Morris, Max

From: Morris, Max Sent: Tuesday, October 13, 2020 8:43 PM To: Morris, Max Subject: 10/13/2020 Coronavirus Daily Update

These updates are being shared to multiple organizations, individuals and lists who/which are bcc’d. Best effort we are sending Daily updates during the business week, typically in the late afternoon or early evening, a Weekend Recap on Monday mornings, and any significant breaking news events provided anytime and on weekends. Please note some numbers included in the Statistics and news stories come from various sources and so can vary as they are constantly changing and not reported at the same time. All communications are TLP GREEN and can be shared freely.

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Live the message, share the message: Be safe – Stay home and limit travel as much as possible, self-quarantine if you or any members of your family are or may be sick, if you go out wear your mask – the right way, ensure safe social distancing, and practice good hygiene – wash your hands, avoid touching your face, and sanitize used items and surfaces.

A Happy Tuesday Everyone! Two days down in the week. Following is the Daily Update with Highlights, the “Good Stuff”, Expanded Stories, statistics, trends and items of interest related to the novel coronavirus pandemic. NEW CVOB WEBSITE FEATURE: The Daily Update Archive page has been updated to provide grouping for easier viewing by simply clicking on a month to expand and see the daily communications. Asking a favor of you to please take a couple of minutes to read the Special Story below on How to reach out in the time of Covid. With the challenges we have and will face, it is important to be aware of the people we know who may be struggling, the steps we can take and help available for our family and friends (and maybe strangers). Remember we all can make a difference. And don’t be afraid to ask for help if you need it. It’s not a sign of weakness. It’s a sign of knowing it’s ok to reach out. Our words of inspiration tonight follow the importance of the Special Story’s message. Shannon L. Alder offered us guidance and wisdom in saying: One of the most important things you can do on this earth is to let people know they are not alone. Singer Daphne Willis’ song Somebody’s Someone expresses what we all need to remember. Her opening line is “bright light on the corner of a dark street.” She tells us – with a really great voice – that we are not alone. We have people that care for us. We have people we care for. And that it’s ok to reach out for help, to get support. Her song and words are definitely worth a listen if you get a chance. The way we have and will make it is to be there for each other. A simple call or text asking how are you? Everything ok? Just a few words but ones that can mean so much. Especially to someone who may be struggling and wants to give up. And that can include ourselves. Find the time to check on someone. Find the strength to check on yourself. Simple acts make a difference. Because … we want everyone – and you - around when our world and lives comes back to where we all want them to be .

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

Highlights  The US and its territories now have over 3,106,000 people who have recovered, more than 7,836,000 confirmed infections and 215,000 deaths, with Texas, Wisconsin, Illinois, Florida, California, Pennsylvania, North Carolina, Indiana, Ohio and Oklahoma reporting the top 10 most new daily infections.  At least 26,339,000 people have now recovered worldwide, with more than 37,984,000 infections and 1,083,000 deaths reported in more than 188 countries and regions, with India, the US, Argentina, France, Iran, Russia, Brazil, Mexico, Colombia and the United Kingdom recording the top 10 highest number of new cases in the last 24 hours.  The US is now averaging more than 49,000 new infections daily - up 14% from the previous week, according to data from Johns Hopkins University. 1  Indiana, Illinois, Ohio, West Virginia, Minnesota, Wisconsin, North Dakota and South Dakota on Tuesday set new 7- day average highs of cases of the novel coronavirus, and more than a dozen additional states have set new average highs at least once since Saturday, according to data tracked by The Washington Post.  Health officials have worried the virus would take hold again as Americans returned to school and as pandemic fatigue encouraged cities, counties and states to loosen restrictions, and now it’s happening – as the West, Midwest, and South in particular have seen numbers going in the wrong direction, with Denver reporting an “alarming” increase in coronavirus cases, Montana counting as many cases in 11 days as it reported in the first five months of the pandemic, North Dakota breaking hospitalization records for three days in a row while Arkansas has broken them for five days straight, Wisconsin consistently reporting one of the country’s highest weekly average positivity rates, and Georgia averaging more than 1,000 new cases per day - every single day - for 114 days.  According to the World Health Organization’s weekly epidemiological update published Monday, Europe registered the highest weekly incidence of COVID-19 cases of any region since the start of the pandemic, with almost 700,000 new infections reported, with the region's weekly incidence in cases and deaths increased by 34% and 16% respectively in comparison to the previous week, and the United Kingdom, France, Russia and Spain accounted for over half of all new cases reported.  Germany reported its highest weekly infections numbers since April on Tuesday with 24,584 cases, and Bavarian state premier Markus Söder warned the county could lose could "lose control of the coronavirus" pandemic, and urged "something must be done this week," ahead of a key meeting between Chancellor Angela Merkel and the leaders of Germany's federal states.  France’s new confirmed cases rose by 12,993, climbing from a day earlier, with the seven-day rolling average of new infections, which smooths out daily variations, rising for an 11th day to 17,387, the highest it’s been since the start of the outbreak.  A new report in the journal Lancet Infectious Diseases confirmed that a 25-year-old man from Reno, Nevada, had the first known US case of coronavirus reinfection, and Dutch news reported an 89-year old woman in the Netherlands died after being infected with the coronavirus for a second time – marking the first confirmed death from a reinfection.  Drugmaker Johnson & Johnson said Monday it had paused the advanced clinical trial of its experimental coronavirus vaccine over the weekend because of an unexplained illness in one of the volunteers, and while providing no details did issue a statement that read “Adverse events – illnesses, accidents, etc. – even those that are serious, are an expected part of any clinical study, especially large studies."  Drugmaker Eli Lilly announced Tuesday it was pausing its trial of a combination monoclonal antibody treatment for coronavirus for safety reasons, and while the company did not say what happened, did add the Data Safety Monitoring Board, an independent group of medical experts who monitor trials, had recommended the action.  Dr. Anthony Fauci, the nation's leading infectious disease expert, said Tuesday that current efforts toward Covid-19 vaccine development are “on a really good track” despite news that a second vaccine was put on hold this week, adding “A couple of the vaccines are very close to getting some sort of information.”  While the world struggles to manage the initial waves of death and disruption caused by the Covid-19 pandemic, there is mounting evidence accumulating that "a second wave" linked to rising rates of mental health and substance use disorders could be building, according to an article published Monday in the medical journal JAMA.  Increasing coronavirus test positivity in various regions of the country might mean that a resurgence of cases is soon to come, Dr. Anthony Fauci, the nation's leading infectious disease expert, said Tuesday, explaining that he’s observed a trend in various regions of the country - particularly the Midwest, the upper Northwest and the states above the Sunbelt.  Senate Majority Leader Mitch McConnell, in a statement Tuesday, announced Senate Republicans will attempt to move forward on a targeted bill to restart the small business loan program that served as a centerpiece of the coronavirus relief efforts when the Senate returns to session next week, an effort that is likely to be blocked by Democratic leaders who have repeatedly rejected piecemeal approaches to the next relief effort.  Google was one of the first to announce that July 2021 was its return date, Uber, Slack and Airbnb soon followed, and in the past week, Microsoft, Target, Ford Motor and The New York Times said they, too, had postponed the return of in-person work to next summer.

2  Facebook announced Tuesday that it will no longer allow ads that discourage people from getting vaccinated, but that ads that advocate for or against legislation or government policies around vaccines - including a COVID-19 vaccine – will still be allowed.  The coronavirus pandemic has led to longer waits at fast-food drive-thrus this summer according to the 2020 SeeLevel HX Annual Drive-Thru Study, with the average drive-thru wait time at 10 top fast-food restaurants 5.95 minutes, about 30 seconds longer than a year ago.

The Good Stuff: When the coronavirus pandemic left elderly residents in long-term care facilities largely cut off from their families and the outside world in early March, Hita Gupta got to work. Channeling the resources and volunteers of a nonprofit she founded in 2018, Gupta, 15, of Pennsylvania, started sending letters, cards and care packages to senior homes nationwide, even reaching some facilities in the United Kingdom and Canada. Her efforts garnered her widespread media attention, and positive feedback poured in from recipients. But Gupta didn’t think the efforts went far enough. While letters and cards are a kind gesture that research has suggested can have a positive impact on mental health, they are “one-sided communication,” the high school junior said. “That cannot be matched by a real-time conversation with a senior, a real conversation where both sides are learning and they’re building a bond,” said Gupta, who until March had been volunteering on the weekends at a senior living facility near her home in Paoli, a Philadelphia suburb. “Being able to speak with someone who’s having a hard time . . . who’s experiencing isolation and loneliness, being able to ease some of that tension, I think that’s so important.” Drawing inspiration from the regular Skype sessions she has with her grandparents, who live in India, Gupta started offering another service to the eldercare centers: video calls with volunteers from her nonprofit, Brighten A Day. The organization has also been collecting and donating camera-enabled devices such as smartphones, tablets and laptops to facilities in need, allowing residents more opportunities to virtually connect with their loved ones in addition to volunteers. During the pandemic, the virtual interactions have emerged as a complement to more traditional efforts to reach out to seniors, which have mostly focused on written communication. “It’s ingenious,” said Robert Roca, chair of the American Psychiatric Association’s council on geriatric psychiatry. “Somebody expressing interest, somebody prepared to listen, the experience of having somebody reach out to you, even if it’s not a person you know well, there’s something very powerful about that in restoring the morale of somebody who’s demoralized by loneliness.”

Special Story - How to reach out in the time of Covid "Social distance." It's a phrase that's become a mantra of the pandemic. We see the signs everywhere telling us to stay six feet apart, emphasizing the need for physical separation. While this is an important message to help keep us all safe, the phrase has it all wrong. We don't need to be socially distant. Physically apart, yes, but that social connection is exactly what we all need during this pandemic. "It's an extremely challenging time with mental distress," Kevin Hines tells me. He has been an advocate for mental health for almost 20 years and knows how even a single moment of connection could change someone's life. On September 25, 2000, when Hines was 19 years old, he walked to the middle of the Golden Gate Bridge in San Francisco, and as he stared down into the water, he waited for someone, anyone to offer a kind word or even a friendly glance. That never happened. Hines jumped. Hines says even though we may not be able to physically reach out, put our hand on someone's shoulder, we can still offer those moments of support that could change the trajectory of someone's life. "We have got to think of the people in our lives that don't have someone physically next to them to, to hold on to," he said. "And we've got to be the people to make that phone call and make it on a regular basis." Here are ways Hines says we can all make sure we stay in this together:  Call three to five people a day and use video  Ask for advice  Remember, it's not just about what you say  Never accept the first answer How to get help: In the US, call the National Suicide Prevention Lifeline at 1-800-273-8255. The International Association for Suicide Prevention and Befrienders Worldwide also can provide contact information for crisis centers around the world.

Extended Stories

3  Family vacation outbreak: A 13-year-old girl is believed to have transmitted COVID-19 to family members during a three-week vacation over the summer, causing a chain of infections of 11 people in four states, a report from the Centers for Disease Control and Prevention says. Fourteen relatives from five households shared the house from July to August, with no physical distancing or mask wearing. Six other relatives visited the home during the time but stayed outside and kept 6 feet apart. None of those relatives tested positive, the CDC says. The girl, who is believed to have spread the virus to the family, was tested before attending the family vacation because she was exposed during a large outbreak while away from home. However, her rapid antigen test four days after exposure was negative and she didn't experience her only symptom, nasal congestion, until two days later. "This outbreak highlights … children and adolescents can serve as the source for COVID-19 outbreaks within families, even when their symptoms are mild," the CDC says.  Vaccine chaos and confusion: The Us may be within months of a profound turning point in the country’s fight against the coronavirus: the first working vaccine. Demonstrating that a new vaccine is safe and effective in less than a year would shatter the record for speed, the result of seven-day workweeks for scientists and billions of dollars of investment by the government. The path has not been without bumps. Johnson & Johnson announced Monday night that it was halting its Phase 3 trial after a volunteer got sick. And AstraZeneca also paused its trial, last month, after two participants became ill. Still, it’s tempting to look at the first vaccine as President Trump does: an on-off switch that will bring back life as we know it. “As soon as it’s given the go-ahead, we will get it out, defeat the virus,” he said at a September news conference. Instead, vaccine experts say, we should prepare for a perplexing, frustrating year. The first vaccines may provide only moderate protection, low enough to make it prudent to keep wearing a mask. By next spring or summer, there may be several of these so-so vaccines. Because of this array of options, makers of a superior vaccine in early stages of development may struggle to finish clinical testing. And some vaccines may be abruptly withdrawn from the market because they turn out not to be safe. “It has not yet dawned on hardly anybody the amount of complexity and chaos and confusion that will happen in a few short months,” said Dr. Gregory Poland, the director of the Vaccine Research Group at the Mayo Clinic.  Genetic code study: The six British patients seemed to have little in common besides this: Each was dealing with kidney failure, and each had tested positive for the novel coronavirus. They were among scores of virus-stricken people showing up at Addenbrooke’s Hospital in Cambridge in the early weeks of April. Had they lived in the US instead of the United Kingdom, the link that allowed the contagion to spread among them might have slipped by unnoticed. But the U.K. had done something in the early days of the pandemic that the US and many other nations had not. It funded a national push to repeatedly decode the coronavirus genome as it made its way across the country. The process reveals tiny, otherwise invisible changes in the virus’s genetic code, leaving a fingerprint that gives scientists valuable glimpses into how the disease is spreading. It’s a cutting-edge technique that was not widely available in previous global pandemics but that researchers think can help hasten the end of this one.  Updated workplace benefits: The coronavirus pandemic has left its imprint on just about everything - including the world of employee benefits. Just in time for the 2021 benefits enrollment season, workers can expect employers to emphasize the use of telemedicine. More than four out of 10 employers polled by Aflac say they now offer remote health care to their employees, up from 29% in the prior year. Further, companies are keenly aware that many workers are juggling childcare responsibilities while staying on top of their workflow. As a result, 30% of employers polled by Willis Towers Watson either plan on or are considering offering access to backup childcare. Finally, wellness initiatives are in the spotlight, as employers plan on promoting stress management programs, healthy living resources and other perks to their employees.  Global GDP forecast: The International Monetary Fund is slightly more positive on the global economy. It now expects the global economy to contract by 4.4% in 2020 - an upward revision from an estimate of -4.9% made in June. This forecast assumes that social distancing will continue into 2021 and that local transmission will fall everywhere by the end of 2022. However, the IMF also warned that the recovery might take longer than originally expected. Its growth expectations for next year were cut to 5.2%, from an estimate of 5.4% made in June.  A single tourist: Like many travelers around the world, Jesse Takayama found his dream trip thwarted by the spread of Covid-19. But after an unexpected seven-month stay in Peru, he is finally crossing "visit Machu Picchu" off of his bucket list. Takayama, a native of Osaka, Japan, arrived in the Peruvian town of Aguas Calientes on March 14. He already had his entry ticket and permit to enter the UNESCO World Heritage site on March 16. Then, the Peruvian government opted to close the site - and Takayama was stranded. Since then, Takayama has become a local in Aguas Calientes, where he has been renting an apartment for the past seven months. However, as he started to run

4 out of money, it looked like Takayama would have to head back home without ever having used his Machu Picchu ticket. Enter Andean Roots Peru, a local tour company. With help from the national Ministry of Culture, Takayama was given special permission to enter Machu Picchu - and to have the normally crowded site nearly all to himself. He was accompanied by two photographers who documented the experience. In a celebratory Instagram post, Takayama wrote, "I thought I never make it (to Machu Picchu) but everyone asked the government and the town and they game me super special permission." He added: "Peruvians are soooo kind. Thank you soooo much!" "The Japanese citizen has entered together with our head of the park so that he can do this before returning to his country," Peru's Minister of Culture Alejandro Neyra told reporters.

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

13 Oct Tue 37,984,579 (+290,611) 1,083,216 (+4,355) - 2.85% 26,339,073 (+208,552) 12 Oct Mon 37,693,968 (+346,866) 1,078,861 (+4,129) - 2.86% 26,130,521 (+184,695)

11 Oct Sun 37,347,102 (+300,512) 1,074,732 (+4,457) - 2.88% 25,945,826 (+230,834) 10 Oct Sat 37,046,590 (+335,537) 1,070,275 (+5,804) - 2.89% 25,714,992 (+203,574) 9 Oct Fri 36,711,053 (+357,290) 1,064,471 (+5,707) - 2.9% 25,511,418 (+215,875)

8 Oct Thu 36,353,763 (+369,308) 1,058,764 (+6,517) - 2.91% 25,295,543 (+263,297)

7 Oct Wed 35,984,455 (+346,439) 1,052,247 (+5,855) - 2.92% 25,032,246 (+221,804) Top 15 Global Country Counts  Daily case change (total): India: +55,342 (7,175,880), US: +40,155 (7,836,680), France: +21,826 (797,426), United Kingdom: +17,287 (637,707), Russia: +13,690 (1,318,783), Argentina: +9,524 (903,730), Brazil: +8,429 (5,103,408), Colombia: +7,767 (919,084), Netherlands: +7,446 (194,582), Spain: +7,118 (896,086), Czechia: +6,321 (125,328), Italy: +5,898 (365,467), Ukraine: +5,311 (277,982), Poland: +5,068 (135,278), Germany: +4,292 (335,423)  Daily death change (total): India: +706 (109,856), US: +527 (215,549), Argentina: +318 (24,186), France: +259 (32,961), Iran: +254 (29,070), Russia: +240 (22,834), Brazil: +201 (150,689), Mexico: +164 (83,945), Colombia: +151 (27,985), United Kingdom: +143 (43,108), Ukraine: +111 (5,254), Indonesia: +92 (12,027), Spain: +80 (33,204), Romania: +68 (5,535), Turkey: +62 (8,957) US Numbers Date Cases Deaths Recovered

13 Oct Tue 7,836,528 (+40,155) 215,546 (+527) - 2.75% 3,106,769 (+31,692) 12 Oct Mon 7,796,373 (+40,998) 215,019 (+287) - 2.76% 3,075,077 (+12,094) 11 Oct Sun 7,755,375 (+52,744) 214,732 (+564) - 2.77% 3,062,983 (+23,894)

10 Oct Sat 7,702,631 (+54,527) 214,168 (+781) - 2.78% 3,039,089 (+17,837) 9 Oct Fri 7,648,104 (+58,903) 213,387 (+924) - 2.79% 3,021,252 (+21,357) 8 Oct Thu 7,589,201 (+53,559) 212,463 (+953) - 2.8% 2,999,895 (+47,505)

7 Oct Wed 7,535,642 (+47,422) 211,510 (+876) - 2.81% 2,952,390 (+17,230) US State and Territory Counts  Cases by daily change (totals): Texas: +3,528 (821,961), Wisconsin: +3,279 (155,471), Illinois: +2,853 (327,771), Florida: +2,725 (738,749), California: +2,353 (858,901), Pennsylvania: +1,832 (179,651), North Carolina: +1,734 (234,481), Indiana: +1,549 (138,104), Ohio: +1,447 (171,626), Oklahoma: +1,309 (101,493), Virginia: +1,199 (160,447), Tennessee: +1,147 (218,829), Minnesota: +1,135 (114,574), Alabama: +1,117 (167,193), New Jersey: +988 (215,085), Utah: +987 (87,819), South Carolina: +828 (158,883), Mississippi: +713 (105,941), Iowa: +701 (100,884), Arizona: +684 (226,734), Louisiana: +682 (172,801), Rhode Island: +666 (26,960), Idaho: +597 (48,663), Colorado: +576 (79,013), North Dakota: +508 (28,244), Nevada: +487 (86,835), Kansas: +487 (66,437), Montana: +486 (19,611), Maryland: +482 (132,343), Nebraska: +457 (52,839), South Dakota: +414 (29,339), New Mexico: +379 (33,362), Puerto Rico: +306 (54,540), West Virginia: +273 (18,557), Missouri: +216 (146,154), Oregon: +212 (37,467),

5 Wyoming: +191 (7,802), Guam: +181 (3,170), Alaska: +151 (10,028), Delaware: +105 (22,394), New Hampshire: +65 (9,208), District of Columbia: +46 (16,068), Hawaii: +42 (13,514), Maine: +28 (5,780), Vermont: +10 (1,886), New York: +0 (475,315), Georgia: +0 (332,311), Michigan: +0 (151,396), Massachusetts: +0 (139,663), Arkansas: +0 (93,487), Washington: +0 (93,035), Kentucky: +0 (80,930), Connecticut: +0 (61,377), Virgin Islands: +0 (1,325), Northern Mariana Islands: +0 (77), American Samoa: +0 (0)  Deaths by daily change (totals): Florida: +119 (15,531), North Carolina: +43 (3,816), Wisconsin: +34 (1,508), Texas: +30 (17,002), Illinois: +30 (9,273), Indiana: +27 (3,822), Tennessee: +23 (2,797), South Carolina: +17 (3,576), Oklahoma: +15 (1,119), Pennsylvania: +14 (8,361), Mississippi: +14 (3,115), Iowa: +14 (1,485), California: +12 (16,590), Ohio: +12 (5,017), North Dakota: +12 (357), Virginia: +11 (3,369), Louisiana: +10 (5,679), Nevada: +10 (1,674), Maryland: +9 (4,012), Rhode Island: +9 (1,139), Arizona: +8 (5,767), New Jersey: +7 (16,182), Minnesota: +7 (2,204), Kansas: +7 (787), New York: +5 (33,306), Montana: +5 (217), New Mexico: +4 (915), Colorado: +3 (2,116), Puerto Rico: +3 (738), Nebraska: +3 (522), Idaho: +3 (510), Delaware: +3 (659), West Virginia: +2 (390), Guam: +2 (60), Georgia: +0 (7,429), Alabama: +0 (2,665), Michigan: +0 (7,225), Missouri: +0 (2,424), Massachusetts: +0 (9,617), Arkansas: +0 (1,586), Washington: +0 (2,190), Utah: +0 (522), Kentucky: +0 (1,255), Connecticut: +0 (4,532), Oregon: +0 (599), South Dakota: +0 (288), District of Columbia: +0 (637), Hawaii: +0 (169), Alaska: +0 (60), New Hampshire: +0 (456), Wyoming: +0 (54), Maine: +0 (143), Vermont: +0 (58), Virgin Islands: +0 (20), Northern Mariana Islands: +0 (2), American Samoa: +0 (0)

University of Washington COVID-19 US Projections Model (temporarily removed due to data integrity reporting problems)

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 13 Oct Tue 894,411 7,817,857 103,943,238 117,357,626 6.66% 8,008 36,034 7,020 1,756

12 Oct Mon 1,003,578 7,770,673 103,139,241 116,428,059 6.67% 11,329 35,056 6,804 1,667 11 Oct Sun 943,645 7,727,630 102,250,976 115,424,481 6.69% 11,261 34,028 6,583 1,614 10 Oct Sat 1,133,178 7,680,854 101,450,947 114,480,836 6.71% 11,223 34,611 6,681 1,668

9 Oct Fri 1,098,217 7,623,648 100,497,078 113,347,658 6.73% 13,078 34,839 6,713 1,655 8 Oct Thu 1,030,766 7,566,106 99,541,032 112,117,737 6.75% 13,087 34,322 6,621 1,638 7 Oct Wed 850,784 7,511,236 98,656,345 111,077,086 6.76% 12,269 32,124 6,509 1,646  Testing by daily change (currently): California: +142,376 (16,333,717), New York: +99,070 (12,230,436), Texas: +60,629 (7,012,023), Illinois: +55,993 (6,414,292), Massachusetts: +42,116 (4,857,515), Michigan: +38,462 (4,099,559), Ohio: +36,817 (3,698,741), Oklahoma: +33,014 (1,373,716), North Carolina: +26,769 (3,444,583), Florida: +26,141 (5,593,424), Kentucky: +25,908 (1,591,005), Maine: +23,140 (514,278), Virginia: +20,720 (2,292,562), Louisiana: +20,582 (2,512,847), Minnesota: +18,002 (2,355,124), Pennsylvania: +16,729 (2,234,739), Wisconsin: +14,690 (1,720,713), Tennessee: +13,904 (3,225,624), South Carolina: +13,664 (1,511,481), Connecticut: +13,404 (1,910,348), Georgia: +12,422 (3,180,548), Colorado: +11,150 (1,571,329), New Hampshire: +10,169 (508,079), Montana: +9,193 (409,651), Maryland: +8,874 (1,751,309), Alaska: +8,862 (514,789), Utah: +8,801 (931,732), Indiana: +8,071 (1,503,923), Arkansas: +7,599 (1,162,665), Arizona: +6,951 (1,581,151), Alabama: +6,597 (1,221,207), Oregon: +6,022 (751,277), Rhode Island: +5,855 (905,649), New Mexico: +5,533 (1,002,906), West Virginia: +5,232 (644,666), North Dakota: +5,019 (696,068), District of Columbia: +4,262 (443,081), Nebraska: +3,555 (515,493), Wyoming: +2,865 (113,843), Iowa: +2,729 (824,869), Nevada: +2,509 (743,677), Idaho: +2,330 (338,000), Delaware: +1,471 (315,752), Hawaii: +1,405 (456,118), South Dakota: +1,158 (220,402), New Jersey: +988 (3,972,585), Vermont: +845 (174,560), Mississippi: +713 (810,596), Guam: +678 (56,368), Puerto Rico: +306 (360,512), Virgin Islands: +117 (22,062), American Samoa: +0 (1,616), Kansas: +0 (572,081), Missouri: +0 (2,075,699), Northern Mariana Islands: +0 (15,198), Washington: +0 (2,061,438)

6  Hospitalization by daily change (currently; that report this data): Tennessee: +300 (1,245), Texas: +183 (4,053), Georgia: +87 (1,753), Illinois: +84 (1,848), Ohio: +67 (1,016), South Carolina: +61 (745), Indiana: +50 (1,288), Pennsylvania: +48 (773), New York: +45 (923), Arizona: +39 (706), Minnesota: +35 (481), Virginia: +34 (999), Kentucky: +32 (704), South Dakota: +25 (303), Maryland: +18 (402), Connecticut: +17 (172), Iowa: +14 (463), Massachusetts: +13 (514), West Virginia: +13 (181), Wisconsin: +9 (959), Alaska: +7 (59), Delaware: +7 (112), New Mexico: +7 (127), Vermont: +5 (5), Montana: +3 (294), Oklahoma: +2 (760), District of Columbia: +1 (88), Maine: +1 (8), Hawaii: +0 (103), Kansas: +0 (355), Michigan: +0 (899), Missouri: +0 (1,313), Mississippi: +0 (600), Rhode Island: +0 (126), Washington: +0 (262), Guam: -3 (62), Louisiana: -4 (573), Nevada: -4 (505), Idaho: -5 (187), Nebraska: -5 (299), New Hampshire: -5 (17), Utah: -5 (254), Wyoming: -5 (46), North Carolina: -6 (1,103), Arkansas: -7 (601), California: -10 (3,060), Oregon: -10 (210), Puerto Rico: -11 (303), Colorado: -13 (370), New Jersey: -13 (649), North Dakota: -27 (206), Alabama: -33 (823), Florida: -79 (2,127)

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, October 7, the Index was at 81.2% (+0.9), with 26 (+5) states showing improvement since the previous week

Previous 7 Day Trending 7-Oct 6-Oct 5-Oct 4-Oct 3-Oct 2-Oct 1-Oct

81.2% 81.2% 81.2% 81.1% 81.1% 81.2% 81.1% Historical Trending 30-Sep 15-Sep 1-Sep 15-Aug 1-Aug 15-Jul 1-Jul 15-Jun 1-Jun 15-May 1-May 15-Apr 1-Apr 15-Mar 29-Feb

80.3% 78.6% 79.0% 78.0% 75.2% 74.8% 75.3% 73.4% 67.7% 65.0% 61.5% 59.6% 66.2% 92.3% 100.0%

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 October 12) PRECLINICAL PHASE I PHASE II PHASE III EARLY/LIMITED APPROVED

~145+ 29 14 11 5 0

Vaccines approved Vaccine candidates Vaccines testing Vaccines in expanded Vaccines in large- Vaccines approved for early or limited being evaluated safety and dosage safety trials scale efficacy tests for full use use Phase 3: Moderna/National Institutes of Health (US), BioNTech/Pfizer/Fosun Pharma (German/US/China), AstraZeneca/University of Oxford (Britain/Sweden)), Bacillus Calmette-Guerin/Murdoch Children’s Research Institute (Australia), Johnson & Johnson (US), Novavax (US) Early/Limited Use: CanSinoBIO Biologics (China), Gamaleya Research Institute (Russia), Sinovac Biotech (China), Wuhan Institute of Biological Products (China), Sinopharm/Beijing Institute of Biological Products (China) Approved: None New additions and recent updates:  Johnson & Johnson pauses its Phase 3 trial to investigate an illness in a volunteer - Oct. 12  Thailand’s Chula Vaccine Research Center enters Phase 1 - Sept. 30  The German Center for Infection Research enters Phase 1 - Sept. 28  Inovio’s plans for a Phase 2/3 clinical trial on partial hold due to questions about vaccine delivery device - Sept. 28  Novavax moves to Phase 3 - Sept. 24  SpyBiotech begins Phase 1/2 trials - Sept. 24  Vaxart enters Phase 1. Sept. 24  A vaccine by Johnson & Johnson enters Phase 3 - Sept. 23  Two Phase 3 vaccines by Sinopharm were given emergency approval in the United Arab Emirates - Sept. 15 7  Vaccines by Covaxx and Germany’s University of Tübingen entered Phase 1 - Sept. 15  AstraZeneca resumes vaccine trials in Britain - Sept. 12  The University of Hong Kong enters Phase 1 - Sept. 9

Drug and Treatment Tracker (last updated October 4)

2 2 13 2 3 Tentative or mixed Pseudoscience or Widely used Promising evidence Not promising evidence fraud

Widely Used: Prone positioning, ventilators and other respiratory support devices Promising: Remdesivir, Dexamethasone and other corticosteroids New additions and recent updates:  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  Added oleandrin, a compound produced by a toxic plant - Aug. 21  Added ivermectin, a drug typically used against parasitic worms increasingly prescribed in Latin America - Aug. 10

1. The World Health Organization reports that recovery from a coronavirus infection typically takes two to six weeks, with a US study finding that around 20% of non-hospitalized individuals ages 18 to 34 still had symptoms at least two weeks after becoming ill - the same time for nearly half of people age 50 and older, and among those sick enough to be hospitalized, a study in Italy found 87% were still experiencing symptoms two months after getting sick. 2. Pfizer Inc will enroll participants as young as 12 in its large, late-stage vaccine trial to understand how it works in a wider age group. 3. Swiss pharmaceutical company Roche plans to launch an antigen test to support high-volume testing for laboratories by end of 2020, according to a news release from the company on Tuesday, providing a fully automated system that can provide results in 18 minutes for a single test (excluding time for sample collection, transport, and preparation) and a throughput [rate of production] of up to 300 tests per hour from a single analyzer. 4. The National Institute of Allergy and Infectious Diseases, part of the National Institutes of Health, launched a study designed to determine whether certain approved therapies or drugs in late-stage clinical development show promise against Covid-19 and merit advancement into larger clinical trials, with the ACTIV-5 Big Effect Trial enrolling adult volunteers hospitalized at as many as 40 US sites. 5. US drug inspectors uncovered serious quality control problems at an Eli Lilly and Co pharmaceutical plant that is ramping up to manufacture one of two promising COVID-19 drugs, according to government documents and three sources familiar with the matter. 6. The nation's leading infectious disease expert, Dr. Anthony Fauci, said Tuesday that a lack of testing supplies are disconcerting, and there is a disconnect between the information that he receives and the experiences of those who are working on the ground, saying the suppliers for these materials said there should not be shortages. 7. The US government has entered an agreement with life sciences company Cytiva, a unit of Danaher Corp, to expand the manufacturing of products needed to make vaccines, the Department of Health and Human Services said on Tuesday. 8. The US is investing $481 million in California-based start-up Cue Health to boost manufacturing of its lower nasal in- house swab test that produces results in about 20 minutes without needing to be processed at a lab, the Department of Health and Human Services announced Tuesday, an agreement that will increase production to 100,000 test kits per day by March. 9. Moderna Inc said on Tuesday Canada's health ministry will review its experimental vaccine in real time, becoming the third vaccine maker to be accepted by the country for the process that may speed up approval.

8 10. China National Biotec Group, one of the country’s leading vaccine developers, is working on a plan to inoculate students going overseas with Covid-19 shots that are yet to get regulatory approval, according to people familiar with the matter, as the country pushes scientific boundaries in the race for a viable immunization. 11. Mexico plans to vaccinate nearly all of its population against COVID-19 by the end of 2021 after reaching accords with pharmaceutical companies and the World Health Organization-backed COVAX plan, the government said on Tuesday.

US Outbreak 1. Texas recorded more than 5,000 new infections for the first time since the end of September today, and hospitals registered a 4.7% jump in new patients in the past 24 hours that pushed the census close to a six-week high. 2. Wisconsin reported a record high for daily deaths and 3,279 new cases in the last 24 hours, with the state seeing hospitalizations triple over the past month, and the Governor saying today the state has to get the virus under control to prevent the health care system from being overwhelmed. 3. Florida announced 2,725 new cases Tuesday, marking the ninth day in October the state has reported at least 2,200 infections in a single day. 4. Iowa reported 100,451 cases across the state on Monday, hitting the mark 218 days after the state reported its first cases in March, with the uptick in infections said to be stemming from outbreaks in nursing homes and at meatpacking plants. 5. Utah is experiencing "one of the worst outbreaks in the country" and has announced a new three-tier monitoring system for counties, with officials saying Tuesday the state has seen infection rates and case counts skyrocket over the past month to the highest they've been, with new cases hovering around 1,000 per day since October 4. 6. New York City officials said Tuesday the city is beginning to see a “leveling off” in the red zone cluster areas across Brooklyn and Queens, the test positivity rate is now at 1.90%, and as of October 11 there were 520 confirmed cases. 7. Wisconsin is opening a field hospital his week in response to a surge in patients - days after the state reported record-high numbers of cases, hospitalizations and daily deaths. 8. Denver, Colorado officials said cases were rising at a "concerning rate," and warned new restrictions could be needed, with the city's seven-day average daily case rates as "high right now as they were at the height of the pandemic back in May." 9. A United States Postal Service processing center in Las Vegas reported today that eighteen employees – out of the 775 that work at the facility - have tested positive since September 26, with officials saying they’re continuing with the Centers for Disease Control and Prevention's protocols, such as social distancing, mask wearing and sanitizing, but there has been no "operational impact” at this time. 10. Half of Maryland residents would not take a federally approved coronavirus vaccine today even if it were offered free, a new Goucher poll released Tuesday found, with people ages 35 to 54 are more likely than their older or younger counterparts to say they would decline a vaccine, 59% saying they would not take it if it were available today, and about 7 in 10 people saying they are either “somewhat” or “very concerned” about themselves or a loved one getting sick, 11. Virginia’s Governor said today that he and his wife “have been cleared by health officials to leave isolation and go back to work” since it has been several days since their last symptoms, and that “some 65 staff” members had to quarantine after they tested positive, but all have tested negative. 12. US Army Chief of Staff General James McConville, who along with other members of the Joint Chiefs that self- quarantined after attending a meeting attended by the Vice Commandant of the Coast Guard who tested positive, has returned to work after being cleared by doctors.

US Restrictions 1. New Mexico is announcing a partial rollback of the state’s economic reopening, as case numbers increase rapidly, with new measure that include:  Starting Friday, bars and restaurants that serve alcohol will have to close by 10:00PM local time and mass gatherings will be limited to only five people.  Hotel occupancy is being reduced from 75% of normal capacity to 60%, and only after the business completes a state training program on avoiding virus spread.  Hotels that are not certified by that program will only be allowed to serve 25% of their regular capacity. 9

US Schools 1. Michigan announced Monday there are 26 K-12 schools and colleges reporting outbreaks totaling 116 new cases, numbers that are in addition to 5,151 infections previously reported in 81 schools across the state. 2. Florida’s Broward County announced that a first grader tested positive after attending the first day of face-to-face instruction at Pembroke Pines Charter Elementary West campus on Friday. 3. New York City Public School testing numbers are “very encouraging,” according to officials Tuesday, who announced that out of 1,751 tests conducted across 56 schools on Friday, only one person tested positive. 4. The University of Delaware reported Tuesday that nineteen student-athletes from the swimming and diving teams were sanctioned and suspended after violating the school's Covid-19 protocol, with officials saying the suspensions were issued after a "large indoor social gathering hosted on September 26, 2020 at an off campus residence." 5. The University of Florida has released an updated number of positive tests among its football student-athletes, which indicates the team had five new infections over the past week, and is pausing team activities out of an abundance of caution.

Global Outbreak 1. India confirmed another 55,342 new cases in the past 24 hours, the country’s lowest daily tally since mid-August. 2. Italy’s cases jumped again on Tuesday to 5,901, the most since March 28, compared with 4,619 the previous day, as officials imposed a series of new curbs on nightlife, social events and amateur sports. 3. Germany reported 4,122 new infections Tuesday and 24,584 new cases in the past seven days - the highest weekly count since April, with the country's infection rate reaching 29.5 cases per 100,000 residents, and there are currently 35 regions that exceed the threshold of 50 new infections per 100,000 residents in the past week. 4. Russia reported 13,868 new cases on Tuesday - another record-high daily increase, with the worst affected city of Moscow reporting 4,618 new cases - also a new record increase. 5. Argentina reported 9,524 new infections late Monday, with officials announcing a "significant reduction" in cases in the largest province of Buenos Aires, but authorities have tightened restrictions in 18 other regions of the country for another two weeks. 6. The Netherlands reported a total of 7,393 new case in the past 24 hours, and added almost 44,000 new patients last week, a new record, as the country announced new restrictions that will shut bars and restaurants in the country for a four-week period starting Wednesday. 7. Austria added 1,028 new cases on Tuesday, and the capital of Vienna recorded 306 infections within the past 24 hours, with the country seeing a gradual rise since late June. 8. South Korea reported 102 new cases in the past 24 hours, the first time the country has reported more than 100 new cases in six days and since easing its social distancing measures on Monday, with 69 infections locally transmitted and 33 imported. 9. Africa reported a substantial rise in deaths, with a 27% increase compared to the previous week. 10. Iran registered a record single-day fatality count for the second day in a row on Monday. 11. France reported the number of Covid patients in intensive-care units increased by 94 to 1,642 on Tuesday, the biggest jump since April 6 and reaching the highest level since the final week of May, with the positivity rate continuing to rise and now reaching 12.8% - more than double what it was a month ago - 5.4% on September 12. 12. El Salvador’s President announced Tuesday a second wave is now sweeping the country, describing it as a "national outbreak," and saying that “although hospitals remain relatively empty and the pandemic is still relatively under control, the number of consecutive days with an increase in cases indicates that a national outbreak has begun.” 13. London’s Mayor said today it was “inevitable” the United Kingdom’s capital would meet the threshold for tougher restrictions in the coming days, explaining "All the indicators I have - hospital admissions, ICU occupancy, the numbers of older people with cases, the prevalence of the disease, the positivity - are all going the wrong direction.” 14. Paris is faring worse that the rest of the country, with an incidence rate of 413.2 cases per 100,000 versus a national average of 166, with more than 40% of ICU beds in the region now occupied by Covid patients, well above the 30% threshold used to decide when areas or cities should be placed in the "maximum alert" category. 15. China’s eastern city of Qingdao has now tested more than 3.07 million people since the weekend, when 12 locally transmitted cases linked to the Chest Hospital were reported, with no new cases identified by the citywide testing program from the more than 1.1 million samples already returned.

10 16. European Union countries have agreed to a set of criteria to make the reporting of cases and travel restrictions easier to understand, a move it hopes will make travel more predictable, and help prevent further disruption caused by the pandemic, with recommendations adopted Tuesday including a new weekly "traffic light" map that will be published by the European Centre for Disease Prevention and Control that shows countries' different epidemiological situations, including:  Red: High risk -- quarantine on arrival/take a test (some countries may require a negative test in advance)  Orange: Medium risk -- quarantine on arrival/take a test (some countries may require a negative test in advance)  Green: Low risk -- no restrictions when traveling to another part of the EU 17. The Netherlands said the number of cases rose 60% over the seven-day period ending Monday and announced a series of additional restrictions today that included:  All restaurants and bars must close as of 10PM Wednesday, including for outside dining, except for takeout.  No alcohol or soft drug retail sales will be allowed, and No carrying or consumption of alcohol or soft drugs in any public space is allowed between 8PN and 7AM.  All non-life-sustaining retail stores must close by 8 p.m.  Face coverings must be worn in all indoor public spaces. 18. Argentina officials are reopening schools in parts of the country with a number of measures to limit outbreaks that includes classes that last 90 minutes without breaks, students being divided into the necessary subgroups to respect social distancing according to the protocols, temperatures taken at school entrances and certification that students do not have any symptoms. 19. The Bloomberg Nanos Canadian Confidence Index, a composite measure of Canada’s financial health and economic expectations derived from telephone polling, dropped more than half a point to 52.4 for the week ended October 9, the biggest weekly decline since April, bringing the gauge to the lowest since mid-August. 20. The United Kingdom government is accused of ignoring its own scientists, who three weeks ago suggested considering a so-called “circuit-breaker,” a short lockdown to bring incidence levels down, with the governmental advisory body SAGE group - the Scientific Advisory Group for Emergencies – saying in a document on September 21 that "a package of interventions will need to be adopted to prevent this exponential rise in cases.” 21. Polish Premier Mateusz Morawiecki has gone into quarantine after coming into contact on October 9 with a person who was confirmed this morning to have the virus, his office said in a statement.

Business Related 1. Many more companies are expected to delay their return-to-office dates to keep workers safe, and workers said they were in no rush to go back, with 73% of US employees fearing that being in their workplace could pose a risk to their personal health and safety, according to a study by Wakefield Research commissioned by Envoy, a workplace technology company. 2. Dropbox will make remote work the standard practice, even after the Covid-19 pandemic ends, and for employees who need to meet or work together in person, the company is setting up “Dropbox Studios” in San Francisco, Seattle, Austin and Dublin when it’s safe to do so, however it likely won’t be soon since the company extended its mandatory work-from-home policy through June 2021. 3. JPMorgan Chase unexpectedly grew its bottom line last quarter, as the bank's Wall Street business and its Main Street arm withstood turmoil in the global economy, with the US's largest bank blowing away expectations by reporting a profit of $9.4 billion during the third quarter on Tuesday, up 4% from the year before, and per-share profit jumping to $2.92, easily topping estimates. 4. Citigroup reported stabilizing credit costs and third quarter results that topped Wall Street estimates today, with net credit losses declining to $1.9 billion in the third quarter from $2.2 billion in Q2, and the company’s overall cost of credit dropping to $2.26 billion from $7.9 billion on a quarter-over-quarter basis, 5. Delta Air Lines posted a massive $2.1 billion operating loss in the third quarter on Tuesday, a loss that was larger than forecast by Wall Street Analysts, and the company warned investors "it may be two years or more" for demand for air travel to return to normal. 6. AMC, the largest cinema chain in the world, warned Tuesday in a public filing that it could run out of cash by the end of the year or by early 2021, blaming a bare movie calendar and continued lackluster attendance for the chains continued troubles. 11 7. New York state’s Metropolitan Transportation Authority, which runs the subway, buses and two commuter rails, warned in a report Tuesday if it does not receive federal aid it will be forced to slash service, raise fares and borrow billions of dollars - causing damage that would affect the region’s transportation system for decades.

General Information 1. Fans attended a Major League Baseball game on Monday night for the first time since March, when the league shut down spring training due to the pandemic, with approximately 11,550 tickets being made available for the National League Championship Series opener between the Atlanta Braves and Los Angeles Dodgers at Global Life Field in Arlington, Texas 2. For the first time in the 178-year history of the New York Philharmonic, the symphony orchestra announced today it is canceling its entire season until at least June 13, 2021, citing mandatory state and city government health regulations during the pandemic. 3. American golfer Dustin Johnson, who sits atop the World Golf Rankings, has tested positive according to a statement from the PGA Tour, and as a result has withdrawn from this week’s tournament in Las Vegas. 4. Soccer superstar Cristiano Ronaldo has tested positive, the Portuguese Football Federation said in a statement Tuesday, and will not be playing with the national Team when it faces Sweden this week. 5. The National Football League and NFL Players Association confirmed Tuesday that eight players and seven staffers tested positive for coronavirus between October 4 and October 10, bringing the total number of cases to 39 players and 60 other personnel since monitoring began August 1. 6. The Philadelphia Eagles announced they will welcome fans to Lincoln Financial Field for the first time this season for their game vs. the Baltimore Ravens on Sunday, with occupancy limited to 7,500 people, which includes players, coaches, team and stadium personnel, media and fans. 7. The Bills and Titans will play the NFL’s first Tuesday night game since 2010 after there were no new positive tests for Tennessee, which has had an outbreak among players and team personnel. 8. With bars and pubs in England forced to close their doors at 10PM, Britons are stocking up on alcohol in supermarkets, with sales over the past month totaling more than 260 million pounds ($340 million), according to data company Kantar, who also reported that sales of toilet paper and flour rose by 64% and 73% respectively during the seven days to September 27. 9. New York Governor Andrew M. Cuomo’s book, “American Crisis: Leadership Lessons from the COVID-19 Pandemic,” debuted on Tuesday, largely drawn from his streak of daily press briefings given from March to mid-June.

General Information No new stories of interest to report.

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

Reference CNN, Washington Post, CNBC, NBC News, CBS News, Bloomberg, Reuters, BBC, Reddit, American Banker, Wall Street Journal, New York Times

Max M. Morris Senior Director | Cyber Defense & Response [email protected] 980.312.8530 (o) 704-534-0861 (c)

12 Compiled Informational FAQ’s, Insight, Tips and Best Practices (previously provided) Back-to-Normal Index Methodology The Moody’s Analytics and CNN Business Back-to-Normal Index combines 37 indicators, including traditional government statistics and metrics from a host of private firms to capture economic trends nationally and across states in real time. The government statistics cover retail sales, industrial production, durable goods orders and housing starts, to name a few. Private contributors to the index include Zillow for home listings, OpenTable for restaurant bookings, Homebase for its measures of hours worked at small businesses, the Mortgage Bankers Association for data on applications for mortgage loans, the Association of American Railroads for rail traffic, and Google, whose cellphone- based mobility data is a window into how actively people are shopping, going to work and venturing out to play. The Index goes beyond the typical measures used to judge how an economy is doing, such as GDP, employment and unemployment, to provide a comprehensive understanding of how businesses and consumers are responding to the pandemic, and can be found at https://www.cnn.com/business/us-economic-recovery-coronavirus. 7 Essential Tips for Working From Home During the Coronavirus Pandemic In the midst of the new pandemic, many companies are implementing voluntary or mandatory work-from-home policies. That means lots of us are dealing with an unusual challenge: working from home for the first time, full- time. Even if you’ve done it before, working from home because of coronavirus might feel like a whole new world: It’s probably sudden. It might be for an extended period of time rather than a day here and there (and you’re not at all sure how long it’ll last). Your whole company is involved. And you can’t necessarily socialize in person outside of work. These tips will help you make sure that you’re successful, both at getting your work done and at maintaining your mental well-being. Read the complete story at https://www.themuse.com/advice/coronavirus-work-from-home-tips: 1. Get dressed 2. Designate a Workspace or Home Office 3. Keep Clearly Defined Working Hours 4. Build Transitions Into (and Out of) Work 5. Don’t Get Too Sucked in by the News - or Anything Else 6. Communicate, Communicate, Communicate 7. Don’t Forget to Socialize 7 tips for parents to prepare kids for school Across the country, millions of students are returning to newly-designed classrooms with new rules, like social distancing and mask wearing, or they are spending the start of the school year in front of a computer screen at home, doing virtual learning, or doing homeschooling. Either way, the changes and uncertainty caused by the pandemic are already having an impact on children's mental health, data shows. Here are seven tips from Hameed and Dr. Harold Koplewicz, president and medical director of the Child Mind Institute, on how parents and students can prepare mentally for the school year ahead. See the full recommendations at https://abcnews.go.com/GMA/Wellness/tips-parents-mentally- prepare-children-upended-school-year/story?id=72192322: 1. Create an at-home learning space for your child. 2. Focus on skills rather than assignments. 3. Develop a social life with your kids. 4. Stay active with your kids. 5. Practice gratitude and focusing on the present. 6. Show your kids how you're processing emotions. 7. Be smart with screen time. Coronavirus Drug and Treatment Tracker Ratings (reference for New York Times Coronavirus Drug and Treatment Tracker above, ratings based on the scientific evidence for its effectiveness and safety)  STRONG EVIDENCE: The treatment has been demonstrated to be effective and safe, either through a robust clinical trial or widespread use by doctors. The strongest trials are randomized controlled trials, in which some people get a treatment and others get a placebo.  PROMISING EVIDENCE: Early evidence from studies on patients suggests effectiveness, but more research is needed. This category includes treatments that have shown improvements in morbidity, mortality and recovery in retrospective studies, which look at existing datasets rather than starting a new trial.

13  TENTATIVE OR MIXED EVIDENCE: Some treatments show promising results in cells or animals, which need to be confirmed in people. Other treatments have produced different results in different experiments, raising the need for larger, more rigorously designed studies to clear up the confusion.  NOT PROMISING: These treatments show mixed evidence that suggests that they do not work.  INEFFECTIVE AND POSSIBLY HARMFUL: These treatments were once seriously considered for Covid-19 but have not held up under scientific scrutiny, proving to be ineffective or even harmful.  PSEUDOSCIENCE OR FRAUD: These are not treatments that researchers have ever considered using for Covid-19. Experts have warned against trying them, because they do not help against the disease and can instead be dangerous. Some people have even been arrested for their false promises of a Covid-19 cure. The Vaccine Testing Process (reference for New York Times Coronavirus Vaccine Tracker above)  PRECLINICAL TESTING: Scientists give the vaccine to animals such as mice or monkeys to see if it produces an immune response.  PHASE I SAFETY TRIALS: Scientists give the vaccine to a small number of people to test safety and dosage as well as to confirm that it stimulates the immune system.  PHASE II EXPANDED TRIALS: Scientists give the vaccine to hundreds of people split into groups, such as children and the elderly, to see if the vaccine acts differently in them. These trials further test the vaccine’s safety and ability to stimulate the immune system.  PHASE III EFFICACY TRIALS: Scientists give the vaccine to thousands of people and wait to see how many become infected, compared with volunteers who received a placebo. These trials can determine if the vaccine protects against the coronavirus.  APPROVAL: Regulators in each country review the trial results and decide whether to approve the vaccine or not. During a pandemic, a vaccine may receive emergency use authorization before getting formal approval. Tips to shift your perspective from pessimism to optimism (from Jen Gotch, founder and chief creative officer of ban.do and author of the bestselling book, "The Upside of Being Down"): 1. Take some quiet time to start to become aware of your thoughts. Many of us are so used to that ongoing narrative in our mind -- one that can often be fear-based and fraught with negativity. Building that awareness is a good place to start. 2. Recognize that the voice is not you and when it is serving up negativity, you can choose not to listen to it. My relationship with that inner voice is such that at this point I just say, "Hey, thank you for coming today. I know that in some strange way you are trying to help, but I'm OK and I don't need you today." 3. Then you can work to add positivity to that voice. I like the idea of challenging myself to find an upside to something negative. Certainly some situations make that easier to do than others, but it's a great way to start training your brain toward optimism. 4. With optimism you can recognize that there is no way to avoid days in which bad things happen, but you can control how you label that day. It means finding a way to see even the hardest days as OK days, and that holds a lot of power. It helps me to remember that the bad is there so we can know what good is, but also to teach us something -- sometimes something big, sometimes small. If you can accept the situation rather than resist it, and have gratitude for the potential enlightenment it could bring, you can find peace. With practice, this becomes second nature. 5. Acceptance is a huge part of optimism. A pessimist might spend a lot of time resisting bad news, an awful situation, etc. To many that feels like control, but in reality most things in life are actually completely out of our control. Learning to accept the fact that you can't control the situation, and instead work to control how you react to it, is another really powerful part of optimism. Explainer: The coronavirus risks of everyday activities as economies reopen (https://www.reuters.com/article/us- health-coronavirus-risks-explainer/explainer-the-coronavirus-risks-of-everyday-activities-as-economies-reopen- idUSKBN23N1PS) Reuters asked five epidemiologists and public health experts to rate eleven everyday activities on a scale of 1 to 5, with 1 being a low-risk activity and 5 being a high risk activity. The scientists agreed that precautions can be taken to make all of these activities safer. “Higher-risk activities are those that are indoors, with poor ventilation and lots of people for long periods of time,” said Ryan Malosh, a researcher at the University of Michigan. “Lower-risk activities are outdoors, with ample space to socially distance, few people outside your household, and for shorter periods of time.” 1. GOING TO THE DOCTOR - Low risk (Average: 2.1) 2. GOING TO AN OUTDOOR PICNIC OR BARBECUE - Low risk (Average: 2.3)

14 3. HAVING AN OUTDOOR PLAYDATE WITH A FRIEND OF YOUR CHILD - Low to moderate risk (Average: 2.4) 4. GOING SHOPPING - Low to moderate risk (Average 2.5) 5. RETURNING TO YOUR OFFICE - Moderate risk (Average: 2.6) 6. VISITING AN ELDERLY RELATIVE - Moderate risk (Average: 3.2) 7. GETTING A HAIRCUT - Moderate risk (Average: 3.4) 8. GOING TO A RESTAURANT - Moderate risk (Average: 3.4) 9. GOING TO AN INDOOR DINNER PARTY - Moderate to high risk (Average: 3.8) 10. SENDING YOUR CHILD TO SUMMER CAMP - High risk (Average 3.9) 11. RIDING PUBLIC TRANSIT - High risk (Average: 4.1) Q: Can coronavirus stick to clothes? Do I need to wash my clothes right after encountering other people, like at the grocery store or while jogging? A: “I don’t think you need to,” CNN Chief Medical Correspondent Dr. Sanjay Gupta said. Coronavirus can stay alive for up to three days on stainless steel and plastic. But clothing “is probably more like cardboard — it’s more absorbent, so the virus is unlikely to stay and last that long,” Gupta said. While coronavirus can stay alive on cardboard for up to 24 hours, viruses generally don’t stick well on surfaces that are in motion. “If you look at how viruses move through air, they kind of want to move around objects,” Gupta said. “They don’t want to necessarily land on objects. So if you’re moving as human body through the air … (it’s) unlikely to stick to your clothes.” More with less: How to adapt small spaces for lockdown The difficulties of isolation and working from home are most acutely felt by those in small apartments and other confined spaces. US-born designer and author Azby Brown, who has lived in Japan since 1985 and founded the KIT Future Design Institute in Tokyo, has some tips on adapting:  Change up your windows: "Pay attention to your windows. Just change them up. The novelty will be mentally and emotionally helpful. Put some decorations around them, just something to liven them up so you don't feel that you're stuck," she said.  Getting away from work: "Put your work away when it's time to eat. Maybe you can get a side storage unit on wheels where you can just put that stuff in and roll it out of sight for a while."  Best way to deal with privacy while on a conference call: "Find a way to decorate a little corner somewhere. Maybe you get a stand to put your laptop on and put a better microphone there. Create a little communications nook, and that's your window to the outside world.  Preventing distractions while working: "If you really want privacy, it is psychologically important to have a "do not disturb" signal. In a house that's very compact, it could simply be facing your chair the other way and telling others that if you're facing that way, you're working." Q: Are all soaps created equal? Which ones are the best to use? A: Dr. Darria Long, emergency room physician –– "It looks like when you're using soaps that probably an antibacterial may be a little more helpful than say a generic moisturizing soap, but just as important as what you use is the duration. We say in medicine the solution to pollution is dilution–– meaning you have to have that time of the soap on your hands to really disrupt the virus and wash it off. That 20 seconds is really important." Q: How has coronavirus affected the housing market? Is it still a good time to buy or sell a home? A: Suze Orman, money expert and host of the "Women and Money" podcast –– "I have to tell you for the housing market to go up means people have to be able to afford to buy a home and I'm not sure that is going to be able to happen. So I don't think the housing market is going to go up. I probably would not be buying a home right here. If I had to, though, I would be selling a home if I needed to sell it but I wouldn't be buying at this point." Q: Could Covid-19 spread from second-hand vaping and how quickly will it get into your lungs? A: Dr. Darria Long, emergency room physician –– "If you are vaping, increased coughing and maybe deeper breathing you may be more likely to spread Covid to other people, but what we also have to emphasize is studies are showing that people who vape, smoke, smoke cannabis, any type of smoking are at higher risk of developing potentially more severe Covid and more complications from Covid. It decreases your immune system and hurts your lungs." The right way to use and clean your mask during the pandemic People should be wearing cloth face coverings to prevent the spread of COVID-19, the Centers for Disease Control said. For masks to be effective, they must be worn properly. Here’s the right way to use a cloth face covering during the COVID-19 pandemic, plus common pitfalls that could affect your safety:

15  Focus on the Fit: Face coverings should be snug, but still comfortable, and cover your whole nose and mouth, and extend underneath your chin, according to the CDC.  Put it on carefully: The World Health Organization suggests that people first clean their hands before putting a mask on and check that there are no holes or tears in the fabric.  Don’t touch the mask while wearing it: If you must take off your mask for a quick breather, or an itch, it’s important to practice good hand hygiene after touching the face covering.  Take it off carefully: Be extra careful not to touch the front of your mask and your eyes, nose and mouth when removing your face covering, and wash your hands after handling your mask, according to the CDC.  Wash your mask often: According to the CDC, machine-washing your mask is enough to disinfect your cloth face covering.  Keep social distancing: Wearing a face covering is just one additional step that you can take to stop the spread of COVID-19, but it’s not a replacement for the other important prevention measures, such as washing your hands and social distancing. CNN - How to help medical efforts during the pandemic Here's how to help medical efforts in your community during the coronavirus pandemic.  Give blood: The nation’s blood supply is dangerously low. Local blood drives can be found through the American Red Cross, America’s Blood Centers, Blood Centers of America and the Advancing Transfusion and Cellular Therapies Worldwide.  Donate medical supplies: MedSupplyDrive is helping individuals and medical labs donate protective gear to hospitals in their area. Several national craft and sewing groups are also making masks to send to healthcare workers.  Donate Hand-Sewn Face Masks: Got a sewing machine at home? You can help by sewing cloth masks. The CDC cautions that fabric masks cannot be used in the care of Covid-19 patients, but are helpful in other areas of patient care since other forms of medical protective equipment are exhausted. CNN - How to help local businesses during the pandemic Here's how to help small businesses in your community during the coronavirus pandemic:  Shop small: Independent bookstores across the country are offering delivery and curbside pickup. Find out how to connect to local offerings through IndieBound. If you prefer audio books, Libro.fm works with independent booksellers as well.  Buy gift cards: It will provide immediate income, and you get the product later. Help Main Street: Allows people to buy gift cards to their favorite stores now with the intention of using them once operations recommence. Kabbage: Use this service to buy gift certificates to support small businesses. CDC Cloth Face Covering Instructions and Guidance The US Centers for Disease Control and Prevention has released instructions and visual tutorials on how to make cloth face coverings from common household materials that can be found at https://www.cdc.gov/coronavirus/2019- ncov/prevent-getting-sick/diy-cloth-face-coverings.html. 1. The CDC recently released guidance recommending the use of cloth face coverings "in public settings where other social distancing measures are difficult to maintain, especially in areas of significant community based transmission." 2. Cloth face coverings can be homemade out of pieces of fabric, T-shirts, bandannas and coffee filters to slow down the spread of the virus, especially those that may be asymptomatic and capable of transmitting it to others despite experiencing no symptoms. 3. The CDC recommended any homemade cloth face coverings include multiple layers of fabric, be secured to the ears, and allow for breathing without restriction. 4. The guidance recommends routinely cleaning coverings in a washing machine and that no child under the age of 2 should wear them. Q: Should I worry about contracting the virus from mail and newspapers? A: Dr. Darria Long, emergency room physician: "There is no evidence you may contract the coronavirus from mail and newspapers but that said if you want to be on the safer side we know that Covid can live on cardboard for about 24 hours. If you want to take the extra precaution you can effectively quarantine that mail, say in your garage or someplace, for about 24 hours then open it up and wash your hands well after you do it." Q: There's a lot of talk about social distancing but what do you do when you are on an overcrowded subway or bus?

16 A: Dr. Darria Long, emergency room physician: "For one, of course, maintain social distancing as much as you can. If you can stay six feet away from other people on the bus or subway, do so. Other than that, I would absolutely want someone to be wearing a mask the entire time they are on there, even a cloth mask. Then you can do two other things. You can wear an outer layer you carefully remove when you get out of the subway or bus or wear gloves. But key point, we are seeing a lot of people wear gloves and I do have to say you have to remove them carefully or you eliminate the effect. So you pinch the outer glove with one hand and take your clean finger to remove the other so you're not touching the outside. Of course wash your hands afterwards." Q: How do I talk to my 65-year-old father about limiting his visits to the store without sounding like I am scolding him? A: Dr. Gail Saltz, psychiatrist and psychoanalyst: "The relationships that are happening between adult children and their parents and kids who suddenly arrive back home, there is pressure going on and anxiety going on that things are being heard in critical ways or people are saying things in irritable ways which is all very understandable. But if you realize that your parent is used to being 'the parent' and you simply say, hey, I love you and I'm really just worried about you so I'm asking you not to do this because I understand it puts you at greater risk and for me, my worry, my anxiety, I would really feel better if you wouldn't do it which is different than saying, hey. I know better and I told you so." Q: Mosquito season is about to start. Should we be concerned about mosquitos transmitting Covid-19? A: Dr. Darria Long, emergency room physician: "We know mosquitos can carry other viruses, but there is no evidence right now they can actually transmit coronavirus from one person to another." If you wear a mask, do these three things - NEW The US Centers for Disease Control and Prevention continues to re-examine possible changes to its recommendations on the general public wearing face masks. In the meantime, the US Surgeon General said that there are 3 things you should do if you decide to wear a mask: 1. Don't touch your face: “If you’re going to wear a face covering, please try not to touch your face. Please be very, very careful about making sure you don’t touch your face.” 2. Don't use an N95: “If you’re going to wear a face covering, please save the N95 masks for healthcare workers who need them.” 3. Stay at home: “Wearing a face covering does not mean that you don’t have to practice social distancing. The most important thing you can do is stay at home right now, and we don’t want people to feel like ‘OK I’m covering my face so now it’s OK for me to go out in public.'" COVID-19 Screening Tool Apple, in partnership with the Centers for Disease Control and Prevention, White House Task Force and FEMA, has released a website and iOS app that will allow users to screen themselves for symptoms. The company said it would will not collect or store users’ answers to the questionnaire, though it will collect anonymous information about usage of the tools. The website can be found at https://www.apple.com/covid19. Payment Calculator The Washington Post has developed a stimulus payment calculator that estimates how much people will receive as well as provide answers to frequent asked questions. It can be found at https://www.washingtonpost.com/graphics/business/coronavirus-stimulus-check-calculator/. Corrective Lenses Best Practices The American Academy of Ophthalmology suggest it's time to put your contact lenses on the shelf and dazzle the world with your frames. That's because wearing glasses can help you stop touching your face, a key way any virus is spread. Contact lens users not only touch their eyes to put in and remove their lens twice or more a day, they also touch their eyes and face much more than people who don't wear contacts. People who are at higher risk for severe illness Based on currently available information and clinical expertise, older adults and people of any age who have serious underlying medical conditions might be at higher risk for severe illness from COVID-19. Based upon available information to date, those at high-risk for severe illness from COVID-19 include:  People aged 65 years and older  People who live in a nursing home or long-term care facility  Other high-risk conditions could include: o People with chronic lung disease or moderate to severe asthma o People who have heart disease with complications

17 o People who are immunocompromised including cancer treatment o People of any age with severe obesity (body mass index [(BM]I)≥40) or certain underlying medical conditions, particularly if not well controlled, such as those with diabetes, renal failure, or liver disease might also be at risk  People who are pregnant should be monitored since they are known to be at risk with severe viral illness, however, to date data on COVID-19 has not shown increased risk Many conditions can cause a person to be immunocompromised, including cancer treatment, bone marrow or organ transplantation, immune deficiencies, poorly controlled HIV or AIDS, and prolonged use of corticosteroids and other immune weakening medications Coronavirus symptoms: What they are, and when to seek help - NEW 1. The main list of acute symptoms at this time is actually quite short and can appear anywhere from two to 14 days after exposure, according to the US Centers for Disease Control and Prevention. Being able to identify those symptoms and act upon them when necessary is critical. Here are some of the symptoms:  Fever  Cough  Difficulty breathing  Flu and cold symptoms 2. "At this moment, the current guidance -- and this may change -- is that if you have symptoms that are similar to the cold and the flu and these are mild symptoms to moderate symptoms, stay at home and try to manage them with rest, hydration and the use of Tylenol," the American Medical Association has said. That advice does not apply if you are over age 60, since immune systems weaken as we age, or if you are pregnant -- anyone with concerns about coronavirus should call their healthcare provider. Do you have cabin fever? Here's what you can do about it While our abilities to go to work and participate in activities outside the home are under restriction, initial discomfort may quickly result in "cabin fever." Cabin fever is not like a psychological disorder, but the feelings associated with it are. It involves a range of negative feelings and distress related to restricted movement: irritability, boredom, some hopelessness, restlessness and difficulty concentrating. Your personality is a major factor in how quickly you develop these kinds of emotions. If you're more extroverted and not used to being at home, you're probably more prone to feeling this way and may feel it instantly. Those who see quarantine as a way to clean, pay bills, organize their closet or pursue a new hobby might take longer to reach cabin fever, if they ever do. Whichever group you belong to, there are various ways you can ease the tension: 1. Establish a routine 2. Mix up your space 3. Stay physically and mentally active 4. Connect with others .. but find time to separate, too 5. Embrace discomfort Pediatrics Study Findings 1. The study examined 731 confirmed and 1,412 suspected cases of COVID-19 in children. 2. Out of the combined 2,143 cases, one child, a 14-year-old boy, died and nearly 6% of cases were severe, compared with 18.5% of adults experiencing severe symptoms. 3. Young children, particularly infants, were vulnerable to COVID-19 infection, the authors of the study said. Nearly 11% of cases were severe and critical for infants less than 1 year old. 4. More than 90% of all pediatric patients were asymptomatic, showing mild or common forms of illness. About 13% of patients who tested positive for the virus did not show symptoms of illness. 5. Researchers remain unsure why children with COVID-19 were not as ill as adults. WHO Clinical Guidance 1. Although the evidence suggests that those over 60 are at highest risk, young people, including children, have died. 2. Women experience changes in their bodies during pregnancy that may increase their risk of some infections. 3. There is no evidence that pregnant women present with different signs or symptoms or are at higher risk of severe illness. 4. So far, there is no evidence on mother-to-child transmission when infection manifests in the third trimester.

18 5. Considering asymptomatic transmission may be possible in pregnant or recently pregnant women, as with the general population, all women with epidemiologic history of contact should be carefully monitored. 6. Pregnant women with suspected, probable, or confirmed COVID-19, including women who may need to spend time in isolation, should have access to appropriate care and all recently pregnant women with COVID-19 or who have recovered from COVID-19 should be provided with information and counseling on safe infant feeding as well as ways to prevent transmission of the virus. 7. There is no currently evidence that pregnant women present increased risk of severe illness or fetal compromise. Coronavirus FAQ’s 1. How does it spread? The virus appears to mainly spread from person to person. Transmission happens when someone comes into contact with an infected person's secretions, such as droplets in a cough or sneeze. The virus can also be transmitted by coming into contact with something an infected person has touched and then touching your mouth, nose or eyes. Caregivers can sometimes be exposed by handling a patient's waste, according to the CDC. 2. How is it treated? There is no specific antiviral treatment, though research is underway. Most of the time, symptoms will go away on their own and experts advise seeking care early. Doctors can relieve symptoms by prescribing a pain or fever medication. 3. How long is the incubation period? The incubation period is how long it takes for people to get ill after being exposed to the virus. For coronavirus, this time period is 14 days -- which is why many mandatory quarantines being imposed are for 14 days. 4. How can you can prevent it? There is no vaccine to protect against it for now. Until researchers develop one, you can reduce your risk of infection by avoiding people who are sick. Cover your mouth and nose when you cough or sneeze, and disinfect the objects and surfaces you touch. Avoid touching your eyes, nose and mouth, and wash your hands often with soap. 5. What is the incubation period for the coronavirus? An incubation period is the time between catching an illness and showing symptoms of the illness. Current estimates suggest that symptoms of COVID-19 usually appear within around five days or less in most cases, but the estimate range is between 2 and 14 days with outlier cases from 0 to 27 days. 6. Do people who have recovered from novel coronavirus become immune to it? It's too early to know for sure. But other coronaviruses, like ones that cause the common cold, might give us clues. With "common cold coronaviruses, you don't actually have immunity that lasts for very long, and so we don't know the answer with this specific coronavirus". 7. Since a plane's cabin keeps circulating air, will I get sick if another passenger is sick? Most viruses don't spread easily on airplanes because of how the air circulates and is filtered, the CDC says, as modern commercial jets recirculate 10- 50% of the air in the cabin, mixed with outside air, and the recirculated air passes through a series of filters 20--30 times per hour. Also, air generally circulates in defined areas within the aircraft, thus limiting the radius of distribution of pathogens spread by small-particle aerosols. As a result, the cabin air environment is not conducive to the spread of most infectious diseases. Still, try to avoid contact with anyone sneezing or coughing. And if you're feeling sick, cover your entire mouth and nose with the inside of your elbow when you cough or sneeze. 8. Experts says "older adults" are at risk — but what does that mean? The CDC says "older adults" and people with serious chronic medical conditions "are at higher risk of getting very sick from this illness." Anyone over 60 and those with underlying health problems should try to avoid places with large crowds — such as movie theaters, busy malls and even religious services, top infectious disease experts say. The average age of death for people from coronavirus is 80. Average age of people who need medical attention is age 60. 9. Am I at risk from a package or products shipped from China or other at risk countries? There is still a lot that is unknown about the newly emerged COVID-19 and how it spreads. Using earlier coronavirus characteristics as a guide, in general, because of poor survivability of these coronaviruses on surfaces, there is likely very low risk of spread from products or packaging that are shipped over a period of days or weeks at ambient temperatures. Coronaviruses are generally thought to be spread most often by respiratory droplets. Currently there is no evidence to support transmission of COVID-19 associated with imported goods and there have not been any cases of COVID-19 in the United States associated with imported goods. 10. Can you catch the coronavirus by eating food prepared by others? A Harvard University assistant profession of epidemiology stated that the coronavirus is not a virus that will necessarily transmit easily in that way. For things like salad bars we will have to be very diligent about what we are touching and all of the utensils that many people might

19 be touching. That would be where the risk of the transmission would be occurring, more so than the food that we are actually eating. 11. What is community spread? Community spread means people have been infected with the virus in an area, including some who are not sure how or where they became infected. 12. What is the best way to wash your hands properly? Hand-washing is the easiest way to prevent the spread the coronavirus and the common flu. Believe it or not, there’s a right way to wash your hands. The Centers for Disease Control (CDC) breaks it down into these five steps:  Wet your hands (to the wrist) with clean, running water (the temperature doesn’t matter). Turn off the tap, and apply a good amount of soap.  Lather up the soap by rubbing your hands together. Don’t forget to spread that lather to the backs of your hands up to your wrists, between your fingers, and under your nails.  Scrub your hands for at least 20 seconds. Both doctors recommend humming the “Happy Birthday” song from beginning-to-end twice to get the timing right.  Rinse your hands thoroughly under clean, running water.  Dry your hands using a clean paper towel (best bet), hand dryer (OK), or let them air dry (in a pinch). How to keep coronavirus fears from affecting your mental health Coronavirus is a serious situation and deserves your vigilance and attention, but the deluge of information, precautions and warnings can take a real toll on your mental health. CNN Health has provided a number of tips to help maintain a happy medium: 1. Pare down your sources of information. Find a few sources you trust, like the CDC or a community authority, and stick with them. Limit the frequency of your updates, be disciplined with your social media use and know when to walk away. 2. Name your fears. It may help to sit down and really consider what specific threats worry you. If your fears are practical ones, think about a plan: What are other options if you can't telework? Do you have savings or support? Being prepared for your fears will help keep them in scale. 3. Think outside yourself: Since action can allay our anxieties, you may want to also consider what you can do to help others who may be more affected by the outbreak than you, like service or hourly workers who may have to put themselves in disproportionate danger. 4. Seek support, but do it wisely. If you want to run to a friend to discuss the latest outbreak cluster or your family's contingency plans, try not to create an echo chamber where overwhelmed people further overwhelm each other. Look for someone who is handling it differently, or for professional help if it's an available option. 5. Pay attention to your basic needs. Don't forget the essential, healthy practices that affect your wellbeing every day -- getting enough sleep, proper nutrition, physical activity, and getting outside as much as possible. 6. Don't chastise yourself for worrying. You are allowed to worry or feel bad, and those feelings are valid in times of crisis. The key is to work toward understanding and contextualizing your fears so they don't keep you from living your healthiest life.

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