Thread by @aoglasser, 1/ it’s been about a week since I last posted a thread [...]

1/ it’s been about a week since I last posted a thread analyzing Oregon’s case numbers

I’ve collated my Oregon data threads, along w my other #COVID19 related #tweetorials about #periopmedicine , into this twitter moment: https://twitter.com/i/moments/1259256397444681729

https://twitter.com/i/moments/1259256397444681729

A collation of my Oregon and perioperative medicine related content as it pertains to COVID-19

https://twitter.com/i/moments/1259256397444681729

2/ I’ve expressed hopeful optimism in past data-analysis threads about how Oregon appears to be successfully flattening the curve or that we entered a plateau

alas, I am less optimistic based on the last week’s worth of data

As the figures will show, cases are not decreasing…

3/ in this thread, I also want to highlight the patterns that continue to emerge in terms of racial and socioeconomic disparities with COVID-19 cases in Oregon

I’ll also post more local-level reporting, as there has been some excellent journalism

4/ I’m always looking for new sources & found this website today
https://covidtracking.com/

They also give our data quality grades—info here:
A+ data quality for Oregon!

https://covidtracking.com/about-data#state-data-quality-grades

5/ We also learned this week that most cases in Oregon can be traced to spread through New York, NOT our neighboring state to the North
https://www.nytimes.com/2020/05/07/us/new-york-city-coronavirus-outbreak.html

6/ so let’s talk total numbers

Oregon crossed the 3000 case mark this week
127 deaths

@OHAOregon now includes presumptive cases in daily tallies

Hospitalizations are down, but cases remain plateaued to increasing daily...

https://public.tableau.com/profile/oregon.health.authority.covid.19#!/vizhome/OregonHealthAuthorityCOVID-19DataDashboard/COVID-19EPIConfirmed?:display_count=y&:toolbar=n&:origin=viz_share_link&:showShareOptions=false

7/ in terms of what is being reported...

today: 79 confirmed new cases, 13 presumptive
5/8: 75 confirmed, 5 presumptive
5/7: 70 confirmed, 3 presumptive
5/6: 70 confirmed, 7 presumptive
5/5: 72 confirmed, 8 presumptive
http://91-divoc.com/pages/covid-visualization/

8/ nursing homes continue to be hit hard, and older Oregons are also significantly affected
https://www.oregon.gov/oha/PH/DISEASESCONDITIONS/DISEASESAZ/Emerging%20Respitory%20Infections/COVID-19-Weekly-Report-2020-05-05-FINAL.pdf

9/ Oregon is looking to May 15th to start “opening up” in a very metered approach w clear criteria. Many of Oregon’s 36 counties (now 23) have applied to reopen then—reading the documentation submitted is actually really interesting (links in article) https://www.oregonlive.com/coronavirus/2020/05/these-oregon-counties-want-to-lift-coronavirus-stay-home-orders-read-their-plans.html

These Oregon counties want to lift coronavirus stay home orders. Read their plans

Twelve Oregon counties have applied for Phase 1 reopening. If they meet certain criteria and are approvded, they could reopen as early as May 15.

https://www.oregonlive.com/coronavirus/2020/05/these-oregon-counties-want-to-lift-coronavirus-stay-home-orders-read-their-plans.html

10/ These counties are rural, though some include larger population centers, like Deschutes County (Bend) and Lane County (Eugene, home to UofO)

Some counties have zero cases but have small total N (Lake population ~8000, Wheeler < 1500, Gilliam <2000)
https://www.bendbulletin.com/central-oregon-covid-19-case-count/article_e6aef60e-6ae6-11ea-b3c8-239ab1e74769.html

11/ however some rural counties are also seeing a big jump in cases...

Source: http://91-divoc.com/pages/covid-by-your-locations/

12/ example, the large weekly rise in cases in Clatsop County (almost 300% increase) is driven by this cluster

(For reference, Clatsop is the most NW Co. in state, on Pacific at the mouth of the Columbia River) https://www.oregonlive.com/coronavirus/2020/05/coronavirus-cases-at-astoria-seafood-plan-rise-to-26.html

Coronavirus cases at Astoria seafood plan rise to 26

Twelve more workers at Bornstein Seafoods in Astoria have tested positive for the coronavirus, bringing the outbreak to 26.

https://www.oregonlive.com/coronavirus/2020/05/coronavirus-cases-at-astoria-seafood-plan-rise-to-26.html

13/ But not all rural counties are ready to reopen, and indeed, some are actively telling tourisms and weekend day-trippers to stay away—especially with 80+ degree temps

Cannon Beach is also in Clatsop County... https://www.wweek.com/outdoors/2020/05/08/cannon-beach-and-hood-river-do-not-want-to-see-any-portlanders-this-weekend/

Cannon Beach and Hood River Do Not Want to See Any Portlanders This Weekend

Officials in Hood River County know you’re itching to hit the road, and that’s why they have a very clear message as we head into the weekend: stay home.

https://www.wweek.com/outdoors/2020/05/08/cannon-beach-and-hood-river-do-not-want-to-see-any-portlanders-this-weekend/

14/ Oregon is no exception to the thread in seeing disparities in who covid19 is disproportionately affecting...

“White people make up 69 percent of Multnomah County’s population, but only 51 percent of coronavirus cases.“

Portland is in Multnomah Co. https://www.pdxmonthly.com/news-and-city-life/2020/05/coronavirus-takes-a-heavy-toll-on-minority-communities-oregon-data-shows

Coronavirus Takes a Heavy Toll on Minority Communities, Oregon Data Shows

White people make up 69 percent of Multnomah County's population, but only 51 percent of coronavirus cases.

https://www.pdxmonthly.com/news-and-city-life/2020/05/coronavirus-takes-a-heavy-toll-on-minority-communities-oregon-data-shows

15/ 29% of cases are Hispanic patients, despite only being about 13% of state population. This is up from 27% a couple of weeks ago

To pull forward striking paragraphs from the PDX monthly article I just linked to...

16/ with @OHAoregon releasing zip code-based data this week, we can also see how socioeconomic disparities are associated with more cases
Ex. Less affluent neighborhoods have higher case rates https://www.oregonlive.com/coronavirus/2020/05/new-coronavirus-data-reveal-oregon-neighborhoods-with-most-infections.html

New coronavirus data reveal Oregon neighborhoods with most infections

Public health officials say they're trying to be transparent but acknowledge concerns about whether disclosure could generate hate.

https://www.oregonlive.com/coronavirus/2020/05/new-coronavirus-data-reveal-oregon-neighborhoods-with-most-infections.html

17/ Marion Co has been hit hard—incl 37 today (biggest 1 day jump for any county)

w/in the county, Woodburn’s population is about half Latino, nearly 2x county average

Marion Co has had 2nd highest RATE of infections, and now has 2nd highest N https://www.oregonlive.com/coronavirus/2020/05/see-how-coronavirus-has-spread-in-oregon-counties-marion-county-now-has-second-most-infections.html

See how coronavirus has spread in Oregon counties; Marion County now has second-most infections

Washington County, the one-time epicenter, has been surpassed by two counties.

https://www.oregonlive.com/coronavirus/2020/05/see-how-coronavirus-has-spread-in-oregon-counties-marion-county-now-has-second-most-infections.html

18/ merging the “how/when to reopen” question w disparities, front line service industry workers are likely to be negatively effected when we “reopen”…AND be people of color… https://www.wweek.com/news/2020/05/06/frontline-workers-need-their-jobs-the-most-theyre-also-the-most-likely-to-get-sick-when-the-state-reopens/

Frontline Workers Need Their Jobs the Most. They’re Also the Most Likely to Get Sick When the State...

These service industry workers are disproportionately people of color.

https://www.wweek.com/news/2020/05/06/frontline-workers-need-their-jobs-the-most-theyre-also-the-most-likely-to-get-sick-when-the-state-reopens/

19/ looking at local journalism exploring other angles—this is a much appreciated article acknowledging the human component of all this

@drjessigold @jack_turban @DrPoorman @PoojaLakshmin @DrHowardLiu https://www.pdxmonthly.com/coronavirus/2020/04/the-collective-trauma-of-covid-19

The Collective Trauma of COVID-19

How the uncertainty of the novel coronavirus is shaping social behavior and our mental health

https://www.pdxmonthly.com/coronavirus/2020/04/the-collective-trauma-of-covid-19

20/ @wweek has a beautiful and poignant series on the human stories of our experiences with covid-19 https://www.wweek.com/distant-voices/

Distant Voices

https://www.wweek.com/distant-voices/

21/ Finally, let’s end on some positive or “only in Oregon” news

first, VOTE BY MAIL is actively happening!

22/ how did I miss this version of what Quarantine house are you in, and where is @Stormof69 ??

@DRsonosRD https://www.pdxmonthly.com/coronavirus/2020/04/choose-your-quarantine-house-portland

Choose Your Quarantine House, Portland

OK, we’ll do this, too.

https://www.pdxmonthly.com/coronavirus/2020/04/choose-your-quarantine-house-portland

23/ tired of online streaming services? There may be a drive-through for that! https://www.pdxmonthly.com/arts-and-culture/2020/04/what-does-coronavirus-mean-for-oregons-drive-in-theaters

What Does Coronavirus Mean for Oregon’s Drive-In Theaters?

The once-revolutionary spots could be primed for a comeback. Or maybe not.

https://www.pdxmonthly.com/arts-and-culture/2020/04/what-does-coronavirus-mean-for-oregons-drive-in-theaters

24/ I also think @OHAOregon tips for a safe Mothers Day in yesterday’s email was really thoughtful

(As was their acknowledgement that Mother’s Day can be difficult for some)

25/ this is on the list of gifts you can have delivered to mom on Mother’s Day... https://www.pdxmonthly.com/arts-and-culture/2020/04/get-a-drag-queen-performance-delivered-to-your-house

Get a Drag Queen Performance Delivered to Your House

Order a drag queen delivery that supports Our House Portland. Plus there's wine!

https://www.pdxmonthly.com/arts-and-culture/2020/04/get-a-drag-queen-performance-delivered-to-your-house

26/FIN
in summary...

this isn’t over yet

Oregon’s #StayHomeSaveLives has done just that and protected healthcare resources

starting phased “re-opening” of the economy in Oregon is being done cautiously and steadily

racial and socioeconomicdisparities persist

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