MEDICAL UPDATE - CORONAVIRUS (COVID-19) - Situation Report #106 CORRECTION TO STATS
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MEDICAL UPDATE – CORONAVIRUS (COVID-19)
Situation Report #106 CORRECTION TO STATS
August 17, 2020
This report has been adjusted based on current information provided by state officials. Other related data can be found
on our Early Alert COVID 19 Dashboard and/or Resource Center.
CURRENT STATISTICS AND MEDICAL UPDATES: (Please note the correction in 72hour totals)
• There are now 21,598,800+ cases of COVID-19 worldwide, with over 773,900+ confirmed deaths, which is a case
fatality rate of 3.6%.
• The United States is now reporting 5,352,057+ cases of COVID-19 with 161,641+ confirmed deaths which is a case
fatality rate of 3.1%. This is an increase of 127,892 + cases and 2,704+ deaths in the past 72 hours.
• The Case Fatality Rate (CFR) is the ratio between confirmed deaths and confirmed cases to measure the severity
of a disease and is not an accurate representation of an individual’s mortality risk.
• Nationally, the percentage of specimens testing positive for SARS-CoV-2 and the percentages of visits for
influenza-like illness (ILI) and COVID-19-like illness (CLI) have continued to decrease since mid-July.
• Using combined data from the three laboratory types, the national percentage of respiratory specimens testing
positive for SARS-CoV-2 with a molecular assay decreased from 7.7% during week 31 to 7.0% during week 32.
• Regionally, the percentage of respiratory specimens testing positive for SARS-CoV-2 also declined or remained the
same in nine of ten HHS regions. A small increase of 0.2% was seen in Region 2 (NY/NJ/Puerto Rico).
• The highest percentages of specimens testing positive for SARS-CoV-2 were seen in Regions 4 (South East, 11.5%)
and 6 (South Central, 12.6%). The percentage is declining in both regions following peaks seen in week 28 and 27,
respectively.
• The percentage of outpatient and ED visits for ILI are below baseline nationally and in all regions of the country;
however, ILI activity is above what is typical for this time of year. The percentage of visits to EDs for CLI decreased
nationally for the fourth consecutive week and, compared to the previous week, decreased in all ten HHS regions.
• The overall cumulative COVID-19-associated hospitalization rate was 144.1 per 100,000; rates were highest in
people 65 years of age and older (394.2 per 100,000) followed by people 50-64 years (217.0 per 100,000).
Cumulative hospitalization rates will increase as the pandemic continues.
• From week 25 – week 29 (weeks ending June 20 – July 18), overall weekly hospitalization rates increased for four
consecutive weeks. Weekly rates have declined during the most recent three weeks but may increase as more
data are received.
• Based on death certificate data, the percentage of deaths attributed to pneumonia, influenza or COVID-19 (PIC)
increased from week 26 – week 30 (weeks ending June 27 – July 25) after declining for 11 weeks since mid-April.
The percentage of deaths due to PIC for week 32 is 8.1%, lower than the percentage during week 31 (12.5%), but
above the epidemic threshold. These percentages will likely increase as more death certificates are processed.
• The CDC updated its isolation guidance based on the latest science about COVID-19 showing that people can
continue to test positive for up to 3 months after diagnosis and not be infectious to others. Contrary to media
reporting, this science does not imply a person is immune to reinfection with SARS-CoV-2, the virus that causes
COVID-19, in the 3 months following infection. The latest data simply suggests that retesting someone in the 3
months following initial infection is not necessary unless that person is exhibiting the symptoms of COVID-19 and
the symptoms cannot be associated with another illness. Additional information can be found through the
following link: https://www.cdc.gov/media/releases/2020/s0814-updated-isolation-guidance.html
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Copyright © 2020, All Rights Reserved Early Alert, Inc.
ASSOCIATED RISK FOR STATES AND COUNTIES: Please refer to the Early Alert dashboard for daily risk levels.
The Early Alert dashboard now displays a map representing the associated risk for states and counties. Risk levels shown
are based on Active Case Rates. (Very High > 350 per 100k, High 140-350 per 100k, Medium 14140 per 100k, Low 0-14
per 100k).
These thresholds have been based on a publication by the Harvard Global Health Institute located here:
https://globalepidemics.org/wp-content/uploads/2020/06/TTSI-Technical-Advice-Handbook-2.0-June-30-2020FINAL.pdf
U.S. Cloth Mask Requirement Map: Please refer to the Early Alert dashboard for additional details.
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Copyright © 2020, All Rights Reserved Early Alert, Inc.CONFIRMED U.S. CASES BY STATE: New information in this table is presented in red
Confirmed 72 Hr. Confirmed 72 Hr.
State Deaths State Deaths
Cases Increase Cases Increase
Alaska 5,060 310 28 Nebraska 30,241 997 361
Alabama 108,433 2,876 1,898 Nevada 61,305 2,655 1072
Arizona 193,537 2,743 4,506 New Hampshire 6,988 66 423
Arkansas 52,665 899 599 New Mexico 23,302 486 711
California 621,562 28,421 11,224 New Jersey 187,455 501 15,912
Colorado 52,838 1,082 1,768 New York 425,508 2,068 25,250
Connecticut 50,897 115 4,453 North Carolina 144,952 4,128 2,347
Delaware 16,451 484 593 North Dakota 8,587 416 105
District of
13,220 196 597 Oklahoma 48,342 2,239 661
Columbia
Florida 573,416 16,279 9,587 Ohio 108,287 2,861 3,826
Georgia 237,030 8,362 4,702 Oregon 23,262 962 388
Hawaii 4,825 513 40 Pennsylvania 124,460 2,339 7,468
Idaho 27,477 1,344 269 Puerto Rico 26,006 1,560 355
Illinois 207,413 5,686 7,955 Rhode Island 20,335 95 1,021
Indiana 80,415 2,850 3,133 South Carolina 106,497 2,588 2,269
Iowa 52,428 2,092 975 South Dakota 10,274 377 153
Kansas 33,885 1,338 402 Tennessee 133,708 5,197 1,366
Kentucky 39,315 1,629 813 Texas 535,582 22,007 9,983
Louisiana 137,918 2,479 4,507 Utah 46,652 1,228 363
Maine 4,168 79 127 Vermont 1,515 31 58
Maryland 100,212 2,052 3,639 Virginia 106,687 3,065 2,381
Massachusetts 123,200 881 8,829 West Virginia 8,564 413 160
Michigan 102,259 2,403 6,592 Washington 66,885 2,183 1,766
Minnesota 65,152 2,159 1,752 Wisconsin 70,246 2,624 1046
Mississippi 72,136 21,150 2,084 Wyoming 3,286 167 30
Missouri 67,475 3,678 1,367 Guam 502 25 5
Montana 5,750 343 82 U.S. Virgin Islands 741 59 9
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Copyright © 2020, All Rights Reserved Early Alert, Inc.U.S. STATE PROTECTIVE ACTIONS SUMMARY: New information in this table is presented in red.
*Number denotes % of occupancy allowed in facility
**Phase shown is current phase / total phase’s in reopening plan
State Retail* Restaurant* Opening Phase Additional Information
**
Face masks are now required when in public spaces,
Capacity
Alabama 50 2 & 3 of 3 indoors or outdoors. Safer at home guidelines
Limits
extended thru August 31.
Alaska 100 100 4 of 4
Arizona 100 50 2 Statewide mask orders extended to Aug. 31.
Statewide face mask order issued for indoor and
Arkansas 100 75 2
outdoor public spaces for anyone 10 or older.
In-store Retail
Outdoor 2 & 3 of 4
California for Stage 2 & 3
Dining (Varies by County)
Counties
Statewide mask order requiring anyone over 10 to
Colorado 50 50 3 of 3 wear facemasks in indoor public spaces extended for
undetermined amount of time.
Connecticut 50 50 2 of 4 Phase 3 reopening paused until further notice
Delaware 60 60 2 Phase 3 delayed due to increased COVID-19 cases.
District of
50 50 2 of 4
Columbia
Florida 100 50 2 of 3
Gov. Kemp issued a new Covid-19 executive order
Saturday. The order extends the shelter-in-place
order for the medically fragile. It also continues the
ban on large gatherings and maintains health and
safety protocols for Georgia businesses. Local
governments "who choose to impose a Local Option
Georgia 100 100 1
Face Covering Requirement" must not fine
businesses, fine violators more than $50 or enforce
masks at polling places. Masks cannot be enforced on
private property. Anyone who violates local mask
rules must be warned about the health risks of not
doing so before a citation is issued.
Capacity Public health emergency and related restrictions
Hawaii Capacity Limits 2 of 4
Limits extended thru August.
Idaho 100 100 4 of 4
The State of Illinois announced new mitigation efforts
for the Metro East region downstate. All bars,
restaurants, gaming facilities, and casinos must close
at 11 p.m. All reception halls will be closed.
Reservations will be required at restaurants and bars,
and people may not congregate indoors or outdoors.
Indoor tables will be reduced to six people or less. Bar
Illinois Capacity Limits 25 4 of 5
stools will be taken away at bars to prevent
congregating. Tables should continue to be six feet
apart. If metrics do not improve after 14 days, tighter
mitigation efforts such as the closing of bars and
restaurants altogether may happen. The mitigation
efforts for the Metro East area – or Region 4 of the
state – will go into effect Tuesday.
Stage 4.5 opening in effect until at least Aug. 27. Face
Indiana 100 75 4 of 5 coverings required statewide for anyone 8 years old or
older in indoor public spaces.
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Copyright © 2020, All Rights Reserved Early Alert, Inc.Iowa 100 100 By County
Kansas 100 100 3 of 4 Phase 4 reopening delayed.
Kentucky governor extends mask order extended for
Kentucky 100 25
30 days until at least September 7th.
The statewide mask mandate and business restrictions
Louisiana 50 50 2
are now extended through at least Aug. 28.
Maine 100 100 3 of 4
(By County)
Face masks required in all indoor and outdoor public
Maryland 50 50 2
spaces.
Capacity Limits Indoor
Massachusetts 3 of 4
or 40% Dining
Michigan Capacity Limits 50 4 & 5 of 6
Residents required to wear masks in stores,
Minnesota 50 50 3 of 4 restaurants, and public indoor gathering spaces and
outdoors where social distancing is difficult.
Reopening paused until further notice. State-wide
mask order requiring masks to be worn inside a
Mississippi Capacity Limits 50 3 of 4
business, school, or any place open to the public
including outdoors.
St Louis occupancy limits now in effect until Sept. 7th
requiring occupancy of 50% for Restaurants and bars.
Missouri 100 100 1 of 2 Kansas City extending coronavirus state of emergency
into next year requiring most people to wear
facemasks and capping capacity at bars.
Montana 100 75 2 of 3
Nebraska 100 100 3 of 4
(By County)
Nevada 100 50 2 of 3
New Hampshire will begin actively enforcing its
reopening guidance at restaurants and bars. An
New Capacity
50 1 of 2 Emergency order was also issued that requires face
Hampshire limits
masks be worn at any scheduled gatherings of more
than 100 people.
Outdoor
New Jersey Capacity Limits 2 of 4
Dining
Outdoor All public health orders extended through August
New Mexico 25 1
dining keeping restrictions in place until at least September.
Take Out 4 of 4
New York 50 (Indoor 50%,
(By Region)
Phase 3 Only)
North Carolina 50 50 2 of 3 Phase 2 remains in place until at least September 11.
North Dakota Capacity Limits 75 2 of 3
(Color Codes)
Ohio 100 100
Oklahoma 100 100 3 of 3
Mask required when outdoors and social distancing
Oregon 100 100 2 of 3
cannot be conducted.
Pennsylvania 75 25 3 of 3
(Color Code)
Rhode Island 66 66 3 of 3
South Carolina Capacity Limits 50 2 Masks required in restaurants and govt. buildings.
South Dakota 100 100
Tennessee 100 100 3
Texas 50 50 3
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Copyright © 2020, All Rights Reserved Early Alert, Inc.Utah 100 100 3 of 4
Capacity Limits Residents are required to wear masks inside and
Vermont 50 2
or 25% outdoors if they can't socially distance.
Virginia 100 50 3 of 3
Washington 30 50 2 & 3 of 4 Phased reopening paused indefinitely.
(By County)
West Virginia 100 50 8 of 10
Statewide mask order requiring face coverings when
Wisconsin 100 100 3 of 3
indoors or in enclosed spaces.
Capacity
Wyoming Capacity Limits
Limits
Puerto Rico Capacity Limits 50 2 of 3
INTERNATIONAL HIGHLIGHTS:
Australia:
• Australia, which was struggling with a coronavirus resurgence in two of its largest states, New South Wales and
Victoria, has reported a further decline in the number of new infections.
• New South Wales reported just five new cases, while Victoria, where masks became compulsory in July, reported
279 new cases on Sunday, and with 16 deaths.
Brazil:
• Brazil has registered 41,576 cases and 709 deaths due to the novel coronavirus.
China:
• China's new locally transmitted coronavirus cases fell to four on August 15, a one-month low as a cluster in the
western region of Xinjiang receded, citing the country's health authority.
France:
• France will propose face masks in shared workspaces as the country grapples with a coronavirus rebound in the
past 24 hours to more than 3,000.
• The health ministry reported 3,310 new infections, marking a post-lockdown high for the fourth day in a row, and
that the number of clusters being investigated had increased by 17 to 252.
Greece:
• With 262 new cases, Greece reported its highest daily tally since the start of the outbreak.
• The increase in infections in recent weeks has prompted authorities to gradually introduce more restrictions,
which are impacting the peak of the tourism season.
Indonesia:
• Indonesia reported 2,081 cases of the new coronavirus and 79 COVID-19 deaths, according to data from
Indonesia's COVID-19 governmental task force.
Mexico:
• Mexico has recorded at least 6,345 new cases, pushing the total to 517,714, according to the country's health
ministry.
• The health ministry also reported an additional 635 new fatalities, making a total of 56,543 deaths.
Republic of Ireland:
• The number of new coronavirus cases in the Republic of Ireland is "deeply concerning", the Taoiseach (Irish PM)
has said.
• Two hundred new cases were reported on Saturday - the highest number in a single day since the start of May. A
further 66 were confirmed on Sunday, taking the country's total number of confirmed cases to 27,257.
Russia:
• Russia reported 4,969 new cases, bringing its nationwide tally to 922,853, the 4th highest in the world.
• Russia's coronavirus crisis response center said that 68 people had died over the past 24 hours, pushing its official
coronavirus death toll to 15,685, adding that 732,968 people have recovered.
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Copyright © 2020, All Rights Reserved Early Alert, Inc.United Kingdom:
• The UK has recorded 1,040 new coronavirus cases, the government has said, the sixth day in a row there have
been more than 1,000 infections in daily figures.
TRAVEL INFORMATION:
The links below are to the CDC travel webpage and the Department of State travel webpage, which are updated regularly
and outline specific guidelines and regulations in detail. Please refer to these for information regarding specific countries
for the most up-to-date information.
https://www.cdc.gov/coronavirus/2019-ncov/travelers/index.html
https://www.cdc.gov/coronavirus/2019-ncov/travelers/map-and-travel-notices.html#travel-1
https://travel.state.gov/content/travel/en/traveladvisories/ea/covid-19-information.html
EARLY ALERT COVID-19 UPDATE:
Early Alert has developed a COVID-19 / 19-nCoV Dashboards and Resource Center in an effort to display the most up-to-
date tools and information available, in real-time, to help you maintain situational awareness and critical decision
support. Included in the site you will find:
• Real-Time Statistics: The latest worldwide and U.S. numbers.
• Interactive Charts: Animated timelines where users can choose which countries to view and compare data.
• Travel Guidance: Information is available as issued by the respective states in the US.
• Dashboard Links: Now consolidated in one location for ease of use.
• Link to our latest Situation Report in PDF format.
Resource Center:
https://covid19-early-alert.hub.arcgis.com/
Global Dashboard:
https://earlyalert.maps.arcgis.com/apps/opsdashboard/index.html#/20bfbf89c8e74c0494c90b1ae0fa7b78
US Dashboard:
https://early-alert.maps.arcgis.com/apps/opsdashboard/index.html#/b4cff3aa546947e4812a233459b0b514
Note: All information contained in this report is compiled from multiple regulatory agency sources including the Centers
for Disease Control and Prevention, World Health Organization, U.S. Department of State, National Institutes of Health
and U.S. Department of Health and Human Services. Federal, state and local protective actions will be included as
pertinent to the situation. The facts and data presented in this report are the most up-to-date available at the time of
release.
Situation Reports will be issued Sunday, Tuesday and Thursday evenings to have available the following morning for
planning purposes. Additional reports will be generated as conditions warrant.
*** END OF REPORT ***
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