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COVID-19

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Social Support During Covid-19 Social Distancing, Josiah P. Stryd Nov 2020

Social Support During Covid-19 Social Distancing, Josiah P. Stryd

Honors Projects

This pilot study measured emotional affect, social support, and use of digital communication technologies during the early 2020 COVID-19 stay at home order in Michigan among 65 Grand Valley State University Alumni Association members. The study used an online survey and was designed to examine the relationship between digital communication and social support during physical social distancing, and how this impacted emotional affect. Overall, the pilot study found largely unchanged reported emotional affect and social support before and during the stay at home order. A future study with larger sample size would aim to find if these results are replicated …


Investor Behavior In The Midst Of A Global Pandemic, Abigail N. Bates Nov 2020

Investor Behavior In The Midst Of A Global Pandemic, Abigail N. Bates

Honors Projects

Investors partaking in portfolio and asset management through the stock market and other avenues do so with certain reasoning and methods in hand. Each investor may have different interests and risk tolerances that guide their choices for investment. Behavioral finance allows for an in-depth look at an investor’s actions and the influencing psychology behind it. Before this approach was popularized, early studies of finance assumed that investors were always rational in their decision making and put resources only into opportunities that would increase their utility or happiness. The behavioral finance approach takes a more comprehensive look at these behaviors and …


Financial Capability And Asset Building In Social And Economic Development: Advancing The Sustainable Development Goals, David Ansong, Moses Okumu, Jin Huang`, Margaret S. Sherraden, Lissa Johnson, Li Zou Nov 2020

Financial Capability And Asset Building In Social And Economic Development: Advancing The Sustainable Development Goals, David Ansong, Moses Okumu, Jin Huang`, Margaret S. Sherraden, Lissa Johnson, Li Zou

Center for Social Development Research

The concern for economic well-being undergirds most of the United Nations Sustainable Development Goals. This Perspective articulates an agenda for advancing those goals in resource-constrained countries by leveraging financial capability and asset-building (FCAB) strategies. It also specifies a role for financial technology (commonly called “FinTech”) in this work. The authors conclude with a call for better integrating FCAB and FinTech into plans for advancing the SDGs.


Eagles Prepare For Sun Belt Tournament Opener Monday, Georgia Southern University Nov 2020

Eagles Prepare For Sun Belt Tournament Opener Monday, Georgia Southern University

Athletics: News & Publications

  • Eagles Prepare for Sun Belt Tournament Opener Monday


The Effect Of Shelter-In-Place Orders On Social Distancing And The Spread Of The Covid-19 Pandemic: A Study Of Texas, Marco A. Castaneda, Meryem Saygili Nov 2020

The Effect Of Shelter-In-Place Orders On Social Distancing And The Spread Of The Covid-19 Pandemic: A Study Of Texas, Marco A. Castaneda, Meryem Saygili

Economics Faculty Publications and Presentations

Objectives: We study how the state-wide shelter-in-place order affected social distancing and the number of cases and deaths in Texas.

Methods: We use daily data at the county level. The COVID-19 cases and fatalities data are from the New York Times. Social distancing measures are from SafeGraph. Both data are retrieved from the Unfolded Studio website. The county-level COVID-related policy responses are from the National Association of Counties. We use an event-study design and regression analysis to estimate the effect of the state-wide shelter-in-place order on social distancing and the number of cases and deaths.

Results: We find that the …


Covid-19 Evacuation And Sheltering Risk Perception Study, Joshua G. Behr, Rafael Diaz, Wie Yusuf, Bridget Giles, Kaleen Lawsure, George Mcleod Nov 2020

Covid-19 Evacuation And Sheltering Risk Perception Study, Joshua G. Behr, Rafael Diaz, Wie Yusuf, Bridget Giles, Kaleen Lawsure, George Mcleod

Presentations, Lectures, Posters, Reports

First two paragraphs from the Executive Overview:

This report, COVID-19 Evacuation and Sheltering Risk Perception Study, is one of several key science-based research efforts produced for the State reflecting the most current knowledge related to evacuation and sheltering behavior. The primary data source for this report are interviews with 2,200 households across ten localities in Hampton Roads, including the Eastern Shore. The findings – and recommendations – within this report are intended to inform and advance state and local evacuation and public shelter planning.

This report contains 31 specific recommendations (Action Items) that broadly advance coastal resilience and protect the …


Covid-19 In Spain And India: Comparing Policy Implications By Analyzing Epidemiological And Social Media Data, Parth Asawa, Manas Gaur, Kaushik Roy, Amit P. Sheth Nov 2020

Covid-19 In Spain And India: Comparing Policy Implications By Analyzing Epidemiological And Social Media Data, Parth Asawa, Manas Gaur, Kaushik Roy, Amit P. Sheth

Publications

The COVID-19 pandemic has forced public health experts to develop contingent policies to stem the spread of infection, including measures such as partial/complete lockdowns. The effectiveness of these policies has varied with geography, population distribution, and effectiveness in implementation. Consequently, some nations (e.g., Taiwan, Haiti) have been more successful than others (e.g., United States) in curbing the outbreak. A data-driven investigation into effective public health policies of a country would allow public health experts in other nations to decide future courses of action to control the outbreaks of disease and epidemics. We chose Spain and India to present our analysis …


Covid-19 Disparity Among Racial And Ethnic Minorities In The Us: A Cross Sectional Analysis, Raghavendra Tirupathi, Valeriia Muradova, Raj Shekhar, Sohail Abdul Salim Nov 2020

Covid-19 Disparity Among Racial And Ethnic Minorities In The Us: A Cross Sectional Analysis, Raghavendra Tirupathi, Valeriia Muradova, Raj Shekhar, Sohail Abdul Salim

Open Access archive

Aim: To analyze racial disparities in Coronavirus disease (COVID-19) cases in the United States of America and discuss possible reasons behind this inequality. Subject and methods: We obtained estimated case counts of African-American, Caucasian, Native American, Asian and Hispanic individuals with coronavirus disease (COVID-19)infection through May 5, 2020, from publicly available data on state departments of health websites. We calculated race-specific fractions as the percentage of the total population and analyzed the reasons behind this disparity. Results: The incident rates of COVID-19 were higher among African Americans and among Latinos disproportionately higher than their representation in 14 states and 9 …


Knowledge And Understanding Among Medical Imaging Professionals In India During The Rapid Rise Of The Covid-19 Pandemic, Rahul P. Kotian, Disha Faujdar, Sneha P. Kotian, Brayal D’Souza Nov 2020

Knowledge And Understanding Among Medical Imaging Professionals In India During The Rapid Rise Of The Covid-19 Pandemic, Rahul P. Kotian, Disha Faujdar, Sneha P. Kotian, Brayal D’Souza

Open Access archive

During the first week of March,2020 the surge of coronavirus disease (COVID-19) cases reached all over the globe with more than 100,000 cases. Healthcare national and international authorities have already initiated awareness and lockdown activities. A poor understanding of the disease among medical imaging professionals (MIPs) may result in rapid spread of infection. This study aimed to investigate the knowledge and understanding of MIPs about COVID-19. A cross-sectional, web-based study was conducted among MIPs about COVID- 19 during the fourth week of March 2020. An online sample of MIPs was successfully recruited via the authors’ networks in India using data …


Outbreak Of Coronavirus Disease 2019 (Covid 19) In Pakistan: Psychological Impact And Coping Strategies Of Health Care Professionals, Khola Noreen, Muhammad Umar, Syed Arshad Sabir, Rehana Rehman Nov 2020

Outbreak Of Coronavirus Disease 2019 (Covid 19) In Pakistan: Psychological Impact And Coping Strategies Of Health Care Professionals, Khola Noreen, Muhammad Umar, Syed Arshad Sabir, Rehana Rehman

Department of Biological & Biomedical Sciences

Objective: This study was conducted to explore factors that can impact psychological health and coping strategies to help health care professionals (HCPs) to perform their duties.
Methods: A cross sectional survey was conducted using structured questionnaire electronically shared with the participants after ethical approval. Descriptive statistics were calculated for socio demographic variables. Chi squared χ2 test was used to compare the responses between different groups of HCPs.
Results: Survey was completed by 250 participants. They performed their duties diligently during outbreak but were concerned about their safety, had fear of infecting themselves and their family members. Lack of evidence-based …


Rapid Response Telehealth Among Behavioral Health Providers In Louisiana During Covid-19: A Story Of Adoption And Adaptation, Stephen Phillippi, Sonita Singh, Brian Bumbarger, Kaylin Beiter, Lindsay Simpson, Ashley Fenton Nov 2020

Rapid Response Telehealth Among Behavioral Health Providers In Louisiana During Covid-19: A Story Of Adoption And Adaptation, Stephen Phillippi, Sonita Singh, Brian Bumbarger, Kaylin Beiter, Lindsay Simpson, Ashley Fenton

Journal of the Louisiana Public Health Association

Background: The COVID-19 pandemic, the Louisiana Governor’s “Stay at Home” order, and subsequent social distancing precautions, necessitated an unprecedented shift to telehealth to access behavioral health services in Louisiana. Methods: Data were collected through a survey sent to 1,554 providers, with 307 (20%) responding, to learn how providers had managed the shift to telehealth. Results: The majority (85%) of providers surveyed reported continuing to see clients via telehealth. Barriers to providing care via telehealth were reported as, “clients’ access to devices, data and internet”, “the client’s knowledge of technology”, and the ability to access clients, specifically “hard to reach populations”. …


How Shall We ‘Hammer’ And ‘Dance’?, Wee Kiat Lim Nov 2020

How Shall We ‘Hammer’ And ‘Dance’?, Wee Kiat Lim

Asian Management Insights

On the promises and perils of domestic tourism during the Covid-19 pandemic.


U.S. Settler Colonialism, White Supremacy, And The Racially Disparate Impacts Of Covid-19, Monika Batra Kashyap Nov 2020

U.S. Settler Colonialism, White Supremacy, And The Racially Disparate Impacts Of Covid-19, Monika Batra Kashyap

Faculty Articles

This Essay contextualizes the racially disproportionate impacts of COVID-19 in the United States within a framework of settler colonialism in order to broaden the understanding of how structural inequality is produced, imposed, and maintained. A settler colonialism framework recognizes that the United States is a present-day settler colonial society whose laws, institutions and systems of governance continue to reenact the three processes upon which the United States was built—Indigenous elimination, anti-Black racism, and immigrant exploitation. This Essay connects these foundational processes—and their underlying White supremacist logics—to the disparate health impacts of COVID-19 on Indigenous, Black, and immigrant of color communities …


2020 National Survey Of Military Affiliated Entrepreneurs: Key Highlights, Rosalinda V. Maury, Mirza Tihic, Kicia Sears, Najla Almissalati Nov 2020

2020 National Survey Of Military Affiliated Entrepreneurs: Key Highlights, Rosalinda V. Maury, Mirza Tihic, Kicia Sears, Najla Almissalati

Institute for Veterans and Military Families

Short infographic about the status of military-affiliated entrepreneurs in 2020, including the impact of the COVID-19 pandemic. Helpful for a general awareness of the military entrepreneur industry.


Aerosol Generation With Common Rhinologic Devices: Cadaveric Study Conducted In A Surgical Suite, Bailey Leconte, Garren M I Low, Martin J Citardi, William C Yao, Arturo A Eguia, Amber U Luong Nov 2020

Aerosol Generation With Common Rhinologic Devices: Cadaveric Study Conducted In A Surgical Suite, Bailey Leconte, Garren M I Low, Martin J Citardi, William C Yao, Arturo A Eguia, Amber U Luong

Faculty, Staff and Student Publications

No abstract provided.


Eating Habits And Lifestyle During Covid-19 Lockdown In The United Arab Emirates: A Cross-Sectional Study, Leila Cheikh Ismail, Tareq M. Osaili, Maysm N. Mohamad, Amina Al Marzouqi, Amjad H. Jarrar, Dima O.Abu Jamous, Emmanuella Magriplis, Habiba I. Ali, Haleama Al Sabbah, Hayder Hasan, Latifa M.R. Almarzooqi, Lily Stojanovska, Mona Hashim, Reyad R.Shaker Obaid, Sheima T. Saleh, Ayesha S.Al Dhaheri Nov 2020

Eating Habits And Lifestyle During Covid-19 Lockdown In The United Arab Emirates: A Cross-Sectional Study, Leila Cheikh Ismail, Tareq M. Osaili, Maysm N. Mohamad, Amina Al Marzouqi, Amjad H. Jarrar, Dima O.Abu Jamous, Emmanuella Magriplis, Habiba I. Ali, Haleama Al Sabbah, Hayder Hasan, Latifa M.R. Almarzooqi, Lily Stojanovska, Mona Hashim, Reyad R.Shaker Obaid, Sheima T. Saleh, Ayesha S.Al Dhaheri

All Works

© 2020 by the authors. Licensee MDPI, Basel, Switzerland. The coronavirus disease is still spreading in the United Arab Emirates (UAE) with subsequent lockdowns and social distancing measures being enforced by the government. The purpose of this study was to assess the effect of the lockdown on eating habits and lifestyle behaviors among residents of the UAE. A cross-sectional study among adults in the UAE was conducted using an online questionnaire between April and May 2020. A total of 1012 subjects participated in the study. During the pandemic, 31% reported weight gain and 72.2% had less than eight cups of …


I Don't Want To Go Back: Examining The Return To Physical Workspaces During Covid-19, Zihan Liu, Drake Van Egdom, Rhona Flin, Christiane Spitzmueller, Omolola Adepoju, Ramanan Krishnamoorti Nov 2020

I Don't Want To Go Back: Examining The Return To Physical Workspaces During Covid-19, Zihan Liu, Drake Van Egdom, Rhona Flin, Christiane Spitzmueller, Omolola Adepoju, Ramanan Krishnamoorti

Research Collection Lee Kong Chian School Of Business

Objective: We study employee perspectives on return to physical workspaces to ultimately inform employers' and policy makers' decision making around the return to work during COVID-19. Methods: We tested the three-component conceptual model using survey data collected in the United States in May 2020 from samples of energy workers (N = 333). Results: Women, non-Caucasians, and employees living in multi-generational households were less willing to return. Concerns about childcare were negatively related to willingness to return, whereas organizational strategies for mitigating COVID-19 transmission at work were positively related to willingness to return. COVID-19 infections in an employees' network were also …


Restrict, Clean And Protect: Signaling Consumer Safety During The Pandemic And Beyond, Liliana L. Bove, Sabine Benoit Nov 2020

Restrict, Clean And Protect: Signaling Consumer Safety During The Pandemic And Beyond, Liliana L. Bove, Sabine Benoit

Research Collection Lee Kong Chian School Of Business

Purpose: Since the outbreak of the COVID-19 pandemic, customers fear for their health when interacting with service providers. To mitigate this fear service providers are using safety signals directed to consumers and other stakeholders who make organizational assessments. The purpose of this article is to synthesize the range of safety signals in a framework that integrates signaling theory with servicescape elements so as to provide guidance for service providers to assist in their recovery. Design/methodology/approach: The authors extracted examples of how service providers signal safety to their consumers that the risk of infection is low in exchanging with their service. …


Macroeconomic Stabilization In The Digital Age, John Beirne, David Fernandez Nov 2020

Macroeconomic Stabilization In The Digital Age, John Beirne, David Fernandez

Research Collection Lee Kong Chian School Of Business

Macroeconomic Stabilization in the Digital Age provides insights into factors affecting the macroeconomic management of the economy in the digital age. Policy makers need to be aware of the increasing prominence of the digital economy and digital finance and seek to better understand how continued digitalization will affect policies aimed at managing the economy. For emerging market economies (EMEs), macroeconomic policy challenges have been exacerbated by the digital finance revolution in the aftermath of the global financial crisis and the coronavirus disease (COVID-19) pandemic, when many EMEs experienced large and volatile capital flows. Policy makers must also navigate through fluctuating …


Healthcare Innovation From The Inside Out: Leveraging The Human Capital System At Tan Tock Seng Hospital, Kenneth T. Goh, Richard Raymond Smith, Cher Heng Tan, David Dhevarajulu Nov 2020

Healthcare Innovation From The Inside Out: Leveraging The Human Capital System At Tan Tock Seng Hospital, Kenneth T. Goh, Richard Raymond Smith, Cher Heng Tan, David Dhevarajulu

Research Collection Lee Kong Chian School Of Business

The global pandemic has strained healthcare systems around the world, yet some providers have been able to adapt better and more swiftly than others. One such example is Singapore’s Tan Tock Seng Hospital (TTSH). When Covid-19 broke out, TTSH had to strike a balance between reducing business-as-usual (BAU) services and increasing outbreak-coping capacity. The latter meant that the hospital needed to build isolation rooms, and effectively ramp up its intensive care unit (ICU) capacity and capabilities to adapt to a rapidly evolving global pandemic. Furthermore, hospital management had to make an active push towards ensuring adequate supplies of personal protective …


The Potential Impacts Of Covid-19 On The Global Value Chains: Gvc Positioning And Linkages, Gerald Foong, Pao-Li Chang Nov 2020

The Potential Impacts Of Covid-19 On The Global Value Chains: Gvc Positioning And Linkages, Gerald Foong, Pao-Li Chang

Research Collection School Of Economics

Apart from the public health crisis entailed by the Coronavirus Disease 2019 (COVID-19) pandemic, it has also propagated a pandemic-induced economic shock globally. One transmission channel is via the inter-country linkages arising from the trade in intermediate inputs, which is a pertinent characteristic of global value chains (GVCs), and resulting in a "supply-chain contagion" as termed by Baldwin and Tomiura (2020). In this paper, we propose measures of bilteral downstreamness and upstreamness, the extent of a country's GVC participation, and the position of a country in GVCs by leveraging upon the gross export decomposition framework as laid out by Borin …


Donor And Transplant Candidate Selection For Solid Organ Transplantation During The Covid-19 Pandemic, N Thao N Galvan, Nicolas F Moreno, Jay E Garza, Susan Bourgeois, Marion Hemmersbach-Miller, Bhamidipati Murthy, Katherine Timmins, Christine A O'Mahony, James Anton, Andrew Civitello, Puneet Garcha, Gabe Loor, Kenneth Liao, Alexis Shaffi, John Vierling, Rise Stribling, Abbas Rana, John A Goss Nov 2020

Donor And Transplant Candidate Selection For Solid Organ Transplantation During The Covid-19 Pandemic, N Thao N Galvan, Nicolas F Moreno, Jay E Garza, Susan Bourgeois, Marion Hemmersbach-Miller, Bhamidipati Murthy, Katherine Timmins, Christine A O'Mahony, James Anton, Andrew Civitello, Puneet Garcha, Gabe Loor, Kenneth Liao, Alexis Shaffi, John Vierling, Rise Stribling, Abbas Rana, John A Goss

Faculty, Staff and Students Publications

Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), a novel coronavirus responsible for a worldwide pandemic has forced drastic changes in medical practice in an alarmingly short period of time. Caregivers must modify their strategies as well as optimize the utilization of resources to ensure public and patient safety. For organ transplantation, in particular, the loss of lifesaving organs for transplantation could lead to increased waitlist mortality. The priority is to select uninfected donors to transplant uninfected recipients while maintaining safety for health care systems in the backdrop of a virulent pandemic. We do not yet have a standard approach to evaluating …


Dealing With Covid-19 And Emerging Stronger From It, David Chan Nov 2020

Dealing With Covid-19 And Emerging Stronger From It, David Chan

Research Collection School of Social Sciences

Whether it is reacting to news on COVID-19 cases, following safe management rules, adapting to changes at work, assessing leadership and public responses to the coronavirus crisis, or navigating post-pandemic realities, it is all part of understanding how humans think, feel, and behave, says SMU Professor David Chan.


Empowering Singapore’S Smes: Fintech P2p Lending — A Lifeline For Smes’ Survival?, Grace Lee, Alan Megargel Nov 2020

Empowering Singapore’S Smes: Fintech P2p Lending — A Lifeline For Smes’ Survival?, Grace Lee, Alan Megargel

Research Collection School Of Computing and Information Systems

The COVID-19 pandemic has sent shock waves throughout the world, pushed countries into lockdown, and wreaked havoc on the world’s people and the global economy. The damage to economies around the world caused by the COVID-19 pandemic has far exceeded that of the global financial crisis. While all businesses suffered hugely, it would be of grave consequence if the small and medium-sized enterprises (SMEs), an important segment of every country’s economy, are unable to withstand the shock wave and sustain themselves beyond this pandemic. The COVID-19 pandemic has highlighted the importance of cash flow or working capital for the viability …


Exploring The Impact Of Covid-19 On Aviation Industry: A Text Mining Approach, Gottipati Swapna, Kyong Jin Shim, Weiling Angeline Jiang, Sheng Wei Andre Justin Lee Nov 2020

Exploring The Impact Of Covid-19 On Aviation Industry: A Text Mining Approach, Gottipati Swapna, Kyong Jin Shim, Weiling Angeline Jiang, Sheng Wei Andre Justin Lee

Research Collection School Of Computing and Information Systems

Our study presents a comprehensive analysis of news articles from FlightGlobal website during the first half of 2020. Our analyses reveal useful insights on themes and trends concerning the aviation industry during the COVID-19 period. We applied text mining and NLP techniques to analyse the articles for extracting the aviation themes and article sentiments (positive and negative). Our results show that there is a variation in the sentiment trends for themes aligned with the real-world developments of the pandemic. The article sentiment analysis can offer industry players a quick sense of the nature of developments in the industry. Our article …


Resilience Mediates The Relationship Between Socio-Cognitive Mindfulness And Perceived Stress In Academic Middle Managers In Higher Education, Rachel R. Slaymaker Nov 2020

Resilience Mediates The Relationship Between Socio-Cognitive Mindfulness And Perceived Stress In Academic Middle Managers In Higher Education, Rachel R. Slaymaker

Electronic Theses and Dissertations

Faculty, staff, and administrators in higher education have experienced rising stress levels due to an increasingly turbulent environment amid constant change and uncertainty. In particular, academic middle managers experience increasingly high demands and significant stressors in the ever-changing landscape of higher education. Most research that addresses stress among academic middle managers has focused on the management of stressors and emphasized the need for additional training and technical support rather than how to address adaptive challenges. However, emerging research has provided promising evidence of the positive effects of mindfulness in reducing the perception of stress and enhancing resilience, both of which …


Tough Decisions During The Covid 19 Pandemic: A Frail Latino Patient, Irma Huayanay, Stephanie Luu Nov 2020

Tough Decisions During The Covid 19 Pandemic: A Frail Latino Patient, Irma Huayanay, Stephanie Luu

School of Medicine Publications

The pandemic of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) had overwhelmed the healthcare system worldwide with multiple ethical dilemmas. Several tools have been used to assess risk factors in these patients. One of them, the Clinical Frailty scale, has shown good correlation between the patient functional status and hospital stay with overall mortality. We present a case were the Clinical Frailty Scale was used to assess patient management and goals of care.


Purchasing Behavior During Covid-19. Will It Be A “New Normal”?, Nora Sadiku Dushi, Aferina Skeja Oct 2020

Purchasing Behavior During Covid-19. Will It Be A “New Normal”?, Nora Sadiku Dushi, Aferina Skeja

UBT International Conference

At the beginning of the year, the world started facing a new disease called COVID-19 caused by the novel coronavirus. To control it's fast and uncontrolled spread, the World Health Organization (WHO) declared this new illness as a global pandemic. Panic buying, empty supermarket shelves, and stockpiling were a usual picture all around the globe. The new reality caused a transformation in everyone's life by changing the way people work, learn, live, think, and buy. There is no doubt that also consumer behavior has changed during this time. The purpose of this research is to study consumer purchasing behavior during …


Gratitude Attitude, Adrienne J. Royo Oct 2020

Gratitude Attitude, Adrienne J. Royo

Faculty Works

As a member of this world's community we must be aware of other's needs, look for ways to make a difference, and pay attention to God's ongoing blessings. Our talents and skills can make a difference in other people's lives.


2020-10-31_Michiganoverview_Covidsymptoms, Michigan Department Of Health & Human Services Oct 2020

2020-10-31_Michiganoverview_Covidsymptoms, Michigan Department Of Health & Human Services

Michigan COVID-19 Syndromic Surveillance System Data

The Syndromic Surveillance System Data report was obtained from Michigan's COVID-19 dashboard, from under the link "​Coronavirus Symptoms": https://www.michigan.gov/coronavirus. Data was compiled by the Michigan Department of Health and Human Services (MDHHS). The information was updated daily.

Syndromic Surveillance System data is obtained from approximately 183 facilities participating in syndromic surveillance (132 Emergency Departments (ED), 51 Urgent Cares) across the State of Michigan. The reporting is based on individuals who present at EDs and may not be representative of the overall population. The coronavirus-like symptoms query searches visit free-text (chief complaint, triage notes, and clinical impression) for fever or …