COVID-19 as of today (03-12-20, summary is my own, not my employer’s):

[Some Quick Definitions for Commonly Used Terms, skip ‘em if ya know ‘em:

Community Spread – Illness with an unknown source. This typically means that there are more cases in the community that have not been detected. May also be called community acquired or local transmission.

Cumulative Confirmed Case Fatality Rate – The total number of patients who were confirmed to have COVID-19 and died, divided by the total number of confirmed COVID-19 cases, from the beginning of the outbreak to today.

Line Listing – A list of all the cases in an outbreak and their details.

Patient Under Investigation (PUI) – A person who is showing one or more COVID-19 symptoms (fever, cough, difficulty breathing) who has not yet received test results.

Presumptive Positive – The first test back for a PUI is positive, but another test is still needed to confirm this. Confirmed means that two tests have shown that the case is positive.]

[QUICK NOTE: I'm not going to focus on state-by-state case counts tonight (except for those reporting their first cases or deaths), as we can all probably agree that the delays in building up testing capacity have led to current case counts not being accurate in terms of reflecting the amount of disease currently circulating in some areas. Instead, I'm focusing on explaining some recently published research and news. At the end of this post, under Case Counts, you can find your state or territory's public health department webpage which you can use to check your state's current confirmed counts.]

Territory French Polynesia and countries Cuba and Guyana report their first COVID-19 cases. The newest countries announcing community spread include Brunei, Luxembourg, Kuwait, Qatar, Morocco, and Panama. Today was the eleventh day in a row that the new number of global cases broke the record of the day before it. The US is currently reporting at least 1,663 confirmed cases (this number includes presumptive positives). [1, 2]

Notable individuals who have recently tested positive for COVID-19 include the wife of Canada’s prime minister; actor Tom Hanks; actress Rita Wilson; a Senate staffer in Washington, DC; Utah Jazz center Rudy Gobert (who had been mocking social distancing rules a few days earlier, touching as many surfaces close to him as he could after an interview – and has since apologized for his “careless actions”); Arsenal manager Mikel Arteta; Utah Jazz guard Donovan Mitchell; Chelsea winger Callum Hudson-Odoi; Juventus defender Daniele Rugani; 21 Iranian lawmakers; French Culture Minister Franck Riester; United Kingdom Health Minister Nadine Dorries (who recently interacted with Boris Johnson and other prominent UK politicians); secretary general of the Vox party in Spain, Javier Ortega Smith; the leader of the Italian Democratic Party Nicola Zingaretti; and Fabio Wajngarten, communications secretary to Jair Bolsonaro (he recently came into contact with President Trump, who has since announced that he will not be tested for COVID-19 or self-quarantine). [3, 4, 5, 6, 7, 8, 9]

A recent article I had included as an anecdotal account of asymptomatic transmission has been refuted by the German government’s public health agency, who stated that the authors of this study did not confirm whether the individual they reported as asymptomatic was actually without symptoms. The authors instead relied on information from four other patients, who stated that the individual in question “did not appear to have any symptoms.” My personal opinion on this is that people are so eager to read news surrounding this outbreak, or publish news on it, that even peer review is not exempt from sometimes falling prey to not fully checking their sources – always remember to double-check to avoid spreading misinformation, and if something you’ve shared is found to be untrue, make sure you set the record straight! [10]

In this vein, let’s talk about the COVID-19 meme with prevention tips that has been widely circulating, stating that it was from a “Stanford Hospital Board Member.” This has been shared by members of the general public, celebrities, and school board members, to name a few. This meme is completely untrue and not based on any scientific information whatsoever. While the information in it is mostly harmless (it suggests that you should drink water to “wash the virus down through your throat” – again, not true, but not harmful; everyone should drink water regardless of whether you are sick or healthy), one of the things it claims could be potentially harmful – that is, that if you can hold your breath for more than 10 seconds, you don’t have COVID-19. This has been confirmed to not be true, as many cases may not have shortness of breath in the illness’s early stages (and some may not ever develop shortness of breath at all); if people try to use this as a diagnostic tool, they could end up misdiagnosing themselves and potentially exposing others to the disease. [11, 12, 13]

A recent article published in the journal Emerging Infectious Diseases studied a cluster of COVID-19 cases associated with a shopping mall in Wenzhou, China, where it appears that some who contracted the illness did so through either touching the virus on infected objects, inhaling the virus in an aerosolized form in a confined space, or from asymptomatic infected persons. [14]

An article published in Journal of Dental Research outlines recommendations for dentists and other oral hygienists, including (but not limited to) the following: dental clinics are recommended to pre-check and record the temperature of every staff and patient as a routine procedure; avoid procedures that are likely to induce coughing; use face shields and goggles while performing high- or low-speed drilling with water spray; and when suturing patients’ oral wounds, to rinse wounds slowly and use the saliva ejector to avoid spraying. (NOTE: I know I have a few dental hygienists following me; please let me know if you have any trouble accessing this article and I will send it to you directly.) [15]

An article published in the Journal of the American Medical Association (JAMA) reminds us that more than 3,000 healthcare workers have been infected with COVID-19 in China. It states that the widespread use of masks, gloves, gowns, and eye wear in the care of all patients with respiratory symptoms must be the highest priority for healthcare workers. It also stresses the importance of masking patients, decontaminating surfaces, and washing your hands frequently. [16]

An article published in Clinical Research in Cardiology summarizes several different studies conducted on a total of 1,527 COVID-19 patients in China on the effects of cardiovascular metabolic diseases including hypertension, cardia-cerebrovascular disease and diabetes on COVID-19 patient outcomes. Of patients who developed severe illness from COVID-19, they were two times more likely to have hypertension or diabetes, and three times as likely to have some kind of cardia-cerebrovascular disease, than patients who did not develop severe illness. I’m not certain what is considered a cardia-cerebrovascular disease: cerebrovascular diseases are a group of conditions, diseases, and disorders that affect the blood vessels and blood supply to the brain; cardiovascular diseases include things like heart disease, stroke, heart failure, abnormal heart rhythms, and heart valve problems. (NOTE: If any doctor wants to shed light on what cardia-cerebrovascular disease entails, please do so I can explain this better!) [17, 18, 19]

CDC’s director commits to providing free COVID-19 testing to all Americans regardless of whether or not they are insured. It is not immediately clear how this will be enacted. [20]

You can find a list of notable closures on this live update thread; there were simply too many to list here. [21]

Editors of the New England Journal of Medicine call for testing to be made more widely accessible and easy to access, particularly in areas where other patients are not already being treated (to avoid someone who doesn’t have COVID-19 getting it) using methods such as drive-thru testing (which South Korea first implemented). Some areas across the US that currently have drive-thru testing include Northern California (at certain Kaiser Permanente facilities – not sure which, as they don’t seem to make the info available on their website); Lowry, CO (which had to turn people away due to a massive turnout after it first opened – it serviced 160 patients on its first day open); Hartford and New Haven, CT; Pearl City, Kapolei and Kailua, HI; Chicago, IL (you first need to get approval from a healthcare provider); Rochester, MN; New Rochelle, NY (starting tomorrow, by appointment only); Charleston, SC; Bennington, VT; and Seattle, WA (the first in the US to open). [CA, CO, CT, HI, IL, MN, NEJM, NY, SC, VT, WA]

Alaska announces its first COVID-19 case in an individual who arrived less than 48 hours prior on a private cargo flight that had landed in Anchorage. The patient was treated at a hospital, discharged, and is self-isolating and recovering at home. [AK]

Georgia announces its first COVID-19 death in a 67-year-old man with underlying health conditions. Hospital staff state that the risk of him having exposed healthcare workers is low, as he was masked. [GA]

Kansas announces its first COVID-19 death in a man in his 70s who lived in a long-term care facility; the patient was diagnosed after he died and is considered a case from community spread. In response, the governor announces a state of emergency. [KS]

[1] WHO COVID-19 Situation Report, 03-12-20

https://www.who.int/docs/default-source/coronaviruse/20200312-sitrep-52-covid-19.pdf?sfvrsn=e2bfc9c0_2

[2] Johns Hopkins COVID-19 Map

https://coronavirus.jhu.edu/map.html

[3] Wife of Canada’s Prime Minister Tests Positive for Virus

https://www.nytimes.com/2020/03/12/world/coronavirus-live-news-updates.html#link-771b107

[4] ‘Now we all have someone we love diagnosed’: Why Tom Hanks getting coronavirus hits home

https://www.washingtonpost.com/nation/2020/03/12/coronavirus-tom-hanks/

[5] Coronavirus arrives on Capitol Hill: First Senate staffer diagnosed with covid-19

https://www.washingtonpost.com/nation/2020/03/12/coronavirus-cantwell-staffer/

[6] Coranavirus [sic]: Athletes and coaches who have been infected with COVID-19

https://www.cbssports.com/general/news/coranavirus-athletes-and-coaches-who-have-been-infected-with-covid-19/

[7] Jazz center Rudy Gobert apologizes for 'careless' actions

https://www.espn.com/nba/story/_/id/28893477/jazz-center-rudy-gobert-apologizes-careless-actions

[8] Why Are So Many Politicians Testing Positive with COVID-19?

https://time.com/5800950/politicians-covid-19/

[9] Trump met with Brazilian official who tested positive for coronavirus

https://www.theguardian.com/world/2020/mar/12/trump-coronavirus-photo-brazilian-aide-bolsonaro-contact-latest

[10] Study claiming new coronavirus can be transmitted by people without symptoms was flawed

https://www.sciencemag.org/news/2020/02/paper-non-symptomatic-patient-transmitting-coronavirus-wrong

[11] That Widely Circulated List of COVID-19 Tips Is a Hoax

https://www.lamag.com/article/coronavirus-hoax-stanford/

[12] There’s a Facebook Coronavirus Post Going Viral Claiming to be From Stanford. Don’t Believe It.

https://www.motherjones.com/politics/2020/03/theres-a-facebook-coronavirus-post-going-viral-claiming-to-be-from-stanford-dont-believe-it/

[13] COVID-19 in 2 Persons with Mild Upper Respiratory Tract Symptoms on a Cruise Ship, Japan

https://wwwnc.cdc.gov/eid/article/26/6/20-0452_article

[14] Indirect Virus Transmission in Cluster of COVID-19 Cases, Wenzhou, China, 2020

https://wwwnc.cdc.gov/eid/article/26/6/20-0412_article

[15] Coronavirus Disease 2019 (COVID-19): Emerging and Future Challenges for Dental and Oral Medicine

https://journals.sagepub.com/doi/full/10.1177/0022034520914246

[16] Supporting the Health Care Workforce During the COVID-19 Global Epidemic

https://jamanetwork.com/journals/jama/fullarticle/2763136

[17] Prevalence and impact of cardiovascular metabolic diseases on COVID-19 in China

https://link.springer.com/article/10.1007/s00392-020-01626-9

[18] What to know about cerebrovascular disease

https://www.medicalnewstoday.com/articles/184601

[19] What is Cardiovascular Disease?

https://www.heart.org/en/health-topics/consumer-healthcare/what-is-cardiovascular-disease

[20] CDC director commits to COVID-19 testing for all Americans, regardless of insurance coverage

https://www.fox2detroit.com/news/cdc-director-commits-to-covid-19-testing-for-all-americans-regardless-of-insurance-coverage

[21] March 12 coronavirus news

https://www.cnn.com/world/live-news/coronavirus-outbreak-03-12-20-intl-hnk/index.html

[AK] First positive Alaska coronavirus case identified as person from cargo flight

https://www.adn.com/alaska-news/2020/03/13/first-positive-alaska-coronavirus-case-identified/

[CA] Kaiser to Open Drive-Up Coronavirus Testing Areas

https://www.nbcbayarea.com/news/local/kaiser-to-open-drive-up-coronavirus-testing-areas/2253063/

[CO] CDPHE drive-up lab experiencing high volume. Line will be closed today; those in line already will have priority for tomorrow

https://www.colorado.gov/pacific/cdphe/news/cdphe-drive-lab-experiencing-high-volume-line-will-be-closed-today-those-line-already-will-have

[CT] Connecticut hospitals experiment with ‘drive through’ testing, roll out 24-hour call centers to help patients manage coronavirus at home

https://www.courant.com/news/connecticut/hc-news-coronavirus-test-hospitals-20200309-lb54zvss6var7j7p4bfnphg4fe-story.html

[GA] Hospital: Patient was masked, ‘low risk’ of exposure

https://www.ajc.com/blog/politics/breaking-georgia-reports-1st-coronavirus-related-death/SwylrLpn5PevJlGk59NTqL/?ecmp=cobbco&utm_medium=social&utm_source=cobb_fb&fbclid=IwAR0xHYYU4LpykYV8QhT3ToCeHCMk8bLa74zwo5u3-9xXbcDspFFHm28cfDc

[HI] 3 urgent care facilities now offering drive-through coronavirus testing

https://www.hawaiinewsnow.com/2020/03/12/urgent-care-facilities-now-offering-drive-through-coronavirus-testing/

[IL] Hospital in suburban Chicago offering drive-thru coronavirus testing

https://www.fox32chicago.com/news/hospital-in-suburban-chicago-offering-drive-thru-coronavirus-testing

[KS] Kansas sees first coronavirus death, governor declares state of emergency

https://www.kctv5.com/coronavirus/kansas-sees-first-coronavirus-death-governor-declares-state-of-emergency/article_fa47fefa-64b9-11ea-af09-d763e0e77a73.html

[MN] Mayo Clinic begins pre-screened drive-thru process for COVID-19 testing

https://kttc.com/2020/03/12/mayo-clinic-begins-pre-screened-drive-thru-process-for-covid-19-testing/

[NEJM] Interview with Dr. Eric Rubin and Dr. Lindsey Baden on making decisions about COVID-19 testing and treatment for your patients

https://www.nejm.org/action/showMediaPlayer?doi=10.1056%2FNEJMdo005721&aid=10.1056%2FNEJMe2004856&area=

[NY] During Novel Coronavirus Briefing, Governor Cuomo Announces New Mass Gatherings Regulations

https://www.governor.ny.gov/news/during-novel-coronavirus-briefing-governor-cuomo-announces-new-mass-gatherings-regulations

[SC] MUSC now offering drive-thru sample collection in Charleston for coronavirus-like symptoms

https://www.postandcourier.com/health/covid19/musc-now-offering-drive-thru-testing-in-charleston-for-coronavirus/article_45d9da2a-6463-11ea-a3c8-ef6591baa338.html

[VT]

Hospital treating Vermont's first case of coronavirus offering drive-up testing

https://www.burlingtonfreepress.com/story/news/local/2020/03/09/vermont-hospital-treating-states-covid-19-case-drive-up-test/4998718002/

[WA] First drive-thru coronavirus testing facility in the U.S. opens in Seattle

https://www.cbsnews.com/news/drive-thru-coronavirus-testing-facility-us-seattle-washington/

Case Counts:

[AL] http://www.alabamapublichealth.gov/infectiousdiseases/2019-coronavirus.html?fbclid=IwAR18B-kvJCwGeA3KA36MA_0UVCaFZWAYAelaJdHrslrdz1A4wNMWoB7yHVM

[AR] https://www.healthy.arkansas.gov/programs-services/topics/novel-coronavirus?fbclid=IwAR2OLuVZJCHVzniFyufEP9HabhvbYXHKwaRTN3go7cmqByvWdHdhhbw-uOI

[AZ] https://www.azdhs.gov/preparedness/epidemiology-disease-control/infectious-disease-epidemiology/index.php?fbclid=IwAR3TOhmeCMbqJaWvGHoWZwBikVLwYOm6qW9JZk4htumG0jjcKYZ73xTO2f4#novel-coronavirus-home

[CA] https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Immunization/nCoV2019.aspx?fbclid=IwAR3NRtTwAD6j-F6sjRJ02vLXp4ySWiNGhZQP0djRMVSPGPCBts5ScIj71ao

[CO] https://docs.google.com/document/d/e/2PACX-1vRSxDeeJEaDxir0cCd9Sfji8ZPKzNaCPZnvRCbG63Oa1ztz4B4r7xG_wsoC9ucd_ei3--Pz7UD50yQD/pub

[CT] https://portal.ct.gov/DPH/Public-Health-Preparedness/Main-Page/2019-Novel-Coronavirus?fbclid=IwAR1v7Mlwy8UlM-dm-Q8NxvcP0R5GX_zo0dKG6O0PCER6x1QDK85ladTGo8Q

[DC] https://coronavirus.dc.gov/page/coronavirus-surveillance-data

[DE] https://www.dhss.delaware.gov/dhss/dph/epi/2019novelcoronavirus.html?fbclid=IwAR2OLuVZJCHVzniFyufEP9HabhvbYXHKwaRTN3go7cmqByvWdHdhhbw-uOI

[FL] http://www.floridahealth.gov/diseases-and-conditions/COVID-19/?fbclid=IwAR3zXakwcgURdBJVn458AgfTDLAlnMjwgrHTrQTzjgkdk3NnwPsB7uayBp8

[GA] https://dph.georgia.gov/novelcoronavirus?fbclid=IwAR2aegWHC7tA4QxLaDG6khmxWIUgGEVw5Sj4fbSJg-1j9s3VvXoNRAteoT4

[HI] https://health.hawaii.gov/docd/advisories/novel-coronavirus-2019/?fbclid=IwAR0g7kmgzSKLu0TF1G68NeSQzGR0rlwNrTkTtPQVhXNBLLMdULzO2M2pVx4

[IA] https://idph.iowa.gov/Emerging-Health-Issues/Novel-Coronavirus?fbclid=IwAR15APNbf7tqbAOFyt3CDngUPhbGnpFceUujOlYWsKuIm5bR3KaQcFGtmX0

[ID] https://coronavirus.idaho.gov/?fbclid=IwAR1w3wvNy-eJ6in8CPp3rH1u2iPKjvTt__KAVpvOiO2D5l-0mbd0sWCukKk

[IL] http://www.dph.illinois.gov/topics-services/diseases-and-conditions/diseases-a-z-list/coronavirus?fbclid=IwAR1WFc9u6008uNbURvlx5_fw7M9Rzz-6yYJ9AGrdPJBj_QhDgSepS9xjepQ

[IN] https://www.in.gov/isdh/28470.htm?fbclid=IwAR38xC9Zkuc7BOwBJCNhDtihYC_ZXcka1P_s3aBkozYi5jYFGp4R_lecZFc

[KS] http://www.kdheks.gov/coronavirus/index.htm?fbclid=IwAR1WFc9u6008uNbURvlx5_fw7M9Rzz-6yYJ9AGrdPJBj_QhDgSepS9xjepQ

[KY] https://chfs.ky.gov/agencies/dph/pages/covid19.aspx

[LA] http://ldh.la.gov/index.cfm/page/3835?fbclid=IwAR3lVD4F_PV5qTxdGHXnGGAQzB9gg4maODPGH2qbcWzOp_etmODyVU2TvBA

[MA] https://www.mass.gov/info-details/covid-19-cases-quarantine-and-monitoring#covid-19-cases-in-massachusetts-

[MD] https://phpa.health.maryland.gov/Pages/Novel-coronavirus.aspx?fbclid=IwAR1KtLRm2zPWYe3Q8C-pcfkHvwu2_Z7jQJFClCgDoBvmknc9tMVCJbvZd-k

[ME] https://www.maine.gov/dhhs/mecdc/infectious-disease/epi/airborne/coronavirus.shtml?fbclid=IwAR0JdQxQy-K7LIZ5GeTtVLITwhBa1JOyXeD_4TSoy4t5qzeKfTrvjGgShMg

[MI] https://www.michigan.gov/Coronavirus?fbclid=IwAR1NfVrPjmKj0XSuMV5dj5Z8zU36q8n9-77s1VbN_uDcH8v8vnQRXxail9g

[MN] https://www.health.state.mn.us/diseases/coronavirus/situation.html

[MO] https://health.mo.gov/living/healthcondiseases/communicable/novel-coronavirus/?fbclid=IwAR2aegWHC7tA4QxLaDG6khmxWIUgGEVw5Sj4fbSJg-1j9s3VvXoNRAteoT4

[MS] https://msdh.ms.gov/msdhsite/_static/14,0,420.html?fbclid=IwAR1VesxeB0lPhVWTHYm-Jx8btWCTNL9U5v5RkQ5a3LiNCTXgNZUtjzN6EUI

[MT] https://dphhs.mt.gov/publichealth/cdepi/diseases/coronavirusmt?fbclid=IwAR2iD35hcQW-Me2zJLE46N37rm3oBCFaiop7iDN3mXb6AnhftNtLuKxuaHk

[NC] https://www.ncdhhs.gov/divisions/public-health/coronavirus-disease-2019-covid-19-response-north-carolina?fbclid=IwAR0Yypl1MQmJs-pBdRzu3AGMHVCg0RKEZseza6u-CAXbt-UPsSVlF0kZsBg

[ND] https://www.health.nd.gov/diseases-conditions/coronavirus/north-dakota-coronavirus-cases

[NE] http://dhhs.ne.gov/Pages/Coronavirus.aspx?fbclid=IwAR2vD8VP-01i1_-hsqIWBOgLa5QDa95s6C2JjrUq0-46_4uRjRkiNGAgkLg

[NH] https://www.dhhs.nh.gov/dphs/cdcs/2019-ncov.htm?fbclid=IwAR0eHAlkmf9e1MlFsMkyGCvEhVxwPIqs-u-ZxDzGqqaczzgOG9jWTjT5VLo

[NJ] https://www.nj.gov/health/cd/topics/ncov.shtml

[NM] https://cv.nmhealth.org/?fbclid=IwAR3zXakwcgURdBJVn458AgfTDLAlnMjwgrHTrQTzjgkdk3NnwPsB7uayBp8

[NV] http://dpbh.nv.gov/coronavirus/?fbclid=IwAR3sC1Vg7OwVGDQz9CZscXOz-GgYfZbPvUS0C07PxlNqcqRQzxHgmQOJMXI

[NY] https://www.health.ny.gov/diseases/communicable/coronavirus/

[NYC] https://www1.nyc.gov/site/doh/health/health-topics/coronavirus.page?fbclid=IwAR3r7rU47mZt1JnFLha4IXqo5Y152O6W-bupRd5mxFvB0PRPQDRKFnoWmkw#cases

[OH] https://coronavirus.ohio.gov/wps/portal/gov/covid-19/

[OK] https://www.ok.gov/health/Prevention_and_Preparedness/Acute_Disease_Service/Disease_Information/Coronavirus_Disease_2019/Oklahoma_Response_to_Coronavirus_Disease_2019/index.html?fbclid=IwAR2KQ82fLtS7De0FiVPmlYLy7RJG4gRUkv70cgGR4XoVs-2YLTiCRCIZ2MY

[OR] https://www.oregon.gov/oha/PH/DISEASESCONDITIONS/DISEASESAZ/Pages/emerging-respiratory-infections.aspx?fbclid=IwAR23myCIe1eSMMzK82dDZW9MUgnqBcDz_Yqt_qYMT4ut6LiNDSisBwRil7g

[PA] https://www.health.pa.gov/topics/disease/Pages/Coronavirus.aspx?fbclid=IwAR0uVl96gqRgLIXAYADDYls5nsXLY4-gMV9RYRT6xW51lSEBx7mGt9QN7e0

[RI] https://health.ri.gov/data/covid-19/

[SC] https://www.scdhec.gov/health/infectious-diseases/viruses/coronavirus-disease-2019-covid-19?fbclid=IwAR0nlmsGCnYhIhy4_VHhxjY_rqD3qlx9xnhM3-0Day3E8tWSiQUqvinGato

[SD] https://doh.sd.gov/news/Coronavirus.aspx?fbclid=IwAR2jcoK1PVFarO4R3PTpCjVQ-CY0MrG5qbEJcEGdvHy1qps6du065d3TT1U

[TN] https://www.tn.gov/health/cedep/ncov.html?fbclid=IwAR1gRRR3DEWyfsD3ZNt353IR2V0fSb5jpS-HEq46UmykfGtVT8WP99n7wdo

[TX] https://www.dshs.texas.gov/coronavirus/?fbclid=IwAR1gRRR3DEWyfsD3ZNt353IR2V0fSb5jpS-HEq46UmykfGtVT8WP99n7wdo

[UT] https://health.utah.gov/coronavirus/latest-information?fbclid=IwAR1Jr3laNToSb9gnlgCt7ZX572xdsd8r1v61LHRDSmFq5WKKPXdxn4IrP0Q

[VA] http://www.vdh.virginia.gov/surveillance-and-investigation/novel-coronavirus/?fbclid=IwAR11jjjoH0A5bsvJaQudoI-lw66YZuB7JmcTk3OfKgqk_ygF1RTHAtwiCWo

[VT] https://www.healthvermont.gov/response/infectious-disease/2019-novel-coronavirus

[WA] https://www.doh.wa.gov/Emergencies/Coronavirus?fbclid=IwAR1gRRR3DEWyfsD3ZNt353IR2V0fSb5jpS-HEq46UmykfGtVT8WP99n7wdo

[WI] https://www.dhs.wisconsin.gov/outbreaks/index.htm?fbclid=IwAR2sXEUe6Wc9q1YQcZIrGoUawj0axJ0hTB47tF3Ad_FdxMI0lCHoD0pjucM

[WV] https://dhhr.wv.gov/Coronavirus%20Disease-COVID-19/Pages/default.aspx?fbclid=IwAR0WqQTff4ICQZNZViGTcKJ4My_WkydGSZPXp5fcRWqbaPdLChG39i5pO2U

[WY] https://health.wyo.gov/publichealth/infectious-disease-epidemiology-unit/disease/novel-coronavirus/?fbclid=IwAR1wmcgl4Zps7eeHhbSfOXHCKmuxx1ICiAl7TLGOfGWQRxjhQqVFrGxBcVs