pic 
                                                                                                              
                                                                    Every Number Matters
       It may seem that what is presented on COVID-19 Chronicles only has to do with numbers: the numbers of
       confirmed cases, deaths, recoveries, etc. However, it is important to remember that behind every presented
       number is a valuable life. It could be a grandparent, a mother, a farther, a daughter, a son, grandchild, and so
  on. Please keep that in mind as you look at visualizations and data of the ever increasing confirmed cases and deaths,
                                        as every number shown on the screen represents a human being.
                                      The short writings below are ordered starting from the most recent.
            

                                          Our actions can save lives. To protect ourselves and others,
                                          please wear a mask, wash your hands, and social distance.



                                  WHO Declares an E End to COVID-19 as a Global Health Emergency 
                            On 5/5/2023, WHO declared an end to COVID-19 as a global health emergency.

                                "However, that does not mean COVID-19 is over as a global health threat."
                        Appreciate this moment together with deep gratitude, continuous reflection, and learning.

                                                End of COVID-19 State of Emergency in California                                        
                     On 2/28/2023, three years into the pandemic, California's COVID-19 state of emergency ended.

                 Nationally, this is also moving in the same direction with the pandemic emergency to end on May 11, 2023.
                                        However, this does not mean the virus is gone completely.
                       Individual precautions in high-risk situations are still recommended by health experts.
 
                                            San Diego Moved Out from COVID-10 High Risk Level
        As the BA.5 surge recedes, both the COVID-19 hospitalizations and cases in San Diego have decreased.
                      On August 17, 2022, the county has moved from the highest risk tier down to the medium tier.       
    Hopefully, the downward trend will continue and San Diego can move down to the low tier in the near future.

                                              San Diego Has Moved to COVID-19 High-Risk Level
On July 14, 2022, San Diego has been moved to COVID-19 high-risk level by the CDC due to a continued increase
                                                         of confirmed cases and hospitalizations.
                        T
o protect ourselves and the people around us, we should continue taking precautions
                                                                to slow the spread of the virus.

                                          BA.4 and BA.5 Subvariants Become Dominant in the U.S.
      As of June 2022, there has been an increasing number of cases in the US caused by the Omicron subvariants,
                                                                            BA.4 and BA.5.

   BA.4 and BA.5 were originally detected in South Africa, and have now been detected throughout the entire world.
    
BA.4 and BA.5 have appeared to escape antibodies from both previous COVID-19 infections and vaccinations,
                                                   and are thus especially stealthy and dangerous.


                                           San Diego Moves up to Medium Community Risk Level                                   
                                    On 5/25/2022, there were 1,897 confirmed cases reported in San Diego.
                     
                          As cases continue to increase, the county has moved up to a medium community risk level.
                 The medium risk level means that the county should consider higher levels of protective measures.
   
                                                                COVID-19 Cases on the Rise in San Diego  
COVID-19 cases are now rising in San Diego with thousands of cases reported in the county the first week of May 2022.
                                 In order to help detect and prevent the virus as the number of cases rise,
                                                      doctors share tools to aid these endeavors.


                                                       Immune Protection Against COVID-19
                   Researchers have been studying how well our immunity can protect us against COVID-19.
       These studies have been made from different perspectives, such as how protection holds up against infection
        if a person has received a different vaccine, protection against hospitalization with low immune functioning,
                                                       immune protection after the infection, etc.


                                                               New COVID-19 Variant XE                              
                               A new COVID-19 variant has now been found in U.K., India, and Thailand.
                                     As of April, 2022, there has been 600+ XE cases detected in U.K.
      XE is a recombinant of Omicron BA.1 and BA.2, and researchers are now monitoring this new variant closely.
                                                How to Prepare for the New Wave of COVID-19                            
                                Due to BA.2, the next wave of COVID-19 is spreading through parts of U.S.
               Though the virus is unpredictable, there are important approaches to protect ourselves and others.
     

                                                     COVID-19 Increase in Local Wastewater        
              San Diego researchers started to monitor the COVID-19 virus in wastewater since summer of 2020.
Their
approach has predicted Delta and Omicron surges weeks before they were even clinically/diagnostically reported.
                     On March 24, 2022, researchers again detected a surge of viral load in local wastewater.
                                 Experts are taking this as precaution to warn people to be more careful.

                                                            New Potential COVID-19 Wave                 
                  Due to the new BA.2 variant, COVID-19 cases are now surging in some European countries.
                          Like before, there could be similar waves in the U.S, following those in Europe.
                              Meanwhile, scientists are researching key questions about the new variant..                                                            
                                               During these times, let's be proactive and keep safe.

                                                                Two Years into Pandemic
                                     On March 11, 2020, WHO had declared COVID-19 a pandemic.
                                                Now, it's March 2022, two years into the pandemic.
         Over the past two years, there have been 6 million deaths globally. This is not just a number, but represents
                                                    tragic losses to families and other individuals.
        Over past the two years, healthcare workers have worked days and nights, risking their own lives to others.
     Over the past two years, scientists have raced against time and COVID-19 by producing vaccines, treatments,
                                                                    and valuable research.

    As WHO director said, the pandemic is not over yet "it will not be over anywhere until it's over everywhere."


                                               Multisystem Inflammatory Syndrome in Children                 
                    Multisystem inflammatory syndrome (MIS) is a condition associated with COVID-19.
                          MIS is rare but serious, affecting both adults (MIS-A) and children (MIS-C)
                                                       with MIS-C more common than MIS-A.

           As of 3/1/2022, there has been 7459 MIS-C patients in the U.S. with the median age being 9 years.
      MIS-C could be life-threatening, so parents need to be especially vigilant and watch out for their children.

                                                        Be Careful about the BA.2 Variant 
 BA.2, a strain of the Omicron variant, is about 30% more transmissible than BA.1, the original Omicron variant.         
                 The cases caused by BA.2 have been increasing, and new studies have been conducted on it.                 
                     It's important to pay  attention to BA.2 and to continue keeping our guards up.                                  
    

                                                                        Mask Wearing
                       Wearing masks have been proven to reduce the spread of COVID-19 and save lives.
          Although some mask regulations are loosening, the CDC still recommends to wear masks in areas
                                  of substantial or high transmission, as well as in educational settings.

                                                                    Stay safe, everyone!
                                   

                                            
Masks Provide Best Protection Against Covid-19         
           As we all know, wearing masks while indoors can serve as great protection against COVID-19.
    
       On 2/4/2022, the CDC said that based on a study that was conducted by the California Department of
                 Public Health, high-quality N95 and KN95 masks are proven to provide the highest and
                                                           best protection against the virus.

                                                           

                                                      The Stealthy Omicron Variant, BA.2      
   
As of 1/28/2022, there have been at least 120+ cases of BA.2 (a version of Omicron variant) detected
       in almost half of the U.S states. BA.2 is considered to be a stealthier version of Omicron because it's
                                              harder to detect due to its particular genetic traits.
                               Health experts have now been keeping BA.2 under close observation.

                                                                                    Mask Guidance Updates
           As we all know, masks are integral in protecting ourselves and others from the COVID-19 virus,
especially with the highly transmissible Omicron variant that has been spurring high infections and hospitalizations.
                                  On 1/14/2022, CDC updated their masks guidance for the public.
   In the updated guidelines, the highly-protective N95 or KN95 masks are recommended for highest effectiveness.
                          High quality masks are extra layers of protection for us. Stay safe, everyone!

                                                    Step Up and re-dedicate to the Precautions

     As of 1/11/2022, there were 145,982 COVID-19 patients hospitalized nationwide, surpassing last winter's peak. 

    In San Diego county, there were also a record number of daily new cases with more than 19k on January 9th and
                            17k on January 10th, as well as an increasing number of hospitalizations.
             As the county public health officer said, "We must all step up now and re-dedicate ourselves
                                                    to the precautions that we know work."


                                                County Daily COVID-19 Cases Passed 8000
                  The U.S. reported over 1 million new daily COVID-19 cases this Monday (1/3/2022).
                  In San Diego county, the daily cases passed 8000 this week as well on January 1 and 4.
                              The COVID-19 total hospitals has passed 700 this week in the county.
           We have to be very careful about this, especially as hospitals are becoming more strained and stressed.
                                                                Stay safe, everyone!

                                                        Unprecedented COVID-19 Surge                        
                  Unprecedented in the pandemic, there is has been a huge surge of COVID-19 cases now.
   Experts advise people to not "get a false sense of security with Omicron," especially for the young children.

        On December 30, 2021, there were almost 6,000 new COVID-19 cases reported in San Diego county.
    Furthermore, the number of COVID-19 patients has surged to almost 600 on 1/1/2022 in the county hospitals.

                             In the new year of 2022, let's continue to keep our guards up and stay safe!

                                                Pfizer High Efficacy of COVID Antiviral Pill
           On 12/14/2021, Pfizer announced that its COVID-19 Antiviral pills (Paxlovid) reduced the risk of
            hospitalization and death by 89% for adults with high-risk severe COVID-19. This was done from
                                                         the final analysis of its clinical trial.
           It is also likely to work against the Omicron variant as shown from the recent lab data results.

                If the FDA authorizes the drug, it could be available in the U.S. by the end of the year.

                                                           Omicron Cases in San Diego                 
        As of 12/10/2021, there have been two Omicron cases identified in San Diego county.
        The first local case had recently traveled abroad, while the second didn't have travel history.
As the county public health officer warned: "This case confirmed that the Omicron variant is now
     spreading in the community." We should continue to take the recommended precautions.

                                                  20+ Omicron Confirmed Cases in the U.S.
        The first U.S. cases of Omicron were detected in California's San Francisco area on 12/1/2021.       
                  As of 12/4/2021, there have been 20+ confirmed Omicron cases in 12 U.S. states.
      Intense research of this new variant has begun, and we will know more about it in the near future.

                                                                      Omicron Variant    
On November 26, 2021,
the World Hea
lth Organization (WHO) classified a new variant of concern: Omicron.
              Omicron was first identified by South Africa and has since been detected in Czech Republic,
           United Kingdom, Germany, Israel, Italy, and Hong Kong; it adds new peril to this holiday season.

                Researchers are now following this new heavily mutated variant more closely as it spreads.

                                                                    
Thanksgiving, 2021                 
    Thanksgiving 2021 is coming. I've always kept gratitude in my heart, but especially more so these past couple
of years. I appreciate all those who are helping each other, helping their community, and helping our nation as well
     as the world. During this holiday season, we should show our appreciation and gratitude with our hearts and
                                          with what we can do to celebrate
Thanksgiving safely.
                                                        

                                                             Stay Safe During the Holidays
Holidays are coming, so when we celebrate the holidays and get together with our friends and family, please stay safe.
      According to the CDC, "By working together, we can enjoy safer holidays, travel, and protect our own health
                                                  as well as the health of our family and friends.


                                                COVID-19 Vaccine for Children 5-11 Years Old
           The CDC has officially endorsed the Pfizer vaccine for children 5-11 years old on November 2, 2021.
                       The Pfizer vaccine for children is one-third of the dose that's used for teens and adults
                                               and will be in bottles with orange labels and tops.

In San Diego as of 11/3/2021, the Rady Children's Hospital has already started to vaccinate children in this age group
.

                      Pfizer's COVID-19 Oral 
Pill Significantly Reduced Risk of Hospitalization or Death
              On Friday (11/5/2021), Pfizer announced that its COVID-19 oral antiviral candidate demonstrated a
  significant reduction in hospitalizations and deaths in high-risk adults through its interim analysis of a phase 2/3 study.

          Pfizer will ask the FDA to authorize its pill as soon as possible. Most COVID-19 treatments currently need
               injection or IV, so it will be important advancement to have oral pills treating COVID-19 early on and
                                                      speeding up recovery, thus saving lives!


                                            U.S. FDA Authorizes Pfizer COVID-19 for Young Kids
On 10/29/2021, FDA authorized the emergency use of Pfizer-BioNTech COVID-19 vaccine for children ages 5-11.
                                      This makes the vaccine available to 28 million children in the U.S.
                        The vaccine for children is a smaller dose than the one for those that are 12 and older.
                                              The series also consists of two doses given 3 weeks apart.

                                          
CDC Released New Guidelines for Winter Holiday Season
                               On 10/15/21, the CDC released a new guideline for this winter holiday season.
                                According to CDC, by working together to wear masks and get vaccinated,
                      we can enjoy safer vacations and protect our own health, as well as our family and friends.
                                                     
                                                      Merck Antiviral Pill to Fight COVID-19 
                                 
                                                         San Diego COVID-19 Deaths Exceed 4,000
   
                         As of 9/17/2021, San Diego County marked a grim marker of 4,000 COVID-19 deaths.
Since March 1, more than 96% of hospitalizations and 89% of deaths have occurred in people who are not fully vaccinated.
        By this Friday, 77% of San Diegans 12 years or older had fully vaccinated, and 87% had at least one dose.

                            

                                        CDC Asks Non-vaccinated People to Not Travel During Labor Day
       CDC director urged non-vaccinated people to not travel during Labor Day weekend due to the big surge of
 C
OVID-19 cases. For people who are vaccinated, CDC suggested to travel with precautions by taking COVID-19 risks
into consideration. In U.S alone, there were three times as many people who died due to COVID-19 in August than in July.
                                               Please be cautious while enjoying this holiday weekend! 

 

                                        COVID-19 Hospitalizations Reach an Eight-Month High in U.S.
               U.S. COVID-19 hospitalizations have more than doubled in August 2021. Every hour on average
           over the past week, 500+ people who were confirmed to have contracted COVID-19 were hospitalized.
               At the end of August 2021, U.S. COVID-19 hospitalization hit eight-month high over 100,000.
 
Again, we really need to take the current situation seriously and commit ourselves to what has been proven to work.
                                                                           Stay safe everyone!

                                                             
                                               Surge in Cases Among Children in U.S. and CA
    In August 2021, there has been a dramatic surge of COVID-19 cases both in California as well as the U.S. as a whole.
                                                 It has gone up very quickly in the last few weeks.
         Nationally, pediatric COVID-19 hospitalizations surge in children, particularly in areas with low vaccinations.

                                        The surge in children could be due to several reasons, such as:
                                           - No vaccines are available for children under 12 years old yet
                                           - Low vaccination rate in some areas
                                           - Fast spreading Delta variant
    According to the American Academy of Pediatrics, "there is an urgent need to collect more data on longer-term impacts                                    
                                        of pandemic on children,   physically, emotionally, and mentally."
                              Now that schools are open, as the pediatric infectious disease specialist said:
  "We can't be casual with our children," and parents need to teach their kids to wear masks and practice social distancing.
                       
                                                                                 
Lambda Variant

 The lambda variant of COVID-19 was discovered in Peru at end of 2020, making up around 90% of the cases in Peru.
         Now, in August of 2021, the lambda variant has been identified in 29 countries, including the United States.
                As more and more variants spread, experts address some of the general questions about the variants.

                                       CDC and CA Recommend Wearing Masks in Indoor Public Settings
                       Due to the rising number of COVID-19 cases caused by the more transmissible Delta variant,
          on 7/27/2021, CDC recommended for everyone regardless of vaccination status to wear mask indoors in
                                  public settings.
On 7/28/2021, CA public health officials recommended the same.


                                                             Cases in San Diego COVID-19 Explode
                                  
On 7/20/2021, there were 521 new COVID-19 cases in San Diego alone.
                                    Three days later, on 7/23/2021, there were 1,264 new cases in a single day.
                                        The 14-day rolling average positive rate was above 5 percent again.
                                                    The hospitalizations are on a big rise as well.
   According to the county, the "surge is driven mostly by Delta variant in unvaccinated people." It is a "pandemic
         of unvaccinated." As the county official said, "the way to slow the increase and protect yourself is to trust
                                                                  your doctor and get a vaccine."

  
                                                   US COVID-19 Cases Doubled Last Three Weeks 
After months of decline, the COVID-19 cases have doubled across the US over the last three weeks in July 2021.
                      There is now a surge in San Diego with 579 cases reported on Thursday 7/15/2021.
                                            This could be due to multiple reasons like:
                                                           - Fast moving Delta variant
                                                           - July 4th travels and gatherings
                                                           - Vaccination hesitancy
                                                           - Restrictions have been lifted
 We need to remember to continue to take all safety precautions, avoid large group gatherings, and if old enough,
   get the vaccine as soon as possible. It is only this way that we can work together to drive down the increasing
                                           cases and keep ourselves and others around us safe.

 

                                                                         Delta Variant
  As a new and much more transmissible form of the COVID-19 virus, the Delta variant, is spreading around the
                             world very rapidly, the CDC has identify this variant as a "variant of concern."
                          At the end of June 2021, the Delta variant has spread to around 80 countries/regions.
                                 Now, more than 20% of U.S. COVID-19 cases are due to the Delta variant.
                           Furthermore, there is now a new version of Delta called the Delta Plus that is circulating.
                            California confirmed cases are also increasing as Delta variant is spreading.
                          Furthermore, there is a new changed version of Delta which is called Delta Plus
As the state public health officer said, "vaccines are saving lives every day," and people "who are not vaccinated
                            against COVID-19 are extremely vulnerable now to the fast-moving variant."
 
                                                Electronic Vaccine Cards are Coming to CA Residents
      California launches a "Digital COVID-19 Vaccine" system, a new approach
for people to keep track of the
                vaccination status online.The electronic vaccine card could be used as a convenient alternative
                                                             and backup for the paper vaccine card.

                                      
                                                 What Changes and What Doesn't on June 15, 2021?
                                                    Next Tuesday June 15 is California's big reopening.
                                                                What will change and what will not?
                                         This article can address many questions that may be in people's minds.
                                           
                                                          
               Vaccine For Adolescents
           Earlier in May, Pfizer-BioNTech's COVID-19 vaccine became available for adolescents.
Recently,
o
n 5/25/2021, Moderna said that its "COVID-19 vaccine [is now] safe and effective for 12-17 year adolescents".
                        The findings will be submitted to the FDA for emergency approval in early June.
                   Both Pfizer and Moderna have also started trials in young children (6-month to 11 year)
                                                       which will hopefully see results in the near future.


                                                          Another New COVID-19 Variant Detected
             
There have been four COVID-19 variants identified of global concern, including those that have
          emerged in Britain, Indian, South Africa, and Brazil.
On May 29, 2021, health officials confirmed that
              Vietn
am has detected a new COVID-19 variant that is a hybrid of the Indian and UK variants.
           This new variant spreads quickly in air and is more transmissible than previously detected variants.


            Improved Ventilation and Mask Usages to Reduce COVID-19 Incidences in Elementary Schools
   As more and more schools are re-opening now, Pfizer's COVID-19 vaccine has become available to children ages
12 to 15, but
how can we protect the children who are under 12 years old? A new study by CDC showed that elementary
  schools that mandate masks and that have improved their ventilation systems have significantly fewer COVID-19 cases.
     Even as people become fully vaccinated, "universal and correct use of masks is always recommended for adults and
   children in school, regardless of immunization status." There are different kinds of variants that exist now, and it is still
              vital that we continue to be cautious and take care to protect ourselves and the people around us.

                                                 
Vaccine is Now Available to Children 12 to 15
           FDA has authorized the use of Pfizer-BioNTech COVID-19 vaccine for 12 to 15 year old children.
                                     The first shot for children 12+ will be on Thursday (5/13/2021).
        As a pediatric infectious disease expert said, "This is really important piece of coronavirus prevention.
       When we vaccinate children, we don't just protect them. We protect their parents and their grandparents."

                                                                                                                                                                                               
                                                    Pill to Treat COVID-19 In the Near Future                                       
  Global scientists and researchers have been continuing to work on ways to stop the pandemic, and a Pfizer antiviral
treatment pill for COVID-19 is under clinical trial now. As the chief scientific officer of the company said, "Tracking
           COVID-19 requires both prevention via vaccine and targeted treatment for those who contract the virus."
                      Depending on the success of the clinical trials and approval of FDA, the oral antiviral pill
                                                     could be available to the public by the end of 2021.

                                                 TSA Extends Mask Requirement for Public Transportation
TSA (Transportation Security Administration) extended mask requirements until September in transportation system
         (airports, commercial aircraft, bus and trains) to minimize the COVID-19 spread on public transportation.
As a TSA official said, "About half of all adults have at least one vaccination shot and masks remain an important tool
in
defeating this pandemic." This doesn't only apply for public transportation, as wearing a mask is still a vital approach
                                                                    to protect ourselves and others.

                                                                   
                                                                           New COVID Variant  
 Scientists have detected a new COVID-19 variant related to the U.K. strain. It shows signs of antibody resistance and
                             is even more 
contagious, causing more severe sickness in young people especially.                                   
As more variants are detected, more challenges arise. We should still continue to wear our masks, keep social distance,
                                                                            and avoid big gatherings.
                   

                                                                        Vaccine Eligibility
Milestone
                  As of this Thursday (4/14/2021), California's COVID-19 vaccine eligibility is now open to people
16 years and older. If over 2 million San Diegans are vaccinated (75% of the eligible population), San Diego county will

reach the goal of heard immunity.
This is incredible news, but even after vaccination, people can still get infected or spread
                                      the virus.
We still need to be very careful and follow health and safety guidelines.  

                                        Orange Tier, but Still Continue to Take Appropriate Measures
            San Diego's case rate is now 5.8 (per 100,000 population) and the county as moved into the second to least
               restrictive Orange Tier
on this Wednesday 4/7/2021! However, although we have "made significant
     progress in lowering our local case rage,"
as a local public health officer said, "San Diegans should enjoy the benefits
   while continuing to take appropriate measures to protect themselves and others
especially washing their hands, wearing
                                        a mask, watching their distance and, when it's their turn, getting vaccinated."


                                                              Spring Break, Don't Let the Guard Down
              San Diego has made a lot progress and has moved down to Red Tire along with more reopening progress.
               However, when we enjoy our spring break, let's not let our guards down in this fight against COVID-19.
                                After Christmas and New Years, we saw a huge COVID-19 surge in our community.
                            Let's all do our best to prevent a similar situation from happening again after spring break.
                       
                                                                                   
Possible COVID Surge Warned by CDC
                                  U.S. cases increased by 7% over the last week, and variant cases are also growing.
                         CDC Director warned today (3/26/21) that unless we maintain the pandemic safety measures,
                          the U.S. could suffer another surge of COVID-19 cases;
we need to take this very seriously.
                           Please continue to wear masks, keep social distance, and avoid big gatherings and traveling.

                                                  Moved Down to the Red Tier, but Continue to Do Our Part
      On 3/17/2021, our county has been moved into less restrictive Red Tier after staying in the most restrict Purple Tier for
                             four months! Business and schools will be opening with capacity limits and precautions.
                                                 However, we will still need to do our parts to protect each other.
As the county public health officer said, "the relaxing of restrictions should not encourage San Diegans to let their guard down.
  We are urging community members to continue to do their part, get vaccinated once they are eligible and take the necessary
           vaccinated once they are eligible and take the necessary precautions to avoid getting and spreading COVID-19."                 
                                             
                                                    Google Doodle Celebrates Surgical Face Mask Pioneer

     Over a century ago, Dr. Wu Lien-teh invented the surgical face mask that was used to fight off the Manchurian plaque

  and is the precursor to the N95 mask we have today. One hundred years later, surgical face coverings are still widely used
                in our battle against COVID-19. On 3/10/2021, Google doodle celebrated Dr. Wu's 142nd birthday

                                    to commemorate him for saving so many lives, both back then and now.

                          We are so grateful for Dr. Wu, and he "remains as much of a hero now as he was then."


                                                 In the Right Direction on the Path to the Lower Tier
                                       
As of Tuesday's (3/2/2021), San Diego will stay in the Purple Tier
                        due to 10.8 case rate, which is higher than the required case rate of 7 to switch to the Red tier.
                 However, our community is heading in the right direction and we are now on the path to the lower tier.
         We can see the COVID-19 cases are dropping in our community as more and more people are receiving vaccines.
Again, "i
t is vital we continue to do everything we can to slow the spread and continue our forward progress and momentum."

                                    Please Still Wear a Mask Even After Receiving the COVID-19 Vaccine
         There have been many people who are now receiving the COVID-19 vaccine. Should we still wear mask
       after getting vaccination? The answer is a definite YES! There are several reasons why it is important to do so:
        First, it is so that we can protect others, as "it is possible that vaccinated people could still transmit the virus,
         even if they don't fall ill themselves." Secondly, we still need to protect ourselves. As a medical expert said:
 "with vaccines that are about 95% effective at preventing COVID-19 infection, there is the possibility that a small group
                                of individuals will contract the virus after taking both doses of the vaccine."
        Furthermore, we need to be care of the infectious variants of COVID-19 that are spreading around the world.
                     Even after vaccination, we still need to be very careful and follow health and safety guidelines.              

                                            COVID-19 Cases Decline, but Must Still Take Precautions
             Increasing numbers of people have become cautious nowadays to prevent the spread of COVID-19.
            We see more and more people wearing masks, keeping social distance, and avoiding large gatherings.
          As a result, the number of cases have recently declined both nationally and locally. We are very glad to see
                         this trend in the right direction, but we still need to maintain precautions like before.
           As Dr. Rochelle Walensky from CDC said, "
It's encouraging to see these trends coming down, but they're
    coming down from an extraordinarily high place." Though cases are declining, there are still many cases everyday,
                                                 and "it could be a calm before a variant-driven storm."
                "
We need to all take responsibility to decrease that community spread, including mask wearing." 

                                                                        COVID-19 Vaccines
                 The COVID-19 vaccines are rolling out and starting to be used globally, nationally, and locally, and
           we are really grateful to those who have worked day and night to make this happen, bringing hope to people
      during this pandemic. Our community have opened several vaccine sites for people to get vaccines phase by phase. 
                                   In the near future, more and more people will be able to get the vaccines.
          However, we must remember that even if we get vaccinated, we should continue to be cautious and do what
                       we are doing now: wearing face masks, social distancing, and avoiding large gathering.

                                                     Long Term Effects of Improper Mask Disposal
              Wearing face masks is very important during the pandemic, and now, there are over 100 billion face masks
                      used globally every month.
Improper face mask disposals, especially on such a large scale, 
                would result in drastic, negative long-term effects to the environment, animals, as well as humans.
      After we use a mask, let's all do our part in protecting the environment and properly dispose them without littering.

                                               Federal Transportation Mask Mandate Issued by CDC
  The CDC issued on 1/29/2021 that a federal transportation mask mandate will effective starting next week (Feb. 1, 2021).
    "People traveling within or out of the United States must wear face masks while on conveyances and at transportation
hubs to prevent the spread of COVID-19. This includes airplanes, ships, ferries, trains, subways, buses, taxis and ride-shares,
                                          as well as subway stations, airports and other transportation hubs."
                                                   The key objective is the "preservation of human life."

                                              COVID-19 Deaths Hit Record-High in San Diego County
     
          On January 22, 2021, there was a record-high of 79 COVID-19 deaths in San Diego county. As of this
     Friday, there have been 222,578 total cases and 2300+ deaths in the county. Furthermore, "t
hese record numbers could
      are from people who were initially infected around the Christmas and New Years Day holidays."
In the near future,
              we will see more vaccination sites available locally, and more people could potentially obtain vaccines.

          However, we should not completely rely on the vaccines. We still need to do everything we can do to protect
                                        ourselves and others, continuing to social distance and wear a mask.

                                                              
Lingering Symptoms of COVID-19    
          
Researchers that followed COVOD-19 hospital patients after their acute infection for six months found that
75% of patients still have at least one symptom
.
The research paper was published on January 08, 2021 on The Lancet.      
           The researches are worried about the unknown future for these patients who still have lingering physical and
      psychological problems due to COVID-19, and they are not sure how long it will take them to fully recover.
    COVID-19 is much more dangerous than many think. and I hope everyone realizes this. Stay very cautious and safe!

                                                                         Another Record High
                     
During the first week of 2021, there has been several days that have witnessed more than
         4000 daily new confirmed cases. On January 8th, there was a record high of 4550 cases in San Diego alone.
       There are 185,000+ COVID-19 total confirmed cases and 1700+ deaths in the country now. Hospitalizations are
                                  increasing dramatically, and the numbers of ICU beds are almost exhausted.
                                      We really need to take the virus and the current situation seriously and
                                     commit ourselves to what has been proven to work. Stay safe everyone!


                                                              New COVID-19 Variant Affects Locally
             As told, the new and even more infectious variant of COVID-19, which was first identified in the U.K,
        is spreading around the world very fast. It has spread to dozens of countries already. Now, at the end of 2020,
                                                        this variant has been detected in San Diego County.
     The health experts say that "it is already spreading in the community," and emphasized that "we need to continue
       the social distancing, we need to continue to wear the face mask to protect ourselves, to protect others as well, and
                                                                            we need to it better."

                                                                                                  Superspreader Action
     "Superspreader action" refers to large in-person gathering where "the presence of one infected person has the potential
   to spur a viral outbreak." Two recent outbreaks in December 2020 in Oregon were attributed to the "superspreader action"
  with one person going to work while sick. "One of the outbreaks has resulted in seven deaths, and the other recent one has 
put over 300 people/families in quarantine." The "superspreader action" is one of the most concerning issues in not just Oregon,
                    but the whole nation. Again, to protect ourselves and others, we need continue to be cautious.

                                          A New and Potentially More Infectious Variant of COVID-19
      On 12/23/2020, the British government confirmed a "new, potentially more infectious variant the novel coronavirus."
   British Health Secretary Matt Hancock said, "This new variant is highly concerning, because it is yet more transmissible,
       and it appears to have mutated further than the new variant." The mutated strain of the virus is believed to be "up to
   70% more transmissible." As CDC said, this "new coronavirus strain that was first detected in the United Kingdom could
       already be circulating in the U.S. without notice." We need to all be extremely cautious during this holiday season.
           
                                                    Daily COVID-19 Cases Record High Above 3,000

                                                        COVID-19's Mysterious Long-Term Effects
  COVID-19 has had long-term effects on many people, even including those who had no or mild symptoms and are young.
                     It affects not only the lung, but also many other organs such as the heart, digestive system, kidneys,
   and the nervous system. Post-acute COVID-19, also called "long COVID," is a multi-organ system disease
that could
last for a long period of time.
Scientists and doctors are trying to crack down on long COVID's devastating second effects
     and finding explanations for its symptoms. They found that the "
immune-system activity and ensuing inflammation
                                  continue to affect organs or the nervous system even after the virus is gone."
           
                     
                                                                        The Pleads of a Doctor

              
On Thanksgiving, a doctor from Texas who had worked for 256 days non-stop cradled an elderly
    patient who, on top of feeling the horrible effects of the virus, was combating isolation as well.
The doctor pleaded
                                             with people to just "do the basic things" to avoid infection.

          
This doctor is only one of hardworking healthcare workers who are risking their lives everyday. This elderly
    patient is only one of the elderly people who have been infected by COVID-19, which is even more deadly to them.
Please DON'T think that COVID-19 is only a "mild flu." Some people may even be asymptomatic, but can still rapidly
spread the virus to other people around them. Please think about thousands, and even millions of other people like this
            elderly patient, this doctor, as well as their families as you follow health and safety guidelines.
As the doctor put it
, "'it's very simple. If people can do that health care workers like me will be able to -- hopefully rest.'"                      
                                                                                   
                                                                A Quarter-million COVID-19 Lost
                
As of November 18, 2020, there has been a quarter-million COVID-19 deaths in the United States alone.
                   The number of deaths may even be an underestimate of the total impact of the pandemic on mortality.
         CDC researchers have done studies on the excess deaths that have occurred from late January through the beginning
       of October. According to the research, at least 2 out of 3 of the excess deaths in the US during that period of time were
        caused by COVID-19. "CDC continues to recommend to use masks, frequent handwashing and maintenance of social
                                                                  distancing to prevent COVID-19."


                                                                                                 Thanksgiving, 2020
                 Thanksgiving is now nearing the corner. I've always kept gratitude in my heart, but especially more so
        this year. I appreciate all the people who are helping each other, helping their community, and helping our nation
         as well as the world. During this holiday season, we will not have gatherings in person; instead, we will show
        our appreciation and gratitude with our heart and with what we can do while keeping ourselves and others safe.
                                               

                                                                  The Darkest Hour before the Dawn
         Now, nearing the end of 2020, there has finally been some good news announced in November: two COVID-19 mRNA
     vaccines from
Moderna and Pfizer are found to be >90% effective. This definitely brings some light to the current darkness.
     COVID-19 is spreading more rapidly across the U.S. than it has at any time since the pandemic started, with >250,000 dead
             
as of 11/19 and more than 100,000 daily new cases; hospitalization and ICU rates are increasing as well.
        In San Diego, 
there are record-high numbers of cases, with the  daily new case number even above 1000 some days.
We know the dawn is coming with the vaccines, but we have to first face this darkest hour and continue to keep our guards up.
                                                  
                                                                    San Diego is now in the Purple Tier
                  As of 11/13/20, in San Diego, there were more than 600 new COVID-19 cases daily for three consecutive
                   days. For two consecutive weeks, there was a case rate of more than 7 cases per 100,000 residents.
               The Purple Tier restrictions start on 11/14/20. Now, it is even more important to take action together to
                  move out of purple tier and curb the high case rate, protecting ourselves and others around us.


                                                                         Don't Let Our Guards Down
            On November 4, 2020, there were 530 new confirmed COVID-19 cases in San Diego alone. The increasing number
         of
cases is pushing San Diego into the Purple Tier ( most-restrictive tier). Cases are not only increasing in San Diego:
        as of 11/6, there was more than 100,000 new cases in a single day for three consecutive days throughout the US.
During
     these past few months,
"people are [getting] tired of this pandemic and letting down their guards," but it is very important to
                                                                             continue to take it seriously.

            As public health officer Dr. Wooten said, "Cases are increasing in the region and it is vital that we take this virus
      
seriously and recommit ourselves to the strategies that are proven to work. Wear a face covering when you go out in public,
                                        stay six feet away from others and avoid crowds and large gatherings."

                                 
                                                                         Coronavirus Antibody Decline
                                Can people build immunity against COVID-19? Will the herd immunity strategy work?
                  There have been people around the world who have gotten reinfected by COVID-19 within a few months
.
                   According to a U.K. study
, antibodies against the coronavirus may actually decline after people recover.


                                                                        COVID-19 Collides with Flu Season
                                        San Diego's total confirmed cases has reached above 50,000 on 10/11/2020.
                                       Fall is here, and winter is approaching quickly, and flu season is coming soon.
                                    When COVID-19 collides with flu season, there will be many more uncertainties.
                          Though we don't know exactly what will happen, all the preventive measures, such as wearing
                a mask, washing your hands frequently, social distancing, etc., will continue to be of utmost importance.
  
                                                                    Never Downplay or Dismiss the Virus
                            The COVID-19 virus is both cruel and cunning. People's lives, families, and countries
                          will be at a huge risk if we downplay or dismiss it. No matter who we are, our actions will
                     affect not only ourselves, but also the people, the community, and the country around us.
Hope all
                    of those infected will recover soon. Hope all those who've lost family and friends will also recover.

                                                                        COVID-19 Digital Head-up
                In September 2020, UCSD launched a pilot smartphone-based COVID-19 exposure notification program.
            It will be used to "help rapidly control COVID-19 outbreaks." This is definitely a great example how technology
    can help society, especially during the pandemic. It is very important to be aware and keep track of the COVID-19 status
  around you, so this will be very helpful in preventing and controlling the spread of the virus. There have been no outbreaks
          at UCSD so far.
"If UC San Diego’s program is successful, the state may decide to offer similar notifications to
                                                                        residents across the state."

                                                                                    200,000 Lost
   As of 9/22/2020, there have been 200,000 people in U.S. who've lost their lives due to COVID-19 (since February, 2020).

     "It's an enormous and tragic loss of life." A global health and epidemiology expert said, "Many of the U.S. COVID-19 deaths
               likely would have been prevented by widespread use of face masks, social distancing and other measures."
             Let's all do our part in combating the pandemic: wear a mask when going out, social distance, and keep safe!
       
                                                            Closing, Opening, Re-closing,  Re-Opening...
                                                                           Where are we going next?
           Since March 2020, San Diego has gone through a lot - constant closings, openings, re-closings, and re-openings.
       Now, it is September 20th, 2020, and the rate of the county's cases is still pretty high. It is believed that San Diego may
                     backslide to the Purple Substantial Tier 1.
On Sept. 22, the county's case rate was re-evaluated.
                  "The county reported 6.9 new daily cases per 100,000 population, just 0.1 away from the dreaded
         “purple” tier, the state’s most restrictive." So, San Diego will stay in the Red Tier for at least one more week.


                                                        Best Wishes to the On-Campus College Students
                Many colleges are open for school now. Nationwide, there have been a lot of confirmed cases on
       different campuses.
From August 24th to September 25th 2020, there have been over 1000 SDSU confirmed
         student cases. That is not a small number,
and it is even increasing! Beyond the number, that means over
        1000 student's lives are threatened and in danger, and over 500 families
are worrying about their sons/daughters.
         Our best wishes go to all those who are on campus for school, especially those who have
contracted the virus.
                                                         Take good care and hope all of you recover soon.
                                                  Meanwhile, we hope all the students on campus keep safe,
                                             wear masks, and social distance to protect themselves and others.

                                                                             Purple or Orange - Which Direction to Go?
       On Labor Day 2020, San Diego's temperature rose above 110F. However, the historical high temperatures have
        not pushed away COVID-19. Instead, there are potential spikes that need to be worried about. People were on
 crowded beaches and bays without wearing masks and keeping a social distance. Thus, it would not be surprising to see a
 COVID-19 spike of cases soon. As of now (9/12/2020), San Diego is in the second-risk level- the Red Tier (Substantial).
      Which direction are we going to to go? The highest-risk-Widespread Purple tier? Or Moderate-Orange Tier 3?
     It will depend on many factors, but one thing we can be sure is that our actions will directly affect the outcome.

                                                                        COVID-19 Reinfection
                  Usually, people who get a viral infection will develop a healthy immune response with both
         T cells and antibodies. People expected COVID-19 to act similarly, but after some have been reinfected
         by COVID-19, we know that the situation is much more unpredictable and severe than previously thought.
      Several COVID-19 cases around the world have shown us that people may get infected by COVID-19 multiple
 times. Scientists expected that the immunity from the first infection will help to reduce much more severe symptoms
if it couldn't prevent the reinfection. However, Nevada resident who got reinfected by COVID-19 had more serious
symptoms when he got re-infected, showing us that COVID-19 is much more cunning and unpredictable than we had
expected. "The degree of protective immunity conferred by infection with COVID-19 is currently unknown and the
                                            possibility of COVID-19 reinfection is not well understood."


                                                                     Asymptomatic COVID-19
        Asymptomatic COVID-19 refers to how people can catch COVID-19 but don't have the symptoms. Asymptomatic
COVID-19 is silent but is still harmful to the person. There are many people who may be asymptomatic (around 40% infected
with the virus are), especially younger people. However, a person with asymptomatic COVID-19 still has the virus, and is likely
   to infect other people as well. This thus negatively affects groups of higher risks, such as the elderly, people with potential
                                                          illnesses, and people with low immunity.


                                                                     "Lost on the Frontline"
         
The frontline health workers are heroes who risk their own lives to fight the pandemic and care for the sick.
                        Words are not enough to express how much we are appreciative and grateful for them.
              As of August 10, 2020, there have been 922 health workers in the US who have lost their precious lives.  
          That means that more than 900 families have lost their mother or father, daughter or son, sister or brother, etc.
 When we wear masks and when we social distance, we are not only protecting ourselves and people around us, but we
     would also be contributing to the decrease in the number of frontline health workers infected with COVID-19.

                                                                     For Our Grandparents
                            
From the tracking, we can see that COVID-19 death risk rises sharply with age.
                            It could be "hundreds of times more deadly for people over 60 than those under 40."
                That means, for a young or middle aged person, there may be no symptoms or very light symptoms,
                                                        but for the elderly, it could be very deadly.
                             So for our grandparents and the elderly around us, please be careful and
take
                                                              necessary preventive measures.


                                         Not Gathering Now Means More Gatherings in the Future
                        
              Many community outbreaks occurred in July 2020 in San Diego. 
                             "It is more than double the number reported in June,
and more than the number
                    reported from March through June."
During this unusual time, we should learn to politely say
                                                                   "no" to social gatherings.
                                                             
                                        Young Children may be important Drivers of COVID-19
           
When we see that children have relatively lower cases and deaths, people may think children are not easily
            affected by COVID-19, but that is not the case. "Young children might be important drivers of COVID-19
                                       transmission within communities," as suggested by a scientific study.

                                          Most Confirmed COVID-19 Cases are Seen in Young Adults
                   
As shown by the tracking plots, elderly people have a higher mortality rate than younger people.
                However, the plots also reveal that the most confirmed COVID-19 cases are in the young adult group.
                                        
This trend is mainly related to the active lifestyle of younger people.

                     "As the number of young adults infected with the coronavirus surges throughout the nation, a new
                    study by researchers at UC San Francisco Benioff Children’s Hospitals indicates that youth may not
                         shield people from serious disease." According to this UCSF study, "1 in 3 young adults may

                                                                            face severe COVID-19."


                                                      COVID-19 Strikes Men Harder than Women
            
By examining the plots that correlate gender and the number of COVID-19 resulted deaths, it is evident that men
         have a higher mortality rate than women. Females have a higher median age of COVID-19 caused deaths than males,
                                 and for almost all the age groups under 80 years old, men have a higher mortality rate.

                                                  Scientists have done research to examine the differences to see
                                                     how COVID-19 strikes men harder than women and why.
                                            This is very important from both protection and treatment perspectives.
   

                                                                                    Stay at Home
                                                                          On March 19, 2020, CA issued Stay at Home order.
                                                        On May 8, CA started to open re-open step by step.
                                                        COVID-19 continued to spread at an alarming rate.
                                                     On July 1st, CA orders new shutdowns for certain places

                                            and advised against Fourth of July fireworks and large group gatherings.
                                                            
"Our actions have an impact on other people."
                                          Let's stay at home as much as we can during this uncertain period of time.

                                                    COVID-19 Will Not Go Away During the Summer
                      
In the spring of 2020 when COVID-19 cases first started showing up in the US, many had
hoped
             that the pandemic would start a downward trend when summer comes, since the weather would get warmer.
 This hope was probably fueled by what had happened with SARS, a pandemic that appeared in 2002, as there was a strong
 correlation between rising temperatures and the decrease of cases and deaths. It is summer now. The number of confirmed
               COVID-19 cases in CA still continues to increase every day, and there is no sign of the trend line flattening.
                      
                   Researchers reveal that
"further warmer temperatures do not decrease disease transmission significantly."
  The COVID-19 virus is much more cunning that we had anticipated it to be, which may allow adapt to higher temperatures.
                                    "
Don’t assume that summer months will be safer for the transfer of COVID-19."
                  We need to continue to take appropriate steps and precautions to protect ourselves and those around us.


                                                                                    Wear a Mask!
                
                      Although a mask may seem small, it has the significant ability to save lives.

                               As of now, the US has 19 states that have issued
mandatory statewide face mask policies;
                                                                       California is one of those states.
  

                                "To Wear a Mask or Not, Is Not the Question. Research Indicates It's the Answer"
                                               "Wearing masks can significantly curbs spread of COVID-19."                                      
                            7/2/202: "Wear a Mask" public awareness campaign is launched by California's governor.
                                           
       
             



                                             Again, our actions can save lives. To protect ourselves and others,
                                                   please wear a mask, wash your hands, and social distance.