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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 August 18, 2020

COVID-19 hospitalizations in New Mexico · New Mexico has the 36th highest prevalence in the United States 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613

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Page 1: COVID-19 hospitalizations in New Mexico · New Mexico has the 36th highest prevalence in the United States 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613

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

Page 2: COVID-19 hospitalizations in New Mexico · New Mexico has the 36th highest prevalence in the United States 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613

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

Page 3: COVID-19 hospitalizations in New Mexico · New Mexico has the 36th highest prevalence in the United States 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613

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

Page 4: COVID-19 hospitalizations in New Mexico · New Mexico has the 36th highest prevalence in the United States 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613

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

Page 5: COVID-19 hospitalizations in New Mexico · New Mexico has the 36th highest prevalence in the United States 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613

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.

Page 6: COVID-19 hospitalizations in New Mexico · New Mexico has the 36th highest prevalence in the United States 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613

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]

Page 7: COVID-19 hospitalizations in New Mexico · New Mexico has the 36th highest prevalence in the United States 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613

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.

Page 8: COVID-19 hospitalizations in New Mexico · New Mexico has the 36th highest prevalence in the United States 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613

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.

Page 9: COVID-19 hospitalizations in New Mexico · New Mexico has the 36th highest prevalence in the United States 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613

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.

Page 10: COVID-19 hospitalizations in New Mexico · New Mexico has the 36th highest prevalence in the United States 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613

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.

Page 11: COVID-19 hospitalizations in New Mexico · New Mexico has the 36th highest prevalence in the United States 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613

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.

Page 12: COVID-19 hospitalizations in New Mexico · New Mexico has the 36th highest prevalence in the United States 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613

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.

Page 13: COVID-19 hospitalizations in New Mexico · New Mexico has the 36th highest prevalence in the United States 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613

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.

Page 14: COVID-19 hospitalizations in New Mexico · New Mexico has the 36th highest prevalence in the United States 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613

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

Page 15: COVID-19 hospitalizations in New Mexico · New Mexico has the 36th highest prevalence in the United States 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613

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

Page 16: COVID-19 hospitalizations in New Mexico · New Mexico has the 36th highest prevalence in the United States 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613

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.

Page 17: COVID-19 hospitalizations in New Mexico · New Mexico has the 36th highest prevalence in the United States 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613

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

Page 18: COVID-19 hospitalizations in New Mexico · New Mexico has the 36th highest prevalence in the United States 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613

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.

Page 19: COVID-19 hospitalizations in New Mexico · New Mexico has the 36th highest prevalence in the United States 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613

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.

Page 20: COVID-19 hospitalizations in New Mexico · New Mexico has the 36th highest prevalence in the United States 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613

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

Supplementary Slides

Page 21: COVID-19 hospitalizations in New Mexico · New Mexico has the 36th highest prevalence in the United States 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613

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