kenomora

Oh dear, please tell you me you were not implying that it was ok for you to not worry about getting it again. Long term protective immunity has not been demonstrated, while there are many reports of reinfection or relapse. @musclvr did a great job of explaining that not everyone develops neutralizing antibodies, which are the antibodies that can render the virus non-infectious. Only about 10% of people who've had COVID-19 become what they call "elite neutralizer" See below screen cap from this presentation:
 
width=554pxhttps://i.ibb.co/wpxTJDV/Screen-Shot-2020-07-20-at-9-40-42-PM.png[/img]
Basically, they tested blood collected from >350 patients who recovered from COVID-19 in NY for the presence of neutralizing antibodies. As you can see above, the neutralizing capabilities of over 300 patients were so low (in the red line) it may not have been protective, while elite neutralizers have clearly developed protective immunity that actually reduced rates of infection in a cell culture model. Patients in the non-elite group did develop antibodies, but not necessarily neutralizing or protective. This is basically to show you that you really cannot believe you would be protected simply because you have previously been infected. Also, most of the evidence now suggests that even these neutralizing antibodies wane over time, sometime falling below putative protective levels within a few months.
 
From my opinion, the vaccines are not going to be silver bullets. Experience from SARS-CoV and other CoV suggested that it is not going to be easy.
 
Another point I'd like to make is when I see people say "I have tested negative, and so did my provider" I do worry about the type of testing done on them. There are a ton of tests out there that have been approved through Emergency Use Authorization by the FDA. Do you know what that means? The EUA tests are not as well vetted/tested and the manufacturers do not have to submit extensive data on test performance in order to be able to start selling their tests. The FDA website has all the package inserts for these tests, and if you read some of them you'd be surprised how little is known about the performance of some of these tests. Basically, right now there are 3 types of tests you can get:
 
1. Molecular tests: These are tests that detect the presence of viral RNA. They are generally considered more sensitive than other types of test. If you got your test done in a hospital or a large reference lab and you had to wait a few days, there's a good chance that they used a molecular test. Again, not all molecular tests were made equal. Do you remember the Abbott ID NOW that the POTUS was a poster child for a few months ago where he got tested with this instrument? Although it is a molecular test, the technology they use for amplification of signal to indicate the presence of SARS-CoV-2 RNA is significantly inferior to other methods like PCR. It is so bad that they had to change the package insert to say something along the line of "if you test negative on this test you should get tested again with another molecular method". It's silly, but that's the truth.
2. Antigen tests: These are mostly rapid tests performed at health fairs, some field testing units, or smaller clinics. The advantages of these tests is that they are fast and not terribly expensive, and they are considered "waived" tests that are low-complexity and can be performed anywhere. However, the sensitivity is so appallingly low that, again, if you test negative on these tests you need to get retested with a molecular test.
3. Antibody tests: These are blood tests that would detect if you have developed IgM and/or IgG antibodies agains SARS-CoV-2. Literally, all we know now is that if you're positive for IgM, or IgM, or both, you've been infected in the past. Typically, for other infectious diseases the presence of IgM indicates a recent infection while IgG indicates past infections. Unfortunately, in COVID-19 IgM and IgG antibodies come up almost simultaneously so there is no use trying to distinguish between the two. The clinical utility of these antibody tests has not yet been established. Our lab performs the testing, but provides no interpretation because we simply do not know what it means!
 
I brought up all of these because when people say "I have been tested", they really need to know what kind of test was done. YOU NEED TO ASK! Was it a sensitive molecular test? Or did you just go a tent and got an antigen test? Or did you get an antibody test which is largely useless? The media tend to oversimplify the nuances of clinical testing and this results in the the public thinking they know better than lab professionals.
 
@big dale wrote really nice key points on the infection and transmission that really help some of us understand the epidemiology of the disease. Great job!
 
Just adding another terrifying news I heard today. A report from Belgium demonstrated a few strains of SARS-CoV-2 that had a mutation in the E gene, which is used as a target of detection for one of the biggest automated tests out there and this mutation led to the assay not being able to detect the presence of the virus. This is one of the first reports of mutations that could result in false negative results, and I imagine we will hear more and more about other variants that can escape detection by different platforms of diagnostic tests. Fun times.

Ugh. And here we go again. @big dale, @kenomora, @MisterMike, others and I should just start linking to a factsheet. I really like Big Dale's response in this thread. I don't have much to add editorially but a lot to add science-wise.
 
Just because you've recovered from Covid, don't assume you have long-term immunity. We don't know enough yet. Antibody responses wane over time and the neutralizing antibody response in a person may disappear. Not everybody develops a neutralizing antibody response. We don't know enough yet about T-cell responses because they are harder to assess. That individuals still get recurrent colds caused by related-coronaviruses* probably means that immunity is not perpetual (unlike for example, measles or smallpox). Maybe a large percentage of us carry pre-existing T-cell responses against SARS-CoV-2 from cross-reactivity with other coronaviruses but that may only ameliorate the severity rather than prevent infections. You may be asymptomatic or feel just a little "not-normal" but you're still spewing virus.
 
*Have you ever had one of those colds that felt like you just couldn't shake it? Regular cold symptoms for a week or so and then residual congestion, dizziness, lethargy, and cloudy-headedness that went on for a month or more? You went into work because you had to but just felt like crap and getting through the workday took every ounce of energy out of you? That was probably a coronavirus.
 
The vaccine data are being overly-hyped by the lay press, not to mention some of the medical journals and the orange-potato in the White House. Today's CanSino vaccine data look bad. The AstraZeneca/Oxford are only just a little better. Pfizer/BioNTech and Moderna are both unproven modalities, and Moderna may have some associated adverse events that may be serious in an older population (SAEs in the technical parlance). We don't know how long immunity will last. Early data are that people >55 years in age mounted lowered immune responses, as should be expected. Chances are good that the first vaccines are going to be partially protective, rushed through approval for Trump's election campaign, and, I'd bet, elicit some life-threatening SAEs in older and/or co-morbid (immune compromised - HIV, autoimmune disease -, hypertensive etc.) populations. Then there are manufacturing and supply chain issues. So don't expect a magic bullet in January 2021 and unless you're a frontline healthcare worker in a major population center, don't expect anything.
 
Therapeutic/prophylactic antibodies are super-expensive to make and will probably be reserved for acute interventions. And most companies are pursuing a strategy that might ameliorate symptoms but could evolutionarily select for escaper mutants that could be worse (just like the early monovalent anti-HIV drugs selected for resistant viruses - and why PREP as a get-out-of-jail-free card for promiscuous unprotected anal sex still scares me just a little bit).
 
As a species this virus and us are just getting started at ~6 months into the pandemic. It is rapidly evolving and adapting... hello D614G. The US has really blown it. Do your part. If you do decide to take a risk behavior like a massage or more, be prepared for the consequences and then stf away from other people for 2 weeks.
 
Anything else is fucking magical thinking, ignorance or utter selfishness.

While the science is changing rapidly and we are learning more every day, these facts are not disputable based on what we know today:
1. You can pick this thing up and not know for 14 days that you have it.
2. During that 14 day period you can spread it.
3. The virus seems to throw different symptoms in different people and outcomes vary wildly. You do not need to be elderly or immunocompromised to have a very, very bad outcome.
4. There is no cure. If you catch it and survive you could still spend life connected to breathing machines, need organ transplants, etc.
 
If after knowing all that you still think a massage is worth it, you are indicating that you do not care about others. You do not care about the life of the provider. You do not care about the lives of those other people in your life whom you come into contact with. You are selfish.
 
This is not political. This is science. Zoom out. Think beyond your "needs". Help save lives and end this fucking thing.

He's also listed here https://rentmasseur.com/FunFlexibleHands Saw him maybe late last year. Great, strong massage skills. Pretty aloof and mechanical. I think YMMV and I didn't get very far. With this $180/hr rate I don't think I'd go back.

Again, I'd like to remind everyone that there is absolutely no way a provider can sanitize their facilities enough to prevent transmission. There is no way every single surface could be covered with 10% bleach or other antiseptics for at least 10 minutes of contact time. I would also imagine setting up a sterile environment to be exceedingly challenging if they are not operating in a healthcare setting. There is also growing evidence that the disease could be transmitted through aerosols. If this is the case, none of those practices would do any good. If you're in a room with a provider who is asymptomatic or presymptomatic, or if one of the previous clients is asymptomatic or presymptomatic, your encounter is now categorized as high risk. I just want everyone to stop using "he cleans his place between clients" as a justification for getting a massage.

Again, I'd like to remind everyone that there is absolutely no way a provider can sanitize their facilities enough to prevent transmission. There is no way every single surface could be covered with 10% bleach or other antiseptics for at least 10 minutes of contact time. I would also imagine setting up a sterile environment to be exceedingly challenging if they are not operating in a healthcare setting. There is also growing evidence that the disease could be transmitted through aerosols. If this is the case, none of those practices would do any good. If you're in a room with a provider who is asymptomatic or presymptomatic, or if one of the previous clients is asymptomatic or presymptomatic, your encounter is now categorized as high risk. I just want everyone to stop using "he cleans his place between clients" as a justification for getting a massage.

I read through this thread and feel like screaming. There is so much misinformation and misunderstanding in some of the postings. Listen to @big dale and @kenomora. I could write a lengthy post (and have in another thread similar to this one) but they have already said what needs to be said in this one. I completely empathize with wanting the release (no pun intended) of a good massage, whatever "good" means for someone. Just know that if you get one, there is no way to drive risk of transmission to zero. So then, what is your acceptable risk for contracting a potentially life-threatening, long-term debilitating disease? At this point and probably not until late 2021, if then, SARS-CoV-2 isn't some disease that can be prevented or cured with a shot or controlled with antivirals, like today's STDs. So, if you are willing to bear a risk and do get a massage, wear the damned mask every time you step foot outside your home (you should be doing this anyway), don't eat or drink around others, inside or outside, and stf away from anyone over 60 for at least two weeks afterward. Period.
 
Argh.

Again, I'd like to remind everyone that there is absolutely no way a provider can sanitize their facilities enough to prevent transmission. There is no way every single surface could be covered with 10% bleach or other antiseptics for at least 10 minutes of contact time. I would also imagine setting up a sterile environment to be exceedingly challenging if they are not operating in a healthcare setting. There is also growing evidence that the disease could be transmitted through aerosols. If this is the case, none of those practices would do any good. If you're in a room with a provider who is asymptomatic or presymptomatic, or if one of the previous clients is asymptomatic or presymptomatic, your encounter is now categorized as high risk. I just want everyone to stop using "he cleans his place between clients" as a justification for getting a massage.

Again, I'd like to remind everyone that there is absolutely no way a provider can sanitize their facilities enough to prevent transmission. There is no way every single surface could be covered with 10% bleach or other antiseptics for at least 10 minutes of contact time. I would also imagine setting up a sterile environment to be exceedingly challenging if they are not operating in a healthcare setting. There is also growing evidence that the disease could be transmitted through aerosols. If this is the case, none of those practices would do any good. If you're in a room with a provider who is asymptomatic or presymptomatic, or if one of the previous clients is asymptomatic or presymptomatic, your encounter is now categorized as high risk. I just want everyone to stop using "he cleans his place between clients" as a justification for getting a massage.

Again, I'd like to remind everyone that there is absolutely no way a provider can sanitize their facilities enough to prevent transmission. There is no way every single surface could be covered with 10% bleach or other antiseptics for at least 10 minutes of contact time. I would also imagine setting up a sterile environment to be exceedingly challenging if they are not operating in a healthcare setting. There is also growing evidence that the disease could be transmitted through aerosols. If this is the case, none of those practices would do any good. If you're in a room with a provider who is asymptomatic or presymptomatic, or if one of the previous clients is asymptomatic or presymptomatic, your encounter is now categorized as high risk. I just want everyone to stop using "he cleans his place between clients" as a justification for getting a massage.

Again, I'd like to remind everyone that there is absolutely no way a provider can sanitize their facilities enough to prevent transmission. There is no way every single surface could be covered with 10% bleach or other antiseptics for at least 10 minutes of contact time. I would also imagine setting up a sterile environment to be exceedingly challenging if they are not operating in a healthcare setting. There is also growing evidence that the disease could be transmitted through aerosols. If this is the case, none of those practices would do any good. If you're in a room with a provider who is asymptomatic or presymptomatic, or if one of the previous clients is asymptomatic or presymptomatic, your encounter is now categorized as high risk. I just want everyone to stop using "he cleans his place between clients" as a justification for getting a massage.

Again, I'd like to remind everyone that there is absolutely no way a provider can sanitize their facilities enough to prevent transmission. There is no way every single surface could be covered with 10% bleach or other antiseptics for at least 10 minutes of contact time. I would also imagine setting up a sterile environment to be exceedingly challenging if they are not operating in a healthcare setting. There is also growing evidence that the disease could be transmitted through aerosols. If this is the case, none of those practices would do any good. If you're in a room with a provider who is asymptomatic or presymptomatic, or if one of the previous clients is asymptomatic or presymptomatic, your encounter is now categorized as high risk. I just want everyone to stop using "he cleans his place between clients" as a justification for getting a massage.

The big piece many seem to be missing is that the window for incubation is up to 14 days, and even people not showing symptoms can spread infection, so even though your provider may feel fine, and only had clients who feel fine, even taking temperature checks, etc. you can still unknowingly spread and contract the virus, which is (as a subtle reminder) DEADLY. Is that massage really worth it? Endangering your own life is one thing, becoming a spreader who endangers others is another.

It is very important to remember that when it comes to a disease as transmissible as COVID-19, the choice you make is not really a "personal" choice. When you decide to take a risk (regardless of your own assessment), you also automatically make a decision for people around you and the public to take that risk with you. The mask on your face protects others from getting in contact with large droplets that come out of your nose and mouth, and does little to protect you from getting infected by others. And although more evidence is needed, it is possible that the disease could also be transmitted vial aerosols. If that was the case, being in a room with an infected person (who could be asymptomatic) for an extended period of time, regardless of the use of masks, would be pretty risky. Even if you wore an N95, most people who have not been trained to use it and fit tested with the right mask would most likely don/doff it incorrectly, which could result in decreased protection and increased likelihood of contaminating themselves while taking off the mask. One should also remember that it is highly unlikely that a provider would be able to "sterilize" or "decontaminate" their facilities unless they operate in an environment similar to an OR or procedure suites in a hospital and have access to medical grade sterilization equipment and antiseptics. It is not advisable to include such claims from a provider in your risk assessment since they most likely will not be able to achieve the level of sanitization needed to mitigate the risk. The bottom line is that according to what we know now about the disease, there is not much you can do in a non-healthcare setting to prevent transmission if you're in a room with an infected person and having close contact with them for an extended period of time. Avoiding such close contact would be the best thing to do at this moment. Personally, I do not wish take a risk and automatically put others around me at risk so despite my need for some TLC I choose not to venture out and get a massage at this time.

It is very important to remember that when it comes to a disease as transmissible as COVID-19, the choice you make is not really a "personal" choice. When you decide to take a risk (regardless of your own assessment), you also automatically make a decision for people around you and the public to take that risk with you. The mask on your face protects others from getting in contact with large droplets that come out of your nose and mouth, and does little to protect you from getting infected by others. And although more evidence is needed, it is possible that the disease could also be transmitted vial aerosols. If that was the case, being in a room with an infected person (who could be asymptomatic) for an extended period of time, regardless of the use of masks, would be pretty risky. Even if you wore an N95, most people who have not been trained to use it and fit tested with the right mask would most likely don/doff it incorrectly, which could result in decreased protection and increased likelihood of contaminating themselves while taking off the mask. One should also remember that it is highly unlikely that a provider would be able to "sterilize" or "decontaminate" their facilities unless they operate in an environment similar to an OR or procedure suites in a hospital and have access to medical grade sterilization equipment and antiseptics. It is not advisable to include such claims from a provider in your risk assessment since they most likely will not be able to achieve the level of sanitization needed to mitigate the risk. The bottom line is that according to what we know now about the disease, there is not much you can do in a non-healthcare setting to prevent transmission if you're in a room with an infected person and having close contact with them for an extended period of time. Avoiding such close contact would be the best thing to do at this moment. Personally, I do not wish take a risk and automatically put others around me at risk so despite my need for some TLC I choose not to venture out and get a massage at this time.

It is very important to remember that when it comes to a disease as transmissible as COVID-19, the choice you make is not really a "personal" choice. When you decide to take a risk (regardless of your own assessment), you also automatically make a decision for people around you and the public to take that risk with you. The mask on your face protects others from getting in contact with large droplets that come out of your nose and mouth, and does little to protect you from getting infected by others. And although more evidence is needed, it is possible that the disease could also be transmitted vial aerosols. If that was the case, being in a room with an infected person (who could be asymptomatic) for an extended period of time, regardless of the use of masks, would be pretty risky. Even if you wore an N95, most people who have not been trained to use it and fit tested with the right mask would most likely don/doff it incorrectly, which could result in decreased protection and increased likelihood of contaminating themselves while taking off the mask. One should also remember that it is highly unlikely that a provider would be able to "sterilize" or "decontaminate" their facilities unless they operate in an environment similar to an OR or procedure suites in a hospital and have access to medical grade sterilization equipment and antiseptics. It is not advisable to include such claims from a provider in your risk assessment since they most likely will not be able to achieve the level of sanitization needed to mitigate the risk. The bottom line is that according to what we know now about the disease, there is not much you can do in a non-healthcare setting to prevent transmission if you're in a room with an infected person and having close contact with them for an extended period of time. Avoiding such close contact would be the best thing to do at this moment. Personally, I do not wish take a risk and automatically put others around me at risk so despite my need for some TLC I choose not to venture out and get a massage at this time.

It is very important to remember that when it comes to a disease as transmissible as COVID-19, the choice you make is not really a "personal" choice. When you decide to take a risk (regardless of your own assessment), you also automatically make a decision for people around you and the public to take that risk with you. The mask on your face protects others from getting in contact with large droplets that come out of your nose and mouth, and does little to protect you from getting infected by others. And although more evidence is needed, it is possible that the disease could also be transmitted vial aerosols. If that was the case, being in a room with an infected person (who could be asymptomatic) for an extended period of time, regardless of the use of masks, would be pretty risky. Even if you wore an N95, most people who have not been trained to use it and fit tested with the right mask would most likely don/doff it incorrectly, which could result in decreased protection and increased likelihood of contaminating themselves while taking off the mask. One should also remember that it is highly unlikely that a provider would be able to "sterilize" or "decontaminate" their facilities unless they operate in an environment similar to an OR or procedure suites in a hospital and have access to medical grade sterilization equipment and antiseptics. It is not advisable to include such claims from a provider in your risk assessment since they most likely will not be able to achieve the level of sanitization needed to mitigate the risk. The bottom line is that according to what we know now about the disease, there is not much you can do in a non-healthcare setting to prevent transmission if you're in a room with an infected person and having close contact with them for an extended period of time. Avoiding such close contact would be the best thing to do at this moment. Personally, I do not wish take a risk and automatically put others around me at risk so despite my need for some TLC I choose not to venture out and get a massage at this time.

Well stated. For me, I accepted the risk, and while I didn't get sick, I certainly wouldn't take that result as evidence that I would get the same result again.

It is very important to remember that when it comes to a disease as transmissible as COVID-19, the choice you make is not really a "personal" choice. When you decide to take a risk (regardless of your own assessment), you also automatically make a decision for people around you and the public to take that risk with you. The mask on your face protects others from getting in contact with large droplets that come out of your nose and mouth, and does little to protect you from getting infected by others. And although more evidence is needed, it is possible that the disease could also be transmitted vial aerosols. If that was the case, being in a room with an infected person (who could be asymptomatic) for an extended period of time, regardless of the use of masks, would be pretty risky. Even if you wore an N95, most people who have not been trained to use it and fit tested with the right mask would most likely don/doff it incorrectly, which could result in decreased protection and increased likelihood of contaminating themselves while taking off the mask. One should also remember that it is highly unlikely that a provider would be able to "sterilize" or "decontaminate" their facilities unless they operate in an environment similar to an OR or procedure suites in a hospital and have access to medical grade sterilization equipment and antiseptics. It is not advisable to include such claims from a provider in your risk assessment since they most likely will not be able to achieve the level of sanitization needed to mitigate the risk. The bottom line is that according to what we know now about the disease, there is not much you can do in a non-healthcare setting to prevent transmission if you're in a room with an infected person and having close contact with them for an extended period of time. Avoiding such close contact would be the best thing to do at this moment. Personally, I do not wish take a risk and automatically put others around me at risk so despite my need for some TLC I choose not to venture out and get a massage at this time.

Correct!
 
The general public seems to think that N95s would always be protective for everyone. The truth is healthcare workers are "fit-tested" and certified every year to make sure the make and model of their mask of choice still works on their faces. It's not fun (you put your mask on, then they put a hood on your head, spray super bitter stuff in your face and if you taste it you fail) but very necessary. People that fail their fit test and are unable to find a mask that works for them are not allowed to work in a setting where N95s are required. The bottom line is, one would need to choose the right type of mask that fits their faces well, and be trained on how to put it on and off safely. It's trickier than you think!

It is very important to remember that when it comes to a disease as transmissible as COVID-19, the choice you make is not really a "personal" choice. When you decide to take a risk (regardless of your own assessment), you also automatically make a decision for people around you and the public to take that risk with you. The mask on your face protects others from getting in contact with large droplets that come out of your nose and mouth, and does little to protect you from getting infected by others. And although more evidence is needed, it is possible that the disease could also be transmitted vial aerosols. If that was the case, being in a room with an infected person (who could be asymptomatic) for an extended period of time, regardless of the use of masks, would be pretty risky. Even if you wore an N95, most people who have not been trained to use it and fit tested with the right mask would most likely don/doff it incorrectly, which could result in decreased protection and increased likelihood of contaminating themselves while taking off the mask. One should also remember that it is highly unlikely that a provider would be able to "sterilize" or "decontaminate" their facilities unless they operate in an environment similar to an OR or procedure suites in a hospital and have access to medical grade sterilization equipment and antiseptics. It is not advisable to include such claims from a provider in your risk assessment since they most likely will not be able to achieve the level of sanitization needed to mitigate the risk. The bottom line is that according to what we know now about the disease, there is not much you can do in a non-healthcare setting to prevent transmission if you're in a room with an infected person and having close contact with them for an extended period of time. Avoiding such close contact would be the best thing to do at this moment. Personally, I do not wish take a risk and automatically put others around me at risk so despite my need for some TLC I choose not to venture out and get a massage at this time.

It is very important to remember that when it comes to a disease as transmissible as COVID-19, the choice you make is not really a "personal" choice. When you decide to take a risk (regardless of your own assessment), you also automatically make a decision for people around you and the public to take that risk with you. The mask on your face protects others from getting in contact with large droplets that come out of your nose and mouth, and does little to protect you from getting infected by others. And although more evidence is needed, it is possible that the disease could also be transmitted vial aerosols. If that was the case, being in a room with an infected person (who could be asymptomatic) for an extended period of time, regardless of the use of masks, would be pretty risky. Even if you wore an N95, most people who have not been trained to use it and fit tested with the right mask would most likely don/doff it incorrectly, which could result in decreased protection and increased likelihood of contaminating themselves while taking off the mask. One should also remember that it is highly unlikely that a provider would be able to "sterilize" or "decontaminate" their facilities unless they operate in an environment similar to an OR or procedure suites in a hospital and have access to medical grade sterilization equipment and antiseptics. It is not advisable to include such claims from a provider in your risk assessment since they most likely will not be able to achieve the level of sanitization needed to mitigate the risk. The bottom line is that according to what we know now about the disease, there is not much you can do in a non-healthcare setting to prevent transmission if you're in a room with an infected person and having close contact with them for an extended period of time. Avoiding such close contact would be the best thing to do at this moment. Personally, I do not wish take a risk and automatically put others around me at risk so despite my need for some TLC I choose not to venture out and get a massage at this time.

There's some really bad science, incorrect data, and terrible advice in this thread. It's really shocking.

Speaking of observing trends, I have been following Effective Reproduction Numbers on rt.live website. Rt is a good (although not perfect) indicator of how effective disease control measures are in a geographical area. The numerical value represents how many people, on average, an infected person could transmit the disease to. The better the control, the smaller the number. The model used to create these graphs makes a whole lot of sense in terms of epidemiology, and you can totally see that the upticks in almost every state happened soon after reopening. I'm only bringing this up in case this website could be helpful for our members to monitor the situation in their state so they can make an informed decision if they are considering an encounter. The numbers are updated real-time.

Speaking of observing trends, I have been following Effective Reproduction Numbers on rt.live website. Rt is a good (although not perfect) indicator of how effective disease control measures are in a geographical area. The numerical value represents how many people, on average, an infected person could transmit the disease to. The better the control, the smaller the number. The model used to create these graphs makes a whole lot of sense in terms of epidemiology, and you can totally see that the upticks in almost every state happened soon after reopening. I'm only bringing this up in case this website could be helpful for our members to monitor the situation in their state so they can make an informed decision if they are considering an encounter. The numbers are updated real-time.