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Fulton County Board of Health Epidemiology Report COVID-19 Diagnoses – 5/20/2020

|Wednesday, May 20, 2020

Fulton Region % of total cases in

Fulton county

Atlanta 45.3%

North1 20.4%

South2 22.1%

Unincorporated/Unknown 12.2% 1Includes all Fulton County cities north of Atlanta metro (Alpharetta, Milton, Johns Creek, Roswell, Sandy Springs, Mountain Park) 2Includes all cities south of Atlanta (College Park, Chattahoochee Hills, East Point, Hapeville, Palmetto, South Fulton, Fairburn, Union City)

DISTRIBUTION OF COVID-19 DIAGNOSES BY REGION

SUMMARY

As of May 20, 2020, Fulton County has recorded 3,930 cases of the 2019 novel coronavirus (COVID-19) and 174 deaths.

The central portion of the county (Atlanta metro) accounts for 45% of the cumulative case count while the northern and

southern parts of the county combined account for 43% of the cumulative case count in the county.

By city, the cumulative COVID-19 diagnoses rates range from 126.7 per 100,000 persons (Johns Creek) to 701.3 per 100,000 persons (Union City).

Among all persons diagnosed with COVID-19 in Fulton County, 19% have needed hospitalization and 4% have died.

*Counts shown reflect the number of confirmed cases as of 5/20/20 using the date of first positive sample collection. Where date of sample collection was not available or missing, the date of report creation in GA SENDSS was used instead. Note: All data reported are preliminary and subject to change. Delays in data reporting may cause changes in data counts, particularly in the shaded portion.

First Fulton County case reported

State issues stay-at-home order

State begins re-opening businesses

Epidemiology Report – COVID 19 in Fulton County


Previous Count

(5/18/2020) Current Count

(5/20/20) Percent of

County Total % Change from

Previous City Count Cumulative Rate

(per 100,000 persons)*

Atlanta 1731 1781 45.3% 2.9% 403.7

South Fulton 433 440 11.2% 1.6% 462.6

Sandy Springs 320 326 8.3% 1.9% 309.3

Roswell 208 210 5.3% 1.0% 222.8

East Point 119 123 3.1% 3.4% 351.7

Johns Creek 108 106 2.7% -1.9%** 126.7

Union City 145 147 3.7% 1.4% 701.3

Alpharetta 94 94 2.4% 0.0% 145.3

Milton 64 64 1.6% 0.0% 167.7

Fairburn 73 73 1.9% 0.0% 496.3

College Park 34 55 1.4% 61.8% 396.3

Palmetto 15 15 0.4% 0.0% 343.1

Hapeville 17 17 0.4% 0.0% 258.3

Mountain Park <10 <10 0.0% 0.0% 160.0

Unknown 494 478 12.2% - - Population estimates from US Census Bureau used to calculate diagnoses rates. ** Data cleaning (either during case interviews or address geo-coding) may lead to reassignment of few cases from one territory to another based on their corrected addresses. These may appear as “decreases” when compared to the previous day’s count. These do not reflect errors in the data collection or analysis process but only reflect the minor day-to-day fluctuations in case counts that arise in an evolving public health database like COVID’s. Note: Sharp increases in territorial COVID case counts often reflect new cases diagnosed at long term care facilities located in those territories during facility-wide/mass screening events. All data reported are preliminary and subject to change.

*Rates shown are per 100,000 persons | Note: Mass testing in specific locations (e.g. long term care facilities) may cause sharp increases in the cumulative rate of COVID-19 diagnosis in those territories. All data shown are preliminary and are subject to change as testing results get updated.

COVID-19 CASE COUNTS AND RATES BY CITY



Figure 4. Density Map of COVID-19 Cases in Fulton County (5/20/20)

NB. Data used excludes the outbreak-related cases diagnosed at long-term care facilities and reflects the current geographical distribution of COVID19 diagnoses in the general Fulton County community.



Figure 5. COVID19 Diagnosis Rates in Fulton County by Census Tract (5/20/2020)

*Rates shown are per 1,000 populations. NB. Data used excludes the outbreak-related cases diagnosed at long-term care facilities and reflects the current geographical distribution of COVID19 diagnoses in the general Fulton County community.



ZIP code Previous Count

(5/18/2020) Current Count

(5/20/20) Percent of

County Total % Change from Previous

ZIP-level Count

30331 317 323 8.2% 1.9% 30318 224 224 5.7% 0.0% 30349 221 224 5.7% 1.4% 30213 161 165 4.2% 2.5% 30315 126 128 3.3% 1.6% 30344 112 117 3.0% 4.5% 30311 114 115 2.9% 0.9% 30342 162 160 4.1% -1.2%** 30314 85 136 3.5% 60.0% 30310 114 114 2.9% 0.0% 30308 76 77 2.0% 1.3% 30022 83 83 2.1% 0.0% 30327 88 87 2.2% -1.1%** 30004 88 88 2.2% 0.0% 30309 130 129 3.3% -0.8% 30076 76 74 1.9% -2.6%** 30291 174 175 4.5% 0.6% 30350 71 72 1.8% 1.4% 30075 123 126 3.2% 2.4% 30328 86 88 2.2% 2.3% 30316 39 41 1.0% 5.1% 30312 204 202 5.1% -1.0%* 30005 47 47 1.2% 0.0% 30305 86 86 2.2% 0.0% 30306 48 46 1.2% -4.2%* 30324 83 82 2.1% -1.2%* 30337 32 51 1.3% 59.4% 30009 41 41 1.0% 0.0% 30313 34 34 0.9% 0.0% 30326 26 26 0.7% 0.0% 30097 37 37 0.9% 0.0% 30354 34 34 0.9% 0.0% 30303 30 30 0.8% 0.0% 30339 13 12 0.3% -7.7%* 30268 21 21 0.5% 0.0% 30307 16 15 0.4% -6.3%* 30319 26 27 0.7% 3.8% 30336 12 12 0.3% 0.0% 30296 11 11 0.3% 0.0% 30363 <10 <10 0.2% - 30301 <10 <10 0.1% - 30345 <10 <10 0.2% - 31131 <10 <10 0.1% - 30023 <10 <10 0.1% - 30080 <10 <10 0.1% - 30135 <10 <10 0.0% - 30138 <10 <10 0.0% - 30139 <10 <10 0.0% - 30321 <10 <10 0.1% - 30340 <10 <10 0.2% - 30341 14 14 0.4% 0.0% 30358 <10 <10 0.0% -

COVID-19 CASE COUNTS BY ZIP CODE



30374 18 19 0.5% 5.6% 30606 <10 <10 0.0% - 31150 <10 <10 0.0% - 30024 <10 <10 0.0% - 30098 <10 <10 0.0% - 30334 <10 <10 0.1% - 30338 <10 <10 0.1% -

Unknown 312 295 7.5% - ** Data cleaning (either during case interviews or address geo-coding) may lead to reassignment of few cases from one territory to another based on their corrected addresses. These may appear as “decreases” when compared to the previous day’s count. These do not reflect errors in the data collection or analysis process but only reflect the minor day-to-day fluctuations in case counts that arise in an evolving public health database like COVID’s. Note: Sharp increases in territorial COVID case counts often reflect new cases diagnosed at long term care facilities located in those territories during facility-wide/mass screening events. All data reported are preliminary and subject to change.

REPORTING SYMPTOMS

Figure 6. Proportion reporting Symptoms in

Fulton County (5/20/20)

***COVID-19 cases who have been case interviewed or had medical charts reviewed as at 5/20/20 only***

People with COVID-19 have reported a wide range of symptoms ranging from mild symptoms to severe illness. Symptoms may appear 2-14 days after exposure to

the virus. Symptoms reported include: cough, shortness of breath/difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat,

new loss of taste or smell – Centers for Disease Control and Prevention (CDC) https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html

HOSPITALIZATIONS, ICU ADMISSIONS AND DEATHS

https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html



Distribution of COVID-19 diagnoses in Fulton County by Fulton Region – 05/20/20

North Fulton Cities1

Count (%) Atlanta

Count (%) South Fulton Cities2

Count (%) Unknown Count (%)

All Fulton Count (%)

Total COVID-19 cases 801 1781 870 478 3930

Gender: Female 394 (49.2%) 851 (47.8%) 507 (58.3%) 255 (53.3%) 2007 (51.1%)

Male 405 (50.6%) 918 (51.5%) 358 (41.1%) 211 (44.1%) 1892 (48.1%)

Unknown <10 12 (0.7%) <10 12 (2.5%) 31 (0.8%)

Age: <15 10 (1.2%) 13 (0.7%) <10 <10 40 (1.0%)

15-24 70 (8.7%) 88 (4.9%) 42 (4.8%) 29 (6.1%) 229 (5.8%)

25-34 111 (13.9%) 279 (15.7%) 84 (9.7%) 93 (19.5%) 567 (14.4%)

35-44 135 (16.9%) 268 (15.0%) 126 (14.5%) 79 (16.5%) 608 (15.5%)

45-54 156 (19.5%) 254 (14.3%) 163 (18.7%) 79 (16.5%) 652 (16.6%)

55-64 137 (17.1%) 298 (16.7%) 153 (17.6%) 76 (15.9%) 664 (16.9%)

≥65 180 (22.5%) 565 (31.7%) 287 (33.0%) 108 (22.6%) 1140 (29.0%)

Unknown <10 16 (0.9%) <10 <10 30 (0.8%)

Race: Asian, NH 42 (5.2%) 20 (1.1%) <10 <10 72 (1.8%)

Black, NH 125 (15.6%) 987 (55.4%) 640 (73.6%) 170 (35.6%) 1922 (48.9%)

White, NH 302 (37.7%) 283 (15.9%) 68 (7.8%) 71 (14.9%) 724 (18.4%)

Hispanic 92 (11.5%) 52 (2.9%) 29 (3.3%) 30 (6.3%) 203 (5.2%)

Other, NH 27 (3.4%) 32 (1.8%) 11 (1.3%) 12 (2.5%) 82 (2.1%)

Unknown 213 (26.6%) 407 (22.9%) 121 (13.9%) 186 (38.9%) 927 (23.6%) 1Includes all Fulton County cities north of Atlanta metro (Alpharetta, Milton, Johns Creek, Roswell, Sandy Springs, Mountain Park ) 2Includes all cities south of Atlanta (College Park, Chattahoochee Hills, East Point, Hapeville, Palmetto, South Fulton, Fairburn, Union City). Note: All data reported are preliminary and subject to change.

Distribution of COVID-19 Deaths in Fulton County by Fulton Region – 05/20/20

North Fulton Cities1

Count (%) Atlanta

Count (%) South Fulton Cities2

Count (%) Unknown Count (%)

All Fulton Count (%)

Total COVID-19 deaths 25 77 58 14 174

Gender: Female <10 33 (42.9%) 31 (53.4%) <10 78 (44.8%)

Male 19 (76.0%) 44 (57.1%) 27 (46.6%) <10 96 (55.2%)

Unknown 0 0 0 0 0

Age: <65 <10 15 (19.5%) 13 (22.4%) <10 35 (20.1%)

65-74 <10 14 (18.2%) 16 (27.6%) <10 35 (20.1%)

75-84 <10 25 (32.5%) 12 (20.7%) <10 46 (26.4%)

≥85 <10 23 (29.9%) 17 (29.3%) <10 58 (33.3%)

Unknown 0 0 0 0 0

Race: Asian, NH 0 <10 0 0 <10

Black, NH <10 64 (83.1%) 52 (89.7%) <10 129 (74.1%)

White, NH 17 (68.0%) 10 (13.0%) <10 <10 38 (21.8%)

Hispanic <10 0 <10 0 <10

Other, NH 0 <10 0 0 <10

Unknown 0 0 0 0 0 1Includes all Fulton County cities north of Atlanta metro (Alpharetta, Milton, Johns Creek, Roswell, Sandy Springs, Mountain Park ) 2Includes all cities south of Atlanta (College Park, Chattahoochee Hills, East Point, Hapeville, Palmetto, South Fulton, Fairburn, Union City). Note: All data reported are preliminary and subject to change.

DEMOGRAPHIC DISTRIBUTIONS – CONFIRMED CASES AND DEATHS



*Chart to be updated weekly.

MORBIDITY AND MORTALITY TRENDS



*Date is the earliest date when comparing the date of symptom onset, date of positive sample collection, and date of report for each PUI.

*Date is the earliest date when comparing the date of symptom onset, date of positive sample collection, and date of report for each PUI.



*There were no deaths reported in SENDSS prior to March 01, 2020.

*There were no deaths reported in SENDSS prior to March 01, 2020.

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