Morris, Max

From: Morris, Max Sent: Monday, February 22, 2021 7:03 AM To: Morris, Max Subject: 02/22/2021 Coronavirus Weekend Recap

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It’s Monday morning Everyone! Saying hello earlier than usual and hope it was a great weekend for you. Start of a new week so let’s get it going, with positive thoughts it will be a good one. Following is our Weekend Recap of Headlines and Highlights, along with US Snapshots, US Vaccinations, US Variant Cases, Outbreak Statistics, Vaccine and Treatment information, US Restrictions and the US Back-to-Normal Index related to the novel coronavirus pandemic. Enjoy your favorite beverage (I’m on my 2nd cup of coffee) and talk to you this evening .

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

Headlines  The US was within hours of reaching an unfathomable 500,000 deaths from Covid-19 in the country early Monday morning, with Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, saying Sunday "It's something that is historic,” adding that “It's nothing like we've ever been though in the last 102 years since the 1918 influenza pandemic," but warning Americans to steel themselves against a sense of Covid-19 complacency even as coronavirus infections plummet and some scientists predict that herd immunity is just around the corner.  The University of Washington Institute for Health Metrics and Evaluation said Sunday that infections, hospitalizations, and deaths are steadily declining in the US, with the main driver being seasonality, aided by expanding levels of vaccination, but counteracting the combined effect of seasonality and vaccination is the spread of the United Kingdom B.1.1.7 variant, which likely accounts for less than 20% of infections today but will increase to 80% by late April, however the most uncertain driver of the trajectory of the epidemic over the next four months is how individuals will respond to steady declines in daily cases and deaths.  The risk of illness from COVID-19 dropped 95.8% among people who received both shots of Pfizer’s vaccine, Israel’s Health Ministry said on Saturday, who added that it was also 98% effective in preventing fever or breathing problems and 98.9% effective in preventing hospitalizations and death, findings that were based on data collected nationally through February 13 from Israelis who had received their second shot at least two weeks previously.  The United Kingdom’s vaccine rollout is significantly reducing hospitalizations, a new Scottish study suggests, and by the fourth week after receiving a vaccine, the risk of hospitalization fell by 85% to 94%, depending on which vaccine was administered, according to a Public Health Scotland report, with the Oxford-AstraZeneca vaccines producing the highest reduction in hospitalization, while Pfizer-Biontech’s vaccine had a slightly lower reduction.

1  New York Governor Andrew Cuomo said on Sunday that a variant first identified in South Africa has reached the state, detected in a resident of Nassau County who had recently traveled, an announcement that comes days after a Connecticut resident tested positive for the variant in a New York City hospital.  The White House said Sunday that it expects to catch up this week on coronavirus vaccine distribution after a sweeping winter storm disrupted the administration’s colossal logistics, with White House press secretary Jen Psaki saying Sunday that “We knew we can’t control mother nature, no one can, but we can certainly contingency plan. What our team has been doing and preparing to do is engage with and work with the Postal Service, work with FedEx and others to get those doses out to vaccination centers and to communities as quickly as they can handle them.”  Covid-19 survivors who have gotten a first dose of Covid-19 vaccine are generating immune responses that might render a second shot unnecessary, potentially freeing up limited vaccine supply for more people, several new research papers suggest, with the findings, while preliminary, reporting that the previously infected people generated protection against the disease quickly and at dramatically higher levels after a first shot of the current two-shot regimens when compared with people who were vaccinated but hadn’t been sick.  Dr. Anthony S. Fauci, President Biden’s chief medical adviser for Covid-19, said on Sunday that Americans may still be wearing masks outside their homes a year from now, even as he predicted the country would return to “a significant degree of normality” by fall, explaining that “I want it to keep going down to a baseline that’s so low there is virtually no threat.”  Randi Weingarten, the president of the American Federation of Teachers, said Saturday the Centers for Disease Control and Prevention’s recently released school reopening guidelines are a "safety guard rail" for teachers -- and in a recent poll, most educators said they'd be comfortable returning to class with the help of testing, vaccine prioritization and mitigation strategies in place.  Britain will unveil its plan Monday for unwinding one of the world's strictest COVID-19 lockdowns, and in a statement to parliament, Prime Minister Boris Johnson is expected to announce that all schools in England will reopen from March 8, people will be allowed to meet one-on-one to sit down for a coffee or picnic outdoors, and after-school activities outside can restart from the same date.  Doctors say a woman in Michigan contracted Covid-19 and died last fall two months after receiving a tainted double- lung transplant from a donor who turned out to harbor the virus that causes the disease - despite showing no signs of illness and initially testing negative, with officials at the University of Michigan Medical School suggesting it may be the first proven case of Covid-19 in the US in which the virus was transmitted via an organ transplant.  So far, the Covdi-19 virus has been detected in zoo animals, domestic animals like cats and dogs, and most worryingly, in farmed and wild animals like mink and ferrets, and now, animal experts are warning that if the virus is circulating freely in wild animals, it might develop mutations and evolve into a new version – one that is capable of jumping back into humans.  With the US approaching half a million Covid-19 deaths, plans are underway for President Joe Biden to mark the moment this week with remarks and a candle-lighting ceremony at the White House around sundown as soon as Monday if the threshold is crossed.  The House version of President Biden’s relief plan would add $1.9 trillion to the federal budget deficit over the next decade, the Congressional Budget Office estimated this weekend, in line with the previously announced package’s cost.  Global dividends fell sharply in 2020 due to the coronavirus pandemic, with the amount of investor payouts declining 12.2% to $1.26 trillion, according to new research, and as the international public health crisis spread throughout the world, prompting lockdowns and curtailing business activity, dividend cuts and cancellations totaled $220 billion between the second and fourth quarters of 2020, according to the latest Global Dividend Index from asset manager Janus Henderson.  The NCAA will allow a limited number of fans to attend all rounds of its men's basketball tournament in Indiana and later rounds of its women's tournament in Texas, with the governing body saying late Friday it is permitting 25% capacity at the men's tournament venues to allow for social distancing, a figure that will include all participants and essential staff along with the family members of team players and coaches.

US Snapshots Seven-Day Trending

2 Data compiled daily from John Hopkins CSSE Tracking and The COVID Tracking Project at the Atlantic, which uses a Creative Common CC-BY-NC-4.0 license type

Trends as of Daily Average Daily Average Currently Currently on Sun Feb 21 Case Increase Death Increase Positivity Rate Total Tests Hospitalized Currently in ICU Ventilators This Week 70,105 1,944 8.10% 344,360,398 56,159 11,862 3,915 Last Week 91,453 3,128 8.19% 335,049,221 67,023 14,047 4,538 Change -21,348 -1,184 -0.09% 9,311,177 -10,864 -2,185 -623 % -23.34% -37.85% -1.10% 2.78% -16.21% -15.55% -13.73% As of Feb 20 -25.29% -37.52% -1.10% 2.85% -15.96% -15.81% -15.40% As of Feb 19 -29.89% -30.50% -1.22% 3.01% -16.25% -15.46% -15.08% As of Feb 18 -28.89% -9.33% -1.09% 3.00% -16.07% -14.12% -15.90% As of Feb 17 -26.10% -7.66% -1.21% 3.18% -17.64% -17.01% -16.60% As of Feb 16 -23.10% -0.71% -0.97% 3.17% -18.50% -15.58% -15.53% As of Feb 15 -21.43% -0.55% -1.09% 3.36% -18.24% -14.68% -15.32%

Estimated National Hospital Utilization Data compiled from US Department of Health and Human Services

Inpatient Beds Inpatient Beds Occupied ICU Beds Occupied (All Capacity Filled (Covid Capacity Filled Occupied (All Capacity Filled As of Patients) % Patients) % Patients) % 19-Feb-21 509,498 72.41% 66,217 9.41% 63,268 72.61% 17-Feb-21 482,288 68.86% 67,757 9.67% 61,319 71.19% Change 27,210 3.55% -1,540 -0.26% 1,949 1.42% 16-Feb-21 501,487 71.31% 70,812 10.07% 63,678 72.89% 10-Feb-21 494,258 70.52% 82,599 11.78% 63,083 72.18% 01-Feb-21 511,756 72.27% 97,978 13.84% 66,981 75.57% 25-Jan-21 523,968 73.79% 114,816 16.17% 68,813 77.24% 15-Jan-21 529,318 74.53% 132,172 18.61% 70,352 78.88% 04-Jan-21 508,370 71.34% 126,417 17.74% 67,246 63.18%

Trending Charts Charts compiled from Sunknighty CVOB web site via Johns Hopkins University data, updated daily at 5AM from the previous day’s numbers

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US Vaccinations Note: Washington Post data in Friday’s communication included numbers incorrectly posted on their web site which have since been updated Total Doses Data compiled by The Washington Post, updated February 22 Over 43 million people have received one or more doses of the vaccine, almost 19 million people have been fully vaccinated and over 75 million doses have been distributed.

Current Doses Data compiled by the Centers for Disease Control and Prevention, updated daily

Total Doses % of Total Total Doses % of Total Date Distributed Change Population Administered Change Population 2/21/2021 75,204,965 -3,923,530 22.93% 63,090,634 1,801,134 19.23%

5 2/20/2021 79,128,495 976,000 24.12% 61,289,500 1,704,457 18.69% 2/19/2021 78,152,495 4,775,045 23.83% 59,585,043 1,847,276 18.17% 2/18/2021 73,377,450 954,325 22.37% 57,737,767 1,455,940 17.60%

2/17/2021 72,423,125 765,150 22.08% 56,281,827 1,061,463 17.16% 2/16/2021 71,657,975 1,600,175 21.85% 55,220,364 2,336,008 16.84%

2/15/2021 No update due to observance of President's Day by the CDC

Number of Number of People People Receiving 1 or % of Total Receiving 2 % of Total Pfizer- Date more Doses Change Population Doses Change Population BioNTech Moderna Not Identified 2/21/2021 43,628,092 818,497 13.30% 18,865,319 969,652 5.75% 32,232,422 30,747,615 2/20/2021 42,809,595 832,194 13.05% 17,895,667 856,549 5.46% 31,270,062 29,909,492 2/19/2021 41,977,401 956,352 12.80% 17,039,118 876,760 5.19% 30,431,247 29,044,336 2/18/2021 41,021,049 753,040 12.51% 16,162,358 690,822 4.93% 29,585,627 28,043,413 2/17/2021 40,268,009 597,458 12.28% 15,471,536 456,102 4.72% 28,886,690 27,287,041 2/16/2021 39,670,551 1,378,281 12.09% 15,015,434 937,994 4.58% 28,374,410 26,738,383 2/15/2021 No update due to observance of President's Day by the CDC  Total doses distributed are cumulative counts of vaccine doses recorded as shipped in the Centers for Disease Control and Prevention’s Vaccine Tracking System.  Doses distributed are for both Moderna and Pfizer BioNTech vaccine; administered doses are for Pfizer BioNTech vaccine only at this time

Reported doses administered by day Data compiled by The Washington Post from Centers for Disease Control and Prevention,, updated February 22 In the last week, an average of 1.36 million doses per day were administered, a 17% decrease over the week before.

State Doses Data compiled by The Washington Post, updated February 22

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US Variants Cases Caused by Variants Data compiled by Centers for Disease Control and Prevention, normally updated Sunday, Tuesday, and Thursday UK - B.1.1.7 South Africa - B.1.351 Brazil - P.1 Spread: Likely more Spread: More transmissible Spread: More transmissible transmissible Date Illness: No more or less severe * Illness: No more or less severe Illness: No more or less severe Vaccine: As effective Vaccine: Less effective Vaccine: May be less effective Cases States Cases States Cases States 2/21/2020 1,661 44 22 10 5 4 2/18/2021 1,523 42 21 10 5 4 2/16/2021 1,277 42 19 10 3 2 2/14/2021 1,173 40 17 8 3 2 2/11/2021 981 37 13 5 3 2 2/9/2021 932 34 9 3 3 2 2/7/2021 690 33 6 3 3 2 2/4/2021 611 33 5 2 2 1 2/2/2021 541 33 3 2 2 1

Map compiled by NBC News from CDC data, last updated February 19

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Key news and updates Published from The New York Times Variant Tracker  Maryland confirms its first case of the P.1 variant – Feb 17  Massachusetts confirms its first case of the B.1.351 variant – Feb 16  Added the Q677 spike mutation, which was found in several lineages in the US – Feb 15  B.1.351 is confirmed in a Connecticut resident hospitalized in New York City – Feb 15  Studies suggest B.1.1.7 is likely more deadly than other circulating variants – Feb 13  Illinois and North Carolina confirm their first cases of the B.1.351 variant – Feb 11  South Africa stops using AstraZeneca’s vaccine against the B.1.351 variant – Feb 7  The B.1.1.7 variant is doubling every 10 days in the US – Feb 7

Highlights Vaccines – US 1. The US has administered 63,090,634 doses of vaccines as of Sunday morning and delivered 75,204,965 doses, the Centers for Disease Control and Prevention said. 2. The pace of daily vaccinations slowed somewhat last week due the bad weather in many parts of the country, averaging about 1.59 million shots a day over the previous seven days as of Friday, against 1.65 million a day the week prior, according to Centers for Disease Control and Prevention data. 3. Dr. Anthony S. Fauci expressed optimism on Sunday that vaccination sites around the country would quickly recover from delays in vaccine inoculations caused by weather-related shipping delays last week, and administer all six million missed doses while still ramping up the number of new appointments. 4. Texas, where the frigid winter storm left millions without power and water for a time, has reopened inoculation sites, with the state assigning almost 600,000 first doses for the coming week, according to the state health department, up from about 400,000 the week of February 15. 5. New York City said on Saturday that it had fewer than 1,000 first doses on hand because of the weather-related shipment delays, with Mayor Bill de Blasio announcing they had delayed scheduling up to 35,000 first shot appointments because of the shortage.

8 6. Alaskan public health officials, where distribution of vaccines has set a gold standard, said 3,000 doses of the vaccine will arrive later than expected because of the winter storm that has ravaged the continental US. 7. The Biden administration will work to communicate and build trust with many Americans who have legitimate questions about the safety and efficacy of the vaccine, Andy Slavitt, the senior adviser to the White House Covid-19 response team, said late Friday, adding that “it's important that people who have legitimate questions are not ostracized as being anti-vax or anything like that." Vaccines - Global 1. Australia began vaccinating its population on Sunday, with Prime Minister Scott Morrison and 19 other people getting shots a day after hundreds gathered nationwide to protest the vaccine rollout, with first person to be vaccinated was Jane Malysiak, 84, who lives in a Sydney nursing home, followed by a number of quarantine and health care workers, including the country’s chief health officer. 2. The British government declared Sunday that every adult in the country should get a first vaccine shot by July 31, at least a month earlier than its previous target, as it prepared to set out a “cautious” plan to ease the United Kingdom’s lockdown. 3. South Korea will begin administering the first of 117,000 doses of Pfizer's vaccine on February 27, a day after the country begins its first vaccinations with AstraZeneca's products, the prime minister announced on Sunday. 4. Germany Health Minister Jens Spahn said Sunday that primary school teachers and nursery workers could get a vaccine sooner than originally planned, comments that come as ten of the country’s 16 federal states are set to reopen nurseries and elementary schools from February 22. 5. Gaza will begin its vaccination rollout from Monday, the Palestinian Ministry of Health said Sunday, delaying original launch plans by 24 hours. 6. Malaysia moved up its COVID-19 inoculation drive by two days as the first batch of vaccines arrived in the Southeast Asian nation on Sunday. 7. Taiwan's government on Saturday granted emergency use authorization for AstraZeneca’s vaccine, with shots expected to be administered as soon as within seven days of arrival. 8. Serum Institute of India, the world's biggest vaccine maker by volume, on Sunday asked for patience from foreign governments awaiting their supply of COVID-19 shots, saying it had been directed to prioritize India's requirements. 9. Russia will produce 88 million vaccine doses in the first half of this year, including 83 million doses of its Sputnik V shot, Russian Deputy Prime Minister Tatiana Golikova said on Saturday. 10. Vietnam is in talks to buy more vaccine doses as the country prepares to begin inoculations in March, with medical workers and the elderly first in line, according to information from the health ministry. 11. Israel has paid Russia $1.2 million to deliver vaccines to Syria as part of a prisoner swap to bring back an Israeli woman who crossed the border last week, according to the Israeli media. 12. Hong Kong’s chief executive, Carrie Lam, and other top officials received the Sinovac vaccine on Monday as the semiautonomous Chinese territory prepares to begin its mass inoculation campaign this week. 13. Argentina's new Health Minister Carla Vizzotti was sworn in on Saturday after the country was rattled by a scandal over VIP vaccine access, pledging to strengthen oversight and transparency of the inoculation program. US Outbreak 1. The number of Americans hospitalized for Covid-19 is at its lowest since early November, just before the surge that went on to ravage the country for month, with 56,159 people patients admitted as of February 21, according to the Covid Tracking Project, the lowest since Nov. 7. 2. The University of Washington's Institute for Health Metrics and Evaluation reported Saturday that daily reported cases in the last week decreased to 92,500 per day on average compared to 118,900 the week before, and daily deaths decreased to 2,300 per day compared to 2,690 the week before 3. The University of Washington estimated that 18% of people in the US have been infected as of February 16, and the effective R – reproduction number, computed using cases, hospitalizations, and deaths, is less than 1 in all states, with the infection-detection rate remaining around 55% over the last week 4. The national test positivity rate - or the percentage of tests taken that turn out to be positive - averaged about 4.8% over the last week as of early Saturday, according to The COVID Tracking Project, the first time the average has dropped below 5% since October, and far below a winter peak of about 13.6% near the start of January. 5. Decreases in new Covid-19 cases and hospitalizations in recent weeks have prompted some state and local leaders to loosen restrictions, but as new coronavirus variants spread, health experts say it's critical to double down on

9 safety measures to prevent yet another catastrophic surge, with the influential model from the University of Washington's Institute for Health Metrics and Evaluation predicting a dire warning this weekend that another 91,000 Americans are projected to die from the disease by June 1. 6. The University of Washington team indicated they do not expect the country will reach herd immunity before next winter, with Director Dr. Chris Murray saying late last week that "The model suggests that we should have a quiet summer," But adding “we know Covid's really seasonal, so when the next winter rolls around, we need to have a much higher level of protection to stop Covid in its tracks than we're likely to achieve." 7. Dr. Scott Gottlieb, former head of the Food and Drug Administration during the Trump administration, predicted Sunday that declining infection rates are "likely to continue" due to more Americans receiving their vaccines and the amount of people who have already contracted the coronavirus, saying that new variants do create new risk and could become more prevalent in the US, but not enough to reverse the declines at this point. 8. The Hawaii Department of Health has temporarily elongated the window incoming travelers have to complete a negative test, with the state saying that travelers can now take their pre-boarding test up to 96 hours before their flight instead of 72 hours because of winter storms that have ravaged the continental US. 9. The White House announced a pushed-back timeline for children to receive vaccines, telling reporters at a Friday briefing that high school students may receive vaccines in the fall, but elementary school children won't receive them until early 2022. 10. Nationwide, enrollment at community colleges dropped 10% from fall 2019 to fall 2020, according to the National Student Clearinghouse. 11. The president and all three other members of a California school board have resigned after mocking parents in a livestreamed meeting on school reopening that they appeared to think was private, after video circulated on social media that appeared to capture board members mocking parents who have been writing letters to petition the board to reopen schools amid the pandemic. Global Outbreak 1. Russia reported the lowest daily number since mid-November, and the country has also seen a steady decline in cases, adding 12,604 new cases on Monday, down from a peak of almost 30,000 a day in December. 2. The Indian state of Maharashtra, which includes the financial capital of Mumbai, warned that new regional lockdowns could be imposed after the number of daily cases rose to nearly 7,000 on Sunday, accounting for about half the entire country’s reported infections. 3. Germany added 4,369 new cases Monday, and the incidence rate has risen slightly, according to the country's national agency for disease control and prevention the Robert Koch Institute, with the rate of infected inhabitants per 100,000 people now at 61, after having dropped down to 57 previously. 4. The Philippines' health ministry on Saturday reported 239 new coronavirus deaths, the second-highest daily increase in casualties since the pandemic started, and 2,240 infections. 5. Japan is in the midst of an extended second state of emergency for much of its urban areas, as the country was hit by a winter surge of cases at the end of last year but cases have been easing significantly, and Tokyo reported 178 new cases – the lowest number since November 8. 6. South Korea reported 332 new cases over the last 24 hours, the smallest increase in eight days. 7. China on Saturday reported eight new cases in the mainland for February 19, compared with 10 cases a day earlier, the health authority said. 8. Italians on Sunday marked one year since their country experienced its first known death with wreath-laying ceremonies, tree plantings and church services, as towns in the country’s north, the first to be hard-hit by the pandemic and put under lockdown, paid tribute to the dead. 9. Auckland will step down to Alert Level 1 from midnight Monday, according to New Zealand Prime Minister Jacinda Ardern, a change from Level 2 that means there will be no limit on the size of gatherings at public events or hospitality outlets. 10. German schools reopened across much of the country Monday despite a rise in infections that the health minister warned could stall further plans to resume daily life. 11. Israel reopened swathes of its economy including malls and leisure facilities on Sunday, with the government saying the start of a return to routine was enabled by vaccines administered to almost half the population, as shops were open to all, but access to gyms, hotels and theatres was limited to people with a “Green Pass” that have had both doses of the vaccine more than a week prior, or recovered from the disease with presumed immunity.

10 12. Thailand extended a state of emergency until the end of March and ordered the easing of some containment measures, with the cabinet expected to back the extension - in place since March last year - at a meeting on Tuesday. 13. Ireland will not consider re-opening its hospitality sector before mid-summer due to the high level of infections in the country, Prime Minister Micheál Martin said on Saturday. 14. Brussels' cavernous basilica is one of the largest churches in the world but COVID-19 rules allow only 15 people at a time to attend mass there, the same limit applied to much smaller religious venues in Belgium, with dozens of worshippers of different religions and clergy demonstrated in the centre of the capital on Sunday calling for a change to the rules. 15. Canadians might be known internationally as nice, apologetic and fair-minded, but a very different persona has been exposed by a year of pandemic, with people calling out not just authority figures like politicians and doctors for breaking the rules, but also their own relatives and neighbors, as snitch lines set up across the country flooded with tips about people suspected of breaking quarantine, businesses flouting public health restrictions, and out-of- towners siders with unfamiliar license plates who are seen in town and might be bringing the virus with them. Diagnosis, Prevention and Treatment 1. Sanofi and GlaxoSmithKline Plc are restarting a trial of their vaccine, according to a statement Monday, with the French drugmaker announcing it has corrected the formulation of the shot, which was weaker than planned in a previous trial and failed to create enough of an immune response in people 50 years and older. 2. Russia on Saturday approved a third vaccine for domestic use, Prime Minister Mikhail Mishustin said on state TV, though large-scale clinical trials of the shot, labelled CoviVac and produced by the Chumakov Centre, have yet to begin. 3. Fujifilm Holdings Corp will restart a clinical trial in Japan of its antiviral drug Avigan for the treatment of COVID-19, after domestic approval of the drug was delayed after a health ministry panel said in December that trial data was inconclusive. 4. Growing evidence suggests that a smartwatch or Fitbit could help warn wearers of a potential infection prior to a positive test result, with researchers continuing to study whether a body's health data might signal an oncoming infection. Other Stories 1. The secretary general of the United Nations on Monday warned countries against using the pandemic as an excuse to crush dissent and crack down on the opposition, and while addressing the annual meeting of the United Nation Human Rights Council, Antonio Guterres said that in some countries, the restrictions imposed to slow the spread of the coronavirus are also being used to subvert elections, stifle criticism and prevent demonstrations. 2. Amanda Kloots, the widow of Broadway actor Nick Cordero - who died of complications from Covid-19 - received the first dose of the vaccine Friday after waiting in her car until all until all appointments were over in hopes that they had any extra vaccines, saying "I cannot tell you how emotional I was and still am right now." 3. Former deputy national security adviser Matt Pottinger, who served under former President Donald Trump, claimed Sunday that China attempted to cover up the coronavirus in the early days of the crisis, cutting out its Center for Disease Control and Prevention and instead relying on its military to contain the deadly virus. 4. Fifteen athletes who were supposed to be participating in sports at US colleges as first-year international students during the 2020-21 academic year are suing the Department of Homeland Security and ICE over a policy that prevents students from coming to the US if their schools aren’t offering in-person courses. 5. Weddings have always been emotional, but adding personal boundaries around safety and health, confusing government guidelines and the finer points of air filtration systems to the mix has pushed families and wedding planners to the edge, who are now also acting as health, infrastructure and grief experts as they face states, counties and cities with shifting and often senseless hodgepodges of guidelines and restrictions, or, sometimes, no rules at all.

Outbreak Statistics Numbers from John Hopkins CSSE Tracking are pulled daily at 5:00PM and changes reflect the past 24 hours Global Numbers Date Cases Deaths Recovered 21 Feb Sun 111,277,667 (+328,556) 2,464,390 (+7,017) - 2.21% 62,783,718 (+229,384)

11 20 Feb Sat 110,949,111 (+381,380) 2,457,373 (+9,026) - 2.21% 62,554,334 (+261,090) 19 Feb Thu 110,567,731 (+387,042) 2,448,347 (+11,209) - 2.21% 62,293,244 (+246,631) 18 Feb Thu 110,180,689 (+344,294) 2,437,138 (+9,822) - 2.21% 62,046,613 (+248,588)

17 Feb Wed 109,836,395 (+450,373) 2,427,316 (+12,670) - 2.21% 61,798,025 (+277,725) 16 Feb Tue 109,386,022 (+309,438) 2,414,646 (+8,842) - 2.21% 61,520,300 (+237,298) 15 Feb Mon 109,076,584 (+343,591) 2,405,804 (+8,309) - 2.21% 61,283,002 (+292,312) Top 15 Global Country Counts  Daily case change (total): US: +61,131 (28,121,178), Brazil: +57,472 (10,139,148), India: +14,264 (10,991,651), Italy: +13,450 (2,809,246), Russia: +12,568 (4,117,992), United Kingdom: +9,880 (4,127,573), Iran: +7,931 (1,574,012), Mexico: +7,785 (2,038,276), Indonesia: +7,300 (1,278,653), Poland: +7,040 (1,638,767), Czechia: +6,838 (1,153,159), Turkey: +6,546 (2,638,422), Peru: +6,376 (1,275,899), Germany: +6,354 (2,394,515), Argentina: +5,944 (2,060,625)  Daily death change (total): US: +1,370 (498,715), Brazil: +1,212 (245,977), Mexico: +832 (179,797), Russia: +409 (81,926), Italy: +232 (95,718), United Kingdom: +218 (120,810), Peru: +187 (44,877), Colombia: +174 (58,685), Indonesia: +173 (34,489), Argentina: +122 (51,122), Czechia: +117 (19,214), Germany: +116 (67,900), South Africa: +113 (49,053), Poland: +94 (42,171), India: +90 (156,302) US Numbers Date Cases Deaths Recovered

21 Feb Sun 28,121,026 (+61,131) 498,712 (+1,370) - 1.77% 12,004,063 (+67,658) 20 Feb Sat 28,059,895 (+106,224) 497,342 (+2,216) - 1.77% 11,936,405 (+34,976) 19 Feb Thu 27,953,671 (+72,095) 495,126 (+2,483) - 1.77% 11,901,429 (+73,399)

18 Feb Thu 27,881,576 (+70,111) 492,643 (+2,713) - 1.77% 11,828,030 (+57,393) 17 Feb Wed 27,811,465 (+71,744) 489,930 (+2,369) - 1.76% 11,770,637 (+46,858) 16 Feb Tue 27,739,721 (+57,228) 487,561 (+1,453) - 1.76% 11,723,779 (+81,681)

15 Feb Mon 27,682,493 (+52,202) 486,108 (+1,002) - 1.76% 11,642,098 (+31,058) US State and Territory Counts  Cases by daily change (totals): Texas: +6,486 (2,594,918), New York: +6,237 (1,591,672), California: +6,169 (3,529,210), Florida: +5,065 (1,868,772), South Carolina: +2,872 (504,149), North Carolina: +2,541 (842,637), Virginia: +2,303 (564,115), New Jersey: +2,030 (766,405), Massachusetts: +1,970 (567,764), Louisiana: +1,889 (424,176), Arizona: +1,804 (807,967), Georgia: +1,758 (985,505), Pennsylvania: +1,727 (915,639), Illinois: +1,596 (1,174,332), Ohio: +1,461 (953,767), Tennessee: +1,335 (764,008), Colorado: +1,117 (419,812), Oklahoma: +1,036 (419,354), Kentucky: +979 (396,997), Washington: +890 (333,794), Indiana: +881 (655,541), Minnesota: +879 (479,036), Alabama: +857 (486,843), Utah: +701 (366,735), Oregon: +628 (152,818), Maryland: +618 (376,355), Arkansas: +517 (315,230), Iowa: +453 (359,449), Wisconsin: +451 (612,240), New Mexico: +425 (182,475), New Hampshire: +394 (73,161), Mississippi: +390 (290,632), Missouri: +345 (491,369), Nevada: +301 (290,972), West Virginia: +252 (129,616), Puerto Rico: +249 (99,084), Delaware: +201 (84,732), Nebraska: +198 (198,949), Idaho: +197 (169,150), South Dakota: +139 (111,304), Montana: +138 (98,779), Vermont: +134 (14,493), Maine: +130 (43,497), North Dakota: +124 (99,277), Wyoming: +112 (53,795), District of Columbia: +95 (39,648), Hawaii: +49 (27,297), Northern Mariana Islands: +8 (143), Michigan: +0 (636,269), Kansas: +0 (293,215), Connecticut: +0 (273,101), Rhode Island: +0 (123,145), Alaska: +0 (57,393), Guam: +0 (7,715), Virgin Islands: +0 (2,575), American Samoa: +0 (0)  Deaths by daily change (totals): California: +320 (49,240), Virginia: +134 (7,331), Texas: +130 (42,162), New York: +109 (46,812), Florida: +93 (29,906), South Carolina: +68 (8,324), Ohio: +67 (16,816), Massachusetts: +53 (15,779), Illinois: +40 (22,466), Indiana: +36 (12,372), North Carolina: +30 (10,926), Louisiana: +26 (9,466), Oklahoma: +26 (4,181), Pennsylvania: +25 (23,565), Arizona: +25 (15,505), New Jersey: +24 (22,858), Puerto Rico: +22 (1,979), Kentucky: +21 (4,447), Tennessee: +18 (11,133), Maryland: +18 (7,715), Arkansas: +12 (5,348), New Mexico: +11 (3,610), Utah: +10 (1,852), Minnesota: +9 (6,500), Colorado: +9 (5,887), West Virginia: +7 (2,261), Oregon: +6 (2,155), Nevada: +4 (4,872), South Dakota: +4 (1,863), Missouri: +3 (8,059), Georgia: +2 (16,744), Alabama: +2 (9,592), North Dakota: +1 (1,468), Montana: +1 (1,342), Delaware: +1 (1,367), New Hampshire: +1 (1,153), District of Columbia: +1 (995), Vermont: +1 (197), Michigan: +0 (16,342), Wisconsin: +0 (6,871), Iowa: +0 (5,336), Washington:

12 +0 (4,822), Kansas: +0 (4,573), Mississippi: +0 (6,553), Connecticut: +0 (7,523), Nebraska: +0 (2,047), Idaho: +0 (1,826), Rhode Island: +0 (2,376), Alaska: +0 (289), Wyoming: +0 (662), Maine: +0 (658), Hawaii: +0 (429), Guam: +0 (130), Virgin Islands: +0 (25), Northern Mariana Islands: +0 (2), American Samoa: +0 (0)

US Testing and Treatment Statistics Data from The COVID Tracking Project at the Atlantic, which uses a Creative Common CC-BY-NC-4.0 license type, typically posted by 7PM

% of Positive Negative Positive Pending Currently Currently in Currently on Date New Tests Results Results Total Results Tests Tests Hospitalized ICU Ventilators

21 Feb Sun 1,225,773 27,879,604 125,799,737 344,360,398 8.10% 9,442 56,159 11,862 3,915 20 Feb Sat 1,274,526 27,821,175 125,499,697 343,134,625 8.11% 9,408 58,222 12,120 3,932 19 Feb Fri 1,878,276 27,749,224 125,189,379 341,860,099 8.12% 8,711 59,882 12,491 4,118

18 Feb Thu 1,356,782 27,674,548 124,686,918 339,981,823 8.14% 8,679 62,300 13,045 4,180 17 Feb Wed 1,338,441 27,606,974 124,251,884 338,618,827 8.15% 8,548 63,398 13,103 4,271 16 Feb Tue 1,060,442 27,540,885 123,814,128 337,280,386 8.17% 11,547 64,533 13,616 4,406

15 Feb Mon 1,133,232 27,484,573 123,582,884 336,219,944 8.17% 11,494 65,455 13,799 4,454  Testing by daily change (currently): California: +229,472 (47,043,348), New York: +221,157 (36,461,592), Massachusetts: +87,420 (15,549,944), Illinois: +75,269 (17,622,800), Florida: +72,854 (21,132,651), North Carolina: +45,946 (10,031,223), Texas: +38,019 (19,165,851), South Carolina: +37,383 (4,847,710), Arizona: +37,120 (7,433,448), Indiana: +32,380 (7,754,038), Maryland: +32,164 (7,654,818), Ohio: +31,139 (9,781,894), Louisiana: +26,557 (5,416,687), Washington: +26,024 (5,074,078), Minnesota: +25,448 (6,754,710), Wisconsin: +24,235 (6,677,613), Colorado: +24,094 (6,011,339), Georgia: +22,719 (7,042,229), Virginia: +21,526 (5,749,734), Vermont: +12,600 (1,021,885), Missouri: +10,912 (4,395,885), Tennessee: +9,516 (6,796,955), New Mexico: +9,486 (2,609,761), Hawaii: +9,477 (1,063,576), Delaware: +8,317 (1,356,971), New Hampshire: +7,489 (1,410,731), Utah: +7,462 (2,796,344), West Virginia: +7,074 (2,141,232), Nevada: +6,034 (2,662,867), Nebraska: +5,164 (2,314,397), District of Columbia: +4,244 (1,195,253), Alabama: +3,784 (2,257,675), Montana: +3,266 (1,052,180), Arkansas: +2,181 (2,602,624), New Jersey: +2,031 (10,332,587), Iowa: +1,564 (1,300,171), Idaho: +1,077 (630,724), Oklahoma: +1,036 (3,415,549), North Dakota: +912 (1,393,460), South Dakota: +440 (417,775), Mississippi: +390 (1,684,015), Puerto Rico: +249 (405,056), Maine: +130 (1,542,898), Northern Mariana Islands: +8 (17,572), Guam: +4 (114,714), Alaska: +0 (1,629,829), American Samoa: +0 (2,140), Connecticut: +0 (6,440,305), Kansas: +0 (1,238,423), Kentucky: +0 (3,807,556), Michigan: +0 (10,046,701), Oregon: +0 (3,465,787), Pennsylvania: +0 (10,070,782), Rhode Island: +0 (2,853,784), Virgin Islands: +0 (46,139), Wyoming: +0 (620,388)  Hospitalization by daily change (currently; that report this data): Tennessee: +5 (1,128), Colorado: +3 (440), Utah: +3 (263), Puerto Rico: +2 (217), North Dakota: +1 (40), Alaska: +0 (34), Connecticut: +0 (535), Guam: +0 (5), Hawaii: +0 (42), Idaho: +0 (142), Kansas: +0 (290), Maine: +0 (75), Michigan: +0 (860), Minnesota: +0 (282), Mississippi: +0 (563), Montana: +0 (78), New Hampshire: +0 (109), Nevada: +0 (639), Oklahoma: +0 (620), Oregon: +0 (206), Rhode Island: +0 (177), Vermont: +0 (39), Washington: +0 (608), Wyoming: +0 (31), Delaware: -3 (175), West Virginia: -3 (289), South Dakota: -5 (90), Nebraska: -7 (163), Iowa: -9 (229), District of Columbia: -10 (196), Wisconsin: -17 (353), Kentucky: -19 (902), Ohio: -20 (1,434), Missouri: -23 (1,234), Alabama: -28 (867), Arkansas: -28 (577), New Mexico: - 36 (242), Massachusetts: -43 (927), Virginia: -46 (1,548), Louisiana: -50 (756), Arizona: -52 (1,598), Florida: -53 (4,160), Indiana: -53 (870), North Carolina: -61 (1,647), Georgia: -62 (2,778), South Carolina: -73 (1,013), Maryland: - 76 (973), New Jersey: -80 (2,065), Illinois: -83 (1,468), Pennsylvania: -101 (1,959), New York: -213 (5,764), Texas: - 389 (7,146), California: -434 (7,313)

Diagnosis, Prevention and Treatment Tracker data is consolidated from The New York Times and US CDC, (#) is change from last update, see Reference detail in Compiled Information following Vaccine Tracker (last updated February 18) PRECLINICAL PHASE I PHASE II PHASE III EARLY/LIMITED APPROVED 13 ~150+ 37 28 20 6 4

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) Emergency Use (in country): Pfizer-BioNTech (US and elsewhere), Moderna (US), AstraZeneca/University of Oxford

(Britain and elsewhere), Bharat Biotech (India), Sinopharm (China, UAE, Bahrain) Approved (in country): Pfizer-BioNTech (multiple countries), Moderna (Canada and multiple countries), Sputnik V

(Mexico), Sinovac (China) New additions and recent updates: • China’s Shenzhen Kangtai moves to Phase 2 – Feb 18 • A nasal spray from India’s Bharat Biotech enters Phase 1 – Feb 16 • A vaccine from Italy’s Takis and Rottapharm enters Phase 1 – Feb 10 • South Korea’s SK Bioscience moves to Phase 1/2 - Feb 8 • South Africa halts plans for a rollout of AstraZeneca’s vaccine – Feb 7 • A second vaccine from Iran enters Phase 1 – Feb 7 • China gives conditional approval to the Sinovac vaccine – Feb 6 • New York-based COVAXX moves to Phase 2 – Feb 6 • Vaxart stock plunges after a reported low antibody response – Feb 3 • Mexico authorizes Russia’s Sputnik V vaccine – Feb 3 • Russia’s Sputnik V vaccine has an efficacy of 91.6% - Feb 2 • Cuba’s Abdala vaccine moves to Phase 2 – Feb 2

Drug and Treatment Tracker (last updated February 11)

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

FDA Approved: Remdesivir, Bamlanivimab Antibody (emergency use), Regeneron (emergency use) Widely Used: Prone positioning, ventilators and other respiratory support devices Promising: Dexamethasone and Other Corticosteroids, Cytokine Inhibitors, Azithromycin Pseudoscience or fraud: Drinking or injecting bleach and disinfectants, UV light, Silver New additions and recent updates:  Added azithromycin, an antibody used to fight bacterial infections – Feb 10  Added colchicine, an anti-inflammatory used to treat gout – Jan 31  A large trial finds no mortality benefit among hospitalized patients receiving convalescent plasma – Jan 15  The National Institutes of Health finds insufficient data to recommend for or against the use of ivermectin – Jan 14  Regeneron’s antibody cocktail receives emergency use authorization from the F.D.A. - Nov. 21  An antibody treatment called bamlanivimab receives emergency use authorization from the FDA - Nov. 10  Remdesivir is approved as the first drug to treat Covid-19 - Oct. 23  A trial of Eli Lilly’s antibody therapy was paused to investigate a potential safety concern - Oct. 13  President Trump is taking the steroid dexamethasone. Oct. 4  President Trump is receiving a five-day course of remdesivir. Oct. 3  President Trump receives an experimental antibody cocktail - Oct. 2  Added vitamin and mineral supplements to other treatments - Sept. 29  Convalescent plasma was approved for emergency use - Aug. 24

US Restrictions Data compiled by the Kaiser Family Foundation, updated on change, Table available at CVOB website for sorting 14 US Restrictions and Policy Actions - February 16 (previous update February 12) Status of Reopening Reopened (19: +5); Easing Restrictions (20); Paused (7: -3); New Restrictions Imposed (5: -28) Stay at Home Order Stay at Home Order Eased or Lifted (40: -1); New Stay at Home Order in Place (5: +1); No Action (6)

Mandatory Quarantine for Travelers Traveler Quarantine Mandate in Place (13: +3); Traveler Quarantine Mandate Lifted (19: -2); No Action (19: -1) Non-Essential Business Closures All Non-Essential Businesses Open (21); Some or All Non-Essential Businesses Open with Limits (30) Large Gatherings Ban All Gatherings Prohibited (1: -2); >10 Prohibited (21: +1); >25 Prohibited (2); >50 Prohibited (6: -1); No Limit (21: +2)

Restaurant Limits Open (19); Open with Service Limits (31); Closed to Indoor Service (1) Bar Closures Open (19); Open with Service Limits (21); Open for Outdoor Service Only (3); Closed (8) Face Covering Requirement Yes (36); No (15)

Emergency Declaration Yes (51); No (0)

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 (see FAQ following for methodology) As of Wednesday, February 17, the Index was 82.0% (+2.0%), with 37 (+30) states showing improvement since the previous week Recent Historical Trending 6-Jan 3-Feb 9-Dec 2-Dec 4-Nov 27-Jan 27-Jan 20-Jan 13-Jan 28-Oct 21-Oct 14-Oct 17-Feb 10-Feb 30-Dec 23-Dec 16-Dec 25-Nov 18-Nov 11-Nov

82.0% 80.0% 82.0% 81.0% 82.0% 81.0% 74.0% 75.3% 81.7% 82.0% 80.0% 78.5% 82.4% 81.6% 81.6% 80.0% 82.7% 81.5% 81.3%

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Statistics Sources John Hopkins CSSE Live Tracking Map, CDC US Case Reporting, Worldometer Coronavirus Pandemic, News Break Coronavirus Realtime Update Stats, Bing Covid19 Tracker, Covid Tracking Project, Uncast Social Distancing Scoreboard, University of Washington Outbreak Model, Moody’s Analytics and CNN Business Back-to-Normal Index

References CNN, Washington Post, CNBC, ABC News, CBS News, NBC News, New York Times, Bloomberg, Reuters, USA Today, Yahoo News, BBC, Reddit

Compiled Informational FAQ’s, Insight, Tips and Best Practices (previously provided) – Temporarily removed, please reference our website and/or previous communications.

Max M. Morris 16 Senior Director | Cyber Defense & Response [email protected] 704-534-0861

This message has been classified Proprietary by Morris, Max.

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