COVID-19 Epidemiological Summary Report - August 21, 2020 · 2020. 8. 21. · Epidemic Curve by...
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August 21, 2020
Transcript of COVID-19 Epidemiological Summary Report - August 21, 2020 · 2020. 8. 21. · Epidemic Curve by...
August 21, 2020
COVID-19 Epidemiological SummaryContent covered:• Epidemic curves• Syndromic surveillance• Regional & provincial rates• Percent positivity• Positive test turnaround time• Case investigation time• Age & sex distribution• Geographical rates & distribution of cases• Exposure history• Healthcare worker status• Underlying conditions• Top symptoms• Hospitalizations & ICU• Healthcare system capacity• Current outcomes• Breakdown by deaths• Doubling time• Mean R0 (effective)
Epidemic Curve by Reported Date
2020-08-21
0
20
40
60
80
100
120
03-2
0
03-2
7
04-0
3
04-1
0
04-1
7
04-2
4
05-0
1
05-0
8
05-1
5
05-2
2
05-2
9
06-0
5
06-1
2
06-1
9
06-2
6
07-0
3
07-1
0
07-1
7
07-2
4
07-3
1
08-0
7
08-1
4
# of
new
CO
VID-
19 ca
ses
Date Reported
Epidemic Curve by 3-Day Moving Average byReported Date
2020-08-21
0
10
20
30
40
50
60
70
80
03-2
7
04-0
3
04-1
0
04-1
7
04-2
4
05-0
1
05-0
8
05-1
5
05-2
2
05-2
9
06-0
5
06-1
2
06-1
9
06-2
6
07-0
3
07-1
0
07-1
7
07-2
4
07-3
1
08-0
7
08-1
4
# of
con
firm
ed C
OVI
D-19
case
s
Reported Date
Epidemic Curve by Agri-Farm Versus Non-Agri-Farm Cases by Reported Date
2020-08-21
0
20
40
60
80
100
12003
-20
03-2
7
04-0
3
04-1
0
04-1
7
04-2
4
05-0
1
05-0
8
05-1
5
05-2
2
05-2
9
06-0
5
06-1
2
06-1
9
06-2
6
07-0
3
07-1
0
07-1
7
07-2
4
07-3
1
08-0
7
08-1
4
# of
con
firm
ed C
OVI
D-19
case
s
Reported Date
Non-Agrifarm Agrifarm
Emergency Department Visits By Syndromes
2020-08-21
4
5
6
7
8
9
10
11
12
13
35 37 39 41 43 45 47 49 51 1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33
% o
f all
adm
issi
ons
Surveillance week
2018/19 2019/2020
Emergency Department Visits by Syndromes ForErie Shores HealthCare
2020-08-21
0
5
10
15
20
25
30
35
35 37 39 41 43 45 47 49 51 1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33
% o
f all
adm
issi
ons
Surveillance Week
2018/19 2019/20
Percent Positivity by Week by All Tests & AmongUnique Individuals
2020-08-21
0
1,000
2,000
3,000
4,000
5,000
6,000
7,000
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
# of
peo
ple
test
ed/#
of t
ests
com
plet
ed
% p
ositi
vity
Week
Weekly people tested Weekly test completed
% positivity (all WEC tests) % positivity (unique WEC residents)
7-Day Moving Average by Reported Date
2020-08-21
0.0
5.0
10.0
15.0
20.0
25.0
30.0
35.0
40.0
2020-03-27 2020-04-27 2020-05-27 2020-06-27 2020-07-27
#of c
onfir
med
CO
VID-
19 ca
ses
Date Reported
7-day MA 7-day MA minus Agri-Farm Sector
Windsor-Essex Rate by Reported Week
2020-08-21
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34*
Rate
per
100
,000
pop
ulat
ion
Reported Week
Percentage of positive tests reported in one andtwo days of test date
2020-08-21
0
10
20
30
40
50
60
70
80
90
100
% o
f tes
ts re
port
ed
Date
% of cases reported in 1 day % of cases reported in 2 days
Percent of New Cases Investigated Within 24Hours of Reported Date
2020-08-21
0
5
10
15
20
25
30
0
10
20
30
40
50
60
70
80
90
100
2020
-08-
01
2020
-08-
02
2020
-08-
03
2020
-08-
04
2020
-08-
05
2020
-08-
06
2020
-08-
07
2020
-08-
08
2020
-08-
09
2020
-08-
10
2020
-08-
11
2020
-08-
12
2020
-08-
13
2020
-08-
14
2020
-08-
15
2020
-08-
16
2020
-08-
17
2020
-08-
18
2020
-08-
19
# of
cas
es
% o
f cas
es in
vest
igat
ed
Date
# of cases % of cases investigated within 1 day
Regional & Provincial Rates
2020-08-21
575
463429 402
334274 261 260 256 245
205 194160 142 139
276
0
100
200
300
400
500
600
700Ra
te p
er 1
00,0
00 p
opul
atio
n
Geography
Rate per 100,000 by Municipality
2020-08-21
146.3 186.6
2458.2
106.6 149.5
2987.5
137.1328.1
0.0
500.0
1000.0
1500.0
2000.0
2500.0
3000.0
3500.0Ra
te p
er 1
00,0
00 p
opul
atio
n
Municipality
2020-08-21
2020-08-21
2020-08-21
2020-08-21
Age Breakdown by Municipality
2020-08-21
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%%
of c
ases
by
age
grou
p
0 to 19 20 to 29 30 to 39 40 to 49 50 to 59 60 to 69 70 to 70 80+
Age & Sex Distribution
2020-08-21
8%
27%
16% 16% 15%13%
4% 2%
73%
27%
4%
27%24%
17%12%
6% 3% 7%
65%
34%
0%
10%
20%
30%
40%
50%
60%
70%
80%
0 to 19years
20 to 29years
30 to 39years
40 to 49years
50 to 59years
60 to 69years
70 to 79years
80+years
Male Female
% o
f CO
VID-
19 ca
ses
Last Two Weeks Overall
Distribution of COVID-19 Cases by Municipality
2020-08-21
Amherstburg1%
Essex2%
Kingsville23%
LaSalle1%
Lakeshore3%
Leamington37%
Tecumseh1%
Windsor32%
Distribution of COVID-19 Cases by Municipalityin last 30 days (July 21st to August 19th)
2020-08-21
Amherstburg2%
Essex1%
Kingsville27%
LaSalle1%
Lakeshore3%Leamington
39%
Tecumseh0%
Windsor27%
Distribution of COVID-19 Cases by Municipalityin last 7 days (August 13 to August 19)
2020-08-21
Amherstburg2%
Essex2%
Kingsville2% LaSalle
0%
Lakeshore5%
Leamington72%
Tecumseh0%
Windsor17%
Distribution of COVID-19 Cases by Occupation inthe last 7 days (August 13 to August 19)
2020-08-21
Agri-Farm Worker52%
Healthcare Worker2%
Other/Unemployed/Retired/Missing
46%
Epidemic Curve by Reported Date For Windsor
2020-08-21
0
1
2
3
4
5
6
7
8
9
10
0
2
4
6
8
10
12
14
16
7-Da
y M
ovin
g Av
erag
e (M
A)
# of
con
firm
ed C
OVI
D-19
case
s
Reported Date
Farm Community Overall 7-Day MA Community 7-Day MA
Epidemic Curve by Reported Date for Amherstburg
2020-08-21
0
0.05
0.1
0.15
0.2
0.25
0.3
0.35
0.4
0.45
0
1
2
3
7-Da
y M
ovin
g Av
erag
e (M
A)
# of
con
firm
ed C
OVI
D-19
case
s
Reported Date
Overall Overall 7-Day MA
Epidemic Curve by Reported Date for Essex
2020-08-21
0
0.2
0.4
0.6
0.8
1
1.2
0
1
2
3
4
5
6
7-Da
y M
ovin
g Av
erag
e (M
A)
# of
con
firm
ed C
OVI
D-19
case
s
Reported Date
Farm Community Overall 7-Day MA Community 7-Day MA
Epidemic Curve by Reported Date For Kingsville
2020-08-21
0
2
4
6
8
10
12
14
16
0
5
10
15
20
25
30
35
40
45
7-Da
y M
ovin
g Av
erag
e (M
A)
# of
con
firm
ed C
OVI
D-19
case
s
Reported Date
Farm Community Overall 7-Day MA Community 7-Day MA
Epidemic Curve by Reported Date For Leamington
2020-08-21
0
5
10
15
20
25
30
35
0
10
20
30
40
50
60
70
80
90
100
7-Da
y M
ovin
g Av
erag
e (M
A)
# of
con
firm
ed C
OVI
D-19
case
s
Reported Date
Farm Community Overall 7-Day MA Community 7-Day MA
Epidemic Curve by Reported Date For Lakeshore
2020-08-21
0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
0.8
0.9
0
1
2
3
4
5
7-Da
y M
ovin
g Av
erag
e (M
A)
# of
con
firm
ed C
OVI
D-19
case
s
Reported Date
Farm Community Overall 7-Day MA Community 7-Day MA
Epidemic Curve by Reported Date for LaSalle
2020-08-21
0
0.1
0.2
0.3
0.4
0.5
0.6
0
1
2
3
4
7-Da
y M
ovin
g Av
erag
e (M
A)
# of
con
firm
ed C
OVI
D-19
case
s
Reported Date
Overall Overall 7-Day MA
Epidemic Curve by Reported Date For Tecumseh
2020-08-21
0
0.05
0.1
0.15
0.2
0.25
0.3
0.35
0.4
0.45
0
1
2
3
7-Da
y M
ovin
g Av
erag
e (M
A)
# of
con
firm
ed C
OVI
D-19
case
s
Reported Date
Overall Overall 7-Day MA
Exposure History by Reported Date
2020-08-21
0
5
10
15
20
25
30
35
40
45
01-J
ul-2
003
-Jul
-20
05-J
ul-2
007
-Jul
-20
09-J
ul-2
011
-Jul
-20
13-J
ul-2
015
-Jul
-20
17-J
ul-2
019
-Jul
-20
21-J
ul-2
023
-Jul
-20
25-J
ul-2
027
-Jul
-20
29-J
ul-2
031
-Jul
-20
02-A
ug-2
004
-Aug
-20
06-A
ug-2
008
-Aug
-20
10-A
ug-2
012
-Aug
-20
14-A
ug-2
016
-Aug
-20
18-A
ug-2
0
# of
con
firm
ed C
OVI
D-19
case
s
Reported Date
Travel Close Contact Community Transmission
Exposure History by Reported Date Among Agri-Farm Workers
2020-08-21
0
5
10
15
20
25
30
35
4001
-Jul
-20
03-J
ul-2
005
-Jul
-20
07-J
ul-2
009
-Jul
-20
11-J
ul-2
013
-Jul
-20
15-J
ul-2
017
-Jul
-20
19-J
ul-2
021
-Jul
-20
23-J
ul-2
025
-Jul
-20
27-J
ul-2
029
-Jul
-20
31-J
ul-2
002
-Aug
-20
04-A
ug-2
006
-Aug
-20
08-A
ug-2
010
-Aug
-20
12-A
ug-2
014
-Aug
-20
16-A
ug-2
018
-Aug
-20
# of
con
firm
ed ca
ses
Travel Close Contact Community Transmission
Exposure History by Reported Date Among Non-AgriFarm Cases
2020-08-21
0
2
4
6
8
10
12
14
16#
of c
onfir
med
Cas
es
Reported Date
Community Transmission Close Contact Travel
COVID-19 Cases by Healthcare Worker
2020-08-21
HealthCare Worker(Michigan)
22%
HealthCare Worker(Local +
International)78%
Underlying Health Conditions
2020-08-21
Chronic/Underlying/
Immunocompromised27%
None/ Unknown73%
Most Common Symptoms
2020-08-21
62%
50%47%
41%38%
34%28%
24% 24% 24% 23% 21% 21% 21%
0%
10%
20%
30%
40%
50%
60%
70%%
of c
onfir
med
CO
VID-
19 ca
ses
Symptom
Hospitalizations & ICU for COVID-19
2020-08-21
0
2
4
6
8
10
12
14
16
18
20#
of c
onfir
med
CO
VID-
19 ca
ses
Date
Hospitalizations ICU Hospitalization 7 Day Avg ICU 7 Day Avg
Health Care System Capacity
2020-08-21
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%%
of b
eds o
ccup
ied
Date
Acute Beds Occupied ICU Beds Occupied ICU Ventilator Beds Occupied
Current Outcomes
2020-08-21
Resolved93.5%
Deceased2.9%
Self-isolating3.3%
Hospitalized0.2%
ICU0.0%
Unknown0.0%
Age & Sex Breakdown of COVID-19 Deaths
2020-08-21
0% 1% 1% 1% 3%7%
18%
68%
41%
59%
0%
10%
20%
30%
40%
50%
60%
70%
80%
0 to 19years
20 to 29years
30 to 39years
40 to 49years
50 to 59years
60 to 69years
70 to 79years
80+years
Male Female
% o
f con
firm
ed C
OVI
D-19
dea
ths
Age Group & Sex
Case Fatality Rate
2020-08-21
1.0%
15.2%
2.9%
6.8%
21.2%
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
Community LTCH/RH Overall WEC Ontario Ontario LTCH
Case
fata
lity
(%)
Setting
Doubling Time (Day over Day Comparison)
2020-08-21
1
20
400
28-M
ar
4-Ap
r
11-A
pr
18-A
pr
25-A
pr
2-M
ay
9-M
ay
16-M
ay
23-M
ay
30-M
ay
6-Ju
n
13-J
un
20-J
un
27-J
un
4-Ju
l
11-J
ul
18-J
ul
25-J
ul
1-Au
g
8-Au
g
15-A
ug
Doub
ling
Tim
e (lo
g10)
Reported Date
ONT Doubling Time
WECHU Doubling Time
Canada Doubling Time
Mean R0 (Effective)
2020-08-21
0
0.5
1
1.5
2
2.5
3
2020-02-24 2020-03-24 2020-04-24 2020-05-24 2020-06-24 2020-07-24
Mea
n R0
Date of Symptom Onset
Summary• Windsor-Essex continues to see a decline in
cases overall.• The primary source of exposure continues to
be close contact with a confirmed case• COVID-19 related hospitalizations and ICU are
continuing to decrease.• Day-over-day doubling time in Windsor-Essex
is on par with the province and nationally• R0 (effective) value is 0.66 indicating a
decrease in transmission in Windsor-Essex
2020-08-21
