covid-19 in ontario: january 15, 2020 to december 28, 2020 · 2020. 12. 29. · ages: 20-39 691 855...

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COVID-19 in Ontario: January 15, 2020 to December 28, 2020 1 Daily Epidemiologic Summary COVID-19 in Ontario: January 15, 2020 to December 28, 2020 This report includes the most current information available from CCM and other case management systems (CCM plus) as of December 28, 2020. Please visit the interactive Ontario COVID-19 Data Tool to explore recent COVID-19 data by public health unit, age group, sex, and trends over time. A weekly summary report is available with additional information to complement the daily report. This daily report provides an epidemiologic summary of recent COVID-19 activity in Ontario. The change in cases is determined by taking the cumulative difference between the current day and the previous day. Highlights There are a total of 175,908 confirmed cases of COVID-19 in Ontario reported to date. Compared to the previous day, this represents: An increase of 2,553 confirmed cases (percent change of +31.7%) An increase of 41 deaths (percent change of +10.8%) An increase of 2,233 resolved cases (percent change of +3.8%) In this document, the term ‘change in cases’ refers to cases publicly reported by the province for a given day. Data corrections or updates can result in case records being removed and or updated from past reports and may result in subset totals for updated case counts (i.e., age group, gender) differing from the overall updated case counts. The term public health unit reported date in this document refers to the date local public health units were first notified of the case.

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  • COVID-19 in Ontario: January 15, 2020 to December 28, 2020 1

    Daily Epidemiologic Summary

    COVID-19 in Ontario: January 15, 2020 to December 28, 2020

    This report includes the most current information available from CCM and other case management systems (CCM plus) as of December 28, 2020.

    Please visit the interactive Ontario COVID-19 Data Tool to explore recent COVID-19 data by public health unit, age group, sex, and trends over time.

    A weekly summary report is available with additional information to complement the daily report.

    This daily report provides an epidemiologic summary of recent COVID-19 activity in Ontario. The change in cases is determined by taking the cumulative difference between the current day and the previous day.

    Highlights There are a total of 175,908 confirmed cases of COVID-19 in Ontario reported to date.

    Compared to the previous day, this represents:

    An increase of 2,553 confirmed cases (percent change of +31.7%)

    An increase of 41 deaths (percent change of +10.8%)

    An increase of 2,233 resolved cases (percent change of +3.8%)

    In this document, the term ‘change in cases’ refers to cases publicly reported by the province for a given day. Data corrections or updates can result in case records being removed and or updated from past reports and may result in subset totals for updated case counts (i.e., age group, gender) differing from the overall updated case counts.

    The term public health unit reported date in this document refers to the date local public health units were first notified of the case.

    https://www.publichealthontario.ca/en/data-and-analysis/infectious-disease/covid-19-data-surveillance/covid-19-data-tool

  • COVID-19 in Ontario: January 15, 2020 to December 28, 2020 2

    Case Characteristics

    Table 1a. Summary of recent confirmed cases of COVID-19: Ontario

    Change in cases

    December 27

    Change in cases

    December 28

    Percentage change

    December 28 compared to December 27

    Cumulative case count

    as of December 28

    Total number of cases 1,939 2,553 +31.7% 175,908

    Number of deaths 37 41 +10.8% 4,455

    Number resolved 2,151 2,233 +3.8% 151,562

    Note: The number of cases publicly reported by the province each day may not align with case counts reported to public health on a given day; public health unit reported date refers to the date local public health was first notified of the case. Data corrections or updates can result in case records being removed and or updated from past reports.

    Data Source: CCM plus

  • COVID-19 in Ontario: January 15, 2020 to December 28, 2020 3

    Table 1b. Summary of recent confirmed cases of COVID-19 by age group and gender: Ontario

    Change in cases

    December 27

    Change in cases

    December 28

    Cumulative case count

    as of December 28

    Gender: Male 917 1,242 86,163

    Gender: Female 1,008 1,308 88,643

    Ages: 19 and under 281 341 22,711

    Ages: 20-39 691 855 64,094

    Ages: 40-59 571 778 50,569

    Ages: 60-79 271 423 25,360

    Ages: 80 and over 131 154 13,134

    Note: Not all cases have a reported age or gender reported. Data corrections or updates can result in case records being removed and or updated from past reports and may result in subset totals (i.e., age group, gender) differing from past publicly reported case counts.

    Data Source: CCM plus

    Table 2. Summary of recent confirmed cases of COVID-19 in school aged children by age group, August 30 to December 28, 2020: Ontario

    Change in cases

    December 27

    Change in cases

    December 28

    Cumulative case count from August 30 to

    December 28

    Ages: 4 to 8 45 48 3,645

    Ages: 9 to 13 62 89 5,084

    Ages: 14 to 17 75 98 4,980

    Note: Includes all confirmed cases of COVID-19 for specified ages, regardless of school attendance. Data corrections or updates can result in case records being removed and or updated from past reports and may result in subset totals (i.e., age group) differing from past publicly reported case counts.

    Data Source: CCM plus

  • COVID-19 in Ontario: January 15, 2020 to December 28, 2020 4

    Table 3. Summary of recent confirmed cases of COVID-19 in long-term care homes: Ontario

    Long-term care home cases Change in cases

    December 27

    Change in cases

    December 28

    Cumulative case count as of December 28

    Residents 70 78 10,725

    Health care workers 35 33 4,228

    Deaths among residents 12 18 2,726

    Deaths among health care workers

    0 0 8

    Note: Information on how long-term care home residents and health care workers are identified is available in the technical notes. Also, the change in cases in these categories may represent existing case records that have been updated.

    Data Source: CCM plus

  • COVID-19 in Ontario: January 15, 2020 to December 28, 2020 5

    Time

    Figure 1. Confirmed cases of COVID-19 by likely acquisition and public health unit reported date: Ontario, January 15, 2020 to December 28, 2020

    Data Source: CCM plus

  • COVID-19 in Ontario: January 15, 2020 to December 28, 2020 6

    Figure 2. Confirmed cases of COVID-19 by likely acquisition and approximation of symptom onset date: Ontario, January 15, 2020 to December 28, 2020

    Note: Not all cases may have an episode date and those without one are not included in the figure. Episode date is defined and available in the technical notes.

    Data Source: CCM plus

  • COVID-19 in Ontario: January 15, 2020 to December 28, 2020 7

    Figure 3. Number of COVID-19 tests completed and percent positivity: Ontario, March 29, 2020 to December 27, 2020

    Note: The number of tests performed does not reflect the number of specimens or persons tested. More than one test may be performed per specimen or per person. As such, the percentage of tests that were positive does not necessarily translate to the number of specimens or persons testing positive.

    Data Source: The Provincial COVID-19 Diagnostics Network, data reported by member microbiology laboratories.

  • COVID-19 in Ontario: January 15, 2020 to December 28, 2020 8

    Severity Figure 4. Confirmed deaths among COVID-19 cases by date of death: Ontario, March 1, 2020 to December 28, 2020

    Note: Cases without a death date are not included in the figure.

    Data Source: CCM plus

  • COVID-19 in Ontario: January 15, 2020 to December 28, 2020 9

    Table 4. Confirmed cases of COVID-19 by severity: Ontario

    Blank cell Cumulative case count

    as of December 28 Percentage of all

    cases

    Cumulative deaths reported (please note there may be a reporting delay for deaths)

    4,455 2.5%

    Deaths reported in ages: 19 and under 1 < 0.1%

    Deaths reported in ages: 20-39 19 < 0.1%

    Deaths reported in ages: 40-59 175 0.3%

    Deaths reported in ages: 60-79 1,182 4.7%

    Deaths reported in ages: 80 and over 3,077 23.4%

    Ever in ICU N/A N/A

    Ever hospitalized N/A N/A

    Note: Not all cases have an age reported. Data corrections or updates can result in case records being removed and/or updated and may result in totals differing from past publicly reported case counts.

    Data Source: CCM plus

    Data for hospitalizations and ICU are unavailable at this time due to a reporting error.

  • COVID-19 in Ontario: January 15, 2020 to December 28, 2020 10

    Geography

    Table 5. Summary of recent confirmed cases of COVID-19 by public health unit and region: Ontario

    Public Health Unit Name Change in

    cases December 27

    Change in cases

    December 28

    Cumulative case count

    Cumulative rate per 100,000 population

    Northwestern Health Unit 3 1 162 184.8

    Thunder Bay District Health Unit 3 9 574 382.8

    TOTAL NORTH WEST 6 10 736 309.7

    Algoma Public Health 0 0 65 56.8

    North Bay Parry Sound District Health Unit

    -4 0 120 92.5

    Porcupine Health Unit 0 1 128 153.4

    Public Health Sudbury & Districts -2 1 264 132.6

    Timiskaming Health Unit 3 1 65 198.8

    TOTAL NORTH EAST -3 3 642 114.8

    Ottawa Public Health 41 65 9,805 929.7

    Eastern Ontario Health Unit 13 16 1,320 632.5

    Hastings Prince Edward Public Health

    6 -1 266 157.9

    Kingston, Frontenac and Lennox & Addington Public Health

    9 3 517 243.0

    Leeds, Grenville & Lanark District Health Unit

    1 5 655 378.2

    Renfrew County and District Health Unit

    0 0 228 209.9

    TOTAL EASTERN 70 88 12,791 664.0

  • COVID-19 in Ontario: January 15, 2020 to December 28, 2020 11

    Public Health Unit Name Change in

    cases December 27

    Change in cases

    December 28

    Cumulative case count

    Cumulative rate per 100,000 population

    Durham Region Health Department 59 108 6,983 980.2

    Haliburton, Kawartha, Pine Ridge District Health Unit

    5 1 499 264.1

    Peel Public Health 475 496 38,432 2,393.1

    Peterborough Public Health 9 0 320 216.2

    Simcoe Muskoka District Health Unit

    56 34 3,440 573.7

    York Region Public Health 158 142 16,508 1,346.7

    TOTAL CENTRAL EAST 762 781 66,182 1,477.1

    Toronto Public Health 412 895 56,788 1,819.9

    TOTAL TORONTO 412 895 56,788 1,819.9

    Chatham-Kent Public Health 9 19 652 613.3

    Grey Bruce Health Unit 1 3 443 260.8

    Huron Perth Public Health 6 8 645 461.5

    Lambton Public Health 35 16 684 522.3

    Middlesex-London Health Unit 108 86 3,045 600.0

    Southwestern Public Health 32 25 1,183 559.3

    Windsor-Essex County Health Unit 178 147 7,151 1,683.3

    TOTAL SOUTH WEST 369 304 13,803 816.4

    Brant County Health Unit 16 11 927 597.3

    City of Hamilton Public Health Services

    100 144 5,793 978.3

  • COVID-19 in Ontario: January 15, 2020 to December 28, 2020 12

    Public Health Unit Name Change in

    cases December 27

    Change in cases

    December 28

    Cumulative case count

    Cumulative rate per 100,000 population

    Haldimand-Norfolk Health Unit 7 10 858 752.1

    Halton Region Public Health 67 78 5,457 881.5

    Niagara Region Public Health 53 115 3,745 792.6

    Region of Waterloo Public Health and Emergency Services

    45 57 5,671 970.5

    Wellington-Dufferin-Guelph Public Health

    35 57 2,515 806.3

    TOTAL CENTRAL WEST 323 472 24,966 876.2

    TOTAL ONTARIO 1,939 2,553 175,908 1,183.4

    Notes: Health units with data corrections or updates could result in records being removed from totals resulting in negative counts.

    Data Source: CCM plus

  • COVID-19 in Ontario: January 15, 2020 to December 28, 2020 13

    Outbreaks

    Table 6. Summary of recent confirmed COVID-19 outbreaks reported in long-term care homes, retirement homes and hospitals by status: Ontario

    Institution type Change in outbreaks

    December 27

    Change in outbreaks

    December 28

    Number of ongoing

    outbreaks

    Cumulative number of outbreaks reported

    Long-term care homes 11 5 199 903

    Retirement homes 9 5 106 471

    Hospitals 1 0 52 234

    Note: Ongoing outbreaks include all outbreaks that are ‘Open’ in CCM plus without a ‘Declared Over Date’ recorded, or where the outbreak started more than five months ago, even for outbreaks where the Outbreak Status value selected in CCM/iPHIS is 'OPEN'. The start of the outbreak is determined by the onset date of first case, or if missing the outbreak reported date, or else if that is also missing, then the outbreak created date.

    Data Source: CCM plus

  • COVID-19 in Ontario: January 15, 2020 to December 28, 2020 14

    Technical Notes

    Data Sources The data for this report were based on:

    Information extracted from the Ontario Ministry of Health (Ministry) integrated Public Health Information System (iPHIS) database for Toronto Public Health as of December 28, 2020 at 1 p.m.

    Information successfully uploaded to the Ministry from Local Systems: Toronto Public Health (Coronavirus Rapid Entry System) CORES as of December 28, 2020 at 2 p.m.

    Information successfully extracted from the Public Health Case and Contact Management Solution (CCM) for all other PHUs by PHO as of December 28, 2020 at 1 p.m.

    CCM and CCM plus (which includes CCM, iPHIS, and CORES) are dynamic disease reporting systems, which allow ongoing updates to data previously entered. As a result, data extracted from CCM and the Local Systems represent a snapshot at the time of extraction and may differ from previous or subsequent reports.

    Ontario population projection data for 2020 were sourced from Ministry, IntelliHEALTH Ontario. Data were extracted on November 26, 2019.

    COVID-19 test data were based on information from The Provincial COVID-19 Diagnostics Network, reported by member microbiology laboratories.

    Data Caveats The data only represent cases reported to public health units and recorded in CCM plus. As a

    result, all counts will be subject to varying degrees of underreporting due to a variety of factors, such as disease awareness and medical care seeking behaviours, which may depend on severity of illness, clinical practice, changes in laboratory testing, and reporting behaviours.

    Lags in CCM plus data entry due to weekend staffing may result in lower case counts than would otherwise be recorded.

    Only cases meeting the confirmed case classification as listed in the MOH COVID-19 case definition are included in the report counts from CCM plus. This includes persons with a positive detection of serum/plasma immunoglobulin G (IgG) antibodies to SARS-CoV-2, which was added to the confirmed case definition on August 6, 2020.

    The number of tests performed does not reflect the number of specimens or persons tested. More than one test may be performed per specimen or per person. As such, the percentage of tests that were positive does not necessarily translate to the number of specimens or persons testing positive.

    Reported date is the date the case was reported to the public health unit.

    http://www.health.gov.on.ca/en/pro/programs/publichealth/coronavirus/2019_guidance.aspxhttp://www.health.gov.on.ca/en/pro/programs/publichealth/coronavirus/2019_guidance.aspx

  • COVID-19 in Ontario: January 15, 2020 to December 28, 2020 15

    Case episode date is based on an estimate of the best date of disease onset. This date is calculated based on either the date of symptom onset, specimen collection/test date, or the date reported to the public health unit.

    Resolved cases are determined only for COVID-19 cases that have not died. Cases that have died are considered fatal and not resolved. The following cases are classified as resolved:

    Cases that are reported as ‘recovered’ in CCM

    Cases that are not hospitalized and are 14 days past their episode date

    Cases that are currently hospitalized (no hospital end date entered) and have a status of ‘closed’ in CCM (indicating public health unit follow-up is complete) and are 14 days past their symptom onset date or specimen collection date

    Hospitalization includes all cases for which a hospital admission date was reported at the time of data extraction. It includes cases that have been discharged from hospital as well as cases that are currently hospitalized. Emergency room visits are not included in the number of reported hospitalizations.

    ICU admission includes all cases for which an ICU admission date was reported at the time of data extraction. It is a subset of the count of hospitalized cases. It includes cases that have been treated or that are currently being treated in an ICU.

    Orientation of case counts by geography is based on the diagnosing health unit (DHU). DHU refers to the case's public health unit of residence at the time of illness onset and not necessarily the location of exposure. Cases for which the DHU was reported as MOH (to signify a case that is not a resident of Ontario) have been excluded from the analyses.

    Likely source of acquisition is determined by examining the epidemiologic link and epidemiologic link status fields in CCM and local systems. If no epidemiologic link is identified in those fields the risk factor fields are examined to determine whether a case travelled, was associated with a confirmed outbreak, was a contact of a case, had no known epidemiological link (sporadic community transmission) or was reported to have an unknown source/no information was reported. Some cases may have no information reported if the case is untraceable, was lost to follow-up or referred to FNIHB. Cases with multiple risk factors were assigned to a single likely acquisition source group which was determined hierarchically in the following order:

    For cases with an episode date on or after April 1, 2020: Outbreak-associated > close contact of a confirmed case > travel > no known epidemiological link > information missing or unknown

    For cases with an episode date before April 1, 2020: Travel > outbreak-associated > close contact of a confirmed case > no known epidemiological link > information missing or unknown

    Deaths are determined by using the outcome field in CCM plus. Any case marked ‘Fatal’ is included in the deaths data. The CCM field Type of Death is not used to further categorize the data.

  • COVID-19 in Ontario: January 15, 2020 to December 28, 2020 16

    The date of death is determined using the outcome date field for cases marked as ‘Fatal’ in the outcome field.

    COVID-19 cases from CCM plus for which the Classification and/or Disposition was reported as ENTERED IN ERROR, DOES NOT MEET DEFINITION, IGNORE, DUPLICATE, or any variation on these values have been excluded. The provincial case count for COVID-19 includes cases that are counted once across all systems from which the case data are obtained. Duplicate records may exist if these records were not identified and resolved prior to data upload to the Ministry.

    Ongoing outbreaks include all outbreaks that are ‘Open’ in CCM plus without a ‘Declared Over Date’ recorded, or where the outbreak started more than five months ago, even for outbreaks where the Outbreak Status value selected in CCM/iPHIS is 'OPEN'. The start of the outbreak is determined by the onset date of first case, or if missing the outbreak reported date, or else if that is also missing, then the outbreak created date.

    ‘Long-term care home residents’ includes cases that reported ‘Yes’ to the risk factor ‘Resident of a long-term care home’; or ‘Yes’ to the risk factor ‘Resident of nursing home or other chronic care facility’ and reported to be part of an outbreak assigned as a long-term care home (via the Outbreak number or case comments field); or were reported to be part of an outbreak assigned as a long-term care home (via the outbreak number or case comments field) with an age over 70 years and did not report ‘No’ to the risk factors ‘Resident of long-term care home’ or ‘Resident of nursing home or other chronic care facility’. ‘Long-term care home residents’ excludes cases that reported ‘Yes’ to any of the health care worker occupational risk factors.

    The ‘health care workers’ variable includes cases that reported ‘Yes’ to any of the occupation of health care worker, doctor, nurse, dentist, dental hygienist, midwife, other medical technicians, personal support worker, respiratory therapist, first responder.

    ‘Health care workers associated with long-term care outbreaks’ includes ‘health care workers’ reported to be part of an outbreak assigned as a long-term care home (via the outbreak number or case comments field). Excludes cases that reported ‘Yes’ to risk factors ‘Resident of long-term care home’ or ‘Resident of nursing home or other chronic care facility’ and ‘Yes’ to the calculated ‘health care workers’ variable.

    Percent change is calculated by taking the difference between the current period (i.e., daily count or sum of the daily count over a 7-day period) and previous period (i.e., daily count or sum of the daily count over a 7-day period), divided by the previous period.

  • COVID-19 in Ontario: January 15, 2020 to December 28, 2020 17

    Appendix A Table A1. Weekly rates of confirmed COVID-19 cases per 100,000 population over recent rolling 7-day periods, by reported date and public health unit: Ontario, December 13, 2020 to December 25, 2020

    Public Health Unit Name

    Dec 13 to

    Dec 19

    Dec 14 to

    Dec 20

    Dec 15 to

    Dec 21

    Dec 16 to

    Dec 22

    Dec 17 to

    Dec 23

    Dec 18 to

    Dec 24

    Dec 19 to

    Dec 25

    % change from

    Dec 13-19 to Dec 19-

    25

    NORTH WEST

    Northwestern Health Unit

    5.7 5.7 10.3 11.4 11.4 19.4 19.4 +240.4%

    Thunder Bay District Health Unit

    44.7 44.0 48.7 58.0 58.0 50.7 46.7 +4.5%

    NORTH EAST

    Algoma Public Health

    0.0 0.0 0.0 0.9 1.7 1.7 1.7 N/A

    North Bay Parry Sound District Health Unit

    12.3 12.3 12.3 13.1 10.8 12.3 9.2 -25.2%

    Porcupine Health Unit

    4.8 3.6 8.4 10.8 10.8 9.6 9.6 +100.0%

    Public Health Sudbury & Districts

    4.0 4.0 5.0 5.5 6.0 5.5 6.5 +62.5%

    Timiskaming Health Unit

    33.7 36.7 45.9 55.1 61.2 70.4 79.5 +135.9%

    EASTERN

    Ottawa Public Health

    27.0 26.6 27.2 30.2 29.6 31.6 36.7 +35.9%

  • COVID-19 in Ontario: January 15, 2020 to December 28, 2020 18

    Public Health Unit Name

    Dec 13 to

    Dec 19

    Dec 14 to

    Dec 20

    Dec 15 to

    Dec 21

    Dec 16 to

    Dec 22

    Dec 17 to

    Dec 23

    Dec 18 to

    Dec 24

    Dec 19 to

    Dec 25

    % change from

    Dec 13-19 to Dec 19-

    25

    Eastern Ontario Health Unit

    45.5 41.7 41.7 46.5 49.4 53.2 50.8 +11.6%

    Hastings Prince Edward Public Health

    14.8 16.6 14.8 15.4 16.6 14.8 11.3 -23.6%

    Kingston, Frontenac and Lennox & Addington Public Health

    35.7 35.7 32.4 28.7 27.3 27.3 22.1 -38.1%

    Leeds, Grenville & Lanark District Health Unit

    21.4 20.8 19.6 17.9 13.9 12.1 9.8 -54.2%

    Renfrew County and District Health Unit

    15.6 13.8 16.6 16.6 13.8 10.1 12.9 -17.3%

    CENTRAL EAST

    Durham Region Health Department

    88.9 93.2 96.9 96.7 96.4 92.1 89.1 +0.2%

    Haliburton, Kawartha, Pine Ridge District Health Unit

    24.3 23.8 24.9 23.8 25.4 26.5 25.4 +4.5%

    Peel Public Health

    201.3 208.6 195.1 190.9 194.2 190.4 182.0 -9.6%

  • COVID-19 in Ontario: January 15, 2020 to December 28, 2020 19

    Public Health Unit Name

    Dec 13 to

    Dec 19

    Dec 14 to

    Dec 20

    Dec 15 to

    Dec 21

    Dec 16 to

    Dec 22

    Dec 17 to

    Dec 23

    Dec 18 to

    Dec 24

    Dec 19 to

    Dec 25

    % change from

    Dec 13-19 to Dec 19-

    25

    Peterborough Public Health

    16.2 16.2 19.6 20.3 20.3 22.3 31.8 +96.3%

    Simcoe Muskoka District Health Unit

    59.5 60.9 62.4 63.4 59.5 57.7 57.2 -3.9%

    York Region Public Health

    120.7 119.4 124.2 128.1 129.5 130.5 129.2 +7.0%

    TORONTO

    Toronto Public Health

    147.1 149.9 145.3 149.9 145.3 141.2 141.6 -3.7%

    SOUTH WEST

    Chatham-Kent Public Health

    32.9 32.0 35.7 41.4 38.6 36.7 46.1 +40.1%

    Grey Bruce Health Unit

    17.7 17.1 18.8 21.2 23.0 21.2 21.8 +23.2%

    Huron Perth Public Health

    51.5 54.4 58.7 52.2 50.8 61.5 63.7 +23.7%

    Lambton Public Health

    55.7 57.3 64.9 82.5 77.1 77.1 83.2 +49.4%

    Middlesex-London Health Unit

    76.3 83.7 88.9 100.3 99.1 92.8 87.9 +15.2%

    Southwestern Public Health

    78.0 77.1 95.0 103.5 96.5 96.5 104.0 +33.3%

    Windsor-Essex County Health Unit

    268.8 275.4 286.5 289.1 274.2 253.7 262.2 -2.5%

  • COVID-19 in Ontario: January 15, 2020 to December 28, 2020 20

    Public Health Unit Name

    Dec 13 to

    Dec 19

    Dec 14 to

    Dec 20

    Dec 15 to

    Dec 21

    Dec 16 to

    Dec 22

    Dec 17 to

    Dec 23

    Dec 18 to

    Dec 24

    Dec 19 to

    Dec 25

    % change from

    Dec 13-19 to Dec 19-

    25

    CENTRAL WEST

    Brant County Health Unit

    70.9 60.6 60.6 62.5 63.1 51.5 49.6 -30.0%

    City of Hamilton Public Health Services

    121.4 119.6 121.6 126.0 123.1 108.4 109.1 -10.1%

    Haldimand-Norfolk Health Unit

    59.6 59.6 62.2 61.4 70.1 75.4 72.8 +22.1%

    Halton Region Public Health

    84.0 85.6 86.9 84.6 83.3 87.9 83.7 -0.4%

    Niagara Region Public Health

    107.5 109.4 112.6 118.5 125.1 131.9 114.3 +6.3%

    Region of Waterloo Public Health and Emergency Services

    98.2 98.7 106.1 106.4 110.7 109.2 104.2 +6.1%

    Wellington-Dufferin-Guelph Public Health

    93.9 91.7 95.9 96.8 103.2 105.5 93.9 0.0%

    TOTAL ONTARIO

    105.7 107.5 107.4 109.7 108.7 106.4 104.7 -0.9%

    Note: Rates are based on the sum of the daily case counts during the date ranges specified in each column.

    Data Source: CCM plus

  • COVID-19 in Ontario: January 15, 2020 to December 28, 2020 21

    Disclaimer This document was developed by Public Health Ontario (PHO). PHO provides scientific and technical advice to Ontario’s government, public health organizations and health care providers. PHO’s work is guided by the current best available evidence at the time of publication.

    The application and use of this document is the responsibility of the user. PHO assumes no liability resulting from any such application or use.

    This document may be reproduced without permission for non-commercial purposes only and provided that appropriate credit is given to PHO. No changes and/or modifications may be made to this document without express written permission from PHO.

    Citation Ontario Agency for Health Protection and Promotion (Public Health Ontario). Epidemiologic summary: COVID-19 in Ontario – January 15, 2020 to December 28, 2020. Toronto, ON: Queen’s Printer for Ontario; 2020.

    For Further Information For more information, email [email protected].

    Public Health Ontario Public Health Ontario is an agency of the Government of Ontario dedicated to protecting and promoting the health of all Ontarians and reducing inequities in health. Public Health Ontario links public health practitioners, front-line health workers and researchers to the best scientific intelligence and knowledge from around the world.

    For more information about PHO, visit publichealthontario.ca.

    mailto:[email protected]://www.publichealthontario.ca/

    Structure Bookmarks ArtifactArtifactArtifactDaily Epidemiologic Summary COVID-19 in Ontario: January 15, 2020 to December 28, 2020 This report includes the most current information available from CCM and other case management systems (CCM plus) as of December 28, 2020. PSpanPlease visit the interactive Ontario COVID-19 Data ToolOntario COVID-19 Data Tool

    to explore recent COVID-19 data by public health unit, age group, sex, and trends over time.

    A weekly summary report is available with additional information to complement the daily report. This daily report provides an epidemiologic summary of recent COVID-19 activity in Ontario. The change in cases is determined by taking the cumulative difference between the current day and the previous day. Highlights There are a total of 175,908 confirmed cases of COVID-19 in Ontario reported to date. There are a total of 175,908 confirmed cases of COVID-19 in Ontario reported to date. There are a total of 175,908 confirmed cases of COVID-19 in Ontario reported to date.

    Compared to the previous day, this represents: Compared to the previous day, this represents:

    An increase of 2,553 confirmed cases (percent change of +31.7%) An increase of 2,553 confirmed cases (percent change of +31.7%)

    An increase of 41 deaths (percent change of +10.8%) An increase of 41 deaths (percent change of +10.8%)

    An increase of 2,233 resolved cases (percent change of +3.8%) An increase of 2,233 resolved cases (percent change of +3.8%)

    In this document, the term ‘change in cases’ refers to cases publicly reported by the province for a given day. Data corrections or updates can result in case records being removed and or updated from past reports and may result in subset totals for updated case counts (i.e., age group, gender) differing from the overall updated case counts. In this document, the term ‘change in cases’ refers to cases publicly reported by the province for a given day. Data corrections or updates can result in case records being removed and or updated from past reports and may result in subset totals for updated case counts (i.e., age group, gender) differing from the overall updated case counts. The term public health unit reported date in this document refers to the date local public health units were first notified of the case.

    Case Characteristics Table 1a. Summary of recent confirmed cases of COVID-19: Ontario TableTRTHSpan

    THSpanChange in cases December 27

    THSpanChange in cases December 28

    THSpanPercentage change December 28 compared to December 27

    THSpanCumulative case count as of December 28

    Span

    TRTDSpanTotal number of cases

    TDSpan1,939

    TDSpan2,553

    TDSpan+31.7%

    TDSpan175,908

    TRTDSpanNumber of deaths

    TDSpan37

    TDSpan41

    TDSpan+10.8%

    TDSpan4,455

    TRTDSpanNumber resolved

    TDSpan2,151

    TDSpan2,233

    TDSpan+3.8%

    TDSpan151,562

    Span

    Note: The number of cases publicly reported by the province each day may not align with case counts reported to public health on a given day; public health unit reported date refers to the date local public health was first notified of the case. Data corrections or updates can result in case records being removed and or updated from past reports. Data Source: CCM plus Table 1b. Summary of recent confirmed cases of COVID-19 by age group and gender: Ontario TableTRTHSpan

    THSpanChange in cases December 27

    THSpanChange in cases December 28

    THSpanCumulative case count as of December 28

    Span

    TRTDSpanGender: Male

    TDSpan917

    TDSpan1,242

    TDSpan86,163

    TRTDSpanGender: Female

    TDSpan1,008

    TDSpan1,308

    TDSpan88,643

    TRTDSpanAges: 19 and under

    TDSpan281

    TDSpan341

    TDSpan22,711

    TRTDSpanAges: 20-39

    TDSpan691

    TDSpan855

    TDSpan64,094

    TRTDSpanAges: 40-59

    TDSpan571

    TDSpan778

    TDSpan50,569

    TRTDSpanAges: 60-79

    TDSpan271

    TDSpan423

    TDSpan25,360

    TRTDSpanAges: 80 and over

    TDSpan131

    TDSpan154

    TDSpan13,134

    Span

    Note: Not all cases have a reported age or gender reported. Data corrections or updates can result in case records being removed and or updated from past reports and may result in subset totals (i.e., age group, gender) differing from past publicly reported case counts. Data Source: CCM plus Table 2. Summary of recent confirmed cases of COVID-19 in school aged children by age group, August 30 to December 28, 2020: Ontario TableTRTHSpan

    THSpanChange in cases December 27

    THSpanChange in cases December 28

    THSpanCumulative case count from August 30 to December 28

    Span

    TRTDSpanAges: 4 to 8

    TDSpan45

    TDSpan48

    TDSpan3,645

    TRTDSpanAges: 9 to 13

    TDSpan62

    TDSpan89

    TDSpan5,084

    TRTDSpanAges: 14 to 17

    TDSpan75

    TDSpan98

    TDSpan4,980

    Span

    Note: Includes all confirmed cases of COVID-19 for specified ages, regardless of school attendance. Data corrections or updates can result in case records being removed and or updated from past reports and may result in subset totals (i.e., age group) differing from past publicly reported case counts. Data Source: CCM plus Table 3. Summary of recent confirmed cases of COVID-19 in long-term care homes: Ontario TableTRTHSpanLong-term care home cases

    THSpanChange in cases December 27

    THSpanChange in cases December 28

    THSpanCumulative case count as of December 28

    Span

    TRTDSpanResidents

    TDSpan70

    TDSpan78

    TDSpan10,725

    TRTDSpanHealth care workers

    TDSpan35

    TDSpan33

    TDSpan4,228

    TRTDSpanDeaths among residents

    TDSpan12

    TDSpan18

    TDSpan2,726

    TRTDSpanDeaths among health care workers

    TDSpan0

    TDSpan0

    TDSpan8

    Span

    Note: Information on how long-term care home residents and health care workers are identified is available in the technical notes. Also, the change in cases in these categories may represent existing case records that have been updated. Data Source: CCM plus Time Figure 1. Confirmed cases of COVID-19 by likely acquisition and public health unit reported date: Ontario, January 15, 2020 to December 28, 2020 FigureData Source: CCM plus Figure 2. Confirmed cases of COVID-19 by likely acquisition and approximation of symptom onset date: Ontario, January 15, 2020 to December 28, 2020 Figure Note: Not all cases may have an episode date and those without one are not included in the figure. Episode date is defined and available in the technical notes. Data Source: CCM plus Figure 3. Number of COVID-19 tests completed and percent positivity: Ontario, March 29, 2020 to December 27, 2020 FigureNote: The number of tests performed does not reflect the number of specimens or persons tested. More than one test may be performed per specimen or per person. As such, the percentage of tests that were positive does not necessarily translate to the number of specimens or persons testing positive. Data Source: The Provincial COVID-19 Diagnostics Network, data reported by member microbiology laboratories. Severity Figure 4. Confirmed deaths among COVID-19 cases by date of death: Ontario, March 1, 2020 to December 28, 2020 FigureNote: Cases without a death date are not included in the figure. Data Source: CCM plusTable 4. Confirmed cases of COVID-19 by severity: Ontario TableTRTHSpanBlank cell

    THSpanCumulative case count as of December 28

    THSpanPercentage of all cases

    Span

    TRTDSpanCumulative deaths reported (please note there may be a reporting delay for deaths)

    TDSpan4,455

    TDSpan2.5%

    TRTDSpanDeaths reported in ages: 19 and under

    TDSpan1

    TDSpan< 0.1%

    TRTDSpanDeaths reported in ages: 20-39

    TDSpan19

    TDSpan< 0.1%

    TRTDSpanDeaths reported in ages: 40-59

    TDSpan175

    TDSpan0.3%

    TRTDSpanDeaths reported in ages: 60-79

    TDSpan1,182

    TDSpan4.7%

    TRTDSpanDeaths reported in ages: 80 and over

    TDSpan3,077

    TDSpan23.4%

    TRTDSpanEver in ICU

    TDSpanN/A

    TDSpanN/A

    TRTDSpanEver hospitalized

    TDSpanN/A

    TDSpanN/A

    Span

    Note: Not all cases have an age reported. Data corrections or updates can result in case records being removed and/or updated and may result in totals differing from past publicly reported case counts. Data Source: CCM plus Data for hospitalizations and ICU are unavailable at this time due to a reporting error. Geography Table 5. Summary of recent confirmed cases of COVID-19 by public health unit and region: Ontario TableTRTHSpanPublic Health Unit Name

    THSpanChange in cases December 27

    THSpanChange in cases December 28

    THSpanCumulative case count

    THSpanCumulative rate per 100,000 population

    Span

    TRTDSpanNorthwestern Health Unit

    TDSpan3

    TDSpan1

    TDSpan162

    TDSpan184.8

    TRTDSpanThunder Bay District Health Unit

    TDSpan3

    TDSpan9

    TDSpan574

    TDSpan382.8

    TRTDSpanTOTAL NORTH WEST

    TDSpan6

    TDSpan10

    TDSpan736

    TDSpan309.7

    TRTDSpanAlgoma Public Health

    TDSpan0

    TDSpan0

    TDSpan65

    TDSpan56.8

    TRTDSpanNorth Bay Parry Sound District Health Unit

    TDSpan-4

    TDSpan0

    TDSpan120

    TDSpan92.5

    TRTDSpanPorcupine Health Unit

    TDSpan0

    TDSpan1

    TDSpan128

    TDSpan153.4

    TRTDSpanPublic Health Sudbury & Districts

    TDSpan-2

    TDSpan1

    TDSpan264

    TDSpan132.6

    TRTDSpanTimiskaming Health Unit

    TDSpan3

    TDSpan1

    TDSpan65

    TDSpan198.8

    TRTDSpanTOTAL NORTH EAST

    TDSpan-3

    TDSpan3

    TDSpan642

    TDSpan114.8

    TRTDSpanOttawa Public Health

    TDSpan41

    TDSpan65

    TDSpan9,805

    TDSpan929.7

    TRTDSpanEastern Ontario Health Unit

    TDSpan13

    TDSpan16

    TDSpan1,320

    TDSpan632.5

    TRTDSpanHastings Prince Edward Public Health

    TDSpan6

    TDSpan-1

    TDSpan266

    TDSpan157.9

    TRTDSpanKingston, Frontenac and Lennox & Addington Public Health

    TDSpan9

    TDSpan3

    TDSpan517

    TDSpan243.0

    TRTDSpanLeeds, Grenville & Lanark District Health Unit

    TDSpan1

    TDSpan5

    TDSpan655

    TDSpan378.2

    TRTDSpanRenfrew County and District Health Unit

    TDSpan0

    TDSpan0

    TDSpan228

    TDSpan209.9

    TRTDSpanTOTAL EASTERN

    TDSpan70

    TDSpan88

    TDSpan12,791

    TDSpan664.0

    Span

    TableTRTHSpanPublic Health Unit Name

    THSpanChange in cases December 27

    THSpanChange in cases December 28

    THSpanCumulative case count

    THSpanCumulative rate per 100,000 population

    Span

    TRTDSpanDurham Region Health Department

    TDSpan59

    TDSpan108

    TDSpan6,983

    TDSpan980.2

    TRTDSpanHaliburton, Kawartha, Pine Ridge District Health Unit

    TDSpan5

    TDSpan1

    TDSpan499

    TDSpan264.1

    TRTDSpanPeel Public Health

    TDSpan475

    TDSpan496

    TDSpan38,432

    TDSpan2,393.1

    TRTDSpanPeterborough Public Health

    TDSpan9

    TDSpan0

    TDSpan320

    TDSpan216.2

    TRTDSpanSimcoe Muskoka District Health Unit

    TDSpan56

    TDSpan34

    TDSpan3,440

    TDSpan573.7

    TRTDSpanYork Region Public Health

    TDSpan158

    TDSpan142

    TDSpan16,508

    TDSpan1,346.7

    TRTDSpanTOTAL CENTRAL EAST

    TDSpan762

    TDSpan781

    TDSpan66,182

    TDSpan1,477.1

    TRTDSpanToronto Public Health

    TDSpan412

    TDSpan895

    TDSpan56,788

    TDSpan1,819.9

    TRTDSpanTOTAL TORONTO

    TDSpan412

    TDSpan895

    TDSpan56,788

    TDSpan1,819.9

    TRTDSpanChatham-Kent Public Health

    TDSpan9

    TDSpan19

    TDSpan652

    TDSpan613.3

    TRTDSpanGrey Bruce Health Unit

    TDSpan1

    TDSpan3

    TDSpan443

    TDSpan260.8

    TRTDSpanHuron Perth Public Health

    TDSpan6

    TDSpan8

    TDSpan645

    TDSpan461.5

    TRTDSpanLambton Public Health

    TDSpan35

    TDSpan16

    TDSpan684

    TDSpan522.3

    TRTDSpanMiddlesex-London Health Unit

    TDSpan108

    TDSpan86

    TDSpan3,045

    TDSpan600.0

    TRTDSpanSouthwestern Public Health

    TDSpan32

    TDSpan25

    TDSpan1,183

    TDSpan559.3

    TRTDSpanWindsor-Essex County Health Unit

    TDSpan178

    TDSpan147

    TDSpan7,151

    TDSpan1,683.3

    TRTDSpanTOTAL SOUTH WEST

    TDSpan369

    TDSpan304

    TDSpan13,803

    TDSpan816.4

    TRTDSpanBrant County Health Unit

    TDSpan16

    TDSpan11

    TDSpan927

    TDSpan597.3

    TRTDSpanCity of Hamilton Public Health Services

    TDSpan100

    TDSpan144

    TDSpan5,793

    TDSpan978.3

    Span

    TableTRTHSpanPublic Health Unit Name

    THSpanChange in cases December 27

    THSpanChange in cases December 28

    THSpanCumulative case count

    THSpanCumulative rate per 100,000 population

    Span

    TRTDSpanHaldimand-Norfolk Health Unit

    TDSpan7

    TDSpan10

    TDSpan858

    TDSpan752.1

    TRTDSpanHalton Region Public Health

    TDSpan67

    TDSpan78

    TDSpan5,457

    TDSpan881.5

    TRTDSpanNiagara Region Public Health

    TDSpan53

    TDSpan115

    TDSpan3,745

    TDSpan792.6

    TRTDSpanRegion of Waterloo Public Health and Emergency Services

    TDSpan45

    TDSpan57

    TDSpan5,671

    TDSpan970.5

    TRTDSpanWellington-Dufferin-Guelph Public Health

    TDSpan35

    TDSpan57

    TDSpan2,515

    TDSpan806.3

    TRTDSpanTOTAL CENTRAL WEST

    TDSpan323

    TDSpan472

    TDSpan24,966

    TDSpan876.2

    TRTDSpanTOTAL ONTARIO

    TDSpan1,939

    TDSpan2,553

    TDSpan175,908

    TDSpan1,183.4

    Span

    Notes: Health units with data corrections or updates could result in records being removed from totals resulting in negative counts. Data Source: CCM plus Outbreaks Table 6. Summary of recent confirmed COVID-19 outbreaks reported in long-term care homes, retirement homes and hospitals by status: Ontario TableTRTHSpanInstitution type

    THSpanChange in outbreaks December 27

    THSpanChange in outbreaks December 28

    THSpanNumber of ongoing outbreaks

    THSpanCumulative number of outbreaks reported

    Span

    TRTDSpanLong-term care homes

    TDSpan11

    TDSpan5

    TDSpan199

    TDSpan903

    TRTDSpanRetirement homes

    TDSpan9

    TDSpan5

    TDSpan106

    TDSpan471

    TRTDSpanHospitals

    TDSpan1

    TDSpan0

    TDSpan52

    TDSpan234

    Span

    Note: Ongoing outbreaks include all outbreaks that are ‘Open’ in CCM plus without a ‘Declared Over Date’ recorded, or where the outbreak started more than five months ago, even for outbreaks where the Outbreak Status value selected in CCM/iPHIS is 'OPEN'. The start of the outbreak is determined by the onset date of first case, or if missing the outbreak reported date, or else if that is also missing, then the outbreak created date. Data Source: CCM plus Technical Notes Data Sources The data for this report were based on: The data for this report were based on: The data for this report were based on:

    Information extracted from the Ontario Ministry of Health (Ministry) integrated Public Health Information System (iPHIS) database for Toronto Public Health as of December 28, 2020 at 1 p.m. Information extracted from the Ontario Ministry of Health (Ministry) integrated Public Health Information System (iPHIS) database for Toronto Public Health as of December 28, 2020 at 1 p.m.

    Information successfully uploaded to the Ministry from Local Systems: Toronto Public Health (Coronavirus Rapid Entry System) CORES as of December 28, 2020 at 2 p.m. Information successfully uploaded to the Ministry from Local Systems: Toronto Public Health (Coronavirus Rapid Entry System) CORES as of December 28, 2020 at 2 p.m.

    Information successfully extracted from the Public Health Case and Contact Management Solution (CCM) for all other PHUs by PHO as of December 28, 2020 at 1 p.m. Information successfully extracted from the Public Health Case and Contact Management Solution (CCM) for all other PHUs by PHO as of December 28, 2020 at 1 p.m.

    CCM and CCM plus (which includes CCM, iPHIS, and CORES) are dynamic disease reporting systems, which allow ongoing updates to data previously entered. As a result, data extracted from CCM and the Local Systems represent a snapshot at the time of extraction and may differ from previous or subsequent reports. CCM and CCM plus (which includes CCM, iPHIS, and CORES) are dynamic disease reporting systems, which allow ongoing updates to data previously entered. As a result, data extracted from CCM and the Local Systems represent a snapshot at the time of extraction and may differ from previous or subsequent reports.

    Ontario population projection data for 2020 were sourced from Ministry, IntelliHEALTH Ontario. Data were extracted on November 26, 2019. Ontario population projection data for 2020 were sourced from Ministry, IntelliHEALTH Ontario. Data were extracted on November 26, 2019.

    COVID-19 test data were based on information from The Provincial COVID-19 Diagnostics Network, reported by member microbiology laboratories. COVID-19 test data were based on information from The Provincial COVID-19 Diagnostics Network, reported by member microbiology laboratories.

    Data Caveats The data only represent cases reported to public health units and recorded in CCM plus. As a result, all counts will be subject to varying degrees of underreporting due to a variety of factors, such as disease awareness and medical care seeking behaviours, which may depend on severity of illness, clinical practice, changes in laboratory testing, and reporting behaviours. The data only represent cases reported to public health units and recorded in CCM plus. As a result, all counts will be subject to varying degrees of underreporting due to a variety of factors, such as disease awareness and medical care seeking behaviours, which may depend on severity of illness, clinical practice, changes in laboratory testing, and reporting behaviours. The data only represent cases reported to public health units and recorded in CCM plus. As a result, all counts will be subject to varying degrees of underreporting due to a variety of factors, such as disease awareness and medical care seeking behaviours, which may depend on severity of illness, clinical practice, changes in laboratory testing, and reporting behaviours.

    Lags in CCM plus data entry due to weekend staffing may result in lower case counts than would otherwise be recorded. Lags in CCM plus data entry due to weekend staffing may result in lower case counts than would otherwise be recorded.

    Only cases meeting the confirmed case classification as listed in the MOH Only cases meeting the confirmed case classification as listed in the MOH Only cases meeting the confirmed case classification as listed in the MOH COVID-19 case definitionCOVID-19 case definition

    are included in the report counts from CCM plus. This includes persons with a positive detection of serum/plasma immunoglobulin G (IgG) antibodies to SARS-CoV-2, which was added to the confirmed case definition on August 6, 2020.

    The number of tests performed does not reflect the number of specimens or persons tested. More than one test may be performed per specimen or per person. As such, the percentage of tests that were positive does not necessarily translate to the number of specimens or persons testing positive. The number of tests performed does not reflect the number of specimens or persons tested. More than one test may be performed per specimen or per person. As such, the percentage of tests that were positive does not necessarily translate to the number of specimens or persons testing positive.

    Reported date is the date the case was reported to the public health unit. Reported date is the date the case was reported to the public health unit.

    Case episode date is based on an estimate of the best date of disease onset. This date is calculated based on either the date of symptom onset, specimen collection/test date, or the date reported to the public health unit. Case episode date is based on an estimate of the best date of disease onset. This date is calculated based on either the date of symptom onset, specimen collection/test date, or the date reported to the public health unit. Case episode date is based on an estimate of the best date of disease onset. This date is calculated based on either the date of symptom onset, specimen collection/test date, or the date reported to the public health unit.

    Resolved cases are determined only for COVID-19 cases that have not died. Cases that have died are considered fatal and not resolved. The following cases are classified as resolved: Resolved cases are determined only for COVID-19 cases that have not died. Cases that have died are considered fatal and not resolved. The following cases are classified as resolved:

    Cases that are reported as ‘recovered’ in CCM Cases that are reported as ‘recovered’ in CCM

    Cases that are not hospitalized and are 14 days past their episode date Cases that are not hospitalized and are 14 days past their episode date

    Cases that are currently hospitalized (no hospital end date entered) and have a status of ‘closed’ in CCM (indicating public health unit follow-up is complete) and are 14 days past their symptom onset date or specimen collection date Cases that are currently hospitalized (no hospital end date entered) and have a status of ‘closed’ in CCM (indicating public health unit follow-up is complete) and are 14 days past their symptom onset date or specimen collection date

    Hospitalization includes all cases for which a hospital admission date was reported at the time of data extraction. It includes cases that have been discharged from hospital as well as cases that are currently hospitalized. Emergency room visits are not included in the number of reported hospitalizations. Hospitalization includes all cases for which a hospital admission date was reported at the time of data extraction. It includes cases that have been discharged from hospital as well as cases that are currently hospitalized. Emergency room visits are not included in the number of reported hospitalizations.

    ICU admission includes all cases for which an ICU admission date was reported at the time of data extraction. It is a subset of the count of hospitalized cases. It includes cases that have been treated or that are currently being treated in an ICU. ICU admission includes all cases for which an ICU admission date was reported at the time of data extraction. It is a subset of the count of hospitalized cases. It includes cases that have been treated or that are currently being treated in an ICU.

    Orientation of case counts by geography is based on the diagnosing health unit (DHU). DHU refers to the case's public health unit of residence at the time of illness onset and not necessarily the location of exposure. Cases for which the DHU was reported as MOH (to signify a case that is not a resident of Ontario) have been excluded from the analyses. Orientation of case counts by geography is based on the diagnosing health unit (DHU). DHU refers to the case's public health unit of residence at the time of illness onset and not necessarily the location of exposure. Cases for which the DHU was reported as MOH (to signify a case that is not a resident of Ontario) have been excluded from the analyses.

    Likely source of acquisition is determined by examining the epidemiologic link and epidemiologic link status fields in CCM and local systems. If no epidemiologic link is identified in those fields the risk factor fields are examined to determine whether a case travelled, was associated with a confirmed outbreak, was a contact of a case, had no known epidemiological link (sporadic community transmission) or was reported to have an unknown source/no information was reported. Some cases may have no informati Likely source of acquisition is determined by examining the epidemiologic link and epidemiologic link status fields in CCM and local systems. If no epidemiologic link is identified in those fields the risk factor fields are examined to determine whether a case travelled, was associated with a confirmed outbreak, was a contact of a case, had no known epidemiological link (sporadic community transmission) or was reported to have an unknown source/no information was reported. Some cases may have no informati

    For cases with an episode date on or after April 1, 2020: Outbreak-associated > close contact of a confirmed case > travel > no known epidemiological link > information missing or unknown For cases with an episode date on or after April 1, 2020: Outbreak-associated > close contact of a confirmed case > travel > no known epidemiological link > information missing or unknown

    For cases with an episode date before April 1, 2020: Travel > outbreak-associated > close contact of a confirmed case > no known epidemiological link > information missing or unknown For cases with an episode date before April 1, 2020: Travel > outbreak-associated > close contact of a confirmed case > no known epidemiological link > information missing or unknown

    Deaths are determined by using the outcome field in CCM plus. Any case marked ‘Fatal’ is included in the deaths data. The CCM field Type of Death is not used to further categorize the data. Deaths are determined by using the outcome field in CCM plus. Any case marked ‘Fatal’ is included in the deaths data. The CCM field Type of Death is not used to further categorize the data.

    The date of death is determined using the outcome date field for cases marked as ‘Fatal’ in the outcome field. The date of death is determined using the outcome date field for cases marked as ‘Fatal’ in the outcome field. The date of death is determined using the outcome date field for cases marked as ‘Fatal’ in the outcome field.

    COVID-19 cases from CCM plus for which the Classification and/or Disposition was reported as ENTERED IN ERROR, DOES NOT MEET DEFINITION, IGNORE, DUPLICATE, or any variation on these values have been excluded. The provincial case count for COVID-19 includes cases that are counted once across all systems from which the case data are obtained. Duplicate records may exist if these records were not identified and resolved prior to data upload to the Ministry. COVID-19 cases from CCM plus for which the Classification and/or Disposition was reported as ENTERED IN ERROR, DOES NOT MEET DEFINITION, IGNORE, DUPLICATE, or any variation on these values have been excluded. The provincial case count for COVID-19 includes cases that are counted once across all systems from which the case data are obtained. Duplicate records may exist if these records were not identified and resolved prior to data upload to the Ministry.

    Ongoing outbreaks include all outbreaks that are ‘Open’ in CCM plus without a ‘Declared Over Date’ recorded, or where the outbreak started more than five months ago, even for outbreaks where the Outbreak Status value selected in CCM/iPHIS is 'OPEN'. The start of the outbreak is determined by the onset date of first case, or if missing the outbreak reported date, or else if that is also missing, then the outbreak created date. Ongoing outbreaks include all outbreaks that are ‘Open’ in CCM plus without a ‘Declared Over Date’ recorded, or where the outbreak started more than five months ago, even for outbreaks where the Outbreak Status value selected in CCM/iPHIS is 'OPEN'. The start of the outbreak is determined by the onset date of first case, or if missing the outbreak reported date, or else if that is also missing, then the outbreak created date.

    ‘Long-term care home residents’ includes cases that reported ‘Yes’ to the risk factor ‘Resident of a long-term care home’; or ‘Yes’ to the risk factor ‘Resident of nursing home or other chronic care facility’ and reported to be part of an outbreak assigned as a long-term care home (via the Outbreak number or case comments field); or were reported to be part of an outbreak assigned as a long-term care home (via the outbreak number or case comments field) with an age over 70 years and did not report ‘No’ t ‘Long-term care home residents’ includes cases that reported ‘Yes’ to the risk factor ‘Resident of a long-term care home’; or ‘Yes’ to the risk factor ‘Resident of nursing home or other chronic care facility’ and reported to be part of an outbreak assigned as a long-term care home (via the Outbreak number or case comments field); or were reported to be part of an outbreak assigned as a long-term care home (via the outbreak number or case comments field) with an age over 70 years and did not report ‘No’ t

    The ‘health care workers’ variable includes cases that reported ‘Yes’ to any of the occupation of health care worker, doctor, nurse, dentist, dental hygienist, midwife, other medical technicians, personal support worker, respiratory therapist, first responder. The ‘health care workers’ variable includes cases that reported ‘Yes’ to any of the occupation of health care worker, doctor, nurse, dentist, dental hygienist, midwife, other medical technicians, personal support worker, respiratory therapist, first responder.

    ‘Health care workers associated with long-term care outbreaks’ includes ‘health care workers’ reported to be part of an outbreak assigned as a long-term care home (via the outbreak number or case comments field). Excludes cases that reported ‘Yes’ to risk factors ‘Resident of long-term care home’ or ‘Resident of nursing home or other chronic care facility’ and ‘Yes’ to the calculated ‘health care workers’ variable. ‘Health care workers associated with long-term care outbreaks’ includes ‘health care workers’ reported to be part of an outbreak assigned as a long-term care home (via the outbreak number or case comments field). Excludes cases that reported ‘Yes’ to risk factors ‘Resident of long-term care home’ or ‘Resident of nursing home or other chronic care facility’ and ‘Yes’ to the calculated ‘health care workers’ variable.

    Percent change is calculated by taking the difference between the current period (i.e., daily count or sum of the daily count over a 7-day period) and previous period (i.e., daily count or sum of the daily count over a 7-day period), divided by the previous period. Percent change is calculated by taking the difference between the current period (i.e., daily count or sum of the daily count over a 7-day period) and previous period (i.e., daily count or sum of the daily count over a 7-day period), divided by the previous period.

    Appendix A Table A1. Weekly rates of confirmed COVID-19 cases per 100,000 population over recent rolling 7-day periods, by reported date and public health unit: Ontario, December 13, 2020 to December 25, 2020 TableTRTHSpanPublic Health Unit Name

    THSpanDec 13 to Dec 19

    THSpanDec 14 to Dec 20

    THSpanDec 15 to Dec 21

    THSpanDec 16 to Dec 22

    THSpanDec 17 to Dec 23

    THSpanDec 18 to Dec 24

    THSpanDec 19 to Dec 25

    THSpan% change from Dec 13-19 to Dec 19-25

    Span

    TRTDSpanNORTH WEST

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TRTDSpanNorthwestern Health Unit

    TDSpan5.7

    TDSpan5.7

    TDSpan10.3

    TDSpan11.4

    TDSpan11.4

    TDSpan19.4

    TDSpan19.4

    TDSpan+240.4%

    TRTDSpanThunder Bay District Health Unit

    TDSpan44.7

    TDSpan44.0

    TDSpan48.7

    TDSpan58.0

    TDSpan58.0

    TDSpan50.7

    TDSpan46.7

    TDSpan+4.5%

    TRTDSpanNORTH EAST

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TRTDSpanAlgoma Public Health

    TDSpan0.0

    TDSpan0.0

    TDSpan0.0

    TDSpan0.9

    TDSpan1.7

    TDSpan1.7

    TDSpan1.7

    TDSpanN/A

    TRTDSpanNorth Bay Parry Sound District Health Unit

    TDSpan12.3

    TDSpan12.3

    TDSpan12.3

    TDSpan13.1

    TDSpan10.8

    TDSpan12.3

    TDSpan9.2

    TDSpan-25.2%

    TRTDSpanPorcupine Health Unit

    TDSpan4.8

    TDSpan3.6

    TDSpan8.4

    TDSpan10.8

    TDSpan10.8

    TDSpan9.6

    TDSpan9.6

    TDSpan+100.0%

    TRTDSpanPublic Health Sudbury & Districts

    TDSpan4.0

    TDSpan4.0

    TDSpan5.0

    TDSpan5.5

    TDSpan6.0

    TDSpan5.5

    TDSpan6.5

    TDSpan+62.5%

    TRTDSpanTimiskaming Health Unit

    TDSpan33.7

    TDSpan36.7

    TDSpan45.9

    TDSpan55.1

    TDSpan61.2

    TDSpan70.4

    TDSpan79.5

    TDSpan+135.9%

    TRTDSpanEASTERN

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TRTDSpanOttawa Public Health

    TDSpan27.0

    TDSpan26.6

    TDSpan27.2

    TDSpan30.2

    TDSpan29.6

    TDSpan31.6

    TDSpan36.7

    TDSpan+35.9%

    Span

    TableTRTHSpanPublic Health Unit Name

    THSpanDec 13 to Dec 19

    THSpanDec 14 to Dec 20

    THSpanDec 15 to Dec 21

    THSpanDec 16 to Dec 22

    THSpanDec 17 to Dec 23

    THSpanDec 18 to Dec 24

    THSpanDec 19 to Dec 25

    THSpan% change from Dec 13-19 to Dec 19-25

    Span

    TRTDSpanEastern Ontario Health Unit

    TDSpan45.5

    TDSpan41.7

    TDSpan41.7

    TDSpan46.5

    TDSpan49.4

    TDSpan53.2

    TDSpan50.8

    TDSpan+11.6%

    TRTDSpanHastings Prince Edward Public Health

    TDSpan14.8

    TDSpan16.6

    TDSpan14.8

    TDSpan15.4

    TDSpan16.6

    TDSpan14.8

    TDSpan11.3

    TDSpan-23.6%

    TRTDSpanKingston, Frontenac and Lennox & Addington Public Health

    TDSpan35.7

    TDSpan35.7

    TDSpan32.4

    TDSpan28.7

    TDSpan27.3

    TDSpan27.3

    TDSpan22.1

    TDSpan-38.1%

    TRTDSpanLeeds, Grenville & Lanark District Health Unit

    TDSpan21.4

    TDSpan20.8

    TDSpan19.6

    TDSpan17.9

    TDSpan13.9

    TDSpan12.1

    TDSpan9.8

    TDSpan-54.2%

    TRTDSpanRenfrew County and District Health Unit

    TDSpan15.6

    TDSpan13.8

    TDSpan16.6

    TDSpan16.6

    TDSpan13.8

    TDSpan10.1

    TDSpan12.9

    TDSpan-17.3%

    TRTDSpanCENTRAL EAST

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TRTDSpanDurham Region Health Department

    TDSpan88.9

    TDSpan93.2

    TDSpan96.9

    TDSpan96.7

    TDSpan96.4

    TDSpan92.1

    TDSpan89.1

    TDSpan+0.2%

    TRTDSpanHaliburton, Kawartha, Pine Ridge District Health Unit

    TDSpan24.3

    TDSpan23.8

    TDSpan24.9

    TDSpan23.8

    TDSpan25.4

    TDSpan26.5

    TDSpan25.4

    TDSpan+4.5%

    TRTDSpanPeel Public Health

    TDSpan201.3

    TDSpan208.6

    TDSpan195.1

    TDSpan190.9

    TDSpan194.2

    TDSpan190.4

    TDSpan182.0

    TDSpan-9.6%

    Span

    TableTRTHSpanPublic Health Unit Name

    THSpanDec 13 to Dec 19

    THSpanDec 14 to Dec 20

    THSpanDec 15 to Dec 21

    THSpanDec 16 to Dec 22

    THSpanDec 17 to Dec 23

    THSpanDec 18 to Dec 24

    THSpanDec 19 to Dec 25

    THSpan% change from Dec 13-19 to Dec 19-25

    Span

    TRTDSpanPeterborough Public Health

    TDSpan16.2

    TDSpan16.2

    TDSpan19.6

    TDSpan20.3

    TDSpan20.3

    TDSpan22.3

    TDSpan31.8

    TDSpan+96.3%

    TRTDSpanSimcoe Muskoka District Health Unit

    TDSpan59.5

    TDSpan60.9

    TDSpan62.4

    TDSpan63.4

    TDSpan59.5

    TDSpan57.7

    TDSpan57.2

    TDSpan-3.9%

    TRTDSpanYork Region Public Health

    TDSpan120.7

    TDSpan119.4

    TDSpan124.2

    TDSpan128.1

    TDSpan129.5

    TDSpan130.5

    TDSpan129.2

    TDSpan+7.0%

    TRTDSpanTORONTO

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TRTDSpanToronto Public Health

    TDSpan147.1

    TDSpan149.9

    TDSpan145.3

    TDSpan149.9

    TDSpan145.3

    TDSpan141.2

    TDSpan141.6

    TDSpan-3.7%

    TRTDSpanSOUTH WEST

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TRTDSpanChatham-Kent Public Health

    TDSpan32.9

    TDSpan32.0

    TDSpan35.7

    TDSpan41.4

    TDSpan38.6

    TDSpan36.7

    TDSpan46.1

    TDSpan+40.1%

    TRTDSpanGrey Bruce Health Unit

    TDSpan17.7

    TDSpan17.1

    TDSpan18.8

    TDSpan21.2

    TDSpan23.0

    TDSpan21.2

    TDSpan21.8

    TDSpan+23.2%

    TRTDSpanHuron Perth Public Health

    TDSpan51.5

    TDSpan54.4

    TDSpan58.7

    TDSpan52.2

    TDSpan50.8

    TDSpan61.5

    TDSpan63.7

    TDSpan+23.7%

    TRTDSpanLambton Public Health

    TDSpan55.7

    TDSpan57.3

    TDSpan64.9

    TDSpan82.5

    TDSpan77.1

    TDSpan77.1

    TDSpan83.2

    TDSpan+49.4%

    TRTDSpanMiddlesex-London Health Unit

    TDSpan76.3

    TDSpan83.7

    TDSpan88.9

    TDSpan100.3

    TDSpan99.1

    TDSpan92.8

    TDSpan87.9

    TDSpan+15.2%

    TRTDSpanSouthwestern Public Health

    TDSpan78.0

    TDSpan77.1

    TDSpan95.0

    TDSpan103.5

    TDSpan96.5

    TDSpan96.5

    TDSpan104.0

    TDSpan+33.3%

    TRTDSpanWindsor-Essex County Health Unit

    TDSpan268.8

    TDSpan275.4

    TDSpan286.5

    TDSpan289.1

    TDSpan274.2

    TDSpan253.7

    TDSpan262.2

    TDSpan-2.5%

    Span

    TableTRTHSpanPublic Health Unit Name

    THSpanDec 13 to Dec 19

    THSpanDec 14 to Dec 20

    THSpanDec 15 to Dec 21

    THSpanDec 16 to Dec 22

    THSpanDec 17 to Dec 23

    THSpanDec 18 to Dec 24

    THSpanDec 19 to Dec 25

    THSpan% change from Dec 13-19 to Dec 19-25

    Span

    TRTDSpanCENTRAL WEST

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TRTDSpanBrant County Health Unit

    TDSpan70.9

    TDSpan60.6

    TDSpan60.6

    TDSpan62.5

    TDSpan63.1

    TDSpan51.5

    TDSpan49.6

    TDSpan-30.0%

    TRTDSpanCity of Hamilton Public Health Services

    TDSpan121.4

    TDSpan119.6

    TDSpan121.6

    TDSpan126.0

    TDSpan123.1

    TDSpan108.4

    TDSpan109.1

    TDSpan-10.1%

    TRTDSpanHaldimand-Norfolk Health Unit

    TDSpan59.6

    TDSpan59.6

    TDSpan62.2

    TDSpan61.4

    TDSpan70.1

    TDSpan75.4

    TDSpan72.8

    TDSpan+22.1%

    TRTDSpanHalton Region Public Health

    TDSpan84.0

    TDSpan85.6

    TDSpan86.9

    TDSpan84.6

    TDSpan83.3

    TDSpan87.9

    TDSpan83.7

    TDSpan-0.4%

    TRTDSpanNiagara Region Public Health

    TDSpan107.5

    TDSpan109.4

    TDSpan112.6

    TDSpan118.5

    TDSpan125.1

    TDSpan131.9

    TDSpan114.3

    TDSpan+6.3%

    TRTDSpanRegion of Waterloo Public Health and Emergency Services

    TDSpan98.2

    TDSpan98.7

    TDSpan106.1

    TDSpan106.4

    TDSpan110.7

    TDSpan109.2

    TDSpan104.2

    TDSpan+6.1%

    TRTDSpanWellington-Dufferin-Guelph Public Health

    TDSpan93.9

    TDSpan91.7

    TDSpan95.9

    TDSpan96.8

    TDSpan103.2

    TDSpan105.5

    TDSpan93.9

    TDSpan0.0%

    TRTDSpanTOTAL ONTARIO

    TDSpan105.7

    TDSpan107.5

    TDSpan107.4

    TDSpan109.7

    TDSpan108.7

    TDSpan106.4

    TDSpan104.7

    TDSpan-0.9%

    Span

    Note: Rates are based on the sum of the daily case counts during the date ranges specified in each column. Data Source: CCM plus Disclaimer This document was developed by Public Health Ontario (PHO). PHO provides scientific and technical advice to Ontario’s government, public health organizations and health care providers. PHO’s work is guided by the current best available evidence at the time of publication. The application and use of this document is the responsibility of the user. PHO assumes no liability resulting from any such application or use. This document may be reproduced without permission for non-commercial purposes only and provided that appropriate credit is given to PHO. No changes and/or modifications may be made to this document without express written permission from PHO. Citation Ontario Agency for Health Protection and Promotion (Public Health Ontario). Epidemiologic summary: COVID-19 in Ontario – January 15, 2020 to December 28, 2020. Toronto, ON: Queen’s Printer for Ontario; 2020. For Further Information For more information, email For more information, email [email protected]@oahpp.ca

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    Public Health Ontario Public Health Ontario is an agency of the Government of Ontario dedicated to protecting and promoting the health of all Ontarians and reducing inequities in health. Public Health Ontario links public health practitioners, front-line health workers and researchers to the best scientific intelligence and knowledge from around the world. For more information about PHO, visit For more information about PHO, visit publichealthontario.capublichealthontario.ca

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    Figure