September 18, 2020 COVID-19 Epidemiological Summary Content - - PowerPoint PPT Presentation

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september 18 2020 covid 19 epidemiological summary
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September 18, 2020 COVID-19 Epidemiological Summary Content - - PowerPoint PPT Presentation

Mar 14, 2023 410 likes •849 views

September 18, 2020 COVID-19 Epidemiological Summary Content covered: Epidemic curves Syndromic surveillance Regional & provincial rates Percent positivity Positive test turnaround time Case investigation time Age

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September 18, 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
  • Hospitalizations & ICU
  • Healthcare system capacity
  • Current outcomes
  • Breakdown by deaths
  • Doubling time
  • Mean R0 (effective)
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Epidemic Curve by Reported Date

2020-09-18

20 40 60 80 100 120 03-20 04-03 04-17 05-01 05-15 05-29 06-12 06-26 07-10 07-24 08-07 08-21 09-04 # of new COVID-19 cases Date Reported

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Epidemic Curve by 3-Day Moving Average by Reported Date

2020-09-18

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 08-14 08-21 08-28 09-04 09-11 # of confirmed COVID-19 cases Reported Date

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Cumulative Cases and Deaths of COVID-19 in WEC

2020-09-18

500 1000 1500 2000 2500 3000 03-20 04-03 04-17 05-01 05-15 05-29 06-12 06-26 07-10 07-24 08-07 08-21 09-04 # of total COVID-19 cases Date Reported Cumulative Case Counts Cumulative Deaths

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

2020-09-18

20 40 60 80 100 120 04-01 04-08 04-15 04-22 04-29 05-06 05-13 05-20 05-27 06-03 06-10 06-17 06-24 07-01 07-08 07-15 07-22 07-29 08-05 08-12 08-19 08-26 09-02 09-09 09-16 # of confirmed COVID-19 cases Reported Date Non-AgriFarm AgriFarm

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7-Day Moving Average by Reported Date

2020-09-18

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 2020-08-27 #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

2020-09-18

50 100 150 200 250 300 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 35 36 37 38* # of COVID-19 cases Rate per 100,000 population Reported Week

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Percent Positivity by Week by All Tests

2020-09-18

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 people tested/# of tests completed % positivity Week Weekly test completed % positivity (all WEC tests)

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Percentage of Tests Results Available Within 1 Day

2020-09-18

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% % Completed by 1 day

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Regional & Provincial Rates

2020-09-18

613 506 495 416 344 330 305 282 265 262 213 207 175 157 151 307 100 200 300 400 500 600 700 Rate per 100,000 population Geography

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Rate per 100,000 by Municipality

2020-09-18

159.2 223.9 2488.6 155.3 166.9 3018.0 162.1 376.8 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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2020-09-18

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2020-09-18

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2020-09-18

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2020-09-18

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Age & Sex Distribution

2020-09-18

14% 44% 8% 13% 13% 3% 4% 1% 61% 39% 6% 26% 23% 16% 13% 6% 4% 6% 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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Distribution of COVID-19 Cases by Municipality

2020-09-18

Amherstburg 1% Essex 2% Kingsville 22% LaSalle 2% Lakeshore 3% Leamington 34% Tecumseh 2% Windsor 34%

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Distribution of COVID-19 Cases by Municipality in last 30 days (August 17 to September 16)

2020-09-18

Amherstburg 1% Essex 4% Kingsville 4% LaSalle 7% Lakeshore 4% Leamington 28% Tecumseh 5% Windsor 47%

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Distribution of COVID-19 Cases by Municipality in last 7 days (September 10 to September 16)

2020-09-18

Amherstburg 5% Essex 2% Kingsville 9% LaSalle 2% Lakeshore 7% Leamington 2% Tecumseh 9% Windsor 64%

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Distribution of COVID-19 Cases by Occupation in the last 7 days (September 10 to September 16)

2020-09-18

Agri-Farm Worker 4% Healthcare Worker 0% Other/Unemployed /Retired/Missing 96%

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Epidemic Curve by Reported Date For Windsor

2020-09-18

0.0 1.0 2.0 3.0 4.0 5.0 6.0 7.0 8.0 9.0 10.0 2 4 6 8 10 12 14 16 18 01-Jun-20 08-Jun-20 15-Jun-20 22-Jun-20 29-Jun-20 06-Jul-20 13-Jul-20 20-Jul-20 27-Jul-20 03-Aug-20 10-Aug-20 17-Aug-20 24-Aug-20 31-Aug-20 07-Sep-20 14-Sep-20 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

2020-09-18

0.0 0.1 0.1 0.2 0.2 0.3 0.3 0.4 0.4 0.5 1 2 3 01-Jun-20 08-Jun-20 15-Jun-20 22-Jun-20 29-Jun-20 06-Jul-20 13-Jul-20 20-Jul-20 27-Jul-20 03-Aug-20 10-Aug-20 17-Aug-20 24-Aug-20 31-Aug-20 07-Sep-20 14-Sep-20 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

2020-09-18

0.0 0.2 0.4 0.6 0.8 1.0 1.2 1 2 3 4 5 6 01-Jun-20 08-Jun-20 15-Jun-20 22-Jun-20 29-Jun-20 06-Jul-20 13-Jul-20 20-Jul-20 27-Jul-20 03-Aug-20 10-Aug-20 17-Aug-20 24-Aug-20 31-Aug-20 07-Sep-20 14-Sep-20 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

2020-09-18

2 4 6 8 10 12 14 16 5 10 15 20 25 30 35 40 45 01-Jun-20 08-Jun-20 15-Jun-20 22-Jun-20 29-Jun-20 06-Jul-20 13-Jul-20 20-Jul-20 27-Jul-20 03-Aug-20 10-Aug-20 17-Aug-20 24-Aug-20 31-Aug-20 07-Sep-20 14-Sep-20 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

2020-09-18

5 10 15 20 25 30 35 10 20 30 40 50 60 70 80 90 100 01-Jun-20 08-Jun-20 15-Jun-20 22-Jun-20 29-Jun-20 06-Jul-20 13-Jul-20 20-Jul-20 27-Jul-20 03-Aug-20 10-Aug-20 17-Aug-20 24-Aug-20 31-Aug-20 07-Sep-20 14-Sep-20 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

2020-09-18

0.0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1 2 3 4 5 01-Jun-20 08-Jun-20 15-Jun-20 22-Jun-20 29-Jun-20 06-Jul-20 13-Jul-20 20-Jul-20 27-Jul-20 03-Aug-20 10-Aug-20 17-Aug-20 24-Aug-20 31-Aug-20 07-Sep-20 14-Sep-20 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

2020-09-18

0.0 0.2 0.4 0.6 0.8 1.0 1.2 1.4 1.6 1.8 1 2 3 4 5 6 01-Jun-20 08-Jun-20 15-Jun-20 22-Jun-20 29-Jun-20 06-Jul-20 13-Jul-20 20-Jul-20 27-Jul-20 03-Aug-20 10-Aug-20 17-Aug-20 24-Aug-20 31-Aug-20 07-Sep-20 14-Sep-20 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

2020-09-18

0.05 0.1 0.15 0.2 0.25 0.3 0.35 0.4 0.45 1 2 3 01-Jun-20 08-Jun-20 15-Jun-20 22-Jun-20 29-Jun-20 06-Jul-20 13-Jul-20 20-Jul-20 27-Jul-20 03-Aug-20 10-Aug-20 17-Aug-20 24-Aug-20 31-Aug-20 07-Sep-20 14-Sep-20 7-Day Moving Average (MA) # of confirmed COVID-19 cases Reported Date Overall Overall 7-Day MA

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Exposure History by Reported Date

2020-09-18

5 10 15 20 25 30 35 40 45 # 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

2020-09-18

5 10 15 20 25 30 35 40 # of confirmed cases Travel Close Contact Community Transmission

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Exposure History by Reported Date Among Non- AgriFarm Cases

2020-09-18

2 4 6 8 10 12 14 16 18 20 # of confirmed Cases Reported Date Community Transmission Close Contact Travel

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COVID-19 Cases by Healthcare Worker

2020-09-18

HealthCare Worker (Michigan) 21% HealthCare Worker (Local + International) 79%

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Hospitalizations & ICU for COVID-19

2020-09-18

2 4 6 8 10 12 14 16 18 20 # of confirmed COVID-19 cases Date Hospitalizations ICU Hospitalization 7 Day Avg ICU 7 Day Avg

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Health Care System Capacity

2020-09-18

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 14-May-20 14-Jun-20 14-Jul-20 14-Aug-20 14-Sep-2 % of beds occupied Date Acute Beds Occupied ICU Beds Occupied ICU Ventilator Beds Occupied

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Current Outcomes

2020-09-18

Resolved 93.5% Deceased 2.9% Self-isolating 3.4% Hospitalized 0.0% ICU 0.0% Unknown 0.2%

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Ever Hospitalized

2020-09-18

Not hospitalized 92% Hospitalized 8%

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Age & Sex Breakdown of COVID-19 Deaths

2020-09-18

0% 1% 1% 1% 3% 9% 18% 66% 43% 57% 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 confirmed COVID-19 deaths Age Group & Sex

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Case Fatality Rate

2020-09-18

1.0% 15.2% 2.9% 6.2% 21.1% 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)

2020-09-18

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 15-Aug 22-Aug 29-Aug 5-Sep 12-Sep Doubling Time (log10) Reported Date ONT Doubling Time WECHU Doubling Time Canada Doubling Time

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Mean R0 (Effective)

2020-09-18

0.5 1 1.5 2 2.5 3 Mean R0 Date of Symptom Onset

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Summary

  • Windsor-Essex is seeing low cases overall.
  • The primary source of exposure continues to

be close contact with a confirmed case

  • COVID-19 related hospitalizations and ICU
  • ccupancy is low.
  • Day-over-day doubling time in Windsor-Essex

is better compared to the province and nationally

  • R0 (effective) value is 0.31 indicating a

decrease in transmission in Windsor-Essex

2020-09-18