COVID-19 hospitalizations in New Mexico · 2 days ago · New Mexico COVID -19 Cases by Date of...

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1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org COVID-19 in New Mexico: Epidemiologic and Modeling Update September 15, 2020

Transcript of COVID-19 hospitalizations in New Mexico · 2 days ago · New Mexico COVID -19 Cases by Date of...

Page 1: COVID-19 hospitalizations in New Mexico · 2 days ago · New Mexico COVID -19 Cases by Date of Specimen Collection – September 15, 2020 Positive samples collected during this time

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

COVID-19 in New Mexico: Epidemiologic and Modeling

UpdateSeptember 15, 2020

Page 2: COVID-19 hospitalizations in New Mexico · 2 days ago · New Mexico COVID -19 Cases by Date of Specimen Collection – September 15, 2020 Positive samples collected during this time

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

New Mexico has the 37th highest number of cases per 100,000 population in the United States

Page 3: COVID-19 hospitalizations in New Mexico · 2 days ago · New Mexico COVID -19 Cases by Date of Specimen Collection – September 15, 2020 Positive samples collected during this time

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

3.2 2.5 2.2

14.0

4.5 4.4

0

5

10

15

20

25

30

35

COVID-19 prevalence per 100,000 population

Source: Infectious Disease Epidemiology Bureau, Epidemiology and Response Division 9.13.2020, New Mexico Department of Health. Population estimates, UNM Geospatial and Population Studies Program.

*Excludes cases among inmates in state and federal corrections and detention centers

Year-to-Date New cases (Last 7 days) – September 7-13

3490.4

546.9867.6

1377.21059.0

1210.1

0

500

1,000

1,500

2,000

2,500

3,000

3,500

4,000

Page 4: COVID-19 hospitalizations in New Mexico · 2 days ago · New Mexico COVID -19 Cases by Date of Specimen Collection – September 15, 2020 Positive samples collected during this time

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Source: Infectious Disease Epidemiology Bureau, Epidemiology and Response Division 9.15.2020, New Mexico Department of Health.

7 day moving average

0

100

200

300

400

500

600

New Mexico COVID-19 Cases by Date of Specimen Collection – September 15, 2020

Positive samples collected during this time may not yet be reported.

Page 5: COVID-19 hospitalizations in New Mexico · 2 days ago · New Mexico COVID -19 Cases by Date of Specimen Collection – September 15, 2020 Positive samples collected during this time

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Statewide R-effective has remained at 0.9.

Courtesy of Presbyterian Healthcare Services – September 15, 2020.

0.9

Page 6: COVID-19 hospitalizations in New Mexico · 2 days ago · New Mexico COVID -19 Cases by Date of Specimen Collection – September 15, 2020 Positive samples collected during this time

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Northeast R_effective 1.0 ↑

MetroR_effective 0.8 ↑

Southeast R_effective 1.0 ↑

SouthwestR_effective 0.9 ↓

NorthwestR_effective 0.7 ↓

Low Level Endemic <1.0

Approaching Low Level Endemic1.0-1.05

Requiring further mitigation >1.05

Key

Courtesy of Presbyterian Healthcare Services – September 15, 2020.

As of September 8, 2020

Region R-effective 95% Confidence Interval

State 0.9 [0.4, 1.7]

Metro 0.8 [0.0, 2.5]

Northeast 1.0 [0.0, 4.0]

Northwest 0.7 [0.0, 2.3]

Southeast 1.0 [0.0, 2.0]

Southwest 0.9 [0.0, 2.6]

Page 7: COVID-19 hospitalizations in New Mexico · 2 days ago · New Mexico COVID -19 Cases by Date of Specimen Collection – September 15, 2020 Positive samples collected during this time

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

All regions have decreasing case counts relative to the past 14 day period.

Courtesy of Presbyterian Healthcare Services – September 15, 2020.

↓ Decreasing case counts

Page 8: COVID-19 hospitalizations in New Mexico · 2 days ago · New Mexico COVID -19 Cases by Date of Specimen Collection – September 15, 2020 Positive samples collected during this time

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Source: Infectious Disease Epidemiology Bureau, Epidemiology and Response Division 9.15.2020, New Mexico Department of Health.

7 day moving average

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20

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200

Metro Region Case Count by Collection Date with 7 Day Moving Average September 15, 2020

Positive samples collected during this time may not yet be reported.

Page 9: COVID-19 hospitalizations in New Mexico · 2 days ago · New Mexico COVID -19 Cases by Date of Specimen Collection – September 15, 2020 Positive samples collected during this time

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Source: Infectious Disease Epidemiology Bureau, Epidemiology and Response Division 9.15.2020, New Mexico Department of Health.

7 day moving average

0

10

20

30

40

50

60

70

80

Northeast Region Case Count by Collection Date with 7 Day Moving AverageSeptember 15, 2020

Positive samples collected during this time may not yet be reported.

Page 10: COVID-19 hospitalizations in New Mexico · 2 days ago · New Mexico COVID -19 Cases by Date of Specimen Collection – September 15, 2020 Positive samples collected during this time

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

“Detention Centers” refer to federal and New Mexico Corrections Department facilities.Source: Infectious Disease Epidemiology Bureau, Epidemiology and Response Division 9.15.2020, New Mexico Department of Health.

0

20

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Northwest Region Case Count by Collection Date with 7 Day Moving AverageSeptember 15, 2020

Without Detention Centers Detention Center 7 per. Mov. Avg. (Without Detention Centers)

Positive samples collected during this time may not yet be reported.

Page 11: COVID-19 hospitalizations in New Mexico · 2 days ago · New Mexico COVID -19 Cases by Date of Specimen Collection – September 15, 2020 Positive samples collected during this time

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Source: Infectious Disease Epidemiology Bureau, Epidemiology and Response Division 9.15.2020, New Mexico Department of Health.

7 day moving average

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20

40

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120

Southeast Region Case Count by Collection Date with 7 Day Moving AverageSeptember 15, 2020

Positive samples collected during this time may not yet be reported.

Page 12: COVID-19 hospitalizations in New Mexico · 2 days ago · New Mexico COVID -19 Cases by Date of Specimen Collection – September 15, 2020 Positive samples collected during this time

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

0

50

100

150

200

250

0

50

100

150

200

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Southwest Region Case Count by Collection Date with 7 Day Moving AverageSeptember 15, 2020

Without Detention Centers Detention Center 7 per. Mov. Avg. (Without Detention Centers)

Positive samples collected during this time may not yet be reported.

“Detention Centers” refer to federal and New Mexico Corrections Department facilities.Source: Infectious Disease Epidemiology Bureau, Epidemiology and Response Division 9.15.2020, New Mexico Department of Health.

Page 13: COVID-19 hospitalizations in New Mexico · 2 days ago · New Mexico COVID -19 Cases by Date of Specimen Collection – September 15, 2020 Positive samples collected during this time

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

The highest percentage of cases has occurred in patients 35-64 years old followed by 18-34 years old in all five regions.

As of September 15, 2020

Page 14: COVID-19 hospitalizations in New Mexico · 2 days ago · New Mexico COVID -19 Cases by Date of Specimen Collection – September 15, 2020 Positive samples collected during this time

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Except for the Northwest region, Hispanic or Latino individuals make up the largest proportion of cases.

As of September 15, 2020

Page 15: COVID-19 hospitalizations in New Mexico · 2 days ago · New Mexico COVID -19 Cases by Date of Specimen Collection – September 15, 2020 Positive samples collected during this time

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

For cases reporting activities, travel and visits to restaurants and breweries have begun to increase.

As of September 15, 2020

Note: Cases in correctional facilities and residents of long-term care facilities were excluded. Percentages are out of cases who were contacted and asked about their exposures.

Page 16: COVID-19 hospitalizations in New Mexico · 2 days ago · New Mexico COVID -19 Cases by Date of Specimen Collection – September 15, 2020 Positive samples collected during this time

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

As of September 13, 2020

Since about mid-August, the number of hospitalizations has been below 100 cases.

Page 17: COVID-19 hospitalizations in New Mexico · 2 days ago · New Mexico COVID -19 Cases by Date of Specimen Collection – September 15, 2020 Positive samples collected during this time

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

The highest percentage of hospitalizations has occurred in patients 35-64 years old followed by 65 years and over across all regions.

As of September 13, 2020

Page 18: COVID-19 hospitalizations in New Mexico · 2 days ago · New Mexico COVID -19 Cases by Date of Specimen Collection – September 15, 2020 Positive samples collected during this time

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

As of September 13, 2020

Except for the NW Region, Hispanic or Latinos make up the highest percentage of hospitalizations

Page 19: COVID-19 hospitalizations in New Mexico · 2 days ago · New Mexico COVID -19 Cases by Date of Specimen Collection – September 15, 2020 Positive samples collected during this time

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

The SE Region made up the highest percentage of hospital admissions last week. The SW region hospital admissions may be beginning to increase.

As of September 13, 2020

Hospitalizations may not yet be reported.

Page 20: COVID-19 hospitalizations in New Mexico · 2 days ago · New Mexico COVID -19 Cases by Date of Specimen Collection – September 15, 2020 Positive samples collected during this time

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

As of September 13, 2020

2

9

19

33

43

67 67

61

46 46

35 34 33

2124 25 26

5153

31 3027

22

12

6

0

10

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30

40

50

60

70

80

Num

ber o

f Dea

ths

COVID-19 Deaths by Week of Death, New Mexico

Deaths may not yet be reported.

Page 21: COVID-19 hospitalizations in New Mexico · 2 days ago · New Mexico COVID -19 Cases by Date of Specimen Collection – September 15, 2020 Positive samples collected during this time

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Minimal changes in case fatality rates across regions

Note: Age-adjusted case fatality rates are adjusted to the current distribution of U.S. COVID-19 cases on 8/2. https://www.cdc.gov/covid-data-tracker/index.html#demographicsSource: Bureau of Vital Records and Health Statistics and Infectious Disease Epidemiology Bureau, Epidemiology and Response Division, reporting through 9.13.2020, New Mexico Department of Health.

6.2%

2.1%

3.4%

1.5%

3.0%

4.1%

3.0%

0%

2%

4%

6%

8%

Northwest Northeast Metro Southeast Southwest New Mexico U.S.

Case

Fat

ality

Rat

e (a

ge-a

djus

ted)

Page 22: COVID-19 hospitalizations in New Mexico · 2 days ago · New Mexico COVID -19 Cases by Date of Specimen Collection – September 15, 2020 Positive samples collected during this time

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

New Mexico Status Updates

• Case count: Statewide, daily case counts continue to decline.

• Hospitalizations: After a period of recent decline in July, hospitalizations have remained steady.

• Deaths: Deaths are declining.

• Contact tracing: The median time to quarantine for contacts identified last week was 1.2 days.

Page 23: COVID-19 hospitalizations in New Mexico · 2 days ago · New Mexico COVID -19 Cases by Date of Specimen Collection – September 15, 2020 Positive samples collected during this time

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Supplementary Slides

Page 24: COVID-19 hospitalizations in New Mexico · 2 days ago · New Mexico COVID -19 Cases by Date of Specimen Collection – September 15, 2020 Positive samples collected during this time

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Modeling Assumptions

Variable Measured Value Value as of 9.15.2020

R_Effective Actual Measured Daily Value by key county

R_eff=0.9

Positive Test Multiplier Calculated by LANL 3.4

Hospitalization and Mortality Actual rolling value / estimated number of total infected

Medical 0.1% ICU 0.07%Vent Rate 54% of ICUCrude Case Fatality Rate 3.4%

Length of Stay Actual rolling value / estimated number of total infected

Medical 5 daysICU 14 days ICU on Vent 14 days