Cases rising or dropping by you?

When covid first hit hospitals stoped all elective surgery in anticipation for the wave. hospitals lost millions in revenue daily they cut employees hours and even furloughed some. Now that cases are increasing I wonder if they are admitting any covid+ with symptoms to help boost revenue. our local hospital system has 112 inpatient covid patients and 2 ICU vent patients. compared to our early peak in april we had 54 Inpatient and 26 vent patients.
If I understood her correctly, a local hospital spokesperson said yesterday that they have had patients come for elective procedures test positive for COVID. They are treated (and presumably counted) as COVID patients. Essentially all are asymptomatic, so they are released to self-quarantine before returning for their procedures.
 
Sorry, I misremembered the actual statistic. It's hospitalized, not ICU.

Here's the article, though. I found it interesting.

https://www.nationalgeographic.com/...20200626&rid=F9D98304214E19042C306D5E9B33ABA8
I loved the quote "risk is not binary".

The risk of a situation should inform the level of reduction measures, by not only how easy it is to spread there but also how many people it could potentially affect. Time exposed, proximity and density of people are important. It's not 'on' or 'off'. It's putting the most hurdles in the virus' path where spread has the largest opportunities and impacts, and loosen up the least risky, lowest spread rate scenarios. That allows more functions of society to resume. The lower spread and cases are kept, the more activity we can withstand without getting into boiling water. Then keep our eyes out so we can catch spread before flood gates open.
 
Here's some additional reading material that concerns the situation, even pertaining to Florida, yet doesn't cover the most recent increase in cases they are seeing.

From the CovdTrackingProject.com blog:


What we only sort of know: the changing demographics of the disease
Some anecdotal and statistical evidence suggests that the average age of people with COVID-19 is declining, which complicates expectations that deaths will increase in step with new cases. On June 16, for instance, Texas Gov. Greg Abbott said that a majority of people testing positive in three counties were under 30, which he said “typically results from people going to bars”; Dr. David Persse, public health authority of the Houston Health Department, told The Texas Tribune that “it is my current theory that elder persons have become more vigilant in taking precaution.” Florida Gov. Ron DeSantis has also said that infections are starting to skew younger.

In the Dallas-Fort Worth region of Abbott’s state, the University of Texas Southwestern reports that the age distribution of positive COVID-19 tests has shifted dramatically from March to June, with a peak under 30 years old. Hospitalizations and ICU admissions in the DFW region have also shifted younger if less dramatically; 50% of hospitalized patients are under 50, as are 30% of ICU patients.

In California in mid-May, three-quarters of all COVID-19 cases were split evenly between residents 18-34, 35-49, and 50-64, at almost exactly 25% for each group. By June 13, the 18-34 group represented a third of cases, while those 50-64 fell to 19%. Over a similar timeframe in Florida, the median age of people testing positive for COVID-19 fell from 54 to 35.

Untangling this shift in age groups from increased testing is a challenge. With additional testing available, more people in lower-risk populations are likely being tested now than when tests were being strictly rationed to severe cases. As businesses reopen across the country, workplace testing may also increase case numbers for the working-age population, and perhaps particularly younger-skewing service workers. Testing, however, is not universally adequate; local and regional spikes in cases are putting pressure on testing infrastructure. The Upshot reports that the testing capacity situation is “acute” in Arizona. In Florida, The COVID Tracking Project’s data indicates testing has actually slowed by 10% in the last two weeks.

In a Twitter thread, University of Florida biostatistics professor Dr. Natalie Dean offers three possible explanations for why the median age of cases might be falling, and what data signals we should look for.

  1. If it’s simply a matter of more testing, hospitalizations should not increase, and test positivity should decline or hold steady. In the South and West, positivity rates appear to be rising, but regional numbers can mask very different state trends. In Texas, Florida, and Arizona, test positivity and cases are both rising; in California, by contrast, new cases are way up but the positivity rate has remained at five percent in June, and in Georgia the positivity rate is up just two percentage points while testing is up.
  2. If “elderly people are more cautious,” then cases, test positivity, and hospitalizations should decline. In the Northeast, tests are way up, positivity is way down, and new cases are flat. In New Jersey, new daily cases are down to 10% of April peaks, and hospitalizations have dropped precipitously. New daily cases in Connecticut have been in the double digits for the past couple weeks, and hospitalizations are down to 124 as of June 23 from over a thousand in mid-May.
  3. If younger people are less cautious—or if they’re more exposed as young service workers return to their jobs—cases, test positivity, and hospitalizations should rise. This is happening in Texas and Arizona. Cases and test positivity are up in Florida; statewide hospital data was only available for a few days in May before the state removed it from public view, but in Miami-Dade County, hospitalizations increased from 601 to 776 from June 9 to June 22.
Dean ultimately concludes that it’s slightly too early to tell, but the real answer is likely a combination of all three, and that better age-stratified data is needed. High-quality samples exist for the country as a whole, but as we’ve seen, trends vary greatly from state to state and even city to city. The United States is a big country that needs a lot of detailed data.

The best source for nationwide data on testing and positivity by age is the CDC’s COVID-NET, a hospital surveillance network that serves as a sample—the data is very detailed, but it’s from only 250 hospitals spread across 14 states. COVID-NET data is best summarized in the CDC’s weekly COVIDView reports. Looking at that data, Dr. Trevor Bedford of the Fred Hutchinson Cancer Research Center finds hints of Dean’s explanations: a substantial decline in positivity among tests in the 50-plus age group from early April to early June, and a slower decline among younger age groups, with signs of a plateau. He also found a very small increase in cases in the below-50 age group in that same time. (Disclosure: Both Dean and Bedford are members of The COVID Tracking Project’s advisory board.)

What changing age demographics have to do with deaths
In areas where younger adults are driving new infections, we might not see deaths spike until infections overflow into more vulnerable populations. “If what is happening are outbreaks in young people, it seems likely that these young people will go on to transmit to others in their communities,” Dean writes in an email. “This spillover would cause a subsequent rise in cases among older people, followed by a lagged rise in deaths.” She points to a pattern in Florida in which new cases in the 0-44 age group began climbing gradually in early-mid May, echoed by a smaller climb in the 45+ age group in late May-early June. Cases in the first age group began increasing rapidly around the beginning of June, a worrisome portent for the more vulnerable 45+ age group.


Graphic copyright Ben Toh of the University of Florida School of Natural Resources and Environment, used with permission
[Ed. note: Dr. Dean was also interviewed on the Brian Lehrer show today about the changing demographics of COVID-19 infections and other aspects of the pandemic and the US public health response.]
 
When covid first hit hospitals stoped all elective surgery in anticipation for the wave. hospitals lost millions in revenue daily they cut employees hours and even furloughed some. Now that cases are increasing I wonder if they are admitting any covid+ with symptoms to help boost revenue. our local hospital system has 112 inpatient covid patients and 2 ICU vent patients. compared to our early peak in april we had 54 Inpatient and 26 vent patients.
The post above does a good job explaining how and why the demographics have changed and what that means to our numbers. Much has changed that makes it hard to compare.

Ventilators were found to increase risks in a large portion of patients, better alternatives like C pap's and less invasive methods are more frequently used now.

Sick beds at hospitals can only be filled with patients sick enough to willingly get admitted. Not many people are going to opt for a hospital stay unless there's decent reason to do so. There were rare hospitals that overflowed, so maybe they turned away some sick patients at one point, but overall hospital capacity has been adequate the past 4 months for over 99% of the country at any point.

----
A promising thing we're also now seeing is less severe outcomes. Patients are currently blood screened at admission and recognized if they are candidates for dangerous inflammatory response or clotting. The guessing game has been reduced and new treatment options for these have been proven effective. And it's just going to keep getting better as more is learned from the cases worldwide.
 
The post above does a good job explaining how and why the demographics have changed and what that means to our numbers. Much has changed that makes it hard to compare.

Ventilators were found to increase risks in a large portion of patients, better alternatives like C pap's and less invasive methods are more frequently used now.

Sick beds at hospitals can only be filled with patients sick enough to willingly get admitted. Not many people are going to opt for a hospital stay unless there's decent reason to do so. There were rare hospitals that overflowed, so maybe they turned away some sick patients at one point, but overall hospital capacity has been adequate the past 4 months for over 99% of the country at any point.

----
A promising thing we're also now seeing is less severe outcomes. Patients are currently blood screened at admission and recognized if they are candidates for dangerous inflammatory response or clotting. The guessing game has been reduced and new treatment options for these have been proven effective. And it's just going to keep getting better as more is learned from the cases worldwide.

The media has done an amazing job of convincing everyone that are going to die. I can see it all over my facebook feed. If the patients are going to the ED they most likely are willing to be admitted.

My hospital tries not to use c pap or bi pap because of aerosolization risk. we have not been blood screening for inflammatory response. we have been using azithromycin, zinc, and remdesivir with pretty good outcomes.

Im sure if I went to the ED when I had symptoms they would have admitted me but I was fine resting quarantined at home.
 
The media has done an amazing job of convincing everyone that are going to die. I can see it all over my facebook feed. If the patients are going to the ED they most likely are willing to be admitted.

My hospital tries not to use c pap or bi pap because of aerosolization risk. we have not been blood screening for inflammatory response. we have been using azithromycin, zinc, and remdesivir with pretty good outcomes.

Im sure if I went to the ED when I had symptoms they would have admitted me but I was fine resting quarantined at home.
The best thing to do is socially distance from Facebook, lol.
 
I have Bill Lee. Yes, our local government was doing more than our state government, but now our county lawyers have advised that our local ordinances should be equal or less restrictive than state ordinances—if they are stricter they are afraid the county will be sued. You know...freedom 😐

Not the same state, but it appears we have an equally incapable governor. Thankfully, our local governments are still trying to do what they can to protect the citizens, even though they're fighting an uphill battle with no state support.
 
Rising here in Ca. Just last week in my city we heard of people we know getting covid. My friend got it from her dad who is working, her friends dad has it but he’s been staying in a hotel (medical field) but the friend did see him a few time before he tested positive. Another one of my dd’s friends said someone at her work tested positive. I learned two relatives from out of state have it. Read on fb page that next town over (2 miles away)a home for elderly staff and patients tested positive. My dd says many friends on snap chat are posting partying, going to the beaches, rivers, not sure if it was a bar but people were dancing and drinking and there were a couple of protest in town.people out and about they bring all those germs back to our town. I think numbers will continue to rise


My husbands family socializes and have get togethers. We don’t go because I’m high risk. Hubby has twice stopped by his moms but she wasn’t home, only his brother was. Hubby says he wore a mask 😷🤷🏽‍♀️ His uncle passed away non covid related and MIL wants to have a memorial at a halll with family,food and beer. They like to party. I told hubby with people drinking, eating(serving themselves) and socializing and hugging and handshaking its going to be a germ feast. There will be no social distancing not many people wearing mask. I say maybe only a handful of people wearing mask. Hubby agreed it might not be a good idea to go. I hope no one gets covid from the event.
MIL BDAY. Is in a few weeks and that will be another get together, Dd and I won’t go but hubby might so we will still be at risk if he does🤦🏽‍♀️
 
Steady increase of daily average cases and percent positives. Buckle up people we are in for a long summer. Keep yourself, your family and especially your teens safe. They may HATE you but keep them home. The lockdown may have been eased but NOW is the time when it’s needed the most.
 
When covid first hit hospitals stoped all elective surgery in anticipation for the wave. hospitals lost millions in revenue daily they cut employees hours and even furloughed some. Now that cases are increasing I wonder if they are admitting any covid+ with symptoms to help boost revenue. our local hospital system has 112 inpatient covid patients and 2 ICU vent patients. compared to our early peak in april we had 54 Inpatient and 26 vent patients.
where I live, cases are on a downward trend (tri state former hotspot) and they're sending confirmed cases home unless it's necessary to keep them in hospital.
 
Here's some additional reading material that concerns the situation, even pertaining to Florida, yet doesn't cover the most recent increase in cases they are seeing.

From the CovdTrackingProject.com blog:


What we only sort of know: the changing demographics of the disease
Some anecdotal and statistical evidence suggests that the average age of people with COVID-19 is declining, which complicates expectations that deaths will increase in step with new cases. On June 16, for instance, Texas Gov. Greg Abbott said that a majority of people testing positive in three counties were under 30, which he said “typically results from people going to bars”; Dr. David Persse, public health authority of the Houston Health Department, told The Texas Tribune that “it is my current theory that elder persons have become more vigilant in taking precaution.” Florida Gov. Ron DeSantis has also said that infections are starting to skew younger.

In the Dallas-Fort Worth region of Abbott’s state, the University of Texas Southwestern reports that the age distribution of positive COVID-19 tests has shifted dramatically from March to June, with a peak under 30 years old. Hospitalizations and ICU admissions in the DFW region have also shifted younger if less dramatically; 50% of hospitalized patients are under 50, as are 30% of ICU patients.

In California in mid-May, three-quarters of all COVID-19 cases were split evenly between residents 18-34, 35-49, and 50-64, at almost exactly 25% for each group. By June 13, the 18-34 group represented a third of cases, while those 50-64 fell to 19%. Over a similar timeframe in Florida, the median age of people testing positive for COVID-19 fell from 54 to 35.

Untangling this shift in age groups from increased testing is a challenge. With additional testing available, more people in lower-risk populations are likely being tested now than when tests were being strictly rationed to severe cases. As businesses reopen across the country, workplace testing may also increase case numbers for the working-age population, and perhaps particularly younger-skewing service workers. Testing, however, is not universally adequate; local and regional spikes in cases are putting pressure on testing infrastructure. The Upshot reports that the testing capacity situation is “acute” in Arizona. In Florida, The COVID Tracking Project’s data indicates testing has actually slowed by 10% in the last two weeks.

In a Twitter thread, University of Florida biostatistics professor Dr. Natalie Dean offers three possible explanations for why the median age of cases might be falling, and what data signals we should look for.

  1. If it’s simply a matter of more testing, hospitalizations should not increase, and test positivity should decline or hold steady. In the South and West, positivity rates appear to be rising, but regional numbers can mask very different state trends. In Texas, Florida, and Arizona, test positivity and cases are both rising; in California, by contrast, new cases are way up but the positivity rate has remained at five percent in June, and in Georgia the positivity rate is up just two percentage points while testing is up.
  2. If “elderly people are more cautious,” then cases, test positivity, and hospitalizations should decline. In the Northeast, tests are way up, positivity is way down, and new cases are flat. In New Jersey, new daily cases are down to 10% of April peaks, and hospitalizations have dropped precipitously. New daily cases in Connecticut have been in the double digits for the past couple weeks, and hospitalizations are down to 124 as of June 23 from over a thousand in mid-May.
  3. If younger people are less cautious—or if they’re more exposed as young service workers return to their jobs—cases, test positivity, and hospitalizations should rise. This is happening in Texas and Arizona. Cases and test positivity are up in Florida; statewide hospital data was only available for a few days in May before the state removed it from public view, but in Miami-Dade County, hospitalizations increased from 601 to 776 from June 9 to June 22.
Dean ultimately concludes that it’s slightly too early to tell, but the real answer is likely a combination of all three, and that better age-stratified data is needed. High-quality samples exist for the country as a whole, but as we’ve seen, trends vary greatly from state to state and even city to city. The United States is a big country that needs a lot of detailed data.

The best source for nationwide data on testing and positivity by age is the CDC’s COVID-NET, a hospital surveillance network that serves as a sample—the data is very detailed, but it’s from only 250 hospitals spread across 14 states. COVID-NET data is best summarized in the CDC’s weekly COVIDView reports. Looking at that data, Dr. Trevor Bedford of the Fred Hutchinson Cancer Research Center finds hints of Dean’s explanations: a substantial decline in positivity among tests in the 50-plus age group from early April to early June, and a slower decline among younger age groups, with signs of a plateau. He also found a very small increase in cases in the below-50 age group in that same time. (Disclosure: Both Dean and Bedford are members of The COVID Tracking Project’s advisory board.)

What changing age demographics have to do with deaths
In areas where younger adults are driving new infections, we might not see deaths spike until infections overflow into more vulnerable populations. “If what is happening are outbreaks in young people, it seems likely that these young people will go on to transmit to others in their communities,” Dean writes in an email. “This spillover would cause a subsequent rise in cases among older people, followed by a lagged rise in deaths.” She points to a pattern in Florida in which new cases in the 0-44 age group began climbing gradually in early-mid May, echoed by a smaller climb in the 45+ age group in late May-early June. Cases in the first age group began increasing rapidly around the beginning of June, a worrisome portent for the more vulnerable 45+ age group.


Graphic copyright Ben Toh of the University of Florida School of Natural Resources and Environment, used with permission
[Ed. note: Dr. Dean was also interviewed on the Brian Lehrer show today about the changing demographics of COVID-19 infections and other aspects of the pandemic and the US public health response.]
this is most certainly true, if what I've seen locally is happening elsewhere, people seem to feel free to have lots of gatherings and picnics here,large groups,and I've noticed all ages mingling. it's only a matter of time
 
Orange County CA is no longer showing a hospitalization/ICU trend graph (maybe because it shows how bad a job the county is doing, especially of late), but others are keeping track of the number and posting their own graphs... https://occovid.com/hospitalizations

View attachment 504869

On the positive side, OC is not doing as badly as other parts of the state:

SF Chronicle: Charts show the hot spots driving California’s ‘sobering’ coronavirus surge
It's important to keep some context of that though. I'm not saying there aren't problems - obviously there are! But Marin for example has to count San Quentin in their numbers. I posted an article in one of these threads yesterday, that they went from 0 confirmed cases to 600 in about 2-3 weeks, starting with the transfer of 120 untested prisoners from Chino. Obviously, that spread is staggering and something everybody should be keeping an eye on, but a lot of it also contained within the prison (and hopefully guards and other employees are being responsible in their off time). I don't want that sound like Marin doesn't have a problem otherwise, but their recent spike does have a lot to do with the prison.

ETA: For what it's worth, Marin has slowed down their reopening, postponing part of the openings that were supposed to start tomorrow.
 
It's important to keep some context of that though. I'm not saying there aren't problems - obviously there are! But Marin for example has to count San Quentin in their numbers.

Yes, I was surprised to see Marin up there, and figured the Q had to be mainly responsible. Some other causes were mentioned, but I can't read the article now due to the paywall.
 
starting with the transfer of 120 untested prisoners from Chino.

Chino is a hot bed of COVID. One of our local cases was an early release prisoner from Chino who came to our county to live with an aunt. There was another one in the county to the east of us too. Not sure why they are not testing prisoners before they are releasing or transferring them.
 
Yes, I was surprised to see Marin up there, and figured the Q had to be mainly responsible. Some other causes were mentioned, but I can't read the article now due to the paywall.

I think the other one is an outbreak at the sanitation/garbage company, but from everything I've read, they feel that one is contained. Or they've contract traced enough to be comfortable with that situation.

The staggering rate at which it's spreading at SQ is down right scary. And we've been warned throughout the Bay Area, that it will affect all of us as they overwhelm the hospitals in Marin and have to be transferred into ours. I know one of our current hospitalizations is a guard.


Chino is a hot bed of COVID. One of our local cases was an early release prisoner from Chino who came to our county to live with an aunt. There was another one in the county to the east of us too. Not sure why they are not testing prisoners before they are releasing or transferring them.

I don't know how they bungled this so badly. How could that many people be so stupid to not think to test them? It's not like it happened early on when we didn't know much! This was recent. And they knew the problems at Chino. I did read this morning that they've stopped the transfer of some SQ prisoners to another prison after 2 tested positive. I'm sure there is a reason, but why are they transferring prisoners at all right now? Didn't they learn from moving employees on cruise ships to new ships how terribly wrong it goes?
 
https://www.boston.com/news/coronav...-many-covid-patients-have-terrifying-delirium

Some people were arguing for reopening because of potential for cognitive disorder.

Looks like COVID patients are also at risk of mental problems.
I don't get your comparison. Are you talking about people being concerned about conditions (both of mental and physical health) developed or worsened as a result of prolonged isolation, anxiety,fear, stress, job loss, financial worries, among other things? Are you trying to tell people they shouldn't have worried about those things because a condition related to actual cognitive function is affecting at least some COVID cases and what does that have to do with reopening?

A medical side effect as a result of a virus can be present at any point so not sure what you suggest in correlation to reopening as If stalling a reopening would prevent the medical side effect.

I appreciate the information but don't see a relationship between that and reopening.
 
Our governor has made masks mandatory in public. Our news did a count of 488 people across Lowe’s, Target, Walmart and a couple of other stores and only 71% are wearing them.
 

GET A DISNEY VACATION QUOTE

Dreams Unlimited Travel is committed to providing you with the very best vacation planning experience possible. Our Vacation Planners are experts and will share their honest advice to help you have a magical vacation.

Let us help you with your next Disney Vacation!











facebook twitter
Top