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      This just came in from Katelyn Jetelina who I've found to be one
      of the best sources of practical advice on COVID. If you are over
      65, don't miss the section on vaccination advice. --Manny<br>
      <br>
      <pre class="moz-signature" cols="72">"...it has been said that democracy is the worst form of Government 
except for all those other forms that have been tried from time to time..."
Winston S Churchill, November 11, 1947</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 nowrap="nowrap" align="RIGHT" valign="BASELINE">Subject:
              </th>
              <td>A Summer Covid-19 Wave</td>
            </tr>
            <tr>
              <th nowrap="nowrap" align="RIGHT" valign="BASELINE">Date:
              </th>
              <td>Thu, 18 Jul 2024 13:12:20 +0000</td>
            </tr>
            <tr>
              <th nowrap="nowrap" align="RIGHT" valign="BASELINE">From:
              </th>
              <td>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 nowrap="nowrap" align="RIGHT" valign="BASELINE">Reply-To:
              </th>
              <td>Your Local Epidemiologist
                <a class="moz-txt-link-rfc2396E"
href="mailto:reply+2fc3ag&a13t&&a5963235a6dfd7b6e1f59d43e70f2dda77c092790941031af17ecefa535215ae@mg1.substack.com"
                  moz-do-not-send="true"><reply+2fc3ag&a13t&&a5963235a6dfd7b6e1f59d43e70f2dda77c092790941031af17ecefa535215ae@mg1.substack.com></a></td>
            </tr>
            <tr>
              <th nowrap="nowrap" align="RIGHT" valign="BASELINE">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>
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        <br>
        <br>
        <meta charset="utf-8">
        <title>A Summer Covid-19 Wave</title>
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  .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;
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}


@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;
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}


@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 {
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  }
}


@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;
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}


@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;
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}


@media (min-width: 350px) {
  .audio-player-wrapper-fancy .audio-player .audio-player-substack-logo {
    display: block;
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  .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;
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  .audio-player-wrapper-fancy .audio-player .btn-group .button:first-of-type {
    display: block;
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    display: block;
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}


@media (min-width: 350px) {
  .audio-player-wrapper-fancy .audio-player .audio-player-hero-image-container {
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    display: block;
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    display: flex;
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  .audio-player-wrapper-fancy .audio-player .btn-group .button:first-of-type {
    display: block;
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}


@media (min-width: 400px) {
  .audio-player-wrapper-fancy .audio-player .audio-player-hero-image-container {
    padding-top: 40%;
    width: 40%;
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}


@media (max-width: 400px) {
  .audio-player-wrapper-fancy .audio-player .btn-group {
    margin-top: 12px;
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    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;
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}


@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://eotrx.substackcdn.com/open?token=eyJtIjoiPDIwMjQwNzE4MTMxMjIwLjMuNWUzMDkyMzExNmM5MzBhOUBtZzIuc3Vic3RhY2suY29tPiIsInUiOjQ2Nzk5MywiciI6Im1hbm55QHJhdGFmaWFzLmNvbSIsImQiOiJtZzIuc3Vic3RhY2suY29tIiwicCI6MTQ2NjkwNzI4LCJ0IjoibmV3c2xldHRlciIsImEiOiJldmVyeW9uZSIsInMiOjI4MTIxOSwiYyI6InBvc3QiLCJmIjp0cnVlLCJwb3NpdGlvbiI6InRvcCIsImlhdCI6MTcyMTMwODM2OCwiZXhwIjoxNzIzOTAwMzY4LCJpc3MiOiJwdWItMCIsInN1YiI6ImVvIn0.gueY0rR8VQof-0qLR7_A5ReeeIiy40k_cia0Dox588E"
          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">A brief update and your top questions answered</div>
        <div
style="display:none;font-size:1px;color:#333333;line-height:1px;max-height:0px;max-width:0px;opacity:0;overflow:hidden;"
          class="preview">͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏  
            ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏  
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            ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏  
            ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏  
            ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏  
            ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏  
            ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏  
            ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏  
            ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏  
            ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏  
            ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏  
            ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏  
            ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏  
            ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏  
            ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏  
            ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏  
            ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏  
            ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏  
            ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏  
            ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏  
            ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏  
            ­͏     ­͏     ­͏     ­͏     ­</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="pencraft pc-reset
                                    _reset_3axfk_1 tw-font-body
                                    tw-text-ssm
                                    tw-text-substack-secondary"
                                    style="color: rgb(119, 119, 119)
                                    !important; font-family: SF Pro
                                    Text, -apple-system, system-ui,
                                    BlinkMacSystemFont, Inter, Segoe UI,
                                    Roboto, Helvetica, Arial,
                                    sans-serif, Apple Color Emoji, Segoe
                                    UI Emoji, Segoe UI Symbol
                                    !important; font-size: 13px
                                    !important; list-style: none;
                                    margin: 0; text-decoration: unset;">
                                    <div class="pencraft pc-reset
                                      _align-right_3axfk_16
                                      _size-12_3axfk_40 _reset_3axfk_1"
                                      style="color: unset; font-size:
                                      12px; letter-spacing: 0px;
                                      line-height: 16px; list-style:
                                      none; margin: 0; text-align:
                                      right; text-decoration: unset;"><span
                                        translated="" class="pencraft
                                        pc-reset _reset_3axfk_1"
                                        style="color: unset; list-style:
                                        none; margin: 0;
                                        text-decoration: unset;">Forwarded
                                        this email? <a
href="https://substack.com/redirect/2/eyJlIjoiaHR0cHM6Ly95b3VybG9jYWxlcGlkZW1pb2xvZ2lzdC5zdWJzdGFjay5jb20vc3Vic2NyaWJlP3V0bV9zb3VyY2U9ZW1haWwmdXRtX2NhbXBhaWduPWVtYWlsLXN1YnNjcmliZSZyPWExM3QmbmV4dD1odHRwcyUzQSUyRiUyRnlvdXJsb2NhbGVwaWRlbWlvbG9naXN0LnN1YnN0YWNrLmNvbSUyRnAlMkZhLXN1bW1lci1jb3ZpZC0xOS13YXZlIiwicCI6MTQ2NjkwNzI4LCJzIjoyODEyMTksImYiOnRydWUsInUiOjQ2Nzk5MywiaWF0IjoxNzIxMzA4MzY4LCJleHAiOjE3MjM5MDAzNjgsImlzcyI6InB1Yi0wIiwic3ViIjoibGluay1yZWRpcmVjdCJ9.KnlttaszhPqaiSZX6GdI4zzKWLF1sJI7u6hyH6mpxsw?"
                                          class="pencraft pc-reset
                                          _decoration-underline_3axfk_285
                                          _reset_3axfk_1"
                                          style="-webkit-text-decoration-line:
                                          underline; color: unset;
                                          list-style: none; margin: 0;
                                          text-decoration: unset;
                                          text-decoration-line:
                                          underline;"
                                          moz-do-not-send="true">Subscribe
                                          here</a> for more</span></div>
                                  </span></td>
                              </tr>
                            </tbody>
                          </table>
                        </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: rgb(54, 55, 55); 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/16753ff1-d4a5-4d03-a53d-649b8dc4cc17?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: #e6e6e6; 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: rgb(54, 55, 55);
                        font-family: 'SF Pro Display', -apple-system,
                        system-ui, 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=146690728&utm_source=post-email-title&utm_campaign=email-post-title&isFreemail=true&r=a13t&token=eyJ1c2VyX2lkIjo0Njc5OTMsInBvc3RfaWQiOjE0NjY5MDcyOCwiaWF0IjoxNzIxMzA4MzY4LCJleHAiOjE3MjM5MDAzNjgsImlzcyI6InB1Yi0yODEyMTkiLCJzdWIiOiJwb3N0LXJlYWN0aW9uIn0.9HcbkkyCg3TcaJ4T-XYuCsX3bml90H1lezrshMpu5dY"
                          style="color: rgb(54, 55, 55);
                          text-decoration: none;" moz-do-not-send="true">A
                          Summer Covid-19 Wave</a></h1>
                      <h3 class="subtitle" style="-moz-appearance:
                        optimizelegibility; -moz-osx-font-smoothing:
                        antialiased; -webkit-appearance:
                        optimizelegibility; -webkit-font-smoothing:
                        antialiased; appearance: optimizelegibility;
                        color: #777777; font-family: 'SF Pro Display',
                        -apple-system-headline, system-ui,
                        -apple-system, BlinkMacSystemFont, 'Segoe UI',
                        Roboto, Helvetica, Arial, sans-serif, 'Apple
                        Color Emoji', 'Segoe UI Emoji', 'Segoe UI
                        Symbol'; font-size: 18px; font-weight: normal;
                        line-height: 24px; margin: 4px 0 0; margin-top:
                        12px;">A brief update and your top questions
                        answered</h3>
                      <table role="presentation" class="post-meta"
                        style="align-items: center; height: 20px;
                        margin: 1em 0;" width="100%" cellspacing="0"
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                                              middle;">
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                                                  Symbol'; font-size:
                                                  11px; font-weight:
                                                  500; letter-spacing:
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                                                  none; margin: 0;
                                                  text-decoration: none;
                                                  text-transform:
                                                  uppercase;"
                                                  href="https://substack.com/@yourlocalepidemiologist"
                                                  class="pencraft
                                                  pc-reset
                                                  _color-primary_3axfk_183
_line-height-20_3axfk_95 _font-meta_3axfk_131 _size-11_3axfk_35
                                                  _weight-medium_3axfk_162
_transform-uppercase_3axfk_242 _reset_3axfk_1 _meta_3axfk_442"
                                                  moz-do-not-send="true">Katelyn
                                                  Jetelina</a></div>
                                            </td>
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                                    </td>
                                  </tr>
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                                    <td>
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                                        width="auto" cellspacing="0"
                                        cellpadding="0" border="0">
                                        <tbody>
                                          <tr>
                                            <td style="vertical-align:
                                              middle;">
                                              <div class="pencraft
                                                pc-reset
                                                _color-secondary_3axfk_186
                                                _line-height-20_3axfk_95
                                                _font-meta_3axfk_131
                                                _size-11_3axfk_35
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_transform-uppercase_3axfk_242 _reset_3axfk_1 _meta_3axfk_442"
                                                style="color: rgb(119,
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                                                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;
                                                list-style: none;
                                                margin: 0;
                                                text-decoration: unset;
                                                text-transform:
                                                uppercase;"><time
                                                  datetime="2024-07-18T13:12:30.864Z">Jul
                                                  18</time></div>
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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"
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                                          class="custom-css-email-avatar
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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"
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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"
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                                                        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%2FLucideShare2%3Fv%3D4%26height%3D36%26fill%3Dnone%26stroke%3D%2523808080%26strokeWidth%3D2"
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                                                width="38"
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href="https://substack.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.JENU8SM8G8v3U3LiHORkZD7APlaxPS7otgs40_kCmzM?&utm_source=substack&utm_medium=email"
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                                                        color: rgb(119,
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                                                        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"
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                                                    <td align="center"><a
href="https://open.substack.com/pub/yourlocalepidemiologist/p/a-summer-covid-19-wave?utm_source=email&redirect=app-store"
class="email-button-outline" style="border: 1px solid rgb(0, 0, 0, .1);
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                                                        Roboto,
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                                                        Arial,
                                                        sans-serif,
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                                                        font-size: 12px;
                                                        font-weight:
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                                                        text-decoration:
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                                                        uppercase;"
                                                        moz-do-not-send="true"><span
style="margin-right: 4px; vertical-align: middle;"
                                                          class="email-button-text">READ
                                                          IN APP</span><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%2FLucideArrowUpRight%3Fv%3D4%26height%3D36%26fill%3Dnone%26stroke%3D%2523808080%26strokeWidth%3D2"
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                                                          vertical-align:
                                                          middle;"
                                                          alt=""
                                                          class="icon
                                                          text-icon"
                                                          moz-do-not-send="true"
                                                          width="18"
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                    </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: rgb(54, 55, 55); font-size: 16px;
                        line-height: 26px; margin: 0 0 20px 0;
                        margin-top: 0;">I’m briefly coming out from
                        hiding (a.k.a. summer break) to bring you a
                        Covid-19 update. It seems like everyone has it
                        right now (including the President). And I’m
                        getting a ton of questions!</p>
                      <p style="color: rgb(54, 55, 55); font-size: 16px;
                        line-height: 26px; margin: 0 0 20px 0;">Let’s
                        jump in.</p>
                      <h4 class="header-anchor-post"
                        style="-moz-appearance: optimizelegibility;
                        -moz-osx-font-smoothing: antialiased;
                        -webkit-appearance: optimizelegibility;
                        -webkit-font-smoothing: antialiased; appearance:
                        optimizelegibility; color: rgb(54, 55, 55);
                        font-family: 'SF Pro Display',
                        -apple-system-headline, system-ui,
                        -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;"><strong>We are in the
                          middle of an infection wave.</strong></h4>
                      <p style="color: rgb(54, 55, 55); font-size: 16px;
                        line-height: 26px; margin: 0 0 20px 0;">Covid-19
                        levels in wastewater—one of the best (only?)
                        metrics of community spread these days—have
                        reached the “high” category. This means that if
                        you’re sick today, it’s likely Covid-19. This
                        also means it’s time to get that indoor air
                        moving and to wear a mask if you don’t want to
                        get sick. </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/34c8216e-15bb-4b70-a94e-4772a717e3e2?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/76f3b9e2-a574-46be-8a92-fe1aab5ee7c7_1844x576.png","srcNoWatermark":null,"fullscreen":null,"imageSize":null,"height":455,"width":1456,"resizeWidth":null,"bytes":272162,"alt":null,"title":null,"type":"image/png","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%2F76f3b9e2-a574-46be-8a92-fe1aab5ee7c7_1844x576.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="550"
                                      height="171.875"></a></td>
                                <td style="text-align: center;"><br>
                                </td>
                              </tr>
                            </tbody>
                          </table>
                          <figcaption class="image-caption"
                            style="box-sizing: content-box; color:
                            #777777; 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>Data Source: </span><a
href="https://substack.com/redirect/910f61b6-7c31-47e4-ba76-c7f546a72550?j=eyJ1IjoiYTEzdCJ9.fXnNfjqEHuJb90uhUC5MuKSqDSSONTVxMYyEVAne1uo"
                              rel="" style="text-decoration: underline;"
                              moz-do-not-send="true">CDC</a><span>;
                              Annotated by YLE</span></figcaption></figure>
                      </div>
                      <p style="color: rgb(54, 55, 55); font-size: 16px;
                        line-height: 26px; margin: 0 0 20px 0;">The West
                        is leading the way with infections, and levels
                        are higher than last summer’s peak. It’s hard to
                        tell if the West is peaking. While Hawaii has
                        already peaked after its huge infection wave,
                        California and Oregon continue to increase
                        considerably. </p>
                      <p style="color: rgb(54, 55, 55); font-size: 16px;
                        line-height: 26px; margin: 0 0 20px 0;"><span>Other
                          regions are following suit. In fact, 26 states
                          have “high” or “very high” levels of Covid-19.
                          (Enter your </span><a
href="https://substack.com/redirect/095090d4-4da3-4135-ae39-c55b2c1cf183?j=eyJ1IjoiYTEzdCJ9.fXnNfjqEHuJb90uhUC5MuKSqDSSONTVxMYyEVAne1uo"
                          rel="" style="color: #538cfa; text-decoration:
                          none;" moz-do-not-send="true">state here</a><span>
                          to see local levels.) </span></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="510" align="left"><a
                                    class="image-link" target="_blank"
href="https://substack.com/redirect/794c0194-a73c-4536-8344-8fc07218cbb5?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/00d91d8b-06c6-4c2d-9c6e-5dbd65ecac48_952x784.png","srcNoWatermark":null,"fullscreen":null,"imageSize":null,"height":784,"width":952,"resizeWidth":510,"bytes":179863,"alt":null,"title":null,"type":"image/png","href":null,"belowTheFold":false,"topImage":false,"internalRedirect":null}"
                                      alt="" class=""
src="https://substackcdn.com/image/fetch/w_510,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F00d91d8b-06c6-4c2d-9c6e-5dbd65ecac48_952x784.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="510"
                                      height="420"></a></td>
                                <td style="text-align: center;"><br>
                                </td>
                              </tr>
                            </tbody>
                          </table>
                          <figcaption class="image-caption"
                            style="box-sizing: content-box; color:
                            #777777; 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%;">Covid-19 levels across states.
                            Source: CDC</figcaption></figure>
                      </div>
                      <p style="color: rgb(54, 55, 55); font-size: 16px;
                        line-height: 26px; margin: 0 0 20px 0;">Severe
                        disease is also increasing, but starting at low
                        levels. Thanks to population immunity building,
                        rates are not as high as last summer’s peak (or
                        the summer before). (Note for those data gurus:
                        The figure below is among a subset of hospitals
                        that have consistently reported data over time.
                        In other words, the lower hospitalization rate
                        isn’t due to a change in reporting behaviors.) </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="468" align="left"><a
                                    class="image-link" target="_blank"
href="https://substack.com/redirect/e5a81996-5975-4486-b30d-8c07fdba8391?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/2e87cb38-9d51-4d99-84f5-cbdbfb331c21_1168x874.png","srcNoWatermark":null,"fullscreen":null,"imageSize":null,"height":874,"width":1168,"resizeWidth":468,"bytes":150403,"alt":null,"title":null,"type":"image/png","href":null,"belowTheFold":true,"topImage":false,"internalRedirect":null}"
                                      alt="" class=""
src="https://substackcdn.com/image/fetch/w_468,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2e87cb38-9d51-4d99-84f5-cbdbfb331c21_1168x874.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="468"
                                      height="350.1986301369863"></a></td>
                                <td style="text-align: center;"><br>
                                </td>
                              </tr>
                            </tbody>
                          </table>
                          <figcaption class="image-caption"
                            style="box-sizing: content-box; color:
                            #777777; 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%;">Source: CDC; Annotated by YLE</figcaption></figure>
                      </div>
                      <p style="color: rgb(54, 55, 55); font-size: 16px;
                        line-height: 26px; margin: 0 0 20px 0;"><span>In
                          the UK, which always seems slightly ahead of
                          the U.S. in waves, </span><a
href="https://substack.com/redirect/190a9a76-a7ae-4382-95cf-8bbdd4f3e750?j=eyJ1IjoiYTEzdCJ9.fXnNfjqEHuJb90uhUC5MuKSqDSSONTVxMYyEVAne1uo"
                          rel="" style="color: #538cfa; text-decoration:
                          none;" moz-do-not-send="true">hospitalizations
                          have </a><span>peaked and remained lower than
                          in Winter. </span></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="532" align="left"><a
                                    class="image-link" target="_blank"
href="https://substack.com/redirect/4c15a2bc-2cee-460c-82ac-c10cb4458364?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/5fd6adb6-3a9e-4e2e-bcef-cd975d0f49bc_900x661.jpeg","srcNoWatermark":null,"fullscreen":null,"imageSize":null,"height":661,"width":900,"resizeWidth":532,"bytes":null,"alt":"Image","title":null,"type":null,"href":null,"belowTheFold":true,"topImage":false,"internalRedirect":null}"
                                      alt="Image" title="Image" class=""
src="https://substackcdn.com/image/fetch/w_532,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5fd6adb6-3a9e-4e2e-bcef-cd975d0f49bc_900x661.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="532"
                                      height="390.72444444444443"></a></td>
                                <td style="text-align: center;"><br>
                                </td>
                              </tr>
                            </tbody>
                          </table>
                        </figure>
                      </div>
                      <h4 class="header-anchor-post"
                        style="-moz-appearance: optimizelegibility;
                        -moz-osx-font-smoothing: antialiased;
                        -webkit-appearance: optimizelegibility;
                        -webkit-font-smoothing: antialiased; appearance:
                        optimizelegibility; color: rgb(54, 55, 55);
                        font-family: 'SF Pro Display',
                        -apple-system-headline, system-ui,
                        -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;"><strong>We’ve had a wave
                          each summer. Why? </strong></h4>
                      <p style="color: rgb(54, 55, 55); font-size: 16px;
                        line-height: 26px; margin: 0 0 20px 0;">This is
                        due to the combination of three things: </p>
                      <ol style="margin-top: 0; padding: 0;">
                        <li style="margin: 8px 0 0 32px;">
                          <p style="box-sizing: border-box; color:
                            rgb(54, 55, 55); font-size: 16px;
                            line-height: 26px; margin: 0; margin-bottom:
                            0; padding-left: 4px;"><em><strong>Behavior
                                change</strong></em><span>. People move
                              inside due to the heat, and most spread
                              happens indoors. </span></p>
                        </li>
                        <li style="margin: 8px 0 0 32px;">
                          <p style="box-sizing: border-box; color:
                            rgb(54, 55, 55); font-size: 16px;
                            line-height: 26px; margin: 0; margin-bottom:
                            0; padding-left: 4px;"><em><strong>Covid-19
                                keeps mutating quickly—about twice as
                                much as flu. </strong></em><span>The
                              latest variant, KP.3, specifically its
                              descendant KP.3.1.1, is a little booger
                              because it </span><em>dropped</em><span>
                              a mutation on the spike protein, which
                              seems to be effective in getting past our
                              first immunity wall (called neutralizing
                              antibodies.) </span></p>
                        </li>
                        <li style="margin: 8px 0 0 32px;">
                          <p style="box-sizing: border-box; color:
                            rgb(54, 55, 55); font-size: 16px;
                            line-height: 26px; margin: 0; margin-bottom:
                            0; padding-left: 4px;"><em><strong>Waning
                                immunity. </strong></em><span>~20-30%
                              of the U.S. population was infected with
                              Covid-19 this past winter, which means the
                              virus has plenty of pathways to find due
                              to low immunity. Among states with </span><em>mild</em><span>
                              Covid-19 winters, like Hawaii and Oregon,
                              summer waves are </span><em>very high</em><span>.</span></p>
                        </li>
                      </ol>
                      <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/8dc7983d-affa-444d-a1ed-335742aed89f?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/c3d4c2ce-f3b7-46c1-bf12-560c16d541bb_1584x654.png","srcNoWatermark":null,"fullscreen":null,"imageSize":null,"height":601,"width":1456,"resizeWidth":null,"bytes":189878,"alt":null,"title":null,"type":"image/png","href":null,"belowTheFold":true,"topImage":false,"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%2Fc3d4c2ce-f3b7-46c1-bf12-560c16d541bb_1584x654.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="550"
                                      height="227.0260989010989"></a></td>
                                <td style="text-align: center;"><br>
                                </td>
                              </tr>
                            </tbody>
                          </table>
                          <figcaption class="image-caption"
                            style="box-sizing: content-box; color:
                            #777777; 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>Source: </span><a
href="https://substack.com/redirect/095090d4-4da3-4135-ae39-c55b2c1cf183?j=eyJ1IjoiYTEzdCJ9.fXnNfjqEHuJb90uhUC5MuKSqDSSONTVxMYyEVAne1uo"
                              rel="" style="text-decoration: underline;"
                              moz-do-not-send="true">CDC</a><span>;
                              Annotated by YLE</span></figcaption></figure>
                      </div>
                      <p style="color: rgb(54, 55, 55); font-size: 16px;
                        line-height: 26px; margin: 0 0 20px 0;"><span>I
                        </span><em>am</em><span> surprised by how early
                          this summer wave is (typically, we see it
                          later in the summer) and how high infections
                          are getting. I hoped we would see smaller and
                          smaller summer infection waves each year.
                          Alas, Covid-19 has different plans. </span></p>
                      <h4 class="header-anchor-post"
                        style="-moz-appearance: optimizelegibility;
                        -moz-osx-font-smoothing: antialiased;
                        -webkit-appearance: optimizelegibility;
                        -webkit-font-smoothing: antialiased; appearance:
                        optimizelegibility; color: rgb(54, 55, 55);
                        font-family: 'SF Pro Display',
                        -apple-system-headline, system-ui,
                        -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;"><strong>Should older people
                          get the vaccine now or wait for fall? </strong></h4>
                      <p style="color: rgb(54, 55, 55); font-size: 16px;
                        line-height: 26px; margin: 0 0 20px 0;"><span>We
                          are seeing uncomfortable mortality rates among
                          medically vulnerable people, like older adults
                          in nursing homes, who are more than 6 months
                          out from their last vaccine. For older adults
                          who didn’t get their vaccine this spring, I
                          suggest getting a vaccine now. But do it soon,
                          as we want at </span><em>least</em><span>
                          four months between this and the upcoming fall
                          dose, so that it works best. Last year, the
                          winter Covid-19 wave started in November. </span></p>
                      <h4 class="header-anchor-post"
                        style="-moz-appearance: optimizelegibility;
                        -moz-osx-font-smoothing: antialiased;
                        -webkit-appearance: optimizelegibility;
                        -webkit-font-smoothing: antialiased; appearance:
                        optimizelegibility; color: rgb(54, 55, 55);
                        font-family: 'SF Pro Display',
                        -apple-system-headline, system-ui,
                        -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;"><strong>How do I read the
                          latest CDC guidance? </strong></h4>
                      <p style="color: rgb(54, 55, 55); font-size: 16px;
                        line-height: 26px; margin: 0 0 20px 0;"><span>This
                          is the first wave since the </span><a
href="https://substack.com/redirect/bfe30916-97cf-4bad-92b6-8df41cbed7a7?j=eyJ1IjoiYTEzdCJ9.fXnNfjqEHuJb90uhUC5MuKSqDSSONTVxMYyEVAne1uo"
                          rel="" style="color: #538cfa; text-decoration:
                          none;" moz-do-not-send="true">updated CDC
                          Covid-19 guidance</a><span>. As a reminder, if
                          you get infected, CDC recommends approaching
                          isolation in two phases: </span></p>
                      <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:
                            rgb(54, 55, 55); font-size: 16px;
                            line-height: 26px; margin: 0; margin-bottom:
                            0; padding-left: 4px;"><em><strong>Phase 1:
                                Stay home when sick </strong></em><span>until
                              your fever resolves for 24 hours or your
                              symptoms improve. But many people remain
                              contagious beyond this timeframe, though,
                              so…</span></p>
                        </li>
                        <li style="margin: 8px 0 0 32px;
                          mso-special-format: bullet;">
                          <p style="box-sizing: border-box; color:
                            rgb(54, 55, 55); font-size: 16px;
                            line-height: 26px; margin: 0; margin-bottom:
                            0; padding-left: 4px;"><em><strong>Phase 2:
                                Use caution</strong></em><strong> </strong><span>for
                              five days by taking additional precautions
                              (e.g., wear a mask; or test before seeing
                              grandma at the nursing home).</span></p>
                        </li>
                      </ul>
                      <p style="color: rgb(54, 55, 55); font-size: 16px;
                        line-height: 26px; margin: 0 0 20px 0;"><em>But
                          what is the best approach?</em><span> Isolate
                          until your at-home Covid-19 test turns
                          negative, which could be anywhere between 3
                          and 15 days. Once it turns negative, you can
                          be confident you’re no longer infectious.
                          Unfortunately, many people cannot afford tests
                          or to miss work for this long. If you leave
                          isolation beforehand, please wear an N95.</span></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="542" align="left"><a
                                    class="image-link" target="_blank"
href="https://substack.com/redirect/b86d8680-11ae-493f-a15d-a92826ef4811?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/9e572f7a-1763-4c2f-b77b-1f8bfc38dab1_1116x612.png","srcNoWatermark":null,"fullscreen":null,"imageSize":null,"height":612,"width":1116,"resizeWidth":542,"bytes":342693,"alt":null,"title":null,"type":"image/png","href":null,"belowTheFold":true,"topImage":false,"internalRedirect":null}"
                                      alt="" class=""
src="https://substackcdn.com/image/fetch/w_542,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9e572f7a-1763-4c2f-b77b-1f8bfc38dab1_1116x612.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="542"
                                      height="297.2258064516129"></a></td>
                                <td style="text-align: center;"><br>
                                </td>
                              </tr>
                            </tbody>
                          </table>
                          <figcaption class="image-caption"
                            style="box-sizing: content-box; color:
                            #777777; 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%;">Figure Source: Nature;
                            Annotated by YLE </figcaption></figure>
                      </div>
                      <h4 class="header-anchor-post"
                        style="-moz-appearance: optimizelegibility;
                        -moz-osx-font-smoothing: antialiased;
                        -webkit-appearance: optimizelegibility;
                        -webkit-font-smoothing: antialiased; appearance:
                        optimizelegibility; color: rgb(54, 55, 55);
                        font-family: 'SF Pro Display',
                        -apple-system-headline, system-ui,
                        -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;"><strong>Is anything new
                          happening with Paxlovid?</strong><span> </span></h4>
                      <p style="color: rgb(54, 55, 55); font-size: 16px;
                        line-height: 26px; margin: 0 0 20px 0;">Evidence
                        shows that Paxlovid works for a small subgroup
                        of people: medically vulnerable over 65 years
                        and those who are not up-to-date on Covid-19
                        vaccines. </p>
                      <p style="color: rgb(54, 55, 55); font-size: 16px;
                        line-height: 26px; margin: 0 0 20px 0;"><span>Unfortunately,
                          Paxlovid is not as effective as we had hoped
                          for everyone else. Evidence suggests that it </span><a
href="https://substack.com/redirect/dabd449c-48f0-4ac2-a94e-cfc53dcc6bd4?j=eyJ1IjoiYTEzdCJ9.fXnNfjqEHuJb90uhUC5MuKSqDSSONTVxMYyEVAne1uo"
                          rel="" style="color: #538cfa; text-decoration:
                          none;" moz-do-not-send="true">doesn’t protect</a><span>
                          against long Covid, and it </span><a
href="https://substack.com/redirect/0c55e300-c245-4388-a314-eb84f063f632?j=eyJ1IjoiYTEzdCJ9.fXnNfjqEHuJb90uhUC5MuKSqDSSONTVxMYyEVAne1uo"
                          rel="" style="color: #538cfa; text-decoration:
                          none;" moz-do-not-send="true">doesn’t decrease
                          the number of days</a><span> you’re sick (if
                          you’re up-to-date on vaccines). </span></p>
                      <h4 class="header-anchor-post"
                        style="-moz-appearance: optimizelegibility;
                        -moz-osx-font-smoothing: antialiased;
                        -webkit-appearance: optimizelegibility;
                        -webkit-font-smoothing: antialiased; appearance:
                        optimizelegibility; color: rgb(54, 55, 55);
                        font-family: 'SF Pro Display',
                        -apple-system-headline, system-ui,
                        -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;"><strong>What about
                          airplanes? </strong></h4>
                      <p style="color: rgb(54, 55, 55); font-size: 16px;
                        line-height: 26px; margin: 0 0 20px 0;"><span>A
                          lot of people are traveling this summer.
                          Remember that the virus likes crowded, indoor
                          areas with poor circulation, like airport
                          terminals and planes before takeoff. Longer
                          flights also pose more risk—for </span><a
href="https://substack.com/redirect/99a4909e-7c8b-4f11-b146-71c1c4c595fa?j=eyJ1IjoiYTEzdCJ9.fXnNfjqEHuJb90uhUC5MuKSqDSSONTVxMYyEVAne1uo"
                          rel="" style="color: #538cfa; text-decoration:
                          none;" moz-do-not-send="true">every 1-hour
                          increase</a><span> in flight duration, there
                          is an additional 53% risk of infection. </span></p>
                      <h4 class="header-anchor-post"
                        style="-moz-appearance: optimizelegibility;
                        -moz-osx-font-smoothing: antialiased;
                        -webkit-appearance: optimizelegibility;
                        -webkit-font-smoothing: antialiased; appearance:
                        optimizelegibility; color: rgb(54, 55, 55);
                        font-family: 'SF Pro Display',
                        -apple-system-headline, system-ui,
                        -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;"><strong>Bottom line</strong></h4>
                      <p style="color: rgb(54, 55, 55); font-size: 16px;
                        line-height: 26px; margin: 0 0 20px 0;">Covid-19
                        continues to do its thing. We are in the middle
                        of an infection wave, and hopefully, it won’t
                        find you, so you can continue to enjoy your
                        summer. Given these news cycles, we could all
                        certainly use a break. </p>
                      <p style="color: rgb(54, 55, 55); font-size: 16px;
                        line-height: 26px; margin: 0 0 20px 0;">Love,
                        YLE</p>
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                      <p style="color: rgb(54, 55, 55); 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,
                          wife, and mom of two little girls. During the
                          day, she is a senior scientific consultant to
                          a number of organizations, including 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>
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                          moz-do-not-send="true">Your Local
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                      20px; margin-bottom: 0; margin-left: auto;
                      margin-right: auto; text-align: center; width:
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href="https://substack.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.w_TcC7YHbcGmSEkgJhG12HqPXfN99SzkNuwR_G_M3Yo?&utm_source=substack&utm_medium=email&utm_content=postcta"
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                    border-top: 1px solid rgb(0, 0, 0, .1); min-width:
                    100%;" width="100%" cellspacing="0" cellpadding="0"
                    border="0">
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                      <tr height="16">
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                          height="16"> </td>
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                          <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=146690728&utm_source=substack&isFreemail=true&submitLike=true&token=eyJ1c2VyX2lkIjo0Njc5OTMsInBvc3RfaWQiOjE0NjY5MDcyOCwicmVhY3Rpb24iOiLinaQiLCJpYXQiOjE3MjEzMDgzNjgsImV4cCI6MTcyMzkwMDM2OCwiaXNzIjoicHViLTI4MTIxOSIsInN1YiI6InJlYWN0aW9uIn0.b-QlYmjxROFFY5JCI8QpVyBL5C_pCLlwPAn4LNMCmXI&utm_medium=email&utm_campaign=email-reaction&r=a13t"
class="email-button-outline" style="border: 1px solid rgb(0, 0, 0, .1);
                                                    border-radius:
                                                    9999px; color:
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                                                    display:
                                                    inline-block;
                                                    font-family:
                                                    system-ui,
                                                    -apple-system,
                                                    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>
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                                          width="8"><br>
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                                        <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=146690728&utm_source=substack&utm_medium=email&isFreemail=true&comments=true&token=eyJ1c2VyX2lkIjo0Njc5OTMsInBvc3RfaWQiOjE0NjY5MDcyOCwiaWF0IjoxNzIxMzA4MzY4LCJleHAiOjE3MjM5MDAzNjgsImlzcyI6InB1Yi0yODEyMTkiLCJzdWIiOiJwb3N0LXJlYWN0aW9uIn0.9HcbkkyCg3TcaJ4T-XYuCsX3bml90H1lezrshMpu5dY&r=a13t&utm_campaign=email-half-magic-comments&utm_source=substack&utm_medium=email"
class="email-button-outline" style="border: 1px solid rgb(0, 0, 0, .1);
                                                    border-radius:
                                                    9999px; color:
                                                    rgb(119, 119, 119);
                                                    display:
                                                    inline-block;
                                                    font-family:
                                                    system-ui,
                                                    -apple-system,
                                                    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;
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                                                    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>
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                                        <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.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.JENU8SM8G8v3U3LiHORkZD7APlaxPS7otgs40_kCmzM?&utm_source=substack&utm_medium=email"
class="email-button-outline" style="border: 1px solid rgb(0, 0, 0, .1);
                                                    border-radius:
                                                    9999px; color:
                                                    rgb(119, 119, 119);
                                                    display:
                                                    inline-block;
                                                    font-family:
                                                    system-ui,
                                                    -apple-system,
                                                    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>
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                          2x,
https://substackcdn.com/image/fetch/w_393,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack.com%2Fimg%2Femail%2Fgeneric-app-button%403x.png
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href="https://substack.com/redirect/2/eyJlIjoiaHR0cHM6Ly9zdWJzdGFjay5jb20vc2lnbnVwP3V0bV9zb3VyY2U9c3Vic3RhY2smdXRtX21lZGl1bT1lbWFpbCZ1dG1fY29udGVudD1mb290ZXImdXRtX2NhbXBhaWduPWF1dG9maWxsZWQtZm9vdGVyJmZyZWVTaWdudXBFbWFpbD1tYW5ueUByYXRhZmlhcy5jb20mcj1hMTN0IiwicCI6MTQ2NjkwNzI4LCJzIjoyODEyMTksImYiOnRydWUsInUiOjQ2Nzk5MywiaWF0IjoxNzIxMzA4MzY4LCJleHAiOjE3MjM5MDAzNjgsImlzcyI6InB1Yi0wIiwic3ViIjoibGluay1yZWRpcmVjdCJ9.aR1WDxqNhLzZdtBWX-0b4EUjS6_mppb5-22QNjJXbAg?"
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                        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://eotrx.substackcdn.com/open?token=eyJtIjoiPDIwMjQwNzE4MTMxMjIwLjMuNWUzMDkyMzExNmM5MzBhOUBtZzIuc3Vic3RhY2suY29tPiIsInUiOjQ2Nzk5MywiciI6Im1hbm55QHJhdGFmaWFzLmNvbSIsImQiOiJtZzIuc3Vic3RhY2suY29tIiwicCI6MTQ2NjkwNzI4LCJ0IjoibmV3c2xldHRlciIsImEiOiJldmVyeW9uZSIsInMiOjI4MTIxOSwiYyI6InBvc3QiLCJmIjp0cnVlLCJwb3NpdGlvbiI6ImJvdHRvbSIsImlhdCI6MTcyMTMwODM2OCwiZXhwIjoxNzIzOTAwMzY4LCJpc3MiOiJwdWItMCIsInN1YiI6ImVvIn0.Lmvw_drMUy5TJ0TFWWiyMKb0dcpygiirH7dmoXlsL2c"
          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.mg2.substack.com/o/eJw8kEmu5CAQBU_zWVqMxiw4i5WGLDdqBguSavn2rRr0t_GkUOgFIDxbv_3VBrHodRSb2Rh6YaVQfFNWMSyQ8n5ixQ6EcQf6XdfNOMX-eLECtxKFC8YZG46oH8FoLsEYJZWxLHnJpeZWbEIJKfmiFoOKO6mEWINTHNyP5uWUy5jHIAh_l9AKS2N_dHwHeOoT2StzhxkT1oAen9jvVr84RS_0ujpu5fYhdF_oK_4bGYmws2see2ilzJro3rHCkTF-xfPIKQClVl8iuQkpHOu-QK33j-YdCB4JxjtrzCO2Aqn6u82eW4CMV4pYUsvtTIMYfQ6dA_tLp1frnGJPL_8HAAD__2Vdekg"
          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>