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.

Here's that simplified explanation.

1/5
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.

h/t @EpiMegan

4/5
Please keep all this in mind when reviewing each state's vaccination status breakdown on my dashboard!

covid19florida.mystrikingly.com

5/5

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More from @JasonSalemi

23 Dec
My Lord, things change RAPIDLY with #omicron.

And they are not changing for the good.

Your 12/22 #COVID19 update.

#Cases and #Hospitalizations.

As always, Florida-centric with some national context.

Brace yourselves.

covid19florida.mystrikingly.com

1/14
Purview of 7-day avg daily cases over the past 8 wks.

In the first 6 wks in this window, <2000 per day.

Last wk, 2702 per day.

Most recent wk of reported data, 10,904 per day.

# of cases in today's report (20,194) exceeded the WEEKLY TOTAL over any of the past 7 wks.

2/14
To appreciate the rapid rise, here's a map showing change in avg daily cases compared to just 2 weeks ago.

FL - 499% increase (3rd highest: DC, Hawaii)

Detailed #Florida numbers at bottom right of figure.

3/14 Image
Read 14 tweets
21 Dec
#COVID19 #vaccination data.

Vax estimates above 100%.

Millions of people seemingly failed to complete their initial 2-dose series.

Unexpectedly low rates of booster uptake.

A thread explaining how these data might be D-I-R-T-Y.

1/16

bloomberg.com/news/articles/…
PROBLEM #1: WRONG PLACE OF RESIDENCE

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).

More likely to happen for specific age groups.

3/16 Image
Read 18 tweets
18 Dec
#Omicron can kiss my a$$.

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.

1-week change in 5 largest counties:
- Dade 322%
- Broward 213%
- PB 160%
- Hillsborough 60%
- Orange 50%

2/12
The percent changes for this past week (far right bar) reflect increases for every age group, but most pronounced for those 20-49.

The smallest increase is in the most vaccinated age group (and the most likely to take precautions), those people 65+.

3/12
Read 13 tweets
7 Dec
In the US, the best #COVID19 #vaccine data comes from states, reporting @CDCgov

But the current reporting as "at least 1 dose" & "fully vaccinated" neglects the impact of waning immunity, esp among vulnerable populations.

An important🧵 from me, @BethPathak & @COVKIDProject

1/
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/
Read 27 tweets
26 Sep
County-level #COVID19 deaths in #Florida

A cautionary tale about comparisons: data sources matter!

Much attention recently paid to county-level COVID-19 death data being made available again in FL...thru the federal "Community Profile Report".

healthdata.gov/Health/COVID-1…

1/
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.

Link below.

2/

data.cdc.gov/NCHS/Provision…
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/
Read 18 tweets
25 Sep
#Florida has finally been seeing dramatic improvements in its #COVID19 numbers.

It's been a while since I've done this, but it's warranted, so here goes a Florida update 🧵

Viz using covid19florida.mystrikingly.com

1/ Image
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/ Image
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.

3/ Image
Read 33 tweets

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