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Page 1: September 11, 2020 · Epidemic Curve by 3-Day Moving Average by Reported Date 2020-09-15 0. 10. 20. 30. 40. 50. 60. 70. 80. 03-27. 04-03. 04-10. 04-17. 04-24. 05-01. 05-08. 05-15

September 11, 2020

Page 2: September 11, 2020 · Epidemic Curve by 3-Day Moving Average by Reported Date 2020-09-15 0. 10. 20. 30. 40. 50. 60. 70. 80. 03-27. 04-03. 04-10. 04-17. 04-24. 05-01. 05-08. 05-15

COVID-19 Epidemiological SummaryContent covered:• Epidemic curves• Syndromic surveillance • Regional & provincial rates• Percent positivity• Positive test turnaround time• Case investigation time• Age & sex distribution• Geographical rates & distribution of cases• Exposure history• Healthcare worker status• Hospitalizations & ICU• Healthcare system capacity• Current outcomes• Breakdown by deaths• Doubling time• Mean R0 (effective)

Page 3: September 11, 2020 · Epidemic Curve by 3-Day Moving Average by Reported Date 2020-09-15 0. 10. 20. 30. 40. 50. 60. 70. 80. 03-27. 04-03. 04-10. 04-17. 04-24. 05-01. 05-08. 05-15

Epidemic Curve by Reported Date

2020-09-15

0

20

40

60

80

100

12003

-20

03-2

7

04-0

3

04-1

0

04-1

7

04-2

4

05-0

1

05-0

8

05-1

5

05-2

2

05-2

9

06-0

5

06-1

2

06-1

9

06-2

6

07-0

3

07-1

0

07-1

7

07-2

4

07-3

1

08-0

7

08-1

4

08-2

1

08-2

8

# of

new

CO

VID-

19 c

ases

Date Reported

Page 4: September 11, 2020 · Epidemic Curve by 3-Day Moving Average by Reported Date 2020-09-15 0. 10. 20. 30. 40. 50. 60. 70. 80. 03-27. 04-03. 04-10. 04-17. 04-24. 05-01. 05-08. 05-15

Epidemic Curve by 3-Day Moving Average by Reported Date

2020-09-15

0

10

20

30

40

50

60

70

8003

-27

04-0

3

04-1

0

04-1

7

04-2

4

05-0

1

05-0

8

05-1

5

05-2

2

05-2

9

06-0

5

06-1

2

06-1

9

06-2

6

07-0

3

07-1

0

07-1

7

07-2

4

07-3

1

08-0

7

08-1

4

08-2

1

08-2

8

09-0

4

# of

con

firm

ed C

OVI

D-19

cas

es

Reported Date

Page 5: September 11, 2020 · Epidemic Curve by 3-Day Moving Average by Reported Date 2020-09-15 0. 10. 20. 30. 40. 50. 60. 70. 80. 03-27. 04-03. 04-10. 04-17. 04-24. 05-01. 05-08. 05-15

Cumulative Cases and Deaths of COVID-19 in WEC

2020-09-15

0

500

1000

1500

2000

2500

300003

-20

03-2

704

-03

04-1

004

-17

04-2

405

-01

05-0

805

-15

05-2

205

-29

06-0

506

-12

06-1

906

-26

07-0

307

-10

07-1

707

-24

07-3

108

-07

08-1

408

-21

08-2

809

-04

# of

tota

l CO

VID-

19 c

ases

Date Reported

Cumulative Case Counts Cumulative Deaths

Page 6: September 11, 2020 · Epidemic Curve by 3-Day Moving Average by Reported Date 2020-09-15 0. 10. 20. 30. 40. 50. 60. 70. 80. 03-27. 04-03. 04-10. 04-17. 04-24. 05-01. 05-08. 05-15

Epidemic Curve by Agri-Farm Versus Non-Agri-Farm Cases by Reported Date

2020-09-15

0

20

40

60

80

100

12004

-01

04-0

8

04-1

5

04-2

2

04-2

9

05-0

6

05-1

3

05-2

0

05-2

7

06-0

3

06-1

0

06-1

7

06-2

4

07-0

1

07-0

8

07-1

5

07-2

2

07-2

9

08-0

5

08-1

2

08-1

9

08-2

6

09-0

2

09-0

9

# of

con

firm

ed C

OVI

D-19

cas

es

Reported Date

Non-AgriFarm AgriFarm

Page 7: September 11, 2020 · Epidemic Curve by 3-Day Moving Average by Reported Date 2020-09-15 0. 10. 20. 30. 40. 50. 60. 70. 80. 03-27. 04-03. 04-10. 04-17. 04-24. 05-01. 05-08. 05-15

7-Day Moving Average by Reported Date

2020-09-15

0.0

5.0

10.0

15.0

20.0

25.0

30.0

35.0

40.0

2020-03-27 2020-04-27 2020-05-27 2020-06-27 2020-07-27 2020-08-27

#of c

onfir

med

CO

VID-

19 c

ases

Date Reported

7-day MA 7-day MA minus Agri-Farm Sector

Page 8: September 11, 2020 · Epidemic Curve by 3-Day Moving Average by Reported Date 2020-09-15 0. 10. 20. 30. 40. 50. 60. 70. 80. 03-27. 04-03. 04-10. 04-17. 04-24. 05-01. 05-08. 05-15

Windsor-Essex Rate by Reported Week

2020-09-15

0

50

100

150

200

250

300

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37*

# of

CO

VID-

19 c

ases

Rate

per

100

,000

pop

ulat

ion

Reported Week

Page 9: September 11, 2020 · Epidemic Curve by 3-Day Moving Average by Reported Date 2020-09-15 0. 10. 20. 30. 40. 50. 60. 70. 80. 03-27. 04-03. 04-10. 04-17. 04-24. 05-01. 05-08. 05-15

Percent Positivity by Week by All Tests

2020-09-15

0

1,000

2,000

3,000

4,000

5,000

6,000

7,000

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

# of

peo

ple

test

ed/#

of t

ests

com

plet

ed

% p

ositi

vity

Week

Weekly test completed % positivity (all WEC tests)

Page 10: September 11, 2020 · Epidemic Curve by 3-Day Moving Average by Reported Date 2020-09-15 0. 10. 20. 30. 40. 50. 60. 70. 80. 03-27. 04-03. 04-10. 04-17. 04-24. 05-01. 05-08. 05-15

Regional & Provincial Rates

2020-09-15

601

488 472410

342300 293 273 261 255

211 201172 149 147

295

0

100

200

300

400

500

600

700

Rate

per

100

,000

pop

ulat

ion

Geography

Page 11: September 11, 2020 · Epidemic Curve by 3-Day Moving Average by Reported Date 2020-09-15 0. 10. 20. 30. 40. 50. 60. 70. 80. 03-27. 04-03. 04-10. 04-17. 04-24. 05-01. 05-08. 05-15

Rate per 100,000 by Municipality

2020-09-15

150.6 219.2

2466.9

149.2 152.0

3014.6

145.4365.3

0.0

500.0

1000.0

1500.0

2000.0

2500.0

3000.0

3500.0

Rate

per

100

,000

pop

ulat

ion

Municipality

Page 12: September 11, 2020 · Epidemic Curve by 3-Day Moving Average by Reported Date 2020-09-15 0. 10. 20. 30. 40. 50. 60. 70. 80. 03-27. 04-03. 04-10. 04-17. 04-24. 05-01. 05-08. 05-15

2020-09-15

Page 13: September 11, 2020 · Epidemic Curve by 3-Day Moving Average by Reported Date 2020-09-15 0. 10. 20. 30. 40. 50. 60. 70. 80. 03-27. 04-03. 04-10. 04-17. 04-24. 05-01. 05-08. 05-15

2020-09-15

Page 14: September 11, 2020 · Epidemic Curve by 3-Day Moving Average by Reported Date 2020-09-15 0. 10. 20. 30. 40. 50. 60. 70. 80. 03-27. 04-03. 04-10. 04-17. 04-24. 05-01. 05-08. 05-15

2020-09-15

Page 15: September 11, 2020 · Epidemic Curve by 3-Day Moving Average by Reported Date 2020-09-15 0. 10. 20. 30. 40. 50. 60. 70. 80. 03-27. 04-03. 04-10. 04-17. 04-24. 05-01. 05-08. 05-15

2020-09-15

Page 16: September 11, 2020 · Epidemic Curve by 3-Day Moving Average by Reported Date 2020-09-15 0. 10. 20. 30. 40. 50. 60. 70. 80. 03-27. 04-03. 04-10. 04-17. 04-24. 05-01. 05-08. 05-15

Age & Sex Distribution

2020-09-15

35%

16%

4%

21%

13%

4% 5%3%

55%

45%

6%

26%23%

17%13%

6%4%

6%

65%

35%

0%

10%

20%

30%

40%

50%

60%

70%

0 to 19years

20 to 29years

30 to 39years

40 to 49years

50 to 59years

60 to 69years

70 to 79years

80+years

Male Female

% o

f CO

VID-

19 c

ases

Last Two Weeks Overall

Page 17: September 11, 2020 · Epidemic Curve by 3-Day Moving Average by Reported Date 2020-09-15 0. 10. 20. 30. 40. 50. 60. 70. 80. 03-27. 04-03. 04-10. 04-17. 04-24. 05-01. 05-08. 05-15

Distribution of COVID-19 Cases by Municipality

2020-09-15

Amherstburg1%

Essex2%

Kingsville22%

LaSalle2%

Lakeshore3%

Leamington35%

Tecumseh1%

Windsor34%

Page 18: September 11, 2020 · Epidemic Curve by 3-Day Moving Average by Reported Date 2020-09-15 0. 10. 20. 30. 40. 50. 60. 70. 80. 03-27. 04-03. 04-10. 04-17. 04-24. 05-01. 05-08. 05-15

Distribution of COVID-19 Cases by Municipality in last 30 days (August 10 to September 9)

2020-09-15

Amherstburg1%

Essex5%

Kingsville3%

LaSalle8%

Lakeshore4%

Leamington37%

Tecumseh2%

Windsor40%

Page 19: September 11, 2020 · Epidemic Curve by 3-Day Moving Average by Reported Date 2020-09-15 0. 10. 20. 30. 40. 50. 60. 70. 80. 03-27. 04-03. 04-10. 04-17. 04-24. 05-01. 05-08. 05-15

Distribution of COVID-19 Cases by Municipality in last 7 days (September 3 to September 9)

2020-09-15

Amherstburg0%

Essex4%

Kingsville8% LaSalle

0%

Lakeshore7%

Leamington7%

Tecumseh0%

Windsor74%

Page 20: September 11, 2020 · Epidemic Curve by 3-Day Moving Average by Reported Date 2020-09-15 0. 10. 20. 30. 40. 50. 60. 70. 80. 03-27. 04-03. 04-10. 04-17. 04-24. 05-01. 05-08. 05-15

Distribution of COVID-19 Cases by Occupation in the last 7 days (September 3 to September 9)

2020-09-15

Agri-Farm Worker7%

Healthcare Worker14%

Other/Unemployed/Retired/Missing

79%

Page 21: September 11, 2020 · Epidemic Curve by 3-Day Moving Average by Reported Date 2020-09-15 0. 10. 20. 30. 40. 50. 60. 70. 80. 03-27. 04-03. 04-10. 04-17. 04-24. 05-01. 05-08. 05-15

Epidemic Curve by Reported Date For Windsor

2020-09-15

0

1

2

3

4

5

6

7

8

9

10

0

2

4

6

8

10

12

14

16

18

7-Da

y M

ovin

g Av

erag

e (M

A)

# of

con

firm

ed C

OVI

D-19

cas

es

Reported Date

Farm Community Overall 7-Day MA Community 7-Day MA

Page 22: September 11, 2020 · Epidemic Curve by 3-Day Moving Average by Reported Date 2020-09-15 0. 10. 20. 30. 40. 50. 60. 70. 80. 03-27. 04-03. 04-10. 04-17. 04-24. 05-01. 05-08. 05-15

Epidemic Curve by Reported Date for Amherstburg

2020-09-15

0

0.05

0.1

0.15

0.2

0.25

0.3

0.35

0.4

0.45

0

1

2

3

7-Da

y M

ovin

g Av

erag

e (M

A)

# of

con

firm

ed C

OVI

D-19

cas

es

Reported Date

Overall Overall 7-Day MA

Page 23: September 11, 2020 · Epidemic Curve by 3-Day Moving Average by Reported Date 2020-09-15 0. 10. 20. 30. 40. 50. 60. 70. 80. 03-27. 04-03. 04-10. 04-17. 04-24. 05-01. 05-08. 05-15

Epidemic Curve by Reported Date for Essex

2020-09-15

0

0.2

0.4

0.6

0.8

1

1.2

0

1

2

3

4

5

6

7-Da

y M

ovin

g Av

erag

e (M

A)

# of

con

firm

ed C

OVI

D-19

cas

es

Reported Date

Farm Community Overall 7-Day MA Community 7-Day MA

Page 24: September 11, 2020 · Epidemic Curve by 3-Day Moving Average by Reported Date 2020-09-15 0. 10. 20. 30. 40. 50. 60. 70. 80. 03-27. 04-03. 04-10. 04-17. 04-24. 05-01. 05-08. 05-15

Epidemic Curve by Reported Date For Kingsville

2020-09-15

0

2

4

6

8

10

12

14

16

0

5

10

15

20

25

30

35

40

45

7-Da

y M

ovin

g Av

erag

e (M

A)

# of

con

firm

ed C

OVI

D-19

cas

es

Reported Date

Farm Community Overall 7-Day MA Community 7-Day MA

Page 25: September 11, 2020 · Epidemic Curve by 3-Day Moving Average by Reported Date 2020-09-15 0. 10. 20. 30. 40. 50. 60. 70. 80. 03-27. 04-03. 04-10. 04-17. 04-24. 05-01. 05-08. 05-15

Epidemic Curve by Reported Date For Leamington

2020-09-15

0

5

10

15

20

25

30

35

0

10

20

30

40

50

60

70

80

90

10001

-Jun

-20

08-J

un-2

0

15-J

un-2

0

22-J

un-2

0

29-J

un-2

0

06-J

ul-2

0

13-J

ul-2

0

20-J

ul-2

0

27-J

ul-2

0

03-A

ug-2

0

10-A

ug-2

0

17-A

ug-2

0

24-A

ug-2

0

31-A

ug-2

0

07-S

ep-2

0

7-Da

y M

ovin

g Av

erag

e (M

A)

# of

con

firm

ed C

OVI

D-19

cas

es

Reported Date

Farm Community Overall 7-Day MA Community 7-Day MA

Page 26: September 11, 2020 · Epidemic Curve by 3-Day Moving Average by Reported Date 2020-09-15 0. 10. 20. 30. 40. 50. 60. 70. 80. 03-27. 04-03. 04-10. 04-17. 04-24. 05-01. 05-08. 05-15

Epidemic Curve by Reported Date For Lakeshore

2020-09-15

0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

0.9

0

1

2

3

4

5

7-Da

y M

ovin

g Av

erag

e (M

A)

# of

con

firm

ed C

OVI

D-19

cas

es

Reported Date

Farm Community Overall 7-Day MA Community 7-Day MA

Page 27: September 11, 2020 · Epidemic Curve by 3-Day Moving Average by Reported Date 2020-09-15 0. 10. 20. 30. 40. 50. 60. 70. 80. 03-27. 04-03. 04-10. 04-17. 04-24. 05-01. 05-08. 05-15

Epidemic Curve by Reported Date for LaSalle

2020-09-15

0

0.2

0.4

0.6

0.8

1

1.2

1.4

1.6

1.8

0

1

2

3

4

5

6

7-Da

y M

ovin

g Av

erag

e (M

A)

# of

con

firm

ed C

OVI

D-19

cas

es

Reported Date

Overall Overall 7-Day MA

Page 28: September 11, 2020 · Epidemic Curve by 3-Day Moving Average by Reported Date 2020-09-15 0. 10. 20. 30. 40. 50. 60. 70. 80. 03-27. 04-03. 04-10. 04-17. 04-24. 05-01. 05-08. 05-15

Epidemic Curve by Reported Date For Tecumseh

2020-09-15

0

0.05

0.1

0.15

0.2

0.25

0.3

0.35

0.4

0.45

0

1

2

3

7-Da

y M

ovin

g Av

erag

e (M

A)

# of

con

firm

ed C

OVI

D-19

cas

es

Reported Date

Overall Overall 7-Day MA

Page 29: September 11, 2020 · Epidemic Curve by 3-Day Moving Average by Reported Date 2020-09-15 0. 10. 20. 30. 40. 50. 60. 70. 80. 03-27. 04-03. 04-10. 04-17. 04-24. 05-01. 05-08. 05-15

Exposure History by Reported Date

2020-09-15

0

5

10

15

20

25

30

35

40

45

# of

con

firm

ed C

OVI

D-19

cas

es

Reported Date

Travel Close Contact Community Transmission

Page 30: September 11, 2020 · Epidemic Curve by 3-Day Moving Average by Reported Date 2020-09-15 0. 10. 20. 30. 40. 50. 60. 70. 80. 03-27. 04-03. 04-10. 04-17. 04-24. 05-01. 05-08. 05-15

Exposure History by Reported Date Among Agri-Farm Workers

2020-09-15

0

5

10

15

20

25

30

35

40

# of

con

firm

ed c

ases

Travel Close Contact Community Transmission

Page 31: September 11, 2020 · Epidemic Curve by 3-Day Moving Average by Reported Date 2020-09-15 0. 10. 20. 30. 40. 50. 60. 70. 80. 03-27. 04-03. 04-10. 04-17. 04-24. 05-01. 05-08. 05-15

Exposure History by Reported Date Among Non-AgriFarm Cases

2020-09-15

0

2

4

6

8

10

12

14

16

18

20

# of

con

firm

ed C

ases

Reported Date

Community Transmission Close Contact Travel

Page 32: September 11, 2020 · Epidemic Curve by 3-Day Moving Average by Reported Date 2020-09-15 0. 10. 20. 30. 40. 50. 60. 70. 80. 03-27. 04-03. 04-10. 04-17. 04-24. 05-01. 05-08. 05-15

COVID-19 Cases by Healthcare Worker

2020-09-15

HealthCare Worker (Michigan)

21%

HealthCare Worker (Local +

International)79%

Page 33: September 11, 2020 · Epidemic Curve by 3-Day Moving Average by Reported Date 2020-09-15 0. 10. 20. 30. 40. 50. 60. 70. 80. 03-27. 04-03. 04-10. 04-17. 04-24. 05-01. 05-08. 05-15

Hospitalizations & ICU for COVID-19

2020-09-15

0

2

4

6

8

10

12

14

16

18

20

# of

con

firm

ed C

OVI

D-19

cas

es

Date

Hospitalizations ICU Hospitalization 7 Day Avg ICU 7 Day Avg

Page 34: September 11, 2020 · Epidemic Curve by 3-Day Moving Average by Reported Date 2020-09-15 0. 10. 20. 30. 40. 50. 60. 70. 80. 03-27. 04-03. 04-10. 04-17. 04-24. 05-01. 05-08. 05-15

Health Care System Capacity

2020-09-15

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

% o

f bed

s occ

upie

d

Date

Acute Beds Occupied ICU Beds Occupied ICU Ventilator Beds Occupied

Page 35: September 11, 2020 · Epidemic Curve by 3-Day Moving Average by Reported Date 2020-09-15 0. 10. 20. 30. 40. 50. 60. 70. 80. 03-27. 04-03. 04-10. 04-17. 04-24. 05-01. 05-08. 05-15

Current Outcomes

2020-09-15

Resolved93.9%

Deceased3.0%

Self-isolating2.7%

Hospitalized0.2%

ICU0.0%

Unknown0.2%

Page 36: September 11, 2020 · Epidemic Curve by 3-Day Moving Average by Reported Date 2020-09-15 0. 10. 20. 30. 40. 50. 60. 70. 80. 03-27. 04-03. 04-10. 04-17. 04-24. 05-01. 05-08. 05-15

Ever Hospitalized

2020-09-15

Not hospitalized92%

Hospitalized8%

Page 37: September 11, 2020 · Epidemic Curve by 3-Day Moving Average by Reported Date 2020-09-15 0. 10. 20. 30. 40. 50. 60. 70. 80. 03-27. 04-03. 04-10. 04-17. 04-24. 05-01. 05-08. 05-15

Age & Sex Breakdown of COVID-19 Deaths

2020-09-15

0% 1% 1% 1% 3%

9%

18%

66%

43%

57%

0%

10%

20%

30%

40%

50%

60%

70%

0 to 19years

20 to 29years

30 to 39years

40 to 49years

50 to 59years

60 to 69years

70 to 79years

80+years

Male Female

% o

f con

firm

ed C

OVI

D-19

dea

ths

Age Group & Sex

Page 38: September 11, 2020 · Epidemic Curve by 3-Day Moving Average by Reported Date 2020-09-15 0. 10. 20. 30. 40. 50. 60. 70. 80. 03-27. 04-03. 04-10. 04-17. 04-24. 05-01. 05-08. 05-15

Case Fatality Rate

2020-09-15

1.0%

15.5%

3.0%

6.4%

21.2%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

Community LTCH/RH Overall WEC Ontario Ontario LTCH

Case

fata

lity

(%)

Setting

Page 39: September 11, 2020 · Epidemic Curve by 3-Day Moving Average by Reported Date 2020-09-15 0. 10. 20. 30. 40. 50. 60. 70. 80. 03-27. 04-03. 04-10. 04-17. 04-24. 05-01. 05-08. 05-15

Doubling Time (Day over Day Comparison)

2020-09-15

1

20

400

28-M

ar

4-Ap

r

11-A

pr

18-A

pr

25-A

pr

2-M

ay

9-M

ay

16-M

ay

23-M

ay

30-M

ay

6-Ju

n

13-J

un

20-J

un

27-J

un

4-Ju

l

11-J

ul

18-J

ul

25-J

ul

1-Au

g

8-Au

g

15-A

ug

22-A

ug

29-A

ug

5-Se

p

Doub

ling

Tim

e (lo

g10)

Reported Date

ONT Doubling Time

WECHU Doubling Time

Canada Doubling Time

Page 40: September 11, 2020 · Epidemic Curve by 3-Day Moving Average by Reported Date 2020-09-15 0. 10. 20. 30. 40. 50. 60. 70. 80. 03-27. 04-03. 04-10. 04-17. 04-24. 05-01. 05-08. 05-15

Mean R0 (Effective)

2020-09-15

0

0.5

1

1.5

2

2.5

3

Mea

n R0

Date of Symptom Onset

Page 41: September 11, 2020 · Epidemic Curve by 3-Day Moving Average by Reported Date 2020-09-15 0. 10. 20. 30. 40. 50. 60. 70. 80. 03-27. 04-03. 04-10. 04-17. 04-24. 05-01. 05-08. 05-15

Summary• Windsor-Essex is seeing low cases overall.• The primary source of exposure continues to be

close contact with a confirmed case• COVID-19 related hospitalizations has declined

while ICU occupancy is low.• Day-over-day doubling time in Windsor-Essex is

slightly higher than the province and nationally• R0 (effective) value is 0.93 indicating a decrease

in transmission in Windsor-Essex• BUT this has increased from the previous week

2020-09-15