MEDICAL UPDATE - CORONAVIRUS (COVID-19) - Situation Report #96

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MEDICAL UPDATE - CORONAVIRUS (COVID-19) - Situation Report #96
MEDICAL UPDATE – CORONAVIRUS (COVID-19)
Situation Report #96
July 24, 2020

This report has been adjusted based on current information provided by state officials. Other related data can be found
on our Early Alert COVID 19 Dashboard and/or Resource Center.

CURRENT STATISTICS AND MEDICAL UPDATES:
     •     There are now 15,446,800+ cases of COVID-19 worldwide, with over 632,100+ confirmed deaths, which is a case
           fatality rate of 4.1%.
     •     The United States is now reporting 4,017,697+ cases of COVID-19 with 136,475+ confirmed deaths which is a case
           fatality rate of 3.4%. This is an increase of 141,082+ cases and 2,165 deaths in the past 48 hours.
     •     The Case Fatality Rate (CFR) is the ratio between confirmed deaths and confirmed cases to measure the severity
           of a disease and is not an accurate representation of an individual’s mortality risk.
     •     Viral tests check samples from your respiratory system, such as a swab from the inside of your nose, to see if you
           are currently infected with SARS-CoV-2, the virus that causes COVID-19. Results from point-of-care tests may be
           available at the testing site in less than an hour. Other viral tests must be sent to a laboratory for analysis, a process
           that can take a few days. Some jurisdictions are experiencing a high demand for testing, which may cause a delay
           in processing tests and providing results. Here is some additional information that may help you make decisions
           about getting a viral test:
                o     Most people have mild COVID-19 illness and can recover at home without medical care. Contact your
                      healthcare provider if your symptoms are getting worse or if you have questions about your health.
                o     Decisions about testing are made by state and local health departments or healthcare providers. Visit your
                      state or local health department’s website to look for the latest local information on testing.
                o     The U.S. Food and Drug Administration (FDA) has authorized viral tests that let you collect either a nasal
                      swab or a saliva sample at home. However, you will still need to send your sample to a laboratory for
                      analysis.
                o     If you have symptoms of COVID-19 and are not tested, it is important to stay home.
                o     At this time, there is no treatment specifically approved for people who have COVID-19.
           The CDC had updated information available through the following link:
           https://www.cdc.gov/coronavirus/2019-ncov/testing/diagnostic-testing.html
     •     The CDC has provided updated information regarding personal and social activities such as dining out, hosting
           events in your home and attending a gathering or event.
           Additional information can be found through the following link:
           https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/personal-social-activities.html

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NEW CASES IN US BY DAY:

CONFIRMED U.S. CASES BY STATE: New information in this table is presented in red
                               Confirmed             48 Hr.                                   Confirmed    48 Hr.
          State                                                Deaths         State                                   Deaths
                                 Cases              Increase                                    Cases     Increase
         Alaska                   2,684               159        19         Nebraska           23,486       639        311
       Alabama                    74,212             3,854     1,397         Nevada            39,919      2,391       709
        Arizona                  152,944             4,261     3,063     New Hampshire          6,295        46        402
       Arkansas                   36,259             1,604      386        New Mexico          17,828       613        591
       California                425,616             24,847    8,027       New Jersey          177,887      631       15,730
       Colorado                   41,698             1,132     1,643        New York           409,697     1,516      25,081
     Connecticut                  48,232              136      4,410     North Carolina        106,893     4,032      1,726
       Delaware                   13,924              178       529       North Dakota          5,493       286         88
 District of Columbia             11,571              144       581         Oklahoma           27,969      2,536       477
        Florida                  389,868             20,034    5,632           Ohio            80,186      2,971      3,256
        Georgia                  156,588             7,600     3,360          Oregon           15,713       574        273
        Hawaii                    1,435                42        25       Pennsylvania         104,358     1,593      7,079
          Idaho                   16,322             1,056      135        Puerto Rico         13,473       533        188
         Illinois                168,100             3,222     7,560      Rhode Island         18,148       162       1,001
        Indiana                   59,602             1,686     2,880     South Carolina        76,606      3,269      1,334
           Iowa                   40,634             1,160      818       South Dakota          8,143       124        121
        Kansas                    24,104              770       308         Tennessee          86,987      5,043       925
       Kentucky                   25,147             1,087      684            Texas           361,125     19,386     4,521
       Louisiana                 101,650             5,067     3,686           Utah            36,099      1,087       267
         Maine                    3,737                14       118          Vermont            1,377        11         56
       Maryland                   80,836             1,291     3,409         Virginia          81,237      1,866      2,054
   Massachusetts                 114,320              287      8,468      West Virginia         5,550       351        103
       Michigan                   84,431             1,372     6,395       Washington          49,247      1,504      1,468
      Minnesota                   48,721             1,264     1,601        Wisconsin          49,669      1,833       885
      Mississippi                 48,053             2,529     1,436        Wyoming             2,346       108         25
       Missouri                   37,700             2,938     1,179          Guam               332         13         5
       Montana                    2,910               198        43     U.S. Virgin Islands      336         32         7

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U.S. Cloth Mask Requirement Map: Please refer to the Early Alert dashboard for additional details.

U.S. STATE PROTECTIVE ACTIONS SUMMARY: New information in this table is presented in red.
*Number denotes % of occupancy allowed in facility
**Phase shown is current phase / total phase’s in reopening plan
        State                Retail*             Restaurant*     Opening Phase                      Additional Information
                                                                        **
                                                                                      Safer at home extended to July 31st with no change to
      Alabama                    50            Capacity Limits      2 & 3 of 3        restrictions. Face masks are now required when in
                                                                                      public spaces, indoors or outdoors.
       Alaska                   100                       100         4 of 4
       Arizona                  100                       50            2             Restaurants required to operate Indoor dining at 50%.
                                                                                      Statewide face mask order issued for indoor and
      Arkansas                  100                       75             2
                                                                                      outdoor public spaces for anyone 10 or older.
                             In-store
                            Retail for             Outdoor          2 & 3 of 4
      California
                           Stage 2 & 3              Dining       (Varies by County)
                            Counties
                                                                                      Facemask now required statewide for anyone over 10
      Colorado                   50                       50          3 of 3
                                                                                      yrs. of age for indoor public spaces.
                                                                                      Phase 3 reopening paused leaving current restrictions
    Connecticut                  50                       50          2 of 4
                                                                                      in place.
      Delaware                   60                       60             2            Phase 3 delayed due to increased COVID-19 cases.
                                                                                      Face mask required for anyone over the age of 3
     District of                                                                      outside of the home and in businesses and office
                                 50                       50          2 of 4
     Columbia                                                                         buildings open to the public and in communal spaces
                                                                                      in apartment buildings and condominiums.

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Broward County issued a face covering requirement
       Florida                  100                       50       2 of 3
                                                                               and issued a curfew in from 11pm to 5am.
       Georgia                 100                        100        1
                             Capacity
       Hawaii                                  Capacity Limits     2 of 4
                              Limits
        Idaho                  100                        100      4 of 4      Stage 4 extended through the end of July.
                                                                               Restaurants in Chicago that serve alcohol will be
                                                                               allowed to continue to operate however bars and
                                                                               other establishments that serve alcohol for on-site
                             Capacity
        Illinois                                          25       4 of 5      consumption without a Retail Food license will no
                              Limits
                                                                               longer be able to serve customers indoors.
                                                                               Establishments without food may still provide outdoor
                                                                               service.
                                                                               Stage 4.5 opening in place leaving current restrictions
                                                                               in place. Face coverings required statewide beginning
                                                                               Monday, July 27 for anyone 8 years old or older in
                                                                               indoor public spaces, commercial entities,
       Indiana                  100                       75       4 of 5
                                                                               transportation services and outdoor areas where
                                                                               social distancing is not possible. Indianapolis reduced
                                                                               indoor restaurant capacity to 50% and in person dining
                                                                               must close between midnight and 5am.
                                                                               Iowa City issues order requiring people to wear face
         Iowa                   100                       100    By County     coverings in public places, including in stores and
                                                                               other settings outside the home.
       Kansas                   100                       100      3 of 4      Phase 4 reopening delayed.
                                                                               Residents vacationing in hard hit states of Alabama,
                                                                               Arizona, Florida, Georgia, Idaho, Nevada, Texas and
      Kentucky                  100                       50
                                                                               South Carolina are recommended to self-quarantine
                                                                               for 14 days upon return.
      Louisiana                  50                       50         2         Phase 2 extended until August 07.
                                                                   3 of 4
        Maine                   100                       100
                                                                 (By County)
                                                                               Beginning Friday July 24 at 5pm, indoor dining services
                                                                               in bars and restaurants in Baltimore City will be
                                                                               suspended as well as requiring masks indoors for
                                                                               anyone over age 2. Outdoor dining, along with
                                                                               offering carryout and delivery services will be
      Maryland                   50                       50         2
                                                                               permitted. Also beginning Friday at 5pm, Anne
                                                                               Arundel County restaurants, bars and other food
                                                                               service establishments must cease indoor operations
                                                                               by 10 p.m. and food courts in indoor shopping malls
                                                                               shall be limited to carry-out service only.
                             Capacity
  Massachusetts              Limits or          Indoor Dining      3 of 4
                                40%
                             Capacity
      Michigan                                            50     4 & 5 of 6
                               Limits
                                                                               Beginning Saturday July 25 residents over the age of 5
                                                                               statewide will be required to wear masks in stores,
     Minnesota                   50                       50       3 of 4
                                                                               restaurants, and other public indoor gathering spaces
                                                                               and outdoors where social distancing is difficult.
                                                                               Reopening paused until further notice. Masks now
                             Capacity                                          required in additional 10 counties bringing the total to
     Mississippi                                          50       3 of 4
                              Limits                                           the 23 counties of Bolivar, Covington, Humphreys,
                                                                               Forrest, Panola, Sharkey, Simpson, Tallahatchie, Tate,

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Walthall, Hinds, Madison, Rankin, DeSoto, Harrison,
                                                                                   Jackson, Claiborne, Grenada, Jefferson, Quitman,
                                                                                   Sunflower, Washington and Wayne counties.
      Missouri                  100                       100         1 of 2
      Montana                   100                       75          2 of 3
      Nebraska                  100                       100         3 of 4
                                                                    (By County)
      Nevada                    100                       50          2 of 3       Phase 2 will remain in place until the end of July.
       New
                                 50             Capacity limits       1 of 2
     Hampshire
                             Capacity              Outdoor
    New Jersey                                                        2 of 4
                              Limits                Dining
                                                                                   Restaurants can reopen to indoor dining at 50% at
                                                 Return to
    New Mexico                   25                                      1         least until July 30 under a temporary restraining order
                                               Outdoor dining
                                                                                   issued in lawsuit against the governor’s shutdown.
                                                   Take Out           4 of 4       New York City now in phase 4 reopening allowing low-
      New York                   50               (Indoor 50%,
                                                  Phase 3 Only)
                                                                    (By Region)    risk outdoor facilities to open at 33% capacity.
  North Carolina                50                        50          2 of 3       Phase 2 remains in place until at least August 7.
                             Capacity                                 2 of 3
   North Dakota                                           75
                              Limits                               (Color Codes)
                                                                                   Travelers coming from Alabama, Arizona, Florida,
                                                                                   Georgia, Idaho, Mississippi, Nevada, South Carolina,
                                                                                   Texas and Puerto Rico, states with a Covid-19
         Ohio                   100                       100                      positivity rate of 15% or higher, are recommended to
                                                                                   self-quarantine for 14 days. Beginning Thursday all
                                                                                   residents statewide will be required to wear face
                                                                                   masks in public.
     Oklahoma                   100                       100         3 of 3
                                                                                   Mask required when outdoors and social distancing
                                                                                   cannot be conducted. Gathering limits for indoor
       Oregon                   100                       100         2 of 3
                                                                                   venues, restaurants and bars will be 100 people
                                                                                   starting Friday.
                                                                      3 of 3       Indoor dining capacity is reduced from 50 percent to
   Pennsylvania                  75                       25
                                                                    (Color Code)   25 percent, including staff.
   Rhode Island                 66                        66          3 of 3
                             Capacity
  South Carolina                                          50             2
                              Limits
   South Dakota                100                        100
    Tennessee                  100                        100            3
                                                                                   Hidalgo county issued stay at home order. The
                                                                                   emergency order also encourages and recommends
        Texas                    50                       50             3         that all commercial businesses cease their activities,
                                                                                   unless they are essential. Curbside, drive-thru and
                                                                                   takeout services can proceed normally.
                                                                      3 of 4
         Utah                   100                       100
                                                                    (Color Code)
                             Capacity
      Vermont                Limits or                    50             2
                               25%
       Virginia                100                        100         2 of 3
                                                                                   Effective July 25, the face covering requirement will be
                                                          50        2 & 3 of 4     expanded to include common spaces, such as
    Washington                   30
                                                 (75 in Phase 3)    (By County)    elevators, hallways and shared spaces in apartment
                                                                                   buildings, university housing and hotels. Beginning

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July 30 Phase 3 dine in seating will be reduced to 50%
                                                                           and maximum 5 persons to a table.
   West Virginia                100                       50     8 of 10
     Wisconsin                 100                        100    3 of 3
                             Capacity
      Wyoming                                  Capacity Limits
                              Limits
                             Capacity
    Puerto Rico                                           50     2 of 3
                              Limits

INTERNATIONAL HIGHLIGHTS:
Australia:
    • The Australian state of Victoria has reported a record 484 new cases of coronavirus and two more deaths.
    • Masks have been made mandatory in the state; everyone who goes outside must wear one.
    • People in Melbourne are currently only able to leave their homes for food and essential supplies, medical
        reasons, exercise and work or education if it cannot be done from home.
China:
    • China reported 22 new coronavirus cases in the mainland, up from 14 cases yesterday.
    • Of the new infections, 18 were in the far western region of Xinjiang and one was from the northeastern Liaoning
        province.
France:
    • France's Public Health Authority said there had been a significant rise in new coronavirus cases, as the number of
        deaths in the country also continues to edge up.
    • The number of confirmed new cases rose by 1,000, a 66 percent increase in three weeks, as people adhered less
        to social distancing measures.
    • Increased testing has also led to the discovery of new clusters in parts of the country.
    • The number of coronavirus deaths in France rose by 10 from the previous day to 30,182, which is the sixth highest
        casualty toll in the world.
Hong Kong:
    • Hong Kong has made it mandatory to wear masks on public transport, in indoor areas and passenger terminals.
    • The measures will last until August 5 as the city tries to break the transmission of local infections.
    • The city's Health Minister Sophia Chan is appealing to people to stay at home as much as possible, saying Hong
        Kong is at a high risk of a community outbreak.
    • Infections have spiked again this month and doctors say a new outbreak is spreading out of control in the densely
        packed territory of 7.5 million people.
    • Officials have reported 113 new coronavirus infections, a new daily record as a sudden surge in cases shows no
        signs of slowing despite ramped up social distancing rules.
Philippines:
    • The Philippines has reimposed a ban on non-essential travel abroad.
    • This comes more than two weeks after lifting the ban on all non-essential domestic and international travel in
        place since mid-March, when a lockdown was imposed to contain the spread of the coronavirus.
    • The Philippine Health Ministry reported 2,200 new coronavirus infections and 28 new deaths in the past 24 hours.
South Africa:
    • South Africa's confirmed coronavirus cases have reached nearly 400,000 as the country reports a new daily high
        of 572 deaths.
    • South Africa is now one of the world's top five countries in terms of reported virus cases, and it makes up more
        than half of the cases on the African continent with 394,948. Deaths are at 5,940.
    • Public hospitals are struggling as patient numbers climb, and more than 5,000 health workers have been infected.

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Spain:
    • Spain's number of coronavirus cases jumped by 2,615 in the past 24 hours, as the country struggles to contain a
        rash of fresh clusters of infections that have sprung up since the country lifted a strict lockdown a month ago.
    • Health Ministry data showed a total of 270,166 cases on July 23rd. Some 16,410 infections have been detected in
        the last 14 days, the Ministry said.
Switzerland:
    • Switzerland expanded the number of territories on its watchlist of coronavirus hot spots to 42.
    • New entries as of Thursday include Bosnia, Costa Rica, Ecuador, El Salvador, Eswatini, Guatemala, Kazakhstan,
        Kyrgyzstan, Luxembourg, Maldives, Mexico, Montenegro, the Palestinian territories, Suriname and the United
        Arab Emirates (UAE).
    • Travelers arriving from these locations must enter a 10-day quarantine

TRAVEL INFORMATION:
The links below are to the CDC travel webpage and the Department of State travel webpage, which are updated regularly
and outline specific guidelines and regulations in detail. Please refer to these for information regarding specific countries
for the most up-to-date information.
https://www.cdc.gov/coronavirus/2019-ncov/travelers/index.html
https://travel.state.gov/content/travel/en/traveladvisories/ea/covid-19-information.html

EARLY ALERT COVID-19 UPDATE:
Early Alert has developed a COVID-19 / 19-nCoV Dashboards and Resource Center in an effort to display the most up-to-
date tools and information available, in real-time, to help you maintain situational awareness and critical decision
support. Included in the site you will find:
    • Real-Time Statistics: The latest worldwide and U.S. numbers.
    • Interactive Charts: Animated timelines where users can choose which countries to view and compare data.
    • Travel Guidance: Information is available as issued by the respective states in the US.
    • Dashboard Links: Now consolidated in one location for ease of use.
    • Link to our latest Situation Report in PDF format.

Resource Center:
https://covid19-early-alert.hub.arcgis.com/
Global Dashboard:
https://earlyalert.maps.arcgis.com/apps/opsdashboard/index.html#/20bfbf89c8e74c0494c90b1ae0fa7b78
US Dashboard:
https://early-alert.maps.arcgis.com/apps/opsdashboard/index.html#/b4cff3aa546947e4812a233459b0b514

Note: All information contained in this report is compiled from multiple regulatory agency sources including the
Centers for Disease Control and Prevention, World Health Organization, U.S. Department of State, National Institutes
of Health and U.S. Department of Health and Human Services. Federal, state and local protective actions will be
included as pertinent to the situation. The facts and data presented in this report are the most up-to-date available at
the time of release.

Situation Reports will be issued Sunday, Tuesday and Thursday evenings to have available the following morning for
planning purposes. Additional reports will be generated as conditions warrant.

                                                          *** END OF REPORT ***

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