H5N1

Six unlearned lessons of the pandemic

The Tyee has published my article Six Unlearned Lessons of the Pandemic. Excerpt:

6. We’ll never go back to the ‘before times’  

The neoliberal world order established since the 1980s has been brutally shaken since New Year’s Eve 2019, exposing political failures ranging from worsening climate change to the migration crisis and systemic racism. Yet governments behave as if the pandemic scarcely exists. They play familiar Cold War games: Russia threatens Ukraine, China bullies its critics, the U.S. pretends it’s the leader of something called the “free world.”  

It’s understandable to yearn for a world without a pandemic. But the “before times” got us into this mess. If we did go back to before-times economies and social relations, we would soon face still more pandemics and social conflicts. Omicron’s Here.

As the pandemic continues, with occasional guest appearances by climate disasters like last summer’s heat dome and November’s floods, many of the world’s leading nations (and leaders) are hollowed-out remnants of what they once were. Internally divided, they pretend it’s business as usual. But they seem terrified of their own people and unable to define and carry out a consistent pandemic policy.  

So, having learned nothing from the pandemic, they continue as they began — unless and until we elect new governments that really have learned from the past two years.

Covid recovery poses dire climate, health risks: Lancet

Via The Times of India, an AFP report: Covid recovery poses dire climate, health risks: Lancet. Excerpt:

PARIS: Countries' fossil-fuel powered Covid-19 recoveries will have long-lasting consequences on human health and risk worsening the food and water insecurity, heatwaves and infectious diseases already threatening billions globally, a major assessment warned Thursday.  

The Lancet Countdown is the largest annual study of the impacts of climate change on human health.  

It found that up to 19 percent of Earth's land mass was affected by extreme drought in 2020 and warned that climate change posed a major threat to food security, which already affects more than two billion people.  

Compared with the historic average, the global population of over-65s lived through 3.1 billion additional extreme heat days last year, it found.  

Populations of 134 countries are now at greater threat from wildfires than at any time previously, and millions of farmers and construction workers are losing income because of the rising number of extremely hot days.  

And climate change is creating ideal conditions for infectious diseases such as dengue fever, Zika virus, cholera and malaria across a far larger span of the globe than just a few decades ago and including Europe, it said.  

"Climate change is here and we're already seeing it damaging human health across the world," said Anthony Costello, executive director of the Lancet Countdown.  

"As the Covid-19 crisis continues, every country is facing some aspect of the climate crisis too."  

The assessment found that the five years with the most areas affected by extreme drought have all occurred since 2015.  

Disruption to the water cycle due to global heating shortens the time in which plants reach maturity, resulting in small yields putting ever-greater stress on food production.  

The Lancet said that yield potential for maize -- a global staple -- had already declined 6 percent compared with 1981-2010 levels.  

Wheat has seen a 3-percent yield potential fall, and rice a 1.8-percent fall, it found.  

And the marine food upon which 3.3. billion people depend on for either sustinence or income is under "increasing threat", with average sea temperature rising in nearly 70 percent of territorial waters compared with just 15 years ago.  

The report also warned that nearly three quarters of countries surveyed said they believed they could not afford an integrated national health and climate strategy.  

"This year we saw people suffering intense heatwaves, deadly floods and wildfires," said lead author Maria Romanello.  

"These are grim warnings that, for every day that we delay our response to climate change, the situation gets more critical.  

"It's time to realise that no one is safe from the effects of climate change."  

In an editorial, the Lancet called on world leaders at the forthcoming COP26 summit to divert some of the trillions they are spending on Covid-19 recovery to reduce inequality and safeguard health.  

"This year's indicators give a bleak outlook: global inequities are increasing, and the direction of travel is worsening in all health outcomes."

Call for emergency action to limit global temperature increases, restore biodiversity, and protect health

Via The Lancet, but also published in 200 other health journals around the world: Call for emergency action to limit global temperature increases, restore biodiversity, and protect health.

The UN General Assembly in September, 2021, will bring countries together at a critical time for marshalling collective action to tackle the global environmental crisis. They will meet again at the biodiversity summit in Kunming, China, and the UN Climate Change Conference of the Parties (COP26) in Glasgow, UK. Ahead of these pivotal meetings, we—the editors of health journals worldwide—call for urgent action to keep average global temperature increases below 1·5°C, halt the destruction of nature, and protect health.  

Health is already being harmed by global temperature increases and the destruction of the natural world, a state of affairs health professionals have been bringing attention to for decades.1 The science is unequivocal; a global increase of 1·5°C above the pre-industrial average and the continued loss of biodiversity risk catastrophic harm to health that will be impossible to reverse. Despite the world's necessary preoccupation with COVID-19, we cannot wait for the pandemic to pass to rapidly reduce emissions.  

Reflecting the severity of the moment, this Comment appears in health journals across the world. We are united in recognising that only fundamental and equitable changes to societies will reverse our current trajectory.  

The risks to health of increases above 1·5°C are now well established. Indeed, no temperature rise is “safe”. In the past 20 years, heat-related mortality among people older than 65 years has increased by more than 50%. Higher temperatures have brought increased dehydration and renal function loss, dermatological malignancies, tropical infections, adverse mental health outcomes, pregnancy complications, allergies, and cardiovascular and pulmonary morbidity and mortality. Harms disproportionately affect the most vulnerable, including children, older populations, ethnic minorities, poorer communities, and those with underlying health problems.  

Global heating is also contributing to the decline in global yield potential for major crops, falling by 1·8–5·6% since 1981; this, together with the effects of extreme weather and soil depletion, is hampering efforts to reduce undernutrition. Thriving ecosystems are essential to human health, and the widespread destruction of nature, including habitats and species, is eroding water and food security and increasing the chance of pandemics.  

The consequences of the environmental crisis fall disproportionately on those countries and communities that have contributed least to the problem and are least able to mitigate the harms. Yet no country, no matter how wealthy, can shield itself from these impacts. Allowing the consequences to fall disproportionately on the most vulnerable will breed more conflict, food insecurity, forced displacement, and zoonotic disease—with severe implications for all countries and communities. As with the COVID-19 pandemic, we are globally as strong as our weakest member.  

Rises above 1·5°C increase the chance of reaching tipping points in natural systems that could lock the world into an acutely unstable state. This would critically impair our ability to mitigate harms and to prevent catastrophic, runaway environmental change.  

Encouragingly, many governments, financial institutions, and businesses are setting targets to reach net-zero emissions, including targets for 2030. The cost of renewable energy is dropping rapidly. Many countries are aiming to protect at least 30% of the world's land and oceans by 2030.  

These promises are not enough. Targets are easy to set and hard to achieve. They are yet to be matched with credible short-term and longer-term plans to accelerate cleaner technologies and transform societies. Emissions reduction plans do not adequately incorporate health considerations. Concern is growing that temperature rises above 1·5°C are beginning to be seen as inevitable, or even acceptable, to powerful members of the global community. Relatedly, current strategies for reducing emissions to net zero by the middle of the 21st century implausibly assume that the world will acquire great capabilities to remove greenhouse gases from the atmosphere.

This insufficient action means that temperature increases are likely to be well in excess of 2°C, a catastrophic outcome for health and environmental stability. Crucially, the destruction of nature does not have parity of esteem with the climate element of the crisis, and every single global target to restore biodiversity loss by 2020 was missed. This is an overall environmental crisis.

Health professionals are united with environmental scientists, businesses, and many others in rejecting that this outcome is inevitable. More can and must be done now—in Glasgow and Kunming—and in the immediate years that follow. We join health professionals worldwide who have already supported calls for rapid action.

Equity must be at the centre of the global response. Contributing a fair share to the global effort means that reduction commitments must account for the cumulative, historical contribution each country has made to emissions, as well as its current emissions and capacity to respond. Wealthier countries will have to cut emissions more quickly, making reductions by 2030 beyond those currently proposed and reaching net-zero emissions before 2050. Similar targets and emergency action are needed for biodiversity loss and the wider destruction of the natural world.

To achieve these targets, governments must make fundamental changes to how our societies and economies are organised and how we live. The current strategy of encouraging markets to swap dirty for cleaner technologies is not enough. Governments must intervene to support the redesign of transport systems, cities, production and distribution of food, markets for financial investments, health systems, and much more. Global coordination is needed to ensure that the rush for cleaner technologies does not come at the cost of more environmental destruction and human exploitation.

Many governments met the threat of the COVID-19 pandemic with unprecedented funding. The environmental crisis demands a similar emergency response. Huge investment will be needed, beyond what is being considered or delivered anywhere in the world. But such investments will produce huge positive health and economic outcomes. These include high quality jobs, reduced air pollution, increased physical activity, and improved housing and diet. Better air quality alone would realise health benefits that easily offset the global costs of emissions reductions.

These measures will also improve the social and economic determinants of health, the poor state of which may have made populations more vulnerable to the COVID-19 pandemic. But the changes cannot be achieved through a return to damaging austerity policies or the continuation of the large inequalities of wealth and power within and between countries.

In particular, countries that have disproportionately created the environmental crisis must do more to support low-income and middle-income countries to build cleaner, healthier, and more resilient societies. High-income countries must meet and go beyond their outstanding commitment to provide US$100 billion a year, making up for any shortfall in 2020 and increasing contributions to and beyond 2025. Funding must be equally split between mitigation and adaptation, including improving the resilience of health systems.

Financing should be through grants rather than loans, building local capabilities and truly empowering communities, and should come alongside forgiving large debts, which constrain the agency of so many low-income countries. Additional funding must be marshalled to compensate for inevitable loss and damage caused by the consequences of the environmental crisis.

As health professionals, we must do all we can to aid the transition to a sustainable, fairer, resilient, and healthier world. Alongside acting to reduce the harm from the environmental crisis, we should proactively contribute to global prevention of further damage and action on the root causes of the crisis. We must hold global leaders to account and continue to educate others about the health risks of the crisis. We must join in the work to achieve environmentally sustainable health systems before 2040, recognising that this will mean changing clinical practice. Health institutions have already divested more than $42 billion of assets from fossil fuels; others should join them.

The greatest threat to global public health is the continued failure of world leaders to keep the global temperature rise below 1·5°C and to restore nature. Urgent, society-wide changes must be made and will lead to a fairer and healthier world. We, as editors of health journals, call for governments and other leaders to act, marking 2021 as the year that the world finally changes course.

Storm surge from Ida could overtop some West Bank levees; officials say they will hold

Via nola.com: Storm surge from Ida could overtop some West Bank levees; officials say they will hold. Excerpt:

Hurricane Ida could bring up to 15 feet of storm surge to parts of the west bank of Jefferson Parish, threatening to push water over the tops of the levees that shield those areas. 

If that National Hurricane Center forecast proves true, it would be the first time the levees have been overtopped since the post-Hurricane Katrina upgrades to the system that surrounds much of the metro area. 

But officials said while some localized flooding is possible and urged residents to take precautions, they also stressed that the new barriers are designed for exactly this scenario and are expected to be able to withstand the onslaught. 

Sixteen years ago on Sunday, Katrina swept ashore carrying a deadly storm surge that toppled parts of the New Orleans-area levee system. But the $14.5 billion collection of levees, floodwalls, pumps and gates that has replaced it and now rings parts of New Orleans, Jefferson and St. Bernard parishes represents a radical improvement over the area's previous protections. 

While critics and some government officials have called for higher and more substantial barriers than have been built in recent years, officials with the U.S. Army Corps of Engineers, levee authorities and local governments  said that the levee system is capable of handling the expected surge that the New Orleans area will see from Ida. 

“This is a very differently protected city than it was 16 years ago” said Ramsey Green, New Orleans Mayor LaToya Cantrell’s deputy chief administrative officer for infrastructure. 

Built into the new system is the idea that the levees would reduce the risk of a storm surge – not provide an impossible-to-guarantee level of unlimited protection – and that even when overmatched with high water, the system's levees would still be left standing. 

“People need to know if they’re in an area that could get this surge, they need to be prepared, they need to understand that this is exactly what this system was designed to do,” said Ricky Boyett, a spokesperson for the U.S. Army Corps of Engineers in New Orleans. 

The levees' height is aimed at blocking overtopping from water levels that have a 1 percent chance of occurring in any year, a so-called 100-year event. Worst-case surge created by a Category 4 hurricane striking the area around New Orleans would be greater than such an event.

Madagascar families 'eating mud' in worst drought

Via BBC News: Madagascar families 'eating mud' in worst drought.

The World Food Programme is warning that the worst drought in southern Madagascar for four decades is causing hunger and famine-like conditions. 

Its director, David Beasley, who has just visited the region, said that without immediate assistance more than half a million people would soon be "knocking on famine's door", with another 800,000 marching towards it. 

He said he was shocked by what he had seen in southern Madagascar – children who were just skin and bones, families eating mud and the fruit of cacti because there was nothing else. 

He called it a silent tragedy in a forgotten location. 

The crisis was being driven by climate change, with drought after drought forcing families to leave their homes, through no fault of their own, Mr Beasley said. 

He said wealthy nations had a moral obligation to help.

North China bathed in orange as vast sandstorm descends

A sandstorm smothers Beijing Monday morning. Photo: VCG

Via Caixin Global: Update: North China Bathed in Orange as Vast Sandstorm Descends. Excerpt:

People across northern China awoke to fierce winds and orange-tinted skies Monday as some of the most severe and widespread dust storms for years disrupted transport and sent air pollution soaring. 

Weather officials in a string of cities including the capital, Beijing, warned of reduced visibility through Tuesday morning as air quality monitors surged to their maximum possible readings. 

The haze was caused by cold air and high winds in China’s arid west and other areas kicking up dust and blowing it across the country, the National Meteorological Center (NMC) said. 

Dust storms are uncommon but not unheard of in Beijing, especially in the spring. Monday’s storm followed several days of heavy air pollution in the city of 21 million people. 

The NMC issued (link in Chinese) 24-hour dust storm warnings effective 8 a.m. Monday for Beijing as well as parts of Gansu, Shaanxi, Shanxi and Hebei provinces and the Inner Mongolia and Ningxia Hui autonomous regions. 

The agency urged people in the affected areas to close doors and windows, wear masks and veils to stop the dust from damaging eyes and lungs, avoid nonessential driving, secure unstable or temporary construction and cover precision machinery. 

Beijing’s environmental monitoring center said the dust originated in southern Mongolia, which borders China. The Mongolian government said six people had died and a further 81 were missing as of 9 a.m. Monday. There have been no reports of deaths or injuries caused by the sandstorm in China. 

Elevated dust levels were first detected in northern Beijing on Sunday morning, the monitoring center said. Schools and workplaces remained open as usual Monday. Daxing International Airport took safety precautions for reduced visibility, disrupting a number of flights, the state-run Xinhua News Agency reported. 

By 9 a.m. Monday, air quality readings had far exceeded levels deemed safe for human health. 

Average concentrations of airborne PM10, fine particles that can be inhaled into the lungs, neared 10,000 micrograms per cubic meter, 200 times the one-day maximum average recommended by the World Health Organization (WHO). Readings of PM2.5, ultrafine particles that can enter the bloodstream, were around 30 times WHO guidelines. 

Videos uploaded to Chinese social media Monday morning showed Beijing landmarks swaddled in rust-hued smog. Drivers switched on headlights and slowed vehicles to a crawl as visibility plummeted. 

The picture was similar in other cities. More than 1,000 kilometers (621 miles) west of Beijing, residents of Ningxia’s capital of Yinchuan uploaded videos of the haze-choked city and claimed they could see no more than 500 meters in any direction. 

Some internet users poked fun at the weather, joking that the storms provided a readymade sepia-colored filter for their social media photos and comparing the skies with eerie scenes from the “Blade Runner” sci-fi movie franchise. 

Peng Yingdeng, a researcher at a national center for studying urban pollution control, said Monday that loose, dry soils in Inner Mongolia and Ningxia, combined with above-average air temperatures, caused winds to kick up dust and disperse it widely. 

Although dust storms are natural phenomena, human activity like open-pit mining and deforestation can contribute to their frequency and severity, he said. 

Schools and workplaces in Beijing remained open as usual. Peng said dust storms were a less serious health threat than extreme smog events as larger airborne particles interfered less with breathing and blood circulation. 

However, international organizations including the WHO say both PM 10 and PM 2.5 are linked to increased mortality and heightened risk of respiratory and cardiovascular diseases.

Tropical Cyclone Yasa approaches Fiji

Google Maps

Via ReliefWeb: Tropical Cyclone Yasa - Dec 2020.

The newly formed Tropical Cyclone YASA is moving in the South Pacific Ocean, between Vanuatu and Fiji Islands...On 14-16 December, YASA is forecast to strengthen, as it moves clockwise between Vanuatu and Fiji islands. Then it is expected to move south-east, reaching Viti Levu island (Fiji) on 18 December, with maximum sustained wind between 170-200 km/h. A strong wind warning has been issued for Rotuma island (northern Fiji), and for the central and southern coastal Vanuatu. A flash flood warning is in effect for northern Vanua Levu (Fiji). (ECHO, 14 Dec 2020) 

Tropical cyclone YASA is strengthening as it continues clockwise in the South Pacific Ocean, between Vanuatu and Fiji Islands....YASA is forecast to move south-east, passing between Viti Levu and Vanua Levu Islands (Fiji) on 17 December, with maximum sustained wind up to 215 km/h. After that, it will cross the Eastern Division islands on 18 December. (ECHO, 15 Dec 2020) 

Tropical cyclone YASA is forecast to move south-east, approaching Vanua Levu Island on the morning of 17 December, with maximum sustained wind up to 220-230 km/h. After that, it will move southward, crossing the Eastern Division Islands on 17-18 December and passing 415 km east of Tongatapu Island (Tonga) on 19 December. According to media reports, the authorities set-up 1,037 evacuation centres across Central, Northern and Western Divisions. (ECHO, 16 Dec 2020)  

TC Yasa will make landfall on 17 Dec around 8pm Fiji time on Vanua Levu island (population 135,961) and pass over many other smaller islands in the Fiji island group as a Cat 5 storm. According to analysis by the Pacific Disaster Center (PDC), approximately 73,000 people are potentially exposed to widespread wind damage. Severe impact for outlying areas on Eastern coast of Vanua Levu in particular Bua Province, is expected. There is a 4pm curfew in place for the whole country and all public transport is stopped. (OCHA, 17 Dec 2020)

Climate and COVID-19: Converging crises

Via The Lancet: Climate and COVID-19: converging crises - The Lancet.

The climate crisis is still raging. A year ago, news headlines were dominated by the climate youth movement and a sense of urgency. But COVID-19 has displaced that interest and awareness. In fact, the causes of both crises share commonalities, and their effects are converging. 

The climate emergency and COVID-19, a zoonotic disease, are both borne of human activity that has led to environmental degradation. Neither the climate emergency nor a zoonotic pandemic were unexpected. Both have led to the preventable loss of lives through actions that are delayed, insufficient, or mistaken. However, aligning responses presents an opportunity to improve public health, create a sustainable economic future, and better protect the planet's remaining natural resources and biodiversity. 

That health and climate change are interwoven is widely accepted, with extensive evidence of their interactions. For the past 5 years, the Lancet Countdown on Health and Climate Change has monitored and reported more than 40 global indicators that measure the impact of our changing climate on health. The newly published 2020 report includes novel indicators on heat-related mortality, migration and population displacement, urban green spaces, low-carbon diets, and the economic costs of labour capacity loss due to extreme heat. 

The breadth of the indicators has deepened scientific understanding of how climate affects health and puts stress on health systems. This is manifested in, for example, the health effects of air pollution leading to asthma, challenges to global food security and reduced crop yield potentially leading to poor diets, limited access to green space increasing risk factors for mental health conditions, and vulnerability to heat in people older than 65 years. Treating these resultant health conditions effectively depends on health systems' capacity, which is in turn dependent on the resilience of health services that are increasingly stretched in response to the two crises. 

5 years of the Lancet Countdown on Health and Climate Change has also consolidated the importance of regional data to inform country-level policy. To that end, The Lancet Public Health has published the first regional report of the Asia chapter of the Lancet Countdown, joining the third annual publication of the Australian MJA-Lancet Countdown. As the planet's largest carbon emitter and home to a fifth of the world's population (1·4 billion people), China's response to climate change is crucial at both national and international levels. 

The key findings of the report lead to a call for province-targeted responses in the face of accelerating health risks due to rising temperatures. The 23 indicators show that although impressive improvements have been made across several sectors, and the potential for improving public health by tackling climate change can already be seen, the gap in China's response to the health effects of climate change is still substantial. 

Curbing the drivers of climate change will help to suppress the emergence and re-emergence of zoonotic diseases that are made more likely by intensive farming, international trade of exotic animals, and increased human encroachment into wildlife habitats, which in turn increase the likelihood of contact between people and zoonotic disease. Increased international travel and urbanisation leading to higher population density encourage the rapid spread of zoonoses once they spill over into the human population. These factors also have an important role in climate change as environmental determinants of health. 

Both COVID-19 and the climate crisis have exposed the fact that the poorest and most marginalised people in society, such as migrants and refugee populations, are always the most vulnerable to shocks. With regard to climate change, those most impacted by extremes have usually contributed the least to the root causes of the crisis. This year's Countdown report finds that no country is immune to avoidable loss of lives arising from widening inequalities, with every indicator in the report following a worsening trend. 

Climate has slipped from the top of the global agenda because of political indifference and the need to deal with the immediacies of COVID-19. 5 years on from the Paris Agreement, seizing the opportunity to refocus interests on sustainability offers the co-benefits of protecting our future health, the environment, and our planetary systems. As governments embark on economic recovery plans in the wake of COVID-19, concerns for climate change and equity are rightly focused on a green recovery. A global rapid transition to clean energy sources is needed, ending the stranglehold of fossil fuels. Decisions being made now must tackle both crises together to ensure the most effective response to each.

Nicaragua, Honduras - Hurricane ETA

Google Maps

Via ReliefWeb: Nicaragua, Honduras - Hurricane ETA (GDACS, NOAA, Government of Nicaragua, SINAPRED, media) (ECHO Daily Flash of 03 November 2020).

• The new Hurricane ETA is moving west over the Caribbean Sea towards the eastern coast of northern Nicaragua. On 3 November, its center was located approximately 60 km east of Puerto Cabezas City (RACCN, northern Nicaragua), and 120 km south-east of Nicaragua/Honduras border, with maximum sustained wind of 240 km/h (Category 4 Hurricane). 

• ETA may become a Category 5 Hurricane before making landfall and it is expected to reach the coast of southern Puerto Cabezas in the afternoon of 3 November. Heavy rainfall, high storm surge, and strong wind are forecast over northern Nicaragua.  

• Evacuation orders have been issued for coastal areas in Nicaragua and Honduras, while in Nicaragua, red alerts have been declared for the Autonomous Region of the Northern Caribbean and the Mining Triangle.  

• A hurricane warning is in effect for coastal areas from the Honduras/Nicaragua border to the central coast of Nicaragua. A tropical storm warning has been issued for coastal areas from central Honduras to the Honduras/Nicaragua border.

As cold weather arrives, US states see record increases in COVID-19 cases

Via Reuters: As cold weather arrives, U.S. states see record increases in COVID-19 cases. Excerpt:

(Reuters) - Nine U.S. states have reported record increases in COVID-19 cases over the last seven days, mostly in the upper Midwest and West where chilly weather is forcing more activities indoors. 

On Saturday alone, four states - Kentucky, Minnesota, Montana and Wisconsin - saw record increases in new cases and nationally nearly 49,000 new infections were reported, the highest for a Saturday in seven weeks, according to a Reuters analysis. Kansas, Nebraska, New Hampshire, South Dakota and Wyoming also set new records for cases last week.  

Daytime highs in many of these states are now in the 50s Fahrenheit (10 Celsius). Health experts have long warned that colder temperatures driving people inside could promote the spread of the virus.  

Montana has reported record numbers of new cases for three out of the last four days and also has a record number of COVID-19 patients in its hospitals. 

Wisconsin has set records for new cases two out of the last three days and also reported record hospitalizations on Saturday. On average 22% of tests are coming back positive, one of the highest rates in the country.

Wisconsin’s Democratic governor mandated masks on Aug. 1 but Republican lawmakers are backing a lawsuit challenging the requirement.

 

Wisconsin Senator Ron Johnson is one of several prominent Republicans who have tested positive for coronavirus since President Donald Trump announced he had contracted the virus. 

Because of the surge in cases in the Midwest, nursing homes and assisted-living facilities operated by Aspirus in northern Wisconsin and Michigan are barring most visitors as they did earlier this year. 

Bellin Health, which runs a hospital in Green Bay, Wisconsin, said last week its emergency department has been past capacity at times and doctors had to place patients in beds in the hallways. 

The United States is reporting 42,600 new cases and 700 deaths on average each day, compared with 35,000 cases and 800 deaths in mid-September. Deaths are a lagging indicator and tend to rise several weeks after cases increase.  

Kentucky is the first Southern state to report a record increase in cases in several weeks. Governor Andy Beshear said last week was the highest number of cases the state has seen since the pandemic started.