Why @CDCDirector is leery of reopening across the country - brief 🧵 on current state of COVID metrics.
Nationally, cases are rising off of recent lows and that is matched by an uptick in hospital admissions (more of whom are younger, unvaccinated persons than before) 1/5
Clearly the case rise is happening in the Northeast and Midwest. 2/5
Regions with cases rising are also seeing hospital admissions follow suit, though more tightly correlated in the Midwest than NE. 3/5
Deaths are still falling everywhere (the uptick in the West is a result of backlogged deaths in CA).
Big remaining question: at what rate will hospitalizations lead to deaths in this new, semi-vaccinated world?
Michigan and New Jersey are the canaries in this particular case - Michigan hospital admissions now back around 45% of peak levels after dropping below 20% of peak back in February.
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Little reminder🧵on the holiday effect in COVID data.
Major holidays have had significant effects on reported COVID data this year. Below you can see how COVID cases have responded to holidays with sharp declines in almost every instance. 1/
So why is that? A myriad of reasons. Some state don't report anything on a holiday, as their staff is given a well-deserved day off. People may be less likely to get a test on a holiday. Some states report a fraction of their known cases...it's messy. 2/
This reporting effect has dramatic impacts on known deaths as well. Given the extended lag between a COVID death and the public recognition of said death (anywhere from 7 days to 3 weeks), this will be a strange few weeks with both Xmas and NYE lag coming into play. 3/
Rounding out another week of #COVID data - might be a good time to do a deeper dive into the numbers.
Optimistic 🧵 ahead...
First up - it was a good week. Holiday lag may have had some impact, but cases, hospitalizations, and deaths all fell from a week prior. 1/
In our previous major hotspots, cases per million people have seen precipitous falls. Testing, while not at peak levels, has not fallen as much as cases (especially outside of Florida) 2/
Currently hospitalized populations support the case declines. Down nearly 70% in the latest hotspots, and trending down more gently outside those 4 states. 3/
They're all like that (see @JasonSalemi for full list) 2/
Ok, so why are they like that? Mostly because not all hospitals reported to HHS. But the % not reporting varies state by state, for a whole host of reasons.
More galling than the clearly faulty reporting system is the lack of communication. 3/
For those interested in how the HHS directive has changed our ability to get accurate figures for the currently hospitalized patients in the US: covidtracking.com/blog/whats-goi…
A short summary thread - please read the below for more detail! 1/
As you see in here, HHS is reporting a higher number of currently hospitalized patients than the states. So...why?
A few reasons:
- The switch to HHS was urgent and had to take place on legacy systems. Some hospitals may not be able to report to both state and HHS every day. 2/
- States may be required to report more robust information to HHS. Some states, like Florida, only report confirmed primary diagnosis of COVID, while HHS requires suspected cases.
- Some states may not be including patients in VA hospitals in their totals. 3/