Memphis/Shelby County
Mid-Wk Covid Report

tl;dr
* we're up to 815 new cases/day, with 13.1%+
* and the growth rate is increasing
* we're on pace to avg 1,000 cases/day by xmas
* cases are +438% over 10wks, tests up +109%
* it's time to hibernate for the winter

1/
Cases vs Tests
1wk, +69% vs +76%
2wks, +72% vs +39%
4wks, +94% vs +48%
8wks, +261% vs 105%
10wks, +438% vs +109%

Positivity Rate
5.4%, wk of Oct1
13.5%, wk of Dec3
12.5%, wk of Dec10

Deaths
from 46 down to 11 in Oct
then up to 44 & 40 in Dec

2/
Case Rate
- summer peak: 45.3 daily cases per 100k
- today: 87.0 per 100k

In other words, we are nearly double the cases per capita from the worst of the summer.

3/
Here are cases per day.

The dashboard is already updated with tomorrow's numbers, so this is through Th/Dec17.

Notice something?

Dec17 tops 1,000 for the first time. For context, the high this summer was 700.

The 7-day avg: 815 cases/day. The high this summer: 425/day.

4/
Our daily growth rate has risen from 0.8% in late Oct, to 1.0% in early Dec, to 1.5% the past wk.

We're now on pace to avg 1,000 new cases per day by Christmas.

5/
Here is the 7-day growth rate.

On Oct5, it was down to 2.1%. Now it's up to 10.8%.

The growth rate is 5x what it was 10wks ago.

This is how you get exponential growth.

6/
The first 10k cases took over 100 days.
From 10k to 20k, 28 days
30k, 52 days
40k, 52 days
50k, 25 days

We're going to hit 60k this weekend.
14 days.

7/
We reached 50k cases on Dec5.
That took 272 days.
It took 111 days to double from 25k to 50k.

We're on pace to reach 100k by Jan22.
That's just 48 days to double from 50k to 100k.

8/
What about deaths?

At the end of Oct, we were avg'ing 1.4 deaths per day. We were up over 6 per day yesterday, but now we're down slightly to 5.7 per day.

We're on pace to be at 10 deaths per day by the end of Dec and 20 per day 2wks into Jan.

9/
Here's what happens, though.

As cases surge, the healthcare system becomes overwhelmed. Sure, we could open the old CA Bldg for space. But who would work it? There's not enough staff.

And so deaths start to skyrocket.

10/
Not just covid deaths either.

What happens when you have a heart attack? What happens when you're in a car accident? What happens when you have an asthma attack?

If there aren't any beds, or there aren't any staffed beds, then you are in trouble!

11/
And help is *not* on the way.

In the briefing yesterday, the main message from the health dept was this: "We've done all we can do."

And: "It's up to you."

That last part was said at least five times.

"It's up to you."

"It's up to you."

"It's up to you."

12/
And the governor is shifting his priority from testing to vaccinations.

Why is it an either/or?

Why not hire more staff and do both?

The majority of ppl won't get a vaccine for months.

13/
And TN has the worst outbreak in the entire world right now!

In the whole world!

But we still don't have a mask mandate!

14/
Nearly the entire Memphis Metro Area now has case rates that are literally off the chart.

Seriously, the chart goes up to 70 per 100k.

And 7 of the 10 counties are above that. Plus 2 more are in the 60s per 100k.

15/
Meanwhile, on the coldest day of the year, in the middle of the worst pandemic in the world, you've got evictions happening.

And police arresting organizers trying to help.

Much love to @hunter_demster.

Cashapp the family: $justice4martavious

facebook.com/HunterDemster/…

16/
As I've said beffore, we know the end of the story. Vaccines are on the way.

But there is plenty of story yet to be written.

The question is, what does the next 3-6 months look like?

We're on the road to death & disease.

May we choose life & love instead.

17/17

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More from @firstresponses

12 Dec
Memphis/Shelby County
Covid Week-In-Review

tl;dr
* 538 cases/day this wk (record high)
* cases +102% over 6wks, +244% over 8wks
* tests +41%, +82%
* this was the worst wk yet
* last wk was 2nd worst
* next wk will be even worse
* but you can save lives

1/
Here are avg daily cases per wk, for every wk of the local pandemic since we reopened in May.

The past 5wks represent the #1, #2, #4, #5, & #6 highest wks yet.

Not only are we in the worst of it, but we've been in the worst of it for a month now.

And it's getting worse.

2/
But the past month is even worse than we knew.

We started experiencing significant reporting delays beginning Nov1.

Since then, avg daily cases reported have been 53 cases (13%) below actual cases once the testing gets processed and assigned to the date of the test.

3/
Read 20 tweets
10 Dec
Memphis/Shelby County
Mid-Wk Covid Report

tl;dr
* it's bad, y'all, and getting worse
* but they say it's darkest before the sun rises
* and we have a once in a lifetime opportunity to save literally thousands of lives, just here in Memphis
* read for details

1/ Image
Let's start w/new cases by test date. There's a built-in lag here, so it only goes through Nov30.

But as you can see, the 4 days with the highest number of new cases were the past 4 Mondays, at 577, 610, 651, & 657. (And bc of reporting delays, that number is still rising.)

2/ Image
Here are cases by report date.

We've avg'd over 435 cases/day for 8 days now. That's the 1st, 2nd, 3rd, 4th, 5th, 6th, 9th, & 10th highest avg's on record. All in Dec.

The 7th, 8th, 11th, 13th, 14th, & 15th highest were all in Nov.

The 12th was in Aug, the 15th in July.

3/ Image
Read 16 tweets
5 Dec
Memphis/Shelby County
Covid Wk-In-Review

* we hit 50k total cases today, 272 days since 1st
* the next 50k are just 69-86 days away
* 3255 new cases this wk (#1 wk yet)
* 12.9%+ (#1 wk yet)
* 500+ hospitalized (#1 wk yet)
* 37 deaths (#3 wk so far)
* but vaccines are coming

1/
Let's zoom out and look at the shape of the local pandemic since the beginning.

Note that this graph of cases by test date only goes through Nov24.

So we were in the worst of it...before Thanksgiving.

2/
And since November just ended, let's zoom out to look at the local pandemic by month.

[Note: New metrics were introduced mid-Sept.]

3/
Read 28 tweets
3 Dec
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/
Read 18 tweets
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

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