COVID-19 hospitalizations in New Mexico · New Mexico has the 36th highest prevalence in the United...

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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

UpdateAugust 18, 2020

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 prevalence in the United States

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

7.3

4.85.6

19.4

11.1

8.6

0

5

10

15

20

25

30

35

COVID-19 prevalence per 100,000 population

Source: Infectious Disease Epidemiology Bureau, Epidemiology and Response Division 8.17.2020, New Mexico Department of Health. Population estimates, UNM Geospatial and Population Studies Program.

New cases (Last 7 days) – August 3 New cases (Last 7 days) – August 16

*Excludes cases in state and federal

corrections and detention centers

9.3

3.6 4.3

19.3

7.6 7.4

0

5

10

15

20

25

30

35

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

Statewide R-effective has increased slightly to 0.8.

Courtesy of Presbyterian Healthcare Services – August 17, 2020.

0.8

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 8.17.2020, 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 – August 17, 2020

Positive samples collected during this time

may not yet be reported.

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

Northeast R_effective 0.9 ↑

MetroR_effective 0.7 ↑

Southeast R_effective 1.0 =

SouthwestR_effective 0.7 ↓

NorthwestR_effective 0.5 ↑

Low Level Endemic <1.0

Approaching Low Level Endemic1.0-1.05

Requiring further mitigation >1.05

Key

Courtesy of Presbyterian Healthcare Services – August 17, 2020.

As of August 10, 2020

Region R-effective95% Confidence

Interval

State 0.8 [0.4, 1.2]

Metro 0.7 [0.0, 1.9]

Northeast 0.9 [0.0, 3.2]

Northwest 0.5 [0.0, 1.8]

Southeast 1.0 [0.2, 1.9]

Southwest 0.7 [0.0, 1.9]

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

The Northwest and Southeast have relative growth rates equal to 0.

↑ Increasing counts

↓ Decreasing case

counts

Courtesy of Presbyterian Healthcare Services – August 17, 2020.

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 8.17.2020, 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 Average

August 17, 2020

Positive samples collected during this time may not

yet be reported.

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 8.17.2020, 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 Average

August 17, 2020

Positive samples collected during this

time may not yet be reported.

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 8.17.2020, 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 Average

August 17, 2020

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

Positive samples collected during

this time may not yet be reported.

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 8.17.2020, 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 Average

August 17, 2020

Positive samples collected during this

time may not yet be reported.

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 8.17.2020, New Mexico Department of Health.

7 day moving average

0

50

100

150

200

250

0

50

100

150

200

250

Southwest Region Case Count by Collection Date with 7 Day Moving Average

August 17, 2020

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

Positive samples collected during

this time may not yet be reported.

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

As of August 13, 2020

Hospitalizations have been steadily declining since mid-July.

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

The 45-59 and 60+ year old age groups make up the highest percentages of new hospital admissions each week.

Hospitalizations

may not yet be

reported.

As of August 13, 2020

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

New hospital admissions of patients who are Hispanic or Latino, or White are continuing to increase each week. Admissions of AI/AN patients have been steadily decreasing.

Hospitalizations

may not yet be

reported.

As of August 13, 2020

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

Spike in deaths from 7/19 to 8/1, but may be decreasing.

2

9

19

33

43

67 66

61

45 46

3533

31

2024 24

26

45 45

23

17

0

10

20

30

40

50

60

70

80

Nu

mb

er

of

De

ath

s

COVID-19 Deaths by Week of Death, New Mexico

Reporting through 8/16/2020

Deaths may not

yet be reported.

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

The trend of increasing mortality with age remains unchanged.

0.0 1.0 8.4 13.5 24.441.8

62.3

148.0

447.9

0

50

100

150

200

250

300

350

400

450

500

<18 18-24 25-34 35-44 45-54 55-64 65-74 75-84 85+

De

ath

s p

er

10

0,0

00

po

pu

lati

on

COVID-19 Mortality Rate by Age Group,

New Mexico

Reporting through 8/16/2020

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 by region since last week.

Note: Age-adjusted case fatality rates are adjusted to the current distribution of U.S. COVID-19 cases on 8/9. https://www.cdc.gov/covid-data-tracker/index.html#demographicsCDC age group categories differ from those previously reported, so the age-adjusted rates for NM are not comparable to previously produced rates.Source: Bureau of Vital Records and Health Statistics and Infectious Disease Epidemiology Bureau, Epidemiology and Response Division, reporting through 8.9.2020, New Mexico Department of Health.

6.2%

1.9%

3.4%

1.0%

2.7%

4.1%

3.1%

0%

1%

2%

3%

4%

5%

6%

7%

NW NE Metro SE SW NM U.S.

Pe

rce

nta

ge

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

New Mexico

Reporting through 8/16/2020; *Adjusted to U.S. COVID-19 cases.

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, the increase in daily case counts continues to decline.

• Hospitalizations: After a period of increase in July, hospitalizations are decreasing.

• Deaths: After a two-week spike recently, deaths may be continuing to decrease.

• Social distancing: Cell phone data suggests the mobility of New Mexico residents has been stable, but this varies by region.

• Contact tracing: The median time to quarantine for contacts identified last week was 1.2 days.

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

Supplementary Slides

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 8.17.2020

R_Effective Actual Measured

Daily Value by key county

R_eff=0.8

Positive Test Multiplier Calculated by LANL 3.8

Hospitalization and Mortality Actual rolling value /

estimated number of total

infected

Medical 0.15%

ICU 0.12%

Vent Rate 53% of ICU

Crude Case Fatality Rate 3.8%

Length of Stay Actual rolling value /

estimated number of total

infected

Medical 5 days

ICU 14 days

ICU on Vent 14 days

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