<html>
<head>
<meta http-equiv="content-type" content="text/html; charset=UTF-8">
</head>
<body text="#000000" bgcolor="#FFFFFF">
<br>
<div class="moz-forward-container">
<meta http-equiv="content-type" content="text/html; charset=UTF-8">
For those who want a super quick summary, this update from Katelyn
Jetelina is mostly good news with trends toward fewer COVID
issues, but we are not out of the woods.--Manny<br>
<br>
<pre class="moz-signature" cols="72">"Failure is unimportant. It takes courage to make a fool of yourself."
— Charlie Chaplin</pre>
<div class="moz-forward-container"><br>
<br>
-------- Forwarded Message --------
<table class="moz-email-headers-table" cellspacing="0"
cellpadding="0" border="0">
<tbody>
<tr>
<th valign="BASELINE" nowrap="nowrap" align="RIGHT">Subject:
</th>
<td>Catch up quick: COVID-19</td>
</tr>
<tr>
<th valign="BASELINE" nowrap="nowrap" align="RIGHT">Date:
</th>
<td>Thu, 25 May 2023 11:15:07 +0000</td>
</tr>
<tr>
<th valign="BASELINE" nowrap="nowrap" align="RIGHT">From:
</th>
<td>Katelyn Jetelina from Your Local Epidemiologist <a
class="moz-txt-link-rfc2396E"
href="mailto:yourlocalepidemiologist@substack.com"
moz-do-not-send="true"><yourlocalepidemiologist@substack.com></a></td>
</tr>
<tr>
<th valign="BASELINE" nowrap="nowrap" align="RIGHT">Reply-To:
</th>
<td>Katelyn Jetelina from Your Local Epidemiologist
<a class="moz-txt-link-rfc2396E"
href="mailto:reply+21bpx0&a13t&&61b16c1eae747b646e4e4dc47af520fb8b57f47159ba3b02d8d30a0c5ab9b62c@mg1.substack.com"
moz-do-not-send="true"><reply+21bpx0&a13t&&61b16c1eae747b646e4e4dc47af520fb8b57f47159ba3b02d8d30a0c5ab9b62c@mg1.substack.com></a></td>
</tr>
<tr>
<th valign="BASELINE" nowrap="nowrap" align="RIGHT">To: </th>
<td><a class="moz-txt-link-abbreviated"
href="mailto:manny@ratafias.com"
moz-do-not-send="true">manny@ratafias.com</a></td>
</tr>
</tbody>
</table>
<br>
<br>
<meta charset="utf-8">
<title>Catch up quick: COVID-19</title>
<style>
@media all and (-ms-high-contrast: none), (-ms-high-contrast: active) {
.typography .markup table.image-wrapper img,
.typography.editor .markup table.image-wrapper img,
.typography .markup table.kindle-wrapper img,
.typography.editor .markup table.kindle-wrapper img {
max-width: 550px;
}
}
@media screen and (max-width: 650px) {
.typography .markup div.youtube-inner div.youtube-screen,
.typography.editor .markup div.youtube-inner div.youtube-screen,
.typography .markup div.vimeo-inner div.youtube-screen,
.typography.editor .markup div.vimeo-inner div.youtube-screen {
display: none !important;
}
}
@media screen and (max-width: 370px) {
.typography .markup div.tiktok-wrap,
.typography.editor .markup div.tiktok-wrap {
width: calc(95vw - 32px);
height: calc((95vw - 32px - 2px) / 0.485714);
}
}
@media screen and (max-width: 650px) {
.typography .markup div.embedded-publication-wrap .embedded-publication.show-subscribe,
.typography.editor .markup div.embedded-publication-wrap .embedded-publication.show-subscribe {
padding: 24px;
}
}
@media screen and (max-width: 650px) {
.typography .markup div.subscription-widget-wrap .subscription-widget.show-subscribe,
.typography.editor .markup div.subscription-widget-wrap .subscription-widget.show-subscribe,
.typography .markup div.captioned-button-wrap .subscription-widget.show-subscribe,
.typography.editor .markup div.captioned-button-wrap .subscription-widget.show-subscribe {
padding: 24px;
}
}
@media screen and (max-width: 650px) {
.typography .markup div.subscription-widget-wrap .subscription-widget.show-subscribe .subscription-widget-subscribe .button,
.typography.editor .markup div.subscription-widget-wrap .subscription-widget.show-subscribe .subscription-widget-subscribe .button,
.typography .markup div.captioned-button-wrap .subscription-widget.show-subscribe .subscription-widget-subscribe .button,
.typography.editor .markup div.captioned-button-wrap .subscription-widget.show-subscribe .subscription-widget-subscribe .button {
padding: 10px 12px;
min-width: 110px;
}
}
@media (max-width: 650px) {
.typography .markup .tweet,
.typography.editor .markup .tweet {
padding: 12px;
}
}
@media (max-width: 650px) {
.typography .markup .tweet .tweet-text,
.typography.editor .markup .tweet .tweet-text {
font-size: 14px;
line-height: 20px;
}
}
@media (max-width: 650px) {
.typography .markup .tweet .tweet-photos-container.two,
.typography.editor .markup .tweet .tweet-photos-container.two,
.typography .markup .tweet .tweet-photos-container.three,
.typography.editor .markup .tweet .tweet-photos-container.three,
.typography .markup .tweet .tweet-photos-container.four,
.typography.editor .markup .tweet .tweet-photos-container.four {
height: 200px;
}
}
@media (max-width: 650px) {
.typography .markup .tweet a.expanded-link .expanded-link-img,
.typography.editor .markup .tweet a.expanded-link .expanded-link-img {
max-height: 180px;
}
}
@media (max-width: 650px) {
.typography .markup .tweet a.expanded-link .expanded-link-description,
.typography.editor .markup .tweet a.expanded-link .expanded-link-description {
display: none;
}
}
@media screen and (max-width: 650px) {
.typography .markup .apple-podcast-container,
.typography.editor .markup .apple-podcast-container {
width: unset;
}
}
@media (max-width: 420px) {
.typography .markup .install-substack-app-embed img.install-substack-app-embed-img,
.typography.editor .markup .install-substack-app-embed img.install-substack-app-embed-img {
margin: 0 auto 16px auto;
}
}
@media screen and (min-width: 420px) and (max-width: 600px) {
.typography .markup .install-substack-app-embed .install-substack-app-embed-text,
.typography.editor .markup .install-substack-app-embed .install-substack-app-embed-text {
max-width: calc(100% - 100px);
width: initial;
}
}
@media (max-width: 420px) {
.typography .markup .install-substack-app-embed .install-substack-app-embed-text,
.typography.editor .markup .install-substack-app-embed .install-substack-app-embed-text {
margin: 0 0 12px 0;
max-width: 100%;
width: auto;
text-align: center;
}
}
@media (max-width: 600px) {
.typography .markup .install-substack-app-embed .install-substack-app-embed-link,
.typography.editor .markup .install-substack-app-embed .install-substack-app-embed-link {
margin-top: 16px;
width: 100%;
}
}
@media screen and (min-width: 481px) {
.share-button-container {
height: 38px;
}
}
@media screen and (min-width: 481px) {
.share-button-container a.comment {
height: 38px;
line-height: 38px;
padding-right: 10px;
}
}
@media screen and (max-width: 480px) {
.share-button-container .separator {
display: block;
margin: 0;
height: 8px;
border-left: none;
}
}
@media screen and (max-width: 480px) {
.share-button-container a.share.first img {
padding-left: 0;
}
}
@media screen and (min-width: 481px) {
.share-button-container a.mobile {
display: none !important;
}
}
@media screen and (max-width: 650px) {
.social-media-share-preview__description {
-webkit-line-clamp: 2;
}
}
@media screen and (max-width: 1000px) {
.congrats-box {
flex-direction: column;
}
.congrats-box .congrats-box-right {
margin-left: 38px;
margin-top: 16px;
}
}
@media screen and (max-width: 500px) {
.congrats-box {
display: none;
}
}
@media screen and (min-width: 541px) {
.settings-add-pub-modal-wrapper .container .add-recommending-pub-modal-container {
padding: 36px;
height: 680px;
}
}
@media screen and (min-width: 541px) {
.settings-add-pub-modal-wrapper .container .add-recommending-pub-modal-container .footer {
position: absolute;
bottom: 36px;
margin: 0px;
}
}
@media screen and (max-width: 840px) {
.header-with-anchor-widget .header-anchor-widget,
.header-anchor-container .header-anchor-widget {
display: none;
}
}
@media screen and (min-width: 768px) {
.post {
padding: 32px 0 0 0;
}
}
@media screen and (max-width: 650px) {
.post .post-header .post-label {
margin-top: 8px;
}
}
@media screen and (max-width: 650px) {
.post .post-header .meta-author-wrap.alternative-meta .meta-right-column .post-meta {
margin-top: 6px;
}
}
@media screen and (max-width: 650px) {
.post .footer-facepile-container {
height: 64px;
padding: 0 16px;
display: flex;
align-items: center;
justify-content: flex-start;
width: 100%;
}
}
@media screen and (max-width: 650px) {
.post .post-footer.use-separators {
justify-content: center;
}
}
@media screen and (max-width: 650px) {
.post .post-footer.next-prev {
height: 64px;
justify-content: space-between;
box-sizing: border-box;
}
}
@media screen and (max-width: 650px) {
.post-contributor-footer .post-contributor-bio-table {
display: block;
}
.post-contributor-footer .post-contributor-bio-table-row {
display: flex;
flex-direction: row;
}
.post-contributor-footer .post-contributor-bio-userhead-cell,
.post-contributor-footer .post-contributor-bio-body-cell {
display: block;
}
.post-contributor-footer .post-contributor-bio-body-cell {
flex-grow: 1;
}
.post-contributor-footer .post-contributor-bio-body-table {
display: block;
}
.post-contributor-footer .post-contributor-bio-body-table-row {
display: block;
}
.post-contributor-footer .post-contributor-bio-copy-cell,
.post-contributor-footer .post-contributor-bio-controls-cell {
display: block;
}
.post-contributor-footer .post-contributor-bio-copy-cell {
margin: 0 0 16px 0;
}
.post-contributor-footer .post-contributor-bio-controls-cell {
width: auto;
}
.post-contributor-footer .post-contributor-bio-controls {
margin: auto;
}
.post-contributor-footer .post-contributor-bio-controls .button.primary {
width: 100%;
}
.post-contributor-footer .post-contributor-bio-text {
font-size: 14px;
}
}
@media screen and (min-width: 768px) {
.post-silhouette {
padding: 16px 0;
}
}
@media screen and (max-width: 650px) {
.post-silhouette .post-silhouette-title {
margin-top: 10.44225025px;
height: 120px;
}
}
@media screen and (max-width: 650px) {
.post-silhouette .post-silhouette-meta {
width: 75%;
}
}
@media screen and (max-width: 650px) {
.post-silhouette .post-silhouette-meta.with-byline-image {
margin: 20px 0;
}
}
@media screen and (max-width: 650px) {
.use-theme-bg .post-meta.alternative-meta .post-meta-item,
.post-meta.alternative-meta .post-meta-item {
padding-right: 16px;
}
}
@media screen and (max-width: 370px) {
.use-theme-bg .post-meta.alternative-meta .post-meta-item,
.post-meta.alternative-meta .post-meta-item {
font-size: 14px;
}
}
@media screen and (max-width: 650px) {
.use-theme-bg .post-meta.alternative-meta .post-meta-item.guest-author-publication,
.post-meta.alternative-meta .post-meta-item.guest-author-publication {
display: none;
}
}
@media screen and (max-width: 370px) {
.post-meta .post-meta-item .post-meta-button {
height: 36px !important;
}
.post-meta .post-meta-item .post-meta-button .meta-button-label {
display: none;
}
.post-meta .post-meta-item .post-meta-button > svg {
margin-right: 0;
}
}
@media screen and (max-width: 370px) {
.post-meta .post-meta-item {
font-size: 12px;
}
}
@media screen and (max-width: 650px) {
.post-preview .post-preview-content .post-preview-meta {
margin-top: 12px 0;
}
}
@media screen and (max-width: 650px) {
.post-preview .post-preview-image {
display: none;
}
}
@media screen and (max-width: 650px) {
.post-preview-silhouette .post-preview-silhouette-image {
display: none;
}
}
@media screen and (max-width: 650px) {
.post .floating-subscribe-button {
bottom: 20px;
right: 20px;
}
}
@media all and (-ms-high-contrast: none), (-ms-high-contrast: active) {
body .markup table.image-wrapper img,
body .markup table.kindle-wrapper img {
max-width: 550px;
}
}
@media screen and (max-width: 650px) {
body .markup div.youtube-inner div.youtube-screen,
body .markup div.vimeo-inner div.youtube-screen {
display: none !important;
}
}
@media screen and (max-width: 370px) {
body .markup div.tiktok-wrap {
width: calc(95vw - 32px);
height: calc((95vw - 32px - 2px) / 0.485714);
}
}
@media screen and (max-width: 650px) {
body .markup div.embedded-publication-wrap .embedded-publication.show-subscribe {
padding: 24px;
}
}
@media screen and (max-width: 650px) {
body .markup div.subscription-widget-wrap .subscription-widget.show-subscribe,
body .markup div.captioned-button-wrap .subscription-widget.show-subscribe {
padding: 24px;
}
}
@media screen and (max-width: 650px) {
body .markup div.subscription-widget-wrap .subscription-widget.show-subscribe .subscription-widget-subscribe .button,
body .markup div.captioned-button-wrap .subscription-widget.show-subscribe .subscription-widget-subscribe .button {
padding: 10px 12px;
min-width: 110px;
}
}
@media (max-width: 650px) {
body .markup .tweet {
padding: 12px;
}
}
@media (max-width: 650px) {
body .markup .tweet .tweet-text {
font-size: 14px;
line-height: 20px;
}
}
@media (max-width: 650px) {
body .markup .tweet .tweet-photos-container.two,
body .markup .tweet .tweet-photos-container.three,
body .markup .tweet .tweet-photos-container.four {
height: 200px;
}
}
@media (max-width: 650px) {
body .markup .tweet a.expanded-link .expanded-link-img {
max-height: 180px;
}
}
@media (max-width: 650px) {
body .markup .tweet a.expanded-link .expanded-link-description {
display: none;
}
}
@media screen and (max-width: 650px) {
body .markup .apple-podcast-container {
width: unset;
}
}
@media (max-width: 420px) {
body .markup .install-substack-app-embed img.install-substack-app-embed-img {
margin: 0 auto 16px auto;
}
}
@media screen and (min-width: 420px) and (max-width: 600px) {
body .markup .install-substack-app-embed .install-substack-app-embed-text {
max-width: calc(100% - 100px);
width: initial;
}
}
@media (max-width: 420px) {
body .markup .install-substack-app-embed .install-substack-app-embed-text {
margin: 0 0 12px 0;
max-width: 100%;
width: auto;
text-align: center;
}
}
@media (max-width: 600px) {
body .markup .install-substack-app-embed .install-substack-app-embed-link {
margin-top: 16px;
width: 100%;
}
}
@media screen and (min-width: 500px) {
body .header a.logo {
width: 42px;
height: 42px;
border-radius: 8px;
}
}
@media screen and (max-width: 420px) {
body .subscription-receipt table:first-of-type .subscription-amount .subscription-discount {
width: 72px !important;
}
}
@media screen and (min-width: 481px) {
body .share-button-container {
height: auto;
}
}
@media screen and (max-width: 480px) {
body .share-button-container .separator {
display: block !important;
margin: 0 !important;
height: 8px !important;
border-left: none !important;
}
}
@media screen and (max-width: 650px) {
.digest .item .post-meta-item.audience {
display: none;
}
}
@media screen and (min-width: 500px) {
.digest-publication .logo img {
width: 42px;
height: 42px;
border-radius: 4px;
}
}
@media screen and (max-width: 650px) {
.comments-page .container .comment-list .collapsed-reply {
margin-left: 17px;
}
}
@media screen and (max-width: 650px) {
.comment > .comment-list {
padding-left: 25px;
}
}
@media screen and (max-width: 650px) {
.finish-magic-login-modal .modal-content .container {
padding: 24px 0;
}
}
@media (max-width: 650px) {
.reader2-text-b3 {
line-height: 24px;
}
}
@media screen and (max-width: 650px) {
.reader2-text-h4 {
line-height: 24px;
}
}
@media screen and (min-width: 541px) {
.user-profile-modal {
padding-left: 12px;
padding-right: 12px;
}
}
@media screen and (max-width: 650px) {
.subscribe-widget form.form .sideBySideWrap button.rightButton {
padding: 10px 12px;
}
}
@media screen and (min-width: 541px) {
.pub-icon:hover .logo-hover,
.feed-item-icon:hover .logo-hover {
display: block;
}
}
@media screen and (max-width: 650px) {
.post-ufi.single-full-width-button .post-ufi-button-wrapper {
width: 100%;
padding: 16px;
}
.post-ufi.single-full-width-button .post-ufi-button-wrapper:empty {
display: none;
}
.post-ufi.single-full-width-button .post-ufi-button {
width: 100%;
justify-content: center;
}
}
@media screen and (max-width: 768px) {
.file-embed-wrapper {
padding: 0;
}
}
@media screen and (max-width: 768px) {
.file-embed-wrapper-editor {
padding: 0;
}
}
@media screen and (max-width: 768px) {
.file-embed-wrapper-editor:active {
padding: 0;
}
}
@media only screen and (max-width: 650px) {
.file-embed-button.wide,
.file-embed-error-button.wide {
display: none;
}
}
@media only screen and (min-width: 630px) {
.file-embed-button.narrow,
.file-embed-error-button.narrow {
display: none;
}
}
@media screen and (min-width: 541px) {
.audio-player-wrapper .audio-player {
min-width: 500px;
}
}
@media screen and (max-width: 650px) {
.audio-player-wrapper .audio-player .audio-player-progress {
border-left-width: 16px;
border-right-width: 16px;
}
}
@media screen and (max-width: 650px) {
.audio-player-wrapper .audio-player .audio-player-progress .audio-player-progress-bar .audio-player-progress-bar-popup {
top: -54px;
}
}
@media screen and (max-width: 650px) {
.audio-player-wrapper-fancy .audio-player .audio-player-progress {
border-left-width: 16px;
border-right-width: 16px;
}
}
@media screen and (max-width: 650px) {
.audio-player-wrapper-fancy .audio-player .audio-player-progress .audio-player-progress-bar .audio-player-progress-bar-popup {
top: -54px;
}
}
@media (min-width: 250px) {
.audio-player-wrapper-fancy .audio-player {
padding: 32px;
}
.audio-player-wrapper-fancy .audio-player .btn-group {
display: flex;
}
.audio-player-wrapper-fancy .audio-player .btn-group .button:last-of-type {
display: block;
}
}
@media (min-width: 300px) {
.audio-player-wrapper-fancy .audio-player .btn-group {
display: block;
}
.audio-player-wrapper-fancy .audio-player .btn-group .button:first-of-type {
display: block;
}
}
@media (min-width: 350px) {
.audio-player-wrapper-fancy .audio-player .audio-player-substack-logo {
display: block;
}
.audio-player-wrapper-fancy .audio-player .audio-player-title {
margin-top: 16px;
}
.audio-player-wrapper-fancy .audio-player .audio-player-hero-image-container {
padding-top: 15%;
width: 15%;
display: block;
}
.audio-player-wrapper-fancy .audio-player .btn-group .button:first-of-type {
display: block;
}
.audio-player-wrapper-fancy .audio-player .audio-player-substack-logo {
display: block;
}
}
@media (min-width: 350px) {
.audio-player-wrapper-fancy .audio-player .audio-player-hero-image-container {
padding-top: 25%;
width: 25%;
display: block;
}
.audio-player-wrapper-fancy .audio-player .btn-group {
display: flex;
}
.audio-player-wrapper-fancy .audio-player .btn-group .button:first-of-type {
display: block;
}
}
@media (min-width: 400px) {
.audio-player-wrapper-fancy .audio-player .audio-player-hero-image-container {
padding-top: 40%;
width: 40%;
}
}
@media (max-width: 400px) {
.audio-player-wrapper-fancy .audio-player .btn-group {
margin-top: 12px;
}
.audio-player-wrapper-fancy .audio-player .btn-group .button {
font-size: 13px;
padding: 6px 12px;
height: auto;
margin-top: 10px;
}
}
@media (min-width: 600px) {
.audio-player-wrapper-fancy .audio-player .audio-player-hero-image-container {
padding-top: 55%;
width: 55%;
}
}
@media (max-width: 650px) {
.poll-editor-modal {
min-width: calc(100% - 20px);
}
}
@media (max-width: 750px) {
.poll-embed .poll-anchor-target .poll-anchor-copy-button {
left: 8px;
top: 45px;
}
}
@media screen and (min-width: 541px) {
.poll-embed .poll-wrapper.poll-web .poll-dialog .modal-table .modal-row .modal-content > .container {
width: 552px;
padding: 26px 24px;
}
}
@media screen and (max-width: 650px) {
.poll-embed .poll-wrapper.poll-web .poll-dialog .modal-table .modal-row .modal-content > .container {
padding: 40px 0;
}
}
@media screen and (max-width: 650px) {
.poll-embed .poll-wrapper.poll-web .poll-dialog .modal-row .modal-cell .modal-exit-btn {
margin-right: -20px;
}
}
@media not all and (min-resolution: 0.001dpcm) {
}
</style><img
src="https://mailgun.substack.com/api/v1/email/open?token=eyJtIjoiPDIwMjMwNTI1MTExNTA3LjMuMzAzOGZiOTI2ZjlkZGRmZEBtZy1kMS5zdWJzdGFjay5jb20-IiwidSI6NDY3OTkzLCJyIjoibWFubnlAcmF0YWZpYXMuY29tIiwiZCI6Im1nLWQxLnN1YnN0YWNrLmNvbSIsInAiOjEyMzE1ODc3MiwidCI6Im5ld3NsZXR0ZXIiLCJhIjoiZXZlcnlvbmUiLCJzIjoyODEyMTksImMiOiJwb3N0IiwiZiI6dHJ1ZSwicG9zaXRpb24iOiJ0b3AiLCJpYXQiOjE2ODUwMTM0NzAsImV4cCI6MTY4NzYwNTQ3MCwiaXNzIjoicHViLTAiLCJzdWIiOiJlbyJ9.iARpIyI2NMSvNse35DWl5TEaARDqEQGDhUl6jMY09Yg"
alt="" style="height:1px !important;width:1px
!important;border-width:0 !important;margin-top:0
!important;margin-bottom:0 !important;margin-right:0
!important;margin-left:0 !important;padding-top:0
!important;padding-bottom:0 !important;padding-right:0
!important;padding-left:0 !important;" moz-do-not-send="true"
width="1" height="1" border="0"><img
src="https://eotrx.substackcdn.com/open?token=eyJtIjoiPDIwMjMwNTI1MTExNTA3LjMuMzAzOGZiOTI2ZjlkZGRmZEBtZy1kMS5zdWJzdGFjay5jb20-IiwidSI6NDY3OTkzLCJyIjoibWFubnlAcmF0YWZpYXMuY29tIiwiZCI6Im1nLWQxLnN1YnN0YWNrLmNvbSIsInAiOjEyMzE1ODc3MiwidCI6Im5ld3NsZXR0ZXIiLCJhIjoiZXZlcnlvbmUiLCJzIjoyODEyMTksImMiOiJwb3N0IiwiZiI6dHJ1ZSwicG9zaXRpb24iOiJ0b3AiLCJpYXQiOjE2ODUwMTM0NzAsImV4cCI6MTY4NzYwNTQ3MCwiaXNzIjoicHViLTAiLCJzdWIiOiJlbyJ9.iARpIyI2NMSvNse35DWl5TEaARDqEQGDhUl6jMY09Yg"
alt="" style="height:1px !important;width:1px
!important;border-width:0 !important;margin-top:0
!important;margin-bottom:0 !important;margin-right:0
!important;margin-left:0 !important;padding-top:0
!important;padding-bottom:0 !important;padding-right:0
!important;padding-left:0 !important;" moz-do-not-send="true"
width="1" height="1" border="0">
<div
style="display:none;font-size:1px;color:#333333;line-height:1px;max-height:0px;max-width:0px;opacity:0;overflow:hidden;"
class="preview">We survived the end of the public health
emergency. Here’s the state of affairs. Surveillance
SARS-CoV-2 is nosediving across all metrics in all regions of
the U.S.: hospitalizations, deaths, emergency room
departments, and wastewater. Wastewater is still higher than
in 2020 and 2021, though.
</div>
<table role="presentation" class="email-body-container"
width="100%" cellspacing="0" cellpadding="0" border="0">
<tbody>
<tr>
<td><br>
</td>
<td class="content" width="550"><br>
</td>
<td><br>
</td>
</tr>
<tr>
<td><br>
</td>
<td class="content" width="550" align="left">
<div style="font-size: 16px; line-height: 26px; margin:
0 auto; max-width: 550px; overflow-wrap: break-word;
width: 100%;">
<table role="presentation" width="100%"
cellspacing="0" cellpadding="0" border="0">
<tbody>
<tr>
<td style="height: 20px;" align="right">
<table role="presentation" width="auto"
cellspacing="0" cellpadding="0" border="0">
<tbody>
<tr>
<td style="vertical-align: middle;"><span
class="tw-font-body tw-text-ssm
tw-text-substack-secondary"
style="color: #808080 !important;
font-family: SF Pro Text,
-apple-system, BlinkMacSystemFont,
Inter, Segoe UI, Roboto, Helvetica,
Arial, sans-serif, Apple Color
Emoji, Segoe UI Emoji, Segoe UI
Symbol !important; font-size: 13px
!important;"><a
href="https://open.substack.com/pub/yourlocalepidemiologist/p/catch-up-quick-covid-19-d2b?utm_source=email&redirect=app-store"
class="tw-text-substack-secondary
tw-underline"
style="-webkit-text-decoration-line:
underline !important; color:
#808080 !important;
text-decoration-line: underline
!important;"
moz-do-not-send="true">Open in app</a>
or <a
href="https://substack.com/redirect/2/eyJlIjoiaHR0cHM6Ly95b3VybG9jYWxlcGlkZW1pb2xvZ2lzdC5zdWJzdGFjay5jb20vcC9jYXRjaC11cC1xdWljay1jb3ZpZC0xOS1kMmI_dG9rZW49ZXlKMWMyVnlYMmxrSWpvME5qYzVPVE1zSW5CdmMzUmZhV1FpT2pFeU16RTFPRGMzTWl3aWFXRjBJam94TmpnMU1ERXpORFk1TENKbGVIQWlPakUyT0RjMk1EVTBOamtzSW1semN5STZJbkIxWWkweU9ERXlNVGtpTENKemRXSWlPaUp3YjNOMExYSmxZV04wYVc5dUluMC5LVWhnWEd5TFZWdXcxYUpMLTNITk1zeFFjWFFCXy0zVkV3M0U2NWMyOGVrIiwicCI6MTIzMTU4NzcyLCJzIjoyODEyMTksImYiOnRydWUsInUiOjQ2Nzk5MywiaWF0IjoxNjg1MDEzNDY5LCJleHAiOjE2ODc2MDU0NjksImlzcyI6InB1Yi0wIiwic3ViIjoibGluay1yZWRpcmVjdCJ9.oFaeqWGNTeuTEOJrAMUD6Qfi17mpc0WY4Fn8s0d3_iM?"
class="tw-text-substack-secondary
tw-underline"
style="-webkit-text-decoration-line:
underline !important; color:
#808080 !important;
text-decoration-line: underline
!important;"
moz-do-not-send="true">online</a></span></td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
<table role="presentation" class="header
graphic-header" style="border-spacing: 0; padding:
16px 0 32px;" width="auto">
<tbody>
<tr>
<td style="padding: 0; text-align: center;"
align="center"><a
href="https://substack.com/redirect/2/eyJlIjoiaHR0cHM6Ly95b3VybG9jYWxlcGlkZW1pb2xvZ2lzdC5zdWJzdGFjay5jb20vcC9jYXRjaC11cC1xdWljay1jb3ZpZC0xOS1kMmI_dG9rZW49ZXlKMWMyVnlYMmxrSWpvME5qYzVPVE1zSW5CdmMzUmZhV1FpT2pFeU16RTFPRGMzTWl3aWFXRjBJam94TmpnMU1ERXpORFk1TENKbGVIQWlPakUyT0RjMk1EVTBOamtzSW1semN5STZJbkIxWWkweU9ERXlNVGtpTENKemRXSWlPaUp3YjNOMExYSmxZV04wYVc5dUluMC5LVWhnWEd5TFZWdXcxYUpMLTNITk1zeFFjWFFCXy0zVkV3M0U2NWMyOGVrIiwicCI6MTIzMTU4NzcyLCJzIjoyODEyMTksImYiOnRydWUsInUiOjQ2Nzk5MywiaWF0IjoxNjg1MDEzNDY5LCJleHAiOjE2ODc2MDU0NjksImlzcyI6InB1Yi0wIiwic3ViIjoibGluay1yZWRpcmVjdCJ9.oFaeqWGNTeuTEOJrAMUD6Qfi17mpc0WY4Fn8s0d3_iM?"
moz-do-not-send="true"><img
role="presentation"
src="https://substackcdn.com/image/fetch/w_1100,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2F523ac601-a63a-4d07-906e-bc4e7bfbb83a_2200x440.png"
class="header-image" style="border: none
!important; display: block; height: auto;
margin: 0 auto; max-width: 550px;
vertical-align: middle; width: 100%;"
moz-do-not-send="true" width="550"
height="110"></a></td>
</tr>
</tbody>
</table>
<div class="typography" style="font-size: 16px;
line-height: 26px;">
<div class="preamble" style="font-size: 16px;
line-height: 26px; margin-top: 16px;">
<div dir="auto" class="body markup"
style="font-size: 16px; line-height: 26px;
margin-bottom: 16px; text-align: initial; width:
100%; word-break: break-word;">
<p style="color: #404040; font-size: 16px;
line-height: 26px; margin: 0 0 20px 0;
margin-bottom: 0; margin-top: 0;"><em><span>Si
quiere leer la versión en español, pulse </span><a
href="https://substack.com/redirect/ce461f72-e00f-42d1-89fc-31c75e793cdf?j=eyJ1IjoiYTEzdCJ9.fXnNfjqEHuJb90uhUC5MuKSqDSSONTVxMYyEVAne1uo"
rel="" style="color: #538cfa;
text-decoration: none;"
moz-do-not-send="true">aquí</a><span>.</span></em></p>
</div>
<hr style="background: #e0e0e0; border: none;
height: 1px; margin: 16px 0 0; padding: 0;"></div>
</div>
<div dir="auto" class="post typography"
style="font-size: 16px; line-height: 26px; padding:
16px 0 0 0;">
<div class="post-header" style="font-size: 16px;
line-height: 26px;">
<h1 class="post-title published"
style="-moz-appearance: optimizelegibility;
-moz-osx-font-smoothing: antialiased;
-webkit-appearance: optimizelegibility;
-webkit-font-smoothing: antialiased; appearance:
optimizelegibility; color: #404040; font-family:
'SF Pro Display', -apple-system,
BlinkMacSystemFont, 'Inter', 'Segoe UI', Roboto,
Helvetica, Arial, sans-serif, 'Apple Color
Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol';
font-size: 32px; font-weight: 900; line-height:
36px; margin: 0;"><a
href="https://substack.com/app-link/post?publication_id=281219&post_id=123158772&utm_source=post-email-title&isFreemail=true&token=eyJ1c2VyX2lkIjo0Njc5OTMsInBvc3RfaWQiOjEyMzE1ODc3MiwiaWF0IjoxNjg1MDEzNDY5LCJleHAiOjE2ODc2MDU0NjksImlzcyI6InB1Yi0yODEyMTkiLCJzdWIiOiJwb3N0LXJlYWN0aW9uIn0.KUhgXGyLVVuw1aJL-3HNMsxQcXQB_-3VEw3E65c28ek"
style="color: #404040; text-decoration: none;"
moz-do-not-send="true">Catch up quick:
COVID-19</a></h1>
<table role="presentation" class="post-meta"
style="align-items: center; height: 20px;
margin: 1em 0;" width="100%" cellspacing="0"
cellpadding="0" border="0">
<tbody>
<tr>
<td>
<table role="presentation" width="auto"
cellspacing="0" cellpadding="0"
border="0">
<tbody>
<tr>
<td>
<table role="presentation"
width="auto" cellspacing="0"
cellpadding="0" border="0">
<tbody>
<tr>
<td style="vertical-align:
middle;">
<div class="pencraft
frontend-pencraft-Box-module__reset--tAIEo
frontend-pencraft-Text-module__size-11--1-ofT
frontend-pencraft-Text-module__line-height-20--1soeQ
frontend-pencraft-Text-module__weight-medium--aTbx5
frontend-pencraft-Text-module__font-meta--2i-cR
frontend-pencraft-Text-module__color-primary--2I-sF
frontend-pencraft-Text-module__transform-uppercase--38jbr
frontend-pencraft-Text-module__reset--20JLV
frontend-pencraft-Text-module__meta--3RRSj
custom-css-email-post-author" style="color: #404040; font-family: 'SF
Compact', -apple-system,
-apple-system,
-system-ui,
BlinkMacSystemFont,
'Segoe UI', Roboto,
Helvetica, Arial,
sans-serif, 'Apple Color
Emoji', 'Segoe UI
Emoji', 'Segoe UI
Symbol'; font-size:
11px; font-weight: 500;
letter-spacing: .2px;
line-height: 20px;
margin: 0;
text-decoration: unset;
text-transform:
uppercase;"><a
style="color: #404040;
font-family: 'SF
Compact',
-apple-system,
-apple-system,
-system-ui,
BlinkMacSystemFont,
'Segoe UI', Roboto,
Helvetica, Arial,
sans-serif, 'Apple
Color Emoji', 'Segoe
UI Emoji', 'Segoe UI
Symbol'; font-size:
11px; font-weight:
500; letter-spacing:
.2px; line-height:
20px; margin: 0;
text-decoration: none;
text-transform:
uppercase;"
href="https://substack.com/redirect/351f4f40-78b6-4cd4-9628-48b70b6c5468?j=eyJ1IjoiYTEzdCJ9.fXnNfjqEHuJb90uhUC5MuKSqDSSONTVxMYyEVAne1uo"
class="pencraft
frontend-pencraft-Box-module__reset--tAIEo
frontend-pencraft-Text-module__size-11--1-ofT
frontend-pencraft-Text-module__line-height-20--1soeQ
frontend-pencraft-Text-module__weight-medium--aTbx5
frontend-pencraft-Text-module__font-meta--2i-cR
frontend-pencraft-Text-module__color-primary--2I-sF
frontend-pencraft-Text-module__transform-uppercase--38jbr
frontend-pencraft-Text-module__reset--20JLV
frontend-pencraft-Text-module__meta--3RRSj"
moz-do-not-send="true">Katelyn
Jetelina</a></div>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td>
<table role="presentation"
width="auto" cellspacing="0"
cellpadding="0" border="0">
<tbody>
<tr>
<td style="vertical-align:
middle;">
<div class="pencraft
frontend-pencraft-Box-module__reset--tAIEo
frontend-pencraft-Text-module__size-11--1-ofT
frontend-pencraft-Text-module__line-height-20--1soeQ
frontend-pencraft-Text-module__weight-medium--aTbx5
frontend-pencraft-Text-module__font-meta--2i-cR
frontend-pencraft-Text-module__color-secondary--XjVGl
frontend-pencraft-Text-module__transform-uppercase--38jbr
frontend-pencraft-Text-module__reset--20JLV
frontend-pencraft-Text-module__meta--3RRSj"
style="color: #808080;
font-family: 'SF
Compact', -apple-system,
-apple-system,
-system-ui,
BlinkMacSystemFont,
'Segoe UI', Roboto,
Helvetica, Arial,
sans-serif, 'Apple Color
Emoji', 'Segoe UI
Emoji', 'Segoe UI
Symbol'; font-size:
11px; font-weight: 500;
letter-spacing: .2px;
line-height: 20px;
margin: 0;
text-decoration: unset;
text-transform:
uppercase;"><time
datetime="2023-05-25T11:17:21.250Z">May
25</time></div>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</td>
<td align="right">
<table role="presentation" width="auto"
cellspacing="0" cellpadding="0"
border="0">
<tbody>
<tr>
<td style="vertical-align: middle;"><a
href="https://substack.com/redirect/351f4f40-78b6-4cd4-9628-48b70b6c5468?j=eyJ1IjoiYTEzdCJ9.fXnNfjqEHuJb90uhUC5MuKSqDSSONTVxMYyEVAne1uo"
moz-do-not-send="true"><img
src="https://substackcdn.com/image/fetch/f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2Fb1cf8441-2181-452a-a5af-364eb49b32b5_828x1792.png"
style="border: none
!important; border-radius:
500000px; box-sizing:
border-box; display: inline;
height: 40px; margin: 0px;
max-width: 550px; min-height:
40px; min-width: 40px;
object-fit: cover;
vertical-align: middle; width:
40px;"
class="custom-css-email-avatar
frontend-email-system-basics-module__avatar--1sRIo"
moz-do-not-send="true"
width="40" height="40"></a></td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
<table role="presentation" class="email-ufi-2-top"
style="border-bottom: 1px solid rgba(0, 0, 0,
.13); border-top: 1px solid rgba(0, 0, 0, .13);
min-width: 100%;" width="100%" cellspacing="0"
cellpadding="0" border="0">
<tbody>
<tr height="16">
<td style="font-size: 0px; line-height: 0;"
height="16"> </td>
</tr>
<tr>
<td>
<table role="presentation" width="100%"
cellspacing="0" cellpadding="0"
border="0">
<tbody>
<tr>
<td>
<table role="presentation"
width="auto" cellspacing="0"
cellpadding="0" border="0">
<tbody>
<tr>
<td style="vertical-align:
middle;">
<table role="presentation"
width="38"
cellspacing="0"
cellpadding="0"
border="0">
<tbody>
<tr>
<td align="center"><a
href="https://substack.com/app-link/post?publication_id=281219&post_id=123158772&utm_source=substack&isFreemail=true&submitLike=true&token=eyJ1c2VyX2lkIjo0Njc5OTMsInBvc3RfaWQiOjEyMzE1ODc3MiwicmVhY3Rpb24iOiLinaQiLCJpYXQiOjE2ODUwMTM0NjksImV4cCI6MTY4NzYwNTQ2OSwiaXNzIjoicHViLTI4MTIxOSIsInN1YiI6InJlYWN0aW9uIn0.Sj4DdlcfIj_R2or6GpGOqjKTdReAel9FXSfvQIzXESw&utm_medium=email"
style="border:
1px solid
rgba(0, 0, 0,
.13);
border-radius:
100000px;
box-sizing:
border-box;
color: #808080;
display:
inline-block;
font-family: 'SF
Pro Text',
-apple-system,
ui-sans-serif,
BlinkMacSystemFont,
'Segoe UI',
Roboto,
Helvetica,
Arial,
sans-serif,
'Apple Color
Emoji', 'Segoe
UI Emoji',
'Segoe UI
Symbol';
font-size: 12px;
font-weight:
500;
line-height: 1;
min-width: 38px;
padding: 9px 0;
text-decoration:
none;
text-transform:
uppercase;
width: 38px;"
class="email-icon-button"
moz-do-not-send="true"><img
src="https://substackcdn.com/image/fetch/w_36,c_scale,f_png,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack.com%2Ficon%2FLucideHeart%3Fv%3D4%26height%3D36%26fill%3Dnone%26stroke%3D%2523808080%26strokeWidth%3D2"
style="border:
none
!important;
max-width:
18px;
vertical-align:
middle;"
alt=""
class="icon"
moz-do-not-send="true"
width="18"
height="18"></a></td>
</tr>
</tbody>
</table>
</td>
<td style="min-width: 8px"
width="8"><br>
</td>
<td style="vertical-align:
middle;">
<table role="presentation"
width="38"
cellspacing="0"
cellpadding="0"
border="0">
<tbody>
<tr>
<td align="center"><a
href="https://substack.com/app-link/post?publication_id=281219&post_id=123158772&utm_source=substack&utm_medium=email&isFreemail=true&comments=true&token=eyJ1c2VyX2lkIjo0Njc5OTMsInBvc3RfaWQiOjEyMzE1ODc3MiwiaWF0IjoxNjg1MDEzNDY5LCJleHAiOjE2ODc2MDU0NjksImlzcyI6InB1Yi0yODEyMTkiLCJzdWIiOiJwb3N0LXJlYWN0aW9uIn0.KUhgXGyLVVuw1aJL-3HNMsxQcXQB_-3VEw3E65c28ek&utm_source=substack&utm_medium=email"
style="border:
1px solid
rgba(0, 0, 0,
.13);
border-radius:
100000px;
box-sizing:
border-box;
color: #808080;
display:
inline-block;
font-family: 'SF
Pro Text',
-apple-system,
ui-sans-serif,
BlinkMacSystemFont,
'Segoe UI',
Roboto,
Helvetica,
Arial,
sans-serif,
'Apple Color
Emoji', 'Segoe
UI Emoji',
'Segoe UI
Symbol';
font-size: 12px;
font-weight:
500;
line-height: 1;
min-width: 38px;
padding: 9px 0;
text-decoration:
none;
text-transform:
uppercase;
width: 38px;"
class="email-icon-button"
moz-do-not-send="true"><img
src="https://substackcdn.com/image/fetch/w_36,c_scale,f_png,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack.com%2Ficon%2FLucideComments%3Fv%3D4%26height%3D36%26fill%3Dnone%26stroke%3D%2523808080%26strokeWidth%3D2"
style="border:
none
!important;
max-width:
18px;
vertical-align:
middle;"
alt=""
class="icon"
moz-do-not-send="true"
width="18"
height="18"></a></td>
</tr>
</tbody>
</table>
</td>
<td style="min-width: 8px"
width="8"><br>
</td>
<td style="vertical-align:
middle;">
<table role="presentation"
width="38"
cellspacing="0"
cellpadding="0"
border="0">
<tbody>
<tr>
<td align="center"><a
href="https://substack.com/redirect/2/eyJlIjoiaHR0cHM6Ly95b3VybG9jYWxlcGlkZW1pb2xvZ2lzdC5zdWJzdGFjay5jb20vcC9jYXRjaC11cC1xdWljay1jb3ZpZC0xOS1kMmI_dXRtX3NvdXJjZT1zdWJzdGFjayZ1dG1fbWVkaXVtPWVtYWlsJmFjdGlvbj1yZXN0YWNrLWNvbW1lbnQiLCJwIjoxMjMxNTg3NzIsInMiOjI4MTIxOSwiZiI6dHJ1ZSwidSI6NDY3OTkzLCJpYXQiOjE2ODUwMTM0NjksImV4cCI6MTY4NzYwNTQ2OSwiaXNzIjoicHViLTAiLCJzdWIiOiJsaW5rLXJlZGlyZWN0In0.t4_G6-Ge-PzIdmtCB-GV2gqsWudUgEAfBu100uLxp9E?&utm_source=substack&utm_medium=email"
style="border:
1px solid
rgba(0, 0, 0,
.13);
border-radius:
100000px;
box-sizing:
border-box;
color: #808080;
display:
inline-block;
font-family: 'SF
Pro Text',
-apple-system,
ui-sans-serif,
BlinkMacSystemFont,
'Segoe UI',
Roboto,
Helvetica,
Arial,
sans-serif,
'Apple Color
Emoji', 'Segoe
UI Emoji',
'Segoe UI
Symbol';
font-size: 12px;
font-weight:
500;
line-height: 1;
min-width: 38px;
padding: 9px 0;
text-decoration:
none;
text-transform:
uppercase;
width: 38px;"
class="email-icon-button"
moz-do-not-send="true"><img
src="https://substackcdn.com/image/fetch/w_36,c_scale,f_png,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack.com%2Ficon%2FNoteForwardIcon%3Fv%3D4%26height%3D36%26fill%3Dnone%26stroke%3D%2523808080%26strokeWidth%3D2"
style="border:
none
!important;
max-width:
18px;
vertical-align:
middle;"
alt=""
class="icon"
moz-do-not-send="true"
width="18"
height="18"></a></td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</td>
<td align="right">
<table role="presentation"
width="auto" cellspacing="0"
cellpadding="0" border="0">
<tbody>
<tr>
<td style="vertical-align:
middle;">
<table role="presentation"
width="auto"
cellspacing="0"
cellpadding="0"
border="0">
<tbody>
<tr>
<td align="center"><a
href="https://substack.com/app-link/post?publication_id=281219&post_id=123158772&utm_source=substack&utm_medium=email&utm_content=share&action=share&triggerShare=true&isFreemail=true&token=eyJ1c2VyX2lkIjo0Njc5OTMsInBvc3RfaWQiOjEyMzE1ODc3MiwiaWF0IjoxNjg1MDEzNDY5LCJleHAiOjE2ODc2MDU0NjksImlzcyI6InB1Yi0yODEyMTkiLCJzdWIiOiJwb3N0LXJlYWN0aW9uIn0.KUhgXGyLVVuw1aJL-3HNMsxQcXQB_-3VEw3E65c28ek"
class="email-button-outline" style="border: 1px solid rgba(0, 0, 0,
.13);
border-radius:
100000px; color:
#808080;
display:
inline-block;
font-family: 'SF
Pro Text',
-apple-system,
ui-sans-serif,
BlinkMacSystemFont,
'Segoe UI',
Roboto,
Helvetica,
Arial,
sans-serif,
'Apple Color
Emoji', 'Segoe
UI Emoji',
'Segoe UI
Symbol';
font-size: 12px;
font-weight:
500;
line-height:
12px; padding:
9px 14px;
text-decoration:
none;
text-transform:
uppercase;"
moz-do-not-send="true"><span
class="email-button-text" style="vertical-align: middle;">Share</span></a></td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr height="16">
<td style="font-size: 0px; line-height: 0;"
height="16"> </td>
</tr>
</tbody>
</table>
</div>
</div>
<div dir="auto" class="post typography"
style="font-size: 16px; line-height: 26px; padding:
16px 0 0 0;">
<div dir="auto" class="body markup"
style="font-size: 16px; line-height: 26px;
margin-bottom: 16px; text-align: initial; width:
100%; word-break: break-word;">
<p style="color: #404040; font-size: 16px;
line-height: 26px; margin: 0 0 20px 0;
margin-top: 0;">We survived the end of the
public health emergency. Here’s the state of
affairs.</p>
<h4 class="header-with-anchor-widget"
style="-moz-appearance: optimizelegibility;
-moz-osx-font-smoothing: antialiased;
-webkit-appearance: optimizelegibility;
-webkit-font-smoothing: antialiased; appearance:
optimizelegibility; color: #404040; font-family:
'SF Compact Display', -apple-system,
BlinkMacSystemFont, 'Segoe UI', Roboto,
Helvetica, Arial, sans-serif, 'Apple Color
Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol';
font-size: 1.125em; font-weight: bold;
line-height: 1.16em; margin: 1em 0 0.625em 0;
position: relative;">Surveillance</h4>
<p style="color: #404040; font-size: 16px;
line-height: 26px; margin: 0 0 20px 0;">SARS-CoV-2
is nosediving across all metrics in all regions
of the U.S.: hospitalizations, deaths, emergency
room departments, and wastewater. Wastewater is
still higher than in 2020 and 2021, though. </p>
<div class="captioned-image-container-static"
style="font-size: 16px; line-height: 26px;
margin: 32px auto;">
<figure style="margin: 0 auto; width: 100%;">
<table class="image-wrapper"
data-component-name="Image2ToDOMStatic"
style="mso-padding-alt: 1em 0 1.6em;"
width="100%" cellspacing="0" cellpadding="0"
border="0">
<tbody>
<tr>
<td style="text-align: center;"><br>
</td>
<td class="content" style="text-align:
center;" width="1456" align="left"><a
class="image-link" target="_blank"
href="https://substack.com/redirect/d60c209f-b3e4-4823-955e-782411529df0?j=eyJ1IjoiYTEzdCJ9.fXnNfjqEHuJb90uhUC5MuKSqDSSONTVxMYyEVAne1uo"
rel="" style="align-items: center;
border: none; display: block;
flex-direction: column; height:
auto; margin: 0; padding: 0;
position: relative; text-decoration:
none; width: auto;"
moz-do-not-send="true"><img
data-attrs="{"src":"https://substack-post-media.s3.amazonaws.com/public/images/52292cc9-5a83-4735-92e5-bd464331d135_2420x1195.jpeg","fullscreen":null,"imageSize":null,"height":719,"width":1456,"resizeWidth":null,"bytes":198457,"alt":null,"title":null,"type":"image/jpeg","href":null,"belowTheFold":false,"topImage":true,"internalRedirect":null}"
alt="" class="wide-image"
src="https://substackcdn.com/image/fetch/w_2912,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F52292cc9-5a83-4735-92e5-bd464331d135_2420x1195.jpeg"
style="-ms-interpolation-mode:
bicubic; border: none !important;
display: block; height: auto;
margin: 0 auto; margin-bottom: 0;
max-width: 100% !important;
vertical-align: middle; width:
auto !important;"
moz-do-not-send="true" width="550"
height="271.60027472527474"></a></td>
<td style="text-align: center;"><br>
</td>
</tr>
</tbody>
</table>
</figure>
</div>
<p style="color: #404040; font-size: 16px;
line-height: 26px; margin: 0 0 20px 0;"><span>We’ve
been hitting new lows in death counts, too. In
fact, excess deaths are hovering at only </span><a
href="https://substack.com/redirect/9250ba62-69ce-4936-8c02-768c3405b4fa?j=eyJ1IjoiYTEzdCJ9.fXnNfjqEHuJb90uhUC5MuKSqDSSONTVxMYyEVAne1uo"
rel="" style="color: #538cfa; text-decoration:
none;" moz-do-not-send="true">~1%</a><span>
above pre-pandemic rates (at the height of the
pandemic we were at 47%). In other words,
things are looking good right now. </span></p>
<p style="color: #404040; font-size: 16px;
line-height: 26px; margin: 0 0 20px 0;"><span>It
will be interesting to watch what happens this
summer, as the South has consistently faced a
COVID-19 wave. </span><a
href="https://substack.com/redirect/a22f0972-4e15-4581-a6f0-50ff3111c3d9?j=eyJ1IjoiYTEzdCJ9.fXnNfjqEHuJb90uhUC5MuKSqDSSONTVxMYyEVAne1uo"
rel="" style="color: #538cfa; text-decoration:
none;" moz-do-not-send="true">Most scientists
</a><span>(including me) are betting that we
will continue to see </span><em>wavelets</em><span>,
at least until winter.</span></p>
<p style="color: #404040; font-size: 16px;
line-height: 26px; margin: 0 0 20px 0;"><span>Virologists
continue to identify “cryptic lineages” in
wastewater, though. These are highly mutated
COVID-19 variants that randomly pop up on our
radar. The latest (right below) was detected
~12 hours ago. None have taken off yet, but
are a lingering reminder that a variant of
concern could be brewing in the background. We
still have many </span><a
href="https://substack.com/redirect/eae0f574-c355-4f9d-8796-22ffd0e3da58?j=eyJ1IjoiYTEzdCJ9.fXnNfjqEHuJb90uhUC5MuKSqDSSONTVxMYyEVAne1uo"
rel="" style="color: #538cfa; text-decoration:
none;" moz-do-not-send="true">unanswered
questions</a><span> about cryptic lineages: </span><em>What
is the health status of the person?</em><span>
</span><em>Do they have long COVID? Where in the
body is the virus replicating? </em></p>
<div class="captioned-image-container-static"
style="font-size: 16px; line-height: 26px;
margin: 32px auto;">
<figure style="margin: 0 auto; width: 100%;">
<table class="image-wrapper"
data-component-name="Image2ToDOMStatic"
style="mso-padding-alt: 1em 0 1.6em;"
width="100%" cellspacing="0" cellpadding="0"
border="0">
<tbody>
<tr>
<td style="text-align: center;"><br>
</td>
<td class="content" style="text-align:
center;" width="518" align="left"><a
class="image-link" target="_blank"
href="https://substack.com/redirect/1330a390-2415-48e6-9a3b-1a7bf854b70b?j=eyJ1IjoiYTEzdCJ9.fXnNfjqEHuJb90uhUC5MuKSqDSSONTVxMYyEVAne1uo"
rel="" style="align-items: center;
border: none; display: block;
flex-direction: column; height:
auto; margin: 0; padding: 0;
position: relative; text-decoration:
none; width: auto;"
moz-do-not-send="true"><img
data-attrs="{"src":"https://substack-post-media.s3.amazonaws.com/public/images/f6fc7550-5751-4220-8c2c-87678c9066d3_2182x1020.jpeg","fullscreen":null,"imageSize":null,"height":681,"width":1456,"resizeWidth":518,"bytes":120817,"alt":null,"title":null,"type":"image/jpeg","href":null,"belowTheFold":false,"topImage":false,"internalRedirect":null}"
alt="" class=""
src="https://substackcdn.com/image/fetch/w_518,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff6fc7550-5751-4220-8c2c-87678c9066d3_2182x1020.jpeg"
style="-ms-interpolation-mode:
bicubic; border: none !important;
display: block; height: auto;
margin: 0 auto; margin-bottom: 0;
max-width: 100% !important;
vertical-align: middle; width:
auto !important;"
moz-do-not-send="true" width="518"
height="242.27884615384616"></a></td>
<td style="text-align: center;"><br>
</td>
</tr>
</tbody>
</table>
<figcaption class="image-caption"
style="box-sizing: content-box; color:
#808080; font-size: 14px; font-weight: 400;
letter-spacing: -.15px; line-height: 20px;
margin-top: 8px; padding-left: 15%;
padding-right: 15%; text-align: center;
width: 70%;"><span>SARS-CoV-2 cryptic
lineage examples from Marc Johnson </span><a
href="https://substack.com/redirect/9a80ee52-d50e-4474-b390-98e0482d3aea?j=eyJ1IjoiYTEzdCJ9.fXnNfjqEHuJb90uhUC5MuKSqDSSONTVxMYyEVAne1uo"
rel="" style="text-decoration: underline;"
moz-do-not-send="true">@SolidEvidence</a></figcaption></figure>
</div>
<h4 class="header-with-anchor-widget"
style="-moz-appearance: optimizelegibility;
-moz-osx-font-smoothing: antialiased;
-webkit-appearance: optimizelegibility;
-webkit-font-smoothing: antialiased; appearance:
optimizelegibility; color: #404040; font-family:
'SF Compact Display', -apple-system,
BlinkMacSystemFont, 'Segoe UI', Roboto,
Helvetica, Arial, sans-serif, 'Apple Color
Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol';
font-size: 1.125em; font-weight: bold;
line-height: 1.16em; margin: 1em 0 0.625em 0;
position: relative;">Noteworthy COVID-19 news</h4>
<ul style="margin-top: 0; padding: 0;">
<li style="margin: 8px 0 0 32px;
mso-special-format: bullet;">
<p style="box-sizing: border-box; color:
#404040; font-size: 16px; line-height: 26px;
margin: 0 0 20px 0; margin-bottom: 0;
padding-left: 4px;"><em><strong>Indoor air
quality.</strong></em><span> Up until
now, the CDC recommended that we “improve
ventilation” to reduce transmission. But </span><em>by
how much?</em><span> Well, for the first
time, CDC set minimum ventilation targets
for indoor spaces: 5 air changes per hour.
This may sound like boring news, but it’s
huge for public health. Not just for
viruses but health overall. While this
standard isn’t mandatory, you should
follow up with your business, school,
place of worship, etc. to ensure it’s
being met now.</span></p>
<table class="poll-embed poll-email"
style="margin: 32px auto; max-width: 600px;"
width="100%" cellspacing="16px">
<tbody>
<tr>
<td align="center">
<table role="presentation"
class="poll-email-wrapper"
style="border: 1px solid rgba(0, 0,
0, .13); border-radius: 8px; color:
#404040; font-family: -apple-system,
-system-ui, BlinkMacSystemFont,
'Segoe UI', Roboto, Helvetica,
Arial, sans-serif, 'Apple Color
Emoji', 'Segoe UI Emoji', 'Segoe UI
Symbol'; padding: 16px 16px 8px;
width: 100%;" width="auto"
cellspacing="0" cellpadding="0"
border="0">
<tbody>
<tr>
<td>
<table role="presentation"
width="100%" cellspacing="0"
cellpadding="0" border="0">
<tbody>
<tr>
<td class="poll-header"
style="color: #808080;
font-size: 12px;
font-weight: 500;
line-height: 20px;
margin-bottom: 4px;
padding: 0;">POLL</td>
</tr>
<tr width="100%"
class="poll-question"
style="color: #404040;
font-family: 'SF Pro
Display',
-apple-system-headline,
-apple-system,
-system-ui,
BlinkMacSystemFont,
'Segoe UI', Roboto,
Helvetica, Arial,
sans-serif, 'Apple Color
Emoji', 'Segoe UI
Emoji', 'Segoe UI
Symbol'; font-size:
20px; font-weight: 700;
line-height: 32px;
margin-bottom: 8px;
vertical-align: top;">
<td>Are you interested
in a deeper YLE dive
into this ventilation
standard topic? </td>
</tr>
<tr>
<td>
<table
role="presentation"
class="poll-options"
style="border-spacing: 0 12px;" width="100%" cellspacing="0"
cellpadding="0"
border="0">
<tbody>
<tr>
<td
class="poll-option"
width="100%"><a
href="https://substack.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.z-8bdRmcnKUuijLF1pmeRoHan8zedi8M3M_3XqI9Ojg?"
width="100%"
class="poll-vote-link"
style="background-color: #eeeeee; border: 1px solid rgba(0, 0, 0, .13);
border-radius:
4px; color:
#808080;
display:
block; height:
100%; padding:
10px 0;
text-align:
center;
text-decoration:
none; width:
100%;"
moz-do-not-send="true">
<div
class="poll-vote-contents"
style="color:
#404040;
display:
block;
font-size:
14px;
font-weight:
600; height:
100%;
line-height:
20px; width:
100%;">Yes,
would be super
helpful</div>
</a></td>
</tr>
<tr>
<td
class="poll-option"
width="100%"><a
href="https://substack.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.CaFZ7r-YBvz6uooZLv03MpJib1ofNya1o2fwvYkuFXk?"
width="100%"
class="poll-vote-link"
style="background-color: #eeeeee; border: 1px solid rgba(0, 0, 0, .13);
border-radius:
4px; color:
#808080;
display:
block; height:
100%; padding:
10px 0;
text-align:
center;
text-decoration:
none; width:
100%;"
moz-do-not-send="true">
<div
class="poll-vote-contents"
style="color:
#404040;
display:
block;
font-size:
14px;
font-weight:
600; height:
100%;
line-height:
20px; width:
100%;">Maybe</div>
</a></td>
</tr>
<tr>
<td
class="poll-option"
width="100%"><a
href="https://substack.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.NS4o6PItYHiZQwm9kW2SBQ5IUvoQfTe4t3c79UvUbhg?"
width="100%"
class="poll-vote-link"
style="background-color: #eeeeee; border: 1px solid rgba(0, 0, 0, .13);
border-radius:
4px; color:
#808080;
display:
block; height:
100%; padding:
10px 0;
text-align:
center;
text-decoration:
none; width:
100%;"
moz-do-not-send="true">
<div
class="poll-vote-contents"
style="color:
#404040;
display:
block;
font-size:
14px;
font-weight:
600; height:
100%;
line-height:
20px; width:
100%;">Nope,
I've already
fallen asleep</div>
</a></td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</li>
<li style="margin: 8px 0 0 32px;
mso-special-format: bullet;">
<p style="box-sizing: border-box; color:
#404040; font-size: 16px; line-height: 26px;
margin: 0; margin-bottom: 0; padding-left:
4px;"><em><strong>Fall boosters. </strong></em><span>The
WHO officially recommends a monovalent
(one strain) booster that targets XBB—an
Omicron subvariant—this fall. Countries
don’t have to follow suit. (The U.S. chose
a different vaccine formula than WHO
recommended last year, for example.) A big
FDA meeting is coming in June to discuss
the U.S. plan.</span></p>
</li>
<li style="margin: 8px 0 0 32px;
mso-special-format: bullet;">
<p style="box-sizing: border-box; color:
#404040; font-size: 16px; line-height: 26px;
margin: 0; margin-bottom: 0; padding-left:
4px;"><em><strong>Mask usage</strong></em><span>.
</span><a
href="https://substack.com/redirect/c7161890-5ca1-467a-a1c0-cf6511761f89?j=eyJ1IjoiYTEzdCJ9.fXnNfjqEHuJb90uhUC5MuKSqDSSONTVxMYyEVAne1uo"
rel="" style="color: #538cfa;
text-decoration: none;"
moz-do-not-send="true">Polling </a><span>on
May 6-9 found 46% of respondents wore a
mask at least some of the time in the past
7 days. Just looking outside, I was
surprised about this statistic, but
probably because I’m white and in the
suburbs, two groups with the lowest rates.
We really need to improve masking among
older adults, especially in times of high
transmission. </span></p>
</li>
</ul>
<div class="captioned-image-container-static"
style="font-size: 16px; line-height: 26px;
margin: 32px auto;">
<figure style="margin: 0 auto; width: 100%;">
<table class="image-wrapper"
data-component-name="Image2ToDOMStatic"
style="mso-padding-alt: 1em 0 1.6em;"
width="100%" cellspacing="0" cellpadding="0"
border="0">
<tbody>
<tr>
<td style="text-align: center;"><br>
</td>
<td class="content" style="text-align:
center;" width="478" align="left"><a
class="image-link" target="_blank"
href="https://substack.com/redirect/4309773d-c213-43fc-98ee-1eaf1aa43419?j=eyJ1IjoiYTEzdCJ9.fXnNfjqEHuJb90uhUC5MuKSqDSSONTVxMYyEVAne1uo"
rel="" style="align-items: center;
border: none; display: block;
flex-direction: column; height:
auto; margin: 0; padding: 0;
position: relative; text-decoration:
none; width: auto;"
moz-do-not-send="true"><img
data-attrs="{"src":"https://substack-post-media.s3.amazonaws.com/public/images/de64b6e3-5236-4edd-97d4-2aa24726dd2a_1240x840.png","fullscreen":null,"imageSize":null,"height":840,"width":1240,"resizeWidth":478,"bytes":93776,"alt":null,"title":null,"type":"image/png","href":null,"belowTheFold":true,"topImage":false,"internalRedirect":null}"
alt="" class=""
src="https://substackcdn.com/image/fetch/w_478,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fde64b6e3-5236-4edd-97d4-2aa24726dd2a_1240x840.png"
style="-ms-interpolation-mode:
bicubic; border: none !important;
display: block; height: auto;
margin: 0 auto; margin-bottom: 0;
max-width: 100% !important;
vertical-align: middle; width:
auto !important;"
moz-do-not-send="true" width="478"
height="323.80645161290323"></a></td>
<td style="text-align: center;"><br>
</td>
</tr>
</tbody>
</table>
</figure>
</div>
<ul style="margin-top: 0; padding: 0;">
<li style="margin: 8px 0 0 32px;
mso-special-format: bullet;">
<p style="box-sizing: border-box; color:
#404040; font-size: 16px; line-height: 26px;
margin: 0; margin-bottom: 0; padding-left:
4px;"><em><strong>Potential relief for
immunocompromised</strong></em><span>.
AstraZeneca is </span><a
href="https://substack.com/redirect/028bca37-ed12-41af-a1b7-2fae32515fe0?j=eyJ1IjoiYTEzdCJ9.fXnNfjqEHuJb90uhUC5MuKSqDSSONTVxMYyEVAne1uo"
rel="" style="color: #538cfa;
text-decoration: none;"
moz-do-not-send="true">on track</a><span>
for an Evushield replacement. Their Phase
III clinical trial is showing promising
results. An emergency use authorization
“could be here by the second half of this
year.”</span></p>
</li>
</ul>
<h4 class="header-with-anchor-widget"
style="-moz-appearance: optimizelegibility;
-moz-osx-font-smoothing: antialiased;
-webkit-appearance: optimizelegibility;
-webkit-font-smoothing: antialiased; appearance:
optimizelegibility; color: #404040; font-family:
'SF Compact Display', -apple-system,
BlinkMacSystemFont, 'Segoe UI', Roboto,
Helvetica, Arial, sans-serif, 'Apple Color
Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol';
font-size: 1.125em; font-weight: bold;
line-height: 1.16em; margin: 1em 0 0.625em 0;
position: relative;">Interesting science updates</h4>
<ul style="margin-top: 0; padding: 0;">
<li style="margin: 8px 0 0 32px;
mso-special-format: bullet;">
<p style="box-sizing: border-box; color:
#404040; font-size: 16px; line-height: 26px;
margin: 0; margin-bottom: 0; padding-left:
4px;"><em><strong>Changes in transmission. </strong></em><span>The
risk of household transmission is </span><a
href="https://substack.com/redirect/36f3da2e-53cc-4599-a5fa-438e669202e0?j=eyJ1IjoiYTEzdCJ9.fXnNfjqEHuJb90uhUC5MuKSqDSSONTVxMYyEVAne1uo"
rel="" style="color: #538cfa;
text-decoration: none;"
moz-do-not-send="true">increasing </a><span>as
Omicron continues to mutate. In addition,
expect to get infected ~1 day quicker than
before (average 4 days). Infection risk
continues to be higher among unvaccinated
versus vaccinated people. </span></p>
</li>
</ul>
<div class="captioned-image-container-static"
style="font-size: 16px; line-height: 26px;
margin: 32px auto;">
<figure style="margin: 0 auto; width: 100%;">
<table class="image-wrapper"
data-component-name="Image2ToDOMStatic"
style="mso-padding-alt: 1em 0 1.6em;"
width="100%" cellspacing="0" cellpadding="0"
border="0">
<tbody>
<tr>
<td style="text-align: center;"><br>
</td>
<td class="content" style="text-align:
center;" width="518" align="left"><a
class="image-link" target="_blank"
href="https://substack.com/redirect/6fa31425-d5ae-4d5a-9169-acd274fae7cf?j=eyJ1IjoiYTEzdCJ9.fXnNfjqEHuJb90uhUC5MuKSqDSSONTVxMYyEVAne1uo"
rel="" style="align-items: center;
border: none; display: block;
flex-direction: column; height:
auto; margin: 0; padding: 0;
position: relative; text-decoration:
none; width: auto;"
moz-do-not-send="true"><img
data-attrs="{"src":"https://substack-post-media.s3.amazonaws.com/public/images/dfbdd861-3b2f-4d40-9fcc-88426cdb0694_1240x426.png","fullscreen":null,"imageSize":null,"height":426,"width":1240,"resizeWidth":518,"bytes":63763,"alt":null,"title":null,"type":"image/png","href":null,"belowTheFold":true,"topImage":false,"internalRedirect":null}"
alt="" class=""
src="https://substackcdn.com/image/fetch/w_518,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdfbdd861-3b2f-4d40-9fcc-88426cdb0694_1240x426.png"
style="-ms-interpolation-mode:
bicubic; border: none !important;
display: block; height: auto;
margin: 0 auto; margin-bottom: 0;
max-width: 100% !important;
vertical-align: middle; width:
auto !important;"
moz-do-not-send="true" width="518"
height="177.95806451612904"></a></td>
<td style="text-align: center;"><br>
</td>
</tr>
</tbody>
</table>
</figure>
</div>
<ul style="margin-top: 0; padding: 0;">
<li style="margin: 8px 0 0 32px;
mso-special-format: bullet;">
<p style="box-sizing: border-box; color:
#404040; font-size: 16px; line-height: 26px;
margin: 0; margin-bottom: 0; padding-left:
4px;"><em><strong>Missed opportunity.</strong></em><span>
COVID-19 vaccinations rates among children
are abysmal. One study found that if we
reached flu vaccine coverage levels over
this past winter, we could have </span><a
href="https://substack.com/redirect/973fcb07-d933-46a3-b399-15089c7c4d67?j=eyJ1IjoiYTEzdCJ9.fXnNfjqEHuJb90uhUC5MuKSqDSSONTVxMYyEVAne1uo"
rel="" style="color: #538cfa;
text-decoration: none;"
moz-do-not-send="true">prevented </a><span>10,019
pediatric hospitalizations and 5,448,694
days of school absence for COVID-19. </span><em>Better
luck next year? </em></p>
</li>
<li style="margin: 8px 0 0 32px;
mso-special-format: bullet;">
<p style="box-sizing: border-box; color:
#404040; font-size: 16px; line-height: 26px;
margin: 0; margin-bottom: 0; padding-left:
4px;"><em><strong>Risk of long COVID after
second infection.</strong></em><span>
Risk of long COVID decreases after second
infections, but is not zero. A new </span><a
href="https://substack.com/redirect/69182cfc-7122-49f5-8010-31f29b4a5658?j=eyJ1IjoiYTEzdCJ9.fXnNfjqEHuJb90uhUC5MuKSqDSSONTVxMYyEVAne1uo"
rel="" style="color: #538cfa;
text-decoration: none;"
moz-do-not-send="true">preprint </a><span>found
the risk of long COVID after a second
infection is 1 in 40 for those over 16
years old and 1 in 165 for those under 16
years old. (As a </span><a
href="https://substack.com/redirect/b7e5282d-07c7-4f1c-8b59-de2bcb13cbb6?j=eyJ1IjoiYTEzdCJ9.fXnNfjqEHuJb90uhUC5MuKSqDSSONTVxMYyEVAne1uo"
rel="" style="color: #538cfa;
text-decoration: none;"
moz-do-not-send="true">comparison</a><span>,
the annual risk of getting into a car
accident is 1 in 30 and</span><strong> </strong><span>the
annual risk of permanent impairment is 1
in 700.)</span></p>
</li>
</ul>
<h4 class="header-with-anchor-widget"
style="-moz-appearance: optimizelegibility;
-moz-osx-font-smoothing: antialiased;
-webkit-appearance: optimizelegibility;
-webkit-font-smoothing: antialiased; appearance:
optimizelegibility; color: #404040; font-family:
'SF Compact Display', -apple-system,
BlinkMacSystemFont, 'Segoe UI', Roboto,
Helvetica, Arial, sans-serif, 'Apple Color
Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol';
font-size: 1.125em; font-weight: bold;
line-height: 1.16em; margin: 1em 0 0.625em 0;
position: relative;">What’s next?</h4>
<p style="color: #404040; font-size: 16px;
line-height: 26px; margin: 0 0 20px 0;">We are
in for a few quiet weeks (or months? who knows).
In June, we should have clarity on the fall
COVID-19 vaccine plan in the States. Stay tuned.
</p>
<p style="color: #404040; font-size: 16px;
line-height: 26px; margin: 0 0 20px 0;">Love,
YLE</p>
<div style="font-size: 16px; line-height: 26px;">
<hr style="background: #e0e0e0; border: none;
height: 1px; margin: 32px 0; padding: 0;"></div>
<p style="color: #404040; font-size: 16px;
line-height: 26px; margin: 0 0 20px 0;"><em>“Your
Local Epidemiologist (YLE)” is written by Dr.
Katelyn Jetelina, MPH PhD—an epidemiologist,
data scientist, wife, and mom of two little
girls. During the day she works at a
nonpartisan health policy think tank and is a
senior scientific consultant to a number of
organizations, including the CDC. At night she
writes this newsletter. Her main goal is to
“translate” the ever-evolving public health
science so that people will be well equipped
to make evidence-based decisions. This
newsletter is free thanks to the generous
support of fellow YLE community members. To
support this effort, subscribe below:</em></p>
<div data-component-name="SubscribeWidget"
class="subscribe-widget is-signed-up"
style="direction: ltr; font-size: 16px;
line-height: 26px; margin: 0 0 1em;
margin-bottom: 0;">
<p class="button-wrapper" style="color: #404040;
font-size: 16px; line-height: 26px; margin: 0
0 20px 0; text-align: center;"><a
href="https://substack.com/redirect/2/eyJlIjoiaHR0cHM6Ly95b3VybG9jYWxlcGlkZW1pb2xvZ2lzdC5zdWJzdGFjay5jb20vc3Vic2NyaWJlP3Rva2VuPWV5SjFjMlZ5WDJsa0lqbzBOamM1T1RNc0ltbGhkQ0k2TVRZNE5UQXhNelEyT1N3aVpYaHdJam94TmpnM05qQTFORFk1TENKcGMzTWlPaUp3ZFdJdE1qZ3hNakU1SWl3aWMzVmlJam9pWTJobFkydHZkWFFpZlEuYXRPTjVxNXhEZkNKeFo5S0ZuUTZxVnppUUxjNE1UbFZobEgxWW5QQ2F2ayZ1dG1fc291cmNlPXBvc3QiLCJwIjoxMjMxNTg3NzIsInMiOjI4MTIxOSwiZiI6dHJ1ZSwidSI6NDY3OTkzLCJpYXQiOjE2ODUwMTM0NjksImV4cCI6MTY4NzYwNTQ2OSwiaXNzIjoicHViLTAiLCJzdWIiOiJsaW5rLXJlZGlyZWN0In0.Ofn3bK12GzYJSYiLWBx228oEqdH5ynXDccSGhFCT8BA?&utm_medium=email&utm_source=subscribe-widget&utm_content=123158772"
class="button subscribe-btn primary"
style="background-color: #538cfa; border:
none; border-radius: 4px; box-sizing:
border-box; color: #ffffff !important;
cursor: pointer; display: inline-block;
font-family: -apple-system,
BlinkMacSystemFont, 'Segoe UI', Roboto,
Helvetica, Arial, sans-serif, 'Apple Color
Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol';
font-size: 14px; font-weight: 600; height:
auto; line-height: 20px; margin: 0 auto;
opacity: 1; outline: none; padding: 12px
20px; text-align: center; text-decoration:
none !important; white-space: nowrap;"
moz-do-not-send="true"><span style="color:
#ffffff; text-decoration: none;">Upgrade
to paid</span></a></p>
</div>
</div>
</div>
<table role="presentation" class="email-ufi-2-bottom"
style="border-bottom: 1px solid rgba(0, 0, 0, .13);
border-top: 1px solid rgba(0, 0, 0, .13); min-width:
100%;" width="100%" cellspacing="0" cellpadding="0"
border="0">
<tbody>
<tr height="16">
<td style="font-size: 0px; line-height: 0;"
height="16"> </td>
</tr>
<tr>
<td>
<table role="presentation" width="100%"
cellspacing="0" cellpadding="0" border="0">
<tbody>
<tr>
<td>
<table role="presentation"
style="margin: 0 auto;" width="auto"
cellspacing="0" cellpadding="0"
border="0">
<tbody>
<tr>
<td style="vertical-align:
middle;">
<table role="presentation"
width="auto" cellspacing="0"
cellpadding="0" border="0">
<tbody>
<tr>
<td align="center"><a
href="https://substack.com/app-link/post?publication_id=281219&post_id=123158772&utm_source=substack&isFreemail=true&submitLike=true&token=eyJ1c2VyX2lkIjo0Njc5OTMsInBvc3RfaWQiOjEyMzE1ODc3MiwicmVhY3Rpb24iOiLinaQiLCJpYXQiOjE2ODUwMTM0NjksImV4cCI6MTY4NzYwNTQ2OSwiaXNzIjoicHViLTI4MTIxOSIsInN1YiI6InJlYWN0aW9uIn0.Sj4DdlcfIj_R2or6GpGOqjKTdReAel9FXSfvQIzXESw&utm_medium=email"
class="email-button-outline" style="border: 1px solid rgba(0, 0, 0,
.13); border-radius:
100000px; color:
#808080; display:
inline-block;
font-family: 'SF Pro
Text',
-apple-system,
ui-sans-serif,
BlinkMacSystemFont,
'Segoe UI', Roboto,
Helvetica, Arial,
sans-serif, 'Apple
Color Emoji', 'Segoe
UI Emoji', 'Segoe UI
Symbol'; font-size:
12px; font-weight:
500; line-height:
12px; padding: 9px
14px;
text-decoration:
none;
text-transform:
uppercase;"
moz-do-not-send="true"><img
src="https://substackcdn.com/image/fetch/w_36,c_scale,f_png,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack.com%2Ficon%2FLucideHeart%3Fv%3D4%26height%3D36%26fill%3Dnone%26stroke%3D%2523808080%26strokeWidth%3D2"
style="border:
none !important;
margin-right: 8px;
max-width: 18px;
min-height: 18px;
min-width: 18px;
vertical-align:
middle;" alt=""
class="icon"
moz-do-not-send="true"
width="18"
height="18"><span
class="email-button-text" style="vertical-align: middle;">Like</span></a></td>
</tr>
</tbody>
</table>
</td>
<td style="min-width: 8px"
width="8"><br>
</td>
<td style="vertical-align:
middle;">
<table role="presentation"
width="auto" cellspacing="0"
cellpadding="0" border="0">
<tbody>
<tr>
<td align="center"><a
href="https://substack.com/app-link/post?publication_id=281219&post_id=123158772&utm_source=substack&utm_medium=email&isFreemail=true&comments=true&token=eyJ1c2VyX2lkIjo0Njc5OTMsInBvc3RfaWQiOjEyMzE1ODc3MiwiaWF0IjoxNjg1MDEzNDY5LCJleHAiOjE2ODc2MDU0NjksImlzcyI6InB1Yi0yODEyMTkiLCJzdWIiOiJwb3N0LXJlYWN0aW9uIn0.KUhgXGyLVVuw1aJL-3HNMsxQcXQB_-3VEw3E65c28ek&utm_source=substack&utm_medium=email"
class="email-button-outline" style="border: 1px solid rgba(0, 0, 0,
.13); border-radius:
100000px; color:
#808080; display:
inline-block;
font-family: 'SF Pro
Text',
-apple-system,
ui-sans-serif,
BlinkMacSystemFont,
'Segoe UI', Roboto,
Helvetica, Arial,
sans-serif, 'Apple
Color Emoji', 'Segoe
UI Emoji', 'Segoe UI
Symbol'; font-size:
12px; font-weight:
500; line-height:
12px; padding: 9px
14px;
text-decoration:
none;
text-transform:
uppercase;"
moz-do-not-send="true"><img
src="https://substackcdn.com/image/fetch/w_36,c_scale,f_png,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack.com%2Ficon%2FLucideComments%3Fv%3D4%26height%3D36%26fill%3Dnone%26stroke%3D%2523808080%26strokeWidth%3D2"
style="border:
none !important;
margin-right: 8px;
max-width: 18px;
min-height: 18px;
min-width: 18px;
vertical-align:
middle;" alt=""
class="icon"
moz-do-not-send="true"
width="18"
height="18"><span
class="email-button-text" style="vertical-align: middle;">Comment</span></a></td>
</tr>
</tbody>
</table>
</td>
<td style="min-width: 8px"
width="8"><br>
</td>
<td style="vertical-align:
middle;">
<table role="presentation"
width="auto" cellspacing="0"
cellpadding="0" border="0">
<tbody>
<tr>
<td align="center"><a
href="https://substack.com/redirect/2/eyJlIjoiaHR0cHM6Ly95b3VybG9jYWxlcGlkZW1pb2xvZ2lzdC5zdWJzdGFjay5jb20vcC9jYXRjaC11cC1xdWljay1jb3ZpZC0xOS1kMmI_dXRtX3NvdXJjZT1zdWJzdGFjayZ1dG1fbWVkaXVtPWVtYWlsJmFjdGlvbj1yZXN0YWNrLWNvbW1lbnQiLCJwIjoxMjMxNTg3NzIsInMiOjI4MTIxOSwiZiI6dHJ1ZSwidSI6NDY3OTkzLCJpYXQiOjE2ODUwMTM0NjksImV4cCI6MTY4NzYwNTQ2OSwiaXNzIjoicHViLTAiLCJzdWIiOiJsaW5rLXJlZGlyZWN0In0.t4_G6-Ge-PzIdmtCB-GV2gqsWudUgEAfBu100uLxp9E?&utm_source=substack&utm_medium=email"
class="email-button-outline" style="border: 1px solid rgba(0, 0, 0,
.13); border-radius:
100000px; color:
#808080; display:
inline-block;
font-family: 'SF Pro
Text',
-apple-system,
ui-sans-serif,
BlinkMacSystemFont,
'Segoe UI', Roboto,
Helvetica, Arial,
sans-serif, 'Apple
Color Emoji', 'Segoe
UI Emoji', 'Segoe UI
Symbol'; font-size:
12px; font-weight:
500; line-height:
12px; padding: 9px
14px;
text-decoration:
none;
text-transform:
uppercase;"
moz-do-not-send="true"><img
src="https://substackcdn.com/image/fetch/w_36,c_scale,f_png,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack.com%2Ficon%2FNoteForwardIcon%3Fv%3D4%26height%3D36%26fill%3Dnone%26stroke%3D%2523808080%26strokeWidth%3D2"
style="border:
none !important;
margin-right: 8px;
max-width: 18px;
min-height: 18px;
min-width: 18px;
vertical-align:
middle;" alt=""
class="icon"
moz-do-not-send="true"
width="18"
height="18"><span
class="email-button-text" style="vertical-align: middle;">Restack</span></a></td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</td>
<td align="right">
<table role="presentation"
width="auto" cellspacing="0"
cellpadding="0" border="0">
<tbody>
<tr>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr height="16">
<td style="font-size: 0px; line-height: 0;"
height="16"> </td>
</tr>
</tbody>
</table>
<div class="footer
frontend-email-shared-typed-module__footer--WmMp1"
style="color: #808080; font-size: 16px; line-height:
26px; padding: 24px 0; text-align: center;">
<div style="font-size: 16px; line-height: 26px;
padding-bottom: 24px;">
<p class="pencraft
frontend-pencraft-Box-module__reset--tAIEo
frontend-pencraft-Text-module__size-12--2onFT
frontend-pencraft-Text-module__color-secondary--XjVGl
frontend-pencraft-Text-module__reset--20JLV
small
frontend-email-shared-typed-module__meta--AAyPr"
style="color: #808080; font-family:
-apple-system, BlinkMacSystemFont, 'Segoe UI',
Roboto, Helvetica, Arial, sans-serif, 'Apple
Color Emoji', 'Segoe UI Emoji', 'Segoe UI
Symbol'; font-size: 12px; letter-spacing: 0;
line-height: 16px; margin: 0; padding-bottom: 0;
text-decoration: unset;">© 2023 <span>Your
Local Epidemiologist</span><br>
548 Market Street PMB 72296, San Francisco, CA
94104 <br>
<a
href="https://substack.com/redirect/2/eyJlIjoiaHR0cHM6Ly95b3VybG9jYWxlcGlkZW1pb2xvZ2lzdC5zdWJzdGFjay5jb20vYWN0aW9uL2Rpc2FibGVfZW1haWw_dG9rZW49ZXlKMWMyVnlYMmxrSWpvME5qYzVPVE1zSW5CdmMzUmZhV1FpT2pFeU16RTFPRGMzTWl3aWFXRjBJam94TmpnMU1ERXpORFk1TENKbGVIQWlPakUyT0RjMk1EVTBOamtzSW1semN5STZJbkIxWWkweU9ERXlNVGtpTENKemRXSWlPaUprYVhOaFlteGxYMlZ0WVdsc0luMC5pRkN2dnhJdDZNQWZLamFTOC04WnBkM1lweTlsaG00NVBJM0ZnVVNpaHNrJmV4cGlyZXM9MzY1ZCIsInAiOjEyMzE1ODc3MiwicyI6MjgxMjE5LCJmIjp0cnVlLCJ1Ijo0Njc5OTMsImlhdCI6MTY4NTAxMzQ2OSwiZXhwIjoxNjg3NjA1NDY5LCJpc3MiOiJwdWItMCIsInN1YiI6ImxpbmstcmVkaXJlY3QifQ.82za668OqW1Mh2Me5qQiYqQvts3E3tu1FKbvLxm0_Ts?"
style="color: #538cfa; text-decoration: none;"
moz-do-not-send="true"><span style="color:
#808080; text-decoration: underline;">Unsubscribe</span></a></p>
</div>
<p
class="frontend-email-shared-typed-module__footerSection--9vwqp
small powered-by-substack" style="color: #808080;
font-family: -apple-system, BlinkMacSystemFont,
'Segoe UI', Roboto, Helvetica, Arial, sans-serif,
'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI
Symbol'; font-size: 12px; line-height: 20px;
margin: 0; margin-top: 0; padding: 0 24px;
padding-bottom: 0;"><a
href="https://substack.com/redirect/2/eyJlIjoiaHR0cHM6Ly9zdWJzdGFjay5jb20vc2lnbnVwP3V0bV9zb3VyY2U9c3Vic3RhY2smdXRtX21lZGl1bT1lbWFpbCZ1dG1fY29udGVudD1mb290ZXImdXRtX2NhbXBhaWduPWF1dG9maWxsZWQtZm9vdGVyJmZyZWVTaWdudXBFbWFpbD1tYW5ueUByYXRhZmlhcy5jb20iLCJwIjoxMjMxNTg3NzIsInMiOjI4MTIxOSwiZiI6dHJ1ZSwidSI6NDY3OTkzLCJpYXQiOjE2ODUwMTM0NjksImV4cCI6MTY4NzYwNTQ2OSwiaXNzIjoicHViLTAiLCJzdWIiOiJsaW5rLXJlZGlyZWN0In0.S0RMsP6ger8xU6Y2MOTyuLQIkLJXiPVWkhSpc_ytoi8?"
style="color: #538cfa; display: inline-block;
margin: 0 4px; text-decoration: none;"
moz-do-not-send="true"><img
src="https://substackcdn.com/image/fetch/w_270,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack.com%2Fimg%2Femail%2Fpublish-button%402x.png"
srcset="https://substackcdn.com/image/fetch/w_135,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack.com%2Fimg%2Femail%2Fpublish-button.png,
https://substackcdn.com/image/fetch/w_270,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack.com%2Fimg%2Femail%2Fpublish-button%402x.png
2x,
https://substackcdn.com/image/fetch/w_405,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack.com%2Fimg%2Femail%2Fpublish-button%403x.png
3x" alt="Start writing" style="border: none
!important; max-width: 550px; vertical-align:
middle;" moz-do-not-send="true" width="135"
height="40"></a></p>
</div>
</div>
</td>
<td><br>
</td>
</tr>
</tbody>
</table>
<img
src="https://mailgun.substack.com/api/v1/email/open?token=eyJtIjoiPDIwMjMwNTI1MTExNTA3LjMuMzAzOGZiOTI2ZjlkZGRmZEBtZy1kMS5zdWJzdGFjay5jb20-IiwidSI6NDY3OTkzLCJyIjoibWFubnlAcmF0YWZpYXMuY29tIiwiZCI6Im1nLWQxLnN1YnN0YWNrLmNvbSIsInAiOjEyMzE1ODc3MiwidCI6Im5ld3NsZXR0ZXIiLCJhIjoiZXZlcnlvbmUiLCJzIjoyODEyMTksImMiOiJwb3N0IiwiZiI6dHJ1ZSwicG9zaXRpb24iOiJib3R0b20iLCJpYXQiOjE2ODUwMTM0NzAsImV4cCI6MTY4NzYwNTQ3MCwiaXNzIjoicHViLTAiLCJzdWIiOiJlbyJ9.B3iNGRcSiPfmPvsP0IWexeqyeXRqj7Z_L97sbv6LfRo"
alt="" style="height:1px !important;width:1px
!important;border-width:0 !important;margin-top:0
!important;margin-bottom:0 !important;margin-right:0
!important;margin-left:0 !important;padding-top:0
!important;padding-bottom:0 !important;padding-right:0
!important;padding-left:0 !important;" moz-do-not-send="true"
width="1" height="1" border="0"><img alt=""
src="https://email.mg-d1.substack.com/o/eJxEkEuK7SAURUdz7b3gJ5qk4VjCUU_ypPwEPVaR2Rf3A9VdGxaL7YHwrO22V-3EglWb46s3DK0wq-ZCzcvGMENM-4kFGxCGHehv5Zqv7L_1s4F5mY1apfMSnQ5aS4GwGAPKoGTRSi4V11ILITRfJjUprtbDbdIcWwjhCI-Z5_NfEFMfrhP4r8nXzGLfj4avBEttIHuW7jBCxOLR4je2u5YPjsEKqYRel0W-Cd0X2oI_PSERNnYNt_ua8yiR7h0LuIThIx4uRQ8Ua3mK5Cqk2FizGUq5HzNvQHBE6K-sPlyoGWKxdx0tVQ8Jrxgwx5rqGTsxen86OranbjbLtqnfAAAA__8htnuK"
moz-do-not-send="true" width="1px" height="1px">
<div id="DAB4FAD8-2DD7-40BB-A1B8-4E2AA1F9FDF2"><br>
<table style="border-top: 1px solid #D3D4DE;">
<tbody>
<tr>
<td style="width: 55px; padding-top: 13px;"><a
href="http://www.avg.com/email-signature?utm_medium=email&utm_source=link&utm_campaign=sig-email&utm_content=emailclient"
target="_blank" moz-do-not-send="true"><img
src="https://s-install.avcdn.net/ipm/preview/icons/icon-envelope-tick-green-avg-v1.png"
alt="" style="width: 46px; height: 29px;"
moz-do-not-send="true" width="46" height="29"></a></td>
<td style="width: 470px; padding-top: 12px; color:
#41424e; font-size: 13px; font-family: Arial,
Helvetica, sans-serif; line-height: 18px;">Virus-free.<a
href="http://www.avg.com/email-signature?utm_medium=email&utm_source=link&utm_campaign=sig-email&utm_content=emailclient"
target="_blank" style="color: #4453ea;"
moz-do-not-send="true">www.avg.com</a></td>
</tr>
</tbody>
</table>
<a href="#DAB4FAD8-2DD7-40BB-A1B8-4E2AA1F9FDF2" width="1"
height="1" moz-do-not-send="true"> </a></div>
</div>
</div>
</body>
</html>