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II. ELIGIBLE USES <br />A. PUBLIC HEALTH AND NEGATIVE ECONOMIC IMPACTS <br />Background <br />Since the first case of COVID-19 was discovered in the United States in January 2020, <br />the disease has infected over 50 million and killed over 800,000 Americans.12 The disease — and <br />necessary measures to respond — have had an immense public health and economic impact on <br />millions of Americans across many areas of life, as detailed below in the respective sections on <br />Public Health and Negative Economic Impacts. Since the release of the interim final rule in May <br />2021, the country has made major progress in fighting the disease and rebuilding the economy <br />but faces continued risks, as illustrated by the spread of the Delta variant and the resulting <br />slowdown in the economic recovery. The SLFRF program, and Treasury's interim final rule, <br />provide substantial flexibility to recipients to respond to pandemic impacts in their local <br />community; this flexibility is designed to help state, local, and Tribal governments adapt to the <br />evolving public health emergency and tailor their response as needs evolve and to the particular <br />local needs of their communities. <br />Indeed, state, local, and Tribal governments face continued needs to respond at scale to <br />the public health emergency. This includes continued public health efforts to slow the spread of <br />the disease, to increase vaccination rates and provide vaccinations to new populations as they <br />become eligible, to protect individuals living in congregate facilities, and to address the broader <br />impacts of the pandemic on public health. Similarly, while a strong economic recovery is <br />underway, the economy remains 3.9 million jobs below its pre -pandemic level, pointing to the <br />12 Centers for Disease Control and Prevention, COVID Data Tracker, http://www.covid.cdc.gov/covid-data- <br />tracker/#datatracker-home (last visited December 31, 2021). <br />12 <br />