Climate
· Although the United States received an overall top Global Health Security (GHS) Index score, ability to curtail COVID-19 transmission was hindered by low scores on public confidence in the government, access to health care without barriers, and limitations of federal regulations, suggesting a need for greater emphasis on country leadership and public confidence in future GHS indices as well as a national review of the United States' pandemic approach to identify and address other problem areas.

Adjusting Practice During COVID-19
· A review of mask fit testing for N95/FFP2/N99/FFP3s identify inadequate mask fit testing as a risk factor for infection among healthcare workers, arguing that well fitted N95/FFP2/N99/FFP3 masks are essential to protect healthcare workers against respiratory viruses such as COVID19, particularly during aerosol generating procedures. Additionally, quantitative fit testing has been evidenced to detect facial leaks better than qualitative fit testing protocols.
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