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That seemed a reasonable bet, given that Las Vegas had yet to record a single coronavirus case. But as the MGM case illustrates, those numbers offer only a partial picture of virus spread, one that could prevent officials from seeing and acting upon dangerous spikes in real time. That cluster was not, however, readily apparent to either health officials or the public, even though it involved Nevada residents. More live coverage: Markets. Two days later, she was in a hospital. But they are under no obligation to follow up with guests after they leave, and different resorts have adopted different policies. MGM is providing a contact email and asking guests to voluntarily notify the company if they test positive within two weeks of their stay. Rebecca Katz, director of the Center for Global Health Science and Security at Georgetown University, is an infectious disease expert advising the Vatican as well as Wynn Resorts, which operates two casinos in the city, on reopening risk mitigation. It is unclear what organizers did with that information or if other participants got sick; Caroline Clarke, chief brand officer for Black Enterprise, which hosted the event, declined to comment. See more updates. Instead, only state residents who test positive are counted. He was eager to return to work after so long without a paycheck, but was worried, too. Consider the scale of Wynn Resorts alone: On any given day before the shutdown, some 10, visitors walked through its doors, where they consumed an average of 34, drinks and 17, meals among 19 restaurants. The problem with that methodology, experts say, is that it can obscure whether a venue with super-spreading potential is becoming a hot spot, particularly in tourist destinations where visitors from around the world gather en masse. But Covid, he said, is different.

It was among the last of the big conferences before the coronavirus pandemic shuttered the massive casinos lining the Las Vegas Strip in March. Florida, home to snowbirds and Disney World, is one. Home Page World U.

Fermin Leguen, the acting chief health officer for the Southern Nevada Health District, said he notified New York that it had a case involving a woman hospitalized in Nevada, issued a public notice and asked summit organizers to notify attendees. Leguen received only 17 such out-of-state notifications through April 2, according to a spokeswoman, even though by that point the virus was raging. Only a very small percentage of guests on the Strip were from Nevada. What no one realized was that one of the conference speakers, a New Yorker, had already contracted the virus by the time she landed at McCarran International Airport on March 6. Moreover, the state cannot readily identify clusters of cases among employees at a given casino. And visitors to Las Vegas tend to mill about in ways that present a contact tracing nightmare. He declined to explain that discrepancy, saying he could not comment on individual cases. She gave her speech and interacted with guests and staff before telling hotel security she needed to go to a hospital. That is what Dr. In the days following the shutdown, he said, he had heard that several housekeeping employees had contracted the virus. The resident-focused tallying method used by Nevada is shared by states across the nation, adopted to avoid counting the same cases multiple times. Dealers and players are separated by Plexiglas, dice are doused in sanitizer after every throw, and guests, encouraged though not required to wear masks, are subject to mandatory temperature checks. Nearly three-quarters of visitors to the Strip gamble, according to the Las Vegas Convention and Visitors Authority, hopping not only from table to table but from resort to resort, and more than half of them see shows. Reopening regulations require casinos to notify health authorities if they learn of a coronavirus case at their property. But other casinos, including two owned by Wynn Resorts, have decided to leave that job to health officials. Michael T. Nevada is not. And while the contact-tracing challenges faced by Las Vegas are extreme, they highlight larger national systemic problems. No one wants to go through this again. Last year, A little over one-fifth came from California, while another fifth were foreigners. After the woman tested positive for the coronavirus, Dr. If one of the trickiest aspects of containing the pandemic is figuring out when and where people contract the virus and then quickly tracing their contacts, then there is perhaps no place in the nation where that is as tricky a task as in Las Vegas, where last year guests outnumbered residents by 20 to 1. But the case involving the Women of Power speaker is nowhere to be found in those grim totals, despite the fact that she stayed, tested positive, was hospitalized and recovered in Las Vegas. Both said they also would be willing to support making it easier to track employee cases by casino. But understaffed health departments can barely keep up with what is happening within their own states. Leguen said that ultimately he relies upon health officials in other states or countries to notify him if a person who visited Las Vegas during the incubation period tests positive after they leave. A handful of states keep a separate, public log of cases involving visitors who test positive for the virus within their borders. Casinos along the Strip last week reopened their doors to a flood of visitors, masked and unmasked but equally eager to test their luck after a day hiatus. Leguen said. As Nevada embarks on one of the most epidemiologically complex reopening experiments in the nation, Gov. McManus said. Wynn required all returning employees to be tested, for instance, while MGM will offer on-site tests to guests who feel unwell. The answer, he said, was at least But Dr. That is because while local heath districts are capable of tracking cases to certain workplaces β€” they currently do so for nursing homes, prisons and preschools β€” the database they use does not allow officials to sort cases by casino.