The F.D.A. plans to announce the emergency use of a virus treatment after a trial showed shortened recovery time.
The F.D.A. plans to announce as early as Wednesday an emergency use authorization for remdesivir, an experimental antiviral drug that is being tested in treating patients with Covid-19, the disease caused by the coronavirus, according to a senior administration official.
A federal trial has shown that treatment with remdesivir can speed recovery in patients infected with the coronavirus, Dr. Anthony S. Fauci, the director of the National Institute of Allergy and Infectious Diseases, said on Wednesday. The drug, made by Gilead Sciences, could eventually become the first approved treatment for Covid-19, the illness caused by the coronavirus.
An emergency authorization by the F.D.A. is not the same as a formal drug approval by the agency. When the federal government declares a public health emergency, the F.D.A. can approve certain drugs or tests to address the emergency if there are no other alternatives. That is the case with the coronavirus, since no drugs have been proven to be effective against the virus.
Earlier on Wednesday, Gilead had announced that the company was “aware of positive data” from the federal trial. Trading in the company’s stock was halted before the market opened, and the glimmer of good news drove stocks higher, despite poor economic data.
In a news briefing at the White House, President Trump and Dr. Fauci hailed the early results of the federal trial, holding out hope that the drug could help very ill patients recover more quickly.
“It is a very important proof of concept, because what it has proved is that a drug can block this virus,” Dr. Fauci said. “This is very optimistic.”
The trial enrolled 1,063 patients who were given remdesivir or a placebo, according to N.I.A.I.D. The time to recovery averaged 11 days among those who received the drug, compared with 15 days for those who received the placebo.
Dr. Fauci cautioned that the results of the study still needed to be properly peer reviewed, but he expressed optimism that remdesivir could become “the standard of care” for patients with Covid-19.
“Certainly it’s positive, it’s a very positive event,” Mr. Trump said. In the past, he has hailed remdesivir as a potential “game changer,” despite spotty evidence.
But the disclosure of trial results in a political setting, before peer review or publication, is very unusual, said Dr. Steven Nissen, a cardiologist at the Cleveland Clinic who has conducted dozens of clinical trials.
“Where are the data?” he asked. Scientists will need to see figures on harms associated with the drug in order to assess its benefits, he added.
“This is too important to be handled in such a sloppy fashion,” Dr. Nissen said.
Dr. Michele Barry, an infectious disease expert at Stanford University, said she had faith in Dr. Fauci’s assessment. Still, she added, “It is unusual to call a drug the ‘standard of care’ until peer review of data and publication, and before studies have shown benefit in mortality.”
Another study, conducted in China and published in the Lancet, questioned the value of the drug for treatment of severely ill patients but left open the possibility that it might be useful for others. The research was incomplete, however, because not enough participants could be enrolled.
That study found no benefit to the drug, compared with placebo.
“Unfortunately, our trial found that while safe and adequately tolerated, remdesivir did not provide significant benefits over placebo,” said the lead investigator of the new study, Dr. Bin Cao of the China-Japan Friendship Hospital and Capital Medical University in Beijing.
“This is not the outcome we hoped for,” he added.
America’s growth streak is over: The economy shrank 4.8 percent, and the worst is yet to come.
The pandemic has officially snapped the U.S. economic growth streak.
The questions now are how extensive the damage will be — and how long the country will take to recover.
U.S. gross domestic product, the broadest measure of goods and services produced in the economy, fell at a 4.8 percent annual rate in the first quarter of the year, the Commerce Department said Wednesday. That is the first decline since 2014 and the worst quarterly contraction since 2008, when the country was in a deep recession.
Things will get much worse. Widespread layoffs and business closings didn’t happen until late March, or the very end of the last quarter, in most of the country. Economists expect figures from the current quarter, which will capture the effects of the shutdown more fully, to show that G.D.P. contracted at an annual rate of 30 percent or more.
“They’re going to be the worst in our lifetime,” Dan North, the chief economist for the credit insurance company Euler Hermes North America, said of the second-quarter figures. “They’re going to be the worst in the post-World War II era.”
The larger question is what happens afterward. Steven Mnuchin, the Treasury secretary, said this week that he expected the economy to “really bounce back” this summer as states lift stay-at-home orders and trillions of dollars in federal emergency spending reaches businesses and households.
Most independent economists are much less optimistic. The Congressional Budget Office last week released projections indicating that the economy would begin growing again in the second half of the year, but that the G.D.P. would not return to its prepandemic level until 2022 at the earliest.
Despite the grim report on Wednesday, Wall Street was set for a gain after a rally in global stocks. Futures for the S&P 500 got a lift after signs that a drug being tested as a possible treatment could be showing progress.
The Federal Reserve on Wednesday pledged to do what it could to insulate the economy as lockdowns took a severe toll on economic growth. The central bank said that it would keep interest rates near zero until a recovery was well underway.
Stocks rallied on Wednesday, boosted by indications that a drug being tested as a possible treatment could be showing progress, as investors pinned their hopes on the gradual reopening of the world’s major economies.
The S&P 500 gained nearly 3 percent, while shares in Europe were also sharply higher.
The rally came despite data that showed the U.S. economy shrank by the most since 2008 in the first quarter of the year. Earnings reports from Volkswagen, Samsung, Airbus, Boeing and other giant businesses were also grim.
But investors have been shaking off bad news on the economy for weeks as they focus on progress on efforts to contain the pandemic. A steady climb has lifted the S&P 500 by nearly 30 percent since its March 23 low. With nearly half that gain coming in April, the month is on track to be the best for stocks since 1974, according to data from Howard Silverblatt, senior index analyst for S&P Dow Jones Indices.
The trading on Wednesday had all the hallmarks of a rally fueled by hopes of a return to normal, with shares of airlines and cruise operators — both industries that are dependent on the end of restrictions and the return of travelers — among the best performing stocks in the S&P 500. Oil producers also rallied as the price of crude oil surged.
A rally in the stocks of large technology companies, which have an outsize impact on the overall market, also helped. Alphabet rose nearly 9 percent the day after it reported quarterly results that were better than expected, and Facebook was more than 6 percent higher.
Oil prices surged, with gains picking up steam after a weekly report on crude oil stockpiles showed they increased by less than expected. Investors have been worried about a glut of crude as demand for energy plunges, along with storage capacity in the United States. On Wednesday, West Texas Intermediate crude, the U.S. benchmark, rose more than 24 percent to $15.37 a barrel. Brent crude, the international benchmark, was trading at a little under $23 a barrel, up about 11 percent.
Trump declared meatpacking plants ‘critical infrastructure,’ but how they would stay open remains unclear.
Mr. Trump’s declaration on Tuesday that meatpacking plants were “critical infrastructure” that should be kept open during the pandemic sent a powerful signal that protecting the nation’s food supply was a federal priority.
But exactly how the executive order would keep plants running, even in the middle of outbreaks that have sickened thousands of workers and turned the facilities into hot spots, was unclear.
“This is more symbolism than substance,” said Steve Vladeck, a law professor at the University of Texas. “He’s opening the door for the executive branch to take some far more specific actions vis-à-vis the meat plants, but the order itself doesn’t do anything.”
While the order does not explicitly mandate that plants stay open, it could allow the Department of Agriculture to potentially force meat companies to fulfill orders from retailers, effectively keeping them in some capacity.
Lobbyists for the meat industry said the executive order, which invoked the Defense Production Act, was significant because it created federal guidelines for the steps plants needed to take to prevent the virus from spreading. Until now, meat plants have been forced to close based on a patchwork of regulations from local and state health departments. The meat industry has warned that closures could threaten the U.S. supply of beef, pork and other products.
“It’s now a partnership between federal agencies and state and local officials to ensure everything is done to keep workers safe,” said Julie Anna Potts, the chief executive of the North American Meat Institute, a trade group for beef, pork and turkey packers and producers.
Still, the order does not address some critical questions, such as whether the plants should test all their workers for the virus before reopening. Some plants have reopened without widespread testing.
A network of conservative leaders, donors and organizations has started a legal onslaught against state and local restrictions intended to slow the spread of the coronavirus. They are pushing to allow churches to hold services, businesses to reopen and people to be able to visit with family and friends.
The group has been emboldened in recent days by increasing signs of support from a powerful ally: the Justice Department.
Justice Department officials have spoken on conference calls with leaders of conservative groups, who have flagged individual cases as worthy of the department’s review. Some cabinet officials have signaled that they backed the effort by participating in private calls with conservative allies, according to multiple people involved with the calls.
The Justice Department this week delivered the clearest show of support yet when Attorney General William P. Barr issued a memorandum directing two of his department’s top lawyers to lead an effort with other federal agencies to monitor state and local policies “and, if necessary, take action to correct” those that “could be violating the constitutional rights and civil liberties of individual citizens.”
Though the Justice Department has so far weighed in formally on only one case — a lawsuit by a Baptist church in Greenville, Miss. — the new directive reinforced the message that court challenges to state and local restrictions by Mr. Trump’s allies could get a favorable viewing, and potential support, from the administration.
Deaths have been mounting at a nursing home for veterans in western Massachusetts, where at least 68 residents have died after contracting the virus, making it one of the deadliest nursing home outbreaks in the country.
To date, 82 residents and 81 employees of the facility have tested positive.
Employees at the 247-bed, state-managed Holyoke Soldiers’ Home have described the facility as unprepared for the wave of cases that emerged in March. They said infected patients were left on crowded wards, exposing dozens of vulnerable veterans.
Lethal outbreaks of the virus have ravaged nursing homes across the nation. The virus is known to be more deadly to aging, immune-compromised people; small, confined settings like nursing homes, where workers frequently move from one room to the next, are particularly vulnerable to spreading infection.
The outbreak in Holyoke became public at the end of March, after Alex Morse, the mayor, received an anonymous letter from a staff member describing “horrific circumstances.” Within days, the facility’s superintendent had been placed on administrative leave, and the National Guard was deployed to assist with testing.
Since then, because military honors are unavailable, flags in the state have been lowered to half-staff in memory of veterans lost in Holyoke and at a soldiers’ home in Chelsea, Mass.
It has been 100 days since a 35-year-old man went to an urgent care clinic in Snohomish County, Wash., with a four-day history of cough and fever and tested positive for the coronavirus.
Residents in most states — along with more than half of the world — have been ordered to shelter in their homes in hopes of slowing the spread of the highly contagious virus and to try to keep hospital systems from being overwhelmed.
A woman who gave birth on a ventilator dies of the virus while in prison.
A woman from South Dakota who gave birth while on a ventilator died in federal custody on Tuesday after contracting the virus.
Andrea Circle Bear, 30, of Eagle Butte, S.D., appears to be the first female inmate in the United States to die in custody after contracting the virus, according to data from the Bureau of Prisons. She had recently begun serving a 26-month sentence for maintaining a drug-involved residence on the Cheyenne River Sioux Indian Reservation, the agency said in a news release.
Ms. Circle Bear was transferred on March 20 from a local jail in Winner City, S.D., to Federal Medical Center Carswell, a federal prison in Fort Worth, and immediately placed in quarantine. Just over a week later, on March 28, she was admitted to a hospital over concerns about her pregnancy and sent home the same day.
Ms. Circle Bear was readmitted on March 31 when she started experiencing a fever, dry cough and other possible symptoms of the coronavirus, and she was confirmed to have Covid-19 three days later, on April 4. By then she had already been placed on a ventilator and given birth to her son via cesarean section.
Families Against Mandatory Minimums, a national criminal justice advocacy organization, has called for an investigation into Ms. Circle Bear’s death and questioned why she was imprisoned in the first place.
“Not every prison death is avoidable, but Andrea Circle Bear’s certainly seems to have been — she simply should not have been in a federal prison under these circumstances,” Kevin Ring, the group’s president, said in a statement. “Her death is a national disgrace, and I hope it is a wake-up call.”
Ms. Circle Bear is one of 30 inmates who is confirmed to have died from the virus while in custody, according to Bureau of Prison data.
Pelosi names Democrats to special coronavirus investigative committee.
Speaker Nancy Pelosi named six House Democrats on Wednesday to sit on a newly created select committee that will scrutinize the Trump administration’s response to the pandemic.
Among them are three senior Democrats who lead House committees: Representative Maxine Waters of California, the chairwoman of the Financial Services Committee; Representative Carolyn B. Maloney of New York, the chairwoman of the Oversight and Reform Committee; and Representative Nydia M. Velázquez of New York, the chairwoman of the Small Business Committee.
Ms. Pelosi also selected three more junior members based on their areas of expertise. Representative Bill Foster, Democrat of Illinois, is a former scientist. Representative Andy Kim of New Jersey is a former National Security Council staff member with extensive national security experience. And Representative Jamie Raskin of Maryland was a constitutional law professor before joining the House.
“We must make sure that the historic investment of taxpayer dollars made in the CARES Act is being used wisely and efficiently to help those in need, not be exploited by profiteers and price-gougers,” Ms. Pelosi said in a statement, referring to the $2.2 trillion stimulus measure.
The speaker had already announced that she would place Representative James Clyburn of South Carolina, the third-ranking Democrat and one of her top deputies, at the helm of the panel. It is expected to begin working in the weeks to come, and it will be given wide leeway to scrutinize all aspects of the federal response, from the fulfillment of the stimulus to the Trump administration’s struggle to ramp up virus testing.
Five slots on the committee are reserved for Republicans, who have yet to name their members.
As Pence defends his maskless visit to the Mayo Clinic, some former patients also criticize the institution.
Vice President Mike Pence defended his decision to not to wear a face mask while touring a building at the Mayo Clinic in Minnesota on Tuesday, saying he was regularly tested for the virus and was following the Centers for Disease Control and Prevention guidelines, even if he was violating the clinic’s policy.
While critics lashed out at Mr. Pence, the head of the coronavirus task force, former Mayo Clinic patients and their family members pointed to the institution they had long held in high esteem for permitting the vice president to flout the rules.
Kenneth Rinzler, a lawyer who had open-heart surgery at the clinic in 2010, wrote in a letter to the president of the institution that he was “beyond shocked” to see Mr. Pence in the building without a mask “and violating every basic tenet of social distancing.”
Susie Watson, the wife of a former bone marrow transplant patient at the clinic, was equally alarmed and wrote to the Mayo Clinic asking why its administrators did not insist that Mr. Pence wear a mask.
“It really makes us wonder about your judgment,” she wrote in an email that she shared with The Times. “Wearing a mask should not be voluntary at Mayo. This is seriously upsetting, not to mention a huge public relations mistake for all the nation to see.”
Ms. Watson also said she considered it “their error as much as Pence’s.”
A spokeswoman for the vice president did not respond on Wednesday to a request for comment. Mr. Pence defended his decision on Tuesday.
As schools across the country consider when they might reopen and what that could look like, the American Federation of Teachers, one of two national teachers’ unions, said it would release a plan on Wednesday outlining the conditions that they expect to be met before schools reopen.
The vision is more cautious than the one expressed in recent days by the president, who on Monday told governors in a call that they should “maybe get going on it.”
Randi Weingarten, the union’s president, said the plan offered “a stark contrast to the conflicting guidance, bluster and lies of the Trump administration.”
The union is asking for school buildings to remain closed until local cases have declined for 14 consecutive days with adequate testing. It says that when schools open, they should be prepared to screen for fevers, set up hand-washing stations at entry points, place individuals with suspected cases in isolation rooms and provide staff members with protective equipment.
The plan floats the possibility of voluntary summer programs, smaller class sizes of 12 to 15 students and schedules of partial days or weeks to maintain social distancing, with after-school programs for families that need more hours of child care.
The union is also asking for schools to halt formal evaluations of teachers’ work until more established procedures for both in-person and remote learning are in place.
Mayor Bill de Blasio of New York lashed out at Hasidic residents of Williamsburg, Brooklyn, on Tuesday night after personally overseeing the police’s dispersal of a crowd gathered for the funeral of a rabbi, Chaim Mertz, who died of the virus.
On Twitter, the mayor “the Jewish community, and all communities” that violating social-distancing guidelines could lead to summonses or arrests. The police commissioner said that 12 summonses were issued, including four for refusal to disperse.
At his briefing on Wednesday, the mayor said the funeral was “by far the largest gathering in any community of New York City of any kind that I had heard of or seen directly or on video since the beginning of this crisis, and it’s just not allowable.”
New York’s ultra-Orthodox Hasidic communities have been hit especially hard by the virus, and Hasidic residents’ tendency to congregate in large groups has been cited as part of the cause.
But some Jewish leaders criticized the mayor for seeming to single out one community and accused him of applying a double standard, pointing out that Mr. de Blasio’s diatribe on Tuesday came hours after New Yorkers clustered in crowds to watch a flyover by the Blue Angels fighter-jet squadron.
Mr. de Blasio offered a limited apology on Wednesday, but he said he would not tolerate violations of social-distancing guidelines.
“If I see it in any other community, I’ll call that out equally,” he said. “If in my emotion I said something that in any way was hurtful, I’m sorry about that, that was not my intention. But I also want to be clear: I have no regrets about calling out this danger and saying I want to deal with it very, very aggressively.”
At his daily briefing, Gov. Andrew M. Cuomo of New York said that 330 more people had died, a third consecutive day at a flat rate, bringing the state’s official tally to 17,968. But the number of new hospital admissions for the virus increased slightly for the first time in 12 days.
New Jersey reported 329 new virus deaths — almost equal to New York’s, though it is more than twice as populous. The total number of deaths in New Jersey stands at 6,770.
Mr. Cuomo said he was issuing an order allowing elective surgeries to resume in 35 counties that had been affected less severely by the virus. New York City and the five counties closest to the city were not among them.
Top restaurateurs seek $120 billion in federal aid.
A group of prominent independent restaurant owners is asking Congress for a $120 billion stabilization fund to prevent thousands of restaurants across the country from closing after huge and protracted losses stemming from the pandemic.
“We are fighting to give restaurants a fighting chance,” said José Andrés, a Washington-based chef and philanthropist who has been at the forefront of lobbying for his industry, which has accounted for about 60 percent of all American job losses in March, according to the Independent Restaurant Coalition. The group formed after a vast majority of independent operators were unable to take part in a federal program to aid small businesses.
Under that program, businesses will be forgiven if their employees are paid over the eight-week period after the loan is made. But that is difficult for bars and restaurants, many of which were ordered to close. Once reopened, many restaurants will be unable to comply with social-distancing rules and run at full capacity.
“How do I make money if I have to bring back all my staff doing less volume and less sales?” Nina Compton, the owner of Compère Lapin in New Orleans, said during a conference call on Wednesday. “We need support; we need stabilization.”
The Navy delays a decision on restoring the captain of the Theodore Roosevelt and expands an investigation.
The acting secretary of the Navy on Wednesday ordered a wider investigation into the events aboard the aircraft carrier Theodore Roosevelt, apparently shelving for now a recommendation by the Navy’s top admiral to restore Capt. Brett E. Crozier to command the virus-stricken warship.
“I have unanswered questions that the preliminary inquiry has identified and that can only be answered by a deeper review,” the acting secretary, James E. McPherson, said in a statement.
Mr. McPherson said he was directing the chief of naval operations, Adm. Michael M. Gilday, to conduct a follow-up investigation, expanding a preliminary review that the Navy completed and presented last week to Defense Secretary Mark T. Esper.
Mr. McPherson’s announcement came days after Admiral Gilday recommended reinstating Captain Crozier. But Mr. Esper, who initially said he would leave the process largely in the hands of the military chain of command, delayed endorsing the findings until he said he could review the Navy’s investigation.
Follow updates on the pandemic from our team of international correspondents.
Sweden forged its own path while countries around it shut down, and Russia extended its lockdown despite having relatively few confirmed cases.
Reporting was contributed by Peter Baker, Ellen Barry, Alan Blinder, Nicholas Bogel-Burroughs, Audra D.S. Burch, Ben Casselman, Michael Cooper, Michael Corkery, Nicholas Fandos, Michael Gold, Dana Goldstein, Jenny Gross, Amy Harmon, Christine Hauser, Josh Katz, Gina Kolata, Lisa Lerer, Denise Lu, Rick Rojas, Margot Sanger-Katz, Marc Santora, Eric Schmitt, Jennifer Steinhauer, Eileen Sullivan, Vanessa Swales, Linda Villarosa, Kenneth P. Vogel and Noah Weiland.