COVID-19 Compilation – May 28, 2020 Courtesy of Cornerstone Government Affairs

Common Acronyms Centers for Disease Control and Prevention (CDC), World Health Organization (WHO), National Institutes of Health (NIH), Personal Protective Equipment (PPE), Department of Health and Human Services (HHS), Department of Defense (DOD), Department of Homeland Security (DHS), United States Department of Agriculture (USDA), Central Command (CENTCOM), Department of Housing and Urban Development (HUD), Centers for Medicare and Medicaid Services (CMS), Transportation Security Administration (TSA), Department of Veterans Affairs (VA), Assistant Secretary for Preparedness and Response (ASPR), Biomedical Advanced Research and Development Authority (BARDA)

Washington, D.C.

• HRSA awarded $15 million to 52 Tribes, Tribal organizations, urban Indian health organizations, and other health services providers to Tribes across 20 states to , prevent, and respond to COVID-19 in rural tribal communities. View the list of awards here. • The FDA is hosting a virtual Town Hall on June 3rd at 12:15 PM for clinical laboratories and commercial manufacturers that are developing or have developed diagnostic tests for COVID-19. The purpose of this Town Hall is to help answer technical questions about the development and validation of tests for COVID- 19. • Vice President Mike Pence met with members of the American Camp Association by phone and led a discussion with camp owners and operators across the country to discuss the approach to safely and responsibly reopening summer camps amid COVID-19. A brief readout is available here. • The CDC published more new COVID-19 documents to its dashboard today. Some highlights are: screening for COVID-19 at homeless shelters and encampments, how to wash cloth face coverings, and resources for child care, schools, and youth programs to help plan for reopening. • The CDC has made some notable updates to their employer guidance for office buildings, which includes steps like testing temperatures every day and making sure desks are six feet apart. • The House made history yesterday as members cast the first-ever remote floor votes. • There are many, many COVID-19 hearings slated to take place this week and next: o Friday (5/29) 1 PM House Transportation and Infrastructure, "The Status of the U.S. Maritime Supply Chain During the COVID-19 Pandemic" o Tuesday (6/2) 10 AM Senate Judiciary, "Best practices for incarceration and detention during COVID-19" o Tuesday (6/2) 11:30 AM House Energy and Commerce, "On the Front Line: How Governors are Battling the COVID-19 Pandemic" o Tuesday (6/2) 2:30 PM Senate Finance, "COVID-19 and Beyond: Oversight of the FDA’s Foreign Drug Manufacturing Inspection Process" o Wednesday (6/3) 10 AM Senate Small Business, "Perspectives from Main Street: COVID-19’s Impact on Small Business" o Wednesday (6/3) 11 AM House Judiciary, "Protecting the Right to Vote During the COVID-19 Pandemic" o Wednesday (6/3) 1 PM House Budget, "Addressing the Economic Impacts of COVID-19: Views from Two Former CBO Directors" o Wednesday (6/3) 2:30 PM Senate Commerce, "The State of Transportation and Critical Infrastructure: Examining the Impact of the COVID-19 Pandemic" o Thursday (6/4) 10 AM Senate HELP, "COVID-19: Going Back to College Safely" o Thursday (6/4) 1 PM House Administration, "The Impact of COVID-19 on Voting Rights and Election Administration: Ensuring Safe and Fair Elections" • There has not yet been movement in the Senate on an additional supplemental appropriations package. The House did pass a bill today that would make it easier for small businesses to utilize funds under the new Paycheck Protection Program, but Senate leaders have not signaled support for the measure. The House legislation would give businesses more time to have the loans forgiven and paid off by the U.S. government. For an in-depth briefing on the legislative landscape, please refer to the COVID-19 Legislative Update, which is published on Mondays, Wednesdays, and Fridays. If you do not receive the Legislative Update and would like to subscribe, email [email protected]

Updates from the States

• Out of the cases under investigation detected by U.S. surveillance, there are 1,698,523 total cases and 100,446 deaths The CDC data closes out the day before reporting. • COVID-19 infections and deaths are still on the rise in more than a dozen states. • Gov. David Ige (D) approved several proposals from mayors across the state to reopen more businesses and operations under public health guidelines. • Minnesota Gov. Tim Walz (D) signed an EO which implements Phase 2 of the Stay Safe MN plan. Phase 2 includes outdoor dining at restaurants and bars to start June 1st with safety measures and capacity limits. Personal services like salons and barbershops can also open on June 1st at 25 percent capacity. • New York Gov. Andrew Cuomo (D) issued an EO authorizing businesses to deny entry to inidividuals not wearing masks or face-coverings. • Virginia Gov. Ralph Northam (D) announced that the state will remain in phase one of its reopening for a minimum of another week, while Northern Virginia can enter phase one of reopening on Friday. Gov. Northam also signed an EO requiring masks in indoor spaces. • Ohio Gov. Mike DeWine (R) announced that assisted living and intermediate care facilities for individuals with developmental disabilities can allow outdoor visitation beginning June 8th. • Idaho Gov. Brad Little (R) announced that movie theaters and bars will be allowed to open on Saturday, two weeks earlier than originally announced. Gatherings of up to 50 people will also be allowed, but businesses must follow requirements. • Rhode Island Gov. Gina Raimondo (D) announced that phase two of the state's reopening will begin on June 1st, including indoor dining at 50 percent capacity and personal services at limited capacity. • Texas Gov. Greg Abbott (R) said that starting tomorrow, sports fans will be allowed to attend games at outdoor venues in most counties in the state, so long as occupancy is limited to 25 percent. Fans still cannot attend indoor sporting events. • Arizona Gov. Doug Ducey (R) said today that schools in his state will allow in-person classes in the fall. Details are forthcoming. • Useful state data: o The NYT is tracking which states are reopening and which are still shut down. o These charts show cumulative coronavirus cases and deaths for metropolitan areas over time. o Use Johns Hopkins University’s COVID-19 U.S. map as a resource for media, policymakers, and communities to view a collection of critical public health data in one online destination and better understand and track the COVID-19 pandemic in populations both large and small across the country. o NASHP has developed a COVID-19 State Action Center which serves as a state-level policy dashboard. Governing is also keeping a running tally of coronavirus news and impacts at the intersection of the health and economic crises in the states and localities. o This site from the Kaiser Family Foundation provides state-level information on cases/deaths, social distancing measures, health policy actions, and more. o This resource from Bloomberg Law is a database of State Quarantine and Public Health Laws related to the COVID-19 response. o This series of maps shows how states are responding to COVID-19, and this tracker, created and maintained by MultiState Associates, has an up-to-date list of executive orders and various travel restrictions. o Finally, this site offers COVID-19 projections assuming full social distancing and can be broken down by state.

Military/Defense

• President Trump announced he will extend National Guard orders authorizing domestic COVID-19 response missions through mid-August amid concerns that a previous end date would have complicated state support missions and denied the Guardsmen benefits. • Joint Chiefs Chairman Army Gen. said some service members who test positive for antibodies may be asked to donate plasma for treatment of their fellow troops. • The Air Force has delayed the date airmen are required to wear certain parts of the new Operational Camouflage Uniform in an effort to reduce stress during the COVID-19 pandemic. • The Navy’s internal investigation into the COVID-19 outbreak aboard the USS Theodore Roosevelt and the firing of the carrier’s captain has been completed, but is not expected to be publicized until decisions are made about restoring Capt. Brett Crozier to command of the Roosevelt. • Defense Sec. Esper said the DoD’s response to a potential second wave of COVID-19 will involve more targeted aid for cities and states and possibly shorter quarantine times for troops. • Top DoD officials held a town hall meeting to answer questions about COVID-19 from service members, DoD civilians, and family members. • Nine Senate Democrats sent a letter to Defense Sec. Esper requesting a spending plan for the remaining money allocated to the DoD under the CARES Act.

International Affairs

• Spain's Health Minister said the country will start lifting restrictions on Monday. • Turkey's President Recep Tayyip Erdogan announced that there will be a comprehensive easing of restrictions starting June 1st. Restaurants and cafes will be allowed to reopen on June 1st, but bars and hookah cafés will remain closed. Additionally, a travel restriction prohibiting entry and exits from major metropolitan areas including Istanbul, Ankara, and Izmir will be lifted. • French Prime Minister Edouard Philippe said parks will reopen starting this Saturday, and beaches, lakes, sporting facilities, museums, and monuments will reopen on June 2nd. He added that gatherings must be limited to 10 people and the capacity of outdoor spaces will be limited to 5,000 people, under the condition that social distancing rules are enforced. It will be up to local mayors and regional officials to decide if masks should be mandatory for people visiting parks, beaches, and lakes. • Houses of worship in Jordan will be allowed to reopen under public safety controls starting June 5th. Mosques will initially reopen for Friday prayers on June 5th, and other prayers will be allowed gradually. • U.K. Prime Minister Boris Johnson said Britain will begin lifting lockdown restrictions starting Monday in a phased approach. • Italy has seen a steady decline of cases and deaths and the number of active cases has finally dipped below 60,000. • Philippines President Rodrigo Duterte approved a recommendation on Thursday to relax COVID-19 lockdown measures in the capital city of Manila starting June 1st. • In what is being referred to as "phase one" of reopening, people in Scotland may meet with people from one other household starting tomorrow, but the group must not exceed 8 people in total. • The UN World Food Programme (WFP) estimates 13.7 million people could experience severe food insecurity due to the effects of COVID-19 this year. As job availability and economies decline, the WFP estimates the amount of people currently experiencing food insecurity- 3.4 million- could quadruple in 2020. • Global Cases: 5,593,631 Total Deaths: 353,334

Lifestyle, Science, and Economy

• According to a senior administration official, the White House won’t issue updated economic projections this summer because of uncertainty caused by the pandemic. The official said COVID-19 has resulted in fluctuating economic data, and that White House projections wouldn’t provide a meaningful snapshot of the economy. • The Commerce Department reported the U.S. GDP fell at a 5.0% annual rate in the first quarter, adjusted for seasonality and inflation. • Initial claims for unemployment benefits declined to a seasonally adjusted 2.1 million last week from 2.4 million the prior week. • The American Council on Education, the Association of American Universities, and dozens of other higher education groups sent a letter to lawmakers on Thursday expressing “fears of huge transactional costs associated with defending against COVID-19 spread lawsuits” without more legal protections. The action comes as institutions that have lost millions in revenue from closures are facing huge financial pressures to reopen and are trying to figure out how to do so while protecting the health of students and staff. • A French study found 1 in 10 diabetic patients with COVID-19 died within a week of being hospitalized. Fewer than 20 percent were discharged within the week. • Italy’s Serie A, the country’s top-flight professional football league, will restart its season on June 20th. • The National Restaurant Association released updated guidelines Wednesday, informed by the CDC and FDA. Recommendations include handler training for workers, contactless payment systems, and floor-plan updates for common dining areas. • County officials approved Walt Disney World’s phased reopening plan: Magic Kingdom and Animal Kingdom are set to open on July 11th, with EPCOT and Hollywood Studios following on July 15th. The plan still needs approval from the mayor and governor. SeaWorld and Busch Gardens are planning to reopen in June. • MGM Resorts will reopen four Las Vegas casinos on June 4th, including the Bellagio and the MGM Grand. The announcement follows reopening guidelines just issued by the Nevada Gaming Commission. • The WHO keeps a running list of COVID-19 vaccine candidates, which you can view here. STAT News also has a resource tracking COVID-19 drugs and vaccines. • WHO has published a population-based age-stratified seroepidemiological investigation protocol for COVID- 19 virus infection. This protocol was designed to investigate the extent of infection, as determined by positive blood tests in the general population, in any country in which COVID19 virus infection has been reported. • Continue to look at the NIH Office of Portfolio Analysis’s (OPA) expert-curated portfolio of COVID-19 publications and preprints. The portfolio includes peer-reviewed articles from PubMed and preprints from medRxiv, bioRxiv, ChemRxiv, and arXiv. It is updated daily with the latest available data and enables users to explore and analyze the rapidly growing set of advances in COVID-19 research. • Forbes is keeping a running list of all major international airline COVID-19-related change and cancellation policies. • RetailDive tracks store reopenings in the U.S.

Helpful Articles/Media

• Daily WHO Situation Report (5/28) • Five Ways to Monitor the Coronavirus Outbreak in the U.S. • Antibody Tests Were Hailed As Way To End Lockdowns. Instead, They Cause Confusion. • Science vs. COVID-19: Vaccine trial wins and other hopeful findings • Research finds concerning drop in U.S. colorectal cancer screenings and surgeries (spoiler: it's because non-urgent appointments and screenings have been put off due to COVID-19) • Contact Tracing Can Do a Lot More Than Find Coronavirus Cases • In the Pipeline: Coronavirus Vaccine Update, May 26 • Fate of Global Economy Rests More Than Ever on Finding Vaccine • Study Reveals Coronavirus Immunity Only Lasts for 6 Months Casting Doubts on 'Immunity Passports’ for Survivors • Here is last week’s COVIDView from CDC, a weekly summary and interpretation of key indicators that have been adapted to track the COVID-19 pandemic in the U.S. • How the pandemic has changed the natural world, illustrated • Resolve to Save Lives has released, “Staying Alert: Navigating COVID-19 Risk Toward a New Normal.” In the report, RSL recommends a four-tiered, color-coded system that grades the current state of risk from red, “4-Very High Risk,” to green, “1-New Normal.” The system is summarized here. • Why do some COVID-19 patients infect many others, whereas most don’t spread the virus at all? • 9 ways Covid-19 may forever upend the U.S. health care industry • "Looking for Clues" with CDC's CMO for COVID-19 response. • NIH Director: Defeating COVID-19 requires unprecedented action and collaboration • Watch a video replay of Clinical Trials in Public Health Emergencies: the Ebola and COVID Experiences • NIH Director's Blog: COVID-19 Brings Health Disparities Research to the Forefront • Soaring Prices, Rotting Crops: Coronavirus Triggers Global Food Crisis • From CDC's MMWR: Identification and Monitoring of International Travelers During the Initial Phase of an Outbreak of COVID-19 — California, February 3–March 17, 2020 • Virus Survivors Could Suffer Severe Health Effects for Years • A strategic approach to COVID-19 vaccine R&D, with Drs. Tony Fauci and Francis Collins as co-authors • When Coronavirus Hits Food Deserts • In a virtual town hall with the American Academy of Family Physicians, ASTHO CMO Marcus Plescia presented on the intersect between public and private sectors in the COVID-19 response. • Rapid COVID-19 vaccine development • Giving blood thinners to severely ill Covid-19 patients is gaining ground • Anne Schuchat, MD, Principal Deputy Director of the Centers for Disease Control and Prevention (CDC), discusses evolution of CDC guidance and latest developments in the COVID-19 pandemic. • Watch an NIH video about COVID-19 Diagnostics: The Challenge of Rapid, High-Volume Detection of SARS-CoV2 • Effect of Convalescent Plasma Therapy on Viral Shedding and Survival in COVID-19 Patients • What Antibody Studies Can Tell You — and More Importantly, What They Can’t • Aerodynamic analysis of SARS-CoV-2 in two Wuhan hospitals (this would change the reopening of large buildings if found to be consistent) • From Dr. Tom Frieden: How to reopen society as soon and safely as possible • The Other COVID Risks: How Race, Income, ZIP Code Influence Who Lives Or Dies • Examining the social impact of COVID-19 • The Implications of COVID-19 for Mental Health and Substance Use • COVID-19 exacerbating inequalities in the US • The characteristics of household transmission of COVID-19 • ‘We need an army’: Hiring of coronavirus trackers seen as key to curbing disease spread • Suicide Mortality and Coronavirus Disease 2019—A Perfect Storm? • Safety at the Time of the COVID-19 Pandemic: How to Keep our Oncology Patients and Healthcare Workers Safe • The effective use of telemedicine to save lives and maintain structure in a health care system • Projecting hospital utilization during the COVID-19 outbreaks in the U.S. • Johns Hopkins data capture. • Other tracking data here.

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