Last Fall, we were anticipating the triple threat and another significant surge of COVID complications, but fortunately, both threats proved much less than anticipated. In my county, we have improved from highly prevalent status to low prevalence of COVID. Our hospital and ICU cases with COVID have also significantly improved. This good news is tempered by the reality that in the USA we still have about 7,000-8,000 deaths each month attributed to COVID. Nine out of 10 of those dying are > 60 y/o and some of these are up to date on their COVID vaccine.