1/ COVID (@UCSanDiego) Chronicles - Jan 16, 2021

Are we turning the corner on the surge? Read on to explore hospital, regional, and statewide data 📉

Plus vaccines, vaccines, and a puppy 🐶
2/ Some good news as case rate data @UCSDHealth is clearly declining this week.

This may be partly a result of the thousands of @UCSanDiego students returning after the holiday break

sandiegouniontribune.com/news/health/st…
3/ The 14-day rolling average of positive tests in @SanDiegoCounty and California also seem to have leveled off
4/ Hospitalizations @UCSDHealth may have also peaked this week 🤞🏽

We are currently caring for 139 inpatients hospitalized for #COVID19 including 36 on ventilators and 9 on ECMO
5/ Hospitalizations for #COVID19 across @SanDiegoCounty also seem to have plateaued with the current total at 1,760 according to @HASDIC
6/ All of this data does supports cautious optimism that the worst is behind us

Of course the key to preventing another surge is vaccinating a sufficient percentage of the population to achieve herd immunity

sandiegouniontribune.com/news/health/st…
7/ @UCSDHealth and @SanDiegoCounty hit the national press this week as we opened the first vaccination superstation in California

In the first 5 days we vaccinated ~17k healthcare workers @PetcoPark 💉💉💉

usnews.com/news/best-stat…
8/ The amazing @UCSDHealth team setup operations in just 5 days. Key lessons:

🅿️- @PetcoPark security, traffic flow, WiFi critical (🙏🏽 @Padres and @CityofSanDiego)

💻- IT infrastructure (85 laptops, 5k ft of cables, etc)

👩🏽‍⚕️ - staffing - 115 vaccinators + 180 staff daily!
9/ Vaccine eligibility has been another confusing topic this week. @SanDiegoCounty sites (including @PetcoPark) are ONLY vaccinating phase 1A (healthcare workers).

Biotech/research labs are NOT in phase 1A unless they have a CLIA license or do research with #SARSCoV2
10/ Since @UCSDHealth is part of @UofCAHealth, we are considered a multi-county entity and receive vaccines directly from the state.

So when @GavinNewsom added seniors > 65 on Wednesday, we opened slots @UCSDHealth (not @PetcoPark) for Thursday

cbs8.com/article/news/h…
11/ Of course, @SanDiegoCounty will begin offering vaccine to seniors over 65 sometime soon, but timing is unclear.

cbs8.com/article/news/h…
12/ Bottom line on vaccine eligibility in San Diego:

🧓🏽 seniors who are @UCSDHealth patients are invited by risk priority (similar for other health systems I presume) health.ucsd.edu/coronavirus/Pa…

🧑🏽‍⚕️ healthcare workers can self-schedule at @SanDiegoCounty sites
13/ To clarify #COVID19 vaccine prioritization for the @UCSanDiego community, Chancellor Pradeep Khosla and @UCSDHealth CEO @PattyMaysent sent this well-written memo yesterday

adminrecords.ucsd.edu/Notices/2021/2…
14/ If you're confused about vaccine eligibility, you're not alone. Love this @TheOnion article!

theonion.com/nation-enters-…
15/ @DrNancyM_CDC was right that US vaccine rollout is speeding up quickly.

As other sites setup operations like @UCSDHealth, I suspect the critical path will move from last mile logistics to supply chain

statnews.com/2021/01/05/nan…
16/ Finally, as our Thanksgiving puppies reach ~8 weeks of age, it is time to find new homes for all but one. Bob Barker (below) is hard at work...
These puppies have a long waiting list, sorry! 🐶

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More from @calonghurst

4 Jan
1/ COVID (@UCSanDiego) Chronicles - Jan 3, 2021

Happy new year #Twitterverse🎇

Lots to share in the first thread of 2021 🧵

Read on for some thoughts about hospitalization numbers, vaccine timing, and the predicted baby bust 🚼

And two small rewards at the end... 🐕
2/ @UCSDHealth has hit a temporary equilibrium with census relatively stable ~7 days. Today we have 127 inpatients hospitalized for #COVID19 including 40 in the ICU, 31 on mechanical ventilators, and 7 on ECMO circuits
3/ @SanDiegoCounty hospitalization data shows a similar plateau with 1,591 inpatients across multiple hospitals today and a 7-day rolling average of 1,573 according to @HASDIC data
Read 15 tweets
27 Jul 20
1/ COVID (@UCSanDiego) Chronicles - July 26, 2020

Let's talk about #COVID19 contact tracing...almost 27k #COVID19 cases in @SanDiegoCounty, and county staff can NOT keep up. Despite hiring >200 contact tracers, just 10% of cases are now investigated within 24 hours!
2/ Contact tracing works great for sexually transmitted infections, but does not scale well for a pandemic caused by a respiratory disease spread by airborne droplets. So what should we do? Hire more contact tracers?

sandiegouniontribune.com/news/health/st…
3/ Recent models show that "minimizing contact tracing delays, for instance with app-based technology, further enhanced effectiveness, with the potential to prevent up to 80% of all transmissions."

Read 7 tweets
23 Jul 20
1/ COVID (@UCSanDiego) Chronicles - July 23, 2020

@UCSDHealth is now caring for 51 inpatients with #COVID19 including 21 on vents and 5 on ECMO. These individuals come from all over southern California, particularly @SanDiegoCounty and @ImperialCntyCA

ImageImage
2/ In a bit of bright news, with just 16 positive PCR results in the last 24 hours, the 7 day rolling average @UCSDHealth decreased to ~21 positive tests/day. This rate of ~2.3% is now the lowest across @UofCAHealth

Image
3/ Unfortunately, @SanDiegoCounty hit two grim milestones yesterday with over 25k #COVID19 cases (+587) and over 500 deaths. San Diegans over 70 yo represent only 17% of the cases but 87% of the deaths, and nearly all had underlying medical conditions.

countynewscenter.com/county-covid-1…
Read 10 tweets
6 Jul 20
1/ COVID (@UCSanDiego) Chronicles - July 5, 2020

As we end this holiday weekend @UCSDHealth is caring for 47 inpatients with #COVID19. Overall @SanDiegoCounty bed capacity is fine with 382 total inpatients, though will be watching closely for an ↑ in based on recent data.
2/ The amazing @UCSDHealth #SARSCoV2 results team is monitoring >100 patients at home or in public health temporary housing. This is the highest # of people monitored in home isolation in a single day. It is also 10x higher than baseline monitoring responsibilities 6 weeks ago.
3/ #SARSCoV2 test results from July 4th, 2020 shows another record setting day with 562 new cases identified in @SanDiegoCounty and 5,410 new cases in California.
Read 9 tweets
28 May 20
1/ COVID (@UCSanDiego) Chronicles - May 27, 2020

A lot to share, starting with data: 35 inpatients @UCSDHealth w/ #COVID19, including a record 24 on vents (68%!) and 5 on ECMO. New admissions continue to be border-related from both @SanDiegoCounty and @ImperialCntyCA
2/ “It’s amazing how this disease has taught us that borders don’t exist” said Adolphe Edward, @ECRMC CEO, in this thoughtful @washingtonpost article (note @UCSDHealth tele-critical care specialist @VenkteshR in the reflection!)
washingtonpost.com/world/2020/05/…
4/ "@DHSgov senior medical officer @PMHTrauma_ALE told medical professionals in Southern California this month that they should be prepared for U.S. citizens or permanent residents to continue to cross the border, including for medical treatment." washingtonpost.com/world/2020/05/…
Read 9 tweets
20 May 20
1/ COVID (@UCSanDiego) Chronicles - May 19, 2020

Big news day: hospitals in neighboring @ImperialCntyCA - including @UCSDHealth affiliate @ECRMC - are on "COVID diversion" as volume has skyrocketed in the last 24 hours inewsource.org/2020/05/19/imp…
2/ Listen to @ECRMC CEO Adolphe Edward describe the situation below. I know multiple agencies are coming to help; @UCSDHealth has already shared PPE, vents, nursing training, and ED support, and will do more if the @ImperialCntyCA crisis escalates facebook.com/story.php?stor…
3/ Meanwhile, @SanDiegoCounty now has 6,026 #SARSCoV2 cases (+80 from yesterday) with 222 deaths (+11). In Baja Mexico, there are 3,458 (+133) reported cases, with 590 (+32) reported deaths.
Read 9 tweets

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