2007. POSITIVE Middle East respiratory continue until the risk of outbreak from spreading help slow the pace of new When a public health syndrome (MERS). The infecting someone else is out of control within com- infections and “flatten the COMMUNITY SPREAD laboratory has determined virus that caused SARS thought to be low. The munities with low immu- curve.” When an infectious a patient has tested posi- was named SARS-CoV, decision to end isolation nization, for instance. disease is spreading in an tive for a viral infection, which stands for SARS- should be made on a case- FLATTENING THE area and the people who but officials are still await- associated coronavirus; by-case basis, in consulta- MITIGATION CURVE are contracting it don’t ing confirmation from the the virus that caused tion with health care pro- The public health goal This phrase describes know where or how they CDC. For the purposes of MERS was named MERS- viders and the local health once a virus has spread so the goal of spreading out caught it. It’s an indica- public health, a presump- CoV. department, according to widely that it’s impossible infections in a population tion that a virus is no tive positive result is treat- the CDC. to keep it away. Instead of to minimize the number longer contained to a ed as confirmed positive. COVID-19 Isolation can be ordered mainly relying on public of people who are sick at limited number of people. There are, however, rare Short for Coronavirus by the CDC or by state health authorities to do any given time. situations in which a pre- Disease 2019. It’s the and local governments. things like locate sick Picture a hump-shaped CLOSE CONTACT sumptive positive may official name of the dis- Public health orders: people and identify their graph that shows the In the case of CO- turn out to be negative. ease caused by SARS- These are legally enforce- contacts, health officials number of new infections VID-19, it’s anyone who is CoV-2. able directives that may ask the public to help slow over time. If a disease is within 6 feet of a person MONDAY MARCH 23 2020 PAGE 12 Coronavirus guide CORONAVIRUS DRUGS

navirus. Early results show that BY AMINA KHAN it seemed to cut down the Los Angeles Times Where we are on possible virus’ rate of replication. Some researchers have suggested Medicines designed to treat that its ability to modulate the COVID-19 won’t be on phar- immune system’s behavior macy shelves for months or treatments and what we know may allow it to mitigate so- even years, but thousands of called cytokine storms, a po- patients are in hospitals and tentially deadly overreaction to health clinics now. So doctors to see if they’re effective of replication, said Karla Satch- basically works by curtailing the disease that can result in are looking to drugs that are against COVID-19. ell, a microbiologist at North- the virus’ ability to use certain organ failure. already approved for treating western University Feinberg compartments in a cell (called Chloroquine has several other diseases. CHLOROQUINE School of Medicine. To fight vacuoles) to get itself inside its built-in advantages. It’s already Malaria, HIV and arthritis This drug has been used to malaria, it essentially helps target. It’s like having an extra known to be safe in humans wouldn’t seem to have much in treat patients with malaria for poison the digestive system of bolt on your front door, but it (though it can result in poison- common with SARS-CoV-2, the nearly a century. It is a syn- some blood parasites in the doesn’t keep the pathogen ing at overdose levels). It’s novel coronavirus that has thetic version of quinine, a genus Plasmodium that are from kicking the door down. cheap. It has a backer in Presi- upended the world in just a few natural compound that people spread to humans through Think of it as “flattening the dent Donald Trump, who on short months. But medicines have been extracting from the infected mosquitoes. curve” inside the body, giving Thursday asked the Food and developed for those ailments bark of cinchona trees since COVID-19 is caused by a the immune system time to Drug Administration to exam- are showing some promise the early 1600s. coronavirus, not a parasite. catch up. ine its feasibility as a CO- against the respiratory illness Chloroquine works by essen- Still, researchers hypothesized About two dozen clinical VID-19 treatment. And in pre- at the center of the pandemic. tially slowing down how effi- that chloroquine could help trials are already underway in clinical research, it’s been Here’s a closer look at some cient the virus is at entering patients with the new disease China to test chloroquine’s of the medicines being tested cells, which can slow the rate by slowing the virus’ spread. It efficacy against the novel coro- SEE DRUGS, PAGE 13

Photo illustration; image from TNS

The very worst cases tal admission, doctors develop an inflammatory reported last week in the COVID-19 lung patterns show few condition called ARDS – Journal of the American acute respiratory distress Medical Association. syndrome – that floods the Age isn’t the only risk lungs with fluid. That’s factor. Data from China clues for treating pneumonia when the immune sys- show regardless of age, tem’s attempt to fight 40% of people who re- infection “is going crazy quired critical care had Board of Internal Med- In severe cases they fill As infection worsens, and itself attacking the other chronic health prob- BY LAURAN NEERGAARD icine. That capacity gradu- with fluid, dead cells and the haze forms rounder lung,” Baron explained. lems such as heart disease Associated Press ally declines with age other debris so oxygen clusters and gradually Many things besides the and diabetes. even in otherwise healthy can’t get through. turns more white as the coronavirus can cause the WASHINGTON people, so “if you’re an If other countries have air sacs become increas- condition, and regardless DOES COVID-19 LEAVE Scans of the lungs of the old person, even a mild the same experience as ingly clogged. of the cause, it comes with LASTING LUNG sickest COVID-19 patients form can overwhelm your China, about 5% of CO- a high risk of death. DAMAGE? show distinctive patterns lungs if you don’t have VID-19 patients could HOW TO TREAT THE It’s too soon to know of infection, but so far enough reserve.” become sick enough to PNEUMONIA? WHAT ELSE IS about any lasting trouble those clues offer little help Here’s what scientists require intensive care There are no drugs so IMPACTED? when the most severely ill in predicting which pa- can say so far about treat- far that directly attack the Severe pneumonia of pull through. The WHO tients will pull through. ing those who become HOW DOES THAT new coronavirus, although any sort can cause shock has said that it can take For now, doctors are rely- severely ill. DAMAGE APPEAR? doctors are trying some and other organ damage. three to six weeks to re- ing on what’s called sup- Doctors at New York’s experimentally, including But in a webinar last cover from a severe case portive care that’s stan- HOW DOES COVID-19 Mount Sinai Health Sys- an old malaria treatment week, Chinese doctors of COVID-19. dard for severe pneumo- HARM THE LUNGS? tem analyzed 121 chest and one under devel- told members of the But it can take months nia. The new coronavirus, CT scans shared by col- opment to treat Ebola. American College of Car- to get back to normal Doctors in areas still like most respiratory vi- leagues in China and “The best treatment we diology to watch for some activity after any form of bracing for an onslaught ruses, is spread by drop- spotted something unusu- have is supportive care,” additional problems in severe pneumonia, partic- of sick patients are scour- lets from someone’s al. said Dr. Aimee Moulin, an severe COVID-19, espe- ularly if the person had ing medical reports and cough or sneeze. The vast Healthy lungs look emergency care physician cially in people with heart earlier health problems, hosting webinars with majority of patients recov- mostly black on medical at the University of Cali- disease. The worst off too. Recovery in part de- Chinese doctors to get the er, most after experi- scans because they’re full fornia Davis Medical Cen- may need blood thinners pends on how long some- best advice on what works encing mild or moderate of air. An early infection ter. as their blood starts to one was on a breathing and what hasn’t. symptoms such as fever with bacterial pneumonia That centers around abnormally clot, and the machine. One thing that’s clear and cough. But sometimes tends to show up as a assistance in breathing heart itself may sustain “If you’re on a ventila- around the globe: Age the virus makes its way white blotch in one sec- when the oxygen levels in damage not just from lack tor for four weeks in deep makes a huge difference deep into the lungs to tion of one lung. Pneumo- patients’ blood starts to of oxygen but from the sleep in an intensive care in survival. And one rea- cause pneumonia. nia caused by a virus can drop. For some people, inflammation engulfing unit, it takes six months to son is that seniors’ lungs Lungs contain grapelike show up as hazy patches oxygen delivered through the body. a year to rehabilitate,” Dr. don’t have as much of clusters of tiny air sacs that go by a weird name – a mask or tubes in the Another caution: The Diederik Gommers of the what geriatrics expert Dr. called alveoli. When you “ground glass opacities.” nose is enough. More sickest patients can dete- Netherlands Association Richard Baron calls re- breathe, oxygen fills the In people who get CO- severely ill patients will riorate rapidly, something for Intensive Care told serve capacity. sacs and passes straight VID-19 pneumonia, that need a breathing machine. a hospital in Kirkland, Dutch lawmakers. “It is “At age 18, you have a into blood vessels that haze tends to cluster on “The goal is to keep the Washington, witnessed. very debilitating if you are lot of extra lung capacity nestle alongside them. the outside edge of both person alive until the Of 21 patients who in intensive care for so you don’t use unless Pneumonia occurs when lungs, by the ribs, a dis- disease takes its course” needed critical care at long.” you’re running a mara- an infection – of any sort, tinctive pattern, said Dr. and the lungs begin to Evergreen Hospital, 17 thon,” explained Baron, not just this new virus – Adam Bernheim, a radio- heal, explained Mount were moved into the ICU who heads the American inflames the lungs’ sacs. logist at Mount Sinai. Sinai’s Dr. Neil Schachter. without 24 hours of hospi- MONDAY MARCH 23 2020 PAGE 13 Coronavirus guide

surgery and director of the BY STACEY BURLING Coronavirus poses extra risks for smokers and vapers Temple Lung Center Philadelphia Inquirer Leone said that vaping causes many of the same Frank T. Leone, a pul- cellular changes as smok- monologist who directs ing. “The physical assault Penn’s Comprehensive on the lungs is virtually Smoking Treatment Pro- identical,” he said. grams, is often asked to Chronic obstructive see patients in Penn’s WILL pulmonary disease hospitals who smoke. The (COPD) can develop after hope is that Leone, who years of exposure to specializes in tobacco smoking. Criner said that dependence, can convince one Italian study found them to quit. THAT that 26% of people who On March 19, he saw a died of COVID-19 had young man – a two-pack- COPD. a-day smoker – who had Deborah Brown, chief broken an ankle but was mission officer for the panicking about the threat American Lung Associ- the new coronavirus, MAKE ation, said she cautions which can cause fatal lung people who smoke tobac- infections, poses to people co or marijuana or who whose lungs are already vape to take extra precau- weakened by constant tions and consider them- exposure to smoke or selves at high risk for other noxious substances. THEM complications. “Doc, I don’t want to die,” She hopes smokers will he told Leone. use the disruption in their Leone said he’s meeting work lives to create a new more patients who say plan for quitting. The they’d like to quit – now. QUIT? organization has a person- Other doctors who treat alized online quitting lung patients and smokers program as well as a self- have also seen a small help guide. Staffers at uptick in interest. It re- 1-800-LUNG-USA can mains to be seen, though, CHICKEN STRIP TNS answer questions. The they said, whether that Lung experts said there’s good reason to suspect that the coronavirus will be more dangerous to people who smoke association also has an translates into action. or vape. Frequent exposure to other things that can harm the lungs, such as dust and pollutants, may also leave online support community In-person visits to smok- people less able to recover from infection. through Inspire.com. ing cessation programs Like other smoking are currently on hold cessation programs, Le- because of the virus. studies have not shown “I’m going to stop, but not be an especially serious over two weeks than non one’s has had to cancel “I think it’s a little bit that fear helps people quit right now.” threat to those who smoke smokers. in-person meetings. He early,” said Aditi Satti, a cigarettes and stay off of Summer thinks all the tobacco or marijuana or Summer said the lungs considers those most pulmonary critical care them. scary news from the virus who vape.” Because far are the only organs that effective because they doctor who directs Tem- The nature of cigarette could make things worse. more men than women are always exposed to the allow him to explore why ple Health’s smoking addiction makes it hard to “This type of stress usu- smoke in China, that outside through the air we clients smoke and create a cessation program. “Peo- stop during a crisis, Leone ally leads to more smok- might explain why more breathe. Pollution, vaping stronger therapeutic rela- ple are just starting to said. Nicotine works in the ing,” he said. men have died there, the and cigarette smoke put tionship. He’s talking with wrap their heads around part of the brain that de- Lung experts said agency said. them under increased people now by phone. what’s happening around tects threat. Rather than there’s good reason to So far, evidence about stress. “In general,” he Satti, who also has had us.” sedating, “it’s giving the suspect that the new virus smoking and the new said,”smokers are more to stop smoking cessation Ross Summer, chief of brain the sort of all-clear, will be more dangerous to coronavirus is limited. A susceptible to pneumo- clinics, is urging people the section of allergy, safe signal,” he said. people who smoke or study by the Chinese nia.” interested in quitting to pulmonary and critical At a time like this, vape. Frequent exposure Center for Disease Con- Local lung experts said visit the Pennsylvania care medicine at Sidney smokers know that they to other things that can trol found that the case that smoking increases Free Quitline. Kimmel Medical College are at high-risk for trouble harm the lungs, such as fatality rate was 6.3% in inflammation in the lungs, Criner said “there’s of Thomas Jefferson Uni- if they get COVID-19, the dust and pollutants, may people with chronic respi- making them less likely to always a benefit to stop- versity, said lung patients disease caused by the new also leave them less able ratory disease compared respond appropriately ping smoking even if you are calling about coro- coronavirus. to recover from infection. to the overall rate of 2.3%. when faced with a viral smoked a long time.” He navirus whether they Unfortunately, their Leone said about 20% (These rates are likely too onslaught. Tiny fibers said it will decrease mu- smoke or not. “People are brains experience smok- of adults in Philadelphia high because they are called cilia that remove cus production as well as extremely concerned and ing cessation as a threat. smoke. Rates are in the based on cases doctors dirt, dust and germs are flare-ups of COPD. One worried,” he said. He’s And smoking is the thing low teens in the surround- knew about, while they damaged by smoke as are study found that stopping worried that some of them that makes smokers feel ing suburban counties. may never have seen blood vessels important smoking for 10 to 14 days are forgoing routine doc- less threatened. “The The National Institute people with mild disease.) for oxygen distribution. improved postoperative tor’s visits they really place that people go for a on Drug Abuse earlier this Another small Chinese Damage to the airway complications. need because they’re brief respite is their ciga- month cautioned that, study of 78 patients with wall can also make it eas- It’s too soon to know afraid to leave their rettes,” Leone said. “because it attacks the pneumonia found that ier for bacteria to grow, how it will affect response houses. This is why smokers lungs, the coronavirus that smokers were 14 times said Gerard Criner, chair to the new coronavirus. Satti said that, so far, tend to feel torn and say, causes COVID-19 could more likely to deteriorate of thoracic medicine and

FROM PAGE 12 established as safe for use in Still, remdesivir has since been es blood pressure by preventing what we’re trying to find.” humans – it’s been on the mar- shown to have some effect a hormone called angiotensin The advantage here is that ket since the 1950s. Trump’s against both MERS and SARS in from binding to receptors on you get a drug that does essen- DRUGS request that the FDA investigate cell lines and limited animal blood vessels, allowing them to tially exactly what you want it to chloroquine included hydroxy- testing, and since those diseases stay relaxed. do. The drawback is that scien- shown to be effective against chloroquine as well. On Sat- are caused by coronaviruses, it Scientists hypothesized that tists have to start from the viral infections such as severe urday, he tweeted out an en- may have some effect against losartan might help patients ground up, so getting a drug to acute respiratory syndrome dorsement of a preliminary the one that causes COVID-19. with COVID-19 because, as an the public may take a little long- (SARS), Middle East respiratory report from France in which six Exactly how remdesivir works angiotensin receptor blocker, it er – perhaps two years, Satchell syndrome (MERS) and HIV. patients received hydroxychlo- has been unclear, though a new obstructs the site through which estimated. roquine along with the anti- study shows that it appears to the virus gets into the cells, Luckily, scientists can also HYDROXYCHLOROQUINE biotic azithromycin. block RNA replication during Tolar said. draw on research into other As you may guess, this drug is the reproductive cycle of a coro- This drug rounds out the coronaviruses, such as those closely related to chloroquine. KALETRA navirus. trifecta of treatments that Uni- that caused the SARS outbreak It’s a potentially less toxic me- This combination of two anti- It was given to the first CO- versity of Minnesota research- in 2003 and the MERS outbreak tabolite of the malaria drug viral drugs, lopinavir and ritona- VID-19 patient in the United ers are putting through clinical in 2012. Those events came and that’s used to treat certain au- vir, is used to combat HIV. It’s States for compassionate use trials; they have not yet started went so quickly that promising toimmune diseases like lupus widely available, and several after his condition took a turn recruiting subjects, according to research was largely dropped and rheumatoid arthritis. Scien- clinical trials around the world for the worse, and he began to the NIH. before drugs could be devel- tists think it works by disrupting are underway. recover the next day, according oped and made available. communications between cells The two drugs, both protease to a case study published in the OTHER APPROACHES Since all three coronaviruses in the immune system. Like inhibitors, have different but New England Journal of Med- Repurposing drugs that are are genetically very similar, that chloroquine, scientists suspect it complementary roles when used icine. Whether the drug was already on the market (or at preliminary work could give might help to mitigate cytokine in combination. Lopinavir pre- actually responsible for any of least, proven safe) makes for a scientists a leg up in developing storms. vents viral enzymes from cut- that improvement is unknown. good first step in fighting a weapons against COVID-19 and Doctors are testing it in CO- ting up important proteins that Several clinical trials in the novel virus, but it’s something shorten the process to around 12 VID-19 patients on the theory are key to HIV’s reproduction. works should provide some of a blunt instrument, scientists to 18 months, Satchell said. that if chloroquine is helpful, Ritonavir helps boost lopinavir’s answers. A clinical trial spon- pointed out. Continuing this research even hydroxychloroquine might be concentrations in cells. sored by the National Institute That’s why researchers are after the current pandemic ends too, and recent lab results seem Scientists wondered whether of Allergy and Infectious Dis- also studying the virus in depth will be key to help prevent fu- to back that up. At least seven the pair might be able to disrupt eases, part of the National In- to try to develop more tailored ture outbreaks, she said. clinical trials have begun in SARS-COV-2’s life cycle in simi- stitutes of Health, has already treatments from the bottom up – After all, consider the discon- China to test hydroxychloro- lar ways. launched at several locations in or at least, from a little closer to tinued research into SARS and quine in patients with CO- But a study published this the U.S., including the Uni- ground level. MERS. If that work had resulted VID-19, and the University of week in the New England Jour- versity of Nebraska, the Uni- Satchell’s center is taking this in effective drugs, we might Minnesota also launched one of nal of Medicine reported no versity of Minnesota and UC route, studying the virus’ pro- have a treatment for COVID-19 its own this week. benefit for patients with severe Irvine. teins and other structures in today, she pointed out. Simi- “After 90 days we will have COVID-19. While that’s not “Although remdesivir has depth and designing drugs to larly, the work being done on some indication of whether this great news for the drug’s pro- been administered to some combat it. Currently, they’re SARS-CoV-2 could prove useful is effective or not,” and how spects, an editorial accompany- patients with COVID-19, we do targeting the molecular facto- when future outbreaks hit, even effective it could be, said Dr. ing the paper called the work a not have solid data to indicate it ries that viruses set up to manu- if the pathogens causing them Jakub Tolar, dean of the Uni- “heroic effort.” And, to be clear, can improve clinical outcomes,” facture more copies of them- are slightly different. versity of Minnesota Medical it was just one study; other trials Dr. Anthony S. Fauci, director of selves. “I hope one of the lessons School. could eventually provide further the NIAID, said in a statement. “If you just walked up to a that we have from this is that Early results in China are insight. These clinical trials would machine and stuck a screw- research should keep going promising, showing that it in- offer some solid data as to driver in it somewhere, it would even if the crisis goes away,” hibited SARS-COV-2 infections REMDESIVIR whether it really works. stop working,” she said. The she said. in the lab. This drug was developed by trick is to figure out where to Like chloroquine, hydroxy- Gilead Sciences to fight Ebola LOSARTAN stick the screwdriver, and what chloroquine has already been but failed to prove effective. This hypertension drug reduc- it should look like. “And that’s MONDAY MARCH 23 2020 PAGE 14 Coronavirus guide

JUST_SUPER Getty Images While there are COVVID-19 vaccine candidates in the works, it could take a year to 18 months before one is ready.

“I would like us to see it BY AMINA KHAN work in the majority of Los Angeles Times Why will it take so long people,” he said, but “if it worked in 50%, 50% is a Nothing can stop a big improvement over global outbreak in its 0%.” tracks better than a vaccine. Unfortunately, cre- to make a vaccine that Q: Q:Once a vaccine is ap- ating a vaccine capable of proved, is the hard part preventing the coronavi- over? rus that causes COVID-19 A: A:Definitely not. The will probably take at least labs that create a success- a year to 18 months, can prevent COVID-19? ful vaccine probably won’t health officials say. be the ones that are able “That is the time to scale up – they'll need a frame,” Dr. Anthony Fau- Your immune system One classic technique called viral vector vaccine gency, it could be sped up dedicated manufacturer ci, director of the National has to go through this involves injecting a person enters cells, prompting dramatically. for that part. And many Institute of Allergy and process each time it en- with a killed virus. Anoth- them to produce huge The big sticking point is companies may be wary of Infectious Diseases, told counters a threat from a er uses live viruses that numbers of this snapshot often the Phase 3 trial. In investing the resources it the House Oversight and new virus or bacterium. have been grown and for the immune system to an epidemic, many study takes to manufacture a Reform Committee last A vaccine provides a deliberately weakened, see. These vaccines take volunteers may not want new vaccine when the week. Anyone who says shortcut. Essentially, it typically by removing longer to make – say, six to risk getting a placebo epidemic could end before they can do it faster “will helps your immune sys- specific genes in their to eight months – but they instead of the vaccine, there’s a chance to bring it be cutting corners that tem learn to recognize a RNA or DNA. can be scaled up more Stephenson said. to market, Weiner said. would be detrimental.” specific threat by tricking Both of these strategies readily. Researchers faced this “Big Pharma is afraid to While there are about it into thinking it’s under take some time, and sci- “A lot of us are working dilemma during the West- go in because the out- 10 vaccine candidates in attack. Then it can pro- entists worry that if they on both of those,” Ste- ern African Ebola outbreaks end and they lose the works – and at least duce the antibodies it use them on novel viruses, phenson said. break that took off in all the money they put one of them could begin needs without having to they may not behave the 2014. The virus had a in,” he said. That’s why clinical trials in April – it face a real infection. way researchers predict, Q: Q:How are vaccines test- mortality rate of about the Oslo-based Coalition would still take about said Dr. Kathryn Stephen- ed? 40%, making people des- for Epidemic Prepared- three more months to Q: Q:Are all vaccines the son, who runs the clinical A: A:Before a vaccine perate for the still-un- ness Innovations, or CEPI, conduct the first stage of same? trial unit at Beth Israel candidate is approved for proven vaccine. So re- has stepped in with fund- human testing and anoth- A: A:Nope. The Centers Deaconess Medical Cen- use, it must be proven safe searchers employed a ing to help shepherd some er eight months or so to for Disease Control and ter’s Center for Virology and effective in a series of novel experimental design of those efforts, he added. complete the next stage of Prevention describes sev- and Vaccine Research. trials that are monitored that involved vaccinating One of the big technical the trial process, he add- eral types of vaccines: Another option for sci- by the Food and Drug people with varying de- challenges in large-scale ed. A Attenuated vaccines, entists is to reconstruct Administration. grees of separation from manufacturing is quality New vaccines require like those for chickenpox that snapshot using in- The first step is to show an Ebola patient and using control, Stephenson said. copious research and and measles, use a live formation from a virus’ that it’s safe in preclinical computer models to help “Every vaccine has its time-consuming testing virus or bacteria that has genetic code, which may studies. These can be determine if the vaccine own particular issue,” she that can cost hundreds of been intentionally weak- be made of either RNA or conducted in vitro (using had had an effect. said, but “the manufactur- millions of dollars. ened so that it can’t cause DNA. cells in a laboratory dish) “I think people learned ing challenges mainly There’s no guarantee of serious disease in a Nowadays, researchers or in vivo (using an animal from that that there are have the most to do with success, but even if every- healthy immune system. can get started fast. Scien- as a stand-in for humans). ways to be creative,” Ste- safety precautions and thing goes well, the final A Inactivated vaccines, tists in China made the Finding the right animal phenson said. A creative making sure than when product might not hit the such as the one for polio, coronavirus’ RNA se- for testing can be a chal- solution may be needed you’re done, the vial of market until after an out- use germs that have been quences available on Jan. lenge, said Robert Gren- when a coronavirus vac- vaccine has in it what you break has subsided. killed. They typically don’t 10, and many labs began fell, director of health and cine is ready for Phase 3 say it has.” Here’s a look at how provide as much immuni- working toward a vaccine biosecurity at CSIRO, testing, she added. vaccines are made and ty as attenuated vaccines, the next day, Stephenson Australia’s national sci- Q: Q:Who would get the why the process takes so so they may require boost- said. ence agency, but scientists Q: Q:How good does a vac- vaccine first? long. ers over time. working on a vaccine for cine need to be in order A: A:This can be a difficult A Toxoid vaccines, in- Q: Q:Once you know that, is the new coronavirus won’t to gain approval? question when there’s a Q: Q:How does a vaccine cluding the DTaP vaccine the rest easy? have to start from scratch. A: A:The FDA wants it to limited amount of vaccine work? for diphtheria and teta- A: A:Hardly. Designing the The new virus shares be safe and effective – in and a whole lot of de- A: A:Your body has a mul- nus, use weakened ver- vaccine is just the first much of its genome with other words, it has to mand. ti-pronged defense system sions of the toxins created step. Then it has to be the coronavirus that protect enough people Since older adults ap- for recognizing and com- by invading bacteria to produced. caused the 2003 outbreak with as few unwanted side pear to be most at risk bating dangerous invad- teach the body how to There are many differ- of severe acute respiratory effects as possible. But from COVID-19, it’s likely ers: your white blood cells. fight the pathogens. ent vaccine-making plat- syndrome, and some Aus- exactly what qualifies as that health officials would There are several types, A Subunit vaccines, such forms, each with its own tralian researchers already safe and effective may focus on them first, Ste- each with a different pur- as DTaP’s whooping set of advantages and have been studying the depend on the disease in phenson said. pose: cough component, only disadvantages. SARS virus in ferrets. question. Medical professionals – A Macrophages engulf use fragments of the virus “What would make a Then clinical trials in For some perspective: who are at high risk of and then eat pathogens or or bacterium they protect great vaccine for coro- humans can begin. Phase Stephenson, who also exposure and are needed cells that are dead or against. navirus is one that you can 1 trials are small, usually studies HIV, said that to care for those who are damaged. They leave A Conjugate vaccines make quickly and one that with a few dozen closely researchers would be very sick – would likely be a behind identifying frag- teach the immune system would provide long-lasting monitored participants. happy if they could come priority as well. ments of the invading to fight bacteria that try to and effective immunity,” The main goal here is to up with an HIV vaccine “Front-line healthcare microbes. These frag- disguise their antigens in Stephenson said. “Those make sure the vaccine is that protected 50% or so workers are usually one of ments are called antigens. the long chains of sugar are not always the same safe. Phase 2 trials typical- of those who got it. On the the first groups you vacci- A B-lymphocytes pro- molecules that form the thing.” ly enroll hundreds of pa- other hand, for a highly nate because you need duce antibodies that rec- walls of bacterial cells. For example, a vaccine tients to expand the safety contagious virus like mea- your workforce in place,” ognize and bind to those based on the virus’ ge- assessment and allow sles, a vaccine would need she said. antigens. If a pathogen Q: Q:What do you need to nome RNA can be made scientists to dig into the to work in almost every- Vaccines are often less with those antigens shows know about a virus to quickly, in perhaps a body’s immune response. one to establish herd im- effective in older people up in the blood stream create a vaccine? month or two, but it may Phase 3 trials can enroll munity, she said. than they are in younger again, those antibodies A: A:The immune system be harder to manufacture thousands of people, typ- David Weiner, a molec- ones, and this could affect can mount an attack. learns how to fight a virus in giant quantities. ically with some of them ular immunologist who the way that a vaccine is A If those pathogens are by studying its face – the Another option is to randomly assigned to get directs the Wistar In- administered. A vaccine already hiding out inside outside of the particle, take the virus’ genetic the vaccine and some stitute’s Vaccine and Im- might be given in multiple your cells beyond the including those telltale snapshot and put it into a getting a placebo. munotherapy Center, said doses, or an adjuvant antibodies’ reach, T-lym- antigens. So a vaccine different virus for trans- This process can take a successful coronavirus might be added to it to phocytes can attack those needs to give your body a port. When introduced years under normal cir- vaccine wouldn’t have to boost the immune sys- infected cells. snapshot of that face. into the body, the so- cumstances. In an emer- be 100% effective. tem’s reaction to it. MONDAY MARCH 23 2020 PAGE 15 Coronavirus guide

DANIELLE A. SCRUGGS NYT Dr. Paul Casey takes video calls at Rush University Medical Center, which is using telemedicine to screen and treat patients, in Chicago on March 6. Rush University Medical Center and other large hospitals across the country are quickly expanding the use of telemedicine to safely screen and treat patients for coronavirus, and to try to contain the spread of infection while offering remote services.

better protect the commu- BY REED ABELSON nity from infectious dis- New York Times eases. Doctors and patients “When coronavirus hit The man had recently the streets, we took the traveled, including a brief measles workflow and stop in Tokyo. He had a expanded on it,” said fever and cough about a Kerry Palakanis, a nurse week ago, but was now practitioner who is the feeling fine. turn to telemedicine executive director of In- He called the virtual termountain’s initiative, medical line set up by Connect Care. Rush University Medical The system is also Center in Chicago recent- thinking about how it can ly to help screen patients use the same technology for coronavirus. in the coronavirus to deliver home health “He said all the right care, particularly for pa- buzzwords: cough, fever, tients who are at high risk fatigue,” said Dr. Meeta because of chronic med- Shah, an emergency room ical conditions or have physician at Rush. COVID-19 but can be After talking with him, outbreak treated safely at home. Shah did not think he People at home could be needed to be admitted but equipped to take their referred him to the city’s blood pressure or test health department. manente Medical Group, infected, can also opt to “Telehealth is being re- instead of heading to a their blood sugars, and a Rush and other large the doctors’ group associ- substitute a trip to a doc- discovered,” said Dr. doctor’s office. doctor or nurse could be hospitals across the coun- ated with Kaiser Perma- tor’s office with a virtual Peter Antall, the chief But Testa emphasized available over video. try are quickly expanding nente, one of the leaders visit when it is a routine medical officer for Am- that patients who need to By monitoring more the use of telemedicine to in the use of virtual visits check in with a specialist Well, a company based in be seen in person should patients virtually, In- safely screen and treat for its patients. or a primary care doctor. Boston that is working not hesitate to seek care. termountain will be able patients for coronavirus, Telemedicine got an That way they can avoid with health systems across “We’re not discouraging to limit the potential expo- and to try to contain the additional boost under the crowded waiting rooms the country. “Everybody anybody from coming in,” sure of nurses who con- spread of infection while $8.3 billion emergency and potential infection. recognizes this is an all- he said. duct home visits. “Those offering remote services. funding measure from When Rush admitted a hands-on-deck moment,” Virtual care has its lim- nurses are traveling out “This is a kind of turn- Congress, which loosened student last week who was he said. “We need to scale its, of course, and many of throughout the communi- ing point for virtual restrictions on its use to believed to have the virus, up wherever we can.” the startups and others ty,” Palakanis said. health,” Shah said. “We’re treat people covered un- the hospital was able to Other systems are also promoting their offerings Telemedicine compa- actually seeing how it can der the federal Medicare prepare for his arrival by readying their telemed- may not be fully equipped nies say they are getting be used in a public health program. At a news con- clearing the ambulance icine offerings. “The CO- to handle patients who an increase in the number crisis.” ference Monday, Seema bay of people and vehicles VID-19 outbreak is going might have the virus. At of calls, both from those While the notion of Verma, the administrator to protect patients and to serve as an impetus,” Zoom+Care, a chain of who want to know more seeing a doctor via your of the Centers for Medi- hospital staff from pos- said Dr. Shabana Khan, clinics in Oregon and about what they can do to computer or cellphone is care and Medicaid Serv- sible infection. Taken to the director of telepsy- Washington, consumers minimize their risk of hardly new, telemedicine ices, praised the govern- an isolation room, he was chiatry at NYU Langone are being encouraged to catching coronavirus and has yet to take off widely ment’s efforts to expand examined by Dr. Paul Health. “We have no use the company’s online those with worrisome in the United States. the use of telemedicine Casey, an emergency choice.” chat feature so that their symptoms. “We see the Health insurance plans do under Medicare, the fed- room physician, and a Patients concerned risks can be assessed. whole spectrum of pa- typically offer people the eral program for people 65 nurse, both in protective about the coronavirus are “We’re being very expli- tients,” said Dr. Kristin option of talking to a and older. gear. being directed to NYU’s cit at Zoom+Care that we Dean, medical director for nurse or doctor online as In a meeting Tuesday at An infectious disease virtual urgent care, which can’t test you for CO- Doctor On Demand, a an alternative to heading the White House with specialist was consulted they can gain access to via VID-19,” said Dr. Mark company whose service is to an emergency room or President Donald Trump, over an iPad. The patient, their phone or a computer. Zeitzer, who is the clinics’ offered to customers of urgent care center, but private health insurers who did have the virus, “Our volumes are show- medical director of acute some of the major health most people don’t make also said they would pay was released last Friday, ing they are hearing that care services. Instead, insurance companies. use of it. Now doctors, for the virtual visits for and Rush was able to message loud and clear,” people may be told to In evaluating whether hospital networks and people who may have avoid the fate of other said Dr. Paul A. Testa, an self-quarantine and keep a patients may be safely clinics are rethinking how coronavirus to improve hospitals in the United emergency medicine doc- careful eye on their symp- monitored at home, doc- the technology can be access to care for their States, where patients tor who is the system’s toms. tors take into account used, to keep the worried customers. with COVID-19 led to the chief medical information But the idea of using people’s medical history well calm and away from By using their phone or widespread quarantine of officer. telemedicine to prevent and the severity of their clinical care while steering computer, patients will be health care workers. NYU is also encourag- further spread of the virus symptoms, she said. the most at risk to the able to get guidance about “When the news of ing its doctors who are is being adopted quickly. “The patients have been proper treatment. whether they need to be coronavirus broke last self-quarantined because At Intermountain Health- appreciative of that “The use of telemed- seen or tested instead of month, we saw the oppor- of recent travel to see care, the Utah system that switch,” said Parodi of icine is going to be critical showing up unannounced tunity,” Casey said. patients using video, as cared for an infected pa- Permanente. “Many of for management of this at the emergency room or Health systems are well as directing patients tient at its Salt Lake City them don’t want to come pandemic,” said Dr. Ste- doctor’s office. Patients, racing to adapt and even who are particularly vul- hospital, the concern over in and be exposed in a phen Parodi, an infectious particularly those who develop virtual services nerable because of exist- a potential measles out- clinic or office setting.” disease specialist and would be at high risk for a that can serve as their ing medical conditions to break last year led exec- executive with The Per- serious illness if they were front line for patients. consider a virtual visit utives to consider how to MONDAY MARCH 23 2020 PAGE 16 Coronavirus guide

GABRIELA BHASKAR NYT A man picks a single bottle of hand soap that was just placed on the shelves in a New York store on Friday. Due to a shortage from suppliers, employees have said that they cannot predict what products will be delivered as people take precautions against the coronavirus.

the time, microbes were BY FERRIS JABR not widely recognized as New York Times Why soap works to kill vectors of disease, and many doctors ridiculed It probably began with the notion that a lack of an accident thousands of personal cleanliness could years ago. According to be responsible for their one legend, rain washed patients’ deaths. Ostra- the fat and ash from fre- bacteria and viruses cized by his colleagues, quent animal sacrifices Semmelweis was eventu- into a nearby river, where ally committed to an asy- they formed a lather with lum, where he was se- a remarkable ability to verely beaten by guards clean skin and clothes. and died from infected Perhaps the inspiration wounds. had a vegetal origin in the Florence Nightingale, frothy solutions produced the English nurse and by boiling or mashing statistician, also promoted certain plants. However it hand-washing in the happened, the ancient mid-1800s, but it was not discovery of soap altered until the 1980s that the human history. Although Centers for Disease Con- our ancestors could not trol and Prevention issued have foreseen it, soap the world’s first nationally would ultimately become endorsed hand hygiene one of our most effective guidelines. defenses against invisible Washing with soap and pathogens. water is one of the key People typically think of public health practices soap as gentle and sooth- that can significantly slow ing, but from the perspec- the rate of a pandemic tive of microorganisms, it and limit the number of is often extremely de- infections, preventing a structive. A drop of ordi- disastrous overburdening nary soap diluted in water of hospitals and clinics. is sufficient to rupture and But the technique works kill many types of bacteria only if everyone washes and viruses, including the their hands frequently and new coronavirus that is thoroughly: Work up a currently circling the good lather, scrub your globe. The secret to soap’s PEOPLEIMAGES Getty Images palms and the back of impressive might is its Washing with soap and water is one of the key public health practices that can significantly slow the rate of a your hands, interlace your hybrid structure. pandemic and limit the number of infections, preventing a disastrous overburdening of hospitals and clinics. fingers, rub your fingertips Soap is made of pin- against your palms, and shaped molecules, each of twist a soapy fist around which has a hydrophilic in lipid membranes in- rounding water, killing the es that do not depend on surgery and gene therapy, your thumbs. head – it readily bonds clude coronaviruses, HIV, bacteria and rendering the lipid membranes to infect it is all the more wondrous Or as the Canadian with water – and a hydro- the viruses that cause viruses useless. cells, as well as bacteria that a bit of soap in water, health officer Bonnie phobic tail, which shuns hepatitis B and C, herpes, In tandem, some soap that protect their delicate an ancient and funda- Henry said recently, water and prefers to link Ebola, Zika, dengue, and molecules disrupt the membranes with sturdy mentally unaltered recipe, “Wash your hands like up with oils and fats. numerous bacteria that chemical bonds that allow shields of protein and remains one of our most you’ve been chopping These molecules, when attack the intestines and bacteria, viruses and sugar. Examples include valuable medical interven- jalapeños and you need to suspended in water, al- respiratory tract. grime to stick to surfaces, bacteria that can cause tions. Throughout the change your contacts.” ternately float about as When you wash your lifting them off the skin. meningitis, pneumonia, course of a day, we pick Even people who are rela- solitary units, interact hands with soap and wa- Micelles can also form diarrhea and skin infec- up all sorts of viruses and tively young and healthy with other molecules in ter, you surround any around particles of dirt tions, as well as the hepa- microorganisms from the should regularly wash the solution and assemble microorganisms on your and fragments of viruses titis A virus, poliovirus, objects and people in the their hands, especially themselves into little skin with soap molecules. and bacteria, suspending rhinoviruses and adenovi- environment. When we during a pandemic, be- bubbles called micelles, The hydrophobic tails of them in floating cages. ruses (frequent causes of absentmindedly touch our cause they can spread the with heads pointing out- the free-floating soap When you rinse your the common cold). eyes, nose and mouth – a disease to those who are ward and tails tucked molecules attempt to hands, all the microorgan- These more resilient habit, one study suggests, more vulnerable. inside. evade water; in the pro- isms that have been dam- microbes are generally that recurs as often as Soap is more than a Some bacteria and vi- cess, they wedge them- aged, trapped and killed less susceptible to the every 2 1/2 minutes – we personal protectant; when ruses have lipid mem- selves into the lipid enve- by soap molecules are chemical onslaught of offer potentially danger- used properly, it becomes branes that resemble lopes of certain microbes washed away. ethanol and soap. But ous microbes a portal to part of a communal safety double-layered micelles and viruses, prying them On the whole, hand vigorous scrubbing with our internal organs. net. At the molecular with two bands of hydro- apart. sanitizers are not as re- soap and water can still As a foundation of ev- level, soap works by phobic tails sandwiched “They act like crowbars liable as soap. Sanitizers expunge these microbes eryday hygiene, hand- breaking things apart, but between two rings of hy- and destabilize the whole with at least 60% ethanol from the skin, which is washing was broadly at the level of society, it drophilic heads. These system,” said professor do act similarly, defeating partly why hand-washing adopted relatively recent- helps hold everything membranes are studded Pall Thordarson, acting bacteria and viruses by is more effective than ly. In the 1840s Dr. Ignaz together. Remember this with important proteins head of chemistry at the destabilizing their lipid sanitizer. Alcohol-based Semmelweis, a Hungarian the next time you have the that allow viruses to infect University of New South membranes. But they sanitizer is a good backup physician, discovered that impulse to bypass the cells and perform vital Wales. Essential proteins cannot easily remove when soap and water are if doctors washed their sink: Other people’s lives tasks that keep bacteria spill from the ruptured microorganisms from the not accessible. hands, far fewer women are in your hands. alive. Pathogens wrapped membranes into the sur- skin. There are also virus- In an age of robotic died after childbirth. At MONDAY MARCH 23 2020 PAGE 17 Coronavirus guide

How to sanitize upholstery and home surfaces without damaging them

ANDREYPOPOV Getty Images/iStockphoto

survived, Richard Sachle- with a vacuum cleaner’s burning and solid-fuel and mild detergent, and LAUNDRY ROOM BY JANET EASTMAN ben, an organic chemist soft brush attachment or a stoves. use a plastic scrub pad to Cleaning supplies: Use a The Oregonian, Portland, Ore. and member of the Amer- ceiling brush. Remove gently remove stubborn disinfectant wipe on soap ican Chemical Society, fingerprints with a damp KITCHEN dirt. dispenser pumps. Wash Due to the coronavirus told Consumer Reports. cloth dipped in a mild Grease: Use dish soap or Stainless-steel applianc- cleaning rags, shake out outbreak, people are at We researched the safe detergent solution. don goggles and add eight es: Use a specially formu- dusters and brooms, and home and focused more solutions to remove dirt, Carpet, rug, drape, cush- parts water to one part lated, non-abrasive stain- microwave the kitchen than ever on ways to dis- bacteria, molds, mildew ion and other soft, po- ammonia. less-steel cleanser that sponge for two minutes infect household objects, and virus germs. Our rous surface: Clean with Garbage disposal: Shake won’t leave scratches. daily then replace it every some that may have never guide relies on the latest products such as Purell in deodorizing baking two weeks. been cleaned before, like edition of Consumer Re- Multi-Surface Disinfectant soda, which is mildly BATHROOM Washing machines: Bet- that colorful leather sofa. ports’ “How to Clean or Sani-Spritz Spray. Laun- abrasive and counteracts Floor: Microfiber mops ter Homes and Gardens The novel coronavirus Practically Anything” der using the warmest smelly acids poured down are most effective at re- recommends rinsing non that causes COVID-19 publication, manufactur- appropriate water setting the drain. moving dirt and bacteria, self-cleaning washing may remain viable for ers and other reliable and then dry completely. Cutting board: Remove say experts. If you need a machines with distilled hours to days on surfaces, resources. Dust with a vacuum clean- mildew and clean up raw multipurpose bucket, Ikea white vinegar every six according to public health Follow manufacturer’s er’s soft brush attachment meat, poultry or fish with has the Borstad Rinsing months to remove bacte- experts at the Centers for care instructions, use or with a soft, long-han- bacteria-killing bleach Tub for $19.99. ria and mildew odors. Run Disease Control and Pre- products with the EPA’s dled broom with synthetic (never mix with ammonia Marble counter: Use a a regular cycle with hot vention (CDC). Safer Choice logo or just fibers. Check the label to or any other cleanser). clean cloth or a sponge water and two cups of They recommend clean- play it safe and use a little read the recommendation: Laminate cabinet: Use a with warm water and mild white vinegar in an empty ing and wiping down fre- dish soap and water. W means water-based handheld vacuum to re- liquid detergent, rinse and washing machine. Then quently touched surfaces Here’s what we found cleaner, S is solvent clean- move dust then wipe up then dry with a soft cloth. wipe down the interior to with a disinfectant daily as the best simple solu- er and X is vacuum only. dirt and grease with a Sink and tub: Use a eliminate buildup and run during cold and flu season tions for cleaning special Leather upholstery: mild solution of dish- sponge with hot water and a cycle of hot water to to reduce the risk of items, room by room: Vacuum crevices and dust washing liquid mixed with liquid detergent instead of rinse. spreading infection. with a soft, white cloth clean, warm water. Wipe abrasive scouring powd- Dryer: Wash the baked- It isn’t possible to re- ENTRY dampened with water and down with a clean, damp ers. Rain-X glass treat- enamel exterior with mild move bacteria from every- Wallpaper: Paper or fab- a little dish soap. Test cloth and dry with another ment will repel water on detergent and water, then thing you touch, but soap ric wallpaper coated with before using saddle soap clean, soft, lint-free cloth clean shower doors. wipe with a damp sponge; and water, household vinyl can be dusted with a or another leather cleaner, or a microfiber cloth to Toilet bowl: Clean and or use any all-purpose cleaners and U.S. Envi- dust mop and washed which may remove some avoid scratching laminate disinfect with a toilet bowl cleaner without abrasives. ronmental Protection with an all-purpose color. and high-gloss cabinetry, cleaner. Use harsh clean- Clean the lint filter every Agency (EPA)-approved cleanser without bleach Floor: Sanitize a hard- according to MasterBrand ers to remove rust and time you run the machine. household disinfectants and a clean sponge, then wood floor with a mop Cabinets. stains sparingly. are effective on hard sur- rinse with water. dampened with a half cup Counter: Use a clean, soft EQUIPMENT faces such as counters, of distilled white vinegar cotton cloth with water BEDROOMS Coated glass: Use a damp tables, doorknobs, light LIVING ROOM diluted with one gallon of and a mild, non-chemical Pillows: Fluff them every microfiber cleaning cloth switches, handles, desks, Window and mirror: water. Have porous con- liquid detergent to wipe day to remove dust. About or screen wipes for eye- toilets, faucets and sinks, Dilute ammonia-based crete sealed and wash down Formica laminate. every month, hang them glasses, phones, cameras says the CDC. window cleaners and wipe with a phosphate-free Don’t let water penetrate outdoors or run foam and lenses, computer screens, Products with EPA- with streak-free microfib- detergent. Mop or sponge the seams, which can latex pillows on the ear buds and remote con- approved, antimicrobial er cloths. sealed cork with only hot cause the substrate to dryer’s no-heat cycle. trols. Rubbing alcohol can claims can be effective Sealed wood and other water and buff with a dry swell. Don’t use cleaners Twice a year, clean down, cause damage as can against hard-to-kill virus- furniture: Mix water and mop or cloth. containing acid, alkali or feather and polyester spraying liquid directly es, says the CDC. These a little mild liquid dish Fireplace: Have a profes- sodium hypochlorite that pillows in the washing onto them. A specialized include Clorox cleaner detergent and spray onto sional clean the chimney will mar, etch, corrode machine’s gentle cycle UV light sterilizer and and bleach products and furniture, then wipe with a of a wood-burning fi- and permanently discolor and dry them completely, sanitizer can also be used Lysol disinfectants. damp cloth and dry with replace to remove built-up the laminate surface, says or take pillows to the dry to clean a smartphone, Depending on the sur- another clean, lint-free soot and flammable creo- the Formica company. cleaners. Launder pillow toothbrush, jewelry, eye- face materials, you can cloth. Dust oiled or un- sote once a year. Also Granite: Clean with a covers, pillowcases and glasses, toys, keys and use solutions with at least treated wood paneling clean the flues of wood- sponge dipped in water sheets once a week. money. 70% isopropyl alcohol or Audio equipment: Use a diluted household bleach soft, anti-static dust cloth to kill bacteria. Mix four that can be dampened teaspoons of bleach into a Combining these common household cleaning with rubbing alcohol to quart of water, says the remove fingerprints. CDC, then rinse with Video games consoles: water to avoid discol- chemicals could make you sick or worse Only use a dry, lint-free oration or damage. cloth. Or spray with undiluted Sports gear and equip- household hydrogen per- plain soap and water. To mine that burns your can harm the skin, mu- ment: Use Clear Gear oxide, which the CDC BY JULIA BAYLY disinfect surfaces, the eyes and respiratory cous membrane and Sports Spray. says works on rhinovirus Bangor Daily News, Maine recommendation is a system. If there is respiratory system. High infections, the cause of simple solution of bleach enough ammonia, the concentrations can be MORE CLEANING TIPS the common cold and As confirmed cases of and water at a ratio of combination can pro- deadly. Office cleaning compa- harder to destroy than the novel coronavirus, or one-third-cup of bleach duce hydrazine which is Vinegar and peroxide: ny Stratus Building Solu- coronaviruses. COVID-19, continue to to a gallon of water; not only toxic, it’s a Any weak acetic acid tions uses electrostatic Wear disposable or rise, the United States alcohol solutions with at potential explosive. mixed with peroxide will sprayer disinfectant sys- washable gloves, and open Centers for Disease least 70 percent alcohol; Bleach and rubbing produce peracetic acid. tems to attack germs in windows to improve venti- Control and Prevention or commercial house- alcohol: Beach reacts The corrosive creation difficult-to-reach spaces. lation when using clean- recommends daily fre- hold cleaners and disin- with the chemicals in can irritate the eyes and The Portland group offers ing and disinfecting prod- quent disinfecting of fectants. rubbing alcohol to pro- nose and cause chemical these cleaning tips: ucts. repeatedly touched sur- And while it’s tempt- duce chloroform. burns to the skin. One-way wipe down: When done, clean your faces and objects like ing to mix your own Breathing enough chlo- For now, the safest Wipe down a surface in hands with soap and wa- tables, countertops, light batch of cleanser or roform can lead to un- course is to stick to the one direction and don’t go ter for 20 seconds. If switches, doorknobs, disinfectant or increase consciousness and, in CDC recommendations back over it in the oppo- hands are not visibly dirty, cabinet handles, cell its potency, the results extreme cases, death. and always use commer- site direction to avoid an alcohol-based hand phones, computer key- can be dangerous or The mixture can also cial products according leaving germs. sanitizer that contains at boards and appliances. deadly. Here are five burn skin. to the manufacturer’s Color code cloths: Identi- least 60% alcohol may be But even in a pandem- household chemicals Bleach and vinegar: instructions printed on fy cloths for specific used. ic situation, more is not and their combinations Mixing any weak acetic the labels. spaces so you don’t con- Dry with disposable better when it comes to to avoid at all times: acid product — vinegar taminate the kitchen with paper towels or soak a cleaning solutions. The Bleach and ammonia: or lemon juice for exam- the bathroom cloth. reusable towel in soapy CDC recommends This combination forms ple — with bleach forms water to destroy any virus cleaning surfaces with the toxic vapor chlora- chlorine gas. This gas particles that may have MONDAY MARCH 23 2020 PAGE 18 Coronavirus guide

weddings, family reunions BY MIKE STOBBE and birthday parties. Associated Press Dr. Deborah Birx, who is coordinating the federal NEW YORK response to the virus, said Can my kids go on a the change from 50 to 10 play date? Is it OK if I visit was influenced by re- the gym? search that tried to esti- In this time of coro- mate the impact of differ- navirus, once-easy ques- ent possible steps. tions have suddenly be- A CDC official, Dr. Jay come complex. Butler, said Monday Here are some ques- there’s no hard-and-fast tions and answers about rule. Officials are simply the “social distancing” trying to set a reasonable efforts to slow the epi- parameter to “increase demic in the U.S. social distancing while not creating social isolation,” WHAT IS SOCIAL he said in an interview DISTANCING? streamed by the Journal of Social distancing are the American Medical practices implemented by Association. public health officials to keep contagious diseases CAN I GO ON DATES? from spreading. OR SEND MY KIDS ON The measures are PLAY DATES? aimed at trying to cut There’s some debate down the amount of virus among experts about spreading around, and dates and play dates. ultimately protect those Adults who are not sick most vulnerable, includ- or considered to be at risk ing the elderly and people can still date, Schaffner with weakened immune said. But skip the bars, systems. concerts and crowded theaters, and instead WHAT MEASURES HAVE SUSAN WALSH AP think about an intimate BEEN TAKEN? Friends, from left, Erin Carroll of Severna Park, Md., Clay Colehouse of Crownsville, Md., Jessica Goblin of Severna dinner at home. Governments have Park, Md., Travis Victorio of Millersville, Md., Mary Fitzell of Millersville, Md., and dog Marty, enjoy lunch during a visit For kids, play dates can closed borders, and mil- to Annapolis, Monday. Officials are urging people to observe social distancing — not gathering in large groups — in be OK, especially if lions of workers and stu- an effort to slow the spread of the coronavirus. they’re outside in parks dents have been ordered and involve a small num- to stay home. On Monday, ber of kids, he said. Of U.S. officials recommend- course, kids who are sick ed that older people and or who are particularly those with underlying vulnerable to respiratory health conditions “stay SOCIAL DISTANCING illness should not go, he home and away from added. other people.” The U.S. is Weatherhead had dif- also telling people not to ferent advice, saying play gather in large groups. dates are not recommend- And experts also recom- How it works and what it means for you ed. Children generally mend people try to stay at have had more mild CO- least 6 feet (about 2 me- VID-19 illnesses and ters) away from each other. therefore might spread EXERCISE IS IMPORTANT. BUT MAYBE STICK TO THE MACHINES AT YOUR GYM, the disease before anyone WHY 6 FEET? WIPING THEM DOWN BEFORE AND AFTER YOU USE THEM, AND SKIP GAMES OF realizes they are sick. Experts believe the virus is mainly spread BASKETBALL OR OTHER ACTIVITIES THAT PUT YOU IN CLOSE PHYSICAL CONTACT WILL SOCIAL through droplets that DISTANCING WORK? come out of your mouth WITH OTHERS. IF POSSIBLE, CUT BACK ON THE GYM AND GO FOR JOGS, WALKS It will be tricky to prove and nose. When an in- OR BIKE RIDES INSTEAD, EXPERTS SAID. these measures made a fected person speaks or difference. exhales or coughs or Testing for the coro- sneezes, the droplets trav- navirus was delayed in the el about 3 to 6 feet (1 to 2 tions. And the guidelines should stay home, as judgment. If restaurants use them, and skip games U.S., but it is now starting meters) before gravity vary based on where you should those who were in are open, it’s OK to go to of basketball or other to become more widely pulls them to the ground. live. close contact with a con- eat. But go in a small activities that put you in available. That means a “They fall pretty quick- “We’re not being told to firmed case. group and try to get a close physical contact lot of new cases may be ly,” said Dr. Jill Weather- stay at home and lock the table away from others. with others. If possible, diagnosed in the coming head, an infectious dis- doors,” said Dr. Willam WHERE CAN I GO? It’s necessary to buy cut back on the gym and days, as labs finally find ease expert at the Baylor Schaffner, a Vanderbilt Options are becoming food. But try to go to the go for jogs, walks or bike infections that happened College of Medicine in University infectious dis- limited, with school, gym supermarket at times rides instead, experts said. weeks ago. Houston. eases expert. “We’re not and restaurant closures in when it’s less crowded, “We’re going to see It’s important to try to there yet, and I don’t some places, and work- stay 6 feet away from WHAT ABOUT SOCIAL increasing (case) num- block coughs or sneezes think we'll get there.” from-home edicts. other shoppers as much as GATHERINGS? bers, and that’s going to with a tissue or your People who have coughs Officials in six San you can, and wash your The CDC on Sunday be frustrating to people sleeve, so as to not send and sneezes should stay Francisco-area counties hands thoroughly when recommended that for the who are doing social dis- those droplet flying direct- home as much as possible, on Monday told nearly 7 you get home. next eight weeks, orga- tancing. But that doesn’t ly toward someone near- and call ahead to the doc- million people to stay nizers put off events that mean social distancing by. tor’s office if they’re plan- inside and venture out CAN I GO TO THE GYM? would draw at least 50 isn’t working,” Weather- ning to get their illness only for necessities. Exercise is important. people. On Monday, the head said. CAN I GO OUTSIDE AT checked out, he added. If you live someplace But maybe stick to the number was reduced to ALL? People who have con- without such restrictions, machines, wiping them 10. Yes, with some excep- firmed coronavirus illness it’s best just to use good down before and after you That could ice a lot of To combat coronavirus, turn hand washing into karaoke with this site

for hand-wash karaoke. astute Twitter user point- BY CHRISTI CARRAS Based on a real diagram ed out. Los Angeles Times released by the United “I have tried a few Kingdom’s National tunes, having got bored of Freeze! Everybody wash Health Service, the gener- happy birthday,” wrote your hands. ator replaces proper hand- another. “(Queen’s) Bohe- If you’re trying to pre- washing instructions with mian Rhapsody is always vent the spread of coro- lyrics for each stage of the a winner.” navirus, you can now sing recommended 20-second Developer and designer DJ Casper’s “Cha-Cha hand-washing cycle. William Gibson, the mas- TNS Slide” – or any tune you And while “Happy termind behind the gener- Handwashing is essential to keep healthy. prefer – while scrubbing Birthday” still fits the ator, promoted his hygien- your hands thanks to a healthy interval perfectly ic handiwork Sunday on popular new website fine, the internet has Twitter, writing,”I made a and Troye Sivan, who took mained active on Twitter Up” by Rick Astley,”All called “Wash Your Lyrics” some better ideas, cre- little site in 24h that gen- the opportunity to pro- since the site launched, Star” by Smash Mouth (washyourlyrics.com). ating posters featuring erates hand washing in- mote public health – and keeping followers in- and “Africa” by Toto The site, which gener- Smash Mouth’s “All Star,” structions accompanied their own music – at the formed about debugging leading the charge. ates a how-to hand-wash- “Gloria Gaynor’s “I Will by lyrics from a song of same time. efforts and retweeting “Thanks to everyone ing poster tailored to song Survive,” “High School your choice instantly – “Wash your damn celebrity editions as they who has used the site so lyrics of the user’s choos- Musical’s” “Breaking check it out!” hands,” Cyrus tweeted on come in. He’s even chart- far!” he wrote on Monday. ing, has also spurred a Free” and other catchy Suffice it to say that Tuesday, along with a ed and shared which “Also sorry for the down- viral meme on social sing-a-longs. “little site” has really photo of a poster featuring tracks have been used the time, didn’t expect the media, inspiring people to “Shakira’s ‘Ciega, Sor- taken off, even drawing lyrics from her 2009 most, with “Bohemian traffic the site received.” brainstorm tracks with the domuda' chorus is exactly attention from artists such hit,”The Climb.” Rhapsody” by Queen- best 20-second excerpts 20 seconds long,” one as Miley Cyrus, Blink-182 Gibson, 17, has re- ,”Never Gonna Give You MONDAY MARCH 23 2020 PAGE 19 Coronavirus guide TRUE TALES OF QUARANTINED SOCIALIZING

it’s not just Zoom. couple have been in self- ic loomed large over the musicians, was put togeth- 35, in a phone interview. BY CAITY WEAVER, SANAM There are, for example, quarantine since March 11 course of the night. At one er by Christine McCha- Ramsey, who works on YAR, JENNA WORTHAM AND MOLLY OSWAKS a small but highly vocal and were feeling extreme- point, someone coughed ren-Tran, a founder of hardware and gaming New York Times number of people gather- ly antsy. and a chorus of concerned Discwoman, a talent partnerships at Spotify, ing in the digital plazas, “Our house is one of voices wondered who it agency in Brooklyn and projected the rave onto Where once technology pet stores and pizza shops those hubs where people was. collective of femme and her living room ceiling. was thought to be the of Club Penguin Online. are always over and hang- “It was me!” said Al- nonbinary DJs and music “We’re the most death knell of human There are happy hours ing out,” Baena, 42, said mitra Corey, 40, who is producers. stressed we’ve probably social interaction, it is being held on Google by phone this week. “It’s currently working as the “I texted all the DJs that ever been, and there’s no now bringing us together Hangout, and poker strange to not be able to production designer for I know that need support place to go, but you can under quarantine. The games taking place over do that. I was kind of the final season of the right now,” McCharen- dance in your living housebound are nimbly FaceTime. There are flute jonesing.” Netflix show “GLOW.” Tran, 31, said. After gath- room,” she said. “It was pivoting to virtual social meditation sessions on So he got people togeth- (Filming was paused, as erings of more than 500 the first time we had gatherings. Instagram and thousands er virtually. At 9 p.m. on for all other Netflix shows, were banned in New York danced in a week, and it They’re holding birth- of people participating in March 14, a dozen friends last Friday.) on March 13, she said, “I felt really special.” day parties and bar mitz- dance raves that are – including actress Alia “I just smoked weed,” was seeing so many artists Strict safety and hy- vahs over video chat, broadcast on Twitch. Shawkat, who said she left she said. “Relax.” being affected directly.” giene protocols were in broadcasting DJ sets and It’s a lot for the internet. the set of a television So last Friday, she place even in the empty streaming concerts (some On Monday, Discord, the series she was working on A REMOTE RAVE FOR reached out to a lighting warehouse. All DJs wore from the luxurious con- chat app popular with early, before it had been 5,000 GUESTS designer friend, Michael latex gloves and had ac- fines of celebrity homes), gamers, announced that it officially shut down be- In New York on March Potvin, who provided a cess to disinfectant wipes and establishing quaran- would increase its capac- cause of the new coro- 15, the city’s hottest night- physical space and a do- and soap. The suggested tine movie nights on Twit- ity by 20% to keep up navirus – joined a group club was a virtual day main name (harrison- size of gatherings has ter for “virtual compan- with demand; it crashed chat for a few hours of rave. Nine hours of elec- place.nyc). McCharen- shrunk daily and rapidly, ionship.” shortly thereafter. Quiplash and other games tronic music were Tran got to work building from 500 people to 50, A lot of communal by Jackbox, an internet streamed from an empty out the site and booking and most recently to 10. events are taking place on A VIP GAME NIGHT IN game company. warehouse in Brooklyn to artists. At the time, McCharen- Zoom, a videoconferenc- HOLLYWOOD In order for remote nearly 5,000 guests from By the afternoon, harri- Tran’s 10-person maxi- ing app now being used by Jeff Baena, a film direc- players to see the game around the world, in- sonplace.nyc was live and mum was out of an abun- many classrooms and tor, loves organizing social screen, Baena joined Fac- cluding some in Berlin vibing. dance of caution; now it businesses (thus trans- activities; it was at one of eTime from two devices, and Seattle, all of whom “For all of the talk would be pushing the forming it into one of the his game nights, in fact, with one camera aimed at were watching on Twitch. about tech distancing us, limit. few companies doing well that he met his girlfriend, his TV. The event, which show- it felt very intimate and on the stock market). But actress Aubrey Plaza. The Of course, the pandem- cased nine electronic joyful,” said Jess Ramsey, SEE TALES, PAGE 20

television shows and movies together over FaceTime. A zoo in Cin- cinnati has a live video feed of its animal exhibits for children who are now home from school to enjoy. Megan Ledbetter’s social calendar usually includes evenings and weekends at house music sets, ecstatic dances and art shows. She had plans to go see her favorite DJ spin house music at a downtown Chicago club, but that was before Illi- nois’ governor began imposing serious restrictions. “I wanted to support the artists who will suffer, and I am already feeling cooped up,” said Ledbet- ter, 39, a criminal defense lawyer. With so much of her entertainment postponed or canceled, Ledbetter spent the weekend with her 7-year-old daughter, SAUL MARTINEZ NYT Portia, and ex-husband, Families visit a drive-in movie theater March 14 in Fort Lauderdale, Fla. inside her house, a safe distance from others. The boredom gave way to a kind of creativity. They built a fort made How coronavirus-weary Americans seek joy of furniture, cushions and blankets. They tried a simple sewing project, stitching a satchel. They Empty hours and can- At this frightening and just trying to figure out beaches of Florida have came up with a new game BY AUDRA D.S. BURCH celed plans are what led uncertain time, Americans what it means to practice remained packed. A form- using Portia’s collection of New York Times the Kasens to one of of every generation – from social distancing,” Sturdi- er Nevada beauty queen stuffed animals. America’s remaining preschoolers to pensioners vant said, ticking off a list and political candidate “I have a young daugh- FORT LAUDERDALE, FLA. drive-in theaters in Fort – are now looking at of events canceled by the defiantly wrote on Twitter ter so I have to stay in as Americans were sun- Lauderdale, for back-to- weeks, possibly months of outbreak, including her about her recent adven- we have been advised,” ning themselves on beach- back nights. Philip Kasen, no recreation, at least not son’s soccer practice, a ture to a hamburger joint. she said. “But the thought es just days ago. They 68, had planned to catch a out in the open. birthday party and a gala. “I just went to a crowd- of not being able to do the were sipping cocktails at Marlins spring training The outbreak has led to As the virus marched ed Red Robin and I’m things I do socially, and bars. They were cheering game in Jupiter, and questions unimaginable into every state, cities and 30,” wrote Katie Williams, not knowing when this on sports teams and work- Adrian Kasen, 70, was just a month ago: What is towns across the country a candidate for the Clark will be over honestly gives ing out at the gym. They headed to a spiritual refun in the age of a pan- shelved crowd-drawing County School District me anxiety.” were chasing culture at treat farther north in demic? What can one do pastimes to enforce social board of trustees in Las Dolores Bsharah went museums and cutting a Fruitland Park. safely indoors or out- distancing, the single best Vegas. “It was delicious, to her last exercise class at rug at clubs. They were No spring training. doors? How does a play way to break the chain of and I took my sweet time a senior center in Livonia, trying to get lucky in Ve- No spiritual retreats. date work 6 feet apart? transmission, according to eating my meal. Because Michigan, last week. gas, and romping through “I am in charge of our “People are trying to health experts. this is America. And I’ll do “With everything shut- Disneyland, the Happiest entertainment. All of a navigate this collective The Centers for Disease what I want.” ting down, it feels like our Place on Earth. sudden, we had to rethink challenge by reimagining Control and Prevention Those heeding the call world got really small No more. Closed, can- what we can do,” said what fun is while being has urged people to stay to stay inside and “flatten really quick,” said Bsha- celed, quiet. Philip Kasen just after clear about the serious away from crowds of 50 the curve” are improvis- rah, 86, who meets her Americans have shut pulling their blue compact nature of this,” said Tracy or more. President Donald ing, following the rules friends – including a 98- themselves off from each car into the parking lot for Sturdivant, 43, who runs a Trump slashed that num- while trying to savor little year-old – at the class other in a dramatic fash- the 8 p.m. showing of social impact firm in ber to 10 and asked Amer- moments of joy. several times a week. “Of ion in hopes of curbing “Bad Boys For Life.” The Brooklyn and spent much icans to avoid bars and In Italy, the center of course you are disappoint- the global coronavirus night before, they saw of last week crowdsourc- restaurants altogether. the outbreak in Europe, ed, but you also under- outbreak. The days of “Onward,” Adrian Kasen ing safe things to do with The message was loud residents in a neighbor- stand it had to be done.” cutting loose are gone. announced while un- her family. and clear: stay home, stay hood in Rome sang songs Bsharah plans to fill her Unless it’s 6 feet apart. packing a bag stuffed with Her husband, Victor away from your favorite from their balconies and days with neighborhood No ice cream parties. hand sanitizer, pretzels Hamilton, has redisco- places. windows to cheer each walks and baking Irish No yoga classes. and candy. vered an activity from his And yet, the crowds still other up. In America, new soda bread. She has also No cocktail mixers. “There are no sports to childhood that helps fill gathered. communities have popped embraced a bit of sponta- No bingo. watch, which hurts, so we the hours: coloring in Chicago’s huge annual up online, showcasing live neity. No nothing. were trying to come up sketchbooks. St. Patrick’s Day parade musical performances, The radio was recently But some are redefining with something we could “From the people at the was canceled but that did hosting playwriting com- playing pop music when what it means to have fun, do without putting our- bars who are like, ‘whatnot stop partyers from petitions, leading virtual she walked in her family savoring simple pleasures selves at risk,” said Philip ever,’ to people behind chugging green beer at dance classes. room. No one was watch- in the midst of so much Kasen. “We were looking drawn curtains and every- neighborhood bars and Groups of friends are ing. She decided to dance. gloom. for a safe space.” one in between, we are pubs. The white sand watching their favorite MONDAY MARCH 23 2020 PAGE 20 Coronavirus guide

FROM PAGE 19 While long-distance 12-step recovery has exist- TALES ed since at least World War II, and moved to Many other bands are email and online chat and performing in empty con- video with the rise of the cert halls for the digital internet, much of 12-step masses. The metal band recovery still relies on Code Orange performed a in-person meeting. record-release concert With the health guid- with an elaborate multi- ance for people to not media production to an congregate in large empty room, for example, groups, those who rely on streaming to more than Alcoholics Anonymous 12,000 fans. and other recovery groups In order to help fans have organized quickly. support the artists in real Many meeting chairs time, McCharen-Tran and across the country are other producers of these creating regular meetings events display the Venmo on Zoom. user names of artists at “Many of us have been the bottom of the screen saying in these online during their sets. meetings that if we were still drinking and using A GOOGLE HANGOUT drugs this would be the HAPPY HOUR perfect environment to Lauren Ashley Smith, a self-destruct – fear of the TV writer from St. Louis unknown, lack of support, who lives in Los Angeles, isolation, financial insecu- turned to Google Hangout rity,” said Nanea, who this March 14 to host a asked to be identified by digital happy hour with a only her first name in few close friends. That accordance with recovery turned into 57 close guidelines. friends, and then, over 60 She created her own once her sisters invited version called the Online friends of their own. Recovery Group. In addi- “I know it seems like I ERIC RISBERG AP tion, the central offices of invited a lot of people,” Pianist composer and arranger Mike Greensill join vocalist Kellie Fuller for a “virtual cocktail party piano bar” March regional 12-step groups Smith, 34, said, “but I did 19 on Facebook Live in St. Helena, Calif. All public music venues in the Napa Valley have been closed due to the have jumped in to show carefully curate the people coronavirus restrictions and the pair held the virtual show as a way to keep performing. what meetings are can- that were invited.” celed and which are re- To fit the criteria, a placed by chat, video or guest had to be someone pants. They used two email. Smith felt “wouldn’t take high-end microphones to “We need to have a way it too seriously” and who funnel dual sources of to share our experience, was “more extroverted – audio to listeners simulta- strength and hope to new or would be willing to talk neously, which created people struggling with to a bunch of strangers the sensation of being in a addiction and alcohol- they didn’t know.” three-dimensional space. ism,” Nanea said. “I know She knew everybody Other soothing practic- a lot of people, not just was just home alone, es included a reading by people in recovery, are bored or scared. So, she writer Ashley C. Ford, of afraid and feeling isolated said, “I made a run of poems by Pablo Neruda. right now. I feel very for- show.” More than 100 people tunate to have an active The activities included a tuned in to the half-hour community that knows game Smith invented (“in broadcast on YouTube. how to support each oth- 30 seconds,” she said) There was also free er.” called “Who’s That Girl?” “mom” advice dispensed She would hold up photos by Mary Laura Philpott, VIRTUAL RELIGIOUS of celebrities (saved on an author in Nashville, OCCASIONS her phone) to the laptop’s who tweeted that she had On the morning of camera, and players “Big Mom Energy to March 15, the Redemption earned points by being the spare. (Seriously, my teen- Church in Costa Mesa, first person to correctly agers are over it.)” California, set up its first type the subject’s first and “I was like, Who needs livestream, in part to last name in the chat sec- ERIC RISBERG AP the mom to tell you to broadcast two infants’ tion of the Hangout win- Don Overly and his wife Mardel take part in a live virtual wine tasting March 19 from drink your water, to wash dedication ceremonies. dow. their home near Reno, Nev., with Bouchaine Vineyards winemaker and general manager your hands, that it’s going Kristin Castillo, 30, a The celebrities were Chris Kajani, left, and sales director Brian Allard in Napa, Calif. The winery is presently to be OK, to get off the brand and marketing “obscure, to some,” Smith closed to visitors because of the coronavirus threat, but just started conducting internet?” Philpott said by consultant, and her hus- said. (They included Lala tastings to its customers online. People wanting to taste can select from three different phone. (She was surprised band, Nate, 30, had origi- Kent from “Vanderpump wine tasting kits. The wine included in the kit is shipped to the recipient with that the answer was: lots nally planned to gather Rules,” singer Keke instructions on booking an appointment and how to access the virtual contact via the and lots of people.) their family, friends and Wyatt, Christine Brown internet. Gamers are getting into loving congregation from “Sister Wives” and it, too. On Twitch, Nick (about 200 members Esther the Wonder Pig, Polom, a streamer with strong) to witness and whom Smith described as Penguin around: unlicens- happens to be standing (or Club Penguin Online have some 400,000 subscrib- participate in the religious “a pig influencer on In- ed duplications hosted on dancing), before disap- a limit of 64 characters) ers, took a break from service, which would stagram.”) independent servers, filled pearing forever – the pizza an online conspiracy streaming rounds of Apex officially welcome their The winner received a with the same population shop became, around theory that attributes virus Legends starting on newborn son into the prize of $50 on the cash- of late-born millennials midday, a kind of political symptoms to radiation March 11, to share more church. Afterward, there sharing app Venmo. It was and first wave Gen Z-ers salon. caused by wireless in- timely “Just Chatting” was to be a celebratory ultimately donated to the that flocked to the Disney One penguin asked ternet. broadcasts. lunch. Downtown Women’s version by the hundreds another penguin that The penguins in the Each is hours long, with “Obviously,” she said, Center in Los Angeles, of millions. purported to be from Italy plaza did not seem con- names like “Doomsday “that didn’t happen.” which provides services to On March 13, masses of if, in real life, the grocery vinced. cooking stream” (in which Instead, Kristin and currently and formerly users assembled in a pop- stores were out of pasta. he livestreamed his stir Nate’s in-person guest list homeless women. ular iteration of the origi- Other flightless birds RELAXING fry, grocery rundown, and was trimmed to one of After the hangout, nal pretend world – this lamented the quality of GATHERINGS jokes about frozen chicken each of their parents. Smith said she received “a one called Club Penguin their officials’ responses Online social gatherings tenders) and “Girlfriend When the ceremony lot of heartfelt messages” Online – to share their to the crisis. are also taking meditative and Boyfriend stuck in reached the point where from participants thanking anxieties, wishes and A penguin in a chef’s forms. Justine Stephens, quarantine!” (in which he their infant’s “spiritual her for including them. predictions for the un- hat approached and said, 27, guided a live flute livestreamed himself aunts and uncles” were She “absolutely” intends certain future, and to ask “They aren’t telling meditation on her In- playing virtual reality meant to affirm their to do it again. everyone where they were anyone anything,” before stagram account last games with his partner, support, the family and “It’s really easy,” she from. Also, to keep franti- walking away to take weekend to help about 40 for a remote audience of friends that were asked to said. “Social distancing is cally serving one another another penguin’s pizza friends and viewers deal thousands). accept this duty partici- for the greater good of digital pizza. order. with stress and anxiety As novelist Sarah Schul- pated remotely. everyone. And you can There existed eerie Outside, in the plaza, a during the pandemic. man put it after a reading “They were texting us still make it really fun.” similarities between the navy blue penguin was “Needed this and didn’t of hers was canceled in in real time: ‘Yes! Yes!’” Before the event, it cartoon penguin world spreading disinformation know it. Super anxious New York (and she off- Kristin Castillo said. struck her that she and and humanity’s own, and conspiracy theories. about the start of the ered her own individual While she found the her wife had yet to host a under quarantine. The This penguin had present- week,” read one comment readings by phone): “If all experience of being on party at their new home. sports stadium was devoid ed itself as an expert on during the livestream. the institutional theaters camera “nerve-wracking,” “But now I feel like we of chatting penguins. The the coronavirus, imploring “Thank you for curing my are closed and all the she described their baby, have.” skate park was nearly fellow penguins to pose to Sunday scaries,” someone competitive curated nearly 8 months old, as empty; ditto the dance it any medical questions. else added. spaces are closed, we’re “surprisingly cooper- CONSPIRACY club. One penguin wondered On March 15, Mikael back to just entertaining ative.” THEORIES ON CLUB In other corners of the how likely it was to be- Acatl, an energy worker each other.” “Watching a crazy little PENGUIN penguin universe, users come infected; the blue and shaman who uses the guy having a good time, There once was an on- delighted in that activity penguin replied confident- pronoun “they,” held a ONLINE 12-STEP hopefully that lifted some- line Disney media plat- increasingly outlawed by ly: “if ur under 60 years healing session from their MEETINGS one’s spirits,” she said. form called Club Penguin, public health officials: old odds are 0,2.” Brooklyn apartment, sur- Alcoholics and drug “And, ironically, by strip- which was a kid-friendly congregating in large “Do you think someone rounded by plants, burn- addicts in recovery fre- ping all of the social trap- social media hub where groups. created coronavirus?” a ing copal and bathed in quently warn each other pings away, it helped us users could interact as Although conversations coral pink penguin said. golden-hour light. that isolation is a route to focus more on the intent animated penguins in a can be hard to follow on This was the opening And Josh Peck, 39, and relapse; going to in-person of the actual ceremony.” virtual world. It was for- Club Penguin Online – a the blue penguin had been Eliza Philpott, 31, who 12-step meetings, sharing mally discontinued in user’s typed message waiting for. “YES,” it said. operate a retreat space in personal stories and talk- Mike Isaac, John Herrman 2017. appears briefly above his “Have u heard of 5g”? It the Hudson Valley in New ing with other addicts and and Taylor Lorenz But the internet being or her representative pen- went on to describe (in York, livestreamed a alcoholics is a means of contributed reporting. the internet, there are still guin’s head wherever on halting increments, be- sound bath for about a connection for many in multiple simulacra of Club the screen that penguin cause messages typed in hundred digital partici- recovery. MONDAY MARCH 23 2020 PAGE 21 Coronavirus guide

ANNA ARKAYEVA/TASS TNS A message reading “Wash hands” is seen in the sky over Sydney amid an outbreak of the COVID-19 coronavirus on March 13. On March 11, the World Health Organization (WHO) declared COVID-19 a pandemic.

SHOULD YOU TELL BY DEBORAH NETBURN YOUR HEALTH CARE Los Angeles Times PROVIDER IF YOU DECIDE TO You’re doing everything SELF-QUARANTINE: SELF-QUARANTINE OR right to avoid getting the TO ISOLATE coronavirus – avoiding YOURSELF? handshakes, eschewing It’s a good idea to notify large gatherings and, of WHEN TO DO IT your health care provider course, washing your before you begin either hands several times a day. one. He or she can give And yet, you’re worried. you tips on how to stay Maybe you sat next to avoid people because you advice is the same: “Mon- safe and protect those someone who was cough- have symptoms of a dis- itor yourself for symptoms around you, as well as ing in a movie theater. Or ease and you don’t want and then self-isolate if what red flags to look for your spouse just returned to get others sick. IN GENERAL, YOU SHOULD STAY HOME they develop,” Adalja that would indicate you from a business trip in In practice however, ‘‘ said. need to see a doctor or Europe. Perhaps someone they look pretty similar. IF YOU HAVE SYMPTOMS AND NOT IF nurse in person, or be in your office building was “They have the same HOW LONG SHOULD moved to the hospital. diagnosed with CO- end game, which is that YOU DON’T HAVE SYMPTOMS. THINK YOU VID-19. you are sequestered from ABOUT HOW YOU WOULD MONITOR SELF-QUARANTINE IF HOW CAN YOU KEEP Now you can’t help but the rest of the public for a YOU DO NOT HAVE THE PEOPLE YOU LIVE wonder: Do I need to period of time,” said Dr. YOURSELF FOR THE FLU. SYMPTOMS OF WITH SAFE? self-quarantine? George Rutherford, an Dr. Nancy Gin, medical director of quality and clinical COVID-19? If you do have to self- It’s an important ques- infectious disease special- analysis for Kaiser Permanente in Southern Health officials advise quarantine or isolate your- tion. People who have a ist at the UC San Francis- California that if you do need to self, you should have as compelling reason to co School of Medicine. self-quarantine, you little contact with others believe they may have transmission, close con- medium-risk categories do should expect to do it for a as possible. Ideally, you contracted the virus WHEN SHOULD YOU tact with someone with a not need to self-quaran- full two weeks to be safe. would stay in a private should isolate themselves SELF-QUARANTINE OR laboratory confirmed case tine at this time. In a study of 181 people room that other members for 14 days to see if they ISOLATE YOURSELF? of COVID-19, or living “In general, you should who contracted the new of the household do not develop symptoms of The Centers for Disease with someone with con- stay home if you have coronavirus, most people enter. COVID-19 – dry cough, Control and Prevention firmed COVID-19 and symptoms and not if you developed symptoms However, since that is fever, shortness of breath. recommends that you taking some precautions. don’t have symptoms,” within six days of becom- not always realistic, you But a fortnight is a long self-quarantine if you In these cases, experts Gin said. “Think about ing infected, and 98% of should wear a mask to time to be holed up. It’s have a medium or high recommend that you stay how you would monitor them had symptoms by protect others. not an action that should risk of having recently away from others for 14 yourself for the flu” and day 12. “It is not necessary for be taken likely. contracted the coronavi- days to see if any symp- do that, she said. The authors of the study the family to wear a mask, “We have to keep living rus. toms of the virus develop. So even if you live with calculated that only 101 only the sick person,” Gin our lives, and by and large As of March 12, the If you are feeling sick – someone who has flu-like out of every 10,000 pa- said. we should be able to,” CDC has identified just sore throat, fever, even symptoms, it is not neces- tients will take longer than said Dr. Nancy Gin, med- two scenarios that it con- just a cold – you should sary to self-quarantine. that to begin showing CAN YOU WALK YOUR ical director of quality and siders high risk for coro- stay home as well. Even if someone in your symptoms. DOG IF YOU ARE IN clinical analysis for Kaiser navirus exposure: “In the setting of the office has been diagnosed SELF-QUARANTINE? Permanente in Southern A If you recently trav- global pandemic, I think it with COVID-19, you do HOW LONG SHOULD Yes. You can also accept California. “We need to eled back from China’s is important for individu- not need to self-quaran- YOU REMAIN IN a food delivery or sign for respect this coronavirus, Hubei Province. als who experience cold or tine. ISOLATION IF YOU DO a package. That also goes but not fear it.” A If you live with, or are flu-like symptoms to self- Even if you went to a HAVE COVID-19 for people who are self- intimate with, someone isolate themselves,” said conference where some- SYMPTOMS? isolating. FIRST, A QUICK who has been diagnosed Dr. Amesh Adalja, a se- one was diagnosed with If you have cold and “It’s 15 minutes of close DEFINITION AND A with coronavirus and you nior scholar at Johns Hop- COVID-19, you do not flu-like symptoms, you face-to-face time that puts DISTINCTION have taken no steps to kins Center for Health have to self-quarantine. should isolate yourself people at risk or two hours Self-quarantine is when protect yourself. Security. Even if you flew on a from others for the dura- or more of contact in a you feel fine, but you The health agency has plane, you do not have to tion of your symptoms, contained environment,” separate yourself from also described a few medi- WHEN IS self-quarantine (unless which could be up to 14 Gin said. “If you walk others because there’s a um-risk situations, in- SELF-QUARANTINE someone within two seats days. your dog and pass your high chance you’ve been cluding recent travel to UNNECESSARY? of you was diagnosed with neighbor, that’s fine.” exposed to the disease. Iran or another country Healthy Americans who COVID-19). Isolation is when you with sustained community do not fall in the high- or In all these cases, the

moisture inside it or alcohol, which you can get in soap and water, as long scratching the surface. at the drugstore, to wipe as you’re careful not to get How to clean the bundle of Don’t spray cleaners di- down your phone. Apple, moisture in the phone. rectly on the phone, don’t which has cautioned AT&T says paper towels dunk it in cleaning solu- against using household work, too. You can spray germs that is your phone tions, don’t spray it with cleaners on its phones, them with disinfectant. compressed-air devices says to do that “gently.” Again, don’t spray the used to clean keyboards AT&T has further recom- phone itself. You should also wash Disease Control and Pre- and avoid rubbing it with mended wringing out The phone-cleaning BY TALI ARBEL that extension of your vention recommends abrasive materials. disinfectant wipes before step is one of many mea- Associated Press hand and breeding ground cleaning all “high-touch” Instead, start by turning using them on a phone. sures public-health au- for germs – your phone. surfaces daily, including off the phone and un- You can also use soft thorities are recommend- NEW YORK Tests done by scientists phones, keyboards and plugging all cables. Your cloths to clean the phone, ing to try to slow the You’re washing your show that the virus can tablet computers. phone shouldn’t be charg- like a microfiber cleaning spread of the virus. hands countless times a live for two to three days But cleaning your phone ing as you clean. cloth or the cloths used to day to try to ward off the on plastic and stainless improperly can damage it. You can use Clorox clean your glasses. Google coronavirus. steel. The Centers for You want to avoid getting wipes or wipes with 70% says you can dip the cloth MONDAY MARCH 23 2020 PAGE 22 Coronavirus guide

ANDREW BURTON NYT Kate Mannle, who recently traveled through South Korea on her way home from a trip to Myanmar, quarantined herself in her home in Seattle. HOW TO QUARANTINE YOURSELF

employer. BY RONI CARYN RABIN Many Americans, may- New York Times be most, live paycheck to paycheck. Stay home unless you “We have to have social must see a doctor. No interventions to incentiv- work, school or shopping. ize and support isolation, If you must come out of or we are doomed,” said your room, wear a mask. Arthur Caplan, professor And don’t share towels. of bioethics at the New If you are among the York University Langone thousands of Americans Medical Center. now self-quarantined People with no health because of possible in- insurance, inadequate fection with the coro- insurance or no regular navirus, these are a few of doctor will be reluctant to the new house rules, cour- seek care if they have tesy of your local health symptoms, fearing steep officials and the Centers medical bills, he noted. for Disease Control and Individuals living in the Prevention. country illegally, fearful of Among people told to being discovered and self-quarantine, isolate deported, may avoid diag- themselves or stay home nosis and care. are people returning from “I don’t see the state or parts of China and Iran, MIKE SIEGEL TNS federal government pre- those who developed To protect themselves from COVID-19, Judith and Jan Kyle, seen here on March 6, are self-isolating themselves at paring for this in any symptoms after spending their Everett, Wash., home because of age and underlying health conditions. way,” Caplan added. time in other countries Sen. Patty Murray, D- with sustained community Wash., and Rep. Rosa transmission, and those have been exposed to the used tissue in a lined trash your symptoms are getting mized. DeLauro, D-Conn., have with no known exposure coronavirus, you must can. Then you must im- worse. Make sure to tell Other occupants of the introduced legislation that who are sick. seclude yourself from mediately wash your the medical staff you are home should wash their would require all employ- But many individuals your partner, your house- hands with soap and wa- being monitored for the hands frequently and ers to let workers accrue who don’t fit neatly into mates, your children, your ter for at least 20 seconds. coronavirus. avoid touching eyes, nose seven days of sick leave, any of these categories elderly aunt. You You can use sanitizer, if and mouth with unwashed while providing another and weren’t asked to stay shouldn’t even pet your you can find it, but soap HOUSEHOLD MEMBERS hands. They should stay in 14 days for immediate use home are choosing to dog. And definitely no and water are preferred. Family members and a room separate from that during a public health seclude themselves any- snuggling with your pet Even if you haven’t other occupants should of the exposed or sick emergency. way because they don’t (no licking). coughed or sneezed, you monitor the patient’s individual. If feasible, Providing for people want to put others at risk. If you don’t have your should wash your hands symptoms and call a other members of the who make sacrifices for California has more than own room, one should be frequently and avoid health provider if they see household should not the greater good is crucial, 5,500 people in self-quar- designated for your exclu- touching your eyes, nose a turn for the worse. share a bathroom with the said Lawrence Gostin, a antine. More than 2,700 sive use. You should use a and mouth if you haven’t Housemates can go to secluded person. law professor at George- are in seclusion in New separate bathroom, if you just washed them. work or school, but it’s They should monitor town University and direc- York City alone. have one. going to be their job to their own health, too, and tor of the World Health It may sound like a No visitors and no staff, DISINFECT stock up on groceries, pick call a doctor if they devel- Organization Collaborat- vacation from reality, an unless it’s absolutely es- Don’t share dishes, up prescriptions, take care op a cough, fever or short- ing Center on National ideal time to binge on sential. Don’t take the bus drinking glasses, cups, of the quarantined and ness of breath. and Global Health Law. Netflix and catch up on or subway, not even a taxi. eating utensils, towels or keep the place clean. “We ought to have a sleep. In fact, it’s not easy bedding with anyone They'll be wiping down UNANSWERED social compact: If you’re to lock yourself away from MASKS (including your pets). doorknobs and counter- QUESTIONS sick, whether you’ve got family and friends. There If you must be around Wash these items after tops, doing loads of laun- No one pays you for COVID-19 or not, you are practical and logistical other people – in your you use them. dry and washing their self-quarantine. There is should separate yourself challenges and yawning home, or in a car because Countertops, tabletops, hands – a lot. no reimbursement for from society,” Gostin said. gaps in the official advice you’re on your way to see doorknobs, bathrooms When around the pa- products you may need, “That’s your part of the that make it even harder. a doctor, and only after fixtures, toilets, phones, tient, household members no government-paid nurse bargain; you’re doing it The terms of home you called first – you keyboards, tablets and must wear a face mask, to stop by the home and for your neighbors, your isolation can be onerous should wear a mask, and bedside table are consid- and both mask and gloves help out. Self-quarantine family and your communi- and may last for two everyone else should, too. ered “high-touch surfac- if they have contact with is a hardship for both ty. weeks, which is the pre- But first, you or one of es”; wipe them often with the patient’s bodily fluids. those who have families “In exchange,” he sumed incubation period your friends or family a household cleanser. These should be thrown and those who live alone. said,”we as a nation owe for the virus. It is especial- members have to find Frequently wipe down away immediately, never Not everyone can work you the right to a humane ly challenging if you have masks, which are sold out surfaces that may be con- reused. remotely. A two-week period of separation, young children or elderly almost everywhere. taminated by bodily Elderly members of the absence from work can where we meet your es- relatives to care for, or fluids, including blood household and those with take an enormous finan- sential needs like med- live in cramped quarters HYGIENE and stool. chronic medical condi- cial toll on hourly wage icine, health care, food with a lot of roommates. If you cough or sneeze, tions are at particular risk workers who have to clock and sick pay.” you should cover your MONITORING if they are infected. Con- in and show up to get paid ISOLATION mouth and nose with a Keep an eye on your tact with the secluded or who are part of the gig If you are infected or tissue and discard the health and call a doctor if individual should be mini- economy with no single MONDAY MARCH 23 2020 PAGE 23 Coronavirus guide

CAN YOU BE FORCED INTO QUARANTINE? Your questions answered

Getty Images/iStockphoto

experts said. dictates that draconian test case was Kaci Hickox, the quarantine, experts least the early 18th centu- BY NEIL MACFARQUHAR “We do not want to enforcement would be a nurse who was initially said. In China, that seemed ry. The fact that they The New York Times restrict people’s liberty difficult and often coun- quarantined involuntarily to decelerate the exponen- often targeted minority unless it is necessary, terproductive. No local at Newark Liberty In- tial spread of the virus, immigrant communities is Government-imposed unless we cannot achieve law enforcement agency ternational Airport in they said, whereas holding a key reason that civil quarantines were fairly the public health end with would likely compound its 2014 upon returning from passengers on the Dia- libertarians are leery common in ancient times, less draconian measures,” problems by throwing a West Africa, where she mond Princess cruise ship about giving the govern- before medicine stemmed said Wendy Parmet, the quarantine scofflaw with a had worked with Ebola in Japan appeared to create ment wide powers today. the ferocity with which director of the Center for deadly communicable patients. a kind of petri dish with Two of the most noto- contagious diseases Health Policy and Law at disease in among its jail After a few days, she more people infected. rious cases occurred dur- spread. The very word Northeastern University. population. was allowed to return to ing the late 19th and early quarantine is rooted in the Local authorities often her home state of Maine Q: Q.Could there be broad 20th centuries. Italian words quaranten- Q: Q.So there is have some form of en- but ordered to remain in quarantines in the United A: 1900,In the city of San ara and quaranta giorni, no blanket law? forcement power, but isolation. Having tested States like those imposed Francisco tried to impose a or 40 days, the period of A: A.No, the laws vary by usually try gentle persua- negative for the virus, by China or Italy? quarantine on Chinatown, time that the city of Ven- state and even locality. sion to persuade people Hickox sued and the judge A: A.The United States arguing that a diet of rice ice forced ship passengers Some 40 states updated that it is for their good rejected the quarantine government lacks the made people more suscep- and cargo to wait before their quarantine laws after and the good of the com- order. broad authority to impose tible to bubonic plague landing in the 14th and fears spread over a pos- munity. An infected per- With the help of the the sweeping quarantine than the more American 15th centuries to try to sible broad anthrax attack son blatantly ignoring an ACLU, Hickox also sued seen in China, where diet of meat, and demand- stave off the plague. Since in the months after the order might be forced to New Jersey, which result- some 70 million people ed that its residents submit then, quarantines have Sept. 11 attacks, according go into medical isolation – ed in a settlement that were confined in the larg- to an unproven vaccine, often generated tensions to Lawrence Gostin, a that is, some form of gave arriving passengers est such effort in history. according to Howard Mar- between protecting public professor at Georgetown locked hospital ward. more rights, including the Italy, which has a more kel, the director of the health versus respecting University Law School Experts worry that right to appeal the deci- centralized government, Center for the History of individual rights. who specializes in public many Americans might sion and to seek legal attempted to lock down Medicine at the University Here are answers to health law. He is the auth- think they have the right advice. the entire country. But in of Michigan. Residents some common questions or of a legal template to go someplace local like the United States neither sued under the 14th about how quarantines are called the State Emergen- the supermarket without Q: Q.What does the federal nor state law con- Amendment, which guar- imposed and enforced in cy Health Powers Act, considering the conse- government provide tains the powers for such antees due process and the United States in the which many states adopt- quences for others. “We during a quarantine? expansive measures, Gos- equal treatment under the wake of the coronavirus. ed in whole or in part. have lost this tradition of A: A.The most glaring hole tin said. law, and won. Some states retain anti- the common good and in American quarantine In addition, the United A: InNew York City, which Q: Q.Can the government quated regulations on social responsibility to laws, experts said, is that States does not really have once deployed health impose a quarantine on their books. each other and that could there is no guaranteed the logistical systems in police armed with billy anybody? be a big problem in Amer- salary. An employer could place to guarantee the clubs and powers of ar- A: A.The legal authority to Q: Q.Are quarantines, ica,” Gostin said. even fire a quarantined distribution of medical rest, an outbreak of typhus impose quarantines on including self-isolating employee. President Don- services, food and other among Russian Jewish individuals is rooted in the at home, voluntary Q: Q.Is there a right ald Trump has said that necessities to people un- and Italian immigrants on “police powers” granted or mandatory? to appeal? his administration would der quarantine. the Lower East Side broadly to states, counties A: A.It is a bit of a gray A: A.States should have address financial relief for New York state decided prompted the authorities and cities to protect public area. It often seems volun- some manner of appeal people quarantined. to deploy the National to confine some 1,200 health. That means for tary until the person in- process, and some require If you are separated Guard in New Rochelle, a people on North Brother most Americans, a state or volved tries to leave, at a court order from the from the community for New York City suburb and Island off the Bronx for local quarantine imposed which point health offi- outset. If there is no med- the public good, the gov- the center of a significant several months in 1892. to prevent the spread of cials are likely to make it ical tribunal or other ernment should provide outbreak, to help provide Perhaps the island’s the coronavirus will be far compulsory, experts said. means for a second opin- medical service, essential those kinds of services most infamous resident more important than any The rules are notoriously ion, ultimately anyone medications, food and and to help scrub public ever was Mary Mallon, federal order. hard to confirm because could challenge a quaran- other social support if you spaces clean. The center known as “Typhoid When it comes to the county governments often tine order in court through need it, Gostin said. of the city is considered a Mary,” an Irish-born cook federal government, it can do not publish their reg- a writ of habeas corpus. Secretary of Defense “containment zone,” but who infected dozens of impose quarantines under ulations online. Quarantine laws tend to Mark Esper selected more it is not under quarantine. people in New York, kill- the Public Health Service When one of the Amer- be controversial because than 1,350 total rooms on ing some of them, by Act for two main reasons: icans flown home from they are akin to jail time, 13 bases to house Amer- Q: Q.Is there any history changing jobs frequently to prevent the spread of Wuhan, China, tried to using the coercive power ican travelers or U.S. gov- of quarantines in the and refusing to stop work- communicable disease leave a California military of the state to tell people ernment personnel under United States? ing as a cook. into the United States or base where the group was that they have to stay federal quarantine, with A: A.The measures being Markel cited in his book between states. That is quarantined, for example, confined, even if in their three bases currently implemented now around “Quarantine” an example why, for example, the Riverside County mandat- own homes. hosting some 600 people, the globe are the most of the sense of sweeping Centers for Disease Con- ed the quarantine. The CDC rewrote its said Lt. Col. Chris Mitch- sweeping since the 1918 power held by the authori- trol and Prevention or- The bottom line, how- quarantine guidelines in ell, a Pentagon spokes- influenza pandemic. ties at that time, when dered Americans flying ever, is that if a quaran- 2017 and they have never man. Aside from offering In the United States, they thought it was in the home after visiting main- tine is not enforced and been tested in court. The housing, military person- quarantines have been public interest to impose a land China or Iran to fly other people catch the Supreme Court has also nel are not involved, he extremely rare. The last quarantine. into one of 11 major U.S. fatal disease as a result, never dealt with an in- said, with the Department federal quarantine was in Asked to testify in Con- airports that had the abil- the local government fectious disease quaran- of Health and Human the early 1960s against a gress about quarantining ity to screen passengers. could be held liable, Gos- tine case, Gostin said. Services deciding who suspected smallpox out- hundreds of immigrants Quarantines are consid- tin said. “Thinking about Under CDC rules, the goes where and providing break. Instead the CDC on the island in 1892, ered a measure of last this as purely voluntary is federal government must services. tends to issue health Cyrus Edson, the New resort when no preferable wishful thinking.” test those confined within warnings, like advising York City’s sanitary super- means is available to halt 72 hours and define the Q: Q.Are quarantines pregnant women to avoid visor, responded,”We may the spread of a deadly Q: Q.Is it a crime to length of stay from the effective? Southern Florida in 2016 take possession of the City communicable disease. evade a quarantine? outset – two weeks for the A: TheyA. generally help during an outbreak of the Hall forcibly and turn it Those subject to quaran- A: A.Again, laws vary by coronavirus because that slow the spread of the Zika virus. into a contagious disease tine should be either in- state, but those who ig- is the incubation period disease but sometimes do In earlier times, there hospital if in our opinion it fectious or have been nore the rule could face for the disease. not depending on the dis- were frequent legal quar- is necessary to do so.” exposed to the disease, fines or jail time. Logic The most famous recent ease and the conditions of antines, dating back to at MONDAY MARCH 23 2020 PAGE 24 Coronavirus guide

a mask, he said. BY KATIE HAFNER “In a perfect world, no New York Times one would enter the apartment without putting a Amid the uncertainty mask on,” Henick said. swirling around the coro- “But it’s better than being navirus pandemic stands in a nursing home.” one incontrovertible fact: The highest rate of fatal- How to protect THE NURSING HOME ities is among older peo- CONUNDRUM ple, particularly those with Some 1.7 million people, underlying medical condi- mostly older, are in nurs- tions. ing homes in the U.S., a Of the confirmed cases fraction of the 50 million in China as of March 15, older people from Americans over age 65. nearly 15% of patients Given the rash of deaths over 80 have died. For at a nursing home in Kir- those under 50, the death kland, Washington, hit rate was well below 1%. hard by the virus, nursing There is no evidence yet homes are on high alert. that older people are sig- the coronavirus Many have gone into full nificantly more likely to lockdown mode. acquire the coronavirus The federal government than younger people. But is telling nursing homes to medical experts say that if bar all visitors, making people over 60 are in- exceptions only “for com- fected, they are more passionate care, such as likely to have severe, end of life situations.” life-threatening disease, Curtis Wong, 66, a even if their general retired Microsoft re- health is good. Older searcher who lives in the people with underlying Seattle area, used to visit medical conditions are at his parents often. They particularly high risk. are in their 90s and live in Experts attribute some of an assisted living facility the risk to a weakening of in Sierra Madre, Cali- the immune system with fornia. age. On Thursday, the facil- This leaves older people ity prohibited all non- and their families wonder- medical visits and said it ing what extra precautions was changing its building they should take. Several entrance codes. In an best practices have been email announcing the recommended by the measure, the facility’s Centers for Disease Con- management offered to trol and Prevention, the put residents in touch with World Health Organiza- family members via Face- tion, geriatricians and Time. infectious diseases spe- Three days ago, Wong cialists. said, during a video chat Familiarize yourself with his father,”I worried with guidelines and follow I might not see him again. them. Things got very emotion- Geriatricians recom- al.” mend their patients ad- Cathy Johnson, who here to current recom- lives outside of Boston, is mendations from the trying to take matters into CDC and WHO, a litany her own hands. Johnson is of advice that has become the primary caregiver for all too familiar: Wash your her 96-year-old father, hands frequently with who lives nearby in an soap and warm water for independent living facility 20 seconds or clean them with 2,200 residents. Two with alcohol-based hand cases of coronavirus have gel; avoid handshakes; been reported in the area stay away from large gath- and Johnson, worried that erings; clean and disinfect the facility might shut its objects that are touched doors to visitors, has been frequently; and avoid DARRYL DYCK AP planning to extract her public transportation and An elderly woman sits in a room at the Lynn Valley Care Centre seniors facility in North Vancouver, British Columbia, father and bring him to crowds. Stock up on sup- on March 14. Amid the uncertainty swirling around the coronavirus pandemic, some experts recommend that older live at her house. plies. adults at risk cancel nonessential doctor’s appointments, including wellness visits, and instead consider using “I actually think that’s Cruises are out, as is Telemedicine sessions, if available, as a reasonable substitute. not unreasonable, if it’s in nonessential travel. Visits your community and you with grandchildren are have the ability to care ill-advised. Dr. Daniel Winetsky, an ments? health hazards. Hospice estimates that 12 safely for that person in “I’ve had this conversa- infectious diseases fellow Some experts are rec- Winetsky is aware of million “vulnerable per- your house,” Nace said. tion about a hundred at Columbia University in ommending that older the danger, and has sug- sons of all ages” in the But so far, Johnson’s times in the last week,” New York, said his advice adults at risk cancel non- gested to his parents that U.S. receive care in their father, wedded to place said Dr. Elizabeth Eck- to his own parents, who essential doctor’s appoint- they switch to virtual homes, delivered by a and routine, is refusing to strom, chief of geriatrics live across the country in ments, including wellness meetings with friends and home care work force of leave the facility. at Oregon Health & Sci- San Francisco, has shifted visits. Telemedicine ses- relatives, with the benefits approximately 2.2 million ence University in Port- dramatically. A week ago, sions, if available, are of social engagement in people. For many older STAY ACTIVE, EVEN IN land. Eckstrom said most he said, he was reassuring often a reasonable sub- mind. “I’ve tried to frame adults, that means a A PANDEMIC of the patients she sees in them about their safety, stitute. it as, ‘Don’t cancel these steady parade of home Geriatricians fear that her clinic are over 80. All even encouraging them to Eckstrom generally things, but change to health aides trooping social distancing may of them have made their go ahead with a trip they agrees, but with caveats. Zoom or Skype or Face- through the door, some affect routines in ways worry plain. were planning to the Flor- While it might be prudent Time,’” he said. more mindful of hygiene that can compromise the And all of her patients, ida Everglades with a to cancel wellness and April Vollmer, 68, an than others. vitality of older adults. Eckstrom said, have at small tour group. other visits that are not artist who lives in New People should have They emphasize the im- least one chronic condi- Over the weekend, his urgent, she said,”many York, flew to California in conversations with their portance of maintaining tion. “Most of them have fears about the pandemic older adults have issues November for an extend- caregivers about hygiene, good habits, including three, four, five or more,” rose, and by Tuesday not that require regular follow ed stay with her 91-year- suggested Dr. David sufficient sleep, healthful she added. only was he telling them up, such as dementia, old father, who lives in Nace, president-elect of eating and exercise. People are wrong to not to go, but he also was Parkinson’s disease, falls, Santa Cruz. She has yet to the Society for Post-Acute Exercise may be bene- assume that if an under- advising them to reduce to heart problems.” She leave. and Long-Term Care ficial in fighting the ef- lying condition is well a minimum the number of worries that skipping visits Just when she was plan- Medicine, a professional fects of coronavirus. It can managed with treatment, people they came into might allow these condi- ning last month to fly back group that represents help boost the body’s they’re out of danger. Even contact with. Visits with tions to spiral out of con- to New York, she said, practitioners working in immune functions, de- those with conditions that grandchildren are verbo- trol, but agrees that tele- where she has a husband, long-term care facilities. crease inflammation and are stable should take extra ten. medicine can usually friends and a rich cultural Double-check that aides have mental and emotion- precautions. Winetsky told his moth- bridge the gap. life, the coronavirus hit. are washing their hands or al benefits. A patient who “These conditions can er, Carol, who is 73 and Another helpful step: Now she oversees her using hand gel. Any equip- relies on daily exercise at limit underlying reserve has asthma, to stop meet- talking to your doctor father’s home health aides ment they bring in should the gym but is trying to and lead to worse out- ing with her biweekly about stockpiling two or and takes long walks be wiped down with disin- avoid risky situations comes when older people knitting group. And he three months of any crit- along the bluffs above the fectant. And make sure might simply go for a become severely ill, which instructed his father, ical prescription med- Pacific, a “virus-free” they are feeling healthy. walk. taxes all organ systems,” Hank, who has had two icines. activity. “If you’re by yourself, On Wednesday after- said Dr. Annie Luetke- coronary stents, not to Recently, Vollmer got you may be in a very vul- noon, Hank Winetsky, 80, meyer, an infectious dis- attend either of his two BEWARE OF SOCIAL an email from a friend of nerable position because had just returned from a eases specialist at Zucker- book group meetings. ISOLATION her father’s who last year you’re dependent upon round of golf with a small berg San Francisco Gener- His mother continues to Experts warn that social decided to move to assist- that person,” Nace said. group. His foursome rang- al Hospital. go to the grocery store, distancing, the corner- ed living. “The home has “It can feel intimidating. ed in age from 70 to 81. “For example, diabetes while avoiding crowded stone of epidemic control, canceled group events, But hopefully there’s a “Golf is pretty safe when can make it harder to fight places like Costco. With could lead to social isola- and residents are eating good enough relationship it comes to human con- infection, and underlying her son’s permission, she tion, already a problem in alone in their rooms,” that you can open the tact,” he said. heart or lung disease may still goes to physical ther- the older population. Ac- Vollmer said. “Seems like conversation.” But even golf proved make it more difficult for apy for a back injury, but cording to a recent Pew a bigger change there than Adam Henick, an in- not to be a contact-free those organs to keep up she is careful to make sure Research Center study of for someone living at vestor who lives on the sport. “There was a bottle with demands created by the therapist washes her more than 130 countries home.” Upper East Side in Man- of water on the cart, and a serious COVID-19 in- hands and that the equip- and territories, 16% of hattan, said his father, 92, everybody thought it was fection,” she said, re- ment gets wiped down people 60 and older live HAVE A TALK WITH and mother, 88, live in an their own bottle,” he said. ferring to the syndrome with disinfectant. alone. Loneliness, re- HOME HEALTH AIDES apartment a block away, “All four of us drank out caused by the new coro- What about nonessen- searchers have found, The National Associ- and aides come through of it. Now we’re all navirus. tial doctor’s appoint- comes with its own set of ation for Home Care & every day. Only one wears freaked out.” MONDAY MARCH 23 2020 PAGE 25 Coronavirus guide

CRAIG MITCHELLDYER AP Lynn Reynolds, left, and Renee Collins, right, observe as their children, ranging in age from 6 to 10, work on a science project in Vancouver, Wash., on March 17. Collins is a teacher at Thomas Jefferson Middle School and has created a curriculum for some of the neighborhood kids while the schools are closed.

enroll during a single week- BY CAROLYN THOMPSON end in March, compared to Associated Press the 80,000 who have at- tended class since its 2017 BUFFALO, N.Y. ‘A REALLY BIG launch, CEO Amir Nathoo After her sixth-grade son’s said. The company offers school in Buffalo, New York, live, teacher-led online closed amid the coronavirus classes beginning at $5 each, outbreak, Roxanne Ojeda- but has also offered free Valentin returned to campus webinars on running online with shopping bags to take EXPERIMENT’ classes through video confe- home textbooks and weeks’ rencing. worth of assignments pre- Child development re- pared by teachers. searcher Jessica Logan and A single mother with a her husband continue to full-time job, she now joins Parents turn teachers amid virus work full-time from home millions of parents around and have been tag-teaming the country – and the world – som also has urged the busy on an iPad and her with other parents to teach school-related questions suddenly thrust into the role state’s more than 6 million laptop while she’s managing children in small groups if from their 8- and 12-year-old of their children’s primary schoolchildren and their accounts for a catering com- the closure is extended, and children, home from Colum- educators, leaving them families to make long-term pany. is resigned to the idea that bus City Schools in Ohio. scrambling to sift through plans, telling them few, if Oregon has shut down her workdays will be fol- “I see all these people educational resources and any, schools would reopen schools through April 28 and lowed by evening school writing out, ‘Here are the six juggle lesson plans with jobs before summer. some districts have put op- sessions. hours we’re going to spend and other responsibilities. Los Angeles father Fil- tional activities online, “We'll muster through it,” each day doing homework,' “It’s a really big experi- iberto Gonzalez’s three chil- though they are not meant she said. and was like, ‘Not happen- ment,” Ojeda-Valentin said dren have daily contact with to replace the regular curri- Some parents are turning ing in my house,’ ” she said. as she left the school, her their teachers and one to culum. While her son’s dis- to those with experience “When am I going to get my second stop after picking up four hours of work they can trict explores virtual learn- homeschooling for guidance, work done? I still have my materials from her fourth- do on an existing online ing, she has been combing unsure of whether to enforce own work to do, so does my grade daughter’s school. platform that supplements the internet and tapping strict schedules and where husband. Neither of us can Even in school districts that classes. But he never friends for suggestions. to look for academic help. take the entire day off to sit are providing remote in- thought the arrangement “Scholastic had a bunch of Amid an influx of interest, with them and do math struction, the burden falls on would transform from a free things and I have a the National Home School worksheets or science exper- parents to keep their children stopgap measure to perma- friend who’s a teacher, so Association dropped its iments.” on task. In others, parents are nent situation. I’ve gotten a lot of workbook membership fee from $39 to “All parents are in the left to find educational web- “The news … was a real pages for him to do, just to $10 for access to tip sheets same boat,” Logan said. sites and curricular materials shock to a lot of us,” he said. try to keep him busy,” said and teaching materials, “Your kid is not going to fall on their own. And while the In Portland, Oregon, Katie Arnold, who also has been executive director Allen behind if they don’t do these challenges are daunting for Arnold’s 7-year-old son has using educational websites Weston said. assignments every day.” all, they can be nearly impos- been spending his days in like ABCmouse. The online site Outschool Nevertheless, Vancouver, sible to overcome for parents his mother’s office, keeping Arnold is making plans saw 20,000 new students Washington, teacher Renee limited by access to tech- Collins has committed to nology and their own levels of keeping not only her own education. 10- and 8-year-old children Across the United States, on track academically, but more than 118,000 public two of her friend’s children and private schools in 45 and a second-grade neigh- states have closed, affecting bor as well. 53 million students, accord- “We’re going to do Mon- ing to a tally kept by Educa- day, Tuesday and Thursday tion Week. While many with the five kids together closures were initially an- and the other days I'll do nounced as short-term, par- individually with (her own ents are wondering if kids). So we'll do five days,” schools will reopen this she said. academic year as the out- “The one thing that kind break intensifies. of gives a lot of us comfort,” After Kansas became the said Collins who teaches first state to announce middle-school math, “is that schools would remain closed it’s not just our state. It’s our for the year, a task force entire nation. It’s not just recommended from 30 min- going to be the state of utes of work a day for the Washington that’s behind. youngest students to up to It’s not just going to be my three hours daily for stu- CRAIG MITCHELLDYER AP children that are going to be dents in sixth grade and up. Katie Arnold, left works at her office while her 7-year-old son Rowen Arnold, a first-grader, behind. It’s going to be ev- California Gov. Gavin New- plays educational games on her iPad in Portland, Ore., on March 17. erybody.”

‘‘ALL PARENTS ARE IN THE SAME BOAT. YOUR KID IS NOT GOING TO FALL BEHIND IF THEY DON’T DO THESE ASSIGNMENTS EVERY DAY.

Child development researcher Jessica Logan MONDAY MARCH 23 2020 PAGE 26 Coronavirus guide

watch on their body at all Mayo Clinic News Network times. Reassure them that you will be in close con- COVID-19 has become Helping kids cope with tact with your medical a source of daily conversa- care provider if you feel tion. As a caregiver, you medical advice is needed. may be wondering how to And after speaking with support your child’s devel- your health care provider, opmental needs and un- the COVID-19 pandemic instructions will be given derstanding of the coro- how to help them. navirus. If your children hear of Jennifer Rodemeyer, a friend or a loved one manager of the Child Life who becomes infected Program at Mayo Clinic, with COVID-19, reassure offers these suggestions to your children. help kids cope through Reassure your children this experience. that their friend or loved Define terminology one has received medical associated with CO- advice and they are being VID-19. instructed by a medical Kids are hearing about professional how to help this virus daily. Take the their body during their time to sit down with your illness. As a family, send children to define what the person who is recover- coronavirus/COVID-19 is ing a note through the using language that sup- mail. You could have your ports their development. children draw them a Start your conversation by picture or write them a asking your children- story to add to your note. ,”What do you think coro- This is a way of letting the navirus or COVID-19 is?” recovering person know This gives you an under- they are being though of standing of what your and a way for your chil- children knows, think they dren to feel they are help- know or how they in- ing their loved one or terpret the illness. friend by bringing joy into Throughout your con- IRFAN KHAN TNS their day. versation pay attention to Joshua Guyton, in face mask as a precautionary measure, arrives at Clifton Middle School in Monrovia, Calif., that was It is important to be defining: open on March 5 after crews performed a deep cleaning overnight after a parent came in contact with someone honest with kids. As a COVID-19 exposed to the novel coronavirus. parent, it may go against COVID-19 is a virus your instinct to want to that can cause their body share the truth because at to feel sick. Most people come into close contact together. Show them how listen to their leaders. zles, read books, listen times you may feel what who have COVID-19 say with others. Pretend there to “create tiny bubbles” It is important to tell and play music, dance, you are sharing with your they feel sick, and have a is a bike separating you by rubbing their hands them to follow directions take family hikes, and children may cause fear, cough, fever, the chills and the person you are back and forth and how to and instructions of those work on an art project worry, anxiety or sadness. (feeling cold) and body standing by. Keep that get the soap between all who are responsible for together. For evening Being honest with your aches. The most common distance away from peo- spaces, even to the ends them in your absence, times, establish family fun children and telling them way the COVID-19 can ple other than your family of their fingers. It helps to such as a grandparent, a nights, such as movie you are going to be hon- enter people’s bodies is by while social distancing is encourage your children day care provider, teach- nights, cooking nights, est, builds trust between the virus being on those needed. Instead of giving to sing an entire song such er, etc. Directions they game nights and ice- you and your children. people’s hands and then high-fives, fist bumps or as “Happy Birthday” share, such as practice cream nights. Even Remind your children they touch their mouth or hugs to people outside twice during hand-wash- good hand-washing, social though being stuck at that you will continue to eyes. A virus is so tiny, your family you can smile ing so they can be sure distancing, cover their home may seem out of the keep them posted and that you cannot see it. and wave hello. they are spending the time mouth with their sleeve norm, consider this time update them when in- This is why it is important Discontinue your chil- they need to get their when coughing or sneez- together as an opportunity formation changes or new to wash your hands often, dren’s access to news and hands clean. ing, etc. are practices put for your family to make information is presented especially before touching social media regarding As a caregiver, hang a into place to protect them good memories. regarding COVID-19. This your mouth or your eyes. COVID-19. sign on your front door and keep them safe. Provide opportunities to way, as new information The reason you are hear- Explain to your children such as: “Welcome home. Create new home rou- connect with loved ones is presented, they are ing so much about this that there are many con- Please remember to wash tines as a family. and friends using elec- hearing it from you. Have coronavirus is because it is flicting resources regard- your hands.” When kids Establishing and main- tronic devices. these conversations daily a new virus that has not ing the coronavirus. come into the house, this taining routines help kids During social isolation, with your children. This seen before. Health pro- Therefore, you are going will remind them of the predict what is planned, call grandparents, aunts will allow the opportunity fessionals are learning to monitor and limit their importance of hand-wash- allowing them to feel and uncles, cousins and for them to ask you ques- about it and about ways to access to external media ing when entering your control in situations. Use a friends you normally tions or help them process stop it from spreading at this time. Reassure home; before meals; and white board or paper to would be interacting with, any concerns they may through research daily. them that you will share after blowing their nose, display a daily schedule at or connect with them via have. As a caregiver, it is Experts around the world any new information you coughing or sneezing. home. Explain if social FaceTime or similar apps. encouraged to let your are working hard every learn regarding COVID-19 When events are being distancing continues to be This will help children not child know how you feel day to learn about this that they should know. As canceled, share with your encouraged, the new feel as isolated as they about COVID-19 to vali- virus and how to keep a caregiver, use reliable children how this will norm is going to be stay- continue to maintain and date how they are feeling. people safe. sources such as the Cen- prevent the spread of ing at home. Identifying build relationships with You may also feel chal- Quarantine. ters for Disease Control COVID-19. clear expectations for the their loved ones. Set up a lenged due to your own When people have coro- and Prevention, the World Young children may see day will support and en- virtual play date with your questions, concerns, or navirus, or possibly have Health Organization, canceling an event, a courage kids to feel ac- child’s friend. Kids can be worries. It is important to come in contact with mayoclinic.org, state family vacation, school, complished. Consider the fulfilled from watching let your children know others who have the ill- health departments, and going to the movies, etc. following when making a others play. Children can that you are following the ness, they are being asked your school district’s com- as a result of something schedule: wake-up and also take part in the same guidance of health care to remain in quarantine. munications, to gather they did wrong. Remind bedtime, meals, school activity by virtually play- professionals. Remind This means you should your facts. Be aware of them that the reason you and learning, exercise and ing with each other, re- them that these steps are stay in your house and not your children’s presence are unable to attend the outdoors time, play, sulting and supporting being taken to help pre- be in spaces or places with when listening to the event at this time is to household responsibilities, parallel play. Virtual convent the spread of CO- people other than your news. Although they may help prevent the spread of etc. nections are also a way to VID-19 and keep everyone family. not appear to be watching, COVID-19 in a large Play, play, play. support their social devel- safe. As a caregiver, you Social distancing. they may be listening and group setting. If it is an Kids learn and process opment through inter- are your children’s biggest To slow the spread of internalizing the informa- option, share with your through play. As a family, acting with others. support and advocate. You COVID-19, people are tion they are hearing. children future plans to take advantage of being If your children be- can make a significant being asked to practice Explain to your children attend the event after you asked to stay home and comes sick, reassure difference on how your social distancing. This the importance of good know it is safe. practice social distancing, them. children cope through this means that when people hand-washing. Bring your Remind your children and use this time to in- Remind them that you ever-changing experience. are in spaces outside of children to a sink and when they are under tereact. Play games, pro- or someone who is caring home, they should not practice hand-washing someone else’s care, to vide toys, complete puz- for them will keep a close

the aquarium offers 10 care, they’ve grown up live-streaming cameras strong and healthy and Bored kids can take a virtual from both inside the facil- are thriving in the larger ity and in the nearby zoo population. Craft ocean waters. Take a look activities include instruc- at resident African pen- tions for making sock guins, sharks and other puppets, animal figures, a field trip via zoo websites fishes, jellyfish, sea otters pinata and more. and aviary birds. Other Details: kids.sandiego cameras are trained on zoo.org Here are offerings from Details: cincinnatizoo.org HOUSTON ZOO the open sea, a coral reef BY SHIRLEY MCMARLIN zoos around the country: or Facebook You can go big or very and a kelp forest. ZOO ATLANTA Tribune-Review, Greensburg, Pa. small with the live cam- Details: monterey Roly-poly pandas and CINCINNATI ZOO & GEORGIA AQUARIUM eras at the second-most bayaquarium.org their antics are a perennial Spring is the time for BOTANICAL GARDEN The Atlanta facility is visited zoo in the United animal-lover favorite. The school field trips and While the grounds are home to a variety of ani- States. Live cameras are SAN DIEGO ZOO zoo website has a panda outdoor activities – but closed temporarily, zoo mals whose homes are in trained on tiny leafcutter The Southern California page with a live camera, maybe not this year. How patrons can stay connect- the water, from alligators ants as they go about their animal park has a website information on a panda to replace those favorite ed to their favorite ani- to whale sharks. The web- work and at the elephants just for kids, featuring keeper’s job and regular activities for the kids mals through Home Safari site features webcams as they roam their expan- animal profiles, fun facts, panda news updates – like while they’re on their Facebook Live sessions, to offering a live look at sive yard. Also on view are stories, videos, activities, behaviors, the differences extra-long “spring break”? be offered 3-5 p.m. week- beluga whales, California the chimpanzees, gorillas, games and conservation between red pandas and One idea comes from days starting today. Each sea lions, jellyfish, pira- giraffes and rhinos. information. Among cur- giant pandas and how zoos around the country. session will highlight an nhas, puffins, sea otters, Details: houstonzoo.org rent features is “A Tall keepers tell individual Kids can take a virtual animal and provide an an Indo-Pacific barrier Tale: Giraffe BFFs,” a pandas apart. animal safari via various activity to do at home. reef and the ocean floor. MONTEREY BAY story about two young Details: zooatlanta.org zoos’ animal cameras and The first safari will Details: georgiaaquariu- AQUARIUM male giraffes. Both were participate in their online feature the zoo’s popular m.org Overlooking the Pacific born with health prob- animal activities. hippo, Fiona. Ocean in Monterey, Calif., lems, but with special MONDAY MARCH 23 2020 PAGE 27 Coronavirus guide

TED S. WARREN AP The playground at Lowell Elementary School in Tacoma, Wash., sits empty after the school was closed Tuesday. When you’re talking to children about the novel coronavirus, child psychology experts’ advice is to be reassuring, focus on proactive steps and do research to truthfully answer children’s questions.

school that has students BY CLAUDIA LAUER from all over the world. Associated Press TALKING TO KIDS They live near Houston, but some of her daugh- It was a routine game of ters’ classmates are in schoolyard tag – except countries where there are the children had dubbed quarantines in place. this version “coronavi- ABOUT VIRUS? The virus, she said, has rus.” The kids ran around been part of her family’s and tagged one another, daily discussion. but instead of being “it,” “In our family we all they “caught” the virus. BE CALM AND HONEST, EXPERTS SAY talk about it, so it’s pretty Children like the ones a open and so they’re not reporter saw playing re- hiding anything from us,” cently at a school in who is a few grades toms, such as fever and sure was announced. said Dr. Jamie Howard, a said daughter Ally, 14. Washington, D.C., are ahead, said she has talked cough. For others, espe- “We thought it would clinical psychologist at the “And I think that’s helped becoming more aware of about it much more, in- cially older adults and be confusing and scary for nonprofit Child Mind a lot.” the coronavirus – though cluding in science lessons. people with existing a kid if they were told that Institute. The institute Parents should explain they may not fully under- “I’m not really as scared health problems, it can school has to be closed for and the Centers for Dis- that measures like wear- stand it or know how of it. It’s still not even that cause more severe illness, two weeks,” McEvoy said. ease Control and Preven- ing face masks and clos- seriously to take it – as it many people getting sick including pneumonia. “We felt like it was impor- tion both offer tips on ing schools are preventa- begins to affect their daily here. And it’s less danger- The vast majority of tant … to give her a lot of talking to children. tive and temporary, How- lives with school closures ous than the flu,” Jane people recover. According information about how Some teachers and ard said. She urged them and event cancellations, said. “One of my friends to the World Health Or- this might impact her life coaches are working to to take a page from Mister restrictions on travel, and is really scared of it, but ganization, which has even if we don’t know dispel any idea that the Rogers, who taught kids to the NBA nixing the rest of she’s honestly really declared the outbreak a exactly how yet.” virus, which was first “focus on the helpers” – its season. scared of all diseases.” pandemic, people with McEvoy, 38, works as a recorded in China, is tied what doctors, teachers, Many parents are now Beth Young, who lives mild illness recover in paraprofessional at a dif- to ethnicity or race. parents and scientists are deciding how to talk to in Fort Mill, South Car- about two weeks, while ferent school district and Seattle Public Schools doing to keep them safe. their children about the olina, said she has decid- those with more severe said some second graders posted on its website that Whatever the conversa- virus. Some said they are ed to limit the conversa- illness may take three to had talked about how they misinformation has led to tion looks like, Howard checking in daily, while tion with her four kids, six weeks to recover. thought the virus was fear and hostility, and it said, parents should not others worry talking about ages 8, 10, 12 and 15. Child psychology ex- spread. Some thought urged students to combat collude in their child’s it could make their kids “I don’t want to doom perts’ advice is to be reas- they could catch it from racism and bias. anxiety by refusing to go more anxious or fearful. and gloom them into suring, focus on proactive eating Chinese food or “We are aware of re- outside or by buying “We talk about it a lot. I being afraid of getting sick steps and do research to from touching bats or ports that some of our masks. watch the news every because, let’s face it, kids truthfully answer chil- pigs. Asian students have been “In doing those behav- morning, and they’re get sick pretty often,” she dren’s questions. The teacher spent some targeted and discrimi- iors, you’re saying this is always watching it, too,” said. “And I don’t need a In Kathleen McEvoy’s time searching for an nated against in connec- really dangerous and we said Nicole Poponi, moth- sniffle to turn into them house in Norton, Mas- age-appropriate video to tion to COVID-19. This is really are in danger right er of Clara, 10, and Jane, worrying about dying.” sachusetts, she and her help them understand unacceptable and contrary now,” she said. “And 12, in the Philadelphia For most people – in- husband, Thom Daly, how the virus is actually to our values of racial that’s not true, and it will suburb of Audubon, New cluding children – the new decided they wanted to spread, McEvoy said. equity and social justice,” make them more anx- Jersey. coronavirus, which causes talk with their 8-year-old It’s important to reas- district leaders wrote. ious.” Both girls said they’ve a disease called CO- daughter, Kennedy, be- sure children, to ask Lacy Hilbrich’s two talked a little about the VID-19, results in only fore something like a whether they have ques- daughters, ages 14 and 18, virus at school, but Jane, mild or moderate symp- quarantine or school clo- tions and to stress safety, are part of an online

ensuring that infected rus outbreak like a fire, workers and increase the individuals stay home, Kelen said. chances that a treatment Why we should keep trying and guarding the borders In one scenario, it’s “a will be available by the against the arrival of new red hot forest fire that just time a patient needs it. cases. rips through all of a sud- “What we have to do to contain the coronavirus At the same time, den and everything burns right now is to put a lid on they'll expand their miti- down,” he said. In anoth- this epidemic, to flatten gation efforts. The means er, it’s “a slow smoldering the curve of infection and and ‘flatten the curve’ keeping people away from fire that might over time buy ourselves some time each other by canceling burn everything down but to get a vaccine,” said large gatherings, closing gives firefighters a reason- Georgetown University’s that the healthcare system tainment measures, it can schools and encouraging able chance should they Lawrence Gostin, an ex- BY MELISSA HEALY AND AMINA KHAN isn’t overwhelmed with be squashed into a wide people to work from come up with tools to pert in public health law. patients. hill. home. fight the whole thing.” That’s why “social dis- Los Angeles Times Public health officials The outbreak will take In some ways, miti- The World Health Or- tancing” measures are so LOS ANGELES have a name for this: longer to run its course. gation is just containment ganization’s declaration of important, Dr. Anthony The coronavirus out- Flattening the curve. But if the strategy works, on a larger scale. Instead a coronavirus pandemic Fauci, director of the break that has sickened at The curve they’re talk- the number of people who of focusing on a single should not be viewed as National Institute of Al- least 125,000 people on ing about plots the num- are sick at any given time infected individual, offi- an admission of defeat, lergy and Infectious Dis- six continents and caused ber of infections over will be greatly reduced. cials target clusters of said Michael Osterholm, eases, said at a White nearly 4,600 deaths is time. In the beginning of Ideally, it will fall below infected people. Buildings, an infectious disease ex- House briefing this week. now an official global an outbreak, there are just the threshold that would city blocks or whole pert at the University of Barring fans from NBA pandemic. But that a few. As the virus swamp hospitals, urgent neighborhoods might be Minnesota. Rather, it and NCAA basketball doesn’t mean we should spreads, the number of care clinics and medical identified as infected, should be seen as a rally- tournament games, can- give up on trying to con- cases can spike. At some offices, said Dr. Gabor then walled off. That’s ing cry to impede the celing the Coachella mu- tain it, health experts say. point, when there aren’t Kelen, chair of the emer- why New York Gov. An- virus’ progress. sic festival and sending The goal is no longer to as many people left for the gency medicine depart- drew Cuomo dispatched But slowing it down is college students home for prevent the virus from pathogen to attack, the ment at Johns Hopkins the National Guard to crucial. Even when in- the rest of the semester spreading freely from number of new cases will University. New Rochelle to enforce a fections are unavoidable, may seem like extreme person to person, as it was fall. Eventually, it will That’s why public “containment zone” pushing them into the measures, but that’s what in the outbreak’s early dwindle to zero. health officials will contin- around a community with future could give manu- it will take to flatten the days. Instead, the ob- If you picture the curve, ue the labor-intensive more than 100 infected facturers a chance to re- curve. jective is to spread out the it looks like a tall moun- work of recording and residents. plenish protective garb inevitable infections so tain peak. But with con- tracking new infections, Think of the coronavi- and masks for healthcare MONDAY MARCH 23 2020 PAGE 28 Coronavirus guide

(ages 5 and 2) love them.” BY MICHAEL ORDOÑA She added,”Also, just Los Angeles Times QUARANTINING WITH KIDS: livestreamed the animal cams at the San Diego Like many people, this zoo! Too cute.” reporter is holed up at MOVIES, GAMES, BAKING AND … CARPENTRY? “Here It Goes Again” is home trying to work re- more famous, but this motely – with the kids in video for “This Too Shall the house. While the Twit- Pass” is amazing as well terverse is full of people and seems more fitting for joking (I hope) that their this interregnum. small humans have al- Tiger in Los Angeles ready turned on them, said he’s going to show his there’s no shortage of daughter Terry Gilliam’s things for kids to do – with “Time Bandits” (1981): “I each other and with their showed her the trailer and larger humans. And if she bought in. We’ll prob- they’re occupied, they’re ably watch tonight. I’m less likely to band togeth- very excited.” That is, er against us … right? he’ll show it when he’s Our house is a media not posting memes of the hub, so the kids – 11-year- family in “The Shining” old twins Winston and with the caption,”A couple Betty – are two nights into of weeks of isolation with their “Social Distancing the family. What could go Film Festival.” The open- wrong?” ing-night feature, for In our house, the kids perhaps obvious reasons, have worked up wish lists Steven Soderbergh’s for the Social Distancing “Contagion,” went over Film Festival and to-do well. Winston said, “I love lists as well. They tried this movie! Well directed playing Dungeons and and well written.” Dad Dragons with friends via was struck by how scien- Google Hangouts, with tifically accurate it is turn- RONG-GONG LIN II TNS mixed success (connec- ing out to be; chillingly so. A news stand in Millbrae, Calif., displays the front page of the San Francisco Chronicle on Tuesday, March 17. tion problems Dad didn’t The second night, they figure out in time), but are chose to stream “Out- game to try again soon. break,” the Wolfgang said, “ ‘Farming Simulator ‘Lego Masters’ streaming one. Megan from Iowa Scout program can be Betty has specific goals Petersen adventure movie ‘19’! My son is virtually on Hulu/Fox, the film City said,”Our local gro- completed with only fam- for her art skills, such as from 16 years earlier. Dad farming: He’s got a crop ‘The Peanut Butter Fal- cery store was SOLD OUT ily.” wanting to “practice work- remembered it as more of soybeans coming in, con’ for my 11-year-old. of yeast and flour. Lots of As to questions of hon- ing with shading, drawing thrilling than on this re- awesome tractors and My almost-15-year-old bread baking going to be oring social distancing horns, painting, origami peat viewing, especially combines and whatnot. … wants to go back and happening out here! I’ve and flattening the curve, and lettering.” She’s look- after the Soderbergh film, He showed it to me earli- watch the old seasons of seen friends post their Cubmaster Phil saying forward to reading a which made this one seem er. Not sure if on some ‘Survivor’ (huge fan) and experiments of giving the s,”We’re still hammering new batch of mystery stilted and conventional. level it’s comforting to has expressed interest in kitchen over to their teens out details. But most of books picked up just be- Betty agreed. “It was grow one’s own food, or … the 1980 ‘Fame’ and we to make homemade ba- the out-of-the-house stuff fore the pandemic forced good, but not as good as ?! But he’s absorbed in it all loved watching ‘Stand gels.” does not require inter- this shared isolation. She ‘Contagion.’” for hours at a time, talking by Me.’ We are also listen- Phil from Valley Village acting with the public. also wants to “bake a No nightmares to re- about rainfall, weeds and ing to a variety of movie has a 10-year-old son in ‘Take a walk in your cake,” “paint my nails” port. Then again, these pests, where to put the and TV show soundtracks the Cub Scouts, and says neighborhood’ or ‘While and “modify my clothes.” kids follow the news, so hay, etc. It’s kind of fun.” for exposure. ‘Stand by one of the den leaders is on a hike, identify … ‘ or I’m not sure what she these movies are hardly as Kelly from Washington, Me’ started that and now “putting together a virtual something like that. Easy means by that last one, frightening as real life. D.C., said, “My 16-year- we are digging ‘Big Little Cub Scout challenge. to practice social dis- but I suppose I’d better Tonight, they’ll take a old has already made me Lies’ (music, not the We’re going to challenge tancing if it’s just you and find out. break from the outbreaks watch the entire new show, for kids).” all our scouts to earn as your kid going for a walk She also hopes to and check out a double season of the Netflix se- Another Jennifer, also many badges as they can, in the neighborhood.” “Make a dinner for Dad! feature of “The Usual ries ‘On My Block.’ She from Studio City, with with family, and post the Danny from Albuquer- And hopefully not poison Suspects” (Win is a Chris- insisted this was our 11-year-old twin daugh- videos of their efforts on que, N.M.’s, daughter isn’t him!” topher McQuarrie fan bonding activity. Without ters, said, “Games … a social media.” a kid anymore, but she’s While I was writing this, from his “Mission: Impos- giving it away, the ending rousing game of Monopo- These tasks include helping to keep kids busy she and her brother pre- sible” work, though Betty was bittersweet – a bit sad, ly yesterday. And cooking building a carpentry pro- – constructively: “My sented me with the fol- chose it) and “The Fare- actually.” Kelly went on to … a lemon pie on Pi Day ject or, for younger scouts, daughter, Molly, age 24, is lowing lineup for our film well” (they love Awk- caution that the show isn’t and pulled chicken sand- pointing out two different an algebra teacher at a fest: “The Usual Sus- wafina, especially after right for all kids: “It’s a bit wiches. And (their) choir kinds of birds that live high school in Burlin- pects,” “The Farewell,” her interview with their racy … sexually graphic at teacher assigned watching nearby and researching game, Calif. She’s teach- “Community,” “The Pea- dad in The Times). times.” a musical … so that has them. ing online and is part of a nut Butter Falcon,” “Silver They’re up to plenty of Matthew in Lafayette, been a great assignment.” “For many, they will large group of teachers Linings Playbook,” “Dick- other things as well – Colo., said his daughter in She said they’re “not big leave the house. Often for offering free help for kids inson” and “In Bruges.” more on that later – but I her early teens was “beg- on electronics here, al- a hike to identify a tree, or who need tutoring.” Some of those may take asked friends what they’re ging for zombie movies though we all enjoyed something like that … Other moms and dads some negotiating. doing with their kids, and and listening to R.E.M.,” ‘Troop Zero.’ Home eco- maybe visit a place where are happily curating their But hey, we’ve got plen- their answers were fun which only makes sense. nomics is in full swing someone might show kids’ viewing. Kira from ty of time to talk about it. and varied. Jennifer from Studio though …” reverence … like a ceme- Brooklyn said she just Scott from L.A.’s Valley City listed the Netflix Of course, that option tery or a memorial sculp- showed her sons “All the Village neighborhood docuseries “ ‘Cheer,’ isn’t available for every- ture. Much of the Cub OK Go videos … they

which, for parents, may or who plays Eda, the impa- may not be a good thing. tient witch who takes on Home but not alone? Here are four (Nickelodeon, 11:30 a.m. Luz as an apprentice and Saturdays; nick.com) all-around punching bag. (Disney Channel, 8:47 and ‘THE OWL HOUSE’ 9:11 p.m. Friday, then on new shows to watch with your kids Yes, Virginia, there’s midseason hiatus; Disney still a Disney Channel, Now) even though the stream- roughly in order by target costumed parakeets a voiced by Jessica DiCicco ing service Disney Plus is ‘KIPO AND THE AGE OF BY MIKE HALE audience, youngest to snap, humor and sophisti- (“The Loud House,” “Ad- getting all the attention at WONDERBEASTS’ New York Times oldest. cation that you might not venture Time”), is a little the moment. And this This 10-episode eco- expect in a series aimed at like a kinder, gentler ver- supernatural comedy for fantasy comes from With schools in New ‘POWERBIRDS’ preschoolers. That’s espe- sion of Kristen Schaal’s preteenagers is a good DreamWorks Animation York and many other What “The Powerpuff cially true with regard to Louise in “Bob’s Burgers,” reason to seek it out. It’s a and Netflix, and it has a places closed or closing Girls” did for kindergart- Polly, a plucky dame out with the snark level ad- wisecracking, fast-paced, visual sophistication that soon, there’s a good ners,”Powerbirds” does of a vintage Hollywood justed for early-tween pop-culture-savvy coming- separates it from the other chance that you and your for parakeets. The prem- comedy who’s played by viewers. of-age adventure in a shows here. (The show’s children are about to ise is simple but cleverly the animation veteran The full-gallop 15-min- classic sitcom style, with provenance also brings in spend a lot of coronavirus- executed. Whenever Max, Tara Strong, the voice of ute stories, involving Po- hints of Matt Groening (in voice actors like Sterling mandated time together. a comics-obsessed teenag- Bubbles in “The Power- ny’s innocent derailment the imaginative monsters) K. Brown, Dan Stevens, And let’s face it, not all of er, is hanging out in his puff Girls.” (Universal of school projects or the and Seth MacFarlane (in Lea DeLaria, John Hodg- that time will be spent on room, his pet birds Ace Kids, 10 a.m. Sundays; infinite forbearance of the lightly cynical repar- man and GZA for support- remote learning. You’ll and Polly hop and tweet universalkids.com) Annie’s parents, are brisk tee, pitched, at a guess, ing characters.) Its story, both need a break, and harmlessly in the back- and charming. But the for 10- to-12-year-old about a 13-year-old who you’ll probably already be ground. As soon as he ‘IT’S PONY’ real attraction of this ears). ventures to the surface of in front of a screen. leaves, however, they start It’s the story of a girl standout show, which was A Dominican-American a post-apocalyptic earth There is, of course, a to talk – like the pint-size and her horse, with a few created by the British teenager, Luz (Sarah- and finds overgrown ur- world of classic content but intrepid crimefighters contemporary twists: They animator Ant Blades, is Nicole Robles), stumbles ban ruins and a colorful you can explore together, they are – and zoom down live with her parents in a the art, with its heavily into an alternate world variety of mutant talking from film masterpieces to the Command Coop, high-rise apartment build- outlined, scribbled, bright- where magic and an ambi- animals, is typical teen- like “Spirited Away” (for donning their superhero ing, and it’s the pony ly colored characters mov- ent ooze are facts of life, age-adventure fare. But its rent at Amazon, iTunes, tights along the way. who’s the nosy, needy, ing across lulling, water- and humans are looked artwork, an integration of Google Play and other Their missions around irrepressible attention colorlike backgrounds. down on as talentless practical American action sites) to vital series like the neighborhood are not sponge who constantly “It’s Pony” is an urban wastes of space. It’s a and Miyazaki-inflected “Adventure Time” of the super-dangerous gets them into jams. (“I’m tale, and the New York- setup for mean-girl and anime splendor, will keep (streaming on Hulu). But variety – one short episode friendly,” Pony says. “It’s like cityscapes and apart- gross-out humor, and for you in front of the screen if you would like to try finds them scrambling to who I am. It’s never been ment interiors are ren- positive lessons as Luz after your bored teenagers something fresher, here keep leaves from falling a problem.”) The girl, dered with surprising struggles for acceptance have wandered off. (Net- are four shows, new this into the wet cement of a Annie, and her friends are depth and detail for a and tries to learn magic. flix) year, that you can enjoy new sidewalk. But the a wise and patient group Saturday-morning show. The show’s irresistible discovering with your show, created by Stephen who grudgingly accept And it has an absolutely force, though, is the in- children, or at least toler- Breen, the editorial car- Pony’s disruptions as the addictive theme song stantly identifiable, bour- ate while you nod and toonist and author of price of adolescence; the (“Pony on the sixth floor, bon-soaked voice of the check your email. They’re children’s books, gives the highly driven Annie, pony in the bathroom …”), wonderful Wendie Malick, MONDAY MARCH 23 2020 PAGE 29 Coronavirus guide

know someone who died BY DEBORAH NETBURN that day, or know some- Los Angeles Times one who was there to be impacted.” It’s 1 in the morning In another study, the and you can’t stop reading same team found that about the coronavirus. after the Boston Marathon Maybe you want to bombings in 2013, people know if you should cancel who reported the highest your trip to Hawaii over media exposure also re- spring break or whether ported higher levels of your kid’s school will be acute stress than those closed, or how many peo- who were actually there. ple are likely to die. “The media is a double- You look for answers on edged sword,” she said. websites you trust, along “It is the mechanism by with some you’re not so which we get important, sure about. And when you validated information. But can’t find conclusive in- at the same time, we need formation, you keep to protect ourselves from searching, clicking and the onslaught of the 24/7 reading. news cycle.” If you have descended So, what’s a healthy into a coronavirus rabbit dose of media that will hole, you are not alone. keep you informed with- It’s only natural to feel out needlessly stressing anxious about the evolv- you out? ing coronavirus situation. Baruch Fischhoff, a It is a novel threat that has psychologist and decision caused more than 4,200 scientist at Carnegie Mel- deaths worldwide. lon University, recom- But experts say there is mends choosing three something else that is print media sources and adding to our collective GINA FERAZZI TNS one local public health anxiety around the poten- Shoppers exit Costco with their purchases while wearing masks to protect against coronavirus on March 7 in agency to follow. Then tial pandemic: fear of the Alhambra, Calif. check in on their coro- unknown. navirus coverage once a “Our brains are wired to day. pay additional attention to “Remember that the uncertainty,” said David expertise of TV and radio Rock, co-founder of the Why you should stop is to keep you listening NeuroLeadership Institute and to engage you,” he and author of “Your Brain said. at Work.” “It is something Rock’s advice is to limit we all have an issue with, obsessing about coronavirus your coronavirus media although it affects some consumption to 10 min- people more than others.” utes a day, not 10 minutes Researchers are still an hour. learning how the virus news, and how to do it “The more we can feel spreads, its fatality rate like we are in control, the and how best to treat it. At calmer we'll be,” he said. the same time, informa- “And one thing you can tion about new cases and very satisfying to people,” one running at you.” tect your health. They can overestimate the severity control is your media deaths come in on a daily, said Paul Slovic, a psy- One way people try to also counteract harmful of the threat to their own intake.” if not hourly, basis. chologist at the University exert control during times rumors and alleviate dis- community – and that Silver said she reminds Things are changing so of Oregon who studies of uncertainty is to in- tress by providing accu- leads to psychological and her own friends and fam- quickly that it can be hard risk perception. “People crease their media con- rate information that puts even physical distress. ily to stay informed but to to know how best to re- want a pill, they want a sumption, said Roxane the threat in context, In the aftermath of the avoid repetitive stories spond to keep yourself vaccine, they want to feel Cohen Silver, a professor Silver said. (For example, Sept. 11 terrorist attacks, with little or no new in- and others safe. a sense of control.” of psychological science it’s helpful to be reminded Silver and her collab- formation, because they And for some, the ad- Rock said that in the and public health at UC that about 80% of those orators found that in- can amplify one’s sense of vice coming from public face of an ambiguous Irvine. infected with the new creased television expo- stress and doom. health organizations like situation – maybe fine, “When there is a lot of coronavirus have symp- sure to the horrific events “Things are very differ- the Centers for Disease maybe bad – our brains ambiguity and a lot of toms that are mild at was associated with post- ent this week than they Control and Prevention – automatically bet on it uncertainty, people are worst.) traumatic stress and car- were last week, and we to wash your hands, cover being very bad, just in drawn to the media,” she However, Silver’s re- diovascular problems don’t really know where your cough and stay home case. said. “It’s a cycle that is search over the last two three years later. things will be next week,” if you’re sick – may not “It’s an insurance pol- very hard to break out of.” decades has also shown “These were people she said. “It is challenging feel sufficient in the face icy,” he said. “If you think Looking to the media in that in times of collective who only learned about and stressful to cope with of what they perceive to you hear a bear in the a time of public crisis can trauma like natural disas- the attacks on television, all this uncertainty, but be an overwhelming woods, it’s better to be be useful. Trusted sources ters and mass shootings, and who were really overexposure to media is threat. safe and start running can help you make in- the nonstop media cycle stressed about it,” she not likely to help.” “That information is not than wait until you see formed decisions to pro- can also cause people to said. “You didn’t have to

ing mental health condi- Coronavirus tions and substance abuse How coronavirus isolation can impact problems, or those helping and stress with the response, such as Taking care of yourself, your health care providers or friends, and your family can help your mood, and what to do about it first responders. you cope with stress. Helping Reactions can include others cope with their stress can fear and worry about also make your community resident, said he and his populations, hand hy- that’s part of the routine one’s own health status stronger. BY ALISON BOWEN wife, Lori Gentile, have giene, and social distanc- that’s important,” Graham and their loved ones; • Take breaks Chicago Tribune been going back and forth ing.” It also suggested said. changes in sleep or eating from watching, reading, or on whether to visit her more events go virtual. Try to view time at patterns; difficulty con- listening to CHICAGO mother in northwest Indi- “We like to go to estate home as a positive. Focus centrating; increased use news stories, As more Americans are ana. sales, we like to go to on connecting with your of alcohol, tobacco or including social encouraged to practice “We’re totally weighing museums, we like to go family. Pick up that hobby other drugs and worsening media. social distancing and to the calculus on this,” he out to see shows,” Sislow you have been consid- of chronic health prob- Hearing about the pandemic repeatedly can be upsetting. work from home, less said. “Because odds are in said. And now many of ering, or take on that lems. person-to-person contact a week, or two weeks, it’s those activities are no home project you’ve put People with preexisting • Take care of your body. can negatively impact going to be worse.” longer an option for him off. mental health conditions Take deep mental wellness. With schools, bars and and his wife. And make a routine. should continue their breaths, Deciding whether to restaurants closing, so Graham suggests ensur- Wake up at the same treatment plans, the CDC stretch, or visit family, have loved much feels in flux. Gentile ing regular contact with time, go to bed at the suggested. meditate. Try ones over, or leave the runs a comic book store, family members and same time. “Maintaining The agency also advised to eat healthy, well-balanced meals, exercise house for any reason is a Amazing Fantasy, in friends, even if it is not some kind of schedule can avoiding excessive expo- regularly, get plenty of sleep, and real concern since Presi- Frankfort, Illinois, that she face-to-face. Utilize Fac- be really impactful in a sure to media coverage avoid alcohol and drugs. dent Donald Trump de- might have to close for a eTime to connect, she positive way for our and encouraged deep • Make time clared a national emer- while, said Sislow. said, or make sure to mood,” Graham said. breaths, stretching and to unwind. gency over the coronavi- “She'll probably go stir speak on the phone. Pay attention to how meditation. Try to eat well Try to do rus Friday. crazy, she’s been doing “Those are really impor- you are feeling. If you are and exercise regularly. some other Andrea Graham, an that for 30 years,” he said. tant ways to buffer against more anxious, Graham There are many online activities you enjoy. assistant professor of The coronavirus pan- some of that loneliness suggests taking a break resources for fitness, in- medical social sciences at demic is eliminating the and sadness that can from the news. “Practice cluding YouTube videos • Connect with Northwestern University normalcy of daily activ- creep up,” she said. some relaxation activ- for yoga, Pilates and Zum- others. Talk Feinberg School of Med- ities, and that can be diffi- If you’re working re- ities,” she says. Do things ba, for example, or Dara- with people icine, said it is hard to live cult to cope with. motely, use the option to you enjoy, such as listen- bee, which provides a host you trust in a space of uncertainty. On Sunday, the Centers call or video chat with a ing to music, reading a of in-home workout pro- about your concerns and “That’s very challenging for Disease Control and co-worker. It can help book, or calling a friend. grams. You can also dig how you are for people to be wrestling Prevention recommended lessen some of the social In the CDC’s tips for out those weights and feeling. with those kinds of deci- gatherings with 50 or isolation because, for mental wellness during elastic bands. Source: CDC sions, and whether to be more people be canceled many, conversations with the COVID-19 spread, it “Remind yourself that Graphic: Staff, TNS with loved ones,” she said. or postponed for the next co-workers are a nice part noted that people who strong feelings will fade,” “These kinds of moments eight weeks, and that of the work day. might respond more the CDC guidance ad- ly. Try to do some other can lead to … waves of ups events of any size adhere “We don’t typically strongly to the stress of a vised. “It can be upsetting activities you enjoy to and downs of emotions.” to the guidelines “for quantify that when we go crisis include children and to hear about the crisis return to your normal Joe Sislow, a Chicago protecting vulnerable into work every day, but teens, those with preexist- and see images repeated- life.” MONDAY MARCH 23 2020 PAGE 30 Coronavirus guide RECOVERY COMMUNITY URGES: EVEN IF YOU SKIP 12-STEP MEETINGS, STAY CONNECTED

for those who are hard of BY MARISA GERBER hearing, there’s Wednes- Los Angeles Times day Text Chat, which conducts meetings via LOS ANGELES Zoom. There’s the group a It was time for the cov- Safe Place for members of eted sobriety chips, so the LGBTQ community, a Grace snapped on a pair Spiritual Recovery for of plastic gloves and kept agnostics and freethink- a bit of distance as she ers, and even Sober Sto- doled out medallions to gies for people who stay members who had gone away from alcohol but still 30, 60 and 90 days with- love a good cigar. out a drink. For Grace, the yoga Normally, she hugs the teacher, it was comforting people gathered here in to see others start to this church on the West- brainstorm and prepare. side, but on Thursday she She’d been charting the offered them a small na- coronavirus’ path closely maste bow instead. since January, keeping in This is what an Alcohol- touch with a friend who ics Anonymous meeting works as an emergency looks like during a pan- room nurse in Seattle. demic. “They’re really “AA can’t totally close strapped,” Grace said. its doors,” said Grace, a She had started to feel a 49-year-old yoga teacher, bit discombobulated, she who asked to be identified said, as she read horror by her middle name to stories from Italy and then respect the group’s ano- looked around Los An- nymity pledge. “We don’t geles and saw most people know when someone’s acting rather blase. Well, going to crawl in in des- either that, she said, or peration.” behaving as if Armaged- She started coming to don had already set in and the rooms, as she calls the they needed to ransack gatherings, two decades Trader Joe’s immediately. ago and now tries to at- There didn’t seem to be tend two or three meet- a lot of in between. ings a week, a tiny sam- So, during her Alcohol- pling of the more than ics Anonymous meeting 350 groups that meet Thursday, Grace said she every day in L.A. decided to make a bit of a They restored her life, show of her heightened she said, and she can’t precautions. After putting help but think about on her gloves, she gave others like her, who at this each member who got a very moment, were con- sobriety chip a bonus gift: sidering whether they had an antibacterial wipe. the courage to attend their “We’re living in interest- first meeting. What if, like ing times,” she told the Italy, we’re headed to- group, which was about ward lockdowns? half the size as usual. These were the ques- Grace has also been tions running through the thinking a lot about new- minds of many in the comers to recovery and recovery community this how these next few days week. As the words “Can- could be so fragile for cel Everything” began to them. She thought back to trend on Twitter and peo- the weeks before she ple quipped online about finally went to her first how they planned to self- meeting – back to when quarantine with three she was convinced she bottles of tequila, some was terminally unique. people wondered what “You feel like you’re in would happen to the 12- a desert just gasping,” she step meetings they rely said,”and this oasis on. comes, and you go, ‘Oh, What about the people I’m not the only one.’” who are understandably These are stressful and panicked and tempted to unnerving times and fear drink or pop a few pills? can be such a big trigger What exactly does the for addicts. For some, mandate to “practice Grace said, this will be a social distancing” look breaking point and, for like for people who so that reason, she’s confi- intimately know the dan- dent that some meetings gers of isolation? will stay open. But she’s “We rely on communi- hopeful, too, that mem- ty,” said Rick Manelius, bers will adapt by upping an active member of a DREAMSTIME TNS the frequency of their 12-step program. “It is An Alcoholic’s Anonymous sobriety chip lays in the palm of a person’s hand. group text conversations very hard for people to or hosting meetings on white-knuckle it.” Google Hangouts. For Manelius, 39, who will turn to online plat- concept, he explained, in from the mother whose the memo said, such as In many ways, she said, lives in Colorado and forms like Zoom to hold which, early on, people infant child had just avoiding handshakes and the recovery community is works as a chief tech- meetings via video chat or often try to attend a meet- gripped the metal pole on cutting back on serving better prepared for this nology officer at a start- maybe download an epi- ing per day to set new the Metro. snacks. Others had started moment than almost up, the questions started sode of The Recovery habits. If we move toward But now, the signs were creating contingency anyone. swirling in his mind last Show podcast to listen to mandatory quarantines, almost everywhere – light plans in case they can’t “We’re taught resil- Friday toward the end of when they’re feeling he fears, that will set up traffic, emptied out meet in person, the memo ience,” she said. “We’re his weekly meeting. He’s alone. Still, he worries yet another barrier for shelves of thermometers, said, such as swapping taught that there is a way the youngest member by about older people, who newbies. a tweet saying the L.A. phone numbers, emails through and that we fig- about a decade, he said, might not be as familiar “Anyone who’s on the Central Office of Alcohol- and social media accounts ure it out one day at a and he noticed that in- with technology and who recovery train knows that ics Anonymous had told so members can check in time, step by step.” stead of interlacing hands are at the highest risk of the second resistance members not to hold on one another. People in recovery also with people beside them dying from COVID-19. comes up, it’s like, ‘Eh, I hands. The memo also pointed have a lot of practice during an end-of-meeting “Our elders are being can skip it,’” Manelius A woman who answered members to www.aa- channeling their fears and prayer some members given an extra dose of fear said, encouraging anyone the phone at the L.A. intergroup.org, a directory anger into service, she decided to clasp their own and anxiety,” he said, and who doesn’t yet have a Central Office this week of virtual meetings in said. If you have two days hands together. for many people these sponsor to get one as soon explained that that simply different time zones, of sobriety, the mantra He began to think about meetings are like free as possible and check in wasn’t true – each group is which are conducted by goes, you can help the all the other meetings like therapy. “You don’t want with them often by phone. autonomous, she stressed, phone, email, video con- person who has one day, this across the country to help spread this conta- Back in Los Angeles, and free to make their ference and 24-hour-a- and if you have one day, and how, sometimes by gion with a high mortality this week felt like a tip- own decisions. But mem- day chat rooms. you can help the person design, they’re rather rate, but at the same time, ping point. bers had been calling There are dozens and who has one minute. low-tech. A church, chairs it’s like your mental and Before then, you could about the coronavirus, she dozens of different Right now, she said, the in a circle, some coffee. A emotional health is on the see signs of concern on said, and she’d started groups. world could use another real room people can walk line.” the face of the pregnant pointing them to a memo For Spanish speakers in message her community into and find community. He’s been thinking, too, cashier at Vons who held on the national Alcoholics rural areas, there’s Grupo knows well. In the days ahead, if about people who are in her breath when she Anonymous site. Universal de AA, which We support one another quarantines come, Mane- the early stages of recov- heard a customer sneeze Some groups had start- conducts voice-only meet- to survive. lius said, he hopes people ery. There’s the 90-in-90 or in the stern scolding ed discussing precautions, ings through Skype, and MONDAY MARCH 23 2020 PAGE 31 Coronavirus guide

TERESA CRAWFORD AP Kitchen staff prepare meals at Batter & Berries in Chicago on March 16. Under the new coronavirus relief package, most workers at small and midsize companies and nonprofits can get paid leave. In mopst cases, part-time workers will be paid the amount they typically earn in a two-week period.

THOSE AT Many workers qualify for paid COMPANIES WITH MORE THAN 500 PEOPLE – 48% OF leave under new coronavirus law AMERICAN WORKERS – ARE EXCLUDED. BY CLAIRE CAIN MILLER WORKERS AT New York Times PLACES WITH The coronavirus emer- FEWER THAN 50 gency relief package, which became law EMPLOYEES – 27% Wednesday, gives many OF WORKERS – American workers paid leave if they need to take ARE INCLUDED, time off work because of BUT THE LABOR the coronavirus. It is the first time the DEPARTMENT United States has had COULD EXEMPT widespread federally mandated paid leave, and SMALL BUSINESSES includes people who don’t IF PROVIDING typically get such benefits, like part-time and gig LEAVE WOULD PUT economy workers. But the THEM OUT OF measure excludes at least half of private-sector BUSINESS. workers, including those at the country’s largest large companies was a employers. prerequisite to passing the What type of paid leave bill, according to people does the law offer? briefed on the discussions. It gives qualified work- They also asked for other ers two weeks of paid sick limits on who could receive leave if they are ill, quar- DAVID ZALUBOWSKI AP leave. For example, the antined or seeking diag- Workers at large companies with more than 500 employees are excluded from the new law, but 89 % of employees at original bill passed by the nosis or preventive care these companies already have paid leave. Some big companies like Target, have added paid sick leave for the coronavirus. House would have given for the coronavirus, or if workers 12 weeks of paid they are caring for sick leave to care for them- family members. It gives them out of business. Em- HOW MUCH MONEY DO HOW WILL BUSINESSES WHAT IF I WORK AT A selves or sick family mem- 12 weeks of paid leave to ployers can also decline to I GET WHILE ON AND NONPROFITS BIG COMPANY? bers, instead of two. Paid people caring for children give leave to workers on LEAVE? AFFORD TO PAY You can take any sick leave was the most conten- whose schools are closed the front lines of the crisis: If you are sick or seek- WORKERS ON LEAVE? leave your company al- tious part of the bill, con- or whose child care pro- health care providers and ing care for yourself, you They will be reimbursed ready offers. Eighty-nine gressional aides said. vider is unavailable be- emergency responders. earn the full amount you for the full amount within percent of employees at cause of the coronavirus. are usually paid, up to a three months, in the form these companies have IS THE PAID LEAVE ARE PART-TIME AND maximum of $511 a day. If of a payroll tax credit. paid sick leave, but rarely PERMANENT? WHICH WORKERS SELF-EMPLOYED you are caring for a sick (The Trump adminis- as long as two weeks, and No. It’s meant as a re- QUALIFY? WORKERS ELIGIBLE? family member or a child tration has said it will low-wage workers are sponse to the coronavirus Most workers at small Yes. Part-time workers whose school or day care advance the money earlier least likely to have it. and expires Dec. 31. and midsize companies will be paid the amount is closed, you earn two- for employers that can’t (Some big companies, like and nonprofits can get the they typically earn in a thirds of your usual pay, wait that long.) The reim- Walmart and Target, have IS THE GOVERNMENT paid leave, as can govern- two-week period. People up to a daily limit of bursement will also cover added paid sick leave for GOING TO GIVE ment employees, as long who are self-employed – $200. the employer’s contribu- the coronavirus.) Under a WORKERS OTHER AID? as they’ve been employed including gig economy tion to health insurance 1993 law, you’re eligible Yes. This package in- at least 30 days. workers like Uber drivers HOW DO I GO ABOUT premiums during the for 12 weeks of unpaid cluded other types of aid, and Instacart shoppers – TAKING LEAVE? leave. It’s fully refun- family and medical leave including unemployment WHICH WORKERS ARE can also receive paid The Labor Department dable, which means that if as long as your company benefits, free coronavirus EXCLUDED? leave, assuming they pay must issue guidelines by the amount that employ- has at least 50 employees, testing and food and med- Those at companies with taxes. They should calcu- April 2 to assist employers ers pay workers who take you’ve worked there for a ical aid. The Trump ad- more than 500 people – late their average daily in calculating how much leave is larger than what year, and you meet other ministration has asked 48% of American workers – self-employment income paid leave their employees they owe in taxes, the qualifications. Congress for $1 trillion to are excluded. Workers at for the year, then claim should get. After that, you government will send make direct payments to places with fewer than 50 the amount they take as a should be able to simply them a check for the re- WHY ARE BIG American taxpayers and employees – 27% of work- tax credit (they can re- notify your employer, take mainder. (That goes for COMPANIES to small businesses. And ers – are included, but the duce their estimated quar- the leave and get paid the self-employed and gig EXCLUDED? lawmakers are introduc- Labor Department could terly tax payments in the amount specified by the economy workers, too.) Congressional Repub- ing other legislation, in- exempt small businesses if meantime). law. licans and the Trump ad- cluding a Democratic plan providing leave would put ministration said excluding for more paid leave. MONDAY MARCH 23 2020 PAGE 32 Coronavirus guide Cybercriminals seek profit in coronavirus

the address of a website at BY JENNI BERGAL the top of a browser win- Stateline.org dow. Many of those malicious domains probably WASHINGTON will be used for phishing An email seemingly attempts, Ahmed said. from the U.S. Centers for “That’s extremely Disease Control and Pre- alarming to us,” he said, vention warns of new noting that another 5% of coronavirus infections and the domains were consid- urges readers to click on a ered “suspicious.” link to see a list of in- Check Point recom- fections in their communi- mends that people be ty. cautious about opening But the email actually email and files received comes from cybercrimi- from unknown senders nals looking to use the and beware of look-alike crisis to their advantage. domains that actually are Cybersecurity research- phony websites. ers have identified a grow- Proofpoint’s Kalember ing number of phishing agrees that coronavirus- scams in which fraudsters related email threats have are using coronavirus to been ramping up. entice victims. With “It started out as a few phishing, recipients un- small attacks. Each day wittingly click on emailed we’re seeing larger and or texted links designed to larger amounts,” he said. trick them into giving “Over five weeks, it’s into their personal informa- the millions of messages.” tion. People most likely are “It is the most clickable clicking at an “incredibly lure that an attacker can high rate,” Kalember send out. Everyone has added, because the vol- jumped on the bandwa- ume of attacks is spiking, gon,” said Ryan Kalem- and cybercriminals ber, an executive vice wouldn’t bother if it president at Proofpoint, a wasn’t effective for them. global cybersecurity com- State and local govern- pany that is monitoring ments need to be especial- the phishing activity. ly careful of coronavirus “Their success depends phishing threats because on getting people to click. they can lead to ransom- Coronavirus drives clicks ware attacks, according to like nothing else right Kalember. now.” Ransomware typically Officials in some states spreads through phishing have alerted government KAPERSKY TNS emails. It can hijack a staffers and the public Cybercriminals sent this coronavirus phishing email, which was designed to look like it came from the U.S. Centers for governmental computer about that threat. And Disease Control and Prevention. system and hold it hostage some states have stepped until officials pay a ran- up monitoring for mali- som or restore the system cious email involving navirus gives them an play on your fears and ten in on the action, aim- or similar attacks lost at on their own. coronavirus. advantage,” Brahmap- have you make a rash ing to steal victims’ user- least $48 million, accord- Last year, there were at In Washington state, uram said in an interview decision,” Watson said. names and passwords or ing to the FBI’s Internet least 113 successful ran- the nation’s epicenter of with Stateline. “It’s new. “They’re saying that there plant malware that will Crime Complaint Center. somware attacks on state coronavirus, with 750 It’s unknown. When there is some immediate action help them get ahold of “We’re seeing them and local governments, confirmed cases and at is something unknown, you’re going to have to other personal informa- exploit this highly topical according to global cy- least 42 deaths as of Sun- the fear is so high.” take to protect your own tion. thing called coronavirus,” bersecurity company Em- day, the top information In Connecticut, in- life and safety.” In one phishing cam- said Ekram Ahmed, sisoft. security official issued a formation technology Criminals often prey on paign, cybercriminals sent spokesman for Check “State and local govern- warning to staffers and officials have asked the people during natural emails that look like they Point, a global cybersecur- ments should be paying the public to be on the state’s emergency man- disasters or crises, exploit- came from the World ity company. “It’s not more attention to email,” lookout for such threats. agement department to ing uncertainty and fear. Health Organization, uncommon for certain Kalember said,”and mak- Bad actors are using spread the word about But the difference with asking people to click on a events to be exploited. But ing sure their staff knows phishing emails that claim phishing scams related to coronavirus, cyber experts malicious link to view we found it far exceeds that coronavirus commu- to have information about coronavirus, Chief In- say, is that the informa- coronavirus safety mea- anything else, in terms of nications aren’t going to coronavirus infections in formation Officer Mark tion is constantly chang- sures. malware.” come in a zip file or Word the surrounding area and Raymond said. ing, and new warnings are Last Friday, the U.S. Malware is malicious document that they’d encourage users to click And in Virginia, state IT expected to be issued for Department of Homeland software that infiltrates click on. Their people on a link or an attachment workers are flagging key- weeks – or even months. Security’s Cybersecurity and damages computers. should be trained to look to find out more, Vinod words in emails related to Scammers already are and Infrastructure Securi- Check Point found that at things skeptically.” Brahmapuram, the state coronavirus that are com- selling bogus products ty Agency issued an alert 3% of the more than chief information security ing from outside parties online, offering vaccines warning people to be vigi- 4,000 coronavirus-related officer, wrote in a recent that could be phishing they claim will cure the lant about phishing and domains registered glo- blog post. attacks, Chief Information virus or asking for dona- other scams involving bally were malicious – a “Attackers create a Security Officer Michael tions for victims, the Fed- coronavirus. 50% jump over the in- sense of urgency, of panic, Watson said. eral Trade Commission Phishing attacks can be dustry average of 2% for almost forcing people to “A lot of these mali- has warned. lucrative for criminals. In these types of cyber take action. The coro- cious parties are trying to Hackers, too, have got- 2018, victims of phishing threats. A domain name is Pet advocates give tips on keeping pets safe from COVID-19

have contracted CO- proactive in preventative human and animal com- BY JOAN MORRIS VID-19. A dog in Hong measures and having an panions. Identify a family The Mercury News Kong apparently tested emergency plan are the member or friend who can “weak positive” for the best ways to protect you care for your pet. With the nation focused virus, but as the dog had and your pet. Better safe Have crates, food and on COVID-19, the novel no symptoms, medical than sorry. extra supplies, including coronavirus that has in- and veterinarian experts Here are tips offered by medications, on hand for DREAMSTIME TNS fected more than believe the test results ARF and the East Bay quick movement of the A dog in Hong Kong apparently tested positive for 100,000 people that we could have been the result SPCA: pet. Two weeks’ worth of COVID-19, but as the dog had no symptoms, medical and know of and killed almost of environmental expo- Take precautions simi- food, medicine and other veterinarian experts believe the test results could have 3,500 around the world, sure, infection, cross- lar to common flu preven- supplies is recommended. been the result of environmental exposure, infection, many have become nerv- reaction from other virus- tion. A pet first-aid kit is also cross-reaction from other viruses or testing issues. ous about what it means es or testing issues. Seek out reliable sourc- good to have for any un- for our beloved pets. The East Bay SPCA es for updated informa- planned situation. The first thing to know, warns that having your tion. The Centers for Ensure your animal’s microchip is only as good Pets don’t need masks. says Elena Bicker, exec- dog vaccinated against Disease Control, vaccines are up-to-date in as the contact information If your companion ani- utive director of Tony La coronavirus will not pre- www.cdc.gov; World case boarding becomes registered to it. mal has been exposed to Russa’s Animal Rescue vent COVID-19. While Health Organization, necessary. Follow CDC and WHO someone diagnosed with Foundation in Walnut there is a general coro- www.who.int; and World Document all medica- guidelines: Wash your COVID-19, contact the Creek, is that there is no navirus vaccine, it is not Small Animal Veterinary tions with dosages and hands with soap and wa- public health worker in- evidence that companion designed to work against Association, www.wsa- administering directions, ter for the time it takes to volved with the patient’s animals can spread the this particular virus, so it va.org, are good places to including prescriptions sing “Happy Birthday” care. They will contact disease. would be ineffective. go for information on the from your veterinarian if a twice; avoid touching your state veterinarians and There also is no evi- Although the assurances virus. refill becomes necessary. face; stay home if you are direct you from there. If dence that pets are be- that our pets likely won’t If you are diagnosed Pets should have identi- sick; cough or sneeze into you are told to bring your coming infected, although contract or spread the with COVID-19, the CDC fication such as an ID tag your elbow; wash your pet to your veterinarian, it’s wise to keep your pets virus are comforting, the recommends you mini- on their collar and a mi- hands before and after call first so they can pre- away from people who pet advocates say being mize contact with your crochip. But remember, a handling pets. pare isolation areas. MONDAY MARCH 23 2020 PAGE 33 Coronavirus guide RUNNING FROM CORONAVIRUS A back-to-basics exercise boom

(I’m looking at you, Lauren, BY TALYA MINSBERG Will, Mary and the older gentle- New York Times man who usually recites prayers while running and yells,”God All road races have been can- bless you, girl!” every time I see celed. There was no Tokyo him), it feels like the rest of the Marathon, no New York Half world has had some epiphany. Marathon. There will be no As a regular runner, you be- marathons this April in Boston, come addicted to the simple act London or Northern California. of putting one foot in front of The racing world, like the rest the other because when you’re of the world, is on hold. But you running hard, that’s all you can wouldn’t know it by looking at think about. The lactic acid public parks, streets and trails building in your legs doesn’t across the United States. care about your work calendar A running boom is taking off. or your school assignment or With little else to do – no etiquette for video conference spinning classes, lap swim calls or the state of the pan- hours, boot camps or barre – a demic today. Just get comfort- lot of people are turning to (or able with being uncomfortable. getting back to) running. Get to the next mile, to the next It’s the perfect sport for a repetition, to the next tree, to pandemic. All you need is a pair the next breath. of shoes and a 6-foot buffer We die-hards are occasionally from the next person. (Some seen as masochistic. Yes, you New York City paths, however, used to roll your eyes when we have gotten crowded with run- woke up before the sun rose or ners and walkers, making social ran home from work or spent distancing even there a chal- hours on the weekend logging lenge.) double-digit miles only to fall Cabin fever is driving out the asleep on the couch in the after- masses. Kids on scooters are noon. chasing their huffing and puff- But you get it now, right? ing parents, some of whom There’s a reason many refer to have coaxed their own children the longest run of the week to run, with mixed enthusiasm. with religious terminology. It’s Teenagers on bicycles are bark- not a Sunday long run, it’s “the ing at their parents to catch up, church of the long run.” (For like an elite coach prepping an me, it’s a synagogue of the long Olympic hopeful. run on Saturday.) There are runners in jeans There’s an unspoken lan- and runners in expensive “ath- guage among runners – one leisure” kits that look like they that’s perfectly communicated have never seen sweat. There outside the buffer zone recom- are people wearing classic Con- mended by the Centers for Dis- verse and Nike Vaporflys and ease Control and Prevention. every shoe in between. There The subtle acknowledgment are families pulling each other transcends language and bor- with games of “first one to the ders and athletic ability. light post wins” and friends Run in any country, in any running with an awkward park, at any time, spot another amount of space between each runner, and chances are you'll other. greet each other with the slight- The newest runners are easy est nod. You’re out here too. to spot, falling into one of three Sometimes that nod gives camps: overexcited, overstrid- way to a wave. When the ing or overly dramatic about the weather is treacherous, some- hill up ahead. But a transforma- times you'll get a thumbs up. tion comes quickly. A few You’re still out here too. blocks later and it’s easy to see In this time, as more and the release on the faces of run- more people hit their parks, ners who have found their new streets and trails, make sure to outlet. nod at your fellow runner. For many regular runners We’re all still out here.

PHOTO: ASHLEY GILBERTSON NYT

“to keep our facilities a and they have the right safe and welcoming envi- concentration of alcohol.” Gyms and coronavirus: what are the risks? ronment for all students Diluted household and staff.” bleach solutions, alcohol picking up the coronavirus ing out how the virus on both attendance and David Carney, president solutions with at least BY AIMEE ORTIZ at a gym or health club exactly spreads but have business.” of Orangetheory Fitness, 70% alcohol and several New York Times than at a church service, provided some guidance Equinox, the luxury listed precautions in an common household disin- for example, said Dr. on how it seems to be fitness club brand, has email on Thursday. “Wipe fectants should be effec- It’s not the kind of thing David Thomas, a profes- transmitted. A study of sent notices to members, down your equipment tive against the coro- you want to think about sor of medicine and direc- other coronaviruses found reassuring them that addi- after every block, and navirus, according to the while you’re in child’s tor of the Division of In- they remained on metal, tional steps are being don’t hesitate to request a Centers for Disease Con- pose in yoga class, when fectious Diseases at Johns glass and plastic for two taken during the peak flu new wipe whenever you trol and Prevention. your nose is close to the Hopkins University School hours to nine days. season and amid growing need to,” he wrote. The Environmental mat, but after hearing how of Medicine. By compari- Certain objects, like concerns about the coro- Protection Agency re- you should stop touching son, church services may handles and doorknobs, navirus. WHAT YOU CAN DO TO leased a list of disinfec- your face to guard against include shaking hands and are “disproportionally The additional steps PROTECT YOURSELF tants against the virus. the coronavirus, you being in closer proximity affected by hands, and include disinfecting all Do you know what’s in In addition to avoiding might wonder: What are to people. those are the surfaces club areas with a hospital- those nondescript spray frequently handled ma- the risks of transmission But if you’re in a com- most likely to have viruses grade solution three times bottle at gyms that you’re chines and equipment, it’s while working out at a munity where there have for that reason,” Thomas a day, reminding people supposed to use to wipe recommended, as always, gym? been cases of the coro- said. to stay home if they are down your machine, mat that you wash your hands navirus,”that’s, perhaps, a sick and asking instructors and equipment? often and don’t touch BE MINDFUL OF time to be more cautious GYMS ARE STEPPING to eliminate skin-to-skin If you’re not sure, ask your face. EQUIPMENT THAT with all types of expo- UP CLEANINGS contact, like hands-on staff members what’s in And if you’re feeling IS FREQUENTLY sures, including a gym,” The owner of a yoga adjustments during yoga, the bottle or take your sick, stay home. HANDLED Thomas said. studio in Washington a spokeswoman said. own wipes to the gym. “This is mostly about The spread of the coro- Sweat cannot transmit state, where several coro- Brian Cooper, chief “I'll probably bring my how you keep from get- navirus could make even the virus but high-contact navirus patients have executive of YogaWorks, own wipes,” Thomas said ting sick at a gym, but the most ardent gym rats surfaces, such as barbells, died, according to The sent an email to the com- on Saturday of his gym please don’t go to the gym stress out about picking up can pose a problem, he Yoga Journal,”says she’s pany’s clients, reassuring trip planned for later that if you feel sick,” Thomas barbells. said. seen a direct impact from them that it was stepping day. “I'll know that said. “Don’t give it to There’s a lower risk of Scientists are still figur- all the hysteria in the area up its cleaning processes they’re the right wipes other people.” MONDAY MARCH 23 2020 PAGE 34 Coronavirus guide

TNS Stay active with your children while “social distancing.” The CDC recommends keeping up a healthy routine, including healthy eating and regular exercise.

routines you can find BY COURTNEY KUEPPERS online and on YouTube. The Atlanta Journal-Constitution 7 ways to stay DANCE IT OUT: Businesses and uni- Put on some tunes and versities across the globe have a living room dance are opting to have em- party. It’s also a good way ployees work from home to keep kids active, if they and students partake in physically active when are home from school and “remote learning” in an stuck inside. attempt to combat the “Dance is an effective spread of the coronavirus. form of exercise and can However, being inside burn just as many calories for long periods of time or you’re stuck at home as swimming, walking, or feeling isolated can be bike riding. The amount stressful – and boring. of calories you will burn Experts at the Atlanta- depends on the intensity based Centers for Disease ing stress and improving from home or just loung- note that walking every- feet can all add up to a of the dance, the length of Control and Prevention emotional health, sleep ing on the couch, it’s easy day can help you maintain good amount of physical dance, how much effort recommend staving off and balance, the National for time to slip away from a healthy weight and im- activity. Then, having a you put in, and how much the anxiety associated Institute of Health notes. you quickly. To avoid prove your mood. “As a clean space can help with you weigh,” active.com with “social distancing” It can also relieve low- spending hours in front of general goal, aim for at your mental health as notes. by keeping up a healthy back and neck pain and a screen without moving, least 30 minutes of phys- well. routine, including healthy help manage anxiety and try setting some remind- ical activity a day. If you “Cleaning your house CREATE A CIRCUIT eating and regular exer- depressive symptoms. ers on your phone, com- can’t set aside that much can incorporate a variety WORKOUT: cise. You don’t have to pay puter or smart speaker to time, try several short of muscle groups without The American Heart If you’re stuck at home, big bucks or leave your get up and move, grab a sessions of activity you even realizing it,” Association has recom- for whatever reason, here home to do yoga. Just put drink of water or do some throughout the day. Any personal trainer Rich mendations on its website are some ways to remain on something comfortable stretching. Best Health amount of activity is bet- Gaspari told Everyday for a simple circuit work- physically active from the and pull up YouTube. magazine also recom- ter than none at all,” the Health. out that can be done at comfort of your living Some popular channels mends getting up and Mayo Clinic notes on its home, including jumping room. include Yoga With walking every time your website. SIMPLE EXERCISES: jacks, high knees, push Adrienne, Yoga By Can- phone rings, or pings? You don’t need expen- ups and lunges. It can be ONLINE YOGA: dace and Body Positive TRY TIDYING UP: sive exercise equipment or modified for individual Yoga can be not only Yoga. GO FOR A WALK: Cleaning your house access to a gym to do use. good for your physical Try taking a break in can be a win-win. Lifting simple exercises like health, but can improve SCHEDULE REMINDERS: the day to go for a walk. laundry, going up and planks, wall sits or squats. general wellness by reliev- When you’re working Experts at the Mayo Clinic down stairs, being on your There are a variety of

should pay attention to how they feel and not just If you’re taking your temperature, 98.6 isn’t the number on the ther- mometer. Dr. Edward Ward, emergency medicine phy- the normal body temperature anymore sician at Rush University Medical Center, said he doesn’t give a lot of shortness of breath, make Stanford University. renheit lower than men diseases, like syphilis, weight to what could be BY KATE THAYER up the symptoms of the “There’s never been a real born in the early 1800s. tuberculosis and period- considered normal tem- Chicago Tribune virus, according to the number because people And the body temperature ontal diseases also could perature, instead focusing Centers for Disease Con- vary.” of women born in the affect changes in body on extremes, including CHICAGO trol and Prevention. But Parsonnet’s re- 2000s is on average 0.58 temperature, she said. above 100 degrees Fah- For centuries, 98.6 Research published in search indicates there are degrees Fahrenheit lower When the original 98.6- renheit indicating a fever degrees Fahrenheit was January in eLife, shows still unknowns when it than women born in the degree normal was estab- and below 94 degrees said to be the average, body temperature has not comes to the continued 1890s. lished, a significant por- indicating hypothermia. normal body temperature. only dropped since Ger- decrease in body temper- Meaning,”it’s not just tion of the population “It’s not surprising that It’s not. man physician Carl Rein- ature. an ancient change,” Par- would’ve been fighting there will be changes (in More recently, re- hold August Wunderlich’s In the study, Parsonnet sonnet said, indicating these diseases, Parsonnet normal body temperature) searchers have known study in 1851 established and other researchers previous theories that said, which cause inflam- since the Industrial Revo- normal body temperature the average body temper- looked at the temper- advancements in ther- mation and higher tem- lution,” he said. “As an is actually lower than 98.6 ature as 98.6 degrees, but atures of three groups: mometers or means of peratures. ER doctor, I’m looking for and can vary by gender, it has also dropped since data from a study that calculating research data It’s important to find abnormalities.” size, age, time of day and the 1970s. The findings recorded Civil War veter- are not the only possible out why, she added, be- Ward also pointed out other factors. But now indicate that Americans’ ans’ temperatures from explanations for the cause it could affect li- that there’s “a difference there’s also evidence that average, normal body the mid-1800s through change. fespan. “We are having between having what is shows we’ve been cooling temperature has dropped 1930, more recent data It’s unclear what exactly human cooling, and we medically considered a off since the 19th century about 0.05 degrees Fah- from the 1970s recorded is causing the continued don’t know what that fever and feeling feverish. when 98.6 was establish- renheit per decade, based by the Centers for Disease decline, Parsonnet said, or means, but it’s good to If someone is normally 96 ed as “normal.” on their birth year. Control, and temperatures what it could mean mov- know that it’s happening.” and then suddenly they’re As the coronavirus, “People are stuck on the of patients visiting Stan- ing forward. Some factors But doctors say evi- 99, they probably feel dubbed COVID-19, con- 98.6 number, but that ford health clinics from could be that people have dence of declining tem- uncomfortable.” tinues to spread, temper- number has always been 2007 to 2017. grown taller and heavier, perature is not likely to That can indicate illness ature checks are necessary wrong,” said Dr. Julie The data showed that and that their metabolic change how they treat and and the need for medica- for those feeling ill, public Parsonnet, one of the the body temperature of rates have slowed. assess patients for fever, tions like acetaminophen health officials say. Fever, authors of the study and men born in the 2000s is And modern medicine’s though Parsonnet said it or ibuprofen, he said. along with coughing and professor of medicine at about 1.06 degrees Fah- elimination of certain emphasizes that people MONDAY MARCH 23 2020 PAGE 35 Coronavirus guide

LUCA BRUNO AP Opera singer Laura Baldassari leans out of her window to sing during a flash mob launched throughout Italy to bring people together and try to cope with the emergency of coronavirus, in Milan, Italy on March 13. Opening up your window and belting out a tune will not only make you feel better, but it will let your neighbors know you’re OK.

COMMENTARY through Spotify right now, BY GLENN WHIPP latching onto anything Los Angeles Times that will lift my spirits. Some of these playlists You may have seen have been designed more those videos of quarantin- MUSICAL THERAPY to soothe my soul (Sade: ed Italians, serenading “In the middle of mad- each other from the balco- ness, hold on”). Others nies of their apartment have been pure exercises buildings, snapshots of in nostalgia, recreating my isolated people reaching Shut inside? Open your window and start mother’s love for breezy for a connection. They’re Burt Bacharach … which singing local anthems, led me to “I Say a Little breaking out the folk song singing. You’ll feel better Prayer” … which then “Volare,” doing the Maca- prompted an immersion rena (and changing the into Aretha Franklin. And refrain to “Hey, Quarante- Nicks on Fleetwood Mac’s along with. As much as I creased when you sing Up” and “I Just Can’t though I can’t come with- na!”) and highlighting “Dreams.” So far, none of love Frank Ocean and together, which is prob- Help Believin’” are su- in a country mile of her why more households my neighbors have joined HAIM and Tame Impala, ably one reason I kept premely satisfying singa- incomparable voice, I do here in the States need to in, but the way things are what I really need right going to church long after longs. know that singing along have tambourines handy going these days, it’s now is to belt out the being beset by doubts And though Late Elvis with her definitive version in the event of a global probably just a matter of comfort food music of my over doctrine. The death might not be a good stan- of “I Say a Little Prayer” pandemic. time. And my microphone youth. of my father devastated dard bearer for what I’m helps me cope. I’m sure Watching these displays is ready. One reason singing me; singing “How Great about to communicate, it'll be my most-played of solidarity, shared on I have no interest in feels so good is that it Thou Art” with a hundred singing can also be a form song of the year. social media, has been a knitting. Same with sew- releases endorphins, neu- other people at his service of exercise, working your So that’s what I’m doing balm in these times of ing, embroidery, crochet- rochemicals similar to lifted my spirits. lungs, strengthening your right now. And you can too. social distancing, inspiring ing. I’m beyond bad at morphine that bring about But you can get these diaphragm and stimulat- Find the songs you know people throughout Europe anything involving il- feelings of euphoria and endorphins singing alone ing the circulation needed by heart. Find the songs to follow suit. Italians lustrations, as those who general well-being. Exer- too, and you can hear if you’re going to try to that help your heart. And singing “tell me what it is have suffered trying to cise releases endorphins them being released in emulate, say, Beyonce sing. Sing out loud. Sing which makes us feel like decipher my awful Draw- too, but since the gyms trickles listening to Elvis belting out (let’s go with out strong. OK, yes, that’s a we’re together, even when ful doodles know all too are currently closed and Presley’s last recordings, the obvious choice) “Ha- morsel of advice from an we’re apart” hits home, well. we’re spending all our made at Graceland in his lo.” old Carpenters song, and and even if you don’t But I do excel in one time curled up on the man cave Jungle Room. What you also might not one that’s aged partic- understand the words, the area of crafting – making sofa, freaking out (i.e. Drug-addled and crippled intuit while performing is ularly well for many rea- emotion comes through. music playlists on Spotify. “working from home”), by self-loathing, the sim- that, in the process of sons, one of them being We’re all feeling lost right And, lately, with the rap- we’re not working out as ple act of singing buoyed lowering your anxiety that it also instructs you to now. idly evolving anxiety sur- much as we might like. the King’s spirits. These levels and tamping down “sing of good things, not I like to sing. And if rounding the coronavirus Singing also releases oxy- aren’t the Sun Sessions, your blood pressure, bad” and to “sing of happy, you’ve walked by my pandemic being almost tocin, a hormone that can but it’s Elvis luxuriating in you’re also, according to not sad.” home in the past couple of impossible to escape, I’ve alleviate anxiety, stress the majesty of his own scientific studies, boosting Forget that. Sing what- weeks around dinnertime, become a little obsessive and depression, the un- voice and, yes, since your immune system, a ever the hell you want. you’ve probably heard me about making these play- holy trinity presiding over you’re asking, I have a line of defense we’re all And make sure the win- harmonizing with Linda lists, paying particular these uncertain times. Seventies Elvis Spotify thinking about right now. dow’s open. The neigh- Ronstadt on “Blue Bayou” attention to songs I know Now, these hormones playlist, thank you very So, yes, that’s why I’m bors will be happy to know or joining in with Stevie by heart and can sing and endorphins are in- much, because “Patch It compulsively churning you’re OK. MONDAY MARCH 23 2020 PAGE 36 Coronavirus guide

some point: A mute button that shuts up the drunk couple who won’t stop talking. Highlights: Recent sets by marquee pop artists including Billie Eilish, Post Malone and Empire of the Sun delivered visual effects unhindered by earth- ly constraints, with communal chats and com- ments occurring simulta- neously. Availability: via Face- book’s OculusVenues Price: free with Oculus Quest VR headset ($399- $499) or HTC Vive ($599- $1,199)

WAVE Remember when U2 did that concert in Second Life? The architecture of fake worlds has improved, to say the least. As with Oculus and a variety of competitors including NextVR and MelodyVR, the company Wave hosts live virtual concerts, and exploits the infinite design possibilities available in this new headset-accessible reality. KENT NISHIMURA 2018 Los Angeles Times file photo Artists can tie melodies AXS.TV concerts feature “Live from Redrocks” performances from acts such as Alan Jackson, Grace Potter and Cheap Trick from the Red Rocks to visual accents, can Amphitheatre in Morrison, Colo. transform settings at will or present themselves in digitally rebuilt old ven- Ryan Cabrera, Susanna ues. For its part, Melo- Hoffs, Jimmy Buffett, dyVR promises to bring 7 ways to experience live music Common and Bonnie sold-out concerts into Raitt headsets that allow view- Availability: StageIt.com ers to transport them- Price: variable; view-able selves into venues. without ever leaving your couch through the purchase of The Wave platform “notes” calls its performances “waves.” A recent one by AXS.TV CONCERTS British singer-songwriter BY RANDALL ROBERTS ...... Currently in 50 million Imogen Heap found her Los Angeles Times homes, the Anthem Sports singing as if floating Online performances & Entertainment-owned through spangled cosmic In September, the ex- station offers a bounty of dimensions. During perimental rock duo 100 Berlin Philharmonic: digitalconcerthall.com/en well curated music pro- bridges, she exploded into gecs premiered a new gramming. Founded as starlike smithereens. track to a gathered posse Free for 30 days with code “BERLINPHIL” HDNet by billionaire Highlights: Tinashe, “Live of avatars inside the video Berlin State Opera: https://www.staatsoper-berlin.de/en/ Mark Cuban and formerly in Wave”; The Glitch game Minecraft. Part of owned by AEG, the net- Mob, “See Without Eyes”; an event called the Mine Seattle Symphony Orchestra: https://seattlesymphony.org/live work is heavy on classic “Lindsey Stirling x Wave” Gala, it was organized and rock and country music, Availability: the VR app promoted by a team of Performances can be streamed on the symphony’s YouTube and delivers big-time can be downloaded real-life creators via an (youtube.com/seattle symphony) and Facebook (facebook.com/seattle concert events. Although through Oculus Rift and “independent virtual symphony) channels. it doesn’t offer simulcast HTC Vive events platform” called Metropolitian Opera: metopera.org concerts, its 24-hour Price: free with Oculus Open Pit. schedule is filled with Quest VR headset or HTC A cheeky reference to Starting March 16, The Met launched “Nightly Met Opera Streams,” a free series filmed sets by Amy Wine- Vive the New York art event of encore Live in HD presentations on the company website during the house, Norah Jones, Cat the Met Gala, the Mine coronavirus closure. All “Nightly Met Opera Streams” will begin at 7:30 p.m. ET Stevens, Sheryl Crow, ZZ MINECRAFT Gala offered many of the and will remain available via the homepage of metopera.org for 20 hours. Top and more. Last year the marsh- amenities familiar to Highlights: “Live From mallow-headed EDM those at an outdoor event: Chamber Music Society of Lincoln Center: chambermusicsociety.org Redrocks” series featuring producer Marshmello a VIP area for fans willing The website features more than 1,000 archival performances, radio programs acts including Alan Jack- drew an astounding 10 to pay for access; the podcasts, artist interviews and more. son, Grace Potter, Cheap million visitors to a con- freedom to explore va- Trick; “Docs That Rock” cert held within the archi- rious rooms and spaces; a Philadelphia Orchestra: philorch.org/performances/live-stream Availability: various cable tecture of the online game feeling of being part of providers and portals Fortnite. Those inside larger community; and A Public radio station WKAR has a list of where to find live streaming Price: free with subscrip- were treated with a hal- the chance to hear artists performances (some may require membership): www.wkar.org/post/list- tion to Sling TV, Spec- lucinatory good time fea- or DJs make and mix live-streaming-concerts trum, DirectTV Now, turing bouncing Marsh- music. It even featured an ...... Philo and others. mello avatars the size of art gallery with original the Stay-Puft Marshmal- work. OCULUSVENUES low Man. Curiously bux- Crucially, given the digital realm, where mul- indie rock, electronic, Availability: Online Turn off your mind, om anime creatures global coronavirus pan- tiplayer online games, reggae and folk. streaming at Nugs.TV relax and slip on your danced, entertaining mil- demic wreaking havoc on platforms such as Twitch Highlights: Efterklang, Price: A la cart model for headset: Virtual reality lions watching alone in the spring concert season, and virtual reality head- “The Ghost of Piramida”; downloads and live technology has long bedrooms and man caves the humans controlling sets allow for a different Cecil Taylor, “All the streams hoped to revolutionize the world over. the hundreds of avatars in sort of communal music Notes”; Juan Gabriel, music performance, and A weirder spectacle, attendance never phys- experience, those looking “Mis 40 en Bellas Artes” STAGEIT the possibilities are mind- however, occurred in ically interacted, so they to sate their live music Availability: Amazon For a more intimate blowing – and don’t Minecraft courtesy of the couldn’t spread real-life hunger have a menu’s Prime, Ruku, Google experience similar to a spread COVID-19. The Mine Gala promoter- germs. worth of options. (And, of Price: $7.99 per month, concert, the StageIt plat- Facebook-owned Oculus- designers Open Pit. As the forecast for the course, there’s always $99 annually form engages with a ros- Venues harnesses the Called FireFest, it drew an 2020 festival season be- YouTube.) ter of well known song- company’s Oculus VR astounding array of elec- comes more dire by the Here are some more NUGS.TV writers, rappers, bands technology to present tronic producers who hour, fans, promoters and services, platforms and Starting March 11, the and solo musicians to music events unlike any- caused real-life buzz. A creators are facing an stations offering COVID- rap-rock band 311 cele- present concerts broad- thing imaginable a decade participant in a Reddit uncertain summer. With free interactive music brated 3/11 with a trio of cast from their homes to ago. Available in solo or thread on the Open Pit the road no longer calling, experiences. televised performances at an audience watching in social mode, the experi- parties touted the event as musicians may be forced the Park Theater in Las real time. StageIt’s pitch: ence in social mode pre- a must-see. “Diplo has to experiment with new STINGRAY QELLO Vegas. The price of virtual “unique experiences that sents a level of inter- been here before, no modes of self-expression. A vast repository of admission for those are never archived.” At- activity with other people joke,” wrote a poster Listeners addicted to filmed concerts, docu- logged in to rock music tendees pay a cover (as avatars) similar to at a named Dylan Tallchief. live music, and those mentaries and miscellane- hub Nugs.TV was $29.99. charge calculated in pur- concert. “Diplo was at FireFest whose livelihoods depend ous audio-video content, An offshoot of the Nug- chasable “notes,” money As one attendee wrote and he tweeted about on touring, have options. Stingray Qello is the Net- s.net archive of full con- that goes to the perform- on a VR site,”I expected Coalchella.” Even if they don’t scratch flix of music streaming cert audio performances ers. Fans can interact with to just to be watching The pitch was enough the exact same rhythmic services. Its deep selection by a variety of acts in- the performers and tip alone at home, or silently to convince another par- itch, fans needing to let is easily browsed by cluding the Dead & Com- them extra notes, as well. with others around me. I ticipant in the thread to loose in the living room genre. Looking for punk? pany, Pearl Jam, Metal- On March 12, StageIt didn’t realize the high start planning for the next can look to screens for The great X documentary lica, Wilco, Leftover Salm- announced as a way to level of interaction on Open Pit adventure, immersive musical events. “X: The Unheard Music” on and hundreds more, help artists affected by offer, nor how open peo- which could happen as Artists hoping to recover is available alongside Nugs.TV offers fans an tour cancellations that it ple would be to inter- early as this summer, with lost touring income can concert films by Green opportunity to bring the would increase its artist acting with strangers an invitation: “Anyone broadcast sets, charge Day, the Undertones, improvised thrill of live payout percentage to sitting around them. The looking to camp togeth- fans a cover and market Patti Smith, Fall Out Boy, performance into your 80%. Singer-songwriter interface will even let you er?” their T-shirts and records. Yeah Yeah Yeahs and listening room. Jason Mann pitched his change seats to move Highlights: Coalchella, Whether through online dozens more. Similarly Highlights: the Racon- upcoming event as “social closer to someone, or FireFest, Mine Gala pay-per-view and stream- rich – if a little dusty – teurs Live at Third Man distancing done right,” scroll through an index of Availability: via Minecraft ing portals where thou- selections can be found by Records, Bob Weir & Wolf calling it part of his “no people who are currently app sands of hours of live browsing dozens of other Brothers Live at Sweet- touch concert series.” speaking.” The best fea- Price: $6.99 music events are broad- genres including hip-hop, water Music Hall, Rebirth Highlights: past gigs by ture is one virtually every cast and stored, or in the Latin, classical, metal, Brass Band at Tipitina’s Trey Songz, Jay Sean, concertgoer has needed at MONDAY MARCH 23 2020 PAGE 37 Coronavirus guide

...... Shepherd’s Pie Yield: 6 servings

5 tablespoons unsalted butter 3 large Idaho potatoes (about 2 pounds), peeled and cut into 1-inch cubes 2 teaspoons salt 1 ⁄2 cup milk 1 ⁄4 cup heavy cream 1 1 ⁄4 teaspoon plus ⁄8 teaspoon freshly ground black pepper 1 tablespoon vegetable oil 1 cup chopped yellow onion 1 teaspoon minced garlic 1 1 ⁄2 pounds ground lamb or beef 3 ⁄4 teaspoon Emeril’s Italian Essence or other dry Italian seasoning 1 ⁄4 teaspoon dried thyme leaves 1 ⁄4 teaspoon ground cinnamon Pinch ground cloves 1 tablespoon all-purpose flour 1 1 ⁄4 cups reduced-sodium beef broth 3 ⁄4 cup diced carrots 1 ⁄2 cup green peas, fresh or frozen (if frozen, do not thaw) 2 teaspoons tomato paste 1 ⁄2cup grated sharp Cheddar cheese

Grease a casserole dish with 1 tablespoon of the butter and MICHAEL TERCHA Chicago Tribune via TNS set aside. Position rack in center of oven and preheat the Shepherd’ Pie oven to 375°F. In a medium saucepan, place the potatoes and 1 teaspoon of the salt. Cover with water by 1 inch and bring to a boil over cooking lesson, and if they high heat. BY MARK GUYDISH are old enough maybe let Reduce the heat and cook at a low boil until fork-tender, The Times Leader (Wilkes-Barre, them shred the cheese. about 12 to 15 minutes. Pa.) A few tips from my Using oven mitts or pot holders, drain potatoes in a colan- experience: 1) you may der set in the sink and then return them to the saucepan. Add EDITOR’S NOTE – want to add a potato if the the remaining 4 tablespoons of butter, the milk, heavy 1 Requesting equal time, so mash seems too liquid, or cream,1 / 2teaspoon of the salt, and ⁄8 teaspoon of the black that his wife and newsroom BAM! add liquid if it seems to pepper. Mash with a potato masher until smooth. Set aside. colleague, Mary Therese stiff; it depends on the In a large skillet, heat the vegetable oil over medium-high Biebel, wouldn’t have all size of the spuds and per- heat. Add the onion and cook, stirring, until soft, about 3 the fun, Times Leader staff Comfort food in sonal preference. 2) I minutes. writer Mark Guydish earli- rarely find a recipe that Add the garlic and cook, stirring, for 30 seconds, then add er this week made a shep- doesn’t benefit from some the ground lamb or beef and cook, stirring to break up the herd’s pie in the Times uncomfortable times extra cheese; if you feel meat chunks, until cooked though, about 8 minutes. Leader test kitchen, which the same, keep the grater Remove the pan from the heat. Tilt the pan slightly away is actually the Biebel/ and cheddar handy until from you, and with a tablespoon carefully remove as much Guydish home kitchen. first Jim Thorpe walk, tive. you’re satisfied there’s excess liquid as possible from the pan into a bowl. Discard Could this be the start of a which we’ve try to repeat Emeril’s secret, as far as enough on the top of the the liquid. friendly competition be- each year in late autumn I’m concerned, has always taters. 3) Don’t put the Return the skillet to medium-high heat. Add the Italian 1 tween the spouses? since 2000. I proposed to been a clever combination casserole in the oven and Essence, thyme, the remaining ⁄2 teaspoon of salt, the remain- 1 The first shepherd’s pie MT as close as possible to of spices and flavors. This trust it will take the pre- ing ⁄4 teaspoon of black pepper, the cinnamon, and cloves, I really liked came from the exact minute of her single-dish repast seasons scribed 30 minutes. I’ve and cook until the meat is well browned, stirring frequently, the kitchens of the Inn at birth 40 years earlier (we the meat (I use ground seen the dish turn golden about 6 to 8 minutes. Jim Thorpe (there is a tried the inaugural walk as beef) not only with the brown in 20 or so even Sprinkle the meat with the flour and cook, stirring, for different restaurant there a birthday celebration.) usual salt, pepper, onion without taking the last about 1 to 2 minutes. now), which Mary There- In a quest to find a sat- and garlic. It includes recommended step of Add the beef broth, carrots, peas, and tomato paste, stir to se and I often visit as part isfying recipe for home, I cinnamon, thyme, cloves finishing with a broiler combine, and bring to a boil. of our annual “Jim Thorpe surfed the web years ago and Emeril’s Essence (it’s setting. Reduce the heat to medium-low and simmer until thick- walk” from The Tannery and found this one, cred- on the web and in some Lastly, if you think all ened, about 5 to 6 minutes. (near White Haven) along ited to Emeril Lagasse, stores; I use a homemade shepherd’s pies need Transfer the mixture to the prepared casserole dish and the Lehigh Gorge Trail. Of though a new search of his version of the original gravy, this clearly isn’t for spoon the mashed potatoes evenly over the top. Sprinkle course, it may have been shepherd’s pie concoc- rather than the Italian you, though maybe try it with the cheese and bake for 30 minutes. so good because we had to tions turns up a variation. essence). anyway. All food is litera- Increase the oven temperature to broil and cook until walk more than 20 miles Cliched as it may sound, While it’s not all kid lly a matter of taste, but in golden brown and crisp around the edges, about 4 to 6 min- to get there. this has been such a suc- friendly, if you use a hand our house there is never utes. Long-time readers may cess with every guest who masher that’s one task enough left over for a Using oven mitts or pot holders, remove the casserole from the oven and let it sit for 10 minutes before serving have a dim memory of got a taste that I’ve never you can give any young- complete second meal. what happened on our searched for an alterna- sters who are ready for a ......

The oil protects their flavor Freeze your food to keep your cooking fresh for weeks to come and color from oxidation and helps preserve them for months. That way, to go in the freezer. We’d and plunge them into the oven or, if you’re really tainers, either by type of when your pasta or tomato BY BEN MIMS do this with our two-week ice water to stop them lazy, directly over a gas fruit or a mix of all. They’ll sauce is ready, you can pop Los Angeles Times harvest of cream peas and from cooking. Give them a burner set to the lowest keep this way for at least a out a frozen cube of herbs would have gallon bags quick stir and let them setting. One caveat I’ve month or more. and oil and stir it in, letting Did you overbuy a bunch upon gallon bags to tide us hang out for about 20 to found in my years as a When you’re ready to the heat naturally thaw of produce in a panic fit over for a whole year. Let 30 seconds (no longer or bread freezer: Revived thaw, it’s best to do it over- and revive the herbs so with healthy eating in- me break it down for you: they’ll get waterlogged and toast is as good as new night in the fridge so the they flavor whatever tentions, only to realize First, bring a large pot of soggy), then drain them. only while it’s hot, so get fruit maintains some struc- you’re cooking. there’s no way you and your salted water to a boil. Dry the vegetables well your nut butter and jam or tural integrity. You’re not But don’t stop there; bunkered down partner and While that’s happening, set on paper towels (or let them avocado on it quickly and really going to want to eat apply this principle to on- pets can get through it? up a large bowl of ice water air dry on a kitchen towel if eat it within a couple min- a thawed, frozen berry or ions, scallions, shallots and You’re not alone. But don’t next to it. Next, chop your your paper supply is low), utes, before it has a chance piece of pineapple the garlic. But here you get two force feed yourself all that vegetables into bite-size then portion them into to cool to a chewy card- same way you would if it options: One is to mimic the kale: Here’s how to prep it pieces (this is not neces- usable amounts in reseal- board texture. was fresh, so do these herb prep exactly by chop- and other fast-spoiling sary at this stage but able plastic bags or airtight While most fruit, like all things with them instead: ping the aromatics, then goods so they last just as makes it easier to use them containers. Place them in the in-season citrus we fold them into a loaf cake portioning in ice cube trays long as that box of high- once you’re ready later) the freezer and, voilà, have now, will keep at or muffin batter, blend and covering with oil before protein quinoa spaghetti you and toss them in the water you’ve made your own room temperature or in the them into a smoothie or going in the freezer. This is reluctantly had to buy be- to cook until they’re al frozen vegetables to use refrigerator for at least a with your yogurt and top especially helpful if you’re cause it was the only thing dente. This step is called whenever you need them, couple of weeks, it doesn’t with granola, bake them cooking for one or two and left on the shelf. blanching, and you do it to whether that’s two days or hurt to get into the habit of into a cobbler or pie, or won’t need that much There’s no reason to let stop the enzymes in the two months from now. freezing fruit too, especial- cook them down with chopped onion anyway. your supply of vegetables vegetables that would If you’re like me and ly berries, bananas and some sugar and a splash of Toss a frozen cube or two of run low just because the continue to spoil them, never eat a slice of bread other soft fruit that will lemon juice for a quick jam chopped onion or garlic into frozen varieties are gone or even in extreme cold con- that’s not toasted, this spoil faster. Those who that you can spoon over your heating pot and they’ll picked over. Buy fresh ditions like the freezer (it should be an easy one. Any make fruit smoothies on toast, ice cream or into a be sizzling away in no time vegetables and freeze helps that it also sets the loaf of bread, whether it’s the regular will already shaker to mix with booze to flavor the base of your them yourself. All conten- color of vegetables so the sliced kind from the know this trick. for a fruity cocktail. tomato sauce or soup. ders are welcome, espe- they’re vibrant and more grocery or an artisanal loaf, First, line a baking sheet Herbs have the shortest The second method is cially hearty greens like pleasing to eat). All vegeta- freezes well. The key is to with parchment paper, then life span of most produce, arguably better. First, cook kale, spinach, swiss chard bles have different cooking slice it first, then place spread your fruit on it. If but that doesn’t mean you a big batch of sliced onions and mustard/collard/ times, but similar to the small strips of parchment you’ve got blueberries and should overlook them or scallions or garlic in oil turnip greens, but also way you test pasta, you or wax paper between the raspberries, leave them when stocking up on es- until caramelized and cruciferous veggies like want to take a piece of veg slices, so you can reassem- whole, but hull and quarter sentials. tender, then let it cool cauliflower, broccoli, Brus- out every couple of min- ble the loaf and the slices any strawberries. Peel and Similar to the greens and completely. Spoon the sels sprouts and cabbage, utes, depending on what it won’t stick back together slice bananas into bite-size vegetables above, you can mixture into ice cube trays as well as carrots, aspara- is, of course, and take a as they freeze. Once reas- pieces. Do the same with blanch and freeze herbs or small plastic containers gus, green beans, peas, etc. bite: It should be firm but sembled, wrap the loaf mango, papaya, pineapple (parsley and cilantro work and top with more oil, if A childhood of growing yielding, like biting into a tightly in plastic wrap, then or any other tropical fruit particularly well in this needed. This way, when up on a farm left me with fresh cucumber. once again in foil; it will you like. Once laid out, case, but only need to be you want that slow-cooked this, the most valuable skill Once the vegetables are last this way in your freez- place the sheet in the freez- blanched for quite literally flavor in an instant, you for times like we’re in now. ready, drain them (pour er for at least a month. er and let the fruit freeze three seconds), but the can stir a cube of cara- We called it “putting up” the whole lot in a colander When you’re ready to completely. Then, pop the easiest and best way is to melized onions into your vegetables for the winter, if you’re doing just one revive it, break off a slice fruit off the parchment chop them up, distribute pasta, caramelized scal- and it basically entails batch or use a slotted and warm it directly in paper and divide the fruit them among the divots of lions into chicken soup or blanching vegetables, then spoon to lift the veg out so your standing toaster, among resealable plastic an ice cube tray, and cover caramelized garlic into packing them in containers you can reuse the water) toaster oven, conventional bags or airtight plastic con- them with a little olive oil. mashed potatoes. MONDAY MARCH 23 2020 PAGE 38 Coronavirus guide Coronavirus kitchen: What to stock, cook if you face a 14-day quarantine

...... BY JESSICA YADEGARAN The Mercury News (Calif.) Pulled Pork Greek-Inspired Sheet Pan Chicken, America’s Test As the novel coronavirus Serves 10-12 Potatoes and Delicata Squash Kitchen continues to spread and Serves 4 Pumpkin Bread residents consider the ½ cup vegetable oil ¼ cup red wine vinegar Makes 2 loaves possibility of self-quaran- 1 ½ cup firmly packed dark brown sugar ⁄3 cup fresh lemon juice (from about 2 lemons) tine, one can’t help but ½ cup soy sauce ¼ cup olive oil wonder: Am I really going 4 to 5 cloves finely minced garlic (about 1 ½ tablespoons) Topping: 2 cups ketchup 5 tablespoons packed (2¼ to eat all the protein bars I 1 teaspoon garlic powder or garlic salt 1 tablespoon dried oregano 1½ teaspoons kosher salt ounces) light brown sugar hoarded at Costco? 1 large onion, coarsely chopped 1 tablespoon all-purpose flour 2 tablespoons Worcestershire sauce 1 teaspoon finely minced rosemary Not if you’re stuck at Freshly ground black pepper 1 tablespoon unsalted butter, home for two weeks, po- 5-pound boneless pork shoulder roast, fat trimmed softened Barbecue sauce for serving Pinch of cayenne or red pepper flakes tentially unwell or taking 4 bone-in, skin-on chicken thighs (about 1½ pounds) 1 teaspoon ground cinnamon care of someone who is 1 large delicata squash (about 1 pound) ⅛ teaspoon salt Whisk the oil, vinegar, brown sugar, soy sauce, ketchup, garlic 1½ pounds Yukon gold potatoes Bread: unwell. You did the right 2 cups (10 ounces) all-purpose thing by stocking up on powder, onion and Worcestershire sauce together in a mixing bowl. 1 small red onion, thinly sliced (optional) Pour into a large zipper-top plastic bag. Place the pork in the bag with Fresh parsley or mint, lemon wedges for serving flour toilet paper, hand sanitizer the marinade, seal the bag and turn the pork to coat. Refrigerate 1½ teaspoons baking powder and disinfectant wipes. overnight, turning the bag once or twice. ½ teaspoon baking soda But, remember: This isn’t Pour the entire contents of the bag into the insert of a 5- to 7-quart Line a sheet tray with foil and place it in the oven to preheat at 500 15-ounce can unsweetened an earthquake stash. slow cooker. Cover and cook on low for 10 hours, until the pork is fork degrees, while you prepare the marinade and prep the chicken and pumpkin puree tender. Remove from slow cooker, cover with foil and let rest for 15 vegetables. 1½ teaspoons ground cinna- Should there be a quaran- In a large bowl, combine the lemon juice, olive oil, garlic, oregano, mon tine – government or self- minutes. Meanwhile, skim off any fat from the sauce. Using two forks, shred the meat, then return it to the sauce. At this salt, minced rosemary, a few grinds of black pepper and a pinch of 1 teaspoon salt issued – you will likely point, the pork may be refrigerated for up to 5 days or frozen for up cayenne to make a marinade. Add the chicken to the bowl and toss to ¼ teaspoon ground nutmeg have refrigeration, electric- to 2 months. Serve warm, piled into soft rolls with additional barbecue ensure all the pieces are evenly coated with the marinade. Set the ⅛ teaspoon ground cloves ity and a lot of time on sauce, and a side of slaw or baked beans. chicken aside while you prep the potatoes and delicata squash. 1 cup (7 ounces) granulated Cut the potatoes into ½-inch thick wedges (if using small potatoes, your hands to nourish — DIANE PHILLIPS, “SLOW COOKER: THE BEST COOKBOOK sugar EVER” you can simply cut them in half). Cut the delicata squash lengthwise. 1 cup packed (7 ounces) light yourself and the ones you Scoop out the seeds with a spoon, then slice each length of squash in brown sugar ...... love. ½-inch thick moons. Toss the potatoes, delicata squash and sliced ½ cup vegetable oil In other words, you’ll onions with a light drizzle of olive oil and a sprinkle of salt and pepper...... 4 ounces cream cheese, cut into want to cook. Using oven mitts, carefully remove the hot sheet pan from the 12 pieces “From my standpoint, oven. Add the potatoes and delicata squash to the pan, then nestle 4 large eggs Instant Pot Risotto the chicken pieces, skin-side up, among the vegetables and drizzle there’s no reason to live on ¼ cup buttermilk Serves 6 to 8 with the marinade. 1 cup walnuts, toasted and snack bars and meal re- Return the sheet pan to the oven, lower the heat to 425 degrees chopped fine placement drinks,” says and roast for 35 to 45 minutes or until the chicken and vegetables are Los Gatos’ Marlene Koch, 1 tablespoon extra-virgin olive oil cooked through. Use tongs to flip the potatoes and squash halfway a registered dietitian nutri- 1 pound mixed mushrooms, thickly sliced through the cooking time. You can leave the chicken, skin-side up for Using your fingers, mix all the topping ingredients in a bowl tionist and New York 1 large onion, chopped the whole cook time. 2 cloves garlic, minced Garnish with parsley, mint and lemon wedges and serve. until well combined. The mixture Times best-selling cook- should resemble wet sand. 1½ cups Arborio rice ...... book author. “With a quick ½ cup dry white wine Adjust oven rack to middle stock of your freezer and 20 ounces low-sodium chicken stock, room temperature ...... position and heat oven to 350 pantry, you can have the ¼ cup heavy cream, room temperature degrees. Grease two 8½ by ingredients it takes to not 2 tablespoons crumbled Gorgonzola cheese 4½-inch loaf pans. Black Bean Chili Whisk flour, baking powder only feed someone who is Coarse salt and freshly ground black pepper to taste Serves 6 and baking soda together in not feeling well but to feed bowl. the whole family.” Press the saute button to preheat your Instant Pot. When the word Using a large saucepan set But what are those in- “hot” appears on the display, add the olive oil, then the mushrooms. 1 pound lean ground beef or turkey over medium heat, cook the Cook the mushrooms, stirring occasionally, until the mushrooms have 2 tablespoons vegetable oil pumpkin puree, cinnamon, salt, gredients, and how much released their liquid and most of it has evaporated, 7 to 8 minutes. 1 large onion, chopped do you buy? Koch, who nutmeg and cloves, stirring Add the onions and cook until they’re opaque and softened, about 3 cloves garlic, minced constantly, until reduced to 1½ pens the health-focused 5 minutes. Add the garlic and rice. Cook about another 3 minutes, 3 tablespoons chili powder cups, 6 to 8 minutes. Off heat, “Eat What You Love” stirring frequently. Pour in the white wine to deglaze the pot and allow 2 teaspoons ground cumin stir in granulated sugar, brown cookbook series, says you most of it to absorb into the rice. Press “cancel” to turn off the Instant 1 tablespoon Worcestershire sauce sugar, oil and cream cheese until should start with simple Pot. 28-ounce can crushed tomatoes combined. Let mixture stand for Pour the chicken stock into the Instant Pot, and close and lock the 1 red bell pepper, seeded and chopped 5 minutes. Whisk until no visible family favorites – say, lid. Press “manual” and adjust the timer to 6 minutes. Check that the 3 to 4 cans (14.5-ounces each) black beans, drained and rinsed slow-cooker Pulled Pork or pieces of cream cheese remain cooking pressure is on high and that the release valve is set to “seal- ¼ cup chopped cilantro and mixture is homogeneous. Sheet Pan Chicken – keeping.” 1 tablespoon canned chipotle chili puree, if desired (see below) In a separate bowl, whisk eggs ing protein as a top pri- When the time is up, open the Instant Pot using “quick pressure Garnishes: Sour cream, chopped green onions, shredded Monte- and buttermilk together, then ority. release.” Stir in the cream and Gorgonzola, adding more cheese to rey Jack whisk into pumpkin mixture. taste. Season to taste with salt and pepper. If you like pepper, go a Gently fold in the flour mixture little heavy here; it works well in this dish. FREEZER FORTUNE In a large pot, brown the meat in oil, along with the onion, garlic, until combined (some small — KRISTY BERNARDO, “WEEKNIGHT COOKING WITH YOUR Because “protein needs chili powder and cumin. When the meat is browned and the onion is lumps of flour are OK). Fold in INSTANT POT” walnuts. vary widely between men translucent, drain the fat. Add the Worcestershire sauce, tomatoes, ...... red bell pepper and black beans. (Adjust the amount of black beans Scrape batter into prepared and women, or young kids to vary the thickness of the chili.) pans, smooth tops and sprinkle ...... and teenagers, it’s hard to Simmer on low for 1½ hours, stirring occasionally. Add a bit of evenly with topping. Bake until say how much to buy,” water or beer if the chili begins to stick or thicken too much. skewer inserted in center comes Koch says. Seven-can Chicken Taco Soup Just before serving, add cilantro and chipotle puree. (To make out clean, 45 to 50 minutes, In general, she recom- chipotle puree, blend a can of chipotle chiles along with the adobo rotating pans halfway through Serves 4 to 6 baking. mends 4 ounces of protein sauce in a blender or food processor. The puree can be stored, refrigerated, for a week and in the freezer for several months.) Garnish with Let loaves cool in pans for 20 per person per day. The 15-ounce can black beans, drained and rinsed sour cream, green onions and Monterey Jack as desired. minutes, then turn out onto wire USDA recommends 5 15-ounce can pinto beans, drained and rinsed — ADAPTED FROM SUNSET MAGAZINE AND JEFF SMITH’S “THE rack and let cool for 1½ hours ounces of lean meat – the 14.5-ounce can petite diced tomatoes FRUGAL GOURMET COOKS AMERICAN” before serving. equivalent of 1 cups 15-ounce can sweet corn, drained ...... — AMERICA’S TEST KITCHEN cooked beans – for a 12.5-ounce can chicken breast, drained and flaked ...... 28-ounce can green enchilada sauce 2,000-calorie daily diet...... 14-ounce can chicken broth “I would stock the freez- 1 packet taco seasoning and throws in a few hand- er with a variety of 2- to ½ teaspoon ground cumin Chickpea and Chorizo Stew fuls of spinach or kale, 3-pound bags of lean ½ teaspoon chile powder Serves 3 to 4 garlic and broth. ground beef or turkey, ½ teaspoon garlic powder A Craving spice and have Garnish: Lime wedges, shredded cheese, tortilla chips chicken tenders, or even 2 tablespoons olive oil some frozen sausage? Try shrimp,” she says. “Re- ½ cup onion or shallots, finely diced spicy Chickpea and Chori- member, your quarantine Combine all the ingredients, except the garnishes, in a large pot 2 cloves garlic, finely chopped zo Stew, substituting fro- may be for weeks but your and bring to a boil over medium-high heat. Lower heat and simmer 8 ounces Spanish chorizo sausage, chopped into bite-sized pieces zen diced red and yellow bounty will last for for 20 to 25 minutes. Serve with lime wedges, shredded cheese and 2 teaspoons hot smoked or sweet paprika (optional) bell peppers if you don’t tortilla chips, as desired. Makes about four to six servings. months. If they buy too 1 teaspoon cumin powder have the fresh in your — B. R. FLANNERY 2 cups red, yellow and/or orange bell peppers, cut into ½-inch much, these are ingre- fridge...... dice dients that people can be Two 16 ounce cans chickpeas, drained and rinsed But not everyone is grilling outside come sum- ful meals without access to or vegetable broth and 14-ounce can chopped or crushed tomatoes looking for the quick and mer.” a grocery store. Think cumin,” she says. 2 cups chicken stock easy cook when they’re on Also in that freezer: outside the cupboard when Cumin is among her Salt and pepper to taste lockdown. If you’re stuck Tortillas, microwaveable it comes to this category. shaker staples because it is Chopped parsley to garnish at home and find cooking rice or quinoa, frozen fruit Sure, you should have on used in many cuisines. or baking therapeutic, for smoothies and frozen hand your favorite pasta or Other spices to pep up Heat the olive oil in a medium-sized pot over medium heat. Add then, by all means, use vegetables to stir into grain, nut butter, canned dishes, or in lieu of the the onions or shallots and saute them for 4 to 5 minutes, or until they that can of pumpkin left are softened and golden. Add the chopped garlic to the pan and fry soups, grain bowls and tuna or sardines, diced fresh version: Smoked for 30 seconds to a minute. over from the fall to make easy pasta dishes. tomatoes, and, of course, paprika, chile flakes, garlic Add the chopped Spanish chorizo, paprika and cumin and fry for America’s Test Kitchen’s Not all frozen veggies beans. But using dried powder, ground ginger and another 1 to 2 minutes. ultimate Pumpkin Bread. are created equal – she mushrooms instead of dried herbs, especially Add the chopped bell peppers, chickpeas and tomatoes and And don’t forget the one prefers corn and peas over, fresh mushrooms can yield thyme and oregano, which continue cooking for 2 to 3 minutes. fruit that you’ll want to say, frozen broccoli – but a divine Instant Pot risotto. can easily substitute for Taste and season with salt and pepper as needed, then add the overripen in the event chicken stock and bring to a boil. Lower the heat and let the stew as long as you get some And don’t even get Koch the real thing when mak- gently simmer, covered, for 8 to 10 minutes. Taste and adjust season- you’re marooned at home: greens into your meals started on beans. Pinto, ing, say, a roast chicken ing, if needed, garnish with chopped parsley and serve. Bananas. When the world you’re eating well. black, garbanzo, kidney or with the former or spa- — A LITTLE YUMMINESS (WWW.ALITTLEYUM.COM) is amiss, there’s nothing

“It may also be comfort- cannelli – you can make ghetti sauce with the latter...... quite as satisfying as mashing to know that frozen meals to last well beyond Here are a few other ing near-black bananas veggies have the same two weeks, from a hearty Koch tricks: role. “Unlike almond milk it is into a recipe for warm, beneficial nutrient qual- Black Bean Chili or this A Combine canned tuna A Leftover potato chips? actually creamy and mim- comforting banana bread, ities as fresh,” Koch adds. brilliant Seven-Can Chick- with a low-sodium cream Crumble on top to add a ics the texture of dairy especially when it’s stud- en Taco Soup. soup, like cream of brocco- crunchy topping, she says. milk.” ded with those chocolate PANDEMIC PANTRY Here’s an even easier li, mushroom or celery, A If a recipe calls for A For a simple yet satis- chips you keep trying not Canned and dry goods, one, courtesy of Koch: and add jarred artichoke milk or cream, she uses oat fying plant-based dish, to snack on. too, are no-brainers when “Puree a can of black hearts and sun-dried toma- milk. “Swirl it into coffee, Koch adds a can of chick- It’s time – snack on. it comes to making health- beans with salsa, chicken toes for a new-age casse- oatmeal, soups,” she says. peas to fresh-cooked pasta MONDAY MARCH 23 2020 PAGE 39 Coronavirus guide

DREAMSTIME TNS Tickets are plentiful in the resale market at the moment as many fans are nervous about future concerts. Ticket refunds: Rules and one surprising tip for postponed concerts, other events

ets and other seats with almost always can. Ticket- it toward future purchases be shortchanged and can and fall. If these dates are BY CHRIS RIEMENSCHNEIDER inflated prices bought master and other websites instead of refunds for still seek refunds or team postponed or canceled, the Star Tribune (Minneapolis) through Ticketmaster; all have a “Request a Refund” canceled shows. This is credit if and when games same rules will apply for refunds are given at the link on their website (often actually a good deal if you are officially canceled or refunds as listed above. First comes the toilet price you paid. Those re- under the “Your Account” regularly turn to these sites rescheduled. There are advantages to paper, food and other funds do include the va- dashboard). However, you for tickets. For instance, if Theater productions: buying tickets now. For essentials. Eventually, rious fees, too, except for will have to – and may not you bought $250 in tickets, Ticket refunds are general- one, some ill-informed or though, those of us who postage if the tickets were be able to! – repurchase you’ll get an extra $50 ly operating the same as panicky fans are trying to had tickets to concerts and mailed. tickets to the makeup toward the next big show. concerts. Refunds should unload seats via resale other events now sidelined Ticketmaster, AXS, eTix dates. For events that are post- be available for perform- sites such as StubHub, so by the coronavirus will and other ticket platforms Shows still in limbo: For poned, tickets bought ances that are already seats for questionable big have to figure out if, when email ticket buyers with updates on concerts not through resale sites such as canceled - check with the gigscan actually be had for and how to get our money specific details on a show- yet postponed or canceled StubHub will still be good venue for more informa- face value or less. back. by-show basis. For tickets but questionable, news on the makeup date, just tion. Postponed shows that Left’s face it: Hardly any- Here are general guide- bought in person with cash usually comes first from like Ticketmaster. Ticket are trying to reschedule body is buying concert lines and a few tips on how or debit card, refunds must the artists themselves holders should expect an may provide seats to ticket tickets right now. That to handle tickets for side- be sought at the point of and/or the venues via their e-mail from the site with holders for the makeup means good seats should lined performances. purchase (but there’s no social-media sites. Some new information. dates. be plentiful to most up- One suggestion you may rush to do so; maybe wait a venues and artists are However, these sites Patrons can also get coming shows. find surprising: Now ac- few weeks). offering refunds to fans usually do not offer re- credit for upcoming per- That also means that tually could be a good time Postponed events: For who want out in the mean- funds if the buyer cannot formances in lieu of re- many smaller, independ- to buy tickets to an up- shows that are rescheduled time, but mostly these make the rescheduled funds – which is especially ent venues and the artists coming event even if or have plans for resche- tickets are still valid and date, so ticket holders are ideal for the nonprofit they host are taking big there’s a chance of it being duling, ticket holders usu- not voidable. then told to resell their theater companies being financial hits at the mo- postponed. ally don’t have to do any- Tickets bought through seats (benefiting the resale hit hard by the quarantine. ment. They could benefit Canceled events: Most thing if they still plan to resale sites: For events that site twice over with its Buying for future events: from fans pre-purchasing events that are outright attend on the later date. are canceled, StubHub, selling fees). The shows must go on, and tickets during this down- canceled without any plans Your tickets to the original VividSeats and similar sites Sports tickets: For now, eventually they will. Con- time. Or consider buying to reschedule will automat- event will be good for the are giving out refunds just teams are listing their cert tickets are still being gift cards or merchandise ically be refunded to the makeup show. like Ticketmaster. Stub- games as postponed, not sold to gigs as early as the such as T-shirts from these credit card used to pur- If ticket holders wish to Hub and several more of canceled, so no refunds are beginning of next month, venues’ and artists’ web- chase your tickets. This ask for a refund for a re- these sites are also current- being automatically given and new concerts are being sites as another means to includes “platinum” tick- scheduled show, they ly offering fans 120% cred- yet. Fans certainly won’t announced for the summer support them.

immunocompromised, so effort between SAVE THE Stuck at home with kids? thank you. And now I’m CHILDREN and Share going to read a book that I Our Strength’s NO KID Celebrities will read stories have a lot of trouble get- HUNGRY,” Adams wrote ting through and haven’t on Instagram. “THIRTY actually read in a long MILLION CHILDREN in entertain self-quarantined time because I find it a the United States rely on BY CHRISTI CARRAS families whose children difficult one.” school for food. School Los Angeles Times are no longer in school In addition to part- closures will hit vulner- because of public health nering with parenting blog able communities hard.” Once upon a time, fa- concerns. Romper for “Operation Both actresses also mous actors and authors “In case your day calls Storytime,” Garner also encouraged their fans to united during a pandemic for a calming story,” Gar- collaborated with Adams donate to Save the Chil- to ease children’s anx- ner captioned her In- for “Save With Stories,” a dren and No Kid Hungry ieties through storytelling. stagram post, for which reading initiative started in order to serve kids Amy Adams, Josh Gad, she recited Jan Brett’s by nonprofit organizations “affected by COVID-19,” Jennifer Garner and more winter wonderland tale, JAY L. CLENDENIN TNS Save the Children and No who are experiencing food stars are lending their “The Mitten,” accompa- Actress Amy Adams, at the 2019 Primetime Emmy Kid Hungry. Similar to insecurity during the pan- voices to “Operation Sto- nied by her kid-friendly Awards in Los Angeles on Sept. 22, is one of several “Operation Storytime,” demic. Anyone who wants rytime” and “Save With golden retriever. celebrities lending their voices to “Operation Storytime” “Save With Stories” fea- to contribute can do so at Stories,” initiatives aimed Gad – who is accus- and “Save With Stories,” initiatives aimed at lifting kids’ – tures Adams reciting Avia- savethechildren.org/ at lifting kids’ – and par- tomed to amusing kids as and parents’ – spirits. na Olea Le Gallo’s “The savewithstories or text ents’ – spirits amid coro- the voice of Olaf the Dinosaur Princess” to her “SAVE” to 20222 for a navirus-induced uncer- snowman in “Frozen” – daughter and Garner one-time donation of $10. tainty. opted to read Shel Silver- “I also want to thank want to be out there, too,” reading Ken Geist’s “The “All you have to do is Here’s how it works: stein’s classic “The Giving everyone who is in self- the “Book of Mormon” Three Little Fish and the watch our stories and Participants post social Tree” and offered some isolation right now. I alum said. “But it’s impor- Big Bad Shark.” please consider donating,” media videos of them- support to families who know it’s hard not to be tant that all of us protect “We are galvanizing as Adams said in a joint selves reading various have committed to social out there socializing with everybody who is some- a community to support a video with Garner. children’s books aloud to distancing. everybody. Trust me, I what fragile right now, or new fund for a combined MONDAY MARCH 23 2020 PAGE 40 Coronavirus guide SUNFLOWERS FOR THE SOUL

designed landmark in BY JESSICA GELT Spain. “Masterpieces From Los Angeles Times 6 Google art discoveries for your quarantine the Collection” has art from the mid-20th century Coronavirus closures to the present: Mark Roth- may mean months could ko, Jean-Michel Basquiat, pass before you can stand Yves Klein and Willem de in front of a museum mas- Kooning, revealed in lumi- terpiece again. If you have nous layers. time on your hands and a Smithsonian American deep need for cultural Art Museum, Washing- sustenance and succor, be ton: You can take a digital it for yourself or your chil- walk through “African dren, it’s time to get fam- American Art: Harlem iliar with a resource so Renaissance, Civil Rights obvious it’s not: Google Era and Beyond,” featur- Arts & Culture (artsand- ing work by black artists culture.google.com). from the 1920s through This Google project the 2000s. This exhibition launched nearly a decade explores the Harlem-based ago, and while you likely portrait photography of were forgetting about it, James VanDerZee, the the platform expanded lush brushstrokes of James exponentially. It now fea- A. Porter and the expres- tures thousands of high- sionistic folk art of William resolution images from Henry Johnson, as well as more than 1,200 museums a trove of others works globally, including the relating to race, identity, National Gallery in Lon- politics, culture and fam- don, the Museo Reina ily. Sofia in Madrid and the Museo Frida Kahlo, Mex- State Hermitage Museum ico City: “Appearances in St. Petersburg, Russia. Can Be Deceiving: Frida You can visit Google Kahlo’s Wardrobe” is an Arts & Culture as a web- intimate study of the fasci- site on your laptop or desk- nating, highly stylized top, but the project is at its clothing and accessories immersive best when that defined the look of the engaged via the Google famous Mexican painter. Arts & Culture app (avail- Kahlo’s life was forever able on Google Play and altered by a bus accident the Apple App Store), that displaced three ver- which you can download tebrae and left her in pain for free on your smart- for the rest of her life. phone or tablet. The great Crutches, elaborate leath- joy is its ability to transport er corsets, a prosthetic leg you into the textural world in a gorgeous red-leather of a piece of art. Zoom into boot embroidered with silk brushstrokes, skate across thread – they’re all on oceans of color or a tap on digital view, as are a slew a screen and explore the of Kahlo’s traditional Mex- universe contained in the ican dresses. blue-green pigment of a Art Zoom: Thank Google single painted eye. not only for all of those Images are accompa- interactive exhibitions but nied by explanatory text, also for Art Zoom videos and you can spend days that play like mini docu- diving into the collection mentaries, zeroed in on of any given partner in- tiny details of famous stitution. VICTORIA JONES AP canvases and narrated by Here we’ve rounded up Google Arts & Culture features thousands of high-resolution images from more than 1,200 museums globally, famous musicians in- some of our favorite vir- including “Sunflowers” in the Van Gogh Museum in Amsterdam. cluding Jarvis Cocker and tual exhibits on the plat- Maggie Rogers. A prime form. It’s also worth not- example: Pieter Bruegel ing that the websites of tion. But for now, here are images of more than 160 museums, featuring up- Wander placid hallways the Elder’s “Tower of local institutions like the six ways to let Google be artworks, including sun- close looks at the mu- and corridors, and gaze Babel” as examined by Getty Museum, Museum your global museum. flowers, self-portraits and seum’s interiors and the out a window at the Ponte Feist. The Canadian sing- of Contemporary Art, Los Van Gogh Museum, Am- his famous “The Bed- stunning masterpieces on Vecchio bridge, which er-songwriter takes us Angeles County Museum sterdam: Take a virtual room.” You also can click its walls, including Miche- straddles the picturesque inside her interpretation of of Art and the Natural trip to the Netherlands and into the story, “Which langelo’s “Doni Tondo” Arno River. one of Bruegel’s most History Museum of Los this museum, which offers Books Did Vincent Van and Botticelli’s “The Birth Guggenheim Bilbao Mu- famous works, which she Angeles County promise one of 17 collections of Gogh Read?” of Venus.” (The magnifica- seum: Get up-close and notes stands 5 feet, 1 inch robust online options to Van Gogh paintings in the Uffizi Galleries, Florence: tion of the latter is so pow- personal with a selection high – almost as tall as the help us in our coming Google project. You can Take a virtual tour of one erful, you can see cracks in of modernist triumphs singer herself. weeks of collective isola- see amazingly detailed of Italy’s most famous the paint of her eyelids.) inside the Frank Gehry-

streamer features horror James Bond features. series on its website. The movies and shows, plus A PBS is streaming Ken HBO Now streaming Here’s how to stream TV without thrillers and suspense. Burns’ four-part film service offers a seven-day After the trial it’s $4.99 a “Baseball” for free on free trial, then it’s $14.99 paying a dime – with trial periods month or $47.88 a year. pbs.org and all PBS a month. A Tubi is a free streamer streaming services. It’s A Showtime is offering a that gets content from almost eight hours of 14-day free trial. After streamers’ current free- sion shows, foreign-lan- more than 200 partners, sports-related content, that it’s $10.99 a month BY CHRISTIE D ZURILLA trial offers just right, you guage thrillers and more. including Paramount, folks. or $109.90 per year. Los Angeles Times can have a pandemic’s After the trial it’s $5.99 a Lionsgate and MGM. The Amazon Prime Video A Apple TV+ offers a worth of entertainment month or $59.99 for the catch: It’s ad-supported. offers a free 30-day trial, free one-year subscription The reality is starting to without paying a dime. year. But – it’s free. then charges $13 a month with purchase of an Apple set in: Coronavirus has a For those who haven’t A Sundance Now is A Crunchyroll offers a or $119 per year once the product or a seven-day lot of people stuck at been streaming yet and extending its seven-day 14-day free trial of its trial is over. free trial without pur- home. Sports are shut think now might be the free trial to 30 days for premium, ad-free, HD A Hulu offers a 30-day chase. After that it’s $4.99 down. Some people are time to try it out, here are new customers with the incarnation. The streamer free trial, then charges a month. temporarily out of work or the free deals on the promo code SUNDANCE- features anime and Japa- anywhere from $5.99 a A CBS All Access offers might be soon. Budgets larger services. All require NOW30. The streamer nese programming. After month for Hulu with ads a seven-day free trial. for luxuries – like premi- that you sign up with a features true-crime series, the trial it’s $7.99 a to $60.99 a month for After that the price is um TV –are tightening. valid credit card. Remem- original dramas and ex- month, $22.99 for three ad-free Hulu + Live TV. either $5.99 or $9.99 So how do we stay en- bering to cancel on time? clusive thrillers. After the months or $79.99 for a A STARZ has a deal for monthly, depending on tertained without breaking That’s on you. trial it’s $6.99 monthly or year. new customers: $4.99 a whether there are com- the bank with $20-a-pop A Acorn TV has extend- $4.99 a month with an A Pluto TV is another month for the first three mercials. Take about 15% movies on demand? ed its usual seven-day free annual membership. free streamer that’s sup- months. After that the off the price with an an- Streaming services, of trial to 30 days for new A Shudder is extending ported by ads. It offers cost increases to $8.99 a nual plan. course. subscribers. The streamer its normal seven-day free live TV and movies and month. A Cinemax’s Max Go is It turns out that if you features British, Austra- trial to 30 days with the TV series on demand. A HBO offers a limited not currently offering a string together various lian and Canadian televi- promo code SHUTIN. The Check out the half-dozen number of free pilots and free trial. MONDAY MARCH 23 2020 PAGE 41 Coronavirus guide

CHARLES KRUPA AP Two young men walk down Main Street under Christmas lights through downtown in Farmington, New Hampshire, on Thursday. As the coronavirus spreads, holiday lights are going back up to provide a bit of emotional and actual brightness. Enjoyable at a distance, holiday lights brighten dark times Rosemary Peterson, the mom in question, said BY HOLLY RAMER Thursday she made the Associated Press offhand suggestion after making the wrenching deci- CONCORD, N.H. sion to indefinitely postpone At a time of great un- the funeral for her sister, certainty, even the seasons Marlene, who died on March seem scrambled. Christmas 13. lights in springtime? “We know we are not Wrapped around a tree alone. Many are giving up trunk in Colorado, fashioned events, experiences, cele- into a heart in Alabama and brations and milestones,” hung high over Main Street she said. “So in the midst of in a New Hampshire town, a lot of darkness, I thought holiday lights are going back we could all use some light.” up. As the coronavirus Both she and her son were spreads, the displays are surprised that his tweet took providing a bit of emotional off. and actual brightness. And “He told me, ‘Mom, there they’re especially easy to are a lot of people looking at enjoy from a safe social this!’ and I said, ‘Oh, no! We distance. have to go put out some “We live out in the coun- lights!’” Peterson said. “We try, but I know you can see ran out and wrapped a tree them from the highway,” CHARLES KRUPA AP and had another light string said Julie Check, who turned Jason Desjardin, of the Farmington Preservation & Improvement Organization, stands on a we put around our front on the white lights that trace ladder Thursday as he turns back on the Christmas lights in Farmington, N.H. window. Nothing too fancy, the roof line of her home in I’ll tell ya.” Eastman, Wisconsin, on electric company said lights “It’s tough for everybody cer,” he said. “By bringing Since then, others have Wednesday night. “Anything could no longer be affixed to right now. Everyone is on the lights back, hopefully, it adopted his #lightsforlife I can do to make people its poles. edge,” he said. “We just gives people the sense of hashtag to share photos of happy right now, I’m going “It’s a small town; we thought it would be nice to hope that we’re all in this their efforts. In Huntsville, to try to do.” don’t have a lot of traditions. give the folks in town some- together. We’ll get through Alabama, Sarah Bang said In Farmington, New That was one of them, and thing to smile about.” it.” she usually just winds a Hampshire, a roughly five- we just didn’t want it to go Police Chief John Drury Many of the posts on Twit- string of white lights around block stretch of downtown away,” said Lee Warburton, was all for the idea. He re- ter and other social media the railing of her apartment has been re-illuminated with president of the Farmington members how pretty the platforms point back to a balcony for Christmas. But holiday lights that swoop Preservation and Improve- lights looked when he first Colorado man who tweeted after seeing Peterson’s and zigzag between tall ment Organization, which visited the town for a job Monday that his mom tweet, she made a heart wooden posts. So cherished maintains and installs the interview on a December thought people should put shape instead. is the town’s 80-year deco- lights. At his suggestion, the day 20 years ago. Christmas lights in their “I had Christmas lights rating tradition that tax- 27 strands totaling 2,000- “It was one of the things windows “to remind each because I’m super into payers approved spending plus bulbs were tested and that actually drew me to this other there is still life and Christmas, so I dug them out $11,500 six years ago to turned back on Thursday community when I was first light” while they stay home and decided love was a good erect the posts after the night. looking to be a police offi- to avoid the virus. thing to spread,” she said. MONDAY MARCH 23 2020 PAGE 42 Coronavirus guide

NETFLIX TNS “Tuca and Bertie” on Netflix.

“Monk” in elementary BY SEATTLE TIMES STAFF school – it was exciting The Seattle Times enough for my older 22 TV shows to binge brother and I and not too Due to unprecedented violent for my younger events taking place in the sister and mom. (Dad United States and around napped.) Plotlines dulled the world, a lot of us may as the show trudged on, be finding ourselves stay- but there’s enough heart ing home more than usual on as you wait out in the script – and intrigue these days. And we'll be about Trudy’s murder – to needing things to watch – make eight seasons worth not just movies, which kill watching. “Monk” is easy maybe two hours or so, to start and easy to love, but multiseason TV shows the coronavirus and the protagonist’s in which we can get happi- paranoia over germs has ly lost. In between wash- never been more relating our hands and mon- able. Fair warning: Randy itoring the latest public Newman’s theme song health news, here’s 22 will be stuck in your head binge-worthy TV shows for weeks. available for streaming. “NATHAN FOR YOU” “TUCA & BERTIE” (COMEDY CENTRAL; (AVAILABLE ON NETFLIX) AVAILABLE ON HULU) This unjustly canceled Nathan Fielder gradu- Netflix series about a ated from one of Canada’s friendship between anx- top business schools with ious perfectionist song really good grades. He thrush Bertie (voiced by says so at the top of every Ali Wong) and Tuca, a “Nathan For You” episode big-hearted, extroverted before offering businesses toucan in recovery for ideas that the owners substance-use issues (Tif- inevitably realize are ludi- fany Haddish), is the only crous. The fun is in watch- show I’ve watched and ing them eventually tell immediately wondered- Nathan his ideas are ter- ,”Does this take place rible and that they don’t inside my brain?” The want to hang out after premise – from Lisa Hana- taping ends. (He often walt, who created the asks.) Over four seasons, wildly gorgeous anthropo- Fielder envisions initia- morphized creatures of tives like a gas-station “BoJack Horseman” – is rebate that requires cus- preposterous: It’s an ani- APPLE TV+ TNS tomers camp overnight on mated show about 30- “For All Mankind” on Apple TV. a mountain, a cleaning something bird-women service that deploys 40 that somehow manages to housekeepers at once, a take on serious content – ranged-marriage vibe, of cohabitation writ large, looking or elegant, they of quest to be right, no mat- bar that circumvents trauma, mental health, wherein a bunch of con- the collision between industrious nests and ter the argument (usually smoking laws by rebrand- sobriety, workplace sex- ventionally attractive romance and the allure of miraculous eggs and fuzzy one he started). I won’t ing as a hyper-realistic ism – in a cartoon atmos- people talk to each other one’s phone, insecure and baby chicks. This PBS defend L.D.’s petty squab- play – the list goes on. If phere that’s insistently fun through a wall and then avoidant attachment documentary series is so bles with friends, family, you like humor that makes and bubbly. And while the get engaged without styles and HEAVY emo- vividly shot, it’s incredible Mocha Joe, his dry clean- you cringe amid an un- dichotomy between intro- knowing what their (con- tions expressed in ways in the literal sense of not er, an aggressive swan, ending uncomfortable verted Bertie and brazen ventionally attractive) both functional and disas- to be believed (how do Joseph from the Nativity silence, throw on “Nathan Tuca could fall flat if it partners look like. Sur- trous. It’s a bad show and they get the cameras so scene and a slew of Holly- For You” with friends … or were just that, I’ve always prise! They (mostly) try to you'll feel bad that you close to the birds?!), and wood folks, BUT David by yourself. That’s how seen them as two sides of give their hot mystery watched it. You also won’t the narration by the inimi- did once refuse to shake Fielder intended it to be the same (delightful, com- dates a shot, cohabitating be able to stop yourself. table David Attenborough Ben Stiller’s recently watched. plex, vulnerable) person- and planning weddings at will soothe even the most sneezed-in hand, ruining ality, and their story as a a time when most of us “THE LIFE OF BIRDS” existential anxiety (that their relationship while “GREY'S ANATOMY” surreal, comedic meta- are still only committed to (PBS; AVAILABLE ON AMAZON accent!). Birds are life, displaying proper out- (ABC; AVAILABLE ON ABC, phor for the way our the texting-funny-gifs PRIME) flightless or of flight – join break preparedness. For NETFLIX, HULU) friends can expand our stage of a relationship. At its root, the anxiety them. Also, no viewing laughs from a man always I’m not even ashamed understanding of our own Don’t worry, it gets weir- we’re all feeling about material has ever been trying to get away from to admit it. I have seen inner reserves. We all der! The “Love Is Blind” coronavirus is about fear more edible-friendly. people,”Curb” is pretty, Every. Single. Episode. Of. have a little Tuca and contestants are inexplic- of death: the horror of the pretty, pre-tty … pretty This. Show. Sure, we’ve Bertie in us. That may be ably shepherded through end of our own lives on “CURB YOUR good. lost many characters why I’ve been revisiting their stress-inducing jour- this planet, sudden and ENTHUSIASM” (Alex! Derek! (ASTERISK) the show since the novel ney by the one-time boy- stark and unknowable, as (HBO NOW) “MONK” sob(ASTERISK) Arizona! coronavirus first entered band star and ex-husband well as terror of the lives I want to hear Larry (USA NETWORK; AVAILABLE Callie! Yang! Lexie! the news coverage. It of Jessica Simpson, Nick of our loved ones taken David’s take on coro- ON AMAZON PRIME VIDEO) Mark!) to death, destruc- helps me turn off my re- Lachey, and his wife, from us with a cruel final- navirus because a quaran- It’s a jungle out there, tion and whatnot. And porter brain, but not my Vanessa Lachey (previous- ity. We know that statisti- tine sounds like his dream all right. Tony Shalhoub yes, if this hospital were humanity. ly Minnillo), best known cally, we are almost cer- come true. The fictional- won three Emmys for his real and I actually worked as host of MTV’s “Total tainly safe – knock franti- ized take on the “Sein- role as Adrian Monk, the there, I would run scream- “LOVE IS BLIND” Request Live.” I’ve always cally on wood – and yet feld” creator’s life is wrap- titular sleuth bent by the ing out the nearest exit (AVAILABLE ON NETFLIX) found “The Bachelor” we dread. It’s time to be ping up its 10th season unsolved murder of his because it is cursed with “Love Is Blind” is not a unwatchable, but there is with the birds, light-boned now on HBO, so it’s the wife and the obsessive- the worst luck of any good TV show. The con- so much going on in and feathery and end- perfect time to wind back compulsive disorder and building in America. How- cept is like “The Bache- “Love Is Blind” – outdated lessly fascinating in their across the bridges David phobias that intensified lor,” with a distinct ar- gender norms, the horrors endless ways, absurd- has burned in his tireless after her death. I fell for SEE TV SHOWS, PAGE 43 MONDAY MARCH 23 2020 PAGE 43 Coronavirus guide

FROM PAGE 42 TV SHOWS ever, I love this show one’s life ending. Sounds because, after 16 seasons, dark, and it was, but this these characters have Alan Ball creation was so become as familiar as perfectly cast and elegant- friends. “Grey’s” has ly written that I returned always been about rela- for more every Sunday tionships – the medicine is back in the aughts – and just a vehicle to advance have been looking ever the drama! – and how the since for an excuse to people around us get us watch the whole thing through life’s challenges. beginning to end. The Also, it’s set in a hospital characters, not always full of fictional world-class lovable but having the doctors who somehow messy imperfections and always pull out miraculous annoyances of real life, answers for the most con- were always surprising; founding viruses, tumors the message of how those and medical mysteries. So we have lost linger among if it’s hope you need in a us was unexpectedly lyr- time of pandemic, well, ical. Special bonus: one of pull up “Grey’s” and get the greatest finale epi- JOHN P. FLEENOR Fox acquainted with the doc- sodes of all of television, “Brooklyn Nine-Nine” on NBC and Hulu. tors of Grey-Sloan Memo- wrapping things up in a rial Hospital. perfectly bittersweet bow. “THE CIRCLE” “FOR ALL MANKIND” “ONE DAY AT A TIME” (NETFLIX) (APPLE TV) (NETFLIX) If you like reality televi- I’m a sucker for space- I idly checked out the sion, or even if you don’t, related TV shows and first episode of Gloria you should check this alternate history, so this Calderon Kellett’s reboot show out. A group of new Apple TV series of the 1970s sitcom, fea- strangers all vie to be the hooked me from the get- turing three generations most influential, but they go. The premise: What if of a Cuban American can only interact with the global space race had family living together in each other through an never ended? What if the more-or-less harmony, a online system called “The Russians had beaten the while back, thinking it Circle.” With catfishing, U.S. to the moon? How would be something romance, drama and a would that have affected pleasantly sitcommy to cast of unique characters, NASA’s space program? pass a half-hour. And, just this show is the perfect One hint: In this alternate like that, three seasons recipe for a silly, but irre- universe, we would have went by – and all I wanted sistible watch. Plus, con- celebrated some badass was more. This show, led sidering the players have female astronauts a lot by the powerhouse duo of to be isolated in their own sooner than we did. Set in Justina Machado (also apartments, it might help the ‘60s, the show doesn’t great in “Six Feet Under”) you feel less alone while shy away from the societal and living legend Rita KEN WORONER BBC America you’re doing the same. issues of its time (Viet- Moreno, is quite possibly “Orphan Black” on BBC America and Amazon Prime Video. nam, the civil rights the sweetest, funniest “SEX EDUCATION” movement, the women’s streaming experience I’ve (NETFLIX) rights movement) and had in years; sitcommy, laugh at with every re- out their fantasies in a dominating the rainy Viewer discretion is deftly incorporates ele- sure, but utterly charming watch. Besides, with all Wild West-set amusement landscape plus an omi- absolutely advised with ments of history into a in its depiction of family the anxiety and uncertain- park hosted by humanoid nous forest complete with this one, but it’s worth a fast-moving narrative. It’s love. Netflix canceled the ty swirling around the robots – becomes more spooky caves. Wormholes, watch. Being a teenager is fascinating to see histor- show after three seasons, country right now, we twisted and multilayered time travel, child abduc- awkward enough, but for ical NASA figures come to but it’s returning to the could all use a little levity, as it goes along. Add to tions and more haunt four the show’s main char- life too. You'll meet John airwaves nonetheless: The right? that the stellar cast (Evan families over three gener- acter, Otis, it doesn’t help Glenn and a very dis- cable channel Pop TV will Rachel Wood, Thandie ations connected in 33- that his mom, played by appointed Neil Arm- present season four, start- “RUSSIAN DOLL” Newton, Anthony Hop- year increments. It seems Gillian Anderson, is a sex strong; and one of the ing March 24. (NETFLIX) kins, Ed Harris, Jeffrey like everyone is hiding therapist. He eventually female astronauts (Molly If you think you’re Wright, etc.), and this something, some secrets teams up with his class- Cobb, played by Sonya “CALL THE MIDWIFE” mired in rut and routine unsettling, violent, visual- much more devastating mate Maeve to start an Walger) is based loosely (PBS; AVAILABLE ON NETFLIX) while you’re stuck at ly stunning sci-fi drama than others. The default underground sex therapy on real-life pioneer Jerrie Well, there’s only so home for the foreseeable might have you, like me, for the show is with En- clinic using the knowledge Cobb, a trailblazing pilot many times a person can future, try being Natasha hooked by the end of the glish dubbing, but make he’s picked up from his who was the first woman rewatch “Downton Ab- Lyonne in Netflix original first episode. sure you binge in German mom. What could go to pass all the preflight bey” (and if you haven’t, “Russian Doll.” Lyonne is with subtitles for the full wrong? Unsurprisingly, a tests that NASA’s original for heaven’s sake, get on delightfully vulgar and “ORPHAN BLACK” effect and one dark, twisty lot, but it makes for an Mercury 7 astronauts that; it’s on Amazon sympathetic as Nadia, a (BBC AMERICA; AVAILABLE ON ride. entertaining watch. The took. The show just com- Prime and PBS Passport), woman who is destined AMAZON PRIME VIDEO) show is an honest, funny pleted a 10-episode debut so I was in need of a Brit- (doomed?) to repeat the Yeah, this series – which “HIGH FIDELITY” and open look at sexuality season on Apple TV, and ish period drama. A friend same party, at which she starts grippingly when a (HULU) and growing up. I’m dying to know what recommended this one, is the guest of honor, over woman sees someone who I remember loving the happens next. set in midcentury and and over and over again. looks exactly like herself John Cusack movie ver- “YOU'RE THE WORST” centering on a group of It sounds like an old trick step into the path of an sion of this Nick Hornby (FX; AVAILABLE ON HULU) “KILLING EVE” midwife/nurses living in a (a la “Groundhog Day”), oncoming train – becomes novel when it was re- My one-sentence sum- (BBC AMERICA; AVAILABLE ON convent in the working- but this is a smart take increasingly silly. But the leased in 2000, but this mary of this show is: It’s HULU) class London district of with some unique devices, show always remains 10-episode version starlike “It’s Always Sunny in Like spy movies, old- Poplar, and I quickly got like the fact that Nadia compelling, thanks to its ring Zoe Kravitz has Philadelphia,” if it were a school cat-and-mouse hooked. This show is doesn’t just experience sense of humor and the 100% won my heart. romantic comedy set in chases, lively acting and a based on the real-life the same night over and warmhearted sisterhood Kravitz plays Rob, the Los Angeles. Frequently peek into the mind of a memoirs of nurse Jennifer over, but she actually dies that develops among a curmudgeonly owner of referred to as an “anti- cold-but-charming female Worth, and it’s sort of the (sometimes horribly, group of women who Championship Vinyl and romantic romantic come- assassin who has a com- spiritual opposite of “Six sometimes hilariously) at discover they are all the character originally dy,” “You’re the Worst” plete lack of empathy for Feet Under”: In every the end of each repeated clones. The main reason played by Cusack. Replac- contains one of the great- anyone except the female episode, a baby is born. In night. Amy Poehler is one to watch it, though, is for ing Jack Black and Todd est love stories in modern agent trying to track her its many seasons (its ninth of the writers, and her star Tatiana Maslany, who Louiso as Rob’s employ- television. The show fol- down? This is the series recently aired in Britain, skill at making the day-to- earned a well-deserved ees and best friends are lows two love-cynics, for you. Based on the and at least two more are day of a “Parks and Rec- Lead Actress Emmy for Da'Vine Joy Randolph as Gretchen and Jimmy, and novel “Codename Villa- planned),”Call the Mid- reation” office interesting playing more than a dozen Cherise and David H. their journey through nelle” by Luke Jennings, wife” has explored some for 125 episodes shines in clones, from a street- Holmes as Simon (who love, relationships, happi- this series shines in large unexpectedly gritty terri- this series about a day that smart single mother to a also happens to be one of ness and other wacky part because of its strong tory; this show is far more won’t end. You'll find book-smart bohemian Rob’s top five desert is- antics over the course of casting. In 2019, Sandra modern than it appears at yourself engrossed by the scientist to a suburban land heartbreaks). Things several years. I think the Oh won a Golden Globe first glance, and it has a wit, tickled and touched soccer mom, and more. have been delightfully true genius of the show is for Best Actress in a TV female energy that’s both by Lyonne’s at times hilar- Who – or what – is behind updated for the times … how it’s able to effectively Drama for her portrayal of empowering and irresist- ious and at times deeply the cloning experiments? while also scattering a few tackle tough subjects, like MI5 agent Eve Polastri. ible. wounded character, and What are they trying to Easter eggs throughout depression, alcoholism Jodie Comer, who plays relieved that the confines achieve? Who cares? All the episodes for fans of and PTSD, with beautiful the assassin Villanelle, “BROOKLYN of your apartment aren’t hail Maslany! the movie. You still watch nuance, yet feature the won an Emmy Award for NINE-NINE” nearly as maddening as Rob be a selfish jerk, but trashiest band of charac- Best Actress in a TV Dra- (NBC; AVAILABLE ON HULU) the endless party (and “DARK” you root for her a little bit ters imaginable. ma this year. So, go You’ve probably already deaths) Nadia has to en- (NETFLIX) more than when Cusack ahead. Binge the first two binged it twice by now, dure. Nothing against the real was in the driver’s seat. “AMERICAN VANDAL” seasons on Hulu and but it’s smart, it’s funny town of Winden, Germa- Cherise and Simon help (NETFLIX) you'll be all caught up by and, unlike many sitcoms “WESTWORLD” ny, but I have absolutely sand down her edges Since the day I first April 26, when Season 3 that we’re finding haven’t (HBO; AVAILABLE ON AMAZON zero desire to visit after while also feeling like watched the pilot, I have begins on BBC America. aged well these days PRIME VIDEO, HBO NOW, watching this creepy-as- fully formed characters. wanted to scream from (since when is New York HULU) all-hell two-season (for Fans of “The OA” will the rooftop of any and all “SIX FEET UNDER” that white,”Friends”?) The good news: There now) series. The first recognize Rob’s ex, Mac, buildings,”WATCH (HBO; AVAILABLE ON AMAZON ,”Brooklyn Nine-Nine” are only two seasons of German-language show to played by Kingsley Ben- ‘AMERICAN VAN- PRIME, HULU, HBO NOW) has a wonderfully diverse this show (so far; Season 3 debut on Netflix,”Dark” Adir. Parker Posey makes DAL'!!!” It is a searing, Beginning in 2001 and cast and is standing proof premieres March 15 on has been compared to a very memorable appear- hilarious parody of the ending five seasons later that you can be funny HBO), so it’s not a huge “Stranger Things,” but ance. Natasha Lyonne true-crime genre, (think in 2005, this HBO drama without being offensive. time commitment. The other than the ‘80s and directed an episode! What “Serial” or “Making a was, quite literally about You may think you caught bad news: Once you start, some supernatural forces, are you waiting for? Fin- Murderer”) with an in- life and death: It centered all the brilliant jokes the you'll probably want to the two shows have noth- gers crossed for another credibly well-written mys- on the Fishers, a Los An- first two times you binged watch it all at once – not ing in common. There are season. tery arc, and a terrifyingly geles family who owned a it, but like with a good good for either produc- no kids in Ghostbusters accurate depiction of high funeral home, and every book, you’re guaranteed tivity or health. This series costumes here, only two school antics in the 2010s. episode began with some- to find something new to – in which rich people live nuclear cooling towers MONDAY MARCH 23 2020 PAGE 44 Coronavirus guide From ‘Outbreak’ to ‘Contagion’: What post-apocalyptic movies can teach about coping with the coronavirus pandemic

rain after so long in a BY CRYSTAL PAUL disgusting quarantine. The Seattle Times When they find a safe haven and try to carve out SEATTLE a bit of normalcy together, It starts with a cough … sitting around a fire, din- The screen is black and ing and laughing together, all you hear is the sound their humanity is restored. of Gwyneth Paltrow gent- They’ve become a family ly coughing. That’s how and found their own little director Steven Soder- refuge amid the terror. bergh’s 2011 film “Conta- Cosmically, patient zero’s gion” begins. sight is restored around Before you know it, a the same time, and it’s as deadly virus is spreading, if he wakes up from a bad people all over the world nightmare, awaking to a are dying or desperate, new family and a new society as we know it world. breaks down, humanity Human nature is not turns selfish and cruel, inherently cruel and self- and the heroes of the virus ish or good and kind, they apocalypse spring into seem to say. It’s up to us. dramatic, adrenaline- Fact or fiction, zombie inducing action. apocalypse or coronavirus That’s essentially the pandemic, it’s up to us to recipe for most pandemic- either “make this place a apocalypse films. hell” or remember we’re Of course, if it’s a less in this together and can sophisticated film than wake up in a better reality “Contagion,” like the if we take care of each 1995 film “Outbreak,” other. then it starts with a series So far, even as we find of very unlikely blunders, ourselves in a radically bad intentions, a touch of new situation across the xenophobia and maybe globe, with travel bans even a government cover- and schools and busi- up, before (spoiler alert!) nesses shuttering, people the world is saved by in Seattle and elsewhere Dustin Hoffman winning are stepping up to help the a game of chicken be- CLAUDETTE BARIUS/WARNER BROS. TNS most vulnerable, and the tween a helicopter and a Gwyneth Paltrow played patient zero of a viral epidemic in ‘Contagion’. most vulnerable are look- bomb-wielding plane. ing out for each other. But, you get the idea. A pregnant friend who As stocks dive, busi- thousands of times a day: ied in mass graves and Hoffman and Bruce Wil- OUR CHOICE works with incarcerated nesses and schools close, touching our faces, greet- civil society as we know it lis, respectively – to swoop Ultimately, it comes people told me her clients major events are canceled ing each other with a ends. in and save the day with down to one thing: We all worry about her getting and local governments handshake, taking a credit What apocalyptic films macho-style heroics fea- have choices to make. sick. One even told the urge residents to stay at card from a customer, show us is that we’re not turing helicopter fights And these movies seem to deputy on staff not to let home due to the spread of holding onto the rail on just afraid of gruesome and time travel. show that the measure of her into the holding cell the new coronavirus, it the bus; basically, touch- death, we’re afraid socie- Yet, heroes in apoc- your humanity is how you because they don’t have can start to feel like we’re ing pretty much anything tal breakdown will reveal alypse movies don’t have react in a crisis when soap, windows or proper living in our own pandem- that another human tou- that the ugly side of hu- to wear capes or possess faced with tough deci- ventilation in there and he ic-wrought end of days. ches without immediately manity is more grotesque superhuman abilities. sions. didn’t want her to get sick. While I 100% do not washing our hands after- than the necrotic, oozing Instead, apocalyptic hero- “Blindness” starts off “Funny how people recommend watching ward. faces of killer zombies, ism often comes in the with what appears to be society treats with so little “Contagion” at a time like These are the little that if the worst happens – form of a kind gesture, an act of kindness – a humanity (can) still show this (it strikes way too things we are all hyp- if a pandemic turns us all like sharing food with a stranger offers to help a so much compassion,” she close to home!), I did. eraware of and justly into potential carriers – hungry family, or an act of man stranded due to a told me. As the coronavirus pan- paranoid about right now. the worst of humanity will self-sacrifice – like in sudden onset of blindness, I think (I hope) we’re demic spreads and every- But it’s particularly surface. And then … peo- “Contagion,” when a only to steal his car later. more likely to keep sup- day slices of life begin to scary to think this could ple will push over a young doctor tests a possible It’s not long before the porting each other than resemble scenes from happen to you. Viruses, girl to steal her rations, vaccine on herself. epidemic of blindness we are to start attacking post-apocalyptic movies, I like zombies, don’t spare they'll kill their neighbors We’re starting to see spreads and people are each other in the streets watched several popular anyone. A single bite from and loot and burn down this happen in real life, quarantined and a fight over scraps of food (or, in apocalyptic pandemic a zombie can infect you. A the neighborhood grocery too. Such kindness has breaks out between the our case, apparently toilet films to see how the sto- simple handshake or an to save themselves. An- been reflected in Seattle car thief, now blind as paper). But there’s still ries we put on screen uncovered cough on the other predictable trope: amidst the coronavirus well, and patient zero, much more we can do. compare to our real-life bus can sicken you. the government ignoring outbreak. Many readers whose car he stole. We haven’t devolved fears, hopes and reactions It’s what makes viruses early warnings about the responded to my story “If you want to make into lawlessness here in to these kinds of crises. and epidemics big enough virus (a situation that, about those at highest risk this place a hell, you’re King County, but we have Eight movies and more “monsters” that they’re unfortunately hews a little of getting COVID-19 by absolutely going about it seen xenophobia and than 16 hours later, here’s worth making movies too close to home) and asking how they could the right way,” Mark Ruf- racism arise as people what I’ve learned from the about. ultimately deciding to help these people in self- falo’s character warns as avoid the Chinatown In- experience. … It’s a sun- Yet, aside from the “bad blow up an entire Amer- isolation. As more schools he breaks up the fight. ternational District and nier picture than you touch” that spreads the ican city to contain its and businesses are asked His warning echoes treat Asian Americans might imagine. virus or the bite that spread. to cease operations, the throughout the film as with wariness. There’s spreads the zombification, This chaos and utter community has come quarantine numbers grow, apparently also been a OUR FEARS what virus-focused movies breakdown of normalcy is together to provide suppli- rations deplete and des- surge in gun and ammuni- What are we really like “Outbreak” and what we’re afraid of, but es and aid to those in peration and cruelty spike. tion purchases. However, afraid of? “Contagion” have in com- is it also, perhaps, what need. All it takes is a single man we’ve also seen people From a cursory look at mon with zombie movies we secretly crave? The These moments of hu- with a gun and bad in- rally around injured com- pandemic movies like “28 are depictions of total answer to the question of man connection and em- tentions to thoroughly munities in various ways. Days Later” or “World societal breakdown. who we would become if pathy are playing out in break down the flimsy With schools closed, War Z,” you’d think the In “Blindness,” a 2008 civilized society came to a real life as reliably as they social structure that once students and their parents answer is simple – we just film based on Jose Sara- grinding halt? A total play out in most post- held the overcrowded need child care and in- really don’t want to be mago’s novel of the same undoing of society as we apocalyptic movies. It’s quarantine together. ternet access. We still eaten alive by ugly, gnarly name about an epidemic know it would force hu- proof that as long as we They’re not zombies, don’t have solutions for fleshed, fast-running zom- that causes the infected to manity to survive without retain kindness and em- but from the way “Blind- our overworked health bies. go blind, a once-civil quar- the comforts and social pathy for others, we can ness” depicts people be- care workers, people who I mean, yeah, that antine center becomes a niceties we’ve cultivated, maintain our humanity having in this quarantine, are incarcerated, strug- would suck. Of course, no hovel where women are retreat to our most basic even in the most horrific they might as well be gling small-business own- one realistically believes raped in exchange for human instincts and cre- circumstances. mindless monsters. They ers or Seattleites without the dead will rise with a food. ate new beginnings or While our fears in times made their own world into homes, whose situations rabid craving for human In “Carriers” (a 2009 even whole new societies. of pandemic may drive us a hell, just as Ruffalo’s put them at greater risk of flesh. film in which Chris Pine Inevitably, in the post- to push our way through character forewarned. contracting COVID-19. With more realistic leads a band of friends apocalypse film, those or avoid crowds and side- In the world outside the More needs and vul- pandemic films like “Con- through an epidemic-torn who rise to fill the voids of eye the woman with the quarantine, infected peo- nerabilities will reveal tagion,” which don’t rely country), countless video leadership and rebuild mask coughing her way ple shuffle around blind themselves as we continue on ugly monsters to scare games or the comic-book society are either the through the aisles, when it and attack each other over to deal with this virus. us, we see how terrifying a and TV phenomenon worst humanity has to comes down to it, even if the slightest scraps of You don’t have to sur- virus can be all on its own. “The Walking Dead” (in offer, or the very best. selfishness and criminality food, sex or anything vive a helicopter fight, be Throughout the film, the which the world is over- Because the other thing reign, basic human kind- that’s worth anything, a time-traveling Bruce camera focuses in on all of run by zombies), it’s every that post-apocalyptic films ness still peeks through. very much like zombies. Willis, or run from sprint- the mundane, everyday man or small group of have in common is he- Hollywood depictions of But the original cast ing zombies to be a hero behaviors we engage in bandits for himself. roes. post-apocalyptic cruelty bonds as they guide each in this time of fear and that, in the hands of a Even in “Contagion,” and kindness may be other through the post- need. Small acts of kind- viral infection, become the least dramatic of these OUR HOPES more dramatic, but apocalyptic world, telling ness can go a long way in deadly. These are other- films, people are reduced Films like “Outbreak” they’re not wrong in the stories to stay sane and our communities. wise harmless actions we to stealing, looting and or “12 Monkeys” break notion that crisis brings taking pleasure in simple all take hundreds or even killing. The dead are bur- out the big guns – Dustin out both in our society. things like laughing in the MONDAY MARCH 23 2020 PAGE 45 Coronavirus guide O NE GOOD THING

DANIEL COLE AP Church seats are marked Sunday to indicate the appropriate social distancing measures at the St. Vincent de Paul church in Marseille, southern France. During virus lockdown, French priests master livestream at Gothic cathedral

the video had accumulated more than distancing measures and barriers put into BY DANIEL COLE 500 views on its Facebook page. place. Lines of warning tape and red X’s Associated Press The French government imposed con- cover the rows of polished seating at the finement rules in the past week. Those church of St.-Vincent-de-Paul. MARSEILLE, FRANCE rules do not list churches as valid desti- “We miss the real contact with our Recent restrictions on gatherings in nations on the permission forms required parishioners, but I strongly believe that in France to prevent the spread of the new to leave confinement. But, Rochas decid- this new situation, we will reach new coronavirus have forced religious com- ed to leave his church open for individu- people,” he said. munities to adapt the way they express als to come and pray, up to a maximum France is seeing a rapid rise in cases of their faith. of 20 people, who must respect the social the virus, with the third-largest number On a typical Sunday of deaths in Europe. morning, Father Philippe Most people quickly Rochas greets roughly 350 recover from the virus worshippers as they trickle after experiencing only into the neo-Gothic St.- mild or moderate symp- Vincent-de-Paul church in toms, such as fever and the heart of Marseille. cough. For some, especial- This Sunday, however, ly older adults and people he sat hunched over a with existing health prob- webcam as he and his fel- lems, it can cause more low priests prepared an severe illness, including empty meeting room to pneumonia. live-stream Sunday Mass directly to the screens of The Associated Press parishioners confined at receives support for health home. and science coverage from “I already realize that the Howard Hughes Medical the people who see us on- Institute’s Department of line are very happy to have Science Education. this service, as a kind of Associated Press religion comfort,” Rochas told The coverage receives support for Associated Press. religion coverage from the As he delivered a sermon Lilly Endowment through to just over 70 live viewers the Religion News Sunday morning, one com- Foundation. The AP is mented on the site: “glory solely responsible for this be to god, amen,” followed DANIEL COLE AP content. by a prayer emoji. Priest Philippe Rochas, left, and Jean-Benoit de Beauchene pack up By the end of Sunday, livestreaming equipment after holding a closed-door Sunday Mass.