Health Update Guide

CureDuchenne is on this journey with you

A Message from Debra Miller | Founder & CEO of CureDuchenne

As a mom, a family, a friend, an advocate and a community, we know that the spread of the coronavirus disease 2019 (COVID-19) is clearly creating challenging times that call for the entire Duchenne community to come together and support each other. Through these challenging times, I wanted to personally assure you that CureDuchenne is here on this journey with you.

+ Read More

We promise to continue to commit ourselves to providing the Duchenne community the most timely and accurate information we can, drawing from the relationships and resources CureDuchenne has built over the past 17 years.

CureDuchenne is here, still committed to helping every individual with Duchenne, their families and communities. We know that the coronavirus is presenting special circumstances for everyone, and especially for people living with Duchenne. We will provide information, solutions and advice on our website and social media channels for the unique needs of the Duchenne community.

Duchenne Industry and Partner Announcements

Astellas Pharma


General Questions: Lauren Hicks, CPXP
Medical and/or Clinical Questions: 1-800-727-7003

COVID-19 Supply Situation



Community update from Audentes

Catabasis Pharmaceuticals


For information regarding our clinical trials:
For general inquiries:

Catabasis’ newsletter shares that their Phase 3 PolarisDMD trial and GalaxyDMD open-label extension studies are ongoing and their close monitoring has not identified any safety concerns related to COVID-19.


Catabasis letter to the Community on COVID-19

Cumberland Pharmaceuticals


Phone: 1-201-986-3860
Email: Ines Macias-Perez:

Update from Cumberland Pharmaceuticals - As the coronavirus (COVID-19) continues to spread, our primary concern at Cumberland remains the health and safety of our associates, research partners and research subjects.



For information regarding our clinical trials:;
For general inquiries:

Stay up to date on Italfaramco’s clinical trials here


Message to families regarding COVID-19: CLINICAL TRIALS

NS Pharma


Phone: 1-201-986-3860
For general inquiries regarding NS-065/NCNP-01 DMD clinical trial:
For DMD patients and families with research questions, email:

NS Pharma letter to the Duchenne Community on COVID-19



Phone: 212-733-2323

Pfizer’s efforts to develop a COVID-19 vaccine are progressing with early positive data and they’ve dosed the first patients in the US as part of their global COVID-19 vaccine development program. See news about all their vaccine effort updates, along with other coronavirus education and resources including segments on:

  • How the immune system protects you from infection
  • Understanding social distancing: how far is enough?
  • Pfizer’s Chief Medical Officer, Dr. Mace Rothenberg’s videos on self quarantining, flattening the curve and tips to stay safe

PTC Therapeutics


PTC Cares: 1-844-478-2227

Update on the Availability of EMFLAZA: PTC Therapeutics assures the Duchenne Community that they have more than a one-year supply of EMFLAZA in stock and available for delivery.


Information from PTC Therapeutics on EMFLAZA Availability During Coronavirus (COVID-19) Crisis

ReveraGen BioPharma


Phone: 1-240-672-0295

Statement to the Duchenne Community




Community update from Santhera

Sarepta Therapeutics


SareptAssist Patient Support: 1-888-727-3782

Sarepta answers the Duchenne community's questions: minimizing disruption to clinical trials & telehealth options, uninterrupted supply of therapies, continuation of home health.

Solid Bio


Email: Annie Ganot:

Letter to the Duchenne Community: COVID-19 Update

Take A Breath DMD


Santhera’s unbranded educational website continues to be available as a valuable resource to the community about how to maintain good respiratory health and treating respiratory dysfunction in Duchenne.

Updates from Government Agencies

Coronavirus (COVID-19) Website

For the latest from the combined efforts of the White House, the Centers for Disease Control and Department of Health & Human Services

The CDC also has some guidance for direct service providers, caregivers, parents, and people with developmental and behavioral disorders:

Centers for Medicare & Medicaid Services

FAQs on Prescription Drugs and the Coronavirus Disease 2019 (COVID-19) for Issuers Offering Health Insurance Coverage in the Individual and Small Group Markets

Food and Drug Administration (FDA)

The FDA is releasing COVID-19 related guidance on many topics to make regulations clear in support of coronavirus response efforts. The FDA has set up a website as a repository for all their latest information:

FDA Drug Shortage List
Drug Shortages can occur for many reasons, including manufacturing and quality problems, delays, and discontinuations. Manufacturers provide FDA most drug shortage information, and the agency works closely with them to prevent or reduce the impact of shortages.

Global collaboration on vaccine development
Peter Marks, MD, PhD, Director of the FDA Center for Biologics Evaluation and Research, typically the section of FDA where gene therapies are reviewed, wrote a blog about working globally to develop a vaccine for the coronavirus.

05/04/2020 Update: The FDA is optimistic that a COVID-19 vaccine will be approved within 9 months.

CureDuchenne attended an Axios webinar, sponsored by the Institute for Gene Therapies: Medical Research During a Crisis: Gene Therapy and the Future of Disease Treatment.

Peter Marks, MD, PhD, Director of FDA’s Center for Biologics Evaluation and Research, expressed continued optimism for gene therapies in spite of delays due to COVID-19. His division is also expecting to approve a COVID-19 vaccine in 9 months rather than the usual 12 to 18 months due to CBER’s efforts to “take away dead space in the development process.” While no part of the clinical trial process will be skipped, it’s important to find vaccines that are safe and effective fast in order to help keep all research on track. Dr. Marks believes that they’ll have a better understanding of the probability of success by mid-summer.

03/19/2020 Coronavirus (COVID-19) Update:
FDA Continues to Facilitate Development of Treatments

UK Based, Medicines and Healthcare products Regulatory Agency (MHRA)

03/20/2020 Update: Latest update from the UK government

National Institutes of Health (NIH)

View the latest update from the NIH, a part of the U.S. Department of Health and Human Services, the nation’s medical research agency.

State Departments of Health

Visit your state health department for information about the coronavirus in your state, state health orders, FAQs, and more.

World Health Organization (WHO)

Research Updates


PhRMA Alliance released several new COVID-19 tools:

  • This interactive clinical trials tracker features weekly updates on the progress the biopharmaceutical industry has made in beating COVID-19
  • This new glossary contains rollover definitions of common terms pertaining to COVID-19 therapeutics and vaccines

They also have several other new, useful resources available:

Additionally, plasma from those who have recovered could be a key part of the fight against COVID-19. If you’re interested in learning more about this and the plasma donation process, please visit

Other up-to-date resources on the biopharmaceutical industry’s efforts to combat COVID-19 are available on their coronavirus landing page.

Johns Hopkins University

CORONAVIRUS RESOURCE CENTER - Johns Hopkins experts in global public health, infectious disease, and emergency preparedness have been at the forefront of the international response to COVID-19.

This website is a resource to help advance the understanding of the virus, inform the public, and brief policymakers in order to guide a response, improve care, and save lives.

COVID-19 Treatment and Vaccine Tracker

The Milken Institute is engaged in efforts to help educate, inform, and support policymakers and businesses to:

  • Mitigate the spread of COVID-19.
  • Expedite the discovery and rollout of tests/treatments/cures.
  • Strategize on economic and policy levers to help companies weather the current conditions.

They have created a comprehensive online tracker that looks at all of the COVID-19 research currently in development and contains an aggregation of publicly-available information from validated sources. It is not an endorsement of one approach or treatment over another, but simply a list of all treatments and vaccines currently in development.

Institute for Health Metrics and Evaluation

This model gives a daily prediction of hospital capacity needs (# of beds, ICU occupancy, and ventilator use) and # of deaths due to COVID-19 for the next 4 months for each state in the US. Their predictions assume that every state will put social distancing measures in place within the next week, even those that haven’t yet done so.

Other Organizations

American College of Cardiology


The current advice from the professional societies is to continue with ACE-I and ARBS.

Global Genes


Global Genes Resource Guide

You've got questions, Global Genes has answers and wants you to know, you're not alone. Find your COVID-19 resources here.

Kaiser Family Foundation


State Data and Policy Actions to Address Coronavirus

To date, states have taken a number of actions to mitigate the spread of the virus and reduce barriers to testing and treatment for those affected.

National Organization of Rare Disorders


NORD’s Peter L. Saltonstall on Coronavirus Prevention and Risk for the Rare Community

Webinar - CureDuchenne Presents: Information, Updates and Mental Health Education

In this webinar, moderated by Tiffany Cook, MS, CCC-SLP, Senior Director of CureDuchenne Cares, the mental health presentation by Paige Lembeck, PhD, will be followed by several presentations from biopharmaceutical companies about ongoing clinical trials. We invite you to submit questions before and during the webinar to be addressed during a closing Q&A session.

Remember to keep proper nutrition when staying at home for long periods of time

Nutrition is the act or process of nourishing or being nourished. Research has indicated that proper nutrition is one component that can improve the overall quality of life for a person living with Duchenne muscular dystrophy. While there are several considerations regarding caloric consumption, including: physical activity, capability of ambulation, and steroid use, specialists in the field suggest that daily caloric consumption should be 80% of what individuals without Duchenne muscular dystrophy consume. Avoidance of excessive intake overall, salt intake not more than 1500 mg daily, and adequate calcium intake are recommended.


DuchenneXchange was created with the vision of empowering those impacted by Duchenne through facilitating access to trusted information and support from the Duchenne community.

This innovative digital education platform was developed in collaboration with the Duchenne community, including our Curation and Engagement Councils, as well as members of CureDuchenne and rareLife solutions. Building off of rareLife’s “onevoice” community building technology, the collaboration members guided the customization of the platform by identifying knowledge gaps, sharing information preferences, and continually engaging their networks for additional insights.

A Physical Therapist’s Recommendations on Maintaining Physical Health

Ambulatory and non-ambulatory exercise are important aspects for maintaining physical health. Consistent and frequent physical therapy (PT) is one of the few treatments, at this time, for those with Duchenne. It’s important through all stages and ages of Duchenne, with the potential to delay progression of the disease.

In the absence of professional PT, you can find some guidelines on stretching exercises here:

These videos can help you keep moving when staying put is the mandate.

Managing anxiety is important to your mental state

“Tips on how ‘Managing anxiety is important to your mental state’, from Missy Dixon, PhD, MS, University of Utah, Pediatric Neurology and Pediatric Behavioral Health and Primary Children’s Hospital.

Cognitive Behavioral Strategies to Address Anxiety


  • Senses: Taste, Touch, Sight, Hearing, Smell
  • Simple, Strong, Pleasant
  • Light and relaxing


  • Keep mind from focusing on worry and helps to relax
  • Activities, opposite emotions, pushing away, other options

Cognitive Control

  • Imagery
  • Mindfulness
  • Positive Self-talk


  • Breathing exercises: deep, paced
  • Progressive muscle relaxation
  • Mini relaxation
  • Apps and YouTube


Pacing techniques

  • Pace into change
  • Cannot go from 0 to 60 overnight

Set Alarms as reminders

Schedule fun and pleasant events

  • Don’t forget to do the fun stuff!

Rehearsing problem solving

  • Have a plan
  • Anxiety does not like a plan!

Positive Messages

  • Reminders of positive self-worth
  • Use sticky notes or any other ways to remind yourself

Build and communicate with your support network

Mental health & coping mechanisms

The sudden and near-constant stream of news reports about an outbreak can cause anyone to feel worried. Get the facts, not rumors and misinformation. Facts can help to minimize fears.

  • Seek information only from trusted sources.
  • Limit the news, and be careful what you read.
  • Gather information at regular intervals, once or twice a day, from the WHO and local health authorities.
  • Minimize watching, reading or listening to news that causes you to feel anxious or distressed.
  • Take practical steps to prepare your plans and protect yourself and loved ones.

Learn more from the World Health Organization

Coronavirus: How to protect your mental health

Coronavirus has plunged the world into uncertainty and the constant news about the pandemic can feel relentless. All of this is taking its toll on people's mental health, particularly those already living with conditions like anxiety and OCD. So how can we protect our mental health?

Being concerned about the news is understandable, but for many people it can make existing mental health problems worse.

When the World Health Organization released advice on protecting your mental health during the coronavirus outbreak, it was welcomed on social media.

Social distancing struggles?

Our Odyssey is hosting online meet ups to help with social and emotional support for young adults living with rare and/or chronic conditions during this time of increased isolation. This organization is a new NORD Gold Member and was founded by young adults living with rare and chronic conditions. Details are below; please share with your community:

Mental health support

We understand the importance of treating mental health in addition to physical health, as many patients are now isolated and concerned about what's to come. Here are some resources you can share with your community when they need additional support:

  • Mental Health America: dedicated to those living with mental illness and to promoting overall mental health
  • Center for Chronic Illness: provides educational and emotional support for people with rare/chronic illnesses via web-based support groups
  • Happy- 24/7: offers support and encouragement from peer support counseling (new users can try it free of charge)

Child neurology guidance during COVID-19 pandemic

For the child neurology community, where children and families may need to spend time in clinics and hospitals or may experience lowered immunity, we are sharing additional guidance for how to proceed during this time when COVID-19 has reached pandemic status. The Child Neurology Foundation (CNF) has worked in collaboration with the Child Neurology Society to release a joint statement on where to find the most up-to-date information, as well as some data on the effects of COVID-19 in the child neurology community and tips for staying safe.

Who should I call if I think my child is experiencing symptoms of COVID-19?

If you think your child may have COVID-19, call your primary care provider (PCP) for guidance. If your child is experiencing trouble breathing, call 911. It is important to get emergency help as quickly as possible, no matter what. Make sure you let the medics and staff know that your child has respiratory symptoms. If you know that your child has been exposed to someone who has COVID-19, share that information right away too.

Dr. Wong’s guide for Exon to staying healthy

Dr. Wong’s advice to Exon, the self-appointed mascot of the Duchenne community and patients, Dr Wong is the Founding Director of the Duchenne Program at University of Massachusetts Memorial Health Care

Covid19 Infographic
View the Infographic

The importance of physical therapy

No two patients are alike and Duchenne is a progressive condition that changes often. Duchenne is a very unique diagnosis and requires physical therapists to adopt a completely different frame of mind from their approach with other kinds of patients. Learn how to get the proper care for a Duchenne patient here.

Connect with a Physical Therapist on Facebook

CureDuchenne Certified Physical Therapists will be offering online support to families affected by Duchenne muscular dystrophy. Please post questions. We will moderate and respond as they come in.

Extensive list of mental health and education resources

Sara Turner, from Behavioral Health at Intermountain Primary Children's Hospital, put together an extensive list of mental health and education resources for parents and kids during COVID-19 and beyond. The information is not exclusive to Duchenne patient care but includes general coping and self-care, as well as ideas for keeping kids busy, learning, and engaged. We've found this resource to be super helpful and hope that you do too.

Do you or does your family member or patient have breathing muscle weakness for any reason?

If you have generalized muscle weakness, decreased breathing capacity, and a weak cough, then now is time to ASK YOUR DOCTOR about how to prevent respiratory failure and avoid invasive tubes. And if your doctor does not know about the benefits of noninvasive respiratory care, then today is the day to SHARE THIS INFORMATION with your physician.

Duchenne Family Assistance Program

If you need help with insurance claims and denials, coverage for approved treatments, or direct financial assistance for appointments, equipment or modifications, the Duchenne Family Assistance Program may provide some options.

04/10/2020 Update: Duchenne Family Assistance Program is launching the Coronavirus Relief Fund for Duchenne families.

Medicare broadened coverage for telehealth services

If you or your child is covered by Medicare - Starting on March 6th, Medicare broadened coverage for telehealth services. You may be able to access your physician and other providers by phone rather than having to risk traveling to a healthcare facility. It covers telehealth visits with doctors, nurse practitioners, clinical psychologists, and licensed clinical social workers.

Since this is newly in place, the best first step is to contact your provider to see if they can virtually meet with you.

For more details about Medicare telehealth services coverage:

National Organization of Rare Disorders

NORD has several assistance programs to help families with challenges arising from coronavirus:

  1. COVID-19 Critical Relief Program, 203.242.0497 or
  2. Access Assistance Programs for DMD

    DMD specific resources:
    Duchenne Muscular Dystrophy | Accepting Applications
    Copay Assistance
    Medical Assistance
    Phone: 866-218-8172
    Fax: 203-263-9597

    Clinical Trial Travel & Lodging: PTC 124-GD-016-DMD
    Contact: 1-866-647-9325 x 333
    Fax: 1-203-674-9941

    Learn more about this program

    Clinical Trial Travel & Lodging: FG-3019
    Contact: 1-844-876-0774
    Fax: 1-203-798-7413

  3. Relief for Caregivers, 203.616.4328 or,

Resources for Preparing your Home, from the Centers for Disease Control (CDC)

Help to plan, prepare and respond to Coronavirus Disease 2019:

For more guidelines from the World Health Organization on this, start here

What you need on hand when remaining at home

It is wise to have extra of what you might use on a daily basis, as well as extra medical supplies. According to Muscular Dystrophy News, here are some items to be sure to include:

  • Medications like steroids
  • Feed for feeding tube users
  • Distilled water for BiPAP or CPAP machines
  • Bandages
  • Masks
  • Supplements
  • Rubbing alcohol
  • Syringes, vitamins
  • Laxatives
  • Stoma bags
  • Disinfectant wipes
  • Non- perishables such as: beans, soups, canned vegetables
  • Gatorade and other electrolyte drinks
  • Bread
  • Milk
  • Soap
  • Toothpaste

Here are some other Virtual Exploration & Educational Resources and activities to do with your family:


Top Tips from Physical Therapists

  1. Try to mimic normal level of activity as if you were on a regular day schedule
    • Walk around the block or the house as able without fatigue.
    • Best recommendation is to take multiple short trips throughout the day.
  2. Daily warm bath/shower, massage and stretching routine.
  3. Self-stretches throughout the day and movement breaks during home study, video games, tv watching
  4. Keep using AFOs on normal schedule: recommendation is 6-8 hrs per 24 hr period
  5. Add in other fine motor activities at home like art, cooking, games not just video games and iPads.

Exercises to help you at while at home:

YouTube Default Photo

Printable Flyer

YouTube Default Photo

Printable Flyer

YouTube Default Photo

Printable Flyer

Sample Daily Schedule:

Use this sample daily schedule to help you with provide a consistent amount of care. To help you stay organized, you can keep it color coded for type of activity: Stretch, Exercise, Rest

  • Stretch daily 30 min x 1-2 / day or as tolerated
  • Exercise daily 10 min x 4-5 /day or as tolerated
  • Rest every 20 min of video games or phone use. Prone rest 20 min 2 x/day no activity


Top Tips from Physical Therapists

  1. AFOs 8 hrs/day
  2. Stretch routine 1-2 times per day; upper and lower extremity
  3. Lay prone 1-2 times per day for 20 minutes or more if able (use pillows to lessen pressure on abdomen)
  4. Ask school if stander can come home for this duration if there isn’t one at home for use
  5. Get outside for safe area walks and fresh air and sunshine
  6. Use power seating options for changing position and stretching
  7. Rest and stretch every 20 min of video games or phone use.

Exercises to help you at while at home:

YouTube Default Photo
YouTube Default Photo
Pulley Exercises
YouTube Default Photo

Sample Daily Schedule:

Here is a sample daily schedule to help you with provide a consistent amount of care. To help you stay organized, you can keep it color coded for type of activity: Stretch, Exercise, Rest

  • Stretch daily 30 min x 1-2 / day or as tolerated
  • Powerchair stretching 20 min x 1-2 /day
  • Exercise daily 10 min x 3-4 /day or as tolerated
  • Prone rest 20 min 1-2 x/day no activity


I have concerns and questions about returning to school in the fall

Parents are understandably nervous about sending their kids back to school in the fall, especially because of increased risk due to Duchenne or related treatments. Here we have compiled some resources and answers to questions you may have:

What are the obligations of my local school district to provide distance learning alternatives and can they cite an inability to meet these requirements as a reason for closing the school?

Any educational opportunity offered to the student body or during a school closure must offer equal access to that education to everyone, and it is not a reason to close the school. This document from US Department of Education, Office for Civil Rights, Special Education and Rehabilitative Services has more information on this:


Have any recommendations, tips, etc. on general respiratory care?

“There is no specific modification to standard infection control (hand washing, staying away from sick people) that is needed. Aggresive airway clearance is needed, however, as with any acute illness. I don't have any documents specific to COVID-19 and Duchenne or neuromuscular disease, but would be happy to answer specific questions.”

Oscar Henry Mayer, MD
Medical Director, Pulmonary Function Testing Laboratory
Division of Pulmonology
The Children’s Hospital of Philadelphia

My son has a Trilogy BiPAP and is not showing any symptoms - but if necessary, can BiPAP can be turned into a ventilator?

“The Trilogy is a ventilator and can be used through a breathing tube (usually a tracheostomy tube) but is not designed for ventilation in unstable or very sick people. Having said that, it is certainly possible that ventilators like the trilogy may need to be used for sick patients in the hospital”

Oscar Henry Mayer, MD
Medical Director, Pulmonary Function Testing Laboratory
Division of Pulmonology
The Children’s Hospital of Philadelphia

We have not used cough assist yet. We have the machine settings set, and when not sick right now, wanted to find out how we use it?

“The cough assist is often used twice a day to help keep the airways clear and the lungs open. Then, every hour or so as needed during an illness. Individual specifics and plans should always be discussed with your healthcare provider before starting any new treatments. In these current conditions surrounding the spread of Coronavirus, individuals and caregivers are recommended to have these conversations as soon as possible to help prepare themselves.”

Oscar Henry Mayer, MD
Medical Director, Pulmonary Function Testing Laboratory
Division of Pulmonology
The Children’s Hospital of Philadelphia

How are Duchenne patients treated if they get Covid-19 since they can’t have straight oxygen?

“The key point to remember with the concern about COVID-19 is that while it is novel, which explains the relatively fast and broad distribution through the community, it behaves like other severe viruses that we are used to such as influenza, RSV, rhinovirus, and adenovirus. This is not to minimize COVID-19 or other viruses for that matter, but just to state the obvious. So the approach this year with a suspected respiratory viral illness is the same as in the past with the focus being on airway clearance. There remains no indication for “straight” oxygen unless the patient is first shown to not have respiratory failure. Once a patient is either shown to not have respiratory failure or it is treated well then supplemental oxygen is perfectly fine.”

Oscar Henry Mayer, MD
Medical Director, Pulmonary Function Testing Laboratory
Division of Pulmonology
The Children’s Hospital of Philadelphia

Clinical Trials

Does edasalonexent affect the immune system?

“Long-term toxicology studies with edasalonexent using higher doses than those in our clinical trials have found no evidence for immunosuppression using standard clinical and anatomic physiology methods. In clinical studies, now with over 100 patient-years of exposure to edasalonexent, we have found no evidence of immunosuppression or increased infections. In the Phase 3 PolarisDMD trial of edasalonexent, as well as the GalaxyDMD open-label trial, boys are not on steroids.”


Should trial participants still go to the hospital for their assessments?

“We are fortunate that site visits are relatively infrequent during the Phase 3 PolarisDMD trial with assessments every 3 months. Currently, we are focused on ensuring that patients have uninterrupted drug supply as well as safety monitoring. We are working closely with our clinical trial sites with frequent communication.”


Will the outcome of ongoing trials be endangered by not being able to carry them out as per protocol?

“We are actively monitoring the situation and have plans in place to address potential disruptions. Fortunately, we designed our clinical trial so that visits are relatively infrequent. We are working with sites to support drug supply, as well as safety and efficacy assessments.”



Although PTC has a large supply of EMFLAZA that will be unaffected by COVID-19, we are worried about running out. How can my family get more than a 2 week supply of EMFLAZA in our home?

Read PTC's full statement regarding EMFLAZA supply, shipping, and access here:

“We note that while the supply of EMFLAZA that patients can order at one time can vary, many insurance companies are allowing flexibility in accessing treatment – including allowing patients to refill sooner to support their supply, and allowing prescriptions for a 90-day dispense of medication to ensure continual treatment. Patients are encouraged to work with their doctor to consider whether a 90-day supply is right for them. In the meantime, PTC is committed to ensuring continuity of treatment for every EMFLAZA patient should issues arise. For more information, patients can contact their PTC Cares team at 1-844-PTC-CARES (844-478-2227).”

PTC Therapeutics

Other (Duchenne-related)

In case the delivery person is infected/carrier/contagious, what precautions can we take to ensure mail and deliveries are virus free?

“According to the World Health Organization: "The likelihood of an infected person contaminating commercial goods is low and the risk of catching the virus that causes COVID-19 from a package that has been moved, travelled, and exposed to different conditions and temperature is also low.”

World Health Organization:

Community Answers to Common Questions regarding Coronavirus and Duchenne

We are compiling FAQs from the community and will make them available here for quick answers to common questions. Use the form on this page to ask a question and we’ll help get you the answer.

Check back here and our Facebook page regularly for new answers to questions from throughout the community. Please note that not all questions can be answered, but we’ll do our best to answer as many as we can, as quickly as we can.”

Have a question?