Morris, Max

From: Morris, Max Sent: Monday, July 12, 2021 9:54 PM To: Morris, Max Subject: 07/12/2021 Coronavirus Daily Recap and BREAKING NEWS - FDA warns of potential nerve complication with J&J

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A very good Monday evening Everyone! Yep, you can you believe it. We already have one day in the books. Hopefully your week has started off on a great note and you are ready to knock it out of the park in the days to come. If not, as always we will do our best to hopefully raise your spirits a bit and help you along the way. Following are major Headlines, the “Good Stuff”, US Snapshots, US , US Variant Cases, Highlights, as well as key Statistics, Vaccine and Treatment information, US Restrictions and the Back to Normal Index related to the novel coronavirus pandemic. Tonight, our words of wisdom and inspiration are from Brooke Hampton, who said: If you can’t runaway to a cabin in the woods right now, start small. Make a cup of tea and find a sunset to watch. Turn off your phone and read a book in the bath. Go for a drive and blast some Stevie Nicks. Fight for moments of peace in the midst of crazy. You can do that. I like Brook’s thinking. Hopefully, we all have our little piece of calm, serenity and paradise that we try escape to every now and then. And that place is just as unique as each of us are individually. That one little place or thing that we use to help us recharge and get back to looking ahead with a positive mind and a grateful heart. While Stevie Nicks wouldn’t be my first choice to blast on the stereo in my car, I completely understand how great it is to roll the windows down, feel the breeze as you drive, crank your tunes up loud and sing in a way that would scare dogs and cats away. And put your phone down for a bit (yes I need to do as I say and not as I do on this one). Because finding that little bit of peace is so important for all of us. It doesn’t have to be anything grand or take a lot of time either. And finding how to get it isn’t all that hard. You just have to remember to do it. Remember to find time for yourself. Because you are important. To your family, your friends, your coworkers. And to all of us who get these emails. So don’t forget to find those little moments. Especially when you need them the most .

CVOB Website Dashboard, individual US State, US County, Global Trending Charts and Data as well as US Vaccinations, US Restrictions, our Communications Archive and the COVID-19 Reference page can be found at https://www.sunknighty.net/.

BREAKING NEWS – US Food and Drug Administration warns of potential rare nerve complication with Johnson & Johnson vaccine The US Food and Drug Administration updated the label on Johnson & Johnson's coronavirus vaccine Monday to warn of the possible increased risk of a rare neurological complication known as Guillain-Barré syndrome.

1  The updated label indicated that "Reports of adverse events following use of the Janssen COVID-19 Vaccine under emergency use authorization suggest an increased risk of Guillain-Barré syndrome during the 42 days following .”  Guillain Barré syndrome is a neurological disorder in which the body's immune system damages nerve cells, causing muscle weakness and sometimes paralysis that typically is temporary, and while the agency said they had not established the vaccine could cause the syndrome, it did note an increase of 100 preliminary reports of the condition.  The Food and Drug Administration said that 95 of the 100 reports involved people who needed hospitalization, and one person died, but the numbers represent a tiny fraction of the nearly 13 million Americans who have received the one-dose vaccine, with most cases of the side effect reported in men - many 50 years old and up - and usually about two weeks after vaccination.  The guidance said that people should seek medical attention if they notice symptoms such as weakness or tingling in the arms and legs, especially if it spreads, after receiving a vaccine, with other telltale symptoms that include difficulty walking, speaking, chewing or swallowing; double vision; and bowel or bladder control problems.  The agency said "The chance of having this occur is very low, and the rate of reported cases exceeds the background rate by a small degree," stressing that even if the vaccine does raise the risk of the syndrome, it's still better to get vaccinated.  The Food and Drug Administration said that "Each year in the United States, an estimated 3,000 to 6,000 people develop GBS,” and “Most people fully recover from the disorder," adding “GBS has also been observed at an increased rate associated with certain , including certain seasonal influenza vaccines and a vaccine to prevent shingles.”  The agency said that no similar signal has been identified with the Moderna and Pfizer-BioNTech vaccines and Johnson & Johnson confirmed it was talking to both the US Centers for Disease Control and Prevention and the agency about the issue.

Headlines  US health officials, after meeting with vaccine maker Pfizer, reiterated on Monday that Americans who have been fully vaccinated do not need to get a booster shot and that they needed more data from the company before they could determine if they are necessary, a spokesperson for the Health and Human Services Department said.  The World Health Organization's chief scientist on Monday advised against people mixing and matching COVID-19 vaccines from different manufacturers, calling it a "dangerous trend" since there was little data available about the health impact.  All eyes are on the Delta variant that is now dominant in the US as new Covid-19 cases rise week-to-week and the variant - first identified in and also known as B.1.617.2 - accounts for a growing share, but trends from Israel and the United Kingdom - where the variant became dominant a few weeks sooner than in the US - present hope for a less deadly and severe surge than others that have come before, with experts saying that vaccination progress will be the most critical factor in preventing the worst outcomes.  People who are fully vaccinated against Covid-19 are still getting infected with Delta, but global health officials said the shots have protected most people from getting severely sick or dying, with Dr. Soumya Swaminathan, the World Health Organization’s chief scientist, saying Monday that “There are reports coming in that vaccinated populations have cases of , particularly with the delta variant,” but adding while “The majority of these are mild or asymptomatic ,” hospitalizations are rising in some parts of the world, mostly where vaccination rates are low and the highly contagious variant is spreading.  Israel’s average daily cases are twice what they were in mid-April when the first cases of Delta were identified in the country, and at that time there were an average of five deaths each day, but despite the rise of the variant - which now accounts for more than 90% of new cases in the country - average daily deaths have stayed consistently below that.  While issuing warnings that the pandemic is not over and won't be in a week, British Prime Minister confirmed Monday that England will lift most remaining lockdown restrictions July 19 as planned, despite a sharp rise in coronavirus cases, adding that although COVID-19 risks remain, mandates will be replaced by a recommendation that people wear masks in crowded places and on public transport, as well as the use of vaccine passports in nightclubs and other venues with crowds. 2  The United Nations on Monday lamented what it called a “dramatic worsening" of world hunger last year, saying much of that is likely connected to the pandemic, and in a report issued jointly by five agencies said hunger outpaced population growth in 2020, with nearly 10 percent of all people estimated to be undernourished and the sharpest rise coming in Africa, where 21 percent of the people are estimated to be undernourished.  To keep on top of employee sentiment about the return to the office, professional services company Genpact is going beyond the surveys, team huddles and other traditional communication channels it already employs, using its AI-powered chatbot - named Amber – that “asks” employees questions to capture their concerns in real time, and while most other chatbots are only able to reply or “answer” questions posed by someone, one of the most important features of Amber is that it is interactive, with a continuity of conversation that can’t be replicated in an employee survey.  Last year, many high school seniors dramatically changed their expectations about the future but this year more students are getting back on track, with nearly two-thirds of parents, or 63%, saying their child’s post-high school plans have returned to what they were before the global pandemic, according to a report by Discover Student Loans, which found that of those who have changed their college plans, most said they will now go to a school closer to home, attend an online university or go to a less-expensive place.

The Good Stuff: Riley Stroup was at home with her father when she got the sudden urge for ice cream. Riley, determined to get a tasty treat, got on the phone and called the Albemarle Police Department thinking she could reach her 'pa pa' in the hospital. "Her grandpa died back in April due to COVID-19," Riley's mom, Faith Cheatham said. "She still doesn't understand the process that he's not here with us no more." Cheatham said she was at work when dispatch had called her and told her what happened. "One of the officers that command all the time, he's a regular you know, and as soon as he starts his shift he gets what he needs," Cheatham said. The officer and Cheatham then struck up a conversation. Cheatham said the officer asked her what her daughter's favorite ice cream was. "Cookies and cream, that's her favorite," Cheatham said. So the officer stopped by the grocery store and picked up a pint of cookie's and cream ice cream to hand-deliver to Riley. "He didn't have to do that and honestly with what's going on in the world today," Cheatham said. "He took time out of his day to go to the store to get ice cream for her."

US Snapshots Trending Stats Data compiled daily from John Hopkins CSSE Tracking Seven-Day Trending as of Daily Average Daily Average Mon July 12 Case Increase Death Increase Positivity Rate Total Tests This Week 22,711 265 7.57% 474,252,139 Last Week 11,932 208 7.61% 469,961,097 Change 10,779 57 -0.04% 4,291,042 % 90.34% 27.40% -0.53% 0.91% As of July 11 46.92% 4.04% -0.53% 0.83% As of July 10 25.78% -11.79% -0.52% 0.82% As of July 9 33.84% -16.86% -0.39% 0.78% As of July 8 25.22% -23.05% -0.52% 0.85% As of July 7 17.87% -21.53% -0.39% 0.70% As of July 6 6.33% -27.27% -0.52% 0.85%

Data compiled normally weekly from the US Centers for Disease Control and Prevention Inpatient Bed Inpatient Bed Use (COVID- ICU Bed Use Weekly Trending Use 19) ICU Bed Use (COVID-19) As of July 10 70.18% 3.34% 65.90% 5.80% As of July 3 70.77% 2.99% 66.26% 5.19%

3 Change -0.59% 0.35% -0.36% 0.61% As of June 30 69.00% 3.23% 64.73% 5.20% As of June 26 70.80% 2.92% 65.77% 5.24% As of June 19 70.69% 3.22% 66.08% 5.56% As of June 12 71.00% 3.50% 66.91% 6.22% As of June 5 69.05% 3.99% 65.26% 7.12%

Trending Charts Charts compiled from Sunknighty CVOB web site via Johns Hopkins University data, updated daily from the previous day’s numbers

US Vaccinations Data compiled daily by the Centers for Disease Control and Prevention, updated July 12 At Least One Fully People Vaccinated Dose Vaccinated

Total 184,365,333 159,499,224 % of Total Population 55.5% 48.0% Population = > 12 Years of Age 184,141,821 159,370,818 % of Population = > 12 Years of Age 64.9% 56.2% Population = > 18 Years of Age 174,761,866 152,074,366 % of Population = > 18 Years of Age 67.7% 58.9% Population = > 65 Years of Age 48,524,790 43,211,179

4 % of Population = > 65 Years of Age 88.7% 79.0%

Reported doses administered by day Data compiled daily by The Washington Post from Centers for Disease Control and Prevention, updated July 12 In the last week, an average of 570.9k doses per day were administered, a 35% decrease over the week before, with an average of 201.0k adults receiving their first dose

State Doses Data compiled daily by The Washington Post, share of population fully vaccinated, updated July 12

US Variant Prevalence Data compiled by Centers for Disease Control and Prevention every two weeks and released approximately two weeks after collection Estimated Proportions of SARS-CoV-2 Lineages. The data below shows the estimated biweekly prevalence of the most common SARS-CoV-2 lineages circulating in the United States, based on >40,000 sequences collected through CDC’s national genomic surveillance since Dec 20, 2020 and grouped in 2-week intervals. Data are subject to change over time and will be updated as more data become available. Variant proportions are adjusted using statistical weighting to correct for the non-random sampling of sequencing data over time and across states and to provide more representative national estimates. 5 Nowcast Collection date, two weeks ending (reported two weeks later) CDC Lineage Name Country first seen Designation 3-Jul-21 19-Jun-21 05-Jun-21 22-May-21 08-May-21 24-Apr-21 10-Apr-21 27-Mar B.1.617.2 Delta India VoC 51.7% 30.4% 9.5% 2.5% 1.3% 0.6% 0.1% 0.0% B.1.1.7 Alpha UK VoC 28.7% 44.2% 60.3% 69.2% 69.9% 66.0% 59.0% 44.3% P.1 Gamma Brazil VoC 8.9% 9.9% 11.2% 8.1% 6.2% 4.8% 3.3% 1.5% B.1.526 Iota New York VoI 3.0% 5.5% 9.3% 4.7% 6.0% 7.4% 8.2% 8.4%

B.1 China 1.1% 2.2% 1.9% 1.8% 1.4% 1.6% 1.4% 1.9% B.1.351 Beta South Africa VoC 0.2% 0.2% 0.4% 0.6% 0.7% 0.7% 0.9% 0.8% B.1.1.519 0.1% 0.2% 0.5% 0.9% 1.2% 2.1% 2.9% 4.5% B.1.429 Epsilon California VoC 0.0% 0.1% 0.3% 0.7% 1.3% 2.3% 4.3% 6.6% B.1.427 Epsilon California VoC 0.0% 0.1% 0.3% 0.4% 0.7% 1.0% 1.7% 2.8% B.1.525 Eta New York VoI 0.0% 0.1% 0.1% 0.1% 0.3% 0.3% 0.4% 0.4% B.1.617.1 Kappa India VoI 0.0% 0.0% 0.0% 0.1% 0.1% 0.1% 0.1% 0.1% B.1.2 0.0% 0.0% 0.1% 0.1% 0.8% 1.3% 3.9% 10.6% B.1.617 VoI 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% B.1.617.3 VoI 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% P.2 Zeta Brazil VoI 0.0% 0.0% 0.0% 0.0% 0.0% 0.1% 0.2% 0.4% Other 6.4% 6.9% 6.2% 5.6% 4.9% 5.6% 7.3% 12.0% 0.0% represents fewer than 10 observations of this variant during the selected time/location context Other represents >200 additional lineages, which are each circulating at <1% of viruses Nowcast is weighted estimates that predict proportions for more recent time intervals

Highlights Vaccine Rollout - US 1. Idaho state senators are discussing the possibility of convening a special session to consider legislation to block three large health care providers from requiring their employees to get vaccinated. 2. Maine, with one of the highest vaccination rates in the country with more than 67 of the eligible population fully vaccinated, said the state is going to continue its pop-up vaccination clinics through the summer. 3. Pennsylvania’s Department of Health has reduced the number of vaccine doses that had been administered by about 500,000, saying the numbers were duplicates. 4. West Virginia’s Department of Education has a new program to encourage students, teachers and staff to get their vaccinations, with the “I Got Vaxxed Competition” awarding $5,000 each to a high school, a middle school and an elementary school for having the highest percentage of eligible people vaccinated. 5. Tennessee’s state's top vaccination official, Michelle Fiscus, was fired Monday after facing scrutiny from state lawmakers over her department’s outreach efforts to vaccinate teenagers. Vaccine Rollout - Global 1. Sputnik V was shown to be effective against new variants, including the alpha, beta, gamma and delta strains, as well as two mutations detected in Moscow, according to a study published in Vaccines magazine. 2. France’s President Emmanuel Macron, hoping to combat a possible surge of infections, on Monday announced new vaccination requirements, including mandatory for health care workers and proof of or a recent negative test to enter restaurants and cultural venues. 3. Greece is mandating vaccinations for those who work in senior citizen homes, within private or public health-care and for those in the military, Prime Minister Kyriakos Mitsotakis said Monday in a national television address. 4. The Czech Republic, with 48% of the population having received at least one shot, will halve the waiting time to get a second dose of the Pfizer/BioNTech vaccine to three weeks, Health Minister Adam Vojtech said on Monday, as the country races to boost vaccinations and fend off new variants. 5. The Netherlands has more than 46% of its adult population fully vaccinated and more than 77% of adults have had at least one shot, with health authorities saying Monday they will administer first or second shots to more than 1.3 million people this week. 6. South Africa’s vaccination program faltered amid widespread unrest and looting following the imprisonment of former President Jacob Zuma, with the country vaccinating 146,577 people in the 24 hours to 5PM local time 6 Monday compared with over 191,000 late last week, according to information on a National Department of Health website. 7. Top officials at the World Health Organization say there's not enough evidence to show that third doses of vaccines are needed and appealed Monday for the scarce shots to be shared with poor countries who have yet to immunize their people instead of being used by rich countries as boosters. US Outbreak 1. Newly confirmed cases in the US has reversed course, surging more than 60% over the past two weeks from an average of about 12,000 a day to around 19,500, according to data from Johns Hopkins University, a rise in many places that has been blamed on too many unvaccinated people and the highly contagious delta variant. 2. Dr. Jennifer Nuzzo, with the Johns Hopkins Center for Health Security, says two-thirds of counties with sustained increases in new infections are in states with low vaccine coverage. 3. The US has seen a string of outbreaks tied to summer camps in recent weeks in places such as Texas, Illinois, Florida, Missouri and Kansas, in what some fear could be a preview of the upcoming school year, and in some cases the outbreaks have spread from the camp to the broader community. 4. Nevada, where vaccination rates are low, is reporting that cases have increased by 89 percent in a month and hospitalizations are spiking to levels unseen since February. 5. Kansas is seeing increasingly larger numbers of new infections and a surge in cases of the faster-spreading Delta variant, with the state averaging 371 new cases a day for the seven days ending Monday, the highest figure in more than four months. 6. Arizona health officials on Monday reported 122 new confirmed infections, a new daily number that is a steep drop from a day earlier, when there were 803 new reported cases, but public health officials have said statistics can sometimes be lower due to a lag in reporting on weekends. 7. Missouri’s Mercy Hospital in Springfield was treating 133 virus patients as of Sunday and has opened its sixth COVID-19 ward as the Delta variant rages in the state’s southwest region, with Chief Administrative Officer Erik Frederick saying that the hospital needed at most five COVID-19 wards last year, when the coronavirus was peaking across the nation. 8. The Navajo Nation reported four new cases on Monday, but no additional deaths, and while infections are down, reservation leaders are urging residents to continue wearing masks and get vaccinated. 9. Vermont says about 40 homeless people who had been scheduled to lose their pandemic-related emergency hotel rooms in the state on July 1 are seeking to be verified as having a disability allowing them to stay longer. 10. Delaware’s Division of Motor Vehicles will soon turn its operations back to pre-COVID-19 “normal” conditions, meaning that buildings will return to full capacity with road test and eye exams set to resume, with mask recommendations from the Centers for Disease Control and Prevention for customers who are not fully vaccinated. 11. Connecticut lawmakers will meet on Wednesday to consider whether to extend Governor Ned Lamont’s emergency declarations, first issued in March of 2020 during the early days of the pandemic. Global Outbreak 1. The United Kingdom’s cases and deaths are higher than they were when the Delta variant became the dominant strain in the country in mid-May, but cases have climbed exponentially faster than deaths, with average daily deaths about twice what they were when Delta became dominant, and cases are about 12 times what they were. 2. Australia’s prospect of an extended lockdown in Sydney loomed on Monday as health officials reported yet another record daily rise in cases for the year, fueled by the highly infectious Delta variant, with New South Wales state reporting 112 new locally transmitted COVID-19 cases, almost all in Sydney, despite the country's biggest city entering its third week of lockdown, as infection numbers have remained at record levels for at least three days. 3. Dutch Caretaker Prime Minister Mark Rutte apologized Monday for what he called “an error of judgment” in relaxing the Netherlands' lockdown, a move that has led to a sharp surge in infections, with the country's public health institute reporting more than 10,000 new cases Saturday, the highest number of positive tests since late December. 4. In a report published on Monday, the Resolution Foundation estimated that the United Kingdom’s total household wealth had grown by £900 billion over the past year, representing a 6% increase on pre-pandemic levels, findings that also showed the pandemic had further widened the wealth gap, with the richest 10% of households seeing an average gain of £51,238 ($70,977) during the crisis, while the poorest households saw their wealth grow by just £99 on average between February 2020 and May 2021.

7 5. British retailers reported a record annual increase in sales in the three months to the end of June, although growth was flattered by widespread store closures a year earlier due to the pandemic, with the Retail Consortium - members of which tend to be large high-street chains and supermarkets – saying on Tuesday that sales in the second quarter of 2021 were 28.4% higher than a year earlier and 10.4% higher than two years before. Diagnosis, Prevention and Treatment 1. The vaccines most often used in the US are effective not just in clinical trials but in the "real world," too, according to a nationwide study, and using data on a sample of adults hospitalized between March and May 2021, researchers found that the mRNA vaccines from Pfizer/BioNTech and from Moderna "prevented about 87% of hospitalizations for COVID-19 that would have occurred if the vaccines had not been given," said Dr. Wesley Self of Vanderbilt University Medical Center. 2. The Beta variant may be deadlier than the original version of the virus, according to researchers in South Africa who studied more than 1.5 million COVID-19 patients, with patients more likely to require hospitalization, after accounting for risk factors and how over-burdened hospitals were, and furthermore hospitalized COVID-19 patients had a 31% higher risk of death, according to the report published Friday in The Lancet Global Health. 3. Dirty air contributes to COVID-19 severity, according to a study from one of America's most polluted cities, with researchers at Henry Ford Hospital who studied 2,038 adults hospitalized with COVID-19 in the Detroit area finding those who needed intensive care and machines to help them breathe were more likely to live in neighborhoods with higher levels of air pollution and lead paint. Other Stories 1. The Biden administration's American Families Plan, now being debated in Congress, would invest $225 billion to improve child care and curb its cost, a proposal that addresses the void left after thousands of independent daycare centers were forced to close during the pandemic. 2. Banks led stocks to modest gains on Wall Street Monday, nudging the major stock indexes to more record highs ahead of a busy week of corporate earnings reports from big US companies, with the S&P 500 index rising 15.08 points to 4,384.63, the Dow adding 126.02 points, or 0.4%, to 34,996.18, with the Nasdaq gaining 31.32 points, or 0.2%, to 14,733.24. 3. Senator Elizabeth Warren is urging the Department of Justice and the Federal Trade Commission to review her investigation of Amazon Inc. for deceiving search results on the sale of masks authorized by the US Food and Drug Administration. 4. Minnesota’s independent legislative auditor, Jim Nobles, says he doesn’t have the resources to satisfy a request by lawmakers for a comprehensive study of the state’s COVID-19 response. 5. Popular short-video app TikTok told its US, United Kingdom and Ireland employees on Monday that some will be offered the option to work remotely for up to two days a week after they return to office, according to an internal message seen by Reuters, and the company also give employees the choice to work remotely from a domestic location based on manager approval. 6. A pair of Masters champions, Bubba Watson and Hideki Matsuyama, withdrew from the British Open on Sunday for coronavirus-related reasons.

Outbreak Statistics Numbers from John Hopkins CSSE Tracking are pulled daily at 7:00PM and changes reflect the past 24 hours Global Numbers Date Cases Deaths Recovered

12 July Mon 187,118,931 (+431,147) 4,036,221 (+8,051) - 2.16% 123,295,137 (+281,934) 11 July Sun 186,687,784 (+370,341) 4,028,170 (+5,407) - 2.16% 123,013,203 (+393,984) 10 July Sat 186,317,443 (+394,952) 4,022,763 (+6,616) - 2.16% 122,619,219 (+277,689)

9 July Fri 185,922,491 (+494,188) 4,016,147 (+8,392) - 2.16% 122,341,530 (+342,167) 8 July Thu 185,428,303 (+486,321) 4,007,755 (+8,762) - 2.16% 121,999,363 (+285,799) 7 July Wed 184,941,982 (+467,138) 3,998,993 (+8,710) - 2.16% 121,713,564 (+314,685)

6 July Tue 184,474,844 (+430,468) 3,990,283 (+9,096) - 2.16% 121,398,879 (+378,162) Top 15 Global Country Counts

8  Daily case change (total): Indonesia: +40,427 (2,567,630), Brazil: +37,968 (19,106,971), India: +37,154 (30,874,376), United Kingdom: +34,012 (5,173,167), Spain: +33,932 (3,971,124), US: +29,229 (33,881,266), Bangladesh: +25,642 (1,034,957), Russia: +24,649 (5,738,000), Iran: +20,829 (3,394,279), South Africa: +11,182 (2,206,781), Iraq: +9,149 (1,438,511), Argentina: +8,850 (4,647,948), Thailand: +8,656 (345,027), Malaysia: +8,574 (844,870), Netherlands: +8,442 (1,764,734)  Daily death change (total): Brazil: +1,340 (534,233), Peru: +1,258 (194,488), Indonesia: +891 (67,355), India: +724 (408,764), Russia: +700 (141,335), Bangladesh: +450 (16,639), Argentina: +280 (98,781), US: +272 (607,422), Afghanistan: +230 (5,791), South Africa: +220 (64,509), Iran: +182 (86,041), Tunisia: +144 (16,388), Chile: +103 (33,980), Malaysia: +102 (6,260), Philippines: +94 (26,015) US Numbers Date Cases Deaths 12 July Mon 33,881,114 (+29,229) 607,419 (+272) - 1.79%

11 July Sun 33,851,885 (+6,388) 607,147 (+29) - 1.79% 10 July Sat 33,845,497 (+34,745) 607,118 (+338) - 1.79% 9 July Fri 33,810,752 (+23,533) 606,780 (+340) - 1.79%

8 July Thu 33,787,219 (+20,224) 606,440 (+248) - 1.79% 7 July Wed 33,766,995 (+23,162) 606,192 (+317) - 1.8% 6 July Tue 33,743,833 (+21,695) 605,875 (+311) - 1.8% US State and Territory Counts  Cases by daily change (totals): California: +3,479 (3,837,658), Texas: +3,446 (3,020,767), Louisiana: +2,393 (489,951), North Carolina: +1,863 (1,019,298), Georgia: +1,763 (1,141,159), Nevada: +1,673 (339,745), Illinois: +1,592 (1,397,089), Utah: +1,238 (420,214), Tennessee: +1,219 (870,971), Oklahoma: +1,211 (461,893), South Carolina: +1,109 (600,027), Indiana: +842 (757,904), Mississippi: +796 (324,853), Kentucky: +728 (467,612), Kansas: +662 (322,075), New York: +633 (2,121,119), Alabama: +610 (555,215), Oregon: +499 (210,729), Colorado: +362 (562,763), Wisconsin: +340 (678,944), Massachusetts: +332 (711,162), Pennsylvania: +255 (1,218,886), Ohio: +224 (1,114,491), New Jersey: +215 (1,026,286), Missouri: +207 (639,857), Minnesota: +187 (606,484), Virginia: +183 (682,856), West Virginia: +160 (164,625), Puerto Rico: +139 (140,847), Arizona: +122 (901,561), Hawaii: +102 (38,481), Rhode Island: +90 (152,819), Idaho: +86 (195,917), Montana: +84 (114,324), Maryland: +79 (463,265), District of Columbia: +71 (49,526), Connecticut: +70 (350,039), New Hampshire: +62 (99,770), Vermont: +32 (24,489), Virgin Islands: +28 (4,033), Guam: +23 (8,454), Delaware: +19 (110,093), North Dakota: +1 (110,858), Florida: +0 (2,404,895), Michigan: +0 (1,001,745), Washington: +0 (455,103), Iowa: +0 (374,627), Arkansas: +0 (355,460), Nebraska: +0 (225,171), New Mexico: +0 (206,252), South Dakota: +0 (124,652), Alaska: +0 (71,731), Maine: +0 (69,220), Wyoming: +0 (62,966), Northern Mariana Islands: +0 (183), American Samoa: +0 (0)  Deaths by daily change (totals): California: +78 (64,010), Texas: +28 (52,657), Illinois: +27 (25,757), North Carolina: +16 (13,499), Georgia: +13 (21,499), Tennessee: +12 (12,608), Kansas: +11 (5,187), South Carolina: +10 (9,856), Kentucky: +10 (7,265), Indiana: +9 (13,923), Nevada: +9 (5,729), Louisiana: +8 (10,789), Utah: +6 (2,399), Colorado: +5 (6,853), Oregon: +5 (2,797), Pennsylvania: +4 (27,750), New Jersey: +4 (26,509), Wisconsin: +3 (8,185), New York: +2 (53,737), Arizona: +2 (18,035), Minnesota: +2 (7,717), Mississippi: +2 (7,441), West Virginia: +2 (2,910), Massachusetts: +1 (18,012), Missouri: +1 (9,805), Rhode Island: +1 (2,731), Puerto Rico: +1 (2,555), District of Columbia: +1 (1,144), Florida: +0 (38,157), Ohio: +0 (20,380), Michigan: +0 (21,059), Virginia: +0 (11,450), Alabama: +0 (11,402), Oklahoma: +0 (7,406), Washington: +0 (5,997), Iowa: +0 (6,149), Arkansas: +0 (5,948), Connecticut: +0 (8,279), Nebraska: +0 (2,262), New Mexico: +0 (4,354), Idaho: +0 (2,165), South Dakota: +0 (2,039), Montana: +0 (1,673), North Dakota: +0 (1,563), Delaware: +0 (1,695), New Hampshire: +0 (1,375), Alaska: +0 (379), Maine: +0 (862), Wyoming: +0 (751), Hawaii: +0 (521), Vermont: +0 (258), Guam: +0 (141), Virgin Islands: +0 (32), Northern Mariana Islands: +0 (2), American Samoa: +0 (0), Maryland: -1 (9,761)  Hospital bed utilization rate: Rhode Island: 87.69%, Massachusetts: 82.56%, Pennsylvania: 80.78%, Maryland: 80.7%, Missouri: 80.6%, Georgia: 77.49%, District of Columbia: 77.08%, Minnesota: 77.07%, Florida: 77.05%, Michigan: 76.87%, Nevada: 76.6%, Connecticut: 76.27%, South Carolina: 76.0%, Delaware: 75.06%, California: 74.75%, Washington: 74.36%, Oregon: 74.32%, West Virginia: 74.25%, North Carolina: 74.23%, Texas: 73.59%, New York: 73.57%, Alabama: 73.23%, Maine: 72.21%, Arkansas: 72.12%, Virginia: 71.98%, New Hampshire: 71.26%, New

9 Mexico: 70.43%, Ohio: 70.09%, Hawaii: 70.01%, Illinois: 69.27%, Oklahoma: 69.12%, Vermont: 69.08%, North Dakota: 68.68%, Arizona: 68.58%, New Jersey: 68.45%, Colorado: 68.1%, Montana: 66.89%, Louisiana: 66.83%, Tennessee: 66.72%, Nebraska: 64.78%, Wisconsin: 64.31%, Mississippi: 64.2%, Indiana: 64.16%, Iowa: 63.06%, Alaska: 62.8%, Idaho: 60.0%, Utah: 59.94%, Kentucky: 59.69%, Kansas: 58.7%, South Dakota: 57.41%, Wyoming: 46.48%

Vaccinations – US Current Doses Data compiled by the Centers for Disease Control and Prevention, updated daily, individual data may not always add up to totals due to reporting irregularities

Total Doses Total Doses Date Distributed Change Administered Change 7/12/2021 387,006,120 0 334,600,770 449,122

7/11/2021 387,006,120 20,700 334,151,648 586,244 7/10/2021 386,985,420 927,350 333,565,404 598,995 7/9/2021 386,058,070 562,280 332,966,409 620,612

7/8/2021 385,495,790 2,427,050 332,345,797 694,333 7/7/2021 383,068,740 -100 331,651,464 437,117

7/6/2021 383,068,840 100 331,214,347 610,094

Number of People Number of Receiving 1 or People Fully Date more Doses Change Vaccinated Change 7/12/2021 184,365,333 232,565 159,499,224 232,688

7/11/2021 184,132,768 295,851 159,266,536 312,119 7/10/2021 183,836,917 294,046 158,954,417 324,986

7/9/2021 183,542,871 305,825 158,629,431 341,865 7/8/2021 183,237,046 340,966 158,287,566 379,395 7/7/2021 182,896,080 182,016 157,908,171 272,083

7/6/2021 182,714,064 301,288 157,636,088 312,350

Vaccine Administered

Pfizer- Johnson & Date BioNTech Moderna Johnson Not Identified 7/12/2021 185,562,235 135,916,829 12,850,062 271,644

7/11/2021 185,249,718 135,804,688 12,825,967 272,275

7/10/2021 135,643,064 184,861,169 12,791,315 269,856 7/9/2021 184,469,317 135,477,905 12,751,618 267,569 7/8/2021 184,073,920 135,297,225 12,708,959 265,693

7/7/2021 183,611,750 135,107,053 12,668,885 263,776

7/6/2021 183,331,181 134,973,241 12,646,604 263,321 Total doses distributed are cumulative counts of vaccine doses recorded as shipped in the Centers for Disease Control and Prevention’s Vaccine Tracking System.

US State Variants of Concern and Other Lineages Proportions

10 Last updated July 6 - Proportions in the table below are only shown for states for which CDC has at least 300 sequences from specimens collected during this timeframe. Proportions are calculated using empirical (unweighted) data, which are subject to change over time and will be updated as more data become available. Proportions of variants do not represent the total number that may be circulating in the United States and may not match cases reported by states, territories, tribes, and local officials. For states and jurisdictions not listed, CDC has insufficient genomic surveillance data for the specified time period.

US Testing Data from the US Centers for Disease Control and Prevention

% of Positive Negative Positive Date New Tests Tests Tests Total Tests Tests

12 July Mon 409,911 35,908,071 438,344,068 474,252,139 7.57% 11 July Sun 579,340 35,890,403 437,951,825 473,842,228 7.57% 10 July Sat 735,023 35,867,536 437,395,352 473,262,888 7.58%

9 July Fri 495,024 35,842,336 436,685,529 472,527,865 7.59% 8 July Thu 1,106,621 35,821,839 436,211,002 472,032,841 7.59% 7 July Wed 295,277 35,798,067 435,128,153 470,926,220 7.60%

6 July Tue 669,846 35,786,790 434,844,153 470,630,943 7.60% New Tests (past week): New York: 359,180, Florida: 280,903, Illinois: 158,769, Texas: 136,998, New Jersey: 123,597, Massachusetts: 121,671, Pennsylvania: 88,624, Ohio: 85,092, North Carolina: 82,194, Minnesota: 73,726, Michigan: 70,717, Maryland: 70,223, Colorado: 70,211, Arizona: 62,126, Georgia: 55,490, Virginia: 54,130, Wisconsin: 46,386, Louisiana: 40,426, Oregon: 38,589, Kentucky: 38,055, South Carolina: 35,887, Indiana: 33,244, Utah: 31,584, Nevada:

11 29,759, Rhode Island: 22,934, Alabama: 22,603, Arkansas: 22,231, Hawaii: 21,350, West Virginia: 18,120, Iowa: 17,203, New Mexico: 16,974, District of Columbia: 16,816, Tennessee: 16,566, Oklahoma: 14,693, Idaho: 14,205, Maine: 12,435, Delaware: 11,090, Vermont: 8,727, Mississippi: 8,647, Nebraska: 8,234, Montana: 7,829, Wyoming: 5,513, Alaska: 4,475, North Dakota: 3,658, South Dakota: 3,147, California: 0, Connecticut: 0, Kansas: 0, Missouri: 0, New Hampshire: 0, Washington: 0

Diagnosis, Prevention and Treatment Tracker data is consolidated from The New York Times and US CDC, (#) is change from last update Vaccine Tracker (last updated July 12) PRECLINICAL PHASE I PHASE II PHASE III EARLY/LIMITED APPROVED

~150+ 53 37 32 10 8

Vaccine candidates Vaccines testing Vaccines in expanded Vaccines in large- Vaccines approved for Vaccines approved being evaluated safety and dosage safety trials scale efficacy tests early or limited use for full use

Early/Limited Use (in country): CanSinoBIO Biologics (China), Gamaleya Research Institute (Russia), Sinovac Biotech (China), Sinopharm - Wuhan (China), Vector Institute (Russia), Chumakov (Russia), Anhui Zhifei Longcom (China), QazVac (Kazakhstan) Emergency Use (in country): Pfizer-BioNTech (US and elsewhere), Moderna (US), AstraZeneca/University of Oxford (Britain, Canada and elsewhere), Bharat Biotech (India), Sinopharm-Beijing (China, UAE, Bahrain), Johnson & Johnson (US, Bahrain, Canada), Shafa Pharmed Pars (Iran), Soberana 2 (Iran), Abadala (Cuba) Approved (in country): Pfizer-BioNTech (multiple countries), Moderna (Canada and multiple countries), Sputnik V (Mexico), Sinovac (China), Beijing Institute of Biological Products-Sinopharm (China), Sinopharm-Wuhan (China), Oxford/AstraZeneca (Brazil), EpiVacCorona (Turkmenistan) New additions and recent updates: • Cuba authorizes the vaccine for emergency use – July 9 • An intranasal vaccine from CyanVac enters Phase 1 – July 9 • Thailand’s Baiya Phytopharm enters Phase 1 – July 8 • Oklahoma-based Tetherex Pharmaceuticals enters Phase 1 – July 6 • Maryland-based Altimmune abandons their Phase 1 nasal spray vaccine – June 30 • Iran authorizes Cuba’s Soberana 2 vaccine for emergency use – June 30 • Iran’s Baqiyatallah University enters Phase 1 – June 30 • Turkey’s Erciyes University moves to Phase 3 – June 22 • Iran’s Fakhravac vaccine moves to Phase 2 – June 22 • Cuba reports that its Abdala vaccine has an efficacy of 92% - June 22 • A second vaccine from Kazakhstan enters Phase 1/2 – June 17 • CureVac announces disappointing trial results, with an efficacy of 47% - June 16

Drug and Treatment Tracker (last updated July 8)

3 (2) 3 1 13 4 3 FDA Approved Tentative or mixed Pseudoscience or Widely used Promising evidence Not promising (Emergency) evidence fraud

FDA Approved: Remdesivir, Monoclonal antibodies – /Etesevimab/REGN-COV2 (emergency use), Regeneron (emergency use) Widely Used: Prone positioning, ventilators and other respiratory support devices, and Other Corticosteroids Promising: Azithromycin Pseudoscience or fraud: Drinking or injecting bleach and disinfectants, UV light, Silver New additions and recent updates:  The FDA. pauses the use of bamlanivimab and etesevimab because of the rise of Beta and Gamma coronavirus variants – June 26  The FDA. authorizes tocilizumab for emergency use in hospitalized patients – June 26  The US warns that some coronavirus variants are proving resistant to the combination of bamlanivimab and etesevimab – May 26 12  The FDA pushes back against claims that leronlimab is effective against Covid-19 – May 18  Moved blood filtration from “mixed evidence” to “not promising” – May 18  Moved cytokine inhibitors from “promising” to “mixed evidence” – May 18  Moved dexamethasone from “promising” to “widely used” – May 5

US Restrictions Data compiled by the Kaiser Family Foundation, updated normally weekly, Table available at CVOB website for sorting US Restrictions and Policy Actions - July 2 (previous update June 21) Status of Reopening Reopened (50: +4); Easing Restrictions (1: -4) Stay at Home Order Stay at Home Order Lifted (45); No Action (6)

Mandatory Quarantine for Travelers Traveler Quarantine Mandate in Place (3); Traveler Quarantine Mandate Lifted (29); No Action (19) Non-Essential Business Closures All Non-Essential Businesses Open (50: +4); Some or All Non-Essential Businesses Open with Limits (1: -4) Large Gatherings Ban >10 Prohibited (1: -2); >50 Prohibited (1); Limit>5- (0: -2); No Limit (49: +4)

Restaurant Limits Open (51: +3); Open with Service Limits (0: -3) Bar Closures Open (51: +3); Open with Service Limits (0: -2); Closed (0: -1) Face Covering Requirement Yes (0: -1); Indoor Only (1); Unvaccinated People Only (8: -1); No (42: +2)

Emergency Declaration Yes (35: -7); No (16: +7)

Back-to-Normal Index The Moody’s Analytics and CNN Business US Back-to-Normal Index is comprised of 37 national and seven state-level indicators, ranges from 0% - representing no economic activity, to 100% - representing the economy returning to its pre- pandemic level in March, and is updated weekly on Fridays for Wednesday numbers

13 As of Wednesday, July 7, the Back-to-Normal Index was 91% (-1%), with 2 (-19) states showing an improvement since the previous week's reporting Recent Historical Trending 7-Jul 9-Jun 2-Jun 7-Apr 5-May 30-Jun 23-Jun 16-Jun 28-Apr 21-Apr 14-Apr 31-Mar 24-Mar 17-Mar 10-Mar 26-May 26-May 19-May 12-May

91.0% 92.0% 94.0% 93.0% 88.0% 91.0% 91.0% 90.0% 89.0% 89.0% 88.0% 87.0% 88.0% 86.0% 87.0% 86.0% 86.0% 83.0%

Primary Statistics Sources

14 John Hopkins University CSEE Tracking, US Centers for Disease Control and Prevention, Kaiser Family Foundation, Moody’s Analytics and CNN Business Back-to-Normal Index

References - General CNN, CNBC, Washington Post, ABC News, CBS News, NBC News, New York Times, Bloomberg, Reuters, Wall Street Journal, USA Today, Yahoo News, Associated Press, BBC, Reddit

Compiled Informational FAQ’s, Insight, Tips and Best Practices - Please visit our website COVID-19 Reference page at COVID-19 Reference Document (sunknighty.net) and/or previous communications.

Max M. Morris Senior Director | Cyber Defense & Response [email protected] (o) 980-312-8530 (c) 704-534-0861

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