WHO sets up panel to review handling of COVID-19 pandemic

By Stephanie Nebehay and John Miller

GENEVA/ZURICH (Reuters) – The World Health Organization (WHO) said on Thursday it was setting up an independent panel to review its handling of the COVID-19 pandemic and the response by governments worldwide.

The announcement follows strong criticism by U.S. President Donald Trump’s administration, which accused the WHO of being “China-centric,” and U.S. formal notification on Tuesday that it was withdrawing from the U.N. agency in a year’s time.

Former New Zealand prime minister Helen Clark and former Liberian president Ellen Johnson Sirleaf have agreed to head the panel, WHO Director-General Tedros Adhanom Ghebreyesus said.

“The magnitude of this pandemic, which has touched virtually everyone in the world, clearly deserves a commensurate evaluation, an honest evaluation,” Tedros told a virtual meeting with representatives of WHO’s 194 member states.

The co-chairs will select the other panel members, he said. The panel will then provide an interim report to an annual meeting of health ministers in November and present a “substantive report” next May.

“This is not a standard report that ticks a box and is then put on a shelf to gather dust. This is something we take seriously,” Tedros said.

In May, WHO’s member states adopted unanimously a resolution proposed by the European Union calling for an evaluation of the global response to the pandemic.

Addressing Thursday’s meeting, Clark said the assignment would be “exceptionally challenging”.

Johnson-Sirleaf, whose country was ravaged by West Africa’s Ebola outbreak, the world’s worst, in 2014-2016, said she looked forward “to doing all we can to respond” to the pandemic’s challenges.

More than 12 million people are reported to have been infected by the novel coronavirus worldwide and 548,429​ have died, according to a Reuters tally.

Ilona Kickbusch, a global health expert and former WHO head of communications, told Reuters on Wednesday that any review had to be credible.

“It has to be seen as a group of people that one can trust, that can start the process, and will probably involve others,” she said.

(Additional reporting by Michael Shields and Brenna Hughes-Neghaiwi in Zurich; writing by Stephanie Nebehay; Editing by Michael Shields and Gareth Jones)

COVID-19 pandemic plunges working world into crisis: ILO

GENEVA (Reuters) – Global leaders called for a comprehensive approach to counter the impact of the coronavirus pandemic, which International Labor Organization chief Guy Ryder said on Wednesday had plunged the world of work into “unprecedented crisis”.

“Let’s be clear: it’s not a choice between health or jobs and the economy. They are interlinked: we will either win on all fronts or fail on all fronts,” United Nations Secretary-General Antonio Guterres told an ILO summit that will be addressed by dozens of heads of state and government via recorded messages.

World Health Organization head Tedros Adhanom Ghebreyesus told the summit the world had a special duty to protect the millions of healthcare workers at the front line of the crisis and suffering increasing cases of infection and death.

“Together we have a duty to protect those who protect us,” he said.

The outlook for the global labor market in the second half of 2020 is “highly uncertain” and the forecast recovery will not be enough for employment to return to pre-pandemic levels this year, the ILO said last week.

The U.N. agency said the fall in global working hours was “significantly worse than previously estimated” in the first half of the year.

(Reporting by Emma Farge and Michael Shields; Editing by Andrew Heavens)

U.S. Vice President Pence supports governors pausing re-openings

WASHINGTON (Reuters) – U.S. Vice President Mike Pence said on Thursday he supported governors who are pausing their states’ re-openings during the coronavirus pandemic, but sees no need for a national mandate for people to wear masks.

Pence also said he believed schools could reopen on time in the fall and that the United States would keep opening up after the coronavirus pandemic that shut down the economy for several months.

The vice president made the remarks before a visit to hard-hit Florida, which shattered records on Thursday when it reported over 10,000 new coronavirus cases, the biggest one-day increase in the state since the pandemic started, according to a Reuters tally.

“I don’t think there’s a need for a national mandate,” Pence said in an interview with CNBC.

“The truth is that we’re monitoring right now 12 states that have rising cases and rising positivity and we’re fully supporting efforts that governors are taking and local health officials are taking to encourage people to practice good hygiene, social distancing, wear a mask when social distancing is not possible.”

Pence said that the rise in coronavirus cases across Sunbelt states in recent weeks – California, Arizona, Texas and Florida – reflects younger Americans beginning to congregate in settings where the virus can spread.

He said he and President Donald Trump support efforts by governors of those states “to modify or pause aspects of their reopening.”

To contain the outbreak, Florida closed bars and some beaches, but the governor has resisted requiring masks statewide in public or reimposing a lock-down.

(Reporting by Lisa Lambert and Doina Chiacu; Editing by Chizu Nomiyama)

New York’s Cuomo says Trump should mandate masks in public to fight virus

(Reuters) – New York Governor Andrew Cuomo said on Monday that President Donald Trump should issue an executive order mandating that people wear masks in public and he should lead by example and cover his face.

“The other states are just starting to do it now, states that were recalcitrant, governors who said ‘we don’t need to do this, masks don’t work,” Cuomo said at a media briefing. “Now they’re doing a 180…let the president have the same sense and do that as an executive order.”

Cuomo once again criticized the federal government’s handling of the coronavirus pandemic, saying the White House has been “in denial” from the start of the public health crisis, and that it was not doing enough to tackle a surge in COVID-19 cases in several U.S. states that has emerged over the past few weeks.

The New York governor, who became one of the leading national voices during the pandemic, said that Trump’s focus on reopening the economy was misguided and that it had backfired.

“Yes, we have to get the economy going but reopening fast was not good for the economy,” Cuomo said. “What has been happening is, when that virus spikes, the market goes down, not up.”

(Reporting by Maria Caspani in New York and Nathan Layne in Wilton, Connecticut; Editing by Chris Reese and Lisa Shumaker)

Explainer: What is a second wave of a pandemic, and has it arrived in the U.S.?

By Julie Steenhuysen

CHICAGO (Reuters) – Infectious disease experts, economists and politicians have raised concerns about a second wave of coronavirus infections in the United States that could worsen in the coming months.

But some, including Dr. Anthony Fauci, the U.S. government’s top infectious disease expert, said it is too soon to discuss a second wave when the United States has never emerged from a first wave in which more than 120,000 people have died and more than 2.3 million Americans have had confirmed infections with the novel coronavirus.

Here is an explanation of what is meant by a second wave.

WHY DESCRIBE DISEASE OUTBREAKS AS WAVES?

In infectious disease parlance, waves of infection describe the curve of an outbreak, reflecting a rise and fall in the number of cases. With viral infections such as influenza or the common cold, cases typically crest in the cold winter months and recede as warmer weather reappears.

Fears about a second wave of COVID-19, the respiratory disease caused by the coronavirus, stem in part from the trajectory of the 1918-1919 Spanish flu pandemic that infected 500 million people worldwide and killed an estimated 20 to 50 million people. The virus first appeared in the spring of 1918 but appears to have mutated when it surged again in the fall, making for a deadlier second wave.

“It came back roaring and was much worse,” epidemiologist Dr. William Hanage of Harvard University’s T.H. Chan School of Public Health said.

Epidemiologists said there is no formal definition of a second wave, but they know it when they see it.

“It’s often quite clear. You’ll see a rise involving a second group of people after infections in a first group have diminished,” epidemiologist Dr. Jessica Justman of Columbia University’s Mailman School of Public Health said.

U.S. COVID-19 cases spiked in March and April and then edged downward in response to social-distancing policies aimed at slowing the transmission of the virus from person to person. But unlike several countries in Europe and Asia, the United States never experienced a dramatic drop in cases marking the clear end of a first wave. There is now a plateau of about 20,000 U.S. cases daily.

“You can’t talk about a second wave in the summer because we’re still in the first wave. We want to get that first wave down. Then we’ll see if we can keep it there,” Fauci told the Washington Post last week.

The easing in recent weeks of social-distancing mandates in numerous U.S. states as businesses have reopened has caused an acceleration in infections.

IS TALK OF WAVES JUST SEMANTICS?

To many epidemiologists, it is a matter of semantics.

“Do you want to call it an extension of the first wave or a second wave superimposed on the first? You could argue it either way,” Justman said.

Dr. Eric Toner, a senior scientist at the Johns Hopkins Center for Health Security, said he does not find “waves” to be an especially useful term in describing a pandemic.

“When you’re underwater, it’s hard to tell how many waves are passing over your head,” Toner said.

Toner said current increases in U.S. cases have less to do with the virus and more to do with people’s behavior.

“The virus isn’t going away and coming back. The virus is still here. It’s up in some places and down in others,” Toner said.

WHAT IS THE FORECAST FOR THE COMING MONTHS?

Vice President Mike Pence last week wrote an opinion piece in the Wall Street Journal trying to ease concerns over a second wave of U.S. cases. White House economic adviser Larry Kudlow said on Monday that a “second wave” is not coming.

Dr. Theo Vos of the University of Washington’s Institute for Health Metrics and Evaluation called those assurances “wishful thinking.”

Based on global models, his group has predicted that the coronavirus will surge in the fall as colder temperatures arrive in the United States.

“It’s likely to start picking up in October,” Vos said, with increased cases hitting in November, December and January.

(Reporting by Julie Steenhuysen; Editing by Peter Henderson and Will Dunham)

‘Do I need to be here?’: Some New Yorkers decide to pack up and leave

By Maria Caspani and Angela Moore

NEW YORK (Reuters) – Rebekah Rosler and her husband did not intend to leave Manhattan for good in March when they packed up their three children and headed 50 miles north to wait out the coronavirus pandemic in her parents’ vacant home in upstate New York.

“My kids were all dressed in their pajamas, we loaded up the car with paper towels and toilet paper and food,” said Rosler, 40, who works in mental health. “That was what I thought was going to be a commitment for a week.”

A week became months as New York City emerged as the global epicenter of the outbreak. The Roslers postponed their return again and again until in May, they broke the lease on their apartment after they decided to stay upstate.

Rosler said she loved her Manhattan neighborhood but it was nearly overwhelming to care for her small children in a two-bedroom apartment where her husband was also working remotely at his full-time job for a nonprofit.

The Roslers are not the only New Yorkers re-evaluating whether to stay in the country’s largest metropolis. High costs, small living spaces, density and reliance on public transport make it extra hard to deal with social distancing and staying at home.

This has pushed some New Yorkers to consider alternatives, said Bess Freedman, chief executive of Brown Harris Stevens, a real estate firm specializing in luxury Manhattan properties.

“There’s some that are going to leave because they don’t want to be in vertical living, they don’t want to be in an elevator with other people, they don’t want to raise kids here,” she said. “That’s part of what happens during a time like this.”

There is no hard data on how many New Yorkers fled the city during the pandemic or whether those who relocated will eventually move back. New York has proved resilient in the past, defying predictions of a permanent exodus after the World Trade Center attacks in 2001 and after Superstorm Sandy in 2012.

Still, New York City’s population was declining even before the pandemic. The city of some 8 million lost more than 53,000 residents during the 12-month period ending on July 1, 2019 – the third straight annual decline, according to an Empire Center for Public Policy analysis of U.S. Census Bureau estimates.

But many New Yorkers cannot afford to pull up stakes and move out even if they wanted to do so.

When the lockdown began in March, Judy Dodd, an actor and director who lives in Manhattan, said a sense of solidarity almost compelled her to stay in her beleaguered city. She changed her mind after sporadic looting in her neighborhood during recent civil unrest, but concluded she could not afford to move away, even temporarily.

“I just don’t have the cash, my work has been decimated,” she said.

As many as 300,000 workers were expected to return to their jobs on Monday as the city entered Phase 2 of reopening, Mayor Bill de Blasio said last week. But with many businesses allowing employees to continue working at home in the coming months, some questioned the need to go back to the office.

“It has a lot of people asking the question, ‘If I can work from home, do I need to be here?,” said stay-at-home mom Stephanie Ellis, 33.

She said the pandemic not only forced her to think about her family’s health and safety, but also to ask whether it was still worth living in a city whose energy and glitz has faded, at least for now.

“To pay such an extremely large amount of money to live there and not really have it be the city that we want it?” said Ellis, who moved from Manhattan to Marlboro, New Jersey in March with her husband and toddler.

“We sort of slowly realized and accepted we are not going back.”

(Reporting by Maria Caspani and Angela Moore in New York, Editing by Frank McGurty and David Gregorio)

Black Americans hospitalized for COVID-19 at four times the rate of whites, Medicare data shows

(Reuters) – Black Americans enrolled in Medicare were around four times as likely as their white counterparts to be hospitalized for COVID-19, U.S. government data released on Monday showed, highlighting significant racial disparities in health outcomes during the pandemic.

“The disparities in the data reflect longstanding challenges facing minority communities and low income older adults,” said Seema Verma, administrator of the Centers for Medicare & Medicaid Services (CMS), which released the data.

The data showed that more than 325,000 Medicare beneficiaries were diagnosed with COVID-19 between Jan. 1 and May 16. Of those, more than 110,000 were hospitalized.

Black Americans had a hospitalization rate 465 per 100,000 Black Medicare beneficiaries. For other groups measured by CMS, the rates of per capita hospitalizations were 258 for Hispanics, 187 for Asians and 123 for whites.

Hospitalization rates were high for people who qualified for both the senior-focused Medicare program and the low-income-focused Medicaid program, at 473 per 100,000.

“Low socioeconomic status all wrapped up with racial disparities represents a powerful predictor of complications with COVID-19,” Verma said during a briefing about the data.

Medicare beneficiaries with end-stage kidney disease were hospitalized for COVID-19 at a rate of 1,341 per 100,000.

Medicare is a federal health insurance program designed primarily for seniors, as well as some people with disabilities and end-stage kidney disease.

Verma said that CMS’ ongoing push to reimburse providers based on health outcomes rather than paying them fixed fees for their services could help address racial disparities.

“When implemented effectively, (value-based reimbursement) encourages clinicians to care for the whole person and address the social risk factors that are so critical for our beneficiaries’ quality of life,” Verma said.

The data is based on claims filed for reimbursement from Medicare and therefore operates at a delay of several weeks.

(Reporting by Trisha Roy and Carl O’Donnell; Editing by Shinjini Ganguli and Cynthia Osterman)

After 100 days, New Yorkers can get haircuts, dine outdoors while virus cases soar in 12 other states

By Maria Caspani

NEW YORK (Reuters) – After more than 100 days of lockdown, New York City residents on Monday celebrated their progress in curbing the coronavirus pandemic by getting their first haircuts in months, shopping at long-closed stores, and dining at outdoor cafes.

Once the epicenter of the global outbreak, New York City was the last region in the state to move into Phase 2 of reopening with restaurants and bars offering outdoor service and many shops reopening. Barber shops and hair salons welcomed customers for the first time since mid-March.

Playgrounds were also due to reopen on Monday in the most populous U.S. city. The pandemic has killed nearly 120,000 Americans.

At the same time, a dozen states in the South and Southwest reported record increases in new coronavirus cases – and often record increases in hospitalizations as well, a metric not affected by more testing.

The number of new cases rose by a record last week in Arizona, California, Florida and Texas, together home to about a third of the U.S. population. Alabama, Georgia, Nevada, Oklahoma, Oregon, South Carolina, Utah and Wyoming also experienced record spikes in cases.

On Saturday more than 6,000 people, mostly without masks, crowded together inside a Tulsa, Oklahoma, arena for a campaign rally by President Donald Trump.

Trump defended his response to COVID-19, saying more testing had led to identifying more cases, seemingly to his chagrin.

“When you do testing to that extent, you’re going to … find more cases,” he said. “So, I said to my people, ‘Slow the testing down, please.'” A White House official said he was “obviously kidding” with that remark.

(Reporting by Maria Caspani in New York; Additional reporting by Peter Szekely in New York; Writing by Lisa Shumaker; Editing by Howard Goller)

U.S. labor market recovery stalling; second wave of layoffs underway

By Lucia Mutikani

WASHINGTON (Reuters) – The number of Americans filing for unemployment benefits fell last week, but the pace of decline appears to have stalled amid a second wave of layoffs as companies battle weak demand and fractured supply chains, supporting views that the economy faces a long and difficult recovery from the COVID-19 recession.

The Labor Department’s weekly jobless claims report on Thursday, the most timely data on the economy’s health, sketched a picture of a distressed labor market even though employers hired a record 2.5 million workers in May as businesses reopened after shuttering in mid-March to slow the spread of COVID-19. At least 29 million people are collecting unemployment checks.

Stubbornly high joblessness could stifle the nascent signs of economic recovery that had been flagged by a record jump in retail sales in May and a sharp rebound in permits for future home construction. Federal Reserve Chair Jerome Powell told lawmakers this week that “significant uncertainty remains about the timing and strength of the recovery.”

The economy fell into recession in February.

“The recent sightings of green shoots for economic growth are going to fade in a hurry if workers can’t return to the jobs they lost during the pandemic recession,” said Chris Rupkey, chief economist at MUFG in New York. “Over 20 million out of work without a paycheck is a lot of spending missing from the economy.”

Initial claims for state unemployment benefits fell 58,000 to a seasonally adjusted 1.508 million for the week ended June 13, the government said. Data for the prior week was revised to show 24,000 more applications received than previously reported, bringing the tally for that period to 1.566 million.

Economists polled by Reuters had forecast claims dropping to 1.3 million in the latest week. The 11th straight weekly decrease pushed claims further away from a record 6.867 million in late March. Still, claims are more than double their peak during the 2007-09 Great Recession.

“The fear of a second wave of layoffs, as industries not directly affected by COVID-caused shutdowns have started to shed workers, appears to have begun,” said Robert Frick, corporate economist at Navy Federal Credit Union in Vienna, Virginia.

A separate report from the Philadelphia Fed on Thursday showed labor market conditions remained depressed in June at factories in the mid-Atlantic region even as manufacturing activity in the region that covers eastern Pennsylvania, southern New Jersey and Delaware rebounded sharply.

Stocks on Wall Street were trading lower on the claims report and rising COVID-19 infections in parts of the country. The dollar rose against a basket of currencies. U.S. Treasury prices were higher.

MILLIONS ON UNEMPLOYMENT ROLLS

From manufacturing, retail, information technology and oil and gas production, companies have announced job cuts. State and local governments, whose budgets have been shattered by the COVID-19 fight, are also cutting jobs.

Economists expect an acceleration in layoffs when the government’s Paycheck Protection Program, part of a historic fiscal package worth nearly $3 trillion, giving businesses loans that can be partially forgiven if used for wages, runs out.

They attributed to the PPP a drop in the number of people receiving benefits after an initial week of aid from a record 24.912 million in early May. But these so-called continued claims, which are reported with a one-week lag, also appear to have since stalled. The claims report showed continuing claims dropped 62,000 to 20.544 million the week ending June 6.

Initial claims covered the week during which the government surveyed establishments for the nonfarm payrolls component of June’s employment report. But economists cautioned that claims were no longer a good predictor of job growth.

The government has expanded eligibility for unemployment benefits to include the self-employed and independent contractors who have been affected by the COVID-19 pandemic, including through lost employment, reduced hours and wages. These workers do not qualify for the regular state unemployment insurance.

They must file under the Pandemic Unemployment Assistance (PUA) program and are not included in the initial claims count. Applications for PUA increased 66,063 to 760,526 last week.

A total of 29.2 million people were receiving unemployment benefits under all programs during the week ending May 30, the latest available data, down from 29.5 million in the prior period.

“Employment may rise on a net basis in June as the economy reopens and workers are recalled, but the initial claims data suggest that there is still a steady stream of new layoffs as corporations adjust to the new coronavirus reality,” said Lou Crandall, chief economist of Wrightson ICAP in Jersey City, New Jersey.

(Reporting By Lucia Mutikani; Editing by Andrea Ricci)

Oil falls on fears of more COVID-19 cases

(Reuters) – Oil prices fell on Wednesday on fears about fresh outbreaks of COVID-19 but prices drew some support from stimulus measures and positive tests of a drug that could save some critically ill patients.

Brent crude was down 38 cents, or 0.9%, at $40.58 a barrel at 1335 GMT. U.S. West Texas Intermediate (WTI) fell 56 cents, or 1.5%, to $37.82 a barrel.

The World Health Organization said it was moving to update its guidelines after results showed the corticosteroid medication dexamethasone cut death rates by about a third among the most severely ill COVID-19 patients.

Yet concerns persisted about the spread of the virus in some regions and the risk of second waves in places where the spread had started to slow.

“The pandemic is rapidly evolving and the outlook for oil demand will, therefore, remain plagued by a degree of uncertainty,” said Stephen Brennock of broker PVM.

To contain the spread of a new virus outbreak in Beijing, scores of flights were canceled and schools shut.

“We think the oil market is not currently pricing in a significant probability of either second waves of coronavirus cases in key consumers and the associated lockdowns, or anything less than a rapid return to economic business-as-usual,” Standard Chartered analysts said, pointing to a downside risk for prices in the medium term.

Weak economic activity is still weighing on demand for crude. Oil imports in Japan, the world’s fourth-biggest crude buyer, slumped in May to the lowest in almost three decades.

However, the Organization of the Petroleum Exporting Countries forecast a gradual recovery in oil demand and said record supply cuts by the group and other producers were already helping rebalance the market.

Business confidence at Asian companies sank to an 11-year low in the second quarter, a Thomson Reuters/INSEAD survey found, with two-thirds of firms polled seeing a worsening COVID-19 pandemic as the biggest risk over the next six months.

(Reporting by Bozorgmehr Sharafedin in London; Additional reporting Jane Chung in Seoul; Editing by Louise Heavens, Mark Potter and David Clarke)