U.S.                                                                  California

                                   CASES               DEATHS                                     CASES                 DEATHS       

December 2020    19,111,443            341,149                                  2,120,610                24,241

 

2021   Timeline

January                  26,185,362            441,319                                 3,310,949                .40,702

February                 28,602,101           513,137                                  3,563,578                 51,953

March                    30,459,874            552,072                                  3,668,277                 59,240

April                        32,225,012            574,280                                  3,742,115                 62,078

May                        33,261,284            594,468                                  3,789,227                 63,247

June                       33,624,871            603,966                                  3,814,890                 63,569

July                         34,434,136            610,859                                  3,903,052                 64,231 

August                   29,057,368            638,700                                  4,326,204                 65,757                       

 

UPDATED WEEKLY - Last updated on 27 September, 2021, 6:51 am PST, John Hopkins Corona Virus Dashboard and Worldometer

 

Cases Worldwide

                             John Hopkins                                                    Worldometer

• TOTAL CASES    -   231,913,317                        TOTAL CASES        -     232,696,764 

              Recovered     -                                                 Recovered         -     209,341,006

• TOTAL DEATHS  -      4,749,880                         TOTAL DEATHS      -         4,764,064

 

POPULATION - is 333,400,157 as of 27 September, 2021, 6:51 am PST, based on Census U.S. and World Population Clock.

 

Cases in the U.S.

• TOTAL CASES      -   42,932,211                      TOTAL CASES         -     43,750,983

              Recovered       -                                            Recovered           -     33,186,261

• TOTAL DEATHS    -        688,041                      TOTAL DEATHS       -         706,317

 

Cases in California

• TOTAL CASES       -   4,680,552                      TOTAL CASES         -        4,596,362

              Recovered        -                                          Recovered           -        2,424,730

• TOTAL DEATHS     -        68,599                     TOTAL DEATHS        -            68,789

 

National unemployment numbers are at 5.2% as of August 2021.   California unemployment is at 7.6% as of August 2021.   

  

09/27/2021                   Cases (WHO)                      Deaths (WHO)                Recovered (WHO)

• Texas**             -   4,020,664                               64,570                              3,645,019
• Florida **          -   3,591,878                               53,124                              2,544,665
• New York         -   2,497,824                               55,693                              2,121,951
• Illinois                -   1,612,129                               27,440                             1,459,938
• Georgia**        -   1,557,536                               25,478                             1,113,488
• Pennsylvania   -  1,412,039                                29,201                             1,262,543
• Ohio                 -  1,390.015                                21,820                             1,240,660
• N. Carolina**   -  1,368,743                               16,108                              1,255,168
• Tennessee**    -  1,209,568                               14,825                              1,138,270
• Arizona **        -  1,084,369                               19,812                                 988,048*

 

*  correction

             **  reporting information is limited, reduced testing and increased cases

 

 United States progress                                       Updated as of 27 September, 2021, 6:51 am PST

• Doses Distributed                                                  470,630,875   
• Doses Administered                                             388,567,109                82%
• 1st dose administered                                         212,861,380                65%
• 2nd dose administered                                      182,958,696                 56%
• Total population                                                 333,400,157

 

State Progress                                                       Updated as of 27 September, 2021, 6:51 am PST

   .                                                             1st dose                2nd dose           % fully Vaccinated      

• California                                   28,172,826           23.132.151                    58
• Vermont                                          482,822               431,557                     69
• Maine                                             990,123               914,622                      68
• Connecticut                               2,697,220            2,433,405                      68
• Massachusetts                           5,308,536            4,656,789                       67  
• New York                                  13,729,389          12,277,053                       63  
• Pennsylvania                             9,194,768            7,350,438                       57
• Florida*                                     14,280,836          12,154,279                      56 
• Texas                                        17,261,523          14,716,933                      50
• Alaska                                           415,602               363,893                      49       
• Tennessee*                                3,571,349            3,061,059                      44 
• Georgia                                     5,789,931            4,765,575                      44   
• Mississippi**                                1,481,804           1,277,233                       42
• Alabama                                   2,558,569           2,049,383                       41
• West Virginia                                860,044               721,961                      40

            *  Correction

           **  Last on vaccine tracker

 

• https://usafacts.org/visualizations/covid-vaccine-tracker-states/
• https://coronavirus.jhu.edu/vaccines/us-states
• https://usafacts.org/visualizations/covid-vaccine-tracker-states/
• https://www.worldometers.info/coronavirus/country/us/
• https://coronavirus.jhu.edu/vaccines/us-states
• https://usafacts.org/visualizations/weekly-unemployment-claims/?utm_source=bing&utm_medium=cpc&utm_campaign=ND-Jobs&msclkid=b11efd9b16dc12762fd79d422c12da27
• https://www.edd.ca.gov/newsroom/unemployment-may-2021.htm

 

 

COVID  UPDATE

 

DELTA VARIANT AND CHILDREN

The delta variant of COVID-19 is more contagious for children.  Is it making them sicker, too?  Late July, an internal CDC document noted that the Delta coronavirus variant surging across the United States appears to cause more severe illness and can spread as easily as chickenpox — detailing that one person infected with the Delta variant could spread the virus to five to eight other people on average. With chickenpox, each infected person, on average, can infect eight or nine others.

 

As of 10 August, 2021 an average of 203 children with Covid-19 were admitted to US hospitals every day over the past week, CDC data shows.  That’s a 21% increase from the previous week in daily new hospitalizations among Covid-19 patients up to age 17.

 

At Texas Children's Hospital, there are more patients with COVID-19 right now than at any point in the pandemic. Tennessee is close to an all-time high of kids sick with COVID-19.  At Joe DiMaggio Children’s Hospital in Hollywood, Florida, the number of children needing treatment for COVID-19 jumped from 20 in June to 200 in July – and has topped 160 so far in August.

 

Delta is clearly more contagious than previous variants and tearing its way across the South, said Dr. James Versalovic, the Texas Children's interim pediatrician-in-chief.  What's not clear is whether kids are getting sicker with delta than with other variants.  "Right now, it's speculative," he said.

 

He said children seem to have more fever and congestion than those treated during last summer's and winter's surges and we do think delta is maybe contributing to that."

 

It’s too soon to know whether they will have worse outcomes, "it is literally unfolding as we speak," Versalovic said. "We're going to be keeping a close eye on delta in children and adolescents."

 

Other researchers are less convinced.  "I think kids are being swept up in the firestorm raging in the South," said Dr. Peter Hotez, dean of the National School of Tropical Medicine at Baylor College of Medicine, also in Houston.

 

"In low vaccination areas like here in the South, it’s so transmissible – the community transmission or force of infection is like nothing we’ve seen – so everyone who is unvaccinated is at high risk of getting sick," he indicated.

 

Dr. Ashish Jha, dean of the Brown University School of Public Health, categorizes the likelihood that delta makes kids sicker a "maybe."  "It's not a slam dunk," he said.  Early studies looking at the alpha variant also indicated that it was likely more virulent than its predecessor, but it turned out not to be. "So we don't want to overreact," Jha said.

 

Children under 12 are still not eligible for vaccination.  Vaccine studies in kids were started later than in adults and older teens and are expected to be completed in the early fall.

 

How do we slow spread of delta variant? Get vaccinated, experts say.

It's extremely difficult to show whether one variant is more virulent than another, said Dr. Rick Malley, an infectious disease specialist at Boston Children's Hospital.  "My guess is delta is not particularly more virulent in children than others," Malley said.  With so many adults infected, it stands to reason that more children and teens will catch it, too, he said.

 

Masks are also helpful, he said, particularly among children too young to be vaccinated. Unmasked children in close contact with one another – such as in a classroom – could pass on the virus.  "If left unmasked and interacting with lots of others, you could imagine a child could serve as an important vector of transmission," Malley said.

 

A handful of public health experts said it's crucial for everyone who can be vaccinated against COVID-19 to get the shots. The more the virus can be slowed down, the fewer children will catch it, the experts said.

 

Follow the science, end up in the classroom.   Several studies have shown that masks are effective at reducing the spread of Covid-19.  In June, a study published in the Proceedings of the National Academy of Sciences found that other mitigation measures — such as physical distancing and handwashing — are “insufficient by themselves” in curbing the pandemic without mask use, too.

 

Dr. Rochelle Walensky, director of the US Centers for Disease Control and Prevention, said officials are following every jurisdiction and tracking outbreaks that occur in camps and schools.

 

“The places that are having a problem, the places that are having disease that is transmitted in the schools, are the places that are not taking prevention strategies — the places that aren’t masking,” Walensky said.  “The places where you see kids in the hospital, the places where you see footage of kids in the hospital, are all places that are not taking mitigation strategies to keep our children safe.”

 

School openings so far reveal science is right — masking works.  As schools start classes across the United States, public health experts warn that politics around masks could hinder the nation’s fight against Covid-19. But the real-life evidence about masks leaves little doubt that they work.

 

In some places where schools have been open for a while now, such as Georgia and Hawaii, public health experts notice what happens when schools follow the science: classes go on without disruption as long staff and students wear masks.  But when staff and students do not wear masks, Covid-19 can spread, forcing people to stay home to quarantine and classes returning to virtual learning.

 

Schools have closed, at least temporarily, in Georgia, Indiana and Mississippi due to cluster outbreaks among students and staff.  An elementary school in Cobb County in the Atlanta suburbs, fifth graders were sent home for virtual learning due to high numbers of Covid-19 cases.  Masks are optional for students and staff at the school, according to the district website, but there is social distancing in classrooms when possible.

 

The Glascock County Consolidated School in Gibson, Georgia is also in virtual classes until at least August 20.  Within the first week of school nine students and four staff members tested positive and 99 students and 11 staff had to quarantine.

 

In Indiana, the Scott County School District 1 advised parents that “due to the high rate of positive cases and extremely high rate of student in quarantine” it would switch to virtual learning. 

 

Several schools in Lamar County, Mississippi switched to virtual learning before the school board voted to maintain a hybrid teaching model.  During a board meeting on Monday, Superintendent Steven Hampton said while he believes face-to-face learning is best, a hybrid model would help avoid having all of the schools go virtual.

 

Back to school?  Delta variant has college professors 'freaking out' about fall 2021 semester!

Cases have been climbing in Massachusetts, but more slowly than in the South.  Vaccination rates in Massachusetts are relatively high: 64% are fully vaccinated and more than 73% are partially vaccinated.

 

Dr. William Schaffner, an infectious disease expert at the Vanderbilt University School of Medicine in Nashville, Tennessee, said the number of infections are rising in his state, where vaccination rates remain relatively low.

 

The best way to protect children too young to be vaccinated, he stressed, is to get everyone around them vaccinated. "If you live in a community where virus transmission is very low, schools are going to be quite safe," he said.

 

Schaffner said he is worried about what will happen when flu season starts this fall. Last year, masking and school closures essentially eliminated the flu, but he worries about the possibility of a "twindemic" this year.

 

One other concern, Versalovic said, is the rising number of cases of respiratory syncytial virus, or RSV, which can be caused by pneumonia, especially in young children. Texas Children's has counted 25 cases of children with both RSV and COVID-19, a mix that makes each worse, he said.  "This combination obviously has presented a formidable challenge for children's hospitals in this region and across the country."

 

COVID-19 vaccine and kids: What parents of 12- to 15-year-olds need to know.

On Wednesday, the Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices (ACIP) endorsed Pfizer's COVID-19 vaccine for 12- to 15-year-olds, paving the way for kids of this age group to get vaccinated against the virus.  The news comes on the heels of the Food and Drug Administration expanding emergency-use authorization for the COVID-19 vaccine to kids as young as 12.  The vaccine was previously accessible only for people ages 16 and up.

 

"Having a vaccine authorized for a younger population is a critical step in continuing to lessen the immense public health burden caused by the COVID-19 pandemic," Dr. Peter Marks, director of the FDA's Center for Biologics Evaluation and Research.  Even if you've been vaccinated, it's understandable to have questions about what, exactly, this news means for your child — and how to even go about getting them vaccinated in the first place.  

 

Here's what you need to know.

• How soon can I sign up my child for a vaccine?  Dependent on your state, many are allowing parents to sign up their children for vaccination now, infectious disease expert Dr. Amesh A. Adalja, senior scholar at the Johns Hopkins Center for Health Security.  The ACIP's endorsement was the final hurdle.
• Do I need to sign off parental permission so that my child can be vaccinated?  Again, it depends on your state.  Some states, North Carolina, allow kids to bypass parental consent to get vaccinated.  "My institution says a parent has to be present with the child," Dr. William Schaffner, an infectious disease specialist and professor at the Vanderbilt University School of Medicine.  "Others are going to clarify if there is a need for permission and whether a parent or guardian needs to bring the child to the vaccination site."
• What did the Pfizer trial show for kids 12-15?  The trial included 2,260 participants,     12 - 15 years of age.  1,131 received the vaccine and 1,129 received a saline (saltwater) placebo injection.  More than half of the participants were followed for safety for two months after their second dose, according to the FDA.

The results were perfect: There were no cases of COVID-19 in those who received the vaccine, making it 100 percent effective at preventing COVID-19. However, 16 study participants who received the placebo contracted the virus. 

 

What are the side effects of the COVID-19 vaccine in kids?  Side effects were similar to those in adults.  Side effects usually lasted between one and three days, the FDA says.  The most common ones include:

• pain at the injection site
• tiredness
• headache
• chills
• muscle pain
• fever
• joint pain

 

How might this affect school in the fall for children?  If a large portion of 12- to 15-year-olds get vaccinated, it's "going to have a terrifically positive impact on schools, at least for middle school and up," Schreiber says. "It will help us move back to a more normal school environment — athletics and activities could resume in a much more robust way," he says. 

 

How soon might the next age group of children be eligible for the vaccine?  Currently there are several clinical trials in the works for children as young as 6 months and there are different predictions on when results will be available.  "Apparently it’s taking a little longer to recruit younger children into the trials."  Still, Adalja says, trial results will "probably come in closer to the end of 2021" with an emergency-use authorization for this vaccine toward the beginning of 2022.

 

Politics but no masks in the classroom.  The National Education Association, the largest teachers’ union in the United States, has been watching the reopening of schools closely.

“Where the schools have highly communicative, collaborative relationships with educators, parents, community members and .an ongoing constant system of communication about their safety plans and reopening, things are going better,” Kim Anderson, executive director of the National Education Association. 

 

“In places where they’re not communicating and politicians are trying to strip the ability of communities to protect themselves, things are not going well.”

 

Implementing mask requirements in schools has become a politicized topic of debate in some states across the country.  As of last week, at least seven states — Arkansas, Arizona, Iowa, Oklahoma, South Carolina, Texas and Utah — prohibit districts from requiring masks in schools.  But there have been some efforts to fight back.

• In Arkansas, a county circuit judge has temporarily blocked the enforcement of the state’s law banning mask mandates in schools, in response to lawsuits filed by a school district and parents. 
• In Texas, Gov. Greg Abbott prohibits mask mandates, but two judges there have issued restraining orders temporarily blocking the enforcement of Abbott’s order.   The Dallas and Austin Independent School Districts are defying Governor Greg Abbott’s mask mandate ban and requiring all students, staff and visitors to wear masks.  In regions where state or city officials aren’t implementing mask mandates, school districts will need to take the lead.”

Of new hospitalizations for coronavirus-related illness, nearly 40 percent are in Florida and Texas, White House pandemic response coordinator Jeff Zients revealed during a Thursday press briefing.  Cases have been rising in both states, and the attendant rise in hospitalizations is not a surprise. 

 

Texas, 44.7%, and Florida, 49.8% vaccination rates are far too low to halt community transmission of the virus.  For that to occur, some 80% of a population would have to be vaccinated.  The White House has told both governors to “get out of the way” and allow for a proper response.

​

• Florida has become the new epicenter of the country's coronavirus pandemic as the highly contagious delta variant triggers a surge in cases nationwide.  In Florida, Gov. Ron DeSantis issued an executive order directing health and education departments to leave it to parents to decide if students wear masks.  His office indicated that the state board of education could withhold the salaries of superintendents and school board members who disregard the governor’s executive order, which effectively prohibits mask mandates.

The Centers for Disease Control and Prevention reported 23,903 new coronavirus cases in Florida on Friday, 6 August 2021, the state's highest single-day total since the start of the pandemic.  Two days later, numbers from hospitals reporting to the Department of Health and Human Services showed Florida's inpatient beds at more than 83% occupancy.  As of Sunday, 13,793 coronavirus patients accounted for 24% of the state's inpatient beds.

 

Florida has also seen a rise in cases among children with at least 135 of them hospitalized with COVID-19.  For the first time since February, the U.S. is now reporting an average of more than 100,000 cases per day.   COVID-19 deaths are also on the rise, averaging 454 daily fatal cases, with close to one-fifth of those deadly cases from Florida.  Florida Gov. Ron DeSantis (R) is facing resistance from a growing number of Republican-leaning counties over his handling of the recent surge in COVID-19 infections, in a rare bipartisan rebuke of the governor's laissez-faire approach to the pandemic.  More recently, DeSantis has taken to promoting a COVID-19 antibody treatment sold by the pharmaceutical company Regeneron as a way to fight the delta variant.

 

• Dr. Bayo Curry-Winchell, regional medical director and family physician at Carbon Health in Reno, Nevada, anticipates that more school districts will require masking, Covid-19 testing and other mitigation efforts in the next month or so.

 

Public health officials have been urging schools and parents to keep politics out of the classroom.  “This is not a political statement or invasion of your liberties.  This is a life-saving medical device and asking kids to wear a mask is uncomfortable, but kids are pretty resilient.”

 

VACCINE UPDATE

What the Heck is Invermectin?  Why You Should Not Use Ivermectin to Treat or Prevent COVID-19.  Ivermectin is often used in the U.S. to treat or prevent parasites in animals.  The FDA has received reports of patients requiring medical support and hospitalization after self-medicating with Ivermectin intended for horses.

 

• The FDA has not approved Ivermectin for use in treating or preventing COVID-19 in humans.  Ivermectin is approved at very specific doses for some parasitic worms and there are topical formulations (skin applications) for head lice and skin conditions like rosacea.  Ivermectin is not an anti-viral drug.
• Large doses of the drug are dangerous and can cause serious harm. 
• Ivermectin prescriped for an FDA-approved use should be acquired from a legitimate source and taken exactly as prescribed. 
• Never use medications intended for animals. 

 

The FDA has approved the use of Ivermectin tablets to treat people with intestinal strongyloidiasis and onchocerciasis, two conditions caused by parasitic worms.  There are also topical forms of Ivermectin approved to treat external parasites like head lice and skin conditions such as rosacea. 

 

• Strongyloidiasis - is a disease caused by a roundworm or nematode.  Stercoralis is the primary species that accounts for human disease.  It sometimes infects primates, dogs and cats.  The primary mode of infection is contact with soil that is contaminated with free-living larvae.  When the larvae come in contact with skin, they are able to penetrate it and migrate through the body, finding their way to the small intestine where they burrow and lay their eggs. 
• Onchocerciasis - or “river blindness” – is an eye and skin parasitic disease caused by the filarial worm, a microscopic, thread-like worm. The adult worms only live in the human lymph system. The lymph system maintains the body’s fluid balance and fights infections.  

 

Onchocerca volvulus is transmitted by repeated bites of infected blackflies.  In the human body, the adult worms produce embryonic larvae or microfilariae that migrate to the skin, eyes and other organs.  Symptoms are caused by the microfilariae, which move around the human body in the subcutaneous tissue and induce intense inflammatory responses when they die.  Infected people show symptoms such as severe itching and various skin changes.  Some of the infected develop eye lesions which can lead to visual impairment and permanent blindness.  In most cases, nodules under the skin form around the adult worms.

 

There’s a lot of misinformation around the intake of large doses of Ivermectin.  That information is wrong!  The levels of Ivermectin for approved uses can interact with other medications, such as blood-thinners.  You can also overdose on Ivermectin which can cause nausea, vomiting, diarrhea, hypotension or low blood pressure, allergic reactions - itching and hives, dizziness, ataxia - problems with balance, seizures, coma and even death. 

 

Major study of Ivermectin, the anti-vaccine crowd's latest COVID drug, finds 'no effect whatsoever!'  Ivermectin, the latest supposed treatment for COVID-19 being touted by anti-vaccination groups, had "no effect whatsoever" on the disease, according to a large patient study.  That's the conclusion of the Together Trial, which has subjected several purported non-vaccine treatments for COVID-19 to carefully designed clinical testing.  The trial is supervised by McMaster University in Hamilton, Canada and conducted in Brazil.  The study's results on Ivermectin haven't been formally published or peer-reviewed.

 

Earlier peer-reviewed results from the Together Trial related to the antimalarial drug hydroxychloroquine, touted as a miracle treatment for COVID by ex-president Trump, were published in April and showed no significant therapeutic effect on the virus.

 

Dr. Fauci says Covid booster shots are now ‘inevitable’ as FDA approves them for immunocompromised.    Dr. Fauci confirmed that Covid-19 booster shots will be available for the immunocompromised starting as soon this week.  The CDC approximates 9 million adults in the U.S. are immunocompromised, including organ transplant recipients, cancer patients, those with HIV or those with debilitating conditions. 

 

A Johns Hopkins study showed that in those groups of patients, a majority of people did not develop antibodies to the coronavirus after vaccination.   The others in the study only developed a low level of protection against the virus.

 

“Inevitably there will be a time when we’ll have to give boosts” to the general population, Dr Fauci said.  “What we’re doing literally on a weekly and monthly basis is following cohorts of patients to determine if, when and whom should get it.”

 

Federal regulators with the Food and Drug Administration were expected to authorize the third shot of the coronavirus vaccine as early as 11 August, 2021 for the immunocompromised. Countries in Europe, such as France, Hungary and Germany, have offered booster shots to certain people with weaker immune systems.

 

The FDA’s decision to authorize a booster shot will first be considered by an advisory committee for the Centers for Disease Control and Prevention (CDC0.  While the two federal health agencies were independent from each other, they have typically waited until after committee discussions to roll out a new authorization for the public.

 

More “breakthrough cases” have been recorded of fully vaccinated individuals contracting Covid-19. Although the percentage of these breakthrough cases was still low, it has caused concern about a vaccine’s waning immunity over time.

 

While this was a concern, data currently indicates that the vaccine prevented severe disease and death in almost every individual who was fully vaccinated.  Those who experienced a “breakthrough case” were typically asymptomatic or experienced mild symptoms.

 

COVID-19 live updates:  Mississippi asks Biden administration to send military hospital ship

Hard-hit Mississippi has requested the federal government send a military hospital ship such as the USNS Comfort, state health official Jim Craig said Wednesday.

 

The University of Mississippi Medical Center has 127 COVID-19 patients, including 26 children, Dean LouAnn Woodward said Wednesday.  About 90% are unvaccinated, she said.  The dean warned, "The Mississippi hospital system will fail within the next five to seven or 10 days if the current trajectory continues.”

 

How to Protect Yourself?  Getting vaccinated is your best bet!

 

IT’S NOT OVER!

 

Stay safe.  Mask.  Social distance.  Frequent hand washing.  Avoid crowds.

 

ALWAYS CONSULT YOUR PERSONAL HEALTH CARE PROFESSIONAL

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