Memphis/Shelby County
Mid-Wk Covid Report

tl;dr
* cases +260% since sept30, testing only +52%
* positivity rate up from 5.2% to 10.7%
* hospitalizations at record-highs, staffing is a problem
* vaccines are on the way...if we can make it to spring

1/
We've had problems with the case data since Nov1.
Read here:

In the meantime, hospitalization numbers are the best we've got. And we've been setting records literally for wks now.

"Elective" surgeries are being canceled. Staffing is a problem.

2/
Here's the most up-to-date data we have on cases. This is a graph of daily cases by the date the test occurred.

A few things here...
1) The most recent data here is a wk old.
2) Bc of reporting delays, cases are still trickling in.
3) This is the worst we've seen.

3/
Here are daily cases by report date.

This goes up until today, but this way of presenting the data is sensitive to reporting delays. And that's why the rolling avg's are so important.

4/
Here are daily cases and daily testing since Oct1.

Cases are +260%
Testing is just +52%

In other words, cases have grown 5x faster than testing.

5/
And so the positivity rate has grown from 5.2% to 10.7% over that same time.

Now, fortunately, over the past 7days, the positivity rate has fallen from 12.0% to 10.7%, bc testing has increased. But we still need to more than double our current testing.

6/
Here are projected cases through the end of the year.

Unfortunately, the growth rate has increased, and we now are on pace for the worst of the three paths here.

That would put us at 600 new cases/day by Xmas.

7/
At this pace, we'll add another 10k cases by Dec21, just 19 days away.

The last 10k took 26 days.

The previous 10k took 56 days.

8/
And here are projected deaths...

At this rate, we'll be up to 10 deaths per day and 875 total deaths by the end of the year.

For context, we're currently avg'ing just under 4 per day and 672 total.

9/
And yet bars, strip clubs, & large event parties remain open.

Apparently, the health dept was told about the big party this weekend, held in an enclosed tent outside a SE Mem club. Inspectors visited beforehand. They came back during the event. And they didn't shut it down.

10/
In yesterday's briefing, Dr. Randolph implied that ppl were being selfish & making poor decisions. He said, Just bc something's allowed doesn't mean you should do it.

Well, think about that msg'ing.

They allowed the party to happen. How can they blame anyone else for that?

11/
Someone asked today why schools in Europe are open while schools in America are not.

Well, the short story is that Europe prioritized schools, while America prioritized bars & businesses.

12/
The long story is that European govts have provided enough financial relief to allow individuals & businesses to make safe-ish decisions.

America, meanwhile, has forced biz to open by refusing to provide relief and encouraged ppl to make bad decisions by mixed messages.

13/
And as a result, we've sacrificed our children.

You can't blame schools for closing. Blame the political leaders for letting covid spread unchecked in the community, making it unsafe for schools to open.

14/
That's the other thing. European govts were able to keep numbers down for most of the Summer & Fall, then took significant action when cases spiked.

That's how you open schools, then keep schools open.

15/
Contrast that with our local govt, which opened strip clubs as cases were spiking 3wks ago...and then allowed a huge super-spreader party to go unchecked.

And that's why schools are closed right now.

16/
Speaking of schools, @ProfEmilyOster has built the most comprehensive national school covid dashboard.

Elementary schools, 15 daily cases per 100k in students.
Middle schools, 18 per 100k.
High schools, 27 per 100k.

Apart from high, teacher rates are considerably higher.

17/
I'm going to end w/a word of hope.

In the Christian church, we just entered the Advent season. And Advent is all abt waiting, anticipating, & preparing for that which is to come.

Vaccines are coming. We just have to wait a little while longer.

Can you make it to Spring?

18/18

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More from @firstresponses

1 Dec
November just ended, so here is the shape of the local (Memphis/Shelby County, TN) pandemic by month. Image
Two big things stand out to me.

First, cases grew tremendously from October to November, while testing was largely flat. That does not bode well for the weeks ahead. It likely means that we have missed a large number of cases.
2) Deaths kept rising after this summer's peak in cases. That says we can likely expect deaths to rise in Dec. Also, the Oct spike in deaths likely represents cases from the summer, which suggests that we could expect deaths to continue even after our current wave subsides.
Read 5 tweets
21 Nov
Memphis/Shelby County
Covid Wk-In-Review

tl;dr
*

1/
Let's start with the national picture.

This is from @COVID19Tracking.

It's pretty bleak. Cases are growing exponentially, much faster than tests. Hospitalizations are at an all-time high. And we're avg'ing 1400 covid deaths each day.

2/
But @youyanggu estimates that the true number of cases is 3.3 times more than what's being reported.

FYI, Youyang had the most accurate covid model in existence. He's switched from forecasting to "nowcasting," estimating what *is* happening rather than predicting what will.

3/
Read 29 tweets
19 Nov
Memphis/Shelby County
Mid-Wk Covid Report

tl;dr
* 424 new cases per day (45.2 per 100k)
* +105% over 4wks, +205% over 6wks
* we're in the worst wk of the pandemic yet
* we've lost control & are about to drive off a cliff, but there's no one at the wheel

1/
Let's start with the national picture.

This is from @COVID19Tracking.

It's pretty bleak. Cases are growing exponentially, much faster than tests. Hospitalizations are at an all-time high. And we're avg'ing 1200 covid deaths each day.

2/
But @youyanggu estimates that the true number of cases is 3.8 times more than what's being reported.

FYI, Youyang had the most accurate covid model in existence. He's switched from forecasting to "nowcasting," estimating what's happening rather than predicting what will.

3/
Read 23 tweets
7 Nov
Memphis/Shelby County
Covid Wk-In-Review

tl;dr
* task force says data for past wk not accurate
* but hospitalization getting really bad (equal to the first wk in july)
* big question, re: covid, is what trump does now: does he step back & let experts lead, or go chaos-mode?

1/ Image
Let me start by saying that change is coming.

Trump has been a complete disaster on covid.

But whatever you think of Biden, we know that he will let the public health experts take the lead.

2/
The big question here is how soon?

Will Trump go full chaos-mode for the next two months?

Or will he step back & hand over the reins, at least with regard to covid?

Tens of thousands of lives hang on that question.

3/
Read 19 tweets
24 Oct
Memphis/Shelby County
Covid Wk-In-Review

tl;dr
* crisis level: 270 cases/day (28.8 per 100k)
* that's +73% over 1wk, +138% over 3wks
* it's also back above where Harvard says shutdowns are necessary
* our current 36k total cases will double as early as Jan1

#Vote

1/
Here are daily cases, since reopening & since Sept1, plus daily positive tests since they started being reported Sept18.

270 cases/day, today
156, 1wk ago
154, 2wks ago
114, 3wks ago
130, 4wks ago
178, 5wks ago
118, 6wks ago

+73% over 1wk
+138%, 3wks
+129%, 6wks

2/
We're at the highest levels since July, 12wks ago.

Our case rate is up to 28.8 daily cases per 100k. That's the sixth-highest on record, behind only the 5wks of July.

The previous 6 weeks:
1wk, 16.6
2wks, 16.4
3wks, 12.2
4wks, 13.9
5wks, 19.0
6wks, 12.6

3/
Read 23 tweets
23 Oct
Okay, debate time.

Let's do this...
I actually think the fact that Trump will be muted will help him.
Trump does not look comfortable. It looks like he's doing the pee-pee dance.
Read 51 tweets

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