2019 Novel Coronavirus (COVID-19) Situational Update Stakeholder Only May 13, 2020 Webinar Recording Link
COVID-19 in Illinois 83,021 Cases 3,601 Deaths 98 Counties in Illinois 471,691 specimens tested As of 5/12/2020
COVID-19 Cases Illinois Confirmed COVID-19 Cases since March 4, 2020 by Specimen Collection Date 3500 3000 2500 2000 Count 1500 1000 500 0 Earliest Specimen Collection Date Illness that began during this time may not yet be reported. Case Count 7 Day Moving Ave As of 5/12/2020
Count 100 120 140 20 40 60 80 0 3/16/2020 3/17/2020 3/18/2020 3/19/2020 3/20/2020 3/21/2020 3/22/2020 3/23/2020 As of 5/12/2020 3/24/2020 3/25/2020 3/26/2020 3/27/2020 3/28/2020 3/29/2020 3/30/2020 3/31/2020 4/1/2020 COVID-19 Deaths 4/2/2020 4/3/2020 Illinois Confirmed COVID-19 Deaths 4/4/2020 4/5/2020 4/6/2020 4/7/2020 4/8/2020 4/9/2020 4/10/2020 4/11/2020 Deceased Date 4/12/2020 4/13/2020 4/14/2020 4/15/2020 4/16/2020 4/17/2020 4/18/2020 4/19/2020 4/20/2020 4/21/2020 4/22/2020 4/23/2020 4/24/2020 4/25/2020 4/26/2020 4/27/2020 4/28/2020 4/29/2020 4/30/2020 5/1/2020 5/2/2020 5/3/2020 5/4/2020 5/5/2020 5/6/2020 5/7/2020 5/8/2020 5/9/2020 5/10/2020 5/11/2020 5/12/2020
COVID-19 Case Type Illinois COVID-19 Confirmed Cases by Type and CD Region 60000 50000 Sporadic vs Outbreak Cases by Region 100% 40000 80% 60% Case Count 40% 30000 20% 0% 20000 Sporadic Cases Outbreak Cases 10000 0 Bellwood Champaign Edwardsville Marion Peoria Rockford West Chicago CD Region Sporadic Cases Outbreak Cases As of 5/12/2020
Recovery Data 54,806 Total cases sent surveys • 37% Cases responded • 53% Cases report recovered % RECOVERED 74.0% 53.5% 53.4% <=14 15-28 >28 DAYS SINCE REPORTED TO PUBLIC HEALTH As of 5/12/2020
7 DAY AVERAGE POSITIVITY - IL & REGIONS 40% 30% Bellwood 20% West Chicago Illinois Rockford 10% Edwardsville Marion Peoria Champaign 0% 3/19/2020 3/26/2020 4/2/2020 4/9/2020 4/16/2020 4/23/2020 4/30/2020 5/7/2020 Bellwood Champaign Edwardsville Marion Peoria Rockford West Chicago Illinois DATA SOURCE: Electronic Lab Records. Does not include provider reported positives.
TOTAL TESTS 100000 120000 20000 40000 60000 80000 0 3/14/2020 3/28/2020 Bellwood 4/11/2020 4/25/2020 5/9/2020 3/14/2020 Total Specimens Tested per Week and Percent Positive Specimens per Week (ELR) by Region, Illinois 3/28/2020 Champaign 4/11/2020 4/25/2020 5/9/2020 3/14/2020 Edwardsville 3/28/2020 4/11/2020 4/25/2020 5/9/2020 3/14/2020 3/28/2020 Marion 4/11/2020 WEEK ENDING 4/25/2020 5/9/2020 3/14/2020 3/28/2020 Peoria 4/11/2020 4/25/2020 5/9/2020 3/14/2020 3/28/2020 Rockford 4/11/2020 4/25/2020 5/9/2020 3/14/2020 West Chicago 3/28/2020 4/11/2020 4/25/2020 5/9/2020 3/14/2020 3/28/2020 Illinois 4/11/2020 4/25/2020 5/9/2020 0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% 35.0% PERCENT POSITIVITY
Outbreaks as of 5/13/2020 Total number of outbreaks = 866 • 50% of Outbreaks are in LTC/Assisted Living/Skilled Care
Long-term Care: : cases and deaths LTC summary Number of Confirmed Percent of LTC COVID-19 cases Percent of all Confirmed COVID-19 Cases (N=6,283) COVID-19 cases Total 6,283 --- 7.6 (N=83,021) Fatal 1,610 25.6 44.7 (N=3,601) Non-Fatal 4,673 74.4 --- Hospitalized 2,860 45.5 --- Mean length of stay (cases with discharge date) 7 days overall COVID-19 Confirmed Cases and Deaths in Long-Term Care Facilities by Onset date, (N=6283) 450 400 350 Number of Cases 300 250 200 150 100 50 0 Onset Date Non-fatal Deaths Slide Updated 5/13/2020
OUTBREAKS/CLUSTERS OF COVID-19: DEFINITIONS NOTE: TO AVOID DUPLICATE OUTBREAK ENTRY, PLEASE CHECK TO BE SURE THERE IS NOT A CURRENT OUTBREAK ALREADY ENTERED IN ORS FOR COVID-19 THE FACILITY BEFORE ADDING A NEW OUTBREAK. Outbreaks LTC/assisted living facilities only: 1 laboratory-confirmed COVID-19 case plus others ill with similar symptoms, but may not be tested yet. For all other facilities/locations/events: 2 or more laboratory-confirmed COVID-19 cases linked to the same site (epidemiological link). Health care facilities-not hospitals: there should be a strong link between a laboratory-confirmed COVID-19 case and resultant cases in a health care facility. Example: one HCW symptomatic, tested positive and multiple other staff/patients developed confirmed COVID-19 during the 14 days following exposure.
COVID-19 Outbreaks • Non-Healthcare Setting – Cases have an epi link: time and place • Could transmission between cases have occurred? • Look for a workplace link between the workplace cases (i.e. same shift, same area in plant, same break area, etc..) • Touching contaminated objects (probably less likely) – Asymptomatic or mild unreported cases are possible – Are there cases in the employee household or among non-work close contacts? • If no likely link between workplace cases but there are non-work close contact cases, monitor for additional workplaces cases before classifying as an outbreak. • Counting outbreak cases in all COVID-19 outbreaks: – Number of lab-confirmed = the number tested with positive COVID-19 test. – Number meeting case definition = Number with positive lab test PLUS those that aren’t tested but have similar symptoms (meet probable case definition) – Tested negative: NOT A CASE, won’t count towards outbreak
Pediatric Multi-System Inflammatory Syndrome Potentially Associated with COVID-19 in Children • Late April, UK reported on 38 kids with multi-system Kawasaki-like disease, multi-system disease – Older group of kids – Only 2/3 were SARS-CoV2 positive; others had antibodies or close contact with COVID case • As of May 5, 2020, NY reported 64 suspect pediatric clinical cases compatible with multi-system inflammatory syndrome associated with COVID-19 (the majority tested positive by PCR or serology). • This syndrome has features which overlap with Kawasaki disease and Toxic Shock Syndrome. Inflammatory markers may be elevated, and fever and abdominal symptoms may be prominent. Rash may also be present. Myocarditis and other cardiovascular changes may be seen. • The syndrome may include: a child presenting with persistent fever, inflammation and evidence of single or multi-organ disfunction. • Need to be cautious in assuming coronavirus link • Anticipate a HAN and Case Definition from CDC any day • Contact your LHD to report any suspect cases
Review – ED an and In Inpatient vis visits in in th those under r 18 Dia iagnosed with ith COVID-19 19 Number since March 1 Total = 498 ( Inpatient = 107 ; ED= 391 ) Edonly IP Percent of Total Total FeverOrChills 135 31 166 33.3 FeverPlus 132 31 163 32.7 Cough 106 19 125 25.1 FeverOnly 58 12 70 14.1 Short Of Breath 53 15 68 13.7 P_and_I 50 15 65 In syndromic for those Under 18 that were seen in ED or 13.1 Admitted and given a COVID diagnosis (denominator is ILI 46 14 60 12.0 diagnosis only regardless of CLI symptoms). NVD 30 9 39 7.8 SoreThroat 38 0 38 Table shows primary symptom classifications of the 498 7.6 visits. Categories are NOT mutually exclusive. Headache 30 2 32 6.4 DifficultyBreathin 18 8 26 g 5.2 Key point is expected symptoms are most common. Rare AbdominalPain 9 4 13 symptoms, NVS, Abdominal pain or Rash are LOW in 2.6 children. BodyAches 11 1 12 2.4 Slide Updated 5/12/2020
Release from Isolation Clarification for Asymptomatics 10 DAYS FROM DATE OF HOWEVER, IF THEY DEVELOP SYMPTOMS, YOU SWITCH TO A SYMPTOM- TEST PLUS 3 AFEBRILE AND BASED STRATEGY, AND GO FOR SYMPTOMS IMPROVING; 10 DAYS FROM ONSET PLUS 3 AFEBRILE AND RESPIRATORY SYMPTOMS IMPROVING.
• Fever • We attempt to keep all COVID-19 related documents up to • Cough Symptoms date, including symptom • Sore throat monitoring tools and • Shortness of (wide range) guidance documents. breath/difficulty breathing • Muscle aches • Headache • Abdominal discomfort • Vomiting • Diarrhea • Loss of Taste/Smell • Rigors
For example…
Breakdown of Symptoms Reported in I-NEDSS thru 5/11 Symtpom Percentage Reporting Cough 75% Fever 56% Muscle Aches 50% SOB 49% Headache 42% Loss of taste/smell 37% Sore throat 31% Diarrhea 26% Chest pain 15% Vomiting 10%
• The Division of Environmental Health licenses COVID approximately 20 migrant labor camps in Illinois. • Program staff have been working with the Migrant University of Illinois At Chicago, Occupational Worker Health physicians and several state agencies and advocacy groups to develop appropriate Guidance & guidance documents and coordinate outreach efforts. LHDs • If you’d like to be included in the outreach activities for migrant worker operations in your jurisdiction, please contact our General Engineering Program Manager, Andy Frierdich, at (217)-782-4837 or andrew.frierdich@illinois.gov.
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