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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

  1. September 18, 2020

  2. 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)

  3. Epidemic Curve by Reported Date 120 100 # of new COVID-19 cases 80 60 40 20 0 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 Date Reported 2020-09-18

  4. # of confirmed COVID-19 cases Reported Date Epidemic Curve by 3-Day Moving Average by 10 20 30 40 50 60 70 80 0 03-27 04-03 04-10 04-17 04-24 05-01 05-08 05-15 05-22 05-29 06-05 Reported Date 06-12 06-19 06-26 07-03 07-10 07-17 07-24 07-31 08-07 08-14 2020-09-18 08-21 08-28 09-04 09-11

  5. Cumulative Cases and Deaths of COVID-19 in WEC 3000 2500 # of total COVID-19 cases 2000 1500 1000 500 0 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 Date Reported Cumulative Case Counts Cumulative Deaths 2020-09-18

  6. # of confirmed COVID-19 cases Farm Cases by Reported Date Epidemic Curve by Agri-Farm Versus Non-Agri- 100 120 20 40 60 80 0 04-01 04-08 04-15 04-22 04-29 05-06 05-13 05-20 Non-AgriFarm 05-27 06-03 06-10 Reported Date 06-17 06-24 AgriFarm 07-01 07-08 07-15 07-22 07-29 08-05 08-12 2020-09-18 08-19 08-26 09-02 09-09 09-16

  7. 7-Day Moving Average by Reported Date 40.0 35.0 #of confirmed COVID-19 cases 30.0 25.0 20.0 15.0 10.0 5.0 0.0 2020-03-27 2020-04-27 2020-05-27 2020-06-27 2020-07-27 2020-08-27 Date Reported 7-day MA 7-day MA minus Agri-Farm Sector 2020-09-18

  8. Windsor-Essex Rate by Reported Week 70.0 300 60.0 250 Rate per 100,000 population 50.0 200 # of COVID-19 cases 40.0 150 30.0 100 20.0 50 10.0 0.0 0 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38* Reported Week 2020-09-18

  9. Percent Positivity by Week by All Tests 25.0% 7,000 # of people tested/# of tests completed 6,000 20.0% 5,000 % positivity 15.0% 4,000 3,000 10.0% 2,000 5.0% 1,000 0.0% 0 Week Weekly test completed % positivity (all WEC tests) 2020-09-18

  10. Percentage of Tests Results Available Within 1 Day 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% % Completed by 1 day 2020-09-18

  11. Regional & Provincial Rates 700 613 600 Rate per 100,000 population 506 495 500 416 400 344 330 305 282 265 262 307 300 213 207 175 157 151 200 100 0 Geography 2020-09-18

  12. Rate per 100,000 by Municipality 3500.0 3018.0 3000.0 Rate per 100,000 population 2488.6 2500.0 2000.0 1500.0 1000.0 376.8 500.0 223.9 159.2 166.9 162.1 155.3 0.0 Municipality 2020-09-18

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  17. Age & Sex Distribution 70% 65% 61% 60% 50% 44% % of COVID-19 cases 39% 40% 35% 26% 30% 23% 20% 16% 13% 14% 13% 13% 8% 10% 6% 4% 6% 6% 4% 3% 1% 0% 0 to 19 20 to 29 30 to 39 40 to 49 50 to 59 60 to 69 70 to 79 80+ Male Female years years years years years years years years Last Two Weeks Overall 2020-09-18

  18. Distribution of COVID-19 Cases by Municipality Amherstburg Essex 1% 2% Kingsville 22% Windsor 34% LaSalle 2% Lakeshore 3% Tecumseh 2% Leamington 34% 2020-09-18

  19. Distribution of COVID-19 Cases by Municipality in last 30 days (August 17 to September 16) Amherstburg Windsor 1% 47% Essex 4% Kingsville 4% LaSalle 7% Lakeshore 4% Tecumseh 5% Leamington 28% 2020-09-18

  20. Distribution of COVID-19 Cases by Municipality in last 7 days (September 10 to September 16) Essex Amherstburg 2% Kingsville 5% 9% LaSalle 2% Lakeshore 7% Leamington 2% Tecumseh Windsor 9% 64% 2020-09-18

  21. Distribution of COVID-19 Cases by Occupation in the last 7 days (September 10 to September 16) Agri-Farm Worker Healthcare Worker 4% 0% Other/Unemployed /Retired/Missing 96% 2020-09-18

  22. # of confirmed COVID-19 cases Epidemic Curve by Reported Date For Windsor 10 12 14 16 18 0 2 4 6 8 01-Jun-20 08-Jun-20 Farm 15-Jun-20 22-Jun-20 Community 29-Jun-20 06-Jul-20 13-Jul-20 Reported Date Overall 7-Day MA 20-Jul-20 27-Jul-20 03-Aug-20 10-Aug-20 17-Aug-20 Community 7-Day MA 24-Aug-20 31-Aug-20 2020-09-18 07-Sep-20 14-Sep-20 0.0 1.0 2.0 3.0 4.0 5.0 6.0 7.0 8.0 9.0 10.0 7-Day Moving Average (MA)

  23. Epidemic Curve by Reported Date for Amherstburg # of confirmed COVID-19 cases 0 1 2 3 01-Jun-20 08-Jun-20 15-Jun-20 22-Jun-20 29-Jun-20 06-Jul-20 Overall 13-Jul-20 Reported Date 20-Jul-20 Overall 7-Day MA 27-Jul-20 03-Aug-20 10-Aug-20 17-Aug-20 24-Aug-20 31-Aug-20 2020-09-18 07-Sep-20 14-Sep-20 0.0 0.1 0.1 0.2 0.2 0.3 0.3 0.4 0.4 0.5 7-Day Moving Average (MA)

  24. # of confirmed COVID-19 cases Epidemic Curve by Reported Date for Essex 0 1 2 3 4 5 6 01-Jun-20 08-Jun-20 Farm 15-Jun-20 22-Jun-20 Community 29-Jun-20 06-Jul-20 13-Jul-20 Reported Date Overall 7-Day MA 20-Jul-20 27-Jul-20 03-Aug-20 10-Aug-20 17-Aug-20 Community 7-Day MA 24-Aug-20 31-Aug-20 2020-09-18 07-Sep-20 14-Sep-20 0.0 0.2 0.4 0.6 0.8 1.0 1.2 7-Day Moving Average (MA)

  25. # of confirmed COVID-19 cases Epidemic Curve by Reported Date For Kingsville 10 15 20 25 30 35 40 45 0 5 01-Jun-20 08-Jun-20 Farm 15-Jun-20 22-Jun-20 Community 29-Jun-20 06-Jul-20 13-Jul-20 Reported Date Overall 7-Day MA 20-Jul-20 27-Jul-20 03-Aug-20 10-Aug-20 17-Aug-20 Community 7-Day MA 24-Aug-20 31-Aug-20 2020-09-18 07-Sep-20 14-Sep-20 0 2 4 6 8 10 12 14 16 7-Day Moving Average (MA)

  26. Epidemic Curve by Reported Date For Leamington # of confirmed COVID-19 cases 100 10 20 30 40 50 60 70 80 90 0 01-Jun-20 Farm 08-Jun-20 15-Jun-20 22-Jun-20 Community 29-Jun-20 06-Jul-20 13-Jul-20 Reported Date Overall 7-Day MA 20-Jul-20 27-Jul-20 03-Aug-20 10-Aug-20 17-Aug-20 Community 7-Day MA 24-Aug-20 31-Aug-20 2020-09-18 07-Sep-20 14-Sep-20 0 5 10 15 20 25 30 35 7-Day Moving Average (MA)

  27. # of confirmed COVID-19 cases Epidemic Curve by Reported Date For Lakeshore 0 1 2 3 4 5 01-Jun-20 08-Jun-20 Farm 15-Jun-20 22-Jun-20 Community 29-Jun-20 06-Jul-20 13-Jul-20 Reported Date Overall 7-Day MA 20-Jul-20 27-Jul-20 03-Aug-20 10-Aug-20 17-Aug-20 Community 7-Day MA 24-Aug-20 31-Aug-20 2020-09-18 07-Sep-20 14-Sep-20 0.0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 7-Day Moving Average (MA)

  28. # of confirmed COVID-19 cases Epidemic Curve by Reported Date for LaSalle 0 1 2 3 4 5 6 01-Jun-20 08-Jun-20 15-Jun-20 22-Jun-20 29-Jun-20 06-Jul-20 Overall 13-Jul-20 Reported Date 20-Jul-20 Overall 7-Day MA 27-Jul-20 03-Aug-20 10-Aug-20 17-Aug-20 24-Aug-20 31-Aug-20 2020-09-18 07-Sep-20 14-Sep-20 0.0 0.2 0.4 0.6 0.8 1.0 1.2 1.4 1.6 1.8 7-Day Moving Average (MA)

  29. # of confirmed COVID-19 cases Epidemic Curve by Reported Date For Tecumseh 0 1 2 3 01-Jun-20 08-Jun-20 15-Jun-20 22-Jun-20 29-Jun-20 06-Jul-20 Overall 13-Jul-20 Reported Date 20-Jul-20 Overall 7-Day MA 27-Jul-20 03-Aug-20 10-Aug-20 17-Aug-20 24-Aug-20 31-Aug-20 2020-09-18 07-Sep-20 14-Sep-20 0 0.05 0.1 0.15 0.2 0.25 0.3 0.35 0.4 0.45 7-Day Moving Average (MA)

  30. Exposure History by Reported Date 45 40 # of confirmed COVID-19 cases 35 30 25 20 15 10 5 0 Reported Date Travel Close Contact Community Transmission 2020-09-18

  31. Exposure History by Reported Date Among Agri- Farm Workers 40 35 30 # of confirmed cases 25 20 15 10 5 0 Travel Close Contact Community Transmission 2020-09-18

  32. Exposure History by Reported Date Among Non- AgriFarm Cases 20 18 16 # of confirmed Cases 14 12 10 8 6 4 2 0 Reported Date Community Transmission Close Contact Travel 2020-09-18

  33. COVID-19 Cases by Healthcare Worker HealthCare Worker (Michigan) 21% HealthCare Worker (Local + International) 79% 2020-09-18

  34. Hospitalizations & ICU for COVID-19 20 18 # of confirmed COVID-19 cases 16 14 12 10 8 6 4 2 0 Date Hospitalizations ICU Hospitalization 7 Day Avg ICU 7 Day Avg 2020-09-18

  35. Health Care System Capacity 100% 90% 80% 70% % of beds occupied 60% 50% 40% 30% 20% 10% 0% 14-May-20 14-Jun-20 14-Jul-20 14-Aug-20 14-Sep-2 Date Acute Beds Occupied ICU Beds Occupied ICU Ventilator Beds Occupied 2020-09-18

  36. Current Outcomes Deceased 2.9% Resolved 93.5% Self-isolating 3.4% Hospitalized 0.0% ICU Unknown 0.0% 0.2% 2020-09-18

  37. Ever Hospitalized Hospitalized 8% Not hospitalized 92% 2020-09-18

  38. Age & Sex Breakdown of COVID-19 Deaths 70% 66% 60% 57% % of confirmed COVID-19 deaths 50% 43% 40% 30% 18% 20% 9% 10% 3% 1% 1% 1% 0% 0% 0 to 19 20 to 29 30 to 39 40 to 49 50 to 59 60 to 69 70 to 79 80+ Male Female years years years years years years years years Age Group & Sex 2020-09-18

  39. Case Fatality Rate 25.0% 21.1% 20.0% 15.2% Case fatality (%) 15.0% 10.0% 6.2% 5.0% 2.9% 1.0% 0.0% Community LTCH/RH Overall WEC Ontario Ontario LTCH Setting 2020-09-18

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