Posts

Two Positive Covid Tests

New Study Shows Covid-19 Immunity Wearing Off In Patients Who Were Positive

A study of hundreds of thousands of individuals in the United Kingdom suggests that immunity to the coronavirus is gradually wearing off in some individuals. Researchers sent out finger-prick tests to more than 365,000 randomly selected households in England and found that over the course of three months, Covid-19 antibody presence in the UK decreased by more than 26%. 

The research team behind the study recently spoke to the press about the findings that were taken after three-rounds of national surveillance. They sent out the tests 12, 18, and 24 weeks after the first peak of infections in England and observed a significant decline in detectable antibodies as time progressed. 

Embed from Getty Images

“This is consistent with evidence that immunity to seasonal coronaviruses declines over 6 to 12 months after infection and emerging data that also detected a decrease over time in antibody levels in individuals followed in longitudinal studies.”

The study was published on Monday by Imperial College London and Ipsos Mori, a market research company. The initial data in the study was recorded in June, and found that 6% of individuals who took the tests had an antibody response to the coronavirus. By September that percentage had dropped down to 4.4%.

Antibodies are the proteins in your body that are created to fight infection. The type of test the group used to find these antibodies is called an IgG test, and they’re specially designed to only detect one kind of antibody; the coronavirus. This way if the test detects one of the other antibodies your body just naturally produces it won’t flag it for the study. 

Embed from Getty Images

The results also confirm that asymptomatic individuals are likely to lose their detectable antibodies sooner when compared to symptomatic individuals who had more severe infections. Younger people who have recovered from the virus had a slower loss of antibodies compared to individuals aged 75 or older. 

It’s important to note also that even if an individual has Covid-19 antibodies in their system, it’s still unknown how immune an individual will be from potential reinfection and how long that immunity will last. The study also had its limits as well, as the samples weren’t taken from the same individuals every time, but instead just focused on the UK population in general. 

“This very large study has shown that the proportion of people with detectable antibodies is falling over time. It is essential that everyone continues to follow guidance to reduce the risk to themselves and others.”

Immune responses are being heavily studied as well throughout the world. This study is showing that the virus acts like a cold, in the sense that once an individual is infected they’re not immune from getting a cold again, however, they’re body will have a stronger immune response the next time they’re infected. Also like a cold, individuals with more robust immune systems will likely have a quicker response time and are more likely to carry antibodies after the fact. 

If anything, the researchers behind this study want the world to realize that if you get the virus and survive, you are not in the clear yet, and we all must remain diligent in the way we protect ourselves and our loved ones from potential infection.

US Fights Covid-19

US Hits Highest Weekly Average Of Covid-19 Cases Since Beginning Of Pandemic 

The new seven-day average of coronavirus cases in the US hit 68,767 on Sunday, topping the previous peak average of 67,293 reported back in July, and setting the record for highest number of new cases appearing within seven-days. This past Friday and Saturday marked the two highest single days of new cases, with more than 83,000 cases being added each day. 

Health experts claim that this is the resurgence of cases that they were warning about in the summer that would spike in the fall and winter. They also warn that this will likely be the worst wave of infection the US has seen so far. The US has already seen more than 8.6 million cases of Covid-19 and 225,230 deaths; putting us in one of the most dangerous and vulnerable positions in the world in terms of this virus.  US Food and Drug Administration Commissioner Scott Gottlieb spoke with the press this past weekend about the new surges in cases.

Embed from Getty Images

“We’re entering what’s going to be the steep slope of the curve. If we don’t implement some forceful policy intervention that could curb the spread this is going to continue to accelerate, and it’s going to be more difficult to get under control.”

Gottlieb claims the best way to get these outbreaks under control is a national mask mandate. “A mandate can be expressly limited to the next two months, it’s easier to wear a mask in the winter than the summer. The inconvenience would allow the country to preserve health-care capacity and keep more schools and businesses open.” Deaths are already projected to increase based on these new weekly spikes anyway, and the best way to prevent that from continuing to happen would be a mask-mandate; especially since the reinstatement of a nation-wide lockdown has seemed out of the question for months now. 

According to data released by the Institute for Health Metrics and Evaluation at the University of Washington, if 95% of Americans wore masks in public, more than 100,000 lives could be saved in the US through February. Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, claims that since so many Americans are adamant about not wearing a mask in public, a mandate would be the only way to really curb the spread entirely. 

Embed from Getty Images

More than two-thirds of states have reported an increase in new Covid-19 cases this past week. No state is reporting above a 10% in terms of  improvement and case numbers going down. In El Paso County, Texas, residents are seeing one of the biggest spikes in the country, and have reported that all intensive care units in their hospitals are at 100% capacity. Because of this the county has implemented a curfew for the next two weeks. 

While researchers around the world are racing to develop a vaccine, it’s naive to think one will be ready, safe, and effective enough to be distributed in time to combat this second wave that we’re currently enduring. Gottlieb claims the next two to three months will just have to be dealt with as we’ve been. Fauci, however, is still confident that a vaccine will be available sooner rather than later. 

“We will know whether a vaccine is safe and effective by the end of November, beginning of December. The amount of doses that will be available in December will not certainly be enough to vaccinate everybody — you’ll have to wait several months into 2021.”

For now, the most imperative thing citizens in the US can do is listen to their healthcare providers and take all the necessary safety precautions to protect you and your loved ones from these spikes in cases. Also, make sure in the next week you either get out to vote early, or mail in your absentee ballot so that you vote for the candidate you want assisting you and your community/state/country through the rest of this global health crisis.

Elder Woman Wearing Mask

Who’s At The Greatest Risk Of Experiencing ‘Long Covid’?

A recent study linked age and number of Covid-19 symptoms in a positive individual to longer-lasting health problems brought on by the virus. What they found specifically is that women aged 50-60 are at the greatest risk of developing “long Covid,” which is when positive Covid patients experience ongoing symptoms for weeks, or months, after they’ve already beat the virus and are considered to be negative. 

Dr Claire Steves and Professor Tim Spector at King’s College London led the study which analyzed data from 4,182 Covid Symptom Study App users who had been consistently logging their health status after testing positive for the virus. 

Embed from Getty Images

In general, based on the App data, women were twice as likely to suffer from Covid-19 symptoms that lasted longer than a month when compared to men in the same age bracket, however, after the age of 60 everyone’s risk level is relatively the same; under the assumption that they don’t have any other underlying health conditions. 

Increased age was a general association that came along with the heightened risk levels for long Covid. 22% of people aged over 70 in the study reported suffering from symptoms for four or more weeks after their initial diagnosis. For comparison only 10% of individuals aged between 18 and 30-years-old reported the same experience. 

Gender differences only appeared for individuals aged between 50 and 60-years-old, where the data suggested a women’s risk was nearly double that of a man in the same age range. Professor Spector claims these results aren’t entirely surprising, as the same trend exists for autoimmune diseases in general in relation to how they impact men versus women of that age. 

Embed from Getty Images

“Things like rheumatoid arthritis and lupus are two to three times more common in women until just before menopause, and then it becomes more similar. My guess is that gender differences in the way the immune system responds to coronavirus may account for this difference in risk.”

The study has also not been peer reviewed yet but it is available for viewing in preprint. The results also showed that individuals who experience five or more Covid-19 symptoms within their first week of developing the virus are at a heightened risk for experiencing long Covid symptoms as well. 

 “There’s certainly a group of long Covid sufferers that have this multi-system immune–like disease, where they get gastrointestinal problems, skin rashes, nerve problems and brain fog – so the whole body is involved rather than just one bit,” claimed Spector, who went on to explain that the immune system is likely working differently in individuals who experience these multiple body system symptoms. Those individual’s immune systems have to work a lot harder and for a lot longer to get the entire body back on track when compared to patients who contract the virus but only experience minimal to no symptoms. 

The study also suggested that individuals who have preexisting health conditions such as being medically overweight or having asthma and other respiratory diseases could increase ones risk to long Covid.

Vaccine Covid

Two Potential Covid-19 Vaccines Could Meet The FDA’s Authorization Guidelines By 2021

Over 190 countries have joined the effort to create some sort of Covid-19 vaccine or drug treatment. According to the World Health Organization, of those trials 42 are being evaluated in clinical studies and 10 have already reached the late-stage of clinical testing. 

For America, however, there are only two coronavirus vaccines that could potentially meet the US Food and Drug Administration’s (FDA) Emergency Use Authorization guidelines by the end of 2020. In normal circumstances, new vaccines have to undergo a very long process to secure FDA approval for public use, however, in emergent situations the FDA can approve of a vaccine to be used; such as during a global pandemic that’s killing hundreds of thousands. 

Embed from Getty Images

The Covid-19 pandemic qualifies as a “biological threat” under FDA guidelines, meaning the administration can grant emergency use authorization. Emergency Use Authorization (EUA), doesn’t mean that the FDA will just approve of the first vaccine to appear, but instead means they won’t be as stringent as they normally are when working to approve of a vaccine. 

The FDA recently claimed that it “does not expect to be able to make a favorable benefit-risk determination that would support an EUA without phase 3 data that included, among other factors, a high proportion of enrolled subjects (numbering well over 3,000 vaccine recipients) followed for serious adverse events and adverse events of special interest for at least one month after completion of the full vaccination regimen.”

The FDA would also want to see late-stage clinical data on the subjects who received the vaccine at least two months after they completed the full vaccine regimen. What will happen now is an advisory committee that consists of infectious disease experts not working for the FDA will review the two vaccine options and determine if it’s eligible for EUA. 

Embed from Getty Images

Drug-makers would need to file for EUA of a Covid-19 vaccine by the end of November in order for it to have any chance at receiving FDA approval by the end of 2020. So far, Pfizer and BioNTech’s joint vaccine and Moderna’s RNA vaccine are the only two viable options to potentially receive EUA. 

Moderna’s CEO claimed in September that her company would have enough data to submit a request for EUA by November 25th, while Pfizer and BioNTech claim they’ll be receiving initial data from their Phase 3 trial this month. The only other vaccines that had a chance at receiving EUA by the end of 2020 were AstraZeneca’s and Johnson & Johnson’s vaccine candidates, however, both vaccine trials were recently put on pause in the US due to unexplained illnesses appearing in some of the volunteers. 

Of course, the number one priority for the FDA is how safe and effective a vaccine is, this is why there’s such an emphasis on late-stage data when it comes to vaccine development. A vaccine could completely eradicate the virus it was meant to kill but still have adverse side effects months down the line that are completely unrelated to the virus. 

As of right now, however, it’s most imperative that you as an individual are making conscious choices every day to best protect yourself, and those who you are quarantined with, by always wearing a mask in public, social distancing whenever you can, washing your hands frequently, and staying home unless absolutely necessary. 

Vaccine Development

Johnson & Johnson Pause Covid-19 Vaccine Trial Due To Unexplained Illness Appearing 

Johnson & Johnson have become the latest to put their Covid-19 vaccine trial on pause due to an unexplained illness appearing in one of the participants. AstraZeneca and the University of Oxford also made headlines recently when they had to pause their trial for the same reason. The AstraZeneca trial, however, has resumed in Canada and Europe, just not the US. 

For Johnson & Johnson, however, a document was recently sent out to outside researchers who were running the clinical trial – which involved 60,000 patients – that claimed a “pausing rule” had been met and the trial was to stop immediately until a proper investigation into the sick individual has been performed. 

Embed from Getty Images

The online system that’s been used to enroll patients in the study has been officially closed and all data that’s already been collected from various committees would be collected and analyzed together. Johnson & Johnson recently spoke with the media about putting their trial on pause but provided little information based on the fact that they themselves are still working on the investigation. 

“We must respect this participant’s privacy. We’re also learning more about this participant’s illness, and it’s important to have all the facts before we share additional information.”

Johnson & Johnson did emphasize in their statement that adverse events like this happening during a clinical study for a vaccine made for a virus the world knows so little about, is normal. In fact, the AstraZeneca trial has had to pause a few times now due to unexplained illnesses appearing in certain participants. These issues that cause the trials to come to a halt are typically isolated incidents and have to do with the individuals personal health over anything else. 

Embed from Getty Images

They also emphasized the difference between a “study pause” and a “clinical hold” when it comes to vaccine trials. A clinical hold is a formal regulatory action that can cause a vaccine trial to stop for a long-time. This incident, however, falls more under the study pause category, as the company is projecting to restart the trial this week. 

Late Monday evening the data and safety monitoring board, or DSMB, for the Johnson & Johnson trial met to review the case involving this sick participant. When it comes to these illnesses it’s not always immediately clear what the cause is, but the first thing the first thing the DSMB needs to determine is if the patient received a version of the vaccine, or a placebo. 

The fact that this trial is one of the biggest in the world also means that these pauses are likely to occur more than once. Again, AstraZeneca has had to take multiple pauses and their trial involves about half the participants as Johnson & Johnson. A source recently spoke with the media about how common these pauses are.

“If we do a study of 60,000 people, that is a small village. In a small village there are a lot of medical events that happen.” 

Johnson & Johnson initially began enrolling volunteers for Phase 3 of their clinical trial for a Covid-19 vaccine on September 23rd. Researchers initially planned on enrolling 60,000 participants from all over the world and are planning to still hit that number as well.

The Latest On Donald Trump’s Covid-19 Diagnosis

***Last Updated 10/5/2020 at 11:00 a.m.***

This past Friday President Donald Trump was hospitalized at the Walter Reed National Military Medical Center in Bethesda, Maryland after announcing that he had tested positive for Covid-19. Dr. Brian Garibaldi is a leader on Trump’s medical team who recently updated media outlets claiming that the president could be discharged from the medical center as early as Monday afternoon. 

On Saturday, Garibaldi claimed that Trump completed his second dose of redesivir and was feeling better by Sunday. Now, Trump is hoping to be discharged to complete his treatment in the White House. White House Chief of Staff, Mark Meadows, recently claimed that the president could be released from the medical center after he consults with his doctors later Monday afternoon; which is also when his discharge decision will be made public. 

Trump received scrutiny on Sunday, however, after leaving the medical center with his security team so he could ride in an SUV past his supporters who were cheering him on outside the hospital. 

Embed from Getty Images

The White House claims all “appropriate precautions” were taken before Trump went on the SUV ride, however Dr. James Phillips, an attending physician at Walter Reed, criticized the decision as something that could further endanger the lives of the Secret Service agents who accompanied the president, claiming that his “irresponsibility is astounding.”

On Sunday it was reported that the president’s oxygen levels had dropped for a second time since his diagnosis last Friday. Trump had also been receiving supplemental oxygen due to these dips, and was also given the corticosteroid drug dexamethasone. Dexamethasone is a widely available steroid that’s been used throughout this pandemic for patients on supplemental oxygen/ventilated individuals. 

When it comes to the president’s official release from the hospital, Rudy Giuliana claims that he will be waiting until his doctors actually give him the stamp of approval to do so. 

“He wants to get out. He sounds perfect. I just cautioned him to listen to his doctors. I said I hope that’s not your decision, it’s the doctors, He said ‘no no, these guys are great. I’ll do what they tell me.’”

After Trump’s brief trip out of the hospital to greet supporters, Giuliani admitted that the Secret Service would be at a greater risk protecting the president in the coming weeks, however, he also supported the decision on the basis that all parties involved were wearing masks at the time. 

Embed from Getty Images

First lady Melania Trump also contracted the virus but has no plans of leaving the White House to continue out her treatments. Since her diagnosis Melania has quarantined in the Executive Residence in the White House and will be remaining there until it’s deemed safe for her to be around others again. The first lady has been relatively precautious when it comes to following Covid-19 procedures and has already cut back on all of her traveling plans/public appearances. 

When it comes to the pandemic in general, Dr. Anthony Fauci, the nation’s top infectious disease expert, claims that there has never been a global health crisis to this degree before; for reference Fauci has worked on a number of other viral outbreaks in the past such as the HIV/AIDS epidemic, Ebola, and Zika virus. 

“We’re living in such a very divisive society right now that’s very charged politically. You always have a degree of that when you have outbreaks as we’ve been in the past but nothing to the intensity that we’re experiencing now with Covid-19.”

With one month left before the 2020 election, Trump and his team are also scrambling to manage catching up to Biden in the polls and maintaining a strong media presence despite the president’s now lack of ability to be around others. Ballots are currently already out in 35 states and with voting beginning in the swing states next week, there’s no way the president’s diagnosis mixed with his downplaying of the virus that has killed over 200,000 Americans won’t have an impact on voters. 

Since the announcement of Trump’s diagnosis Mike Pence and Joe Biden have both tested negative for the virus, however, both will have to continue to be tested daily along with a whole slew of other US political leaders who have been working with/around Trump and his team within the past few weeks. As of right now at least 10 people within Trump’s family, the US Government, and Trump’s circle of advisors have tested positive while 23 others within his inner circle have continued to test negative.

Friends Wearing Masks

How To Protect Yourself From Covid-19 

The coronavirus pandemic has been truly unpredictable to say the least. The way it travels, spreads, and reacts inside of our bodies has proven to be unexpected, however, if one thing has remained common throughout the past six months it’s been the universal desire to find a vaccine, and curve the overall spread of the virus. So what are some of the most effective proven ways to help prevent the spread of the Covid-19 virus?

First we need to best understand how this virus moves, which is difficult considering even the world’s smartest scientists are still trying to work that out. The World Health Organization was recently confronted by over 200 scientists from over 30 countries who were urging the organization to acknowledge the possible role of airborne transmission, to which they complied. 

Embed from Getty Images

“Under certain conditions short-range aerosol transmission, particularly in specific indoor locations, such as crowded and inadequately ventilated spaces over a long period of time with infected persons cannot be ruled out.” 

The Centers for Disease Control and Prevention also recently acknowledged the possibility of airborne transmission on their website, claiming that Covid-19 can spread “through respiratory droplets or small particles, such as those in aerosols, produced when an infected person coughs, sneezes, sings, talks or breathes. These particles can be inhaled into the nose, mouth, airways and lungs and cause infection. This is thought to be the main way the virus spreads.”

Both the CDC and WHO have acknowledged, however, that these repertory droplets are more likely to cause infection from landing on certain shared surfaces that are then touched by other individuals. The haziness surrounding the airborne quality of this virus has also been focused on less due to the fact that mask-wearing is the most effective way to combat that. If you go out in public, wear a facial covering and then get clean immediately upon returning home, you’re likely to be safe. 

Embed from Getty Images

When in an indoor setting, it’s best if you remain as distanced as possible from others who aren’t a part of your quarantine bubbles. Go even further than 6 feet apart when possible, and wear a face mask if you’re hanging around individuals who you haven’t seen. Improve ventilation by keeping all windows open and use devices like air purifiers, dehumidifiers, and fans to keep the air circulating between the indoor and outdoor spaces. 

Group activities in general should always be outside, and every individual should be wearing a mask unless a proper physical distance between everyone is possible. Facial coverings are the biggest and most effective solution to curbing the spread of this virus as we’ve seen evidence of all around the world. 

It’s also important to ensure you’re wearing the right type of facial covering and wearing it correctly. Fabric masks should be thick enough that when you hold it up to the sun you can’t see the light shine through it. Most disposable masks available at your local drug store or gas station are effective as long as you’re getting rid of them after each use. Finally, make sure your mask is completely covering your nose, and if you’re going out with your kids, make sure they also have a mask. Many individuals have become more relaxed when it comes to their children wearing masks because it’s less likely that a young child/toddler will contract the virus, however, that doesn’t mean they can’t still bring it into your home and infect others, so keep everyone in your house safe and mask up.

Regardless of the proven science, we all know that the Covid-19 virus spreads easily and quickly when given the opportunity. Wearing a mask at all times when in a public space, maintaining a distance of at LEAST six feet from individuals not in your quarantine bubble, and remaining outdoors for any and all group activities will help keep this virus at bay, and your loved ones healthy.

How To Better Your Physical And Mental Health During Your Lunch Break 

Now that a majority of us are working from home, it can be especially hard to separate our home lives from our work lives. When it comes to our lunch breaks especially, since we’re already in our own homes it can be easy to just lay on the couch for an hour until you need to get back up to start responding to emails again. Instead, try one of these activities that can help improve your overall mental and physical state, and keep your mind, body, and spirit happy.

Call A Friend Or Family Member: Being separated from our loved ones has truly been one of the most difficult aspects of this pandemic. Take a few minutes of your break to catch up with a friend or family member who you haven’t talked to in a few weeks. Technology makes it easy for us to connect to one another from our own quarantine bubbles, however, it can be easy to forget to keep communication up when the world seems so bleak. So call your loved ones and receive some much needed positivity. 

Embed from Getty Images

Visit Your Favorite Tree: This idea comes from author Susan Saunders, who claims that “Seeing a tree combines so many of the habits that contribute to longevity: being outdoors in daylight, vital to keep our circadian clocks ticking accurately; exercise from walking; a chance to savour the moment. And even one lonely tree provides us with a little green space.” So if you don’t have a favorite tree yourself, take a walk around the neighborhood and mark the first one that really resonates with you, and make sure to give it a visit as often as possible. 

Move: Moving our bodies is so important especially now that we’re all stuck at home. Getting our blood circulating is not only good for our physical health but mental health as well. It may sound silly, but reminding yourself that you are grounded, moving, and existing in a given environment can make one more appreciative for the things they have. So even if it just means stepping outside and walking around your house a few times, make sure you’re getting up and moving with a purpose every day. 

Organize: Take a look at that long list of home projects you’ve been putting off for the entire pandemic and finally get to it! Since we’re discussing things to do during a lunch break, choose a smaller task like organizing a certain junk drawer, closet shelf, or medicine cabinet. Completing a smaller scale project like this will not only stimulate your brain, but give you the satisfied feeling of checking off one of the boxes on your to do list. 

Embed from Getty Images

Learn A New Skill: Learning a new language or instrument obviously takes time, but doing a little bit of practice every day is how all the professionals get good. So take your hour break to log into Duolingo and practice some Italian, or go into your spare room and work on a few piano scales. Whatever you choose, doing it for a little bit everyday will improve your overall sense of purpose and will keep you motivated to do more. 

Meal Preparation: Many individuals have been teaching themselves to cook with all the spare time they now have. Use these newfound cooking skills to create meals that will create leftovers for the rest of the week, this way, you won’t have to be worried about preparing dinner every single night after a long day of working in the living room.

Take A Nap: While the point of this article is to tell you things that will improve your mental and physical health during your lunch break, sometimes the best thing one can do for themselves is take a much needed break and just, nap. If you feel yourself getting constantly overwhelmed with your own personal struggles and the overall state of the world, it’s important to unplug and disengage from everything and everyone for a moment. Take some deep breaths, and ground yourself in where you are. The world may be a scary place, but you’re still here, and you’re still surviving, so keep going!

California Wildfires

Increase In Hospital Visits Resulting From West Coast Wildfires Has Doctors Concerned

The Northern California health system has reported a major surge in cases involving toxic smoke and its alarming health effects.

Covid Virus

Coronavirus Could Have Been In The US Since December, According To New Research

Outbreaks of illness attributed to the coronavirus weren’t widely documented until the spring, however, new reports suggest that the virus could have been in the United States as early as December. The US Centers for Disease Control and Prevention previously reported that the virus first hit the country in late January, but researchers at the University of California, Los Angeles, believe otherwise. 

The study was published in the Journal of Medical Internet Research, and found that there was a significant increase in clinic and hospital visits by patients who reported respiratory illnesses the week of December 22nd, 2019. These patients all went to the ER with respiratory complaints, and many others were hospitalized with acute respiratory failure between December 2019 and February 2020. It’s important to note that these hospitalizations could have all been flu related as well, however, the spike in visits is substantial when compared to previous years, so it’s not to be taken lightly. 

Embed from Getty Images

Currently, universities and schools across the country are coping with the inevitable spikes in outbreaks that have already been occuring. So far 50,000 coronavirus cases have been reported at various colleges and universities in all 50 states. Many universities are opting for required 14-day quarantine periods for all infected students. 

The University of Arizona and the Colorado University of Boulder have both implemented these quarantine measures. Arizona specifically is urging all of its students to remain indoors and isolated until the end of the month based on how many new cases they’re seeing. They saw 261 new cases appear on campus this year alone. 

Many have also heard about the wedding in Maine that has now led to 176 new Covid-19 cases and seven deaths. The seven people who died weren’t even at the wedding itself, but contracted it through individuals who were in attendance. The story is now being widely used as an example of just how badly this virus can impact individuals who were doing everything right in their lockdown procedures, but it still wasn’t enough due to others irresponsibility. 

Embed from Getty Images

While authorities and government officials have “strongly encouraged” the health and safety measures created to prevent situations like the Maine wedding from occurring, the fact is these measures are rarely enforced. This is why America has one of the highest infection/death rates in the world. CDC director Dr. Nirav Shah recently spoke with the media about this wedding and gatherings in general in the US. 

“The virus favors gatherings, it does not distinguish between happy events like a wedding celebration. That event is now linked to outbreaks more than 100 miles away from the venue, and among people who had only secondary or tertiary contact with an attendee.”

Some officials and industries have been adjusting and preparing for a coronavirus-altered way of life to return to some semblance of normalcy, while others are preparing for the worst; a second wave.