August 14, 2020 COVID-19 Epidemiological Summary Content covered: - - PowerPoint PPT Presentation

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august 14 2020 covid 19 epidemiological summary
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August 14, 2020 COVID-19 Epidemiological Summary Content covered: - - PowerPoint PPT Presentation

Aug 23, 2022 258 likes •741 views

August 14, 2020 COVID-19 Epidemiological Summary Content covered: Epidemic curves Syndromic surveillance Regional & provincial rates Percent positivity Positive test turnaround time Case investigation time

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August 14, 2020

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COVID-19 Epidemiological Summary

Content 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)
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Epidemic Curve by Reported Date

2020-08-14

20 40 60 80 100 120 03-20 03-27 04-03 04-10 04-17 04-24 05-01 05-08 05-15 05-22 05-29 06-05 06-12 06-19 06-26 07-03 07-10 07-17 07-24 07-31 08-07 # of new COVID-19 cases Date Reported

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Epidemic Curve by 3-Day Moving Average by Reported Date

2020-08-14

10 20 30 40 50 60 70 80 03-27 04-03 04-10 04-17 04-24 05-01 05-08 05-15 05-22 05-29 06-05 06-12 06-19 06-26 07-03 07-10 07-17 07-24 07-31 08-07 # of confirmed COVID-19 cases Reported Date

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Epidemic Curve by Agri-Farms Versus Non-Agri- Farm Cases by Reported Date

2020-08-14

20 40 60 80 100 120 03-20 03-27 04-03 04-10 04-17 04-24 05-01 05-08 05-15 05-22 05-29 06-05 06-12 06-19 06-26 07-03 07-10 07-17 07-24 07-31 08-07 # of confirmed COVID-19 cases Reported Date Non-AgriFarm AgriFarm

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Emergency Department Visits By Syndromes

2020-08-14

4.5 5.5 6.5 7.5 8.5 9.5 10.5 11.5 12.5 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 32 % of all admissions Surveillance week 2018/19 2019/2020

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Emergency Department Visits by Syndromes For Erie Shores HealthCare

2020-08-14

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 32 % of all admissions Surveillance Week 2018/19 2019/20

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Percent Positivity by Week by All tests & Among Unique Individuals

2020-08-14

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% Week01-08 Mar01 Week09 Mar08 Week10 Mar15 Week11 Mar22 Week12 Mar29 Week13 Apr05 Week14 Apr12 Week15 Apr19 Week16 Apr26 Week17 May03 Week18 May10 Week19 May17 Week20 May24 Week21 May31 Week22 Jun07 Week23 Jun14 Week24 Jun21 Week25 Jun28 Week26 Jul05 Week27 Jul12 Week28 Jul19 Week29 Jul26 Week30 Aug02 Week31 Aug09 # of people tested/# of tests completed % positivity Week

Weekly people tested Weekly test completed % positivity (all WEC tests) % positivity (unique WEC residents)

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7-Day Moving Average by Reported Date

2020-08-14

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 confirmed COVID-19 cases Date Reported 7-day MA 7-day MA minus Agri-Farm Sector

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Windsor-Essex Rate by Reported Week

2020-08-14

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* Rate per 100,000 population Reported Week

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Percentage of positive tests reported in one and two days of test date

2020-08-14

10 20 30 40 50 60 70 80 90 100 % of tests reported Date % of cases reported 1 day % of cases reported within 2 days

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Percent of New Cases Investigated Within 24 Hours of Reported Date

2020-08-14

10 20 30 40 50 60 10 20 30 40 50 60 70 80 90 100 2020-07-23 2020-07-24 2020-07-25 2020-07-26 2020-07-27 2020-07-28 2020-07-29 2020-07-30 2020-07-31 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 # of cases % of cases investigated Date # of cases % of cases investigated within 1 day

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Regional & Provincial Rates

2020-08-14

565 458 420 397 317 271 258 254 249 240 205 191 155 137 137 272 100 200 300 400 500 600 Rate per 100,000 population Geography

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Rate per 100,000 by Municipality

2020-08-14

146.3 181.9 2453.9 106.6 144.5 2882.5 137.1 325.6 0.0 500.0 1000.0 1500.0 2000.0 2500.0 3000.0 3500.0 Rate per 100,000 population Municipality

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2020-08-14

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2020-08-14

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2020-08-14

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2020-08-14

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Distribution of COVID-19 Cases by Municipality

2020-08-14

Amherstburg 1% Essex 2% Kingsville 24% LaSalle 2% Lakeshore 2% Leamington 36% Tecumseh 1% Windsor 32%

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Distribution of COVID-19 Cases by Municipality in last 30 days (July 14 to August 12)

2020-08-14

Amherstburg 1% Essex 2% Kingsville 30% LaSalle 1% Lakeshore 3% Leamington 34% Tecumseh 0% Windsor 29%

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Distribution of COVID-19 Cases by Municipality in last 7 days (August 6 to August 12)

2020-08-14

Amherstburg 4% Essex 0% Kingsville 25% LaSalle 8% Lakeshore 9% Leamington 28% Tecumseh 0% Windsor 26%

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Distribution of COVID-19 Cases by Occupation in the last 7 days (August 6 to August 12)

2020-08-14

Agri-Farm Worker 37% Healthcare Worker 15% Other/Unemployed /Retired/Missing 48%

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Epidemic Curve by Reported Date For Windsor

2020-08-14

1 2 3 4 5 6 7 8 9 10 2 4 6 8 10 12 14 16 7-Day Moving Average (MA) # of confirmed COVID-19 cases Reported Date Farm Community Overall 7-Day MA Community 7-Day MA

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Epidemic Curve by Reported Date For Amherstburg

2020-08-14

0.05 0.1 0.15 0.2 0.25 0.3 0.35 0.4 0.45 1 2 3 7-Day Moving Average (MA) # of confirmed COVID-19 cases Reported Date Overall Overall 7-Day MA

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Epidemic Curve by Reported Date For Essex

2020-08-14

0.2 0.4 0.6 0.8 1 1.2 1 2 3 4 5 6 7-Day Moving Average (MA) # of confirmed COVID-19 cases Reported Date Farm Community Overall 7-Day MA Community 7-Day MA

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Epidemic Curve by Reported Date For Kingsville

2020-08-14

2 4 6 8 10 12 14 16 5 10 15 20 25 30 35 40 45 7-Day Moving Average (MA) # of confirmed COVID-19 cases Reported Date Farm Community Overall 7-Day MA Community 7-Day MA

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Epidemic Curve by Reported Date For Leamington

2020-08-14

5 10 15 20 25 30 35 10 20 30 40 50 60 70 80 90 100 7-Day Moving Average (MA) # of confirmed COVID-19 cases Reported Date Farm Community Overall 7-Day MA Community 7-Day MA

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Epidemic Curve by Reported Date For Lakeshore

2020-08-14

0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 1 2 3 4 5 7-Day Moving Average (MA) # of confirmed COVID-19 cases Reported Date Farm Community Overall 7-Day MA Community 7-Day MA

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Epidemic Curve by Reported Date For LaSalle

2020-08-14

0.05 0.1 0.15 0.2 0.25 0.3 1 2 3 4 7-Day Moving Average (MA) # of confirmed COVID-19 cases Reported Date Overall Overall 7-Day MA

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Epidemic Curve by Reported Date for Tecumseh

2020-08-14

0.05 0.1 0.15 0.2 0.25 0.3 0.35 0.4 0.45 1 2 3 7-Day Moving Average (MA) # of confirmed COVID-19 cases Reported Date Overall Overall 7-Day MA

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Age Breakdown by Municipality

2020-08-14

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% % of cases by age group 0 to 19 20 to 29 30 to 39 40 to 49 50 to 59 60 to 69 70 to 70 80+

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Age & Sex Distribution

2020-08-14

10% 22% 25% 14% 19% 7% 1% 2% 66% 34% 4% 26% 24% 17% 12% 6% 3% 7% 65% 35% 0% 10% 20% 30% 40% 50% 60% 70% 0 to 19 years 20 to 29 years 30 to 39 years 40 to 49 years 50 to 59 years 60 to 69 years 70 to 79 years 80+ years Male Female % of COVID-19 cases Last Two Weeks Overall

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Exposure History by Reported Date

2020-08-14

5 10 15 20 25 30 35 40 45 01-Jul-20 03-Jul-20 05-Jul-20 07-Jul-20 09-Jul-20 11-Jul-20 13-Jul-20 15-Jul-20 17-Jul-20 19-Jul-20 21-Jul-20 23-Jul-20 25-Jul-20 27-Jul-20 29-Jul-20 31-Jul-20 02-Aug-20 04-Aug-20 06-Aug-20 08-Aug-20 10-Aug-20 12-Aug-20 # of confirmed COVID-19 cases Reported Date Travel Close Contact Community Transmission

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Exposure History by Reported Date Among Agri- Farm Workers

2020-08-14

5 10 15 20 25 30 35 40 01-Jul-20 03-Jul-20 05-Jul-20 07-Jul-20 09-Jul-20 11-Jul-20 13-Jul-20 15-Jul-20 17-Jul-20 19-Jul-20 21-Jul-20 23-Jul-20 25-Jul-20 27-Jul-20 29-Jul-20 31-Jul-20 02-Aug-20 04-Aug-20 06-Aug-20 08-Aug-20 10-Aug-20 12-Aug-20 # of confirmed cases Travel Close Contact Community Transmission

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Exposure History by Reported Date Among Non- AgriFarm Cases

2020-08-14

2 4 6 8 10 12 14 16 # of confirmed Cases Reported Date Community Transmission Close Contact Travel

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COVID-19 Cases by Healthcare Worker

2020-08-14

HealthCare Worker (Michigan) 22% HealthCare Worker (Local + International) 78%

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Underlying Health Conditions

2020-08-14

Chronic/ Underlying/ Immunocompromised 26% None/ Unknown 74%

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Most Common Symptoms

2020-08-14

61% 50% 47% 40% 38% 34% 28% 24% 23% 23% 23% 21% 21% 21% 0% 10% 20% 30% 40% 50% 60% 70% % of confirmed COVID-19 cases Symptom

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Hospitalizations & ICU for COVID-19

2020-08-14

5 10 15 20 25 30 # of confirmed COVID-19 cases Date Hospitalizations ICU Hospitalization 7 Day Avg ICU 7 Day Avg

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Health Care System Capacity

2020-08-14

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% % of beds occupied Date Acute Beds Occupied ICU Beds Occupied ICU Ventilator Beds Occupied

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Current Outcomes

2020-08-14

Resolved 92.6% Deceased 2.9% Self-isolating 3.9% Hospitalized 0.2% ICU 0.1% Unknown 0.3%

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Age & Sex Breakdown of COVID-19 Deaths

2020-08-14

0% 1% 1% 1% 3% 7% 18% 68% 41% 59% 0% 10% 20% 30% 40% 50% 60% 70% 80% 0 to 19 years 20 to 29 years 30 to 39 years 40 to 49 years 50 to 59 years 60 to 69 years 70 to 79 years 80+ years Male Female % of confirmed COVID-19 deaths Age Group & Sex

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Case Fatality Rate

2020-08-14

1.0% 15.8% 2.9% 6.9% 21.2% 0.0% 5.0% 10.0% 15.0% 20.0% 25.0% Community LTCH/RH Overall WEC Ontario Ontario LTCH Case fatality (%) Setting

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Doubling Time (Day over Day Comparison)

2020-08-14

1 20 400 28-Mar 4-Apr 11-Apr 18-Apr 25-Apr 2-May 9-May 16-May 23-May 30-May 6-Jun 13-Jun 20-Jun 27-Jun 4-Jul 11-Jul 18-Jul 25-Jul 1-Aug 8-Aug Doubling Time (log10) Reported Date

ONT Doubling Time WECHU Doubling Time Canada Doubling Time

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Mean R0 (Effective)

2020-08-14

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 Mean R0 Date of Symptom Onset

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Summary

  • Windsor-Essex continues to see a general

decline in cases in the past week.

  • The primary source of exposure continues to

be close contact with a confirmed case

  • COVID-19 related hospitalizations and ICU are

starting to decrease once again.

  • Day-over-day doubling time in Windsor-Essex

is on par with the province and nationally

  • R0 (effective) value is 0.8 indicating a

decrease in transmission in Windsor-Essex

2020-08-14