U.S. Health Alert – COVID-19 UPDATE

Updated: Jul 22

US States making numerous adjustments in restrictions as infections rates change in certain locations. Changes to guidelines and protocols occur frequently and restrictions vary greatly by state and locality. The U.S. surpassed 3.5 million cases while the mortality rate is 3.9% of all known cases. Nearly 450,000 new cases were reported in the last 7 days.

We are continuing to monitor surges in cases and state responses including increases in testing and large-scale gatherings. Telework when possible, social distancing, eliminating non-essential travel, and applying aggressive preventive measures all contribute to lessening the spread of the virus. We strongly encourage everyone to proactively plan and prepare for continuing changes in guidelines. We are available to assist as necessary.


Notable Statistics:

• 44 million COVID-19 tests conducted in the US

• 3,546,279 confirmed cases in the US – 448,741 new cases since 8 July

• 16,337 cases are currently considered critical – up from 15,371 on 8 July

• 139,162 deaths in the US – 5,171 new deaths since 8 July

• 1,600,910 recoveries in the US – 245,386 new reports since 8 July

• NY accounts for 3.2% of cases worldwide (trending downward)

• NY, CA, FL and TX account for 38.2% of US cases – totaling 1,353,124 cases

Even where shelter in place is not directed, we strongly recommend social distancing, along with aggressive hygiene and eliminate all unnecessary interactions with others to reduce the spread, including wearing a mask where social distancing cannot be maintained


The Situation:

Currently, the U.S. has at least 3,546,279 confirmed cases – the highest in the world. While New York still remains the state with the highest number of cases at 429,278, daily cases have been trending downward for weeks.


Recent surges in cases were reported in California with 346,445 cases, Florida with 291,629, and Texas with 285,772 cases. Together, the top four states, NY, CA, FL, and TX, account for 38.2% of all cases in the U.S – totaling 1,353,124. The 27,574 new cases recorded in CA, FL and TX Monday accounted for 18.9% of the global total and represented more than a third of the 61,751 new cases reported in the U.S.


California announced Monday it would rollback recent reopening measures in order to stem the surge of cases which already caused a 27.8% increase in hospitalizations over the last two weeks. In Texas, Gov. Abbott suggested the state could roll back some reopening measures if cases were not controlled. While in Florida, plans to open Disney World are still

on track despite recording a record-breaking 15,299 new cases Sunday - the highest daily total any U.S. state recorded in the pandemic so far.





Over the last two weeks, 44 states and territories are showing increasing trends of daily cases (this could be partially attributed to increased testing), while 10 states and territories are holding steady or decreasing. States with increasing trends include: Alabama, Alaska, Arkansas, California, Colorado, D.C, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Puerto Rico, Rhode Island, South Carolina, Tennessee, Texas, Utah, US Virgin Islands, Vermont, Virginia, Washington, West Virginia, Wisconsin.

Many states’ stay-at-home/shelter-in-place orders have expired; safer-at-home orders and phased reopening plans have taken their place. Expiration dates and guidelines are subject to change (See below for links to State-by-State measures for lifting restrictions).


Travel Restrictions and Recommendations:

• U.S. DoS Global Level 4 Health Advisory (31 March) – Do Not Travel

• The US-Canada border remains closed to non-essential travel until 21 July

• The US-Mexico border remains closed to non-essential travel until 21 July

• Current CDC Travel Alerts for Covid-19 by country







Symptoms to Watch Out For:

Officials say the respiratory disease, is capable of spreading through human-to-human contact, droplets carried through sneezing and coughing, and germs left on inanimate objects. The virus might spread during the incubation period – which is believed to be from 1 to 14 days. Be on the lookout for the following symptoms:

• High fever

• Difficulty breathing or shortness of breath

• Cough (usually dry)

• Sore throat

• Chills, sometimes with repeated shaking

• Headache

• Fatigue

• Muscle aches or pain

• Diarrhea, nausea, and/or vomiting

• Loss of smell and/or taste (uncommon)

• Confusion, stroke-like symptoms, and/or seizures (rare)

• Pneumonia (secondary infection)


Links for Reopening and COVID-19 information by State

Alabama

Alaska

Arizona

Arkansas

California

Colorado

Connecticut

Delaware

District of Columbia

Florida

Georgia

Hawaii

Idaho

Illinois

Indiana

Iowa

Kansas

Kentucky

Louisiana

Maine

Maryland

Massachusetts

Michigan

Minnesota

Mississippi

Missouri

Montana

Nebraska

Nevada

New Hampshire

New Jersey

New Mexico

New York

North Carolina

North Dakota

Ohio

Oklahoma

Oregon

Pennsylvania

Rhode Island

South Carolina

South Dakota

Tennessee

Texas

Utah

Vermont

Virginia

Washington

West Virginia

Wisconsin

Wyoming


DISCLAIMER and Hold Harmless

Disclaimer: LSDS™ gathers information from multiple sources and offers insight and perspective to travelers. Sources cannot be validated for accuracy in every instance. Travelers assume all risk associated with their travel and are responsible for the decisions associated with travel and for their own safety. Users of this reference document agree, to hold harmless LSDS™ (LLC) its employees and clients associated with any risk or injury incurred during travel.

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