Memphis/Shelby County
Covid Wk-In-Review

tl;dr
* Cases up 28% over 1wk to 50/day (5.3 per 100k), infection rate over 1.0, as the Delta variant spreads
* Positivity steady at 3.6%+
* Only 1 death, the lowest since March 2020
* Vaccinations up from last wk, even w/prior 2wks

1/ Image
Here's the infection rate, which has risen from 0.76 at the end of May to 0.98 as of a week ago and are likely up to 1.09 now.

Remember, spread takes off once it passes the 1.0 bar. And we've seen big spikes each time 1.1 is surpassed. So this is definitely concerning.

2/ Image
Cases are up to 50/day, up 28% from last week and 11% from the week before.

3/ Image
The case rate is 5.3 per 100k, so it's still low, but that's a pretty sharp increase from the 4.2 per 100k last week.

4/ Image
The case rate for non-vaccinated people, though, has spiked from 6.9 to 9.0 per 100k, a 30% increase.

5/ Image
The positivity rate dropped from 3.6% a week ago down to 2.9% on Tuesday, then spiked up to 4.0% yesterday, before ending back at 3.6% today.

6/ Image
What I worry about, though, is who's getting tested. My guess is that only those whose employers make them get tested are being tested. And my guess is that this group is weighted heavily toward the medical community, which has a higher vax rate.

7/
The point being that my guess is that we're missing a lot of cases.

Now, a good indication would be hospitalization data, but that's not been updated in over a week, so it's hard to say.

8/ Image
We do, however, know that deaths remain low.

About a month after Easter, we saw deaths spike. But we've now been under 5/wk for 3wks, the lowest 3wks on record, including a record-low 1 death this week.

This is largely due to a high senior adult vax rate.

9/ Image
Now, with vaccinations, the data reporting has been a little sketchy.

There was a huge vax data dump on Jun5 (Sat), then no vax data Jun6-7. No data were reported again on Jun12 (Sat). And then there was another data dump Jun16.

10/ Image
I mention that bc it looks like vaccinations spiked this week, when the data suggest that last week's data were questionable.

As you can see, this week is in line with the previous 2wks.

11/ Image
According to our official data, we finally surpassed 50% immunity (40% vax'd + 11% infected).

But we know the official count of infection is artificially low bc of testing.

12/ Image
In reality, around 32% of the population has probably been infected. Add the 40% vax'd, then subtract the overlap, and we're near 70% immunity.

13/ Image
Now, 70% would have been great for the original strain of the virus. We'd have herd immunity, and the virus would be crushed.

So why are we seeing cases spike?

14/
Cases are spiking, despite high levels of community immunity, bc the variants - particularly the new Delta variant - are more infectious.

We'll probably need to reach at least 80% immunity to crush the spread of Delta. And that's not happening anytime soon.

So I'm worried.

15/
It's worth observing that the variants have consistently arisen in hotspots (e.g., UK, India).

The point here is that we aren't safe until and unless everywhere is safe. There's no wall to protect us from infectious disease.

And so we have to help others.

16/
This is why the effort to share vaccines with the rest of the world.

At 95 doses per 100k ppl, with 53% of the pop vax'd, the US ranks near the top of the world.

But globally, only 20% of ppl are vax'd.

17/ Image
So, while we struggle to get Memphians - & Americans in general - vaccinated, we have a higher vax rate than most of the world.

And if we don't help them for their own sakes, we should help them for our sakes. If we don't, more variants will arise. And they will come here.

18/
Remember, our children are still not vaccinated. And the covid hospitalization rate in England, where the Delta variant is already widespread, has risen in recent weeks.

That said, the rate is still quite low.

nytimes.com/2021/06/18/bri…

19/ Image
On the other hand, children now make up over 20% of cases in the US.

And 10x more young children have died from covid in Brazil, where the Gamma variant is dominant, than in the US.

nytimes.com/2021/06/04/opi…

20/
I'm going to end there.

But before I close, let me call attention to the fact that today is Juneteenth. And let me ask you to donate to two organizations.

First, I would ask that you match my $50 donation to @MLK50Memphis.

communitylift.networkforgood.com/projects/11232…

21/
And I would also ask that you match my $50 donation to @LifeLineSuccess.

lifeline2success.org/get-involved

Thanks in advance!

22/22

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More from @firstresponses

5 Jun
Memphis/Shelby County
Covid Wk-In-Review

tl;dr
* The Good: Record-lows for infection rate, case rate, & positivity rate. Also, hospitalizations & deaths are down after a brief post-Easter spike. Could we be at herd immunity?

*The Bad: Vaccinations are nearly at record-lows.

1/
Monthly Overview

* Cases: 111/day in May, lowest in the past yr apart from the 106/day in March
* Positivity: 6.0%, lowest in the past yr except the 4.6% in March
* Deaths: 56, lowest in the past yr except 50 in Apr
* Vax: 1523/day, the lowest on record (Feb has fewer days)

2/
Case Rate

We're down to 4.8 per 100k ppl.

And we've been under 10 per 100k for 4wks now.

This is the first time we've had sustained success. Not just progress, but actual success over time.

3/
Read 19 tweets
8 May
Memphis/Shelby County
Covid Wk-In-Review

tl;dr
* Vax: < 9k new ppl (-73%, 4wks)
* Vax: 322k total (34% of pop)
* Case Rate: 14.0 per 100k (+20%, 4wks)
* Positivity Rate: 6.2%+ (4.9%, 4wks ago)
* Hospitalizations: ~210 (+50%, 4wks)
* Deaths: 9 this wk (15 or less, 9wks)

1/
Let's start with deaths. Bc deaths show how incredibly effective the vaccines are.

In the 9wks of Jan-Feb, we avg'd 68 covid deaths per wk.

In the 9wks since, in Mar-May, we've avg'd 12 per wk, with a high of 15.

This is huge. Vaccines work. Vaccines save lives.

2/
But we are really struggling to get ppl vax'd now. This wk was 19% lower than last wk, 33% lower than the wk before, and 73% lower than 4wks ago.

This was the 5th consecutive wk that new ppl vax'd was lower than the previous wk.

We have to find a way to reverse this trend.

4/
Read 16 tweets
24 Apr
Memphis/Shelby County
Covid Wk-In-Review

tl;dr: I'm Concerned
* Vax: 13k new ppl (-45%)
* Vax: 300k total (32% of pop)
* Case Rate: 15.0 per 100k (-19%)
* Positivity Rate: 6.5%+ (down from 6.5%)
* Hospitalizations: ~150 (up slightly)
* Deaths: 14 this wk (up slightly)

1/
Fortunately, cases fell this week, but we need cases to fall much more - and much more rapidly. As you can see, the curve is still bent upwards.

We've proven, multiple times, that we can flatten the curve. Let's do it again before things get out of control.

2/
Case Rate

The Goal: < 10 daily cases per 100,000 ppl
The Data: 15.0 per 100k & falling

It's a race of the vaccines vs the variants. It's been back-and-forth now for a few weeks, but fortunately the variants stumbled this week.

3/
Read 24 tweets
17 Apr
Memphis/Shelby County
Covid Wk-In-Review

tl;dr: I'm Concerned
* Case Rate: 18.7 per 100k (+61%)
* Positivity Rate: 7.3%+ (up from 4.9%)
* Hospitalizations: ~145 (up slightly)
* Deaths: 11 this wk (flat)
* Vax: 23k new ppl (-28%)
* Vax: 290k total (31% of pop)

1/ Image
The first thing to note is that we are, once again, un-bending the curve.

We've proven, over & over again, that we can flatten the curve. And then we've seen, over & over again, what happens when we loosen up too soon.

2/ ImageImage
Case Rate

The Goal: < 10 daily cases per 100,000 ppl
The Data: 18.7 per 100k & rising

Right now, the variants are winning the race against the vaccines.

3/ Image
Read 19 tweets
10 Apr
Memphis/Shelby County
Covid Wk-In-Review

tl;dr
* Case Rate: 11.6 per 100k, flat
* Postivity Rate: 4.9%, down
* Hospitalizations: ~140, flat
* Deaths: 11 this wk, down
* Vax: 32k new ppl vax'd, 266k total (28%)
* Vax: 29k new ppl fully vax'd, 150k total

1/
Case Rate

The Goal: < 10 daily cases per 100,000 ppl
The Data: 11.6 per 100k, holding steady

Right now, the variants & the vax are at a standstill.

2/
But the susceptible population is shrinking rapidly, as tens of thousands of people are vaccinated each week.

And the case rate of non-vax'd people is now up to 18.8 per 100k.

If you are not vax'd, please go get vax'd as soon as possible.

3/
Read 18 tweets
27 Mar
Memphis/Shelby County
Covid Wk-In-Review

tl;dr
* It's a race: Vax's Vs Variants
* Cases are up slightly this wk
* Positivity is up as well
* Hospitalizations are also up
* Deaths are up too
* Fortunately, vax's are up (though mainly 2nd dose)

1/
Case Rate

The Goal: < 10 daily cases per 100,000 ppl
The Data: 11.1 per 100k

We got down to 10.8 per 100k last wk, then cases ticked up slightly.

This is cause for concern, not alarm. We're holding at a relatively low case rate. But we need to get under 10 per 100k.

2/
Test Positivity Rate

Goal: < 5%
Data: 4.8%

We got down to 4.1% two wks ago, but have ticked upward since.

Again, cause for concern, not alarm. We're still at a low rate, lower than any wk before the last two. But we need to reverse this trend and keep it under 5%.

3/
Read 16 tweets

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