Today, The @Tennessean published an investigation in which I identify dozens of links between known coronavirus clusters in Nashville through an analysis of contact tracing data. This is my most complex journalism of 2020. And this is a thread. 1/ tennessean.com/in-depth/news/…
My story is behind the paywall, so you must be a subscriber to read it. If you aren’t a subscriber, this thread will highlight some of our findings. But please consider a sub to support journalism like this. We need you. tennessean.subscriber.services/?gclid=CjwKCAi…
I started this story in July. In the quiet moments between the daily deadlines, data entry and bad tweets, I chipped away at the reporting. I worked lots of extra evenings, some weekends. I am quite proud of the result, and I’d be honored if you read it.
For all the Nashville gadflies out there, the end of this thread includes a twist that isn’t in the story. I think you are going to like it.
Here is a hint: It’s about a certain “Big Ass” bar's inadvertently contribution to the lofty pursuit of journalism.
This story uses deidentified contact tracing data to find connections between about 70 known coronavirus clusters in Nashville. The data covered 24,000 infections from March to August. Even stripped of personal info, it spanned 2.6 million data points.
The data allows me to identify pairs or groups people who:
1. Caught the virus within two weeks of each other 2. Lived in the same location 3. But were included in two separate clusters.
Each pair or group is a likely opportunity for one cluster to spark another.
I’ll give you an example. Let’s say there was a cluster at The Tennessean and I was infected, then my partner became infected in two weeks, then a cluster occurred at my partner’s job site. With this data I could find that link, even though I could not identify either one of us.
With links like these, I was able to finally connect some dots. Vanderbilt to the Tyson factory. Tyson to Mosaic Apartments. Mosaic Apartments to Saint Thomas Midtown. From construction site to construction site to construction site. From bar to bar to bar.
We already knew the Tyson meatpacking facility, with 280 infections, had the largest cluster in Nashville.
But this data shows Tyson was also directly and indirectly linked to 10 more clusters amounting to another 280 infections at least.
Tyson was kickoff point that sent the virus looping through our essential work force. There are direct links between Tyson and a cluster at the Broadwest Construction site, an indirect links to construction at both the Grand Hyatt and Montgomery Bell Academy.
And a lot more.
The data also taught me something new about infections in Nashville bars. The city shuttered bars for about six weeks starting on July 3. It was one of the contentious decisions in Nashville’s virus response. It spurred a recall effort against Mayor Cooper.
Critics of this decision insist there were too few infections from to bars to justify closure. Their evidence? A Metro Health email saying only 30 infections linked to bars as of June 30.
City officials insist this was just the tip of an iceberg.
The data backs that up. Contact tracers eventually discovered 97 infections occurred in six bar clusters before the bars closed on July 3. That’s more than three times the amount that has been made public before now.
Remember how I promised a twist? Well, here it is.
This story was only possible because of Nashville honky-tonk owners suing the city over coronavirus restrictions. They gave me a big assist, even if they didn’t intend to.
The core of my story is deidentified contact tracing data. I originally requested this data from the city over the summer, but it didn’t actually exist yet. Under public record laws, the city doesn’t have to create a new document to satisfy my request. So I was stuck.
But the city was sued by honky-tonks, including the artfully-named @KidRock's Big Ass Honky Tonk and Rock N’ Roll Steakhouse. As their lawsuit moved through the courts, the city was required to create deidentified contact tracing data as part of the legal discovery process.
Suddenly, the data I wanted sprung into existence. Once it existed, it was a public record. I asked the city again. They checked the data for HIPAA violations, cut any lingering personal info, then gave me a copy.
And then I got to work.
Why did I do all this? Two reasons. First, the coronavirus pandemic is the best example in my lifetime of the demonstrable damage of bad information. Ignorance is killing us. Stories like this one is the best way I know how I can help.
Second, in a city with talented and dedicated journalists like @flakebarmer, @anitawadhwani, @kara_nashpost and, yes, @NC5PhilWilliams, this is what it takes to compete. Nashville is lucky to have a fiercely competitive media landscape but it won’t stay that way without support.
So, please, if you believe in this work, consider subscribing to the @Tennessean . If you are already a subscriber, read and follow the @NashvillePost and the @TNLookout. Donate to @WPLN. Watch @NC5. Support the truth. We need it. Now more than ever.
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Today I return to covering the coronavirus in Tennessee after a much-needed vacation. This thread is will recap major outbreak trends over the past 10 days or so, just in case you need a refresher. (I did.) It's not pretty. 1/
After weeks of flattening, the coronavirus outbreak in Tennessee has begun to grow again. Since a low point on Oct. 3, active infections have risen 34% to about 18,000. This is bad. public.flourish.studio/visualisation/…
State officials insist active infections is not a great measurement for the virus. They prefer test positivity rate. Well, after weeks of decline, Tennessee's positivity rate has stopped falling and is ticking upwards.
Tennessee’s coronavirus stats went wonky today because both the Nashville and state governments separately changed how they present data. I know many of you attempt to follow this closely, so I’m going to try to explain it all. This is going to get weedy.
.@TNDeptofHealth made two major changes. First, they revised how they define “recovered” coronavirus patients, resulting in a big reduction in the count of active infections in every county. Second, they corrected about 1,700 cases that were listed in the wrong county. Whoopsie.
There is no one standard for what it means to be “recovered” from coronavirus. Previously, Tennessee classified you as recovered in one of two ways:
1. Infected people should have daily convos with contact tracers, who deem them recovered when symptoms are safely over.
In the past month, Tennessee has made incredible gains in the campaign against coronavirus. But we have so much to lose. This is a short thread about how it could all go wrong. tennessean.com/story/news/hea…
Today, I spent about an hour listening to health policy researchers at Vanderbilt University (@VUHealthPol). They’ve been quietly modeling the coronavirus in our state for a few weeks. I was anxious to see what they knew. There is a lot to unpack here. Here we go.
First, social distancing is working. In mid-March, an infected Tennessean was believed to spread the virus to 5 people. At that rate, the virus grows uncontrollably exponentially. Then we started the hard stuff. Staying home. Closing businesses. Missing our friends & families.
Yesterday, Tennessee Gov. Bill Lee (@GovBillLee) ordered Tennesseans to stay home, saying cell phone tracking data helped convince him to take stronger action to stop coronavirus. I dug into that data, wanting to understand what he saw. This is a thread. tennessean.com/story/news/hea…
First, it is important to know Lee did not want to do this. At every step of the virus outbreak, he has resisted ordering Tennesseans around. Lee, a small-government Republican, said he believed in advising, not mandating. But, as the outbreak grew, he had to change his tactics.
On Monday, Lee issued an executive order “strongly urging” Tennesseans to stay inside. Many people didn’t think this was enough. On Thursday, Lee changed his urging to a mandate. He said he was compelled by traffic and cell phone data showing too few people were moving too much.
The Tennessee government got 1,800+ public comments on its plan for a Medicaid block grant. I read them all so you don’t have to. This is a thread about health care, journalism and how a heap of public records dissolved my brain into soup. It will be more fun than it sounds. 1/
If you haven’t heard, @GovBillLee wants to convert TennCare to a block grant. The state would get more control over billions in federal money that funds insurance for poor families, kids and people with disabilities. It's complicated but important. 2/ tennessean.com/story/news/pol…
But lots of people are afraid the block grant will hurt, not help. They suspect state officials will use this new authority over TennCare to intentionally weaken or reduce coverage, cut costs and divert money elsewhere. 3/
For 4 years, Tennessee's state health agency investigated a nurse practitioner who dressed like a rock star and called himself a doctor. It found evidence he was doing bad things. Did it stop him from prescribing? From seeing patients? No. This is a thread. It’s gonna get weird.
For the last few months, @CStephenson731 and I have been researching "Rock Doc" Jeff Young. Our story publishes today in @Tennessean and @JSunNews. You need to be a subscriber to read it. Just in case you aren’t one yet, I’m going to tweet some highlights. tennessean.com/story/news/hea…
You may have heard of Jeff Young. The feds indicted him for drug trafficking in April. He’s accused of trading drugs for sex and notoriety for his “Rock Doc” brand. Prosecutors said he prescribed more than 1.4 M pills and 1500 fentanyl patches in just 3 years. (That’s a lot.)