Credit…Jeff Haynes/Associated Press

The Indianapolis Colts on Friday briefly joined the rising group of N.F.L. groups coping with a possible outbreak of coronavirus circumstances. Except hours later, the crew introduced that it had been unsuitable: The “four individuals” who had examined constructive for the virus had been re-tested and located to be detrimental.

Hours after the Colts mentioned they had been closing their apply facility, the New England Patriots — who had simply emerged from a virus-inflicted week off — additionally referred to as off their Friday session after recording no less than one new constructive. The Patriots mentioned the crew additionally was ready for the outcomes of a follow-up take a look at for a second participant to verify whether or not he, too, was constructive.

The confusion in Indianapolis, although, mirrored an analogous collection of occasions final Friday involving the Jets, who closed after which rapidly reopened their coaching facility after an preliminary constructive end result was not confirmed in a second take a look at. But the uncertainty and disruption additionally forged new doubt on the reliance on fast testing to identify, and forestall, virus outbreaks because the league plows forward with its schedule.

The rash of false positives echoed a number of different incidents which have made headlines in current months. In August, Gov. Mike DeWine of Ohio examined constructive on a fast take a look at, solely to verify thrice by a laboratory take a look at that he didn’t have the coronavirus. And on Oct. 2, officers in Nevada issued a statewide directive to nursing properties to halt use of two government-issued fast exams that had produced a regarding variety of false positives that would not be confirmed by extra correct exams. Under stress from the federal authorities, the state reversed the order every week later.

Although sooner, extra handy, and cheaper than typical laboratory exams, fast exams for the coronavirus are far much less correct. They extra typically miss circumstances of the coronavirus, in addition to mistakenly label wholesome folks as contaminated.

Still, fast exams make up a rising contingent of the testing panorama within the United States. In September, the White House introduced detailed plans to ship 150 million fast exams manufactured by Abbott Laboratories to governors and weak communities across the nation.

Much of the scrutiny on fast exams has centered on false negatives, which might hasten the unfold of illness when circumstances are missed. But false positives may be damaging as effectively, holding workers out of workplaces and triggering pointless nervousness.

In some circumstances, individuals who obtain false positives might even be remoted with people who’re really harboring the virus, elevating the chance of additional unfold.

The information of the Patriots’ new case got here a day after two of the crew’s most necessary gamers, quarterback Cam Newton and cornerback Stephon Gilmore, returned to apply after a keep on the crew’s reserve/Covid-19 checklist.

Newton, who joined the Patriots this season, and Gilmore, the reigning N.F.L. defensive participant of the 12 months, are anticipated to return when the Patriots face the Denver Broncos on Sunday afternoon. The crew mentioned the sport, which had been postponed every week after New England’s earlier virus outbreak, would go forward as deliberate.

In Indianapolis, the Colts referred to as off apply forward of their very own Sunday recreation after their newest spherical of testing produced a number of positives. But inside hours, the crew mentioned the preliminary outcomes had been unsuitable.

“The four positive samples were re-tested and have been confirmed negative,” the crew mentioned in an replace posted on Twitter. After consulting the league, the Colts mentioned, they’d reopened their apply facility “and will continue preparation for Sunday’s game.”

The Colts had been simply the newest crew to announce constructive exams prior to now few weeks, a bunch that already included the Tennessee Titans, the Patriots and, on Thursday, the Atlanta Falcons. The outbreaks have scrambled the N.F.L. schedule, compelled the league to strengthen its virus protocols, and raised questions concerning the league’s resolution to press forward with its schedule with out making a restricted setting just like the so-called bubble used by the N.B.A.

Several video games have been postponed or rescheduled already, each inflicting a cascading collection of adjustments within the sophisticated matrix that’s the league’s schedule. Any problems with Sunday’s Patriots-Broncos recreation would create essentially the most severe scheduling points but. When the league postponed the groups’ assembly final weekend, it solved the scheduling drawback by permitting each New England and Denver to use the open date as their bye week, and shuffling a number of video games towards different opponents later within the season.

But since N.F.L. groups solely get one bye week per season, that has left the league with no flexibility whether it is compelled to postpone any extra video games involving both crew. By insisting on its conventional schedule format, even because the virus circumstances proceed to rise in dozens of states, the N.F.L. has little alternative however to attempt to play Sunday’s recreation — supplied the Patriots don’t affirm any further circumstances — or pursue including an 18th week to the calendar to permit for make-up video games.

Credit…Anna Moneymaker for The New York Times

In late September, a Nobel Prize-winning economist emailed Dr. Scott W. Atlas, a White House coronavirus adviser, in what he noticed as a last-ditch effort to steer the Trump administration to embrace a dramatic improve in testing and isolating contaminated sufferers. The plan was designed to attraction to President Trump, who has complained that constructive exams make his administration look dangerous and wouldn’t “generate any new confirmed cases.”

Dr. Atlas, a radiologist, advised the economist, Paul Romer of New York University, that there was no must do the kind of testing he was proposing.

“That’s not appropriate health care policy,” Dr. Atlas wrote.

Dr. Atlas went on to reference a concept that the virus may be arrested as soon as a small proportion of the United States inhabitants contracts it. He mentioned there was a “likelihood that only 25 or 20 percent of people need the infection,” an obvious reference to a threshold for so-called “herd immunity” that has been broadly disputed by epidemiologists.

The name for extra widespread testing and isolation, Dr. Atlas wrote, “is grossly misguided.”

The trade highlights the resistance inside the White House towards adopting a considerably expanded federal testing program, together with efforts to isolate contaminated sufferers and monitor the folks they’ve been in touch with, whilst infections and deaths proceed to rise nationwide. That resistance has develop into a sticking level in negotiations over a brand new financial stimulus bundle, with the administration and high Democrats disagreeing over the scope and setup of an expanded testing plan.

Many public well being specialists, and a few economists like Mr. Romer, say that a much more sweeping testing program would save lives and enhance the financial system by serving to as many Americans as attainable be taught rapidly if they’re sick — after which take steps to keep away from spreading the virus.

Dr. Atlas and different administration officers taking part in influential roles within the authorities’s virus response successfully say the alternative: that extra widespread testing would infringe on Americans’ privateness and harm the financial system, by holding doubtlessly contaminated staff who present no signs of the virus from reporting to their jobs.

Credit…Tailyr Irvine for The New York Times

The Mountain West, which for months averted the worst of the pandemic, has quickly devolved into one of the crucial alarming sizzling spots within the United States, which recorded its eight millionth confirmed case on Thursday.

Seventeen states, together with many within the Mountain West, have added extra circumstances prior to now week than some other week of the pandemic. And the unfold by sparsely populated areas of rural America has created issues in small cities that lack vital sources — together with medical doctors — even in peculiar instances.

Wyoming, which didn’t have 1,000 whole circumstances till June, just lately added greater than 1,000 in a single week. Reports of recent infections have just lately reached file ranges in Alaska, Colorado and Idaho. And Montana, the place greater than half of the state’s circumstances have been introduced since August, is averaging greater than 500 circumstances per day.

One place the place the infections have unfold has been native jails, that are confined, typically crowded areas. They are dangerous venues for inmates and staff, however the short-term holding amenities additionally pose a menace for surrounding communities as a result of folks filter out and in of them continuously.

For months, the jail in central Montana’s Cascade County was freed from the coronavirus, which appeared as distant a menace because it did in a lot of the agricultural Mountain West.

Then a couple of individuals who had the virus had been arrested. By the time Paul Krogue, the jail’s medical director, realized there was an issue, practically 50 inmates had been contaminated. After weeks battling to include the outbreak, Mr. Krogue acquired a name that infections had been spreading to a facet of the jail that had been virus-free.

“I just kind of lost it, like, ‘My God, I don’t know how much longer I can do this,’” Mr. Krogue, a nurse practitioner, recalled. “I was just scared that I’m not going to be able to see it through, that I’m going to get sick — you just feel so exhausted and it’s just a lot.”

Now greater than 300 inmates and workers members have been contaminated in a facility meant to carry 365 folks, Cascade County’s first main outbreak in a area the place the virus is abruptly surging.

Credit…Elijah Nouvelage/Reuters

The Trump administration mentioned Friday that it might contract with CVS and Walgreens pharmacies to supply free coronavirus vaccines, as soon as they’re obtainable, to residents of long-term care facilities across the nation, providing one of many first clues into how vaccines can be distributed.

The partnership will “provide convenient and free vaccination to residents of nursing homes across America, another historic achievement in our efforts to get a safe and effective vaccine to Americans as fast as possible,” Alex Azar, the secretary of the Department of Health and Human Services, mentioned in a ready assertion.

No coronavirus vaccines are at the moment prepared for approval by the Food and Drug Administration, and the timeline for his or her deployment is unclear. However, the assertion mentioned that this system, referred to as the Pharmacy Partnership for Long-term Care, is being established with its objective of getting no less than one vaccine obtainable by the top of the 12 months.

The vaccines below this system would to be obtainable for residents in expert nursing amenities, nursing properties, assisted residing amenities, residential care properties, and grownup household properties in addition to workers members who haven’t been beforehand vaccinated.

The plan is a part of Operation Warp Speed, the Trump administration’s multibillion-dollar high-speed effort to develop and distribute coronavirus vaccines.

Four corporations are testing coronavirus vaccines in late-stage medical trials within the United States. Pfizer has been essentially the most aggressive in its timeline estimates, however its chief government mentioned right this moment that it might not apply for emergency authorization earlier than the third week of November. The different three corporations — Moderna, AstraZeneca and Johnson & Johnson — have mentioned that later within the 12 months is extra seemingly, matching the predictions of federal well being officers.

AstraZeneca and Johnson & Johnson’s trials have been paused for potential security considerations, which might additional delay their outcomes.

Credit…Erik S Lesser/EPA, through Shutterstock

Latino and Black Americans died in disproportionately excessive numbers relative to the overall inhabitants from May to August this 12 months, in keeping with a report issued by the Centers for Disease Control and Prevention on Friday. Latino deaths rose by greater than 10 % over that interval, the biggest improve of any group.

The trendline is just not new. Early numbers had proven that Black and Latino folks had been being harmed by the virus at larger charges.

The report notes that of the 114,411 coronavirus-related deaths reported to the C.D.C.’s National Vital Statistics System throughout that time-frame, barely greater than half had been white; a few quarter had been Latino and practically 19 % had been Black, figures which might be far larger than their portion of the overall inhabitants (about 18 % for Latinos and 13 % for Blacks).

Regardless of race and ethnicity, these aged 65 and older represented the overwhelming majority — 78 % — of all coronavirus deaths over these 4 months.

The geographic affect of coronavirus deaths shifted from May to August as effectively, transferring from the Northeast to the South and West. And although the virus moved into components of the nation with larger numbers of Hispanic residents, the report’s knowledge confirmed that alone doesn’t solely account for the rise in proportion of deaths amongst Hispanics nationwide.

“Covid-19 remains a major public health threat regardless of age or race and ethnicity,” the report states. It attributes an elevated danger amongst racial and ethnic teams who is perhaps extra more likely to reside in locations the place the coronavirus is extra simply unfold, reminiscent of multigenerational and multifamily households, in addition to maintain jobs requiring in-person work, have extra restricted entry to well being care and who expertise discrimination.

In July, federal knowledge made obtainable after The New York Times sued the Centers for Disease Control and Prevention revealed a clearer and extra full image of the racial inequalities of the virus: Black and Latino folks have been disproportionately affected by the coronavirus in a widespread method that spans the nation, all through tons of of counties in city, suburban and rural areas, and throughout all age teams.

Europe roundup

Credit…Francois Lenoir/Reuters

Belgium will impose a nationwide curfew and shut all cafes, bars, and eating places for a month beginning Monday.

The curfew can be in place from midnight to five a.m., and alcohol gross sales can be forbidden after 8 p.m. Companies should enable workers to earn a living from home, and gatherings in personal properties needs to be restricted to 4 guests, officers mentioned. The measures can be re-evaluated in two weeks.

Belgium has recorded greater than 48,000 circumstances over the previous seven days, roughly 1 / 4 of the entire 191,959 circumstances it has seen for the reason that begin of the pandemic. Of greater than 10,000 deaths, 200 have occurred within the final week.

“To some people those measures may appear unjust, but this virus is unjust,” Prime Minister Alexander de Croo mentioned at a information convention. “It attacks disproportionately those most vulnerable.”

He added that though Belgians had been connected to their freedoms, they had been additionally connected to their well being.

The nation has had an uneven path by the pandemic. It had one of many world’s highest per capita dying charges by a lot of the spring, because the virus tore by nursing properties whereas hospitals refused to simply accept contaminated residents. And in late September, the nation eased restrictions although infections had been on the upswing.

In different developments round Europe:

  • Prime Minister Sanna Marin of Finland mentioned she had left a European Union summit in Belgium “as a precautionary measure” and was returning dwelling to bear a coronavirus take a look at, The Associated Press reported. She had attended a gathering in Finland on Wednesday with a lawmaker who later examined constructive for the virus. Ms. Marin’s announcement got here a day after the European Commission’s president, Ursula von der Leyen, left the summit as a result of one in every of her shut workers members examined constructive. Also Friday, a particular European Union assembly on China scheduled for subsequent month in Berlin was canceled as circumstances within the German capital continued to rise.

  • Greece imposed a lockdown on the northern area of Kozani on Friday, closing retailers and eating places and banning journey outdoors the area after a spike in new circumstances. The restrictions will apply till Oct. 29. Kozani is the primary Greek area to reimpose such measures, and also will ban gatherings and require face masks in public. Schools stay open. Although Greece has accomplished comparatively effectively in curbing the unfold of the virus in comparison with its European neighbors, recording slightly below 24,000 circumstances and 482 deaths, current weeks have seen circumstances rise.

  • A Berlin court docket dominated towards a metropolis order that compelled bars and eating places to shut at 11 p.m., however upheld a ban on alcohol gross sales beginning on the similar time. The resolution, during which the justices mentioned that it was not obvious that the rule on closings would assist to include the virus, got here lower than every week after the restrictions went into impact. The justices relied on knowledge from well being authorities who discovered that the majority new infections come from personal events or establishments like senior properties, hospitals, locations of worship, or journey. City officers had not but determined whether or not to attraction.

  • Under guidelines beginning Friday in Scotland, {couples} who marry or enter into civil partnerships will not be required to put on face masks in the course of the ceremony. In workplaces, masks will now be necessary in cafeterias, aside from when seated at a desk, and, beginning Monday, face coverings can be required in communal areas in places of work. The nation already requires face masks to be worn on public transport, in retailers and different indoor public areas.

Credit…Alex Wroblewski/Reuters

As the coronavirus caseload within the United States soars previous eight million, epidemiologists warn that almost half of the states are seeing surges not like something they skilled earlier within the pandemic.

Reports of recent circumstances this month have trended upward in all however 11 states, and greater than 65,000 circumstances had been introduced throughout the nation on Thursday, essentially the most in a single day since July. An further 70,000 had been introduced on Friday, as 9 states set single-day case information.

Uncontrolled outbreaks within the Midwest and Mountain West are driving the surge, in keeping with a New York Times database. Some of the states with essentially the most excessive progress had comparatively few circumstances till just lately, and rural hospitals have been strained.

Per capita, North Dakota and South Dakota are including extra new circumstances than any states have for the reason that begin of the pandemic. Wisconsin — which reported greater than 4,160 new circumstances on Friday, a single-day file for the state — has seven of the ten metropolitan areas within the United States with the best charges of current circumstances.

The U.S. Surgeon General, Jerome M. Adams, traveled to Neenah, Wisc., to announce the opening of a testing website there in an try and curb the unfold of the virus within the state. He mentioned on Friday that Wisconsin is “one of our red states, meaning your positivity rates are over 10 percent.”

The state’s positivity charge is 21 %, in keeping with a New York Times database, which means that about one in 5 exams come again constructive.

In Minnesota, officers reported 2,290 new circumstances on Friday, surpassing the state’s earlier single-day file, which was 1,516 new circumstances reported on Oct. 10.

“What’s happening in the Upper Midwest is just a harbinger of things to come in the rest of the country,” mentioned Michael Osterholm, an infectious-diseases skilled on the University of Minnesota.

Further west, Colorado, Montana and New Mexico — fueled partly by a surge within the county that features Albuquerque — had been among the many 19 states that had been reporting seven-day information as of Thursday night time. New infections are additionally rising at file ranges in Idaho and Wyoming.

Officials in Wyoming, the least populous state within the nation, reported 290 new circumstances on Friday, a single-day file. Officials in New Mexico have recognized greater than 3,520 new circumstances of the coronavirus over the previous week, essentially the most of any seven-day stretch of the pandemic. On Friday, the state set its third single-day file in a row with greater than 810 new circumstances.

In Utah, the University of Utah hospital intensive care unit hit 104 % capability on Friday, Mayor Erin Mendenhall of Salt Lake City mentioned. New circumstances per day within the state have reached file ranges in current days.






The Indianapolis Colts on Friday briefly joined the rising group of N.F.L. groups coping with a possible outbreak of coronavirus circumstances. Except hours later, the crew introduced that it had been unsuitable: The “four individuals” who had examined constructive for the virus had been re-tested and located to be detrimental.

April 10

31,709

new circumstances

(7-day avg.)

New circumstances per day within the United States

The Indianapolis Colts on Friday briefly joined the rising group of N.F.L. groups coping with a possible outbreak of coronavirus circumstances. Except hours later, the crew introduced that it had been unsuitable: The “four individuals” who had examined constructive for the virus had been re-tested and located to be detrimental.

April 10

31,709

new circumstances

(7-day avg.)

New circumstances per day within the United States

The Indianapolis Colts on Friday briefly joined the rising group of N.F.L. groups coping with a possible outbreak of coronavirus circumstances. Except hours later, the crew introduced that it had been unsuitable: The “four individuals” who had examined constructive for the virus had been re-tested and located to be detrimental.

April 10

31,709

new circumstances

(7-day avg.)

New circumstances per day within the U.S.

The Indianapolis Colts on Friday briefly joined the rising group of N.F.L. groups coping with a possible outbreak of coronavirus circumstances. Except hours later, the crew introduced that it had been unsuitable: The “four individuals” who had examined constructive for the virus had been re-tested and located to be detrimental.

April 10

31,709

new circumstances

(7-day avg.)

New circumstances per day

within the United States


Signs of the uptick are already showing east of the Mississippi River.

In the Northeast, the place circumstances have been comparatively low since a spring surge, the variety of new ones is transferring upward once more. And within the South, the place circumstances spiked this summer time, there are worrisome traits in West Virginia and Kentucky.

The variety of circumstances alone is just not a full measure of the nation’s outbreak, partly as a result of they arrive at a time when testing is extra widespread than it was a couple of months in the past. Deaths from Covid-19 have additionally been comparatively flat in current weeks, with a median of about 700 per day.

Still, mentioned Caitlin Rivers, an epidemiologist at Johns Hopkins University, “we are headed in the wrong direction.”

“That’s reflected not only in the number of new cases but also in test positivity and the number of hospitalizations,” she added. “Together, I think these three indicators give a very clear picture that we are seeing increased transmission in communities across the country.”

High ranges of an infection in schools and universities, Dr. Osterholm mentioned, are serving as one supply of the unfold. Transmission additionally has been prevalent at occasions reminiscent of funerals, household barbecues and birthday events, he mentioned, including that the comeback of sporting occasions and eating has additionally added to the unfold this fall.

“Pandemic fatigue has clearly set in for large segments of the population,” he mentioned.

Dr. Anthony S. Fauci, the nation’s high infectious illness skilled, mentioned on Thursday that the present state of affairs was worrying as winter approaches.

But President Trump continued to downplay the resurgence of this virus, saying he didn’t assist the strictest restrictions by native officers to restrict its unfold.

“We’re not doing any more lockdowns,” he mentioned. “We’re doing fine.”

Credit…Stephanie Keith/Getty Images

A federal choose dominated on Friday that Gov. Andrew M. Cuomo’s new restrictions on providers at Roman Catholic church buildings in components of New York City which were hit laborious by the coronavirus didn’t violate the Constitution’s safety of spiritual freedoms.

The ruling, by Judge Nicholas G. Garaufis of Federal District Court in Brooklyn, was the newest authorized victory for Mr. Cuomo in his broader efforts to stem a second wave of the virus in New York.

Last week, two different Brooklyn federal judges rejected emergency requests by the Diocese of Brooklyn and Orthodox Jewish teams to put aside the state’s new restrictions on non secular gatherings in components of Queens and Brooklyn.

Under the governor’s guidelines, homes of worship in zones with the best an infection charges are restricted to 25 % capability or a most of 10 folks, whereas these in much less extreme sizzling spots are allowed to function at 50 % capability.

Lawyers for the diocese had argued in court docket papers that the rules violated the First Amendment by imposing capability limits on no less than 26 parishes in Queens and Brooklyn.

In his resolution, Judge Garaufis acknowledged that the diocese had “done everything it could be expected to do and more” to conduct providers safely and that the restrictions clearly harmed non secular teams.

Nonetheless, he wrote, he believed that “based on the evidence submitted, that the state’s policy is guided by science, not a desire to target religious practice” and that the potential danger of blocking the restrictions now was too nice to take action.

“If the court issues an injunction and the state is correct about the acuteness of the threat currently posed by hot-spot neighborhoods,” he wrote, “the result could be avoidable death on a massive scale like New Yorkers experienced in the spring.”

Credit…Stefani Reynolds for The New York Times

More than 1,000 present and former epidemic intelligence officers — the “disease detectives” of the Centers for Disease Control and Prevention — have signed an open letter decrying the politicization of the company and calling for it to be restored to its “indispensable role” in preventing the coronavirus pandemic.

The letter has been gathering signatures since May, when it was first posted on Medium, however solely just lately surpassed the 1,000 mark, organizers mentioned. It was republished on Friday with 1,044 signatories by the The Epidemiology Monitor, a commerce publication that devoted its total October version to calling for a restoration of the C.D.C.’s fame.

The letter speaks to the rising sense of despair contained in the illness management facilities, the place profession authorities scientists are appalled by White House interference of their decision-making and are calling for his or her director, Dr. Robert R. Redfield, to push again. Many concern the Trump administration is doing irrevocable hurt to the company’s fame.

“The absence of national leadership on Covid-19 is unprecedented and dangerous,” the letter states, including that states and territories “have been left to invent their own differing systems for defining, diagnosing and reporting cases of this highly contagious disease.”

When the letter was first written, the authors state, the Covid-19 dying toll had surpassed 100,000 within the United States — it’s now twice that. “We urgently call upon the American people to demand and our nation’s leaders to allow C.D.C. to resume its indispensable role.”

The signatories symbolize a couple of quarter of all of the epidemic intelligence officers who’ve been skilled for the reason that service started in 1951, mentioned Dr. Charles Rabkin, who helped set up the petition. There are names of so-called “E.I.S. officers” from each class excluding 1953; the primary one listed, Dr. Henry R. Shinefield, is 97, Dr. Rabkin mentioned.

U.s. Roundup

Credit…Gregory Bull/Associated Press

Six months after a virus outbreak on the plane service Theodore Roosevelt triggered a political tsunami in Washington that led to the firing of the ship’s captain and the next resignation of his boss — the appearing secretary of the Navy — the novel coronavirus has returned to the ship.

The Navy mentioned that two sailors aboard the nuclear-powered Roosevelt, which is at sea close to San Diego, examined constructive for the virus prior to now three days. Both of the sailors have been evacuated, and the folks aboard the ship with whom they’d contact have been quarantined.

“The sailors self-reported after experiencing symptoms, received immediate medical treatment, and were transported off the ship for isolation,” mentioned Commander Zach Harrell, a spokesman for the Naval Air Forces. He mentioned that contact tracing aboard the ship had been accomplished.

The reappearance of the virus aboard the Roosevelt instantly sparked worries amongst crew members who bear in mind the torturous expertise of the spring, when an onboard outbreak unfold to some 1,100 sailors, and led to a weekslong keep in Guam and the firing of the ship’s commander, Capt. Brett Crozier, after he wrote a broadly distributed letter interesting for assist.

After he was fired by a political appointee of President Trump, the saga took on new which means. A video of tons of of cheering sailors yelling “Captain Crozier!” as he departed the plane service, went viral. Efforts by the appearing Navy secretary on the time, Thomas B. Modly, to proper the disaster ended up resulting in his resignation.

In different information from across the United States:

  • At the biggest hospital in Utah — the University of Utah hospital in Salt Lake City — the intensive care unit hit 104 % capability on Friday, Mayor Erin Mendenhall of Salt Lake City mentioned. “The actions we take in the days ahead will determine whether or not our systems are able to handle our health care needs,” she mentioned. New circumstances per day within the state have reached file ranges in current days, with 1,470 new circumstances reported on Friday.

  • Two members of the U.S. power secretary’s safety element have examined constructive for the coronavirus, the Department of Energy introduced late Thursday. The secretary, Dan Brouillette, has examined detrimental, however “out of an abundance of caution,” he and his crew have minimize quick a multi-state journey and are driving again to Washington and following C.D.C. steerage, in keeping with an announcement by an company spokeswoman.

  • Eighteen members of the Yale University males’s hockey crew have examined constructive for the coronavirus, in keeping with an e mail despatched by a college official Thursday, prompting Yale to pause all in-person varsity and intramural athletics indefinitely.

  • A Centers for Disease Control and Prevention report printed Friday, about an indoor hockey recreation in Florida in June that has been linked to fifteen infections, amplified considerations about the security of indoor sports activities. The participant believed to have unfold the virus developed signs the day after the sport. Indoor ice rinks, the report mentioned, are a perfect transmission setting due to the deep respiratory that occurs throughout intense exertion and the proximity between gamers in the course of the recreation and within the locker rooms.

  • A Republican candidate for the state legislature in North Dakota, David Andahl, died of Covid-19 earlier this month, his household mentioned. While his title will stay on the poll, the state’s legal professional basic mentioned in an opinion this week that the North Dakota G.O.P. will select who will fill the seat if Mr. Andahl wins.

  • Gov. Philip D. Murphy of New Jersey introduced an administrative shakeup on the state’s Department of Military and Veterans Affairs, which runs nursing properties the place 190 residents’ deaths have been linked to the coronavirus. A brand new commissioner of the division was named on Friday and administrators at two state-run nursing properties, the place outbreaks are being investigated by the state legal professional basic, are being changed.

  • Irving Pressley McPhail, the president of Saint Augustine’s University, a traditionally Black college in Raleigh, N.C., died of problems from Covid-19 on Thursday night, the chairman of the college’s board of trustees, James Perry, mentioned. Mr. McPhail, who turned president of the college in July, didn’t contract the virus on the college, Mr. Perry mentioned.

Credit…Frederic J. Brown/Agence France-Presse — Getty Images

As the coronavirus pushes the curve of U.S. infections upward for a 3rd time, public officers and households are rethinking the right way to have fun Halloween, balancing the chance of elevated transmission with the pursuits of a public reluctant to surrender vacation traditions.

In a number of states, together with California and Massachusetts, governors have discouraged trick-or-treating however not issued an outright ban. Public well being specialists, together with the Centers for Disease Control and Prevention, have warned that the apply might result in a spike in circumstances.

“I’m advising people to stay home,” mentioned Dr. Dean A. Blumberg, the chief of the Pediatric Infectious Diseases Division on the University of California Davis Children’s Hospital. “It doesn’t seem worth it to me. It doesn’t seem worth the risk, not only for the family to risk transmission but for the community to result in outbreaks like we saw after Memorial Day.”

The C.D.C., in its Halloween security pointers, labeled conventional trick-or-treating as a high-risk exercise, together with indoor haunted homes and crowded costume events.

The company, together with some public officers, is imploring households to search out new, safer methods to have fun. They recommend costume contests through Zoom, sweet scavenger hunts within the dwelling or yard and scary film nights.

If a household does determine to trick-or-treat, specialists have urged households and youngsters to put on protecting masks along with costume masks.

Teresa Tomb, one of many organizers of an annual Halloween parade in Lexington, Ky. — the theme of which mixes zombies with Michael Jackson’s “Thriller” — mentioned the town canceled the parade this 12 months, however changed it with a socially distant, multi-day gathering at a park, the place folks can gown up and dance of their zombie costumes.

“You kind of reach a certain acceptance that this is what we have to do,” she mentioned. “It will just be a special year.”

Credit…Atef Safadi/EPA, through Shutterstock

A small charity in Jerusalem is providing an under-the-radar service treating principally ultra-Orthodox and older Covid-19 sufferers of their properties, even in extreme circumstances the place well being specialists say it might endanger lives.

Drawing on the providers of some medical doctors — and dozens of volunteers, most with out medical coaching — it operates out of a basement in Mea Shearim, a Jerusalem stronghold of essentially the most excessive anti-Zionist Jewish sects that shun cooperation with the state.

The charity has attracted sufferers who sense that remaining with household — and avoiding public hospitals — outweighs the dangers. But the mission can also be tinged with a basic mistrust of presidency among the many ultra-Orthodox group, which seems to be more and more going it alone in dealing with the pandemic and lots of different features of every day life.

Since the home-care initiative was reported by Israel’s N12 information service this week, well being officers and specialists have responded with a mixture of condemnation and curiosity.

Dr. Sharon Elrai-Price, a senior Health Ministry official, denounced the operation as a “dangerous” departure and mentioned the ministry was wanting into the legality of some features of it. But Dr. Gabriel Barbash, a number one Israeli professor of epidemiology, is amongst those that view the charity’s strategy as a attainable solution to ease the load on hospitals and worthy of additional research.

The debate comes as Israel is below its second nationwide lockdown after every day an infection and dying charges soared to among the many highest on the planet, and ultra-Orthodox areas high the virus sizzling spots. Health officers say that about 50 % of these aged over 65 and below 18 who’re contaminated in Israel are from the ultra-Orthodox group, although it makes up not more than 13 % of the nation’s 9 million residents.

The precise an infection numbers could also be even larger: The charity doesn’t report coronavirus circumstances to the authorities, which can be skewing the nationwide virus knowledge on which policymakers base their selections.

Credit…Sergio Perez/Reuters

In a flurry of memos launched this week and final, the White House doctor, Dr. Sean Conley, declared that President Trump not posed a transmission danger to others — an evaluation, he famous, that was largely based mostly on the outcomes of “advanced diagnostics.”

Outside specialists have additionally mentioned that Mr. Trump, who reportedly started feeling sick about two weeks in the past, might be not contagious.

But in actual fact there exists no take a look at that may definitively decide whether or not somebody who was contaminated with the coronavirus can nonetheless unfold it.

“We do not have a test for cure, and we do not have a test for infectiousness,” mentioned Omai Garner, a medical microbiologist on the University of California, Los Angeles.

Not all coronavirus exams are designed to detect the identical components of the virus. And a detrimental on one take a look at doesn’t essentially assure a detrimental on one other.

As just lately as Tuesday, for example, a fast antigen take a look at referred to as the BinaxNOW was unable to detect the coronavirus in Mr. Trump. But outcomes yielded from a laboratory take a look at, which used a slower however extra correct approach referred to as polymerase chain response, or P.C.R., confirmed he nonetheless carried genetic materials from the virus at low ranges in his physique.

“We don’t just look at these tests in the context of ‘Coronavirus, yes or no,’” mentioned Karissa Culbreath, a medical microbiologist at TriCore Reference Laboratories in New Mexico.

There isn’t any definitive threshold at which researchers can say somebody is or is just not infectious, she mentioned, and it’s very attainable to be antigen detrimental however P.C.R. constructive.

Credit…Jeenah Moon/Getty Images

Pfizer’s chief government mentioned on Friday that the corporate wouldn’t apply for emergency authorization of its coronavirus vaccine earlier than the third week of November, ruling out President Trump’s assertion {that a} vaccine could be prepared earlier than Election Day on Nov. 3.

In an announcement posted to the corporate web site, the chief government, Dr. Albert Bourla, mentioned that though Pfizer might have preliminary numbers by the top of October about whether or not the vaccine works, it might nonetheless want to gather security and manufacturing knowledge that will stretch the timeline to no less than the third week of November.

Close watchers of the vaccine race had already identified that Pfizer wouldn’t be capable of meet the Food and Drug Administration’s necessities by the top of this month. But Friday’s announcement represents a shift in tone for the corporate and its chief, who has repeatedly emphasised the month of October in interviews and public appearances.

In doing so, the corporate had aligned its messaging with that of the president, who has made no secret of his want for an authorized vaccine earlier than the election. Mr. Trump even singled out the corporate by title and mentioned he had spoken with Dr. Bourla, whom he referred to as a “great guy.”

Dr. Eric Topol, a medical trial skilled at Scripps Research in San Diego, mentioned that whereas Pfizer officers had assured him {that a} vaccine would seemingly not be licensed earlier than the election, the corporate’s letter on Friday was “even more solid about their not being part of any political machinations.”

“This is good, really good,” mentioned Dr. Topol, who was one in every of 60 public well being officers and others within the medical group to signal a letter to Pfizer urging it to not rush its vaccine.

Dr. Bourla has pushed again towards any suggestion that the corporate’s vaccine timeline was politically motivated. In September, Pfizer was the driving drive behind a pledge by 9 vaccine corporations to “stand with science” and never put ahead something that had not been correctly vetted.

Earlier this month, he printed an open letter to workers that mentioned he “would never succumb to political pressure” and expressed disappointment that “we find ourselves in the crucible of the U.S. presidential election.”

Credit…Neil Johnson/Keuka College

A small faculty in Central New York is sending most of its college students dwelling, probably for the remainder of the autumn semester, due to a sudden coronavirus outbreak that has been traced to a single off-campus celebration on Oct. 3, faculty officers mentioned on Friday.

Keuka College, which had skilled only one case of coronavirus throughout its first six weeks of courses, now has 55 energetic circumstances, most of which have been linked to the celebration.

The faculty has requested most of its 1,100 college students to depart campus this week, urging them to isolate themselves as finest they’ll for 2 weeks as soon as they get dwelling. Though the college has left open the potential for permitting some college students to return earlier than the Thanksgiving break, the faculty president, Amy Storey, mentioned “the bar is set very high.”

About 250 college students will stay on campus as a result of they’ve examined constructive or have come into shut contact with somebody who has; are displaying Covid signs; or have an unstable dwelling state of affairs.

“We had hoped this step wouldn’t be necessary,” Ms. Storey mentioned in a assertion, “but the quickly escalating number of positive cases has made this temporary shut-down unavoidable.” She added that the college was compelled to ship college students dwelling as a result of its small campus lacked enough housing to isolate the rising variety of contaminated and probably contaminated college students.

Like most American schools, Keuka had deliberate to ship college students dwelling for the semester round Thanksgiving, to cut back the sort of journey that always spreads the virus. But in sending them dwelling , it could be offering a preview of what different schools are more likely to face as infections rise throughout the nation.

The New York Times has recognized greater than 178,000 confirmed circumstances at schools and universities for the reason that pandemic started, most of these circumstances being reported since college students started returning to campuses in August.

In an interview, Ms. Storey mentioned the faculty has been testing solely symptomatic people, with out conducting the sort of random surveillance testing specialists say is required to identify outbreaks swiftly. The technique appeared to be working up till about 85 to 100 college students attended the Oct. 3 celebration, Ms. Storey mentioned.

Though plenty of college students who’ve “flouted” the steerage and guidelines, the overwhelming majority of scholars have complied, “which is what makes this situation so tragic,” she mentioned.

Credit…Christopher Lee for The New York Times

Remdesivir, the solely antiviral drug licensed for remedy of Covid-19 within the United States, fails to stop deaths amongst sufferers, in keeping with a research of greater than 11,000 folks sponsored by the World Health Organization.

The drug was granted emergency authorization by the Food and Drug Administration on May 1 after a trial by the National Institutes of Health discovered that remdesivir modestly diminished the time to restoration in hospitalized. President Trump obtained the antiviral after he started displaying signs earlier this month.

“This puts the issue to rest — there is certainly no mortality benefit,” mentioned Dr. Ilan Schwartz, an infectious-disease doctor on the University of Alberta in Canada.

But different scientists mentioned the design of the W.H.O.’s sprawling medical trial, which collected knowledge from tons of of hospitals, meant the conclusions weren’t definitive.

Conducted in dozens of nations with varied well being care techniques and inconsistent remedy protocols, the information are tough to research and examine, mentioned Dr. Peter Chin-Hong, an infectious-disease skilled on the University of California, San Francisco.

The findings, which had been posted on-line on Thursday, haven’t but been peer-reviewed or printed in a scientific journal.

The W.H.O.’s research, referred to as the Solidarity trial, enrolled 11,266 adults with Covid-19 in 405 hospitals in 30 nations. The members got 4 medication singly or together: remdesivir, hydroxychloroquine, lopinavir, interferon or interferon plus lopinavir. About 4,100 obtained no drug remedy.

In the top, no drug or mixture diminished mortality, the possibilities that mechanical air flow could be wanted, or time spent within the hospital, in contrast with the sufferers who weren’t given drug remedy.

Still, a number of specialists famous that a few of the medication within the trial might profit folks with Covid-19 earlier in the midst of their sickness.