In my thread last night on just a few of the reasons for D-I-R-T-Y data on #COVID19#vaccination status, I failed to explain the potential impact of duplicate records being created.
In the fig, we have what actually happened (top), a situation in which the booster got assigned to a different record (treated as a different person in calculations), and a hopefully rare situation in which all three doses were treated as though they belonged to diff people.
2/5
Here's an example when 7% of people completing a 2-dose series had duplicate records that were created.
Those w/ a completed initial series was UNDERestimated by 6.3%.
Those w/ "only first dose" was OVERestimated by 12.6%.
The "at least one dose" exceeds the pop count!
3/5
This is a major part of the reason CDC has simply chosen to cap its coverage metrics at 95%, why their "% with at least one dose" is still likely OVERestimated, and why their % fully vax and % with booster doses are UNDERestimated.
People may be assigned to a county based on where they got the shot and not where they lived. [that's the numerator]
Since the denominator is based on place of residence, the % vaccinated can end up out of whack.
2/16
Problem occurs when misclassification in one direction (calling a non-Hillsborough resident a Hillsborough resident to a greater extent than the opposite direction (calling a Hillsborough resident a non-Hillsborough resident).
Now that that's out of the way, a brief #Florida update.
Well, as expected, cases are increasing at a rapid rate. More than a doubling from last week.
1/12
As we dive deeper to the county level, although the increases are pretty consistent, our 3 largest counties in the southeastern part of the state are skyrocketing.
When #COVID19 vaccines first became available, nobody knew how long the benefits would last. Many hoped the shots would offer full protection for a year or longer.
2/
Unfortunately, well-conducted research studies in the summer of 2021 have demonstrated that the effectiveness of the vaccines starts to decline (wane) after 4-6 months. For the Janssen (J&J) vaccine, waning begins after only 2 months!
3/
But near-current county-level #COVID19 deaths in #Florida (and throughout the country) has long been available through the National Center for Health Statistics at @CDCgov.
People have already pointed to differences between these data sources as further "evidence" that @HealthyFla is getting something wrong or hiding something.
Others have used both data sources to calculate rates and compare counties on their cumulative COVID-19 mortality.
3/
New daily infections (cases) have been decreasing in September as rapidly as they increased during this #delta surge.
We're where we were in mid-July, with numbers also similar to where we were in early February.
Under 7,700 cases per day over the last 7 days.
2/
The chart below highlighting the past 8 weeks tells the story. After plateauing for 2 weeks towards the end of August, it's been 4 straight weeks of considerable decreases in cases.
We don't want to be at 7,000+ cases per day, but moving in the right direction...fast.