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The most recent New York Times Covid Update for July 20 reports:

  • Case numbers are climbing rapidly in the United States, though they remain well below peak levels. Hospitalizations and deaths are also increasing, but at a slower pace.
  • As the Delta variant has spread, infection levels have soared in parts of Missouri, Arkansas, Louisiana, and Florida. Many counties with the highest case and hospitalization rates have struggled to get people vaccinated.
  • Reports of new cases are rising in all 50 states, though infection levels remain quite low in much of the Northeast and Upper Midwest.
  • Vaccines are widely available and effective against the Delta variant, but fewer than half of Americans are fully vaccinated. About 520,000 shots are being administered each day, about the same rate as in early January, when supply was scarce.
  • Masks are again required indoors in Los Angeles County, where reports of new cases have soared to more than 1,400 a day, an eightfold increase in one month.
 

Today we offer a Table on the “the States that have climbed to the top of the 14-Day increase in Cases chart.”  New entrant Massachusetts has had an increase over its historically lower than average new cases and much of the increase has been in the vacation spot counties that include Martha’s Vineyard and the Hampshires. We also illustrate the recent Missouri data; our first article comes from The Atlantic’s Ed Yong, "Delta is driving a wedge through Missouri.“ Yong reports that “For America as a whole, the pandemic might be fading. For some communities, this year will be worse than last.”
Canada has just announced that it will be allowing travel by fully vaccinated U.S. citizens. In Canada on July 20, 2021, the seven-day daily average number of new cases was 380, the 14-day change in cases was a decrease of 18 percent with a total of 1,431,691 cases. On July 20 in Canada, the number of new deaths was 8, the 14-day change in new deaths was for a second week in a row a decrease of 45 percent, and the Canadian death total has reached 26,468. Although a non-Canadian based team won this year’s Stanley Cup, Canadians can claim the comeback team of the year as to vaccinations with 71 percent of Canadians having had one shot and 52 percent fully vaccinated. 
 
This week we limit our comparative data to the U.K. and France, whose current strategies to both reopen and manage the Delta Variant.

In the United Kingdom on July 20, 2021 the 7-day daily average number of new cases was 46,878, the 14-day change in cases was an increase of 79 percent with a total of 5,519,609 cases. On July 20 in the U.K., the number of new deaths was 49, the 14-day change in new deaths was an increase of 141 percent, and the U.K. death total has reached 128,823. 
In France, the 7-day daily average of new cases was 9,913, the 14-day change in cases was an increase of 200 percent from last week to 315 percent with a total of 5,952,339 cases. On July 20 in France the number of new deaths was 17, the 14-day change in new deaths was a decrease of 38 percent, and the French death total has reached 111,715.  
  
Our review of very different approaches to combat the cases’ spike employs two articles from The New York Times and one from the L.A. TIMES.. The first is on the U.K. (On England’s ‘Freedom Day,’ rising virus cases and a Prime Minister in isolation) and the second France (In France, angry protests, rising infections and record vaccinations.)  Locally, a third approach is being taken by LA County and we link you to the Los Angeles Times article (Does L.A. County's new COVID-19 mask mandate make any sense?) describing why the Revitalize staff is now wearing masks indoors yet take them off to dine. 

We found in GZero World early Wednesday morning a great review of the French vaccination mandate strategy. Although your publishers and editors find the Freenchmandate strategy an approach that is needed in the U.S.; we offer an excerpt that offers a concise review of “what are the best arguments for and against” the French policy?:

GZero World arguments for French vaccine mandates:

  • “The delta variant doesn't care what you think. Cases have been rising again in a number of countries, including in the United States, driven in part by the particularly contagious new delta variant. While some of these new infections have occurred in fully-vaccinated people, the vast majority of hospitalizations and deaths are among the unvaccinated. More vaccinations means fewer deaths, and fewer deaths is good.
  • Measures like this seem to work. Within twenty-four hours of Macron's announcement, more than two million French people scrambled to make vaccine appointments. Philosophical debates about liberty and risk come back to earth fast when you can't enjoy a nice verre de Beaujolais.
  • You don't have a right to a baguette or vodka tonic anyway. While constitutional rights and protections vary widely around the globe, we are unaware of any constitution in the world that guarantees a right to dine out, see a movie, or hop the TGV to Nice. While many constitutions bar discrimination on certain bases – such as race or religion – it's up to courts to decide whether Covid vaccine objectors are, as a group, entitled to those protections and if so, whether that applies to private businesses. (Note that a U.S. Federal judge ruled this week that a state university – that is a government-funded one – had the right to require vaccinations among its students.)

The GZero World arguments against French Policy:
  • “Bakers aren't policemen. It's not the job of a maître d, garcon de café, movie ticket puncher, or brasserie bouncer to ensure compliance with rules of this kind... or to handle potentially violent reactions from would-be patrons who object.
  • Let businesses mind their own business. The pandemic has clobbered the owners and employees of nightclubs, restaurants, stores, museums, and theaters particularly hard. As they try to climb back from that, let them decide what risks they want to take. Some businesses may very well wish to require proof of immunity or mask-wearing. Others may not. But they, like their customers, know best what level of risk is appropriate for them.
  • Don't coerce people to do things to their bodies. Despite the efficacy of the vaccines, many people do not want to take them at least until the shots have moved beyond "emergency authorization" stage. While it's true that no one has a right to a movie theater or a bar, restrictions on such common diversions and activities amounts to coercion. So long as everyone who wants a COVID vaccine can get one, leave the rest of us to make our own choices – you are safe, right?
  • Privacy concerns, anyone? The EU Green pass is based on a centralized, government-administered database. Every time we are checked, the government will – in principle -- have information about our movements. While the EU has stringent privacy protection laws, it's still unnerving to know that authorities would have this level of insight into our movements.”

Back to The Atlantic for a tutorial on what is the science and terminology for getting the jab then getting sick in Breakthrough infections' is not a helpful term. The Atlantic teaches us thatLumping all breakthroughs together, regardless of symptoms, miscasts what our Covid-19 vaccines can do.” 

The New York Times The Daily is linked for your listening or reading for a look at the booster science as well as vaccine equity in "Do we need a third Covid shot?  

And we close with a great long form nonfiction piece linked from Vanity Fair. Read or use Audm to listen to “The lab-leak theory: Inside the fight to uncover Covid-19’s origins.”

We hope you joined us via Zoom at the Village Well Bookstore from LA Basin, Paris London, Missouri, and across the Globe, this is Revitalize for July 22, 2021:
Revitalize: The week in health-care news you need
Find the YouTube recording at www.thepcos.com.
Delta is driving a wedge through Missouri: For America as a whole, the pandemic might be fading. For some, this year will be worse. 

On England’s ‘Freedom Day,’ rising virus cases and a prime minister in isolation. In a breathtaking gamble, the country has lifted all but few restrictions.
 
In France, angry protests, rising infections and record vaccinations. More than 100,000 people took to the streets over President Emmanuel Macron’s plan for a restrictive “health pass.” But far more booked to be vaccinated.
Does L.A. County's new COVID-19 mask mandate make any sense? Officials described the mask mandate as a minimally disruptive tactic to blunt rapidly rising coronavirus transmission. But does it make any sense?

Should government force businesses to require vaccine passes? See the arguments for and against France's vaccine mandates here.

'Breakthrough Infections' is not a helpful term. Lumping all breakthroughs together, regardless of symptoms, miscasts what our COVID-19 vaccines can do. 

Do we need a third Covid shot? The Delta variant has accelerated conversations about introducing booster doses of coronavirus vaccines. Look at the booster science as well a vaccine equity.

The Lab-Leak Theory: Inside the fight to uncover Covid-19’s origins. Throughout 2020, the notion that the novel coronavirus leaked from a lab was off-limits. Those who dared to push for transparency say toxic politics and hidden agendas kept us in the dark.
Jerry Seelig, CEO
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