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The New York Times “State of the virus” updated on Nov. 16, 2021:

  • Case counts are starting to rise, fueled largely by deteriorating conditions in the Upper Midwest and persistently high infection rates in the West.
  • Michigan and Minnesota lead the country in recent cases per capita. Both those states avoided the worst of the summer surge but have seen average daily caseloads increase by more than 60 percent in the last two weeks.
  • Nationally, hospitalizations and reports of new deaths remain stable. Both figures have fallen sharply since the summer.
  • The South, which suffered the most this summer, continues to average fewer cases than any other region. But after months of progress, infection rates there have started to tick upward again.
  • Case rates remain low in much of the Northeast, where vaccination rates tend to be high. But case numbers are high in Vermont, and are starting to rise in Rhode Island and Maine.
  • Nearly three out of five Americans are fully vaccinated. The country is administering about 1.4 million new doses a day, a number that grew after booster shots and vaccines for younger children were authorized.


Nov. 17, 2021 in the U.S., the seven-day daily average number of new cases was 85,861; the 14-day change in cases was an increase of 18 percent with a total of 47,275,212 total cases. The seven-day daily average number of new hospitalizations was 47,363; the 14-day change in hospitalization was a decrease of three percent. The seven-day daily average number of new deaths was 1,092, the 14-day change in new deaths was a decrease of 15 percent, and the U.S. death total has reached 764,592. Sixty nine percent of the U.S. population over the age of 12 is fully vaccinated, 80 percent have had one jab. 

Before we turn to the international summary comparative data, we link you to StatNews posting that tells us "Not all Covid waves look the same. Here’s a snapshot of the Delta surge."

This week's issue offers The New York Times' summary comparative data from Nov. 17, 2021 for Canada, U.K., France, Italy, Spain, and Germany. Please go to The New York Times International Covid Map page for country data. 

  • An average of 2,324 cases per day were reported in Canada in the last week. Cases have increased by 2 percent from the average two weeks ago. Deaths have decreased by 21 percent.
  • An average of 38,645 cases per day were reported in United Kingdom in the last week. Cases have decreased by 3 percent from the average two weeks ago. Deaths have decreased by 8 percent.
  • An average of 11,264 cases per day were reported in France in the last week. Cases have increased by 111 percent from the average two weeks ago. Deaths have increased by 11 percent.
  • An average of 7,767 cases per day were reported in Italy in the last week. Cases have increased by 82 percent from the average two weeks ago. Deaths have increased by 56 percent.
  • An average of 4,141 cases per day were reported in Spain in the last week. Cases have increased by 126 percent from the average two weeks ago. Deaths have increased by 1 percent.
  • An average of 34,720 cases per day were reported in Germany in the last week. Cases have increased by 56 percent from the average two weeks ago. Deaths have increased by 66 percent.

We stay in Europe looking at their return to lockdowns as a response to increasing case numbers. Austria is locking down the unvaccinated as we see in "Austria’s new lockdown applies only to the unvaccinated." 

The New York Times also offers its comprehensive look at "What we know so far about waning vaccine effectiveness;" a must go to link.

The New Yorker is linked for an in-depth and current look at "The Vaccine-mandate battle," which finds, “Vaccines work, and so do mandates—but Aaron Rodgers and Republican politicians are among those who are muddying the message.”
 
President Biden has promised great access to low cost Covid Rapid tests, Axios offers an update as to how much progress is being made toward that goal in "The best way to use rapid Covid tests — if you can find them."
 
In the “it could be me” long form journalism we link to The Atlantic for Alexis Madrigal’s must read "Getting back to normal is only possible until you test positive," where he reports “I was ultracareful for 18 months. Then I got Covid.”
The Atlantic’s Ed Yong asks and answers with his usual brilliant writing the question "Why are health-care workers quitting in droves?" Yong reports "About one in five health-care workers has left medicine since the pandemic started. This is their story—and the story of those left behind.”
 
Your curators have chosen a trio of podcasts of the week, we first link to The New Yorker: Politics and More’s "Will the office survive the Pandemic?" Where Newport, the author of “A World without Email” tells us that “Remote operation has raised fundamental questions about the purpose of work, its role in our lives, and how productivity is measured. While most companies are asking employees to return to the office as the pandemic eases, Newport predicts that economic forces will eventually drive an exodus toward permanent remote work.”   
 
I would skip the first 11 minutes of Andy Slavitt’s In the Bubble Podcast (a nice chat with mom) and go immediately to UCSF Professor and Covid Expert Dr. Robert Wachter’s comprehensive reporting on "What’s the COVID Risk Right Now?"
 
And before you go, find out how the politicization of Covid school closures in Bucks County, Pennsylvania has led to the ugliest school board meetings in U.S. History and death threats on The New York Times' The Daily.

WiIh Curators and Publisher out of town or in town with guests we may not publish next week or as we have done for other holidays publish an abbreviated edition, therefore let us wish you a week in advance a most happy and healthy Thanksgiving. Enjoy the family reunions and we thank and appreciate our readers who will be working a shift, on call, or need to interrupt your holiday to take care of patient care issues.

Packing for a trip to Chicago for Thanksgiving with family and many visits with friends while our colleague prepares for a small Thanksgiving hosting New Yorkers in Culver City, this is Revitalize for November 18, 2021.
Revitalize: The week in health-care news you need
Not all Covid waves look the same. Here’s a snapshot of the Delta surge

Austria’s new lockdown applies only to the unvaccinated.

What we know so far about
waning vaccine effectiveness. 

The Vaccine-mandate battle:
Vaccines work, and so do mandates—but Aaron Rodgers and Republican politicians are among those who are muddying the message.

The best way to use rapid Covid tests — if you can find them.

Getting back to normal is only possible until you test positive.I was ultracareful for 18 months. Then I got Covid.

Why health-care workers are quitting in droves: About one in five health-care workers has left medicine since the pandemic started. This is their story—and the story of those left behind.
Will the Office Survive the Pandemic? Cal Newport, the author of “A World without Email” and other books, has been writing about how the shutdown has affected businesses and the culture of work. Remote operation, he says, has raised fundamental questions about the purpose of work, its role in our lives, and how productivity is measured. While most companies are asking employees to return to the office as the pandemic eases, Newport predicts that economic forces will eventually drive an exodus toward permanent remote work.

What’s the Covid risk right now? (with Bob Wachter):
Nice conversation with Andy’s mom yet I would skip to 11 minutes to jump immediately into the Wachter interview

The School Board Wars, Part 1: Seemingly overnight, a new battleground has emerged in American politics: school boards. In these meetings, parents increasingly engage in heated — sometimes violent — fights over hot-button issues such as mask mandates and critical race theory.
Jerry Seelig, CEO
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