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Welcome to Prognosis. I'm Laura Carlson. It's day 63 since coronavirus was declared a global pandemic.

Our main story? COVID-19 is turning out to have effects well beyond the respiratory system.

Purple toes in some patients are a tip-off

that the disease is causing serious

and potentially deadly blood clots,

and revealing how much yet there is to learn about the disease.

But first, here's what happened today.

The Centers for Disease Control and Prevention wrote a report on reopening the country

that was more detailed and more restrictive than the guidance the White House

released last month. The advice from the CDC was shelved by Trump administration officials,

but the Associated Press obtained the 63-page document. It shows that the thinking of the CDC infection control experts differs

from those in the White House managing the pandemic response. The White House's opening up

America Again plan that was released April 17th included some of the CDC's approach, but made

clear that the onus for reopening decisions

was solely on state governors and local officials.

By contrast, the CDC advocated for a coordinated national response to give community leaders

step-by-step instructions to, quote,

help Americans re-enter civic life,

...