RELATIVE...IDAHO STATE REPORT 07.26.2020 SUMMARY Idahoisin thered zoneforcases, indicatingmorethan...
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IDAHO STATE REPORT 07.26.2020 SUMMARY Idaho is in the red zonefor cases , indicating more than 100 new casesper 100,000populationlastweek, and thered zonefor test positivity , indicatinga rate above 10 % . Idaho has seen stability in new casesand a decreasein testing positivity overthe past week. Both the cases and the test positivityrate remained veryhighbut improved slightlylast weekwith a declineseen in Ada County , while cases increased in the IdahoFalls area. The followingthree counties had the highest number of new cases over thepast 3 weeks : 1. Ada County, 2.CanyonCounty, and 3. Kootenai County . These counties represent76.3 percent of new cases in Idaho . COVID - 19 -related hospitalizations have continued to rise and currently exceed the initial peak in April . Whilemany counties throughout Idaho are affected the highest case and test positivity rates continueto be in the Boise area and other counties of southwest Idaho , where hospitalsare under the most strain . Idaho had 196 new cases per 100,000 population in the past week , compared to a national averageof 140 per 100,000 . Thefederal government hasdeployed the following staff as assets to support the state response : 11to support operations activities from FEMA. During Jul 18 - Jul24 , on average , 18 patients with confirmedCOVID - 19 and 4 patientswith suspected COVID- 19were reported asnewly admitted each day to hospitals in Idaho . An averageof 39 percent of hospitalsreported each day during this period; therefore, this may be an underestimate of theactual total number of COVID -relatedhospitalizations . Underreporting may lead to a lower allocation of critical supplies.* RECOMMENDATIONS Surge testing and contact tracing resources to neighborhoods and zip codes with highestcaserates , especially in the Centraland SouthwestHealth Districts. Support the recent mandates for mask wearing in highly affected counties and the CentralHealth District . Communicate support for their adoption in other counties and health districts with rapidly rising reported cases. Considerfurther restrictions of opening statusunder state reopening guidelines for businesses and gathering sizes in localities if cases and hospitalizations continue to rise rapidly . Move to community - led neighborhood testing andwork with local community groups to increase access to testing Specific , detailed guidance on community mitigationmeasures can be found on the CDC website. Thepurpose of this report is to developa sharedunderstanding of the current status of the pandemicat the national , regional , stateand local levels . Werecognize thatdata at the state level maydiffer from that available at the federal level . Our objectiveis to useconsistent data sourcesand methods that allowfor comparisons to be madeacrosslocalities . Weappreciate your continued support in identifying data discrepancies andimproving data completeness and sharing acrosssystems . Welook forwardto yourfeedback . * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID- 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non- medicalhospitals . COVID - 19
Transcript of RELATIVE...IDAHO STATE REPORT 07.26.2020 SUMMARY Idahoisin thered zoneforcases, indicatingmorethan...
IDAHO
STATE REPORT 07.26.2020
SUMMARY
Idaho is in the red zonefor cases, indicatingmore than 100 new casesper 100,000populationlastweek, and thered zonefortest positivity, indicatinga rateabove 10 % .
Idahohasseen stability in new casesand a decreasein testing positivity overthepastweek. Both the casesand the testpositivityrate remainedveryhighbut improved slightlylastweekwith a declineseenin Ada County, while cases increasedinthe IdahoFalls area.
The followingthree countieshad the highestnumberof new casesover thepast3 weeks: 1.Ada County, 2.CanyonCounty, and3.KootenaiCounty. These countiesrepresent76.3percentofnew cases in Idaho.
COVID- 19-related hospitalizationshave continued to rise andcurrently exceed the initialpeak in April.
Whilemany countiesthroughoutIdaho areaffected the highestcaseand test positivity rates continueto bein the Boise area
and other counties of southwestIdaho, wherehospitalsare under themoststrain.
Idahohad 196 new casesper100,000 population in the pastweek, compared to a nationalaverageof 140 per 100,000.
Thefederalgovernmenthasdeployed the following staff as assets to support the state response: 11to support operationsactivities from FEMA.
DuringJul18 - Jul24, on average, 18 patientswith confirmedCOVID -19 and 4 patientswith suspected COVID- 19were reportedasnewly admitted each day to hospitals in Idaho. An averageof 39 percentofhospitalsreported each day during this period;therefore, this maybe an underestimate of theactualtotalnumberof COVID -relatedhospitalizations. Underreportingmay leadto a lower allocation of criticalsupplies.*
RECOMMENDATIONS
Surgetestingand contact tracing resources to neighborhoodsand zip codes with highestcaserates, especially inthe Centraland SouthwestHealth Districts.
Support the recentmandatesformask wearing in highly affected counties and the CentralHealth District.Communicate support fortheir adoption in other countiesandhealth districts with rapidly rising reported cases.
Considerfurther restrictionsof openingstatusunder state reopening guidelines for businessesand gatheringsizes in localities if cases andhospitalizationscontinue to rise rapidly.
Moveto community-led neighborhood testing andwork with localcommunity groups to increase access totesting
Specific , detailed guidanceon community mitigationmeasurescan be found on the CDC website.
Thepurposeofthis reportis to developa sharedunderstandingof thecurrentstatusof thepandemicat the national, regional, stateand locallevels. Werecognize
thatdataatthestate levelmaydiffer from thatavailableatthe federallevel. Our objectiveis to useconsistentdata sourcesand methodsthatallowforcomparisonsto bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems.Welookforwardto yourfeedback.
* This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion ofhospitals that
are not admitting COVID- 19 patients. Weare working to incorporate feedback on anongoing basis to update these figures. These dataexclude psychiatric, rehabilitation, and religious non-medicalhospitals. COVID -19
COVID - 19
IDAHOSTATE REPORT 07.26.2020
STATE, % CHANGE FEMA/HHSSTATE FROM PREVIOUS REGION
LASTWEEK WEEK LAST WEEK
UNITED STATESLASTWEEK
NEW CASES
(RATE PER 100,000)
3,510
( 196)-8.2%
12,065
(84 )
460,137
( 140)
DIAGNOSTIC TEST
POSITIVITY RATE18.0 % -4.8 % * 6.6 % 8.5 %
TOTAL DIAGNOSTICTESTS
( TESTS PER 100,000)
28,721**
( 1,607)-5.0% ** 221,815 **
( 1,546)
5,437,404**
( 1,657)
30COVID DEATHS
( RATE PER 100,000 )+ 130.8 %
113
( 1)
6,434
( 2 )( 2 )
AT LEASTONE
COVID- 19 CASE9.1 % + 3.0 % * 4.4 % 12.1%
100 %
80 %
60 %
MOBILITY MOBILITYRELATIVE
TOBASELINE
40 %
20 %
0 %
2/233/1 3/8
3/15 3/22 3/29
4/5 4/12 4/19 4/26 5/3
5/10 5/17 5/24 5/31
6/7 6/14 6/21 6/28 7/5
7/12 7/19 7/26
**
Indicates absolute change in percentage points.Dueto delayed reporting, this figuremayunderestimate totaldiagnostic tests and week-on-week changes in diagnostic tests.
DATA SOURCES
Cases andDeaths: Statevalues arecalculatedbyaggregating county -leveldata from USAFacts; therefore , the valuesmaynotmatchthose reported directlyby the state. Data is through 7/24/2020; lastweek is 7/18 - 7/24 previousweek is 7/11- 7/17.Testing: State-level values calculatedby using 7 -day rolling averagesofreported tests. Regional-andnational-levelvalues calculatedbyusing a combination of CELR (COVID - 19ElectronicLab Reporting) state health department-reported data andHHSProtect laboratorydata (provided directly to FederalGovernmentfrom publichealthlabs,hospitallabs, and commerciallabs) through 7/22/2020. Last
week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing dataareinclusive of everythingreceived andprocessed bythe CELR system as of19:00EDT on 07/25/2020. Somedates maybeincomplete due to delaysin reporting. Testing data may bebackfilledover time, resultingin changesweek-to -week in testingdata. It is criticalthatstates provide as up- to-date testing data aspossible.Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelofhuman mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized andprovided at the county level.Datathrough 7/24/2020.
Skilled nursingfacilities. NationalHealthcareSafetyNetwork. Lastweek is 7/13-7/ 19, previousweek is 7/6-7/ 12.
COVID - 19
IDAHOSTATEREPORT| 07.26.2020
COVID - 19COUNTYANDMETROALERTS
LOCALITIESIN REDZONE LOCALITIES IN YELLOW ZONE
METRO
AREA
( CBSA )LASTWEEK
5
Boise CityCoeur d'AleneIdahoFalls
Burley
Ontario
8
Twin Falls
Pocatello
RexburgBlackfootMountain HomeMoscow
Jackson
Logan
Twin Falls
BannockJerome
BinghamElmore
GoodingLatahTeton
ValleyBenewah
ClearwaterFranklin
Ada
CanyonKootenai
Bonneville
Minidoka
Payette
Cassia
Top 12 shown Owyhee(full list Gem
below ) Jefferson
WashingtonShoshone
17COUNTY
LASTWEEK14
Top 12 shown(fulllistbelow )
AllRed CBSAs BoiseCity, Coeurd'Alene, IdahoFalls, Burley, Ontario
All Yellow Counties: Twin Falls, Bannock, Jerome, Bingham , Elmore,Gooding, Latah, Teton , Valley, Benewah,Franklin, Clearwater, Lincoln, PowerLemhi, BearLake, Adams
Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per100,000 population , and a diagnostic test positivity result above 10 % .Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10100 per 100,000 population , and a diagnostic test positivity result between 5-10 % , or one of those two conditions and one conditionqualifying as being in the “ Red Zone.Note: Top 12 locations are selected based on thehighest number of new cases in the last three weeks .DATA SOURCESCases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatchthose reported directly by the state. Data is through 7/24/2020 ; lastweek is 7/18 -7/24 , three weeks is 7/4 - 7/24 .Testing :CELR (COVID - 19 Electronic Lab Reporting) state health department -reported data through 7/22/2020 . Lastweek is 7/16 - 7/22.Testing datamay bebackfilled over time, resulting in changes week -to-week in testing data. It is critical that states provide as up -todate testing data as possible.
POLICYRECOMMENDATIONSFOR COUNTIES IN THERED ZONE
PublicMessagingWear amask atall timesoutsidethehomeandmaintainphysicaldistanceLimitsocialgatheringsto 10 peopleor fewerDonotgo to bars, nightclubs, or gymsUsetakeoutor eat outdoorssocially distanced
Protectanyonewithseriousmedicalconditionsat homeby socialdistancingathomeandusinghigh levelsofpersonalhygiene, includinghandwashingandcleaningsurfaces
Reduceyourpublic interactionsandactivitiesto 25% ofyournormalactivity
Public Officials
Closebars and gyms, andcreateoutdoordiningopportunitieswithpedestrianareasLimitsocialgatheringsto 10 peopleorfewerInstituteroutineweeklytestingofallworkersin assistedlivingandlong-term care facilities. Requiremasksforallstaffandprohibitvisitors
Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistanceIncreasemessagingon theriskofseriousdiseasefor individualsin all age groupswithpreexistingobesity,hypertension, anddiabetes
mellitus, andrecommendto shelterin placeWorkwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhighcaserates, and increasecommunityleveltestingRecruitmorecontacttracers ascommunityoutreachworkersto ensureallcasesare contactedand allpositivehouseholdsare
individuallytestedwithin24hours
Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully
Testing
Moveto community-ledneighborhoodtestingandwork with localcommunity groupsto increaseaccessto testingSurgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase ratesDiagnosticpooling: Laboratoriesshouldusepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 :1pools in settingwheretestpositivityis under 10 %Surveillancepooling: For familyand cohabitatinghouseholds, screen entirehouseholdsin a single testbypooling specimensofall
members into single collection device
POLICYRECOMMENDATIONSFOR COUNTIESIN THEYELLOW ZONEIN ORDER
TO PREEMPTEXPONENTIALCOMMUNITYSPREADPublicMessaging
Wear a mask atall timesoutsidethehomeandmaintain physicaldistance
Limitsocialgatherings to 25 people or fewer
Do notgo to barsor nightclubs
Usetakeout, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintainedProtectanyonewith serious medicalconditions at homeby socialdistancing athome and using high levels ofpersonalhygieneReduce your public interactions and activities to 50 % of your normal activity
PublicOfficials
Limitgymsto 25 % occupancyandclosebarsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswithpedestrianareasLimitsocialgatheringsto 25 peopleorfewerInstituteroutineweeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibitvisitors
EnsurethatallbusinessretailersandpersonalservicesrequiremasksandcansafelysocialdistanceIncreasemessagingon theriskofseriousdiseaseforindividualsin allagegroupswithpreexistingobesity,hypertension, anddiabetesmellitus, andrecommendto shelterin placeWorkwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswith high case rates, and increasecommunityleveltestingRecruitmorecontacttracers ascommunityoutreachworkersto ensureallcasesare contactedand allpositivehouseholdsareindividuallytestedwithin24 hours
Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully
Testing
Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testingSurgetestingandcontact tracingresourcesto neighborhoodsandzip codes with highestcaserates
Diagnosticpooling: Laboratoriesshouldusepoolingofsamplesto increasetestingaccessandreduceturnaroundtimesto under 12hours. Considerpoolsof3-5 individualsSurveillancepooling: Forfamilyandcohabitatinghouseholds, screenentirehouseholdsin a singletestby poolingspecimensofall
membersinto singlecollectiondevice
COVID - 19
IDAHO
STATE REPORT 07.26.2020
1000
800
600
NEWCASES
COVID-19CASES
400
200
Daily COVID - 19 Cases ( 7 - day average ) Daily COVID - 19 Cases
400020.0 %
3000 15.0 %
PERCENTAGE
OF
TOTALTESTS
2000 10.0 %
1000 5.0 %
0.0 %
% Positivity Rate (byresult date 7 day avg. )Daily Tests Completed ( 7 day avg. )
Top countiesbasedon greatestnumber ofnew cases inlast three weeks (7/4 - 7/24 )
6000
TOPCOUNTIES 4000
NEWCASES(CUMULATIVE
Ada
CanyonKootenai
Twin FallsBonneville
Minidoka
PayetteCassia
Bannock2000
3/83/15 3/22
-3/29-
4/54/12 4/19 4/26 5/3
5/10 5/17 5/24
-
5/31
6/7 6/14-
6/21 6/28 7/5-
7/12-
7/19 7/26
DATA SOURCES
Cases: County-leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts;therefore, the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020 .Testing: CELR ( COVID - 19 Electronic Lab Reporting) statehealth department-reported data through 7/22/2020.
COVID - 19
Top 12 counties based on number ofnew cases in thelast 3 weeks
Daily COVID - 19 Cases ( 7 -day average) Daily COVID - 19 Cases
400 Ada County Canyon County KootenaiCounty
300 80
300
60
200
20040
100100
20
w
Twin Falls County BonnevilleCounty MinidokaCounty40
80 20
30 60 151020 40
10 20
TOTALDAILYCASES
O
Payette County Cassia County Owyhee County15
2010
10
10
5
Bannock County JeromeCounty, Bingham County
15 20
10
15
10
105
5
5
3/21 4/5 4/20 5/55/20
6/46/19
7/47/19 3/21
4/5 4/20 5/55/20
6/4 6/19 7/19 3/21 6/19 7/4 7/19
DATA SOURCES
Cases: County-leveldata from USAFacts through 7/24/2020. Last 3 weeks is 7/4 -7/24.
COVID - 19
IDAHOSTATEREPORT 07.26.2020
CASERATESAND DIAGNOSTICTESTPOSITIVITYDURING THE
LASTWEEK
NEW CASES PER 100,000 DURINGLASTWEEK
TEST POSITIVITY DURING LAST
WEEK
Date: 7/26/2020 Date: 7/26/2020
WA WA
MT ND MT ND
OR OR
ID ID
SD
TestPositivityCasesin Last
Cases per 100K
Casesin Last
14 DaysWY 0.1to 9.9
10 to 99.9100 to
200 to 499.9500 or More
CA CA
NV NV
0 % to 4.9 %
5 % to 9.9
10 % to 19.9%20 % orMore
UT UT
WEEKLY % CHANGEIN NEW
CASES PER 100K
WEEKLY CHANGE IN TEST
POSITIVITY
Date: 7/26/2020 Date: 7/26/2020E
WA WA
MT ND MT ND
OR ORID IDPercentChangein
Casesper100K
< Casesin14Days
100% Less
10% to 99.9% Less
LittleChange10 to 99.9% More
100% to 999.9%More
1,000 More
AbsoluteChangeinTestPositivity
20 Casesin Last14 Days2 % + Less
0.5% to 1.9% Less
LittleChange
0.5% to 1.9% More
% + More
CA CA
NV NV
UT UT
co
DATA SOURCES
Cases: County-leveldata from USAFactsthrough 7/24/2020. Lastweek is7/18- 7/24, previousweek is 7/11- 7/17.Testing: CELR (COVID- 19 ElectronicLabReporting) statehealth department-reporteddata through7/22/2020. Lastweek is 7/16
- 7/22, previousweek is 7/9 - 7/15. Testingdatamaybebackfilledover time, resultingin changesweek- to-week in testing data. Itis criticalthat statesprovideasup- to -datetestingdata aspossible.
