Your Dec 28, 2021 #COVID19 update

Based on today's CDC updated timeseries #, #Florida now up to 6th highest in total # of new cases over the past 7 days (766 per 100k).

NYC, DC, NJ, NY state, & RI round out a top 5 you don't want to be in.

There's a big BUT...

1/
First, the timeseries did not include the 12/27 data for any state. FL had another 29,059 new cases, increasing its 7-day average daily cases to over 25,600 (highest ever).

Second, all except 11 states have 0 cases logged for 12/26 (incomplete). So, not apples to apples.

2/
I wanted to focus on #hospitalizations.

ADULTS: New confirmed daily admissions have more than doubled in the last week alone (287/day to 581/day)

KIDS: New confirmed daily admissions have nearly tripled in the last week alone (10/day to 29/day)

3/
Instead of new admissions, I'd prefer to focus on people 'currently hospitalized' with confirmed COVID-19.

ADULTS: Exactly 1 week ago, there were 1492. There are now 2702.

Adults in the ICU up an additional 85 patients in last week.

Still WAY below #delta surges.

4/
KIDS: Exactly 1 week ago, there were 49 hospitalized. There are now 74.

The HHS data does not report pediatric ICU beds separately.

Numbers not good, but also well below previous surges.

5/
These pediatric hospitalizations are increasing in an even more pronounced fashion for the country as a whole.

The @HHSGov data many of us rely on does not characterize severity, the primary reason for the hospitalization, etc.

6/
To place these increases in some context, the @nytimes just published a story titled "Omicron Is Not More Severe for Children, Despite Rising Hospitalizations"

nytimes.com/2021/12/28/hea…

This does not mean it's still not a concerning issue.

7/
And when you combine all reported COVID-19 hospitalizations (adult and pediatric) and adjust for population size, here's where Florida falls (dark blue line for FL, look to the far right of the figure).

8/
Finally, these data are dirty. This morning, I retweeted a good thread that tackles some of the issues with interpreting the hospitalization data.

See below:


9/
A SHIFT TO MITIGATION

Although it's not the only tool in our #omicron #toolbox, we do have systematically collected data for vaccinations.

Here's where we stand in getting our seniors optimally immunized. In Florida, only about 55% of seniors fall in this ideal category.

10/
Much more concerning is where we stand on adults younger than 65.

As I've pointed out in previous threads, the snafus with vaccine reporting (eg generation of duplicate records for the same person) will slightly underestimate the % optimally immunized & % not vax.

11/
The @COVKIDProject has excellent immunization dashboards for the pediatric population, so I won't duplicate that info.

covkidproject.org/vaccinations

12/
Finally, here's our immunization progress in the entire US, among all age groups.

We were increasing for a while, but pretty stagnant for past few days. Only 35% optimally immunized. The % fully vaccinated (CDC terminology is a bit misleading).

13/
That's all for now - of course we'll get much more in depth with Friday's @HealthyFla weekly report, which offers more granularity by county and other demographic characteristics.

Stay safe everyone!

14/

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More from @JasonSalemi

30 Dec
Really, don't blink with this damn variant.

A few striking things I noticed, including a comparison of the #delta & #omicron surges in #Florida.

Nearly 47,000 cases reported today, 7-day avg just under 30,000.

Blows our delta peak out of the water by almost 8000/day.

🧵

1/13 Image
We continue to lead the country in the % increase in average daily cases compared to two weeks prior.

#Florida has had a 991% increase

But the absolute increase is astonishing - we are now averaging nearly 27,000 more cases EACH DAY compared to 2 weeks ago.

2/13 Image
Whereas only a few weeks ago, we had the LOWEST 7-day cases per capita in the country (largely due to the catastrophe that was the #delta surge)...

We're now 4th highest in the country over the last 7 days, behind only NYC, DC, and NJ.

3/13 Image
Read 13 tweets
26 Dec
Quick #Christmas update on #omicron in #Florida following the @HealthyFla weekly report from yesterday.

I've borrowed an image for my dashboard that reflects how it seems spread has occurred (thanks Santa).

Let's have a quick walk-through.

1/15
Here's the overview of metrics.
- cases are surging, setting daily records, approaching new record over 7 days
- more testing than ever before
- both of the above likely underestimated between at-home tests and absence of reinfections in the daily numbers
- hosps increasing

2/15
This county-level infection rate fig blows my mind.
Only 2 weeks separates the left and right maps.

I thought my home county's (Hillsborough) 507% increase was crazy.

But check out these 2-week increases:
- Dade: 1790% (19 times higher)
- Broward: 1437%
- Palm Bch: 1167%

3/15
Read 15 tweets
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
Read 14 tweets
21 Dec
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
Read 5 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

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