covid-19 in ontario: january 15, 2020 to december 14, 2020 · 2020. 12. 15. · covid-19 in...

21
COVID-19 in Ontario: January 15, 2020 to December 14, 2020 1 Daily Epidemiologic Summary COVID-19 in Ontario: January 15, 2020 to December 14, 2020 This report includes the most current information available from CCM and other case management systems (CCM plus) as of December 14, 2020. 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 144,396 confirmed cases of COVID-19 in Ontario reported to date. Compared to the previous day, this represents: An increase of 2,275 confirmed cases (percent change of +17.3%) An increase of 20 deaths (percent change of -13.0%) An increase of 1,810 resolved cases (percent change of +17.9%) Please note that several updates have been made to how we extract and analyze COVID-19 case data that may impact today’s results. Notably, we updated our data extraction time to 1pm (from 10:30am) for health units using CCM resulting in a one-time increase in case counts, and new algorithms were implemented to identify duplicates and improve the quality of some fields. 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 02-Feb-2021

7 views

Category:

Documents


0 download

TRANSCRIPT

  • COVID-19 in Ontario: January 15, 2020 to December 14, 2020 1

    Daily Epidemiologic Summary

    COVID-19 in Ontario: January 15, 2020 to December 14, 2020

    This report includes the most current information available from CCM and other case management systems (CCM plus) as of December 14, 2020.

    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 144,396 confirmed cases of COVID-19 in Ontario reported to date.

    Compared to the previous day, this represents:

    An increase of 2,275 confirmed cases (percent change of +17.3%)

    An increase of 20 deaths (percent change of -13.0%)

    An increase of 1,810 resolved cases (percent change of +17.9%)

    Please note that several updates have been made to how we extract and analyze COVID-19 case data that may impact today’s results. Notably, we updated our data extraction time to 1pm (from 10:30am) for health units using CCM resulting in a one-time increase in case counts, and new algorithms were implemented to identify duplicates and improve the quality of some fields.

    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 December 14, 2020 2

    Case Characteristics

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

    Change in cases

    December 13

    Change in cases

    December 14

    Percentage change

    December 14 compared to December 13

    Cumulative case count

    as of December 14

    Total number of cases 1,940 2,275 +17.3% 144,396

    Number of deaths 23 20 -13.0% 3,992

    Number resolved 1,535 1,810 +17.9% 123,373

    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

  • COVID-19 in Ontario: January 15, 2020 to December 14, 2020 3

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

    Change in cases

    December 13

    Change in cases

    December 14

    Cumulative case count

    as of December 14

    Gender: Male 955 1,132 70,743

    Gender: Female 968 1,133 72,794

    Ages: 19 and under 300 341 18,211

    Ages: 20-39 731 815 52,801

    Ages: 40-59 521 672 41,386

    Ages: 60-79 250 322 20,755

    Ages: 80 and over 132 124 11,218

    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 to December 14, 2020: Ontario

    Change in cases

    December 13

    Change in cases

    December 14

    Cumulative case count from August 30 to

    December 14

    Ages: 4 to 8 59 67 2,832

    Ages: 9 to 13 80 90 3,946

    Ages: 14 to 17 73 86 3,821

    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 December 14, 2020 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 13

    Change in cases

    December 14

    Cumulative case count as of December 14

    Residents 79 20 9,378

    Health care workers 15 8 3,686

    Deaths among residents 11 1 2,491

    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 December 14, 2020 5

    Time

    Figure 1. Confirmed cases of COVID-19 by likely acquisition and public health unit reported date: Ontario, January 15, 2020 to December 14, 2020

    Data Source: CCM plus

  • COVID-19 in Ontario: January 15, 2020 to December 14, 2020 6

    Figure 2. Confirmed cases of COVID-19 by likely acquisition and approximation of symptom onset date: Ontario, January 15, 2020 to December 14, 2020

    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 December 14, 2020 7

    Figure 3. Number of COVID-19 tests completed and percent positivity: Ontario, March 29, 2020 to December 13, 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.

  • COVID-19 in Ontario: January 15, 2020 to December 14, 2020 8

    Severity Figure 4. Confirmed deaths among COVID-19 cases by date of death: Ontario, March 1, 2020 to December 14, 2020

    Note: Cases without a death date are not included in the figure.

    Data Source: CCM plus

  • COVID-19 in Ontario: January 15, 2020 to December 14, 2020 9

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

    Blank cell Cumulative case count

    as of December 14 Percentage of all

    cases

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

    3,992 2.8%

    Deaths reported in ages: 19 and under 1 0.0%

    Deaths reported in ages: 20-39 14 0.0%

    Deaths reported in ages: 40-59 158 0.4%

    Deaths reported in ages: 60-79 1,048 5.0%

    Deaths reported in ages: 80 and over 2,771 24.7%

    Ever in ICU 1,646 1.1%

    Ever hospitalized 8,421 5.8%

    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 December 14, 2020 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 13

    Change in cases

    December 14

    Cumulative case count

    Cumulative rate per 100,000 population

    Northwestern Health Unit 0 1 135 154.0

    Thunder Bay District Health Unit 4 3 438 292.1

    TOTAL NORTH WEST 4 4 573 241.1

    Algoma Public Health 0 0 62 54.2

    North Bay Parry Sound District Health Unit

    0 2 94 72.4

    Porcupine Health Unit 0 1 118 141.4

    Public Health Sudbury & Districts 0 4 246 123.6

    Timiskaming Health Unit 1 1 28 85.7

    TOTAL NORTH EAST 1 8 548 98.0

    Ottawa Public Health 45 -9 9,102 863.0

    Eastern Ontario Health Unit 27 11 1,109 531.4

    Hastings Prince Edward Public Health

    3 4 224 132.9

    Kingston, Frontenac and Lennox & Addington Public Health

    11 5 394 185.2

    Leeds, Grenville & Lanark District Health Unit

    8 3 600 346.5

    Renfrew County and District Health Unit

    3 2 203 186.9

    TOTAL EASTERN 97 16 11,632 603.8

  • COVID-19 in Ontario: January 15, 2020 to December 14, 2020 11

    Public Health Unit Name Change in

    cases December 13

    Change in cases

    December 14

    Cumulative case count

    Cumulative rate per 100,000 population

    Durham Region Health Department 68 92 5,689 798.6

    Haliburton, Kawartha, Pine Ridge District Health Unit

    11 8 415 219.6

    Peel Public Health 390 586 32,228 2006.8

    Peterborough Public Health 4 1 247 166.9

    Simcoe Muskoka District Health Unit

    33 55 2,732 455.6

    York Region Public Health 191 154 13,510 1102.1

    TOTAL CENTRAL EAST 697 896 54,821 1223.5

    Toronto Public Health 544 711 47,871 1534.2

    TOTAL TORONTO 544 711 47,871 1534.2

    Chatham-Kent Public Health 0 8 553 520.1

    Grey Bruce Health Unit 5 2 381 224.3

    Huron Perth Public Health 12 12 472 337.7

    Lambton Public Health 3 5 455 347.4

    Middlesex-London Health Unit 43 31 2,130 419.7

    Southwestern Public Health 26 21 780 368.8

    Windsor-Essex County Health Unit 114 185 4,874 1147.3

    TOTAL SOUTH WEST 203 264 9,645 570.4

    Brant County Health Unit 13 28 755 486.5

    City of Hamilton Public Health Services

    134 99 4,359 736.1

  • COVID-19 in Ontario: January 15, 2020 to December 14, 2020 12

    Public Health Unit Name Change in

    cases December 13

    Change in cases

    December 14

    Cumulative case count

    Cumulative rate per 100,000 population

    Haldimand-Norfolk Health Unit 7 11 721 632.0

    Halton Region Public Health 64 65 4,375 706.7

    Niagara Region Public Health 58 65 2,656 562.1

    Region of Waterloo Public Health and Emergency Services

    71 71 4,564 781.0

    Wellington-Dufferin-Guelph Public Health

    47 37 1,876 601.5

    TOTAL CENTRAL WEST 394 376 19,306 677.6

    TOTAL ONTARIO 1,940 2,275 144,396 971.4

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

    Data Source: CCM plus

  • COVID-19 in Ontario: January 15, 2020 to December 14, 2020 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 13

    Change in outbreaks

    December 14

    Number of ongoing

    outbreaks

    Cumulative number of outbreaks reported

    Long-term care homes 7 1 139 790

    Retirement homes 6 3 79 407

    Hospitals 0 2 42 199

    Note: Ongoing outbreaks includes all outbreaks that are ‘Open’ in CCM plus without a ‘Declared Over Date’ recorded.

    Data Source: CCM plus

  • COVID-19 in Ontario: January 15, 2020 to December 14, 2020 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 December 14, 2020 at 3 p.m.

    Information successfully uploaded to the Ministry from Local Systems: Toronto Public Health (Coronavirus Rapid Entry System) CORES as of December 14, 2020 at 2 p.m.

    Information successfully uploaded to the Ministry from the Public Health Case and Contact Management Solution (CCM) for all other PHUs as of December 14, 2020 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 December 14, 2020 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 December 14, 2020 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 are those that are reported in CCM plus as ‘Open’ without a ‘Declared Over Date’ recorded.

    ‘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 December 14, 2020 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, November 29, 2020 to December 11, 2020

    Public Health Unit Name

    Nov 29 to

    Dec 5

    Nov 30 to

    Dec 6

    Dec 1 to

    Dec 7

    Dec 2 to

    Dec 8

    Dec 3 to

    Dec 9

    Dec 4 to

    Dec 10

    Dec 5 to

    Dec 11

    % change from

    Nov 29-Dec 5 to Dec 5-11

    NORTH WEST

    Northwestern Health Unit

    10.3 10.3 11.4 12.5 13.7 10.3 9.1 -11.7%

    Thunder Bay District Health Unit

    45.3 44.7 41.3 46.0 45.3 43.3 44.7 -1.3%

    NORTH EAST

    Algoma Public Health

    0.9 0.9 0.9 0.9 0.0 0.9 0.9 0.0%

    North Bay Parry Sound District Health Unit

    6.9 8.5 8.5 8.5 5.4 3.9 5.4 -21.7%

    Porcupine Health Unit

    12.0 12.0 12.0 10.8 7.2 1.2 0.0 -100.0%

    Public Health Sudbury & Districts

    2.0 4.0 3.5 5.0 5.0 4.5 4.5 +125.0%

    Timiskaming Health Unit

    6.1 9.2 12.2 18.4 21.4 24.5 24.5 +301.6%

    EASTERN

    Ottawa Public Health

    28.4 29.6 27.4 30.0 30.1 29.1 30.1 +6.0%

  • COVID-19 in Ontario: January 15, 2020 to December 14, 2020 18

    Public Health Unit Name

    Nov 29 to

    Dec 5

    Nov 30 to

    Dec 6

    Dec 1 to

    Dec 7

    Dec 2 to

    Dec 8

    Dec 3 to

    Dec 9

    Dec 4 to

    Dec 10

    Dec 5 to

    Dec 11

    % change from

    Nov 29-Dec 5 to Dec 5-11

    Eastern Ontario Health Unit

    60.8 73.3 73.8 67.6 69.0 64.2 59.9 -1.5%

    Hastings Prince Edward Public Health

    22.6 20.2 20.2 21.4 24.3 27.3 27.9 +23.5%

    Kingston, Frontenac and Lennox & Addington Public Health

    21.6 24.9 24.4 29.6 32.0 35.3 41.4 +91.7%

    Leeds, Grenville & Lanark District Health Unit

    23.1 25.4 27.7 31.8 36.4 43.3 41.0 +77.5%

    Renfrew County and District Health Unit

    19.3 25.8 33.1 33.1 49.7 52.5 39.6 +105.2%

    CENTRAL EAST

    Durham Region Health Department

    84.5 90.0 89.0 83.2 86.6 83.9 88.6 +4.9%

    Haliburton, Kawartha, Pine Ridge District Health Unit

    18.5 20.1 19.6 16.4 20.1 24.3 27.0 +45.9%

    Peel Public Health

    202.1 202.9 205.0 197.8 197.2 194.3 193.5 -4.3%

  • COVID-19 in Ontario: January 15, 2020 to December 14, 2020 19

    Public Health Unit Name

    Nov 29 to

    Dec 5

    Nov 30 to

    Dec 6

    Dec 1 to

    Dec 7

    Dec 2 to

    Dec 8

    Dec 3 to

    Dec 9

    Dec 4 to

    Dec 10

    Dec 5 to

    Dec 11

    % change from

    Nov 29-Dec 5 to Dec 5-11

    Peterborough Public Health

    10.8 9.5 10.1 12.2 10.8 10.8 10.8 0.0%

    Simcoe Muskoka District Health Unit

    45.0 50.5 51.9 56.7 56.0 55.5 54.4 +20.9%

    York Region Public Health

    110.1 109.2 107.9 104.2 109.2 110.1 105.8 -3.9%

    TORONTO

    Toronto Public Health

    122.9 120.1 121.4 124.7 122.9 122.6 120.8 -1.7%

    SOUTH WEST

    Chatham-Kent Public Health

    29.2 33.9 27.3 16.9 20.7 19.8 20.7 -29.1%

    Grey Bruce Health Unit

    21.2 18.8 15.9 18.8 19.4 18.8 18.8 -11.3%

    Huron Perth Public Health

    47.2 44.4 45.8 42.9 39.4 35.8 43.6 -7.6%

    Lambton Public Health

    15.3 15.3 17.6 15.3 19.1 19.1 15.3 0.0%

    Middlesex-London Health Unit

    44.1 48.7 45.7 48.7 48.3 47.5 51.0 +15.6%

    Southwestern Public Health

    41.6 40.7 43.0 37.4 42.6 47.8 48.7 +17.1%

    Windsor-Essex County Health Unit

    94.4 97.5 106.6 123.6 132.3 135.6 142.9 +51.4%

  • COVID-19 in Ontario: January 15, 2020 to December 14, 2020 20

    Public Health Unit Name

    Nov 29 to

    Dec 5

    Nov 30 to

    Dec 6

    Dec 1 to

    Dec 7

    Dec 2 to

    Dec 8

    Dec 3 to

    Dec 9

    Dec 4 to

    Dec 10

    Dec 5 to

    Dec 11

    % change from

    Nov 29-Dec 5 to Dec 5-11

    CENTRAL WEST

    Brant County Health Unit

    34.1 29.6 30.9 32.9 36.7 41.2 45.7 +34.0%

    City of Hamilton Public Health Services

    80.9 78.4 84.8 86.1 88.0 92.2 93.7 +15.8%

    Haldimand-Norfolk Health Unit

    22.8 23.7 25.4 32.4 36.8 45.6 45.6 +100.0%

    Halton Region Public Health

    63.2 64.4 70.7 69.6 71.1 67.8 70.6 +11.7%

    Niagara Region Public Health

    34.9 35.8 36.2 39.2 40.4 48.9 55.0 +57.6%

    Region of Waterloo Public Health and Emergency Services

    77.5 77.5 75.5 69.5 68.3 72.9 78.0 0.6%

    Wellington-Dufferin-Guelph Public Health

    63.5 67.3 69.6 76.9 85.3 81.4 80.2 +26.3%

    TOTAL ONTARIO

    85.2 85.7 86.7 87.0 88.1 88.3 88.6 4.0%

    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 December 14, 2020 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 December 14, 2020. Toronto, ON: Queen’s Printer for Ontario; 2020.

    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 December 14, 2020 This report includes the most current information available from CCM and other case management systems (CCM plus) as of December 14, 2020. 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 144,396 confirmed cases of COVID-19 in Ontario reported to date. There are a total of 144,396 confirmed cases of COVID-19 in Ontario reported to date. There are a total of 144,396 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 2,275 confirmed cases (percent change of +17.3%) An increase of 2,275 confirmed cases (percent change of +17.3%)

    An increase of 20 deaths (percent change of -13.0%) An increase of 20 deaths (percent change of -13.0%)

    An increase of 1,810 resolved cases (percent change of +17.9%) An increase of 1,810 resolved cases (percent change of +17.9%)

    Please note that several updates have been made to how we extract and analyze COVID-19 case data that may impact today’s results. Notably, we updated our data extraction time to 1pm (from 10:30am) for health units using CCM resulting in a one-time increase in case counts, and new algorithms were implemented to identify duplicates and improve the quality of some fields. 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 13

    THSpanChange in cases December 14

    THSpanPercentage change December 14 compared to December 13

    THSpanCumulative case count as of December 14

    Span

    TRTDSpanTotal number of cases

    TDSpan1,940

    TDSpan2,275

    TDSpan+17.3%

    TDSpan144,396

    TRTDSpanNumber of deaths

    TDSpan23

    TDSpan20

    TDSpan-13.0%

    TDSpan3,992

    TRTDSpanNumber resolved

    TDSpan1,535

    TDSpan1,810

    TDSpan+17.9%

    TDSpan123,373

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

    THSpanChange in cases December 13

    THSpanChange in cases December 14

    THSpanCumulative case count as of December 14

    Span

    TRTDSpanGender: Male

    TDSpan955

    TDSpan1,132

    TDSpan70,743

    TRTDSpanGender: Female

    TDSpan968

    TDSpan1,133

    TDSpan72,794

    TRTDSpanAges: 19 and under

    TDSpan300

    TDSpan341

    TDSpan18,211

    TRTDSpanAges: 20-39

    TDSpan731

    TDSpan815

    TDSpan52,801

    TRTDSpanAges: 40-59

    TDSpan521

    TDSpan672

    TDSpan41,386

    TRTDSpanAges: 60-79

    TDSpan250

    TDSpan322

    TDSpan20,755

    TRTDSpanAges: 80 and over

    TDSpan132

    TDSpan124

    TDSpan11,218

    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 to December 14, 2020: Ontario TableTRTHSpan

    THSpanChange in cases December 13

    THSpanChange in cases December 14

    THSpanCumulative case count from August 30 to December 14

    Span

    TRTDSpanAges: 4 to 8

    TDSpan59

    TDSpan67

    TDSpan2,832

    TRTDSpanAges: 9 to 13

    TDSpan80

    TDSpan90

    TDSpan3,946

    TRTDSpanAges: 14 to 17

    TDSpan73

    TDSpan86

    TDSpan3,821

    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 13

    THSpanChange in cases December 14

    THSpanCumulative case count as of December 14

    Span

    TRTDSpanResidents

    TDSpan79

    TDSpan20

    TDSpan9,378

    TRTDSpanHealth care workers

    TDSpan15

    TDSpan8

    TDSpan3,686

    TRTDSpanDeaths among residents

    TDSpan11

    TDSpan1

    TDSpan2,491

    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 December 14, 2020 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 December 14, 2020 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 13, 2020 Figure 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. Severity Figure 4. Confirmed deaths among COVID-19 cases by date of death: Ontario, March 1, 2020 to December 14, 2020 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 December 14

    THSpanPercentage of all cases

    Span

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

    TDSpan3,992

    TDSpan2.8%

    TRTDSpanDeaths reported in ages: 19 and under

    TDSpan1

    TDSpan0.0%

    TRTDSpanDeaths reported in ages: 20-39

    TDSpan14

    TDSpan0.0%

    TRTDSpanDeaths reported in ages: 40-59

    TDSpan158

    TDSpan0.4%

    TRTDSpanDeaths reported in ages: 60-79

    TDSpan1,048

    TDSpan5.0%

    TRTDSpanDeaths reported in ages: 80 and over

    TDSpan2,771

    TDSpan24.7%

    TRTDSpanEver in ICU

    TDSpan1,646

    TDSpan1.1%

    TRTDSpanEver hospitalized

    TDSpan8,421

    TDSpan5.8%

    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 13

    THSpanChange in cases December 14

    THSpanCumulative case count

    THSpanCumulative rate per 100,000 population

    Span

    TRTDSpanNorthwestern Health Unit

    TDSpan0

    TDSpan1

    TDSpan135

    TDSpan154.0

    TRTDSpanThunder Bay District Health Unit

    TDSpan4

    TDSpan3

    TDSpan438

    TDSpan292.1

    TRTDSpanTOTAL NORTH WEST

    TDSpan4

    TDSpan4

    TDSpan573

    TDSpan241.1

    TRTDSpanAlgoma Public Health

    TDSpan0

    TDSpan0

    TDSpan62

    TDSpan54.2

    TRTDSpanNorth Bay Parry Sound District Health Unit

    TDSpan0

    TDSpan2

    TDSpan94

    TDSpan72.4

    TRTDSpanPorcupine Health Unit

    TDSpan0

    TDSpan1

    TDSpan118

    TDSpan141.4

    TRTDSpanPublic Health Sudbury & Districts

    TDSpan0

    TDSpan4

    TDSpan246

    TDSpan123.6

    TRTDSpanTimiskaming Health Unit

    TDSpan1

    TDSpan1

    TDSpan28

    TDSpan85.7

    TRTDSpanTOTAL NORTH EAST

    TDSpan1

    TDSpan8

    TDSpan548

    TDSpan98.0

    TRTDSpanOttawa Public Health

    TDSpan45

    TDSpan-9

    TDSpan9,102

    TDSpan863.0

    TRTDSpanEastern Ontario Health Unit

    TDSpan27

    TDSpan11

    TDSpan1,109

    TDSpan531.4

    TRTDSpanHastings Prince Edward Public Health

    TDSpan3

    TDSpan4

    TDSpan224

    TDSpan132.9

    TRTDSpanKingston, Frontenac and Lennox & Addington Public Health

    TDSpan11

    TDSpan5

    TDSpan394

    TDSpan185.2

    TRTDSpanLeeds, Grenville & Lanark District Health Unit

    TDSpan8

    TDSpan3

    TDSpan600

    TDSpan346.5

    TRTDSpanRenfrew County and District Health Unit

    TDSpan3

    TDSpan2

    TDSpan203

    TDSpan186.9

    TRTDSpanTOTAL EASTERN

    TDSpan97

    TDSpan16

    TDSpan11,632

    TDSpan603.8

    Span

    TableTRTHSpanPublic Health Unit Name

    THSpanChange in cases December 13

    THSpanChange in cases December 14

    THSpanCumulative case count

    THSpanCumulative rate per 100,000 population

    Span

    TRTDSpanDurham Region Health Department

    TDSpan68

    TDSpan92

    TDSpan5,689

    TDSpan798.6

    TRTDSpanHaliburton, Kawartha, Pine Ridge District Health Unit

    TDSpan11

    TDSpan8

    TDSpan415

    TDSpan219.6

    TRTDSpanPeel Public Health

    TDSpan390

    TDSpan586

    TDSpan32,228

    TDSpan2006.8

    TRTDSpanPeterborough Public Health

    TDSpan4

    TDSpan1

    TDSpan247

    TDSpan166.9

    TRTDSpanSimcoe Muskoka District Health Unit

    TDSpan33

    TDSpan55

    TDSpan2,732

    TDSpan455.6

    TRTDSpanYork Region Public Health

    TDSpan191

    TDSpan154

    TDSpan13,510

    TDSpan1102.1

    TRTDSpanTOTAL CENTRAL EAST

    TDSpan697

    TDSpan896

    TDSpan54,821

    TDSpan1223.5

    TRTDSpanToronto Public Health

    TDSpan544

    TDSpan711

    TDSpan47,871

    TDSpan1534.2

    TRTDSpanTOTAL TORONTO

    TDSpan544

    TDSpan711

    TDSpan47,871

    TDSpan1534.2

    TRTDSpanChatham-Kent Public Health

    TDSpan0

    TDSpan8

    TDSpan553

    TDSpan520.1

    TRTDSpanGrey Bruce Health Unit

    TDSpan5

    TDSpan2

    TDSpan381

    TDSpan224.3

    TRTDSpanHuron Perth Public Health

    TDSpan12

    TDSpan12

    TDSpan472

    TDSpan337.7

    TRTDSpanLambton Public Health

    TDSpan3

    TDSpan5

    TDSpan455

    TDSpan347.4

    TRTDSpanMiddlesex-London Health Unit

    TDSpan43

    TDSpan31

    TDSpan2,130

    TDSpan419.7

    TRTDSpanSouthwestern Public Health

    TDSpan26

    TDSpan21

    TDSpan780

    TDSpan368.8

    TRTDSpanWindsor-Essex County Health Unit

    TDSpan114

    TDSpan185

    TDSpan4,874

    TDSpan1147.3

    TRTDSpanTOTAL SOUTH WEST

    TDSpan203

    TDSpan264

    TDSpan9,645

    TDSpan570.4

    TRTDSpanBrant County Health Unit

    TDSpan13

    TDSpan28

    TDSpan755

    TDSpan486.5

    TRTDSpanCity of Hamilton Public Health Services

    TDSpan134

    TDSpan99

    TDSpan4,359

    TDSpan736.1

    Span

    TableTRTHSpanPublic Health Unit Name

    THSpanChange in cases December 13

    THSpanChange in cases December 14

    THSpanCumulative case count

    THSpanCumulative rate per 100,000 population

    Span

    TRTDSpanHaldimand-Norfolk Health Unit

    TDSpan7

    TDSpan11

    TDSpan721

    TDSpan632.0

    TRTDSpanHalton Region Public Health

    TDSpan64

    TDSpan65

    TDSpan4,375

    TDSpan706.7

    TRTDSpanNiagara Region Public Health

    TDSpan58

    TDSpan65

    TDSpan2,656

    TDSpan562.1

    TRTDSpanRegion of Waterloo Public Health and Emergency Services

    TDSpan71

    TDSpan71

    TDSpan4,564

    TDSpan781.0

    TRTDSpanWellington-Dufferin-Guelph Public Health

    TDSpan47

    TDSpan37

    TDSpan1,876

    TDSpan601.5

    TRTDSpanTOTAL CENTRAL WEST

    TDSpan394

    TDSpan376

    TDSpan19,306

    TDSpan677.6

    TRTDSpanTOTAL ONTARIO

    TDSpan1,940

    TDSpan2,275

    TDSpan144,396

    TDSpan971.4

    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 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 13

    THSpanChange in outbreaks December 14

    THSpanNumber of ongoing outbreaks

    THSpanCumulative number of outbreaks reported

    Span

    TRTDSpanLong-term care homes

    TDSpan7

    TDSpan1

    TDSpan139

    TDSpan790

    TRTDSpanRetirement homes

    TDSpan6

    TDSpan3

    TDSpan79

    TDSpan407

    TRTDSpanHospitals

    TDSpan0

    TDSpan2

    TDSpan42

    TDSpan199

    Span

    Note: Ongoing outbreaks includes all outbreaks that are ‘Open’ in CCM plus without a ‘Declared Over Date’ recorded. 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 December 14, 2020 at 3 p.m. Information extracted from the Ontario Ministry of Health (Ministry) integrated Public Health Information System (iPHIS) database for Toronto Public Health as of December 14, 2020 at 3 p.m.

    Information successfully uploaded to the Ministry from Local Systems: Toronto Public Health (Coronavirus Rapid Entry System) CORES as of December 14, 2020 at 2 p.m. Information successfully uploaded to the Ministry from Local Systems: Toronto Public Health (Coronavirus Rapid Entry System) CORES as of December 14, 2020 at 2 p.m.

    Information successfully uploaded to the Ministry from the Public Health Case and Contact Management Solution (CCM) for all other PHUs as of December 14, 2020 at 1 p.m.. Information successfully uploaded to the Ministry from the Public Health Case and Contact Management Solution (CCM) for all other PHUs as of December 14, 2020 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 are those that are reported in CCM plus as ‘Open’ without a ‘Declared Over Date’ recorded. Ongoing outbreaks are those that are reported in CCM plus as ‘Open’ without a ‘Declared Over Date’ recorded.

    ‘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, November 29, 2020 to December 11, 2020 TableTRTHSpanPublic Health Unit Name

    THSpanNov 29 to Dec 5

    THSpanNov 30 to Dec 6

    THSpanDec 1 to Dec 7

    THSpanDec 2 to Dec 8

    THSpanDec 3 to Dec 9

    THSpanDec 4 to Dec 10

    THSpanDec 5 to Dec 11

    THSpan% change from Nov 29-Dec 5 to Dec 5-11

    Span

    TRTDSpanNORTH WEST

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TRTDSpanNorthwestern Health Unit

    TDSpan10.3

    TDSpan10.3

    TDSpan11.4

    TDSpan12.5

    TDSpan13.7

    TDSpan10.3

    TDSpan9.1

    TDSpan-11.7%

    TRTDSpanThunder Bay District Health Unit

    TDSpan45.3

    TDSpan44.7

    TDSpan41.3

    TDSpan46.0

    TDSpan45.3

    TDSpan43.3

    TDSpan44.7

    TDSpan-1.3%

    TRTDSpanNORTH EAST

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TRTDSpanAlgoma Public Health

    TDSpan0.9

    TDSpan0.9

    TDSpan0.9

    TDSpan0.9

    TDSpan0.0

    TDSpan0.9

    TDSpan0.9

    TDSpan0.0%

    TRTDSpanNorth Bay Parry Sound District Health Unit

    TDSpan6.9

    TDSpan8.5

    TDSpan8.5

    TDSpan8.5

    TDSpan5.4

    TDSpan3.9

    TDSpan5.4

    TDSpan-21.7%

    TRTDSpanPorcupine Health Unit

    TDSpan12.0

    TDSpan12.0

    TDSpan12.0

    TDSpan10.8

    TDSpan7.2

    TDSpan1.2

    TDSpan0.0

    TDSpan-100.0%

    TRTDSpanPublic Health Sudbury & Districts

    TDSpan2.0

    TDSpan4.0

    TDSpan3.5

    TDSpan5.0

    TDSpan5.0

    TDSpan4.5

    TDSpan4.5

    TDSpan+125.0%

    TRTDSpanTimiskaming Health Unit

    TDSpan6.1

    TDSpan9.2

    TDSpan12.2

    TDSpan18.4

    TDSpan21.4

    TDSpan24.5

    TDSpan24.5

    TDSpan+301.6%

    TRTDSpanEASTERN

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TRTDSpanOttawa Public Health

    TDSpan28.4

    TDSpan29.6

    TDSpan27.4

    TDSpan30.0

    TDSpan30.1

    TDSpan29.1

    TDSpan30.1

    TDSpan+6.0%

    Span

    TableTRTHSpanPublic Health Unit Name

    THSpanNov 29 to Dec 5

    THSpanNov 30 to Dec 6

    THSpanDec 1 to Dec 7

    THSpanDec 2 to Dec 8

    THSpanDec 3 to Dec 9

    THSpanDec 4 to Dec 10

    THSpanDec 5 to Dec 11

    THSpan% change from Nov 29-Dec 5 to Dec 5-11

    Span

    TRTDSpanEastern Ontario Health Unit

    TDSpan60.8

    TDSpan73.3

    TDSpan73.8

    TDSpan67.6

    TDSpan69.0

    TDSpan64.2

    TDSpan59.9

    TDSpan-1.5%

    TRTDSpanHastings Prince Edward Public Health

    TDSpan22.6

    TDSpan20.2

    TDSpan20.2

    TDSpan21.4

    TDSpan24.3

    TDSpan27.3

    TDSpan27.9

    TDSpan+23.5%

    TRTDSpanKingston, Frontenac and Lennox & Addington Public Health

    TDSpan21.6

    TDSpan24.9

    TDSpan24.4

    TDSpan29.6

    TDSpan32.0

    TDSpan35.3

    TDSpan41.4

    TDSpan+91.7%

    TRTDSpanLeeds, Grenville & Lanark District Health Unit

    TDSpan23.1

    TDSpan25.4

    TDSpan27.7

    TDSpan31.8

    TDSpan36.4

    TDSpan43.3

    TDSpan41.0

    TDSpan+77.5%

    TRTDSpanRenfrew County and District Health Unit

    TDSpan19.3

    TDSpan25.8

    TDSpan33.1

    TDSpan33.1

    TDSpan49.7

    TDSpan52.5

    TDSpan39.6

    TDSpan+105.2%

    TRTDSpanCENTRAL EAST

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TRTDSpanDurham Region Health Department

    TDSpan84.5

    TDSpan90.0

    TDSpan89.0

    TDSpan83.2

    TDSpan86.6

    TDSpan83.9

    TDSpan88.6

    TDSpan+4.9%

    TRTDSpanHaliburton, Kawartha, Pine Ridge District Health Unit

    TDSpan18.5

    TDSpan20.1

    TDSpan19.6

    TDSpan16.4

    TDSpan20.1

    TDSpan24.3

    TDSpan27.0

    TDSpan+45.9%

    TRTDSpanPeel Public Health

    TDSpan202.1

    TDSpan202.9

    TDSpan205.0

    TDSpan197.8

    TDSpan197.2

    TDSpan194.3

    TDSpan193.5

    TDSpan-4.3%

    Span

    TableTRTHSpanPublic Health Unit Name

    THSpanNov 29 to Dec 5

    THSpanNov 30 to Dec 6

    THSpanDec 1 to Dec 7

    THSpanDec 2 to Dec 8

    THSpanDec 3 to Dec 9

    THSpanDec 4 to Dec 10

    THSpanDec 5 to Dec 11

    THSpan% change from Nov 29-Dec 5 to Dec 5-11

    Span

    TRTDSpanPeterborough Public Health

    TDSpan10.8

    TDSpan9.5

    TDSpan10.1

    TDSpan12.2

    TDSpan10.8

    TDSpan10.8

    TDSpan10.8

    TDSpan0.0%

    TRTDSpanSimcoe Muskoka District Health Unit

    TDSpan45.0

    TDSpan50.5

    TDSpan51.9

    TDSpan56.7

    TDSpan56.0

    TDSpan55.5

    TDSpan54.4

    TDSpan+20.9%

    TRTDSpanYork Region Public Health

    TDSpan110.1

    TDSpan109.2

    TDSpan107.9

    TDSpan104.2

    TDSpan109.2

    TDSpan110.1

    TDSpan105.8

    TDSpan-3.9%

    TRTDSpanTORONTO

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TRTDSpanToronto Public Health

    TDSpan122.9

    TDSpan120.1

    TDSpan121.4

    TDSpan124.7

    TDSpan122.9

    TDSpan122.6

    TDSpan120.8

    TDSpan-1.7%

    TRTDSpanSOUTH WEST

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TRTDSpanChatham-Kent Public Health

    TDSpan29.2

    TDSpan33.9

    TDSpan27.3

    TDSpan16.9

    TDSpan20.7

    TDSpan19.8

    TDSpan20.7

    TDSpan-29.1%

    TRTDSpanGrey Bruce Health Unit

    TDSpan21.2

    TDSpan18.8

    TDSpan15.9

    TDSpan18.8

    TDSpan19.4

    TDSpan18.8

    TDSpan18.8

    TDSpan-11.3%

    TRTDSpanHuron Perth Public Health

    TDSpan47.2

    TDSpan44.4

    TDSpan45.8

    TDSpan42.9

    TDSpan39.4

    TDSpan35.8

    TDSpan43.6

    TDSpan-7.6%

    TRTDSpanLambton Public Health

    TDSpan15.3

    TDSpan15.3

    TDSpan17.6

    TDSpan15.3

    TDSpan19.1

    TDSpan19.1

    TDSpan15.3

    TDSpan0.0%

    TRTDSpanMiddlesex-London Health Unit

    TDSpan44.1

    TDSpan48.7

    TDSpan45.7

    TDSpan48.7

    TDSpan48.3

    TDSpan47.5

    TDSpan51.0

    TDSpan+15.6%

    TRTDSpanSouthwestern Public Health

    TDSpan41.6

    TDSpan40.7

    TDSpan43.0

    TDSpan37.4

    TDSpan42.6

    TDSpan47.8

    TDSpan48.7

    TDSpan+17.1%

    TRTDSpanWindsor-Essex County Health Unit

    TDSpan94.4

    TDSpan97.5

    TDSpan106.6

    TDSpan123.6

    TDSpan132.3

    TDSpan135.6

    TDSpan142.9

    TDSpan+51.4%

    Span

    TableTRTHSpanPublic Health Unit Name

    THSpanNov 29 to Dec 5

    THSpanNov 30 to Dec 6

    THSpanDec 1 to Dec 7

    THSpanDec 2 to Dec 8

    THSpanDec 3 to Dec 9

    THSpanDec 4 to Dec 10

    THSpanDec 5 to Dec 11

    THSpan% change from Nov 29-Dec 5 to Dec 5-11

    Span

    TRTDSpanCENTRAL WEST

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TDSpan

    TRTDSpanBrant County Health Unit

    TDSpan34.1

    TDSpan29.6

    TDSpan30.9

    TDSpan32.9

    TDSpan36.7

    TDSpan41.2

    TDSpan45.7

    TDSpan+34.0%

    TRTDSpanCity of Hamilton Public Health Services

    TDSpan80.9

    TDSpan78.4

    TDSpan84.8

    TDSpan86.1

    TDSpan88.0

    TDSpan92.2

    TDSpan93.7

    TDSpan+15.8%

    TRTDSpanHaldimand-Norfolk Health Unit

    TDSpan22.8

    TDSpan23.7

    TDSpan25.4

    TDSpan32.4

    TDSpan36.8

    TDSpan45.6

    TDSpan45.6

    TDSpan+100.0%

    TRTDSpanHalton Region Public Health

    TDSpan63.2

    TDSpan64.4

    TDSpan70.7

    TDSpan69.6

    TDSpan71.1

    TDSpan67.8

    TDSpan70.6

    TDSpan+11.7%

    TRTDSpanNiagara Region Public Health

    TDSpan34.9

    TDSpan35.8

    TDSpan36.2

    TDSpan39.2

    TDSpan40.4

    TDSpan48.9

    TDSpan55.0

    TDSpan+57.6%

    TRTDSpanRegion of Waterloo Public Health and Emergency Services

    TDSpan77.5

    TDSpan77.5

    TDSpan75.5

    TDSpan69.5

    TDSpan68.3

    TDSpan72.9

    TDSpan78.0

    TDSpan0.6%

    TRTDSpanWellington-Dufferin-Guelph Public Health

    TDSpan63.5

    TDSpan67.3

    TDSpan69.6

    TDSpan76.9

    TDSpan85.3

    TDSpan81.4

    TDSpan80.2

    TDSpan+26.3%

    TRTDSpanTOTAL ONTARIO

    TDSpan85.2

    TDSpan85.7

    TDSpan86.7

    TDSpan87.0

    TDSpan88.1

    TDSpan88.3

    TDSpan88.6

    TDSpan4.0%

    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 December 14, 2020. Toronto, ON: Queen’s Printer for Ontario; 2020. 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