cv modeling - covid-19 hospitalizations in new mexico · 2020. 9. 9. · 1190 s. st. francis drive...

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1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org COVID-19 in New Mexico: Epidemiologic and Modeling Update September 8, 2020

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Page 1: CV Modeling - COVID-19 hospitalizations in New Mexico · 2020. 9. 9. · 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827-2613 • Fax: 505 -827-2530 • nmhealth.org

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

COVID-19 in New Mexico: Epidemiologic and Modeling

UpdateSeptember 8, 2020

Page 2: CV Modeling - COVID-19 hospitalizations in New Mexico · 2020. 9. 9. · 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827-2613 • Fax: 505 -827-2530 • nmhealth.org

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

New Mexico has the 36th highest number of cases per 100,000 population in the United States

Page 3: CV Modeling - COVID-19 hospitalizations in New Mexico · 2020. 9. 9. · 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827-2613 • Fax: 505 -827-2530 • nmhealth.org

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

COVID-19 prevalence per 100,000 population

Source: Infectious Disease Epidemiology Bureau, Epidemiology and Response Division 9.6.2020, New Mexico Department of Health. Population estimates, UNM Geospatial and Population Studies Program.

*Excludes cases among inmates in state and federal corrections and detention centers

New cases (Last 7 days) – August 30

5.33.3 4.1

15.0

6.1 6.0

0

5

10

15

20

25

30

35

New cases (Last 7 days) – September 6

4.6 3.6 2.9

15.2

6.95.6

0

5

10

15

20

25

30

35

Page 4: CV Modeling - COVID-19 hospitalizations in New Mexico · 2020. 9. 9. · 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827-2613 • Fax: 505 -827-2530 • nmhealth.org

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Source: Infectious Disease Epidemiology Bureau, Epidemiology and Response Division 9.8.2020, New Mexico Department of Health.

7 day moving average

0

100

200

300

400

500

600

New Mexico COVID-19 Cases by Date of Specimen Collection – September 8, 2020

Positive samples collected during this time may not yet be reported.

Page 5: CV Modeling - COVID-19 hospitalizations in New Mexico · 2020. 9. 9. · 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827-2613 • Fax: 505 -827-2530 • nmhealth.org

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Statewide R-effective has decreased to 0.9.

Courtesy of Presbyterian Healthcare Services – September 8, 2020.

0.9

Page 6: CV Modeling - COVID-19 hospitalizations in New Mexico · 2020. 9. 9. · 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827-2613 • Fax: 505 -827-2530 • nmhealth.org

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Northeast R_effective 0.8 ↓

MetroR_effective 0.6 ↓

Southeast R_effective 0.9 =

SouthwestR_effective 1.0 =

NorthwestR_effective 0.9 ↓

Low Level Endemic <1.0

Approaching Low Level Endemic1.0-1.05

Requiring further mitigation >1.05

Key

Courtesy of Presbyterian Healthcare Services – September 8, 2020.

As of September 1, 2020

Region R-effective 95% Confidence Interval

State 0.9 [0.2, 1.6]

Metro 0.6 [0.0, 1.9]

Northeast 0.8 [0.0, 2.9]

Northwest 0.9 [0.0, 2.6]

Southeast 0.9 [0.0, 1.8]

Southwest 1.0 [0.0, 2.4]

Page 7: CV Modeling - COVID-19 hospitalizations in New Mexico · 2020. 9. 9. · 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827-2613 • Fax: 505 -827-2530 • nmhealth.org

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

All regions have decreasing case counts relative to the past 14 day period.

Courtesy of Presbyterian Healthcare Services – September 8, 2020.

↑ Increasing counts↓ Decreasing case

counts

Page 8: CV Modeling - COVID-19 hospitalizations in New Mexico · 2020. 9. 9. · 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827-2613 • Fax: 505 -827-2530 • nmhealth.org

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Source: Infectious Disease Epidemiology Bureau, Epidemiology and Response Division 9.8.2020, New Mexico Department of Health.

7 day moving average

0

20

40

60

80

100

120

140

160

180

200

Metro Region Case Count by Collection Date with 7 Day Moving AverageSeptember 8, 2020

Positive samples collected during this time may not yet be reported.

Page 9: CV Modeling - COVID-19 hospitalizations in New Mexico · 2020. 9. 9. · 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827-2613 • Fax: 505 -827-2530 • nmhealth.org

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Source: Infectious Disease Epidemiology Bureau, Epidemiology and Response Division 9.8.2020, New Mexico Department of Health.

7 day moving average

0

10

20

30

40

50

60

70

80

Northeast Region Case Count by Collection Date with 7 Day Moving AverageSeptember 8, 2020

Positive samples collected during this time may not yet be reported.

Page 10: CV Modeling - COVID-19 hospitalizations in New Mexico · 2020. 9. 9. · 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827-2613 • Fax: 505 -827-2530 • nmhealth.org

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Source: Infectious Disease Epidemiology Bureau, Epidemiology and Response Division 9.8.2020, New Mexico Department of Health.

0

20

40

60

80

100

120

140

160

180

200

0

20

40

60

80

100

120

140

160

180

200

Northwest Region Case Count by Collection Date with 7 Day Moving AverageSeptember 8, 2020

Without Detention Centers Detention Center 7 per. Mov. Avg. (Without Detention Centers)

Positive samples collected during this time may not yet be reported.

Page 11: CV Modeling - COVID-19 hospitalizations in New Mexico · 2020. 9. 9. · 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827-2613 • Fax: 505 -827-2530 • nmhealth.org

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Source: Infectious Disease Epidemiology Bureau, Epidemiology and Response Division 9.8.2020, New Mexico Department of Health.

7 day moving average

0

20

40

60

80

100

120

Southeast Region Case Count by Collection Date with 7 Day Moving AverageSeptember 8, 2020

Positive samples collected during this time may not yet be reported.

Page 12: CV Modeling - COVID-19 hospitalizations in New Mexico · 2020. 9. 9. · 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827-2613 • Fax: 505 -827-2530 • nmhealth.org

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Source: Infectious Disease Epidemiology Bureau, Epidemiology and Response Division 9.8.2020, New Mexico Department of Health.

0

50

100

150

200

250

0

50

100

150

200

250

Southwest Region Case Count by Collection Date with 7 Day Moving AverageSeptember 8, 2020

Without Detention Centers Detention Center 7 per. Mov. Avg. (Without Detention Centers)

Positive samples collected during this time may not yet be reported.

Page 13: CV Modeling - COVID-19 hospitalizations in New Mexico · 2020. 9. 9. · 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827-2613 • Fax: 505 -827-2530 • nmhealth.org

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

For cases reporting activities, travel and visits to restaurants and breweries may be beginning to increase.

As of September 6, 2020

Page 14: CV Modeling - COVID-19 hospitalizations in New Mexico · 2020. 9. 9. · 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827-2613 • Fax: 505 -827-2530 • nmhealth.org

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

As of September 7, 2020

Since about mid-August, there have been ≤ 75 hospitalized cases each day

Page 15: CV Modeling - COVID-19 hospitalizations in New Mexico · 2020. 9. 9. · 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827-2613 • Fax: 505 -827-2530 • nmhealth.org

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Last week, the percentage of hospital admissions of patients who are 35-64 years old increased slightly compared to those who are 65+ years old.

As of September 7, 2020

Hospitalizations may not yet be reported.

Page 16: CV Modeling - COVID-19 hospitalizations in New Mexico · 2020. 9. 9. · 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827-2613 • Fax: 505 -827-2530 • nmhealth.org

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

2

9

19

33

43

67 67

61

45 46

35 34 33

2124 25 26

5052

27 28 27

21

8

0

10

20

30

40

50

60

70

80

Num

ber o

f Dea

ths

COVID-19 Deaths by Week of Death, New Mexico

As of September 6, 2020

Deaths may not yet be reported.

Page 17: CV Modeling - COVID-19 hospitalizations in New Mexico · 2020. 9. 9. · 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827-2613 • Fax: 505 -827-2530 • nmhealth.org

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Minimal changes in case fatality rates across regions

Note: Age-adjusted case fatality rates are adjusted to the current distribution of U.S. COVID-19 cases on 9/6. https://www.cdc.gov/covid-data-tracker/index.html#demographicsSource: Bureau of Vital Records and Health Statistics and Infectious Disease Epidemiology Bureau, Epidemiology and Response Division, reporting through 9.6.2020, New Mexico Department of Health.

6.2%

2.2%

3.3%

1.4%

2.9%

4.0%

3.0%

0%

1%

2%

3%

4%

5%

6%

7%

NW NE Metro SE SW NM U.S.

Perc

enta

ge

COVID-19 Age-Adjusted* Case Fatality Rate by Region, New Mexico

*Adjusted to U.S. COVID-19 cases on 9/6.

Page 18: CV Modeling - COVID-19 hospitalizations in New Mexico · 2020. 9. 9. · 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827-2613 • Fax: 505 -827-2530 • nmhealth.org

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

New Mexico Status Updates

• Case count: Statewide, daily case counts continue to decline.

• Hospitalizations: After a period of recent decline in July, hospitalizations have remained steady.

• Deaths: Deaths are declining.

• Contact tracing: The median time to quarantine for contacts identified last week was approximately 1 day.

Page 19: CV Modeling - COVID-19 hospitalizations in New Mexico · 2020. 9. 9. · 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827-2613 • Fax: 505 -827-2530 • nmhealth.org

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Supplementary Slides

Page 20: CV Modeling - COVID-19 hospitalizations in New Mexico · 2020. 9. 9. · 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827-2613 • Fax: 505 -827-2530 • nmhealth.org

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Modeling Assumptions

Variable Measured Value Value as of 9.8.2020

R_Effective Actual Measured Daily Value by key county

R_eff=0.9

Positive Test Multiplier Calculated by LANL 3.4

Hospitalization and Mortality Actual rolling value / estimated number of total infected

Medical 0.09% ICU 0.07%Vent Rate 50% of ICUCrude Case Fatality Rate 3.4%

Length of Stay Actual rolling value / estimated number of total infected

Medical 5 daysICU 14 days ICU on Vent 14 days