Our statewide and regional 7-day averages climbed again yesterday. We’re now getting close to 2k new cases per day on average statewide.
1/10
Honestly, I am a bit shocked because of the temporal shifts we’re used to seeing - slowdowns in reporting on the weekends. There is a bit of that, but also some areas that saw big increases reported. 2/10
A good example of this mix is in the Ozark Mountains, where Ozark County has had an accelerating accumulation of new cases since about the 10th of July. Other counties saw the expected drops yesterday, but rates remain quite high. 3/10
But the area that really stands out is Mid-Missouri. Five counties that I track closely saw big upswings yesterday, none more so than Cole County, home of our state capital. Cole is now no. 4 nationally for new case rates in counties >10k in population. 4/10
That list of new counties now contains six Missouri counties, along with two other counties in Arkansas. Both of these Arkansas counties - Marion and Baxter - share a border with Missouri. 5/10
The other Missouri counties are either in the Joplin or Springfield areas, two places I’ve been talking a lot about recently. 6/10
Though I’ve mentioned Mid-Missouri regularly lately as an area to watch, the rapid ascent of the Jefferson City metro’s 7-day average is really striking. It has just about the same per capita rate as both the Joplin and Springfield metros, but got there a whole lot faster. 7/10
This should give everyone in Missouri a really strong reality check. Things escalated there very quickly and can escalate in other metros and rural counties just as quickly. The time to put mitigation measures (other than vaccines) in place is now. 8/10
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. 9/10
If you want to check on regional trends, disparities data, nursing home data, and hospitalization metrics, please check the website - slu-opengis.github.io/covid_daily_vi….
My next 🧵 will be either tomorrow or Tuesday depending on our numbers, but I’ll give a quick update regardless. 10/10
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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.
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.
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…
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/
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/
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.