New COVID-19 hospitalizations in New Mexico · 2020. 9. 2. · New Mexico COVID-19 Cases by Date of...

25
1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org COVID-19 in New Mexico: Epidemiologic and Modeling Update September 1, 2020

Transcript of New COVID-19 hospitalizations in New Mexico · 2020. 9. 2. · New Mexico COVID-19 Cases by Date of...

Page 1: New COVID-19 hospitalizations in New Mexico · 2020. 9. 2. · New Mexico COVID-19 Cases by Date of Specimen Collection –September 1, 2020 Positive samples collected during this

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

COVID-19 in New Mexico: Epidemiologic and Modeling

UpdateSeptember 1, 2020

Page 2: New COVID-19 hospitalizations in New Mexico · 2020. 9. 2. · New Mexico COVID-19 Cases by Date of Specimen Collection –September 1, 2020 Positive samples collected during this

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

New Mexico has the 36th highest number of cases per 100,000 population in

the United States

Page 3: New COVID-19 hospitalizations in New Mexico · 2020. 9. 2. · New Mexico COVID-19 Cases by Date of Specimen Collection –September 1, 2020 Positive samples collected during this

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

COVID-19 prevalence per 100,000 population

Source: Infectious Disease Epidemiology Bureau, Epidemiology and Response Division 8.31.2020, New Mexico Department of Health. Population estimates, UNM Geospatial and Population Studies Program.

*Excludes cases among inmates in

state and federal corrections and

detention centers

5.7 5.7 5.2

15.7

4.4

6.6

0

5

10

15

20

25

30

35

New cases (Last 7 days) – August 23

5.3

3.3 4.1

15.0

6.1 6.0

0

5

10

15

20

25

30

35

New cases (Last 7 days) – August 30

Page 4: New COVID-19 hospitalizations in New Mexico · 2020. 9. 2. · New Mexico COVID-19 Cases by Date of Specimen Collection –September 1, 2020 Positive samples collected during this

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Source: Infectious Disease Epidemiology Bureau, Epidemiology and Response Division 9.1.2020, New Mexico Department of Health.

7 day moving average

0

100

200

300

400

500

600

New Mexico COVID-19 Cases by Date of Specimen Collection – September 1, 2020

Positive samples collected during this time

may not yet be reported.

Page 5: New COVID-19 hospitalizations in New Mexico · 2020. 9. 2. · New Mexico COVID-19 Cases by Date of Specimen Collection –September 1, 2020 Positive samples collected during this

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Statewide R-effective has remained at 1.0 since last week.

Courtesy of Presbyterian Healthcare Services – September 1, 2020.

1.0

Page 6: New COVID-19 hospitalizations in New Mexico · 2020. 9. 2. · New Mexico COVID-19 Cases by Date of Specimen Collection –September 1, 2020 Positive samples collected during this

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Northeast R_effective 0.9 ↓

MetroR_effective 1.0 ↓

Southeast R_effective 0.9 =

SouthwestR_effective 1.0 ↑

NorthwestR_effective 1.1 =

Low Level Endemic <1.0

Approaching Low Level Endemic1.0-1.05

Requiring further mitigation >1.05

Key

Courtesy of Presbyterian Healthcare Services – September 1, 2020.

As of August 23, 2020

Region R-effective95% Confidence

Interval

State 1.0 [0.5, 1.7]

Metro 1.0 [0.0, 2.2]

Northeast 0.9 [0.0, 3.6]

Northwest 1.1 [0.0, 2.5]

Southeast 0.9 [0.0, 2.1]

Southwest 1.0 [0.0, 2.4]

Page 7: New COVID-19 hospitalizations in New Mexico · 2020. 9. 2. · New Mexico COVID-19 Cases by Date of Specimen Collection –September 1, 2020 Positive samples collected during this

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

The Southwest is the only region with a positive growth rate.

Courtesy of Presbyterian Healthcare Services – September 1, 2020.

↑ Increasing counts

↓ Decreasing case

counts

Page 8: New COVID-19 hospitalizations in New Mexico · 2020. 9. 2. · New Mexico COVID-19 Cases by Date of Specimen Collection –September 1, 2020 Positive samples collected during this

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Source: Infectious Disease Epidemiology Bureau, Epidemiology and Response Division 9.1.2020, New Mexico Department of Health.

7 day moving average

0

20

40

60

80

100

120

140

160

180

200

Metro Region Case Count by Collection Date with 7 Day Moving Average

September 1, 2020Positive samples collected during this time may not yet

be reported.

Page 9: New COVID-19 hospitalizations in New Mexico · 2020. 9. 2. · New Mexico COVID-19 Cases by Date of Specimen Collection –September 1, 2020 Positive samples collected during this

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Source: Infectious Disease Epidemiology Bureau, Epidemiology and Response Division 9.1.2020, New Mexico Department of Health.

7 day moving average

0

10

20

30

40

50

60

70

80

Northeast Region Case Count by Collection Date with 7 Day Moving Average

September 1, 2020

Positive samples collected during this

time may not yet be reported.

Page 10: New COVID-19 hospitalizations in New Mexico · 2020. 9. 2. · New Mexico COVID-19 Cases by Date of Specimen Collection –September 1, 2020 Positive samples collected during this

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Source: Infectious Disease Epidemiology Bureau, Epidemiology and Response Division 9.1.2020, New Mexico Department of Health.

0

20

40

60

80

100

120

140

160

180

200

0

20

40

60

80

100

120

140

160

180

200

Northwest Region Case Count by Collection Date with 7 Day Moving Average

September 1, 2020

Without Detention Centers Detention Center 7 per. Mov. Avg. (Without Detention Centers)

Positive samples collected during

this time may not yet be reported.

Page 11: New COVID-19 hospitalizations in New Mexico · 2020. 9. 2. · New Mexico COVID-19 Cases by Date of Specimen Collection –September 1, 2020 Positive samples collected during this

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Source: Infectious Disease Epidemiology Bureau, Epidemiology and Response Division 9.1.2020, New Mexico Department of Health.

7 day moving average

0

20

40

60

80

100

120

Southeast Region Case Count by Collection Date with 7 Day Moving Average

September 1, 2020Positive samples collected during this

time may not yet be reported.

Page 12: New COVID-19 hospitalizations in New Mexico · 2020. 9. 2. · New Mexico COVID-19 Cases by Date of Specimen Collection –September 1, 2020 Positive samples collected during this

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Source: Infectious Disease Epidemiology Bureau, Epidemiology and Response Division 9.1.2020, New Mexico Department of Health.

0

50

100

150

200

250

0

50

100

150

200

250

Southwest Region Case Count by Collection Date with 7 Day Moving Average

September 1, 2020

Without Detention Centers Detention Center 7 per. Mov. Avg. (Without Detention Centers)

Positive samples collected during

this time may not yet be reported.

Page 13: New COVID-19 hospitalizations in New Mexico · 2020. 9. 2. · New Mexico COVID-19 Cases by Date of Specimen Collection –September 1, 2020 Positive samples collected during this

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Travel and attendance at gatherings decreased last week, but may change with the new policies in the 8/28 Public Health Order

As of August 31, 2020

Page 14: New COVID-19 hospitalizations in New Mexico · 2020. 9. 2. · New Mexico COVID-19 Cases by Date of Specimen Collection –September 1, 2020 Positive samples collected during this

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

The 18-34 and 35-64 year old age groups make up the highest percentage of cases each week.

As of August 31, 2020

Page 15: New COVID-19 hospitalizations in New Mexico · 2020. 9. 2. · New Mexico COVID-19 Cases by Date of Specimen Collection –September 1, 2020 Positive samples collected during this

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Hispanic or Latino cases have steadily increased and made up ~60% of cases last week followed by White and American Indian or Alaska Native cases.

As of August 31, 2020

Page 16: New COVID-19 hospitalizations in New Mexico · 2020. 9. 2. · New Mexico COVID-19 Cases by Date of Specimen Collection –September 1, 2020 Positive samples collected during this

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

As of August 31, 2020

Hospitalizations have declined to <100 for the last 2 weeks.

Page 17: New COVID-19 hospitalizations in New Mexico · 2020. 9. 2. · New Mexico COVID-19 Cases by Date of Specimen Collection –September 1, 2020 Positive samples collected during this

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Hospitalizations of patients 65 years and older may be on the rise, while the 18-34 and 35-64 year old groups appear to be declining.

As of August 31, 2020

Hospitalizations

may not yet be

reported.

Page 18: New COVID-19 hospitalizations in New Mexico · 2020. 9. 2. · New Mexico COVID-19 Cases by Date of Specimen Collection –September 1, 2020 Positive samples collected during this

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Hospitalizations of Hispanic or Latinos each week continues to increase, while American Indian or Alaska Natives and Whites decrease.

As of August 31, 2020

Hospitalizations

may not yet be

reported.

Page 19: New COVID-19 hospitalizations in New Mexico · 2020. 9. 2. · New Mexico COVID-19 Cases by Date of Specimen Collection –September 1, 2020 Positive samples collected during this

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

2

9

19

33

43

67 66

61

45 46

3533 32

2024 24

26

50 50

25 2521

14

0

10

20

30

40

50

60

70

80

Nu

mb

er

of

De

ath

s

COVID-19 Deaths by Week of Death, New Mexico

Reporting through 8/30/2020

Deaths may not

yet be reported.

Page 20: New COVID-19 hospitalizations in New Mexico · 2020. 9. 2. · New Mexico COVID-19 Cases by Date of Specimen Collection –September 1, 2020 Positive samples collected during this

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Since June, the percentage of deaths in congregate care facilities has been 20-30%

17%

49%

44%

23%

28%

22%

0%

10%

20%

30%

40%

50%

60%

March April May June July August

Pe

rce

nta

ge

Percentage of COVID-19 Deaths in Congregate Care Facilities by Month of Death,

New Mexico

As of August 30, 2020

Page 21: New COVID-19 hospitalizations in New Mexico · 2020. 9. 2. · New Mexico COVID-19 Cases by Date of Specimen Collection –September 1, 2020 Positive samples collected during this

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

The percentage of deaths in Hispanic or Latinos has increased from 17% in June to 33% in August. In contrast, American Indian or Alaska Native deaths have decreased during that same time period from 65% to 40%.

0%

51%

64% 65%

41% 40%

17%

0%

0%1%

0% 0%

0%

1%

0%0%

2% 1%

33%

15%

15%17%

35%33%

50%

32%

21% 17%22% 26%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

March April May June July August

Pe

rce

nta

ge

AIAN Asian Black Hispanic White

As of August 30, 2020

Page 22: New COVID-19 hospitalizations in New Mexico · 2020. 9. 2. · New Mexico COVID-19 Cases by Date of Specimen Collection –September 1, 2020 Positive samples collected during this

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Minimal changes in case fatality rates across regions

Note: Age-adjusted case fatality rates are adjusted to the current distribution of U.S. COVID-19 cases on 8/2. https://www.cdc.gov/covid-data-tracker/index.html#demographicsSource: Bureau of Vital Records and Health Statistics and Infectious Disease Epidemiology Bureau, Epidemiology and Response Division, reporting through 8.30.2020, New Mexico Department of Health.

6.5%

2.2%

3.6%

1.1%

2.9%

4.3%

3.1%

0%

2%

4%

6%

8%

Northwest Northeast Metro Southeast Southwest New Mexico U.S.

Ca

se

Fa

tality

Ra

te (

age

-ad

juste

d)

Page 23: New COVID-19 hospitalizations in New Mexico · 2020. 9. 2. · New Mexico COVID-19 Cases by Date of Specimen Collection –September 1, 2020 Positive samples collected during this

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

New Mexico Status Updates

• Case count: Statewide, the increase in daily case counts continues to decline.

• Hospitalizations: After a period of increase in July, hospitalizations are decreasing.

• Deaths: Deaths are declining.

• Social distancing: Cell phone data suggests the mobility of New Mexico residents has been stable, but this varies by region.

• Contact tracing: The median time to quarantine for contacts identified last week was 1.4 days.

Page 24: New COVID-19 hospitalizations in New Mexico · 2020. 9. 2. · New Mexico COVID-19 Cases by Date of Specimen Collection –September 1, 2020 Positive samples collected during this

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Supplementary Slides

Page 25: New COVID-19 hospitalizations in New Mexico · 2020. 9. 2. · New Mexico COVID-19 Cases by Date of Specimen Collection –September 1, 2020 Positive samples collected during this

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Modeling Assumptions

Variable Measured Value Value as of 9.1.2020

R_Effective Actual Measured Daily Value by key county

R_eff=1.0

Positive Test Multiplier Calculated by LANL 3.5

Hospitalization and Mortality Actual rolling value / estimated number of total infected

Medical 0.08% ICU 0.07%Vent Rate 58% of ICUCrude Case Fatality Rate 3.5%

Length of Stay Actual rolling value / estimated number of total infected

Medical 5 daysICU 14 days ICU on Vent 14 days