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A debate over the need for ventilators as the death toll surges.
Gov. Andrew M. Cuomo on Friday rebutted President Trump’s comments that New York was overstating its need for ventilators and that the state was overlooking thousands of the machines in storage.
“We’re gathering them in the stockpile so that when we need them they will be there,” Mr. Cuomo said of the ventilators. “We don’t need them today because we’re not at capacity today.”
The governor’s remarks came as the toll of deaths related to the virus statewide jumped by 134 in 24 hours, to 519.
Late Thursday, Mr. Trump scoffed at New York’s claim that it needs at least 30,000 ventilators — machines that help the sickest patients keep breathing — to fight the crisis. State officials have repeatedly asked the federal government to help close a shortfall they have estimated at more than 20,000.
“You know you go into major hospitals, sometimes they’ll have two ventilators and now, all of a sudden, they’re saying, ‘Can we order 30,000 ventilators?’” Mr. Trump said in an interview on Fox News. “I don’t believe you need 40,000 or 30,000 ventilators.”
Mayor Bill de Blasio said on Friday that Mr. Trump failed to grasp the outbreak’s severity. “He’s not looking at the facts of the astronomical growth of this crisis,” the mayor said on ABC’s “Good Morning America.”
Mr. Cuomo added, “Look I don’t have a crystal ball. Everybody’s entitled to their own opinion. But I don’t operate here on opinion. I operate on facts, and on data and on numbers and on projections.”
As of Friday morning, nearly 1,600 coronavirus patients in New York State were in intensive care units, most of them on ventilators, a 22 percent increase since Thursday morning. The state has projected that the need for I.C.U. beds will grow for at least several weeks.
“The only way we can obtain these ventilators is from the federal government,” Mr. Cuomo said earlier in the week. “Period.”
In a survey released on Friday, the United States Conference of Mayors found that 85 percent of American cities did not have an adequate supply of ventilators, 91 percent did not have an adequate supply of face masks for police officers, firefighters and paramedics, and 88 percent did not have enough personal protective equipment for those workers.
Mr. Trump, who had previously been hesitant to use the Defense Production Act to mobilize private businesses to make ventilators, appeared to change course on Friday. He said in a series of messages on Twitter that he would invoke the act to compel General Motors to produce the devices.
It was not clear that such a move would speed up production. Ventilators are complex machines, and the manufacturers say they will be limited in part by the availability of parts.
Virus cases are nearing 45,000 statewide.
The governor delivered his daily briefing on Friday at the Javits Center, a mammoth convention hall in Manhattan that, with the military’s help, has been converted into an emergency hospital set to open next week.
“What you did in this facility in one week, creating a hospital, is just incredible,” Mr. Cuomo said, addressing National Guard members.
Other highlights from the day.
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More than 44,600 people have tested positive for the virus, an increase of more than 7,300 from Thursday morning. More than 25,000 of the cases are in New York City.
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In New Jersey, Gov. Philip D. Murphy said that 27 more people had died, bringing the total killed in the state by complications from the virus to 108. In addition, another 1,982 people tested positive for the virus; 8,825 people have tested positive overall.
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There are currently 6,481 hospitalized patients, about 20 percent more than yesterday. Of those, 1,583 are in intensive care. More than 2,000 have been discharged.
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More than 62,000 medical workers, many of them retired, have volunteered to help stem the crisis. Almost 10,100 mental health professionals have also stepped forward to treat New Yorkers coping with the effects of being isolated.
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The governor said he would extend school closings statewide two more weeks, until April 15. Schools in New York City have already been ordered closed until then.
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The state needs 20 million N-95 masks, 30 million surgical masks, 45 million exam gloves, 20 million gowns and 30,000 ventilators, all astronomical amounts compared to New York’s current stockpile.
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The governor said he would seek President Trump’s permission to authorize the construction of four more temporary hospitals in the Bronx, Queens and Brooklyn and on Staten Island with a total capacity of 4,000 hospital beds.
New York counties are advised to cease preparing for April 28 primary.
In an email hinting that New York’s presidential primary, which is now scheduled for April 28, might be pushed back, the state Board of Elections advised counties on Friday to cease preparations for that date, at least temporarily.
The email, from the board’s executive directors, Robert Brehm and Todd Valentine, advised counties to “pause any major election related spending” to provide time for a “possible executive order from the governor on requests to postpone the primary.”
Under law, elections officials in New York’s 62 counties were to begin sending out cards this week advising voters of the presidential primary’s date and the address of their polling places.
“This is a temporary pause on sending that mail out in case on Monday or Tuesday there is an executive order,” said Cheryl Couser, a spokeswoman for the elections board.
A bipartisan group of elections officials in New York asked the governor’s office this week to put off the election until June 23, citing coronavirus health concerns.
Ten other states have already postponed their presidential primaries.
A spokesman for Mr. Cuomo did not immediately respond to a request for comment.
New York halts nonessential construction.
For more than a week, the outcry resounded.
Even as most businesses in the state were shut down to halt the spread of the coronavirus, construction workers kept building luxury towers, squeezing 20 people at a time into service elevators and sharing portable restrooms.
On Friday morning, Mr. de Blasio said that all nonessential construction, including on luxury towers like a new Hard Rock Hotel in Manhattan, would cease. He said on WNYC radio that Mr. Cuomo had decreed, “based on what was absolute agreement between New York City and New York State, that nonessential construction will end.”
Mr. de Blasio added: “Anything that is not directly part of the essential work of fighting coronavirus and the essential work of keeping the city running and the state running — any construction that is not about the public good is going to end. So luxury condos will not be built until this is over. Office buildings are not going to be built. That work’s going to end immediately. We need to protect people.”
The only projects that are allowed to continue operating are those that involve health care, transportation infrastructure, utilities, telecommunications, airports, hotels and seaports, according to two people briefed on the plans. All other projects must stop, but the state is giving builders time to wind down their operations and secure the job sites.
Before Friday, the entire construction industry had been deemed essential, exempting it from the broad stay-at-home order that has kept most New Yorkers indoors.
Projects that are allowed to proceed must adhere to social-distancing guidelines, including when workers ride service elevators, which are typically packed with 10 or more people. Sites that violate the regulations could be fined up to $10,000.
There have been virus cases in 43 New Jersey nursing homes.
New Jersey’s 375 long-term health care facilities and nursing homes have had no-visitor policies in place for nearly two weeks.
But by Thursday, one in every 10 nursing homes in the state — 43 facilities — had reported at least one patient who tested positive for the coronavirus, up from 19 on Tuesday.
Eighteen of the 81 people to die in New Jersey after contracting the virus were recently treated in a nursing home, according to Alexandra Altman, a spokeswoman for Gov. Philip D. Murphy.
Two of the hardest-hit facilities, Family of Caring in Montclair and St. Joseph’s Senior Home in Woodbridge, are now considered sites of “outbreaks,” she said.
Eight recent deaths have been linked to Family of Caring. Several of those who died had tested positive for the virus, Ms. Altman said; others died before their test results were returned or died of a respiratory illness before being tested.
Officials at Family of Caring at Montclair, which remained open, did not return calls. St. Joseph’s closed on Wednesday after evacuating its 94 patients, most of whom were moved to a nursing home about a half-hour away.
There have been three deaths among the two dozen patients and five staff members to test positive for the virus, the state’s health commissioner said on Thursday.
Plasma from survivors will go to coronavirus patients.
Can blood from coronavirus survivors help others fight the illness?
Medical centers in New York will soon test the idea in hospitalized patients who are seriously ill.
Blood from people who have recovered can be a rich source of antibodies — proteins made by the immune system to attack the virus. The part of the blood that contains antibodies, known as convalescent plasma, has been used for decades to treat infectious diseases, including Ebola and influenza.
“It’s kind of difficult scientifically to know how valuable it is in any disease until you try,” said Dr. David L. Reich, president of Mount Sinai Hospital, which will try the treatment. “It’s not exactly a shot in the dark, but it’s not tried and true.”
“Essential businesses” that are allowed to stay open include surprises.
Across the New York region, all businesses except for essential ones have been ordered to close.
“Essential,” though, does not always mean what it sounds like. Supermarkets, pharmacies, hospitals, sure. But bicycle sellers, marijuana-plant trimmers, candy factories and people who make tiny metal springs?
They are just a few of the groups whose workers’ jobs have been deemed so important that they continue to work while most residents of the New York metropolitan area are hunkered down under stay-home orders.
Are you a health care worker in the New York area? Tell us what you’re seeing.
As The New York Times follows the spread of the coronavirus across New York, New Jersey and Connecticut, we need your help. We want to talk to doctors, nurses, lab technicians, respiratory therapists, emergency services workers, nursing home managers — anyone who can share what they are seeing in the region’s hospitals and other health care centers. Even if you haven’t seen anything yet, we want to connect now so we can stay in touch in the future.
A reporter or editor may contact you. Your information will not be published without your consent.
Reporting was contributed by Jonah Engel Bromwich, Manny Fernandez, Michael Gold, Denise Grady, Matthew Haag, Nicole Hong, Corey Kilgannon, Patrick McGeehan, Jesse McKinley, Andy Newman, Luis Ferré-Sadurní, Stephanie Saul and Tracey Tully.
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