Infection Control Problems Persist in Nursing Homes During COVID

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The new analysis draws on self-reported data from nursing homes collected by the federal government over four weeks from late August to late September. While some states fared much worse than others, all 50 states and the District of Columbia had one or more nursing homes that reported inadequate PPE supply, staff shortages, staff infections and resident cases. Forty-seven states reported at least one COVID-19 death among residents.

The analysis found that more than 28,000 residents tested positive for COVID-19 during the four-week reporting period, and more than 5,200 residents died, showing that the virus is still raging in nursing homes. More than 84,000 long-term care residents and staff have died since January, and more than 500,000 residents and staff have contracted the disease, according to the Kaiser Family Foundation’s tally, accounting for roughly 40 percent of the national death toll. Long-term care providers include assisted living, adult day care centers and more, while AARP’s new analysis features just nursing home data.

“This is a nationwide crisis, and no state is doing a good job,” says Bill Sweeney, AARP’s senior vice president of government affairs, adding that the results of AARP’s analysis are “profoundly disappointing.”

“While the pandemic has been unexpected to all of us, basic infection control should have been going on in nursing homes for a long time,” he says. “These are places where people are vulnerable to infection, whether it’s COVID or something else, so for these facilities to still not have basic PPE, even now, with a deadly virus in the air, is outrageous and unacceptable.”

Staff infections nearly match resident infections

For months, providing adequate PPE and developing plans to mitigate staffing shortages have been “core principles” set out by the Centers for Disease Control and Prevention (CDC), for COVID-19 infection control in nursing homes, which generally house older adults with underlying conditions who are at increased risk of infection and severe illness from the disease. PPE stops the transfer of infectious droplets through the air, while adequate staffing ratios mean better care and less person-to-person contact.

Yet in 18 states, more than 30 percent of all nursing homes reported PPE shortages, and in 26 states and the District of Columbia, more than 30 percent of nursing homes are experiencing staff shortages. N95 respirators were the most in-demand PPE item across the country, with 11 percent of all nursing homes reporting shortages. And nursing home aides (certified nursing assistants, nurse aides, medication aides and medication technicians) were the most in-demand staff, with 27 percent of all nursing homes reporting shortages.

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How to know if chest pains are serious

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Chest pain can stem from many health issues. Some are quite serious, while others may be nothing to worry about.

Sometimes, chest pain indicates a blocked artery and a heart attack. This is an emergency situation, in which the heart is not receiving enough blood and oxygen to function correctly.

However, chest pain can also stem from a health issue affecting the lungs, stomach, or muscles, for example.

It is crucial to receive emergency care for chest pain, especially if it is sudden and severe and accompanied by shortness of breath, dizziness, or both.

Many heart conditions can cause chest pain, including:

Heart attack

A heart attack may be the best-known cause of chest pain, and the pain usually occurs in the center of the chest.

People experience this pain differently — some describe it as uncomfortable, sharp, sudden, and severe, while others report a squeezing sensation. In some people, the pain comes and goes.

It is worth noting that a heart attack does not always cause chest pain. A person may experience other symptoms, with or without chest pain, including:

  • cold sweats
  • lightheadedness
  • nausea
  • pain in other areas, such as the arms, back, jaw, or stomach
  • shortness of breath
  • dizziness
  • sweating

Also, males and females may experience heart attacks differently. Learn about the symptoms common in females here.

Anyone who believes that they may be having a heart attack should receive immediate medical attention.

Aortic dissection

This cause of chest pain is a life threatening condition in which a tear forms in the lining of the aorta, one of the body’s most important arteries.

If the tear is large enough or a doctor cannot treat it in time, it can cause fatal bleeding.

The symptoms are similar to those of a heart attack, and they may also include:

  • leg pain or paralysis
  • paralysis on one side of the body
  • difficulty speaking or seeing

Anyone who may be experiencing this should receive immediate medical care.

Pericarditis

Pericarditis occurs when the sac that surrounds the heart, called the pericardium, becomes inflamed.

This can cause chest pain, especially when a person takes a deep breath.

Aortic stenosis

The aortic valve allows oxygenated blood to flow out of the heart’s left ventricle and into the rest of the body.

Stenosis occurs when this valve becomes stiff, either from age or disease. When this happens, and the heart pumps out less blood, it can cause chest pain.

Hypertrophic cardiomyopathy

This condition causes the heart’s muscle to become overly thick, shrinking the heart’s chambers. As a result, the heart is able to hold less blood and cannot pump as effectively.

Hypertrophic cardiomyopathy can also prevent the heart from keeping a healthy electrical rhythm.

The lungs reside in the chest cavity, and the following health issues affecting the lungs can cause pain in the area:

COPD

Chronic obstructive pulmonary disease (COPD) is an umbrella term for emphysema and chronic bronchitis.

People with COPD often have pain in the upper middle chest, as well as lung inflammation,

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A Canadian spin studio followed public health guidelines. But 61 people still caught the covid-19.

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Now, despite appearing to have complied with public health regulations, at least 61 people linked to the studio have tested positive for the novel coronavirus.

“They had done all sorts of things to remove the potential for spread,” Richardson told reporters. “Unfortunately, gyms are a higher-risk place because of the fact that generally people are taking off their masks, they’re breathing at a higher rate.”

Although Hamilton requires masks to be worn in most public settings, the law includes an exemption for anyone “actively engaged in an athletic or fitness activity.” In keeping with that policy, the studio, SPINCO, allowed riders to remove their masks once clipped into their bikes, and told them to cover up again before dismounting.

In a recent Instagram post, SPINCO’s owners said that they had been “hesitant” to reopen after getting the green light in July, and would not resume classes “until it is safe to do so.” Health officials have said that the studio is temporarily closed and cooperating fully with the investigation.

“We took all the measures public health offered, even added a few, and still the pandemic struck us again!’” the owners wrote. SPINCO has more than a dozen locations across Canada.

As of Tuesday, 44 cases linked to specific classes were detected, Richardson said. An additional 17 instances of “secondary cases” were found among other contacts.

The city will reexamine gym protocols, Richardson added Tuesday, but in the meantime, “what seems to be the case is that you need to wear that mask” even though government guidelines do not strictly require it.

“It’s still a good idea to do it, in terms of keeping others safe,” she said.

People should also avoid “classes where you’ve got that kind of yelling or coaching over music.”

She declined to use the term “superspreader” to describe the event but said it is a “very large outbreak.”

“It is concerning that it is extended beyond the initial cases who were related to the classes but gone into of course their household contacts and other contacts,” she said. “We continue to look at what does it mean, what do we need to understand about exercise classes?”

The outbreak offers further evidence of the dangers of people gathering indoors without masks, as health experts warn that cases could spike further in the coming months as winter weather sets in and outdoor gatherings and exercise classes will be harder to maintain.

In August, South Korea confirmed dozens of cases linked to a single Starbucks in the city of Paju where many customers did not wear masks. The store employees, who wore masks, were not infected. The outbreak prompted Starbucks to limit its indoor seating in the country and encourage masks among patrons.

In other instances, mask usage has been credited with preventing potential outbreaks. In May, after the reopening of a hair salon in Missouri that required masks, two stylists — who had worked with more than 100 clients — tested positive for the virus. But masks were

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How do pandemics end? History suggests diseases fade but are almost never truly gone

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<span class="caption">The COVID-19 new normal might be here for quite some time.</span> <span class="attribution"><a class="link rapid-noclick-resp" href="https://www.gettyimages.com/detail/photo/reflecting-on-her-day-royalty-free-image/1263884394" rel="nofollow noopener" target="_blank" data-ylk="slk:SolStock/E+ via Getty Images">SolStock/E+ via Getty Images</a></span>
The COVID-19 new normal might be here for quite some time. SolStock/E+ via Getty Images

When will the pandemic end? All these months in, with over 37 million COVID-19 cases and more than 1 million deaths globally, you may be wondering, with increasing exasperation, how long this will continue.

Since the beginning of the pandemic, epidemiologists and public health specialists have been using mathematical models to forecast the future in an effort to curb the coronvirus’s spread. But infectious disease modeling is tricky. Epidemiologists warn that “[m]odels are not crystal balls,” and even sophisticated versions, like those that combine forecasts or use machine learning, can’t necessarily reveal when the pandemic will end or how many people will die.

As a historian who studies disease and public health, I suggest that instead of looking forward for clues, you can look back to see what brought past outbreaks to a close – or didn’t.

people in line outside a COVID-19 testing site
people in line outside a COVID-19 testing site

Where we are now in the course of the pandemic

In the early days of the pandemic, many people hoped the coronavirus would simply fade away. Some argued that it would disappear on its own with the summer heat. Others claimed that herd immunity would kick in once enough people had been infected. But none of that has happened.

A combination of public health efforts to contain and mitigate the pandemic – from rigorous testing and contact tracing to social distancing and wearing masks – have been proven to help. Given that the virus has spread almost everywhere in the world, though, such measures alone can’t bring the pandemic to an end. All eyes are now turned to vaccine development, which is being pursued at unprecedented speed.

Yet experts tell us that even with a successful vaccine and effective treatment, COVID-19 may never go away. Even if the pandemic is curbed in one part of the world, it will likely continue in other places, causing infections elsewhere. And even if it is no longer an immediate pandemic-level threat, the coronavirus will likely become endemic – meaning slow, sustained transmission will persist. The coronavirus will continue to cause smaller outbreaks, much like seasonal flu.

The history of pandemics is full of such frustrating examples.

Once they emerge, diseases rarely leave

Whether bacterial, viral or parasitic, virtually every disease pathogen that has affected people over the last several thousand years is still with us, because it is nearly impossible to fully eradicate them.

The only disease that has been eradicated through vaccination is smallpox. Mass vaccination campaigns led by the World Health Organization in the 1960s and 1970s were successful, and in 1980, smallpox was declared the first – and still, the only – human disease to be fully eradicated.

Children holding smallpox vaccination certificates
Children holding smallpox vaccination certificates

So success stories like smallpox are exceptional. It is rather the rule that diseases come to stay.

Take, for example, pathogens like malaria. Transmitted via parasite, it’s almost as old as humanity and still exacts

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Biggest Deals On Fitness And Exercise Equipment

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With COVID-19 still running rampant across the globe, safe means of exercising has become the norm for most people. This means working out has shifted from public spaces such as gyms or yoga studios to the comfort of people’s homes. If you are planning to start your own home gym, you need to look no further than Prime Day. This mega shopping festival gives you the opportunity to buy some great fitness equipment for your home at some great discounts, so you can start building your home gym right away.

Here are 10 great fitness equipment you can get for your home gym at throwaway prices on Amazon’s Prime Day sale. Whether you want to increase your strength, practice yoga or improve your cardio capacity, we have the right things you can buy during Prime Day here.

1. VIGBODY Stationary Bike for Home Cardio

(photo from amazon.com)

VIGBODY Stationary Bike for Home Cardio has a robust heavy steel frame and a triangular structure that supports up to 330 pounds in body weight. It works with a leather transmission belt instead of a chain that results in a quiet workout. You can enjoy an outdoor riding experience even at home. Its 4-way adjustable seat and 2-way adjustable handlebar offer a comfortable experience while exercising. The adjustable nature of this bike makes it perfect for all members of your family.

2. LEEKEY Resistance Band Set

(photo from amazon.com)

LEEKEY Resistance Band Set comes with four bands that are made of natural latex material, which has strong wear resistance and can withstand extreme tensile force. You can train with no worries of wear and tear with these excellent bands. They offer excellent resistance while doing pull-ups. The bands also work for anyone who needs to stretch out sore muscles after a workout and stiff ones for before. They are a perfect addition to your home gym and easy to carry in your duffle bag when you go to a fitness center for a workout, too.

3. BEAUTYOVO Puzzle Exercise Mat

(photo from amazon.com)

BEAUTYOVO Puzzle Exercise Mat is made up of all-black foam floor mats that interlock together. Once assembled, they cover about 96 square feet. You can also safely use them as an indoor playground for kids. The mats are made of flexible and impact resistant Eva foam that has thick padding to provide excellent cushioning for your body or equipment. The thick mats safeguard your floor from scratches, scuffs and dents. 

4. Tone Fitness Aerobic Step 

(photo from amazon.com)

Tone Fitness Aerobic Step is light-weight and easy to carry, weighing in at just 5. 5 pounds. The step offers a secure, non-slip surface for your workout routine and is adjustable for two height levels of 4-inches or 6-inches. It includes a workout chart to provide additional instructions and exercises for you. The step can be used by people of all levels to help build endurance, strength and improve overall fitness. It comes in two colors: neon yellow and black.

5. ProsourceFit

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Is it safe to travel for the holidays in 2020 during the pandemic?

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The end of the year is sneaking up, and people are weighing travel plans to join friends and family for the holidays — all against the backdrop of a deadly pandemic.



a group of people walking down the street: There's a lot more to consider when planning holiday travel in 2020.

© Daniel Slim/AFP/Getty Images
There’s a lot more to consider when planning holiday travel in 2020.

Gathering with others — probably the most universal holiday tradition — has never required so much meticulous forethought.

Should you travel for the holidays in 2020? What precautions will make it safer? Who will be there and how careful have they been?

The US Centers for Disease Control and Prevention says that travel increases the chances of contracting and spreading Covid-19. Staying home is the best way to protect against getting and spreading the virus, yet many people are likely to travel before the year is over.



a sign on the side of a snow covered car in a parking lot: Driving is not without risks, but your interactions with others can be more easily controlled than with air travel.

© Jason Connolly/AFP/Getty Images
Driving is not without risks, but your interactions with others can be more easily controlled than with air travel.

CNN spoke with medical experts on how to reduce the risks around holiday travel and when you really should skip it altogether.

Should you travel for the holidays this year?

“Probably not, if you are anxious or vulnerable,” says Dr. Richard Dawood, a travel medicine specialist and director at Fleet Street Clinic in London.

But traveling is fine if you’re willing to be cautious, follow the rules and adapt easily to changes of plan, he said.

“I think the threshold for travel at this time should still be higher than before the pandemic,” says Dr. Henry Wu, director of Emory TravelWell Center and associate professor of infectious diseases at Emory University School of Medicine in Atlanta.



a statue of a man and a woman standing in front of a building: Staying in a hotel may give guests more control of their environment than staying with friends or relatives.

© Benno Schwinghammer/picture alliance/Getty Images
Staying in a hotel may give guests more control of their environment than staying with friends or relatives.

“If you do choose to travel, try to keep gatherings small and take precautions,” such as wearing a mask and practicing social distancing and good hand hygiene, Wu said.

Who should skip it?

People who are especially vulnerable to severe Covid-19 illness are safest staying home.

“Are you older, are you frail, do you have chronic underlying illnesses?” are the questions to ask, says Dr. William Schaffner, an infectious diseases specialist at Vanderbilt University Medical Center in Nashville, Tennessee.

People who are considering meeting up with vulnerable relatives or friends should really weigh the implications of introducing illness to them, Wu said.

“There are well-documented Covid-19 clusters associated with family gatherings, including ones that resulted in deaths,” he said.

Are some locations safer than others?

Gatherings are likely safer in areas around the world where infections remain low, although the standard precautions still apply.



a group of people sitting at a table: Joining hands around a crowded holiday table is best skipped this year.

© Shutterstock
Joining hands around a crowded holiday table is best skipped this year.

For example, it may be possible to have a “relatively normal” Thanksgiving gathering in parts of the United States where infections are very low, according to Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases.

“But in other areas of the

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Summit, Colorado Center for Personalized Medicine to Develop Saliva Tests for COVID, Head & Neck Cancer

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AURORA, Colo., Oct. 14, 2020 /PRNewswire/ — Summit Biolabs, Inc., an early-stage molecular diagnostics company specializing in saliva-based testing for COVID-19 and head & neck cancer, and the Colorado Center for Personalized Medicine (CCPM) at the University of Colorado Anschutz Medical Campus announced today a broad strategic collaboration involving research, development and commercialization of saliva liquid-biopsy tests for early cancer detection and diagnosis of COVID-19 and other viral contagions.

The CCPM holds one of the largest research biobanks in the United States with clinical data from more than 8.7 million de-identified patient records and plans to integrate the data with personalized genomic information.

“This partnership brings two innovative programs together to optimize COVID testing at a time when it’s desperately needed,” says Kathleen Barnes, Ph.D., Professor and Director of CCPM at the University of Colorado Anschutz Medical Campus. “Collaborations like this are crucial in moving research forward and advancing and expanding clinical testing to as many members of our community as possible. Working with Summit Biolabs, and leveraging technology developed by our colleagues here at the Anschutz Medical Campus, will help us achieve these goals and establish a non-invasive testing process that will benefit patients in Colorado and beyond.”

Summit Biolabs is developing breakthrough tests to improve the detection of COVID-19 and to advance the early detection of human cancers, including head & neck cancer, using simple, non-invasive saliva liquid-biopsy technology developed by Dr. Shi-Long Lu and colleagues at the University of Colorado Anschutz Medical Campus. Head & neck cancer has been scientifically overlooked, yet is medically important. Summit Biolabs’ research foundation and competency in head & neck cancer diagnosis enabled the company’s pivot to saliva-based testing for coronavirus, COVID-19.

“We are excited to collaborate with CCPM to develop and commercialize Summit Biolabs’ portfolio of developmental saliva or non-blood liquid-biopsy tests.” said Bob Blomquist, Chief Executive Officer at Summit Biolabs. “This collaboration broadens and strengthens Summit Biolabs’ ability to bring to market life-changing saliva liquid-biopsy tests that ultimately enable better treatment and improved outcomes for patients.”

About Summit Biolabs

Summit Biolabs is harnessing the power of saliva-based diagnostics to address critical challenges in COVID-19 and head & neck cancer testing. Founded on the discoveries of Dr. Shi-Long Lu, Associate Professor of Otolaryngology, Summit Biolabs is being spun out from the University of Colorado Anschutz Medical Campus.

Summit Biolabs is pioneering early detection of head & neck cancer recurrence using a first of its kind saliva liquid-biopsy test, HNKlear. HNKlear is a proprietary, non-invasive saliva test that provides more effective, more accurate, and earlier detection of head and neck cancer recurrence than traditional diagnostic methods. Summit Biolabs is leveraging its core competencies in saliva-based molecular diagnostics and viral nucleic acid testing (i.e., oral oncogenic human papillomavirus detection) to diagnose COVID-19. Along with our clinical and laboratory partners, Summit Biolabs is developing the first comprehensive panel of highly-accurate saliva-based tests for COVID-19 infection, quantitation, and immune response. Summit Biolabs is headquartered in Aurora, Colorado.

About

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U.K.’s Film and TV Charity Launches Two-Year Program For Better Mental Health in Film and TV

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The U.K.’s Film and TV Charity has launched the Whole Picture Program, a two-year initiative designed to to improve the mental health and wellbeing of the 200,000 people who work behind the scenes in film, TV and cinema.

The Film and TV Charity has now secured £3 million ($3.87 million) in funding from Amazon Prime Video, Banijay U.K., BBC, BBC Studios, Channel 4, IMG, ITV, Sky, Sky Studios, Sony Pictures Entertainment, The Walt Disney Company, ViacomCBS and WarnerMedia to deliver the program that is supported by the BFI and backed by U.K. mental health charity Mind. The charity estimates that mental health problems, including staff turnover, cost the sector at least £300 million ($387 million) in losses each year.

The program will deliver a toolkit for mentally healthy productions; enhanced professional and peer support for freelancers; people skills and training guides; industry actions to improve behavior; and anti-bullying services and resources.

Alex Pumfrey, CEO of the Film and TV Charity said: “It has been a devastating year for many people in our industry, and it’s clear we cannot afford to return to ‘business as usual’. Our 2019 research showed a mental health crisis in the industry, which has only been exacerbated by the terrible effects of the pandemic.”

More than 9,000 people took part in the research last year, sharing their experiences and stories confidentially, which identified a mental health crisis within the industry. The findings revealed issues including self-harm and bullying. Since then, the pandemic has meant increased isolation and anxiety for many, and Black, Asian and minority ethnic (BAME) people in the industry have identified the effect systemic racism and discrimination has on mental health.

“The case for improving the mental health of the industry has never been stronger or more urgent,” added Pumfrey. “This program of work is designed to turn the tide on poor mental health by enhancing the available support, changing behavior and improving ways of working; but this will need to be an industry-wide effort to create sustainable change.”

The project has been on hold for six months whilst the charity has dedicated all of its resources to responding to COVID-19, raising £6.4 million ($8.2 million), and supporting thousands of workers with grants and financial and mental wellbeing services.

Emma Mamo, head of workplace wellbeing at Mind, said: “Unfortunately, self-employed people, freelancers and those in the film and TV industry are among those hit hardest by coronavirus. That’s why we’re pleased to be supporting the Whole Picture Program, which will provide much-needed resource and support to the many experiencing poor mental health in the sector.”

Industry leaders are part of the program’s mental health taskforce and they will work collaboratively to adopt and champion the work both within their own organizations and widely across the sector.

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Zoom is releasing a new tool to let paid users charge for admission to online events like conferences or fitness classes

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Eric S. Yuan standing in front of a sign: Eric Yuan, CEO of Zoom Video Communications takes part in a bell ringing ceremony at the NASDAQ MarketSite in New York Reuters

© Provided by Business Insider
Eric Yuan, CEO of Zoom Video Communications takes part in a bell ringing ceremony at the NASDAQ MarketSite in New York Reuters
  • Zoom is introducing OnZoom, a new way to host events — free and paid — using the popular videoconferencing tool.
  • Zoom has come to be used to host all kinds of events amid the pandemic, from board meetings and conferences to fitness classes and concerts. The new OnZoom platform includes the ability to charge for tickets, as well as a directory of public event listings.
  • Zoom is also launching a new kind of app integration, called a Zapp, that can bring information from productivity tools like Dropbox, Slack, or Asana directly into a video chat.
  • Facebook launched its own features for paid videoconferencing events over the summer.
  • Visit Business Insider’s homepage for more stories.

As the pandemic drags on, Zoom is releasing a new way to host online events — importantly, now including paid events — as well as new types of apps that integrate outside business and productivity tools like Slack, Dropbox, and Asana directly into Zoom meetings, the company announced Wednesday. 

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Zoom has become a household name amid shelter in place and social distancing mandates, with users turning to the videoconferencing app to host events from board meetings and conferences to yoga classes and concerts. It’s led Zoom’s business to skyrocket, but also forced the company to rethink its ambitions beyond its original enterprise approach. 

The online event platform, called OnZoom, adds features to Zoom that make it easier to host online events — notably, by allowing event organizers to sell tickets for paid events on Zoom, thanks to an integration with PayPal. There will also be an event marketplace, where people can find and sign up for public events, free and paid.

At launch, the events platform is only available to US users, but will be available more globally next year. There’s no additional fee for paid users to try out OnZoom through the end of 2020, but Zoom says that it plans to revisit the possibility of taking a cut of ticket sales next year. 

Notably, Facebook announced something similar earlier this year, allowing businesses, creators, educators and media publishers to host paid events on Facebook Live or its Messenger Rooms app. Facebook has said it won’t collect fees from tickets sales until at least August 2021.

The catch is that you will have to be a paid Zoom user to set up events with OnZoom, with a capacity ranging from 100 attendees, up to 1,000 for enterprise users. For anything larger, users can livestream the event with a Zoom Webinar license. 

OnZoom is actually getting its first public test right out in the open: Zoom is using it to host its annual Zoomtopia user conference this week. The company bills it as being well-suited for other companies to host their own conferences, for fitness instructors to hold paid lessons, for nonprofits to set up fundraising events

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As virus surges anew, Milan hospitals under pressure again

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MILAN (AP) — Coronavirus infections are surging anew in the northern Italian region where the pandemic first took hold in Europe, putting pressure again on hospitals and health care workers.

At Milan’s San Paolo hospital, a ward dedicated to coronavirus patients and outfitted with breathing machines reopened this weekend, a sign that the city and the surrounding area is entering a new emergency phase of the pandemic.

For the medical personnel who fought the virus in Italy’s hardest-hit region of Lombardy in the spring, the long-predicted resurgence came too soon.


“On a psychological level, I have to say I still have not recovered,’’ said nurse Cristina Settembrese, referring to last March and April when Lombardy accounted for nearly half of the dead and one-third of the nation’s coronavirus cases.

“In the last five days, I am seeing many people who are hospitalized who need breathing support,” Settembrese said. “I am reliving the nightmare, with the difference that the virus is less lethal.”

Months after Italy eased one of the globe’s toughest lockdowns, the country is now recording well over 5,000 new infections a day — eerily close to the highs of the spring — as the weather cools and a remarkably relaxed summer of travel and socializing fades into memory. Lombardy is again leading the nation in case numbers, an echo of the trauma of March and April when ambulance sirens pierced the silence of stilled cities.

So far, Italy’s death toll remains significantly below the spring heights, hovering recently around 50 per day nationwide, a handful in Lombardy. That compares with over 900 dead nationwide one day in March.

In response to the new surge, Premier Giuseppe Conte’s government twice tightened nationwide restrictions inside a week. Starting Thursday, Italians cannot play casual pickup sports, bars and restaurants face a midnight curfew, and private celebrations in public venues are banned. Masks are mandatory outdoors as of last week.

But there is also growing concern among doctors that Italy squandered the gains it made during its 10-week lockdown and didn’t move quick enough to reimpose restrictions. Concerns persist that the rising stress on hospitals will force scheduled surgeries and screenings to be postponed — creating a parallel health emergency, as happened in the spring.

Italy is not the only European country seeing a resurgence — and, in fact, is faring better than its neighbors this time around. Italy’s cases per 100,000 residents have doubled in the last two weeks to nearly 87 — a rate well below countries like Belgium, the Netherlands, France, Spain and Britain that are seeing between around 300 to around 500 per 100,000. Those countries have also started to impose new restrictions.

This time, Milan is bearing the brunt. With Lombardy recording more than 1,000 cases a day, the regional capital and its surroundings account for as many as half of that total. Bergamo — which was hardest hit last time and has been seared into collective memory by images of army trucks transporting the dead to

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