1/ it’s been 2 weeks since I last posted an Oregon #COVID19 trend thread

It has continued to be a critical time nationwide, with daily case numbers for the USA (total) and individual states continuing to hit records

Let’s dive in closer to home… https://twitter.com/aoglasser/status/1281725147704000512
2/ numbers in Oregon continue to increase

As of today:
15,713 confirmed/presumed cases
331 new cases today
273 deaths https://twitter.com/OHAOregon/status/1286394669262307328?s=20
3/ when I last posted, it was several days after July 4th. Cases were notably rising going into the holiday weekend, and there had been a strong push cautioning people to celebrate via safe physical distancing

Increased transmission had been linked to Memorial Day events

so...
5/ What has the trend line done since then?

we have continued to break records for number of cases, oscillating between 264-437 cases per day in last 2 weeks

We’ve now had > 400 cases/day:
436 (7/19)
437 (7/16)
409 (11)

https://public.tableau.com/profile/oregon.health.authority.covid.19#!/
6/ new cases increased by 26% the week of 7/13-19 compared to the week before

https://public.tableau.com/profile/oregon.health.authority.covid.19#!/
7/ deaths are also increasing:

25 deaths the week of 6/13-19
22 deaths the week before

We recently had 7 deaths reported in a day (tied for record)

📈: @nytimes
8/ looking at is another way (and comparing to other states):

http://91-divoc.com/pages/covid-visualization/
9/ what counties are being affected the most?

Let’s divide by metro and specific rural counties:

Total N of cases as of today:

Multnomah 3743
Washington 2352
Clackamas 1201
Marion 2277

Umatilla 1503
Malheur 539
Union 385
Jefferson 222
Morrow 212 https://govstatus.egov.com/OR-OHA-COVID-19 
10/ The Portland metro area counties plus Marion Co outside Salem (the capital) continue to having the highest TOTAL numbers BUT the higher PER CAPITA numbers are occurring in now hard-hit Eastern Oregon

🗺: @OHAOregon public tableau (link in earlier tweet in this thread)
11/ much of the recent spread has been in Umatilla, Malheur, Jefferson, and Morrow Counties. Union county had an outbreak linked to a church several weeks ago

You can see here how recent % growth is higher than the Metro area counties

http://91-divoc.com/pages/covid-by-your-locations/
12/ this is another interesting way to look at where and when growth has happened

https://www.nytimes.com/interactive/2020/us/oregon-coronavirus-cases.html#map
14/ looking at it another way, you can see that several recent hot spots—I like how this graph clusters the growth within the large rural countries into even more concentrated areas

📸’s
1️⃣Hot spots in last week
2️⃣per capita
3️⃣total cases
4️⃣deaths

https://www.nytimes.com/interactive/2020/us/oregon-coronavirus-cases.html#map
16/ Oregon continues to see racial disparities:

About 3% of Oregon’s population is Black
About 12% of state population is Hispanic
18/ other demographic information:

Younger Oregonians continue to drive new infections

today: > 1/3rd of the new cases reported Thursday were among people aged 29 and below. Some 40% were between 30 and 49 years old. 

https://www.oregonlive.com/coronavirus/2020/07/coronavirus-in-oregon-331-new-cases-two-new-deaths.html
19/ daily admissions still remain below March/April peaks despite total daily counts >3x higher

ED visits for covid-like illness (CLI) also remain low

Per the OHA:
1️⃣Detection of higher proportion of cases via more ⬆️ testing
2️⃣Actual ⬆️ in infection rates in younger Oregonians
20/ the numbers are increasing not only because of more testing

The per positive has increased from 6.2 to 6.6%
22/ statewide, percentage of cases with followup initiated within 24 hours is decreasing
23/ and the percentage of cases that can be traced to a source remains below goal AND continues to increase
24/ where is transmission coming from?

⬇️ from outbreaks
⬆️ from “sporadic” cases (= diffuse community spread)

Per this week’s weekly report, ⬇️ household spread—attributed to better identification and isolation

https://www.oregon.gov/oha/PH/DISEASESCONDITIONS/DISEASESAZ/Emerging%20Respitory%20Infections/COVID-19-Weekly-Report-2020-07-22-FINAL.pdf
25/ New modeling out today:

If transmission:
Stable = new daily infections ⬆️ over 4 weeks to 1600/day
⬇️ 10% = 600/day
⬆️ 10% = 2300/day

(fraction of new cases formally dx via testing)

This “pessimistic” model better than last one (7300 cases/day)

https://www.oregon.gov/oha/ERD/Pages/Oregon-reports-331-new-confirmed-presumptive-COVID-19-cases-2-new-deaths.aspx
26/ the lesson from @OHAOregon

“continue to wear face coverings, stay six feet apart and limit the size of social gatherings” https://twitter.com/ohaoregon/status/1286395359359635463?s=21
27/ @OHAOregon also just announced a new testing locator website, in English and Spanish

https://govstatus.egov.com/or-oha-covid-19-testing
https://govstatus.egov.com/or-oha-pruebas-de-covid-19
FIN/ in conclusion, the COVID situation is active

Current events in Portland itself are also actively evolving with protests against overstep of federal authority

The PDX MCATs have been cancelled twice

let’s navigate this fragile ice as a community

https://www.wweek.com/news/2020/07/22/gov-kate-brown-extends-mask-order-to-five-year-olds-and-limits-barroom-capacity-to-100/
You can follow @aoglasser.
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