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AM 7/24 report: A morning summary of the more interesting CV news as US cases cross 4 million.

In 15 minutes.
Major SW and Southern big cities are in various stages of peaking. A few days before or a few days after. The hospital crush & the extended death toll of >1000 deaths/day will continue for a while.

We can’t know but that will improve in August if new guidelines are extended.
Testing bottlenecks & supplies are creating major delays.

Major drug stores tell me over a week for results.

This means we are under testing & reporting.

Test positive rate now approaching 10%. Quite concerning.
Could be a long flat period or slow decline in those cities (Hou, Pho, Miami, Charlotte, LA) without more NY type lock down measures & masks.

Meanwhile next level size cities are now beginning to rise: NO, LV, San Jose, Indy, StL, MSP, Nashville, Cleveland, Pitt, Columbus, Balt.
As I wrote about last night, the confluence of rural areas & LatinX communities are a large concern. Our food production.
Chronic illness burden is high across the US for the top 5 COVID-19 risk factors. Almost half of people in 3000 counties (many rural & Southern) have 1/2 the population with a risk factor.
Vaccine trials beginning this month have a shortage of POC signing up for the trials. They are trying to figure out how to address.

Need 50% of participants. Don’t even have 10%.
CDC will brief publicly today about the schools report. That report is impossible to defend so I expect them to try to have it “both ways” today. Half for Trump, half trying to sound more reasonable.

That’s at best.
Fauci signaling 2021 for vaccines. I think he’s trying to get ahead of Trump’s push for an October surprise.
There are so many “elements” to this time we’re in: schools, safety, science, vaccines, politics, media, our own mental health.

Here’s a resource to listen to the most interesting expert on each topic. Smarturl.it/inthebubble.
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