protecting chicago: phase iv re-opening metrics update...2021/05/10 · latinx white, non-latinx...
TRANSCRIPT
Protecting Chicago:Phase IV Re-Opening Metrics Update
May 7th, 2021
(Data current through 5/5/2021)
2
Risk/Trajectoryas of 5/6/2021
Very high risk High risk Moderate risk Lower risk Controlled transmission
COVID cases diagnosed per dayChicago residents7-day rolling daily average
HIGHDECLINING
500
800+ -or-
7+ consecutive days more than 15% higher than daily average
one week prior
400 - 799-or-
5+ consecutive days more than 10% higher than daily
average one week prior
200 - 399-and-
decreasing or stable compared to daily average
one week prior
20 – 199-and-
decreasing or stable compared to daily average
one week prior
<20
COVID test positivity Chicago residents7-day rolling daily average
LOWERDECLINING
4.5%
10%+-or-
7+ consecutive days more than 15% higher than daily average
one week prior
6.6 - 9.9%-or-
5+ consecutive days more than 10% higher than daily
average one week prior
5.0 - 6.5%-and-
decreasing or stable compared to daily average
one week prior
2 - 4.9%-and-
decreasing or stable compared to daily average
one week prior
<2%
Emergency dept visits for COVID-like illnessChicago hospitals7-day rolling daily average
VERY HIGHDECLINING
131
90+ -or-
7+ consecutive days more than 15% higher than daily average
one week prior
80-89-or-
5+ consecutive days more than 10% higher than daily
average one week prior
60 - 79 -and-
decreasing or stable compared to daily average
one week prior
20 - 59 -and-
decreasing or stable compared to daily average
one week prior
<20
Non-ICU beds occupied by COVID patientsChicago hospitals7-day rolling daily average
MODERATESTABLE
370
1250+or-
7+ consecutive days more than 15% higher than daily average
one week prior
750 – 1249-or-
5+ consecutive days more than 10% higher than daily
average one week prior
250 - 749 100 - 249 <100
ICU beds occupied by COVID patientsChicago hospitals7-day rolling daily average
MODERATESTABLE
141
400+-or-
<20% overall ICU bed availability
300 - 399 -or-
<22% overall ICU bed availability
100 - 299 20 - 99 <20
Chicago COVID-19 Community Metrics, Phase IV, current status
3
COVID-19 Outcomes by Race/Ethnicity
and Geography
Ca
se
s
Daily COVID-19 cases with known specimen report date and race/ethnicity information. Case is defined as positive result on PCR or antigen test. This case definition was applied to the entire epidemic beginning on 2/8/2021 therefore these results are different from results reported prior. Source: INEDSS.
Incident cases are highest for 18-29 year olds. Some age groups are now flattening. 0-17 year olds have a slight rise.
4
0
50
100
150
200
250
3/2
8
3/2
9
3/3
0
3/3
1
4/1
4/2
4/3
4/4
4/5
4/6
4/7
4/8
4/9
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0
4/1
1
4/1
2
4/1
3
4/1
4
4/1
5
4/1
6
4/1
7
4/1
8
4/1
9
4/2
0
4/2
1
4/2
2
4/2
3
4/2
4
4/2
5
4/2
6
4/2
7
4/2
8
4/2
9
4/3
0
COVID-19 Cases, on Specimen Date, by Age Group, rolling 7-day average
0-17 18-29 30-39 40-49 50-59 60-69 70-79 80+
Ca
se
s
Daily COVID-19 cases with known specimen report date and race/ethnicity information. Case is defined as positive result on PCR or antigen test. This case definition was applied to the entire epidemic beginning on 2/8/2021 therefore these results are different from results reported prior. Source: INEDSS.
Incident cases are flattening for Black, non-Latinx and Latinx Chicagoans.
5
0
20
40
60
80
100
120
140
160
180
2003
/29
3/3
0
3/3
1
4/1
4/2
4/3
4/4
4/5
4/6
4/7
4/8
4/9
4/1
0
4/1
1
4/1
2
4/1
3
4/1
4
4/1
5
4/1
6
4/1
7
4/1
8
4/1
9
4/2
0
4/2
1
4/2
2
4/2
3
4/2
4
4/2
5
4/2
6
4/2
7
4/2
8
4/2
9
4/3
0
COVID-19 Cases, on Specimen Date, by Race/Ethnicity, rolling 7-day average
Asian,non-Latinx
Black,non-Latinx
Latinx White,non-Latinx
Weekly changes in COVID-19 cases by race/ethnicity and age group for week ending May 1st
(comparisons to week ending April 24th)
6
Percentages are computed using confirmed COVID-19 cases with known race/ethnicity.
Age Group (years)
Latinx% of
Age grp
Change from last
week Black, NL
% of Age grp
Change from last
week
White, NL% of
Age grp
Change from last
week
Asian, NL
% of Age grp
Change from last
week
Total (percent)
Change from last week
0-17 143 31% -29 203 44% 53 80 17% -1 9 2% -7645
(18%)15
18-44 419 28% -14 665 44% 65 268 18% -85 68 5% -371,850(52%)
-158
45-64 183 27% 11 318 47% 11 123 18% -7 25 4% -2814
(23%)0
65+ 40 22% 8 89 48% -19 40 22% -6 5 3% -4227(6%)
-11
Total 785 28% -24 1275 45% 110 511 18% -99 107 4% -50 3,536 -154
Data pulled Wednesday 5/5/21
7
Week ending 5/1/21 (n=3,536)
Changes in weekly case counts by zip codeWeek ending 4/24/21 (n=3,690)
Note: Week is data through the Wednesday after the end date for the week. Week 17 ending May 1st and week 16 ending April 24th
8
Changes in weekly case counts by zip code week ending May 1st compared to week ending Apr 24th
Note: Week is data through the Wednesday after the end date for the week. Week 17 ending May 1st and week 16 ending April 24th
9
Test positivity by Race-Ethnicity (April 4 – May 1, 2021)
10.0%
7.9%7.9%
5.0%
3.0%
4.1%
2.7%3.6%
2.4%
0%
2%
4%
6%
8%
10%
12%
Week Ending April 10 Week Ending April 17 Week Ending April 24 Week Ending May 1
Test
Po
siti
vity
Latinx Black, Non-Latinx White, Non-Latinx Asian, Non-Latinx Unknown
10
Test positivity by Age through (April 4 – May 1, 2021)
8.2%8.0%
5.7%
6.7%
5.1%
6.8%
4.8%4.9%
4.3%4.0%
3.1%3.0%2.7% 2.3%
0%
1%
2%
3%
4%
5%
6%
7%
8%
9%
10%
Week Ending April 10 Week Ending April 17 Week Ending April 24 Week Ending May 1
Test
po
siti
vity
0-17 18-29 30-39 40-49 50-59 60-69 70-79 80+
11
Hospital admissions
Cumulative epidemic hospitalization with table.
Hospitalizations are reported to CDPH by hospitals into I-NEDSS and ESSENCE and self-reported by patients via an online survey. Daily counts for most recent dates displayed are likely incomplete. Cases who are not indicated to have been hospitalized across any of the three data sources are assumed to not have been hospitalized. Six records with hospital admit dates from January and February 2020 are excluded from this chart. Peak daily admissions based on rolling 7-day average.
12
Ho
sp
ita
l Ad
mis
sio
ns
0
20
40
60
80
100
120
140
160
1803
/1
3/1
5
3/2
9
4/1
2
4/2
6
5/1
0
5/2
4
6/7
6/2
1
7/5
7/1
9
8/2
8/1
6
8/3
0
9/1
3
9/2
7
10
/11
10
/25
11
/8
11
/22
12
/6
12
/20
1/3
1/1
7
1/3
1
2/1
4
2/2
8
3/1
4
3/2
8
4/1
1
4/2
5
COVID-19 Hospital admissions, rolling 7-day average
Month Year
Hospital Admits
frequencyCumulative frequency
March 2020 1,652 1,652
April 2020 4,859 6,511
May 2020 3,250 9,761
June 2020 966 10,727
July 2020 764 11,491
August 2020 785 12,276
September 2020 752 13,028
October 2020 1,745 14,773
November 2020 3,731 18,504
December 2020 3,007 21,511
January 2021 2,060 23,571
February 2021 973 24,544
March 2021 984 25,528
April 2021 1,582 27,110
Hospital admissions are declining in all older age groups while <50 year olds keeps rising.
Hospitalizations are reported to CDPH by hospitals into I-NEDSS and ESSENCE and self-reported by patients via an online survey. Daily counts for most recent dates displayed are likely incomplete. Cases who are not indicated to have been hospitalized across any of the three data sources are assumed to not have been hospitalized. Six records with hospital admit dates from January and February 2020 are excluded from this chart. Peak daily admissions based on rolling 7-day average.
13
Ho
sp
ita
l Ad
mis
sio
ns
0
5
10
15
20
25
30
35
401
0/1
2
10
/19
10
/26
11
/2
11
/9
11
/16
11
/23
11
/30
12
/7
12
/14
12
/21
12
/28
1/4
1/1
1
1/1
8
1/2
5
2/1
2/8
2/1
5
2/2
2
3/1
3/8
3/1
5
3/2
2
3/2
9
4/5
4/1
2
4/1
9
4/2
6
COVID-19 hospital admits, on Specimen Date, by Age Group with finer distinctions amongst oldest strata, rolling 7-day average
<50 50-59 60-69 70-79 80+
Hospital admissions are highest and rising in 30-39 year oldsand 40-49 year olds.
Hospitalizations are reported to CDPH by hospitals into I-NEDSS and ESSENCE and self-reported by patients via an online survey. Daily counts for most recent dates displayed are likely incomplete. Cases who are not indicated to have been hospitalized across any of the three data sources are assumed to not have been hospitalized. Six records with hospital admit dates from January and February 2020 are excluded from this chart. Peak daily admissions based on rolling 7-day average.
14
Ho
sp
ita
l Ad
mis
sio
ns
0
5
10
15
20
25
30
35
401
0/1
2
10
/19
10
/26
11
/2
11
/9
11
/16
11
/23
11
/30
12
/7
12
/14
12
/21
12
/28
1/4
1/1
1
1/1
8
1/2
5
2/1
2/8
2/1
5
2/2
2
3/1
3/8
3/1
5
3/2
2
3/2
9
4/5
4/1
2
4/1
9
4/2
6
COVID-19 Cases, on Specimen Date, by Younger Age Group, rolling 7-day average
0-19 20-29 30-39 40-49
Daily COVID-19 hospital admissions are highest and rose fastest in Black, non-Latinx.
Hospitalizations are reported to CDPH by hospitals into I-NEDSS and ESSENCE and self-reported by patients via an online survey. Daily counts for most recent dates displayed are likely incomplete. Cases who are not indicated to have been hospitalized across any of the three data sources are assumed to not have been hospitalized. Six records with hospital admit dates from January and February 2020 are excluded from this chart. Peak daily admissions based on rolling 7-day average.
15
Ho
sp
ita
l Ad
mis
sio
ns
0
5
10
15
20
25
30
353
/29
3/3
0
3/3
1
4/1
4/2
4/3
4/4
4/5
4/6
4/7
4/8
4/9
4/1
0
4/1
1
4/1
2
4/1
3
4/1
4
4/1
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4/1
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4/1
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4/1
8
4/1
9
4/2
0
4/2
1
4/2
2
4/2
3
4/2
4
4/2
5
4/2
6
4/2
7
4/2
8
4/2
9
COVID-19 Hospital Admissions, by Race/Ethnicity,rolling 7-day average, first known hospital admit date
Asian,non-Latinx
Black,non-Latinx
Latinx White,non-Latinx
Recent COVID-19 hospitalizations by race/ethnicity and age group (Apr 4– May 1, 2021)
Percentages are computed using COVID-19 hospitalizations with known race/ethnicity.
Age Group (years)
Latinx% of
Age grpBlack,
NL% of
Age grpWhite, NL
% of Age grp
Asian, NL
% of Age grp
Total Percent
0-17 8 21% 21 55% 6 16% 3 8% 41 3%
18-44 82 21% 241 61% 49 12% 6 2% 417 28%
45-64 108 20% 327 61% 66 12% 12 2% 567 38%
65+ 58 13% 255 59% 84 19% 11 3% 454 31%
Total 256 18% 844 60% 205 15% 32 2% 1,479 100%
Data pulled Wednesday 5/5/21
17
Recent COVID-19 hospitalizations by Chicago zip code (Apr 4–May 1, 2021) n=1,479
Please note that COVID-19 hospitalizations have significant reporting delays
18
Deaths
Daily COVID-19 deaths have no clear pattern by race/ethnicity.
19
De
ath
s
Daily COVID-19 deaths reported for Chicago residents with known death date. Data source: INEDSS. A five day lag is imposed to reduce inaccuracy created by reporting delays.
0
1
2
33
/29
3/3
0
3/3
1
4/1
4/2
4/3
4/4
4/5
4/6
4/7
4/8
4/9
4/1
0
4/1
1
4/1
2
4/1
3
4/1
4
4/1
5
4/1
6
4/1
7
4/1
8
4/1
9
4/2
0
4/2
1
4/2
2
4/2
3
4/2
4
4/2
5
4/2
6
4/2
7
4/2
8
4/2
9
4/3
0
COVID-19 Deaths, by Race/Ethnicity, rolling 7-day average
Asian,non-Latinx
Black,non-Latinx
Latinx White,non-Latinx
2021 COVID-19 deaths by race/ethnicity and age group through May 5th
Percentages are computed using COVID-19 hospitalizations with known race/ethnicity.
Age Group (years)
Latinx% of
Age grpBlack,
NL% of
Age grpWhite, NL
% of Age grp
Asian, NL
% of Age grp
Total Percent
0-17 0 0% 0 0% 0 0% 0 0% 0 0%
18-44 8 24% 19 58% 3 9% 2 6% 33 5%
45-64 65 41% 65 41% 21 13% 6 4% 158 25%
65+ 107 25% 151 35% 136 32% 30 7% 433 69%
Total 180 29% 235 38% 160 26% 38 6% 624 100%
Data pulled Wednesday 5/5/21
21
COVID-19 deaths in 2021 through May 5th by Chicago zip code (n=624)
Please note that COVID-19 hospitalizations have significant reporting delays
22
Reopening Metrics
23
COVID-19 Cases
COVID-19 case incidence risk levelis high.
Daily COVID-19 cases with known specimen report date. Case is defined as positive result on PCR or antigen test. This case definition was applied to the entire epidemic beginning on 2/8/2021 therefore these results are different from results reported prior. Source: INEDSS.
24
Ca
se
s
↑HIGH RISK
↑ MODERATE
↑ LOWER
DateIncident
case count, 7DRA
Consecutive days with
10%+ change
Consecutive days with
15%+ changeRisk level
# of days 10%+ in
last week
4/30/2021 513 0 0 HIGH 0
↑ VERY HIGH
0
100
200
300
400
500
600
700
800
900
1,000
4/5
4/6
4/7
4/8
4/9
4/1
0
4/1
1
4/1
2
4/1
3
4/1
4
4/1
5
4/1
6
4/1
7
4/1
8
4/1
9
4/2
0
4/2
1
4/2
2
4/2
3
4/2
4
4/2
5
4/2
6
4/2
7
4/2
8
4/2
9
4/3
0
5/1
5/2
5/3
5/4
5/5
COVID-19 cases, daily counts and rolling 7-day average, specimen date
COVID-19 case incidence risk level varies over time.
Daily COVID-19 cases with known specimen report date. Case is defined as positive result on PCR or antigen test. This case definition was applied to the entire epidemic beginning on 2/8/2021 therefore these results are different from results reported prior. Source: INEDSS.
25
Ca
se
s
↑ VERY HIGH
↑HIGH RISK
↑ MODERATE
↑ LOWER0
500
1,000
1,500
2,000
2,500
3,000
3,5003
/13
3/2
7
4/1
0
4/2
4
5/8
5/2
2
6/5
6/1
9
7/3
7/1
7
7/3
1
8/1
4
8/2
8
9/1
1
9/2
5
10
/9
10
/23
11
/6
11
/20
12
/4
12
/18
1/1
1/1
5
1/2
9
2/1
2
2/2
6
3/1
2
3/2
6
4/9
4/2
3
COVID-19 cases, daily counts and rolling 7-day average, specimen date
26
Emergency Department Visits
Count of all emergency department visits, and inpatient reported with COVID-like symptoms among Chicago residents. Data Source: Illinois Hospital Emergency Departments reporting to CDPH through the National Syndromic Surveillance Project.
27
ED visits for COVID-like illness risk level is very high.
CO
VID
-lik
e E
D v
isit
s
↑
HIGH RISK
↑MODERATE RISK
↑
LOWER RISK
DateCLI ED visit count, 7DRA
Consecutive days with
10%+ change
Consecutive days with
15%+ changeRisk level
# of days 10%+ in
last week
5/22021 125 0 0 VERY HIGH 0
↑ VERY HIGH
0
20
40
60
80
100
120
140
160
180
200
Count of all emergency department visits, and inpatient reported with COVID-like symptoms among Chicago residents. Data Source: Illinois Hospital Emergency Departments reporting to CDPH through the National Syndromic Surveillance Project.
28
ED visits for COVID-like illness reached the highest peak in early May 2020 and is currently decreasing.
CO
VID
-lik
e E
D v
isit
s
↑ VERY HIGH
↑ HIGH RISK
↑MODERATE RISK
↑
LOWER RISK
318
56
281
0
50
100
150
200
250
300
350
400
3/7 3/21 4/4 4/18 5/2 5/16 5/30 6/13 6/27 7/11 7/25 8/8 8/22 9/5 9/19 10/3 10/17 10/31 11/14 11/28 12/12 12/26 1/9 1/23 2/6 2/20 3/6 3/20 4/3 4/17 5/1
29
Test Positivity
Test positivity risk level is lower.
Test positivity is the number of positive tests divided by all tests performed. For the purposes of public reporting, the definition of ‘tests’ was expanded on 2/8/2021 to include antigen tests in addition to PCR tests. (Previous reports only described PCR tests). The new definition is applied to testing performed at any point during the epidemic. Source: INEDSS. 30
Te
st
po
sit
ive
↑ MODERATE
RISK
↑ LOWER
DateTest
Positivity, 7DRA
Consecutive days with
10%+ change
Consecutive days with
15%+ changeRisk level
# of days 10%+ in
last week
4/30/2021 4.6% 0 0 LOWER 0
0%
1%
2%
3%
4%
5%
6%3
/30
4/1
4/3
4/5
4/7
4/9
4/1
1
4/1
3
4/1
5
4/1
7
4/1
9
4/2
1
4/2
3
4/2
5
4/2
7
4/2
9
COVID-19 tests, 7-day rolling average for test positive (%)
Test positivity varies over time.
Test positivity is the number of positive tests divided by all tests performed. For the purposes of public reporting, the definition of ‘tests’ was expanded on 2/8/2021 to include antigen tests in addition to PCR tests. (Previous reports only described PCR tests). The new definition is applied to testing performed at any point during the epidemic. Source: INEDSS. 31
Te
st
po
sit
ive
↑ VERY HIGH
↑HIGH RISK
↑ MODERATE
↑ LOWER
0%
5%
10%
15%
20%
25%
30%3
/73
/14
3/2
13
/28
4/4
4/1
14
/18
4/2
55
/25
/95
/16
5/2
35
/30
6/6
6/1
36
/20
6/2
77
/47
/11
7/1
87
/25
8/1
8/8
8/1
58
/22
8/2
99
/59
/12
9/1
99
/26
10
/31
0/1
01
0/1
71
0/2
41
0/3
11
1/7
11
/14
11
/21
11
/28
12
/51
2/1
21
2/1
91
2/2
61
/21
/91
/16
1/2
31
/30
2/6
2/1
32
/20
2/2
73
/63
/13
3/2
03
/27
4/3
4/1
04
/17
4/2
4
COVID-19 tests, 7-day rolling average for test positive (%)
Test positivity is flat while testing counts dip slightly.
32
CO
VID
-19
Te
sts
Te
st
po
sit
ive
Test positivity is the number of positive tests divided by all tests performed (Source: INEDSS).
0%
1%
2%
3%
4%
5%
6%
7%
8%
0
2,000
4,000
6,000
8,000
10,000
12,000
14,000
16,0003
/28
3/2
9
3/3
0
3/3
1
4/1
4/2
4/3
4/4
4/5
4/6
4/7
4/8
4/9
4/1
0
4/1
1
4/1
2
4/1
3
4/1
4
4/1
5
4/1
6
4/1
7
4/1
8
4/1
9
4/2
0
4/2
1
4/2
2
4/2
3
4/2
4
4/2
5
4/2
6
4/2
7
4/2
8
4/2
9
4/3
0
COVID-19 tests, 7-day rolling average for test positive (%) and for counts (one test per individual per day)
Goal is under 5%
Test positivity and testing count have varied greatly over the entire duration of the epidemic.
Test positivity is the number of positive tests divided by all tests performed (Source: INEDSS).
33
CO
VID
-19
Te
sts
Te
st
po
sit
ive
13,267
4.6%
0%
3%
6%
9%
12%
15%
18%
21%
24%
27%
30%
0
2,000
4,000
6,000
8,000
10,000
12,000
14,000
16,000
18,000
20,000
COVID-19 tests, 7-day rolling average for test positive (%) and for counts (one test per individual per day)
Goal is under 5%
34
Hospital System Capacity
Includes all Chicago hospitals. Hospitals report daily to CDPH via EMResource, beginning March 19. ICU bed count includes all adult and pediatric ICU beds in Chicago hospitals. Includes Chicago and non-Chicago residents. Includes confirmed and suspected COVID-19 cases.
35
ICU
be
ds
oc
cu
pie
d b
y C
OV
ID-1
9 p
ati
en
ts
COVID-19 occupied ICU beds risk level is moderate.
DateICU Beds
Occupied by COVID-19, 7DRA
ICU Bed Availability,
7DRARisk level
5/2/2021 139 21% MODERATE
↑
LOWER RISK
↑MODERATE RISK
139
0
20
40
60
80
100
120
140
160
180
ICU beds occupied by COVID-19 patients, daily counts and 7 day average, daily occupancy census
Occupied by COVID (daily) Occupied by COVID (7DRA)
Includes all Chicago hospitals. Hospitals report daily to CDPH via EMResource, beginning March 19. ICU bed count includes all adult and pediatric ICU beds in Chicago hospitals. Includes Chicago and non-Chicago residents. Includes confirmed and suspected COVID-19 cases.
36
ICU
be
ds
oc
cu
pie
d b
y C
OV
ID-1
9 p
ati
en
ts
ICU availability and occupancy from COVID-19 varies.
% A
vaila
bili
ty
DateICU Beds
Occupied by COVID-19, 7DRA
ICU Bed Availability,
7DRARisk level
5/2/2021 139 21% MODERATE
77
139
21%
0%
10%
20%
30%
40%
50%
0
100
200
300
400
500
3/19 4/8 4/28 5/18 6/7 6/27 7/17 8/6 8/26 9/15 10/5 10/25 11/14 12/4 12/24 1/13 2/2 2/22 3/14 4/3 4/23
ICU beds available and occupied by COVID-19 patients, daily counts and 7 day average, daily occupancy census
Occupied by COVID (daily) Occupied by COVID (7DRA) % Available (7DRA)
Includes all Chicago hospitals. Hospitals report daily to CDPH via EMResource, beginning March 19.. Includes Chicago and non-Chicago residents. Includes confirmed and suspected COVID-19 cases.
37
Ac
ute
, no
n-I
CU
be
ds
oc
cu
pie
d b
y C
OV
ID-1
9 p
ati
en
ts
Acute, non-ICU bed census of COVID patients is flat.
375
0
50
100
150
200
250
300
350
400
450
4/2 4/4 4/6 4/8 4/10 4/12 4/14 4/16 4/18 4/20 4/22 4/24 4/26 4/28 4/30 5/2
COVID-19 acute/non-ICU beds occupied, daily counts and 7 day average, daily occupancy census
Includes all Chicago hospitals. Hospitals report daily to CDPH via EMResource, beginning March 19.. Includes Chicago and non-Chicago residents. Includes confirmed and suspected COVID-19 cases.
38
Ac
ute
, no
n-I
CU
be
ds
oc
cu
pie
d b
y C
OV
ID-1
9 p
ati
en
ts
Acute, non-ICU bed census of COVID patients varies over time.
249
1092
375
0
200
400
600
800
1,000
1,200
1,400
4/2 5/2 6/2 7/2 8/2 9/2 10/2 11/2 12/2 1/2 2/2 3/2 4/2 5/2
COVID-19 acute/non-ICU beds occupied, daily counts and 7 day average, daily occupancy census