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COVID -19, Global Update, June Margaret from Queensland, Don’t talk on trains Brazil https://www.bbc.co.uk/news/world-latin-america-53132225 Cases, + 17,000 = 1,083,391 Deaths, 50,591 Testing 20 times less than needed President Jair Bolsonaro, mass protests Two health ministers (both doctors) have left their posts São Paulo, 12,500 deaths Rio de Janeiro, 8,800 Spreading faster in deprived neighbourhoods Remote areas, such as indigenous communities, x2 death rate Mexico, Peru, Chile, Argentina US Cases, 2,2291,355 Deaths, 120,121 COCID Tracking Project and the Antiracist Research and Policy Center COVID data Racial tracker 25,176 block lives lost so far 13% of the US population and 23% of deaths where race is known Black people are dying at a rate more than 1.5 times higher than their population share https://covidtracking.com/race Washington state Some hospitals overwhelmed Florida Cases + 1,000 per day for last 14 days May need to shut down again NYC Reopening continuers as cases drop South Korea Battling second wave Around Seoul Seoul will reimpose stronger measures if new daily cases remain above 30 Complacency of citizens on physical distancing Increase in public transportation usage KCDC Country could see as many as 800 new cases a day by mid-July R = 1.8 Driven by small but persistent outbreaks stemming from a holiday in May We originally predicted that the second wave would emerge in fall or winter Our forecast turned out to be wrong As long as people have close contact with others, we believe that infections will continue UK Cases, 306,761 Deaths, + 15 = 42,731 New cases + 3,612 25% down on last week R = 0.8 4th July, announcement Tuesday Saliva antigen test https://www.bbc.co.uk/news/health-53131237 No swab, spitting into a pot Looking for RNA fragments (Optigen test) 14,000 GP staff in trail for 4 weeks, (Southampton University) Could identify asymptomatics Could get under 1 hour Indicate self-isolation for 14 days https://www.bmj.com/content/369/bmj.m2475/rapid-responses Pakistan Cases, + 4,471 = 181,088 Deaths, + 89 = 3,661. Around 30,000 tests a day, (50,000 recommended WHO) "smart lockdown" on infection hotspots Rawalpindi, not enough police to enforce lockdowns in hotspots Hospitals are turning patients away Continues lifting restrictions India Cases, 435,282 Deaths, 13,699 Infections soar in rural areas Migrant workers fleeing major cities 98 of 112 of the country's poorest districts Iran Cases, 207,525 Deaths, 9,742 High Prevalence of Vitamin D Deficiency among Iranian Population https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5936844/ Defined as serum 25(OH) D less than 20 ng/mL (less than 50 nmol/L) Meta-analysis of 48 studies identified n = 18,531 Males, 45% Females, 62% Pregnant women, 60% Significantly different in various geographical regions Germany Cases, 191,768 Deaths, 8,899 https://www.dw.com/en/coronavirus-latest-german-reproduction-rate-spikes-60-in-a-day/a-53886880 R = 2.88 Robert Koch Institute for infectious diseases Saturday = 1.79, to 2.88 7-day 'r' value = 2.03 Mainly due to local outbreaks in the state of North Rhine-Westphalia 1,300 workers at a meat-processing plant infected Are case numbers increasing outside of outbreak contexts? Meat packing plants in the USA and Canada Many workers black or brown Somalis gravitate to this type of work Chemicals used for processing meat in the USA may affect respiratory health Crowded conditions: people work elbow to elbow Poor ventilation Lack of natural light Limited access to hygiene Workers who are foreigners or migrants often live in dormitory-style residences Take a crowded van or bus to work Access to fresh food

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