The Pennsylvania Department of Health (Department) has received questions and requests for guidance from hospitals, health systems, and their representatives on their responses to Coronavirus Disease-2019 (COVID-19) and whether measures being implemented or contemplated are compliant with the statutory and regulatory requirements under the jurisdiction of the Department.  The Department is providing the guidance as an update to the guidance issued on March 21, 2020.

UPDATED Guidance on Hospital Responses to COVID-19

Daily Yonder

Every part of the country will feel the economic fallout from the coronavirus crisis. But the small and isolated rural areas that lagged during the economic boom may fare better, relatively speaking, in the aftermath of the pandemic.

Those places tend to be less tied to global and financial markets. With little population density, they are less conducive to virus transmission. So far, states such as Wyoming, the Dakotas, Nebraska and Iowa have reported far fewer COVID-19 cases than New York and other states with large cities.

“If you are a somewhat more isolated economy that does not attract as much visitation from either outside the U.S. or even domestically, you are less vulnerable,” said Adam Kamins, an economist and director at Moody’s Analytics, in a webinar last month.

The states least affected by the huge spike in unemployment claims are largely rural. They include West Virginia, Arkansas and Georgia. In part, that’s because those states have taken less dramatic steps to slow the spread of the virus. Among them, only West Virginia issued a stay-at-home order before the end of March.

Nevertheless, “the industries that have been hard hit are just not as prevalent in rural areas,” said Ernie Goss, an economics professor at Creighton University in Omaha, Nebraska. He cited the relative lack of retail and hospitality businesses in Corn Belt states.

Economists rank regions as economically vulnerable to coronavirus fallout based on demographic and economic factors, including their number of COVID-19 cases, connection to international travelers, reliance on tourism, population density and reliance on global trade, according to a Moody’s Analytics analysis.

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Daily Yonder

Coronavirus Infection Rate, April 5

The novel coronavirus continued its march across rural America over the weekend. By Sunday night, April 5, two-thirds of rural counties had at least one case. Just over 200 rural counties have reported a death attributable to COVID-19.

The map above shows the spread of the virus and deaths as of Sunday night, April 5. Click on individual counties for more information, or explore a larger version of the map here.

• Green: Rural counties with no cases (665 counties)
• Orange: Rural counties with cases of COVID-19 (1,109 counties)
• Red: Rural counties with deaths (203 counties)
• Pink: Urban with no cases (61 counties)
• Gray: Urban with cases (575 counties)
• Black: Urban with deaths (528 counties)

These figures likely under-report the presence of the disease, according to a study by researchers at the University of Texas. They estimate that even in counties that report no COVID-19 cases, there is a 9 percent chance that the virus is present in that community.

If a county has one case, the Texas researchers predict that there is a 51 percent chance that the virus is spreading through the community.

From April 1 to 5, an additional 172 rural counties reported a case of coronavirus infection. Only 665—or about a third—of rural counties have yet to report a case of COVID-19. Only 61 urban counties—5 percent of all metro counties—say they have yet to find a COVID-19 case.

The number of reported COVID-19 cases continues to increase slightly faster in rural counties than in urban areas. Over the weekend (Friday through Sunday, April 3-5), cases in rural counties increased by 26 percent. Nationally, COVID-19 cases increased by 22 percent in the same time period.

In rural counties, there were 80 deaths reported over the weekend attributed to COVID-19.

Parts of rural America aren’t seeing the booms like in New York, D.C., and other urban areas, but cases in those parts of the country are now speeding up. Yet, more remote areas also tend to be the places that are already struggling in terms of what their health systems can bear.

Click here to see maps from the New York Times on the spread of COVID-19 in rural America.

Nonprofits DirectEmployers Association and the National Association of State Workforce Agencies (NASWA), announced the launch of NeedAJobNow.USNLx.com, a job site dedicated to providing a centralized location for displaced workers to access employment opportunities from U.S. corporations with immediate hiring needs due to the novel coronavirus (COVID-19). Powered by the National Labor Exchange (NLx), the site houses jobs from vetted employers in all industries and provides an opportunity for Americans to return to work and gain meaningful employment.

NeedAJobNow.USNLx.com contains over 400,000 job openings and continues to grow daily. While many employers are downsizing their staff, others are significantly increasing their hiring efforts due to current demands. Through this initiative, DirectEmployers and NASWA will assist in bridging the gap between job supply and demand by offering an easy way for job seekers to gain access to current open positions and for employers to fill positions quickly and efficiently during these difficult times.