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What you need to know about coronavirus on Thursday, July 30 - CNN

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A version of this story appeared in the July 30 edition of CNN's Coronavirus: Fact vs. Fiction newsletter. Sign up here to receive the need-to-know headlines every weekday.
On January 30, when WHO chief Tedros Adhanom Ghebreyesus made the announcement, signaling the desperate need for a coordinated, global response to the crisis, there were only 98 confirmed cases outside China, and zero deaths.
In the weeks since, the world has seen more than 660,000 people succumb to the virus. Nearly a quarter of those deaths have been recorded in the United States, where the toll surpassed 150,000 yesterday.
"We must remember that these are people, not numbers," Tedros said back in January.
That message is more important than ever, as the existential threat of the pandemic becomes the backdrop to our daily lives and staggering new records lose their shock value.
Another warning from Tedros has become increasingly relevant: We must combat the spread of rumors and misinformation.
Yet President Donald Trump, his friends in Congress, members of his Cabinet, senior staff and supporters are still setting out to undermine the fact-based approaches -- such as mask wearing and social distancing -- that might get the virus under control and restore normal life, Stephen Collinson writes.
"Unlike many countries in the world, the United States is not currently on course to get control of this epidemic," scholars at the Johns Hopkins University Center for Health Security warned in a new report. "It is time to reset."
If the nation doesn't change course soon, medical experts have warned that the US will see deaths skyrocket "well into the multiple hundreds of thousands."

YOU ASKED. WE ANSWERED

Q: Does hydroxychloroquine work to treat Covid-19?
A: Robust clinical studies say the answer is: No. Despite this clear evidence, Trump, this week, went out of his way to promote hydroxychloroquine, retweeting a series of videos that were later removed by Twitter for containing false and misleading information about the anti-malarial drug.
Dr. Anthony Fauci, America's top infectious disease expert, has said he agrees with the Food and Drug Administration that "the overwhelming prevailing clinical trials that have looked at the efficacy of hydroxychloroquine have indicated that it is not effective in coronavirus disease."
According to one recent study published in the New England Journal of Medicine, unusual heart rhythms and elevated liver-enzyme levels were more frequent in patients receiving hydroxychloroquine alone or in combination with the antibiotic azithromycin.
Send your questions here. Are you a health care worker fighting Covid-19? Message us on WhatsApp about the challenges you're facing: +1 347-322-0415.

WHAT'S IMPORTANT TODAY

A hotspot within a hotspot. In south Texas, Covid-19 is ravaging entire families
Rolando and Yolanda Garcia were doing everything they could to protect themselves from the coronavirus. They rarely ventured out of their home in the Rio Grande Valley. One of their children described them as "retired home bodies."
After the Memorial Day weekend, more businesses started reopening and more people started venturing out in larger numbers. Priscilla Garcia believes her parents were infected with Covid-19 during a trip to their neighborhood grocery store. A few weeks later, the high school sweethearts were both dead. But they weren't the only ones in the family to get sick.
More than 600 people have died of the coronavirus in the Rio Grande Valley. It's become a hotspot within a hotspot as Texas struggles to contain a spiraling outbreak.
Rolando and Yolanda Garcia were children when they met in San Juan, a south Texas border town. They became high school sweethearts, and went to their senior prom together.
Inside Brazil's cult of hydroxychloroquine
Following the advice of Brazil's health ministry, Sgt. Jonas Mendonça's doctors gave him hydroxychloroquine, along with antibiotics, fever-reducing antipyretics and adrenaline to treat his Covid-19 symptoms, according to relatives.
"In the last two days [the doctors] were very hopeful," said his daughter. "The fever was over. The pulmonary and respiratory condition was evolving. It was good."
Yet he died suddenly. "God's will," Thais said.
In Brazil -- home to South America's worst coronavirus outbreak, where as many as 50,000 new cases have been recorded per day -- the drug is at the heart of a febrile scrap over politics and faith. Science has shown it doesn't work, but Brazil's Health Ministry and President insist it does -- luring many in Brazil with false hope, Nick Paton Walsh reports.
We're only just beginning to learn how Covid-19 affects the brain
One of the more puzzling aspects of the novel coronavirus is just how many organ systems are impacted through the course of the disease. We've heard about the heart, lungs and respiratory symptoms, but a growing mystery is its impact on the nervous system.
A report in April suggested more than a third of 214 Covid-19 patients studied experienced neurological complications ranging from loss of smell to stroke. The virus can lead to delirium, brain inflammation, stroke and nerve damage. In a University College London study published earlier this month, 10 out of 43 patients had "temporary brain dysfunction" and delirium, while 12 had brain inflammation, eight had strokes and eight had nerve damage.
How this virus damages the brain and nerves still isn't totally clear. But as two physicians dedicated to the study of the nervous system, Dr. Minali Nigam and Dr. Sanjay Gupta wanted to find some answers.
Welcome to the NBA bubble -- at Disney World
For the next two-and-a-half months, the top basketball players in the US will all be residing at Disney World in Orlando, Florida.
But it's not necessarily the treat you might think; in fact some -- like the Lakers' LeBron James and the Trail Blazers' Damian Lillard -- have compared it to a prison sentence, both using slang on social media, saying they were off "to do a bid."
It's probably not the kind of gratitude the NBA was expecting when they wrestled with the biggest logistical challenge ever faced in the 74-year history of the league: how to resume and finish up a season during a global pandemic in a country which has struggled in the fight against Covid-19, Don Riddell writes.

ON OUR RADAR

  • Italy, one of the first European countries to be hit by the virus, has extended its state of emergency until October 15. The legal framework gives the government special powers to curb certain freedoms and access additional resources.
  • Cases in African countries are much higher than official numbers suggest due to a lack of data caused by factors including testing capacity and stigma, the International Rescue Committee said.
  • Japan recorded more than 1,000 new cases on Wednesday — its biggest daily spike since the pandemic began.
  • The Australian state of Victoria saw 723 new cases on Wednesday, setting a new daily high for the state and the whole country.
  • China recorded more than 100 Covid-19 cases for the second straight day on Wednesday. Most new cases are in the western province of Xinjiang.
  • More than half of India's Mumbai slum residents may have been infected with Covid-19, a new study suggests.
  • The UK is expected to extend the self-isolation period for people showing possible Covid-19 symptoms -- from seven to 10 days -- as concerns grow over a second wave of infections in Europe.
  • Buddy, a 7-year-old German shepherd from Staten Island, New York, who was the first dog to test positive for the coronavirus in the US, has died after a three-month illness.
Dr. Anthony Fauci has laid out five principles that could help stop coronavirus infections from surging. Speaking on MSNBC on Wednesday, Fauci said the measures were the only way to suppress outbreaks that are emerging in states such as Kentucky, Tennessee, Ohio and Indiana. "It is very important to get ahead of the curve, because what we are seeing now is what actually took place a couple of weeks ago," he said.
The principles are:
  1. Universal wearing of masks
  2. Avoiding crowds
  3. Physical distancing of at least 6 feet
  4. Typical hand hygiene
  5. Avoiding bars or closing them where possible

TODAY'S PODCAST

"President Duterte likes to say he likes to govern using violence and fear. That's certainly been exacerbated by Covid." -- Maria Ressa, Philippine journalist and CEO of Rappler
During Manila's long and stringent Covid-19 lockdown, the government under President Rodrigo Duterte shut down one of the country's largest TV networks, passed a controversial anti-terrorism bill and arrested tens of thousands of people for violating quarantine rules. CNN's Ben Westcott speaks with Philippine journalists Maria Ressa and Regine Cabato about the government's "highly militarized" approach to tackling the pandemic. Listen Now.

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