covid-19 in ontario: january 15, 2020 to january 4, 2021 · includes all confirmed cases of...

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COVID-19 in Ontario: January 15, 2020 to January 4, 2021 1 Daily Epidemiologic Summary COVID-19 in Ontario: January 15, 2020 to January 4, 2021 This report includes the most current information available from CCM and other case management systems (CCM plus) as of January 4, 2021. 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 197,360 confirmed cases of COVID-19 in Ontario reported to date. Compared to the previous day, this represents: An increase of 3,128 confirmed cases (percent change of -4.3%) An increase of 51 deaths (percent change of +75.9%) An increase of 2,015 resolved cases (percent change of -2.8%) 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 January 4, 2021 1

    Daily Epidemiologic Summary

    COVID-19 in Ontario: January 15, 2020 to January 4, 2021

    This report includes the most current information available from CCM and other case management systems (CCM plus) as of January 4, 2021.

    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 197,360 confirmed cases of COVID-19 in Ontario reported to date.

    Compared to the previous day, this represents:

    An increase of 3,128 confirmed cases (percent change of -4.3%)

    An increase of 51 deaths (percent change of +75.9%)

    An increase of 2,015 resolved cases (percent change of -2.8%)

    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 January 4, 2021 2

    Case Characteristics

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

    Change in cases

    January 3, 2021

    Change in cases

    January 4, 2021

    Percentage change

    January 4, 2021 compared to

    January 3, 2021

    Cumulative case count

    as of January 4, 2021

    Total number of cases 3,270 3,128 -4.3% 197,360

    Number of deaths 29 51 +75.9% 4,730

    Number resolved 2,074 2,015 -2.8% 166,790

    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 January 4, 2021 3

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

    Change in cases

    January 3, 2021

    Change in cases

    January 4, 2021

    Cumulative case count

    as of January 4, 2021

    Gender: Male 1,542 1,483 96,459

    Gender: Female 1,692 1,650 99,684

    Ages: 19 and under 380 450 25,543

    Ages: 20-39 1,238 1,140 71,852

    Ages: 40-59 979 880 56,977

    Ages: 60-79 495 456 28,568

    Ages: 80 and over 177 203 14,371

    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, 2020 to January 4, 2021: Ontario

    Change in cases

    January 3, 2021

    Change in cases

    January 4, 2021

    Cumulative case count from August 30, 2020

    to January 4, 2021

    Ages: 4 to 8 56 90 4,105

    Ages: 9 to 13 80 92 5,775

    Ages: 14 to 17 98 123 5,772

    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 January 4, 2021 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

    January 3, 2021

    Change in cases

    January 4, 2021

    Cumulative case count as of January 4, 2021

    Residents 76 142 11,511

    Health care workers 37 45 4,479

    Deaths among residents 14 22 2,865

    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 January 4, 2021 5

    Time

    Figure 1. Confirmed cases of COVID-19 by likely acquisition and public health unit reported date: Ontario, January 15, 2020 to January 4, 2021

    Data Source: CCM plus

  • COVID-19 in Ontario: January 15, 2020 to January 4, 2021 6

    Figure 2. Confirmed cases of COVID-19 by likely acquisition and approximation of symptom onset date: Ontario, January 15, 2020 to January 4, 2021

    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 January 4, 2021 7

    Figure 3. Number of COVID-19 tests completed and percent positivity: Ontario, March 29, 2020 to January 3, 2021

    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 January 4, 2021 8

    Severity Figure 4. Confirmed deaths among COVID-19 cases by date of death: Ontario, March 1, 2020 to January 4, 2021

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

    Data Source: CCM plus

  • COVID-19 in Ontario: January 15, 2020 to January 4, 2021 9

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

    Blank cell Cumulative case count as of January 4, 2021

    Percentage of all cases

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

    4,730 2.4%

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

    Deaths reported in ages: 20-39 21 < 0.1%

    Deaths reported in ages: 40-59 183 0.3%

    Deaths reported in ages: 60-79 1,265 4.4%

    Deaths reported in ages: 80 and over 3,259 22.7%

    Ever in ICU 2,012 1.0%

    Ever hospitalized 10,182 5.2%

    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

  • COVID-19 in Ontario: January 15, 2020 to January 4, 2021 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

    January 3, 2021

    Change in cases

    January 4, 2021

    Cumulative case count

    Cumulative rate per 100,000 population

    Northwestern Health Unit 0 2 179 204.2

    Thunder Bay District Health Unit 6 5 604 402.8

    TOTAL NORTH WEST 6 7 783 329.5

    Algoma Public Health 4 4 85 74.3

    North Bay Parry Sound District Health Unit

    3 3 141 108.7

    Porcupine Health Unit 1 1 133 159.4

    Public Health Sudbury & Districts 1 4 289 145.2

    Timiskaming Health Unit 0 0 79 241.7

    TOTAL NORTH EAST 9 12 727 130.0

    Ottawa Public Health 131 126 10,598 1,004.9

    Eastern Ontario Health Unit 55 45 1,617 774.8

    Hastings Prince Edward Public Health

    0 9 303 179.8

    Kingston, Frontenac and Lennox & Addington Public Health

    4 9 564 265.1

    Leeds, Grenville & Lanark District Health Unit

    2 4 705 407.1

    Renfrew County and District Health Unit

    11 2 253 232.9

  • COVID-19 in Ontario: January 15, 2020 to January 4, 2021 11

    Public Health Unit Name

    Change in cases

    January 3, 2021

    Change in cases

    January 4, 2021

    Cumulative case count

    Cumulative rate per 100,000 population

    TOTAL EASTERN 203 195 14,040 728.8

    Durham Region Health Department

    122 172 8,010 1,124.4

    Haliburton, Kawartha, Pine Ridge District Health Unit

    11 7 576 304.9

    Peel Public Health 581 614 42,038 2,617.6

    Peterborough Public Health 6 -1 387 261.5

    Simcoe Muskoka District Health Unit

    54 72 3,883 647.6

    York Region Public Health 389 213 18,939 1,545.0

    TOTAL CENTRAL EAST 1,163 1,077 73,833 1,647.8

    Toronto Public Health 917 778 62,354 1,998.3

    TOTAL TORONTO 917 778 62,354 1,998.3

    Chatham-Kent Public Health 25 39 798 750.6

    Grey Bruce Health Unit 2 7 489 287.8

    Huron Perth Public Health 22 21 781 558.8

    Lambton Public Health 77 62 1,050 801.7

    Middlesex-London Health Unit 98 151 3,698 728.6

    Southwestern Public Health 42 35 1,541 728.6

    Windsor-Essex County Health Unit

    246 142 8,528 2,007.4

    TOTAL SOUTH WEST 512 457 16,885 998.7

    Brant County Health Unit 29 29 1,102 710.0

  • COVID-19 in Ontario: January 15, 2020 to January 4, 2021 12

    Public Health Unit Name

    Change in cases

    January 3, 2021

    Change in cases

    January 4, 2021

    Cumulative case count

    Cumulative rate per 100,000 population

    City of Hamilton Public Health Services

    94 151 6,717 1,134.3

    Haldimand-Norfolk Health Unit 7 18 994 871.3

    Halton Region Public Health 70 128 6,178 997.9

    Niagara Region Public Health 86 101 4,504 953.3

    Region of Waterloo Public Health and Emergency Services

    126 129 6,388 1,093.2

    Wellington-Dufferin-Guelph Public Health

    48 46 2,855 915.3

    TOTAL CENTRAL WEST 460 602 28,738 1,008.6

    TOTAL ONTARIO 3,270 3,128 197,360 1,327.7

    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 January 4, 2021 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

    January 3, 2021

    Change in outbreaks January 4,

    2021

    Number of ongoing

    outbreaks

    Cumulative number of outbreaks reported

    Long-term care homes 11 8 235 972

    Retirement homes 8 4 138 518

    Hospitals 3 3 63 258

    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 January 4, 2021 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 January 4, 2021 at 1 p.m.

    Information successfully uploaded to the Ministry from Local Systems: Toronto Public Health (Coronavirus Rapid Entry System) CORES as of January 4, 2021 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 January 4, 2021 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 January 4, 2021 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 January 4, 2021 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 January 4, 2021 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 20, 2020 to January 1, 2020

    Public Health Unit Name

    Dec 20 to

    Dec 26

    Dec 21 to

    Dec 27

    Dec 22 to

    Dec 28

    Dec 23 to

    Dec 29

    Dec 24 to

    Dec 30

    Dec 25 to

    Dec 31

    Dec 26 to

    Jan 1

    % change from

    Dec 20-26 to Dec 26-

    Jan 1

    NORTH WEST

    Northwestern Health Unit

    24.0 25.1 20.5 20.5 24.0 20.5 18.2 -24.2%

    Thunder Bay District Health Unit

    40.0 41.3 38.0 26.0 22.7 18.7 16.0 -60.0%

    NORTH EAST

    Algoma Public Health

    2.6 2.6 2.6 1.7 0.9 7.0 10.5 +303.8%

    North Bay Parry Sound District Health Unit

    10.0 8.5 9.2 9.2 10.8 7.7 10.0 0.0%

    Porcupine Health Unit

    7.2 8.4 3.6 1.2 3.6 3.6 4.8 -33.3%

    Public Health Sudbury & Districts

    6.5 6.0 7.0 8.0 9.0 10.6 11.1 +70.8%

    Timiskaming Health Unit

    76.5 76.5 67.3 70.4 61.2 58.1 52.0 -32.0%

    EASTERN

    Ottawa Public Health

    34.6 38.1 40.2 46.0 54.2 57.5 61.7 +78.3%

  • COVID-19 in Ontario: January 15, 2020 to January 4, 2021 18

    Public Health Unit Name

    Dec 20 to

    Dec 26

    Dec 21 to

    Dec 27

    Dec 22 to

    Dec 28

    Dec 23 to

    Dec 29

    Dec 24 to

    Dec 30

    Dec 25 to

    Dec 31

    Dec 26 to

    Jan 1

    % change from

    Dec 20-26 to Dec 26-

    Jan 1

    Eastern Ontario Health Unit

    49.8 54.6 58.5 67.6 78.1 89.1 108.8 +118.5%

    Hastings Prince Edward Public Health

    9.5 9.5 8.9 10.7 10.1 17.8 19.6 +106.3%

    Kingston, Frontenac and Lennox & Addington Public Health

    24.4 21.2 22.6 19.3 21.2 20.7 21.2 -13.1%

    Leeds, Grenville & Lanark District Health Unit

    9.8 11.5 13.9 19.6 19.1 22.5 28.9 +194.9%

    Renfrew County and District Health Unit

    9.2 10.1 10.1 11.0 12.0 10.1 12.9 +40.2%

    CENTRAL EAST

    Durham Region Health Department

    87.9 84.1 84.9 87.7 94.6 105.4 113.7 +29.4%

    Haliburton, Kawartha, Pine Ridge District Health Unit

    22.8 20.6 20.6 22.2 24.9 30.2 33.9 +48.7%

    Peel Public Health

    177.0 173.9 173.9 178.3 180.5 196.6 215.0 +21.5%

  • COVID-19 in Ontario: January 15, 2020 to January 4, 2021 19

    Public Health Unit Name

    Dec 20 to

    Dec 26

    Dec 21 to

    Dec 27

    Dec 22 to

    Dec 28

    Dec 23 to

    Dec 29

    Dec 24 to

    Dec 30

    Dec 25 to

    Dec 31

    Dec 26 to

    Jan 1

    % change from

    Dec 20-26 to Dec 26-

    Jan 1

    Peterborough Public Health

    30.4 33.8 31.1 30.4 41.9 41.9 46.6 +53.3%

    Simcoe Muskoka District Health Unit

    57.5 56.9 61.2 60.0 63.7 67.9 64.5 +12.2%

    York Region Public Health

    121.7 114.5 125.6 136.4 150.4 163.6 167.6 +37.7%

    TORONTO

    Toronto Public Health

    146.5 142.3 147.6 154.5 151.9 161.2 165.8 +13.2%

    SOUTH WEST

    Chatham-Kent Public Health

    46.1 52.7 64.9 77.1 83.7 98.8 106.3 +130.6%

    Grey Bruce Health Unit

    20.6 18.8 17.1 15.3 15.9 17.7 24.1 +17.0%

    Huron Perth Public Health

    76.6 74.4 73.7 78.0 73.7 68.0 81.6 +6.5%

    Lambton Public Health

    104.6 115.3 125.2 125.2 136.7 193.9 215.3 +105.8%

    Middlesex-London Health Unit

    91.6 92.4 95.6 104.8 107.2 113.7 119.8 +30.8%

    Southwestern Public Health

    102.6 109.7 103.5 113.0 137.6 157.9 158.4 +54.4%

    Windsor-Essex County Health Unit

    272.3 277.1 291.9 288.6 302.9 327.9 324.6 +19.2%

  • COVID-19 in Ontario: January 15, 2020 to January 4, 2021 20

    Public Health Unit Name

    Dec 20 to

    Dec 26

    Dec 21 to

    Dec 27

    Dec 22 to

    Dec 28

    Dec 23 to

    Dec 29

    Dec 24 to

    Dec 30

    Dec 25 to

    Dec 31

    Dec 26 to

    Jan 1

    % change from

    Dec 20-26 to Dec 26-

    Jan 1

    CENTRAL WEST

    Brant County Health Unit

    50.9 52.2 61.9 61.2 63.8 78.6 87.0 +70.9%

    City of Hamilton Public Health Services

    106.6 115.2 123.1 128.5 141.2 153.5 159.2 +49.3%

    Haldimand-Norfolk Health Unit

    57.0 60.5 52.6 61.4 91.2 87.7 109.6 +92.3%

    Halton Region Public Health

    86.7 86.7 95.1 93.7 96.8 103.9 112.7 +30.0%

    Niagara Region Public Health

    109.8 117.9 121.9 127.8 139.7 141.0 154.3 +40.5%

    Region of Waterloo Public Health and Emergency Services

    97.0 91.4 88.0 93.9 88.1 86.8 100.6 +3.7%

    Wellington-Dufferin-Guelph Public Health

    95.5 99.1 103.2 102.3 96.8 100.4 111.6 +16.9%

    TOTAL ONTARIO

    104.5 103.6 107.4 111.9 116.0 124.7 131.7 +26.0%

    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 January 4, 2021 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 January 4, 2021. Toronto, ON: Queen’s Printer for Ontario; 2021.

    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 January 4, 2021 This report includes the most current information available from CCM and other case management systems (CCM plus) as of January 4, 2021. 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 197,360 confirmed cases of COVID-19 in Ontario reported to date. There are a total of 197,360 confirmed cases of COVID-19 in Ontario reported to date. There are a total of 197,360 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 3,128 confirmed cases (percent change of -4.3%) An increase of 3,128 confirmed cases (percent change of -4.3%)

    An increase of 51 deaths (percent change of +75.9%) An increase of 51 deaths (percent change of +75.9%)

    An increase of 2,015 resolved cases (percent change of -2.8%) An increase of 2,015 resolved cases (percent change of -2.8%)

    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 January 3, 2021

    THSpanChange in cases January 4, 2021

    THSpanPercentage change January 4, 2021 compared to January 3, 2021

    THSpanCumulative case count as of January 4, 2021

    Span

    TRTDSpanTotal number of cases

    TDSpan3,270

    TDSpan3,128

    TDSpan-4.3%

    TDSpan197,360

    TRTDSpanNumber of deaths

    TDSpan29

    TDSpan51

    TDSpan+75.9%

    TDSpan4,730

    TRTDSpanNumber resolved

    TDSpan2,074

    TDSpan2,015

    TDSpan-2.8%

    TDSpan166,790

    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 January 3, 2021

    THSpanChange in cases January 4, 2021

    THSpanCumulative case count as of January 4, 2021

    Span

    TRTDSpanGender: Male

    TDSpan1,542

    TDSpan1,483

    TDSpan96,459

    TRTDSpanGender: Female

    TDSpan1,692

    TDSpan1,650

    TDSpan99,684

    TRTDSpanAges: 19 and under

    TDSpan380

    TDSpan450

    TDSpan25,543

    TRTDSpanAges: 20-39

    TDSpan1,238

    TDSpan1,140

    TDSpan71,852

    TRTDSpanAges: 40-59

    TDSpan979

    TDSpan880

    TDSpan56,977

    TRTDSpanAges: 60-79

    TDSpan495

    TDSpan456

    TDSpan28,568

    TRTDSpanAges: 80 and over

    TDSpan177

    TDSpan203

    TDSpan14,371

    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, 2020 to January 4, 2021: Ontario TableTRTHSpan

    THSpanChange in cases January 3, 2021

    THSpanChange in cases January 4, 2021

    THSpanCumulative case count from August 30, 2020 to January 4, 2021

    Span

    TRTDSpanAges: 4 to 8

    TDSpan56

    TDSpan90

    TDSpan4,105

    TRTDSpanAges: 9 to 13

    TDSpan80

    TDSpan92

    TDSpan5,775

    TRTDSpanAges: 14 to 17

    TDSpan98

    TDSpan123

    TDSpan5,772

    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 January 3, 2021

    THSpanChange in cases January 4, 2021

    THSpanCumulative case count as of January 4, 2021

    Span

    TRTDSpanResidents

    TDSpan76

    TDSpan142

    TDSpan11,511

    TRTDSpanHealth care workers

    TDSpan37

    TDSpan45

    TDSpan4,479

    TRTDSpanDeaths among residents

    TDSpan14

    TDSpan22

    TDSpan2,865

    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 January 4, 2021 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 January 4, 2021 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 January 3, 2021 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 January 4, 2021 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 January 4, 2021

    THSpanPercentage of all cases

    Span

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

    TDSpan4,730

    TDSpan2.4%

    TRTDSpanDeaths reported in ages: 19 and under

    TDSpan1

    TDSpan< 0.1%

    TRTDSpanDeaths reported in ages: 20-39

    TDSpan21

    TDSpan< 0.1%

    TRTDSpanDeaths reported in ages: 40-59

    TDSpan183

    TDSpan0.3%

    TRTDSpanDeaths reported in ages: 60-79

    TDSpan1,265

    TDSpan4.4%

    TRTDSpanDeaths reported in ages: 80 and over

    TDSpan3,259

    TDSpan22.7%

    TRTDSpanEver in ICU

    TDSpan2,012

    TDSpan1.0%

    TRTDSpanEver hospitalized

    TDSpan10,182

    TDSpan5.2%

    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 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 January 3, 2021

    THSpanChange in cases January 4, 2021

    THSpanCumulative case count

    THSpanCumulative rate per 100,000 population

    Span

    TRTDSpanNorthwestern Health Unit

    TDSpan0

    TDSpan2

    TDSpan179

    TDSpan204.2

    TRTDSpanThunder Bay District Health Unit

    TDSpan6

    TDSpan5

    TDSpan604

    TDSpan402.8

    TRTDSpanTOTAL NORTH WEST

    TDSpan6

    TDSpan7

    TDSpan783

    TDSpan329.5

    TRTDSpanAlgoma Public Health

    TDSpan4

    TDSpan4

    TDSpan85

    TDSpan74.3

    TRTDSpanNorth Bay Parry Sound District Health Unit

    TDSpan3

    TDSpan3

    TDSpan141

    TDSpan108.7

    TRTDSpanPorcupine Health Unit

    TDSpan1

    TDSpan1

    TDSpan133

    TDSpan159.4

    TRTDSpanPublic Health Sudbury & Districts

    TDSpan1

    TDSpan4

    TDSpan289

    TDSpan145.2

    TRTDSpanTimiskaming Health Unit

    TDSpan0

    TDSpan0

    TDSpan79

    TDSpan241.7

    TRTDSpanTOTAL NORTH EAST

    TDSpan9

    TDSpan12

    TDSpan727

    TDSpan130.0

    TRTDSpanOttawa Public Health

    TDSpan131

    TDSpan126

    TDSpan10,598

    TDSpan1,004.9

    TRTDSpanEastern Ontario Health Unit

    TDSpan55

    TDSpan45

    TDSpan1,617

    TDSpan774.8

    TRTDSpanHastings Prince Edward Public Health

    TDSpan0

    TDSpan9

    TDSpan303

    TDSpan179.8

    TRTDSpanKingston, Frontenac and Lennox & Addington Public Health

    TDSpan4

    TDSpan9

    TDSpan564

    TDSpan265.1

    TRTDSpanLeeds, Grenville & Lanark District Health Unit

    TDSpan2

    TDSpan4

    TDSpan705

    TDSpan407.1

    TRTDSpanRenfrew County and District Health Unit

    TDSpan11

    TDSpan2

    TDSpan253

    TDSpan232.9

    Span

    TableTRTHSpanPublic Health Unit Name

    THSpanChange in cases January 3, 2021

    THSpanChange in cases January 4, 2021

    THSpanCumulative case count

    THSpanCumulative rate per 100,000 population

    Span

    TRTDSpanTOTAL EASTERN

    TDSpan203

    TDSpan195

    TDSpan14,040

    TDSpan728.8

    TRTDSpanDurham Region Health Department

    TDSpan122

    TDSpan172

    TDSpan8,010

    TDSpan1,124.4

    TRTDSpanHaliburton, Kawartha, Pine Ridge District Health Unit

    TDSpan11

    TDSpan7

    TDSpan576

    TDSpan304.9

    TRTDSpanPeel Public Health

    TDSpan581

    TDSpan614

    TDSpan42,038

    TDSpan2,617.6

    TRTDSpanPeterborough Public Health

    TDSpan6

    TDSpan-1

    TDSpan387

    TDSpan261.5

    TRTDSpanSimcoe Muskoka District Health Unit

    TDSpan54

    TDSpan72

    TDSpan3,883

    TDSpan647.6

    TRTDSpanYork Region Public Health

    TDSpan389

    TDSpan213

    TDSpan18,939

    TDSpan1,545.0

    TRTDSpanTOTAL CENTRAL EAST

    TDSpan1,163

    TDSpan1,077

    TDSpan73,833

    TDSpan1,647.8

    TRTDSpanToronto Public Health

    TDSpan917

    TDSpan778

    TDSpan62,354

    TDSpan1,998.3

    TRTDSpanTOTAL TORONTO

    TDSpan917

    778 778

    TDSpan62,354

    TDSpan1,998.3

    TRTDSpanChatham-Kent Public Health

    TDSpan25

    TDSpan39

    TDSpan798

    TDSpan750.6

    TRTDSpanGrey Bruce Health Unit

    TDSpan2

    TDSpan7

    TDSpan489

    TDSpan287.8

    TRTDSpanHuron Perth Public Health

    TDSpan22

    TDSpan21

    TDSpan781

    TDSpan558.8

    TRTDSpanLambton Public Health

    TDSpan77

    TDSpan62

    TDSpan1,050

    TDSpan801.7

    TRTDSpanMiddlesex-London Health Unit

    TDSpan98

    TDSpan151

    TDSpan3,698

    TDSpan728.6

    TRTDSpanSouthwestern Public Health

    TDSpan42

    TDSpan35

    TDSpan1,541

    TDSpan728.6

    TRTDSpanWindsor-Essex County Health Unit

    TDSpan246

    TDSpan142

    TDSpan8,528

    TDSpan2,007.4

    TRTDSpanTOTAL SOUTH WEST

    TDSpan512

    TDSpan457

    TDSpan16,885

    TDSpan998.7

    TRTDSpanBrant County Health Unit

    TDSpan29

    TDSpan29

    TDSpan1,102

    TDSpan710.0

    Span

    TableTRTHSpanPublic Health Unit Name

    THSpanChange in cases January 3, 2021

    THSpanChange in cases January 4, 2021

    THSpanCumulative case count

    THSpanCumulative rate per 100,000 population

    Span

    TRTDSpanCity of Hamilton Public Health Services

    TDSpan94

    TDSpan151

    TDSpan6,717

    TDSpan1,134.3

    TRTDSpanHaldimand-Norfolk Health Unit

    TDSpan7

    TDSpan18

    TDSpan994

    TDSpan871.3

    TRTDSpanHalton Region Public Health

    TDSpan70

    TDSpan128

    TDSpan6,178

    TDSpan997.9

    TRTDSpanNiagara Region Public Health

    TDSpan86

    TDSpan101

    TDSpan4,504

    TDSpan953.3

    TRTDSpanRegion of Waterloo Public Health and Emergency Services

    TDSpan126

    TDSpan129

    TDSpan6,388

    TDSpan1,093.2

    TRTDSpanWellington-Dufferin-Guelph Public Health

    TDSpan48

    TDSpan46

    TDSpan2,855

    TDSpan915.3

    TRTDSpanTOTAL CENTRAL WEST

    TDSpan460

    TDSpan602

    TDSpan28,738

    TDSpan1,008.6

    TRTDSpanTOTAL ONTARIO

    TDSpan3,270

    TDSpan3,128

    TDSpan197,360

    TDSpan1,327.7

    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 January 3, 2021

    THSpanChange in outbreaks January 4, 2021

    THSpanNumber of ongoing outbreaks

    THSpanCumulative number of outbreaks reported

    Span

    TRTDSpanLong-term care homes

    TDSpan11

    TDSpan8

    TDSpan235

    TDSpan972

    TRTDSpanRetirement homes

    TDSpan8

    TDSpan4

    TDSpan138

    TDSpan518

    TRTDSpanHospitals

    TDSpan3

    TDSpan3

    TDSpan63

    TDSpan258

    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 January 4, 2021 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 January 4, 2021 at 1 p.m.

    Information successfully uploaded to the Ministry from Local Systems: Toronto Public Health (Coronavirus Rapid Entry System) CORES as of January 4, 2021 at 2 p.m. Information successfully uploaded to the Ministry from Local Systems: Toronto Public Health (Coronavirus Rapid Entry System) CORES as of January 4, 2021 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 January 4, 2021 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 January 4, 2021 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 20, 2020 to January 1, 2020 TableTRTHSpanPublic Health Unit Name

    THSpanDec 20 to Dec 26

    THSpanDec 21 to Dec 27

    THSpanDec 22 to Dec 28

    THSpanDec 23 to Dec 29

    THSpanDec 24 to Dec 30

    THSpanDec 25 to Dec 31

    THSpanDec 26 to Jan 1

    THSpan% change from Dec 20-26 to Dec 26-Jan 1

    Span

    TRTDSpanNORTH WEST

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TRTDSpanNorthwestern Health Unit

    TDSpan24.0

    TDSpan25.1

    TDSpan20.5

    TDSpan20.5

    TDSpan24.0

    TDSpan20.5

    TDSpan18.2

    TDSpan-24.2%

    TRTDSpanThunder Bay District Health Unit

    TDSpan40.0

    TDSpan41.3

    TDSpan38.0

    TDSpan26.0

    TDSpan22.7

    TDSpan18.7

    TDSpan16.0

    TDSpan-60.0%

    TRTDSpanNORTH EAST

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TRTDSpanAlgoma Public Health

    TDSpan2.6

    TDSpan2.6

    TDSpan2.6

    TDSpan1.7

    TDSpan0.9

    TDSpan7.0

    TDSpan10.5

    TDSpan+303.8%

    TRTDSpanNorth Bay Parry Sound District Health Unit

    TDSpan10.0

    TDSpan8.5

    TDSpan9.2

    TDSpan9.2

    TDSpan10.8

    TDSpan7.7

    TDSpan10.0

    TDSpan0.0%

    TRTDSpanPorcupine Health Unit

    TDSpan7.2

    TDSpan8.4

    TDSpan3.6

    TDSpan1.2

    TDSpan3.6

    TDSpan3.6

    TDSpan4.8

    TDSpan-33.3%

    TRTDSpanPublic Health Sudbury & Districts

    TDSpan6.5

    TDSpan6.0

    TDSpan7.0

    TDSpan8.0

    TDSpan9.0

    TDSpan10.6

    TDSpan11.1

    TDSpan+70.8%

    TRTDSpanTimiskaming Health Unit

    TDSpan76.5

    TDSpan76.5

    TDSpan67.3

    TDSpan70.4

    TDSpan61.2

    TDSpan58.1

    TDSpan52.0

    TDSpan-32.0%

    TRTDSpanEASTERN

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TRTDSpanOttawa Public Health

    TDSpan34.6

    TDSpan38.1

    TDSpan40.2

    TDSpan46.0

    TDSpan54.2

    TDSpan57.5

    TDSpan61.7

    TDSpan+78.3%

    Span

    TableTRTHSpanPublic Health Unit Name

    THSpanDec 20 to Dec 26

    THSpanDec 21 to Dec 27

    THSpanDec 22 to Dec 28

    THSpanDec 23 to Dec 29

    THSpanDec 24 to Dec 30

    THSpanDec 25 to Dec 31

    THSpanDec 26 to Jan 1

    THSpan% change from Dec 20-26 to Dec 26-Jan 1

    Span

    TRTDSpanEastern Ontario Health Unit

    TDSpan49.8

    TDSpan54.6

    TDSpan58.5

    TDSpan67.6

    TDSpan78.1

    TDSpan89.1

    TDSpan108.8

    TDSpan+118.5%

    TRTDSpanHastings Prince Edward Public Health

    TDSpan9.5

    TDSpan9.5

    TDSpan8.9

    TDSpan10.7

    TDSpan10.1

    TDSpan17.8

    TDSpan19.6

    TDSpan+106.3%

    TRTDSpanKingston, Frontenac and Lennox & Addington Public Health

    TDSpan24.4

    TDSpan21.2

    TDSpan22.6

    TDSpan19.3

    TDSpan21.2

    TDSpan20.7

    TDSpan21.2

    TDSpan-13.1%

    TRTDSpanLeeds, Grenville & Lanark District Health Unit

    TDSpan9.8

    TDSpan11.5

    TDSpan13.9

    TDSpan19.6

    TDSpan19.1

    TDSpan22.5

    TDSpan28.9

    TDSpan+194.9%

    TRTDSpanRenfrew County and District Health Unit

    TDSpan9.2

    TDSpan10.1

    TDSpan10.1

    TDSpan11.0

    TDSpan12.0

    TDSpan10.1

    TDSpan12.9

    TDSpan+40.2%

    TRTDSpanCENTRAL EAST

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TRTDSpanDurham Region Health Department

    TDSpan87.9

    TDSpan84.1

    TDSpan84.9

    TDSpan87.7

    TDSpan94.6

    TDSpan105.4

    TDSpan113.7

    TDSpan+29.4%

    TRTDSpanHaliburton, Kawartha, Pine Ridge District Health Unit

    TDSpan22.8

    TDSpan20.6

    TDSpan20.6

    TDSpan22.2

    TDSpan24.9

    TDSpan30.2

    TDSpan33.9

    TDSpan+48.7%

    TRTDSpanPeel Public Health

    TDSpan177.0

    TDSpan173.9

    TDSpan173.9

    TDSpan178.3

    TDSpan180.5

    TDSpan196.6

    TDSpan215.0

    TDSpan+21.5%

    Span

    TableTRTHSpanPublic Health Unit Name

    THSpanDec 20 to Dec 26

    THSpanDec 21 to Dec 27

    THSpanDec 22 to Dec 28

    THSpanDec 23 to Dec 29

    THSpanDec 24 to Dec 30

    THSpanDec 25 to Dec 31

    THSpanDec 26 to Jan 1

    THSpan% change from Dec 20-26 to Dec 26-Jan 1

    Span

    TRTDSpanPeterborough Public Health

    TDSpan30.4

    TDSpan33.8

    TDSpan31.1

    TDSpan30.4

    TDSpan41.9

    TDSpan41.9

    TDSpan46.6

    TDSpan+53.3%

    TRTDSpanSimcoe Muskoka District Health Unit

    TDSpan57.5

    TDSpan56.9

    TDSpan61.2

    TDSpan60.0

    TDSpan63.7

    TDSpan67.9

    TDSpan64.5

    TDSpan+12.2%

    TRTDSpanYork Region Public Health

    TDSpan121.7

    TDSpan114.5

    TDSpan125.6

    TDSpan136.4

    TDSpan150.4

    TDSpan163.6

    TDSpan167.6

    TDSpan+37.7%

    TRTDSpanTORONTO

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TRTDSpanToronto Public Health

    TDSpan146.5

    TDSpan142.3

    TDSpan147.6

    TDSpan154.5

    TDSpan151.9

    TDSpan161.2

    TDSpan165.8

    TDSpan+13.2%

    TRTDSpanSOUTH WEST

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TRTDSpanChatham-Kent Public Health

    TDSpan46.1

    TDSpan52.7

    TDSpan64.9

    TDSpan77.1

    TDSpan83.7

    TDSpan98.8

    TDSpan106.3

    TDSpan+130.6%

    TRTDSpanGrey Bruce Health Unit

    TDSpan20.6

    TDSpan18.8

    TDSpan17.1

    TDSpan15.3

    TDSpan15.9

    TDSpan17.7

    TDSpan24.1

    TDSpan+17.0%

    TRTDSpanHuron Perth Public Health

    TDSpan76.6

    TDSpan74.4

    TDSpan73.7

    TDSpan78.0

    TDSpan73.7

    TDSpan68.0

    TDSpan81.6

    TDSpan+6.5%

    TRTDSpanLambton Public Health

    TDSpan104.6

    TDSpan115.3

    TDSpan125.2

    TDSpan125.2

    TDSpan136.7

    TDSpan193.9

    TDSpan215.3

    TDSpan+105.8%

    TRTDSpanMiddlesex-London Health Unit

    TDSpan91.6

    TDSpan92.4

    TDSpan95.6

    TDSpan104.8

    TDSpan107.2

    TDSpan113.7

    TDSpan119.8

    TDSpan+30.8%

    TRTDSpanSouthwestern Public Health

    TDSpan102.6

    TDSpan109.7

    TDSpan103.5

    TDSpan113.0

    TDSpan137.6

    TDSpan157.9

    TDSpan158.4

    TDSpan+54.4%

    TRTDSpanWindsor-Essex County Health Unit

    TDSpan272.3

    TDSpan277.1

    TDSpan291.9

    TDSpan288.6

    TDSpan302.9

    TDSpan327.9

    TDSpan324.6

    TDSpan+19.2%

    Span

    TableTRTHSpanPublic Health Unit Name

    THSpanDec 20 to Dec 26

    THSpanDec 21 to Dec 27

    THSpanDec 22 to Dec 28

    THSpanDec 23 to Dec 29

    THSpanDec 24 to Dec 30

    THSpanDec 25 to Dec 31

    THSpanDec 26 to Jan 1

    THSpan% change from Dec 20-26 to Dec 26-Jan 1

    Span

    TRTDSpanCENTRAL WEST

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TRTDSpanBrant County Health Unit

    TDSpan50.9

    TDSpan52.2

    TDSpan61.9

    TDSpan61.2

    TDSpan63.8

    TDSpan78.6

    TDSpan87.0

    TDSpan+70.9%

    TRTDSpanCity of Hamilton Public Health Services

    TDSpan106.6

    TDSpan115.2

    TDSpan123.1

    TDSpan128.5

    TDSpan141.2

    TDSpan153.5

    TDSpan159.2

    TDSpan+49.3%

    TRTDSpanHaldimand-Norfolk Health Unit

    TDSpan57.0

    TDSpan60.5

    TDSpan52.6

    TDSpan61.4

    TDSpan91.2

    TDSpan87.7

    TDSpan109.6

    TDSpan+92.3%

    TRTDSpanHalton Region Public Health

    TDSpan86.7

    TDSpan86.7

    TDSpan95.1

    TDSpan93.7

    TDSpan96.8

    TDSpan103.9

    TDSpan112.7

    TDSpan+30.0%

    TRTDSpanNiagara Region Public Health

    TDSpan109.8

    TDSpan117.9

    TDSpan121.9

    TDSpan127.8

    TDSpan139.7

    TDSpan141.0

    TDSpan154.3

    TDSpan+40.5%

    TRTDSpanRegion of Waterloo Public Health and Emergency Services

    TDSpan97.0

    TDSpan91.4

    TDSpan88.0

    TDSpan93.9

    TDSpan88.1

    TDSpan86.8

    TDSpan100.6

    TDSpan+3.7%

    TRTDSpanWellington-Dufferin-Guelph Public Health

    TDSpan95.5

    TDSpan99.1

    TDSpan103.2

    TDSpan102.3

    TDSpan96.8

    TDSpan100.4

    TDSpan111.6

    TDSpan+16.9%

    TRTDSpanTOTAL ONTARIO

    TDSpan104.5

    TDSpan103.6

    TDSpan107.4

    TDSpan111.9

    TDSpan116.0

    TDSpan124.7

    TDSpan131.7

    TDSpan+26.0%

    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 January 4, 2021. Toronto, ON: Queen’s Printer for Ontario; 2021. 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