This is my #Missouri #COVID19 evening update 🧵 for Tuesday, 11/10. My website has been fully updated - slu-opengis.github.io/covid_daily_vi….

Last Thursday, I asked rhetorically how high our 7-day averages could go. The answer, so far, is we have not found a ceiling yet. 1/20 ImageImageImageImage
We’re adding just shy of 3700 new cases per day on average ☝️, with the highest per capita rates in the “outstate” region. Just a month ago we had never had the 7-day average pass 1700. Now we’re setting all-time highs daily statewide as well as in the “meso” regions. 2/20
At the metro level, #StLouis has surpassed 100,000 cases cumulatively. Our 7-day average was stable at 20 new cases per 100,000 per day on average for much of the fall, and now has tripled to 60 in a relatively short timeframe. Jefferson City’s is nearing 140. 3/20 ImageImageImageImage
At the county level, Mid-Missouri, portions of the Cape Girardeau and Bootheel regions, and portions of northern MO are all among the most concerning in terms of 7-day averages. 4/20 Image
In Mid-Missouri, Boone County has seen a real resurgence in new cases. Cole, Callaway, Cooper, Moniteau, and Osage counties also have very high 7-day averages. Around Lake of the Ozarks, rates are a bit lower but have been quite sustained. 5/20 ImageImageImageImage
Around both Joplin and Springfield, we’re also seeing spikes in a wide swath of counties. Greene County is approach its all-time high, and a number of others have either surpassed or are near theirs. 6/20 ImageImageImageImage
In southeast MO, Bollinger and Stoddard counties are the least concerns, largely because they are the only counties not seeing a real spike in their per capita new case rates right now. Otherwise, all-time highs abound. 7/20 ImageImageImageImage
Likewise, in Northern MO, all-time highs in 7-day averages abound. Nodaway, Gentry, DeKalb, Marion, Pike, and Sullivan are all adding cases at a rate near 100 new cases per 100,000 per day on average. 8/20 ImageImageImageImage
In #KansasCity, we’re seeing a continuation of higher rates of new cases in Johnson (KS) and Jackson counties as well as Kansas City itself. Caldwell, Clay, and Lafayette counties are also experiencing high 7-day averages right now. 9/20 ImageImageImageImage
Clinton County’s mortality spike continues to closely track earlier patterns we saw at the beginning of the outbreak in Johnson (KS) and Wyandotte counties. They’ve now had over 30 deaths - we’ll see if they’re still at 0 nursing home deaths after those data update Thurs. 10/20 ImageImageImageImage
In #StLouis, every single county I track closely is seeing their 7-day averages go up, in some cases incredibly quickly (i.e. Jersey County). The City itself continues to have the lowest rate of new cases per capita regionally, the daily new counts are over 100 now. 11/20 ImageImageImageImage
Hospitalization numbers in #StLouis are getting more troubling by the day, with all-time highs in the new and total in-patient metrics and climbing ICU numbers, too. I feel like a broken record at this point, but these numbers are not sustainable for our health care system. 12/20 ImageImageImageImage
Statewide, mortality patterns are experiencing a bit of a drop off in reported deaths. This is being mirrored in all three metro areas where I track 7-day averages right now. This will change tomorrow, though, when the dump of new deaths today is reflected in my data. 13/20 ImageImage
One outstanding interest of mine has been to dig into mortality data, and I’m excited to launch two new products this week. First, a comparison of reported vs. actual mortality. We know that delays in the state reporting deaths can stretch to months, and I’ve wondered… 14/20
… about just how much this distorts our patterns here. Reported deaths appear, so far, to be rough approximations of actual deaths, though that has weakened since Sept. For the statistically minded, the Pearson’s r value here is .753 - a moderately strong relationship. 15/20 Image
Another outstanding interest is how our COVID mortality compares to normal, something we call “excess death.” My @SLUResearch colleague @TimothyWiemken has put together two visualizations of (provisional) excess mortality, one for MO and one for the US as a whole. 16/20 ImageImage
Both forecast what we would expect mortality to be this year, and then show (with the red line) where we are from March onward. Each analysis points to excess mortality above and beyond what the forecast suggests based on past mortality patterns. 17/20 slu-opengis.github.io/covid_daily_vi…
The excess mortality data, and the clear recent September/October spike in the mortality comparison plot, both point to how serious COVID is. The new case rates and hospitalizations point to how much worse these mortality trends could become. 18/20
My standard caveats about uncertainty - infections (1) are historical data that reflect infections 2-3 weeks ago, (2) are biased by testing patterns, (3) may include probable but unconfirmed cases in some counties, and (4) rates are not individual probabilities of illness. 19/20
Additional maps and plots are on my tracking site - slu-opengis.github.io/covid_daily_vi….

Next 🧵 will *likely* be Thursday, 11/12.

20/20

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More from @chrisprener

13 Nov
This is my #Missouri #COVID19 evening update 🧵 for Thursday, 11/12. My website has been fully updated - slu-opengis.github.io/covid_daily_vi….

Our 7-day averages continue to climb - now 4059 new cases per day on average statewide, with all-time highs again in #KansasCity and “outstate.” 1/18 ImageImageImageImage
The #StLouis Metro (including IL counties) added ~1969 cases per day on average over the past week - far and away the highest volume of cases we’ve seen here. #KansasCity is also adding more than 1000 cases per day on average. 2/18 ImageImageImageImage
Remember, though, that these numbers don’t directly compare to the time series in March/April/May because of poor testing access. They are far more comparable to August/September, when cases were far fewer in number. 3/18
Read 19 tweets
12 Nov
Lots of speculation about the Governor’s announcement this morning. I’ve been lamenting with @TimothyWiemken this AM about (a) how predictable pressures on schools were in May, yet we didn’t plan, and (b) the lack of different policies for elementary vs high school to this point.
And @hrenoID is totally on point with her observation about evidence based policy 👇.
For example, some of what we're getting today may be driven by this letter from a group of superintendents calling themselves the "Rural Activists of Northwest Missouri," who are asking for quarantines to be dropped to 5-7 days. (h/t @blythebernhard) kq2.com/content/news/N…
Read 4 tweets
12 Nov
My #Missouri #COVID19 tracking site has been fully updated for Wednesday, 11/11 - slu-opengis.github.io/covid_daily_vi….

On Monday, we were averaging 3500 new cases statewide. Tonight, that metric is just under 4000. It has doubled in just a few weeks, and hit all-time highs again today. 1/4 ImageImageImageImage
I want to highlight the increasing hospitalization trends in #StLouis today as well. The rate at which the 7-day average trends for new in-patients and total in-patients are growing is deeply, deeply worrying. 2/4 ImageImageImageImage
Tonight's @StLouisCovid memorial is a bit different - given that it is Veterans Day, I want to take tonight to acknowledge the St. Louis area veterans who served, some in war zones, only to die from COVID-19 here at home. 3/4 stlouiscovidmemorial.com/covid-19-veter…
Read 4 tweets
9 Nov
Three thoughts.

First, take a look at hospitalizations right now in the #StLouis area. We're back to roughly where things stood in April in terms of total numbers of in-patients, and we're adding new patients at a faster pace than at any point prior during the pandemic. 1/6
Second, the irony here is that there are areas of MO - especially Mid-Missouri's two metros (Columbia and Jefferson City) - that have far, far higher rates of new cases. 2/6
Even within the #StLouis metro, Franklin, Jefferson, and St. Charles counties all have per capita 7-day averages of new cases that are similar or exceed what the County is experiencing right now. This is why we need *statewide* and *regional* interventions. 3/6
Read 6 tweets
8 Nov
My #Missouri #COVID19 tracking site has been fully updated for Saturday, 11/7 - slu-opengis.github.io/covid_daily_vi….

It feels like we’ve hit a tipping point now - we’re now adding over 3000 cases per day, on average, statewide. Our regional averages are each at all-time highs. 1/6 ImageImageImageImage
We don’t know how exactly how this compares to the spring ☝️, because testing limits affected our ability to identify cases. But take a look at our hospitalizations in #StLouis if you want a sense of how bad things are right now 👇. We. Must. Act. Decisively. Now. 2/6 ImageImage
I’ve made another round of updates to the ZIP code maps for #StLouis to include Lincoln County on both the case and 14-day average maps. Warren County and Metro East will be added to the 14-day avg. maps next Friday. Lincoln County will follow later. 3/6 slu-opengis.github.io/covid_daily_vi… ImageImage
Read 7 tweets
7 Nov
My #Missouri #COVID19 tracking site has been fully updated for Friday, 11/6 - slu-opengis.github.io/covid_daily_vi….

Our 7-day averages continue to climb to all-time highs statewide and in all three regions; all of our alarm bells should be ringing loudly right now. 1/5 ImageImageImageImage
I now have significantly expanded ZIP code mapping for the St. Louis area. Lincoln and Franklin counties are the only metro counties missing, but will be added soon! I should have 14-day averages for Metro East and Warren County next Friday. 2/5 slu-opengis.github.io/covid_daily_vi… Image
I’ve also published the latest edition of “River City Data” this evening. It has an update on plans for new data products, an overview of where we're at with COVID, some thoughts on political polling, and my interview with @stltoday's @michelemunz. 3/5 chrisprener.substack.com/p/weekly-covid…
Read 5 tweets

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