Blood clots clogged lungs of African American COVID-19 victims, study says

Autopsies were conducted on 10 African American patients who died from COVID-19.

May 28, 2020, 7:13 PM

A pandemic of the novel coronavirus has now killed more than 358,000 people worldwide.

Over 5.9 million people across the globe have been diagnosed with COVID-19, the disease caused by the new respiratory virus, according to data compiled by the Center for Systems Science and Engineering at Johns Hopkins University. The actual numbers are believed to be much higher due to testing shortages, many unreported cases and suspicions that some governments are hiding the scope of their nations' outbreaks.

Since the first cases were detected in China in December, the United States has become the worst-affected country, with over 1.7 million diagnosed cases and at least 101,562 deaths.

Today's biggest developments:

  • Bars, nightclubs can soon reopen in Georgia
  • Boston Marathon canceled
  • NYC can do phase 1 reopening 'very, very soon,' mayor says
  • Here's how the news developed. All times Eastern. Please refresh this page for updates.

    6:54 p.m.: More cases of child inflammatory illness reported in Texas

    A hospital in Texas has reported cases of children with multisystem inflammatory syndrome in children (MIS-C), a rare illness thought to be linked to the coronavirus.

    On Thursday, Texas Children's Hospital in Houston confirmed it is treating both confirmed and suspected cases of MIS-C, KHOU reported. The number of cases was not specified.

    Last week, doctors at Cook Children’s Medical Center in Fort Worth announced four cases of MIS-C, Dallas ABC affiliate WFAA reported.

    An ABC News analysis has found more than 200 cases of the illness in at least 27 states and Washington, D.C.

    MIS-C resembles toxic shock syndrome and Kawasaki disease, a rare inflammatory disease in young children, and can be deadly. Symptoms include fever, rash, eye irritation, swollen lymph nodes and/or swelling of the hands and feet.

    4:50 p.m.: Bars, nightclubs can soon reopen in Georgia

    Starting June 1, Georgia residents can resume gatherings of up to 25 people, including to hold small weddings, as long as they stay 6 feet apart, Gov. Brian Kemp said Thursday.

    Until this announcement, gatherings of more than 10 people had been banned, but Kemp said, "Given favorable data ... we feel comfortable incrementally increasing that number to 25."

    PHOTO: Park goers enjoy a picnic at Historic Fourth Ward Park, May 10, 2020, in Atlanta.
    Park goers enjoy a picnic at Historic Fourth Ward Park, May 10, 2020, in Atlanta.
    Kevin C. Cox/Getty Images

    Pro sports can resume starting June 1, the governor said.

    And starting June 1 bars and nightclubs can reopen if they comply with "strict sanitation and social distancing rules," Kemp said.

    The bars and clubs "must meet 39 mandatory measures to ensure patron well-being," Kemp said. Those measures include screening workers for illness, allowing only 25 people inside or 35% of total occupancy, and thorough and regular sanitations.

    Live performance venues will remain closed, he said.

    Tune into ABC at 1 p.m. ET and ABC News Live at 4 p.m. ET every weekday for special coverage of the novel coronavirus with the full ABC News team, including the latest news, context and analysis.

    4 p.m.: France cleared to transition to phase 2 of deconfinement

    France will transition to phase 2 of its deconfinement beginning June 2, Prime Minister Edouard Philippe announced Thursday.

    PHOTO: AA Jewish faithful wearing face masks take part in a  Shavuot  prayer in a synagogue in Marseille, on May 28, 2020, after France eased lockdown measures taken to curb the spread of the COVID-19 pandemic, caused by the novel coronavirus.
    A Jewish faithful wearing face masks take part in a Shavuot prayer in a synagogue in Marseille, on May 28, 2020, after France eased lockdown measures taken to curb the spread of the COVID-19 pandemic, caused by the novel coronavirus.
    Clement Mahoudeau/AFP via Getty Images

    "We are even a little better than where we hoped to be," Philippe said.

    With 28,599 COVID-19 fatalities, France has the fourth most total deaths behind the U.S., the United Kingdom and Italy.

    PHOTO: Boats and barges are docked in the Port Saint-Sauveur area near the centre of Toulouse, southern France, on May 28, 2020.
    Boats and barges are docked in the Port Saint-Sauveur area near the centre of Toulouse, southern France, on May 28, 2020, on the eve of the reopening of waterways for leisure and tourism navigation, as France progressively eases lockdown measures taken to curb the spread of the COVID-19 pandemic, caused by the novel coronavirus.
    Remy Gabalda/AFP via Getty Images

    Cafes, restaurants and bars can reopen, but facilities like nightclubs and stadiums remain closed as all gatherings of more than 10 people remain prohibited.

    3:33 p.m.: 70 food plant workers test positive including 61 without symptoms

    Seventy workers at a Vancouver, Washington, food plant have tested positive for the coronavirus, including 61 employees who do not have any symptoms, said Josh Hinerfeld, CEO of Firestone Pacific Foods, according to ABC Portland affiliate KATU.

    After the first employee tested positive last week, the company has worked to test all employees, and about 20 still remain to be tested, KATU reported.

    It's not clear how the outbreak started, KATU said. Hinerfeld said he will work with the local health department before deciding when to reopen.

    2:45 p.m.: Boston Marathon canceled

    The 2020 Boston Marathon -- which had been rescheduled for Sept. 14 -- has now been canceled, and will instead be held as "a virtual event," Boston Mayor Marty Walsh announced Thursday.

    PHOTO: The Boston Marathon start line in Hopkinton, Mass., is vacant on the scheduled day of the 124th race, due to the COVID-19 virus outbreak.
    The Boston Marathon start line in Hopkinton, Mass., is vacant on the scheduled day of the 124th race, due to the COVID-19 virus outbreak.
    Charles Krupa/AP, FILE

    This is the first time the race has been canceled its 124-year history, The New York Times reported.

    "All participants who were originally registered for the April 20, 2020 event will be offered a full refund of their entry fee associated with the race and will have the opportunity to participate in the virtual alternative to the 124th Boston Marathon, which can be run any time between September 7–14," said Tom Grilk, C.E.O. of the Boston Athletic Association (B.A.A.). "The B.A.A. will also offer a series of virtual events and activities throughout September’s Marathon Week in an effort to bring the Boston Marathon experience to the constituencies that the organization serves here in Boston, across the United States, and around the world."

    12 p.m.: NYC can do phase 1 reopening 'very, very soon,' mayor says

    New York state has a set of metrics to reopen each region, but when it comes to reopening dense, hard-hit New York City, Gov. Andrew Cuomo called it a "more difficult situation."

    PHOTO: Women wear protective masks during the coronavirus pandemic as they pass the Queens Theatre, Tuesday, May 26, 2020, in the Queens borough of New York. (AP Photo/Frank Franklin II)
    Women wear protective masks during the coronavirus pandemic as they pass the Queens Theatre, May 26, 2020, in Queens, New York.
    Frank Franklin Ii/AP

    The governor said he's putting a big focus on the city's hot spots. By zip code, Cuomo said the hardest-hit spots are the outer boroughs, minority and lower income communities.

    Cuomo said the state is addressing the underlying health care inequality in these most-impacted communities by bringing more diagnostic testing, antibody testing, healthcare services and PPE.

    Earlier on Thursday, Mayor Bill de Blasio said the city is "getting to the point very, very soon where we can take the first step to restart in phase one."

    PHOTO: Medical workers take in patients outside a special coronavirus area at Maimonides Medical Center as the U.S. surpasses 100,000 fatalities from COVID-19, May 27, 2020, in New York City.
    Medical workers take in patients outside a special coronavirus area at Maimonides Medical Center as the U.S. surpasses 100,000 fatalities from COVID-19, May 27, 2020, in New York City.
    Spencer Platt/Getty Images

    Phase one could begin in the first or second week of June, he said, "if the numbers continue to hold."

    PHOTO: A car approaches on a nearly empty street near Times Square on May 27, 2020 in New York City.
    A car approaches on a nearly empty street near Times Square on May 27, 2020 in New York City.
    Angela Weiss/AFP via Getty Images

    This first phase includes opening nonessential retail -- like clothing, office supplies, furniture and appliances -- for curbside and in-store pickup only, the mayor said.

    PHOTO: Merchandise bought online are ready to be picked up at family owned Long Beach Surf Shop, May 27, 2020, in Long Beach, N.Y.
    Merchandise bought online are ready to be picked up at family owned Long Beach Surf Shop, May 27, 2020, in Long Beach, N.Y.
    Mary Altaffer/AP

    He predicts 200,000 to 400,000 New Yorkers will be returning to work.

    All industries must keep 6 feet of social distancing, reduce occupancy to under 50% and limit confined space -- like elevators and cash registers -- to one person. Meetings should be limited and only in large, well-ventilated areas where participants can social distance, the mayor said.

    Employees must be provided with free face coverings and proper protective equipment, he added.

    PHOTO: Traders wearing masks work, on the first day of in-person trading since the closure during the outbreak of the coronavirus (COVID-19) on the floor at the New York Stock Exchange (NYSE) in New York City, May 26, 2020.
    Traders wearing masks work, on the first day of in-person trading since the closure during the outbreak of the coronavirus (COVID-19) on the floor at the New York Stock Exchange (NYSE) in New York City, May 26, 2020.
    Brendan Mcdermid/Reuters

    Businesses also must implement health screenings where necessary, including temperature checks.

    The city's Department of Buildings, Department of Consumer and Worker Protection and Small Business Services will educate, conduct outreach and support all businesses, the mayor said.

    New York City's fire department, sanitation department and Department of Consumer and Worker Protection will conduct random visits to ensure compliance. Summonses will only be issued in "egregious circumstances or repeat violations," the mayor said.

    The governor announced on Thursday that he's signing an executive order authorizing businesses to deny entry to those who do not wear a mask or face covering.

    New York City has more than 225 testing sites, Cuomo said. He urged anyone who has a symptom or who has been exposed to someone positive to get tested.

    11:15 a.m.: St. Louis County Executive calls Ozarks party 'lack of judgment'

    After revelers were seen ignoring social distancing for a Memorial Day pool party at Lake of the Ozarks, Missouri, St. Louis County Executive Dr. Sam Page is calling their actions a "lack of judgment and lack of understanding of social distancing."

    PHOTO: Revelers celebrate Memorial Day weekend at Osage Beach of the Lake of the Ozarks, Missouri, May 23, 2020 in this screen grab taken from social media video and obtained by Reuters.
    Revelers celebrate Memorial Day weekend at Osage Beach of the Lake of the Ozarks, Missouri, May 23, 2020 in this screen grab taken from social media video and obtained by Reuters.
    Lawler50 via Reuters

    The St. Louis County Department of Health has issued an advisory urging those who recently ignored social distancing guidelines while at the Ozarks to self-quarantine for 14 days or until testing negative for the coronavirus.

    "The Ozarks is a popular destination for St. Louis county residents, so we issued a travel warning to let them know the right thing to do when they returned home," Page told ABC News' "Pandemic" on Thursday. "We want them to know what the right thing to do is when they come home to protect their loved ones in their community. We know that 20 and perhaps 50% are either asymptomatic or presymptomatic, but the social distancing guidelines are here for a reason and we’re working to keep people doing the right thing.”

    Page deemed the Ozarks party "bad behavior" and a "lack of judgment and lack of understanding of social distancing," but added, "it’s completely inconsistent with what we’ve seen here in St. Louis County."

    Page said the county is testing over 500 people per day with an aim to reach 1,000 tests per day.

    "We are well on our way," he said. "We are purchasing more tests and that testing and contact tracing is the backbone of our public health response.”

    10:45 a.m.: South Korea tightens restrictions in Seoul after spike in new cases

    The Korean Centers for Disease Control reported 79 newly diagnosed COVID-19 cases on Thursday -- the highest increase since early April.

    Restrictions will be tightened in Seoul and surrounding areas through June 14 to stem the spread, health authorities said, according to South Korea's Yonhap News Agency.

    PHOTO: A woman wearing a mask looks at her mobile phone amid social distancing measures to avoid the spread of the coronavirus disease (COVID-19), in Myeongdong shopping district in Seoul, South Korea, May 28, 2020.
    A woman wearing a mask looks at her mobile phone amid social distancing measures to avoid the spread of the coronavirus disease (COVID-19), in Myeongdong shopping district in Seoul, South Korea, May 28, 2020.
    Kim Hong-ji/Reuters
    PHOTO: People wearing masks walk at Myeongdong shopping district amid social distancing measures to avoid the spread of the coronavirus disease (COVID-19), in Seoul, South Korea, May 28, 2020.
    People wearing masks walk at Myeongdong shopping district amid social distancing measures to avoid the spread of the coronavirus disease (COVID-19), in Seoul, South Korea, May 28, 2020.
    Kim Hong-ji/Reuters

    Bars and clubs are advised to close down and public facilities, including museums and art galleries, will be closed. Companies are urged to adopt flexible work systems and follow quarantine rules.

    "If we fail to eradicate the spread of the virus in the metropolitan area at an early stage, it will lead to more community infections, eventually undermining school reopenings," Health Minister Park Neung-hoo told reporters, according to Yonhap.

    South Korea has reported a total of 11,344 confirmed COVID-19 cases and 269 deaths.

    6:59 a.m.: India sees highest single-day rise in infections

    India reported a record spike in coronavirus infections on Thursday, just days before its nationwide lockdown is set to expire.

    The Indian Ministry of Health and Family Welfare registered 6,566 new cases of COVID-19 over the past 24 hours, bringing the tally to 158,333. There were also 194 deaths from the disease reported over the same period, placing the national toll at 4,531.

    Mumbai, India's financial hub and most populous city, is the epicenter of the country's novel coronavirus outbreak, with more than 33,000 cases of COVID-19 and nearly 1,200 deaths.

    PHOTO: Migrant workers gather for transport to the railway station for their onward journey to their home states, at Dharavi slum in Mumbai, India, on May 26, 2020.
    Migrant workers gather for transport to the railway station for their onward journey to their home states, at Dharavi slum in Mumbai, India, on May 26, 2020. India's nationwide lockdown, which was imposed on March 25 to curb the spread of the novel coronavirus, has been extended several times. On May 4, India eased lockdown rules and allowed migrant workers to travel back to their homes, a decision that has resulted in millions of people being on the move for the last two weeks.
    Rajanish Kakade/AP

    India's two-month-old lockdown is slated to end Sunday, but Prime Minister Narendra Modi is said to be preparing a new set of coronavirus-related guidelines to be issued this weekend.

    Modi's government began easing restrictions earlier this month, allowing shops and factories to reopen as well as some trains and domestic flights to resume. Hotels, metro services, restaurants and schools have remained closed nationwide.

    What to know about coronavirus:

    6:07 a.m.: Russia reports record 174 new deaths, again

    Russia said Thursday it has registered 174 coronavirus-related deaths over the past 24 hours, bringing the nationwide toll to 4,142.

    It's the second time this week that Russia's coronavirus response headquarters has reported that same number of COVID-19 fatalities over a 24-hour period -- the highest daily increase the country has seen so far. However, the overall tally is still considerably lower than many other nations hit hard by the coronavirus pandemic.

    There were also 8,915 new cases of COVID-19 registered in Russia over the last 24 hours, placing country's count at 379,051.

    PHOTO: Vehicles spray disinfectant while sanitizing a road amid the novel coronavirus outbreak in Moscow, Russia, on May 28, 2020.
    Vehicles spray disinfectant while sanitizing a road amid the novel coronavirus outbreak in Moscow, Russia, on May 28, 2020.
    Maxim Shemetov/Reuters

    The latest daily caseload is down from a peak of 11,656 new infections reported on May 11, during which Russia registered over 10,000 new cases per day over a 12-day period. Since then, the daily number of new infections has hovered around 9,000 per day.

    Russian President Vladimir Putin began easing the nationwide lockdown earlier this month, despite a rising number of cases at the time.

    Last weekend, Brazil surpassed Russia as the country with the second-highest number of diagnosed COVID-19 cases in the world, behind the United States, according to a count kept by Johns Hopkins University.

    5:12 a.m.: Brazil's president says Trump is sending hydroxychloroquine tablets

    Brazilian President Jair Bolsonaro said Thursday that U.S. President Donald Trump is sending over 2 million tablets of the antimalarial drug hydroxychloroquine.

    Bolsonaro, a close ally of Trump, made the comment while speaking to a small group of supporters as well as members of the press outside the presidential palace in the capital Brasilia.

    "[Trump] is sending us, here, 2 million hydroxychloroquine tablets," Bolsonaro said, without offering further details.

    A Brazilian source told ABC News that the deal is still being negotiated.

    PHOTO: Brazilian President Jair Bolsonaro waves during a demonstration in favor of his government amid the coronavirus pandemic in front of Planalto Palace in the capital, Brasilia, May 24, 2020.
    Brazilian President Jair Bolsonaro waves during a demonstration in favor of his government amid the coronavirus pandemic in front of Planalto Palace in the capital, Brasilia, May 24, 2020. Brazil has the second-highest number of COVID-19 cases in the world, behind the United States.
    Andressa Anholete/Getty Images

    Bolsonaro, who has come under fire for his handling of Brazil's novel coronavirus outbreak, keeps promoting hydroxychloroquine as a treatment for COVID-19, although there's no evidence the medication works as a prophylactic for the disease.

    Trump has also touted hydroxychloroquine as a possible "game changer" treatment for COVID-19 and announced earlier this month that he was taking daily doses of the drug as a preventive measure against the virus after two White House staffers tested positive.

    PHOTO: In this file photo taken on March 19, 2019, U.S. President Donald Trump looks at a soccer jersey given by Brazilian President Jair Bolsonaro before a meeting in the Oval Office of the White House in Washington, D.C.
    In this file photo taken on March 19, 2019, U.S. President Donald Trump looks at a soccer jersey given by Brazilian President Jair Bolsonaro before a meeting in the Oval Office of the White House in Washington, D.C.
    Brendan Smialowski/AFP via Getty Images

    However, a recent study of more than 96,000 coronavirus patients in hospitals around the world found that those who were treated with chloroquine or its analogue hydroxychloroquine had a considerably higher risk of death than those who did not receive the antimalarial drugs. The findings, published last Friday in The Lancet medical journal, prompted the World Health Organization to halt global trials of hydroxychloroquine to treat COVID0-19.

    Earlier this week, Trump suspended travel to the United States from Brazil as the South American country emerged as a new hotspot in the coronavirus pandemic. The new rule does not affect trade between the two nations.

    Brazil now has the second-highest number of diagnosed cases of COVID-19, behind the United States.

    3:50 a.m.: Blood clots clogged lungs of African American coronavirus victims, study finds

    Autopsies on 10 African American patients who died from COVID-19 show their lungs were filled with blood clots, according to a new study.

    The autopsies were performed at University Medical Center in New Orleans by a team of pathologists from the Louisiana State University Health Sciences Center New Orleans. It's believed to be the first autopsy series on African Americans whose cause of death was attributed to COVID-19, according to the study, which was published Wednesday in monthly scientific journal The Lancet Respiratory Medicine.

    "We found that the small vessels and capillaries in the lungs were obstructed by blood clots and associated hemorrhage that significantly contributed to decompensation and death in these patients," Dr. Richard Vander Heide, head of pathology research at LSU Health New Orleans School of Medicine, said in a statement. "We also found elevated levels of D-dimers -- fragments of proteins involved in breaking down blood clots. What we did not see was myocarditis, or inflammation of the heart muscle, that early reports suggested significantly contributes to death from COVID-19."

    PHOTO: In this file photo taken on April 21, 2020, a mother and daughter pray as paramedics and firefighters with the Anne Arundel County Fire Department prepare to transport the confirmed COVID-19 patient (left) in Glen Burnie, Maryland.
    In this file photo taken on April 21, 2020, a mother and daughter pray as paramedics and firefighters with the Anne Arundel County Fire Department prepare to transport the confirmed COVID-19 patient (left) in Glen Burnie, a suburb of Baltimore, Maryland. Despite stay-at-home orders, the Washington, D.C. region has become a coronavirus hotspot, and the African-American and Latino populations of the U.S. capital have been the hardest-hit.
    Alex Edelman/AFP via Getty Images

    The small vessel clotting is a new finding that appears to be specific to COVID-19, according to the study.

    The 10 deceased patients were black men and women between the ages of 40 and 70, many of whom had a history of hypertension, obesity, diabetes and chronic kidney disease. In all cases, the patients had experienced sudden respiratory decompensation or collapse at home approximately three to seven days after developing a mild cough and fever.

    PHOTO: In this file photo taken on April 13, 2020, firefighters and paramedics with the Anne Arundel County Fire Department transport a patient on a stretcher in Glen Burnie, a suburb of Baltimore, Maryland.
    In this file photo taken on April 13, 2020, firefighters and paramedics with the Anne Arundel County Fire Department transport a patient on a stretcher in Glen Burnie, a suburb of Baltimore, Maryland. Despite stay-at-home orders, the Washington, D.C. region has become a coronavirus hotspot, and the African-American and Latino populations of the U.S. capital have been the hardest-hit.
    Alex Edelman/AFP via Getty Images

    The new findings come after some U.S. states released mortality data based on race and ethnicity that show the novel coronavirus kills black Americans at a disproportionately high rate.

    "Our study presents a large series of autopsies within a specific demographic experiencing the highest rate of adverse outcomes within the United States," said Dr. Sharon Fox, another co-author of the study.

    ABC News' Matt Claiborne, Anne Flaherty, Aicha El Hammar, Ahmad Hemingway, Alina Lobzina, Bonnie Mclean, Kirit Radia and Christine Theodorou contributed to this report.

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