My Authors
Read all threads
As many have noted, there has been an uptick in confirmed #COVID19 cases in multiple states starting roughly at the beginning of June. There is a major question surrounding how much "re-opening" efforts are contributing to increases in transmission. Figure from @nytimes. 1/10
I thought to look into a specific state and start with Arizona. Here, we see pretty dramatic increases in confirmed cases starting about May 26. Arizona's stay-at-home order expired on May 15. Figure from the @azdhs COVID-19 data dashboard. 2/10
This specific increase in cases at the end of May seems to be limited to Southern Arizona with Maricopa County contributing the most to this increase. 3/10
Connecting the increase in transmission in Arizona directly to specific reopening policies is difficult. Although the general timing makes sense as we've seen a reduction in social distancing, this is not definitive. Figure from @CATT_Lab (data.covid.umd.edu). 4/10
Generally, I've been disappointed with the lack of US public data on exposure setting obtained through case investigation. There have been a couple recent manuscripts examining this, one focused on transmission in Hong Kong and one focused on Japan. 5/10
Work lead by @dilloncadam and @bencowling88 examines case investigation and contact tracing data from Hong Kong to emphasize how important social settings were for propagating large clusters (researchsquare.com/article/rs-295…). 6/10
Work lead by Furuse and Oshitani concludes that clusters derived primarily from healthcare settings, but that social settings "with heavy breathing in close proximity, such as karaoke parties, clubs, bars, and gymnasiums" also contributed strongly (wwwnc.cdc.gov/eid/article/26…). 7/10
We should have all we need to address the reopening question. The simple analysis would be: have we seen an increase in the proportion of cases with exposure deriving from social settings? 8/10
I imagine that household transmission will be a more continuous occurrence, while with reopening we would expect a new layer of infections derived from social settings. 9/10
However, I haven't been able to find public data on exposure setting in any of the state data dashboards. This data has to exist with state health departments (though could be spotty) and could be readily analyzed by public health epidemiologists. 10/10
Missing some Tweet in this thread? You can try to force a refresh.

Keep Current with Trevor Bedford

Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

Twitter may remove this content at anytime, convert it as a PDF, save and print for later use!

Try unrolling a thread yourself!

how to unroll video

1) Follow Thread Reader App on Twitter so you can easily mention us!

2) Go to a Twitter thread (series of Tweets by the same owner) and mention us with a keyword "unroll" @threadreaderapp unroll

You can practice here first or read more on our help page!

Follow Us on Twitter!

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3.00/month or $30.00/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!