Chris Prener Profile picture
Jun 16, 2021 17 tweets 12 min read Read on X
I’ve updated my #Missouri #COVID19 website for Tuesday, 6/15 - slu-opengis.github.io/covid_daily_vi…. Quite a few highlights are below 👇.

The growth you can see in the statewide 7-day average, placing us tied for no. 3 nationally, is almost entirely from “outstate” MO. 1/17
The two regions I am most concerned remain the same: Northern Missouri and Southwest Missouri. That said, the number of counties in those areas that I'm watching has grown considerably over the past week. 2/17
In Northern MO, Putnam and Livingston counties are seeing their rates fall, but Linn County remains no. 2 nationally (for jurisdictions with more than 10,000 people) because of its rate of new cases. Mercer is a new county to watch as well. 3/17
In Northeastern MO, Clark County is a county to pay attention to as well. 4/17
In Northwest MO, Daviess and Worth counties are experiencing sharp growth, with signs of rising cases in Andrew, Buchanan, and Gentry counties. Just to the south, I’m also worried about Chariton County’s rate of new cases. 5/17
Continuing south into the Lake of the Ozarks region, Camden, Dent, Laclede, and Miller counties are all showing signs of rising 7-day averages. Further south of I-44 in the Ozarks, Douglas, Texas, and Wright counties have similarly increased rates. 6/17
To the southwest, the majority of counties around Springfield and Joplin that I follow closely are experiencing rising cases. This is particularly pronounced in the greater Springfield-Branson area. Taney County is no. 9 nationally (for >10k resident jurisdictions). 7/17
I am suspicious of Polk County’s low rates. What is being reported by the County itself is more concerning than what DHSS reports, and the New York Times isn’t registering changes there at all right now. 8/17
In Southeast MO, Dunklin County is another one to watch, with a similar upward trajectory that we are seeing in other parts of the state. 9/13
In #StLouis, Lincoln County’s rates had been falling but have started climbing again. Rates are also climbing in both North St. Louis City and Northeastern St. Louis County. These areas bore the brunt of the first wave of the pandemic in Spring 2020. 10/17
Hospitalization rates still look generally good in #StLouis, but we’ve had higher in-patient rates the last two days that are worth watching closely. Note that, while the Task Force’s pressers are suspended right now, they are still providing daily data releases. 11/17
Hospitalizations, however, are growing in both the Springfield and Joplin metros - these are significantly higher than other metros as of June 4th. These rates map onto the increases we’re seeing at the metro level in both areas and more generally across that corner of MO. 12/17
Vaccination rates have stabilized, with rates of new doses given between 12 and 20 per 1,000 in the #StLouis and #KCMO metros and similar rates in both the City of Joplin and Boone County. Rates are far lower elsewhere. 13/17
One interesting note is that Latino and #AAPI Missourians have outpaced whites in both vaccination initiation and completion, and the initiation rate among African Americans has closed a bit on the white rate. 14/17
As a reminder, it is African Americans and Latinos that have borne the brunt of morbidity and mortality in Missouri over the last fifteen months. 15/17
My standard caveats about uncertainty - infections (1) are historical data that reflect infections 2-3 weeks ago, (2) are biased by testing patterns, (3) may include probable but unconfirmed cases in some counties, and (4) rates are not individual probabilities of illness. 16/17
Additional data, maps, and plots are on my tracking site - slu-opengis.github.io/covid_daily_vi….

The next update will be on Thursday via River City Data, while my next 🧵 is planned for Tuesday, 6/22 at the latest, though probably sooner (I'm letting rates dictate threads right now).

17/17

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More from @chrisprener

Jan 4, 2022
My #COVID19 site will not be updated until tomorrow, but I wanted to walk through some plots from St. Louis's hospitalization data release today. These are the most detailed, up-to-date in-patient data we get in MO. We're getting new patients at the fastest rate of the pandemic.
I lump confirmed/suspected cases together into one trend, whose one-day value from today is near its all-time high from our winter '20-'21 surge. Our confirmed COVID+ number, 964, is its highest ever. And the 7-day average is climbing steeply past its first and delta wave highs.
For critically ill patients, our trends have now surpassed the delta wave for both our number of ICU patients and patients who require ventilation.
Read 9 tweets
Dec 28, 2021
We want a fire department officer to have the authority to order businesses or buildings evacuated if a nearby incident that threatens peoples’ lives. Should we insist that they go to the council first, too? “Sorry, there’s an ammonia leak, but I’ll have to get legislative OK…”
I feel like reasonable people can think that example through and identify a couple of salient points:
✳️ time is of the essence - waiting until the next council meeting is unreasonable
✳️ the council doesn’t have HAZMAT training - they have no way to judge the seriousness here
This is why civil servants need what sociologists call “discretion” - they regularly confront situations in the course of their jobs that they need to make decisions about, sometimes very quickly. They’re hired and trained to have the expertise needed to make that decision.
Read 11 tweets
Dec 26, 2021
Schools going remote should literally be our last step because we’ve tried everything else. That means enforced community mask mandates, pausing high risk environments (clubs, bars, indoor dining, gyms), de-densifying classrooms, upgraded school HVAC, limiting extra curriculars…
The real problem in MO is that there is no appetite for sacrificing to keep kids in school. There is not a single place in MO that can justifiably say they’ve done the hard work to keep essential workers, hospital staff, first responders, and students safe.
Even St. Louis City, which has done a pretty good job and has one of the lowest rates of morbidity in the state, has a barely enforced mask mandate, has been slow to order first responders to mandate, (as of earlier this fall) wasn’t using surveillance testing in schools…
Read 4 tweets
Aug 29, 2021
Editing a page and a half or so of demographic history on the O'Fallon neighborhood in North City - an early Black community in St. Louis until racist housing policies destroyed it twice during the 20th century. What a heartbreaking tale that encapsulates so much. 🧵 1/
In the late 19th/early 20th centuries, the blocks just west of what today is Fairground Park had a large number of Black renters. The 1916 exclusionary zoning ordinance (very short-lived) targeted a number of blocks here to be inhabited by Black families only. 2/
After the Buchanan v. Warley ruling in 1917, exclusionary zoning ended in St. Louis (basically a few months after it began). But white neighbors in O'Fallon had already started using deed restrictions in 1910 to prevent parcels from being sold to Black families in... 3/
Read 8 tweets
Jul 21, 2021
I’ve updated my #Missouri #COVID19 website for Tuesday, 7/20 - slu-opengis.github.io/covid_daily_vi…. A few highlights are below 👇.

We’ve now plowed past 2,000 new cases per day on average in the last week, a place we were last at this past winter. 68% of new cases are outstate. 1/19
Recall that comparisons across time are hard because of various testing shifts. What is striking, though, is we have achieved significant transmission without either of our two largest cities being major contributors. This has been a rural and smaller metro outbreak so far. 2/19
Rates around both Joplin and Springfield continue to hold at very high rates, with some counties (especially around Springfield) showing small upticks yesterday. There are also at least three counties around Springfield at all-time highs (with caveats again about comparisons). 3/
Read 20 tweets
Jul 20, 2021
Breaking: Reposting the #StLouis Pandemic Task Force’s urgent appeal for a return to universal masking 👇. They’re very concerned about the numbers of deaths and ICU patients they’re seeing.
For some context and commentary, see the three follow-up tweets I posted to my original (now-deleted tweet) here 👇
I deleted the original post because I am now unsure of my interpretation of some awkward wording in their press release. I took the release to imply that ICU numbers had doubled overnight to 180, but I may be misreading what it says. The original post is here 👇 for reference.
Read 4 tweets

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