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New research suggested a drug championed by President Trump could be harmful. The Fed chief warned the U.S. faced a downturn “without modern precedent.” Flags were ordered lowered over Memorial Day weekend for those who died from the virus.

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More than 1.5 million people in the United States have been infected by the coronavirus, a bioreports database shows, and nearly 95,000 have died.

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Credit…Dave Sanders for The bioreports

Anti-malaria drugs may be harmful when taken to treat the coronavirus, a new study suggested.

The malaria drugs hydroxychloroquine and chloroquine did not help coronavirus patients and may have done harm, according to a new study based on the records of nearly 15,000 patients who received the drugs and 81,000 who did not.

Hydroxychloroquine is the drug that President Trump has advocated, and that he has said he has been taking in hopes of preventing coronavirus infection.

People who received the drugs were more likely to have abnormal heart rhythms, according to the study, which was published in the The Lancet.

But the study was observational, meaning that the patients were not picked at random to receive the drug or not. This type of study cannot provide definitive evidence about drug safety and effectiveness.

Even so, the authors of the study recommended that the drugs not be used outside clinical trials, and they said carefully controlled trials were urgently needed.

The Fed chief warned of ‘a whole new level of uncertainty’ as financial pain deepens.

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Credit…Ryan Young for The bioreports

Parents have no idea if they will be able to send their children to school in the fall. Millions of workers do not know when, or even if, they may return to the office. Something as simple as going to the beach on this holiday weekend is a fraught decision.

And as millions more workers joined the ranks of the unemployed this week, bringing the total of jobless claims to nearly 39 million in just over two months, government officials and economists warned that it was virtually impossible to forecast how long the pain would last.

“In the best of times, predicting the path of the economy with any certainty is difficult,” Jerome H. Powell, the chair of the Federal Reserve, said on Thursday. “We are now experiencing a whole new level of uncertainty, as questions only the virus can answer complicate the outlook.”

Mr. Powell said the nation’s economy was in a “downturn without modern precedent.”

The Fed chief’s comments underscored a point his colleagues have made repeatedly in recent days: The path to recovery is not obvious as the economy and job market absorb the biggest shock in generations. Against that backdrop, several said, both Fed policymakers and those in Congress and the White House should be prepared to do more if needed.

“Depending on the course the virus takes and the depth and duration of the downturn it causes, additional support from both monetary and fiscal policies may be called for,” Richard H. Clarida, the Fed’s vice chair, said during an event earlier in the day.

But key government officials, particularly Republican members of Congress and some officials in the Trump administration, have signaled varying appetites for providing further help.

Larry Kudlow, the director of the National Economic Council, expressed opposition on Thursday to extending enhanced unemployment benefits, which provide an extra $600 a week. Tax cuts and other incentives to encourage hiring would be preferable at this point, he said.

“I do not believe that more government spending is going to give us a strong and durable recovery,” Mr. Kudlow said.

Hundreds of millions of dollars in unemployment funds were lost to fraud even as jobless claims soar.

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Credit…Alex Edelman/Agence France-Presse — Getty Images

A sophisticated fraud network targeting Washington State’s unemployment system claimed hundreds of millions of dollars before officials were able to identify and crack down on the attack, state officials said Thursday.

“I realize this is a jaw-dropping figure,” said Suzi LeVine, the commissioner of the state Employment Security Department. The fraudulent claims had been filed on behalf of tens of thousands of people, and many involved individuals who had not lost their jobs, she said.

Officials confirmed the fraud on the same day the federal government reported that another 2.4 million American workers filed for jobless benefits last week, bringing the total to a staggering 38.6 million in nine weeks.

“I hate to say it, but this is going to take longer and look grimmer than we thought,” said Nicholas Bloom, an economist at Stanford University.

The stunning scale of the job losses, and the billions of dollars in benefits approved by Congress to sustain workers without incomes, has made unemployment systems ill-equipped to handle the surge of claims vulnerable to fraud.

The U.S. Secret Service said in a memo last week that it appeared that an international group of fraudsters was targeting unemployment systems, particularly in Washington State. Officials said there was also evidence of attacks in Florida, Massachusetts, North Carolina, Oklahoma, Rhode Island and Wyoming.

Investigators said the impostors appeared to be working with an extensive database of personal information stolen in earlier hacking attacks that allowed them to submit claims.

Washington State had moved to make payments available quickly and deliver them to direct-deposit accounts. But the state began realizing the scope of the problem when people who had not filed for unemployment received mail saying that they had.

Ms. LeVine said the state had increased security on its systems and delayed payments to prevent further fraud. That has blocked thousands of other claims worth an additional hundreds of millions of dollars.

The pain, though, is already widespread. A household survey from the Census Bureau released Wednesday found that 47 percent of adults said they or a member of their household had lost employment income since mid-March. And Mayor Bill de Blasio of New York City said on Thursday that nearly one in four New Yorkers needs food.

To address the problem, the city will increase to 1.5 million the number of meals it distributes each day by next week. A million meals will be delivered; the rest will be available for pickup at schools.

The country enters a Memorial Day weekend to remember (or forget).

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Credit…Bryan Anselm for The bioreports

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Credit…Bryan Anselm for The bioreports

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Credit…Sarah Rice for The bioreports

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Credit…Sarah Rice for The bioreports

Mobbed beaches. Crowded parades. Congested public ceremonies. Jam-packed backyard barbecues. Memorial Day, which has come to signal the beginning of hot weather across much of the United States, typically brings millions shoulder to shoulder, towel to towel.

But this year, these first rites of summer are taking place as the country grapples with the pandemic and cautiously emerges from months of quarantine. People are eager for social interaction and fun, yet public health officials warn that those impulses could result in an uptick in coronavirus cases.

Many traditional Memorial Day events have been canceled or replaced with socially distant formats. Elected officials and event organizers are struggling to bring back as much normalcy as possible without jeopardizing public health. The results have been hopeful, maddening and bewildering. But many Americans are pressing on, and trying to preserve what is important while letting go of what is not.

The Memorial Day ceremony in Fort Walton Beach, Fla., is on but organizers are begging the public not to come. The boardwalk in Ocean City, Md., opened this month, but signs reminded that groups of 10 or more were discouraged. And in Massachusetts, beaches will reopen for swimming on Memorial Day, but volleyball is banned and sunbathers must place their towels 12 feet apart.

Here are some general tips for planning a trip to the beach.

People are also beginning to feel the negative health effects of social isolation, which Steve Cole, a social genomics researcher at the University of California, Los Angeles, argued can increase the chances of chronic disease and other types of illnesses the longer it goes on.

“We don’t want to be packed like sardines in a crowd,” he said, “but at the same time, a lone human being is a recipe for death.”

Trump, refusing to wear a mask in public on tour of Ford plant, ordered flags to be lowered to half-staff.

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Credit…Stephanie Keith for The bioreports

President Trump on Thursday called for flags at the White House, on public grounds across the country and on naval vessels to be flown at half-staff in honor of the victims of the coronavirus, a rare acknowledgment of the lives lost from an administration that typically likes to downplay the death toll and take credit for lives it claims it saved.

“Our nation mourns for every life lost to the coronavirus pandemic, and we share in the suffering of all those who endured pain and illness from the outbreak,” read the proclamation that was signed by Mr. Trump.

He ordered American flags to be flown at half-staff through Sunday.

On Memorial Day, the president said, the flags at half-staff would be honoring the nation’s war dead. The announcement came several hours after Speaker Nancy Pelosi and Senator Chuck Schumer, the minority leader, had written to Mr. Trump asking him to fly flags at half-staff when the country reaches 100,000 Covid-19 deaths, which is expected in the coming days.

In their letter to Mr. Trump, Ms. Pelosi and Mr. Schumer called for “a national expression of grief.”

Almost 95,000 people have now died in the United States, according to a tally by The bioreports, and an average of more than 1,000 deaths a day are still being recorded.

Mr. Trump has not led any observance of national mourning since the pandemic began claiming American lives by the thousands. In his recent public comments, he has steered clear of talking about the deaths, focusing instead on the need to reopen the country — a process he describes as a “transition to greatness” — and defending his own handling of the crisis.

Touring a Ford plant in Michigan earlier on Thursday, Mr. Trump declined to wear a mask in front of the cameras, despite the plant’s guidelines that required anyone on the site to have a face covering to protect from the spread of the coronavirus.

The president said he wore one when he was alone with Ford executives, but took it off for the public portion of his tour.

“I didn’t want to give the press the pleasure of seeing it,” he said.

A church that defied coronavirus restrictions was burned to the ground, and arson is expected.

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Credit…Kelly McMillen/Marshall County Sheriff’s Department, via Associated Press

A church in northern Mississippi burned to the ground this week in what the police believe was arson because of a spray-painted message at the scene that seemed to criticize the church’s defiance of coronavirus restrictions.

First Pentecostal Church had sued Holly Springs, Miss., which is about an hour southeast of Memphis, arguing that the city’s stay-at-home order had violated the church’s right to free speech and interfered with its members’ abilities to worship.

After firefighters put out the blaze early on Wednesday morning, the police found the message “Bet you stay home now you hypokrits” spray-painted on the ground near the church’s doors, according to Maj. Kelly McMillen of the Marshall County Sheriff’s Department.

A photograph of the graffiti also appeared to show an atomic symbol with an “A” in the center, which is sometimes used as a logo for atheist groups.

After growing frustration with the city’s executive orders, the first of which was issued on March 23, the church’s pastor, Jerry Waldrop, confronted city officials at a demonstration at a local Walmart.

The church also filed a lawsuit against the city, which has about 8,000 residents, in April. A lawyer for the church said in the lawsuit that the police had cited Mr. Waldrop on Easter for holding a service in violation of the city’s order, and had later shut down a Bible study.

What happened to the great American logistics machine?

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Credit…Hiroko Masuike/The bioreports

It started with silence, or something close to silence, or perhaps it was simply the absence of a low-level hum that nobody knew was humming until it stopped. In the quiet we realized that, until the pandemic arrived, we had lived in a vast, elaborate, whirring contraption that delivered culture and commerce at spectacular speeds, with astonishing efficiency.

Logistics — the science of making Thing A and delivering it to Point B — had become a national art form, the corporate answer to jazz, stand-up comedy and end-zone dances. America was like an operating system that upgraded itself so regularly that its design and endless enhancements were taken for granted.

Now, the heart of the great American logistics machine is beating slowly and erratically, and in some places it has gone into full-on cardiac arrest. Inevitably, one of our many reactions is pure bewilderment.

Us?

Wait. Us?

Rationing meat. Scrambling for masks. Running low on crucial drugs. The early shortages for the pandemic — swabs, toilet paper, ventilators — were a foreshadowing, not an aberration. We still don’t have enough good tests. Our national pantry, long bursting, lacks essentials. Come to think of it, it’s also missing some nonessentials. Just try to buy a bicycle.

Let us acknowledge the obvious: The country is flunking a curriculum that it basically wrote. Which is baffling. American supremacy in logistics has been a calling card for decades, even among people unfamiliar with the L-word.

Watch what it was like inside one New York hospital during the peak of the city’s outbreak.

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transcript

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‘Lord Have Mercy’: Inside One of New York’s Deadliest ZIP Codes

In early March, doctors at St. John’s hospital in Far Rockaway identified the first Covid-19 patient in Queens. Now, there is an uneasy lull and the staff fears a second wave will come.

“One, two, three. One, two, three. One, two, three. One, two, three. One, two, three. One, two, three. Got to roll — Roll him. Before, you didn’t really have time to think about it. You just had to get it done. Now you get time to sit back and look at what you’ve been doing, and start processing your feelings. That could be one of my family members. That could be me.” “Tower Five, Donyale. St. John’s is the only hospital on the peninsula. It’s a lot of people that I’ve known my whole life. My first night 10 people died, right in front of me. And it was just — yeah, that was a lot.” “I’m the director of the Emergency Department. I’m the first line of defense. How are you? My name is Dr. Lee, OK? Nobody’s ever trained for this type of scenario or the stuff that we saw this past month. All right, that should make you feel comfortable. I don’t think it’s going to hit me for a while.” “I think there’s a feeling, like can we take a breath? Can we back up? Take that moment, but still keep your hand on the gas.” “Is my stethoscope over there? It’s night and day. The volume has been drastically down. However, I’m still concerned. It’s calm. Nothing’s going on. But that’s part of the E.D. — you don’t know what’s coming through that door. I’m sure this is a great look with a goggle on top, you know what I mean? Maybe I spoke too soon. They’re coming in. Here you go. Patient with shortness of breath and fever. That looks like from a nursing home. How are you doing? My name’s Dr. Lee.” “He’s going to go to 53.” “People need to understand the gravity. Can you call respiratory for me, please? I’m intubating somebody in 53. In a peak, we had close to 60 patients intubated. We are surrounded by nursing homes. In that sense, we got hit pretty hard. I was never in a battle or any other armed type of deal, but that’s what it felt like when we are triaging the patients a certain way. Give me a four mat — is respiratory coming? And this was the first time in my lifetime that I actually went through that.” “There you go.” “Raise the bed. Two more. All right, ready? Let go.” “There’s got to be one in the bag, in the box.” “So we pulled the stylet out, balloon 22 at the lip. The chance they’re coming off the ventilator is very, very low. Good collar change. And I’ve got to protect their airway. And afterwards, we deal with what comes next.” “I feel like it wiped out a generation, like that generation that was hanging on with a lot of comorbidities. I just feel like it just came in and just —” “The day we maxed out, I think we were 112 patients in here. So outside the ambulance door, the stretchers went down the ramp to the bottom of the entrance where they drive in. And we literally, we just go out there and look and see, OK, who to pull off the list first? Because we knew — how many people can we intubate?” “I called two families, back to back, I went home two days crying in a row. And I held the phone, and they got to say goodbye to their loved one — terrible.” “What else do you do? I mean, you hate to say it. But we’re not God. But are you going to revive the 95 year old or the 42 year old?” “I’ll never be prepared. I don’t think you’re ever prepared for that.” “You know what the saddest thing was? You get someone in alert, talking to you from her house — I remember 72-year-old lady, Polish lady, very nice, couldn’t breathe. Oxygenation was awful. She broke her bridge because she was breathing so hard. And she was so upset about this piece of broken tooth. She said, ‘You have to wrap it. I can’t afford to fix it when I get home.’ I knew, as I was wrapping that tooth, you’re not going home. You’re going to be dead by tomorrow. And I said, ‘OK,’ and I’m wrapping it in a plastic bag, and sticking it in behind her insurance card. ‘Oh, thank you. God bless you. Thank you for fixing my — saving my tooth so I can fix it when I go home.’ She was dead the next day I came back in.” “Yeah.” “The poor families. It must be awful. It has to be, just to not be with them.” “I’ll be right back.” “I’m sorry. The thing that hit me was when my dad got infected. He’s a healthy working man. He owns his deli. I wouldn’t say never gets sick, but he rarely gets sick. Then I got a phone call from my mother saying that my dad didn’t look good. I thought maybe, maybe we just caught it in time. But he was intubated, put on a ventilator. He’s been on it for the past four weeks. I don’t think he’s going to make it. And we have — might as well just say it here — we have to figure out we’re going to do.” “I feel a responsibility to this place, this community. We are safety net hospital. Said there’s nine in there. Working in the morgue right now, I’m still trying to figure out why God placed me here at this moment. Once I go outside, I’m in a zone with it. It’s set up like an airplane. You looking for somebody there in Section 5, Row D. You couldn’t have told me that we’d have did that a month and a half ago.” My son’s grandfather’s best friend, man. Jesus. One, two, three — stop. One, two, three — all the way. It’s more emotional for me now than it was two months ago. It’s starting to tap into my pain. We got this thing, we man up and get it done. We don’t go to somebody and say, ‘I’m hurting.’ And if we’re going to recover from this correctly, we’re going to have to do that.” “That’s what I don’t know is, how we’re going to move forward? Any update?” “No.” “I was born here in this hospital. My dad was born in this hospital, and all my siblings. In the beginning, I was leaving and crying every day. But thank God, it’s changing. It seems like it’s changing. Mr. Style?” “Yes.” “How are you this evening?” “I feel good.” “You feel good? I’m going to feed you, OK?” “Yes.” “We’re going to start with the soup because I know you like your soups.” “Yes.” “Right? How is that?” “Wonderful.” “I’m going to miss you when you leave me today. You know that? Reach your hand straight, and there’s your teacup.” “OK.” “All right. Put the straw to your mouth. Here’s the straw. OK, close your mouth. Go ahead. Drink. Dealing with Covid, people are scared when they find out that they have that. You don’t want to be the person that’s just running in the room and running back out. What’s most exciting about going home? What are you excited about?” “Oh, sometimes here, I’m just lonely by myself. And when I’m at home, my grandson is with me. I’m comfortable at home. I cannot see, but I can find my way around the house by touching furniture.” “Hey, this is St. John’s calling. Your dad is ready to go now. Somebody’s going home.” “Thank you for everything, OK?” “Yeah. It was a pleasure. I’m excited for you. You’re going home.” “Yeah. Thank you!” “Yes. Thank you.” “All right, thank you.” “I feel like we’ve seen the worst of it. I’m hoping that the numbers don’t go back up. But the reality is that they could. Just dealing with the unknown right now.” “Can we call respiratory? CPAP? It’s time to think, and it is time to work. What’s her SAT? That’s been taught by my dad, my mom. Just in case, set the intubation stuff set up, all right? I hope I’m wrong, but I still think the second wave is coming. I hope I’m wrong.” “You ever hear the saying, men cry in the dark? I’ve cried one time since this happened, and I’ve carried 100 — it’s got to be 150 people out of here. One, two, three. Big, small, men, women, people I know, grew up with them, grew up with their children. One, two, three. I would do everything in my being to make sure that this doesn’t happen again.”

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In early March, doctors at St. John’s hospital in Far Rockaway identified the first Covid-19 patient in Queens. Now, there is an uneasy lull and the staff fears a second wave will come.CreditCredit…Emily Rhyne/The bioreports

“Before, you didn’t really have time to think about it — you just had to get it done,” said one worker at St. John’s Episcopal Hospital. “Now, you get time to sit back and look at what you’ve been doing, and start processing your feelings. That could be one of my family members. That could be me.”

This is how to fix your work-from-home tech.

The last thing you need right now is a spotty Wi-Fi signal interrupting your workday. Good news! There are some simple steps you can take to improve that. And, while you’re at it, take a look at the rest of your computer setup and see what may be slowing you down. A little tweak can make working from home less miserable.

Global updates: China abandons growth target for the year and more from our international correspondents.

Parting with years of precedent, China on Friday abandoned an annual growth target for 2020, in an acknowledgment that restarting its economy after the outbreak will be a slow and difficult process.

In his annual report to lawmakers meeting in Beijing, Premier Li Keqiang said that the country had made major achievements in its response to the epidemic and that economic development was a top priority. But while he set goals to limit inflation and unemployment, he did not announce a target for economic growth for the year.

Coronavirus cases in China have slowed to a small fraction of what they were in January, but the pandemic was weighing heavily on the country’s politics and economy as top officials began a tightly choreographed legislative pageant.

In one sense, the National People’s Congress is a chance for China’s leaders, who won broad public support for curbing the spread of the outbreak, to push back against growing international criticism over their early missteps in Wuhan. President Xi Jinping has described his government’s containment efforts as a “people’s war” against the virus.

Reporting was contributed by Denise Grady, Alan Blinder, Eileen Sullivan, Mike Baker, Karen Barrow, Nicholas Bogel-Burroughs, Kassie Bracken, Keith Bradsher, Chris Buckley, Annie Karni, Corey Kilgannon, Alan Rappeport, Emily Rhyne, Biance Giaever, Marc Santora, Jeanna Smialek and Farah Stockman.

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