covid-19 hospitalizations in new mexico · new mexico has the 36th highest prevalence in the united...
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1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org
COVID-19 in New Mexico: Epidemiologic and Modeling
UpdateAugust 18, 2020
1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org
New Mexico has the 36th highest prevalence in the United States
1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org
7.3
4.85.6
19.4
11.1
8.6
0
5
10
15
20
25
30
35
COVID-19 prevalence per 100,000 population
Source: Infectious Disease Epidemiology Bureau, Epidemiology and Response Division 8.17.2020, New Mexico Department of Health. Population estimates, UNM Geospatial and Population Studies Program.
New cases (Last 7 days) – August 3 New cases (Last 7 days) – August 16
*Excludes cases in state and federal
corrections and detention centers
9.3
3.6 4.3
19.3
7.6 7.4
0
5
10
15
20
25
30
35
1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org
Statewide R-effective has increased slightly to 0.8.
Courtesy of Presbyterian Healthcare Services – August 17, 2020.
0.8
1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org
Source: Infectious Disease Epidemiology Bureau, Epidemiology and Response Division 8.17.2020, New Mexico Department of Health.
7 day moving average
0
100
200
300
400
500
600
New Mexico COVID-19 Cases by Date of Specimen Collection – August 17, 2020
Positive samples collected during this time
may not yet be reported.
1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org
Northeast R_effective 0.9 ↑
MetroR_effective 0.7 ↑
Southeast R_effective 1.0 =
SouthwestR_effective 0.7 ↓
NorthwestR_effective 0.5 ↑
Low Level Endemic <1.0
Approaching Low Level Endemic1.0-1.05
Requiring further mitigation >1.05
Key
Courtesy of Presbyterian Healthcare Services – August 17, 2020.
As of August 10, 2020
Region R-effective95% Confidence
Interval
State 0.8 [0.4, 1.2]
Metro 0.7 [0.0, 1.9]
Northeast 0.9 [0.0, 3.2]
Northwest 0.5 [0.0, 1.8]
Southeast 1.0 [0.2, 1.9]
Southwest 0.7 [0.0, 1.9]
1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org
The Northwest and Southeast have relative growth rates equal to 0.
↑ Increasing counts
↓ Decreasing case
counts
Courtesy of Presbyterian Healthcare Services – August 17, 2020.
1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org
Source: Infectious Disease Epidemiology Bureau, Epidemiology and Response Division 8.17.2020, New Mexico Department of Health.
7 day moving average
0
20
40
60
80
100
120
140
160
180
200
Metro Region Case Count by Collection Date with 7 Day Moving Average
August 17, 2020
Positive samples collected during this time may not
yet be reported.
1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org
Source: Infectious Disease Epidemiology Bureau, Epidemiology and Response Division 8.17.2020, New Mexico Department of Health.
7 day moving average
0
10
20
30
40
50
60
70
80
Northeast Region Case Count by Collection Date with 7 Day Moving Average
August 17, 2020
Positive samples collected during this
time may not yet be reported.
1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org
Source: Infectious Disease Epidemiology Bureau, Epidemiology and Response Division 8.17.2020, New Mexico Department of Health.
0
20
40
60
80
100
120
140
160
180
200
0
20
40
60
80
100
120
140
160
180
200
Northwest Region Case Count by Collection Date with 7 Day Moving Average
August 17, 2020
Without Detention Centers Detention Center 7 per. Mov. Avg. (Without Detention Centers)
Positive samples collected during
this time may not yet be reported.
1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org
Source: Infectious Disease Epidemiology Bureau, Epidemiology and Response Division 8.17.2020, New Mexico Department of Health.
7 day moving average
0
20
40
60
80
100
120
Southeast Region Case Count by Collection Date with 7 Day Moving Average
August 17, 2020
Positive samples collected during this
time may not yet be reported.
1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org
Source: Infectious Disease Epidemiology Bureau, Epidemiology and Response Division 8.17.2020, New Mexico Department of Health.
7 day moving average
0
50
100
150
200
250
0
50
100
150
200
250
Southwest Region Case Count by Collection Date with 7 Day Moving Average
August 17, 2020
Without Detention Centers Detention Center 7 per. Mov. Avg. (Without Detention Centers)
Positive samples collected during
this time may not yet be reported.
1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org
As of August 13, 2020
Hospitalizations have been steadily declining since mid-July.
1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org
The 45-59 and 60+ year old age groups make up the highest percentages of new hospital admissions each week.
Hospitalizations
may not yet be
reported.
As of August 13, 2020
1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org
New hospital admissions of patients who are Hispanic or Latino, or White are continuing to increase each week. Admissions of AI/AN patients have been steadily decreasing.
Hospitalizations
may not yet be
reported.
As of August 13, 2020
1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org
Spike in deaths from 7/19 to 8/1, but may be decreasing.
2
9
19
33
43
67 66
61
45 46
3533
31
2024 24
26
45 45
23
17
0
10
20
30
40
50
60
70
80
Nu
mb
er
of
De
ath
s
COVID-19 Deaths by Week of Death, New Mexico
Reporting through 8/16/2020
Deaths may not
yet be reported.
1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org
The trend of increasing mortality with age remains unchanged.
0.0 1.0 8.4 13.5 24.441.8
62.3
148.0
447.9
0
50
100
150
200
250
300
350
400
450
500
<18 18-24 25-34 35-44 45-54 55-64 65-74 75-84 85+
De
ath
s p
er
10
0,0
00
po
pu
lati
on
COVID-19 Mortality Rate by Age Group,
New Mexico
Reporting through 8/16/2020
1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org
Minimal changes in case fatality rates by region since last week.
Note: Age-adjusted case fatality rates are adjusted to the current distribution of U.S. COVID-19 cases on 8/9. https://www.cdc.gov/covid-data-tracker/index.html#demographicsCDC age group categories differ from those previously reported, so the age-adjusted rates for NM are not comparable to previously produced rates.Source: Bureau of Vital Records and Health Statistics and Infectious Disease Epidemiology Bureau, Epidemiology and Response Division, reporting through 8.9.2020, New Mexico Department of Health.
6.2%
1.9%
3.4%
1.0%
2.7%
4.1%
3.1%
0%
1%
2%
3%
4%
5%
6%
7%
NW NE Metro SE SW NM U.S.
Pe
rce
nta
ge
COVID-19 Age-Adjusted* Case Fatality Rate by Region,
New Mexico
Reporting through 8/16/2020; *Adjusted to U.S. COVID-19 cases.
1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org
New Mexico Status Updates
• Case count: Statewide, the increase in daily case counts continues to decline.
• Hospitalizations: After a period of increase in July, hospitalizations are decreasing.
• Deaths: After a two-week spike recently, deaths may be continuing to decrease.
• Social distancing: Cell phone data suggests the mobility of New Mexico residents has been stable, but this varies by region.
• Contact tracing: The median time to quarantine for contacts identified last week was 1.2 days.
1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org
Supplementary Slides
1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org
Modeling Assumptions
Variable Measured Value Value as of 8.17.2020
R_Effective Actual Measured
Daily Value by key county
R_eff=0.8
Positive Test Multiplier Calculated by LANL 3.8
Hospitalization and Mortality Actual rolling value /
estimated number of total
infected
Medical 0.15%
ICU 0.12%
Vent Rate 53% of ICU
Crude Case Fatality Rate 3.8%
Length of Stay Actual rolling value /
estimated number of total
infected
Medical 5 days
ICU 14 days
ICU on Vent 14 days