After over two years of public reporting, the State Profile Report will no longer be produced and distributed after February 2023. The final release was on February 23, 2023. We want to thank everyone who contributed to the design, production, and review of this report and we hope that it provided insight into the data trends throughout the COVID-19 pandemic. Data about COVID-19 will continue to be updated at CDC’s COVID Data Tracker.

The State Profile Report (SPR) is generated by the Data Strategy and Execution Workgroup in the Joint Coordination Cell, in collaboration with the White House. It is managed by an interagency team with representatives from multiple agencies and offices (including the United States Department of Health and Human Services (HHS), the Centers for Disease Control and Prevention, the HHS Assistant Secretary for Preparedness and Response, and the Indian Health Service). The SPR provides easily interpretable information on key indicators for each state, down to the county level.

It is a weekly snapshot in time that:

• Focuses on recent outcomes in the last seven days and changes relative to the month prior
• Provides additional contextual information at the county level for each state, and includes national level information
• Supports rapid visual interpretation of results with color thresholds

This ArcGIS Dashboard application is designed to quickly show the counties of Alabama which have cases of COVID-19 as confirmed by the Alabma Department of Public Health. It will be updated as the ALDPH updates its official count and should not be considered real-time.

This dataset tracks the updates made on the dataset "COVID-19 State Profile Report - Alabama" as a repository for previous versions of the data and metadata.

View daily updates and historical trends for Alabama Coronavirus Deaths (DISCONTINUED). Source: Center for Disease Control and Prevention. Track economic …

Family child care (FCC) is uniquely positioned to address challenges with insufficient early care and education supply and access in the United States. FCC programs were steadily declining before COVID-19, and many child care programs, both center- and home-based, were at risk of closure early in the pandemic. This study examined closure among Alabama FCC providers during COVID-19. Specifically, we examined the timing and predictors of FCC providers’ closure using discrete time-hazard modeling. We analyzed administrative data for the 788 FCC programs licensed in March 2020. Results have implications for mitigating FCC decline and identifying resources to support FCC providers’ continued operation.

View daily updates and historical trends for Alabama Coronavirus Cases Per Day (DISCONTINUED). Source: Center for Disease Control and Prevention. Track ec…

United States Excess Deaths excl COVID: Predicted: Above Expected: Alabama data was reported at 0.000 Number in 30 Oct 2021. This stayed constant from the previous number of 0.000 Number for 23 Oct 2021. United States Excess Deaths excl COVID: Predicted: Above Expected: Alabama data is updated weekly, averaging 0.000 Number from Jan 2017 (Median) to 30 Oct 2021, with 251 observations. The data reached an all-time high of 171.000 Number in 11 Sep 2021 and a record low of 0.000 Number in 30 Oct 2021. United States Excess Deaths excl COVID: Predicted: Above Expected: Alabama data remains active status in CEIC and is reported by Centers for Disease Control and Prevention. The data is categorized under Global Database’s United States – Table US.G012: Number of Excess Deaths: by States: All Causes excluding COVID-19: Predicted (Discontinued).

COVID test sites within the service area of West Alabama Regional Commission. Data from Alabama Department of Public Health (https://dph1.adph.state.al.us/covid-19/)Contact West Alabama Regional Commission:(205) 333-2990warc@westal.org

COVID vaccine locations within the service area of West Alabama Regional Commission. Data from Alabama Department of Public Heath (https://dph1.adph.state.al.us/covid-19/)Contact West Alabama Regional Commission:(205) 333-2990warc@westal.org

Reporting of Aggregate Case and Death Count data was discontinued May 11, 2023, with the expiration of the COVID-19 public health emergency declaration. This dataset will receive a final update on June 1, 2023, to reconcile historical data through May 10, 2023, and will remain publicly available.

This archived public use dataset contains historical case and percent positivity data updated weekly for all available counties and jurisdictions. Each week, the dataset was refreshed to capture any historical updates. Please note, percent positivity data may be incomplete for the most recent time period.

Related data CDC provides the public with two active versions of COVID-19 county-level community transmission level data: this dataset with historical case and percent positivity data for each county from January 22, 2020 (Weekly Historical Changes dataset) and a dataset with the levels as originally posted (Weekly Originally Posted dataset) since October 20, 2022. Please navigate to the Weekly Originally Posted dataset for the Community Transmission Levels published weekly on Thursdays.

Methods for calculating county level of community transmission indicator The County Level of Community Transmission indicator uses two metrics: (1) total new COVID-19 cases per 100,000 persons in the last 7 days and (2) percentage of positive SARS-CoV-2 diagnostic nucleic acid amplification tests (NAAT) in the last 7 days. For each of these metrics, CDC classifies transmission values as low, moderate, substantial, or high (below and here). If the values for each of these two metrics differ (e.g., one indicates moderate and the other low), then the higher of the two should be used for decision-making.

CDC core metrics of and thresholds for community transmission levels of SARS-CoV-2 Total New Case Rate Metric: "New cases per 100,000 persons in the past 7 days" is calculated by adding the number of new cases in the county (or other administrative level) in the last 7 days divided by the population in the county (or other administrative level) and multiplying by 100,000. "New cases per 100,000 persons in the past 7 days" is considered to have transmission level of Low (0-9.99); Moderate (10.00-49.99); Substantial (50.00-99.99); and High (greater than or equal to 100.00).

Test Percent Positivity Metric: "Percentage of positive NAAT in the past 7 days" is calculated by dividing the number of positive tests in the county (or other administrative level) during the last 7 days by the total number of tests resulted over the last 7 days. "Percentage of positive NAAT in the past 7 days" is considered to have transmission level of Low (less than 5.00); Moderate (5.00-7.99); Substantial (8.00-9.99); and High (greater than or equal to 10.00).

The data in this dataset are considered provisional by CDC and are subject to change until the data are reconciled and verified with the state and territorial data providers.

This dataset is created using CDC’s Policy on Public Health Research and Nonresearch Data Management and Access.

Archived data CDC has archived two prior versions of these datasets. Both versions contain the same 7 data elements reflecting community transmission levels for all available counties and jurisdictions; however, the datasets updated daily. The archived datasets can be found here:

Archived Originally Posted dataset

Archived Historical Changes dataset

Archived Data Notes:

October 27, 2022: Due to a processing issue this dataset will not be posted this week. CDC is currently working to address the issue and will publish the data when able.

November 10, 2022: As of 11/10/2022, this dataset will continue to incorporate historical updates made to case and percent positivity data; however, community transmission level will only be published in the corresponding Weekly COVID-19 County Level of Community Transmission as Originally Posted dataset (Weekly Originally Posted dataset).

Note:

October 20, 2022: Due to a data reporting error, the case rate for Philadelphia County, Pennsylvania is lower than expected in the COVID-19 Community Transmission Level data released on October 20, 2022. This could lead to the COVID-19 Community Transmission Level for Philadelphia County being underestimated; therefore, it should be interpreted with caution.

November 3, 2022: Due to a reporting cadence issue, case rates for Missouri counties are calculated based on 11 days’ worth of case count data in the COVID-19 Community Transmission Level data released on November 3, 2022, instead of the customary 7 days’ worth of data. This could lead to the COVID-19 Community Transmission Levels metrics for Missouri counties being overestimated; therefore, they should be interpreted with caution.

November 10, 2022: Due to a reporting cadence change, case rates for Alabama counties are calculated based on 13 days’ worth of case count data in the COVID-19 Community Transmission Level data released on November 10, 2022, instead of the customary 7 days’ worth of data. This could lead to the COVID-19 Community Transmission Levels metrics for Alabama counties being overestimated; therefore, they should be interpreted with caution.

November 10, 2022: Per the request of the jurisdiction, cases among non-residents have been removed from all Hawaii county totals throughout the entire time series. Cumulative case counts reported by CDC will no longer match Hawaii’s COVID-19 Dashboard, which still includes non-resident cases. 

November 10, 2022: In the COVID-19 Community Transmission Level data released on November 10, 2022, multiple municipalities in Puerto Rico are reporting higher than expected increases in case counts. CDC is working with territory officials to verify the data submitted. 

December 1, 2022: Due to cadence changes over the Thanksgiving holiday, case rates for all Ohio counties are reported as 0 in the COVID-19 Community Transmission Level data released on December 1, 2022. Therefore, the COVID-19 Community Transmission Levels may be underestimated and should be interpreted with caution. 

December 22, 2022: Due to an internal revision process, case rates for some Tennessee counties may appear higher than expected in the December 22, 2022, weekly release. Therefore, the COVID-19 Community Transmission Levels metrics for some Tennessee counties may be overestimated and should be interpreted with caution.

December 22, 2022: Due to reporting of a backlog of historic COVID-19 cases, case rates for some Louisiana counties will appear higher than expected in the December 22, 2022, weekly release. Therefore, the COVID-19 Community Transmission Levels metrics for some Louisiana counties may be overestimated and should be interpreted with caution.

December 29, 2022: Due to technical difficulties, county data from Alabama could not be incorporated via standard practices. As a result, case and death metrics will be reported as 0 in the December 29, 2022, weekly release. Therefore, the COVID-19 Community Transmission Levels metrics for Alabama counties will be underestimated and should be interpreted with caution.

January 5, 2023: Due to a reporting cadence issue, case rates for all Alabama counties will be calculated based on 14 days’ worth of case count data in the COVID-19 Community Transmission Level information released on January 5, 2023, instead of the customary 7 days’ worth of case count data. Therefore, the weekly case rates will be overestimated, which could affect counties’ COVID-19 Community Transmission Level classification and should be interpreted with caution.

January 5, 2023: Due to North Carolina’s holiday reporting cadence, aggregate case data will contain 14 days’ worth of data instead of the customary 7 days. As a result, case metrics will appear higher than expected in the January 5, 2023, weekly release. COVID-19 Community Transmission metrics may be overestimated and should be interpreted with caution.

January 12, 2023: Due to data processing delays, Mississippi’s aggregate case data will be reported as 0. As a result, case metrics will appear lower than expected in the January 12, 2023, weekly release. COVID-19 Community Transmission metrics may be underestimated and should be interpreted with caution. 

January 13, 2023: Aggregate case data released for Los Angeles County, California for the week of December 22nd, 2022, and December 29th, 2022, have been corrected for a data processing error.

January 19, 2023: Due to a reporting cadence issue, Mississippi’s aggregate case data will be calculated based on 14 days’ worth of data instead of the customary 7 days in the January 19, 2023, weekly release. Therefore, COVID-19 Community Transmission metrics may be overestimated and should be interpreted with caution.

January 26, 2023: Due to a reporting backlog of historic COVID-19 cases, case rates for two Michigan counties

United States Excess Deaths excl COVID: Predicted: Avg No. of Deaths: Alabama data was reported at 1,022.000 Number in 16 Sep 2023. This records an increase from the previous number of 1,021.000 Number for 09 Sep 2023. United States Excess Deaths excl COVID: Predicted: Avg No. of Deaths: Alabama data is updated weekly, averaging 1,031.000 Number from Jan 2017 (Median) to 16 Sep 2023, with 350 observations. The data reached an all-time high of 1,133.000 Number in 21 Jan 2023 and a record low of 941.000 Number in 12 Aug 2017. United States Excess Deaths excl COVID: Predicted: Avg No. of Deaths: Alabama data remains active status in CEIC and is reported by Centers for Disease Control and Prevention. The data is categorized under Global Database’s United States – Table US.G012: Number of Excess Deaths: by States: All Causes excluding COVID-19: Predicted (Discontinued).

This file contains COVID-19 death counts and rates by month and year of death, jurisdiction of residence (U.S., HHS Region) and demographic characteristics (sex, age, race and Hispanic origin, and age/race and Hispanic origin). United States death counts and rates include the 50 states, plus the District of Columbia. Deaths with confirmed or presumed COVID-19, coded to ICD–10 code U07.1. Number of deaths reported in this file are the total number of COVID-19 deaths received and coded as of the date of analysis and may not represent all deaths that occurred in that period. Counts of deaths occurring before or after the reporting period are not included in the file. Data during recent periods are incomplete because of the lag in time between when the death occurred and when the death certificate is completed, submitted to NCHS and processed for reporting purposes. This delay can range from 1 week to 8 weeks or more, depending on the jurisdiction and cause of death. Death counts should not be compared across jurisdictions. Data timeliness varies by state. Some states report deaths on a daily basis, while other states report deaths weekly or monthly. The ten (10) United States Department of Health and Human Services (HHS) regions include the following jurisdictions. Region 1: Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, Vermont; Region 2: New Jersey, New York; Region 3: Delaware, District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia; Region 4: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee; Region 5: Illinois, Indiana, Michigan, Minnesota, Ohio, Wisconsin; Region 6: Arkansas, Louisiana, New Mexico, Oklahoma, Texas; Region 7: Iowa, Kansas, Missouri, Nebraska; Region 8: Colorado, Montana, North Dakota, South Dakota, Utah, Wyoming; Region 9: Arizona, California, Hawaii, Nevada; Region 10: Alaska, Idaho, Oregon, Washington. Rates were calculated using the population estimates for 2021, which are estimated as of July 1, 2021 based on the Blended Base produced by the US Census Bureau in lieu of the April 1, 2020 decennial population count. The Blended Base consists of the blend of Vintage 2020 postcensal population estimates, 2020 Demographic Analysis Estimates, and 2020 Census PL 94-171 Redistricting File (see https://www2.census.gov/programs-surveys/popest/technical-documentation/methodology/2020-2021/methods-statement-v2021.pdf). Rate are based on deaths occurring in the specified week and are age-adjusted to the 2000 standard population using the direct method (see https://www.cdc.gov/nchs/data/nvsr/nvsr70/nvsr70-08-508.pdf). These rates differ from annual age-adjusted rates, typically presented in NCHS publications based on a full year of data and annualized weekly age-adjusted rates which have been adjusted to allow comparison with annual rates. Annualization rates presents deaths per year per 100,000 population that would be expected in a year if the observed period specific (weekly) rate prevailed for a full year. Sub-national death counts between 1-9 are suppressed in accordance with NCHS data confidentiality standards. Rates based on death counts less than 20 are suppressed in accordance with NCHS standards of reliability as specified in NCHS Data Presentation Standards for Proportions (available from: https://www.cdc.gov/nchs/data/series/sr_02/sr02_175.pdf.).

Deaths involving coronavirus disease 2019 (COVID-19) reported to NCHS by time-period, HHS region, race and Hispanic origin, and age groups (<65, 65-74. 75-84, 85+, and 65+). United States death counts include the 50 states, plus the District of Columbia and New York City. The ten (10) United States Department of Health and Human Services (HHS) regions include the following jurisdictions. Region 1: Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, Vermont; Region 2: New Jersey, New York, New York City; Region 3: Delaware, District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia; Region 4: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee; Region 5: Illinois, Indiana, Michigan, Minnesota, Ohio, Wisconsin; Region 6: Arkansas, Louisiana, New Mexico, Oklahoma, Texas; Region 7: Iowa, Kansas, Missouri, Nebraska; Region 8: Colorado, Montana, North Dakota, South Dakota, Utah, Wyoming; Region 9: Arizona, California, Hawaii, Nevada; Region 10: Alaska, Idaho, Oregon, Washington.

United States Excess Deaths excl COVID: Predicted: Upper Bound: Alabama data was reported at 1,082.000 Number in 16 Sep 2023. This records an increase from the previous number of 1,079.000 Number for 09 Sep 2023. United States Excess Deaths excl COVID: Predicted: Upper Bound: Alabama data is updated weekly, averaging 1,096.500 Number from Jan 2017 (Median) to 16 Sep 2023, with 350 observations. The data reached an all-time high of 1,194.000 Number in 14 Jan 2023 and a record low of 1,006.000 Number in 05 Aug 2017. United States Excess Deaths excl COVID: Predicted: Upper Bound: Alabama data remains active status in CEIC and is reported by Centers for Disease Control and Prevention. The data is categorized under Global Database’s United States – Table US.G012: Number of Excess Deaths: by States: All Causes excluding COVID-19: Predicted (Discontinued).

This Project Tycho dataset includes a CSV file with COVID-19 data reported in UNITED STATES OF AMERICA: 2019-12-30 - 2021-07-31. It contains counts of cases, deaths, hospitalizations, and demographics. Data for this Project Tycho dataset comes from: "Alabama Department of Public Health Website Dashboard", "Arkansas Department of Health COVID-19 Website Dashboard", "California Health and Human Services Open Data Portal, California Department of Public Health COVID-19 Data", "Colorado Department of Public Health and Environment Open Data Website", "Connecticut Open Data Website, Department of Public Health COVID-19 Data", "Delaware Environmental Public Health Tracking Network, Delaware Health and Social Services Website", "Georgia Department of Public Health Website", "Illinois Department of Public Health Website", "Indiana Data Hub Website, Indiana State Department of Health COVID-19 Data", "COVID-19 Data Repository by the Center for Systems Science and Engineering (CSSE) at Johns Hopkins University", "Kentucky Department of Public Health COVID-19 Website Dashboard", "Maine Center for Disease Control & Prevention; Division of the Maine Department of Health and Human Services Website", "Maryland Department of Health COVID-19 Website Dashboard", "Minnesota Department of Health COVID-19 Website Dashboard", "Montana Department of Health & Human Services COVID-19 Website Dashboard", "New York State Department of Health Data Website", "COVID-19 Data Repository by The New York Times", "Ohio Department of Health COVID-19 website", "Pennsylvania Department of Health Data Website", "Tennessee Department of Health Website", "Texas Department of Health Services Website", "United States Centers for Disease Control and Prevention, COVID-19 Response", "Vermont Department of Health, Vermont Center for Geographic Information Open Geodata Portal", "Virginia Department of Health Website", "European Centre for Disease Prevention and Control Website", "World Health Organization COVID-19 Dashboard". The data have been pre-processed into the standard Project Tycho data format v1.1.

Context

  Coronaviruses are a large family of viruses which may cause illness in animals or humans. In humans, several coronaviruses are known to cause respiratory infections ranging from the common cold to more severe diseases such as Middle East Respiratory Syndrome (MERS) and Severe Acute Respiratory Syndrome (SARS). The most recently discovered coronavirus causes coronavirus disease COVID-19 - World Health Organization
  This visualization addresses the question of how the hospital resources needed for COVID-19 patients have varied across the 5 different US States (New York, California, Louisiana, Washington & Alabama) during the Coronavirus pandemic. 
 The hospital resource taken into consideration are:

a)The total no of beds b)The total no of ICU beds c)The total no of Invasive ventilators.

Content

 Data for this analysis is obtained from Institute for Health Metrics and Evaluation. Sincere thanks to them for making it available to the public. A time period of 6 months ranging from February to August was analysed and plotted to help the reader identify when the hospital resource needed for COVID-19 patients will attain its peak!

Acknowledgements

 Sincere thanks to Institute for Health Metrics and Evaluation (https://covid19.healthdata.org/united-states-of-america) from whom the data is acquired.

Inspiration

Effective September 27, 2023, this dataset will no longer be updated. Similar data are accessible from wonder.cdc.gov.

Deaths involving COVID-19 reported to NCHS by time-period, HHS region, race and Hispanic origin, and age group.

United States death counts include the 50 states, plus the District of Columbia and New York City. The ten (10) United States Department of Health and Human Services (HHS) regions include the following jurisdictions. Region 1: Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, Vermont; Region 2: New Jersey, New York, New York City, Puerto Rico; Region 3: Delaware, District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia; Region 4: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee; Region 5: Illinois, Indiana, Michigan, Minnesota, Ohio, Wisconsin; Region 6: Arkansas, Louisiana, New Mexico, Oklahoma, Texas; Region 7: Iowa, Kansas, Missouri, Nebraska; Region 8: Colorado, Montana, North Dakota, South Dakota, Utah, Wyoming; Region 9: Arizona, California, Hawaii, Nevada; Region 10: Alaska, Idaho, Oregon, Washington.

BackgroundThe (GuideSafe™) Exposure Notification System (ENS) was built and deployed in (Alabama) for anonymous sending and receiving of COVID-19 exposure alerts to people who have been in close contact with someone who later reports a positive COVID-19 test. Little is known about how the demographic groups perceive recent privacy-preserving the ENS innovations, including their usability, usefulness, satisfaction, and continued interest in sharing COVID-19 exposure information. The purpose of this study was to investigate how users across the demographic groups perceive the sharing of exposure information with various types of organizations and to investigate how end-user perceptions of the ENS usability, usefulness, and satisfaction differ across the demographic groups within the context of a statewide deployment of an exposure notification system.MethodsA survey was administered to (state residents blinded for review) (N = 1,049) to assess propensity to share COVID-19 infection data and evaluate end-user perceptions about usability, usefulness, and satisfaction with the (Alabama) ENS. The ANOVA and the Tukey's Honestly Significant Difference (HSD) post-hoc tests were conducted to assess the demographic group differences.ResultsThe ENS survey participants had a high awareness of contact tracing, exposure notifications, and the (GuideSafe™) ENS and reported having downloaded the app. Survey results revealed the majority of participants rated the app as useful (n = 490, 79%), easy to use (n = 490, 79%), and reported satisfaction with its use (n = 546, 88%). Other results suggest that ethnicity and age may be important factors for trust in sharing exposure information.ConclusionThe (GuideSafe™) system was one integrated component of comprehensive education and work re-entry strategy across (Alabama) that reached a broad user base. Users across the different demographic groups perceive the sharing of information about their communicable disease exposures differently. Furthermore, demographic factors play a role in which types of organizations individuals are willing to share their communicable disease exposure information. Public health institutions, employers, schools, healthcare providers, and technology designers may want to consider these findings as they construct technologies and perform outreach campaigns aimed at reducing infection rates with the ENS and related technologies.

BackgroundWhile frontline nurses employ coping alternatives to help deal with occupational stress resulting from unprecedented challenges during the COVID-19 pandemic, their access to necessary resources is unclear.ObjectiveThis study aims to explore nurses' mental health in Alabama hospitals during the COVID-19 outbreak and investigate the impact of organizational and community support on nurse stressor levels, physio-psychosocial responses, and coping strategies employed.MethodsA cross-sectional survey was developed to bridge our understanding of stress, support, and coping mechanisms and distributed to nurses working with COVID-19-infected patients in hospital settings in Alabama. A total of 232 frontline nurses responded to 79 items in four domains (stressors, physio-psychosocial symptoms, coping, and support) between May 6, 2020, and June 30, 2020. A two-way ANOVA, regression analysis, and mediation of effects were used to analyze the data.ResultsThis study found that both social support and use of coping strategies contributed to the reduction of physio-psychosocial symptoms. Differences were found in how older frontline nurses perceived the efficacy of social support and certain coping strategies. This study provides further evidence of the importance of organizational support in addressing the harmful physio-psychosocial symptoms experienced by nurses.

Context

The most prevalent condition in the study is obesity, affecting just over 30 percent of Americans and it followed by diabetes which has a national prevalence of 11.2 percent. Chronic obstructive pulmonary disease (COPD) and cardiovascular disease have a prevalence of just under 7 percent while chronic kidney disease is at approximately 3 percent. The CDC stated that "while the estimated number of persons with any underlying medical condition was higher in population-dense metropolitan areas, overall prevalence was higher in rural nonmetropolitan areas". It also added that "the counties with the highest prevalences of any condition were concentrated in Southeastern states, particularly in Alabama, Arkansas, Kentucky, Louisiana, Mississippi, Tennessee, and West Virginia, as well as some counties in Oklahoma, South Dakota, Texas, and northern Michigan, among others".

https://www.statista.com/chart/22365/prevalence-of-underlying-conditions-in-us-adults/

Content

Several studies have found that the risk of contracting severe Covid-19 that can result in hospitalization, ICU admission, mechanical ventilation or death increases with age as well as the presence of underlying health conditions. In the United States, the Centers for Disease Control and Prevention (CDC) recently released a study showing that a considerable share of the American population has some form of underlying health issue, placing them at risk from severe forms of the virus. The study's findings are based on the 2018 Behavioural Risk Factor Surveillance System (BRFSS) and U.S. Census population data and it determined that 40.7 percent of U.S. adults (aged 18 and over) have a pre-existing health condition.

Acknowledgements

Niall McCarthy, Data Journalist https://www.statista.com/chart/22365/prevalence-of-underlying-conditions-in-us-adults/

Inspiration

Covid-19