The Latest: North Macedonia under first state of emergency

SKOPJE, North Macedonia — North Macedonia has declared its first-ever nationwide state of emergency, allowing authorities to more easily use the armed forces as well as private resources to fight the pandemic.

The 30-day order, the first of its kind since the Balkan nation became independent in 1991, will take effect Saturday and was imposed after COVID-19 treatment capacity reached its limit.

The army will be used to help civilian authorities transport patients and build field hospitals.

Government-imposed restrictions have so far failed to curb a rise in infection rates. A total of 1,462 people have died in the landlocked country of around 2 million people from the pandemic — with 39 deaths recorded in the last 24 hours and an estimated 20,000 cases still active.



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TORONTO — Canada’s largest city is going back on lockdown.

The province of Ontario announced Friday Toronto and the surrounding Peel Region will go into lockdown on Monday.

Premier Doug Ford and health officials say they won’t allow indoor organized events or social gatherings except for members of the same household. Restaurants and bars will only be allowed to offer takeout and delivery. Retail will only be open for curbside pickup or delivery except for big box stores.

The stricter measures come as Ontario reports 1,418 new cases of COVID-19 Friday, including 393 in Toronto and 400 new cases in Peel Region.

Ontario Chief Medical Officer of Health Dr. David Williams says Ontario flattened the epidemic curve before and he’s confident it can be done again.


RALEGH, N.C. — North Carolina on Friday reported its fourth consecutive day of more than 1,500 people hospitalized for the coronavirus. Nearly 3,700 new positive cases were confirmed Friday.

North Carolina has seen a substantial increase in the percentage of COVID-19 tests coming back positive. More than 9% of tests came back positive on Monday, and the state has had a positivity rate around 8% over the last two weeks. This is far from the state’s aim to see less than 5% of tests coming back positive.

Dr. Mandy Cohen, secretary of the state Department of Health and Human Services, said on Friday that North Carolina will soon ramp up efforts to get more residents to download a contact tracing mobile application ahead of the Thanksgiving holiday.

Cohen noted a couple of smaller hospitals in the state have “seen stretch in their capacity” but are staying afloat as other hospitals with more beds reduce strain.


PHOENIX — Four Democratic mayors called on Republican Gov. Doug Ducey on Friday to institute a statewide requirement for Arizona residents to wear masks in public, a move that came as state health officials reported over 4,000 additional known COVID-19 cases for the second consecutive day.

They accused the governor of failing to provide leadership in the state’s battle against a new surge of the coronavirus.

Ducey Chief of Staff Daniel Scarpinato pushed back on the request, noting that the mayors were doing little to enforce their own mask ordinances or ensure that existing safety measures put in place by the governor are being enforced.

Ducey said at a news conference Wednesday that he would not impose a statewide order because 90% of the population is already under county and city mandates that he allowed them to implement in June.

The state Department of Health Services reported 4,471 new confirmed cases and 43 additional deaths. That increased the state’s totals to 291,696 cases and 6,427 deaths.


PORTLAND, Ore. — Oregon has reported a record number of coronavirus cases Friday, with hospitalizations at their highest since the pandemic began.

Officials say the state hit a daily record of 1,306 COVID-19 cases, and 414 people are hospitalized.

Nearly three dozen current and incoming Oregon lawmakers have sent a letter to Democratic Gov. Kate Brown demanding an immediate increase in COVID-19 testing statewide as case numbers spike. The letter sent earlier this week emphasizes that California and Washington outrank Oregon in testing but Oregon’s test positivity rate — the percentage of tests that are positive — is much higher.

Brown has not responded to the bipartisan letter.


BATON ROUGE, La. — Louisiana will run out of federal coronavirus money before it pays out grants to all eligible small businesses and local government agencies seeking dollars from COVID-19 aid programs.

Officials running the programs told the House and Senate budget committee Friday they received more applications than the dollars allocated by Democratic Gov. John Bel Edwards and lawmakers.

The money comes from direct coronavirus aid that Louisiana received from Congress. Lawmakers earmarked nearly $525 million to reimburse local government agencies’ virus-related expenses. They steered another $260 million to small business grants.

The Edwards administration says it has $431 million in outstanding, eligible reimbursement applications from local governments that it can’t pay. The treasurer’s office says it has thousands of business applications it can’t fulfill in that grant program.


NEW YORK — The coronavirus surge is taking an increasingly dire toll across the United States a week before the Thanksgiving holiday.

The U.S. is now averaging more than 1,300 COVID-19 deaths per day — the highest since the calamitous spring in New York City.

On Thursday, the nation hit a record of nearly 188,000 coronavirus cases. The number of people in the hospital with coronavirus reached an all-time high at more than 80,000.

Health experts are concerned Thanksgiving travel and holiday gatherings will fuel the spread of the virus. Many states and cities are imposing near-lockdowns or other restrictions. California ordered a 10 p.m. to 5 a.m. curfew, covering 94% of the state’s 40 million residents. New York City closed its schools on Thursday.

Total confirmed infections in the U.S. have eclipsed 11.7 million. There have been more than 252,000 confirmed deaths. Both categories lead the world.


LONDON — The British government says it has asked the country’s medicines regulator to begin assessing a vaccine for COVID-19.

Health Secretary Matt Hancock says the Medicines and Healthcare Products Regulatory Agency had begun receiving data from Pfizer and its German partner BioNTech about their vaccine, one of several in development.

Hancock says if approved, vaccination of the U.K. population could begin in December “with the bulk of the rollout in the new year.”

He says vaccination will be done in stages, starting with the elderly and most vulnerable. The vaccine will be delivered by doctors and pharmacists, in hospitals and at specially built vaccination centers.

Hancock says vaccinating the entire population would be a “massive logistical challenge” but the National Health Service was up to the task.


BISMARCK, N.D. — North Dakota has surpassed 70,000 confirmed coronavirus cases since the start of the pandemic.

The Department of Health reported 1,408 news cases Friday and 23 more deaths. The latest deaths bring the total to 818, in age ranges from 50s to 100s.

The department reported 13 new coronavirus hospitalizations Friday for a total of 289.

There were seven ICU beds and 187 inpatient beds available in North Dakota, according to state data.


OMAHA, Neb. — More Nebraska cities are making moves to require masks in public as the coronavirus outbreak worsens and hospitalizations reached a record high.

Nebraska set a record of 983 hospitalizations across the state on Thursday, five more than the day before.

The Omaha suburbs of Bellevue, Papillion, Ralston, Gretna and La Vista are considering masks in public, the Omaha World-Herald reported. This week, the cities of Beatrice and Kearney passed mask mandates. Grand Island will consider it next week.

Nebraska has the fifth-highest rate of infection in the country. Over the past week, one out of every 115 people in the state was diagnosed with the coronavirus, according to data from Johns Hopkins University.

On Thursday, 2,663 registered cases raised the statewide total to 109,280. There were 28 more deaths, bringing the total to 854.


MADRID — Spain recorded 15,156 new infections on Friday.

The 14-day average of cases per 100,000 people fell to 419 from the Nov. 9 peak of 529. That’s also below the European average of 608 cases registered on Sunday.

Spain has more than 1.52 million confirmed cases and nearly 42,300 deaths, including 328 new deaths confirmed on Friday.

Official data showed COVID-19 patients are taking up 14% of hospital beds and just over 30% of intensive care units, a slight improvement from previous days.

The decline on infections has been faster in Madrid, which became one of the main coronavirus hot spots this summer. Still, regional authorities on Friday announced that all but essential travel in and out of the region would be closed for four days in early December to avoid spread during an extended national holiday.


ALBUQUERQUE, N.M. — New Mexico opened an alternate care facility for COVID-19 patients in a renovated former hospital in Albuquerque.

The state Department of Health said the Gibson Medical Center will serve adults who don’t require acute care. The facility won’t have an emergency hospital, intensive care unit or surgical suite.

It initially will provide 25 beds for patients needing nursing care and an additional 25 beds for isolation or quarantine. Capacity can be expanded to up to 180 beds. The department says the facility will alleviate some of what it called “the immense pressure” on hospitals in the state.


WASHINGTON — Dr. Atul Gawande, a member of President-Elect Joe Biden’s coronavirus task force, says Biden’s team needs to know the status of national personal protective equipment and plans for vaccine distribution.

Gawande told “CBS This Morning” on Friday the information sharing has been delayed while the Trump administration stalls the White House transition. He says a smooth plan for vaccine coordination and distribution to states can help save lives.

“There was a plan for 300 million doses to be available at the end of the year,” Gawande said. “What they’re reporting now is 20 to 30 million doses available. Why? Where are the bottlenecks? What are the shortages? How are they addressing them, and what are the gaps that the next administration needs to fill? That alone means delays that could cost lives.”

Gawande disputed Health Secretary Alex Azar’s claim the CDC keeps things going during any transition and the information the Biden team needs is public.

Gawande says there’s been about 100 million coronavirus tests in the last eight months. Now the nation will try to “deploy 330 million doses of vaccine to people twice in the next year and trying to accelerate that to happen in months. There hasn’t been anything like that undertaken. You just don’t simply hand that over and think that everything is going to go smoothly. We need planning and coordination.”


PARIS — France’s government is working to get agreement from the nation’s e-commerce sector and supermarket chains to delay the “Black Friday” discount shopping promotion by a week to Dec. 4, when the national lockdown will be over.

The push to postpone “Black Friday” comes amid broad concerns that French shops closed by the nation’s coronavirus lockdown are already losing business.

The director of Amazon France says the e-commerce distributor is ready to sign up to the delay. The Economics Ministry also says supermarket operators and e-commerce sites are looking “favorably” at a possible postponement.


KYIV, Ukraine — Authorities in Ukraine have reported a record 14,575 new infections on Friday, more than 1,000 from the previous day.

That brings the country’s total to nearly 600,000 confirmed cases. Ukraine’s confirmed death toll is 10,598 deaths.

The rapid rise in cases has severely strained Ukraine’s struggling medical system. Last week, the government introduced tight weekend restrictions to curb the spread of the virus. Under the measure, which last through the end of November, only grocery stores, pharmacies and public transport are allowed to operate on Saturdays and Sundays.


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