COVID-19 Compilation – May 29, 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), 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.

• President Trump announced that the U.S. will cut ties with the WHO. The WHO is expected to comment tomorrow. • The Department of the Treasury posted an updated FAQ for state, territorial, local, and tribal governments. • The FDA took steps to further support the development of COVID-19 tests for at-home self-collection by including a voluntary EUA template for at-home sample collection kits to its website. As explained in FDA’s guidance, Policy for COVID-19 Tests During the Public Health Emergency (Revised), this template reflects FDA’s current thinking on the data and information that developers should submit to facilitate the EUA process. In particular, this template includes recommendations for use by laboratories and commercial manufacturers who may use it to facilitate the preparation and submission of an EUA request. Currently, developers can offer a COVID-19 test for at-home self-collection under emergency use authorization (EUA), and COVID-19 tests for at-home self-collection may also be used as part of an Institutional Review Board (IRB)-approved study. • 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. • The FDA is making its previously developed FDA MyStudies app available to investigators as a free platform to securely obtain patients’ informed consent for eligible clinical trials when face-to-face contact is not possible or practical due to COVID-19 control measures. FDA MyStudies is now referred to as COVID MyStudies in the Apple App store and in the Google Play store. • Here is this 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. • On Monday at 4:00 PM, CDC will host a partner call to share information and answer common questions for sports programs, including athletes, staff, and venues. The call will be recorded and posted to CDC’s website. • The CDC published more new COVID-19 documents to its dashboard today. Some highlights are: updates to the toolkit for airlines, a revised FAQ for health care personnel, principles and considerations for youth sports, and new guidance on the discontinuation of isolation for persons with COVID-19 not in healthcare settings. • There are a bunch of COVID-19 hearings slated to take place next week in Congress. President Trump said today that administration officials will only be cleared to testify at in-person hearings: 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) 11 AM House Appropriations, "COVID-19 Response" o Thursday (6/4) 1 PM House Administration, "The Impact of COVID-19 on Voting Rights and Election Administration: Ensuring Safe and Fair Elections" • Sen. Bob Casey (D-PA) said today that he tested positive for antibodies, making him the second senator to make such an announcement. • Republicans have started putting together their priorities for the next COVID-19 supplemental appropriations bill. 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 1,719,827 total cases and 101,711 deaths The CDC data closes out the day before reporting. • Mississippi, Utah, Wisconsin, South Carolina, and Arizona all set new highs in their daily reports of new positive cases of COVID-19. • A person who attended some of the crowded pool parties at the Lake of the Ozarks in Missouri last weekend has tested positive for COVID-19. • New York Gov. Andrew Cuomo (D) said today that New York City could potentially start reopening by June 8th. Under the first step, nonessential stores would be allowed to open for curbside pickup and nonessential construction and manufacturing could resume. • Arizona Gov. Doug Ducey (R) announced that youth summer leagues, summer schools, and day camps can reopen. • Gov. Brian Kemp (R) signed an EO that takes additional steps to allow for larger gatherings and lets bars and nightclubs reopen in Georgia if they follow certain guidelines. • Gov. Brad Little (R) announced that Idaho will enter Stage 3 of reopening its economy, allowing bars to reopen, and allowing public or private gatherings of up to 50 people if social distancing can be maintained. Additionally, Gov. Little announced that movie theaters were included in Stage 3. • Iowa Gov. Kim Reynolds (R) signed a proclamation that permits bars, wineries, breweries, distilleries, and social and fraternal clubs may reopen on May 28th with the same public health measures as restaurants in place. The proclamation also permits the reopening on June 1st of additional establishments, including outdoor performance venues, casinos, bowling alleys, amusement parks, skating rinks, skate parks, outdoor playgrounds. • Maryland Gov. Larry Hogan (R) issued two additional COVID-19 EOs, extending a prohibition on utility shutoffs and residential late fees, and allowing breweries, wineries, and distilleries to provide service in outdoor seating areas. Gov. Hogan also extended his order prohibiting electric, gas, water, sewage, phone, cable TV, and internet service provider companies from shutting off any residential customer’s service, or charging any residential late fees. The order will remain in effect through July 1st. • Gov. Charlie Baker (R) announced updates for the opening of Massachusetts for certain sectors (i.e., professional sports teams) and provided guidance to the opening of restaurants and lodging businesses. • Gov. Tate Reeves (R) announced his Safer At Home order will be ending on June 1st to be replaced by new guidance for the next stage of economic recovery for Mississippi. Gov. Reeves also issued another executive order to begin safely reopening ballparks, movie theaters, libraries, and museums. • Utah Gov. Gary Herbert (R) signed an EO updating guidelines pertaining to social gatherings, education, businesses, travel, and events. The new order clarifies that all businesses within specific counties that have been moved to the low risk phase are operating if they can meet and adhere to the specific guidelines. • Gov. Phil Scott (R) announced the opening of additional close contact businesses, dental procedures, businesses that require work in the home, and of limited overnight youth summer camp programming. Additionally, the state of Vermont increased the size of social gatherings. • Nevada Gov. Steve Sisolak (D) released his Phase 2 reopening directive, which is set to expire on June 30th. • Gov. David Ige (D) approved requests, from the Mayors Hawaiʻi and Kauaʻi counties, to safely re-open more businesses and operations under guidelines that will ensure their health, safety, and welfare. • Gov. Andy Beshear (D) announced the opening of specific amusement parks and the Kentucky State Park Lodges with extensive precautions in place to help prevent the spread of COVID-19. • Gov. Tom Wolf (D) signed amended yellow phase orders to include eight new counties into the yellow phase of reopening Pennsylvania. The eight counties are joining 49 counties that previously moved into the yellow phase. • 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

• was sworn in as the 77th Secretary of the Navy, two months after the Acting Secretary of the Navy Thomas Modly resigned following disparaging remarks about the fired commanding officer of the USS . • The DoD, in support of HHS, has signed a $2.2 million contract with Hollingsworth & Vose to increase U.S. domestic production of 27.5 million N95 ventilator filters, and 3.1 million N95 respirators per month, starting in August. • Defense Priorities, a think tank dedicated to greater military restraint, released a “Post-COVID-19 U.S. National Security Strategy” report that suggests abandoning peripheral missions abroad and focusing on core U.S. security and prosperity. • VA officials announced they will resume in-person compensation and pension exams at 20 department medical centers in coming weeks as the backlog hits 114,000 because of the COVID-19 pandemic. • The 2020 Warrior Games, an event for disabled service members and veterans to compete in adaptive sports, has been canceled due to the COVID-19 pandemic.

International Affairs

• The U.K. National Health Service will keep personal data of people with COVID-19 for 20 years as part of its track-and-trace program. • The European Commission launched a new global fundraising campaign with Global Citizen to finance the development and worldwide distribution of COVID-19 testing, vaccines and treatments. • Brazil surpassed Spain today as it recorded 1,124 new coronavirus-related deaths over the past 24 hours. • Migrant workers in India are being infected by COVID-19 at alarming rates. Almost half of the country’s 160,000 known cases have been traced to just four cities: New Delhi, Chennai, Ahmedabad, and Mumbai. Despite severe lockdown restrictions put in place more than two months ago, top scientists anticipate the country might not see its peak in cases and deaths until the end of July. • Bulgaria, Serbia, and Greece are expected to open borders to each other starting June 1st. Greece has a list of nearly 30 countries it will allow travelers from in an effort to save their tourism industry. • Prime Minister Justin Trudeau said Friday that the Canadian government is considering “a slight modification” of the agreement limiting nonessential travel at the U.S.-Canada border to allow for the reunification of some families. • Hundreds of individuals reportedly fled from quarantine facilities in Malawi and Zimbabwe. At nearly 50 of more than 400 quarantined individuals that fled in Malawi tested positive for COVID-19, and more than 100 individuals that fled quarantine in Zimbabwe tested positive. • Global Cases: 5,701,337 Total Deaths: 357,688

Lifestyle, Science, and Economy • More than 1 in 4 U.S. workers have lost their jobs since the COVID-19 outbreak shut down much of the economy in March. The DOL reported that another 2.1 million people filed for unemployment benefits. That's down 323,000 from the previous week but brings the total for the past 10 weeks to 40.8 million, which represents 26 percent of the civilian labor force in April. • WHO has published a surveillance protocol for SARS-CoV-2 infection among health workers. This is a technical tool that countries can use to better understand the characteristics and exposure risks of health workers infected with COVID-19. • Tyson Foods will temporarily close its Iowa pork processing plant after 555 employees, or 22 percent of the workforce, tested positive for COVID-19. Operations are expected to resume next week. • The United Food and Commercial Workers union called on Smithfield to close a meatpacking plant in LA where over 10 percent of workers have contracted COVID-19. The union was joined by PETA in their protest. • CVS reached its target of opening 1,000 COVID-19 testing sites, in partnership with the federal government. • A group of over 100 scientists and clinicians have questioned the authenticity of a massive hospital database that was the basis for an influential paper published last week that suggested the use of chloroquine and hydroxychloroquine to treat people with COVID-19 did not help and may have increased the risk of abnormal heart rhythms and death. Some of the complaints from the letter sent to the Lancet include that the authors did not name any of the involved hospitals or even which countries were involved. • 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. • 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 (5/29) • Evidence for Limited Early Spread of COVID-19 Within the United States, January–February 2020 • Universal and Serial Laboratory Testing for SARS-CoV-2 at a Long-Term Care Skilled Nursing Facility for Veterans — Los Angeles, California, 2020 • COVID-19 serology at population scale: SARS-CoV-2-specific antibody responses in saliva • Out-of-hospital cardiac arrest during the COVID-19 pandemic in Paris, France: a population-based, observational study • Comparison of Clinical Characteristics of Patients with Asymptomatic vs Symptomatic Coronavirus Disease 2019 in Wuhan, China • 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 • 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 • 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) • The Other COVID Risks: How Race, Income, ZIP Code Influence Who Lives Or Dies • 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 • Suicide Mortality and Coronavirus Disease 2019—A Perfect Storm? • The effective use of telemedicine to save lives and maintain structure in a health care system • Johns Hopkins data capture. • Other tracking data here.

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