Category: Covid-19

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Ford to start on-site COVID-19 vaccination for US employees – Reuters

April 19, 2021

A logo of Ford is pictured on a car at the 86th International Motor Show in Geneva, Switzerland, March 1, 2016. REUTERS/Denis Balibouse/File Photo

Ford Motor Co (F.N) on Monday said it would provide on-site COVID-19 vaccines to its hourly and salaried employees at manufacturing facilities in three states, stepping up efforts to keep its workers safe from the coronavirus.

Ford Motor Company and the United Auto Workers (UAW) have secured contracts allowing them to provide the vaccines at the company's manufacturing facilities in Southeast Michigan, Missouri and Ohio, starting Monday, the automaker said.

"COVID-19 vaccines are a major tool to help reduce the risk of infection, so we want to ensure our employees have access to vaccines," Ford's corporate medical director, Dr Francesca Litow, said. (https://ford.to/3svFM2y)

The Dearborn, Michigan-based company said it was working with the UAW and health providers to administer doses of the Pfizer-BioNTech and Moderna vaccines, and plans to expand the on-site vaccination to additional locations.

Ford said it would provide a digital scheduling system for employees to sign up for an appointment. Following the first shot, employees will automatically be scheduled for a second dose.

The automaker expects to continue the vaccination program at various locations through June.

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Ford to start on-site COVID-19 vaccination for US employees - Reuters

Active COVID-19 outbreaks rise another 9% in Michigans April 19 report – mlive.com

April 19, 2021

Michigan health officials discovered 272 new coronavirus outbreaks last week as cases surged throughout all of the states regions.

Additionally, the state is investigating 989 ongoing outbreaks for a total of 1,261 active clusters, according to data from the Department of Health and Human Services. Thats an increase of 9.5% from the previous week.

An outbreak is generally defined as an instance in which two or more cases are linked by a place and time, indicating a shared exposure outside of a household. Clusters being tracked by local health departments are included in the states online outbreak tracker, which is updated weekly on Mondays with data up to the previous Thursday.

Manufacturing and construction sites reported the most new outbreaks last week with 47, surpassing the usual leader -- K-12 schools. School settings added 43 new outbreaks, followed by retail (42), long-term care facilities (40), and bars and restaurants (26).

Outside of K-12 schools and colleges, MDHHS is not identifying specific locations or the number of coronavirus cases. However, it is listing the information by the states eight health district regions. (Note those regions have different numbers than the MI Safe Start Plan.)

Only Region 5 -- the Kalamazoo area -- reported a decline in active outbreaks week-over-week. The largest increase was almost 23% in the Upper Peninsula.

By region, the breakdown of the clusters:

By category, the outbreaks totaled:

Outbreaks will be removed from the database if there are no additional cases through a 14-day period, state MDHHS officials have said.

State officials note that the chart does not provide a complete picture of outbreaks in Michigan, and an absence of identified outbreak in a particular setting is not evidence that the setting is not having outbreaks.

Many factors, including the lack of ability to conduct effective contact tracing in certain settings, may result in significant under-reporting of outbreaks, the states website reads.

For more statewide data, visit MLives coronavirus data page, here. To find a testing site near you, check out the states online test finder, here, send an email to COVID19@michigan.gov, or call 888-535-6136 between 8 a.m. and 5 p.m. on weekdays.

Read more on MLive:

Michigan coronavirus data for Monday, April 19: Two hopeful signs in the numbers

Michigan reports new record hospitalization number, surpassing April 2020 peak

Golf course, dentist, Kroger, Blue Cross Blue Shield fined for COVID-19 violations

15.6% of U.S. adults are COVID-19 vaccine hesitant, how does Michigan stack up?

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Active COVID-19 outbreaks rise another 9% in Michigans April 19 report - mlive.com

A CLOSER LOOK: COVID-19 vaccines and what makes them different – KNWA

April 19, 2021

ARKANSAS (KNWA/KFTA) When a person is vaccinated with any of the COVID-19 vaccines, it takes about two weeks for the body to build up protection against the virus, according to the Centers for Disease Control (CDC).

Four vaccines have been developed, but one is suspended as of Tuesday, April 13, as recommended by the CDC and the Food and Drug Administration (FDA), out of an abundance of caution.

The Johnson & Johnson (J&J/Janssen) single-shot vaccine is on pause for at least a week, after six women developed blood clots in a combination with low platelets, one person has died, according to the CDC.

The J&J vaccine uses adenovirus (a common virus that, when not inactivated, can cause colds, bronchitis, and other illnesses, per Yale Medicine). This is from the double-stranded DNA viruses, identified in human adenoid tissue. Astra Zeneca also uses adenovirus but from chimpanzees. The J&J vaccine was approved for use in the U.S. on February 27, 2021.

In the U.K., 79 people who received their first dose of the Astra Zeneca (AZ) vaccine developed rare blood clots, of which 52 were women. Of the group 19 died, according to data from the UKs Medicines and Healthcare products Regulatory Agency (MHRA).

MHRA states that getting vaccinated is better than not getting vaccinated.

COVID-19 leads to a several-times higher risk of cerebral venous thrombosis (CVT) blood clots than current COVID-19 vaccines.

The above information is from the University of Oxford researchers who released a report on Thursday, April 15.

As a disclosure, the Astra Zeneca (AZ/AZD1222) vaccine was co-invented by the University of Oxford and Vaccitech. The study, released Thursday, was led by Oxford Universitys Professor Paul Harrison and Dr. Maxime Taquet. They counted the number of CVT (cerebral venous thrombosis, also called cerebral venous sinus thrombosis CVST) cases diagnosed in the two weeks following diagnosis of COVID-19, or after the first dose of a vaccine. They then compared these to calculated incidences of CVT following influenza and the background level in the general population.

They found that CVT is more common after a person has COVID-19 compared to other groups, and 30% of the cases were people under the age of 30.

The researchers stated that data is still being collected. There may also be under-reporting or mis-coding of CVT in medical records, and therefore uncertainty as to the precision of the results.

This data should be interpreted cautiously, especially since the data on the Oxford-AstraZeneca vaccine come from UK MHRA monitoring, whereas the other data uses the TriNetX electronic healthrecords network. However, the signals that COVID-19 is linked to CVT, as well as portal vein thrombosis a clotting disorder of the liver is clear, and one we should take note of.

AZ uses a replication-deficient chimpanzee viral vector based on a weakened version of a common cold virus (adenovirus) that causes infections in chimpanzees and contains the genetic material of the SARS-CoV-2 virus spike protein. After vaccination, the surface spike protein is produced, priming the immune system to attack the SARS-CoV-2 virus if it later infects the body, according to AZs website. J&J uses adenovirus but from humans, as stated above.

Both of the vaccines use messenger ribonucleuc acid (mRNA). These are single-stranded molecules that carry genetic code from DNA in a cells nucleus to ribosomes, which make protein in the cells.mRNA vaccines are a new type of vaccine to protect against infectious diseases, according to the CDC. The Pfizer-BioNTech was approved for use in the U.S. through an FDA EUA (emergency use authorization) on December 11, 2020. Moderna was approved, through an FDA EUA, on December 18, 2020. The vaccines require two shots.

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A CLOSER LOOK: COVID-19 vaccines and what makes them different - KNWA

North American COVID-19 ST-Elevation Myocardial Infarction (STEMI) Research Reveals Impact on Minority Populations, High Mortality and Atypical…

April 19, 2021

First Data from North American COVID-19 Myocardial Infarction RegistryPublished in Journal of the American College of Cardiology

MINNEAPOLIS April 19, 2021 The Minneapolis Heart Institute Foundation (MHIF) announced today the first publication of outcomes from the North American COVID-19 ST-Segment Elevation Myocardial Infarction (STEMI) Registry (NACMI) showing that COVID-positive patients with STEMI represent a high-risk group of patients with unique demographic and clinical characteristics that are important to consider in providing optimal care.

Important findings include:

Minorities were disproportionally affected: nearly 50 percent of the STEMI patients had minority ethnicity (23 percent Hispanic; 24 percent Black)

In-hospital mortality was high: 33 percent (4% for controls without COVID)

Symptoms were unique: majority (54 percent) presented with respiratory symptoms (shortness of breath) rather than chest pain

Significant proportion of COVID-positive patients presented with high-risk STEMI: cardiogenic shock (18 percent) and cardiac arrest (11 percent), which may explain the high fatality rate

Primary angioplasty remained the dominant revascularization modality during the pandemic with small treatment delays (@ 15 minutes).

At the start of the COVID-19 pandemic, the management of STEMI patients with confirmed or suspected COVID infection was controversial as some were advocating for pharmacological reperfusion (thrombolytic therapy) to protect essential health care works and resources. That strategy is associated with delays in reperfusion, increased mortality and risk of heart failure.

This research has provided critical insights into the care of STEMI patients during the COVID-19 pandemic and has revealed the importance of understanding demographic and clinical factors that are unique and different from what has historically been seen in patients prior to the pandemic, said Santiago Garcia, MD, interventional cardiologist, researcher and primary investigator for MHIF, which is the international coordinating center for the study. This extensive research registry is an effort from 64 sites across North America that have worked to compile data, share insights and inform outcomes in patients as we treat heart attacks that continue to happen during this pandemic. Weve learned that the signs and symptoms are different while the importance of prompt treatment with primary percutaneous coronary intervention (PPCI) remains a standard of care that is critical to maintain good outcomes for STEMI patients, including minority populations who may not present initially with common symptoms.

Among COVID-positive patients who received angiography, 71 percent received PPCI and 20 percent received medical therapy. The primary endpoint was a composite of in-hospital death, stroke, recurrent myocardial infarction (MI) or unplanned revascularization and occurred in 36 percent of COVID-positive patients, 13 percent of persons under investigation for COVID-19 (PUIs) and 4 percent of control patients. The registry underscores that PPCI (the current recommendation for STEMI) is feasible, but the reality is the combination of STEMI and COVID-19 carries a poor prognosis, with 1 in 3 patients succumbing to the disease, even among those treated with state-of-the-art invasive angiography (28 percent mortality).

NACMI is the largest STEMI registry in patients with confirmed or suspected COVID-19 infection. The present analysis included patients from 64 clinical sites from across the U.S. and Canada. A total of 1,185 patients were included in this first report : 230 COVID-positive STEMI patients, 495 STEMI patients suspected but ultimately confirmed not to have COVID-19, and 460 age- and sex-matched control STEMI patients treated prior to the pandemic. The comparative group was pulled from the existing Midwest STEMI Consortium, which is a large (>15,000), prospective multi-center registry of consecutive STEMI patients for which MHIF is the data coordinating center.

The NACMI registry is a collaborative effort between the Society for Cardiovascular Angiography and Interventions (SCAI) and the Canadian Association of Interventional Cardiology (CAIC). It is a research study designed to collect data on COVID-19 positive patients or persons under investigation (suspected to have COVID-19 infection) with ST-Elevation Myocardial Infarction (STEMI), a serious heart attack involving a blockage in one of the heart's major arteries.

About Minneapolis Heart Institute Foundation

The Minneapolis Heart Institute Foundation (MHIF) strives to create a world without heart and vascular disease. To achieve this bold vision, it is dedicated to improving the cardiovascular health of individuals and communities through innovative research and education.

Scientific Innovation and Research MHIF is a recognized leader across all specialties of heart and vascular research. Each year, MHIF leads more than 200 research studies with more than 2,200 patients and publishes more than 200 articles to share learnings from research. MHIF research has improved the standard of care around the world through protocols like Level One for heart attack, which significantly improved outcomes and survival for patients.

Education and Outreach MHIF provides more than 10,000 hours of education each year putting its research into practice to improve outcomes among health care providers. This commitment extends to patients and caregivers through a number of community health and education events to raise awareness of heart care and research, engaging individuals in their own health.

The Minneapolis Heart Institute Foundations work is funded by generous donors and sponsors and engages in cutting-edge research initiatives with its physician partners from the Minneapolis Heart Institute at Abbott Northwestern Hospital and at 38 community sites across Minnesota and western Wisconsin. For more information, please visit mplsheart.org.

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North American COVID-19 ST-Elevation Myocardial Infarction (STEMI) Research Reveals Impact on Minority Populations, High Mortality and Atypical...

Coronavirus in Michigan: Heres what to know April 19, 2021 – WDIV ClickOnDetroit

April 19, 2021

DETROIT The number of confirmed cases of the coronavirus (COVID-19) in Michigan has risen to 793,881 as of Monday, including 16,901 deaths, state officials report.

Mondays update includes a total of 8,574 new cases and 61 additional deaths over the past two days. On Saturday,the state reported 785,307 total cases and 16,840 deaths.

Testing has been steady around 35,000 diagnostic tests reported per day on average, with the7-day positive rate above 14%as of Friday, lower than one week ago.Hospitalizations have increased over the last several weeks, now at the highest point of the pandemic.

New:Michigan extends COVID rules for gatherings, masks, restaurants, entertainment venues

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Michigan continues to lead the nation in new COVID-19 cases. The states7-day moving average for daily caseswas 6,755 on Sunday -- the highest since December. The 7-day death average was 52 on Sunday, slightly higher than the last two weeks. The states fatality rate is 2.2%. The statealso reports active cases,which were listed at 165,000 on Sunday. More than 603,000 have recovered in Michigan.

Michiganhas reportedmore than5.7 million doses of the COVID-19 vaccine administeredas of Thursday, with 44% of residentshaving received at least one dose.

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According to Johns Hopkins University, more than31.6 million cases have been reported in the U.S., with more than567,000 deathsreported from the virus.

Worldwide, more than141 million people have been confirmed infectedand more than3 million have died. More than80 million have recovered, according to Johns Hopkins University. The true numbers are certainly much higher, because of limited testing, different ways nations count the dead and deliberate under-reporting by some governments.

Michigan COVID-19 vaccinations: How to find appointments, info on phases

Coronavirus headlines:

VIEW: Tracking Michigan COVID-19 vaccine doses

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VIEW: Tracking coronavirus cases, outbreaks in Michigan schools

Michigan has extended the COVID-19 order that implemented restrictions on gatherings, restaurants, entertainment venues and more.

The Michigan Department of Health and Human Services extended the epidemic order through May 24. It also expanded mask requirements to include children ages 2-4 years old.

Michigan continues to implement smart health policies and mitigation measures to fight the spread of COVID-19, MDHHS Director Elizabeth Hertel said. This includes the requirement to wear a mask while in public and at gatherings, limits on indoor residential social gatherings larger than 15 people with no more than three households, and expanded testing requirements for youth sports.

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Read the latest on the restrictions here.

The director of the CDC said the answer to Michigans alarming rise in COVID-19 cases isnt to vaccinate our way out of it, but to shut things down like the state did last spring and summer.

Dr. Rochelle Walensky, the director of the Centers For Disease Control and Prevention, spoke Monday about the COVID-19 situation in Michigan.

On Friday, Gov. Gretchen Whitmer called Michigan a COVID hotspot and called on the federal government to surge additional vaccines here in response to rising case numbers.

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Read more here.

Michigan Gov. Gretchen Whitmer and the state health department are asking residents to follow certain voluntary COVID-19 restrictions, such as avoiding indoor dining, suspending sports and returning to remote learning.

On Friday, Whitmer and Dr. Joneigh Khaldun, chief medical executive of the Michigan Department of Health and Human Services, spoke about the alarming COVID-19 trends in Michigan.

I am quite concerned with what we are seeing in our data, Khaldun said We are on track to potentially see a surge in cases thats even greater than the one we saw in the fall.

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The city of Detroit is launching eight neighborhood COVID-19 vaccination sites, adding to an expansion at TCF Center, to combat surging cases and hospitalizations in the city.

Detroits vaccination rate, 21% as of Monday, is far below neighboring areas and overall state average, which is 35%. The city is expanding options for residents with an urgent message: Get vaccinated.

Next week, the city will be offering eight additional locations throughout the week, in addition to its Community Saturdays and other outreach programs, to provide Detroiters with the opportunity to get vaccinated in a convenient and familiar location close to home.

Read here.

All Michigan residents age 16 and up became eligible for the COVID-19 vaccine on April 5, nearly a month before the May 1 date pledged by President Joe Biden.

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People age 16 to 49 with certain medical conditions or disabilities will qualify starting March 22, when 50- to 64-year-olds can begin getting shots under a previous announcement. Two days later, March 24, a federally selected regional mass vaccination site will open at Detroits Ford Field to administer an additional 6,000 doses a day for two months.

Learn more here.

MORE: Michigans updated COVID-19 vaccination schedule: Who is eligible and when

The COVID-19 variant detected in Brazil has been identified in Bay County. That variant is known as the P1 strain and it is more contagious and more than 50% able to reinfect.

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The person infected in Bay County and the people theyve been in contact with will need to quarantine for 14 days. Its unclear what effect, if any, it will have on those, including seniors, who have already been vaccinated as there isnt enough research to know exactly.

Gov. Gretchen Whitmer released a statement Tuesday after White House officials announced that there will increase COVID-19 vaccine doses available for Michigan starting next week.

According to a press release, next weeks shipment will increase by 66,020 bringing the total number of doses to 620,040 -- a weekly record for the state. Officials said the allocation includes 147,800 doses of the single-dose Johnson & Johnson vaccine.

This comes after Whitmer recently requested for more vaccines as the state is seeing a rise in COVID numbers.

The CDC said that Michigan is leading the country in new cases of COVID-19 per population.

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On Tuesday, officials reported 5,177 new COVID cases and 48 additional deaths, including 20 from a Vital Records review. On Monday, the state reported 660,771 total cases and 16,034 deaths.

Local 4s Dr. Frank McGeorge said hes seen a very clear increase in COVID patients at the hospital where he works.

Many of them need to be hospitalized. I would honestly say, this feels worse to me here in Southeast Michigan than it was during the wave that started in November. Now, the most concerning trend is the number of middle-aged people with severe COVID, McGeorge said.

The Michigan Department of Health and Human Services announced that the first case of the COVID-19 variant B.1.351 has been identified in a child in Jackson County.

The health department did not say how the boy was infected but a case investigation is underway to determine close contacts and if there are additional cases associated.

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This new variant was originally detected in South Africa in October 2020 and shares some mutations with the B117 variant. The first case of the B117 variant -- originally detected in the United Kingdom -- was identified in Washtenaw County.

Michigan COVID-19 daily reported cases since March 15:

March 15 -- 1,572 new cases

March 16 -- 2,048 new cases

March 17 -- 3,164 new cases

March 18 -- 2,629 new cases

March 19 -- 3,730 new cases

March 20 -- 2,660 new cases

March 21 -- 2,400 new cases

March 22 -- 2,401 new cases

March 23 -- 3,579 new cases

March 24 -- 4,454 new cases

March 25 -- 5,224 new cases

March 26 -- 5,030 new cases

March 27 -- 4,670 new cases

March 28 -- 4,101 new cases

March 29 -- 4,101 new cases

March 30 -- 5,177 new cases

March 31 -- 6,311 new cases

April 1 -- 6,036 new cases

April 2 -- 5,498 new cases

April 3 -- 8,413 new cases

April 4 -- 5,146 new cases

April 5 -- 5,147 new cases

April 6 -- 4,964 new cases

April 7 -- 8,015 new cases

April 8 -- 7,819 new cases

April 9 -- 7,834 new cases

April 10 -- 6,892 new cases

April 11 -- 4,837 new cases

April 12 -- 4,837 new cases

April 13 -- 8,867 new cases

April 14 -- 7,955 new cases

April 15 -- 6,303 new cases

April 16 -- 8,955 new cases

April 17 -- 5,530 new cases

April 18 -- 4,287 new cases

April 19 -- 4,287 new cases

Michigan COVID-19 daily reported deaths since March 15:

March 15 -- 5 new deaths

March 16 -- 27 new deaths (6 from vital records)

March 17 -- 0 new deaths

March 18 -- 25 new deaths (24 from vital records)

March 19 -- 15 new deaths

March 20 -- 47 new deaths -- (39 from vital records)

March 21 -- 3 new deaths

March 22 -- 3 new deaths

March 23 -- 16 new deaths (8 from vital records)

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Coronavirus in Michigan: Heres what to know April 19, 2021 - WDIV ClickOnDetroit

COVID-19 in South Dakota: 133 total new cases; Death toll remains at 1,953; Active cases at 2,153 – KELOLAND.com

April 19, 2021

SIOUX FALLS, S.D. (KELO) 133 new total COVID-19 cases were reported by theState Department of Healthon Monday.

The DOH has stopped reporting new COVID-19 information on Sundays, so this update includes two days of data.

According to the latest update, there are 112 current hospitalizations, up from Saturday (96). Total hospitalizations are at 7,221.

Active cases are now at 2,153, down from Saturday (2,210).

The states total case count is now at 121,189, up from Saturday (121,056).

Total recovered cases are now at 117,083, up from Saturday (116,893).

No additional deaths were reported by the Department of Health on Monday so the death toll remains at 1,953.

Total persons who tested negative is now at 337,384, up from the last report on Saturday (336,856).

There were 661 new persons tested in the data reported Monday for a new persons-tested positivity rate of 20.1%.

The latest seven-day PCR test positivity rate reported by the DOH is 7.9%. The latest one-day PCR test positivity rate is 5.6%.

According to the DOH, 280,074 doses of the Pfizer vaccine have been administered with XX 16,296 doses of the Janssen vaccine and 240,595 of the Moderna vaccine given out to a total number of 317,583 persons.

There have been 101,879 persons who have completed two doses of Moderna and 117,459 who have received two doses of Pfizer, according to the DOH.

As of Monday, 53% of the population in South Dakota has received at least one dose while 39.3% have completed the vaccination series.

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COVID-19 in South Dakota: 133 total new cases; Death toll remains at 1,953; Active cases at 2,153 - KELOLAND.com

CT COVID-19 business restrictions to be lifted by May 19 – FOX 61

April 19, 2021

During his press conference Monday, Gov. Lamont said that COVID-19 mandates will be lifted for businesses and replaced with recommnedations.

CONNECTICUT, USA Connecticut continues to move toward pre-pandemic normalcy with Gov. Ned Lamont announcing COVID-19 restrictions for businesses will be lifted starting May 19.

Beginning on May 1, all business curfews will be moved back to 12 a.m. and outdoor restrictions will be lifted. One will still have to order alcohol without food and there will be no table size limit.

On May 19, the rest of the business restrictions will end. This means there will no longer be capacity limits and the mandates will turn into recommendations.

Gov. Lamont did say that indoor masking will continue and the lifting of restrictions is subject to change pending on Connecticut's COVID-19 numbers.

The governor added the state will not require people to be vaccinated but that businesses could implement the rule themselves.

Over the weekend, Connecticut surpassed 8,000 COVID-19 related deaths. There were 19 reported deaths over the weekend.

Connecticut administered 101, 952 tests and 2,736 came back positive, yielding a positivity rate of about 2.68%.

Hospitalizations increased in the state by eight over the weekend, bringing the total number of COVID-19 patients to 494.

The state continues to vaccinate well with 1,113,184 residents being fully vaccinated. About 61% of all CT residents 18 and older have gotten at least one dose of the COVID-19 vaccine.

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CT COVID-19 business restrictions to be lifted by May 19 - FOX 61

Non-COVID-19 Passports That Reduce Your Risk to Society – The New Yorker

April 19, 2021

While electronic vaccine passports are being fiercely debated, consensus is forming around several other passports that would communicate the level of danger you pose to the world.

Flip-Flops Passport

Discloses when you last wore flip-flops in a non-nautical setting.

Sobbed-During-Nomadland Passport

Identifies that you cried during Swankies farewell monologue.

Magic-Trick-on-a-First-Date Passport

Confirms that you have never performed a card trick on a first date with a potential romantic partner.

Reply-Guy Passport

Documents the last time you replied to a tweet without even liking it first.

Parent-of-a-Child-with-a-Scooter Passport

Reveals whether you are currently a caretaker of a speed demon.

Slice-Enumerator Passport

Records the number of consecutive days youve eaten only pizza.

Potluck Passport

Shows whether the dishes you have brought to communal gatherings matched what you indicated you would be bringing in the pre-potluck Google Sheet.

Public-Toilet-Seat Passport

Catalogues when you last put your bare butt on the toilet seat of a public bathroom.

Pretended-to-Have-Seen-the-TV-Show-Everyone-Else-Was-Talking-About Passport

If true, youre under mandatory house arrest.

Chipotle-Test-Kitchen-for-Your-Anniversary-Dinner Passport

Verifies that you did not suggest the Chipotle test kitchen in Greenwich Village as a location for an anniversary dinner in 2018.

Citizen Passport

Shows if you have the surveillance-state app Citizen on your phone.

Barber/Hairdresser Passport

Identifies whether whoever cuts your hair thinks youre a good person.

Nicholas Sparks Passport

Certifies that you have not consumed media from the Nicholas Sparks cinematic universe in the past thirty days.

String-Cheese-as-an-Ingredient Passport

Discloses the last time you chopped up a piece of Starbucks-branded string cheese to use in a dish you were preparing.

Tipping Passport

Logs your history of tipping at drag shows, car washes, and combination drag showcar washes.

The Da Vinci Code-on-a-First-Date Passport

Confirms that you have never suggested watching Ron Howards two-hour-and-fifty-four-minute adaptation of Dan Browns novel on a first date with a potential romantic partner.

Taco Bell Passport

Documents that you are currently wholeheartedly living ms.

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Non-COVID-19 Passports That Reduce Your Risk to Society - The New Yorker

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