November 6, 2020

2020-11-10

2020-11-10

2020-11-10

2020-11-10

Daily new cases in Ontario (7-day average)

2020-11-10

Daily new COVID cases in Windsor-Essex

2020-11-10

0

20

40

60

80

100

120#

of n

ew C

OVI

D-19

case

s

Date Reported

Confirmed cases of COVID-19 by likely source ofexposure (Ontario)

2020-11-10Source: Public Health Ontario, CCM Plus data

Confirmed cases of COVID-19 by likely source ofExposure in Windsor-Essex

2020-11-10

0

50

100

150

200

250

1112131415161718192021222324252627282930313233343536373839404142434445

# of

cas

es

Reported Week

Community Contact Travel

Virus Spread & Containment

2020-11-10

Local COVID-19 cases (7-day moving average)

2020-11-10

0.0

5.0

10.0

15.0

20.0

25.0

30.0

35.0

40.0#o

f con

firm

ed C

OVI

D-19

case

s

Date Reported

7-day average asof Nov. 5, 2020 =8.1

Percent of new COVID-19 cases acquired in thecommunity, 7-day average

2020-11-10

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

45.0%

50.0%%

of c

ases

acq

uire

d in

the

com

mun

ity

Reported Date

7-day average as of COVID-19 as of Nov 3, 2020 = 28.6%

COVID-19 Hospitalizations (14-day MovingAverage)

2020-11-10

0.0

2.0

4.0

6.0

8.0

10.0

12.0

# of

cas

es h

ospi

taliz

ed -

14-d

ay m

ovin

g av

erag

e

Date

14-day trend asof Nov. 3, 2020is low andstable

Active COVID-19 Outbreaks in All Settings

2020-11-10

0

1

2

3

4

520

20-1

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2020

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05

# of

act

ive

outb

reak

s

Date

Activeoutbreaks asof Nov 3,2020 = 2

Effective (Median) Reproductive Number

2020-11-10

0

0.5

1

1.5

2

2.5

3M

ean

R0

Date of Symptom Onset

Re as of Nov. 4, 2020 = 1.18

Health System Capacity

2020-11-10

Acute Care Bed Capacity

2020-11-10

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

14-May-20 14-Jun-20 14-Jul-20 14-Aug-20 14-Sep-20 14-Oct-20

% o

f acu

te c

are

beds

occ

upie

d

Date

Acute Beds Occupied Acute Care Occupancy Threshold

Acute carecapacity as ofNov. 3, 2020 =87%

Intensive Care Bed Capacity (Adults)

2020-11-10

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%

3-May-20 3-Jun-20 3-Jul-20 3-Aug-20 3-Sep-20 3-Oct-20 3-Nov-20

% o

f Adu

lt IC

U O

ccup

ancy

Date

Adult ICU occupancy Adult ICU Threshold

As of Nov 3, 2020,ICU Occupancy =85%

Ventilator Bed Capacity (Adults)

2020-11-10

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

3-May-20 3-Jun-20 3-Jul-20 3-Aug-20 3-Sep-20 3-Oct-20 3-Nov-20

% o

f adu

lt ve

nted

bed

occ

upan

cy

Date

Vented adult occupancy Adult Vented Bed Threshold

As of Nov. 3, 2020,ICU Occupancy =33%

Public Health Capacity

2020-11-10

Time For Public Health to Connect With Cases &Contacts from Date Reported

2020-11-10

94.5% 97.0%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%

Cases Contacts

% re

ache

d w

ithin

1 d

ay

Client Type

BetweenOctober 27 andNovember 2,2020, 96% ofcases and 97% ofcontacts werecontacted within1 day of beingreported topublic health.

Incidence Tracking Capacity

2020-11-10

Percentage of Tests Results Available Within 1 and 2Days: 7-Day Average

2020-11-10

0.0%

20.0%

40.0%

60.0%

80.0%

100.0%

120.0%%

of t

ests

resu

lts a

vaila

ble

Date

% Completed by next day: 7 day avg % Completed within 2 days: 7 day avg

As of Nov. 3, 2020, % completedwithin 1 days: 7-day average =49%

As of Nov. 3, % completedwithin 2 days: 7-day average =87%

Percent Positivity by Week by All Tests

2020-11-10

0

1,000

2,000

3,000

4,000

5,000

6,000

7,000

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

# of

peo

ple

test

ed/#

of t

ests

com

plet

ed

% p

ositi

vity

Week

Weekly test completed % positivity (all WEC tests)

As of October 31, 2020 % positivity = 1.5%

WECHU Pandemic Status Vs. ProvinceIndicator WECHU Province

Weekly incidence rate (Oct30th to Nov 5th)

13.4 cases per 100,000population

13.4 cases per 100,000population

% positivity 1.5% 1.5%

Reproductive number (R0) 1.18 1.18

Outbreaks trends/observations

2 active outbreaks 2 active outbreaks

Level of communitytransmission/non-epi linkedcases

28.6% (stable or increasing) 28.6% (stable or increasing)

2020-11-10

WECHU Pandemic Status Vs. ProvinceIndicator WECHU Province

Hospital/inpatient capacityadequate

87% (medium risk butstable)

87% (stable)

ICU capacity 85% 85%

Vented bed capacity 33% 33%

Case follow-up within 24hours

94.5% 94.5%

Contact follow-up within 24hours

97.0% 97.0%

Local Pandemic Status For This WeekORANGE – Medium Risk

2020-11-10

Action: Focused attention is needed on certainindicators to address growing concern of COVID-19 in

the community

Domain Risk Status

Viral Spread &Containment

Orange(Medium)

Public System Capacity Yellow(Low)

Health System Capacity Yellow(Low)

Incidence TrackingCapacity

Orange(Medium)

Recommendations for IndividualsRegardless of risk level, ALWAYS:• Stay home if you feel sick or have symptoms, even if

mild.• Wash your hands regularly with soap and water for

15-20 secs or use alcohol based hand-sanitizer.• Cough and sneeze into your sleeve or tissue.• Keep surfaces clean and disinfected.• Maintain 2 meter physical distancing at all times with

people who do not live with you.• Wear a cloth mask if physical distancing cannot be

maintained• Follow provincial guidance.

2020-11-10

Recommendations for Socialization (Orange)• Limit close contacts to household members• Maintain physical distancing and wear a mask

when in contact with everyone else• Avoid indoor gatherings with people who do

not live with you.• Connect with friends and family virtually

2020-11-10

Recommendations for staying physically active(Orange)• Avoid group fitness classes where physical distancing

cannot be maintained or masks cannot be worn.• Avoid close contact sports with members outside your

household• Consider outdoor exercise where physical distancing

can be maintained (e.g. walking, hiking, biking)• Consider indoor exercise at home with members of

your household (e.g. yoga, dancing, pilates)• Consider virtual fitness sessions with friends and

family• Consider active transportation (e.g. walking or biking)

to essential services

2020-11-10

Summary• Using COVID monitoring indicators to assess

Local Pandemic Status will help the communityto make informed decisions to reduce COVIDtransmission risk

• The current pandemic status for Windsor-Essexis Orange (Medium risk)• Mild increase in viral transmission

• Need community action to decrease transmission• Decreased incidence tracking capacity

• Need laboratory system to provide timely test• Focused attention is needed on certain

indicators to address growing concern of COVID-19 in the community

2020-11-10