The Washington PostDemocracy Dies in Darkness

State Department warns against cruise travel; Ted Cruz shook hands with CPAC patient

A woman walks in Milan's main train station on Saturday as Italian authorities prepare to lock down the Lombardy region to prevent the spread of coronavirus. (Alex Fraser/Reuters)

The coronavirus epidemic continued to prompt new travel restrictions and emergency declarations around the world, with the U.S. State Department on Sunday warning citizens against cruise travel and Italy resorting to a massive lockdown affecting millions of people.

The epidemic ravaging northern Italy can be traced to an outbreak at a car parts manufacturer in Germany, according to a study by Italian virologists — findings that are likely to shatter assumptions that German authorities had successfully contained the first major cluster in Europe.

In the United States, the death toll rose to 21 on Sunday to include two more residents of an infection-stricken nursing home. U.S. cases have surpassed 500 and affected more than 30 states, as well as the District of Columbia, where a church rector had the city’s first confirmed infection. Maryland announced two more cases on Sunday, while Virginia reported one more.

Coronavirus: What you need to know

Vaccines: The CDC recommends that everyone age 5 and older get an updated covid booster shot designed to target both the original virus and the omicron variant. Here’s some guidance on when you should get the omicron booster and how vaccine efficacy could be affected by your prior infections.

Variants: Instead of a single new Greek letter variant, a group of immune-evading omicron spinoffs are popping up all over the world. Any dominant variant will likely knock out monoclonal antibodies, targeted drugs that can be used as a treatment or to protect immunocompromised people.

Tripledemic: Hospitals are overwhelmed by a combination of respiratory illnesses, staffing shortages and nursing home closures. And experts believe the problem will deteriorate further in coming months. Here’s how to tell the difference between RSV, the flu and covid-19.

Guidance: CDC guidelines have been confusing — if you get covid, here’s how to tell when you’re no longer contagious. We’ve also created a guide to help you decide when to keep wearing face coverings.

Where do things stand? See the latest coronavirus numbers in the U.S. and across the world. In the U.S., pandemic trends have shifted and now White people are more likely to die from covid than Black people. Nearly nine out of 10 covid deaths are people over the age 65.

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