1 Updated: 2/3/2021

Weekly Covid-19 Summary

January 24-30, 2021 Summary: Public health surveillance data indicate Corona Virus Disease 2019 (Covid19) activity in Holmes County increased at a slower pace than the previous week. The cumulative number of cases reported to the Holmes County General Health District is 2,321 with 312 cases reported in the last 4 weeks. During the last 4 weeks, most of the cases are ages 40-79 (58%) and case counts are slightly higher among females (59%). The zip codes with the highest case rates during the last 4 weeks are Nashville (44661), Berlin (44610), Walnut Creek (44687), and Lakeville (44638). The cumulative number of hospitalized cases is 220 with 17 hospitalizations admitted during the last 4 weeks. During the last 4 weeks, most of the hospitalized cases are 60 years of age or older (71%). 83 Holmes County residents have died from Covid19 with 2 deaths occurring in the last 4 weeks. All of the deaths in the last 4 weeks have been 60 years of age or older.

Dashboard:

Indicator Current Week Previous Week Trend (# of weeks) Total to Date

Number of New Cases Reported1 56 68 1 2,321

Number of Hospitalized Cases1 0 3 2 220

Number of deaths:2 0 2 2 83

Number of Recovered Cases3 2,086

Number of Active Cases 134

2 Updated: 2/3/2021

Number of New Covid19 Cases by Date Reported to the Health District:

The 7-day average for the number of new cases reported is 8.

0

10

20

30

40

50

60

3/23/2020 4/23/2020 5/23/2020 6/23/2020 7/23/2020 8/23/2020 9/23/2020 10/23/2020 11/23/2020 12/23/2020 1/23/2021

Num

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f Cas

es

New Covid19 Cases by Date Reported to Holmes County General Health District

New Cases 7 per. Mov. Avg. (New Cases)

3 Updated: 2/3/2021

Number of Covid19 Cases by Case Status and Date:

312 cases have been reported to the Holmes County General Health District in the last 4 weeks.

0

500

1000

1500

2000

2500

3/23/2020 4/23/2020 5/23/2020 6/23/2020 7/23/2020 8/23/2020 9/23/2020 10/23/2020 11/23/2020 12/23/2020 1/23/2021

Num

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f Cas

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Date of Illness Onset

Number of Covid19 Cases by Case Status and Date of Onset

Existing Deaths Presumed Recovered Active Cases New Cases

4 Updated: 2/3/2021

Percentage of Covid19 Cases by Sex:

During the last 4 weeks, the percentage of reported cases is slightly higher among females (57%) compared to males (43%). This pattern is consistent with the percentage of cases reported by sex since the beginning of the pandemic.

46%

54%

41%

59%

0%

10%

20%

30%

40%

50%

60%

70%

Male Female

Perc

enta

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f Cas

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Holmes County, All cases Holmes County, Last 4 weeks

5 Updated: 2/3/2021

Percentage of Covid19 Cases by Age Group:

During the last 4 weeks, the highest percentages of reported cases were among individuals ages 50-59 (17%) and 60-69 (17%). This pattern is consistent with the age distribution of cases since the beginning of the pandemic.

9%

12%

10%

13%

17%17%

11%12%

10%

13%

9%

11%

17% 17%

10%

13%

0%

2%

4%

6%

8%

10%

12%

14%

16%

18%

20%

0-19 20-29 30-39 40-49 50-59 60-69 70-79 80+

Perc

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f Cas

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Age Group

Holmes County, All cases Holmes County, Last 4 weeks

6 Updated: 2/3/2021

Covid19 Cases by Zip Code (Last 4 weeks):

During the last 4 weeks, the highest number of reported cases are residents of the 44654 zip code (155 cases) (map below). The highest case rates were found in the 44610 (2,804 per 100,000) and 44687 (1,718 per 100,000) (map not shown).

44628

44637 443804

44654

44624

44627

44633 44676

44842

44611

44638

44689

44681

43006

7 Updated: 2/3/2021

Number of Hospitalized Covid19 Cases Reported by Day:

17 hospitalizations have been admitted in the last 4 weeks. 1 out of the 17 have been admitted to an intensive care unit. The chart below excludes hospitalizations with unknown admission date.

0

20

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60

80

100

120

140

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3/23/2020 4/23/2020 5/23/2020 6/23/2020 7/23/2020 8/23/2020 9/23/2020 10/23/2020 11/23/2020 12/23/2020 1/23/2021

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f Hos

pita

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Cas

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Admission Date

Existing Hospitalization New Hospitalization

8 Updated: 2/3/2021

Covid19 Hospitalizations by Sex:

During the last 4 weeks, 55% of hospitalized cases were male and 53% were male. This pattern is lower than the percentage of hospitalized cases among males since the beginning of the pandemic.

60%

40%

53%

47%

0%

20%

40%

60%

80%

100%

Male Female

Perc

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f Hos

pita

lized

Cas

es

Holmes County, All cases Holmes County, Last 4 weeks

9 Updated: 2/3/2021

Covid19 Hospitalizations by Age Group:

During the last 4 weeks, 71% of hospitalizations have occurred among those 60 or older. This pattern is consistent with the age distribution of hospitalizations since the beginning of the pandemic.

4%

1%

3% 3%

15%

20%

27% 27%

12%

0%

6%

0%

12%

18% 18%

35%

0%

5%

10%

15%

20%

25%

30%

35%

40%

0-19 20-29 30-39 40-49 50-59 60-69 70-79 80+

Perc

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f Hos

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Cas

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Holmes County, All cases Holmes County, Last 4 weeks

10 Updated: 2/3/2021

Covid19 Hospitalizations by Zip Code (Last 4 weeks):

During the last 4 weeks, 13 out of the 17 hospitalizations were residents of the 44654 zip code. No other zip code had more than 3 hospitalizations (map below).

44842 44638

44611

44633

44624

44689

44681

44654

44628

43006

44637

44627

44676

43804

11 Updated: 2/3/2021

Covid19 Deaths by Date of Death:

2 deaths have been reported in the last 4 weeks.

0

10

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30

40

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60

70

80

90

3/23/2020 4/23/2020 5/23/2020 6/23/2020 7/23/2020 8/23/2020 9/23/2020 10/23/2020 11/23/2020 12/23/2020 1/23/2021

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f Dec

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d Ca

ses

Existing Deaths New Deaths

12 Updated: 2/3/2021

Covid19 Deaths Reported by Sex:

During the last 4 weeks, both decedents were female. This percentage is not consistent with the sex distribution of decedents since the beginning of the pandemic.

58%

42%

0%

100%

0%

20%

40%

60%

80%

100%

Male Female

Perc

enta

ge o

f Dec

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d Ca

ses

Holmes County, All cases Holmes County, Last 4 weeks

13 Updated: 2/3/2021

Covid19 Deaths Reported by Age:

During the last 4 weeks, all of the deaths occurred among cases age 60 or older. This pattern is similar the age distribution of deceased cases since the beginning of the pandemic.

0% 0% 1% 0%2%

16%

24%

57%

0% 0% 0% 0% 0%

50%

0%

50%

0%

10%

20%

30%

40%

50%

60%

0-19 20-29 30-39 40-49 50-59 60-69 70-79 80+

Perc

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f Dec

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Holmes County, All cases Holmes County, Last 4 weeks

14 Updated: 2/3/2021

Covid19 Deaths Reported by Zip Code (Cumulative):

Since the beginning of the pandemic, 34 residents from the 44654 zip code and 22 residents from the 44687 zip code have died (map below).

43804

44654

44681

44624

44689

44627

44633

44842

44628

44637

44638

44611

44676

43006

15 Updated: 2/3/2021

Case Fatality Rates by Age Group:

Case Fatality Rate (CFR) is a measure of disease severity. CFR is calculated by dividing the number of deaths by the number of total cases. The overall CFR for Holmes County is 3.6%. CRF increases from 0% for those ages 0-29 to 17.5% for those age 80 or older.

0.0% 0.0%0.4%

0.0%0.5%

3.3%

7.8%

17.5%

0%

4%

8%

12%

16%

20%

0-19 20-29 30-39 40-49 50-59 60-69 70-79 80+

Case

Fat

ality

Rat

e

16 Updated: 2/3/2021

Long-Term Care Facility Residents and Health Care Professionals:

Long-term care facility residents are a vulnerable population during the Covid-19 pandemic. Since the beginning of the pandemic, 236 cases, 14 hospitalizations, and 44 deaths have been among residents of long-term care facilities. The case fatality rate for long-term care residents is 18%. Health care professionals are essential for providing direct patient care. Among health care professionals, there have been 89 cases, 0 hospitalizations, and 0 deaths.

236

14

44

89

0 00

50

100

150

200

250

Cases Hospitalizations Deaths

Num

ber

Long Term Care Resident Direct Patient Care

17 Updated: 2/3/2021

Case, Hospitalization, and Death Counts and Rates per 100,000 by Zip Code:

Zip Village Population

New Cases (last 4 weeks)

Case Rate per

100,000 Hospitalizations

(last 4 weeks)

Hospitalization Rate per 100,000

Cumulative Deaths

Death Rate per

100,000 43006 Brinkhaven 411 2 486.6 0 0.0 0 0.0 43804 Baltic 3,786 12 317.0 1 26.4 11 290.5 43812 Coshocton 0 0 0 44610 Berlin 107 3 2,803.7 0 0.0 0 0.0 44611 Big Prairie 2,121 20 943.0 0 0.0 0 0.0 44624 Dundee 2,654 15 565.2 1 37.7 1 37.7 44627 Fredericksburg 3,415 0 0.0 0 0.0 1 29.3 44628 Glenmont 932 9 965.7 0 0.0 0 0.0 44633 Holmesville 2,634 18 683.4 1 38.0 5 189.8 44637 Killbuck 3,281 18 548.6 0 0.0 1 30.5 44638 Lakeville 1,453 20 1,376.5 0 0.0 2 137.6 44654 Millersburg 21,043 155 736.6 13 61.8 34 161.6 44661 Nashville 171 2 1,169.6 0 0.0 0 0.0 44676 Shreve 2,201 6 272.6 0 0.0 0 0.0 44681 Sugar Creek 3,994 14 350.6 0 0.0 4 100.2 44687 Walnut Creek 291 5 1,718.2 0 0.0 22 7,560.1 44689 Wilmot 393 2 508.9 0 0.0 1 254.5 44690 Winesburg 166 0 0.0 0 0.0 0 0.0 44842 Loudonville 9 0 1

18 Updated: 2/3/2021

Data Sources:

1. Ohio Disease Reporting System (ODRS): Information on cases of communicable diseases reportable under Ohio Revised Code are housed and maintained by the Ohio Disease Reporting System (ODRS). Corona Virus Disease 2019 (Covid19) is a reportable condition under Ohio Revised Code. Health Care Providers are required to immediately notify their local public health department of Covid19 cases for follow-up. Cases with a classification status of confirmed or probable are included in this report. Confirmed cases are defined as patients that receive a positive laboratory test performed for Covid19. Probable cases must meet clinical criteria and epidemiologic evidence without confirmatory laboratory testing OR meet presumptive laboratory evidence and either clinical criteria or epidemiologic evidence.

2. Office of Vital Statistics: The Holmes County General Health District Office of Vital Statistics receives reports on the causes of death that occur within the county. Covid19 deaths were included in this report if they were listed as the immediate or underlying cause of death on the death certificate.

3. Definition of Recovered: The number of cases minus the number of deaths minus the number of cases with illness onset in the last 21 days.

Data presented in the report are considered preliminary and subject to change as additional information is gathered.