Morris, Max

From: Morris, Max Sent: Friday, June 25, 2021 8:23 PM To: Morris, Max Subject: 06/25/2021 Coronavirus Daily Recap

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Need to find a ? Here are a few good sites and resources we have come across that may help:  White House Vaccine Resource - Website to make it easier for people to find information, https://www.vaccines.gov/, and people can also text their zip code to 438829 to find out information about sites.  CDC Vaccine Finder – https://vaccinefinder.org/ [Free government website where users can search for pharmacies and providers that offer , currently limited number of states but expanding]  Dr. B Standby list for COVID - https://hidrb.com/ [Sign-up website that connects eligible adults with leftover vaccines at risk of expiring]  NBC News Plan Your Vaccine – https://www.nbcnews.com/specials/plan-your-vaccine/ [Website that walks you through eligibility, a timeline for when you can get vaccinated and where you can get a vaccine]  Apple Maps App [Use the app to find vaccination location data from the US CDC's Vaccine Finder by searching or asking Siri, “Where can I get a Covid-19 vaccination?]  Facebook Locator Tool [Access the social media’s Covid Information Center to see when and where to get vaccinated and get a link to make an appointment]

Good evening Everyone! Yep. Another Friday has rolled around on us. Our week is done. Hope it was a good one for you. And know you have been busy and looked forward to getting here. So now it’s time for you to sit down, take a load off and of course … rest, relax and recharge for the next couple of days. That’s an order (but we ask it in the nicest possible way). This week we sent out our 600th email. When we first started this at the beginning of 2020 we would never have guessed we would have come this far. But it’s another milestone that Josh and I hope has meant we were able to continue to inform and inspire you as well as remind all of us to always look for the good during some troubling times. A rather quiet news day but we still have a number of stories following in our Daily Recap with major Headlines and key Highlights, as well as the “Good Stuff”, US Snapshots, US Vaccinations, US Variant Cases, key Statistics, Vaccine and Treatment information, US Restrictions and the Back to Normal Index related to the novel coronavirus pandemic. This week, we have concentrated a lot on inspiration about helping others. And as we part ways tonight, we thought we would finish with the same theme and words of wisdom from Norman Vincent Peale, who said: When you become detached mentally from yourself and concentrate on helping other people with their difficulties, you will be able to cope with your own more effectively. Somehow, the act of self-giving is a personal power-releasing factor. There is nothing like helping someone else to help take our minds off our own challenges and struggles. Concentrating on letting someone know you are thinking of them, that you want to be sure they are ok or finding a way to lift them up. With nothing more than a simply hello, how are you, how was your day. Just a few words that can end up being such an important gesture to brighten someone’s day. Everyone has those days that just wears us down. And all it takes is us helping someone find their strength to keep going. To look ahead to another day that will be

1 brighter and bring hope. And in doing so bringing that inner feeling of peace to ourselves. Just little things that help. But that become big differences . Until Monday, here’s hoping you have a great weekend.

CVOB Website Dashboard, 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  According to the Indian government's Covid-19 genome sequencing body, the Delta Plus variant exhibits several worrying traits such as increased transmissibility, stronger binding to receptors of lung cells, and a potential reduction in antibody response, and while it’s not yet clear what effect the mutation may have on vaccine efficacy, Julian Tang, professor of respiratory sciences at the University of Leicester, warned it could potentially give the variant "significant vaccine escape properties."  Compared to the spike protein on earlier versions of the coronavirus, the spike on the worrisome Delta variant is better able to break into lung cells and fuse them together, researchers at Georg-August-University Göttingen in Germany have discovered, allowing the virus to spread faster in infected people and partially hide from the immune system.  More than 4,100 people have been hospitalized or died with Covid-19 in the US even though they’ve been fully vaccinated, to be expected numbers according to new data from the Centers for Disease Control and Prevention and a top advisor to the Food and Drug Administration, with at least 750 fully vaccinated people having died so far after contracting Covid, but the agency noted that 142 of those fatalities were asymptomatic or unrelated to Covid-19, according to data as of Monday that was released Friday.  The World Health Organization on Friday urged fully vaccinated people to continue to wear masks, social distance and practice other Covid-19 pandemic safety measures, saying that the measures are needed to “play it safe” because a large portion of the world remains unvaccinated and highly contagious variants, like delta, are spreading in many countries, spurring outbreaks.  The European Center for Disease Prevention and Control said in a report that the delta variant would be responsible for 90 percent of coronavirus in the European Union and the European Economic Area - which also includes Iceland, Liechtenstein and Norway - by the end of August, and that any relaxation of covid protocols “could lead to a fast and significant increase in daily cases in all age groups” and a reprise of last year’s fall surge.  The United Kingdom has one of the highest Covid-19 vaccination rates in the world, yet it’s seeing a new surge in coronavirus cases largely attributed to the delta variant that first originated in India, with experts saying that close attention is being paid to the latest data as it could be a bellwether for others, and there is a fear that where the country now treads, others - like the US - could follow.  Indonesia, the world’s fourth-most populous country, recorded more than 20,000 cases of Covid-19, the highest number since the pandemic began on Thursday, with oxygen again running out at hospitals in the capital, Jakarta, and the national percentage of positive virus tests reaching 14.6 percent this past week.  Canada projects COVID-19 infections will decline rapidly over the next two months, but the more contagious Delta variant risks causing a greater-than-expected resurgence of cases later this year, public health officials said on Friday.  A new study led by Britain’s Kent University suggests that the first coronavirus case in China probably occurred on November 17, 2019, and using statistic modeling techniques, researchers said that the first US case most likely emerged on January 16, 2020.  The Transportation Security Administration will begin teaching self-defense to flight crews next week in a program that had been suspended due to the coronavirus pandemic, officials said, a revival that comes as travel inches closer to pre-pandemic levels, bringing with it pent-up anger from consumers, according to Sara Nelson, president of the Association of Flight Attendants union.  Royal Caribbean’s Celebrity Edge is less than 24 hours away from setting sail off the coast of Florida, the first passenger cruise from a US port since the Covid pandemic shuttered the industry’s operations across the globe last year.

The Good Stuff: A Florida high school principal recently made graduation extra special for all 459 of his graduating seniors after they went through the pandemic. Earlier this month, Matanzas High School Principal Jeff Reaves presented 2 each member of the graduating class with a personal, handwritten letter before they walked across the stage to receive their diplomas. Reaves, who became a principal at the Palm Coast school four years ago when the graduating seniors were freshman, dug deep to make each letter unique, sifting through "yearbooks, student files and transcripts," as well as conversations and relationships. He wrote the notes from March through graduation day. "I want to be positive for our students, especially in a time where there's a lot of negativity and turmoil in the world," Reaves said. "I wanted to shine some light on the students and encourage them as they begin their next journey in life." "It was as much for me as them and I got the chance to learn about each student individually," he continued. "It's easy to get caught up in the numbers, but it's the names that really matter. I was doing my part to help them feel connected as a community and have their high school experience to be positive." Lisa Kittrell, a culinary arts teacher at Matanzas High School, told the outlet that in her 15 years at the school, and 25 in education overall, she had never seen a principal do something so sweet for senior students. "When the little girl, who was sitting in my row at graduation, opened up her note and read it, she went 'Wow, I can't believe he did this and remembered this about me,'" Kittrell said. "It was just so touching that he did that for all of the graduates. It was just so touching." "It shows he really cares for the students," she added. "It was just very exciting and very moving." Reacting to the response from the school community, Reaves said he was proud to do something that so many found to be "meaningful." "It's a sense of accomplishment that we were able to do most things and that was meaningful to seniors and families," the principal said. "It's really about the students, and across our country there are teachers and educators who do things like this to make a great impression on these students." [Story from MSN News from People]

US Snapshots Trending Stats Data compiled daily from John Hopkins CSSE Tracking Seven-Day Trending as of Fri Daily Average Daily Average June 25 Case Increase Death Increase Positivity Rate Total Tests This Week 12,026 325 7.67% 464,459,720 Last Week 11,524 300 7.72% 460,118,682 Change 502 25 -0.05% 4,341,038 % 4.36% 8.33% -0.65% 0.94% As of June 24 0.78% -1.88% -0.65% 0.98% As of June 23 -9.57% 12.04% -0.78% 0.99% As of June 22 -17.78% 18.42% -0.90% 1.06% As of June 21 -16.22% 2.05% -0.77% 1.07% As of June 20 -20.81% -4.56% -0.77% 1.07% As of June 19 -36.03% -11.14% -0.90% 1.08%

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 June 19 70.69% 3.22% 66.08% 5.56% As of June 12 71.00% 3.50% 66.91% 6.22% Change -0.31% -0.28% -0.83% -0.66% As of June 5 69.05% 3.99% 65.26% 7.12% As of May 29 70.51% 4.43% 66.15% 7.98% As of May 22 70.55% 4.69% 66.95% 8.52% As of May 15 70.04% 5.31% 67.06% 9.49% As of May 8 68.54% 6.03% 67.97% 10.71%

3 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 June 25 At Least One Fully People Vaccinated Dose Vaccinated

Total 178,491,147 151,615,554 % of Total Population 53.8% 45.7% Population = > 12 Years of Age 178,288,020 151,508,857 % of Population = > 12 Years of Age 62.9% 53.4% Population = > 18 Years of Age 169,898,463 145,498,715 % of Population = > 18 Years of Age 65.8% 56.3% Population = > 65 Years of Age 47,841,910 42,351,030 % of Population = > 65 Years of Age 87.5% 77.4%

Reported doses administered by day Data compiled daily by The Washington Post from Centers for Disease Control and Prevention, updated June 25 In the last week, an average of 735.8k doses per day were administered, a 46% decrease over the week before.

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State Doses Data compiled daily by The Washington Post, share of population fully vaccinated, updated June 25

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.

Collection date, two weeks ending Country CDC Lineage Name first seen Designation 05-Jun-21 22-May-21 08-May-21 24-Apr-21 10-Apr-21 27-Mar-21 13-Mar-21 B.1.1.7 Alpha UK VoC 60.3% 69.2% 69.9% 66.0% 59.0% 44.3% 26.7% P.1 Gamma Brazil VoC 11.2% 8.1% 6.2% 4.8% 3.3% 1.5% 0.5% B.1.617.2 Delta India VoC 9.5% 2.5% 1.3% 0.6% 0.1% 0.0% 0.0% B.1.526 Iota New York VoI 9.3% 4.7% 6.0% 7.4% 8.2% 8.4% 4.7% 5 B.1 China 1.9% 1.8% 1.4% 1.6% 1.4% 1.9% 2.4% B.1.1.519 0.5% 0.9% 1.2% 2.1% 2.9% 4.5% 5.2% B.1.351 Beta South Africa VoC 0.4% 0.6% 0.7% 0.7% 0.9% 0.8% 0.5% B.1.429 Epsilon California VoC 0.3% 0.7% 1.3% 2.3% 4.3% 6.6% 9.1% B.1.427 Epsilon California VoC 0.3% 0.4% 0.7% 1.0% 1.7% 2.8% 4.1% B.1.2 0.1% 0.1% 0.8% 1.3% 3.9% 10.6% 22.0% B.1.525 Eta New York VoI 0.1% 0.1% 0.3% 0.3% 0.4% 0.4% 0.2% B.1.617.1 Kappa India VoI 0.0% 0.1% 0.1% 0.1% 0.1% 0.1% 0.0% B.1.617 VoI 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% P.2 Zeta Brazil VoI 0.0% 0.0% 0.0% 0.1% 0.2% 0.4% 0.6% Other 6.2% 5.6% 4.9% 5.6% 7.3% 12.0% 20.5% 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

Highlights Vaccine Rollout 1. Maine is approaching getting 70% of its eligible residents fully vaccinated, and the director of the state’s Center for Disease Control and Prevention says he sees that figure as more of a floor than a ceiling. 2. North Carolina has less than half of residents eligible for a shot fully vaccinated, remaining near the bottom of the US numbers, even though there are more than 2.1 million doses waiting on shelves for residents to take. 3. Connecticut is offering a new promotion - a concert ticket giveaway - to encourage residents, especially young people, to get vaccinated. 4. Brazil said Friday that a pick up in vaccine deliveries should allow the country to immunize all adults in the next three months. 5. India’s vaccination drive has gathered speed this week, with more than 6.7 million people nationwide receiving shots on Thursday, according to official data, and about 5.5 percent of the population is now fully vaccinated, and 18 percent have received at least one shot. 6. Russian, seeing cases surge in the country, has now seen 18 regions make vaccinations mandatory for employees in government offices, retail, health care, education, restaurants, and other service industry sectors in an effort to reduce infections, with only about 14 percent of the population having received at least one shot of the vaccine as of Friday, according to Our World In Data. 7. The US will provide three million doses of Johnson & Johnson’s vaccine to Afghanistan, the White House said on Thursday, part of a pool of 55 million doses being sent abroad that could be shipped as soon as next week to help counter an outbreak. 8. Chile is in talks with Moderna and Sputnik for a potential third dose of vaccines, trade vice minister Rodrigo Yanez said Friday. 9. South Africa’s populist opposition party, the Economic Freedom Fighters, protested against the government’s slow vaccine rollout by holding a march with more than 1,000 people and little Friday in the midst of a third wave of infections Variant Outbreak 1. So far, Delta Plus has been reported in 11 countries - but the number of cases per country only reflects samples that have been sequenced, and more data is needed to determine the actual rate of spread, with the US confirming the highest number of cases so far, 83 cases as of June 16, according to Public Health England and the United Kingdom is next with 41. 2. Missouri is the state with the largest proportion of the Delta variant of infections, according to the Centers for Disease Control and Prevention, with hospitals feeling the stress of managing Covid-19 patients on top of their regular intake, Erik Frederick, Chief Administrative Officer at Mercy Hospital Springfield, said Thursday. 3. Italy’s national health institute ISS said on Friday that the Delta variant and its sibling Kappa have surged in the past month, accounting for nearly 17% of total cases, with the Delta mutation becoming dominant. 4. Russia is facing a surge in cases that authorities blame on the highly infectious Delta variant and slow progress in vaccinating people, with deaths linked to the virus hitting a new record in Moscow on Friday. 6 5. India's richest state of Maharashtra on Friday ordered malls and cinema halls to close as it scrambles to control a more transmissible variant that has scuppered plans to ease lockdown measures. 6. Germany’s public health agency, the Robert Koch Institute, declared Friday evening that Portugal and Russia are "virus-variant zones", a measure that will trigger severe restrictions on travel to and from both countries. 7. The head of the World Health Organization said the delta mutation, first seen in India, is “the most transmissible of the variants identified so far,” and warned it is now spreading in at least 85 countries, and at a press briefing on Friday, Director-General Ghebreyesus said the lack of vaccines in poor countries was exacerbating the variant's transmission. US Outbreak 1. The number of new infections in the US has held steady over the last week at an average of 11,659 new cases per day, according to data compiled by Johns Hopkins University, but new infections have been plummeting over the last several months. 2. Wyoming’s Department of Health reported 95% of the state’s 2,400 confirmed or suspected Covid-19 patients tested between May 1 and June 15 weren’t fully vaccinated, and additionally 93% of patients hospitalized over the same period didn’t report to be fully vaccinated 3. Oregon Governor Kate Brown said Friday the state’s restrictions will be lifted by June 30 or once 70% of adults in the state vaccinated with at least the first dose of vaccine - whichever comes first. 4. New York City schools ended their regular school year today with the lowest level of positive test results since the pandemic began in March 2020, Mayor Bill de Blasio said today, and with about 1.5 million tests conducted on students and staff in the schools there was a positivity rate of just 0.03%, 5. New York City jail In-person visits resumed on Friday after they were halted for more than a year to stave off the coronavirus, according to the city’s Department of Correction, which has struggled since the start of the pandemic, facing surges of violence, overworked guards and staffing shortages, with the department’s commissioner characterizing the return as a positive development for inmates and guards alike. 6. Michigan Governor Gretchen Whitmer has vetoed two bills that would let businesses seek refunds for taxes paid on personal protective equipment, disinfectants and plexiglass barriers during the pandemic. Global Outbreak 1. Israel has been a trailblazer in the post-pandemic world, largely returning to normal in May following one of the world’s fastest vaccination drives, but dozens of new cases recently emerged at schools in two cities, Modiin and Binyamina, leading to hundreds of people being quarantined, however despite the new outbreak, the country’s current death rate remains close to zero, and only 26 of 729 active coronavirus patients were hospitalized, according to data released by the Health Ministry. 2. New South Wales, which includes Sydney and is Australia’s most populous state, announced an additional 22 infections on Friday, bringing the total number to 65, the city’s largest outbreak in six months, with officials warning that many more cases were likely to emerge in the coming days because of a cluster centered on a hair salon that some 900 clients visited while several employees were infectious. 3. Indonesia’s medical workers are struggling with a “double burden” of grappling with the pressure of caring for Covid-19 patients while quickly vaccinating the country’s residents as infections increase, according to Edhie Rahmat, executive director for Indonesia at Project HOPE, short for Health Opportunities for People Everywhere. 4. British doctors have reported a record rise in respiratory illnesses, particularly among younger children, with the National Health Service saying it was “overwhelmed” by these cases, which are not covid-related and common in the winter months - but are climbing as distancing restrictions ease across the country. 5. Iceland is abolishing all domestic restrictions, with officials saying 87% of those 16 and older have received at least one vaccine dose, and the island nation, with a population of about 369,000, has only seen 6,637 cases and 30 deaths with about 48% of those 16 and over fully vaccinated. 6. Seychelles extended curbs imposed on movement and gatherings indefinitely as the world’s most-vaccinated nation fights a persistently high number of infections, with the palm-fringed Indian Ocean archipelago seeing cases increase since early May even though 70% of its 98,000 people are fully vaccinated with either Sinopharm or AstraZeneca vaccines. 7. Tanzanian President Samia Hassan publicly admitted for the first time of the presence of the coronavirus pandemic in the East African country, in a departure from a denial of her predecessor.

7 8. The United Kingdom reports that there were no substantial outbreaks reported among any of the nine pilot events - including the Brit Awards and the FA Cup soccer final - included in the first phase of a government study into whether large crowds can safely gather again. Diagnosis, Prevention and Treatment 1. A single dose of Russia's Sputnik V or the Oxford University-AstraZeneca vaccine reduces mortality from COVID-19 by between 70% and 80% in people aged 60-plus, real-world data from Argentina's national program released Friday show. 2. Antibodies triggered by two Chinese vaccines are less effective against the Delta variant compared with other strains but the shots still offer protection, a Chinese disease control researcher said Friday. 3. Cases of an inflammation of the heart muscle known as myocarditis have been reported after receiving COVID-19 shots, mostly in young men after the second dose of the mRNA vaccines, and when myocarditis symptoms, such as chest pain and rapid or irregular heartbeats, do occur after vaccination, they usually resolve quickly, suggests a report of a small study published in the journal Circulation. 4. US health officials paused distribution of Eli Lilly & Co.’s combination antibody therapy because of fears it won’t combat two increasingly common coronavirus variants, with resistance to the antibody treatment detected among the gamma and beta variants of the virus, according to a statement from the Department of Health and Human Services. 5. A new study published Thursday in JAMA Network Open that followed 97 Covid-19 patients who had lost their sense of taste and smell for up to a year found that at eight months objective olfactory assessment confirmed full recovery in 49 of 51 patients, and of the two patients who had not fully recovered, one was able to smell, but abnormally, while the other had not recovered the ability to smell. 6. The World Health Organization has received submissions from at least three vaccine makers for emergency approval for additional vaccines and expects to approve at least one or two of them in the next month or two, a top expert said on Friday. Other Stories 1. Cases of type 2 diabetes among children more than doubled during the pandemic at one Louisiana hospital and there was also an increase in severity, according to research presented Friday, and while they are small numbers at a single facility it could be a microcosm of what's happening across the country. 2. Mortgage rates rose above the 3% mark this week for the first time in 10 weeks, as the economic recovery from the pandemic recession continues and inflation remains elevated. 3. From April to December 2020, residential electricity consumption in the US rose nearly 8%, while commercial usage dropped nearly 7%, according to a report by Cicala, based on his analysis of Energy Information Administration data, and during this period, Americans spent an additional $12 billion on residential electricity compared to pre-COVID times, while commercial entities saved $9 billion. 4. More than 15 months into the pandemic, tens of thousands of seafarers vital to the global shipping industry remain stranded at sea or in ports, unable to leave their ships or get to new assignments due to global travel restrictions. 5. A small number of British athletes declined Covid vaccinations before the Tokyo Games because they’re worried about the potential of side effects impairing their performance, the Times of London reported, citing Andy Anson, chief executive officer of the British Olympic Association.

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

25 June Fri 180,267,388 (+412,166) 3,905,890 (+8,866) - 2.17% 117,974,922 (+337,733) 24 June Thu 179,855,222 (+515,113) 3,897,024 (+11,255) - 2.17% 117,637,189 (+270,881) 23 June Wed 179,340,109 (+399,404) 3,885,769 (+9,555) - 2.17% 117,366,308 (+418,900)

22 June Tue 178,940,705 (+302,172) 3,876,214 (+7,372) - 2.17% 116,947,408 (+297,893) 21 June Mon 178,638,533 (+256,800) 3,868,842 (+5,412) - 2.17% 116,649,515 (+344,655) 20 June Sun 178,381,733 (+325,235) 3,863,430 (+6,962) - 2.17% 116,304,860 (+314,467)

8 19 June Sat 178,056,498 (+466,858) 3,856,468 (+11,388) - 2.17% 115,990,393 (+322,655) Top 15 Global Country Counts  Daily case change (total): Brazil: +79,277 (18,322,760), India: +51,667 (30,134,445), Colombia: +32,997 (4,060,013), Argentina: +24,463 (4,350,564), Russia: +20,065 (5,346,005), Indonesia: +18,872 (2,072,867), South Africa: +18,762 (1,895,905), United Kingdom: +15,299 (4,715,990), US: +13,704 (33,601,692), Iran: +10,820 (3,150,949), Philippines: +6,793 (1,385,053), Bangladesh: +5,869 (878,804), Malaysia: +5,812 (722,659), Turkey: +5,630 (5,398,878), Chile: +5,599 (1,537,471)  Daily death change (total): Brazil: +2,001 (511,142), India: +1,329 (393,310), Colombia: +689 (102,636), Russia: +591 (129,869), Argentina: +452 (91,438), Indonesia: +422 (56,371), US: +406 (603,516), Mexico: +221 (232,068), South Africa: +215 (59,621), Chile: +215 (32,012), Romania: +140 (32,911), Philippines: +116 (24,152), Iran: +115 (83,588), Guatemala: +115 (8,960), Paraguay: +113 (12,086) US Numbers Date Cases Deaths

25 June Fri 33,601,540 (+13,704) 603,513 (+406) - 1.8% 24 June Thu 33,587,836 (+12,419) 603,107 (+337) - 1.8% 23 June Wed 33,575,417 (+13,059) 602,770 (+349) - 1.8%

22 June Tue 33,562,358 (+9,824) 602,421 (+377) - 1.79% 21 June Mon 33,552,534 (+11,886) 602,044 (+229) - 1.79% 20 June Sun 33,540,648 (+17,902) 601,815 (+101) - 1.79%

19 June Sat 33,522,746 (+5,390) 601,714 (+474) - 1.79% US State and Territory Counts  Cases by daily change (totals): Texas: +1,498 (2,992,660), California: +1,454 (3,813,437), Colorado: +995 (555,972), Missouri: +914 (621,683), Nevada: +804 (331,614), Arizona: +587 (892,236), Washington: +546 (449,491), Alabama: +540 (549,934), Oregon: +454 (207,787), North Carolina: +388 (1,012,343), Virginia: +371 (679,762), New York: +352 (2,113,398), New Jersey: +349 (1,022,443), Georgia: +332 (1,132,661), Utah: +309 (413,317), Indiana: +304 (752,699), Arkansas: +302 (347,254), Illinois: +292 (1,390,432), Ohio: +292 (1,110,292), Kansas: +255 (318,352), Mississippi: +243 (320,837), Oklahoma: +224 (456,910), Louisiana: +210 (479,521), Kentucky: +189 (464,388), Pennsylvania: +154 (1,215,889), Connecticut: +127 (349,120), South Carolina: +112 (596,144), Wyoming: +104 (61,951), Minnesota: +92 (604,971), Idaho: +89 (194,609), New Mexico: +81 (205,215), Iowa: +80 (373,452), Puerto Rico: +69 (139,871), Michigan: +67 (999,119), Wisconsin: +66 (677,252), Maryland: +64 (462,017), Virgin Islands: +63 (3,835), Massachusetts: +60 (709,682), West Virginia: +60 (163,804), Montana: +58 (113,529), Maine: +36 (68,925), Nebraska: +20 (224,226), North Dakota: +17 (110,644), Delaware: +16 (109,636), South Dakota: +14 (124,496), Rhode Island: +13 (152,514), Guam: +12 (8,328), New Hampshire: +11 (99,403), District of Columbia: +8 (49,305), Vermont: +7 (24,392), Florida: +0 (2,354,416), Tennessee: +0 (866,670), Alaska: +0 (71,035), Hawaii: +0 (37,484), Northern Mariana Islands: +0 (183), American Samoa: +0 (0)  Deaths by daily change (totals): Ohio: +68 (20,281), California: +65 (63,533), Texas: +36 (52,245), Arizona: +28 (17,903), Colorado: +19 (6,773), Virginia: +15 (11,396), Michigan: +14 (20,959), South Carolina: +14 (9,819), Utah: +14 (2,351), New Jersey: +12 (26,428), Minnesota: +11 (7,665), New York: +9 (53,644), Pennsylvania: +9 (27,636), Washington: +9 (5,898), Illinois: +8 (25,632), Alabama: +8 (11,336), Kansas: +8 (5,147), Wisconsin: +7 (8,099), Louisiana: +6 (10,723), North Carolina: +4 (13,412), Missouri: +4 (9,673), Kentucky: +4 (7,204), Mississippi: +4 (7,395), Indiana: +3 (13,822), Arkansas: +3 (5,893), Nevada: +3 (5,667), Idaho: +3 (2,143), Georgia: +2 (21,369), Oregon: +2 (2,761), New Mexico: +2 (4,334), New Hampshire: +2 (1,371), Maine: +2 (858), Massachusetts: +1 (17,985), Maryland: +1 (9,730), Iowa: +1 (6,125), Connecticut: +1 (8,275), Rhode Island: +1 (2,728), Puerto Rico: +1 (2,545), South Dakota: +1 (2,030), Montana: +1 (1,662), Florida: +0 (37,555), Tennessee: +0 (12,543), Oklahoma: +0 (7,384), Nebraska: +0 (2,259), West Virginia: +0 (2,876), North Dakota: +0 (1,558), Delaware: +0 (1,693), Alaska: +0 (374), Wyoming: +0 (740), District of Columbia: +0 (1,141), Hawaii: +0 (513), Vermont: +0 (256), Guam: +0 (139), Virgin Islands: +0 (30), Northern Mariana Islands: +0 (2), American Samoa: +0 (0)  Hospital bed utilization rate: Rhode Island: 92.15%, Massachusetts: 83.86%, Pennsylvania: 81.68%, Missouri: 81.29%, Maryland: 79.95%, Connecticut: 79.53%, Michigan: 78.57%, South Carolina: 78.39%, Minnesota: 77.77%, Florida: 77.67%, District of Columbia: 77.34%, California: 77.2%, Georgia: 77.1%, Delaware: 76.38%, West Virginia:

9 76.25%, North Carolina: 76.16%, Alabama: 74.82%, New York: 74.39%, Oregon: 74.08%, New Hampshire: 73.41%, Washington: 73.24%, Texas: 73.04%, Virginia: 72.88%, Ohio: 72.27%, Arkansas: 72.12%, Nevada: 72.03%, Tennessee: 71.07%, North Dakota: 71.07%, New Mexico: 70.82%, Hawaii: 70.72%, Oklahoma: 70.54%, Illinois: 70.5%, Maine: 70.46%, Arizona: 69.48%, Colorado: 69.01%, New Jersey: 68.7%, Nebraska: 68.16%, Vermont: 67.39%, Louisiana: 66.65%, Wisconsin: 65.72%, Montana: 65.7%, Indiana: 65.36%, Mississippi: 64.98%, Alaska: 63.62%, Iowa: 62.91%, Kentucky: 60.77%, Utah: 59.75%, Kansas: 58.75%, Idaho: 58.14%, South Dakota: 57.51%, Wyoming: 42.69%

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 6/25/2021 380,222,670 973,970 321,199,379 512,174

6/24/2021 379,248,700 366,500 320,687,205 815,152

6/23/2021 378,882,200 -564,460 319,872,053 648,209 6/22/2021 379,446,660 443,250 319,223,844 647,403 6/21/2021 379,003,410 0 318,576,441 610,033

6/20/2021 379,003,410 0 317,966,408 848,611

6/19/2021 379,003,410 1,068,020 317,117,797 1,069,021

Number of People Number of Receiving 1 or People Fully Date more Doses Change Vaccinated Change 6/25/2021 178,491,147 159,470 151,615,554 363,520

6/24/2021 178,331,677 382,785 151,252,034 464,731 6/23/2021 177,948,892 313,825 150,787,303 362,628

6/22/2021 177,635,067 292,113 150,424,675 378,669 6/21/2021 177,342,954 254,664 150,046,006 378,360 6/20/2021 177,088,290 351,149 149,667,646 542,482

6/19/2021 176,737,141 446,892 149,125,164 666,161

Vaccine Administered

Pfizer- Johnson & Date BioNTech Moderna Johnson Not Identified 6/25/2021 176,721,071 132,058,604 12,169,305 250,399

6/24/2021 176,285,416 132,013,506 12,139,564 248,719

6/23/2021 175,773,690 131,761,409 12,090,161 246,793 6/22/2021 175,373,929 131,557,233 12,047,571 245,111 6/21/2021 174,943,983 131,372,107 12,015,721 244,630

6/20/2021 174,521,867 131,213,452 11,986,595 244,494

6/19/2021 173,968,342 130,974,892 11,931,392 243,171 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 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 25 June Fri 714,371 35,615,847 428,843,873 464,459,720 7.67% 24 June Thu 493,052 35,601,849 428,143,500 463,745,349 7.68%

23 June Wed 915,865 35,588,686 427,663,611 463,252,297 7.68% 22 June Tue 473,888 35,575,332 426,761,100 462,336,432 7.69% 21 June Mon 489,469 35,565,923 426,296,621 461,862,544 7.70%

20 June Sun 587,720 35,556,628 425,816,447 461,373,075 7.71% 19 June Sat 666,673 35,545,953 425,239,402 460,785,355 7.71% New Tests (past week): California: 505,252, New York: 497,696, Florida: 302,603, Illinois: 215,099, Texas: 174,596, New Jersey: 153,878, Massachusetts: 149,752, Pennsylvania: 120,328, Michigan: 108,843, Ohio: 104,357, North Carolina: 96,450, Minnesota: 93,469, Maryland: 85,146, Colorado: 72,741, Georgia: 68,090, Arizona: 64,395, Wisconsin: 64,153, Connecticut: 59,263, Virginia: 59,133, Oregon: 49,859, Indiana: 44,693, South Carolina: 43,599, Louisiana: 42,889, Utah: 34,046, Kentucky: 32,713, Rhode Island: 28,623, New Mexico: 25,265, Nevada: 24,360, District of Columbia: 22,645, 11 Iowa: 20,967, Alabama: 19,884, Kansas: 18,886, Hawaii: 18,381, West Virginia: 17,781, Maine: 15,141, New Hampshire: 15,085, Idaho: 14,932, Arkansas: 14,609, Delaware: 14,311, Oklahoma: 13,495, Mississippi: 10,439, Vermont: 8,787, Montana: 8,756, Nebraska: 7,874, Alaska: 6,735, Wyoming: 6,459, North Dakota: 4,257, South Dakota: 3,726, Missouri: 0, Tennessee: 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 June 24) PRECLINICAL PHASE I PHASE II PHASE III EARLY/LIMITED APPROVED

~150+ 50 37 32 8 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) 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: • Turkey’s Erciyes University moves to Phase 3 – June 22 • Iran’s Fakhravac vaccine moves to Phase 2 – June 22 • Cuba reports that its 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 • Novavax announces trial results, with an overall efficacy of 90.4% - June 14 • Iran authorizes the Shafa Pharmed Pars vaccine for emergency use – June 14 • Vietnam’s Nanogen moves to Phase 3 -June 14 • Seattle-based Icosavax enters Phase 1/2 – June 8 • Australia’s Vaxine moves to Phase 2 – June 8 • The West China Hospital of Sichuan University moves to Phase 3 – June 1 • China’s Academy of Military Medical Sciences moves to Phase 3 – June 1

Drug and Treatment Tracker (last updated May 29)

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 US warns that some coronavirus variants are proving resistant to the combination of bamlanivimab and etesevimab – May 26  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 12  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 - June 21 (previous update June 14) Status of Reopening Reopened (46: +2); Easing Restrictions (5: -2)

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 (46: +2); Some or All Non-Essential Businesses Open with Limits (5: -2)

Large Gatherings Ban All Gatherings Prohibited (0: -1); >10 Prohibited (3); >25 Prohibited (0: -1); >50 Prohibited (1: -2); Limit > 50 (2); No Limit (45: +4) Restaurant Limits Open (48: +2); Open with Service Limits (3: -2) Bar Closures Open (48: +2); Open with Service Limits (2: -2); Closed (1)

Face Covering Requirement Yes (1); Indoor Only (1); Unvaccinated People Only (9: -3); No (40: +3)

Emergency Declaration Yes (42: -3); No (9: +3)

Data compiled by The New York Times, last updated June 25

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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 As of Wednesday, June 23, the Back-to-Normal Index was 94% (+1%), with 42 (-9) states showing an improvement since the previous week's reporting Recent Historical Trending 9-Jun 2-Jun 7-Apr 3-Mar 5-May 23-Jun 16-Jun 28-Apr 21-Apr 14-Apr 24-Feb 31-Mar 24-Mar 17-Mar 10-Mar 26-May 19-May 12-May

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% 83.0% 78.0%

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Primary Statistics Sources 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

16 Compiled Informational FAQ’s, Insight, Tips and Best Practices - Please reference our website 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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