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As COVID-19 cases rise again, how will the US respond? Here’s what states have learned so far

<span class="caption">States have tried shutting down bars and limiting restaurants to outdoor seating to slow the coronavirus's spread.</span> <span class="attribution"><a class="link rapid-noclick-resp" href="" rel="nofollow noopener" target="_blank" data-ylk="slk:Sandy Huffaker/Getty Images">Sandy Huffaker/Getty Images</a></span>
States have tried shutting down bars and limiting restaurants to outdoor seating to slow the coronavirus’s spread. Sandy Huffaker/Getty Images

When COVID-19 began spreading in the U.S. in early spring, governors in hard-hit states took drastic steps to reduce the threat and avoid overloading their health care systems. By shutting down nonessential businesses and schools and ordering people to stay home, they slowed the virus’s spread, but several million people lost jobs.

Since then, we’ve witnessed a series of ad hoc experiments with more targeted approaches. As states started to reopen, they tested different levels of restrictions, such as face mask mandates and capacity constraints on restaurants. Some closed bars when cases rose again but left other businesses open. Others set restrictions that would be triggered only for hot spots when a county’s positive case numbers passed a certain threshold.

Now, as cooler weather moves more people indoors and daily case numbers rise, states and communities are looking to those successes and failures as they consider what future strategies should look like. Could more targeted closures and restrictions be effective, or will a return to statewide stay-at-home orders be needed again?

As public health researchers, we’ve been following the strategies as they evolve, and we see lessons those experiments hold for the country.

Better testing and treatment, but a long way to go

The nation’s ability to respond to the virus has improved since COVID-19 first reached U.S. cities.

Testing capacity has expanded and results are available faster. That means people who become infected can be isolated faster. Treatment methods have also improved. For the most severe cases, innovative use of low-cost steroids and repositioning patients to support breathing have helped seriously ill patients recover faster.

However, there is still no vaccine, a lot of questions remain about new therapies, and shortages are predicted for personal protective equipment as a new flu season approaches.

People stand in line at a clinic offering quick coronavirus testing near Long Beach, California.
Rapid tests and more testing supplies at clinics have helped pinpoint coronavirus hotspots. Brittany Murray/MediaNews Group/Long Beach Press-Telegram via Getty Images

With colder weather now arriving, the nation faces a greater potential for virus outbreaks to spread. More person-to-person contact will be inevitable with more indoor activities and in-person classes in schools and colleges.

The upcoming holidays will also mean more inside gatherings and travel. Throughout the pandemic, data have revealed a pattern of increased cases within two weeks of holidays and other events that increase contact and related exposures. For example, an uptick in cases in the Midwest was linked to late summer gatherings around Labor Day and the reopening of colleges. State and local leaders need to be prepared.

So what works?

From the nationally reported and global case data, it seems clear that requirements for social distancing and mask-wearing combined with stay-at-home orders and business closures can effectively reduce virus transmission.

New Jersey and New York initially implemented strict, prolonged measures and were able to keep case rates lower through the summer, while several states that quickly lifted restrictions saw their

You should smile behind your mask. Here’s why.

The short answer: Yes, because it can affect your emotions as well as theirs. Here are the reasons you should continue smiling behind your mask.

Social contact is important for humans (including introverts)

Bea de Gelder, professor of cognitive neuroscience at Maastricht University in the Netherlands, says that, as social creatures, humans weren’t designed to obscure our facial expressions with cloth coverings. “Social contact,” she says, “is as essential to survival as food and drink.” It’s more than the fact that we rely on others to meet our basic needs in both the early and late stages of life, she says. Research shows that social contact improves physical and mental health, increases immunity and reduces stress.

This sense of connection supports our well-being, whether we realize it or not. Michelle “Lani” Shiota, associate professor of psychology at Arizona State University, explains: “When we’re smiling and engaging with other people, it’s the engagement with other people that makes us feel better,” adding, “it turns out that that’s even the case if you’re introverted.” She was referring to the work of psychology researcher Luke Smillie, including a 2019 Journal of Experimental Psychology study and a 2017 Emotion study, which found that people — including introverts — tended to experience better moods when acting like extroverts.

Facial expressions are key to social contact

According to Alex Sel, psychology lecturer at the University of Essex, the face is one of, if not the most “important places in the body to look at for social information.”

Shiota says smiling can convey much more than happiness or pleasure. She cites a 2018 PLOS One study that found that living in a geographical area with a high level of ancestral diversity and a history of cultural heterogeneity was a predictor of smiling. According to Shiota, this data suggests we smile to signal that we’re “safe.” Smiles, she says, are “this big kind of obvious way that we say, ‘Not a threat!’ ”

Research also shows that when you smile, you tend to view others’ facial expressions as more positive. Sel performed a study in which subjects were asked to adopt a smile or a neutral expression while rating the happiness level of people in pictures as electrodes measured their brain activity. Her team found that, based on activity in the visual cortex, people were more likely to perceive neutral faces as positive when they themselves were smiling.

Sel says it’s reasonable to extrapolate that if you stop smiling beneath your mask, you might “perceive other people as less cheerful or less happy.”

But don’t fake it till you make it

Although smiling conveys important social cues, it may not affect our emotional state as strongly as the psychology community was led to believe by a widely cited 1988 study.

The two experiments were designed to test the facial feedback theory, which hypothesizes that the act of smiling, regardless of the feeling underneath it, influences our sense of well-being. Subjects were instructed to view cartoons while either holding

Coronavirus in Illinois updates: Here’s what happened Oct. 7 with COVID-19 in the Chicago area

Officials reported 58,820 new tests in the last 24 hours, as the state surpasses 6 million total COVID-19 tests. The seven-day statewide positivity rate is 3.5%.

The new statewide numbers come as Gov. J.B. Pritzker said Wednesday that the gains that most regions in Illinois had been making in bringing down COVID-19 positivity rates in recent weeks have “cooled off a bit.” The governor noted specifically that the northeastern region that includes Lake and McHenry counties has seen a reversal after a period of decline.

“That progress has cooled off a bit, across Illinois,” Pritzker said. “We are seeing changes in positivity averages around the state level off, with three regions that were decreasing last week now sitting at a stable level.”

Here’s what’s happening Wednesday with COVID-19 in the Chicago area and Illinois:

7:15 p.m.: CPS says clerks must report to work in person, despite labor ruling that questions COVID-19 protections in schools. CTU says the action ‘threatens jobs.’

Despite an arbitrator’s ruling that certain Chicago Public Schools employees should be allowed to work from home when feasible during remote learning, the district is continuing to require them to work in person.

An email from Chief Talent Officer Matt Lyons sent late Tuesday told clerks, clerk assistants and technology coordinators that the expectations have not changed.

“As critical members of our school community, you are integral in our collective work communicating and supporting families, staff, and students,” the email states. “This means you will continue to be expected to report to work in person, unless you have an approved or pending request for a leave of absence or accommodation.

“You may have received conflicting information recently on this reporting requirement,” the email continued, “but we are writing today to confirm CPS’ expectation and directive to report to work onsite.”

Without a leave of absence or accommodation request approved or pending, employees are not allowed to work from home, according to the email, which states that if employees don’t show up in person, “CPS will consider your absence unauthorized and proceed accordingly.”

The Chicago Teachers Union is interpreting the email as a threat of discipline and an attempt “to strongarm workers into schools in defiance of the ruling.” The union also claims CPS is stalling on bargaining over remedies.

6:55 p.m.: The Purple Pig employees hold protest over concerns of coronavirus safety negligence

After spending much of Tuesday night calling colleagues at The Purple Pig, Ryan Love felt upbeat about the five people who committed to picketing the Chicago restaurant Wednesday morning.

The protest, which ended up being four people greeting passersby with signs saying, “211K Americans dead. Tapas anyone?” and “No transparency, no accountability,” was inspired by frustration over the perceived actions of restaurant chef and owner Jimmy Bannos Jr. and other members of management. Love contends they did not take appropriate steps to keep employees and guests safe after a staff member tested positive for COVID-19 on Sept. 24.

Love, a lead server and bartender, said a full

Is Trump ready to hit the campaign trail? Here’s what doctors say

Just days after receiving oxygen therapy for Covid-19, US President Donald Trump is busy giving long TV interviews and says he’s eager to return to the campaign trail. 

But is he risking his recovery by taking on too much too soon, and could he still infect others? 

– Each case is unique – 

According to Amesh Adalja, an infectious disease and critical care doctor as well as scholar at Johns Hopkins University in Baltimore, there is a wide variation between patients in terms of the speed of their recovery.

“Some people are able to resume their activities of daily living pretty quickly. There are other people to take some weeks before they’re back to their baseline,” he said.

In general, “for someone in their 70s who was hospitalized with Covid, I would say it takes a couple of weeks to get back to their baseline.

“But because he’s the president, he has a lot of people assisting him with his activities of daily living. He probably doesn’t carry his groceries in, he doesn’t drive a car.” 

Trump was hospitalized for three nights on October 2 and has been in the care of the White House medical unit — which can provide hospital-level care — since October 5, four days ago.

Doctor Mangala Narasimhan, senior vice president of critical care at Northwell Health, New York, said patients of Trump’s age who had needed oxygen for Covid pneumonia often continue to experience “severe fatigue and myalgia, which are muscle pains and aches,” for some time after.

Both doctors stressed it is very difficult to know precisely where Trump is in his recovery, since his medical team and others around him have provided opaque and at times conflicting updates.

– Danger of coming back too soon – 

A well-known danger from over-exertion following disease is that it wears down the immune system.

“He needs his immune system to fight the virus — that’s why you’re always told to stick to rest and drink fluids, because your immune system needs to be at its optimum,” said Narasimhan.

She added this was particularly crucial for older patients who are more susceptible to experiencing a second viral replication phase where symptoms such as fevers and chills return.

Trump’s full medical history and underlying conditions aren’t fully known, but one thing we are aware of is that he has mild heart disease that could be aggravated, said Adalja.

Narasimhan added that Trump’s medical team hasn’t released key lab values, from which doctors could infer more information. 

These include “inflammatory markers” that would indicate how he was recovering from the inflammatory phase of the disease, and certain blood values that would reveal how likely he is to develop clots as a result of the virus.

“People tend to form clots, and depending on what his blood levels are of certain things, you would want to make sure that at 30 days afterwards that he is on medicine that would prevent clots,” she said.

“There’s all kinds

COVID-19 in Illinois updates: Here’s what’s happening Thursday

The daily number of new known coronavirus cases announced by Illinois officials on Thursday was the highest in nearly five months, except for a day in early September when the state caught up on a testing backlog.

The 3,059 new known cases represents the first time the daily count has topped 3,000 since May 14, when the Illinois Department of Public Health reported 3,239 cases. The department reported 5,368 new cases on Sept. 4, but that was due to a backlog in processing test results.

In addition to the newly confirmed cases, which bring the total number known infections to 310,700 statewide since the pandemic began, officials on Thursday reported 32 more fatalities. That brings the death toll to 8,910. Officials also reported 72,491 new tests in the last 24 hours. The seven-day statewide positivity rate is 3.7%.

The new numbers come as Gov. J.B. Pritzker said Wednesday that the gains that most regions in Illinois had been making in bringing down COVID-19 positivity rates in recent weeks have “cooled off a bit.” The governor noted specifically that the northeastern region that includes Lake and McHenry counties has seen a reversal after a period of decline.

Here’s what’s happening Thursday with COVID-19 in the Chicago area and Illinois:

6:20 p.m.: IHSA doctor says high school basketball could happen in Illinois if players wear masks

The senior member of the Illinois High School Association’s sports medicine advisory committee said Thursday that high school basketball might be possible this year if all players wear masks.

Dr. Preston Wolin said that idea is being considered by the Illinois Department of Public Health, whose COVID-19 guidelines place restrictions on high school and youth sports. As of now, basketball is considered a medium risk for virus transmission, meaning athletes can scrimmage but not compete against other schools.

The high school basketball season is supposed to start Nov. 16.

Wolin said recent communication between the IHSA and the state has included “a draft considering allowing a basketball season to proceed with everybody being masked. As to whether there is actually an IDPH policy that has been promulgated describing this, that I don’t think I can answer.”

Asked for comment, an IDPH spokeswoman responded: “There are no updates to the guidance planned at this time.”

An IHSA spokesman did not return a request for comment.

5:05 p.m.: Winnetka businessman charged with price gouging in sale of protective masks during pandemic

A North Shore businessman was charged in federal court in Chicago on Thursday with illegally price gouging customers seeking to purchase protective masks amid the worst of the COVID-19 pandemic.

Krikor Topouzian, 60, of Winnetka, was charged in a criminal information with violating anti-price gouging laws. The charge carries a maximum of one year in prison.

According to the charge, Topouzian, who owns a medical supply company based in Skokie, accumulated in March and April a stockpile of nearly 80,000 respirator masks, including N95 masks, for roughly just over $5 per mask.

Topouzian later sold nearly 40,000

This remote county has the highest COVID case rate in Calif.: Here’s why

Two more residents of Shasta County died from the coronavirus Wednesday, bringing the county total since the start of the pandemic to 24, health officials reported. In the last week, the county has reported 302 new cases.

These numbers may be surprising in this pocket of Northern California known for vast open spaces and endless forests, but COVID-19 outbreaks across the country have shown that the virus can spiral out of control anywhere.

The spike in Shasta County is being driven by spates of cases at an evangelical school and a nursing facility in Redding, the county’s largest city (pop. 91,000).

Bethel School of Supernatural Ministry in Redding asked its entire 1,600-person student body to self-quarantine as the number of coronavirus cases among students and staff rose above 100 since classes started a month ago.

Off-campus housing has been a primary source of transmission, along with “social interactions outside of school hours.” The school does not have on-campus housing and encourages students on its website to “infiltrate the neighborhoods of Redding,” recommending 17 “revival regions in need of transformation.”

Windsor Redding Care Center has reported 17 COVID-19 deaths and more than 60 residents and health care workers have tested positive according to data from the state.

The outbreaks in these two locations are spilling into the greater community. The Record Searchlight reported Tuesday that the number of cases in county schools had reached 43, with these infections spread across 13 campuses.

The uptick in cases is impacting key metrics the state uses to determine a county’s color-coded tier status in the reopening plan that dictates which businesses and activities are allowed to reopen. Shasta’s positivity rate is now 6.9%, the highest in the state. For every 100,000 residents in the county, nearly 13 people are testing positive a day.

Shasta fell back from the orange tier to the more restrictive red tier Tuesday, placing restrictions on restaurants and requiring bars to close unless they are serving food. County officials said they expect Shasta to move into the most restrictive purple tier in coming weeks.

Going back to purple would force all dining to move outdoors and require church services, movie theaters and gyms to also only operate outside.

The state’s reopening plan sorts counties into four color-coded tiers — “purple” (widespread), “red” (substantial), “orange” (moderate) or “yellow” (minimal) — that measure the spread of COVID-19.

Counties are put in the purple tier if they are reporting more than seven cases per 100,000 residents and have a positivity rate above 8%. For a county to move into the red tier, it must report fewer than seven daily cases per 100,000 residents and a test positivity under 8% for 14 consecutive days. The orange tier requires fewer than 3.9 cases per 100,000 and a test positivity under 4.9% and the yellow less than 1 case per 100,000 and lower than 2% positivity.

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Coronavirus in Illinois updates: Here’s what happened Oct. 5 with COVID-19 in the Chicago area

Meanwhile, President Trump staged a dramatic return to the White House Monday night after leaving the military hospital where he has been receiving an unprecedented level of care for COVID-19. He immediately ignited a new controversy by declaring that despite his illness the nation should not fear the virus that has killed more than 210,000 Americans — and then he entered the White House without a protective mask

Also on Monday, the CDC said that the coronavirus can spread more than 6 feet through the air, especially in poorly ventilated and enclosed spaces. But agency officials maintained that such spread is uncommon and current social distancing guidelines still make sense.

Here’s what’s happening Monday with COVID-19 in the Chicago area and Illinois:

5:05 p.m.: Nearly one-third of COVID patients in Chicago-area study had an altered mental state

Nearly a third of hospitalized COVID-19 patients experienced some type of altered mental function — ranging from confusion to delirium to unresponsiveness — in the largest study to date of neurological symptoms among coronavirus patients in a U.S. hospital system.

And patients with altered mental function had significantly worse medical outcomes, according to the study, published Monday in Annals of Clinical and Translational Neurology. The study looked at the records of the first 509 coronavirus patients hospitalized, from March 5 to April 6, at 10 hospitals in the Northwestern Medicine health system in the Chicago area.

These patients stayed three times as long in the hospital as patients without altered mental function.

After they were discharged, only 32% of the patients with altered mental function were able to handle routine daily activities like cooking and paying bills, said Dr. Igor Koralnik, senior author of the study and chief of neuro-infectious disease and global neurology at Northwestern Medicine. In contrast, 89% of patients without altered mental function were able to manage such activities without assistance.

Patients with altered mental function — the medical term is encephalopathy — were also nearly seven times as likely to die as those who did not have that type of problem.

4:40 p.m.: St. Viator Catholic school moves to all-remote after ‘several’ positive COVID-19 cases over weekend

St. Viator High School in Arlington Heights is shifting from all-onsite learning to all-remote following an uptick in positive novel coronavirus cases in recent days, school officials said Monday.

School officials told Pioneer Press Monday that the decision was made after several positive COVID-19 test results “among those in the school” Saturday and Sunday.

Officials declined to say whether those testing positive were students or staff, or to provide additional information.

“While we had experienced only a few isolated instances since returning to school on August 24, in the past few days the number of reports exceeded what we feel allows us to provide a safe environment for our faculty, staff and students,” school President Brian Liedlich said in a statement.

4:15 p.m.: CDC now says coronavirus can spread more than 6 feet through the air in updated guidance

The top U.S.

We Still Don’t Know When President Trump Last Tested Negative for COVID-19. Here’s Why That’s a Big Deal

It’s been only about four days since the world learned U.S. President Donald Trump tested positive for COVID-19—but that doesn’t necessarily mean it’s been four days since he was infected.

Donald Trump wearing a suit and tie: US President Donald Trump pretends to take a COVID-19 test while holding a swab during his visit to the Puritan Medical Products facility in Guilford, Maine on June 5, 2020.

© Nicholas Kamm/AFP— Getty Images
US President Donald Trump pretends to take a COVID-19 test while holding a swab during his visit to the Puritan Medical Products facility in Guilford, Maine on June 5, 2020.

White House officials and Trump’s personal physician Sean Conley have repeatedly dodged questions about when the President last tested negative for COVID-19. “I don’t want to go backwards,” Conley said when asked about Trump’s last negative test during a Monday press briefing, at which he announced Trump would be discharged from Walter Reed National Military Medical Center to return to the White House.


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But the question isn’t only important retroactively. “It matters for a couple of reasons,” says Dr. Megan Ranney, a professor of emergency medicine at Brown University. “The first is because it helps to predict the course of illness. The second reason it matters immensely is because of contact tracing.”

That is, without knowing when Trump last tested negative, it’s impossible to say how many people came into contact with him when he was contagious and may now be unknowingly spreading the virus. Knowing the date of Trump’s last negative test is not going backward; it is crucial to preventing future spread.

The timeline of Trump’s illness has been unclear. He tweeted early Friday morning that he tested positive for COVID-19, shortly after his adviser Hope Hicks tested did. (Wall Street Journal reporting suggests the White House did not disclose a positive test result Trump received on Thursday while waiting for a second test to confirm the results.) On Friday, he received supplemental oxygen and was admitted to Walter Reed before being discharged Monday.

But at a briefing on Saturday, Conley said Trump was 72 hours into his diagnosis—suggesting he was diagnosed with COVID-19 on Wednesday, not Thursday. He later claimed he misspoke and said the President tested positive on Thursday.

If that’s true, the course of Trump’s illness has been unusual, says Dr. Leana Wen, a professor of health policy and management at George Washington University’s Milken School of Public Health and Baltimore’s former public health commissioner.

Video: How crucial are the next few days of Trump’s coronavirus treatment? (FOX News)

How crucial are the next few days of Trump’s coronavirus treatment?



It typically takes around a week for symptoms to progress to a point where a patient needs oxygen support. If Trump has been tested every day, as is White House protocol, Wen says it’s strange he would go from a negative test on Wednesday to hospitalization on Friday.

“How is it possible that on Wednesday he didn’t have enough of a viral load to pick it up…and by Friday he has low oxygen and needed to be hospitalized?” Wen says. “If that’s the case, there is something worrisome about President Trump’s health.” (Ranney

Doctors die by suicide at twice the rate of everyone else. Here’s what we can do.

That Monday when I asked Skip’s opinion — this time, on a troubling case of weight loss — I knew I would find him with his tie askew and his glasses crooked, which I did. He sat in his chair and listened, asking questions about food insecurity and other social determinants of health.

But that Monday was different. After we talked, Skip canceled his patients for the week, left the office and killed himself.

We were all blindsided. How did we not know? Was he depressed? Was he reaching out for help? If this could happen to him, who else could it happen to?

We would later learn about his struggles with other health issues, including possible dementia, but confusion still reverberated in our exam rooms and meetings. Administrators from the hospital met with us and talked of “making time for wellness” and “taking care,” but it rang hollow, and grief was soon swallowed up by the coming tide of the coronavirus pandemic.

I think of Skip often these days, as our community of Chelsea is one of the epicenters of the novel coronavirus in Massachusetts. He dedicated his 40-year career to the MGH Chelsea HeathCare Center caring for refugees and immigrants. I am certain he would have been the first to volunteer to see covid-19 patients in our respiratory illness clinic, or he would have been handing out food supplies. Perhaps seeing the worsening disparities in our community would have further depressed him.

Although suicide across the world is declining in some areas, this is not true in our country. Suicide rates in the United States are increasing, and now account for about 1.5 percent of deaths annually since 2000. Physicians, in turn, have the highest rates of suicide of any profession, with roughly one doctor dying every day. That is nearly double the rate of the general population.

Self-care has been increasingly difficult for patients and physicians alike during these unprecedented times. Some experts note a potential “perfect storm” of growing isolation, economic stress and decreased access to community support leading to a potential jump in suicide rates during the pandemic. For health professionals in particular, this warrants particular attention.

Last spring, I found myself poring over the story of Lorna Breen, an emergency room physician who killed herself in New York after treating countless patients with the coronavirus. I related to the overwhelming duty and guilt described in her obituary. Breen kept saying, “I couldn’t do anything.”

I’ve never been suicidal, but I felt despair in April. I remember coming home from hours on duty at the overwhelmed covid-19 clinic and I felt overwhelmed myself. I couldn’t really describe what I was feeling — we’ve failed to normalize talking about mental health. Breen’s family established a fund for mental health care in the wake of her suicide, noting the difficulty she had seeking mental health care in a system that often failed to acknowledge the deep burden of its providers.

At our hospital, a lot of time

Is MS Dhoni Fit to Play Against Kings XI Punjab? Here’s Fitness Update of Chennai’s Skipper Ahead of KXIP vs CSK, Dream11 IPL 2020 Match

The Canadian Press

Trump said to be improving but next 48 hours ‘critical’

BETHESDA, Md. — President Donald Trump went through a “very concerning” period Friday and faces a “critical” next two days in his fight against COVID-19 at a military hospital, his chief of staff said Saturday — in contrast to a rosier assessment moments earlier by Trump doctors, who took pains not to reveal the president had received supplemental oxygen at the White House before his hospital admission.
Trump offered his own assessment Saturday evening in a video from Walter Reed National Military Medical Center, saying he was beginning to feel better and hoped to “be back soon.”
Hours earlier, chief of staff Mark Meadows told reporters outside the hospital, “We’re still not on a clear path yet to a full recovery.” In an update on the president Saturday night, his chief doctor expressed cautious optimism but added that the president was “not yet out of the woods.”
The changing, and at times contradictory, accounts created a credibility crisis for the White House at a crucial moment, with the president’s health and the nation’s leadership on the line. With Trump expected to remain hospitalized several more days and the presidential election looming, his condition is being anxiously watched by Americans.
Moreover, the president’s health represents a national security issue of paramount importance not only to the functions of the U.S. government but to countries around the world, friendly and otherwise.
Saturday’s briefing by Navy Commander Dr. Sean Conley and other doctors raised more questions than it answered. Conley repeatedly refused to say whether the president ever needed supplemental oxygen, despite repeated questioning, and declined to share key details including how high a fever Trump had been running before it came back down to a normal range. Conley also revealed that Trump had begun exhibiting “clinical indications” of COVID-19 on Thursday afternoon, earlier than previously known.
Conley spent much of the briefing dodging reporters’ questions, as he was pressed for details.
“Thursday no oxygen. None at this moment. And yesterday with the team, while we were all here, he was not on oxygen,” Conley said.
But according to a person familiar with Trump’s condition, Trump was administered oxygen at the White House on Friday morning, well before he was transported to the military hospital by helicopter that evening. The person was not authorized to speak publicly and spoke to The Associated Press only on condition of anonymity,
Conley said that Trump’s symptoms, including a mild cough, nasal congestion and fatigue “are now resolving and improving,” and said the president had been fever-free for 24 hours. But Trump also is taking aspirin, which lowers body temperature and could mask or mitigate that symptom.
“He’s in exceptionally good spirits,” said another doctor, Sean Dooley, who said Trump’s heart, kidney, and liver functions were normal and that he was not having trouble breathing or walking around.
In an evening health update, Conley said Trump had been up and moving around his medical