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ALT Long Covid as Russian Roulette Doctors tend to be more concerned about the chance that someone will develop long Covid from repeated infections than they are that a person will get very sick in the acute phase of the illness. Covid can cause long-term damage to nearly every part of the body and repeated cases can compound those harms. A number of studies have shown that each time someone contracts Covid introduces an opportunity to develop long-term symptoms. Researchers often compare it to Russian roulette: Any infection could be the one that leads to long Covid. “Every time there’s a wave, there’s another wave that’s going to follow with patients developing new onset long Covid,” said Akiko Iwasaki, an immunologist at Yale University.

ALT States with observed outbreaks include Alabama, Alaska, Arizona, California, Colorado, Connecticut, Delaware, Florida, Georgia, Guam, Hawai’i, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Missouri, Montana, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Puerto Rico, South Carolina, Tennessee, Texas, Utah, Virginia, Washington, and Wyoming. Additional states with poor monitoring likely have outbreaks based on high levels in bordering counties in adjacent states.

ALT The US has at least 34 states and territories with COVlD outbreaks. These include Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Guam, Hawai'i, Illinois, Indiana, Kansas, Kentucky, Massachusetts, Michigan, Mississippi, Missouri, Montana, Nebraska, Nevada, New Jersey, New Mexico, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Puerto Rico, South Carolina, South Dakota, Texas, the U.S. Virgin Islands, Utah, Virginia, Washington, and West Virginia. Levels on the Big Island of Hawai’i are particularly high. Note also, the NYC area is seeing outbreaks. There are likely outbreaks in additional states. The summary statistic of 40 only includes counties with observed data, rather than estimated data. For example, Idaho, Louisiana, Maryland, and Tennessee likely have outbreaks, but monitoring is poor.






















