Morris, Max

From: Morris, Max Sent: Wednesday, July 7, 2021 10:44 PM To: Morris, Max Subject: 07/07/2021 Coronavirus Daily Recap

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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 evening, a Weekend Recap on Monday mornings, and any significant breaking news events provided anytime. 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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Need to find a vaccine? 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 vaccination sites.  CDC Vaccine Finder – https://vaccinefinder.org/ [Free government website where users can search for pharmacies and providers that offer vaccinations, currently limited number of states but expanding]  Dr. B Standby list for COVID vaccines - 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]

Well hello there! And a good Wednesday evening All! Yep, you’re right. We have arrived. That day we wait for so we can start on the downhill side of our week. Hope it was a great day for you full of positive thinking and smiles. Following are major Headlines, the “Good Stuff”, US Snapshots, US Vaccinations, US Variant Cases, Highlights, as well as key Statistics, Vaccine and Treatment information, US Restrictions and the Back to Normal Index related to the novel coronavirus . As much as I do love music, it probably shocking that it has been a while that we shared some inspirational lyrics. So tonight we should change that don’t you think? From one of my favorite singers John Groban and the song Granted come these words to lift us up: If you have a dream, go chase it. If you feel hope, don't waste it. If you find love, embrace it. And never take a single breath for granted. The story's yours, go write it. Tomorrow's undecided. Our days are counted on this planet. Never take a single breath for granted. Life is not guaranteed. We can’t ever take it for granted. And that’s a lesson that we have certainly learned over the course of the last 16 months. Realizing that we need to fully embrace our days, be thankful for the people in our lives, grateful for the opportunities we have been given and thankful for the gifts we have in our lives. Because we get to decide how we live. We get to decide to never regret a moment. So, take every breath deeply, write your story that shines brightly, and never ever forget to remember it can all be taken away. So never regret, always live our lives to the fullest and always be thankful when we have another tomorrow .

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/.

1 Headlines  The world passed the "tragic milestone" of four million recorded COVID-19 fatalities on Wednesday, the World Health Organization said, adding that the pandemic's true toll was probably higher, with agency chief Ghebreyesus announcing the landmark had been reached, more than 18 months since the outbreak emerged in China in December 2019 and warning that "The world is at a perilous point in this pandemic.”  The highly transmissible Delta variant first seen in India and now reported in at least 104 countries has now become the dominant coronavirus strain in the US, surpassing the Alpha variant first found in the United Kingdom and now being seen in 51.7% of new , according to Covid-19 modeling data released by the Centers for Disease Control and Prevention over the two weeks ending July 3.  The US government is deploying a Covid-19 surge team to provide public health support in southwest Missouri, where the spread of the virus is filling up hospital beds once again, and over the past week the state’s caseload came in second highest in the country, with 15.5 new cases per 100,000 people daily, or 108 cases per 100,000 people, according to Johns Hopkins University data published Sunday.  The US Food and Drug Administration could fully approve Pfizer/BioNTech Covid-19 vaccine this month, according to Andy Slavitt, a former White House senior adviser for Covid response, adding that the full authorization could help sway people who have yet to get their shot.  People infected with Covid-19 may experience changes to their resting heart rate that last for months, in addition to changes in sleep duration and step count, according to data published Wednesday in JAMA Network Open which used wearables to track biometric data.  Many of the country’s more than 13,000 districts, especially in the South and Southwest, plan to start the 2021-22 school year well before Labor Day, and with completing a course of Pfizer-BioNTech’s vaccine, the only vaccine now federally authorized for 12- to 17-year-olds, taking at least five weeks for the two shots to be administered and full protection to be reached, many students in early-starting districts would need to get their first dose in the next few days to be fully immune in time.  Seventy-five members of the US House signed a letter to President Joe Biden on Wednesday saying it's past time to reopen the border with Canada with members of both parties asking Mr. Biden "to begin taking science-based, data- driven steps to safely reopen international travel" to the US., including allowing freer access to Canada.  The World Health Organization is urging “extreme caution” against lifting public health measures in countries around the world as the Covid pandemic rages in countries with low vaccination rates and puts other regions at risk for the spread of variants, with Maria Van Kerkhove, the agency’s Covid-19 technical lead, saying at a briefing Wednesday that “We’re tracking this virus circulation all over the world and we are seeing sharp increases in far too many countries right now.”  African nations are bracing for what is expected to be the continent’s worst wave of Covid-19 yet, with vaccine supplies continuing to hamper recovery efforts, and last week, the continent surpassed its second-wave peak of 528,000 active cases in January, according to data compiled by Johns Hopkins University and aggregated by the BBC, with active cases now sitting at 642,823.  Indonesia’s coronavirus outbreak is again spreading rapidly, and Wednesday was the country's deadliest day since the start of the pandemic with 1,040 reported deaths, as hospitals are bursting beyond capacity and oxygen supplies are running out.  President Emmanuel Macron once said vaccination against Covid-19 would not be compulsory, but French lawmakers are now preparing a new law that would effectively force health care workers to get their shot, a debate that comes amid concerns over low vaccination rates among health care professionals in the country with only 57% of care workers in nursing homes and 64% of hospital staff having received at least one dose of a Covid vaccine, according to data shared by the Hospital Federation.  Surging Covid-19 cases in Tokyo have hit a two-month high that almost guarantees the Japanese government will declare a new state of emergency to start next week and continue for the duration of the Olympics Games.  Mass vaccination campaigns are being rolled out across the developed world, but many countries are still contending with surges in coronavirus infections and new strains, such as the highly infectious delta variant, and now health experts are warning the public that there could be a very difficult flu season ahead too as Immunity to flu viruses has likely waned in the last year due to a minor flu season in 2020.  The Federal Reserve’s Open Market Committee’s June 15-16 meeting summary released today provided only a few new glimpses into talks about when the central bank should begin reducing the pace of its bond purchases, with

2 some members indicating that the economic recovery was proceeding faster than expected and was being accompanied by an outsized rise in inflation, both making the case for taking the Fed’s foot off the policy pedal, however the prevailing mindset was that there should be no rush and markets must be well prepared for any shifts  There are no signs that Congress plans to send a fourth stimulus check to Americans, but still many individuals and families are clamoring for more money, with a Change.org petition calling for $2,000 per month for every adult American, as well as $1,000 per child, that was started last year has now gathered 2.5 million signatures.  US employers posted a record-high number of open jobs for the second straight month as a rapidly rebounding economy generates intense demand for workers, with the number of available jobs on the last day of May rising slightly to 9.21 million, from 9.19 million in April, the Labor Department said Wednesday, the highest since records began in December 2000.  Futures contracts tied to the major US stock indexes inched higher at the start of overnight trading Wednesday, with the S&P rising 0.3% to an all-time high of 4,358.13, while the Dow advanced 104.42 points to 34,681.79, and the technology-heavy Nasdaq closed just above its own flatline to eke out a record close.  Across the country, office buildings in the top 10 US cities had an average occupancy rate of about 32% in late June, according to estimates from Kastle Systems a security company that monitors access-card wipes at some 2,600 buildings, and in Manhattan, just 12% of office employees had returned as of late May, according to the latest survey by the Partnership for New York City, a non-profit organization of major business leaders and employers.  New York City, once the epicenter of the coronavirus outbreak in the US., threw a ticker tape parade in lower Manhattan on Wednesday to honor the "hometown heroes" of the COVID-19 pandemic, with essential workers from the city's hospitals, emergency departments, schools and hospitality sector riding more than a dozen floats led by Queens nurse Sandra Lindsay, who was named grand marshal after becoming the first person to receive the COVID-19 vaccine outside of clinical trials.

The Good Stuff: Dr. Ala Stanford is on a mission to bring Covid-19 vaccines to some of Philadelphia's most vulnerable citizens. Since April 2020, her group, the Black Doctors Covid-19 Consortium, has helped more than 75,000 residents of Philadelphia's minority neighborhoods. They provided free testing in the parking lots of local churches, mosques, community centers and SEPTA stations, eventually offering antibody testing and flu shots as well as Covid testing. In January, Stanford and her team began offering Covid vaccinations and for the first few months, vaccinated an average of 1,000 people a day. The group also ran a 24-hour “Vax-A-Thon” at which they inoculated more than 4,000 people. The volunteer effort that Stanford initially funded from her own pocket is now a large operation with 70 employees and more than 200 volunteers. In recent weeks, as the pace of vaccinations has slowed, the group found new ways to reach those in need. Their events now often include music, free refreshments, t-shirt giveaways and other incentives. More than 1,000 people have signed up for their home vaccination program and they’ve targeted teenagers with special events as well as high school visits to answer questions about the vaccine. The efforts have been praised by the CDC as a model to reduce health care inequality. Stanford, a pediatric surgeon, was born to teen parents in north Philadelphia and her family often struggled to make ends meet. She knows what it's like, and she knows what underserved residents in her city need. In fact, Stanford's efforts have brought her such acclaim that she's now under consideration to be the city's next health commissioner. For Stanford, that support means that her efforts to earn the trust of the community have paid off. “Just seeing folks come out, day in and day out … their presence says everything,” Stanford said. “This wasn’t my job, but I could not allow one additional life to be lost when I knew that I could do something about it. ”

US Snapshots Trending Stats Data compiled daily from John Hopkins CSSE Tracking Seven-Day Trending as of Daily Average Daily Average Wed July 7 Case Increase Death Increase Positivity Rate Total Tests This Week 14,807 215 7.60% 470,926,220 Last Week 12,562 274 7.63% 467,663,959 Change 2,245 -59 -0.03% 3,262,261 % 17.87% -21.53% -0.39% 0.70%

3 As of June 6 6.33% -27.27% -0.52% 0.85% As of June 5 -2.97% -29.49% -0.52% 0.81% As of June 4 10.21% -27.36% -0.52% 0.91% As of June 3 22.39% -5.05% -0.52% 0.92% As of June 2 6.28% -21.54% -0.65% 0.95% As of June 1 8.23% -14.33% -0.65% 0.93%

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 July 3 70.77% 2.99% 66.26% 5.19% As of June 30 69.00% 3.23% 64.73% 5.20% Change 1.77% -0.24% 1.53% -0.01% As of June 26 70.80% 2.92% 65.77% 5.24% As of June 19 70.69% 3.22% 66.08% 5.56% As of June 12 71.00% 3.50% 66.91% 6.22% As of June 5 69.05% 3.99% 65.26% 7.12% As of May 29 70.51% 4.43% 66.15% 7.98%

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 July 7

4 At Least One Fully People Vaccinated Dose Vaccinated

Total 182,896,080 157,908,171 % of Total Population 55.1% 47.6% Population = > 12 Years of Age 182,673,355 157,780,266 % of Population = > 12 Years of Age 64.4% 55.6% Population = > 18 Years of Age 173,569,221 150,798,937 % of Population = > 18 Years of Age 67.2% 58.4% Population = > 65 Years of Age 48,377,221 43,057,375 % of Population = > 65 Years of Age 88.4% 78.7%

Reported doses administered by day Data compiled daily by The Washington Post from Centers for Disease Control and Prevention, updated July 7 In the last week, an average of 732.8k doses per day were administered, a 23% decrease over the week before, with an average of 241.8k adults receiving their first dose

State Doses Data compiled daily by The Washington Post, share of population fully vaccinated, updated July 7

5

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.

Nowcast Collection date, two weeks ending (reported two weeks later) CDC Lineage Name Country first seen Designation 3-Jul-21 19-Jun-21 05-Jun-21 22-May-21 08-May-21 24-Apr-21 10-Apr-21 27-Mar B.1.617.2 Delta India VoC 51.7% 30.4% 9.5% 2.5% 1.3% 0.6% 0.1% 0.0% B.1.1.7 Alpha UK VoC 28.7% 44.2% 60.3% 69.2% 69.9% 66.0% 59.0% 44.3% P.1 Gamma Brazil VoC 8.9% 9.9% 11.2% 8.1% 6.2% 4.8% 3.3% 1.5% B.1.526 Iota New York VoI 3.0% 5.5% 9.3% 4.7% 6.0% 7.4% 8.2% 8.4%

B.1 China 1.1% 2.2% 1.9% 1.8% 1.4% 1.6% 1.4% 1.9% B.1.351 Beta South Africa VoC 0.2% 0.2% 0.4% 0.6% 0.7% 0.7% 0.9% 0.8% B.1.1.519 0.1% 0.2% 0.5% 0.9% 1.2% 2.1% 2.9% 4.5% B.1.429 Epsilon California VoC 0.0% 0.1% 0.3% 0.7% 1.3% 2.3% 4.3% 6.6% B.1.427 Epsilon California VoC 0.0% 0.1% 0.3% 0.4% 0.7% 1.0% 1.7% 2.8% B.1.525 Eta New York VoI 0.0% 0.1% 0.1% 0.1% 0.3% 0.3% 0.4% 0.4% B.1.617.1 Kappa India VoI 0.0% 0.0% 0.0% 0.1% 0.1% 0.1% 0.1% 0.1% B.1.2 0.0% 0.0% 0.1% 0.1% 0.8% 1.3% 3.9% 10.6% B.1.617 VoI 0.0% 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% 0.0% P.2 Zeta Brazil VoI 0.0% 0.0% 0.0% 0.0% 0.0% 0.1% 0.2% 0.4% Other 6.4% 6.9% 6.2% 5.6% 4.9% 5.6% 7.3% 12.0% 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 Nowcast is weighted estimates that predict proportions for more recent time intervals

Highlights 6 Vaccine Rollout - US 1. Missouri has about 56% of adults who have received at least one vaccine dose but just 39.4% of residents who are fully vaccinated, Centers for Disease Control and Prevention data showed as of Tuesday. 2. Main health officials said Wednesday that more than half the eligible population is now fully vaccinated in every county in the state. 3. Trinity Health, one of the largest Catholic health care systems in the US, is requiring all employees to get vaccinated to help stop the spread and protect patients, staff and their communities. 4. Illinois on Wednesday announced state employees who work in direct care facilities and receive at least dose of vaccine will be entered in a series of drawings with prizes that include $10,000 cash, museum passes, airline vouchers, Chicago Cubs tickets and more. 5. Maryland teenagers who get vaccinated against the coronavirus will be eligible to receive a full ride to an in-state public university, Governor Larry Hogan announced Wednesday, as the state continues its effort to convince people to get the shot. 6. Chicago, which has the nation’s third-largest school district, announced plans Wednesday to open three school- based vaccination sites to students and families next week and establish standing sites at schools across the city starting in September, prioritizing neighborhoods with low vaccination rates. Vaccine Rollout - Global 1. The developer of CoviVac, one of Russia's vaccines, said on Wednesday it is effective against the highly infectious Delta variant, TASS news agency reported. 2. France has 51% of its total population who have received at least one shot, according to Our World in Data, a number that is only marginally below the EU’s rate but about 15 percentage points lower than the United Kingdom’s current inoculation rate. 3. Singapore will not include people inoculated with the Sinovac shot in its national vaccine count, and while the city- state has not approved the Chinese-developed shot for its vaccination program, some private clinics are allowed to administer the doses. 4. The US, as part of its commitment to send vaccines to countries in need, will ship one million doses of the Johnson & Johnson vaccine to Bolivia, Jen Psaki, the White House press secretary, said on Wednesday, and another one million doses will be sent to Paraguay. 5. Germany will give all its remaining doses of the AstraZeneca vaccine to less developed countries in August, the government decided on Wednesday, with around 80% of the donated vaccines given via COVAX, with another 20% given directly to countries in the Western Balkans and members of the EU's Eastern Partnership - Georgia, Moldova and Ukraine - and Namibia. 6. Russian police said on Wednesday they had detained a health worker in the Kaliningrad region for allegedly selling fake coronavirus vaccination certificates, with Moscow and several of the country’s regions resorting to tough measures to encourage people to get inoculated, including by making vaccination mandatory to hold certain jobs. US Outbreak 1. The Delta variant, which has been detected in all 50 states, is estimated to account for more than 50% of new cases in five of the 10 regions into which the US Department of Health and Human Services divides the country, with HHS Region 7 - compromising Iowa, Kansas, Missouri and Nebraska – having the highest at 80.7%. 2. The country has been averaging fewer than 15,000 new cases a day for nearly a month, the lowest levels since testing became widely available and a fraction of what was reported in January, when the nation routinely identified more than 200,000 cases in a day, however in recent days the average number of new cases nationally has started to trend slightly upward, driven largely by localized outbreaks in places with low vaccination rates. 3. Arkansas claimed the highest caseload rate in the US at 15.7 new infections per 100,000 people each day over the past week, data from Johns Hopkins University data published Sunday showed. 4. Maryland reported all Covid-19 deaths in June occurred in unvaccinated people, with 95% of new Covid-19 cases in the state - as well as 93% of new hospitalizations - occurring in people who had not received a shot. 5. Vermont state health officials report the state has now gone 26 days with new case numbers in single digits. 6. Alabama has seen a slight uptick in COVID-19 hospitalizations and the percent of tests coming back positive, state numbers show, and there were 256 people in state hospitals with COVID-19 on Wednesday, although that is a fraction of the 3,000 that were hospitalized at the peak of the pandemic.

7 7. Nevada’s governor asked for help from the federal government last week to deal with a recent rise in cases and hospitalizations in the state, with the seven-day average of cases about double what it was a month ago, highlighting the challenges facing states with largely unvaccinated populations now that the pace of inoculations has slackened. 8. Nebraska’s number of new cases reported in the state jumped last week – up to 456 after 253 and 181 the previous weeks, but the rate of infections remained below the national average. 9. Utah has averaged about 386 confirmed cases per day over the last week, nearly double the case rate the state was experiencing at its lowest point in early June, as the Delta variant has begun to surge over the past month and now represents about 80% of cases, according to the state health department. 10. New York City’s daily average test positivity rate has begun to tick up slightly in the last few days, to nearly 1 percent, but it has been scaling back efforts to monitor the spread of the coronavirus, reflecting not only a steadily low caseload, but also a growing sense that the city, along with the entire country, is starting to leave the pandemic behind, but some public health experts and elected officials worry that the de Blasio administration may be pulling back on its surveillance measures too soon, potentially leaving the city ill prepared should more contagious forms of the virus cause new outbreaks. 11. California reported that at least nine people who work at the state Capitol tested positive last week, including four who are fully vaccinated, triggering a return of the mask mandate for lawmakers and staff. 12. The Navajo Nation on Wednesday reported eight new cases, but no additional deaths for the third consecutive day. 13. Missouri’s Mercy Hospital Springfield reported Tuesday that it had more than 120 patients hospitalized with Covid- 19 - the highest total since the pandemic began. 14. Connecticut health officials say they will no longer provide daily updates on the number of people who have died in the state from COVID-19-related causes. 15. Michigan auditors will review the accuracy of the number of coronavirus deaths linked to nursing homes and other long-term care facilities. US Restrictions & Schools 1. Missouri’s Springfield school district reinstated its mask requirement for its summer program starting Wednesday, citing a rises in cases. 2. Maine’s Department of Education reports that enrollment in public schools dropped by 4.4%, nearly 8,000 students, between the 2019-20 and 2020-21 school years. 3. Utah schools have gained access to an additional $205 million in federal relief after the US Education Department approved plans from several states detailing how the funding will be used to get students caught up on learning. 4. Massachusetts and Rhode Island gained access to an additional $750 million in federal education relief Wednesday after the US Education Department approved plans detailing how they'll use the funding to reopen schools. 5. Michigan Governor Gretchen Whitmer has signed a supplemental spending bill that releases $4.4 billion in federal coronavirus rescue funding designated for K-12 schools. Global Outbreak 1. Britain on Wednesday reported 32,548 cases, the first time the figure has surpassed 30,000 since January as the government looks set to ease almost all coronavirus measures later this month. 2. Africa’s cases rose by almost 200% between June and July and the rolling weekly average of daily new deaths has surged since the start of June, with the sharp inclines attributed primarily to the rapid spread of the highly- transmissible Delta variant, with a total of 36 countries reporting a rise in active infections last week, while 15 posted declines and three recorded no change. 3. Mexico reported 8,507 new confirmed infections on Wednesday, as case numbers rose amid signs of a surging pandemic and a slow vaccination rollout in the country, a daily jump that marks the highest level of infections since February 24, according to official data, and follows nearly 8,000 additional infections posted by the Health Ministry on Tuesday. 4. The Dutch government on Wednesday said it will consider whether it needs to take fresh action following a swift rise in new cases after the country's pandemic lockdown ended, with health authorities reporting 3,688 new cases Wednesday. 5. Fiji, which got through the first year of the pandemic almost untouched, is now battling one of the fastest-growing outbreaks in the world, with the number of new cases reported daily in the Pacific island nation of 900,000 people soaring into the hundreds over the past month, after never exceeding single digits before late May, with officials

8 saying the outbreak appeared to have begun after a case of the highly contagious Delta variant escaped the country’s isolation facilities. 6. Germany’s number of cases ticked up again on Wednesday after more than two months of steady decline, , with the Robert Koch Institute, a federal health agency, saying that the Delta variant was involved in 59 percent of the country’s cases by the end of June, however, the country’s daily death toll has dropped by 42 percent over the last two weeks. 7. The Eastern Mediterranean’s head of the World Health Organization said that cases are on the rise in the region after two months of steady declines, and that the highly transmissible Delta variant is contributing to the rise. 8. Vietnam will impose restrictions at its commercial hub Ho Chi Minh city for 15 days starting Friday to tackle a new outbreak, state media reported on Wednesday, with measures that instruct people to stay indoors unless necessary, bars gatherings of two people or more people, and public transport services will be halted. 9. Sydney’s lockdown has been extended by a week to July 16, New South Wales state officials confirmed, as Australia’s largest city struggles to stamp out a small outbreak of the Delta variant, but only about 8 percent of the country has been vaccinated. 10. Britain said on Wednesday it would provide genomic sequencing support to Brazil, Ethiopia, Kenya, Nigeria and Pakistan to help identify, assess and track new variants. Diagnosis, Prevention and Treatment 1. People who were severely ill with Covid-19 are twice as likely to need to go back to the hospital for a Covid-19- related complication in the future compared to patients who had mild or moderate symptoms, according to a new study from the University of Florida. 2. Along with preventing illness and deaths, COVID-19 vaccines may also be curbing the "rampant evolution" of the new coronavirus by limiting new mutations that allow it to evade antibodies, researchers believe. 3. England’s chief medical officer warned of an increase in “,” in which symptoms persist for months, among young people, and while Britain’s vaccination rollout is among the world’s fastest, the youth inoculation rate is still relatively low. 4. Teenagers have figured out how to use soft drinks to fake a positive COVID-19 test, and the authors of a new study warn schools and other groups to be aware, and as of July 1, videos uploaded to social media under the search term #fakecovidtest, featuring young people applying various liquids to rapid antigen COVID-19 tests, had been viewed millions of times. 5. Used properly, "rapid antigen" COVID-19 tests that give fast results are generally reliable, a new study reported by United Kingdom researchers in The Lancet Microbe suggests, finding that the tests have "good" sensitivity, or the ability to correctly identify patients who are infected with the coronavirus, and "excellent" specificity, or the ability to correctly identify people who are not infected. 6. Quidel, a company that produces diagnostic health-care products around the world, is recalling its Lyra Covid-19 Assay test due to a high risk of false negative results in patients who actually have high amounts of the virus after being given emergency use authorization by the Food and Drug Administration in March. Economy and Business 1. The US Labor Department said Wednesday the number of people quitting their jobs slipped in May from a record high in April, but remains elevated, and the percentage of workers getting laid off hit a record low in May. 2. Indiana’s Department of Workforce Development said Wednesday that it still hasn’t decided how to continue payment of federal unemployment benefits more than a week after a judge ruled that the state must restart the extra $300 weekly payments to unemployed workers. 3. American Airlines says the July Fourth holiday weekend was a hit, with nearly three times as many people flying on the airline than did over the holiday weekend last year. 4. Summertime jobs for teens are on the rebound, according to the predictions of labor market experts, who forecast that 31.5% of 16- to 19-year-olds will have jobs this summer. 5. More and more consumers are jumping on to next-generation 5G wireless technology as the economy reopens, Verizon CEO Hans Vestberg said on Wednesday, explaining that “We see people coming back to urban places” where 5G is available as pandemic restrictions are lifted. 6. Costco announced it will be ending its weekday senior hours, which have been in place since March 2020, and resuming regular hours of operation on July 26.

9 7. Michigan Secretary of State Jocelyn Benson is looking to get through the backlog of residents seeking services at branch offices after the pandemic by extending hours and making it easier to renew driver's licenses and state IDs. 8. The US Department of Labor says an investigation has recovered more than $140,000 in back wages owed to 66 pizza delivery employees who worked for a business in New Hampshire, including during the pandemic. Other Stories 1. Early Covid-19 cases traced to markets in Wuhan, China, mirror the initial spread of SARS 17 years earlier, scientists said in a paper that concludes that an animal contagion is the most likely explanation for the pandemic’s genesis. 2. Passengers aboard an American Airlines flight to the Bahamas spent an unexpected night in Charlotte, North Carolina, after a group of about 30 high schools students became unruly and refused to comply with a federal mask mandate. 3. Smithsonian magazine is relaunching its annual Museum Day in September, following the event's cancellation last year due to the pandemic, with over 1,000 museums, zoos and cultural centers across the US waiving admission fees for visitors as part of the event. 4. A more than 200-year-old Massachusetts agricultural fair canceled last year because of the coronavirus pandemic is scheduled to return this fall.

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 7 July Wed 184,941,982 (+467,138) 3,998,993 (+8,710) - 2.16% 121,713,564 (+314,685) 6 July Tue 184,474,844 (+430,468) 3,990,283 (+9,096) - 2.16% 121,398,879 (+378,162)

5 July Mon 184,044,376 (+359,399) 3,981,187 (+6,289) - 2.16% 121,020,717 (+324,568) 4 July Sun 183,684,977 (+364,983) 3,974,898 (+7,508) - 2.16% 120,696,149 (+224,221) 3 July Sat 183,319,994 (+346,682) 3,967,390 (+5,615) - 2.16% 120,471,928 (+276,874)

2 July Fri 182,973,312 (+533,937) 3,961,775 (+11,193) - 2.17% 120,195,054 (+446,611) 1 July Thu 182,439,375 (+417,445) 3,950,582 (+8,867) - 2.17% 119,748,443 (+301,083) Top 15 Global Country Counts  Daily case change (total): Brazil: +54,825 (18,909,887), India: +43,733 (30,663,665), Indonesia: +34,379 (2,379,397), United Kingdom: +32,344 (5,007,964), Colombia: +26,721 (4,402,582), Russia: +23,510 (5,614,540), US: +23,162 (33,767,147), Argentina: +21,590 (4,574,340), South Africa: +21,427 (2,112,336), Spain: +17,384 (3,897,996), Iran: +17,212 (3,304,135), Bangladesh: +11,162 (977,568), Turkey: +10,459 (5,459,923), Tunisia: +9,823 (464,914), Iraq: +8,777 (1,397,100)  Daily death change (total): Brazil: +1,648 (528,540), Indonesia: +1,040 (62,908), India: +930 (404,211), Russia: +713 (137,718), Colombia: +553 (110,019), Argentina: +462 (96,983), South Africa: +411 (63,039), US: +317 (606,195), Mexico: +269 (233,958), Bangladesh: +201 (15,593), Peru: +199 (193,588), Iran: +166 (85,261), Philippines: +163 (25,459), Tunisia: +134 (15,735), Paraguay: +106 (13,553) US Numbers Date Cases Deaths 7 July Wed 33,766,995 (+23,162) 606,192 (+317) - 1.8% 6 July Tue 33,743,833 (+21,695) 605,875 (+311) - 1.8%

5 July Mon 33,722,138 (+5,681) 605,564 (+44) - 1.8% 4 July Sun 33,716,457 (+2,983) 605,520 (+29) - 1.8% 3 July Sat 33,713,474 (+22,466) 605,491 (+193) - 1.8%

2 July Fri 33,691,008 (+14,646) 605,298 (+305) - 1.8% 1 July Thu 33,676,362 (+13,013) 604,993 (+307) - 1.8% US State and Territory Counts  Cases by daily change (totals): Texas: +4,184 (3,010,562), California: +2,215 (3,825,640), Missouri: +1,679 (633,169), Alabama: +1,613 (552,911), Louisiana: +1,226 (485,803), Washington: +1,182 (453,665), Kansas: +1,029 (320,570), 10 Arkansas: +1,000 (353,095), Colorado: +715 (560,419), Georgia: +667 (1,137,560), Illinois: +462 (1,394,235), Nevada: +453 (336,562), Tennessee: +416 (868,738), North Carolina: +415 (1,016,262), Utah: +394 (417,653), Mississippi: +379 (323,214), Arizona: +373 (898,283), Indiana: +370 (756,070), New York: +363 (2,117,549), Kentucky: +331 (466,244), Ohio: +317 (1,113,006), New Jersey: +283 (1,024,748), Virginia: +273 (681,599), Oregon: +270 (209,764), Idaho: +257 (195,429), Minnesota: +231 (606,034), Alaska: +214 (71,598), New Mexico: +200 (205,915), Wisconsin: +184 (678,232), Oklahoma: +151 (459,675), Montana: +151 (114,102), Pennsylvania: +140 (1,217,707), South Carolina: +136 (598,229), Puerto Rico: +111 (140,412), Wyoming: +95 (62,737), Connecticut: +92 (349,743), Massachusetts: +91 (710,519), Iowa: +73 (374,358), West Virginia: +67 (164,346), South Dakota: +60 (124,652), Maryland: +55 (462,736), Virgin Islands: +47 (3,942), Rhode Island: +40 (152,738), Hawaii: +39 (38,082), Maine: +38 (69,159), North Dakota: +28 (110,779), New Hampshire: +26 (99,652), Guam: +14 (8,408), Vermont: +7 (24,440), District of Columbia: +6 (49,423), Florida: +0 (2,381,148), Michigan: +0 (1,000,908), Nebraska: +0 (224,488), Delaware: +0 (109,900), Northern Mariana Islands: +0 (183), American Samoa: +0 (0)  Deaths by daily change (totals): Missouri: +30 (9,788), Alabama: +29 (11,387), Texas: +25 (52,529), California: +24 (63,745), Ohio: +22 (20,366), Washington: +21 (5,960), Oklahoma: +18 (7,406), New Jersey: +13 (26,490), Mississippi: +11 (7,436), Pennsylvania: +10 (27,718), Georgia: +10 (21,467), Wisconsin: +10 (8,154), Indiana: +8 (13,892), Colorado: +7 (6,824), Arkansas: +7 (5,933), Kansas: +7 (5,165), New York: +6 (53,717), Illinois: +6 (25,711), Tennessee: +6 (12,583), Oregon: +6 (2,788), North Carolina: +5 (13,460), Kentucky: +5 (7,250), Arizona: +4 (18,004), Massachusetts: +3 (18,008), Nevada: +3 (5,705), Montana: +3 (1,671), Virginia: +2 (11,436), South Carolina: +2 (9,843), Louisiana: +2 (10,765), Utah: +2 (2,387), New Mexico: +2 (4,346), Virgin Islands: +2 (32), Maryland: +1 (9,755), Iowa: +1 (6,149), Idaho: +1 (2,159), South Dakota: +1 (2,039), New Hampshire: +1 (1,374), Maine: +1 (861), District of Columbia: +1 (1,143), Florida: +0 (37,985), Michigan: +0 (21,031), Minnesota: +0 (7,708), Nebraska: +0 (2,261), West Virginia: +0 (2,901), Rhode Island: +0 (2,730), Puerto Rico: +0 (2,552), North Dakota: +0 (1,559), Delaware: +0 (1,695), Alaska: +0 (377), Wyoming: +0 (751), Hawaii: +0 (518), Vermont: +0 (258), Guam: +0 (140), Northern Mariana Islands: +0 (2), American Samoa: +0 (0), Connecticut: -1 (8,278)  Hospital bed utilization rate: Rhode Island: 90.78%, Massachusetts: 83.28%, Pennsylvania: 81.64%, Missouri: 81.61%, Maryland: 81.12%, Michigan: 78.3%, West Virginia: 78.21%, Alabama: 77.95%, Minnesota: 77.9%, Florida: 77.77%, Connecticut: 77.38%, Georgia: 77.04%, District of Columbia: 76.78%, South Carolina: 76.73%, California: 75.57%, Delaware: 75.16%, North Carolina: 75.03%, Texas: 74.31%, Oregon: 74.19%, New Hampshire: 73.44%, Nevada: 73.31%, New York: 73.29%, Virginia: 73.2%, Washington: 72.77%, Maine: 72.35%, Ohio: 71.61%, Arkansas: 70.79%, Vermont: 70.28%, Oklahoma: 70.07%, North Dakota: 69.66%, Hawaii: 69.6%, Illinois: 69.44%, Colorado: 69.3%, New Mexico: 69.17%, Arizona: 68.78%, Tennessee: 68.58%, New Jersey: 68.34%, Nebraska: 66.82%, Louisiana: 66.29%, Mississippi: 65.84%, Wisconsin: 65.6%, Indiana: 65.36%, Montana: 64.75%, Iowa: 63.62%, Alaska: 61.94%, Idaho: 61.71%, Utah: 61.23%, Kentucky: 60.43%, Kansas: 59.87%, South Dakota: 56.0%, Wyoming: 47.06%

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 7/7/2021 383,068,740 -100 331,651,464 437,117

7/6/2021 383,068,840 100 331,214,347 610,094

7/5/2021 No reporting due to holiday 7/4/2021 383,068,740 1,180 330,604,253 633,702 7/3/2021 383,067,560 431,040 329,970,551 1,161,081

7/2/2021 382,636,520 352,530 328,809,470 657,166

7/1/2021 382,283,990 334,160 328,152,304 1,630,778

Date Change Change

11 Number of Number of People People Fully Receiving 1 or Vaccinated more Doses 7/7/2021 182,896,080 182,016 157,908,171 272,083

7/6/2021 182,714,064 301,288 157,636,088 312,350 7/5/2021 No reporting due to holiday

7/4/2021 182,412,776 302,916 157,323,738 341,189 7/3/2021 182,109,860 459,182 156,982,549 726,653 7/2/2021 181,650,678 311,262 156,255,896 371,295

7/1/2021 181,339,416 664,677 155,884,601 999,915

Vaccine Administered

Pfizer- Johnson & Date BioNTech Moderna Johnson Not Identified 7/7/2021 183,611,750 135,107,053 12,668,885 263,776

7/6/2021 183,331,181 134,973,241 12,646,604 263,321 7/5/2021 No reporting due to holiday 7/4/2021 182,920,075 134,803,711 12,617,454 263,013

7/3/2021 182,499,540 134,627,563 12,581,723 261,725 7/2/2021 181,776,100 134,263,339 12,510,528 259,503

7/1/2021 181,347,436 134,076,668 12,470,439 257,761 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 Last updated July 6 - 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.

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US Testing Data from the US Centers for Disease Control and Prevention

% of Positive Negative Positive Date New Tests Tests Tests Total Tests Tests 7 July Wed 295,277 35,798,067 435,128,153 470,926,220 7.60% 6 July Tue 669,846 35,786,790 434,844,153 470,630,943 7.60%

5 July Mon 0 35,766,675 434,194,422 469,961,097 7.61% 4 July Sun 544,159 35,766,675 434,194,422 469,961,097 7.61% 3 July Sat 535,741 35,749,284 433,667,654 469,416,938 7.62%

2 July Fri 813,990 35,731,875 433,149,322 468,881,197 7.62% 1 July Thu 403,248 35,700,107 432,367,100 468,067,207 7.63% New Tests (past week): New York: 372,918, Florida: 253,003, Illinois: 164,057, New Jersey: 129,943, Texas: 102,293, Pennsylvania: 95,735, Ohio: 89,863, North Carolina: 89,862, Michigan: 73,474, Colorado: 72,077, Minnesota: 65,184, Georgia: 58,772, Arizona: 58,176, Virginia: 49,900, Louisiana: 44,086, Wisconsin: 43,375, Kentucky: 38,981, Oregon: 38,087, South Carolina: 37,439, Utah: 33,139, Indiana: 32,122, Nevada: 26,384, Rhode Island: 25,660, Arkansas: 18,775, New Mexico: 18,392, District of Columbia: 17,473, Maine: 17,170, Iowa: 17,015, West Virginia: 15,524, Kansas: 14,728, Oklahoma: 12,126, Idaho: 12,120, Delaware: 11,431, Mississippi: 8,909, Vermont: 8,270, Nebraska: 7,263, Montana: 6,951, Wyoming: 5,743, Alaska: 4,919, North Dakota: 4,859, South Dakota: 3,371, Alabama: 0, California: 0, Connecticut: 0, Hawaii: 0, Massachusetts: 0, Maryland: 0, Missouri: 0, New Hampshire: 0, Tennessee: 0, Washington: 0

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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 July 6) PRECLINICAL PHASE I PHASE II PHASE III EARLY/LIMITED APPROVED

~150+ 51 37 32 9 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), Soberana 2 (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: • Oklahoma-based Tetherex Pharmaceuticals enters Phase 1 – July 6 • Maryland-based Altimmune abandons their Phase 1 nasal spray vaccine – June 30 • Iran authorizes Cuba’s Soberana 2 vaccine for emergency use – June 30 • Iran’s Baqiyatallah University enters Phase 1 – June 30 • 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

Drug and Treatment Tracker (last updated June 27)

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 FDA. pauses the use of bamlanivimab and etesevimab because of the rise of Beta and Gamma coronavirus variants – June 26  The FDA. authorizes tocilizumab for emergency use in hospitalized patients – June 26  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  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

14 US Restrictions and Policy Actions - July 2 (previous update June 21) Status of Reopening Reopened (50: +4); Easing Restrictions (1: -4)

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 (50: +4); Some or All Non-Essential Businesses Open with Limits (1: -4)

Large Gatherings Ban >10 Prohibited (1: -2); >50 Prohibited (1); Limit>5- (0: -2); No Limit (49: +4) Restaurant Limits Open (51: +3); Open with Service Limits (0: -3) Bar Closures Open (51: +3); Open with Service Limits (0: -2); Closed (0: -1)

Face Covering Requirement Yes (0: -1); Indoor Only (1); Unvaccinated People Only (8: -1); No (42: +2)

Emergency Declaration Yes (35: -7); No (16: +7)

NOTE: The following Reopening Plans and Mask Mandates data compiled by The New York Times is no longer being updated and will be removed this week

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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 30, the Back-to-Normal Index was 92% (-2%), with 21 (-21) states showing an improvement since the previous week's repor Recent Historical Trending 9-Jun 2-Jun 7-Apr 3-Mar 5-May 30-Jun 23-Jun 16-Jun 28-Apr 21-Apr 14-Apr 31-Mar 24-Mar 17-Mar 10-Mar 26-May 26-May 19-May 12-May

92.0% 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%

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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

18 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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