covid-19 in ontario: january 15, 2020 to january 1, 2020 · covid-19 in ontario: january 15, 2020...

21
COVID-19 in Ontario: January 15, 2020 to January 1, 2021 1 Daily Epidemiologic Summary COVID-19 in Ontario: January 15, 2020 to January 1, 2021 This report includes the most current information available from CCM and other case management systems (CCM plus) as of January 1, 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 187,998 confirmed cases of COVID-19 in Ontario reported to date. Compared to the previous day*, this represents: An increase of 3,363 confirmed cases (percent change of +35.8%) An increase of 44 deaths (percent change of -13.7%) An increase of 2,054 resolved cases (percent change of -16.5%) * Due to a data issue, cases reported on December 31, 2020 for Toronto Public Health are under- reported. This issue also affects overall case counts for Ontario. 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.

Upload: others

Post on 01-Feb-2021

5 views

Category:

Documents


0 download

TRANSCRIPT

  • COVID-19 in Ontario: January 15, 2020 to January 1, 2021 1

    Daily Epidemiologic Summary

    COVID-19 in Ontario: January 15, 2020 to January 1, 2021

    This report includes the most current information available from CCM and other case management systems (CCM plus) as of January 1, 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 187,998 confirmed cases of COVID-19 in Ontario reported to date.

    Compared to the previous day*, this represents:

    An increase of 3,363 confirmed cases (percent change of +35.8%)

    An increase of 44 deaths (percent change of -13.7%)

    An increase of 2,054 resolved cases (percent change of -16.5%)

    * Due to a data issue, cases reported on December 31, 2020 for Toronto Public Health are under-reported. This issue also affects overall case counts for Ontario.

    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 1, 2021 2

    Case Characteristics

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

    Change in cases

    December 31, 2020

    Change in cases

    January 1, 2021

    Percentage change

    January 1, 2021 compared to

    December 31, 2020

    Cumulative case count

    as of January 1, 2021

    Total number of cases 2,476* 3,363 +35.8% 187,998

    Number of deaths 51 44 -13.7% 4,625

    Number resolved 2,460 2,054 -16.5% 160,526

    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

    * Due to a data issue, cases reported on December 31, 2020 for Toronto Public Health are under-reported in this table. This issue also affects overall case counts for Ontario.

  • COVID-19 in Ontario: January 15, 2020 to January 1, 2021 3

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

    Change in cases

    December 31, 2020

    Change in cases

    January 1, 2021

    Cumulative case count

    as of January 1, 2021

    Gender: Male 1,211 1,622 92,028

    Gender: Female 1,243 1,758 94,819

    Ages: 19 and under 326 440 24,328

    Ages: 20-39 865 1,258 68,379

    Ages: 40-59 757 970 54,218

    Ages: 60-79 378 499 27,197

    Ages: 80 and over 142 196 13,831

    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 1, 2021: Ontario

    Change in cases

    December 31, 2020

    Change in cases

    January 1, 2021

    Cumulative case count from August 30, 2020

    to January 1, 2021

    Ages: 4 to 8 56 63 3,894

    Ages: 9 to 13 78 113 5,507

    Ages: 14 to 17 103 122 5,437

    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 1, 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

    December 31, 2020

    Change in cases

    January 1, 2021

    Cumulative case count as of January 1, 2021

    Residents 116 74 11,217

    Health care workers 49 36 4,365

    Deaths among residents 23 14 2,814

    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 1, 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 1, 2021

    Data Source: CCM plus

  • COVID-19 in Ontario: January 15, 2020 to January 1, 2021 6

    Figure 2. Confirmed cases of COVID-19 by likely acquisition and approximation of symptom onset date: Ontario, January 15, 2020 to January 1, 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 1, 2021 7

    Figure 3. Number of COVID-19 tests completed and percent positivity: Ontario, March 29, 2020 to December 30*, 2020

    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.

    * The daily number of tests completed and percent positivity are not available for December 31, 2020.

  • COVID-19 in Ontario: January 15, 2020 to January 1, 2021 8

    Severity Figure 4. Confirmed deaths among COVID-19 cases by date of death: Ontario, March 1, 2020 to January 1, 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 1, 2021 9

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

    Blank cell Cumulative case count as of January 1, 2021

    Percentage of all cases

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

    4,625 2.5%

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

    Deaths reported in ages: 20-39 18 < 0.1%

    Deaths reported in ages: 40-59 177 0.3%

    Deaths reported in ages: 60-79 1,228 4.5%

    Deaths reported in ages: 80 and over 3,200 23.1%

    Ever in ICU 1,956 1.0%

    Ever hospitalized 9,921 5.3%

    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 1, 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

    December 31, 2020

    Change in cases

    January 1, 2021

    Cumulative case count

    Cumulative rate per 100,000 population

    Northwestern Health Unit 4 5 172 196.2

    Thunder Bay District Health Unit 4 4 588 392.1

    TOTAL NORTH WEST 8 9 760 319.8

    Algoma Public Health 1 9 75 65.5

    North Bay Parry Sound District Health Unit

    4 2 132 101.7

    Porcupine Health Unit 2 -1 130 155.8

    Public Health Sudbury & Districts 3 3 280 140.7

    Timiskaming Health Unit 2 1 73 223.3

    TOTAL NORTH EAST 12 14 690 123.4

    Ottawa Public Health 93 81 10,241 971.0

    Eastern Ontario Health Unit 25 53 1,472 705.3

    Hastings Prince Edward Public Health

    2 14 293 173.9

    Kingston, Frontenac and Lennox & Addington Public Health

    5 8 547 257.1

    Leeds, Grenville & Lanark District Health Unit

    5 12 694 400.8

    Renfrew County and District Health Unit

    1 -1 238 219.1

  • COVID-19 in Ontario: January 15, 2020 to January 1, 2021 11

    Public Health Unit Name

    Change in cases

    December 31, 2020

    Change in cases

    January 1, 2021

    Cumulative case count

    Cumulative rate per 100,000 population

    TOTAL EASTERN 131 167 13,485 700.0

    Durham Region Health Department 149 115 7,519 1,055.4

    Haliburton, Kawartha, Pine Ridge District Health Unit

    8 20 544 287.9

    Peel Public Health 480 713 40,497 2,521.7

    Peterborough Public Health 13 20 364 246.0

    Simcoe Muskoka District Health Unit

    53 58 3,699 616.9

    York Region Public Health 300 395 18,029 1,470.8

    TOTAL CENTRAL EAST 1,003 1,321 70,652 1,576.8

    Toronto Public Health 499* 700 59,873 1,918.8

    TOTAL TORONTO 499* 700 59,873 1,918.8

    Chatham-Kent Public Health 21 9 715 672.5

    Grey Bruce Health Unit 7 11 465 273.7

    Huron Perth Public Health 8 22 711 508.7

    Lambton Public Health 37 70 856 653.6

    Middlesex-London Health Unit 52 94 3,370 664.0

    Southwestern Public Health 71 56 1,435 678.5

    Windsor-Essex County Health Unit 175 226 7,953 1,872.0

    TOTAL SOUTH WEST 371 488 15,505 917.0

    Brant County Health Unit 22 26 1,026 661.1

  • COVID-19 in Ontario: January 15, 2020 to January 1, 2021 12

    Public Health Unit Name

    Change in cases

    December 31, 2020

    Change in cases

    January 1, 2021

    Cumulative case count

    Cumulative rate per 100,000 population

    City of Hamilton Public Health Services

    111 171 6,300 1,063.9

    Haldimand-Norfolk Health Unit 29 36 939 823.1

    Halton Region Public Health 78 152 5,880 949.8

    Niagara Region Public Health 101 166 4,204 889.8

    Region of Waterloo Public Health and Emergency Services

    51 58 5,976 1,022.7

    Wellington-Dufferin-Guelph Public Health

    60 55 2,708 868.2

    TOTAL CENTRAL WEST 452 664 27,033 948.8

    TOTAL ONTARIO 2,476 3,363 187,998 1,264.8

    Notes: Health units with data corrections or updates could result in records being removed from totals resulting in negative counts.

    Data Source: CCM plus

    * Due to a data issue, cases reported on December 31, 2020 for Toronto Public Health are under-reported in this table. This issue also affects overall case counts for Ontario.

  • COVID-19 in Ontario: January 15, 2020 to January 1, 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

    December 31, 2020

    Change in outbreaks January 1,

    2021

    Number of ongoing

    outbreaks

    Cumulative number of outbreaks reported

    Long-term care homes 10 15 216 938

    Retirement homes 10 3 120 493

    Hospitals 1 4 55 246

    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 1, 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 1, 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 1, 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 1, 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 1, 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 1, 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 1, 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 17, 2020 to December 29, 2020

    Public Health Unit Name

    Dec 17 to

    Dec 23

    Dec 18 to

    Dec 24

    Dec 19 to

    Dec 25

    Dec 20 to

    Dec 26

    Dec 21 to

    Dec 27

    Dec 22 to

    Dec 28

    Dec 23 to

    Dec 29

    % change from

    Dec 17-23 to Dec 23-

    29

    NORTH WEST

    Northwestern Health Unit

    11.4 19.4 19.4 22.8 24.0 19.4 19.4 +70.2%

    Thunder Bay District Health Unit

    59.3 52.0 48.0 40.0 41.3 38.0 26.0 -56.2%

    NORTH EAST

    Algoma Public Health

    1.7 1.7 1.7 2.6 2.6 2.6 1.7 0.0%

    North Bay Parry Sound District Health Unit

    10.8 12.3 10.0 10.0 8.5 9.2 9.2 -14.8%

    Porcupine Health Unit

    10.8 9.6 9.6 7.2 8.4 3.6 1.2 -88.9%

    Public Health Sudbury & Districts

    6.0 5.5 6.5 6.5 6.0 7.0 8.0 +33.3%

    Timiskaming Health Unit

    61.2 70.4 79.5 76.5 76.5 67.3 70.4 +15.0%

    EASTERN

    Ottawa Public Health

    29.8 31.6 37.1 34.5 38.3 40.0 46.5 +56.0%

  • COVID-19 in Ontario: January 15, 2020 to January 1, 2021 18

    Public Health Unit Name

    Dec 17 to

    Dec 23

    Dec 18 to

    Dec 24

    Dec 19 to

    Dec 25

    Dec 20 to

    Dec 26

    Dec 21 to

    Dec 27

    Dec 22 to

    Dec 28

    Dec 23 to

    Dec 29

    % change from

    Dec 17-23 to Dec 23-

    29

    Eastern Ontario Health Unit

    50.3 54.1 51.7 49.4 54.1 58.0 66.6 +32.4%

    Hastings Prince Edward Public Health

    16.6 14.8 11.3 9.5 9.5 8.9 10.7 -35.5%

    Kingston, Frontenac and Lennox & Addington Public Health

    27.3 27.3 22.1 24.4 21.2 22.6 19.3 -29.3%

    Leeds, Grenville & Lanark District Health Unit

    13.9 12.1 9.8 9.8 11.5 13.9 19.6 +41.0%

    Renfrew County and District Health Unit

    12.9 10.1 12.0 9.2 10.1 10.1 11.0 -14.7%

    CENTRAL EAST

    Durham Region Health Department

    96.6 92.2 89.4 87.9 84.1 84.9 87.9 -9.0%

    Haliburton, Kawartha, Pine Ridge District Health Unit

    25.9 26.5 25.4 22.8 21.2 20.6 21.7 -16.2%

    Peel Public Health

    194.7 190.8 182.6 177.0 173.9 173.9 178.0 -8.6%

  • COVID-19 in Ontario: January 15, 2020 to January 1, 2021 19

    Public Health Unit Name

    Dec 17 to

    Dec 23

    Dec 18 to

    Dec 24

    Dec 19 to

    Dec 25

    Dec 20 to

    Dec 26

    Dec 21 to

    Dec 27

    Dec 22 to

    Dec 28

    Dec 23 to

    Dec 29

    % change from

    Dec 17-23 to Dec 23-

    29

    Peterborough Public Health

    18.9 21.6 31.8 30.4 33.8 31.1 30.4 +60.8%

    Simcoe Muskoka District Health Unit

    59.5 57.9 58.4 57.4 56.9 61.0 59.9 +0.7%

    York Region Public Health

    129.9 130.9 129.7 121.8 114.5 125.8 136.9 +5.4%

    TORONTO

    Toronto Public Health

    145.2 141.1 141.5 146.2 142.1 147.4 153.0 +5.4%

    SOUTH WEST

    Chatham-Kent Public Health

    37.6 35.7 45.1 46.1 52.7 64.0 75.2 +100.0%

    Grey Bruce Health Unit

    22.4 20.6 21.2 20.6 19.4 17.7 15.9 -29.0%

    Huron Perth Public Health

    52.2 63.0 65.1 76.6 74.4 73.7 78.0 +49.4%

    Lambton Public Health

    77.1 77.1 81.7 104.6 115.3 125.2 123.7 +60.4%

    Middlesex-London Health Unit

    99.5 93.4 88.5 91.6 92.2 95.2 103.0 +3.5%

    Southwestern Public Health

    97.9 97.9 105.4 102.1 109.2 102.6 112.1 +14.5%

    Windsor-Essex County Health Unit

    277.1 258.2 271.4 272.1 270.5 270.5 262.7 -5.2%

  • COVID-19 in Ontario: January 15, 2020 to January 1, 2021 20

    Public Health Unit Name

    Dec 17 to

    Dec 23

    Dec 18 to

    Dec 24

    Dec 19 to

    Dec 25

    Dec 20 to

    Dec 26

    Dec 21 to

    Dec 27

    Dec 22 to

    Dec 28

    Dec 23 to

    Dec 29

    % change from

    Dec 17-23 to Dec 23-

    29

    CENTRAL WEST

    Brant County Health Unit

    63.1 51.5 50.3 50.3 51.5 61.2 61.2 -3.0%

    City of Hamilton Public Health Services

    123.1 108.4 109.1 106.7 115.2 123.1 128.2 +4.1%

    Haldimand-Norfolk Health Unit

    71.0 76.3 72.8 57.0 60.5 53.5 60.5 -14.8%

    Halton Region Public Health

    83.5 87.9 83.7 86.4 86.4 94.7 93.4 +11.9%

    Niagara Region Public Health

    125.1 131.9 114.3 109.8 117.9 121.9 127.8 +2.2%

    Region of Waterloo Public Health and Emergency Services

    110.7 109.2 104.4 97.0 91.4 88.0 93.8 -15.3%

    Wellington-Dufferin-Guelph Public Health

    103.6 105.5 93.6 95.2 98.4 102.9 102 -1.5%

    TOTAL ONTARIO

    109.0 106.7 105.2 104.4 103.4 106.7 110.7 +1.6%

    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 1, 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 1, 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 1, 2021 This report includes the most current information available from CCM and other case management systems (CCM plus) as of January 1, 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 187,998 confirmed cases of COVID-19 in Ontario reported to date. There are a total of 187,998 confirmed cases of COVID-19 in Ontario reported to date. There are a total of 187,998 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 3,363 confirmed cases (percent change of +35.8%) An increase of 3,363 confirmed cases (percent change of +35.8%)

    An increase of 44 deaths (percent change of -13.7%) An increase of 44 deaths (percent change of -13.7%)

    An increase of 2,054 resolved cases (percent change of -16.5%) An increase of 2,054 resolved cases (percent change of -16.5%)

    * Due to a data issue, cases reported on December 31, 2020 for Toronto Public Health are under-reported. This issue also affects overall case counts for Ontario. 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 December 31, 2020

    THSpanChange in cases January 1, 2021

    THSpanPercentage change January 1, 2021 compared to December 31, 2020

    THSpanCumulative case count as of January 1, 2021

    Span

    TRTDSpanTotal number of cases

    TDSpan2,476*

    TDSpan3,363

    TDSpan+35.8%

    TDSpan187,998

    TRTDSpanNumber of deaths

    TDSpan51

    TDSpan44

    TDSpan-13.7%

    TDSpan4,625

    TRTDSpanNumber resolved

    TDSpan2,460

    TDSpan2,054

    TDSpan-16.5%

    TDSpan160,526

    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 * Due to a data issue, cases reported on December 31, 2020 for Toronto Public Health are under-reported in this table. This issue also affects overall case counts for Ontario. Table 1b. Summary of recent confirmed cases of COVID-19 by age group and gender: Ontario TableTRTHSpan

    THSpanChange in cases December 31, 2020

    THSpanChange in cases January 1, 2021

    THSpanCumulative case count as of January 1, 2021

    Span

    TRTDSpanGender: Male

    TDSpan1,211

    TDSpan1,622

    TDSpan92,028

    TRTDSpanGender: Female

    TDSpan1,243

    TDSpan1,758

    TDSpan94,819

    TRTDSpanAges: 19 and under

    TDSpan326

    TDSpan440

    TDSpan24,328

    TRTDSpanAges: 20-39

    TDSpan865

    TDSpan1,258

    TDSpan68,379

    TRTDSpanAges: 40-59

    TDSpan757

    TDSpan970

    TDSpan54,218

    TRTDSpanAges: 60-79

    TDSpan378

    TDSpan499

    TDSpan27,197

    TRTDSpanAges: 80 and over

    TDSpan142

    TDSpan196

    TDSpan13,831

    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 1, 2021: Ontario TableTRTHSpan

    THSpanChange in cases December 31, 2020

    THSpanChange in cases January 1, 2021

    THSpanCumulative case count from August 30, 2020 to January 1, 2021

    Span

    TRTDSpanAges: 4 to 8

    TDSpan56

    TDSpan63

    TDSpan3,894

    TRTDSpanAges: 9 to 13

    TDSpan78

    TDSpan113

    TDSpan5,507

    TRTDSpanAges: 14 to 17

    TDSpan103

    TDSpan122

    TDSpan5,437

    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 December 31, 2020

    THSpanChange in cases January 1, 2021

    THSpanCumulative case count as of January 1, 2021

    Span

    TRTDSpanResidents

    TDSpan116

    TDSpan74

    TDSpan11,217

    TRTDSpanHealth care workers

    TDSpan49

    TDSpan36

    TDSpan4,365

    TRTDSpanDeaths among residents

    TDSpan23

    TDSpan14

    TDSpan2,814

    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 1, 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 1, 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 December 30*, 2020 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. * The daily number of tests completed and percent positivity are not available for December 31, 2020. Severity Figure 4. Confirmed deaths among COVID-19 cases by date of death: Ontario, March 1, 2020 to January 1, 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 1, 2021

    THSpanPercentage of all cases

    Span

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

    TDSpan4,625

    TDSpan2.5%

    TRTDSpanDeaths reported in ages: 19 and under

    TDSpan1

    TDSpan< 0.1%

    TRTDSpanDeaths reported in ages: 20-39

    TDSpan18

    TDSpan< 0.1%

    TRTDSpanDeaths reported in ages: 40-59

    TDSpan177

    TDSpan0.3%

    TRTDSpanDeaths reported in ages: 60-79

    TDSpan1,228

    TDSpan4.5%

    TRTDSpanDeaths reported in ages: 80 and over

    TDSpan3,200

    TDSpan23.1%

    TRTDSpanEver in ICU

    TDSpan1,956

    TDSpan1.0%

    TRTDSpanEver hospitalized

    TDSpan9,921

    TDSpan5.3%

    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 December 31, 2020

    THSpanChange in cases January 1, 2021

    THSpanCumulative case count

    THSpanCumulative rate per 100,000 population

    Span

    TRTDSpanNorthwestern Health Unit

    TDSpan4

    TDSpan5

    TDSpan172

    TDSpan196.2

    TRTDSpanThunder Bay District Health Unit

    TDSpan4

    TDSpan4

    TDSpan588

    TDSpan392.1

    TRTDSpanTOTAL NORTH WEST

    TDSpan8

    TDSpan9

    TDSpan760

    TDSpan319.8

    TRTDSpanAlgoma Public Health

    TDSpan1

    TDSpan9

    TDSpan75

    TDSpan65.5

    TRTDSpanNorth Bay Parry Sound District Health Unit

    TDSpan4

    TDSpan2

    TDSpan132

    TDSpan101.7

    TRTDSpanPorcupine Health Unit

    TDSpan2

    TDSpan-1

    TDSpan130

    TDSpan155.8

    TRTDSpanPublic Health Sudbury & Districts

    TDSpan3

    TDSpan3

    TDSpan280

    TDSpan140.7

    TRTDSpanTimiskaming Health Unit

    TDSpan2

    TDSpan1

    TDSpan73

    TDSpan223.3

    TRTDSpanTOTAL NORTH EAST

    TDSpan12

    TDSpan14

    TDSpan690

    TDSpan123.4

    TRTDSpanOttawa Public Health

    TDSpan93

    TDSpan81

    TDSpan10,241

    TDSpan971.0

    TRTDSpanEastern Ontario Health Unit

    TDSpan25

    TDSpan53

    TDSpan1,472

    TDSpan705.3

    TRTDSpanHastings Prince Edward Public Health

    TDSpan2

    TDSpan14

    TDSpan293

    TDSpan173.9

    TRTDSpanKingston, Frontenac and Lennox & Addington Public Health

    TDSpan5

    TDSpan8

    TDSpan547

    TDSpan257.1

    TRTDSpanLeeds, Grenville & Lanark District Health Unit

    TDSpan5

    TDSpan12

    TDSpan694

    TDSpan400.8

    TRTDSpanRenfrew County and District Health Unit

    TDSpan1

    TDSpan-1

    TDSpan238

    TDSpan219.1

    Span

    TableTRTHSpanPublic Health Unit Name

    THSpanChange in cases December 31, 2020

    THSpanChange in cases January 1, 2021

    THSpanCumulative case count

    THSpanCumulative rate per 100,000 population

    Span

    TRTDSpanTOTAL EASTERN

    TDSpan131

    TDSpan167

    TDSpan13,485

    TDSpan700.0

    TRTDSpanDurham Region Health Department

    TDSpan149

    TDSpan115

    TDSpan7,519

    TDSpan1,055.4

    TRTDSpanHaliburton, Kawartha, Pine Ridge District Health Unit

    TDSpan8

    TDSpan20

    TDSpan544

    TDSpan287.9

    TRTDSpanPeel Public Health

    TDSpan480

    TDSpan713

    TDSpan40,497

    TDSpan2,521.7

    TRTDSpanPeterborough Public Health

    TDSpan13

    TDSpan20

    TDSpan364

    TDSpan246.0

    TRTDSpanSimcoe Muskoka District Health Unit

    TDSpan53

    TDSpan58

    TDSpan3,699

    TDSpan616.9

    TRTDSpanYork Region Public Health

    TDSpan300

    TDSpan395

    TDSpan18,029

    TDSpan1,470.8

    TRTDSpanTOTAL CENTRAL EAST

    TDSpan1,003

    TDSpan1,321

    TDSpan70,652

    TDSpan1,576.8

    TRTDSpanToronto Public Health

    TDSpan499*

    TDSpan700

    TDSpan59,873

    TDSpan1,918.8

    TRTDSpanTOTAL TORONTO

    TDSpan499*

    TDSpan700

    TDSpan59,873

    TDSpan1,918.8

    TRTDSpanChatham-Kent Public Health

    TDSpan21

    TDSpan9

    TDSpan715

    TDSpan672.5

    TRTDSpanGrey Bruce Health Unit

    TDSpan7

    TDSpan11

    TDSpan465

    TDSpan273.7

    TRTDSpanHuron Perth Public Health

    TDSpan8

    TDSpan22

    TDSpan711

    TDSpan508.7

    TRTDSpanLambton Public Health

    TDSpan37

    TDSpan70

    TDSpan856

    TDSpan653.6

    TRTDSpanMiddlesex-London Health Unit

    TDSpan52

    TDSpan94

    TDSpan3,370

    TDSpan664.0

    TRTDSpanSouthwestern Public Health

    TDSpan71

    TDSpan56

    TDSpan1,435

    TDSpan678.5

    TRTDSpanWindsor-Essex County Health Unit

    TDSpan175

    TDSpan226

    TDSpan7,953

    TDSpan1,872.0

    TRTDSpanTOTAL SOUTH WEST

    TDSpan371

    TDSpan488

    TDSpan15,505

    TDSpan917.0

    TRTDSpanBrant County Health Unit

    TDSpan22

    TDSpan26

    TDSpan1,026

    TDSpan661.1

    Span

    TableTRTHSpanPublic Health Unit Name

    THSpanChange in cases December 31, 2020

    THSpanChange in cases January 1, 2021

    THSpanCumulative case count

    THSpanCumulative rate per 100,000 population

    Span

    TRTDSpanCity of Hamilton Public Health Services

    TDSpan111

    TDSpan171

    TDSpan6,300

    TDSpan1,063.9

    TRTDSpanHaldimand-Norfolk Health Unit

    TDSpan29

    TDSpan36

    TDSpan939

    TDSpan823.1

    TRTDSpanHalton Region Public Health

    TDSpan78

    TDSpan152

    TDSpan5,880

    TDSpan949.8

    TRTDSpanNiagara Region Public Health

    TDSpan101

    TDSpan166

    TDSpan4,204

    TDSpan889.8

    TRTDSpanRegion of Waterloo Public Health and Emergency Services

    TDSpan51

    TDSpan58

    TDSpan5,976

    TDSpan1,022.7

    TRTDSpanWellington-Dufferin-Guelph Public Health

    TDSpan60

    TDSpan55

    TDSpan2,708

    TDSpan868.2

    TRTDSpanTOTAL CENTRAL WEST

    TDSpan452

    TDSpan664

    TDSpan27,033

    TDSpan948.8

    TRTDSpanTOTAL ONTARIO

    TDSpan2,476

    TDSpan3,363

    TDSpan187,998

    TDSpan1,264.8

    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 * Due to a data issue, cases reported on December 31, 2020 for Toronto Public Health are under-reported in this table. This issue also affects overall case counts for Ontario. 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 December 31, 2020

    THSpanChange in outbreaks January 1, 2021

    THSpanNumber of ongoing outbreaks

    THSpanCumulative number of outbreaks reported

    Span

    TRTDSpanLong-term care homes

    TDSpan10

    TDSpan15

    TDSpan216

    TDSpan938

    TRTDSpanRetirement homes

    TDSpan10

    TDSpan3

    TDSpan120

    TDSpan493

    TRTDSpanHospitals

    TDSpan1

    TDSpan4

    TDSpan55

    TDSpan246

    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 1, 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 1, 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 1, 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 1, 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 1, 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 1, 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 17, 2020 to December 29, 2020 TableTRTHSpanPublic Health Unit Name

    THSpanDec 17 to Dec 23

    THSpanDec 18 to Dec 24

    THSpanDec 19 to Dec 25

    THSpanDec 20 to Dec 26

    THSpanDec 21 to Dec 27

    THSpanDec 22 to Dec 28

    THSpanDec 23 to Dec 29

    THSpan% change from Dec 17-23 to Dec 23-29

    Span

    TRTDSpanNORTH WEST

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TRTDSpanNorthwestern Health Unit

    TDSpan11.4

    TDSpan19.4

    TDSpan19.4

    TDSpan22.8

    TDSpan24.0

    TDSpan19.4

    TDSpan19.4

    TDSpan+70.2%

    TRTDSpanThunder Bay District Health Unit

    TDSpan59.3

    TDSpan52.0

    TDSpan48.0

    TDSpan40.0

    TDSpan41.3

    TDSpan38.0

    TDSpan26.0

    TDSpan-56.2%

    TRTDSpanNORTH EAST

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TRTDSpanAlgoma Public Health

    TDSpan1.7

    TDSpan1.7

    TDSpan1.7

    TDSpan2.6

    TDSpan2.6

    TDSpan2.6

    TDSpan1.7

    TDSpan0.0%

    TRTDSpanNorth Bay Parry Sound District Health Unit

    TDSpan10.8

    TDSpan12.3

    TDSpan10.0

    TDSpan10.0

    TDSpan8.5

    TDSpan9.2

    TDSpan9.2

    TDSpan-14.8%

    TRTDSpanPorcupine Health Unit

    TDSpan10.8

    TDSpan9.6

    TDSpan9.6

    TDSpan7.2

    TDSpan8.4

    TDSpan3.6

    TDSpan1.2

    TDSpan-88.9%

    TRTDSpanPublic Health Sudbury & Districts

    TDSpan6.0

    TDSpan5.5

    TDSpan6.5

    TDSpan6.5

    TDSpan6.0

    TDSpan7.0

    TDSpan8.0

    TDSpan+33.3%

    TRTDSpanTimiskaming Health Unit

    TDSpan61.2

    TDSpan70.4

    TDSpan79.5

    TDSpan76.5

    TDSpan76.5

    TDSpan67.3

    TDSpan70.4

    TDSpan+15.0%

    TRTDSpanEASTERN

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TRTDSpanOttawa Public Health

    TDSpan29.8

    TDSpan31.6

    TDSpan37.1

    TDSpan34.5

    TDSpan38.3

    TDSpan40.0

    TDSpan46.5

    TDSpan+56.0%

    Span

    TableTRTHSpanPublic Health Unit Name

    THSpanDec 17 to Dec 23

    THSpanDec 18 to Dec 24

    THSpanDec 19 to Dec 25

    THSpanDec 20 to Dec 26

    THSpanDec 21 to Dec 27

    THSpanDec 22 to Dec 28

    THSpanDec 23 to Dec 29

    THSpan% change from Dec 17-23 to Dec 23-29

    Span

    TRTDSpanEastern Ontario Health Unit

    TDSpan50.3

    TDSpan54.1

    TDSpan51.7

    TDSpan49.4

    TDSpan54.1

    TDSpan58.0

    TDSpan66.6

    TDSpan+32.4%

    TRTDSpanHastings Prince Edward Public Health

    TDSpan16.6

    TDSpan14.8

    TDSpan11.3

    TDSpan9.5

    TDSpan9.5

    TDSpan8.9

    TDSpan10.7

    TDSpan-35.5%

    TRTDSpanKingston, Frontenac and Lennox & Addington Public Health

    TDSpan27.3

    TDSpan27.3

    TDSpan22.1

    TDSpan24.4

    TDSpan21.2

    TDSpan22.6

    TDSpan19.3

    TDSpan-29.3%

    TRTDSpanLeeds, Grenville & Lanark District Health Unit

    TDSpan13.9

    TDSpan12.1

    TDSpan9.8

    TDSpan9.8

    TDSpan11.5

    TDSpan13.9

    TDSpan19.6

    TDSpan+41.0%

    TRTDSpanRenfrew County and District Health Unit

    TDSpan12.9

    TDSpan10.1

    TDSpan12.0

    TDSpan9.2

    TDSpan10.1

    TDSpan10.1

    TDSpan11.0

    TDSpan-14.7%

    TRTDSpanCENTRAL EAST

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TRTDSpanDurham Region Health Department

    TDSpan96.6

    TDSpan92.2

    TDSpan89.4

    TDSpan87.9

    TDSpan84.1

    TDSpan84.9

    TDSpan87.9

    TDSpan-9.0%

    TRTDSpanHaliburton, Kawartha, Pine Ridge District Health Unit

    TDSpan25.9

    TDSpan26.5

    TDSpan25.4

    TDSpan22.8

    TDSpan21.2

    TDSpan20.6

    TDSpan21.7

    TDSpan-16.2%

    TRTDSpanPeel Public Health

    TDSpan194.7

    TDSpan190.8

    TDSpan182.6

    TDSpan177.0

    TDSpan173.9

    TDSpan173.9

    TDSpan178.0

    TDSpan-8.6%

    Span

    TableTRTHSpanPublic Health Unit Name

    THSpanDec 17 to Dec 23

    THSpanDec 18 to Dec 24

    THSpanDec 19 to Dec 25

    THSpanDec 20 to Dec 26

    THSpanDec 21 to Dec 27

    THSpanDec 22 to Dec 28

    THSpanDec 23 to Dec 29

    THSpan% change from Dec 17-23 to Dec 23-29

    Span

    TRTDSpanPeterborough Public Health

    TDSpan18.9

    TDSpan21.6

    TDSpan31.8

    TDSpan30.4

    TDSpan33.8

    TDSpan31.1

    TDSpan30.4

    TDSpan+60.8%

    TRTDSpanSimcoe Muskoka District Health Unit

    TDSpan59.5

    TDSpan57.9

    TDSpan58.4

    TDSpan57.4

    TDSpan56.9

    TDSpan61.0

    TDSpan59.9

    TDSpan+0.7%

    TRTDSpanYork Region Public Health

    TDSpan129.9

    TDSpan130.9

    TDSpan129.7

    TDSpan121.8

    TDSpan114.5

    TDSpan125.8

    TDSpan136.9

    TDSpan+5.4%

    TRTDSpanTORONTO

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TRTDSpanToronto Public Health

    TDSpan145.2

    TDSpan141.1

    TDSpan141.5

    TDSpan146.2

    TDSpan142.1

    TDSpan147.4

    TDSpan153.0

    TDSpan+5.4%

    TRTDSpanSOUTH WEST

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TRTDSpanChatham-Kent Public Health

    TDSpan37.6

    TDSpan35.7

    TDSpan45.1

    TDSpan46.1

    TDSpan52.7

    TDSpan64.0

    TDSpan75.2

    TDSpan+100.0%

    TRTDSpanGrey Bruce Health Unit

    TDSpan22.4

    TDSpan20.6

    TDSpan21.2

    TDSpan20.6

    TDSpan19.4

    TDSpan17.7

    TDSpan15.9

    TDSpan-29.0%

    TRTDSpanHuron Perth Public Health

    TDSpan52.2

    TDSpan63.0

    TDSpan65.1

    TDSpan76.6

    TDSpan74.4

    TDSpan73.7

    TDSpan78.0

    TDSpan+49.4%

    TRTDSpanLambton Public Health

    TDSpan77.1

    TDSpan77.1

    TDSpan81.7

    TDSpan104.6

    TDSpan115.3

    TDSpan125.2

    TDSpan123.7

    TDSpan+60.4%

    TRTDSpanMiddlesex-London Health Unit

    TDSpan99.5

    TDSpan93.4

    TDSpan88.5

    TDSpan91.6

    TDSpan92.2

    TDSpan95.2

    TDSpan103.0

    TDSpan+3.5%

    TRTDSpanSouthwestern Public Health

    TDSpan97.9

    TDSpan97.9

    TDSpan105.4

    TDSpan102.1

    TDSpan109.2

    TDSpan102.6

    TDSpan112.1

    TDSpan+14.5%

    TRTDSpanWindsor-Essex County Health Unit

    TDSpan277.1

    TDSpan258.2

    TDSpan271.4

    TDSpan272.1

    TDSpan270.5

    TDSpan270.5

    TDSpan262.7

    TDSpan-5.2%

    Span

    TableTRTHSpanPublic Health Unit Name

    THSpanDec 17 to Dec 23

    THSpanDec 18 to Dec 24

    THSpanDec 19 to Dec 25

    THSpanDec 20 to Dec 26

    THSpanDec 21 to Dec 27

    THSpanDec 22 to Dec 28

    THSpanDec 23 to Dec 29

    THSpan% change from Dec 17-23 to Dec 23-29

    Span

    TRTDSpanCENTRAL WEST

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TRTDSpanBrant County Health Unit

    TDSpan63.1

    TDSpan51.5

    TDSpan50.3

    TDSpan50.3

    TDSpan51.5

    TDSpan61.2

    TDSpan61.2

    TDSpan-3.0%

    TRTDSpanCity of Hamilton Public Health Services

    TDSpan123.1

    TDSpan108.4

    TDSpan109.1

    TDSpan106.7

    TDSpan115.2

    TDSpan123.1

    TDSpan128.2

    TDSpan+4.1%

    TRTDSpanHaldimand-Norfolk Health Unit

    TDSpan71.0

    TDSpan76.3

    TDSpan72.8

    TDSpan57.0

    TDSpan60.5

    TDSpan53.5

    TDSpan60.5

    TDSpan-14.8%

    TRTDSpanHalton Region Public Health

    TDSpan83.5

    TDSpan87.9

    TDSpan83.7

    TDSpan86.4

    TDSpan86.4

    TDSpan94.7

    TDSpan93.4

    TDSpan+11.9%

    TRTDSpanNiagara Region Public Health

    TDSpan125.1

    TDSpan131.9

    TDSpan114.3

    TDSpan109.8

    TDSpan117.9

    TDSpan121.9

    TDSpan127.8

    TDSpan+2.2%

    TRTDSpanRegion of Waterloo Public Health and Emergency Services

    TDSpan110.7

    TDSpan109.2

    TDSpan104.4

    TDSpan97.0

    TDSpan91.4

    TDSpan88.0

    TDSpan93.8

    TDSpan-15.3%

    TRTDSpanWellington-Dufferin-Guelph Public Health

    TDSpan103.6

    TDSpan105.5

    TDSpan93.6

    TDSpan95.2

    TDSpan98.4

    TDSpan102.9

    TDSpan102

    TDSpan-1.5%

    TRTDSpanTOTAL ONTARIO

    TDSpan109.0

    TDSpan106.7

    TDSpan105.2

    TDSpan104.4

    TDSpan103.4

    TDSpan106.7

    TDSpan110.7

    TDSpan+1.6%

    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 1, 2021. Toronto, ON: Queen’s Printer for Ontario; 2021. For Further Information For more information, email For more information, email [email protected]@oahpp.ca

    .

    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

    .

    Figure