Read on Twitter
1/ The days are long, but the weeks are short...
It’s been almost two weeks (!!) since I last posted a thread about COVID19 trends in Oregon
So, what’s been happening? https://twitter.com/aoglasser/status/1259320096289243138?s=21
It’s been almost two weeks (!!) since I last posted a thread about COVID19 trends in Oregon
So, what’s been happening? https://twitter.com/aoglasser/status/1259320096289243138?s=21
2/ on the last thread, I shared I was feeling less optimistic as cases did not appear to be decreasing but instead looked like it might have been increasing (pic below)
How am I currently feeling? Less pessimistic, though still tackling a lot of uncertainty about the future
How am I currently feeling? Less pessimistic, though still tackling a lot of uncertainty about the future
3/ It looks like we have overall stabilized in terms of new cases per day (some day-to-day variation, generally ~60; only 9 new cases a few days ago, only 24 yesterday)
You can see the “bump” from 2weeks ago in pics
We are at 3817 cases and 145 deaths
http://91-divoc.com/pages/covid-visualization/
You can see the “bump” from 2weeks ago in pics
We are at 3817 cases and 145 deaths
http://91-divoc.com/pages/covid-visualization/
4/ from the @OHAoregon profile tool, looking at testing and hospitalization trends
Testing
Hospitalizations
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
Testing
Hospitalizations
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
5/ Testing capacity to nearly ~38,000 per week
delivery of testing supplies from fed government
more comprehensive list of testing options
“In the past week alone, about 20,000 Oregonians received test results, marking a record” https://www.oregonlive.com/coronavirus/2020/05/coronavirus-testing-capacity-surges-to-nearly-38000-tests-a-week-oregon-health-authority-says.html
to nearly ~38,000 per weekdelivery of testing supplies from fed governmentmore comprehensive list of testing options“In the past week alone, about 20,000 Oregonians received test results, marking a record” https://www.oregonlive.com/coronavirus/2020/05/coronavirus-testing-capacity-surges-to-nearly-38000-tests-a-week-oregon-health-authority-says.html
6/ yesterday, @OHAOregon also announced another new profile tool!
covid19 disease burden
Severe covid19 burden (incl hospitalizations w/in last 28 days)
Active monitoring capacity—SPEED OF FOLLOWUP FROM POSITIVE TEST (important to slow spread!)
https://public.tableau.com/profile/oregon.health.authority.covid.19#!/vizhome/OregonCOVID-19PublicHealthIndicators/COVID-19Burden
covid19 disease burdenSevere covid19 burden (incl hospitalizations w/in last 28 days)Active monitoring capacity—SPEED OF FOLLOWUP FROM POSITIVE TEST (important to slow spread!)https://public.tableau.com/profile/oregon.health.authority.covid.19#!/vizhome/OregonCOVID-19PublicHealthIndicators/COVID-19Burden
7/ older Oregonians who are infected with COVID19 continue to have the highest rates of mortality
https://www.oregon.gov/oha/PH/DISEASESCONDITIONS/DISEASESAZ/Emerging%20Respitory%20Infections/COVID-19-Weekly-Report-2020-05-19-FINAL.pdf
https://www.oregon.gov/oha/PH/DISEASESCONDITIONS/DISEASESAZ/Emerging%20Respitory%20Infections/COVID-19-Weekly-Report-2020-05-19-FINAL.pdf
8/ nursing homes still hard hit-but last facility added to this list was on 5/9!
list look shorter?
“Facilities with outbreaks that are considered closed will be removed from this list...considered closed if there are no new cases identified for 28 days after the last case onset
list look shorter?
“Facilities with outbreaks that are considered closed will be removed from this list...considered closed if there are no new cases identified for 28 days after the last case onset
9/ more from the @OHAoregon weekly data—
Hispanic Oregonians continue to be disproportionately affected, with 31.7% of cases which has steadily from ~27% (v 13% of the State population). The case fatality rare in Black Oregonians is also concerning (3% State population)
Hispanic Oregonians continue to be disproportionately affected, with 31.7% of cases which has steadily
from ~27% (v 13% of the State population). The case fatality rare in Black Oregonians is also concerning (3% State population)
10/ in terms of other disparities—OHA continues to report zip code, and @_brad_schmidt continues to analyze for the Oregonian
yes, while zip code data has limitations (where you live, not where you shop/work/etc), less affluent neighborhoods=hit hard https://www.oregonlive.com/coronavirus/2020/05/coronavirus-infections-continue-to-rise-in-woodburn-east-portland-salem.html
yes, while zip code data has limitations (where you live, not where you shop/work/etc), less affluent neighborhoods=hit hard https://www.oregonlive.com/coronavirus/2020/05/coronavirus-infections-continue-to-rise-in-woodburn-east-portland-salem.html
11/ and this article out yesterday from @mfriesen—another way to get more granular with the zip code based data and trends in potential disparities https://www.oregonlive.com/coronavirus/2020/05/10-oregon-zip-codes-where-coronavirus-cases-jumped-most-last-week.html
12/ yesterday, Oregon reported the first covid-19 related death of an Adult In Custody (AIC) in an Oregon Department of Corrections Facility—an AIC at the Oregon State Penitentiary outside of Salem https://twitter.com/maxoregonian/status/1263564105350213633?s=21
13/ Oregon State Penitentiary (Oregon’s only maximum security prison) has 115 cases amongst AICs (I believe 2000 are there) and 26 staff, out of 148 AICs in Oregon correctional facilities and 38 correctional facility staff
https://www.oregon.gov/doc/covid19/Pages/covid19-tracking.aspx
https://www.oregon.gov/doc/covid19/Pages/covid19-tracking.aspx
14/ May 15th has come and gone, and almost all countries have entered or been approved to enter Phase 1 of “reopening”
31 of 36 counties entered phase 1 last week (recall, we have a lot of big rural counties)
Infographics from @OHAOregon—statewide and phase 1 information
31 of 36 counties entered phase 1 last week (recall, we have a lot of big rural counties)
Infographics from @OHAOregon—statewide and phase 1 information
15/ also from the new @OHAOregon dashboard out this week—the SIX county level indicators that will guide decisions about “reopening or stopping, watching, and redirecting”
I’ve highlighted two Portland metro area counties (have not entered phase 1)
https://public.tableau.com/profile/oregon.health.authority.covid.19#!/vizhome/OregonCOVID-19PublicHealthIndicators/COVID-19Burden
I’ve highlighted two Portland metro area counties (have not entered phase 1)
https://public.tableau.com/profile/oregon.health.authority.covid.19#!/vizhome/OregonCOVID-19PublicHealthIndicators/COVID-19Burden
16/ Marion County, which has been hard hit recently with new daily cases in the teens to 20s, though only 4 were announced yesterday—was just approved. Polk Co was also approved to reopen TODAY https://www.oregonlive.com/coronavirus/2020/05/oregon-governor-approves-phase-1-reopening-for-marion-polk-counties.html
17/ other countries applying
Washington (Portland metro): to apply today
Clackamas (Portland metro): applied earlier this week
Multnomah (main Portland county and where I live and work): not yet applied https://www.oregonlive.com/coronavirus/2020/05/clackamas-county-submits-coronavirus-reopening-plan-washington-county-to-apply-friday.html
Washington (Portland metro): to apply today
Clackamas (Portland metro): applied earlier this week
Multnomah (main Portland county and where I live and work): not yet applied https://www.oregonlive.com/coronavirus/2020/05/clackamas-county-submits-coronavirus-reopening-plan-washington-county-to-apply-friday.html
18/ here’s another way to look at county-level trends (though as the new OHA dashboard shows, there are a lot of indicators that can be tracked).
I’ve highlighted the 5 Oregon counties that did not enter phase 1 in the first wave last week
http://91-divoc.com/pages/covid-by-your-locations/
I’ve highlighted the 5 Oregon counties that did not enter phase 1 in the first wave last week
http://91-divoc.com/pages/covid-by-your-locations/
19/ beyond Oregon, here’s a new and really cool way to visualize progress towards “reopening”—dashboard from @propublica
https://projects.propublica.org/reopening-america/
https://projects.propublica.org/reopening-america/
20/ interesting—how did #covid19 get here? (recall NYtimes article-most Oregon cases came via NY, not WA)
Potentially 13 introductions! Not 1-2 people
“the state’s outbreak may have one of the most diverse origin stories discovered to date in the U.S. https://news.ohsu.edu/2020/05/18/oregons-covid-19-story-emerges-from-gene-sequencing?linkId=88913128
Potentially 13 introductions! Not 1-2 people
“the state’s outbreak may have one of the most diverse origin stories discovered to date in the U.S. https://news.ohsu.edu/2020/05/18/oregons-covid-19-story-emerges-from-gene-sequencing?linkId=88913128
21/ this was also fascinating
“Somewhat surprisingly to the team, there was no evidence that the first reported case in Oregon continued to spread.“
Have they not been found yet, or was the contact tracing & isolation related to that 1st case in February successful??
“Somewhat surprisingly to the team, there was no evidence that the first reported case in Oregon continued to spread.“
Have they not been found yet, or was the contact tracing & isolation related to that 1st case in February successful??
22/ to wrap up, lets turn to more of the human elements and narratives of living with the #covid19 pandemic in Oregon
What was the reality of “reopening” (meaning entering Phase 1) like last weekend? https://www.wweek.com/news/2020/05/20/in-fits-and-starts-oregon-emerged-from-lockdown-last-weekend-heres-what-the-reopening-looked-like/
What was the reality of “reopening” (meaning entering Phase 1) like last weekend? https://www.wweek.com/news/2020/05/20/in-fits-and-starts-oregon-emerged-from-lockdown-last-weekend-heres-what-the-reopening-looked-like/
23/ for all the press about “get me my haircut”...a flip side of this discussion
“It’s dehumanizing to be told that our clients need to be six feet apart while we are right on top of them. Are we less human? Worth less?” “ https://www.pdxmonthly.com/news-and-city-life/2020/05/hundreds-of-local-stylists-say-its-too-dangerous-for-salons-to-reopen
“It’s dehumanizing to be told that our clients need to be six feet apart while we are right on top of them. Are we less human? Worth less?” “ https://www.pdxmonthly.com/news-and-city-life/2020/05/hundreds-of-local-stylists-say-its-too-dangerous-for-salons-to-reopen
24/ how affecting us emotionally?
“On a psychological level, this whole pandemic is about the issue of creating boundaries and dissolving boundaries, and it’s bringing to our attention the importance of both.”
@drjessigold @DrHowardLiu @DrPoorman https://www.pdxmonthly.com/health-and-wellness/2020/05/portland-couples-therapist-studies-the-impact-of-shelter-in-place-orders
“On a psychological level, this whole pandemic is about the issue of creating boundaries and dissolving boundaries, and it’s bringing to our attention the importance of both.”
@drjessigold @DrHowardLiu @DrPoorman https://www.pdxmonthly.com/health-and-wellness/2020/05/portland-couples-therapist-studies-the-impact-of-shelter-in-place-orders
25/ so let’s wrap up with some good news
one of @OHSUNews first patients admitted was discharged after almost 2 months
She was one of 3 patients on ECMO at OHSU because of #covid19
@OhsuTrauma @OHSUPulmCCM @MackenzieCookMD https://news.ohsu.edu/2020/05/14/coronavirus-patient-discharged-after-58-days-at-ohsu
one of @OHSUNews first patients admitted was discharged after almost 2 months
She was one of 3 patients on ECMO at OHSU because of #covid19
@OhsuTrauma @OHSUPulmCCM @MackenzieCookMD https://news.ohsu.edu/2020/05/14/coronavirus-patient-discharged-after-58-days-at-ohsu
26/ @OregonGovBrown received HT in @AnnalsofIM blog post @TLeungMD @MAACPGovernor
“Gavin Newson (D-CA), Kate Brown (D-OR), and Jay Inslee (D-WA) announced that the decisions to reopen their states’ economies will be guided by science and data” http://freshlook.annals.org/2020/05/perpetuating-bias-dangers-of-incomplete-covid19-data.html
“Gavin Newson (D-CA), Kate Brown (D-OR), and Jay Inslee (D-WA) announced that the decisions to reopen their states’ economies will be guided by science and data” http://freshlook.annals.org/2020/05/perpetuating-bias-dangers-of-incomplete-covid19-data.html
27/ as we enter the Memorial Day weekend, keep an eye out for Oregon gems and traditions that will start returning/reopening—AND for guidance for how to partake in them as safely as possible https://www.wweek.com/outdoors/2020/05/21/washington-park-is-reopening-the-roads-to-its-property-in-advance-of-memorial-day-weekend/
28/ Be careful and cautious with how Memorial Day weekend and “reopening” will mesh—don’t overwhelm small towns or tourist destinations https://www.wweek.com/outdoors/2020/05/21/the-governor-and-more-than-two-dozen-mayors-urge-oregonians-to-not-travel-on-memorial-day-weekend/
29/ look forward to some other Oregon traditions coming back this summer in modified formats! https://www.pdxmonthly.com/eat-and-drink/2020/05/you-can-still-pick-your-own-fruit-at-oregon-farms-this-summer
30/FIN and let’s end by celebrating ANOTHER successful #VoteByMail in Oregon this week—Because that’s how we always vote
With THREE #womeninmedicine physicians successful in their results!!
https://twitter.com/ormedicine/status/1263145409330855936?s=21 https://twitter.com/ormedicine/status/1263145409330855936
With THREE #womeninmedicine physicians successful in their results!!
https://twitter.com/ormedicine/status/1263145409330855936?s=21 https://twitter.com/ormedicine/status/1263145409330855936
