Coronavirus UPDATE: Recap 8/7/20

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(WellnessPursuits.com) – The first week of August has not been promising, with the total number of COVID-19 cases in the US surpassing 5 million and the number of deaths well over 162,000. State governments find themselves making increasingly difficult decisions when it comes to opening up small businesses and determining whether or not it is safe for children to return to school.

The Institute for Health Metrics and Evaluation (IHME) released a new prediction this week, estimating the United States will see more than 201,000 deaths by October 1st. This number represents a staggering increase of more than 30,000 over the prediction issued just last week. This number sits at the lower end of their prediction, with estimates shooting up to a shocking 226,000 deaths if mask restrictions aren’t followed and state mandates continue to ease.

We have more details and highlights from the week:

COVID-19: Snapshot of the Week

Last week, as of 9:00 AM EDT (13:00 GMT), July 31, 2020, the reported worldwide numbers were 17,505,819 cases and 677,468 deaths in 213 countries and territories. There were 10,962,095 recoveries reported worldwide.

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The US had 4,635,226 reported cases and 155,306 deaths. California accounted for 494,031 of those reported cases and 9,003 of those deaths. Florida (461,379 reported cases / 6,587 deaths), New York (443,000 reported cases / 32,754 deaths) and Texas (433,276 reported cases / 6,703 deaths) topped the nation with the number of cases, all over 430,000.

They were followed by New Jersey (186,975 reported cases / 15,888 deaths), Georgia (182,286 reported cases / 3,671 deaths), Illinois (178,138 reported cases / 7,670 deaths), Arizona (170,798 reported cases / 3,626 deaths), North Carolina (120,602 reported cases / 1,929 deaths), Massachusetts (117,098 reported cases / 8,595 deaths), Pennsylvania (115,853 reported cases / 7,269 deaths), and Louisiana (114,481 reported cases / 3,929 deaths).

The US Military reported 37,824 cases and 58 deaths while the Veterans Affairs reported 38,445 cases and 2,088 deaths. The Navajo Nation reported 9,019 cases and 454 deaths. Federal Prisons reported 11,751 cases and 104 deaths.

This week, as of 9:00 AM EDT (13:00 GMT), August 7, 2020, the reported worldwide numbers were 19,301,495 cases and 718,479 deaths in 213 countries and territories. There were 12,392,085 recoveries reported worldwide.

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The US had 5,033,723 reported cases and 162,836 deaths. California accounts for 541,494 of those reported cases and 10,028 of those deaths. Florida (510,389 reported cases / 7,747 deaths), Texas (489,731 reported cases / 8,116 deaths) and New York (448,168 reported cases / 32,817 deaths) now top the nation with the number of cases, all over 445,000.

They are followed by Georgia (204,895 reported cases / 4,026 deaths), Illinois (189,705 reported cases / 7,791 deaths), New Jersey (189,535 reported cases / 15,922 deaths), Arizona (183,647 reported cases / 4,002 deaths), North Carolina (131,575 reported cases / 2,115 deaths), Louisiana (127,246 reported cases / 4,146 deaths), Pennsylvania (121,294 reported cases / 7,364 deaths), Massachusetts (119,874 reported cases / 8,691 deaths) and Tennessee (116,350 reported cases / 1,186 deaths).

The US Military reported 42,249 cases and 70 deaths while the Veterans Affairs reported 42,176 cases and 2,247 deaths. The Navajo Nation reported 9,223 cases and 468 deaths. Federal Prisons reported 12,208 cases and 111 deaths.

National and State Reopenings

Last week, 11 states or territories were reversing course, 14 states were pausing, 10 states or districts were continuing with their reopening strategies and 17 states have reopened. This week, 11 states or territories are reversing course, 13 states are pausing, 9 states or districts are continuing with their reopening strategies and 19 states have reopened.

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  • Alabama — Pausing. Stage 2. Masks are required as of July 15. Open amenities include parks, beaches, gyms, retail stores, restaurant dining, bars, breweries, salons and entertainment venues, including theaters. Capacity limits will remain in place until through August based on rising infection numbers.
  • Alaska — Reopened. All businesses allowed to operate at full capacity.
  • Arizona — Reversing. Amenities now closed include bars, movie theaters, gyms, tubing rentals and water parks. Open amenities include retail stores, barbershops, salons, restaurant dining, pools (capacity capped at 10), spas and casinos. Public gatherings are capped at 50. These new closures and limits will remain in place until further notice.
  • Arkansas — Pausing. Mask Mandate effective July 20. Open amenities include campgrounds, gyms, pools, hair salons, barbershops, nail salons, restaurant dining, bars, theaters, stadiums, museums, bowling alleys, large venues and casinos.
  • California — Reversing. Amenities now closed include bars and gyms in some counties, movie theaters, museums, galleries, houses of worship in some counties, aquariums, arcades and bowling alleys. Open amenities include manufacturing, warehouses, offices in some counties, movie, TV and music production, pet groomers, hair salons and barbershops in some counties, nail salons, cosmetology services, tattoo parlors and piercing shops in some counties, outdoor dining, houses of worship in some counties, retail, casinos in some counties and zoos in some counties.
  • Colorado — Reversing. Mask Requirement in all public spaces effective July 20. Amenities now closed include bars and casinos. Open amenities include salons and personal services, retail stores, offices, manufacturing, houses of worship, campgrounds, pools, playgrounds, gyms, restaurant dining, museums, indoor events, fairs, rodeos, concerts and outdoor events.
  • Connecticut — Pausing. Phase 2. Open amenities include restaurant dining, retail stores, malls, hair salons, nail salons, barbershops, tattoo parlors, spas, museums, zoos, casinos, movie theaters, libraries, amusement parks, bowling alleys, offices, beaches and gyms — opening soon: bars.
  • Delaware — Pausing. Phase 2. Open amenities include barbershops, hair salons, tanning salons, nail salons, tattoo parlors, massage therapy, farmers markets, retail stores, malls, beaches, pools, gyms, campgrounds, restaurants, bars, breweries, museums, libraries, galleries, live performances and casinos.
  • District of Columbia — Reopening. These amenities have reopened: retail stores, restaurant dining, libraries, museums, dog parks, golf courses, tennis courts, parks, gyms, barbershops, hair salons, nail salons, waxing salons and spas — opening soon: nightclubs.
  • Florida — Reversing. Amenities now closed include bars. Open amenities include restaurant dining, retail stores, beaches, trails, gyms, houses of worship and sporting venues without spectators, movie theaters, concert halls, bowling alleys in most counties, tattoo parlors, massage therapy, tanning salons and acupuncture in most counties.
  • Georgia — Reopened. Despite escalating case counts, Georgia reopened. All businesses allowed to operate at full capacity.
  • Hawaii — Reopening. Open amenities include beaches, piers, docks, etc., as well as state parks, pools and waterparks in some areas, campgrounds in some areas, gyms, retail stores, pet groomers, salons and barbershops, nail salons in some areas and tattoo parlors in some areas, construction in some areas, offices in some areas, houses of worship and restaurant dining and bars.
  • Idaho — Pausing. Stage 3. Open amenities include houses of worship, gyms, pools, waterparks, restaurant dining, bars, hair salons, movie theaters, nightclubs and large venues. Although Idaho was poised to move to stage 4 of reopening, they have been re-evaluating every two weeks.
  • Illinois — Reopening. Stage 4. These amenities have reopened: state parks, limited fishing, boating, golf courses, gyms, retail stores, pet grooming, hair salons, barbershops, nail salons, spas, waxing centers, tattoo parlors, restaurant dining, manufacturing, offices, museums, theaters, and zoos.
  • Indiana — Pausing. Stage 4 — capacity limits still in place. Facemasks required effective July 27. Amenities closed until further notice include conventions, fairs, parades and similar events. Open amenities include libraries, museums, zoos and aquariums, movie theaters, large venues, manufacturing, offices, houses of worship, restaurant dining, bars and nightclubs, spas, salons, barbershops, tattoo parlors, retail stores, gyms, pools, bowling alleys, tennis and basketball courts, campgrounds, amusement parks and water parks.
  • Iowa — Reopened. All businesses allowed to operate at full capacity.
  • Kansas — Reopened. All businesses allowed to operate at full capacity at the discretion of county seats. All Kansans were ordered to wear facemasks in public as of July 3.
  • Kentucky — Reversing. Masks are required in public. Amenities closed until further notice include bars. Open amenities include retail stores, restaurant dining(at reduced capacity — 25% until further notice), distilleries, manufacturing, construction, offices, pet-grooming, salons and barbershops, houses of worship, spas, tattoo parlors, gyms, aquatic centers, state parks, pools, malls, movie theaters, bowling alleys, museums, aquariums, libraries, outdoor attractions; venues and events spaces, and skating rinks.
  • Louisiana — Reversing. Phase 2. Masks are required in public. Amenities closed until further notice include bars, amusement parks, water parks, theme parks and concert and music halls. Open amenities include restaurant dining, gyms, state parks, pools, malls, movie theaters, certain museums, zoos and aquariums, casinos, event centers, salons and barbershops, houses of worship, spas, tattoo parlors, pools, bowling alleys and skating rinks.
  • Maine — Reopening. Amenities closed until further notice include bars for indoor service. Open amenities include hair salons, barbershops, pet groomers, nail salons, tattoo parlors, spas, massage parlors, state parks, boating, golf courses, remote campgrounds, hunting and fishing, private campgrounds, RV parks, amusement parks, water parks, bowling alleys, arcades, movie theaters, performing arts venues, houses of worship, retail stores and restaurants, bars for outdoor service, gyms, nail salons and tattoo parlors.
  • Maryland — Pausing. Masks are required in public. Amenities closed until further notice include bars and theaters. Open amenities include golf courses, outdoor shooting ranges, marinas, campgrounds, beaches, outdoor pools, day camps, gyms, retail stores, malls, manufacturing, construction, offices, hotels, lodging, houses of worship, hair salons and barbershops, massage parlors, tanning salons, tattoo parlors, casinos, restaurant dining, outdoor service at breweries, wineries and distilleries.
  • Massachusetts — Reopening. Phase 3. Amenities closed until further notice include bars, ballrooms, stadiums and convention halls. Open amenities include golf courses, beaches, parks, fishing, hunting and boating, gyms, houses of worship, movie theaters, museums, aquariums, amusement parks, water parks, theme parks, theaters, performance halls, ballrooms, construction, manufacturing, offices, hotels, lodging, retail stores, restaurants dining, hair salons, barbershops, pet grooming, nail salons, massage parlors, tanning salons, bowling alleys in most regions, museums, aquariums in most regions, theaters and performance venues in most regions, movie theaters in most regions and casinos in most regions.
  • Michigan — Reversing. Phase 4. Amenities now closed include nightclubs, bars for indoor service in most counties and gyms. Facemasks required in public. Gatherings are limited to 10 people. Open amenities include golf courses, marinas, pools, gyms in some regions, construction, real estate, manufacturing, including auto companies, offices, retail, restaurants, outdoor bars, veterinary services, Pet groomers, hair salons, barbershops, nail salons, tattoo parlors, arcades, bowling alleys, theaters and convention centers in some regions. The pause before progressing to stage 5 is expected to last until further notice.
  • Minnesota — Reopened. All businesses allowed to operate at full capacity. Facemasks ordered in public settings effective July 25.
  • Mississippi — Pausing. Masks mandated in public. Open amenities include retail stores, restaurant dining, bars, houses of worship, state parks, gyms, salons and barbershops, tattoo parlors, casinos, movie theaters, libraries and museums.
  • Missouri — Reopened. All businesses allowed to operate at full capacity.
  • Montana — Reopened. Facemasks must be worn in counties with four or more cases of COVID-19. All businesses allowed to operate at full capacity.
  • Nebraska — Reopened. (never issued a stay-at-home order, but closed businesses; regional reopenings) — All businesses allowed to operate at full capacity.
  • Nevada — Reversing. Phase 2. All Nevadans and visitors are required to wear facemasks in public. Open amenities include golf courses, pickleball, tennis courts, state parks, gyms, pools, waterparks, retail stores, malls, restaurants, bars, barbershops, hair salons and nail salons, cosmetology and skin services, massage therapy, tattoo and piercing shops, museums, art galleries, zoos and aquariums, movie theaters, bowling alleys, outdoor attractions, houses of worship and gaming.
  • New Hampshire — Reopened. All businesses allowed to operate at reduced capacity.
  • New Jersey — Pausing. Amenities closed until further notice include breweries, wineries, distilleries and movie theaters. Open amenities include golf courses, outdoor recreational businesses, beaches, campgrounds, pools, libraries for curbside pickup, casinos, playgrounds, water parks, amusement parks, museums, libraries, aquariums, bowling alleys, batting cages, shooting ranges, gyms, construction, retail stores, malls, outdoor dining at restaurants, houses of worship, hair salons, barbershops, nail salons, tattoo parlors, spas, massage therapy and tanning salons — opening soon: breweries, wineries, distilleries, casinos, movie theaters.
  • New Mexico — Reversing. Phase 2 of New Mexico’s reopening is on indefinite hold as new cases of COVID-19 affect younger demographics. Amenities closed until further notice include bars, restaurant dining, indoor service at breweries, casinos, and theaters. Open amenities include state parks, golf courses, boating, gyms, pools, pet grooming and boarding, veterinary services, hair salons, barbershops, tattoo parlors, massage parlors, nail salons, retail stores at 25% capacity, malls, restaurant dining, breweries, offices at 25% capacity and houses of worship.
  • New York — Reopening. Phase 4. Amenities closed until further notice include movie theaters, casinos, amusement parks, bowling alleys, and gyms. Open amenities include retail stores, houses of worship, beaches, fishing and hunting, public pools and playgrounds, outdoor zoos, botanical gardens, nature parks in some regions, offices, construction, manufacturing, agriculture, forestry, TV and film production in some regions, outdoor dining at restaurants in some regions, indoor dining in some regions, hair salons, barbershops, tattoo parlors, massage parlors, nail salons, museums and aquariums in some regions.
  • North Carolina — Pausing. Residents and visitors are required to wear face coverings in public. Amenities closed until further notice include bars, movie theaters, bowling alleys, and gyms. Open amenities include retail stores, restaurant dining, houses of worship, salons, barbershops, tattoo parlors and pools.
  • North Dakota (never issued a stay-at-home order, but closed businesses; allowed businesses to reopen May 1) — Reopened. All businesses allowed to operate at full capacity.
  • Ohio — Reopening. Facemasks required in public spaces as of July 23. Open amenities include manufacturing, distribution, construction, offices, retail stores, salons, barbershops, etc., as well as dine-in restaurants and bars, campgrounds, gyms, pools, sports leagues, bowling alleys, miniature golf and batting cages, aquariums, zoos, skating rinks, playgrounds, country clubs, movie theaters, museums, art galleries, casinos, racinos, amusement parks and water parks.
  • Oklahoma — Reopened. All businesses allowed to operate at full capacity. Oklahomans and visitors are asked to observe social distancing and hygiene precautions and guidance as issued by the CDC.
  • Oregon — Pausing. Masks are required as of July 15. Gatherings of more than 10 people are prohibited. Oregon has paused in Phase 2 of reopening until at least September. Open amenities include some state parks, outdoor recreation facilities, gyms in some counties, pools in most counties, restaurants, retail stores, salons and barbershops, movie theaters, bowling alleys in most counties, and offices in most counties.
  • Pennsylvania — Reopened. Masks are required in public. As of July 16, indoor dining capacity has been reduced to 25% and bars may only open for restaurant service. All other businesses are allowed to operate at full capacity.
  • Puerto Rico — Reversing. Amenities closed until further notice include bars, movie theaters, casinos and gyms. Open amenities include restaurants (at 50% capacity), salons, barbershops, pet grooming, spas. retail stores, malls, outdoor malls and beaches, museums, auto cinemas, outdoor concerts, other open venues and houses of worship.
  • Rhode Island — Pausing. Phase 3. Social gatherings are limited to 25 people until further notice. Open amenities include state parks, beaches, gyms, casinos, campgrounds, retail stores, malls, offices, hair salons, barbershops, nail salons, massage parlors, tattoo shops, restaurant dining and houses of worship.
  • South Carolina — Reopened. The following types of businesses can open at 50% capacity with facemasks: movie theaters, concerts, race tracks and nightclubs. All other businesses are allowed to operate at full capacity.
  • South Dakota (Did not have a statewide stay-at-home order). Remained Open. Businesses did not close down. All businesses and amenities are open. The government of South Dakota requests that residents and visitors alike follow CDC recommendations and follow appropriate social distancing guidelines.
  • Tennessee — Reopening. Open amenities include state parks, gyms, theaters, museums, amusement parks, houses of worship, restaurant dining, retail stores, salons and barbershops.
  • Texas — Reversing. Face coverings are required in public in counties with more than 20 confirmed cases of COVID-19, and residents are encouraged to stay at home. Amenities closed until further notice include bars and reduced capacity in restaurants. Outdoor gatherings are limited to 100 people. Elective surgeries are prohibited in Harris, Dallas, Travis, and Bexar counties (containing the four largest cities and the largest concentrations of infections). Open amenities include state parks, pools, gyms, natural caverns, waterparks, amusement parks, carnivals, zoos, retail stores, malls, restaurant dining, movie theaters, museums, libraries, bowling alleys, bingo halls, skating rinks, rodeos, aquariums, salons, barbershops, etc., massage and personal care, offices and manufacturing.
  • Utah — Reopened. All businesses allowed to operate at full capacity.
  • Vermont — Reopening. Facemasks required in Public as of August 1. Open amenities include manufacturing, construction, distribution, state parks, golf courses, trails, campgrounds, gyms, fitness centers, retail stores, houses of worship, hair salons and barbershops, nail salons, spas, tattoo parlors, museums, theaters, libraries and restaurant dining.
  • Virginia — Reopened. Most businesses allowed to operate at full capacity.
  • Washington — Pausing. Face coverings required in public as of July 25. Phase 3. The state is pausing indefinitely in Stage 3 before moving into Stage 4. Bar seating and live music prohibited in most counties. Facemasks required in indoor venues. Live entertainment prohibited statewide effective July 20. Open amenities include state parks, fishing, hunting, golf courses, gyms in most counties, retail stores in most counties, restaurant dining in most counties, construction, hair salons, barbershops, tattoo parlors in most counties, pet grooming, religious services in most counties and casinos.
  • West Virginia — Reopened. Face coverings are required where social distance cannot be maintained as of July 7. Social gatherings limited to 25 people. Fairs, festivals, and concerts are prohibited. Bars in some counties must close as of July 14. Most businesses allowed to operate at full capacity.
  • Wisconsin — Reopened. All businesses allowed to operate at full capacity. Use of face coverings required as of August 1.
  • Wyoming (Never issued a stay-at-home order, but closed businesses; allowed businesses to reopen May 1) — Reopened. Most businesses are allowed to operate at full capacity.

Decisions about fall classes are being made at the state and even county levels. Some decisions may not be final until shortly before classes are due to resume. It currently looks as though 12 of the 15 largest school districts in the nation are choosing remote learning as their only option. We will continue to monitor and let you know more as information becomes available.

A total of 12 states still have self-quarantines for individuals entering from specific “hot” infection zones in an attempt to keep citizens of their states safer. States enforcing quarantines include Alaska, Connecticut, Florida, Hawaii, Kansas, Maine, Massachusetts, New Jersey, New Mexico, New York, Rhode Island and Vermont. Those states are requiring entrants to undergo a 14-day self-quarantine.

CDC Guideline Updates

No significant new public guidance was issued this last week by the Centers for Disease Control and Prevention (CDC). States are continuing to follow the comprehensive guidance issued for reopening and for contact tracing. Although guidelines on social distancing are no longer being maintained by the CDC, many states are continuing to follow past guidance. Other guidelines are in effect, including the hand hygiene guidelines. It is still advisable to:

  • Stay at least 6 feet (2 meters) away from other people.
  • Avoid groups and mass gatherings, as well as crowded spaces.
  • Use a cloth face covering to cover your mouth and nose when you’re in public places, such as the grocery store.
  • Work from home, if you’re able.
  • Avoid using any kind of public transportation, ride-sharing, or taxis, if possible. If you must use these modes of transport, be sure to wear a cloth face cover.
  • Wash your hands often with soap and water. When hand-washing isn’t an option, use a hand sanitizer containing at least 60% alcohol (but the higher the percent, the better).
  • Avoid touching your eyes, nose and mouth.
  • Clean and disinfect frequently touched surfaces using an EPA-registered household disinfectant. Spots to watch out for include doorknobs, light switches, toilets and other objects in shared spaces.

On June 25, the CDC updated and expanded the list of people who are at risk of severe COVID-19 illness. Older adults and people with underlying medical conditions remain at increased risk for severe illness, but now the CDC has further defined age- and condition-related risks. For instance, they removed the age-specific threshold of 65 years old and instead state that risk increases steadily as we age.

Financial Updates

Another 1.186 million people filed for unemployment claims last week, joining the more than 53.5 million already unemployed in the US — suggesting an estimated total of approximately 55 million job losses throughout the run of the pandemic thus far. This marks the 20th consecutive week that claim numbers have exceeded 1 million. The number of claims was fewer than the 1.4 million predicted by Wall Street analysts. Additional claims are likely to continue to be filed. Continuing claims dropped slightly to 16.1 million, a decrease of approximately 0.844 million from last week.

The Labor Department estimated on July 23 that approximately 31.8 million workers were currently unemployed. Some economists are softening that number slightly to 30 million. That still implied a 20% unemployment rate. Those Labor numbers did not reflect the increase in cases and the reversals by states seen in mid to late July.

Testing Capacity

As of August 5 at 1 pm Eastern time (1700 GMT), the US has officially run more than 62,291,887 tests for COVID-19. It has run approximately 6.439 million of those tests since last week (July 29). Some leading researchers have estimated that a capacity of 3-4 million tests per week is needed for the economy to fully reopen safely. Admiral Brett Giroir, the Health and Human Services (HHS) Testing Czar said that they were working to provide the ability to test up to 50 million people per month by September. That number may still be a bit low based on recommendations by the Rockefeller Foundation, which calls for testing capability to be ramped to 30 million tests per week by October.

Rise in Military Cases

Military cases continued to increase this week. The number of reported infections increased by 4,425 — an increase of 11.7%. The number of reported cases totals 42,249 with 21,195 of those cases active.

For reference purposes, the military currently includes about 1.3 million active-duty personnel. The state of New Hampshire has an estimated population of 1.35 million. New Hampshire has experienced a total number of 6,742 reported cases thus far, but currently only has 382 active cases, and is experiencing declining numbers.

Making Sense of the IHME Forecast

The IHME projections are sobering and shocking. Even the best-case scenarios paint a picture of an uphill battle against the coronavirus. But beyond just the predictions, there are some interpretations to keep in mind that may help us make decisions.

  • COVID-19 could become the third leading cause of death in the US. The IHME long-term predictions indicate that as many as 300,000 could potentially die from COVID-19 by December 1.
  • Infection and Death rates for the hardest hit states likely will not decline quickly. From observation, we have seen that once areas become saturated with infection, rates do not decline quickly. In addition, because there is some degree of crisis fatigue, areas with higher infection rates tend to see roller-coaster rebounds of infection as people become more lax too soon when rates begin to drop. Often, the drop in vigilance is followed by a rise in infection rates again.
  • Starting in the fall, infection rates may soar due to cooler weather. Based on statistical analysis from data collected thus far, transmission rates increase as the mercury drops outside.
  • Several assumptions shape the predictions. The forecast is based on the assumption that the hardest-hit states will reverse direction on opening economies and return to a more locked-down status. If states like Georgia, Illinois, North Carolina and Tennessee do not reverse direction, and if Florida and Texas do not make more concerted efforts, it is possible that infection and death numbers could be even higher than the current forecast. Alternatively, if the use of masks is universally implemented and accepted, infection and death numbers might be significantly lower than predicted values.

What to Do if You Get Sick

Call your healthcare provider or reach out to a telehealth provider if you believe you have COVID-19. Do not go to a medical facility without calling ahead. It may be possible to treat symptoms of the virus at home with over-the-counter medications. When you speak to your doctor or telehealth provider, they will be able to evaluate your symptoms and their severity and will direct you to go to a testing center or hospital, if necessary.

If you have a medical emergency, call 911; tell them if you or anyone else in the home might have COVID-19. If you have questions or aren’t sure what to do, call your local health department. Many states have hotlines set up for this purpose. Some states have 211 service lines that you can call for help and resources.

Recommendations include keeping your hands clean by washing with soap and water or, if those items aren’t available, by using hand sanitizer containing 60+% alcohol; using face coverings when in public places, especially in crowds or in enclosed spaces; minimizing contact with those outside your immediate family when possible; and social distancing when in the presence of others outside your family unit.

Based on observational data thus far and projecting into the future, the choices we make as individuals really can affect all of us as a society. Continuing safe practices even after case numbers drop locally in our communities may help drive future infection rates lower.

~Here’s to Your Healthy Pursuits!

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