Category Archives: Uncategorized

Covid 2/22/21

Covid19mathblog.com

Put on your glasses – nerds unite – we had briefly mentioned this early in the pandemic – but now we have a study to confirm it – https://www.medrxiv.org/content/10.1101/2021.02.12.21249710v1

“Results In this study, total 58 patients showed the behavior of using spectacles continuously during day time and always on outdoor activities. The risk of COVID-19 was found 0.48 in spectacles wearing population as compared to 1.35 in population not using spectacles. The calculated risk ratio was 0.36. The protective effectiveness of the spectacles was found statistically significant (p-value .00113).

Conclusion The present study showed that the risk of Covid-19 was about 2-3 times less in spectacles wearing population than the population not wearing those. The nasolacrimal duct may be a route of virus transmission from conjunctival sac to the nasopharynx.”

Ouch the value of having manufacturing in your own country – sovereign risk is real when it matters – https://fortune.com/2021/02/22/covid-vaccine-india-serum-institute-supply-world-delay/

“The Serum Institute of India, one of the world’s largest vaccine makers, announced on Sunday that it would manufacture vaccines for India before doses earmarked for the rest of the world, a move that may delay vaccine shipments to dozens of countries and hamper the firm’s plans to share its vaccine supplies.

“Dear countries & governments,” Adar Poonawalla, the CEO of the Serum Institute, wrote on Twitter on Sunday. “I humbly request you to please be patient, [the Serum Institute of India] has been directed to prioritize the huge needs of India and along with that balance the needs of the rest of the world. We are trying our best.””

The change of people with 2 doses is accelerating quite well for the US

US death totals under 2K – Sunday reporting

TX leads confirmation CA leads death

San Antonio region and Houston region lead confirmation. LA and surrounding leads death

Dispersion is coming down – focused on Southwest, TX, FL, and NE

US numbers improve as LA has improved immensely.

Covid 2/21/21

Covid19mathblog.com

Lots of good news today

Pfizer vaccine don’t need to be stored so cold – https://www.foxbusiness.com/politics/pfizer-says-its-covid-vaccine-doesnt-need-to-be-stored-at-ultra-freezing-temps-anymore

“The makers of the shots, including the German biotechnology firm BioNTech, have discovered the doses can remain at between 5 and -13 degrees Fahrenheit without spoiling — instead of -94 degrees like previously thought, according to the Financial Times.”

Update now shows 99% effective – https://www.jpost.com/breaking-news/coronavirus-vaccine-99-percent-effective-in-preventing-serious-disease-death-659613

“The Pfizer coronavirus vaccine has proven to be about 99% effective in preventing hospitalization, serious disease and death for those who are past two weeks from the second dose, new data released by the Health Ministry on Saturday night showed.

The protocol to administer the Pfizer vaccine involves two injections three weeks apart.

Israel started to administer the vaccine on December 19. The report included the figures collected by the ministry up to February 13.

The news came just as Israel was preparing to send 1.1 million children back to their classrooms – 500,000 more than attended last week – and open up gyms, hotel rooms, malls and street shops.”

Optimistic forecast – April – I am still optimistic for May – but for clarification what this means is not that it wont come back in the fall its just that the numbers will be very low at this point and it will seem to be erradicated. https://www.dailymail.co.uk/health/article-9279773/amp/Johns-Hopkins-doctor-claims-reach-herd-immunity-April.html?__twitter_impression=true

“Dr Marty Makary made the bold claim that the US will be effectively free of COVID-19 by spring

He estimates that by then prior infection and vaccinations would will bring the US to herd immunity

Dr Makary noted that daily US infections have fallen more than 70% in 6 weeks

He compared the decline of illnesses to a ‘miracle drug’ and said public health officials are ‘hiding’ the promising signs that the pandemic is ending”

For those shocked by how much obesity is killing people – yesterday note – there is hope – https://www.tandfonline.com/doi/full/10.1080/07315724.2020.1869625

This study shows for weight loss the vegan diet is better than the touted Mediterranean diet. Multifaceted bonus – reduce animal cruelty, reduce CO2, reduce obesity.

“Conclusions: A low-fat vegan diet improved body weight, lipid concentrations, and insulin sensitivity, both from baseline and compared with a Mediterranean diet. Blood pressure decreased on both diets, more on the Mediterranean diet.”

Below 2K for the US.

NY leading confirmation. CA leading death

LA leading all counties still

NYC re-opening without innovative guidelines such as CO2 readings perhaps doesn’t lead to any different results.

LA coming back to earth

Covid 2/20/21

Covid19mathblog.com

In previous discussion we noted the amazing drop off India has observed in terms of covid – this report indicates it has to do with genetics for Indians – https://theprint.in/science/why-50-indians-will-be-happy-to-have-some-neanderthal-dna-hint-it-has-to-do-with-covid/607627/

“Researchers in Germany, Japan find that nearly half the Indian population has inherited a DNA sequence from Neanderthals that is believed to reduce risk of severe disease due to Covid.”

“In July last year, a study by researchers at the Max Planck Institute for Evolutionary Anthropology found that a piece of the human genome that increases the risk of severe illness from Covid-19 was inherited from Neanderthals over 60,000 years ago. An estimated 30 per cent of South Asians are believed to carry this gene sequence.”

“Hugo Zeberg, one of the authors of the study, told ThePrint that nearly 50 per cent of Indians carry this DNA sequence. The frequency of this gene variant is 49.5 per cent in Gujaratis, and 48 per cent in the Telugu population, he added”

““It seems that the enzymes encoded by the Neanderthal variant are more efficient, reducing the chance of severe consequences to SARS-CoV-2 infections,” Pääbo said.”

A shocking reality on how bad health in first world country has gotten – a study in UK and Scotland show adiposity/obesity has over taken smoking as the largest contribution to avoidable deaths. https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-021-10167-3

“Overall, deaths attributable to current/former smoking declined from 23.1% (95% CI 20.6–25.8%) in 2003 to 19.4% (95% CI 17.3–21.6%) in 2017, whilst those attributable to adiposity (overweight or obesity) increased from 17.9% (95% CI 17.3–18.4%) in 2003 to 23.1% (95% CI 22.3–23.8%) in 2017 with cross-over occurring in 2013. Cross-over occurred earlier in men (2011) than women (2014). It occurred in 2006 for those aged over 65 years of age and in 2012 for those aged 45–64 years. Below 45 years, smoking remained the larger contributor to mortality.”

Covid relief bill with not much covid focus – the acceptable ways how things are done in US law? http://www.crfb.org/press-releases/covid-relief-bill-losing-focus

“Only about 1 percent of the entire package goes toward COVID vaccines, and 5 percent is truly focused on public health needs surrounding the pandemic. Meanwhile, nearly half of the package will be spent on poorly targeted rebate checks and state and local government aid, including to households and governments that have experienced little or no financial loss during this crisis.

More than 15 percent of the package – about $300 billion – is spent on long-standing policy priorities that are not directly related to the current crisis.”

In Russia at a poultry plant we have zootonic infection of workers to H5N8 bird flu – https://www.theguardian.com/world/2021/feb/20/bird-flu-humans-infected-with-h5n8-strain-for-first-time-in-russia

“A H5N8 strain of bird flu has been detected in humans for the first time, among seven workers who were infected at a Russian poultry plant in December.

There is no evidence of the strain being transmitted between humans, but Russia has reported the transmission to the World Health Organization.

The workers now feel well, and “the situation did not develop further”, according to Dr Anna Popova, head of consumer health watchdog Rospotrebnadzor. She said the workers had been infected during an outbreak of the strain at the plant.”

“The H5N8 strain is deadly for birds, and this marks the first transmission of the strain from animals to humans. While Popova said the strain didn’t appear to be able to spread among humans, “only time will tell how soon future mutations will allow it to overcome this barrier”.”

“The Department for Environment, Food and Rural Affairs said that all birds in the affected areas had been culled “humanely” and control zones introduced.”

More Russia virus news….White walkers are coming now? Nothing can go wrong digging up and extracting 50K year old viruses from Siberia right? https://au.news.yahoo.com/zombie-infection-country-unlocks-50000-year-old-viruses-covid-034817008.html

“"We want to find palaeo-viruses making it possible to start the development of palaeo-virology in Russia,” Vector scientist Dr Olesya Okhlopkova said.

The aim is to “conduct advanced research” in the “evolution of viruses”, but experts have previously warned that delving back into the past could pose a threat from zombie infections.”

US deaths under 3K. US is leading the developed OECD world in full vaccination per capita at 5%. Israel at 33%

Iowa leads in confirmation! 27.3K Looks like another change in method – once again making the timeline history kind of useless – https://www.thegazette.com/subject/news/health/iowas-new-virus-tracking-method-sends-new-case-counts-skyrocketing-20210219CA continues to lead in deaths

Polk IA leads confirmed county at 6547 – Tom Green TX sticks out at #2 – likely an error. LA county drops to #3 but leads in death

Opening up restaurants for Valentines in NY hopefully not a result of all the addition confirmation in NY

Covid 2/19/21

Covid19mathblog.com

In all fairness to Vitamin D – it wasn’t at least in my mind to be used to cure/treat covid – it is there to build and keep your immune system strong so you don’t get infected and if you did it would help you get through it better. This study notes Vitamin D is not effective in moderate to severe covid. Taking Vitamin D after the fact seems to be a wrong premise. Dr. Fauci takes Vitamin D daily now – not waiting to take it after he gets covid. https://www.cidrap.umn.edu/news-perspective/2021/02/vitamin-d-not-effective-moderate-severe-covid-study-finds

“a 240-person JAMA study also found that a single dose of vitamin D did not have any significant effect on moderate to severe COVID-19 infections.

The study, published yesterday by Igor Murai, PhD, a Sao Paul rheumatologist, and colleagues, reported that hospital stay was a median 7.0 days for both those in the intervention and the placebo group, and while there were differences up to 8.4 percentage points across in-hospital mortality, intensive care unit (ICU) admission, and mechanical ventilation needs, they were all statistically not significant.”

“While this does not detract from the researchers’ final conclusions, they write, "Given the lack of highly effective therapies against COVID-19, except perhaps for corticosteroids, it is important to remain open-minded to emerging results from rigorously conducted studies of vitamin D (despite smaller sample sizes and important limitations of some studies)."”

Not bad stats with only 2558 deaths in US. Mexico fatality rate is very alarming at 8.8%.

NY leads in confirmation and CA leads in death for the US

NY is picking up in confirmation all around NYC. Still LA county leads all counties for both confirmation and deaths.

The center of the country is rather quite – largely due to the cold blizzard and people hunkering down I suspect.

LA continues to improve. Cook IL has done an amazing job since last year peak in Nov/Dec.

US continues to increase administration of Vaccine

Covid 2/17/21

Covid19mathblog.com

Vaccine update – https://www.cnbc.com/2021/02/15/covid-pfizer-vaccine-israel-study-finds-94percent-drop-in-symptomatic-cases.html

“Israel’s largest healthcare provider on Sunday reported a 94% drop in symptomatic Covid-19 infections among 600,000 people who received two doses of Pfizer’s vaccine in the country’s biggest study to date.

Health maintenance organization (HMO) Clalit, which covers more than half of all Israelis, said the same group was also 92% less likely to develop severe illness from the virus.”

“the data indicates the Pfizer vaccine, which was developed in partnership with Germany’s BioNTech, is even more effective two weeks or more after the second shot.”

I have always said there was something materially wrong with NY – their numbers were just too out there for there not to be a systematic issue – https://www.dailyposter.com/p/cuomo-gate-a-nixonian-scandal-is

“The biggest political scandal in America right now is playing out in New York, where Gov. Andrew Cuomo is in a lot of trouble — and rightly so. The Democratic governor did not merely wildly mismanage his state’s response to the COVID emergency, while netting himself a lucrative book deal and an Emmy. He did something worse.

In the middle of a public health emergency, he used his office to help one of his largest political donors shield itself from legal consequences as 15,000 nursing home residents died from COVID — and then he and his administration underreported that death toll, helping the same donor.”

“Amid New York’s exploding COVID death toll in April 2020, Cuomo’s budget included a provision shielding hospital and nursing home executives from legal consequences if their corporate decisions killed people during the pandemic.”

“To date, 27 states have now shielded nursing homes from lawsuits.”

“Cuomo’s office was vastly underreporting the number of COVID nursing home deaths, according to a report by New York Attorney General Letitia James, who is considered a Cuomo ally. That report found that Cuomo administration data had undercounted nursing home deaths by 50 percent.”

“Cuomo’s top aide, Melissa DeRosa, admitted that Cuomo’s administration not only withheld information about nursing home deaths, but did so in order to preemptively avoid political and legal consequences.”

Still low numbers for US under 2k

CA back on top for confirmation and deaths

Shocking LA is not leading confirmation – Miami-Dade is. LA still leads death

Not much dispersion of confirmation in the middle of country – likely everyone hunkered down due to the freeze

Vaccination for the US rising. 7 day moving average of administered vaccine.

Covid 2/16/21

Covid19mathblog.com

It will be interesting if this major cold is so cold that you couldn’t even have your get togethers that was generating a lot of the spread. This time it was likely a true quarantine for the middle of the country.

On the vaccine front Cuba has its own covid vaccine! https://www.bbc.com/news/world-latin-america-56069577

“Soberana 2, the island’s domestically-produced Covid-19 vaccine.

Soberana (Spanish for "sovereign") 2 is a conjugate vaccine – meaning an antigen is fused to a carrier molecule to bolster the vaccine’s stability and effectiveness.”

“The results from the first clinical trials were "encouraging" and "very important", says the institute’s director, Dr Vicente Vérez Bencomo, and the Communist-run government hopes to give the vaccine to everyone on the island by the end of the year.

"Our plan is to, of course, first immunise our population," explains Dr Vérez at a news conference. "Moving to commercial production of Soberana 2, we’re planning to have in the order of 100 million doses during 2021 and we will dedicate an important part of these doses to the full immunisation of the country."”

“In the late 1980s, Cuban scientists produced the first meningitis B vaccine and the then-leader, Fidel Castro, opened the Finlay Institute partly with a view to finding ways around the decades-old US embargo on the island.”

“The coronavirus lockdown has been very painful for an island so dependent on tourism with the economy contracting a whopping 11% last year.”

“A viable vaccine would allow the island to reopen sooner and with more certainty than before. Soberana 2 would also generate some much-needed income if exported around the region.”

Amazing what a big storm/Presidents day can do – for the first time in a long time US is not #1 – in fact less than 1K death. France leads at 1413

CA is not leading in any category – wow the world has changed.

LA county still leads in confirmation and 3rd in deaths

NY/Ct is starting to pick up some confirmations and deaths

LA flattening out on confirmation per capita at 11.7%

Covid 2/14/21

Covid19mathblog.com

Happy Valentine’s Day!

If we find a low cost effective treatment would you need a vaccine?

The love for Vitamin D is supported in the following paper – once again it is not a common available form of vitamin D for some reason – https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3771318

“Findings: ICU assistance was required by 110 (11.8%) participants. Out of 551 patients treated with calcifediol at admission, 30 (5.4%) required ICU, compared to 80 out of 379 controls (21.1%; p<0.0001). Logistic regression of calcifediol treatment on ICU admission, adjusted by age, gender, linearized 25(OH)D levels at baseline, and comorbidities showed that treated patients had a reduced risk to require ICU (RR 0.18 [95% CI 0.11;0.29]). Baseline 25(OH)D levels inversely correlated with the risk of ICU admission (RR 0.53 [95% CI 0.35;0.80]). Overall mortality was 10%. In the Intention-to-treat analysis, 36 (6.5%) out of 551 patients treated with calcifediol at admission died compared to 57 patients (15%) out of 379 controls (p=0.001). Adjusted results showed a reduced mortality for more of 60%. Higher baseline 25(OH)D levels were significantly associated with decreased mortality (RR 0.40 [95% CI 0.24;0.67]). Age and obesity were also predictors of mortality.

Interpretation: In patients hospitalized with COVID-19, calcifediol treatment at the time of hospitalization significantly reduced ICU admission and mortality.”

Another potential treatment yielding good results focused on suppressing the immune system from overreacting – it would also seem that the virus itself would want to do this as why would it want its host to die? – https://www.cityam.com/new-immune-drug-seen-as-possible-covid-19-cure-as-90-per-cent-of-treated-patients-fully-recover/

“Medics in Israel have been given the go-ahead for a third trial of a relatively new drug after successfully testing the treatment on a number of severely ill Covid-19 patients, of which 90 per cent fully recovered within a week, according to multiple media reports.

The drug, Allocetra, aims to slow or halt an extreme overreaction of the immune system, a so-called cytokine storm. It often follows a coronavirus infection and is believed to be responsible for many Covid-related deaths as it regularly leads to organ failure.

Allocetra, first developed at the Research Center for Rheumatology and Internal Medicine (CRIM) at Jerusalem’s Hadassah Medical Centre, was tested on 21 patients, of which 19 showed significant improvements within days and were discharged after a week, according to Israel’s Channel13 in Israel.”

It is a big number for a weekend US 3.6K

Wow Ohio still revising ….1204 more deaths…I guess they will try to get much closer fatality rate of 2% seen worldwide – now 1.74%

Big dispersion of deaths in Ohio so likely a systematic issue on reporting.

LA reclaim number one county for deaths and confirmation.

Good news for LA they are coming back down to earth and continues to do so

Covid 2/13/21

Covid19mathblog.com

Previously discussed that vitamin D should be distributed free of charge in hot spot areas – remember Dr Fauci admitted to taking vitamin D – this article notes a strategy to give vitamins to the elderly – https://theconversation.com/how-to-make-covid-vaccines-more-effective-give-people-vitamin-and-mineral-supplements-154974

“As the European Food Safety Authority notes, the vitamins A, B6, B9, B12, C and D and the minerals zinc, selenium, iron and copper are all needed for the immune system to function as it should.”

“It’s possible to buy a three-month supply of multivitamin and mineral supplements for no more than £3.00. Ideally, such a supplement would be provided free of charge by governments or health authorities to all those aged over 70. When set against the average cost of vaccination per person, this would provide a great potential gain for only a modest investment.”

Well there goes my statement yesterday of having a week of below 4K deaths….today US deaths 5.4K

Still Ohio adding to deaths – this time 2.5K deaths – what a useless time series….

The fatality rate for the state has moved up closer to the average of the country. A month ago Ohio was like a outlier in low fatality which didn’t make sense given population. Now they are slightly higher than TX. Data is only as good as the data you get – common sense and logic wins in the long run.

It wasn’t just one county – it was a revision across the whole state.

First time LA doesn’t top deaths but this is because of Oho revisions with 5 counties surpassing LA

Covid 2/12/21

Covid19mathblog.com

Well the message is coming out strong that it’s a never ending battle now –all your pharma companies will have a perpetual income vs. society getting healthy – https://www.cnbc.com/2021/02/12/doctors-warn-covid-will-become-endemic-and-people-need-to-learn-to-live-with-it.html

“More and more physicians and public health officials are warning that even with the mass rollout of safe and effective vaccines, Covid may permanently establish itself.

White House coronavirus advisor Dr. Anthony Fauci, Moderna CEO Stephane Bancel and World Health Organization executive director of the Health Emergencies Program Dr. Mike Ryan have said in recent weeks that the coronavirus may never go away.”

“Some low-income countries, however, have not received a single dose of vaccine to protect people most at risk from the coronavirus.”

““Covid-19 is an endemic human infection. The scientific reality is that, with so many people infected worldwide, the virus will continue to mutate,” said Dr. Jeremy Farrar, director of Wellcome and a member of the UK.’s Scientific Advisory Group for Emergencies.”

Alaska is our Israel – at least for the first shot

I think it is the first week no 4K death day for the US in a week.

Ohio leads in death as there is a reclassification…..data timeline is going to be awful with all these revisions. TX continues to lead confirmation.

Ohio deaths are disperse throughout the state. TX confirmations centered around population counties

LA county still leads all counties in both categories – An Ohio county didn’t make the top 2- Franklin Ohio 3rd

LA continues to come down. Maricopa AZ deaths seem to be holding steady in face of falling confirmation.

Covid 2/11/21

Covid19mathblog.com

Looks like mask sales could double – double mask offer better protection per CDC – https://www.cdc.gov/mmwr/volumes/70/wr/mm7007e1.htm?s_cid=mm7007e1_w

“Cloth masks and medical procedure masks substantially reduce exposure from infected wearers (source control) and reduce exposure of uninfected wearers (wearer exposure).”

“The receiver’s exposure was maximally reduced (>95%) when the source and receiver were fitted with modified medical procedure masks.”

Not the most optimistic article – each person is becoming a lab for the virus to mutate. They note the UK variant came form 1 person. The message is we as a human society better get well quickly as this virus will mutate to continue to attack those with multiple comorbidity. In fact those with weaken immune systems allow the virus to get more potent. – https://www.wired.co.uk/article/chronic-infection-uk-coronavirus-variant

“Every new person infected provides another opportunity for the virus to adopt a new form. So far, Sars-CoV-2 has infected at least 106 million people worldwide and taken on many thousands of mutations. Most of those changes are slow and inconsequential – evolutionary dead ends that nobody will ever realise existed. But, in some people, the virus hits the jackpot.

That is seemingly what happened in Kent in September 2020. Usually Sars-CoV-2 mutates slowly. We can watch this happen, with single letters changing one at a time in a viral genome that contains almost 30,000 letters. But, in one great leap, the UK variant picked up 17 of those changes. Eight of them happened in the gene that encodes the spike protein – the hook the virus uses to latch on to and enter human cells. If the genome of Sars-CoV-2 was a 30,000-character-long poem then the UK variant re-wrote its first line, drastically changing its meaning in the process.”

“The leading hypothesis is that the new variant evolved within just one person, infected with Sars-CoV-2 virus for so long that the virus was able to evolve into a new, more infectious, form. Out of this human pressure cooker, a new variant burst onto the scene and sent the world scrambling to react. Borders closed, countries locked down once more, vaccines were re-tested.

None of this was enough to halt the spread of B.1.1.7 – the scientific name given to the UK variant. The new variant has now been found in 75 countries and is spreading locally in Brazil, Canada, China, the United States and most of Europe. Up to 70 per cent more transmissible than other coronavirus variants, B.1.1.7 is now responsible for the vast majority of new cases in England.”

“Sars-CoV-2 may be the most surveilled virus in history. In the 13 months since virologists Zhang Yongzhen and Edward Holmes published the entire genome of the virus, more than 360,000 Sars-Cov-2 genomes have been sequenced and uploaded to GISAID – a platform for sharing viral genomes. Almost half of those genomes came from the UK, which sequences roughly ten per cent of all its positive Covid-19 tests, making the country a canary in the coal mine for detecting new variants.”

“For most people who get infected, Covid-19 lasts two weeks. People with mild cases usually test negative for the virus ten days after first showing symptoms. In more severe cases, people can continue to spread the virus for up to 20 days after their first symptoms. For an unlucky subset of patients Covid-19 infections last much, much longer.

There are multiple documented cases of patients with chronic Covid-19 infections that last several months or more. With his colleagues at the University of Michigan, Lauring documented the infection of one man who had harboured the replicating virus for at least 119 days. By analysing the genomes of virus samples taken at different points during the patient’s infection, Lauring could see the virus steadily accumulating genetic changes – a microcosm of how Sars-CoV2-2 mutates within the global population, but this time all happening within one human host.”

“People with weakened immune systems provide viruses like Sars-CoV-2 with a unique environment. Instead of clearing an infection quickly, an immunocompromised person might only partially wipe out an infection, leaving behind a population of genetically-hardier viruses that rebound and begin the cycle all over again. In these people, a virus can evolve at remarkable speed. “The whole time, their immune system is effectively beating [the virus] up. So the virus has a chance to learn how to live with the human immune system,” says Emma Hodcroft, a postdoctoral research at the University of Bern in Switzerland who works on Nextstrain – an open-source project that tracks the genetic changes of Sars-CoV-2 and other pathogens.”

“Stopping the emergence of new variants means doing more of what we know stops transmission: wearing face masks, social distancing, working from home and tracing infections. Although data from Israel shows that vaccines are a powerful tool for stopping hospitalisations and infections, alone they are no defence against the emergence of new variants. Epidemiologists fear that a combination of widespread transmission and a partially-vaccinated population might push Sars-CoV-2 to acquire vaccine-evading mutations.”

“In mid-January, genomic surveillance picked up another worrying mutation in some of the UK variant viruses: a change called E484K, also present in the South Africa variant, that helps the virus evade the body’s immune system. As our immunity to Sars-CoV-2 grows through vaccines and infection, the virus is pushed to find new adaptations that allow it to continue infecting and spreading”

US continues to be under 4K. Brazil, Mexico, and UK above 1K

Asia did see a bump but nowhere like Europe, Americas S. Korea, Japan had a bump – Japan death is still up there but their confirmation fell. Thailand is faring very well.

TX leads confirmation with CA leading deaths

Confirmation in TX in popular counties.

Modified the confirm chart from 2000 to 1000 – so other counties beyond LA would show up on chart.

LA is coming down in both death and confirmation now.