ALABAMA STATE REPORT 07.26.2020 SUMMARY Alabamais in the red zone forcases indicatingmore than 100 new casesper 100,000populationlastweek, and the red zone fortest positivity, indicatinga rate above 10 % . Alabamahasseen stabilityinnew cases and a decreasein testingpositivity overthe past week. Maintainingaggressive mitigation strategies willdrive downnew cases. The followingthree countieshad the highestnumberof new cases over thepast 3 weeks: 1.Jefferson County , 2.Mobile County, and 3.Madison County. These counties represent31.9 percent ofnew cases in Alabama. Communityoutbreaksexist across thestate in rural,peri- urban, and urbancommunities. Alabamahad 264 new cases per 100,000 populationin the pastweek, comparedto a nationalaverage of 140 per 100,000. Thefederalgovernmenthas deployed the following staff as assets to support thestateresponse: 37 to support operations activitiesfrom FEMAand 1 to supportoperationsactivitiesfrom USCG. During Jul 18 - Jul24, on average, 165 patientswith confirmed COVID- 19 and 225 patients with suspected COVID- 19were reported as newly admitted each day to hospitals in Alabama . An average of87percentofhospitalsreported each day during this period; therefore, thismaybe an underestimateof theactualtotalnumberofCOVID -related hospitalizations . Underreportingmay lead to a lowerallocation of criticalsupplies. * RECOMMENDATIONS Continuethe statewide maskmandate . Closeestablishmentswhere socialdistancingandmask use cannotoccur, such as bars. Moveto outdoordiningandlimit indoordiningto lessthan25% ofnormalcapacity. Ask citizensto limitALL socialgatheringsto fewerthan 10people. Encourageindividualsthathave participatedinlargesocialgatheringsto gettested. Increasemessagingof therisk of seriousdiseasein allage groupswith preexisting medicalconditions , includingobesity, hypertension , and diabetesmellitus. Protectthosein nursinghome , assistedliving, and long- term care facilitiesbyassuringaccess to rapidfacility-widetestingin responseto a residentor staffmemberwith COVID - 19. Ensuresocialdistancingand universalfacemaskuse. Continuethescale- up oftesting,movingto community - led neighborhoodtesting.Workwith localcommunitiesto implement andprovideclearguidancefor householdsthattestpositive, includingon individualisolationprocedures. Continue to enhancecontacttracingand ensuretheability ofcasesandcontactsto quarantineor isolate safely. Monitortestingdata to identify additionalsites of increasedtransmissionandfocuspublichealthresourceson them . Ensurepublichealth lab is fully staffed and running24/7, utilizingallplatforms . Requirealluniversitieswith RNA detectionplatformsto use this equipmentto expandsurveillancetestingfor schools( K - 12, communitycolleges) and universitystudents. Specific, detailed guidanceon communitymitigationmeasurescan be found on the CDC website. Thepurposeof this reportis to developa sharedunderstanding of thecurrentstatusof thepandemicat the national , regional , stateand locallevels. Werecognize thatdata at the state levelmay differ from that availableatthefederallevel. Our objectiveis to use consistent data sourcesandmethodsthatallow for comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 ALABAMA STATE REPORT 07.26.2020 STATE, % CHANGE FROM PREVIOUS REGION UNITED STATES WEEK LASTWEEK LAST WEEK 12,928 ( 264 ) + 2.7 % 168,276 (252 ) 460,137 ( 140) 17.7 % -0.6 % * 14.3 % 8.5 % STATE LASTWEEK NEW CASES (RATE PER 100,000) DIAGNOSTIC TEST POSITIVITY RATE 90,899 ** ( 1,854) TOTAL DIAGNOSTICTESTS ( TESTS PER 100,000) COVID DEATHS -4.8 % 175 AT LEASTONE MOBILTY RELATIVEBASELINE MOBILTY TO 1,071,031** 5,437,404 ** ( 1,601) ( 1,657) 2,048 6,434 ( 3) (2) + 9.4 % ( RATE PER 100,000 ) + 11.4 % * 35.9 % COVID - 19 CASE FEMA /HHS 12.1% 23.1 % 100 % 80 % 60 % 40 % 20 % 0 % 3/1 4/5 3/8 3/15 3/22 3/29 4/12 4/19 4/26 6/7 5/3 5/10 5/17 5/24 5/31 6/14 6/21 6/28 7/5 7/12 7/19 7/26 Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregatingcounty-leveldata from USAFacts; therefore, the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020; lastweek is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 ALABAMA STATE REPORT 07.26.2020 COVID - 19 COUNTY AND METRO LOCALITIESIN RED ZONE ALERTS LOCALITIES IN YELLOW ZONE Birmingham -Hoover Huntsville Mobile METRO AREA CBSA ) LASTWEEK 27 Top 12 shown ( fulllist below) Montgomery Daphne -Fairhope -Foley Tuscaloosa Auburn - Opelika Decatur N / A Albertville Gadsden Florence -Muscle Shoals Dothan Jefferson Mobile Madison Baldwin COUNTY 67 LASTWEEK Top 12 shown (full list below ) Montgomery Shelby Tuscaloosa Lee N /A Marshall Etowah Morgan DeKalb AllRed CBSAs Birmingham - Hoover, Huntsville, Mobile, Montgomery, Daphne-Fairhope-Foley, Tuscaloosa Auburn -Opelika, Decatur, Albertville, Gadsden , Florence-Muscle Shoals, Dothan , Fort Payne, Anniston -Oxford, Columbus, Cullman , Atmore , Talladega -Sylacauga , Jasper, Scottsboro , Selma, Ozark , Enterprise, Alexander City , Eufaula , LaGrange, Troy AllRed Counties: Jefferson, Mobile, Madison , Baldwin , Montgomery, Shelby, Tuscaloosa , Lee, Marshall, Etowah, Morgan , DeKalb , Calhoun , St. Clair,Houston , Elmore , Limestone, Russell, Cullman, Escambia, Colbert, Talladega, Walker Lauderdale, Blount, Jackson, Dallas, Autauga , Dale, Chilton , Covington, Marion , Coffee, Perry, Barbour, Franklin , Tallapoosa, Chambers, Pike, Randolph , Marengo, Clarke, Washington , Monroe, Winston, Conecuh , Lawrence , Cherokee, Bibb, Hale, Pickens, Geneva ,Macon , Crenshaw , Wilcox, Butler, Lamar, Clay, Henry , Lowndes, Fayette , Choctaw , Cleburne, Greene, Sumter, Bullock , Coosa Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity result between 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020 ; last week is 7/18 -7/24 , three weeks is 7/4 - 7/24 . Testing :CELR ( COVID - 19 Electronic Lab Reporting) state health department -reported data through 7/22/2020 . Lastweek is 7/16 - 7/22. Testing datamay bebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 ALABAMA STATEREPORT 07.26.2020 CASE NEW C-ASES 19 COVID 2000 1500 1000 500 Daily COVID - 19 Cases Daily COVID -19Cases ( 7 - day average) 15000 20.0 % 15.0 % 10000 10.0 % 5000 5.0 % 0.0 % Daily Tests Completed (7 day avg.) % Positivity Rate (by result date 7 day avg. ) Top counties based on greatest number ofnew cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES 10000 ) CASES NEW CUMULATIVE Jefferson Mobile Madison 8000 Baldwin Montgomery Shelby Tuscaloosa Lee 6000 4000 Marshall Etowah ( 2000 - - 4/5 3/8 3/15 3/22 3/29 4/12 4/19 4/26 5/3 5/10 - 5/17 5/24 5/31 - - 6/7 7/5 6/14 6/21 6/28 7/12 7/19 7/26 DATA SOURCES Cases: County-leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: CELR ( COVID - 19 Electronic Lab Reporting) statehealth department-reported data through 7/22/2020. COVID - 19 Top 12 counties based on number ofnew cases in the last 3 weeks Daily COVID- 19 Cases Daily COVID - 19 Cases ( 7 -day average) 300 Mobile County Jefferson County Madison County 300 300 200 200 200 100 100 100 CASE DAILY TO AL Baldwin County 150 Montgomery County 100 200 ShelbyCounty 75 100 50 100 50 25 80 TuscaloosaCounty Marshall County Lee County 150 80 60 60 100 40 40 50 20 Etowah County 20 DeKalb County Morgan County 60 60 40 40 20 20 100 75 50 25 3/21 4/5 4/20 5/5 5/20 6/4 7/4 6/19 7/19 5/20 6/4 7/4 DATA SOURCES Cases: County- leveldata from USAFacts through 7/24/2020 . Last 3 weeks is 7/4 - 7/24 . 3/21 4/5 4/20 5/20 6/4 61/9 7/4 7/19 COVID - 19 ALABAMA STATE REPORT 07.26.2020 CASE RATESAND DIAGNOSTIC TESTPOSITIVITYDURING THE LASTWEEK NEW CASES PER 100,000 DURING TEST POSITIVITY DURING LAST LASTWEEK WEEK Date: 7/26/2020 MO Date: 7/26/2020 MO NC NC TN AR AR SC SC GA GA MS MS Cases per 100K 20Casesin Last 14Days 0.1to 9.9 Test Positivity FL 10 to 99.9 to 4.9 100to 199.9 5 % to 9.9 % 200to 499.9 10 % to 19.9% 20% or More More WEEKLY % CHANGEIN NEW WEEKLY CHANGE IN TEST CASES PER 100K POSITIVITY D Date: 7/26/2020 MO Casesin Last 14Days % LA % LA 0 FL HERE the Sreb Date:7/26/2020 MO the NC NC TN TN AR AR SC AL SC AL GA GA MS MS PercentChangein Casesper 100K 20 Casesin Last 14Days Absolute Changein Test Positivity Casesin Last 14 Days % 100 Less % 10% to 99.9 Less LA % 100% to 999.9% More 1,000 LA 2 + Less % LittleChange 10% to 99.9% More FL 0.5% to 1.9% Less LittleChange 0.5% to 1.9% More 2 More % FL DATA SOURCES Cases: County-leveldata from USAFactsthrough 7/24/2020. Lastweek is7/18 - 7/24, previousweek is 7/11- 7/17. Testing: CELR (COVID- 19 ElectronicLab Reporting ) state health department-reporteddata through 7/22/2020. Lastweek is 7/16 - 7/22, previousweek is 7/9 - 7/15. Testingdatamaybebackfilledover time, resultingin changesweek- to-week in testing data. It is criticalthat statesprovideasup- to -datetestingdata aspossible. ALASKA STATEREPORT 07.26.2020 SUMMARY Alaska is in the yellow zone for cases, indicating between 10 to 100 new cases per 100,000 population lastweek , and the green zone for test positivity, indicating a rate below 5 % . Alaska has seen an increase in new cases and an increase in testing positivity over the past week . The following three boroughs had the highest number ofnew cases over the past 3 weeks : 1.Anchorage Municipality, 2. Fairbanks North Star Borough, and 3.Matanuska - Susitna Borough . These boroughs represent 76.9 percent of new cases in Alaska. Alaska had 73 new cases per 100,000 population in the past week , compared to a nationalaverage of 140 per 100,000. The federal government has deployed the following staff as assets to support the state response: 17 to support operations activities from FEMA; 5 to support testing activities from CDC ; and 22 to support operations activities from USCG . During Jul 18 - Jul24 on average, 5 patients with confirmed COVID - 19 and 13 patients with suspected COVID - 19 were reported as admitted each day to hospitals in Alaska . An average of 45 percent of hospitals reported each day during this period ; therefore, this may be an underestimate of the actualtotalnumber of COVID -related hospitalizations. Underreportingmay lead to a lower allocation of critical supplies.* RECOMMENDATIONS Emphasize continued need for social distancing (atleast 6 ft ) and cloth face masks for people in public, especially indoor spaces. Mandate wearing of face masks in allindoor settings outside the home, especially workplaces like seafood processing centers and in population centers with high or increasing case counts : Anchorage , Fairbanks North Star, Kenai Peninsula, Matanuska -Susitna , Valdez-Cordova and Yukon -Koyukuk . Investigate possible outbreaks quickly and aggressively , particularly in areas with increasing case counts . Intensify contact tracing, with timely quarantine of contacts and isolation of cases , especially in boroughs with increasing case counts. Continue wide- scale testing programs in congregate settings where there is an increased risk for transmission or severe disease, especially among seafood workers and in long-term care facilities. Require staff in long-term care facilities to wear face masks while working. Ensure adequate facilities to house people in need of quarantine or isolation who cannot quarantine or isolate at home. This recommendation is particularly relevant in communities with multi-generational households. Specific , detailed guidance on community mitigationmeasures can be found on the CDC website. Thepurposeof this reportis to developa sharedunderstanding of thecurrentstatusof thepandemicat the national , regional , stateand locallevels. Werecognize thatdata at thestate levelmaydiffer from thatavailableatthe federallevel. Our objectiveis to useconsistent data sourcesand methodsthatallowfor comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 ALASKA STATE REPORT 07.26.2020 STATE , STATE, % CHANGE FROM PREVIOUS LASTWEEK WEEK NEW CASES 533 (RATE PER 100,000 ) ( 73) DIAGNOSTIC TEST ( TESTS PER 100,000) UNITED STATES LAST WEEK 12,065 6.6 % -7.8 % ** 5,437,404 ** 113 6,434 ( 1) (2 ) -33.3 % ( RATE PER 100,000 ) (0) AT LEASTONE 0.0 % COVID - 19 CASE 8.5 % 221,815 ** ( 1,546) 2 COVID DEATHS 460,137 ( 140) (84 ) + 1.5 % * 25,669** ( 3,509) TOTAL DIAGNOSTICTESTS REGION LAST WEEK + 34.3 % 3.8 % POSITIVITY RATE FEMA/HHS + 0.0 % * ( 1,657) 4.4 % 12.1% 100 % 80 % 60 % 40 % 20 % 0 % 2/23 3/1 3/8 3/15 3/22 3/29 4/5 4/12 4/19 4/26 6/7 5/3 5/10 5/17 5/31 6/14 6/21 6/28 7/5 7/12 7/19 7/26 Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculated by aggregatingborough-leveldata from USAFacts; therefore, the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020; lastweek is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week- to-week in testing data. Itis critical that statesprovide as up- to-date testingdata as possible. Mobility: Descartes Labs. This data depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof humanmobility within a borough; 100 represents thebaselinemobility level. Data is anonymized and provided at theborough level. Datathrough 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 ALASKA STATE REPORT 07.26.2020 COVID - 19 BOROUGH AND METRO ALERTS LOCALITIES IN RED ZONE LOCALITIES IN YELLOW ZONE METRO AREA N/A 0 N/A 1 ( CBSA ) LASTWEEK BOROUGH LASTWEEK N/A Yukon -Koyukuk Census Area Red Zone: Those core-based statistical areas (CBSAs) and boroughs thatduring the last week reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas ( ) and boroughs that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity result between 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top locations are selected based on the highestnumber of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating borough -leveldata from USAFacts; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020 ; last week is 7/18 -7/24 , three weeks is 7/4 - 7/24 . Testing CELR (COVID - 19 Electronic Lab Reporting) state health department - reported data through 7/22/2020 . Last week is 7/16 - 7/22 . Testing data may bebackfilled over time, resulting in changes week -to -week in testing data . It is critical that states provide as up -to date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 ALASKA STATE REPORT 07.26.2020 CASE NEW C-ASE 19 COVID 100 75 50 25 Daily COVID- 19 Cases( 7- day average) TESTING T1ES9TS COVID Daily COVID - 19 Cases 4000 3.00 % 3000 2.00 % 2000 1.00 % 1000 0.00 % Daily Tests Completed (7 day avg .) % PositivityRate ( by resultdate 7 day avg. ) Top boroughsbased on greatest numberofnew cases in last three weeks (7/4 - 7/24 ) BTOPORUGHS ) AnchorageMunicipality FairbanksNorth Star Matanuska-Susitna 1000 KenaiPeninsula CASES NEW CUMULATIVE Yukon- Koyukuk Valdez- Cordova 750 Juneau City Bethel Nome 500 KetchikanGateway ( 250 - 4/5 3/8 3/15 3/22 3/29 4/12 4/19 4/26 6/7 5/3 5/10 5/17 5/24 5/31 7/5 6/14 6/21 6/28 7/12 7/19 7/26 DATA SOURCES Cases: Borough-leveldata from USAFacts. State values are calculated by aggregating borough -leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: CELR ( COVID - 19 Electronic Lab Reporting) statehealth department-reported data through 7/22/2020. COVID - 19 Top 12 boroughs based on number of new cases in the last 3 weeks Daily COVID - 19 Cases ( 7- day average) Daily COVID - 19 Cases Fairbanks North Star AnchorageMunicipality Matanuska - Susitna 60 20 15 15 40 10 10 20 5 5 CASE Yukon- Koyukuk Kenai Peninsula Valdez - Cordova 10.0 DAILY TO AL 15 20 7.5 10 5.0 10 5 2.5 0.0 6 Juneau City 10.0 Bethel 10.0 7.5 7.5 5.0 5.0 2.5 2.5 0.0 0.0 Nome 4 2 - KetchikanGateway Southeast Fairbanks 4 4 Sitka City 6 4 2 2 1 2 3/21 4/5 4/20 5/5 7/4 7/19 3/21 / 4/20 5/5 5/20 7/19 DATA SOURCES Cases: Borough -level data from USAFacts through 7/24/2020 . Last 3 weeks is 7/4 - 7/24 . 3/21 4/5 4/20 7/19 COVID - 19 ALASKA STATEREPORT 07.26.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LASTWEEK NEW CASES PER 100,000 DURING TEST POSITIVITYDURING LAST LAST WEEK WEEK HERE Date : 7/26/2020 Date: 7/26/2020 AK Cases per 100K Test Positivity 20Cases Last 14Days 0.1to 9.9 in 14Days 10 to 99.9 0 % to 4.9% 100 to 5 % to 200 to499.9 500 orMore 10 % to % 20 % orMore WEEKLY % CHANGEIN NEW WEEKLY CHANGEIN TEST CASES PER 100K POSITIVITY Date: 7/26/2020 Date: 7/26/2020 PercentChangein Casesper100K LittleChange 10 % to 99.9% More 100% to 999.9% More Casesin Last 14 Days + Less 0.5 % to 1.9% Less LittleChange 0.5 to 1.9% More + More % 1.000 + More Absolute Changein Test Positivity % 100% Less 10% to 99.9% Less % < Casesin Last 14Days DATA SOURCES Cases: Borough -level data from USAFacts through 7/24/2020 . Last week is 7/18 - 7/24 , previous week is 7/11- 7/17 . Testing : CELR (COVID - 19 Electronic Lab Reporting ) state health department -reported data through 7/22/2020 . Last week is 7/16 - 7/22 , previous week is 7/9 - 7/15 . Testing data may be backfilled over time, resulting in changes week - to -week in testing data. It is critical that states provide as up- -date testing data aspossible. ARIZONA STATEREPORT 07.26.2020 SUMMARY Arizona is in the redzone forcases, indicatingmorethan 100new casesper 100,000population lastweek, and thered zone for test positivity, indicatinga rate above 10 % . Arizona has seen a decrease in new cases and stability in testingpositivity overthe pastweek demonstratingthe value of aggressivemitigationefforts ofmask wearing, socialdistancingand closingbars. The following three countieshad thehighestnumberofnew cases over the past 3weeks: 1.MaricopaCounty, 2. PimaCounty, and 3. YumaCounty. These counties represent 85.6 percentofnew cases in Arizona. Arizonahad 245new cases per 100,000 population in the pastweek , comparedto a nationalaverage of 140 per 100,000. Thefederalgovernmenthasdeployed the following staff as assets to support the state response: 10 to support operations activitiesfrom FEMA; 77 to supportmedicalactivitiesfrom ASPR; 14 to support epidemiology activities from CDC; 2 to support operationsactivitiesfrom CDC; 144 to supportmedicalactivitiesfrom VA; and 6 to support operationsactivitiesfrom VA. The federal governmenthas supported a surge testing site in Phoenix, AZ. DuringJul 18 - Jul 24 , on average, 154 patientswith confirmed COVID - 19 and 223patients with suspected COVID- 19 were reported as newly admitted each daytohospitalsin Arizona. An averageof 74 percentof hospitalsreported each day during this period; therefore, thismaybe an underestimateofthe actualtotalnumberofCOVID - relatedhospitalizations . Underreportingmay lead to a lower allocation of criticalsupplies. * RECOMMENDATIONS Continue to protectthose in nursing home, assisted living, and long- term care facilitiesby assuring accesstorapid facility -widetesting in response to a residentor staffmemberwith COVID- 19. Ensure socialdistancing and universalfacemask use. Mandate public use of masksin all currentand evolving hot spots. Continuebarand gym closures in hot spot counties. Move to outdoor dining and limit indoor dining to less than 25 % ofnormalcapacity. Ask citizenstolimit their socialgatherings to fewer than 10 people. Encourageindividuals that haveparticipated in large social gatherings to gettested . Increasemessaging of therisk ofserious disease in allage groups with preexistingmedical conditions, includingobesity , hypertension, and diabetesmellitus. Continue the scale- up oftesting, moving to community- ledneighborhood testing and pooled household testing in Maricopa, Pima, and Yuma counties. Work with localcommunities to implementand provideclear guidance for householdsthat test positive, including on individual isolation procedures. Continue to enhance contact tracing and ensure the ability of cases and contacts to quarantine or isolate safely . Monitor testing datato identify additional sites of increased transmission and focus public health resourcesthere with enhanced support to the TribalNations. Expand testingcapacity in public health labsby adding shifts and weekend shifts to decrease turnaroundtimes . Institute 3: 1 or 2: 1 pooling on allhigh throughput machines aslong as turnaround times are greater than 36 hours. families and cohabiting households, screen entirehouseholdsin a singletest bypooling specimens. Require all universities with RNA detection platformsto use this equipment to expand surveillance testing for schools ( - 12 , community colleges) and university students . TribalNations: Continue enforcementofsocialdistancing andmaskingmeasures in areasofincreased transmission. Continue enhanced testing activities. Increase Abbott ID Now supplies to test individuals in positivehouseholds. Specific, detailed guidanceon communitymitigationmeasurescanbe foundonthe CDCwebsite. The purposeof this reportis to develop a shared understandingof the currentstatusof the pandemic at the national, regional, stateand locallevels. We recognize that data at the state levelmay differ from that availableat the federallevel. Our objective is to use consistentdata sourcesand methodsthatallow for comparisons to bemade across localities. We appreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacross systems. We look forward to your feedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 ARIZONA STATE REPORT 07.26.2020 STATE , % CHANGE FROM PREVIOUS STATE LAST WEEK NEW CASES (RATE PER 100,000) WEEK 17,800 ( 245 ) -17.7 % 17.2 % -0.5 % * DIAGNOSTIC TEST POSITIVITY RATE 103,470** TOTAL DIAGNOSTICTESTS -18.1% ** COVID DEATHS 703 ( RATE PER 100,000 ) ( 10 ) MOBILTY LAST WEEK 91,957 ( 179) 460,137 ( 140) 10.4 % 8.5 % 1,135,434 ** 5,437,404 ** (2,214) ( 1,657) 1,581 (3) 6,434 + 40.3 % AT LEASTONE -1.0 % * 32.3 % COVID - 19 CASE TO UNITED STATES LASTWEEK ( 1,422) ( TESTS PER 100,000) RELATIVEBASELINE MOBILTY FEMA /HHS REGION (2 ) 13.7 % 12.1% 100 % 80 % 60 % 40 % 20 % 0 % 2/23 3/1 4/5 3/8 3/15 3/22 3/29 4/12 4/19 4/26 5/3 5/10 6/7 5/17 5/24 5/31 6/14 6/21 6/28 7/5 7/12 7/19 7/26 Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregating county -leveldata from USAFacts; therefore , the valuesmaynotmatch those reported directly by the state. Data is through 7/24/2020; lastweek is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 ARIZONA STATE REPORT 07.26.2020 COVID - 19 COUNTY AND METRO LOCALITIESIN RED ZONE ALERTS LOCALITIES IN YELLOW ZONE Phoenix-Mesa-Chandler Tucson METRO ( CBSA ) Yuma 8 Flagstaff Prescott Valley -Prescott Sierra Vista Douglas LakeHavasu City-Kingman Show Low Nogales LASTWEEK Payson Safford Maricopa Pima Yuma Pinal COUNTY LASTWEEK 10 Mohave Navajo Santa Cruz Coconino 4 Yavapai Cochise La Paz Apache Gila Graham Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity result between 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020 ; last week is 7/18 -7/24 , three weeks is 7/4 - 7/24 . Testing :CELR ( COVID - 19 Electronic Lab Reporting) state health department -reported data through 7/22/2020 . Lastweek is 7/16 - 7/22. Testing datamay bebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 ARIZONA STATE REPORT 07.26.2020 5000 C-ASE CASE 19 COVID NEW 4000 3000 2000 1000 Daily COVID - 19 Cases Daily COVID - 19 Cases ( 7 - day average ) TESTING T-EST 19 COVID 20.0 % OF 15000 15.0 % 10000 10.0 % 5000 5.0 % TESTS PERC NTAGE TOTAL 0.0 % % Daily Tests Completed ( 7 day avg . ) Positivity Rate (by result date 7 day avg. ) Top countiesbased on greatest number ofnew cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES Maricopa Pima Yuma 100000 ) Pinal 80000 CASES NEW CUMULATIVE Mohave Na Coconino 60000 Yavapai Cochise Santa Cruz 40000 ( 20000 - 3/8 3/22 3/29 L / 9 4/5 3/15 - 5/3 4/12 4/19 4/26 5/10 5/17 5/24 5/31 - 6/14 6/21 6/28 7/5 7/12 7/19 7/26 DATA SOURCES Cases: County-leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: CELR ( COVID - 19 Electronic Lab Reporting) statehealth department-reported data through 7/22/2020. COVID - 19 Top 12 counties based on number ofnew cases in the last 3 weeks Daily COVID -19 Cases Daily COVID - 19 Cases ( 7 - day average) PimaCounty Maricopa County YumaCounty 300 3000 400 200 2000 200 100 1000 CASE DAILY TO AL Mohave County PinalCounty Navajo County 300 100 100 200 50 50 100 100 Coconino County Cochise County Yavapai County 80 60 75 60 40 50 40 25 20 20 Santa Cruz County, Apache County 40 Gila County 100 100 30 75 20 50 50 10 25 - 3/21 4/5 4/20 5/5 5/20 7/4 6/4 6/19 7/19 5/5 5/20 6/4 6/19 7/4 7/19 DATA SOURCES Cases: County-leveldata from USAFacts through 7/24/2020. Last 3 weeks is 7/4 - 7/24. 3/21 4/5 4/20 5/5 6/4 5/20 7/4 7/19 COVID - 19 ARIZONA STATE REPORT 07.26.2020 CASE RATESAND DIAGNOSTIC TESTPOSITIVITYDURING THE LASTWEEK TEST POSITIVITYDURING LAST NEW CASES PER 100,000 DURING LAST WEEK WEEK SD Date: 7/26/2020 Date : 7/26/2020 UT UT NV NV CO CA CA AZ AZ NM NM Cases per100K 20Cases Last 14Days 0.1to Test Positivity % to 9.9% % 0 % to 4.9 100 to 199.9 5 20 Casesin Last 14Days 10 to 99.9 200 to 499.9 10% to 19.9% 20% or More 500 orMore WEEKLY % CHANGE IN NEW WEEKLY CHANGEIN TEST POSITIVITY CASES PER 100K E Date : 7/26/2020 BLE Date: 7/26/2020 UT UT NV NV CA CA AZ AZ NM NM PercentChangein Casesper100K Casesin Last 14Days AbsoluteChangein TestPositivity in Last % 100 Less 14 Days % 2 % 10% to 99.9 Less 0.5% to 1.9% Less LittleChange 0.5 % to 1.9 % More 2 More + 100% to 999.9% More 1.000% % LittleChange 10% to 99.9% More Less DATA SOURCES Cases: County-leveldata from USAFactsthrough 7/24/2020. Lastweek is7/18 - 7/24, previousweek is 7/11- 7/17. Testing: CELR (COVID- 19 ElectronicLab Reporting ) state health department-reporteddata through 7/22/2020. Lastweek is 7/16 - 7/22, previousweek is 7/9 - 7/15. Testingdatamaybebackfilledover time, resultingin changesweek- to-week in testing data. It is criticalthat statesprovideasup- to -datetestingdata aspossible. ARKANSAS STATEREPORT 07.26.2020 SUMMARY Arkansasisin the red zonefor cases, indicatingmore than 100 new casesper 100,000populationlastweek, and thered zone fortest positivity, indicatinga rate above 10 % . Arkansashas seen an increase in new casesand is stillin the redzone for testpositivity. The following three countieshad the highestnumberofnew cases overthepast3weeks: 1.PulaskiCounty, 2.Washington County, and 3.Benton County. These counties represent32.9 percentofnew casesin Arkansas. Morecountiesand CBSAs are in the red zonethis week. Arkansashad 182new casesper 100,000 population in the past week, compared to anationalaverageof 140 per 100,000. The federal governmenthasdeployed the followingstaff as assets to support the stateresponse: 4 to supportoperations activities from FEMA. During Jul 18 - Jul 24 , on average, 56 patientswith confirmed COVID - 19 and 150 patientswith suspected COVID - 19were reported as newly admitted each day tohospitalsin Arkansas. An averageof66 percentofhospitalsreported each day during this period; therefore, thismaybean underestimateofthe actualtotalnumberofCOVID - relatedhospitalizations . Underreportingmaylead to a lowerallocation of criticalsupplies.* RECOMMENDATIONS Closingbarsand reducingindoordiningat restaurantsto 25 % occupancyis criticalto disrupttransmission. Keepmaskmandatesin place. Protectvulnerablepopulationsin assistedlivingand long-term carefacilitiesthroughweekly testingof allworkers and requiring masks . In facilitieswith workerswhotestedpositive, ensure allresidentshave beentestedand appropriatecohorting measuresarein place. Continueto enhancecontacttracingand ensuretheabilityofcases and contactsto quarantineor isolatesafely. Monitortestingdata to identifyadditionalsitesof increased transmissionandfocuspublichealthresourceson them . Forfamilyandcohabitatinghouseholds , screen entirehouseholdsin a single testbypoolinga sampleof eachmember's sample. Forhouseholdsthattestpositive, isolateand conductfollow - upindividualtests. Expandtesting capacity in publichealthlabs addingshifts andweekendshiftsto reduceturnaroundtimes. Increasemessagingoftherisk of seriousdisease in allagegroupswith preexisting medicalconditions , includingobesity, hypertension, and diabetesmellitus. Specific, detailedguidanceon communitymitigationmeasures can befoundonthe CDCwebsite. Thepurposeof this reportis to developa sharedunderstanding of thecurrentstatusof thepandemicat the national , regional , stateand locallevels. Werecognize thatdata at thestate levelmaydiffer from thatavailableatthe federallevel. Our objectiveis to useconsistent data sourcesand methodsthatallowfor comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 ARKANSAS STATE REPORT 07.26.2020 STATE, % CHANGE FROM PREVIOUS STATE LASTWEEK NEW CASES 5,487 ( 182) + 10.6 % 10.3 % + 0.2 (RATE PER 100,000) DIAGNOSTIC TEST POSITIVITY RATE 48,606 ** ( 1,611 ) TOTAL DIAGNOSTICTESTS ( TESTS PER 100,000) COVID DEATHS AT LEASTONE MOBILTY TO * 460,137 ( 140) 13.3 % 8.5 % 396,835 ** 5,437,404 ** ( 929 ( 1,657) + 1.3 % * 8.0 % COVID - 19 CASE LAST WEEK 89,941 (211) + 2.5 % ( 1) UNITED STATES LAST WEEK +9.7 % ** 41 ( RATE PER 100,000 ) RELATIVEBASELINE MOBILTY WEEK FEMA/HHS REGION 1,274 6,434 (3) (2 ) 20.8 % 12.1% 100 % 80 % 60 % 40 % 20 % 0 2/23 4/5 3/8 3/15 3/22 3/29 4/12 4/19 4/26 6/7 5/3 5/10 5/17 5/24 5/31 6/14 7/5 6/21 6/28 7/12 7/19 7/26 Indicates absolute change in percentage points . ** Due to delayed reporting, this figuremay underestimate totaldiagnostic tests and week on -week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregating county -leveldata from USAFacts; therefore , the valuesmaynotmatch those reported directly by the state. Data is through 7/24/2020; lastweek is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 ARKANSAS STATE REPORT 07.26.2020 COVID - 19 COUNTY ANDMETRO ALERTS LOCALITIESIN RED ZONE LOCALITIES IN Fayetteville - Springdale -Rogers Fort Smith Russellville METRO AREA (CBSA) LAST WEEK Top 12 shown ( full list below) Conway ForrestCity Pine Bluff Jonesboro HotSprings Blytheville ZONE LittleRock -North Little Rock Malvern 14 YELLOW 7 Hope ElDorado Paragould Texarkana Arkadelphia Memphis Camden Batesville Harrison Washington Pulaski HotSpring Benton Sebastian Saline Pope Crittenden Faulkner COUNTY Craighead Jefferson LAST WEEK Top 12 shown ( fulllist below ) Garland Mississippi Johnson 31 Top 12 shown ( fulllist below ) Crawford Lonoke St. Francis Lee Lincoln Union Yell Greene Miller Boone All Red Fayetteville-Springdale- Rogers, Fort Smith, Russellville, Malvern, Pine Bluff, Jonesboro, HotSprings, Blytheville, Texarkana, Memphis, Batesville, Harrison, Helena-WestHelena, Magnolia AllRed Counties: Washington, HotSpring, Sebastian, Pope, Faulkner, Craighead, Jefferson, Garland,Mississippi , Johnson, Yell, Miller, Sevier, Chicot, Arkansas, Howard, Carroll, Independence,Hempstead, Ashley, Randolph, Phillips, Columbia, Desha, Newton, Grant, Poinsett, Lawrence, Little River, Prairie, Cleveland, Lafayette All Yellow Counties: Pulaski , Benton, Saline, Crittenden, Crawford, Lonoke, St.Francis, Lee, Lincoln, Union, Greene, Boone, Clark, Logan, Cleburne, Bradley, Drew , Cross, Madison, Pike, Ouachita, Franklin, Clay, Sharp , Stone, Monroe, Jackson, Dallas,Montgomery, Izard, Fulton Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity result between 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020 ; last week is 7/18 -7/24 , three weeks is 7/4 - 7/24 . Testing :CELR ( COVID - 19 Electronic Lab Reporting) state health department -reported data through 7/22/2020 . Lastweek is 7/16 - 7/22. Testing datamay bebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 ARKANSAS STATEREPORT 07.26.2020 CASE NEW C-ASE 19 COVID 1000 800 600 400 200 Daily COVID - 19 Cases Daily COVID -19 Cases ( 7 - day average) 20.0 % 6000 15.0 % 4000 10.0 % 2000 5.0 % 0.0 % % Daily Tests Completed ( 7 day avg.) Positivity Rate (by result date 7 day avg.) Top counties based on greatest number ofnew cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES Pulaski Washington Benton ) HotSpring Sebastian 4000 CASES NEWCUMULATIVE Pope Faulkner Craighead Jefferson Saline 2000 ( 3/8 3/15 3/22 3/29 4/5 4/12 4/19 4/26 - - 6/7 5/3 5/10 5/17 5/24 5/31 6/14 6/21 6/28 7/5 7/12 7/19 7/26 DATA SOURCES Cases: County-leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: CELR ( COVID - 19 Electronic Lab Reporting) statehealth department-reported data through 7/22/2020. COVID - 19 Top 12 countiesbased on number ofnew cases in the last 3 weeks Daily COVID - 19 Cases Daily COVID- 19 Cases ( 7 - day average 150 PulaskiCounty 200 Washington County BentonCounty 150 200 100 100 100 50 50 CASE DAILY TO AL Hot Spring County SebastianCounty 300 60 200 40 100 20 Pope County 40 30 20 10 FaulknerCounty Craighead County Jefferson County 100 40 40 20 50 20 Saline County Garland County 40 MississippiCounty 30 30 30 20 20 20 10 10 3/21 4/5 4/20 5/5 5/20 6/4 7/4 7/19 10 3/21 / 4/20 5/5 5/20 6/4 7/4 7/19 DATA SOURCES Cases: County-leveldata from USAFacts through 7/24/2020. Last 3 weeks is 7/4 - 7/24. 6/4 7/4 7/19 COVID - 19 ARKANSAS STATEREPORT 07.26.2020 CASE RATESAND DIAGNOSTIC TESTPOSITIVITYDURING THE LASTWEEK NEW CASES PER 100,000 DURING TEST POSITIVITY DURING LAST LASTWEEK WEEK Date: 7/26/2020 Date: 7/26/2020 the KS KS MO MO KY KY TN TN OK OK AR AR Cases per 100K TestPositivity 20 Cases in 14Days 0.1to 9.9 Casesin Last 14Days 0 % to 4.9 % 10 to 99.9 TX TX 5 % to 9.9% 100 to 199.9 200to 499.9 500 orMore LA LA WEEKLY % CHANGEIN NEW WEEKLY CHANGEIN TEST CASES PER 100K POSITIVITY HERE Date : 7/26/2020 KS 10 % to 19.9% 20% or More Date: 7/26/2020 KS MO MO KY KY TN TN OK OK AR AR Percent Changein Casesper 100K Absolute Changein Test Positivity Casesin Last 14Days Casesin Last 14Days % 100 Less % 2 % 10% to 99.9 Less 100% to 999.9% More 1.000% Little Change LA 0.5% to 1.9 % More 2 More + LA Less 0.5% to 1.9% Less TX % LittleChange 10% to 99.9% More TX DATA SOURCES Cases: County-leveldata from USAFactsthrough 7/24/2020. Lastweek is7/18 - 7/24, previousweek is 7/11- 7/17. Testing: CELR (COVID- 19 ElectronicLab Reporting ) state health department-reporteddata through 7/22/2020. Lastweek is 7/16 - 7/22, previousweek is 7/9 - 7/15. Testingdatamaybebackfilledover time, resultingin changesweek- to-week in testing data. It is criticalthat statesprovideasup- to -datetestingdata aspossible. CALIFORNIA STATEREPORT 07.26.2020 SUMMARY California is in the red zone for cases, indicating more than 100 new casesper 100,000 population last week , and the yellow zone for test positivity, indicating a rate between 5 % to 10% . California has seen stability in new cases and an increase in testing positivity over the pastweek. The following three counties had the highestnumber of new cases over the past 3 weeks: 1. LosAngeles County, 2. Orange County, and 3. Riverside County . These counties represent 49.1 percent ofnew cases in California . Viral spread is occurring throughout the state with significant geographical variation Cases have plateaued or decreased in Southern California while increasing significantly in many Bay Area counties. Cases increased rapidly throughout the Central Valley extending into multiple counties north of Sacramento . Testing positivity rates remain high in the inland counties of Southern California (Imperial,Riverside, San Bernardino ) and throughout the Central Valley , having worsened north of Sacramento . California had 168new cases per 100,000 population in the pastweek , compared to a national average of 140 per 100,000 . The federal government has deployed the following staff as assets to support the state response : 126 to supportmedical activities from DOD; 178 to support operations activities from FEMA ; 48 to support operations activities from ASPR ; 13 to support epidemiology activities from CDC ; 3 to support operations activities from CDC ; and 253 to support operations activities from USCG . During Jul 18 - Jul 24 , on average, 576 patients with confirmed COVID - 19 and 576 patients with suspected COVID - 19were reported as newly admitted each day to hospitals in California . An average of 70 percentof hospitals reported each day during this period ; therefore , this may bean underestimate of the actual total number of COVID -related hospitalizations. Underreporting may leadto a lower allocation of critical supplies. * RECOMMENDATIONS Continue the expanded statewidelimitationson activityand the adaptive inclusion ofcountieswith elevated reportedcases on list subjectto stateorders for intensified limitations. Continuewith statemaskingmandateanddevelop innovativeways to monitorcompliance. Ensure that allbusinessretailers and personalservicesrequiremasksand can safelysocialdistance. Continuethe enhanced focuson CentralValley outbreaks andincreasedsupportivemeasuresfor agriculturalworkers to allow for support of safe quarantineandisolation. Work withlocalcommunitygroupsto providetargeted, tailoredmessagingto communitieswith high caseratesandincreased community- led testing. Work with localcommunitiesto provide clear guidance forhouseholdsthattest positive, includingon individualisolation and quarantineprocedures. Surgetesting and contacttracingresourcesto neighborhoodsandzip codeswith highest case rates. Continue efforts to increasetesting atboth publichealth andprivate laboratories. Considerdiagnostic poolingofsamplesto increasetestingaccess andreduceturnaround times. Protectthosein nursinghomes and long- term care facilitiesby ensuringaccessto rapid facility -wide testing in responseto a residentor staffmemberwith COVID- 19. Address staffand supply shortages. Ensuresocialdistancinganduniversalfacemask use Specific, detailed guidance on communitymitigationmeasurescan befound on the CDCwebsite. Thepurposeof this reportis to developa sharedunderstanding of thecurrentstatusof thepandemicat the national , regional , stateand locallevels. Werecognize thatdata at thestate levelmaydiffer from thatavailableatthe federallevel. Our objectiveis to useconsistent data sourcesand methodsthatallowfor comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 CALIFORNIA STATE REPORT 07.26.2020 STATE, % CHANGE FROM PREVIOUS STATE LASTWEEK NEW CASES WEEK 66,350 DIAGNOSTIC TEST 966,757 ** ( 2,447 ) TOTAL DIAGNOSTICTESTS ( TESTS PER 100,000) COVID DEATHS 790 ( RATE PER 100,000 ) (2 ) MOBILTY RELATIVEBASELINE MOBILTY TO LAST WEEK 460,137 ( 140) 10.4 % 8.5 % 1,135,434 ** 5,437,404 ** (2,214) ( 1,657) 1,581 (3) 6,434 + 32.3 % -5.3 % * 12.1% ( 179) 91,957 +59.7 % ** AT LEASTONE COVID - 19 CASE UNITED STATES + 0.8 % 9.6 % POSITIVITY RATE REGION LASTWEEK + 7.5 % ( 168) (RATE PER 100,000) FEMA /HHS (2 ) 13.7 % 12.1% 100 % 80 % 60 % 40 % 20 % 0 % 2/23 3/1 4/5 3/8 3/15 3/22 3/29 4/12 4/19 4/26 5/3 5/10 5/17 5/24 5/31 6/14 6/21 6/28 7/5 7/12 7/19 7/26 Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregating county -leveldata from USAFacts; therefore , the valuesmaynotmatch those reported directly by the state. Data is through 7/24/2020; last week is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 CALIFORNIA STATEREPORT 07.26.2020 COVID - 19 COUNTY ANDMETRO ALERTS LOCALITIES IN RED ZONE METRO AREA 13 LAST WEEK Top 12 shown ( fulllist below) Los Angeles- LongBeach- Anaheim San Francisco-Oakland-Berkeley Fresno San Diego - Chula Vista - Carlsbad Stockton Sacramento-Roseville-Folsom Modesto Visalia Oxnard- ThousandOaks- Ventura 12 ElCentro Vallejo Santa Cruz- Watsonville Redding Hanford- Corcoran Madera Red Bluff Yuba City Susanville Orange Los Angeles San Bernardino Sacramento Kern Alameda San Diego 19 San Joaquin Stanislaus Top 12 shown SantaMaria- Santa Barbara San Luis Obispo - Paso Robles Merced Fresno LAST WEEK ZONE Bakersfield Riverside COUNTY YELLOW Riverside - San Bernardino -Ontario Salinas ( CBSA) LOCALITIES IN Tulare ( full list Monterey below ) Imperial Merced Top 12 shown ( fulllist below ) ContraCosta Ventura Santa Barbara Solano San Mateo San Luis Obispo Placer Yolo All Red Riverside-San Bernardino Ontario , Bakersfield , Fresno, Stockton ,Modesto, Visalia , Salinas, ElCentro , Merced ,Hanford -Corcoran, Madera , Yuba City, Chico AllRed Counties: Orange, Riverside, San Bernardino , Kern , Fresno, San Joaquin ,Stanislaus , Tulare, Monterey, Imperial, Merced,Marin, Kings,Madera, Butte, Sutter,San Benito, Yuba, Colusa,Glenn All Yellow Counties: LosAngeles , San Diego , Sacramento , Alameda , Contra Costa, Ventura , Santa Barbara, Solano, San Mateo, San Luis Obispo , Placer Yolo ,Santa Cruz, Shasta ,Tehama,Mono, Lassen, Siskiyou , Plumas Marin Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity result between 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020 ; last week is 7/18 -7/24 , three weeks is 7/4 - 7/24 . Testing :CELR ( COVID - 19 Electronic Lab Reporting) state health department -reported data through 7/22/2020 . Lastweek is 7/16 - 7/22. Testing datamay bebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 CALIFORNIA STATEREPORT 07.26.2020 CASE NEW C-ASE 19 COVID 12500 10000 7500 5000 2500 Daily COVID - 19 Cases (7 Daily COVID - 19 Cases verage) 25.0 % 125000 20.0 % 100000 15.0 % 75000 10.0 % 50000 5.0 % 25000 OF TESTS PERCENTAGETOTAL 0.0 % % Positivity Rate (by result date 7 day avg.) Daily Tests Completed ( 7 day avg. ) Top counties based on greatest number ofnew cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES Los Angeles Orange Riverside 150000 ) San Bernardino CASES NEW CUMULATIVE ( San Diego Kern 100000 Fresno San Joaquin Stanislaus 50000 Sacramento 3/8 3/15 3/22 3/29 4/5 4/12 4/19 4/26 5/3 5/10 5/17 - 5/24 5/31 - 6/7 - - 6/14 6/21 6/28 7/5 7/12 7/19 7/26 DATA SOURCES Cases: County-leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: CELR ( COVID - 19 Electronic Lab Reporting) statehealth department-reported data through 7/22/2020. COVID - 19 Top 12 counties based on number ofnew cases in the last 3 weeks Daily COVID - 19 Cases (7 - day average) Los Angeles County Daily COVID - 19 Cases 1500 Orange County RiversideCounty 6000 1000 4000 500 500 2000 CASE DAILY TO AL San BernardinoCounty 1000 San Diego County Kern County 1000 1500 750 750 1000 500 500 500 250 Fresno County 800 250 San Joaquin County StanislausCounty 400 600 1000 400 200 500 200 400 Sacramento County Santa Clara County Alameda County 300 300 200 200 100 100 300 200 100 3/21 4/5 4/20 5/5 5/20 6/4 7/4 / 5/5 5/20 6/4 6/19 7/4 7/19 DATA SOURCES Cases: County-leveldata from USAFacts through 7/24/2020. Last 3 weeks is 7/4 - 7/24. 3/21 4/5 4/20 5/5 5/20 6/4 7/4 7/19 COVID - 19 CALIFORNIA STATE REPORT 07.26.2020 CASE RATESAND DIAGNOSTIC TESTPOSITIVITYDURING THE LASTWEEK NEW CASES PER 100,000 DURING TEST POSITIVITYDURING LAST LASTWEEK WEEK Date: S Date: 7/26/2020 the MT MT OR OR ID ID WY WY NV UT UT CO CA co CA Cases per100K 20Casesin Last 14Days 0.1to 9.9 AZ Test Positivity 20 Casesin Last 14Days % to 4.9% AZ 0 10 to 99.9 100to 199.9 5 % to 9.9 200 to 499.9 10 % to 19.9% 20 or More % 500 or More WEEKLY % CHANGEIN NEW WEEKLY CHANGEIN TEST CASES PER 100K POSITIVITY Date: 7/26/2020 Se Date: 7/26/2020 MT MT OR OR ID ID WY WY NV NV UT UT CA CA Percent Changein Casesper 100K < 14Days in Last Absolute Change in Test Positivity % 100 Less 10% to 99.9 Less AZ = 20 Casesin Last 14Days 2 Less 0.5% to 1.9% Less LittleChange 0.5% to 1.9% More 2 More + % 100 % to 999.9% More 1.000 More % LittleChange 10% to 99.9% More + % % AZ DATA SOURCES Cases: County-leveldata from USAFactsthrough 7/24/2020. Lastweek is7/18 - 7/24, previousweek is 7/11- 7/17. Testing: CELR (COVID- 19 ElectronicLab Reporting ) state health department-reporteddata through 7/22/2020. Lastweek is 7/16 - 7/22, previousweek is 7/9 - 7/15. Testingdatamaybebackfilledover time, resultingin changesweek- to-week in testing data. It is criticalthat statesprovideasup- to -datetestingdata aspossible. COLORADO STATE REPORT 07.26.2020 SUMMARY Colorado is in the yellow zone for cases, indicatingbetween 10 to 100 new casesper 100,000populationlastweek, and the yellow zone for test positivity, indicatinga rate between 5 % to 10 % . Coloradohasseen an increase in new cases and stability in testingpositivityover the pastweek. The followingthree countieshad the highestnumber ofnew cases overthe past 3weeks: 1. DenverCounty, 2. ElPaso County , and 3.AdamsCounty. These countiesrepresent44.9 percentofnew cases in Colorado. Cases remain concentratednear the urban centersofDenverand Colorado Springs, but sharp increaseswereseen lastweek in counties alongUS-50 westofthe ContinentalDivide( Chaffee [ prison and localcommunity , Gunnison, Montrose). Colorado had63new casesper 100,000 populationin thepast week , compared to a nationalaverageof 140 per 100,000. Thefederalgovernmenthas deployedthefollowing staff as assets to supportthe state response: 68 to support operations activities from FEMA; 4 to support operationsactivities from ASPR ; 1to support testing activitiesfrom CDC; 15 to support epidemiology activities from CDC; and 2 to supportoperationsactivities from CDC. During Jul 18 - Jul 24 , on average, 34 patientswith confirmed COVID - 19 and 57 patientswith suspected COVID - 19 were reported as newly admitted each daytohospitals in Colorado. An averageof66 percentof hospitalsreported each day during this period; therefore, thismaybe an underestimateof the actualtotalnumberofCOVID - relatedhospitalizations . Underreportingmay lead to a lower allocation of criticalsupplies. * RECOMMENDATIONS Continuewith statemaskingmandateandtargetedmessagingto encourage compliance; develop ways to monitor compliance Continuethe restrictionson barsandpublic entertainmentvenues. Limitsocialgatheringsto 10 people orfewer; removevariancesthat allow larger gatheringsfor thosecountiesreporting increasedcases. Continueeffortsto increasetestingatbothpublic health andprivatelaboratories. adding use ofdiagnosticpoolingof samplesto increasetesting accessandreduce turnaroundtimes. Monitortesting data to identifyadditionalsites of increased transmissionand focuspublic health resourceson them . Work withlocal community groupsto providetargeted, tailoredmessagingto communitieswithhighcase rates and increase communityleveltesting. Recruitmore contacttracers as communityoutreachworkers to ensure all casesarecontacted and allpositivehouseholdsare individuallytested within 24 hours. Encourageindividualsthathaveparticipatedin largesocialgatheringsto get tested. Continuemessagingof the risk of seriousdiseasein allage groupswith preexistingmedicalconditions, includingobesity, hypertension, and diabetesmellitus. Protectthosein nursinghomes and long- term care facilitiesby ensuringaccessto rapid facility -wide testing in responseto a residentor staffmemberwith COVID- 19. Address staffand supply shortages. Ensuresocialdistancinganduniversalfacemask use. Specific, detailed guidance on communitymitigationmeasurescan befound on the CDCwebsite. The purposeof this reportis to developa sharedunderstanding of the currentstatusof the pandemicatthe national , regional , state andlocallevels. Werecognize thatdata at the state levelmay differ from that availableatthefederallevel. Our objectiveis to use consistent data sourcesandmethodsthatallow for comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 COLORADO STATE REPORT 07.26.2020 STATE, LASTWEEK NEW CASES (RATE PER 100,000) DIAGNOSTIC TEST POSITIVITY RATE ( TESTS PER 100,000) + 15.1% 5.3 % + 0.1 % * COVID DEATHS 39 ( RATE PER 100,000 ) ( 1) AT LEASTONE WEEK 3,634 (63) 63,809** ( 1,108) TOTAL DIAGNOSTICTESTS STATE, % CHANGE FROM PREVIOUS 6.3 % +8.3 % ** + 44.4 % + 1.7 % * FEMA/HHS REGION LASTWEEK 10,273 (84) 5.7 % UNITED STATES LAST WEEK 460,137 ( 140) 8.5 % 191,736 ** 5,437,404 ** ( 1,564) ( 1,657) 103 6,434 ( 1) (2 ) 4.6 % 12.1% COVID - 19 CASE MOBILTY RELATIVEBASELINE MOBILTY TO 100 % 80 % 60 % 40 % 20 % 0 % Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregating county -leveldata from USAFacts; therefore , the valuesmaynotmatch those reported directly by the state. Data is through 7/24/2020; lastweek is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 COLORADO STATE REPORT 07.26.2020 COVID - 19 COUNTY ANDMETRO ALERTS LOCALITIES IN RED ZONE LOCALITIES IN YELLOW ZONE METRO Denver - Aurora-Lakewood AREA Glenwood Springs Edwards ( CBSA ) LASTWEEK 4 ColoradoSprings Greeley Montrose Denver ElPaso Adams Garfield COUNTY LASTWEEK 3 Eagle Gunnison 19 Top 12 shown (full list below ) Arapahoe Weld Douglas Chaffee Teller Montrose Elbert Grand Otero AllYellow Counties: Denver, El Paso, Adams, Arapahoe, Weld, Douglas, Chaffee, Teller, Montrose, Elbert, Grand, Otero, Delta, Sedgwick, Lake, Park, Saguache, Phillips, Crowley Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity result between 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020 ; last week is 7/18 -7/24 , three weeks is 7/4 - 7/24 . Testing :CELR ( COVID - 19 Electronic Lab Reporting) state health department -reported data through 7/22/2020 . Lastweek is 7/16 - 7/22. Testing datamay bebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 COLORADO STATE REPORT 07.26.2020 CASE NEW C-ASE 19 COVID 1000 750 500 250 Daily COVID - 19 Cases Daily COVID -19 Cases ( 7 - day average) 25.0 % 10000 TESTING TESTS COVID 19 20.0 % 8000 6000 15.0 % 4000 10.0 % 2000 5.0 % OF TESTS PERC NTAGE TOTAL 0.0 % Daily Tests Completed (7 day avg. ) % Positivity Rate (by result date 7 day avg.) Top counties based on greatest number ofnew cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES Denver ) CASES NEW CUMULATIVE 8000 ElPaso Adams 6000 Arapahoe Jefferson Weld Douglas Larimer 4000 Boulder Garfield ( 2000 3/8 3/15 3/22 4/5 3/29 - - 4/12 4/19 4/26 - 6/7 5/3 5/10 5/17 5/24 5/31 6/14 6/21 6/28 7/5 7/12 7/19 7/26 DATA SOURCES Cases: County-leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: CELR ( COVID - 19 Electronic Lab Reporting) statehealth department-reported data through 7/22/2020. COVID - 19 Top 12 countiesbased on number ofnew cases in the last 3 weeks Daily COVID - 19 Cases Daily COVID - 19 Cases ( 7 -day average) ElPaso County Denver County 600 Adams 150 100 400 100 50 200 CASE DAILY TO AL 50 Arapahoe County 80 Weld County JeffersonCounty 80 300 60 60 200 40 100 40 40 20 20 Larimer County Douglas County Boulder County 30 40 30 30 20 20 20 10 10 30 10 Garfield County Pueblo County Eagle County 60 20 20 40 10 10 20 3/21 4/5 6/4 5/5 5/20 6/19 7/4 7/19 5/5 5/20 6/4 7/19 DATA SOURCES Cases: County- leveldata from USAFacts through 7/24/2020 . Last 3 weeks is 7/4 - 7/24 . 3/21 5/20 7/19 COVID - 19 COLORADO STATE REPORT 07.26.2020 CASE RATESAND DIAGNOSTIC TESTPOSITIVITYDURING THE LASTWEEK NEW CASES PER 100,000 DURING TEST POSITIVITYDURING LAST LASTWEEK WEEK Date: 7/26/2020 Date: 7/26/2020 Cami the WY WY NE NE UT UT KS KS Cases per 100K Casesin Last 14Days 0.1to9.9 Test Positivity Cases Last 14Days % to 4.9% 100 to 199.9 NM AZ 5 AZ 0 10 to 99.9 NM TX TX WEEKLY % CHANGEIN NEW WEEKLY CHANGEIN TEST CASESPER 100K POSITIVITY Date: 7/26/2020 % to 9.9 % 10% to 19.9% 20 or More % 200 to499.9 500 orMore Date: 7/26/2020 WY WY NE NE UT UT CO Percent Change in Cases per 100K KS in Last AbsoluteChangein Test Positivity 14Days 20Cases in Last 14Days % 100 Less % 10% to 99.9 Less 100% to 999.9% More 1.000% More NM TX % 2 LittleChange 10% to 99.9% More AZ + Less 0.5% to 1.9% Less AZ LittleChange NM 0.5 % to 1.9 % More TX 2 % + More DATA SOURCES Cases: County-leveldata from USAFactsthrough 7/24/2020. Lastweek is7/18 - 7/24, previousweek is 7/11- 7/17. Testing: CELR (COVID- 19 ElectronicLab Reporting ) state health department-reporteddata through 7/22/2020. Lastweek is 7/16 - 7/22, previousweek is 7/9 - 7/15. Testingdatamaybebackfilledover time, resultingin changesweek- to-week in testing data. It is criticalthat statesprovideasup- to -datetestingdata aspossible. CONNECTICUT STATE REPORT 07.26.2020 SUMMARY Connecticut is in the yellow zonefor cases, indicating between 10 to 100 new cases per 100,000 population last week , and the green zone for test positivity , indicating a rate below 5 % . Connecticut hasseen an increase in new cases and stability in testing positivity over the past week . However, the increase in cases was largely due delayed reporting from cases occurring weeks to months ago . The following three counties had the highestnumber of new cases over the past 3 weeks : 1. Fairfield County , 2 . Hartford County , and 3.New Haven County. These counties represent 85.0 percent ofnew cases in Connecticut . Connecticut had 25 new cases per 100,000 population in the past week , compared to a national average of 140 per 100,000 The federal government has deployed the following staff as assets to support the state response : 2 support operations activities from FEMA; 4 to support operations activities from USCG ; and to support operations activities from VA . During Jul 18 - Jul24 on average, 8 patients with confirmed COVID - 19 and 55 patients with suspected COVID - 19 were reported as newly admitted each day to hospitals in Connecticut . An average of 69 percent ofhospitals reported each day during this period ; therefore, this may be an underestimate of the actual total number of COVID -related hospitalizations. Underreportingmay lead to a lower allocation of critical supplies. * RECOMMENDATIONS Continue limitations on indoor occupancy ofbars and restaurants as specified in phase 2 ofConnecticut's Reopen Plan Continue the scale -up oftesting and rolloutof contact tracing currently underway. Recruitmore contact tracers as community outreachworkers to ensure all cases are contacted and allmembers of positive householdsare individually tested within 24 hours. Continue the statemasking requirement and intensify publicmessaging ofits importance given nationaltrends. Protect those in nursinghomes and long-term care facilities by ensuring access to rapid facility- wide testingin response to a resident or staffmember with COVID - 19 . Address staff and supply shortages . Ensure social distancing and universalfacemask use . Specific, detailed guidance on communitymitigation measurescan befound on the CDCwebsite. Thepurposeof this reportis to developa sharedunderstanding of thecurrentstatusof thepandemicat the national , regional , stateand locallevels. Werecognize thatdata at thestate levelmaydiffer from thatavailableatthe federallevel. Our objectiveis to useconsistent data sourcesand methodsthatallowfor comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 CONNECTICUT STATE REPORT 07.26.2020 STATE, % CHANGE FROM PREVIOUS STATE LASTWEEK NEW CASES 885 (RATE PER 100,000 ) (25 ) DIAGNOSTIC TEST WEEK TOTAL DIAGNOSTICTESTS ( 1) AT LEASTONE 460,137 ( 140) 1.6 % 8.5 % 5,437,404 ** ( 1,360) ( 1,657) 153 6,434 (1) (2 ) -0.5 % * 8.1% ( 26 ) 201,843 ** -61.7 % COVID - 19 CASE MOBILTY 3,831 -62.9% ** 18 ( RATE PER 100,000 ) MOBILTY LAST WEEK (661 COVID DEATHS TO UNITED STATES -0.2 % * 23,558** ( TESTS PER 100,000) RELATIV BASELINE REGION LASTWEEK +46.5 % 0.9 % POSITIVITY RATE FEMA/HHS 4.4 % 12.1% 100 % 80 % 60 % 40 % 20 % 0 % 2/23 3/1 3/8 3/15 3/22 3/29 4/5 4/12 4/19 4/26 5/3 6/7 5/10 5/17 5/24 5/31 6/14 Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregating county -leveldata from USAFacts; therefore , the valuesmaynotmatch those reported directly by the state. Data is through 7/24/2020; last week is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 CONNECTICUT STATE REPORT 07.26.2020 COVID - 19 COUNTY ANDMETRO ALERTS LOCALITIES IN RED ZONE LOCALITIES IN YELLOW ZONE METRO AREA N/A N/A N/A N/A ( CBSA ) LASTWEEK COUNTY LASTWEEK Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity result between 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020 ; last week is 7/18 -7/24 , three weeks is 7/4 - 7/24 . Testing :CELR ( COVID - 19 Electronic Lab Reporting) state health department -reported data through 7/22/2020 . Lastweek is 7/16 - 7/22. Testing datamay bebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 CONNECTICUT STATEREPORT 07.26.2020 CASE C-ASE 2000 1500 19 COVID NEW 1000 500 Daily COVID -19Cases ( 7 - day Daily COVID - 19 Cases e ) 40.0 % 10000 8000 30.0 % 6000 20.0 % 4000 10.0 % 2000 0.0 % Daily Tests Completed ( 7 day avg. ) % Positivity Rate (by result date 7 day avg.) Top counties based on greatest number ofnew cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES Fairfield ) CASES NEW CUMULATIVE ( Hartford New Haven New London 15000 Litchfield Middlesex 10000 Tolland Windham 5000 - 3/8 4/5 3/15 3/22 3/29 4/12 4/19 4/26 6/7 5/3 5/10 5/17 5/24 5/31 - 6/14 6/21 6/28 7/5 7/12 7/19 7/26 DATA SOURCES Cases: County-leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: CELR ( COVID - 19 Electronic Lab Reporting) statehealth department-reported data through 7/22/2020. COVID - 19 Top 12 countiesbased on number ofnew cases in the last 3 weeks Daily COVID - 19 Cases (7 -day average) Fairfield County Hartford County Daily COVID - 19 Cases 400 New Haven County 400 300 1000 300 200 200 CASE DAILY TO AL 500 100 100 New London County 80 Litchfield County 60 40 60 40 Middlesex County 40 20 20 80 20 Tolland County Windham County 80 60 60 40 40 20 20 DATA SOURCES Cases: County-leveldata from USAFacts through 7/24/2020. Last 3 weeks is 7/4 - 7/24. COVID - 19 CONNECTICUT STATE REPORT 07.26.2020 CASE RATESAND DIAGNOSTIC TESTPOSITIVITYDURING THE LASTWEEK NEW CASES PER 100,000 DURING TEST POSITIVITYDURING LAST LASTWEEK WEEK Date: 7/26/2020 Date: 7/26/2020 MA MA RI RI CT CT NY NY Cases per 100K 20Casesin Last 14Days 0.1to 9.9 Test Positivity 20 Casesin Last 14Days % to 4.9 % 0 10 to 99.9 200 to 499.9 500 orMore NJ % to 9.9 % 10% to 19.9% 20% or More CHANGE IN NEW WEEKLY CHANGE IN TEST POSITIVITY CASES PER 100K Date: 7/26/2020 Date : 7/26/2020 E WEEKLY % 5 100 to 199.9 NJ the MA MA RI RI CT NY NY PercentChange in Casesper 100K 14 Days LittleChange 10% to 99.9% More 2 + Less 100% to 999.9% More 1,000 % Casesin Last 14 Days 0.5% to 1.9% Less NJ LittleChange 0.5% to 1.9% More + More % NJ Absolute Change in Test Positivity inLast 100% Less 10% to 99.9 % Less DATA SOURCES Cases: County-leveldata from USAFactsthrough 7/24/2020. Lastweek is7/18 - 7/24, previousweek is 7/11- 7/17. Testing: CELR (COVID- 19 ElectronicLab Reporting ) state health department-reporteddata through 7/22/2020. Lastweek is 7/16 - 7/22, previousweek is 7/9 - 7/15. Testingdatamaybebackfilledover time, resultingin changesweek- to-week in testing data. It is criticalthat statesprovideasup- to -datetestingdata aspossible. DELAWARE STATEREPORT 07.26.2020 SUMMARY Delaware is in the yellow zone for cases, indicating between 10 to 100 new cases per 100,000 population last week, and the green zone for test positivity , indicating a rate below 5% . Delaware has seen an increase in new cases and a decrease in testing positivity over the pastweek. The increases in reported cases was proportional to the increase in testing lastweek. Sussex County , the site ofmanyhighly popular beaches, remains themost affected county . Delawarehad 86 new cases per 100,000 population in the past week , compared to a national average of 140 per 100,000 . The federal government has deployed the following staff as assets to support the state response: 6 to support operations activities from FEMA. During Jul 18 - Jul24 , on average , 5 patients with confirmed COVID - 19 and 7 patients with suspected COVID - 19 were reported as newly admitted each day to hospitals in Delaware. An average of68 percent ofhospitals reported each day during this period ; therefore, thismaybe an underestimate of the actual totalnumber of COVID -related hospitalizations. Underreportingmay lead to a lower allocation ofcritical supplies. RECOMMENDATIONS Continue closure or limited seating of bars in highly affected areas. Modulate business restrictionson occupancy or operation in otherlocalities depending on changesin reported cases. Continue emphasisonmasking requirements in more affected areas. Continue efforts to recruitsufficient contact tracers as community outreach workers to ensure allcases are contacted and allmembers ofpositivehouseholds are individually tested within 24 hours. Work with localcommunity groupstoprovide targeted, tailoredmessagingto communities with high case rates and increase community- led testing . Specific, detailed guidance on community mitigationmeasures can be found on the CDC website. Thepurposeof this reportis to developa sharedunderstanding of thecurrentstatusof thepandemicat the national , regional , stateand locallevels. Werecognize thatdata at thestate levelmaydiffer from thatavailableatthe federallevel. Our objectiveis to useconsistent data sourcesand methodsthatallowfor comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 DELAWARE STATE REPORT 07.26.2020 STATE LASTWEEK NEW CASES LAST WEEK + 22.4 % 20,675 (67 ) 460,137 ( 140) -1.0% * 12,153** ( 1,248) TOTAL DIAGNOSTICTESTS ( TESTS PER 100,000) COVID DEATHS 57 ( RATE PER 100,000 ) (6 ) AT LEASTONE 6.3 % +38.5 % ** 8.5 % 502,047** 5,437,404 ** ( 1,627) ( 1,657) 286 6,434 ( 1) (2 ) 10.8 % 12.1% + 1,040.0 % 11.9 % COVID - 19 CASE MOBILTY UNITED STATES LASTWEEK 3.8 % POSITIVITY RATE MOBILTY REGION WEEK (86 ) DIAGNOSTIC TEST TO FEMA/HHS 836 (RATE PER 100,000 ) RELATIVEBASELINE STATE, % CHANGE FROM PREVIOUS +7.0 % * 100 % 80 % 60 % 40 % 20 % 0 % 2/23 3/1 4/5 3/8 3/15 3/22 3/29 4/12 4/19 4/26 5/3 5/10 6/7 5/17 5/24 5/31 6/14 6/21 6/28 7/5 7/12 7/19 7/26 Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregating county -leveldata from USAFacts; therefore , the valuesmaynotmatch those reported directly by the state. Data is through 7/24/2020; lastweek is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 DELAWARE STATEREPORT 07.26.2020 COVID - 19 COUNTY ANDMETRO ALERTS LOCALITIES IN RED ZONE LOCALITIES IN YELLOW ZONE METRO AREA N/A N/A N/A N/A ( CBSA ) LASTWEEK COUNTY LASTWEEK Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity resultbetween 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020; lastweek is 7/18 - 7/24 , three weeks is 7/4 - 7/24 . Testing : HHS Protect laboratory data (provided directly to FederalGovernment from public health labs, hospital labs, and commercial labs) through 7/22/2020. Lastweek is 7/16 - 7/22. Testing datamaybebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to-date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 DELAWARE STATE REPORT 07.26.2020 CASE COVID CASE 19 NEW 400 300 200 100 Daily COVID - 19 Cases Daily COVID -19 Cases ( 7 - day average ) TESTING T-EST COVID 19 30.0 % 1500 20.0 1000 10.0 % 500 OF TESTS PERCENTAGE TOTAL 0.0 % % PositivityRate (by resultdate 7 day avg. ) Daily Tests Completed ( 7 day avg. ) Top counties based on greatest number ofnew cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES New Castle 6000 Sussex ) CASES NEWCUMULATIVE ( Kent 4000 2000 3/8 3/15 3/22 3/29 4/5 4/12 4/19 4/26 L / 9 5/3 5/10 5/17 5/24 5/31 6/14 6/21 6/28 7/5 7/12 7/19 7/26 DATA SOURCES Cases: County -leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: HHSProtect laboratory data ( provided directly to FederalGovernment from public health labs, hospital labs, and commerciallabs) through 7/22/2020 . COVID - 19 Top 12 counties based on number ofnew cases in the last 3 weeks CASE DAILY TO AL Daily COVID- 19 Cases ( 7 -day average) New Castle County Daily COVID - 19 Cases Kent County Sussex County 300 80 100 200 60 40 50 100 20 DATA SOURCES Cases: County-leveldata from USAFacts through 7/24/2020. Last 3 weeks is 7/4 - 7/24. COVID - 19 DELAWARE STATEREPORT 07.26.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LASTWEEK NEW CASES PER 100,000 DURING TEST POSITIVITYDURING LAST LAST WEEK WEEK Date: 7/26/2020 Date: 7/26/2020 PA NJ NJ DE DE MD MD Cases per 100K DC DC Cases Last 14Days 0.1to 9.9 10 to 99.9 < Casesin Last 14Days % to 4.9 % VA 0 VA TestPositivity 100to 199.9 5 % to 9.9% 200 to499.9 500 orMore 10 % to 19.9% 20% or More WEEKLY % CHANGEIN NEW WEEKLY CHANGEIN TEST CASES PER 100K POSITIVITY Date: 7/26/2020 Date : 7/26/2020 PA PA NJ NJ DE <=20 Cases Last 14 Days 100% Less DC LittleChange 10 to 99.9% More Absolute Changein Test Positivity = 20Cases in Last 14Days + Less % % 10 to 99.9% Less VA DE < DC MD Percent Changein Casesper100K VA 0.5% to 1.9 Less 100% to 999.9% LittleChange More 0.5% to 1.9% More + More 1,000 % MD DATA SOURCES Cases : County -leveldata from USAFacts through 7/24/2020 . Last week is 7/18 - 7/24, previousweek is 7/11 - 7/17 . Testing : HHS Protect laboratory data (provided directly to Federal Government from public health labs,hospital labs, and commercial labs) through 7/22/2020 . Last week is 7/16 - 7/22 previous week is 7/9 - 7/15 . Testing data may bebackfilled over time, resulting in changes week -to -week in testing data. Itis critical that states provide as up -to -date testing data as possible . THE DISTRICT OF COLUMBIA STATEREPORT 07.26.2020 SUMMARY The District ofColumbia is in the yellow zone for cases, indicatingbetween 10 to 100 new cases per 100,000 population last week, and the yellow zone for test positivity , indicating a rate between 5 % to 10 % . The District of Columbia has seen an increase in new cases and a decrease in testing positivity over the pastweek. Lastweek's increase in cases is the fourth consecutive week ofincrease since the phase 2 reopeningbegan on June 22. Mobility data suggests a sharp rebound in personalactivity after reopening. The District of Columbia had 74 new cases per 100,000 population in the pastweek , compared to a national average of 140 per 100,000 . The federal governmenthas deployed the following staff as assets to support the state response: 8 to support operations activities from FEMA and 2 to support epidemiology activities from CDC. During Jul 18 - Jul24 , on average , 14 patients with confirmed COVID - 19 and 50 patients with suspected COVID - 19 were reported asnewly admitted each day to hospitals in the District of Columbia . An average of53 percent of hospitalsreported each day during this period; therefore, this maybe an underestimate of the actual total number of COVID -related hospitalizations. Underreportingmay lead to a lower allocation of critical supplies. * RECOMMENDATIONS Active promotion of testingof young people and those engaged in public activities, gatherings, and protests to ensure new cases are foundbefore active community spread occurs. Consider implementing additional restrictions on occupancy or operation within the current phase 2 opening status for certain businesses (bars, restaurants) with potentialrestrictions ifthe rise in reported cases continues this week Work with localcommunity groupstoprovide targeted, tailoredmessagingto communities with high case rates and increase community level testing. Continue efforts to surge testing and contact tracing resources to neighborhoods and zip codes with highest rates Surveillance pooling: As assays receive Emergency Use Authorizations for pooling, expand the use of thismethod to maximize testing capacity . For family and cohabitating households, screen entire householdsin a single test by pooling a sample of each member's specimen. Specific, detailed guidance on community mitigation measures can be found on the CDCwebsite . Thepurposeof this reportis to developa sharedunderstanding of thecurrentstatusof thepandemicat the national , regional , stateand locallevels. Werecognize thatdata at thestate levelmaydiffer from thatavailableatthe federallevel. Our objectiveis to useconsistent data sourcesand methodsthatallowfor comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 THE DISTRICT OF COLUMBIA STATE REPORT 07.26.2020 STATE, % CHANGE FROM PREVIOUS STATE LASTWEEK NEW CASES 523 (RATE PER 100,000) ( 74 ) DIAGNOSTIC TEST 29,991** ( 4,250) TOTAL DIAGNOSTICTESTS ( TESTS PER 100,000) AT LEASTONE + 33.1% 20,675 (67 ) 460,137 ( 140) 6.3 % -55.6 % + 16.7 % * 22.2 % COVID - 19 CASE MOBILTY LAST WEEK -20.7 % ** ( 1) ( RATE PER 100,000 ) TO LASTWEEK 4 COVID DEATHS RELATIVEBASELINE MOBILTY UNITED STATES WEEK -2.0% * 7.6 % POSITIVITY RATE FEMA/HHS REGION 8.5 % 502,047** ( 1,627) 5,437,404 ** 286 6,434 ( 1) (2 ) 10.8 % 12.1% ( 1,657) 300 % 250 % 200 % 150 % 100 % 50 % 0 % 2/23 3/1 4/5 3/8 3/15 3/22 3/29 5/3 4/12 4/19 4/26 5/10 5/17 5/24 5/31 6/14 6/21 6/28 7/5 7/12 7/26 Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregating county -leveldata from USAFacts; therefore , the valuesmaynotmatch those reported directly by the state. Data is through 7/24/2020; lastweek is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 THE DISTRICT OF COLUMBIA STATEREPORT 07.26.2020 COVID - 19 COUNTY ANDMETRO ALERTS LOCALITIES IN RED ZONE LOCALITIES IN YELLOW ZONE METRO AREA N/A ( CBSA ) LASTWEEK 1 Washington-Arlington Alexandria COUNTY LASTWEEK N/A District ofColumbia Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity resultbetween 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020; lastweek is 7/18 - 7/24 , three weeks is 7/4 - 7/24 . Testing : HHS Protect laboratory data (provided directly to FederalGovernment from public health labs, hospital labs, and commercial labs) through 7/22/2020. Lastweek is 7/16 - 7/22. Testing datamaybebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to-date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 THE DISTRICT OF COLUMBIA STATE REPORT 07.26.2020 C-ASE CASE 19 COVID NEW 300 200 100 Daily COVID - 19 Cases Daily COVID - 19 Cases ( 7 - day average) 25.0 % TESTS TESTING 20.0 % 4000 19 COVID OF 5000 15.0 % 3000 10.0 % 2000 5.0 % 1000 TESTS PERCNTAGETOTAL 0.0 % Daily Tests Completed ( 7 day avg. ) % Positivity Rate (by result date 7 day avg. ) Top countiesbased on greatest numberofnew cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES Districtof Columbia ) CASES NEW CUMULATIVE 10000 7500 5000 ( 2500 - 3/8 7/5 4/5 3/15 3/22 3/29 5/3 4/12 4/19 4/26 5/10 5/17 5/24 5/31 6/14 6/21 6/28 7/12 7/19 7/26 DATA SOURCES Cases: County -leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: HHSProtect laboratory data ( provided directly to FederalGovernment from public health labs, hospital labs, and commerciallabs) through 7/22/2020 . COVID - 19 Top 12 counties based on number ofnew cases in the last 3 weeks CASE DAILY TO AL Daily COVID - 19 Cases (7 -day average) Districtof Columbia 300 200 100 DATA SOURCES Cases: County-leveldata from USAFacts through 7/24/2020. Last 3 weeks is 7/4 - 7/24. Daily COVID - 19 Cases COVID - 19 THE DISTRICT OF COLUMBIA STATEREPORT 07.26.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LASTWEEK NEW CASES PER 100,000 DURING TEST POSITIVITYDURING LAST LAST WEEK WEEK Date: 7/26/2020 Date: 7/26/2020 the the MD MD DC DC VA VA Casesper 100K TestPositivity 20Cases Last 14 Days 0.1to 9.9 20 Casesin Last 14Days % to 4.9 % 0 10 to 99.9 100 to 199.9 5 % to 9.9% 200 to499.9 500 orMore 10 % to 19.9% 20% or More WEEKLY % CHANGEIN NEW WEEKLY CHANGEIN TEST CASES PER 100K POSITIVITY E Date: 7/26/2020 Cami Date: 7/26/2020 the MD MD DC VA DC PercentChange in Casesper 100K Casesin Last 14Days 100% Less Changein Absolute Test Positivity in Last 14Days 2 + Less LittleChange 10 % to 99.9% More % 10% to 99.9% Less VA 100% to 999.9% LittleChange More 0.5% to 1.9% More 2 More + % 0.5% to 1.9% Less DATA SOURCES Cases : County -leveldata from USAFacts through 7/24/2020 . Last week is 7/18 - 7/24, previousweek is 7/11 - 7/17 . Testing : HHS Protect laboratory data (provided directly to Federal Government from public health labs,hospital labs, and commercial labs) through 7/22/2020 . Last week is 7/16 - 7/22 previous week is 7/9 - 7/15 . Testing data may bebackfilled over time, resulting in changes week -to -week in testing data. Itis critical that states provide as up -to -date testing data as possible . FLORIDA STATE REPORT 07.26.2020 SUMMARY Florida is in the red zone for cases, indicatingmorethan 100 new casesper 100,000 population lastweek , and thered zone for test positivity, indicatinga rateabove 10 % . Floridahasseen stabilityin new cases and stability in testingpositivity over the pastweek. Thefollowingthree countieshadthehighestnumberofnew cases over the past 3weeks: 1.Miami- Dade County, 2.Broward County, and 3.OrangeCounty. These countiesrepresent44.0 percentof new casesin Florida. The pandemic is widespread in Floridain rural, peri- urban, and urban areas. Floridahad 350 new cases per 100,000 population in the past week, compared to a nationalaverageof 140 per 100,000. The federal governmenthasdeployed the followingstaff as assets to support the state response: 3 to supportoperations activitiesfrom FEMA; 11to support operationsactivitiesfrom ASPR ; 2 to support epidemiology activitiesfrom CDC; 2 to supportoperationsactivitiesfrom CDC; 1 to supportoperationsactivities from USACE; 49 to supportoperationsactivities from USCG; and 24 to support medicalactivities from VA. Thefederalgovernmenthas supported a surge testingsite in Miami, FL . During Jul 18 - Jul24 , on average, 820 patientswith confirmed COVID - 19and 777 patients with suspected COVID - 19 were reported as newlyadmitted each day to hospitals in Florida. An averageof85percentofhospitals reported each day during this period; therefore, thismaybe an underestimateofthe actualtotalnumberofCOVID - relatedhospitalizations . Underreportingmay lead to a lowerallocation of criticalsupplies. * RECOMMENDATIONS Continue to protectthose in nursinghome, assisted living, and long- term care facilitiesby assuring accessto rapid facility -wide testinginresponseto a residentor staffmemberwith COVID - 19. Ensuresocialdistancingand universalfacemaskuse. Mandatemasksin allcountieswith rising testpercentpositivity. Multiple counties andmetros are now in this category. Close allbars in allcountieswith risingtestpercentpositivity, increase outdoordiningopportunities, andlimit indoor dining to 25 % ofnormalcapacity. Ensuremessagingto allcitizensto limitsocialgatherings to 10 orfewer people. Continue the scale- up oftesting,moving to community- led neighborhoodtesting. Work with localcommunity groupsto increasehousehold testingofmultigenerationalhouseholdswith clear guidance on test positive isolation proceduresand mask use Ensureallindividualsand householdsengaged in anymulti- household activities are immediatelytested, either in poolsor as individuals Increasemessagingoftherisk ofseriousdiseasein allagegroupswith preexistingmedicalconditions, includingobesity, hypertension, and diabetesmellitus. Expand testingcapacityin publichealth labsby adding shifts andweekend shifts to reduceturnaround times Institute3: 1 or 2: 1poolingof test specimensto increasetesting accessand reduce turnaroundtimes. Expand pooled collection into neighborhoodswith household pools, allowingrapid household alertsand household isolation with follow -up individualdiagnostictests. This approachwill allow rapid screeningofentireneighborhoodsand isolation of cases to dramatically decreasespread. Require alluniversitieswith RNAdetection platformsto use this equipmentto expand surveillance testing for schools (K- 12, community colleges and universitystudents. Specific, detailed guidanceon communitymitigationmeasurescan be found on the CDC website. The purposeof this reportis to developa shared understanding of the currentstatusof the pandemicat thenational , regional , stateand locallevels . Werecognize thatdata atthe statelevelmay differfrom thatavailableatthe federallevel . Ourobjectiveis to use consistent data sourcesandmethodsthatallow for comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 FLORIDA STATE REPORT 07.26.2020 FEMA /HHS STATE STATE, % CHANGE FROM PREVIOUS REGION UNITED STATES LASTWEEK WEEK LASTWEEK LAST WEEK 75,073 ( 350 ) -9.6 % 168,276 (252 ) 460,137 ( 140) NEW CASES (RATE PER 100,000) DIAGNOSTIC TEST 16.0 % POSITIVITY RATE 522,213** TOTAL DIAGNOSTICTESTS COVID DEATHS 851 (4 ) ( RATE PER 100,000 ) AT LEASTONE 36.0 % COVID - 19 CASE MOBILTY TO -16.7 % ** (2,431) ( TESTS PER 100,000) RELATIVEBASELINE MOBILTY -0.4 % * + 21.6 % +7.5 % * 14.3 8.5 % 1,071,031** 5,437,404 ** ( 1,601) ( 1,657) 2,048 6,434 (3) (2) 23.1% 12.1% 100 % 80 % 60% 40 % 20 % 0 % Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregating county -leveldata from USAFacts; therefore , the valuesmaynotmatch those reported directly by the state. Data is through 7/24/2020; last week is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 FLORIDA STATE REPORT 07.26.2020 COVID - 19 COUNTY AND METRO LOCALITIESIN RED ZONE ALERTS LOCALITIES IN Miami- Fort Lauderdale - Pompano Beach Tampa -St. Petersburg -Clearwater Orlando -Kissimmee - Sanford METRO AREA ( CBSA) LASTWEEK Deltona- DaytonaBeach- Ormond Top 12shown ( fulllist below ) Cape Coral- Fort Myers LakelandWinterHaven Pensacola - FerryPass-Brent Beach 7 The Villages Tallahassee Arcadia Ocala Crestview -FortWalton Beach-Destin Miami-Dade Volusia Broward Sarasota Orange Palm Beach Lake Brevard 17 Lee Top 12 shown ( full list below ) Gainesville Port St. Lucie Duval LAST WEEK Palm Bay-Melbourne - Titusville PuntaGorda Naples -Marco Island Hillsborough COUNTY Pinellas Polk Osceola ZONE North Port- Sarasota - Bradenton Jacksonville 22 YELLOW Alachua Charlotte Walton Top 12 shown ( fulllist below ) Nassau Sumter DeSoto Escambia Flagler Manatee Wakulla AllRed Miami-FortLauderdale- Pompano Beach, Tampa -St. Petersburg-Clearwater,Orlando Kissimmee-Sanford, Jacksonville , Cape Coral-FortMyers,Lakeland-Winter Haven, Pensacola -Ferry Pass -Brent, Naples-Marco Island, Port St. Lucie, Tallahassee ,Ocala, Crestview - FortWalton Beach -Destin , Panama City, Lake City,Sebastian -Vero Beach, Key West, Homosassa Springs, Palatka, Sebring Avon Park, Clewiston , Okeechobee,Wauchula AllRed Counties : Miami-Dade, Broward, Orange, Palm Beach , Hillsborough , Duval, Lee, Pinellas,Polk, Osceola , Escambia ,Manatee, Collier, Pasco ,Seminole,Marion , St. Lucie,Leon, Bay,Columbia , St.Johns, SantaRosa, Clay, Okaloosa ,Martin ,Indian River,Hernando, Monroe,Gadsden , Citrus, Putnam , Jackson , Highlands,Hendry, Suwannee, Okeechobee, Madison, Washington ,Hardee ,Gulf, Gilchrist, Hamilton ,Calhoun, Bradford ,Glades,Union , Jefferson , Liberty , Lafayette AllYellow Counties: Volusia , Sarasota, Brevard, Lake, Alachua , Charlotte, Walton ,Nassau, Sumter , DeSoto , Flagler, Wakulla , Levy , Baker, Holmes, Dixie, Franklin Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity result between 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020 ; last week is 7/18 -7/24 , three weeks is 7/4 - 7/24 . Testing :CELR ( COVID - 19 Electronic Lab Reporting) state health department -reported data through 7/22/2020 . Lastweek is 7/16 - 7/22. Testing datamay bebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 FLORIDA STATE REPORT 07.26.2020 CASE NEW C-ASE 19 COVID 15000 10000 5000 Daily COVID - 19 Cases Daily COVID - 19 Cases( 7 - day average) 100000 TESTING T1EST9S COVID 15.0% 80000 60000 10.0 % 40000 5.0 % 20000 OF TESTS PERCENTAGE TOTAL 0.0 % % Positivity Rate (by result date 7 day avg.) Daily Tests Completed ( 7 day avg. ) Top countiesbased on greatest number ofnew cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES 100000 Miami -Dade Broward ) CASES NEW CUMULATIVE 80000 Orange Palm Beach 60000 Hillsborough Duval Lee 40000 Pinellas Polk Osceola ( 20000 - 4/5 3/8 3/15 3/22 3/29 4/12 4/19 4/26 5/3 - - 6/7 5/10 5/17 5/24 5/31 6/14 6/21 6/28 7/5 7/12 7/19 7/26 DATA SOURCES Cases: County-leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: CELR ( COVID - 19 Electronic Lab Reporting) statehealth department-reported data through 7/22/2020. COVID - 19 Top 12 counties based on number ofnew cases in the last 3 weeks Daily COVID - 19 Cases (7 -day average) Miami -DadeCounty Daily COVID - 19 Cases BrowardCounty Orange County 3000 1000 2000 500 500 1000 CASE DAILY TO AL Palm Beach County DuvalCounty Hillsborough County 800 1000 1000 600 750 750 500 500 250 250 Lee County 600 400 200 PinellasCounty Polk County 400 1000 400 200 500 200 Osceola County Escambia County 400 200 Manatee County 400 400 200 200 3/21 4/5 4/20 5/5 5/20 6/19 7/4 61 / 5/5 5/20 6/4 7/4 7/19 DATA SOURCES Cases: County-leveldata from USAFacts through 7/24/2020. Last 3 weeks is 7/4 - 7/24. 3/21 4/5 4/20 5/5 5/20 6/4 6/19 7/4 7/19 COVID - 19 FLORIDA STATE REPORT 07.26.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LASTWEEK NEW CASESPER 100,000DURING TESTPOSITIVITYDURINGLAST LAST WEEK WEEK SC Date: 7/26/2020 GA AL SC Date: 7/26/2020 AL MS GA MS LA Casesper 100K 20Cases Last 14 Days TestPositivity 20 14Days 10 to 99.9 0 % to 4.9 5 100 to 199.9 200 to WEEKLY % CHANGEIN NEW WEEKLY CHANGE IN TEST CASES PER 100K POSITIVITY SC AL % to 9.9 % 10 % to 19.9% 20% or More 500 or More Date : 7/26/2020 in Last % 0.1to 9.9 SC Date : 7/26/2020 GA AL GA MS MS FL LA LA Percent Change in Cases per 100K Casesin Last 14Days % 100 Less Casesin Last 14Days % 2 % 10% to 99.9 Less Absolute Changein Test Positivity LittleChange 10% to 99.9% More 100 % to 999.9% More Less 0.5% to 1.9% Less LittleChange 0.5% to 1.9% More 2 % + More DATA SOURCES Cases : County -leveldata from USAFacts through 7/24/2020 . Last week is 7/18 - 7/24 , previous week is 7/11 - 7/17. Testing : CELR (COVID - 19 Electronic Lab Reporting ) state health department -reported data through 7/22/2020 . Last week is 7/16 - 7/22 previousweek is 7/9 - 7/15 . Testing data may be backfilled over time, resulting in changes week - to -week in testing data. It is critical that states provide asup- to -date testing data aspossible. GEORGIA STATEREPORT 07.26.2020 SUMMARY Georgiais in thered zone forcases, indicatingmore than 100 new casesper 100,000 population lastweek, and the red zone for test positivity, indicatinga rateabove 10 % . Georgia has seen an increase in new cases and an increasein testing positivity over thepastweek . The following three countieshad the highestnumberofnew cases overthepast 3weeks: 1.Fulton County, 2.GwinnettCounty, and 3.DeKalb County. These countiesrepresent24.2 percentofnew casesinGeorgia. Georgia is experiencingwidespread community spread without evidence of improvement. Improvementwill requiremuch more aggressivemitigation efforts to changethetrajectoryof the pandemic in Georgia. Georgia had 247 new casesper 100,000 population in thepast week , compared to a nationalaverageof 140 per 100,000. Thefederalgovernmenthas deployedthefollowing staff as assets to supportthe state response: 103 to supportoperations activities from FEMA; 10 to support operationsactivitiesfrom ASPR ; 24 to supportepidemiologyactivities from CDC; 1 to support operationsactivitiesfrom USCG; and supportoperations activities from VA. During 18 - Jul 24, on average, 339 patientswith confirmed COVID - 19 and 365 patients with suspected COVID - 19were reported as newly admitted each daytohospitals in Georgia. An averageof 74percentofhospitals reported each day during this period; therefore, thismaybe an underestimateofthe actualtotalnumberofCOVID - relatedhospitalizations . Underreportingmaylead to a lower allocationof criticalsupplies. * RECOMMENDATIONS weeklytestingofallworkersin assisted livingandlong-term carefacilities, and requiremasksand socialdistancingfor allvisitors Mandateuseofmasksin allcurrentandevolvinghotspots optimallya statewide mandate . Close establishments where socialdistancingandmask use cannotoccur, such asbars, nightclubs, andentertainment venues . Moveto outdoordining and limitindoordiningto lessthan 25 occupancy. Ask every citizento limitsocialgatheringsto fewer than 10 people. Encourageindividualsthathave participatedinlargesocialgatheringsto gettested. Increasemessagingoftherisk of seriousdisease in allagegroupswith preexisting medicalconditions , includingobesity, , and diabetesmellitus. hypertension Continuethe scale- upoftesting , movingto community-ledneighborhoodtesting. Work with localcommunitiesto implementandprovideclearguidanceforhouseholdsthattestpositive, includingon individualisolationand quarantiningprocedures. Continueto enhancecontacttracingand ensuretheability of cases and contactsto quarantineor isolatesafely. Monitortestingdatato identifyadditionalsitesofincreasedtransmissionandfocuspublichealth resourcesthere. Ensureeverypublichealthlab is fully staffed and running24/7 and utilizingallplatforms to reduceturnaroundtimes. Institute 2: 1 poolingof specimens on allhigh throughputmachinesaslong as turnaroundtimesare greaterthan 36 hours. Forfamilies and cohabitinghouseholds,screen entire householdsin a single test by poolingspecimens . Specific, detailed guidanceoncommunity mitigationmeasurescan be foundon theCDCwebsite. The purposeof this reportis to develop a sharedunderstanding of the currentstatus of the pandemicatthe national , regional , state andlocallevels. Werecognize thatdata at the state levelmay differ from that availableatthefederallevel. Our objectiveis to use consistent data sourcesandmethodsthatallow for comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 GEORGIA STATE REPORT 07.26.2020 STATE, % CHANGE FROM PREVIOUS STATE LASTWEEK NEW CASES 26,241 (RATE PER 100,000) ( 247 ) DIAGNOSTIC TEST 15.2 % POSITIVITY RATE 53,194** TOTAL DIAGNOSTICTESTS ( TESTS PER 100,000) FEMA /HHS REGION UNITED STATES WEEK LASTWEEK LAST WEEK + 14.4 % 168,276 ( 252) 460,137 ( 140) + 1.9 % * 14.3 % 8.5 % -62.9 % ** 1,071,031** 5,437,404 ** ( 1,601) ( 1,657) 2,048 6,434 ( 3) (2) (501) 312 COVID DEATHS + 122.9 % ( 3) ( RATE PER 100,000 ) AT LEASTONE + 2.3 % * 21.8 % COVID - 19 CASE 23.1% 12.1% 100 % 80 % 60 % 40 % 20 % 0 % 2/23 3/1 4/5 3/8 3/15 3/22 3/29 4/12 4/26 L / 5/3 9 5/10 5/17 5/24 5/31 6/14 7/5 6/21 6/28 7/12 7/19 7/26 Indicates absolute change in percentage points . ** Due to delayed reporting, this figuremay underestimate totaldiagnostic tests and week on -week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregating county -leveldata from USAFacts; therefore , the valuesmaynotmatch those reported directly by the state. Data is through 7/24/2020; lastweek is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 GEORGIA STATE REPORT 07.26.2020 COVID - 19 COUNTY AND METRO LOCALITIESIN RED ZONE ALERTS LOCALITIES IN YELLOW ZONE Atlanta - Sandy Springs-Alpharetta Savannah Augusta -Richmond County Albany Columbus METRO 31 (CBSA ) Top 12shown AREA LAST WEEK list ( full below ) Statesboro Macon - Bibb County Dalton Valdosta Chattanooga 7 Cornelia Toccoa Gainesville Americus Brunswick Fitzgerald Athens- ClarkeCounty Warner Robins Douglas Fulton Gwinnett Cobb Chatham Forsyth Muscogee Bulloch Clayton COUNTY Bibb Cherokee 36 Hall LAST WEEK Top 12 shown ( fulllist below ) Richmond Whitfield Lowndes Top 12 shown ( fulllist below ) Fayette Laurens Habersham Stephens Elbert Pierce Henry Sumter Glynn Ben Hill AllRed AtlantaSandySprings- Alpharetta, Savannah,Augusta RichmondCounty, Columbus, Macon- Bibb County, Dalton, Valdosta, Gainesville, Brunswick, Athens Clarke County, Warner Robins, Douglas,Waycross, Dublin , LaGrange, Jesup, Rome , Hinesville, Calhoun, Tifton, Thomasville, Jefferson,Moultrie, St.Marys, Milledgeville, Vidalia, Cedartown, Bainbridge, Summerville, Thomaston, Eufaula All Red Counties: Fulton, Gwinnett, Chatham, Muscogee, Clayton, Bibb, Hall, Richmond,Whitfield, Lowndes, Henry,Glynn, Douglas, Columbia, Clarke, Carroll, Houston, Newton, Coffee, Bartow, Paulding, Dougherty,Ware, Troup, Rockdale,Wayne, Floyd, Coweta, Barrow, Gordon, Tift, Liberty, Thomas, Jackson, Colquitt, Effingham , Camden, Bryan, Walton, Spalding , Polk, Baldwin, Gilmer, Jefferson, Murray, Toombs, Decatur, Appling,Harris, Charlton, Washington, Cook, Monroe, Emanuel , Tattnall , Madison, Burke, Oconee, Brooks, Jeff Davis, Putnam, Peach, Grady, Fannin, Hart, Jones, Franklin, Evans, Telfair, Johnson, Candler, Meriwether,Atkinson, Greene, Mitchell, Berrien, Bacon, Rabun, Wilkes, Dodge, Dawson, Wilkinson, Morgan, Montgomery, Oglethorpe,Pike, Heard, Chattooga, Upson, Irwin, Lincoln, Treutlen,Lanier, Terrell, Clinch, Twiggs, Seminole,Hancock, Talbot, Marion, Crawford, Wheeler, Clay AllYellow Counties: Cobb, Cherokee,Forsyth, Bulloch, Fayette, Laurens, Habersham , Stephens , Elbert, Pierce, Sumter, Ben Hill Pickens, Butts, White, Walker, Lumpkin, Brantley, Jenkins, Lee,Haralson, Banks, Stewart, Early, Screven, Bleckley, Long, Macon, Miller, Echols, Randolph, Jasper, Wilcox, Dooly, Warren, Calhoun Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity result between 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020 ; last week is 7/18 -7/24 , three weeks is 7/4 - 7/24 . Testing :CELR ( COVID - 19 Electronic Lab Reporting) state health department -reported data through 7/22/2020 . Lastweek is 7/16 - 7/22. Testing datamay bebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice STATE REPORT 0?.26.2020 5000 to in 4000 t: q: 3000 2000 3 I.I.I 1000 0'5:inr Cases {ii-clawr average} - Daily Cases. 25000 20.0% 20000 "3 *5 .. ~315.o% LLIE 15000 =3 3? 10 0% 10000 5000 5.0% o. 0 0.0% Daily Tests. Completed l? day avg.) - -- ?at Positivity Rate lby result date day avgJ Top counties based on greatest number of new cases in last three weeks - 15000 Fulton. - Gwinnett I- Cobb 2 :2 Chatharn 3 IUDDU Muscogee 5 Clayton a Bibb Hall a a 500D Richmond DATA SDURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the not match those reported directly by the state. Data is through Testing: CELR Electronic Lab Reporting} state health departn?ient?reported data through COVID - 19 Top 12 countiesbased on number ofnew cases in the last 3 weeks Daily COVID - 19 Cases Daily COVID - 19 Cases ( 7 -day average 600 GwinnettCounty Fulton County DeKalb County 400 400 400 300 200 200 200 100 CASE DAILY TO AL 400 Cobb County Chatham County MuscogeeCounty 200 150 300 150 100 200 100 100 50 150 50 Bibb County Clayton County Hall County 200 150 150 100 100 100 50 50 RichmondCounty 150 50 Whitfield County 150 Lowndes County 150 100 100 100 50 50 50 - 3/21 5/20 7/4 6/4 6/19 / 3/21 4/5 4/20 5/5 5/20 6/4 61/9 7/4 7/19 DATA SOURCES Cases: County-leveldata from USAFacts through 7/24/2020. Last 3 weeks is 7/4 - 7/24. 3/21 4/20 5/5 5/20 6/4 6/19 7/4 7/19 COVID - 19 GEORGIA STATE REPORT 07.26.2020 CASE RATESAND DIAGNOSTIC TESTPOSITIVITYDURING THE LASTWEEK NEW CASES PER 100,000 DURING TEST POSITIVITY DURING LAST LASTWEEK WEEK 7/26/2020 HERE 7/26/2020 TN NC NC SC SC GA AL AL Cases per100K TestPositivity Casesin Last 14Days Casesin Last 14Days 0 % to 4.9% 0.1to 9.9 10 to 99.9 100 to 1999 MS FL 5 % to 9.9% MS FL 200 to 499.9 10 % to 19.9% 20% or More 500 orMore WEEKLY % CHANGEIN NEW WEEKLY CHANGEIN TEST CASES PER 100K POSITIVITY 7/26/2020 HERE 7/26/2020 TN TN NC NC SC SC GA AL AL PercentChangein Casesper100K Changein Absolute Test Positivity 20 Casesin Last 14Days Casesin Last 14Days % 100 Less % 10% to 99.9 Less 2 + Less LittleChange 10% to 99.9% More FL 100% to 999.9% More 1,000 More 0.5% to 1.9 Less MS FL LittleChange 0.5% to 1.9% 2 More More % MS DATA SOURCES Cases: County-leveldata from USAFactsthrough 7/24/2020. Lastweek is7/18 - 7/24, previousweek is 7/11- 7/17. Testing: CELR (COVID- 19 ElectronicLab Reporting ) state health department-reporteddata through 7/22/2020. Lastweek is 7/16 - 7/22, previousweek is 7/9 - 7/15. Testingdatamaybebackfilledover time, resultingin changesweek- to-week in testing data. It is criticalthat statesprovideasup- to -datetestingdata aspossible. STATEREPORT 07.26.2020 SUMMARY Hawaiiis in the yellow zone for cases, indicatingbetween 10 to 100 new cases per 100,000 population lastweek, and the green zone for test positivity, indicating a rate below 5 % . Hawaiihas seen an increase in new cases and stability in testing positivity over the pastweek . The increase in cases continues an increase in reported cases over the pastmonth has continued . The following three counties had the highest number of new cases over the past 3 weeks: 1.Honolulu County, 2 . HawaiiCounty , and 3.Maui County. These counties represent 98.1percent of new cases in Hawaii . Hawaii had 15 new cases per 100,000 population in the pastweek , compared to a nationalaverage of 140 per 100,000 . The federal governmenthas deployed the following staff as assets to support the state response: 13 to support operations activities from FEMA and 13 to support operations activities from USCG. During Jul 18 - Jul 24 , on average, 4 patients with confirmed COVID - 19 and 47 patients with suspected COVID -19 were reported newly admitted each day to hospitals in Hawaii. An average of 78 percent ofhospitals reported each day during this period; therefore , this may be an underestimate of the actualtotalnumber of COVID -related hospitalizations. Underreportingmaylead to a lower allocation of critical supplies. * RECOMMENDATIONS Carefulmonitoring in Honolulu is critical, particularly activities in bars and restaurants. Encourage intensification of strong safety measures atrestaurants and gyms. Limit socialgatherings to 10 people orfewer. Continuescale-up of contact tracing. Protect those in nursing homes and long-term care facilities by ensuring access to facility -wide testing in response to a resident or staffmember with COVID - 19 . Address staff and supply shortages . Ensure social distancing and universal facemask use. Specific, detailed guidance on community mitigation measures can be found on the CDC website. Thepurposeof this reportis to developa sharedunderstanding of thecurrentstatusof thepandemicat the national , regional , stateand locallevels. Werecognize thatdata at thestate levelmaydiffer from thatavailableatthe federallevel. Our objectiveis to useconsistent data sourcesand methodsthatallowfor comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 HAWAII STATE REPORT 07.26.2020 STATE , LAST WEEK NEW CASES 215 (RATE PER 100,000 ) ( 15) DIAGNOSTIC TEST STATE , % CHANGE FROM PREVIOUS FEMA /HHS REGION UNITED STATES WEEK LASTWEEK LAST WEEK + 22.2 % 91,957 ( 179) 460,137 ( 140) -0.3 % * 2.5 % POSITIVITY RATE 14,792** ( 1,045) TOTAL DIAGNOSTICTESTS ( TESTS PER 100,000) -1.0% ** 3 COVID DEATHS -25.0 ( ) ( RATE PER 100,000 ) AT LEASTONE +2.4 % * 2.4 % COVID - 19 CASE MOBILTY RELATIVEBASELINE MOBILTY TO 10.4 % 8.5 % 1,135,434 ** 5,437,404 ** (2,214) ( 1,657) 1,581 (3) 6,434 (2 ) 13.7 % 12.1% 100 % 80 % 60 % 40 % 20 % 0 % 2/23 3/1 4/5 3/8 3/15 3/22 3/29 4/12 4/19 4/26 6/7 5/3 5/10 5/17 5/24 5/31 6/14 6/21 6/28 7/5 7/12 7/19 7/26 Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregating county -leveldata from USAFacts; therefore , the valuesmaynotmatch those reported directly by the state. Data is through 7/24/2020; last week is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 HAWAII STATE REPORT 07.26.2020 COVID - 19 COUNTY ANDMETRO ALERTS LOCALITIES IN RED ZONE LOCALITIES IN YELLOW ZONE METRO AREA N/A N/A N/A N/A ( CBSA ) LASTWEEK COUNTY LASTWEEK Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity result between 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020 ; last week is 7/18 -7/24 , three weeks is 7/4 - 7/24 . Testing :CELR ( COVID - 19 Electronic Lab Reporting) state health department -reported data through 7/22/2020 . Lastweek is 7/16 - 7/22. Testing datamay bebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 HAWAII STATEREPORT 07.26.2020 60 C-ASE CASE 19 COVID NEW 40 20 Daily COVID - 19 Cases Daily COVID -19 Cases ( 7 - day average) TESTING T-ESTS COVID 19 2000 3.00 % 1500 2.00 % 1000 1.00 % 500 OF TESTS PERCENTAGE TOTAL 0.00 % Daily Tests Completed ( 7 day avg. ) % Positivity Rate (by result date 7 day avg.) Top counties basedon greatest number ofnew cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES 1250 ) CASES NEW CUMULATIVE Honolulu Hawaii Maui 1000 Kauai Kalawao 750 500 ( 250 3/8 3/15 - 3/22 3/29 4/5 4/12 - 4/19 4/26 5/3 5/10 5/17 5/24 5/31 6/7 6/14 6/21 6/28 7/5 - 7/12 7/19 7/26 DATA SOURCES Cases: County-leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: CELR ( COVID - 19 Electronic Lab Reporting) statehealth department-reported data through 7/22/2020. COVID - 19 Top 12 counties based on number ofnew cases in the last 3 weeks Daily COVID- 19 Cases ( 7 - day average) 60 CASE DAILY TO AL Daily COVID - 19 Cases Hawaii County Honolulu County Maui 15 10 40 10 5 20 5 Kauai County Kalawao County 6 0.04 4 0.02 N 0.00 DATA SOURCES Cases: County-leveldata from USAFacts through 7/24/2020. Last 3 weeks is 7/4 - 7/24. COVID - 19 HAWAII STATE REPORT 07.26.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LASTWEEK TEST POSITIVITY DURING LAST NEW CASES PER 100,000 DURING LASTWEEK WEEK Date: 7/26/2020 Date 7/26/2020 HI HI Cases per 100K in Last Test Positivity 14Days 0.1to 9.9 Casesin Last 14Days % to 4.9% 100 to 199.9 5 % to 9.9 200 to499.9 500 or More 10% to 19.9% 20 % orMore CHANGE IN NEW WEEKLYCHANGEIN TEST POSITIVITY CASES PER 100K Date: 7/26/2020 Date 7/26/2020 HI Percent Changein Casesper100K < = 20 CasesinLast 14Days 100% Less 10% to 99.9 % Less LittleChange 10 % to 99.9% More HI AbsoluteChange in Test Positivity 20 CasesinLast 14 Days 2 + Less % WEEKLY % 0 10 to 99.9 0.5% to Less LittleChange 0.5% to 1.9% More + % 100% to 999.9% More DATA SOURCES Cases : County -leveldata from USAFacts through 7/24/2020 . Last week is 7/18 - 7/24 , previous week is 7/11 - 7/17. Testing : CELR (COVID - 19 Electronic Lab Reporting ) state health department -reported data through 7/22/2020 . Last week is 7/16 - 7/22 previousweek is 7/9 - 7/15 . Testing data may be backfilled over time, resulting in changes week - to -week in testing data. It is critical that states provide asup- to -date testing data aspossible. IDAHO STATE REPORT 07.26.2020 SUMMARY Idaho is in the red zonefor cases, indicatingmore than 100 new casesper 100,000populationlastweek, and thered zonefor test positivity, indicatinga rateabove 10 % . Idahohasseen stability in new casesand a decreasein testing positivity overthe pastweek. Both the cases and the test positivityrate remained veryhighbut improved slightlylastweekwith a declineseen in Ada County, while cases increased in the IdahoFalls area. The followingthree countieshad the highestnumberof new cases over thepast 3 weeks: 1.Ada County, 2.CanyonCounty, and 3. KootenaiCounty. These countiesrepresent76.3 percentofnew cases in Idaho. COVID - 19-related hospitalizationshave continued to rise andcurrently exceed the initialpeak in April. Whilemany countiesthroughoutIdaho are affected the highestcase and test positivity rates continueto be in the Boise area and other counties of southwestIdaho, where hospitalsare under themoststrain. Idahohad 196 new cases per 100,000 population in the pastweek, compared to a nationalaverageof 140 per 100,000. Thefederalgovernmenthasdeployed the following staff as assets to support the state response: 11to support operations activities from FEMA. During Jul 18 - Jul24, on average, 18 patientswith confirmedCOVID - 19 and 4 patientswith suspected COVID- 19were reported asnewly admitted each day to hospitals in Idaho. An averageof 39 percentofhospitalsreported each day during this period; therefore, this maybe an underestimate of theactualtotalnumberof COVID -relatedhospitalizations. Underreportingmay lead to a lower allocation of criticalsupplies.* RECOMMENDATIONS Surge testing and contact tracing resources to neighborhoodsand zip codes with highestcaserates, especially in the Centraland SouthwestHealth Districts. Support the recentmandates formask wearing in highly affected counties and the CentralHealth District. Communicate support fortheir adoption in other counties and health districts with rapidly rising reported cases. Considerfurther restrictionsof opening statusunder state reopening guidelines for businesses and gathering sizes in localities if cases and hospitalizationscontinue to rise rapidly. Move to community-led neighborhood testing andwork with localcommunity groups to increase access to testing Specific , detailed guidance on community mitigationmeasures can be found on the CDC website. Thepurposeof this reportis to developa sharedunderstanding of thecurrentstatusof thepandemicat the national , regional , stateand locallevels. Werecognize thatdata at thestate levelmaydiffer from thatavailableatthe federallevel. Our objectiveis to useconsistent data sourcesand methodsthatallowfor comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 IDAHO STATE REPORT 07.26.2020 STATE, % CHANGE FROM PREVIOUS STATE LASTWEEK NEW CASES WEEK 3,510 DIAGNOSTIC TEST 18.0 % POSITIVITY RATE COVID DEATHS -5.0 % ** 30 ( RATE PER 100,000 ) + 130.8 % ( 2) AT LEASTONE + 3.0 % * 9.1 % COVID - 19 CASE MOBILTY RELATIVEBASELINE MOBILTY TO LAST WEEK 460,137 ( 140) 6.6 % ( 1,607) ( TESTS PER 100,000) UNITED STATES (84 ) -4.8 % * 28,721** TOTAL DIAGNOSTICTESTS REGION LAST WEEK 12,065 -8.2 % ( 196) (RATE PER 100,000) FEMA/HHS 8.5 % 221,815 ** ( 1,546) 5,437,404 ** 113 6,434 ( 1) ( 2) ( 1,657) 4.4 % 12.1% 100 % 80 % 60 % 40 % 20 % 0 % 2/23 3/1 4/5 3/8 3/15 3/22 3/29 4/12 4/19 4/26 6/7 5/3 5/31 5/10 5/17 5/24 6/14 6/21 6/28 7/5 7/12 7/19 7/26 Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregating county -leveldata from USAFacts; therefore , the valuesmaynotmatch those reported directly by the state. Data is through 7/24/2020; lastweek is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 IDAHO STATEREPORT 07.26.2020 COVID - 19 COUNTYANDMETROALERTS LOCALITIESIN RED ZONE METRO AREA ( CBSA ) LASTWEEK 5 LOCALITIES IN Boise City Coeur d'Alene IdahoFalls Burley Ontario YELLOW ZONE Twin Falls Pocatello 8 Rexburg Blackfoot Mountain Home Moscow Jackson Logan COUNTY 14 LASTWEEK Top 12 shown Ada Canyon Kootenai Bonneville Minidoka Payette Cassia Owyhee (full list Gem below ) Jefferson Washington Shoshone Twin Falls Bannock Jerome 17 Top 12 shown (full list below ) Bingham Elmore Gooding Latah Teton Valley Benewah Clearwater Franklin All Red CBSAs BoiseCity, Coeur d'Alene, Idaho Falls, Burley, Ontario All Yellow Counties: Twin Falls, Bannock, Jerome, Bingham , Elmore,Gooding, Latah, Teton , Valley, Benewah, Franklin, Clearwater, Lincoln , Power Lemhi, BearLake, Adams Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity result between 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020 ; last week is 7/18 -7/24 , three weeks is 7/4 - 7/24 . Testing :CELR ( COVID - 19 Electronic Lab Reporting) state health department -reported data through 7/22/2020 . Lastweek is 7/16 - 7/22. Testing datamay bebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 IDAHO STATE REPORT 07.26.2020 1000 CASE NEW C-ASE 19 COVID 800 600 400 200 Daily COVID - 19 Cases ( 7 - day average ) Daily COVID - 19 Cases 4000 20.0 % 3000 15.0 % 2000 10.0 % 1000 5.0 % OF TESTS PERCENTAGE TOTAL 0.0 % % Positivity Rate (by result date 7 day avg. ) Daily Tests Completed ( 7 day avg. ) Top countiesbased on greatest number ofnew cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES Ada Canyon Kootenai 6000 CASES NEWCUMULATIVE ( Twin Falls Bonneville Minidoka 4000 Payette Cassia 2000 Bannock 3/8 3/15 - 3/22 3/29 - 4/5 4/12 4/19 4/26 6/7 5/3 5/10 5/17 5/24 5/31 6/14 6/21 6/28 7/5 7/12 7/19 7/26 DATA SOURCES Cases: County-leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: CELR ( COVID - 19 Electronic Lab Reporting) statehealth department-reported data through 7/22/2020. COVID - 19 Top 12 counties based on number ofnew cases in the last 3 weeks Daily COVID - 19 Cases ( 7 -day average) 400 Ada County Daily COVID - 19 Cases KootenaiCounty Canyon County 300 80 300 60 200 200 40 100 100 20 w CASE DAILY TO AL Twin Falls County BonnevilleCounty 40 MinidokaCounty 80 20 30 60 15 20 40 10 10 20 O Cassia County Payette County Owyhee County 15 20 10 10 10 5 Bannock JeromeCounty, County 15 Bingham County 20 10 15 10 10 5 5 5 3/21 4/5 4/20 5/5 6/4 5/20 7/4 6/19 7/19 3/21 4/5 4/20 5/5 5/20 6/4 6/19 7/19 DATA SOURCES Cases: County-leveldata from USAFacts through 7/24/2020. Last 3 weeks is 7/4 - 7/24. 3/21 6/19 7/4 7/19 COVID - 19 IDAHO STATE REPORT 07.26.2020 CASE RATESAND DIAGNOSTIC TESTPOSITIVITYDURING THE LASTWEEK TEST POSITIVITY DURING LAST NEW CASES PER 100,000 DURING WEEK LASTWEEK Date: 7/26/2020 Date: 7/26/2020 WA WA ND MT MT OR ND OR ID ID SD Cases per 100K TestPositivity Cases in Last NV Casesin Last 0.1to 9.9 10 to 99.9 100 to 0 % to 4.9 CA % WY CA 14 Days 5 % to 9.9 NV 200 to 499.9 500 or More 10 % to 19.9% 20 orMore UT % UT WEEKLY % CHANGEIN NEW WEEKLY CHANGE IN TEST CASES PER 100K POSITIVITY Date: 7/26/2020 E Date: 7/26/2020 WA WA MT ND MT ND OR OR ID ID PercentChangein Casesper100K < Casesin 14Days AbsoluteChangein TestPositivity 100% Less 20 Cases in Last 14 Days 100% to 999.9% More NV UT co 1,000 More + LittleChange 10 to 99.9% More CA % 2 % 10% to 99.9 Less Less 0.5% to 1.9% Less CA LittleChange NV UT 0.5% to 1.9% More % + More DATA SOURCES Cases: County-leveldata from USAFactsthrough 7/24/2020. Lastweek is7/18 - 7/24, previousweek is 7/11- 7/17. Testing: CELR (COVID- 19 ElectronicLab Reporting ) state health department-reporteddata through 7/22/2020. Lastweek is 7/16 - 7/22, previousweek is 7/9 - 7/15. Testingdatamaybebackfilledover time, resultingin changesweek- to-week in testing data. It is criticalthat statesprovideasup- to -datetestingdata aspossible. ILLINOIS STATEREPORT 07.26.2020 SUMMARY Illinoisis in theyellow zonefor cases, indicatingbetween 10 to 100 new casesper 100,000populationlastweek, andthe green zonefortest positivity, indicatinga ratebelow 5 % . Illinoishasseen an increasein new casesand stability intestingpositivity overthepastweek . The followingthree counties had thehighestnumberofnew casesoverthepast 3 weeks: 1.Cook County, 2. DuPage County, and 3. LakeCounty. These countiesrepresent55.2 percentof new cases in Illinois. Illinoishad72 new cases per 100,000 populationin the pastweek , compared to anationalaverageof 140per 100,000. Thefederalgovernmenthasdeployed the followingstaff as assets to support the stateresponse: 93 to support operationsactivitiesfrom FEMA; 8 to supportoperationsactivities from ASPR; 2 to supportepidemiology activities from CDC; and 7 to supportoperationsactivities from USCG . DuringJul 18 - Jul24 on average, 108 patientswith confirmed COVID -19 and 380 patientswith suspected COVID 19were reportedas newly admitted each day to hospitals in Illinois. An averageof 80 percentofhospitals reported each day duringthis period; therefore, this maybe an underestimateof the actualtotalnumberof COVID-relatedhospitalizations . Underreporting maylead to a lowerallocationofcriticalsupplies. RECOMMENDATIONS To preventthe yellow zone countiesfrom increasingcases, mandatemasks, closebars, andlimit indoordining at restaurants. Maskmandates shouldbe in placein all red and yellow zone counties. Protect vulnerable populationsin assistedlivingand long-term care facilitiesby testing allworkerseach week and requiring masks. In facilitieswith workerswho tested positive, ensure allresidents are tested and appropriatecohortingmeasures are in place. Continueto scale up contacttracingand ensurethe ability of cases and contacts to isolate or quarantinesafely. Monitor testing data to identify additionalsites of increased transmission andfocuspublic health resourceson them . Ensure COVID - 19 diagnostic testing continues to expand, specifically in themetro areas. Work with hospitals to ensure COVID 19 testresultsare immediately available for timely use of therapeutics. Monitoractivities atbars and restaurants if casesriseand adjustoccupancylevels accordingly. Specific, detailed guidanceon communitymitigationmeasures can be foundon the CDC website. Thepurposeof this reportis to developa sharedunderstanding of thecurrentstatusof thepandemicat the national , regional , stateand locallevels. Werecognize thatdata at thestate levelmaydiffer from thatavailableatthe federallevel. Our objectiveis to useconsistent data sourcesand methodsthatallowfor comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 ILLINOIS STATE REPORT 07.26.2020 STATE LASTWEEK NEW CASES (RATE PER 100,000 ) DIAGNOSTIC TEST POSITIVITY RATE STATE, % CHANGE FROM PREVIOUS WEEK 9,123 (72 ) + 20.3 % 4.5 % + 0.5 % * 211,080** TOTAL DIAGNOSTICTESTS ( RATE PER 100,000 ) AT LEASTONE -1.5% * 7.9 % LAST WEEK 460,137 ( 140) 5.2 % -13.1 % ( 1) UNITED STATES ( 76 ) 113 COVID DEATHS REGION LAST WEEK 39,685 -0.1% ** ( 1,666) ( TESTS PER 100,000) FEMA/HHS 8.5 % 987,491** ( 1,879) 5,437,404 ** 486 6,434 ( 1) (2 ) ( 1,657) 5.7 % 12.1% COVID - 19 CASE MOBILTY RELATIV BASELINE MOBILTY TO 100 % 80 % 60 % 40 % 20 % 0 % 2/23 3/1 4/5 3/8 3/15 3/22 3/29 4/12 4/19 4/26 5/3 5/10 5/17 5/24 5/31 6/7 6/14 6/21 6/28 7/5 7/12 7/19 7/26 Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregating county -leveldata from USAFacts; therefore , the valuesmaynotmatch those reported directly by the state. Data is through 7/24/2020; last week is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 ILLINOIS STATE REPORT 07.26.2020 COVID - 19 COUNTY ANDMETRO ALERTS LOCALITIES IN RED ZONE LOCALITIES IN YELLOW ZONE Chicago -Naperville- Elgin St. Louis METRO Carbondale -Marion AREA N /A ( CBSA ) LASTWEEK 8 Quincy Ottawa Sterling Cape Girardeau Paducah Will St. Clair Madison Adams COUNTY LASTWEEK Randolph Union Gallatin 23 LaSalle Jackson Whiteside Top 12shown Saline (full list below ) Iroquois Jo Daviess Cass Johnson All Yellow Counties:Will, St. Clair ,Madison, Adams, LaSalle, Jackson, Whiteside Saline, Iroquois, Jo Daviess, Cass, Johnson, Perry, Lawrence, Moultrie, Mercer, Washington,Warren , Fayette,Massac,Hamilton, Scott, Calhoun Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity result between 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020 ; last week is 7/18 -7/24 , three weeks is 7/4 - 7/24 . Testing :CELR ( COVID - 19 Electronic Lab Reporting) state health department -reported data through 7/22/2020 . Lastweek is 7/16 - 7/22. Testing datamay bebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 ILLINOIS STATE REPORT 07.26.2020 4000 C-ASE CASE 3000 19 COVID NEW 2000 1000 Daily COVID - 19 Cases ( 7 - day average) TESTING TESTS COVID Daily COVID -19 Cases 25.0 % 40000 20.0 % 30000 19 15.0 % 20000 10000 5.0 % OF TESTS PERCENTAGE TOTAL 0.0 % % Positivity Rate (by result date 7 day avg. ) Daily Tests Completed ( 7 day avg . ) Top counties based on greatest number ofnew cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES Cook 100000 DuPage Lake ) 80000 CASES NEW CUMULATIVE St. Clair Kane 60000 Madison McHenry Rock Island 40000 Champaign ( 20000 4/5 3/8 3/15 3/22 3/29 - - 5/3 4/12 4/19 4/26 5/10 5/17 5/24 5/31 6/14 6/21 6/28 7/5 7/12 7/19 7/26 DATA SOURCES Cases: County-leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: CELR ( COVID - 19 Electronic Lab Reporting) statehealth department-reported data through 7/22/2020. COVID - 19 Top 12 counties based on number ofnew cases in the last 3 weeks Daily COVID - 19 Cases (7 -day average) Cook County Daily COVID- 19 Cases Lake County, County 2000 300 300 1500 200 200 1000 CASE DAILY TO AL 200 100 100 500 WillCounty St.Clair County Kane County 80 400 150 60 300 100 50 40 200 20 100 Madison County Rock IslandCounty McHenry County 60 60 40 40 40 20 20 20 ChampaignCounty 40 Peoria County Winnebago County 40 200 30 30 150 20 20 100 10 10 50 O 5/20 6/4 6/19 7/4 7/19 3/21 4/5 4/20 5/5 5/20 6/4 6/19 7/4 7/19 DATA SOURCES Cases: County-leveldata from USAFacts through 7/24/2020. Last 3 weeks is 7/4 - 7/24. 3/21 4/5 5/5 4/20 6/4 5/20 6/19 7/4 7/19 COVID - 19 ILLINOIS STATE REPORT CASE RATESAND DIAGNOSTIC TESTPOSITIVITYDURING THE LASTWEEK NEW CASES PER 100,000 DURING TEST POSITIVITYDURING LAST LASTWEEK WEEK Date: 7/26/2020 Date: 7/26/2020 the MN MN WI WI SD SD MI MI IA IA NE NE OH KS OH IL IN Cases per 100K MO KY KS IN MO 20 Casesin Last 14 Days KY Test Positivity 0.1to 9.9 Casesin Last 14Days 10 to 99.9 0 % to 4.9 % 5 100 to 199.9 200to % to 9.9 10 % to 19.9 % TN OK 500orMore 20 orMore % TN OK % IL AR AR WEEKLY % CHANGEIN NEW WEEKLY CHANGEIN TEST CASES PER 100K POSITIVITY HERE Date: 7/26/2020 MN Date : 7/26/2020 HERE MN WI SD MI MI IA IA NE OH NE OH IL IN IN Percent Change in Cases per 100K Absolute Change in Casesin Last 14Days MO KY KS MO 100% Less 2 + Less % LittleChange 10% to 99.9% More 0.5% to 1.9% Less LittleChange 100% to 999.9% More AR 1.000 0.5% OK % TN OK Test Positivity CasesinLast 14 Days 10 % to 99.9% Less AR to 1.9 More % KS % + More DATA SOURCES Cases: County-leveldata from USAFactsthrough 7/24/2020. Lastweek is7/18 - 7/24, previousweek is 7/11- 7/17. Testing: CELR (COVID- 19 ElectronicLab Reporting ) state health department-reporteddata through 7/22/2020. Lastweek is 7/16 - 7/22, previousweek is 7/9 - 7/15. Testingdatamaybebackfilledover time, resultingin changesweek- to-week in testing data. It is criticalthat statesprovideasup- to -datetestingdata aspossible. INDIANA STATE REPORT 07.26.2020 SUMMARY Indianais in the yellow zoneforcases, indicatingbetween 10 to 100new casesper 100,000populationlastweek, andthe yellow zonefor test positivity, indicatinga ratebetween 5 % to 10% . Indianahasseen an increasein new cases and stabilityintestingpositivityover the pastweek. The followingthree countieshad the highestnumber ofnew casesoverthe past3weeks: 1. Marion County, 2. Lake County, and 3. Elkhart County. These countiesrepresent32.6 percentofnew casesin Indiana. Cases are rising across Indianaandmitigation effortsneed to be implementedstatewide . Indianahad 86 new casesper 100,000 populationin the pastweek, comparedto a nationalaverageof 140per 100,000. The federal governmenthasdeployed thefollowingstaff asassets to supportthe state response: 9 to support operations activities from FEMA; 3 to support epidemiology activities from CDC; and 2 to supportoperationsactivitiesfrom CDC. DuringJul 18 - Jul24, on average, 23 patientswith confirmedCOVID- 19 and48 patientswith suspected COVID- 19 were reported as newlyadmittedeach dayto hospitalsin Indiana . An averageof 23 percentofhospitalsreported each dayduring this period; therefore, thismaybean underestimateofthe actualtotalnumberofCOVID - relatedhospitalizations . Underreporting maylead to a lower allocation ofcriticalsupplies. RECOMMENDATIONS Protectthosein nursinghome assistedliving, and long-term carefacilitiesby assuringaccessto rapid facility- wide testingin responseto a residentorstaffmemberwith COVID- 19. Ensuresocialdistancingand universalfacemaskuse. Mandateuse ofmasksin allcurrent and evolvinghotspots acrossthe state. Close establishments wheresocialdistancingandmaskuse cannotoccur, such as bars, nightclubs, and entertainmentvenues. Moveto outdoordiningand limit indoor diningto lessthan 25 occupancy. Ask citizensto limitsocialgatheringsto fewer than 10people. Encourageindividualsthathaveparticipatedin anylarge socialgatheringsto get tested. Increasemessagingoftherisk of seriousdisease in allagegroupswith preexisting medicalconditions,includingobesity, , and diabetesmellitus. hypertension Continuethe scale-up of testing, movingto community led neighborhoodtesting . Work with localcommunitiesto implementandprovideclearguidanceforhouseholdsthattest positive, includingon individualisolationand quarantiningprocedures. Continue to enhancecontacttracingand ensure theability ofcasesandcontactsto quarantineor isolate safely. Monitortestingdatato identifyadditionalsites of increasedtransmissionand focuspublichealth resourceson them . Ensureeverypublic healthlab is fully staffedand running24/7 , utilizingallplatforms to reduceturnaroundtimes. Institute4: 1 poolingof test specimenson allhigh throughputmachinesas longas turnaroundtimesaregreaterthan 36 hours. Forfamilies and cohabitinghouseholds , screenentirehouseholdsin a single test by poolingspecimens. Require alluniversitieswith RNAdetection platformsto usethis equipmentto expandsurveillancetestingfor schools( K - 12, community colleges anduniversitystudents. Specific, detailed guidanceon communitymitigationmeasurescan be found ontheCDCwebsite. Thepurposeof this reportis to develop a sharedunderstanding of the currentstatusof thepandemicat the national , regional , state and locallevels. Werecognize thatdata at the state levelmay differ from that availableatthefederallevel. Our objectiveis to use consistent data sourcesandmethodsthatallow for comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 INDIANA STATE REPORT 07.26.2020 STATE, % CHANGE FROM PREVIOUS STATE, LASTWEEK NEW CASES (RATE PER 100,000) DIAGNOSTIC TEST POSITIVITY RATE WEEK 5,785 ( 86) + 28.2 % 7.0 % -0.4 % * 118,407 ** ( 1,759) TOTAL DIAGNOSTICTESTS ( TESTS PER 100,000) COVID DEATHS 77 ( RATE PER 100,000 ) ( 1) MOBILTY MOBILTY LAST WEEK 460,137 ( 140) ( 76 ) 5.2 % 8.5 % 987,491** ( 1,879) 5,437,404 ** 486 6,434 ( 1) (2 ) + 0.3 % * 4.5 % UNITED STATES 39,685 +40.0 % COVID - 19 CASE TO LAST WEEK +29.6 % ** WITH AT LEASTONE RELATIVEBASELINE FEMA/HHS REGION ( 1,657) 5.7 % 12.1% 100 % 80 % 60 % 40 % 20 % 0 % 3/1 4/5 3/8 2/23 3/15 3/22 3/29 4/12 4/19 4/26 5/3 6/7 5/10 5/17 5/24 5/31 6/14 6/21 6/28 7/5 7/12 7/19 7/26 Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregating county -leveldata from USAFacts; therefore , the valuesmaynotmatch those reported directly by the state. Data is through 7/24/2020; last week is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 INDIANA STATE REPORT 07.26.2020 COVID - 19 COUNTY AND METRO LOCALITIES IN RED ZONE ALERTS LOCALITIES IN YELLOW ZONE Indianapolis- Carmel- Anderson Chicago -Naperville-Elgin Evansville METRO AREA ( CBSA ) South Bend-Mishawaka Elkhart- Goshen Plymouth 5 FortWayne Louisville/ Jefferson County Jasper Logansport Scottsburg LAST WEEK 23 Top 12shown Lafayette-West Lafayette (fulllist below ) Cincinnati Warsaw Kokomo Marion Kendallville Marion Lake Vanderburgh St. Joseph Elkhart Marshall Dubois COUNTY LASTWEEK Hamilton 46 Posey 10 Cass Scott White Franklin Tipton Top 12 shown ( fulllist below ) Allen Porter Tippecanoe Johnson Clark Hendricks Kosciusko Warrick AllYellow CBSAs: Indianapolis-Carmel-Anderson, Chicago-Naperville-Elgin, Evansville, South Bend-Mishawaka, FortWayne, Louisville/ Jefferson County, Lafayette-West Lafayette, Cincinnati, Warsaw , Kokomo, Marion, Kendallville, Richmond,Madison, Bedford, Seymour, Washington, Peru, Angola, Auburn, Connersville, Decatur, North Vernon All Yellow Counties: Marion, Vanderburgh, St. Joseph, Hamilton, Allen, Porter, Tippecanoe, Johnson, Clark , Hendricks, Kosciusko, Warrick, Floyd, Howard, Dearborn, Grant, Noble, Boone, Gibson,Wayne, Hancock, Jefferson, Spencer, Starke, Morgan, Lawrence, Jasper, Jackson , Daviess, Miami , Steuben, LaGrange, Fulton, DeKalb , Greene, Putnam , Harrison, Fayette, Owen, Adams, Jennings, Orange, Martin , Washington, Benton, Pulaski Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity result between 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020 ; last week is 7/18 -7/24 , three weeks is 7/4 - 7/24 . Testing :CELR ( COVID - 19 Electronic Lab Reporting) state health department -reported data through 7/22/2020 . Lastweek is 7/16 - 7/22. Testing datamay bebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 INDIANA STATE REPORT 07.26.2020 C-ASE CASE 19 COVID NEW 1000 750 500 250 Daily COVID -19Cases ( 7 - day Daily COVID - 19 Cases e ) 20.0 % TESTING TESTS COVID 19 15000 15.0 % 10000 10.0 % 5000 5.0 % OF TESTS PERCENTAGE TOTAL 0.0 % Daily Tests Completed ( 7 day .) % PositivityRate (by result date 7 day avg. ) Top counties based on greatest number of new cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES Marion Lake Elkhart 12500 ) Vanderburgh St.Joseph Hamilton 10000 CASES NEW CUMULATIVE 7500 Allen Monroe Porter 5000 Marshall ( 2500 - - 3/8 - 4/5 3/15 3/22 3/29 4/12 - - 4/19 4/26 5/3 - 5/10 5/17 5/24 5/31 - - - - 6/14 6/21 6/28 - 7/5 7/12 7/19 7/26 DATA SOURCES Cases: County-leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: CELR ( COVID - 19 Electronic Lab Reporting) statehealth department-reported data through 7/22/2020. COVID - 19 Top 12 counties based on number ofnew cases in the last 3 weeks Daily COVID - 19 Cases Daily COVID - 19 Cases ( 7 -day average) Marion 300 150 Lake County ElkhartCounty 100 200 100 100 50 50 CASE DAILY TO AL 60 St.Joseph County VanderburghCounty Hamilton County 60 60 40 40 20 150 40 20 Allen County 20 MonroeCounty Porter County 30 30 100 50 20 20 10 10 Marshall County TippecanoeCounty Johnson County 100 30 40 75 20 50 20 10 25 3/21 4/5 4/20 5/5 5/20 6/4 IZ 7/4 7/19 / 4/5 4/20 5/5 5/20 6/4 6/19 7/4 7/19 DATA SOURCES Cases: County- leveldata from USAFacts through 7/24/2020 . Last 3 weeks is 7/4 - 7/24 . S 3/21 / 4/20 5/5 5/20 6/4 6/19 7/4 7/19 COVID - 19 INDIANA STATE REPORT 07.26.2020 CASE RATESAND DIAGNOSTIC TESTPOSITIVITYDURING THE LASTWEEK NEW CASES PER 100,000 DURING TEST POSITIVITY DURING LAST LASTWEEK WEEK Date: 7/26/2020 Ser Date: 7/26/2020 WI WI MI MI PA IA PA IA OH OH IL IN IN Cases per100K MO 20Casesin Last 14Days 0.1to 9.9 KY Test Positivity MO Casesin Last 14Days KY 10 to 99.9 0 % to 4.9 % 100to 199.9 5 200 to 10% to 19.9% 20 or More to 9.9% % 500 orMore WEEKLY % CHANGEIN NEW WEEKLY CHANGEIN TEST CASES PER 100K POSITIVITY Date: 7/26/2020 Date : 7/26/2020 WI WI MI MI PA PA IA IA OH OH IL IN IN Percent Changein Casesper 100K 20 Casesin Last 14Days AbsoluteChange TestPositivity 100% to 999.9% More 1.000% % KY Less 0.5% to 1.9% Less Little Change 0.5% to 1.9 More 2 More % LittleChange 10 % to 99.9% More MO + KY % % 10 % to 99.9% Less MO 2 Casesin Last 14Days 100 Less DATA SOURCES Cases: County-leveldata from USAFactsthrough 7/24/2020. Lastweek is7/18 - 7/24, previousweek is 7/11- 7/17. Testing: CELR (COVID- 19 ElectronicLab Reporting ) state health department-reporteddata through 7/22/2020. Lastweek is 7/16 - 7/22, previousweek is 7/9 - 7/15. Testingdatamaybebackfilledover time, resultingin changesweek- to-week in testing data. It is criticalthat statesprovideasup- to -datetestingdata aspossible. IOWA STATEREPORT 07.26.2020 SUMMARY lowais in the red zone for cases , indicatingmore than 100 new cases per 100,000 population lastweek , and the yellow zone for test positivity , indicating a ratebetween 5 % to 10 % . lowahas seen stability in new cases and an increase in testing positivity over the pastweek. The following three counties had the highestnumber of new cases over the past 3 weeks: 1.Polk County, 2. Scott County, and 3.Dubuque County . These counties represent 36.9 percent ofnew cases in . lowahad 106 new cases per 100,000 population in thepastweek, compared to a national average of 140 per 100,000. The federal government has deployed the following staff as assets to support the state response: 14 to support medical activities from VA . During Jul 18 - Jul24 , on average , 30 patients with confirmed COVID - 19 and 28 patients with suspected COVID - 19 were reported as newly admitted each day to hospitals in lowa. An average of 84 percent ofhospitalsreported each day during this period; therefore , this may be an underestimate ofthe actualtotalnumber of COVID -related hospitalizations. Underreportingmay lead to a lower allocation of critical supplies . RECOMMENDATIONS Continue to promote socialdistancing and wearing ofcloth face masks when outside the home, especially in indoor environments and in counties with high ( > 100 cases / 100K population ) or increasing case rates. Protectthose in nursinghomes and long-term wear facemasks while on duty . care facilities by testing allstaff each week and requiring staff to Continue to identify and aggressively investigate outbreaks early, especially in localities with increasing transmission and large populations. Intensify contact tracing , quarantine of contacts, and isolation for documented or suspected cases. Meatpacking plants and other crowded workplaces should ensure social distancing, the wearing of facemasks, and regular testing . Workplaces should implement clear protocols for early and thorough case investigations and contact tracing. Increase volumeoftesting andmove to community -led testing in localities with elevated or increasing transmission. Consider pooled testing as directed below to increase access and reduce turnaround times. In localities with 7-day average test positivity greater than 10% , close bars and gyms, require strict social distancing in restaurants ( restrict indoor dining and promote outdoor dining), and restrict gatherings to fewer than 10 people. Specific , detailed guidance on community mitigation measures can be found on the CDC website . Thepurposeof this reportis to developa sharedunderstanding of thecurrentstatusof thepandemicat the national , regional , stateand locallevels. Werecognize thatdata at thestate levelmaydiffer from thatavailableatthe federallevel. Our objectiveis to useconsistent data sourcesand methodsthatallowfor comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 STATE REPORT 07.26.2020 STATE, % CHANGE FROM PREVIOUS STATE LASTWEEK NEW CASES WEEK 3,330 ( 106 ) (RATE PER 100,000) DIAGNOSTIC TEST -0.3 % * 6.9 % 63,686 ** ( 2,019) ( TESTS PER 100,000) COVID DEATHS 38 ( RATE PER 100,000 ) ( 1) -2.6 % + 1.1% * 4.7 % COVID - 19 CASE MOBILTY RELATIVEBASELINE MOBILTY TO UNITED STATES LAST WEEK 460,137 ( 140) 8.2 % -0.5 % ** WITH AT LEASTONE REGION LAST WEEK 16,495 (117) -8.9 % POSITIVITY RATE TOTAL DIAGNOSTICTESTS FEMA/HHS 8.5 % 201,537 ** ( 1,425) 5,437,404 ** 141 6,434 ( 1) (2 ) ( 1,657) 5.2 % 12.1% 100 % 80 % 60 % 40 % 20 % 0 % 3/1 4/5 3/8 2/23 3/15 3/22 3/29 4/12 4/19 4/26 5/3 5/10 5/17 5/24 5/31 6/14 6/21 6/28 7/5 7/12 7/19 7/26 Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregating county -leveldata from USAFacts; therefore , the valuesmaynotmatch those reported directly by the state. Data is through 7/24/2020; lastweek is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 IOWA STATE REPORT 07.26.2020 COVID - 19 COUNTY ANDMETRO ALERTS LOCALITIES IN RED ZONE LOCALITIES IN YELLOW ZONE DesMoines-West DesMoines Waterloo -Cedar Falls Cedar Rapids METRO Dubuque Marshalltown AREA (CBSA ) LASTWEEK w Ottumwa 14 Top 12 shown (fulllist below ) Fort Dodge Mason City Omaha -Council Bluffs Sioux City Ames Muscatine Clinton Spirit Lake Storm Lake Polk Scott Black Hawk Dubuque Marshall Franklin COUNTY LASTWEEK 8 Wapello Hardin Emmet Lyon Montgomery Linn 53 Dallas Webster Cerro Gordo shown Top Woodbury ( fulllist Pottawattamie below ) Story Warren Muscatine AllYellow CBSAs: DesMoines-WestDes Moines, Waterloo -Cedar Falls, CedarRapids, Fort Dodge, Mason City, Omaha-CouncilBluffs, Sioux City , Ames, Muscatine, Clinton , Spirit Lake, Storm Lake, Carroll, Spencer All Yellow Counties: Polk, Scott, Black Hawk, Linn , Dallas, Webster, Cerro Gordo, Woodbury, Pottawattamie Story ,Warren, Muscatine, Jasper, Clinton, Dickinson, Sioux, Plymouth , Jackson , Bremer, Buena Vista, Boone, Tama, Carroll, Guthrie, Jones , Wright, Hancock, Washington , Benton, Madison , Kossuth , Mitchell, Buchanan ,Winnebago, Clay, Worth , Clayton , Clarke, Palo Alto, O'Brien , Page, Harrison, Pocahontas, Chickasaw , Lee, Louisa, Monroe, Monona, Taylor, Greene, Decatur, Ringgold, Ida Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity result between 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020 ; last week is 7/18 -7/24 , three weeks is 7/4 - 7/24 . Testing :CELR ( COVID - 19 Electronic Lab Reporting) state health department -reported data through 7/22/2020 . Lastweek is 7/16 - 7/22. Testing datamay bebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 STATE REPORT 07.26.2020 CASE COVID CASE 19 NEW 800 600 400 200 Daily COVID - 19 Cases Daily COVID -19 Cases ( 7 - day average) 10000 TESTING TESTS COVID 19 20.0 % 8000 15.0 % 6000 10.0 % 4000 5.0 % 2000 OF TESTS PERCENTAGE TOTAL 0.0 % Daily Tests Completed ( 7 day avg. ) % Positivity Rate (by result date 7 day avg. ) Top counties based on greatest number ofnew cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES Polk Scott 8000 ) CASES NEWCUMULATIVE Dubuque Black Hawk Linn 6000 son Dallas Webster 4000 Cerro Gordo Woodbury ( 2000 3/8 3/15 3/22 3/29 4/5 4/12 4/19 - 4/26 5/3 5/10 5/17 5/24 5/31 6/7 - 6/14 6/21 6/28 7/5 7/12 7/19 7/26 DATA SOURCES Cases: County-leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: CELR ( COVID - 19 Electronic Lab Reporting) statehealth department-reported data through 7/22/2020. COVID - 19 Top 12 counties based on number ofnew cases in the last 3 weeks Daily COVID - 19 Cases ( 7 -day average) 200 Polk County Daily COVID - 19 Cases Scott County DubuqueCounty 60 60 40 40 20 20 150 100 50 CASE DAILY TO AL Black Hawk County Linn County Johnson County 60 150 60 100 40 50 20 40 20 WebsterCounty Dallas County 100 Cerro GordoCounty 60 30 75 40 20 50 20 10 25 O PottawattamieCounty Woodbury 300 Story County 40 40 200 30 20 20 100 10 - - 3/21 4/5 4/20 5/5 5/20 6/4 6/19 7/4 7/19 5/20 6/4 6/19 7/19 DATA SOURCES Cases: County-leveldata from USAFacts through 7/24/2020. Last 3 weeks is 7/4 - 7/24. 5/20 6/4 6/19 7/4 7/19 COVID - 19 IOWA STATE REPORT 07.26.2020 CASE RATESAND DIAGNOSTIC TESTPOSITIVITYDURING THE LASTWEEK TEST POSITIVITYDURING LAST NEW CASES PER 100,000 DURING LASTWEEK WEEK Date: 7/26/2020 Date : 7/26/2020 MN MN WI SD WI SD IA NE IA NE IL IL Cases per 100K TestPositivity 20 Cases inLast 14 Days 20 Casesin 14Days % to 4.9% 0.1to 9.9 MO 100 to 199.9 200 to499.9 500 orMore KS 5 % MO 0 10 to 99.9 to 9.9% 10% to 19.9% 20% or More KS WEEKLY % CHANGEIN NEW WEEKLY CHANGEIN TEST CASES PER 100K POSITIVITY Date: 7/26/2020 Date : 7/26/2020 MN MN WI SD WI SD IA IA PercentChangein Casesper100K NE NE Absolute Change in Test Positivity Casesin Last 14Days Cases in Last 14Days % 100 Less 2 % 10% to 99.9 Less KS 100% to 999.9% More 1.000% + % LittleChange 10% to 99.9% More MO Less 0.5% to 1.9% Less MO LittleChange 0.5 % to 1.9% More KS % + More DATA SOURCES Cases: County-leveldata from USAFactsthrough 7/24/2020. Lastweek is7/18 - 7/24, previousweek is 7/11- 7/17. Testing: CELR (COVID- 19 ElectronicLab Reporting ) state health department-reporteddata through 7/22/2020. Lastweek is 7/16 - 7/22, previousweek is 7/9 - 7/15. Testingdatamaybebackfilledover time, resultingin changesweek- to-week in testing data. It is criticalthat statesprovideasup- to -datetestingdata aspossible. KANSAS STATEREPORT 07.26.2020 SUMMARY Kansasisin the red zone for cases, indicatingmorethan 100 new cases per 100,000populationlastweek , andthe yellow zone fortestpositivity, indicatinga ratebetween 5 % to 10 % . Kansas has seen stabilityinnew cases and stability in testing positivity overthe past week. Thefollowing three countieshad the highestnumberofnew cases over the past 3 weeks: 1. Johnson County, 2.Sedgwick County, and 3.Wyandotte County. These countiesrepresent62.9 percent of new cases in Kansas. Cases continueto be concentrated in theKansas City and Wichita CBSAs. Mostrural countieshave lowerincidencebut three nearby countiesin thesouthwestern Kansasarea ( Seward, Grant , Finney) continueto experiencewith elevatedincidence. Kansas had 113new cases per 100,000populationin the past week , compared to a national averageof 140 per 100,000. Thefederalgovernmenthas deployedthefollowing staff as assets to supportthe state response: 1 to support operations activitiesfrom FEMAand 7 to supportoperationsactivitiesfrom ASPR. During Jul 18 - Jul24, on average, 27 patientswith confirmed COVID - 19 and 65 patientswith suspected COVID - 19were reported as newly admitted each day to hospitals in Kansas. An averageof59 percentofhospitalsreportedeach dayduring this period; therefore, thismaybe an underestimateof theactualtotalnumberofCOVID -related hospitalizations . Underreporting mayleadto a lowerallocation of criticalsupplies. * RECOMMENDATIONS Continue statemaskingmandate. Communicatewith rising incidence counties thathave opted out of requiringmasks about the public health benefits ofwearingthem and the risk of decreasedbusiness activity and difficulties with school operationsif cases continue to rise. In all countieswith rising testpercentpositivity, close allbars, increase outdoor dining opportunities, decreaseindoordining to 25 ofnormalcapacity, and limit socialgatheringsto 10 orfewer people. Consider closingbars at 11pm inyellow and red counties Continue the scale- up of testing, movingto community- led neighborhood testing and workingwith localcommunity groups to increasehousehold testing ofmultigenerationalhouseholds. Provideclear guidanceon testpositive isolation, quarantine procedures, andmask use. Increasemessaging of the risk ofserious disease in all age groups with preexistingmedicalconditions, includingobesity, hypertension, and diabetesmellitus. Expandtesting capacity in public health labs, addingshifts and weekend shifts to decreaseturnaround times. Work with university studentsto identify and disseminatemessagingon mitigationmeasuresthatresonateswith students. Protect those in nursinghomesand long-term care facilities by ensuring accessto rapid facility-widetestingin responseto a residentor staffmemberwith COVID - 19. Address staff and supply shortages. Ensure socialdistancing and universalfacemask use Specific, detailedguidanceon communitymitigationmeasurescan be found on the CDCwebsite. Thepurposeof this reportis to develop a sharedunderstanding of the currentstatusof thepandemicat the national , regional , state and locallevels. Werecognize thatdata at thestate levelmaydiffer from thatavailableatthe federallevel. Our objectiveis to useconsistent data sourcesand methodsthatallowfor comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 KANSAS STATE REPORT 07.26.2020 STATE LAST WEEK NEW CASES 3,296 (RATE PER 100,000) ( 113) DIAGNOSTIC TEST STATE, % CHANGE FROM PREVIOUS WEEK 42,164 ** ( 1,447) ( RATE PER 100,000 ) AT LEASTONE MOBILTY 16,495 (117) 8.5 % 201,537 ** ( 1,425) 5,437,404 ** 141 6,434 ( 1) (2 ) +61.5 % + 2.6 % * 3.6 % 460,137 ( 140) 8.2 % +26.8 % ** ( 1) COVID - 19 CASE TO LAST WEEK 21 COVID DEATHS RELATIVEBASELIN MOBILTY UNITED STATES + 0.2 % * 9.8 % ( TESTS PER 100,000) REGION LAST WEEK -0.4 % POSITIVITY RATE TOTAL DIAGNOSTICTESTS FEMA/HHS ( 1,657) 12.1% 5.2 % 100 % 80 % 60 % 40 % 20 % 0 % 3/1 3/8 2/23 3/15 3/22 3/29 4/5 4/12 4/19 4/26 6/7 5/3 5/10 5/17 5/24 5/31 6/14 6/21 6/28 7/5 7/12 7/19 7/26 Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregating county -leveldata from USAFacts; therefore , the valuesmaynotmatch those reported directly by the state. Data is through 7/24/2020; lastweek is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 KANSAS STATE REPORT 07.26.2020 COVID - 19 COUNTY ANDMETRO ALERTS LOCALITIES IN RED ZONE LOCALITIES IN YELLOW ZONE KansasCity Topeka Manhattan METRO Liberal AREA ( CBSA) Salina Wichita 6 Garden City Coffeyville LASTWEEK 13 Emporia Parsons Top 12 shown (fulllist below ) Hutchinson Pittsburg Hays Ottawa Dodge City Winfield McPherson GreatBend COUNTY 13 LAST WEEK 12 shown ( full list below ) Sedgwick Johnson Wyandotte Seward Shawnee Riley Lyon Leavenworth Finney Saline Reno Montgomery Labette Grant Marion Gray Butler Top 12 shown ( full list below ) Crawford Geary Harvey Doniphan Ellis Stanton Sumner AllRed Wichita , Liberal, Emporia,Garden City , Coffeyville , Parsons All Yellow CBSAs: Kansas City, Topeka ,Manhattan ,Salina ,Hutchinson , Pittsburg, Hays, Ottawa, Dodge City ,Winfield ,McPherson ,Great Bend , Atchison AllYellow Counties : Johnson , Shawnee, Riley, Leavenworth , Saline,Reno Butler , Crawford , Geary, Harvey , Ellis, Sumner, Franklin , Miami, Ford, Cowley, McPherson , Dickinson , Barton , Ottawa, Bourbon ,Pratt, Jackson ,Rice,Mitchell, Atchison , Haskell , Brown, Linn , Thomas, Coffey, Stevens,Meade, Harper, Rooks, Scott ,Wilson, Lincoln , Kearny , Barber , Jewell, Greenwood , Kiowa , Wichita Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity result between 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020 ; last week is 7/18 -7/24 , three weeks is 7/4 - 7/24 . Testing :CELR ( COVID - 19 Electronic Lab Reporting) state health department -reported data through 7/22/2020 . Lastweek is 7/16 - 7/22. Testing datamay bebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 KANSAS STATEREPORT 07.26.2020 2000 CASE NEW C-ASE 1500 19 COVID 1000 500 Daily COVID - 19 Cases 7 - day average) TESTING TEST COVID 19 Daily COVID - 19 Cases 6000 15.0 % 4000 10.0 % 2000 5.0 % Daily Tests Completed ( 7 day avg.) OF TESTS PERCENTAGETOTAL 0.0 % % Positivity Rate (by result date 7 day avg. ) Top countiesbased on greatest number ofnew cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES Johnson 4000 Sedgwick ) CASES NEWCUMULATIVE Wyandotte Shawnee 3000 Douglas Riley Leavenworth 2000 Saline Seward Reno ( 1000 - L 3/8 3/15 3/22 3/29 / 9 4/5 5/3 4/12 4/19 4/26 5/10 5/17 5/24 5/31 6/14 6/21 6/28 7/5 7/12 7/19 7/26 DATA SOURCES Cases: County-leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: CELR ( COVID - 19 Electronic Lab Reporting) statehealth department-reported data through 7/22/2020. COVID - 19 Top 12 counties based on number ofnew cases in the last 3 weeks Daily COVID - 19 Cases Daily COVID - 19 Cases 7 -day average) 400 Johnson County 400 Sedgwick County Wyandotte County 300 200 200 200 100 100 CASE DAILY TO AL 150 ShawneeCounty Riley County Douglas County 150 60 100 40 50 20 100 50 Saline County LeavenworthCounty Seward 100 40 150 75 30 100 20 50 10 25 50 O Reno County Butler County Lyon County 20 15 20 40 10 20 10 5 3/21 4/5 6/4 5/5 4/20 5/20 / 5/5 5/20 6/4 6/19 7/19 DATA SOURCES Cases: County-leveldata from USAFacts through 7/24/2020. Last 3 weeks is 7/4 - 7/24. -3/21 COVID - 19 KANSAS STATEREPORT 07.26.2020 CASE RATESAND DIAGNOSTIC TESTPOSITIVITYDURING THE LASTWEEK NEW CASES PER 100,000 DURING TEST POSITIVITYDURING LAST LASTWEEK WEEK Date: 7/26/2020 Date: 7/26/2020 IA NE IA NE CO KS MO MO Cases per 100K 20 Cases inLast 14 Days Test Positivity 20 Casesin 14Days % to 4.9 % 0.1to 9.9 0 10 to 99.9 OK 100 to 199.9 TX 5 OK TX WEEKLY % CHANGEIN NEW CASES PER Date: 7/26/2020 % to 9.9 % 10 % to 19.9% 20% or More 200 to499.9 500 orMore WEEKLY CHANGEIN TEST 100K POSITIVITY Date: 7/26/2020 Cami IA IA NE NE CO KS MO MO Percent Change in Cases per 100K Absolute Changein Test Positivity in Last 14Days Casesin Last 14Days NM % 100 Less 2 % 10% to 99.9 Less 100% to 999.9% More 1.000 More % OK TX + Less 0.5% to 1.9% Less LittleChange 0.5 % to 1.9 % More 2 + TX LittleChange 10% to 99.9% More % OK DATA SOURCES Cases: County-leveldata from USAFactsthrough 7/24/2020. Lastweek is7/18 - 7/24, previousweek is 7/11- 7/17. Testing: CELR (COVID- 19 ElectronicLab Reporting ) state health department-reporteddata through 7/22/2020. Lastweek is 7/16 - 7/22, previousweek is 7/9 - 7/15. Testingdatamaybebackfilledover time, resultingin changesweek- to-week in testing data. It is criticalthat statesprovideasup- to -datetestingdata aspossible. KENTUCKY STATE REPORT 07.26.2020 SUMMARY Kentuckyis in the yellow zonefor cases, indicatingbetween 10 to 100new casesper 100,000populationlastweek, andthe yellow zonefortest positivity, indicating a ratebetween5 % to 10 % . Kentuckyhasseen an increasein new cases and remainedin the yellow zone fortestingpositivity overthe pastweek. The following three countieshad the highestnumberofnew casesoverthepast3weeks: 1.Jefferson County, 2.Fayette County, and 3.Warren County. These countiesrepresent32.8 percentofnew cases in Kentucky. Morecountiesand CBSAs are in the red zonethis week. Kentuckyhad 98 new cases per 100,000population in the pastweek, comparedto a nationalaverageof 140per 100,000. The federal governmenthasdeployedthe followingstaff as assets to support the stateresponse: 7 to supportoperations activities from FEMA. During Jul 18 - Jul24 , on average, 46 patientswith confirmedCOVID- 19and73 patientswith suspectedCOVID- 19 were reported as newlyadmittedeach day to hospitalsin Kentucky. An averageof 80 percentofhospitalsreported each day during this period; therefore, thismaybean underestimateofthe actualtotalnumberof COVID - relatedhospitalizations . Underreporting maylead to a lower allocation ofcriticalsupplies. RECOMMENDATIONS Closingbarsand reducingindoordiningat restaurantsto 25 % capacityiscriticalto disrupttransmission . Keepmaskmandatesin place andworkwith localcommunity groupsto developstrongpublicmessagingofthe importanceof masksin avoidingdisruptionsto businessand schooloperations . Protectvulnerablepopulationsin assistedlivingand long- term carefacilitiesthroughweeklytestingof allworkersand requiringmasks. In facilitieswith workerswhotestedpositive, ensure allresidentshavebeen tested and appropriatecohorting measuresarein place. Continue to enhance contacttracingand ensurethe ability of cases andcontactsto quarantineor isolatesafely. Monitortestingdatato identifyadditionalsites ofincreasedtransmissionandfocuspublic health resourceson them . For family and cohabitatinghouseholds , screen entirehouseholdsin a single testbypooling a sampleofeach sample. Forhouseholdsthattestpositive, isolateandconductfollow - up individualtests. Expandtestingcapacityinpublichealthlabs, addingshiftsandweekendshiftsto reduceturnaroundtimes. Increasemessagingof the risk ofseriousdiseasein allagegroupswith preexistingmedicalconditions, includingobesity, hypertension , and diabetesmellitus. Specific, detailed guidanceon communitymitigationmeasurescan be found ontheCDCwebsite. Thepurposeof this reportis to developa sharedunderstanding of thecurrentstatusof thepandemicat the national , regional , stateand locallevels. Werecognize thatdata at thestate levelmaydiffer from thatavailableatthe federallevel. Our objectiveis to useconsistent data sourcesand methodsthatallowfor comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 KENTUCKY STATE REPORT 07.26.2020 STATE, % CHANGE FROM PREVIOUS STATE LASTWEEK NEW CASES REGION UNITED STATES WEEK LASTWEEK LAST WEEK + 47.0 % 168,276 ( 252) 460,137 ( 140) -1.9% * 14.3 % 8.5 % 4,372 ( 98 ) (RATE PER 100,000) DIAGNOSTIC TEST 7.7 % POSITIVITY RATE 70,542** ( 1,579) TOTAL DIAGNOSTICTESTS ( TESTS PER 100,000) COVID DEATHS 49 ( RATE PER 100,000 ) ( 1) +63.7 % ** MOBILTY RELATIVEBASELINE MOBILTY TO 1,071,031** 5,437,404 ** ( 1,601) ( 1,657) 2,048 6,434 ( 3) (2 ) + 28.9 % AT LEASTONE +0.0 % * 6.9 % COVID - 19 CASE FEMA /HHS 23.1% 12.1% 100 % 80 % 60 % 40 % 20 % 0 % 2/23 3/1 4/5 3/8 3/15 3/22 3/29 4/12 4/19 4/26 6/7 5/3 5/10 5/17 5/31 6/14 6/21 6/28 7/5 7/12 7/19 7/26 Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregating county -leveldata from USAFacts; therefore , the valuesmaynotmatch those reported directly by the state. Data is through 7/24/2020; lastweek is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 KENTUCKY STATE REPORT 07.26.2020 COVID - 19 COUNTY ANDMETRO ALERTS LOCALITIES IN RED ZONE LOCALITIES IN YELLOW ZONE Louisville/ Jefferson County Lexington- Fayette Cincinnati London METRO Bowling Green AREA 18 Mayfield w ( CBSA ) Glasgow Top 12 shown (fulllist LAST WEEK below) Elizabethtown - Fort Knox Clarksville Middlesborough Owensboro Paducah Danville Evansville Madisonville COUNTY 16 Jefferson Warren Fayette Oldham Boone Shelby Graves Laurel Barren LAST WEEK 12 shown ( full list below) Kenton Christian 58 Top shown Ohio Casey Henderson Carroll Adair ( fulllist below ) Hardin Bell Campbell Daviess Scott Harlan McCracken Jessamine All Red CBSAs BowlingGreen ,Mayfield, Glasgow All Yellow CBSAs: Louisville/ Jefferson County, Lexington-Fayette, Cincinnati, London, Elizabethtown-FortKnox, Clarksville, Middlesborough, Owensboro, Paducah, Evansville, Danville, Madisonville, Bardstown, CentralCity, Frankfort, Murray, Campbellsville, Maysville AllYellow Counties: Fayette, Kenton , Boone, Christian, Hardin, Bell, Campbell, Daviess, Scott, Harlan, McCracken, Jessamine, Hopkins, Bullitt, Nelson, Knox, Muhlenberg, Clay, Logan, Calloway, Whitley, Franklin, Boyle, Lincoln , Simpson, Montgomery, Marion , Allen, Russell, Harrison, Spencer, Meade, Henry, Butler, Grayson, Hart, Powell, Grant, Larue, Washington, Fleming, Livingston, Trimble, Owen, Hancock, Green, Trigg,Martin , Union, Mason, Anderson, Nicholas, Gallatin, Hickman, Clinton, Metcalfe, Todd, Owsley Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity result between 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020 ; last week is 7/18 -7/24 , three weeks is 7/4 - 7/24 . Testing :CELR ( COVID - 19 Electronic Lab Reporting) state health department -reported data through 7/22/2020 . Lastweek is 7/16 - 7/22. Testing datamay bebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 KENTUCKY STATEREPORT 07.26.2020 1000 CASE NEW C-ASE 19 COVID 800 600 400 200 Daily COVID - 19 Cases ( 7 - day average ) Daily COVID - 19 Cases 20.0 % 10000 TESTING T1ES9TS COVID 8000 15.0 % 6000 10.0 % 4000 5.0 % 2000 Daily Tests Completed ( 7 day avg. ) OF TESTS PERCENTAGE TOTAL 0.0 % % Positivity Rate (by result date 7 day avg. ) Top counties based on greatest number ofnew cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES 6000 Jefferson Fayette Warren ) CASES NEW CUMULATIVE Kenton Oldham Boone Christian 4000 Hardin Shelby Bell 2000 ( 3/8 3/15 3/22 3/29 - - 4/5 4/12 4/19 4/26 - - 6/7 5/3 5/10 5/17 5/24 5/31 6/14 6/21 6/28 - - 7/12 7/19 7/26 DATA SOURCES Cases: County-leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: CELR ( COVID - 19 Electronic Lab Reporting) statehealth department-reported data through 7/22/2020. COVID - 19 Top 12 counties based on number ofnew cases in the last 3 weeks Daily COVID - 19 Cases Daily COVID- 19 Cases ( 7 - day average 200 80 Jefferson County 60 60 150 40 40 100 20 20 50 CASE DAILY TO AL Warren County Fayette County Kenton County Oldham County 40 Boone County 100 60 30 75 40 20 50 20 10 25 Christian County Hardin County Shelby County 80 20 40 60 40 10 20 20 Bell County 20 Graves County 20 LaurelCounty 20 15 15 10 10 15 10 5 5 3/21 5/20 6/4 7/4 7/19 5 3/21 4/5 4/20 5/5 5/20 6/4 6/19 7/4 7/19 DATA SOURCES Cases: County-leveldata from USAFacts through 7/24/2020. Last 3 weeks is 7/4 - 7/24. 6/19 7/4 7/19 COVID - 19 KENTUCKY STATEREPORT 07.26.2020 CASE RATESAND DIAGNOSTIC TESTPOSITIVITYDURING THE LASTWEEK NEW CASES PER 100,000 DURING TEST POSITIVITYDURING LAST LASTWEEK WEEK Date: 7/26/2020 Date: 7/26/2020 OH OH IN IN IL IL KY KY VA VA MO MO Cases per 100K AL AR % % 100 to 1999 GA Casesin Last 14Days to 4.9 TN 0 10 to 99.9 AR MS Test Positivity 20Casesin Last 14Days 0.1to 9.9 TN 5 % to 9.9% 200 to499.9 500 orMore AL MS 10 % to 19.9% 20% or More GA WEEKLY % CHANGEIN NEW WEEKLY CHANGEIN TEST CASES PER 100K POSITIVITY Date: 7/26/2020 Date : 7/26/2020 OH OH IN IN IL IL KY VA VA MO MO Percent Changein Casesper100K Casesin Last 14 Days Absolute Changein TestPositivity Casesin Last 14 Days 100% Less 10% to 99.9 Less % 2 % TN Little Change AL GA 1,000 More MS AL GA 0.5% to 1.9 % More 2 More + 100% to 999.9% More MS Less 0.5% to 1.9% Less AR % LittleChange 10% to 99.9% More AR DATA SOURCES Cases: County-leveldata from USAFactsthrough 7/24/2020. Lastweek is7/18 - 7/24, previousweek is 7/11- 7/17. Testing: CELR (COVID- 19 ElectronicLab Reporting ) state health department-reporteddata through 7/22/2020. Lastweek is 7/16 - 7/22, previousweek is 7/9 - 7/15. Testingdatamaybebackfilledover time, resultingin changesweek- to-week in testing data. It is criticalthat statesprovideasup- to -datetestingdata aspossible. LOUISIANA STATEREPORT 07.26.2020 SUMMARY Louisiana is in the red zone for cases, indicatingmore than 100 new cases per 100,000 populationlast week, andthe red zone for test positivity, indicatinga rate above 10 % . Louisianahas seen stability in new cases and a decrease in testing positivity over thepastweek . Thefollowingthreeparisheshad the highestnumberofnew cases over the past 3 weeks: 1.EastBaton RougeParish, 2. JeffersonParish and 3. Calcasieu Parish. These parishesrepresent24.9 percent ofnew cases in Louisiana. Louisianahad 326 new cases per 100,000 populationin the past week , compared to a nationalaverage of 140 per 100,000. The federalgovernmenthasdeployed the followingstaffas assetsto support thestate response: 10 to support operations activitiesfrom FEMA; 3 to supportoperationsactivities from ASPR; 9 to support epidemiology activitiesfrom CDC; 1 to support operationsactivitiesfrom CDC; 37to support operationsactivities from USCG ; and 10 to supportmedicalactivitiesfrom VA. Thefederalgovernmenthassupported a surgetestingsite in BatonRouge, LA. During Jul 18 - Jul24 , on average, 166 patientswith confirmedCOVID- 19 and 73patients with suspected COVID- 19 were reported as newlyadmitted each day to hospitals in Louisiana. An averageof 86 percentofhospitals reported each day during this period; therefore, thismaybe an underestimateof theactualtotalnumberofCOVID -related hospitalizations . Underreportingmay lead to a lowerallocation of criticalsupplies. * RECOMMENDATIONS Protectthosein nursinghome , assistedliving, and long- term care facilitiesbyassuringaccessto rapidfacility-widetestingin responseto a residentor staffmemberwith COVID - 19. Ensure socialdistancingand universalfacemaskuse. Mandateuse ofmasksin allcurrentand evolvinghotspots. Close establishments wheresocialdistancingandmask use cannotoccur, such asbars. Moveto outdoordiningandlimitindoordiningto less than 25 of normalcapacity. Ask citizensto limitsocialgatheringsto fewer than 10people. Encourageindividualsthathaveparticipatedin anylargesocialgatheringsto get tested. Increasemessagingof the riskofseriousdisease in all agegroupswith preexisting medicalconditions , includingobesity, , and diabetesmellitus. hypertension Continuethe scale- upoftesting , movingto community-ledneighborhoodtesting. Work with localcommunitiesto implementandprovideclearguidanceforhouseholdsthattestpositive, includingon individualisolationprocedures . Continueto enhancecontacttracing and ensurethe ability of casesand contactsto quarantineor isolatesafely. Monitortestingdatato identifyadditionalsites of increasedtransmissionandfocuspublic healthresourceson them . Ensureallpublichealthlabsare fully staffed and running24/7 , utilizingallplatformsto reduceturnaroundtimes. Institute3: 1 or2 : 1 poolingoftestspecimenson allhigh throughputmachinesaslongas turnaroundtimes are greaterthan 36hours. For familiesand cohabitinghouseholds , screenentirehouseholdsin a single testbypoolingspecimens . Requirealluniversitieswith RNA detectionplatformsto usethis equipmentto expandsurveillancetesting for schools(K - 12, communitycolleges) and universitystudents. Specific , detailed guidanceon communitymitigationmeasurescan be found on the CDC website. Thepurposeof this reportis to develop a sharedunderstanding of the currentstatusof thepandemicat the national , regional , state and locallevels. Werecognize thatdata atthe statelevelmay differfrom thatavailableatthe federallevel . Ourobjectiveis to use consistent data sourcesandmethodsthatallow for comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 LOUISIANA STATE REPORT 07.26.2020 STATE, % CHANGE FROM PREVIOUS STATE LASTWEEK NEW CASES (RATE PER 100,000) WEEK 460,137 ( 140) 13.3 % -1.1% * 13.3 % 8.5 % COVID DEATHS MOBILTY MOBILTY 5,437,404 ** ( 1,657) ( 929 205 +61.4 % AT LEASTONE TO 396,835 ** -17.2 % ** ( RATE PER 100,000 ) RELATIVEBASELINE LAST WEEK 89,941 (211) 102,513** ( 2,205) +8.5 % * 33.8 % COVID - 19 CASE UNITED STATES + 8.6 % POSITIVITY RATE ( TESTS PER 100,000) LAST WEEK 15,146 ( 326 ) DIAGNOSTIC TEST TOTAL DIAGNOSTICTESTS FEMA/HHS REGION 1,274 6,434 (3) (2 ) 20.8 % % 100 % 80 % 60 % 40 % 20 % 0 % 2/23 3/1 4/5 3/8 3/15 3/22 3/29 4/12 4/19 4/26 5/3 5/10 5/17 5/31 6/7 6/14 6/21 6/28 7/5 7/12 7/19 7/26 Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregatingparish-leveldata from USAFacts; therefore, the valuesmaynotmatch those reported directly by the state. Data is through 7/24/2020; lastweek is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This data depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a parish; 100 % represents the baselinemobility level. Data is anonymized and provided at the parish level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7 / 19, previousweek is 7 /6-7/ 12. COVID - 19 LOUISIANA STATE REPORT 07.26.2020 COVID - 19 PARISH AND METRO ALERTS LOCALITIES IN RED ZONE LOCALITIES IN YELLOW ZONE Baton Rouge Lafayette Lake Charles METRO AREA Shreveport- BossierCity 17 Houma- Thibodaux Monroe Hammond ( CBSA) LASTWEEK Top 12shown ( full list below) 2 Alexandria Morgan City Fort Polk South DeRidder Orleans Jefferson Davis Franklin Lafayette Caddo St.Tammany Ouachita LASTWEEK Top 12 shown (full list below ) Jennings Opelousas East Baton Rouge Jefferson Calcasieu PARISH New Orleans -Metairie Tangipahoa Terrebonne Madison 10 Morehouse Winn Plaquemines Union Acadia Claiborne Livingston East Carroll St.Landry All Red CBSAs: Baton Rouge, Lafayette, Lake Charles, Shreveport-Bossier City , Houma- Thibodaux, Monroe, Hammond, Opelousas, Alexandria, Morgan City , FortPolk South, DeRidder, Bogalusa, Minden, Natchitoches, Ruston, Natchez All RedParishes: EastBaton Rouge, Jefferson , Calcasieu, Lafayette, Caddo, St.Tammany, Ouachita, Tangipahoa, Terrebonne, Acadia , Livingston, St.Landry, Iberia, Lafourche, Rapides, Ascension, Bossier, Vermilion, St.Mary, Allen , St.Martin , Avoyelles, Evangeline, St. Charles, Vernon, Beauregard,Washington, Sabine, Webster, Pointe Coupee, St. Bernard , Natchitoches, Lincoln, Iberville, St. John the Baptist, Richland,West Baton Rouge, De Soto , St. James, Grant, Jackson, Assumption, Bienville, St.Helena, Concordia, Red River, Cameron, West Carroll, Caldwell, Catahoula, Tensas Red Zone: Those core-based statistical areas (CBSAs) and parishes that during thelastweek reported both new cases above 100per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) parishes that during the last week reported both new cases between 10 100per 100,000 population , and a diagnostic test positivity result between 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top locations are selected based on the highestnumber of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating parish -level data from USAFacts ; therefore , the values may notmatch those reported directly by the state. Data is through 7/24/2020 ; last week is 7/18 -7/24 , three weeks is 7/4 - 7/24 . Testing :CELR (COVID - 19 Electronic Lab Reporting) state health department - reported data through 7/22/2020 . Lastweek is 7/16 - 7/22 . Testing data may bebackfilled over time, resulting in changes week -to -week in testing data . It is critical that states provide as up -to date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 LOUISIANA STATEREPORT 07.26.2020 CASE NEW C-ASE 19 COVID 3000 2000 1000 Daily COVID - 19 Cases Daily COVID - 19 Cases ( 7 -day average) TESTING TEST COVID 30.0 % OF 15000 19 20.0 % 10000 10.0 % 5000 TESTS PERCENTAGETOTAL 0.0 % % Positivity Rate (by result date 7 day avg.) Daily Tests Completed (7 day avg. ) Top parishes based on greatest numberof new cases in last weeks (7/4 - 7/24 ) PTOPARISHE EastBaton Rouge 12500 Jefferson Calcasieu ) 10000 CASES NEW CUM LATIVE Lafayette Caddo Orleans 7500 St. Tammany Ouachita 5000 Tangipahoa Terrebonne ( 2500 - 3/8 - - 4/5 3/15 3/29 4/12 4/19 - 6/7 5/3 4/26 - - 5/10 5/17 5/24 - - 6/14 6/21 6/28 7/5 7/12 7/19 7/26 DATA SOURCES Cases: Parish- level data from USAFacts. State values are calculated by aggregating parish -level data from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: CELR ( COVID - 19 Electronic Lab Reporting) statehealth department-reported data through 7/22/2020. COVID - 19 Top 12 parishes based on number ofnew cases in the last 3 weeks Daily COVID - 19 Cases Daily COVID- 19 Cases( 7 - day average) Jefferson Parish Baton Rouge Parish 400 CalcasieuParish 400 600 300 300 400 200 200 200 100 CASE DAILY TO AL LafayetteParish 100 CaddoParish Orleans Parish 800 300 200 600 150 200 400 100 100 50 200 St. TammanyParish OuachitaParish 150 Tangipahoa Parish 100 100 50 100 50 Terrebonne Parish 150 50 Acadia Parish 100 LivingstonParish 100 75 100 50 50 50 25 3/21 4/5 4/20 6/4 5/5 5/20 6/19 7/4 7/19 3/21 4/5 4/20 5/5 5/20 6/4 7/4 7/19 DATA SOURCES Cases: Parish -leveldata from USAFacts through 7/24/2020. Last 3 weeks is7/4 - 7/24 . 3/21 4/5 4/20 5/5 5/20 6/4 6/19 7/4 7/19 COVID - 19 LOUISIANA STATE REPORT 07.26.2020 CASE RATESAND DIAGNOSTIC TESTPOSITIVITYDURING THE LASTWEEK NEW CASES PER 100,000 DURING TEST POSITIVITY DURING LAST LASTWEEK WEEK Date: Date: AR AR MS AL TX AL MS TX FL FL LA Cases per 100K 20Casesin Last 14 Days Test Positivity to 4.9 % to 9.9 % % 100 to 199.9 200 to 499.9 500 orMore % 10% to 19.9% 20 or More WEEKLY % CHANGEIN NEW WEEKLY CHANGE IN TEST CASES PER 100K POSITIVITY E Date: 0 10 to 99.9 5 Casesin Last 14Days 0.1to 9.9 HERE Date: AR AR MS AL TX AL MS FL LA TX FL LA Changein Percent Casesper 100K Casesin Last 14Days % 100 Less % 2 % 10% to 99.9 Less Absolute Changein Test Positivity Casesin Last 14 Days LittleChange 10 % to 99.9% More 100 % to 999.9% More 1.000 Less 0.5% to 1.9% Less LittleChange 0.5% to 1.9% More 2 % + More DATA SOURCES Cases: Parish -leveldata from USAFacts through 7/24/2020 . Last week is 7/18 - 7/24 previous week is 7/11- 7/17 . Testing CELR (COVID - 19 Electronic Lab Reporting) state health department -reported data through 7/22/2020 . Lastweek is 7/16 - 7/22 , previous week is 7/9 - 7/15 . Testing data may be backfilled over time, resulting in changes week - to -week in testing data. It is critical that states provide asup- to -date testing data aspossible. MAINE STATEREPORT 07.26.2020 SUMMARY Maine is in the yellow zone for cases, indicating between 10 to 100 new cases per 100,000 population lastweek , and the green zone for test positivity , indicating a ratebelow 5 % . Maine hasseen stability in new cases and stability in testing positivity over the pastweek. The following three counties hadthe highest number of new cases over the past 3 weeks: 1.Cumberland County , 2. York County , and 3. Androscoggin County . These counties repre ent 79.3 percent ofnew cases in Maine. Mainehad 11new cases per 100,000 population in the pastweek , compared to a nationalaverage of140 per 100,000 . The federal government has deployed the following staff as assets to support the state response: 3 to support operations activities from FEMA and 1 to support epidemiology activities from CDC. During Jul 18 - Jul 24 , on average, 1 patient with confirmed COVID - 19 and 28 patients with suspected COVID - 19 were reported as newly admitted each day to hospitals in Maine. An average of69percent ofhospitals reported each day during this period; therefore , this may be an underestimate ofthe actualtotalnumber of COVID -related hospitalizations. Underreportingmay lead to a lower allocation of critical supplies . RECOMMENDATIONS Continue to educate the public regardingmandates for cloth facemasks and enforce wearing and social distancing, especially in indoor environments outside ofthe home and in coastal and more populous counties. Ensure effective messaging aimed atsummer visitors as tourist season intensifies. Protect residents ofnursing homes and long- term care facilities with continued regulartestingandmandated facemasks for all staff. Continue case investigation and contact tracing, especially in localities with elevated or increasing transmission , such as Cumberland County, and ensure early isolation of cases and quarantine of contacts . Gradual, cautious loosening of community measures and quarantine requirements for visitors from low incidence states is appropriate. Continue to track cases, test percentpositivity , hospitalizations, and bed capacity and consider tightening restrictions earlyif there is evidence of increasing transmission. Specific, detailed guidance on community mitigation measures can be found on theCDC website. Thepurposeof this reportis to developa sharedunderstanding of thecurrentstatusof thepandemicat the national , regional , stateand locallevels. Werecognize thatdata at thestate levelmaydiffer from thatavailableatthe federallevel. Our objectiveis to useconsistent data sourcesand methodsthatallowfor comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 MAINE STATE REPORT 07.26.2020 STATE, % CHANGE FROM PREVIOUS FEMA/HHS STATE , REGION UNITED STATES LASTWEEK WEEK LASTWEEK LAST WEEK NEW CASES 147 (RATE PER 100,000 ) ( 11 DIAGNOSTIC TEST 1.2 % POSITIVITY RATE 13,856** ( 1,031 ) TOTAL DIAGNOSTICTESTS ( TESTS PER 100,000) (0) AT LEASTONE 2.3 % COVID- 19 CASE MOBILTY MOBILTY +29.8 % ** -66.7 % ( RATE PER 100,000 ) TO -0.2 % * 2 COVID DEATHS RELATIVEBASELINE -0.7 % + 1.2 % * 3,831 ( 26 ) 460,137 ( 140) 1.6 % 8.5 % 201,843 ** 5,437,404 ** ( 1,360) ( 1,657) 153 6,434 ( 1) ( 2) 4.4 % 12.1% 100 % 80 % 60 % 40 % 20 % 0 % Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregating county -leveldata from USAFacts; therefore , the valuesmaynotmatch those reported directly by the state. Data is through 7/24/2020; lastweek is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 MAINE STATE REPORT 07.26.2020 COVID - 19 COUNTY ANDMETRO ALERTS LOCALITIES IN RED ZONE LOCALITIES IN YELLOW ZONE METRO AREA N/A N/A N/A N/A ( CBSA ) LASTWEEK COUNTY LASTWEEK Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity resultbetween 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020; lastweek is 7/18 - 7/24 , three weeks is 7/4 - 7/24 . Testing : HHS Protect laboratory data (provided directly to FederalGovernment from public health labs, hospital labs, and commercial labs) through 7/22/2020. Lastweek is 7/16 - 7/22. Testing datamaybebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to-date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 MAINE STATE REPORT 07.26.2020 C-ASE CASE 19 COVID NEW 80 60 40 20 Daily COVID - 19 Cases Daily COVID- 19 Cases ( - day average) 3000 12.5 % 10.0 % 2000 7.5 % 5.0 % 1000 OF TESTS PERCENTAGE TOTAL 2.5 % 0.0 % % Positivity Rate (by result date 7 day avg. ) Daily Tests Completed ( 7 day avg. ) Top counties based on greatest number ofnew cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES Cumberland 2000 York ) Androscoggin Penobscot 1500 CASES NEW CUMULATIVE ( Kennebec Lincoln Aroostook Oxford 1000 Sagadahoc Franklin 500 3/8 3/15 3/22 3/29 4/5 - - 4/12 4/19 4/26 - - 6/7 5/3 5/105/17 5/24 5/31 6/21 6/28 7/5 7/12 7/19 7/26 DATA SOURCES Cases: County -leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: HHSProtect laboratory data ( provided directly to FederalGovernment from public health labs, hospital labs, and commerciallabs) through 7/22/2020 . COVID - 19 Top 12 counties based on number ofnew cases in the last 3 weeks Daily COVID - 19 Cases ( 7 - day average ) Daily COVID - 19 Cases York County CumberlandCounty 60 Androscoggin County 30 20 40 20 10 20 CASE PenobscotCounty KennepecCounty 3 Lincoln County 40 15 30 N 10 20 1 10 6 Aroostook County 4 Oxford County 3 Sagadahoc County 3 DAILY TO AL 10 4 N N 1 N 1 Franklin County 3 Somerset County Waldo County 10 6 N 4 5 1 2 3/21 4/5 6/4 4/5 4/20 5/5 5/20 6/4 7/4 DATA SOURCES Cases: County-leveldata from USAFacts through 7/24/2020. Last 3 weeks is 7/4 - 7/24. 3/21 4/5 4/20 5/5 5/20 / 7/4 / COVID - 19 MAINE STATE REPORT 07.26.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LASTWEEK NEW CASES PER 100,000 DURING TEST POSITIVITYDURING LAST LAST WEEK WEEK HERE Date: 7/26/2020 Date: 7/26/2020 ME ME Cases per 100K = 20 Casesin Last 14Days 100to 199.9 200to499.9 500orMore MA % to 9.9 10 % to 19.9% 20% orMore MA WEEKLY % CHANGEIN NEW WEEKLY CHANGEIN TEST CASESPER 100K POSITIVITY Date: 7/26/2020 % to 4.9% % NY Layer Date: 7/26/2020 E 10 to 99.9 NH 0 NY Test Positivity VT 5 Last 14 Days 0.1to 9.9 NH the ME ME PercentChangein Casesper100K AbsoluteChange in TestPositivity < 20 Casesin Last 14 Days MA 100% to 999.9% More 1.000 More NY 0.5% to 1.9% Less LittleChange MA 0.5 % to 1.9% More 2 More + LittleChange 10 % to 99.9 % More NY <= 20 Casesin Last 14Days 2 % Less NH % NH VT % 100 % Less 10 to 99.9% Less DATA SOURCES Cases : County -leveldata from USAFacts through 7/24/2020 . Last week is 7/18 - 7/24, previousweek is 7/11 - 7/17 . Testing : HHS Protect laboratory data (provided directly to Federal Government from public health labs,hospital labs, and commercial labs) through 7/22/2020 . Last week is 7/16 - 7/22 previous week is 7/9 - 7/15 . Testing data may bebackfilled over time, resulting in changes week -to -week in testing data. Itis critical that states provide as up -to -date testing data as possible . MARYLAND STATE REPORT 07.26.2020 SUMMARY Maryland is in the yellow zone for cases, indicating between 10 to 100 new cases per 100,000 population last week , and the green zone for test positivity , indicating a ratebelow 5 % . Maryland has seen an increase in new cases and a decrease in testing positivity over the pastweek . The following three counties had the highest number ofnew cases over the 3weeks: 1.Prince George's County , 2. Baltimore County , and 3. Baltimore City. These counties represent 53.9 percent ofnew cases in Maryland Maryland had 89 new cases per 100,000 population in thepast week , compared to a national average of 140 per 100,000 . The federal government has deployed the following staff as assets to support the state response : 19 to support operations activities from FEMA; 33 to support operations activities from ASPR ; 3 to support epidemiology activities from CDC; 1 to support operations activities from CDC ; and 14 to support operations activities from USCG During Jul 18 - Jul 24 , on average, 79 patients with confirmed COVID - 19 and 319 patients with suspected COVID - 19 were reported as newly admitted each day to hospitals in Maryland . An average of 74 percent of hospitals reported each day during this period ; therefore , this may be an underestimate of the actual totalnumber of COVID -related hospitalizations. Underreportingmay lead to a lower allocation of critical supplies. * RECOMMENDATIONS In localitiesin the yellow and red zones, closingbars and reducingindoordiningat restaurantsto 25% capacityis criticalto disrupttransmission. Mandatemasksin allpublic settingswith increasingpositivity. Protectvulnerablepopulationsin assistedliving and long- term care facilitiesthroughweeklytestingof allworkers and requiringmasks. In facilitieswith workers who tested positive, ensureallresidentshavebeen tested andappropriatecohorting measuresarein place. Continueto enhancecontacttracingand ensuretheability of cases and contactsto quarantineor isolatesafely. Monitortesting datato identifyadditionalsitesofincreasedtransmissionandfocuspublichealth resourcesonthem . For family and cohabitatinghouseholds , screen entirehouseholdsin a single test by poolinga sampleofeach sample. Forhouseholdsthattestpositive, isolate andconductfollow - up individualtests. Expandtestingcapacityinpublichealthlabs, addingshiftsandweekendshiftsto reduceturnaroundtimes. Increasemessagingof the risk ofseriousdisease in allagegroupswith preexistingmedicalconditions, includingobesity, hypertension, and diabetesmellitus. Specific, detailed guidanceon communitymitigationmeasurescan be found onthe CDCwebsite. Thepurposeof this reportis to developa sharedunderstanding of thecurrentstatusof thepandemicat the national , regional , stateand locallevels. Werecognize thatdata at thestate levelmaydiffer from thatavailableatthe federallevel. Our objectiveis to useconsistent data sourcesand methodsthatallowfor comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 MARYLAND STATE REPORT 07.26.2020 STATE, % CHANGE FROM PREVIOUS FEMA/HHS STATE , REGION UNITED STATES LASTWEEK WEEK LASTWEEK LAST WEEK 20,675 460,137 ( 140) NEW CASES 5,395 DIAGNOSTIC TEST 150,541** TOTAL DIAGNOSTICTESTS COVID DEATHS 69 ( RATE PER 100,000 ) ( 1) AT LEASTONE MOBILTY +6.9% ** + 25.5 % 12.6 % COVID - 19 CASE MOBILTY 6.3 % ( 2,490) ( TESTS PER 100,000) TO (67) -1.3 % * 4.7 % POSITIVITY RATE RELATIVEBASELINE +22.5 % ( 89) (RATE PER 100,000 ) + 1.1% * 8.5 % 502,047 ** 5,437,404 ** ( 1,627) ( 1,657) 286 6,434 ( 1) (2 ) 10.8 % 12.1% 100 % 80 % 60 % 40 % 20 % 0 % 2/23 3/1 3/8 3/15 3/22 3/29 4/5 4/12 4/19 4/26 6/7 5/3 5/10 5/17 5/24 5/31 6/14 6/21 6/28 7/5 7/12 7/19 7/26 Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregating county -leveldata from USAFacts; therefore , the valuesmaynotmatch those reported directly by the state. Data is through 7/24/2020; lastweek is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 MARYLAND STATE REPORT 07.26.2020 COVID - 19 COUNTY ANDMETRO ALERTS LOCALITIES IN RED ZONE LOCALITIES IN METRO ZONE Baltimore-Columbia- Towson AREA Cambridge ( CBSA ) LASTWEEK Washington- Arlington Alexandria w Easton Prince George's Baltimore COUNTY LASTWEEK YELLOW Dorchester 5 Baltimore City Worcester Talbot Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity result between 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020 ; last week is 7/18 -7/24 , three weeks is 7/4 - 7/24 . Testing :CELR ( COVID - 19 Electronic Lab Reporting) state health department -reported data through 7/22/2020 . Lastweek is 7/16 - 7/22. Testing datamay bebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 MARYLAND STATE REPORT 07.26.2020 CASE NEW CASES COVID 19 1500 1000 500 Daily COVID - 19 Cases Daily COVID - 19 Cases ( 7 - day average ) 30.0 % OF 20000 20.0 % 15000 10000 10.0 % 5000 TESTS PERCENTAGE TOTAL 0.0 % Daily Tests Completed (7 day avg. ) % PositivityRate (by result date 7 day avg. ) Top counties based on greatest number ofnew cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES PrinceGeorge's Baltimore 20000 BaltimoreCity ) CASES NEW CUMULATIVE Montgomery Anne Arundel Howard Harford Frederick 10000 Charles Carroll ( 5000 3/8 3/15 - 3/22 3/29 4/5 - 4/12 4/19 4/26 5/3 - 5/10 5/17 5/24 5/31 - 6/14 6/21 6/28 7/5 7/12 7/19 7/26 DATA SOURCES Cases: County-leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: CELR ( COVID - 19 Electronic Lab Reporting) statehealth department-reported data through 7/22/2020. COVID - 19 Top 12 counties based on number ofnew cases in the last 3 weeks Daily COVID - 19 Cases Daily COVID - 19 Cases (7 - day average) Prince BaltimoreCounty County 600 Baltimore City 200 200 150 400 100 100 200 50 CASE DAILY TO AL AnneArundel Montgomery HowardCounty 80 100 400 60 40 50 200 20 Harford County Frederick County Charles County 40 40 60 30 30 40 20 20 20 10 30 Carroll County 10 Worcester County St.Mary's County 40 60 30 20 40 20 10 20 10 3/21 4/5 4/20 6/4 5/5 5/20 7/4 7/19 5/5 5/20 6/4 7/4 7/19 DATA SOURCES Cases: County- leveldata from USAFacts through 7/24/2020 . Last 3 weeks is 7/4 - 7/24 . 3/21 4/5 4/20 5/20 6/4 6/19 7/4 7/19 COVID - 19 MARYLAND STATEREPORT 07.26.2020 CASE RATESAND DIAGNOSTIC TESTPOSITIVITYDURING THE LASTWEEK NEW CASES PER 100,000 DURING TEST POSITIVITYDURING LAST LASTWEEK WEEK NY Date: 7/26/2020 NY Date: 7/26/2020 PA PA NJ MD MD DE DE Cases per100K in Last VA TestPositivity VA 14Days 10 to 99.9 Casesin Last 14Days % to 4.9 100 to 5 % to 9.9% 200 to499.9 500 or More 10 % to 19.9% 20% or More % 0.1to 9.9 WEEKLY % CHANGEIN NEW WEEKLY CHANGEIN TEST CASES PER 100K POSITIVITY E NY Date : 7/26/2020 PA NY Date: 7/26/2020 PA NJ MD MD DE DE PercentChange in Casesper 100K Absolute Changein Test Positivity Casesin Last 14Days % 100 Less 10% to 99.9 Less VA Casesin Last 14 Days % VA % Change to 99.9% More 100 % to 999.9% More 1,000 0.5% to 1.9 Less LittleChange 0.5% to 1.9% More 2 More % 10 2 + Less DATA SOURCES Cases: County-leveldata from USAFactsthrough 7/24/2020. Lastweek is7/18 - 7/24, previousweek is 7/11- 7/17. Testing: CELR (COVID- 19 ElectronicLab Reporting ) state health department-reporteddata through 7/22/2020. Lastweek is 7/16 - 7/22, previousweek is 7/9 - 7/15. Testingdatamaybebackfilledover time, resultingin changesweek- to-week in testing data. It is criticalthat statesprovideasup- to -datetestingdata aspossible. MASSACHUSETTS STATE REPORT 07.26.2020 SUMMARY . Massachusetts is in the yellow zone for cases , indicating between 10 to 100 new cases per 100,000 population last week , and the green zone for test positivity , indicating a ratebelow 5 % . Massachusetts hasseen an increase innew cases and stability in testing positivity over the pastweek . The following three counties had the highestnumber of new cases over the past 3 weeks: 1.Middlesex County, 2. Suffolk County, and 3. Essex County. These counties represent 49.2 percent of new cases in Massachusetts . Massachusetts had 31 new cases per 100,000 population in the pastweek , compared to a national average of 140 per 100,000. The federalgovernmenthas deployed following staff as assets to support the state response : 137 to support operations activities from FEMA; 12 to support operations activities from ASPR ; 18 to support operations activities from USCG ; and 1 to supportmedical activities from VA . During Jul 18 - Jul24 , on average , 22 patients with confirmed COVID - 19 and 141patients with suspected COVID - 19 were reported as newly admitted each day to hospitals in Massachusetts . An average of63 percent ofhospitals reported each day during this period ; therefore, this maybe an underestimate of the actual totalnumber of COVID - related hospitalizations. Underreporting may lead to a lower allocation ofcriticalsupplies . * RECOMMENDATIONS Continue to require cloth facemasks and 6 ftdistancing for people outside of their homes, especially in indoor spaces Ensure effective community messaging on theneed for cloth facemasks and social distancing, especially in tourist areas. Consider methods to enforce both. Continue case investigation and contact tracing, with early quarantine of contactsand isolation ofknown or suspected cases. Ifneeded, focusresources in counties with large populations and elevated orincreasing case rates, such as Essex, Middlesex , Norfolk and Worcester Counties. Continue weekly testing program for nursing homes and long- term care facilities and require staff to wear face masks while on duty . Continue to track cases and caserates, test positivity, and hospitalizations. Intensify community mitigation interventions at signals of increased transmission . Specific, detailed guidance on community mitigation measures can be found on theCDC website. Thepurposeof this reportis to developa sharedunderstanding of thecurrentstatusof thepandemicat the national , regional , stateand locallevels. Werecognize thatdata at thestate levelmaydiffer from thatavailableatthe federallevel. Our objectiveis to useconsistent data sourcesand methodsthatallowfor comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 MASSACHUSETTS STATE REPORT 07.26.2020 STATE LAST WEEK NEW CASES (RATE PER 100,000 ) DIAGNOSTIC TEST POSITIVITY RATE COVID DEATHS AT LEASTONE MOBILTY LAST WEEK 1.7 % -0.1% * (2 ) 3.9 % COVID - 19 CASE MOBILTY LASTWEEK + 19.1% 112 ( RATE PER 100,000 ) TO UNITED STATES WEEK +9.8 % ** ( 1,666) ( TESTS PER 100,000) RELATIVEBASELINE FEMA /HHS REGION 2,106 ) ( 31 114,863** TOTAL DIAGNOSTICTESTS STATE , % CHANGE FROM PREVIOUS + 9.8 % -0.9 % * 3,831 ( 26 ) 460,137 ( 140) 1.6 % 8.5 % 201,843** 5,437,404 ** ( 1,360) ( 1,657) 153 6,434 ( 1) (2 ) 4.4 % 12.1% 100 % 80 % 60 % 40 % 20 % 0 % Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregating county -leveldata from USAFacts; therefore , the valuesmaynotmatch those reported directly by the state. Data is through 7/24/2020; last week is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 MASSACHUSETTS STATE REPORT 07.26.2020 COVID - 19 COUNTY ANDMETRO ALERTS LOCALITIES IN RED ZONE LOCALITIES IN YELLOW ZONE METRO AREA N/A N/A N/A N/A ( CBSA ) LASTWEEK COUNTY LASTWEEK Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity result between 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020 ; last week is 7/18 -7/24 , three weeks is 7/4 - 7/24 . Testing :CELR ( COVID - 19 Electronic Lab Reporting) state health department -reported data through 7/22/2020 . Lastweek is 7/16 - 7/22. Testing datamay bebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 MASSACHUSETTS STATE REPORT 07.26.2020 5000 CASE NEW C-ASES 19 COVID 4000 3000 2000 1000 Daily COVID - 19 Cases Daily COVID -19Cases ( 7 - day average) 15000 25.0 % 20.0 % 10000 15.0 % 10.0 % 5000 OF TESTS PERCENTAGE TOTAL 5.0 % 0.0 % % Positivity Rate (by result date 7 day avg.) Daily Tests Completed (7 day avg.) Top counties based on greatest number ofnew cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES Middlesex 25000 Suffolk Essex ) 20000 CASES NEW CUMULATIVE Norfolk 15000 Worcester Bristol 10000 Hampden Plymouth Barnstable Hampshire ( 5000 4/5 3/8 3/15 3/22 3/29 4/12 4/19 4/26 5/3 - - - 6/7 5/10 5/17 5/24 5/31 - 6/14 6/21 6/28 - 7/5 7/12 7/19 7/26 DATA SOURCES Cases: County-leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: CELR ( COVID - 19 Electronic Lab Reporting) statehealth department-reported data through 7/22/2020. COVID - 19 Top 12 counties based on number ofnew cases in the last 3 weeks Daily COVID - 19 Cases (7 -day average) 1000 Middlesex County 1000 750 750 500 500 250 250 Daily COVID - 19 Cases Suffolk County Essex 400 200 CASE DAILY TO AL WorcesterCounty Norfolk County BristolCounty 400 400 400 300 200 200 200 100 Hampden County Plymouth County Barnstable 600 100 200 150 75 400 50 100 200 50 25 BerkshireCounty Hampshire County 60 15 Franklin County 30 10 40 20 20 10 5 6/19 / 3/21 4/5 4/20 5/5 7/4 7/19 DATA SOURCES Cases: County-leveldata from USAFacts through 7/24/2020. Last 3 weeks is 7/4 - 7/24. 3/21 4/5 5/5 4/20 6/4 5/20 6/19 7/4 7/19 COVID - 19 MASSACHUSETTS STATEREPORT 07.26.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LASTWEEK TESTPOSITIVITYDURINGLAST NEW CASES PER 100,000 DURING LASTWEEK WEEK Date: 7/26/2020 HERE Date: 7/26/2020 Gem ME ME NH NH MA MA NY NY RI RI Cases per 100K < Casesin Last 14 Days CT TestPositivity CT 10 to 99.9 <= 20 Casesin Last 14Days 0 % to 4.9% 100 to 199.9 5 % to 9.9% 0.1to 9.9 200 to 499.9 10 % to 19.9% 20% or More 500 or More NJ WEEKLY % CHANGEIN NEW WEEKLY CHANGE IN TEST CASES PER 100K POSITIVITY Date: 7/26/2020 HERE Date: 7/26/2020 ME ME NH NH VT MA MA NY NY Percent Changein Casesper100K 100% Less 10% to 99.9% Less LittleChange 10 to 99.9% More RI CT Changein Absolute Test Positivity in Last 14 Days % CT < Cases in Last 14Days 2 RI Less 0.5% to 1.9% Less 100% to 999.9% LittleChange More 0.5% to 1.9% More 1,000 % More 2 % + More NJ DATA SOURCES Cases : County -leveldata from USAFacts through 7/24/2020 . Last week is 7/18 - 7/24 , previous week is 7/11 - 7/17. Testing : CELR (COVID - 19 Electronic Lab Reporting ) state health department -reported data through 7/22/2020 . Last week is 7/16 - 7/22 previousweek is 7/9 - 7/15 . Testing data may be backfilled over time, resulting in changes week - to -week in testing data. It is critical that states provide asup- to -date testing data aspossible. MICHIGAN STATE REPORT 07.26.2020 SUMMARY Michigan is in the yellow zone for cases, indicating between 10 to 100 new cases per 100,000 population lastweek , and the green zone for test positivity , indicating arate below 5 % . Michigan hasseen stability in new cases and stability in testing positivity over the pastweek . The following three counties had the highest number of new cases over the past 3 weeks : 1.WayneCounty, 2 . Oakland County , and 3.Kent County . These counties represent44.9 percent ofnew cases in Michigan. Michigan had 45 new cases per 100,000 population in the pastweek , compared to a national average of 140 per 100,000 The federal government has deployed the following staff as assets to support the state response: 14 to support operations activities from FEMA; to support operations activities from USCG ; and 1 to support operations activities from VA . During Jul 18 - Jul 24, on average, 32 with confirmed COVID - 19 and 89 patients with suspected COVID -19 were reported as newly admitted each day to hospitals in Michigan. An average of69 percent of hospitals reported each day during this period ; therefore, this maybe an underestimate of the actual totalnumber of COVID -related hospitalizations. Underreportingmay lead to a lower allocation ofcritical supplies. RECOMMENDATIONS Continuelimitations on indoorseating in bars inhighly affected areas. Consider furthermodulation of the current phase 4/5 opening status, especially for occupancy or operation ofcertain businesses (bars, restaurants) dependent on changes in local reported cases. Continue the statemasking requirement. Continue strong publicmessaging of its importance in avoiding disruptions to business and school operations. Work with localcommunity groupstoprovide targeted, tailored messagingto communities with high case rates and increase community leveltesting. Recruit sufficient contact tracers as community outreach workers to ensure all cases are contacted and all members ofpositive households are individually tested within 24 hours. Protect vulnerable populationsin assisted living and long-term care facilities through weekly testing of all workers and requiringmasks. In facilities with workers who tested positive, ensure all residents have been tested and appropriate cohortingmeasures are in place. Specific, detailed guidance on community mitigation measures can be found on the CDC website . Thepurposeof this reportis to developa sharedunderstanding of thecurrentstatusof thepandemicat the national , regional , stateand locallevels. Werecognize thatdata at thestate levelmaydiffer from thatavailableatthe federallevel. Our objectiveis to useconsistent data sourcesand methodsthatallowfor comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 MICHIGAN STATE REPORT 07.26.2020 STATE, % CHANGE FROM PREVIOUS STATE LASTWEEK NEW CASES (RATE PER 100,000) DIAGNOSTIC TEST POSITIVITY RATE WEEK 4,475 (45 ) -8.8 % 3.6 % + 0.0 % * 201,060** TOTAL DIAGNOSTICTESTS 460,137 ( 140) 5,437,404 ** 486 6,434 ( 1) (2 ) -2.3 % 6.5 % 8.5 % 987,491** ( 1,879) (0) AT LEASTONE LAST WEEK 5.2 % +6.9% ** COVID - 19 CASE MOBILTY 39,685 -39.7 % ( RATE PER 100,000 ) MOBILTY UNITED STATES 41 COVID DEATHS TO REGION LAST WEEK ( 76 ) ( 2,013) ( TESTS PER 100,000) RELATIVEBASELINE FEMA/ HHS ( 1,657) 5.7 % 12.1% 100 % 80 % 60 % 40 % 20 % 0 % 2/23 3/1 4/5 3/8 3/15 3/22 3/29 4/12 4/19 4/26 6/7 5/3 5/10 5/17 5/24 5/31 6/14 6/21 6/28 7/5 7/12 7/19 7/26 Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregating county -leveldata from USAFacts; therefore , the valuesmaynotmatch those reported directly by the state. Data is through 7/24/2020; last week is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 MICHIGAN STATEREPORT 07.26.2020 COVID - 19 COUNTY ANDMETRO ALERTS LOCALITIES IN RED ZONE LOCALITIES IN YELLOW ZONE Ann Arbor METRO Saginaw AREA N/A ( CBSA ) LASTWEEK 5 Sturgis South Bend-Mishawaka Marinette Macomb Washtenaw Saginaw COUNTY LASTWEEK N/A 8 St.Joseph Oceana Cass Huron Menominee Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity result between 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020 ; last week is 7/18 -7/24 , three weeks is 7/4 - 7/24 . Testing :CELR ( COVID - 19 Electronic Lab Reporting) state health department -reported data through 7/22/2020 . Lastweek is 7/16 - 7/22. Testing datamay bebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 MICHIGAN STATE REPORT 07.26.2020 C-ASE CASE 19 COVID NEW 5000 4000 3000 2000 1000 Daily COVID - 19 Cases ( 7 -day average ) Daily COVID - 19 Cases 30000 TESTING TESTS COVID 19 40.0 % 30.0 % 20000 20.0 % 10000 % OF TESTS PERCENTAGE TOTAL 0.0 % % Positivity Rate (by result date 7 day avg. ) Daily Tests Completed (7 day avg.) Top counties based on greatest number ofnew cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES 25000 Wayne Oakland Kent 20000 Macomb Ottawa ) CASES NEW CUMULATIVE Genesee 15000 Washtenaw Saginaw Kalamazoo Berrien 10000 ( 5000 - 4/5 3/8 3/15 3/22 3/29 4/12 4/19 4/26 - - - 6/7 5/3 5/10 5/17 5/24 5/31 6/14 - 6/21 6/28 7/5 7/12 7/19 7/26 DATA SOURCES Cases: County-leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: CELR ( COVID - 19 Electronic Lab Reporting) statehealth department-reported data through 7/22/2020. COVID - 19 Top 12 counties based on number ofnew cases in the last 3 weeks Daily COVID - 19 Cases Daily COVID - 19 Cases (7 - day average) 1000 OaklandCounty Wayne County KentCounty 2000 750 200 500 1000 100 250 CASE DAILY TO AL MacpmbCounty 80 Ottawa County Genesee County 400 60 200 300 40 200 100 20 Washtenaw County 100 Saginaw County 60 40 Kalamazoo County 150 30 40 100 20 20 50 10 Berrien County Ingham 30 County Muskegon County 30 100 20 20 50 10 3/21 4/5 4/20 5/5 5/20 6/4 7/4 7/19 4/5 7/4 5/5 5/20 7/19 DATA SOURCES Cases: County-leveldata from USAFacts through 7/24/2020. Last 3 weeks is 7/4 - 7/24. 5/5 4/20 5/20 6/4 7/4 7/19 COVID - 19 MICHIGAN STATEREPORT 07.26.2020 CASE RATESAND DIAGNOSTIC TESTPOSITIVITYDURING THE LASTWEEK TEST POSITIVITY DURING LAST NEW CASES PER 100,000 DURING WEEK LASTWEEK Date: 7/26/2020 Date: 7/26/2020 MN MN WI WI MI MI NY NY Cases per 100K 20Cases Last 14Days 0.1to 9.9 Test Positivity 20 Casesin Last 14Days to 4.9 % 0 IA 100 to 199.9 IL OH IN 5 % to 9.9% IL 200 499.9 500 or More OH IN WEEKLY % CHANGEIN NEW WEEKLY CHANGEIN TEST CASES PER 100K POSITIVITY 10% to 19.9% 20% or More E Date: 7/26/2020 Date : 7/26/2020 % 10 to 99.9 IA w MN MN WI WI Percent Changein Casesper100K MI MI Absolute Changein Test Positivity Casesin Last 14 Days 2 Less < Casesin Last 14Days % 100% Less 10% to 99.9% Less LittleChange 10% to 99.9% More IN OH 100% to 999.9% More 1,000 0.5% to 1.9% Less LittleChange IL IN 0.5% to 1.9% More 2 More + IL % IA DATA SOURCES Cases: County-leveldata from USAFactsthrough 7/24/2020. Lastweek is7/18 - 7/24, previousweek is 7/11- 7/17. Testing: CELR (COVID- 19 ElectronicLab Reporting ) state health department-reporteddata through 7/22/2020. Lastweek is 7/16 - 7/22, previousweek is 7/9 - 7/15. Testingdatamaybebackfilledover time, resultingin changesweek- to-week in testing data. It is criticalthat statesprovideasup- to -datetestingdata aspossible. MINNESOTA STATE REPORT 07.26.2020 SUMMARY Minnesotais in the yellow zone forcases, indicatingbetween 10 to 100new cases per 100,000 population lastweek, and the yellow zone fortest positivity, indicating a ratebetween 5 % to 10 % . Minnesotahas seen stability in new cases and stability in testingpositivityover the pastweek. Testing continues to increase briskly Thefollowingthree countieshad the highestnumberof new cases over thepast 3 weeks: 1.HennepinCounty, 2.Ramsey County, and 3. DakotaCounty. These countiesrepresent50.5 percentof new casesin Minnesota. Cases are concentrated aroundthe Twin Cities area with most other countiesacross the state reportingyellow levelsof incidence Minnesotahad78 new cases per 100,000 population in thepast week , compared to a nationalaverageof 140 per 100,000. The federal governmenthas deployed the followingstaff as assets to supportthe state response: 11to support operations activities from FEMA; 1 to supportoperationsactivities from CDC; and 1 to supportoperationsactivitiesfrom USCG . During Jul18 - Jul 24 , on average, 34 patientswith confirmed COVID - 19 and 100 patients with suspected COVID - 19 were reported as newly admitted each daytohospitals in Minnesota. An averageof 89 percentof hospitalsreported each day during this period; therefore, thismaybe an underestimateof the actualtotalnumberofCOVID - relatedhospitalizations . Underreportingmay lead to a lower allocation of criticalsupplies. * RECOMMENDATIONS Continue to communicate the public health and economic benefits ofcompliance with the new statemasking mandate, including thebenefit ofreducing disruptions to business activity and schooloperations. Ensure thatallbusiness retailers and personalservices requiremasks and can safely socialdistance. Ensure compliance with current MN StaySafe Plan occupancy restrictions and consider further limitationson occupancy or closure ofcertain businesses (bars, restaurants ) dependent on changes in local reported cases this week . Work with localcommunity groups to provide targeted , tailoredmessaging to communities with high case rates and increase community leveltesting . Recruitmore contact tracers as community outreach workers to ensure all cases arecontacted and allmembers ofpositive households are individually tested within 24 hours. Specific, detailed guidance on community mitigation measures can be found on the CDC website. Thepurposeof this reportis to developa sharedunderstanding of thecurrentstatusof thepandemicat the national , regional , stateand locallevels. Werecognize thatdata at thestate levelmaydiffer from thatavailableatthe federallevel. Our objectiveis to useconsistent data sourcesand methodsthatallowfor comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 MINNESOTA STATE REPORT 07.26.2020 STATE, LAST WEEK NEW CASES 4,424 ( 78 ) (RATE PER 100,000) DIAGNOSTIC TEST 5.5 % POSITIVITY RATE 143,209** TOTAL DIAGNOSTICTESTS COVID DEATHS 26 ( RATE PER 100,000 ) ( ) AT LEASTONE MOBILTY MOBILTY + 4.3% + 0.2 % * % ** -39.5 % 3.6 % COVID - 19 CASE TO WEEK (2,539) ( TESTS PER 100,000) RELATIVEBASELINE STATE, % CHANGE FROM PREVIOUS + 1.3 % * FEMA/HHS REGION LAST WEEK 39,685 ( 76 ) 5.2 % UNITED STATES LAST WEEK 460,137 ( 140) 8.5 % 987,491** ( 1,879) 5,437,404 ** 486 6,434 ( 1) (2 ) 5.7 % ( 1,657) 12.1% 100 % 80 % 60 % 40 % 20 % 0 % Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregating county -leveldata from USAFacts; therefore , the valuesmaynotmatch those reported directly by the state. Data is through 7/24/2020; lastweek is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 MINNESOTA STATEREPORT 07.26.2020 COVID - 19 COUNTY ANDMETRO ALERTS LOCALITIES IN RED ZONE LOCALITIES IN METRO YELLOW ZONE Minneapolis -St. Paul-Bloomington Mankato AREA N /A ( CBSA ) LASTWEEK 5 Bemidji Marshall Worthington Hennepin Ramsey Dakota Watonwan COUNTY LASTWEEK w Murray Koochiching 20 Top 12 shown (full list below ) Anoka Scott Blue Earth Carver Wright Beltrami Nicollet Pipestone Lyon All Yellow Counties: Hennepin, Ramsey, Dakota, Anoka, Scott, BlueEarth, Carver, Wright, Beltrami , Nicollet, Pipestone, Lyon, Le Sueur, Nobles, Waseca, Cottonwood, Cass, Rock, Renville, Norman Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity result between 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020 ; last week is 7/18 -7/24 , three weeks is 7/4 - 7/24 . Testing :CELR ( COVID - 19 Electronic Lab Reporting) state health department -reported data through 7/22/2020 . Lastweek is 7/16 - 7/22. Testing datamay bebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 MINNESOTA STATE REPORT 07.26.2020 1000 C-ASE CASE NEW 800 19 600 COVID 400 200 Daily COVID - 19 Cases Daily COVID -19 Cases ( 7 - day average) 25.0 % 20000 20.0 % 15000 15.0 % 10000 10.0 % 5000 5.0 % 0.0 % Daily Tests Completed ( 7 day .) % Positivity Rate (by result date 7 day avg.) Top counties based on greatest number of new cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES Hennepin 15000 Ramsey Dakota ) Anoka CASES NEW CUMULATIVE ( Washington Scott 10000 Olmsted Stearns Blue Earth 5000 Carver - 4/5 3/8 3/15 3/22 3/29 4/12 4/19 4/26 5/3 5/10 5/17 5/24 5/31 6/7 6/14 6/21 6/28 7/5 7/12 7/19 7/26 DATA SOURCES Cases: County-leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: CELR ( COVID - 19 Electronic Lab Reporting) statehealth department-reported data through 7/22/2020. COVID - 19 Top 12 counties based on number ofnew cases in the last 3 weeks Daily COVID - 19 Cases Daily COVID - 19 Cases ( 7 -day average ) Hennepin County Ramsey County Dakota County 150 80 300 60 100 200 40 50 100 20 CASE DAILY TO AL AnokaCounty Scott County WashingtonCounty 30 60 40 20 40 20 10 20 40 Olmsted County Blue Earth County Stearns County 150 30 20 100 20 10 50 10 30 Carver County WrightCounty SherburneCounty 20 20 20 10 10 10 5/20 7/4 6/4 6/19 7/19 5/5 5/20 6/4 7/19 DATA SOURCES Cases: County-leveldata from USAFacts through 7/24/2020. Last 3 weeks is 7/4 - 7/24. 3/21 6/4 7/4 7/19 COVID - 19 MINNESOTA STATE REPORT 07.26.2020 CASE RATESAND DIAGNOSTIC TESTPOSITIVITYDURING THE LASTWEEK NEW CASES PER 100,000 DURING TEST POSITIVITYDURING LAST WEEK LASTWEEK Date: 7/26/2020 Date: 7/26/2020 Cami the ND ND MI MN WI Cases per100K WI 20 Cases inLast 14Days 0.1to 9.9 SD MI MN TestPositivity SD 20 Casesin Last 14Days % to 4.9% 0 10 to 99.9 5 100 to 199.9 WEEKLY % CHANGEIN NEW WEEKLY CHANGEIN TEST CASES PER 100K POSITIVITY Date : 7/26/2020 % to 9.9 % 10 % to 19.9% 20 or More IA NE % 200 to499.9 500 orMore IA NE Date: 7/26/2020 Cami the ND ND MI MN MI MN Percent Changein Casesper100K WI Casesin Last 14Days 100 Less % SD WI AbsoluteChangein TestPositivity Casesin Last 14Days SD % 2 % 10% to 99.9 Less LittleChange 10% to 99.9% More 100% to 999.9% More 1.000% More LittleChange IA NE 0.5 % to 1.9 % More + More % IA NE Less 0.5% to 1.9% Less DATA SOURCES Cases: County-leveldata from USAFactsthrough 7/24/2020. Lastweek is7/18 - 7/24, previousweek is 7/11- 7/17. Testing: CELR (COVID- 19 ElectronicLab Reporting ) state health department-reporteddata through 7/22/2020. Lastweek is 7/16 - 7/22, previousweek is 7/9 - 7/15. Testingdatamaybebackfilledover time, resultingin changesweek- to-week in testing data. It is criticalthat statesprovideasup- to -datetestingdata aspossible. MISSISSIPPI STATEREPORT 07.26.2020 SUMMARY Mississippi is in the red zone for cases, indicatingmore than 100 new cases per 100,000 population lastweek , and the red zone for test positivity, indicating a rate above 10 % . Mississippihas seen an increase in new cases and an increase in testing positivity over the pastweek . The following three counties had the highestnumber ofnew cases over the past 3 weeks: 1. Hinds County , 2 . DeSoto County , and 3. Jackson County. These counties represent 20.2 percent of new cases in Mississippi. The pandemic in Mississippi is widespread and will require aggressive state -widemitigation to bring the current community spread under control. Mississippihad 302 new cases per 100,000 population in thepast week, compared to a national average of 140 per 100,000 . During Jul 18 - Jul 24 , on average, 115 patients with confirmed COVID - 19 and 82 patients with suspected COVID - 19 were reported asnewly admitted each day to hospitals in Mississippi. An average of76 percent ofhospitals reported each day during this period ; therefore, thismaybe an underestimate of the actual totalnumber of COVID -related hospitalizations. Underreportingmay lead to a lower allocation of criticalsupplies. * RECOMMENDATIONS Protectthosein nursinghome, assistedliving, and long-term carefacilitiesby assuringaccessto rapid facility- wide testingin responseto a residentor staffmemberwith COVID - 19. Ensuresocialdistancingand universalfacemaskuse. Mandateuse ofmasksin allcurrentand evolvinghotspots. Mandatemask use in allindoorpublic areasat alltimes and outdoorswhen socialdistancingcannotbemaintained. Close establishments wheresocialdistancingandmask use cannotoccur, such as barsandentertainmentvenues. Moveto outdoordiningand limitindoordiningto lessthan 25 % ofnormalcapacity. Ask citizensto limit socialgatheringsto fewerthan 10people. Encourageindividualsthat have participatedin largesocialgatheringsto gettested. Increasemessagingof the riskofseriousdiseasein allage groupswithpreexistingmedicalconditions , includingobesity, . hypertension, anddiabetesmellitus Continuethescale-up oftesting, movingto community-led neighborhoodtesting. Workwith localcommunitiesto implementandprovideclearguidance householdsthattest positive, includingon individualisolation procedures . Continueto enhancecontacttracingand ensure the abilityofcasesand contactsto quarantineorisolatesafely. Monitortestingdatato identifyadditionalsitesofincreasedtransmissionandfocuspublic health resourceson them . Ensureallpublic healthlabs are fully staffedandrunning24/7 utilizingallplatformsto reduceturnaround times. Institute3: 1 or 2: 1 poolingoftest specimenson allhigh throughputmachinesaslongas turnaround timesare greaterthan 36 hours. For families and cohabitinghouseholds , screenentirehouseholdsin a single test by poolingspecimens. Require alluniversitieswith RNAdetectionplatformsusethis equipmentto expand surveillancetestingfor schools (K - 12, communitycolleges) anduniversitystudents. Specific, detailedguidanceon communitymitigationmeasurescan befound on the CDCwebsite. The purposeof this reportis to developa sharedunderstanding of the currentstatusof the pandemicatthe national , regional , state andlocallevels. Werecognize thatdata atthe statelevelmay differfrom thatavailableatthe federallevel . Ourobjectiveis to use consistent data sourcesandmethodsthatallow for comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 MISSISSIPPI STATE REPORT 07.26.2020 STATE, % CHANGE FROM PREVIOUS FEMA/ HHS REGION UNITED STATES WEEK LASTWEEK LAST WEEK 8,991 ( 302 ) + 48.6 % 168,276 ( 252) 460,137 ( 140) 15.4 % + 0.6 % * 14.3 % 8.5 % STATE LASTWEEK NEW CASES (RATE PER 100,000) DIAGNOSTIC TEST POSITIVITY RATE 38,489** ( 1,293) TOTAL DIAGNOSTICTESTS ( TESTS PER 100,000) COVID DEATHS +5.4 % ** 137 AT LEASTONE MOBILTY RELATIVEBASELINE MOBILTY TO ( 1,601) ( 1,657) 2,048 6,434 ( 3) (2 ) +3.5 % * 21.7 % COVID - 19 CASE 5,437,404 ** + 20.2 % (5 ) ( RATE PER 100,000 ) 1,071,031** 23.1% 12.1% 100 % 80 % 60 % 40 % 20 % 0 % 2/23 3/1 4/5 3/8 3/15 3/22 3/29 4/12 4/19 4/26 6/7 5/3 5/10 5/17 5/24 5/31 7/5 6/14 6/21 6/28 7/12 7/19 7/26 Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregatingcounty-leveldata from USAFacts; therefore, the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020; lastweek is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 MISSISSIPPI STATE REPORT 07.26.2020 COVID - 19 COUNTY ANDMETRO ALERTS LOCALITIES IN RED ZONE LOCALITIES IN YELLOW ZONE Jackson Gulfport-Biloxi Memphis METRO AREA (CBSA ) LASTWEEK 22 Top 12 shown ( fulllist below) Hattiesburg Tupelo Greenville Laurel Picayune Indianola Cleveland Meridian Vicksburg Grenada COUNTY 71 LASTWEEK Top 12 shown (full list below ) Hinds DeSoto Harrison Jackson Lee Rankin Madison Yazoo Washington Forrest Lamar Sunflower Bolivar Jones Monroe 10 Pearl River Tippah Carroll Clarke Stone Jefferson Panola AllRed CBSAs: Jackson, Gulfport- Biloxi,Memphis,Hattiesburg, Tupelo Greenville, Laurel,Indianola, Cleveland, Meridian, Vicksburg, Grenada, Clarksdale, Columbus, Greenwood, Oxford, McComb, Starkville, Brookhaven, Natchez, Corinth, West Point All Red Counties: Hinds, DeSoto, Jackson, Rankin , Madison,Washington, Forrest, Lamar, Sunflower, Bolivar, Jones, Panola, Warren, Grenada, Simpson, Pontotoc, Coahoma , Lowndes, Lafayette, Pike, Tate, Lauderdale, Leflore, Oktibbeha, Winston, Tallahatchie, Marshall, Copiah, Lincoln, Marion, Walthall, Union, Calhoun, Adams, Alcorn , Covington, Holmes, Neshoba, Scott, Leake,George Tishomingo, Prentiss, Wayne, Smith, Montgomery, Newton, Claiborne, Hancock, Yalobusha, Humphreys, Itawamba, Chickasaw, Perry , Noxubee, Tunica, Greene, Clay , Attala, Quitman, Lawrence, Amite , Jasper, Sharkey, Jefferson Davis, Wilkinson, Franklin,Webster, Choctaw , Kemper, Issaquena Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity resultbetween 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020; lastweek is 7/18 - 7/24 , three weeks is 7/4 - 7/24 . Testing : HHS Protect laboratory data (provided directly to FederalGovernment from public health labs, hospital labs, and commercial labs) through 7/22/2020. Lastweek is 7/16 - 7/22. Testing datamaybebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to-date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 MISSISSIPPI STATE REPORT 07.26.2020 CASE NEW C-ASE 19 COVID 1500 1000 500 Daily COVID - 19 Cases ( 7 - da Daily COVID - 19 Cases average) 6000 TESTING TESTS COVID 19 15.0 % 4000 10.0 % 2000 5.0 % OF TESTS PERCNTAGETOTAL 0.0 % % Positivity Rate (by result date 7 day avg.) Daily Tests Completed (7 day avg. ) Top countiesbased on greatest number ofnew cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES Hinds DeSoto 4000 ) CASES NEWCUMULATIVE Jackson Harrison 3000 Rankin Madison Washington Forrest 2000 Lamar Lee ( 1000 3/8 3/15 - 3/22 3/29 4/5 -4/12 4/19 - 4/26 6/7 5/3 5/10 5/17 5/24 5/31 6/14 6/21 6/28 7/5 7/12 7/19 7/26 DATA SOURCES Cases: County -leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: HHSProtect laboratory data ( provided directly to FederalGovernment from public health labs, hospital labs, and commerciallabs) through 7/22/2020 . COVID - 19 Top 12 counties based on number ofnew cases in the last 3 weeks Daily COVID - 19 Cases Daily COVID - 19 Cases ( 7 -day average ) 200 150 HindsCounty DeSoto County Jackson County 150 150 100 100 100 50 50 50 HarrisonCounty CASE DAILY TO AL Rankin County Madison County 80 80 60 60 40 40 20 20 60 40 20 100 60 Washington County 75 Forrest County LamarCounty 40 40 20 20 50 25 LeeCounty 40 40 SunflowerCounty 40 30 Bolivar County 30 20 20 10 10 3/21 4/5 4/20 7/4 5/5 5/20 6/19 7/19 5/20 6/4 7/4 7/19 DATA SOURCES Cases: County- leveldata from USAFacts through 7/24/2020 . Last 3 weeks is 7/4 - 7/24 . 3/21 4/5 4/20 5/5 7/4 5/20 7/19 COVID - 19 MISSISSIPPI STATEREPORT 07.26.2020 CASE RATESAND DIAGNOSTIC TESTPOSITIVITYDURING THE LASTWEEK NEW CASES PER 100,000 DURING TEST POSITIVITY DURING LAST LASTWEEK WEEK MO Date: 7/26/2020 MO Date : 7/26/2020 NC NC TN TN OK OK AR AR GA GA AL AL MS MS TX Cases per 100K TX Test Positivity < 20Casesin Last 14Days LA 10 to 99.9 20 Casesin Last 14Days 0 % to 4.9 100 to 199.9 5 % to 9.9% 200to 499.9 500 or More 10 % to 19.9% 20% or More LA % 0.1to 9.9 WEEKLY % CHANGEIN NEW WEEKLY CHANGEIN TEST CASES PER 100K POSITIVITY D MO Date: 7/26/2020 MO Date: 7/26/2020 the NC NC TN TN OK OK AR AR GA GA AL AL MS MS Percent Changein Casesper100K Casesin Last 14Days TX Absolute Change in TestPositivity TX 100% Less 10 % to 99.9% Less LA CasesinLast 14Days 1,000 LittleChange 0.5% to 1.9% More 2 More + 100% to 999.9% More Less 0.5% to 1.9% Less % LittleChange 10 to 99.9% More % 2 LA DATA SOURCES Cases: County-leveldatafrom USAFactsthrough 7/24/2020. Lastweekis 7/18 - 7/24, previousweek is 7/11- 7/17. Testing: HHSProtectlaboratorydata (provideddirectlyto FederalGovernmentfrom publichealth labs, hospitallabs, and commerciallabs) through7/22/2020. Lastweek is 7/16 - 7/22 previousweek is 7/9 - 7/15. Testingdatamaybebackfilledover time, resultingin changesweek-to -week in testingdata. Itis criticalthatstatesprovideas up-to -datetesting data as possible. MISSOURI STATE REPORT 07.26.2020 SUMMARY Missouri is in thered zone for cases, indicatingmore than 100 new cases per 100,000 population lastweek, and the yellow zone for test positivity , indicating a rate between 5% to 10 % . Missouri has seen an increase in new cases and stability in testing positivity over the pastweek. The following three counties had the highest number ofnew cases over the past 3 weeks: 1.St.Louis County , 2 . Jackson County , and 3.St. Charles County . These counties represent 47.9 percent ofnew cases in Missouri. Missourihad 131new cases per 100,000 population in the pastweek , compared to a nationalaverage of 140 per 100,000 The federal government has deployed the following staff as assets to support the state response: 97 to support operations activities from FEMA; to support epidemiology activities from CDC ; and 1 to support operations activities VA . During Jul 18 - Jul 24, on average ,69 patients with confirmed COVID - 19 and 251patients with suspected COVID - 19 were reported asnewly admitted each day to hospitals in Missouri. An average of 80 percent ofhospitals reported each day during this period; therefore , this may be an underestimate of the actualtotalnumber of COVID -related hospitalizations. Underreportingmaylead to a lower allocation of critical supplies. * RECOMMENDATIONS Continue to promote socialdistancing and the wearingof cloth facemaskswhen outsidethe home . Mandate and enforce wearing of facemasksoutsidethehomein countieswith 7 -day test positivity greater than 5 % . In allcountieswith 7-day averagetest positivitygreaterthan 10% , closebars and gyms, require strict socialdistancingwithin restaurants( emphasize outdoorover indoordining), and limitgatherings to 10 orfewer people. Protectthose in nursinghomes and long- term care facilities by testing all staff each week and requiring staffto wear face masks Continueto vigorously investigate outbreaksand implement intensified contact tracingwith early quarantineof contacts and isolation ofknownor suspected cases, especiallyin large countiesandthose with increasing case ratesor case ratesover 100 / 100K population. Continuecommunity- led testingandworkwith local communitygroupsto increasetesting access. Implementsurge testingin countieswith elevated transmission and considerpooled testing, adjusted for case density as describedbelow. Meatpackingplants and other crowdedworkplacesshould firmly enforce socialdistancing andwearing of facemasks, institute enhanced testing, and implement clearprotocols forthorough case investigationsand contacttracing. Increasemessaging of the risk ofseriousdisease in older individuals andin allage groupswith preexistingmedicalconditions, including obesity, hypertension , anddiabetesmellitus. Continueto track numberofcases, case rates, test positivity, andhospitalizationsto identify localpockets of increased transmission and signalsofdiminishing care capacity. Addresssignals earlywith measures to further limittransmission and contingencyplansto expandhospitalcapacity. Specific, detailed guidanceon communitymitigationmeasures can be found on the CDCwebsite. The purposeof this reportis to developa sharedunderstanding of the currentstatusof the pandemicatthe national , regional , state andlocallevels. Werecognize thatdata at the state levelmay differ from that availableatthefederallevel. Our objectiveis to use consistent data sourcesandmethodsthatallow for comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 MISSOURI STATE REPORT 07.26.2020 STATE, % CHANGE FROM PREVIOUS REGION UNITED STATES WEEK LAST WEEK LAST WEEK 8,065 ) ( 131 +74.2 % 16,495 (117) 460,137 ( 140) 8.0 % + 0.3 % * STATE LASTWEEK NEW CASES (RATE PER 100,000) DIAGNOSTIC TEST POSITIVITY RATE 68,042** ( 1,109) TOTAL DIAGNOSTICTESTS ( TESTS PER 100,000) ( RATE PER 100,000 ) MOBILTY MOBILTY ( 1,657) 6,434 ( 1) + 0.3 % * 7.8 % 5,437,404 ** 141 +6.9 % AT LEASTONE 8.5 % 201,537 ** ( 1,425) +0.5 % ** ( 1) COVID - 19 CASE TO 8.2 % 62 COVID DEATHS RELATIV BASELINE FEMA/HHS (2) 12.1% 5.2 % 100 % 80 % 60 % 40 % 20 % 0 % 2/23 3/1 3/8 3/22 3/15 3/22 4/5 3/29 4/12 4/19 4/26 5/3 5/10 6/7 5/17 5/31 6/14 6/21 6/28 7/5 7/12 7/19 7/26 Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregating county -leveldata from USAFacts; therefore , the valuesmaynotmatch those reported directly by the state. Data is through 7/24/2020; lastweek is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 MISSOURI STATE REPORT 07.26.2020 COVID - 19 COUNTY ANDMETRO ALERTS LOCALITIES IN RED ZONE LOCALITIES IN YELLOW ZONE St. Louis KansasCity Springfield Columbia METRO AREA ( CBSA ) 14 Joplin Branson 5 Sedalia Kennett Hannibal LAST WEEK Top 12 shown (fulllist below) Cape Girardeau Warrensburg Jefferson City Lebanon Sikeston PoplarBluff Marshall Mexico McDonald St. Louis Newton Jackson Taney St.Charles Polk COUNTY 13 Pettis Dunklin LAST WEEK 12 shown 56 Camden Pemiscot ( fulllist Carroll below ) Bollinger Top shown ( fulllist below ) St.Louis City Jasper Greene Boone Jefferson Cape Girardeau Johnson Douglas Cass Mississippi Clay AllRedCBSAs: Joplin , Branson, Sedalia, Kennett, Hannibal AllYellow : St. Louis, KansasCity, Springfield, Columbia, CapeGirardeau,Warrensburg , Jefferson City, Lebanon, Sikeston, Poplar Bluff,Marshall ,Mexico,West Plains, Quincy All Yellow Counties: St. Louis, Jackson, St. Charles, St.Louis City, Jasper, Greene, Boone, Jefferson, CapeGirardeau, Johnson, Cass, Clay, Franklin, Laclede, Cole, Christian, Barry, Scott, Platte, Lincoln, Saline,New Madrid, Butler, Warren, Webster, Marion, Stoddard, Stone, Audrain, Howell, Benton, Macon, Harrison, Moniteau, Morgan, Barton, Dallas, Clinton, Ray, Pike, Ripley, Andrew, Bates, Ste. Genevieve, Texas, St. Clair, Dade, Daviess, Ralls,Maries, Oregon, Wayne, Grundy, Knox, Ozark, Putnam Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity resultbetween 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020; lastweek is 7/18 - 7/24 , three weeks is 7/4 - 7/24 . Testing : HHS Protect laboratory data (provided directly to FederalGovernment from public health labs, hospital labs, and commercial labs) through 7/22/2020. Lastweek is 7/16 - 7/22. Testing datamaybebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to-date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 MISSOURI STATE REPORT 07.26.2020 CASE NEW C-ASE 19 COVID 1500 1000 500 Daily COVID -19 Cases Daily COVID -19 Cases ( 7 - day average) 15.0 % 10000 8000 10.0 % 6000 4000 5.0 % 2000 0.0 % Daily Tests Completed ( 7 day .) % Positivity Rate (by result date 7 day avg. ) Top counties based on greatest number ofnew cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES St. Louis 10000 Jackson St. Charles ) 8000 CASES NEW CUMULATIVE St. Louis City Jasper Greene 6000 Boone Jefferson Cape Girardeau McDonald 4000 ( 2000 3/8 3/15 - 3/22 3/29 4/5 4/12 4/19 4/26 5/3 5/10 5/17 5/24 5/31 6/14 6/21 6/28 7/5 7/12 7/19 7/26 DATA SOURCES Cases: County -leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: HHSProtect laboratory data ( provided directly to FederalGovernment from public health labs, hospital labs, and commerciallabs) through 7/22/2020 . COVID - 19 Top 12 counties based on number ofnew cases in the last 3 weeks Daily COVID -19 Cases 7 -day average) 400 400 St.Louis County Daily COVID - 19 Cases St. Charles County Jackson County 200 300 300 200 200 100 100 100 CASE DAILY TO AL St. Louis City Jasper County 60 GreeneCounty 100 100 75 40 50 50 20 25 40 Boone County Jefferson County 30 Cape Girardeau County 40 30 30 20 20 10 10 20 10 200 Newton County McDonaldCounty Johnson County 80 150 20 60 100 40 10 50 20 3/21 4/5 4/20 6/4 5/5 5/20 6/19 IZ 7/4 7/19 / 4/5 4/20 5/5 5/20 6/4 7/4 7/19 DATA SOURCES Cases: County- leveldata from USAFacts through 7/24/2020 . Last 3 weeks is 7/4 - 7/24 . COVID - 19 MISSOURI STATE REPORT 07.26.2020 CASE RATESAND DIAGNOSTIC TESTPOSITIVITYDURING THE LASTWEEK NEW CASES PER 100,000 DURING TEST POSITIVITY DURING LAST LASTWEEK WEEK Date: 7/26/2020 Date : 7/26/2020 IA NE NE IN IN IL KS IL KS MO MO KY KY Cases per100K 20Casesin Last 14 Days Test Positivity 20 Casesin Last 14Days 0.1to 9.9 10 to 99.9 OK 0 % to 4.9% OK 100 to 199.9 AR 5 % to 9.9 AR 10% to 19.9% 20% or More 200 to499.9 500 orMore WEEKLY % CHANGEIN NEW WEEKLY CHANGEIN TEST CASES PER 100K POSITIVITY SME Date 7/26/2020 Date: 7/26/2020 IA IA NE NE IN IN IL KS IL MO KS MO Percent Changein Casesper100K KY AbsoluteChangein TestPositivity in Last 14Days in Last % 100 Less 14Days AR 100% to 999.9% More 1.000% % LittleChange 10% to 99.9% More OK 2 % 10% to 99.9 Less Less 0.5% to 1.9% Less OK AR LittleChange 0.5 to 1.9 % More 2 % + More DATA SOURCES Cases: County-leveldatafrom USAFactsthrough 7/24/2020. Lastweekis 7/18 - 7/24, previousweek is 7/11- 7/17. Testing: HHSProtectlaboratorydata (provideddirectlyto FederalGovernmentfrom publichealth labs, hospitallabs, and commerciallabs) through7/22/2020. Lastweek is 7/16 - 7/22 previousweek is 7/9 - 7/15. Testingdatamaybebackfilledover time, resultingin changesweek-to -week in testingdata. Itis criticalthatstatesprovideas up-to -datetesting data as possible. MONTANA STATE REPORT 07.26.2020 SUMMARY Montana is in the yellow zone for cases, indicatingbetween 10 to 100 new cases per 100,000 population lastweek , and the green zone for test positivity, indicating a rate below 5 % . Montana has seen a decrease in new cases and a decrease in testing positivity over the pastweek . The following three counties hadthe highest number of new cases over the past 3 weeks: 1. Yellowstone County , 2.Gallatin County , and 3. Flathead County . These counties represent 59.8 percent ofnew cases in Montana . Montana had 63 new cases per 100,000 population in the pastweek , compared to a nationalaverage of 140 per 100,000 . The federal government has deployed the following staff as assets to support the state response: 4 to support operations activities from FEMA. During Jul 18 - Jul24 , on average 11patients with confirmed COVID - 19 and 29 patients with suspected COVID - 19 were reported as newly admitted each day to hospitals in Montana. An average of33 percent ofhospitals reported each day during this period; therefore , this may be an underestimate ofthe actualtotalnumber of COVID -related hospitalizations. Underreportingmay lead to a lower allocation of critical supplies . RECOMMENDATIONS Continueto promote socialdistancingand the use ofcloth facemaskswhen outsidethe home and the requirementfor face masksin counties with fourormore cases. Facemasks are particularly criticalfor indoor spaces. Continueto vigorously investigatecases with contacttracing and early quarantine of contacts and isolation ofknown or suspected cases, with particularfocus on populous countiesand those with elevated orincreasingtransmission, such as Big Horn, Flathead, Hill, Lewis and Clark, Missoula, and Yellowstone. In these high transmission counties,implementcommunity- led testing and work with localcommunity groups to increase testing access; consider pooled testing as described below . In all counties in the yellow zone ( as defined below ) , close bars, restrict gymsto 25% occupancy, require strict socialdistancing within restaurants (promote outdoor dining overindoor), and limit gatheringsto 25 or fewer people. This will be particularly importantastourist season increases. Protect those in nursinghomesand long- term care facilities by testing all staffeach week and requiringstaff to wearface masks. Continue to preventtransmission and controloutbreaksin crowdedworkplaces, such asmeatpackingplants, through effective socialdistancing, mandatory facemasks, and early contacttracing. Increasemessaging of the risk ofserious disease in older individuals and in all age groups with preexistingmedicalconditions, including obesity, hypertension, and diabetesmellitus. Continueto track case rates, testpositivity, and hospitalizationsto identifylocalpockets ofincreased transmission and trigger interventions early atsigns of increasing transmission. TribalNations: Continueto promotesocial distancingandmask recommendations . Develop specific culturally relevant education and public health messaging. Pooled testing should be instituted formulti-generationalhouseholds. Spaces to provide quarantine of contacts and isolation of cases should beprovided as needed. Specific, detailed guidanceon communitymitigationmeasurescan be found on the CDC website. Thepurposeof this reportis to develop a sharedunderstanding of the currentstatusof thepandemicat the national , regional , state and locallevels. Werecognize thatdata atthe statelevelmay differfrom thatavailableatthe federallevel . Ourobjectiveis to use consistent data sourcesandmethodsthatallow for comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 MONTANA STATE REPORT 07.26.2020 STATE, % CHANGE FROM PREVIOUS STATE , LASTWEEK NEW CASES UNITED STATES LAST WEEK 10,273 460,137 ( 140) 16,840** TOTAL DIAGNOSTICTESTS (84) -1.7 % * 4.8 % POSITIVITY RATE 5.7 % +20.7% ** 5,437,404 ** ( 1,564) ( 1,657) 103 6,434 ( 1) ( 2) 9 COVID DEATHS + 0.0 % ( 1) ( RATE PER 100,000 ) AT LEASTONE -1.4 % * 0.0 % COVID - 19 CASE 8.5 % 191,736 ** ( 1,576) ( TESTS PER 100,000) MOBILTY REGION LASTWEEK -10.4% (63) DIAGNOSTIC TEST TO WEEK 671 (RATE PER 100,000 ) RELATIVEBASELINE MOBILTY FEMA/HHS 4.6 % 12.1 % 120 % 100 % 80 % 60 % 40 % 20 % % 2/23 3/1 4/5 3/8 3/15 3/22 3/29 4/12 4/19 4/26 6/7 5/3 5/10 5/17 5/24 5/31 6/14 6/21 6/28 7/5 7/12 7/19 7/26 Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregatingcounty-leveldata from USAFacts; therefore, the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020; lastweek is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 MONTANA STATE REPORT 07.26.2020 COVID - 19 COUNTY ANDMETRO ALERTS LOCALITIES IN RED ZONE LOCALITIES IN YELLOW ZONE METRO AREA N /A ( CBSA ) LASTWEEK w Billings Bozeman Kalispell Yellowstone Gallatin Flathead COUNTY LASTWEEK Lake Stillwater Madison Beaverhead 12 Pondera Deer Lodge Sweet Grass Valley Sheridan McCone Powder River Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity result between 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020 ; last week is 7/18 -7/24 , three weeks is 7/4 - 7/24 . Testing :CELR ( COVID - 19 Electronic Lab Reporting) state health department -reported data through 7/22/2020 . Lastweek is 7/16 - 7/22. Testing datamay bebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 MONTANA STATE REPORT 07.26.2020 CASE NEW C-ASE 19 COVID 125 100 75 50 25 Daily COVID - 19 Cases ( 7 - day ave ge) Daily COVID - 19 Cases 2500 TESTING TESTS COVID 19 6.0 % 2000 1500 4.0 % 1000 2.0 500 OF TESTS PERCENTAGE TOTAL 0.0 % % Positivity Rate (by result date 7 day avg .) Daily Tests Completed (7 day avg. ) Top counties based on greatest number ofnew cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES Yellowstone 800 Gallatin ) Flathead Lake 600 CASES NEW CUMULATIVE Big Horn Cascade Lewis and Clark 400 Missoula Lincoln Madison ( 200 - 3/8 3/15 3/22 3/29 4/5 4/12 4/19 - 4/26 - 5/3 5/10 5/17 5/24 6/7 6/14 5/31 - 6/21 6/28 7/5 7/12 7/19 7/26 DATA SOURCES Cases: County-leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: CELR ( COVID - 19 Electronic Lab Reporting) statehealth department-reported data through 7/22/2020. COVID - 19 Top 12 counties based on number ofnew cases in the last 3 weeks Daily COVID - 19 Cases ( 7 -day average) YellowstoneCounty Daily COVID - 19 Cases Flathead County Gallatin County 40 60 10 30 40 20 20 CASE DAILY TO AL 10 Lake County 15 Big Horn County 20 Cascade County 15 20 10 10 10 5 5 10.0 Lewis and Clark County Lincoln County Missoula County 20 15 7.5 15 5.0 10 2.5 10 5 0.0 Madison County Hill County 10.0 3 10.0 7.5 7.5 2 4 5.0 5.0 2.5 2.5 0.0 0.0 1 3/21 4/5 4/20 5/5 5/20 6/4 6/19 7/4 / 3/21 4/5 7/4 7/19 DATA SOURCES Cases: County-leveldata from USAFacts through 7/24/2020. Last 3 weeks is 7/4 - 7/24. Glacier County 3/21 4/5 4/20 6/19 7/4 61 / COVID - 19 MONTANA STATE REPORT 07.26.2020 CASE RATESAND DIAGNOSTIC TESTPOSITIVITYDURING THE LASTWEEK TEST POSITIVITY DURING LAST NEW CASES PER 100,000 DURING LASTWEEK Date : 7/26/2020 WEEK Date: 7/26/2020 Cami WA WA MT ND ND MT OR OR ID Cases per 100K 20 Cases inLast 14Days TestPositivity Cases 14Days % to 4.9% 0.1to 9.9 WY 0 10 to 99.9 100 to 199.9 WY % WEEKLY % CHANGEIN NEW WEEKLY CHANGEIN TEST CASES PER 100K POSITIVITY Date: 7/26/2020 5 % to 9.9 % 10% to 19.9% 20 or More 200 to499.9 500 orMore Date: 7/26/2020 WA WA MT ND ND MT OR OR PercentChange in Casesper 100K ID Absolute Change in Test Positivity = Cases in Last 14Days % Cases in Last 14Days 100 Less % 2 % 10% to 99.9 Less LittleChange 10% to 99.9% More WY 100% to 999.9% More 1.000% More Less 0.5% to 1.9% Less WY Little Change 0.5% to % More % + More DATA SOURCES Cases: County-leveldata from USAFactsthrough 7/24/2020. Lastweek is7/18 - 7/24, previousweek is 7/11- 7/17. Testing: CELR (COVID- 19 ElectronicLab Reporting ) state health department-reporteddata through 7/22/2020. Lastweek is 7/16 - 7/22, previousweek is 7/9 - 7/15. Testingdatamaybebackfilledover time, resultingin changesweek- to-week in testing data. It is criticalthat statesprovideasup- to -datetestingdata aspossible. NEBRASKA STATE REPORT 07.26.2020 SUMMARY Nebraska is in the yellow zonefor cases, indicatingbetween 10 to 100 new cases per 100,000 population lastweek, and the yellow zonefortest positivity, indicating a ratebetween 5 % to 10 % . Nebraskahasseen an increase in new casesand an increasein testingpositivityoverthe past week. The followingthree countieshad the highestnumberofnew cases over past 3weeks: 1.DouglasCounty, 2.Lancaster County, and 3.Sarpy County. These countiesrepresent76.2 percentofnew casesin Nebraska. Cases are concentrated in the Omahaand Lincoln CBSAs. Approximately one third ofNebraska's counties, primarily ruralones, reported no cases in the past week. Nebraskahad 93 new casesper 100,000 populationin the past week, compared to anationalaverageof 140 per 100,000. Thefederal governmenthasdeployed the followingstaff asassetsto supportthe state response: 2 activities from FEMA. supportoperations DuringJul 18 - Jul 24 , on average, 9 patientswith confirmed COVID- 19and 18 patientswith suspected COVID- 19 were reported asnewly admitted each day to hospitalsinNebraska. An averageof61percentofhospitalsreported eachday during this period; therefore, this maybe an underestimateofthe actualtotalnumberofCOVID- related hospitalizations. Underreporting may lead to alowerallocation ofcriticalsupplies. * RECOMMENDATIONS Continueweekly testing ofallworkers in assisted living and long- term care facilities, and requiremasks and social distancing forallvisitors. Carefulmonitoringof compliance to mask use and socialdistancing in Lincoln and Omaha is critical, particularly activities in bars andrestaurants. Limit bar hoursor occupancyin highly affected counties if cases continue to rise Ensure COVID - 19 diagnostic testing continues to expand, specifically in themetro areas. Continueto recommendcloth face coverings and maintaining 6 ft distancing forpeopleoutside of their homes. Specific, detailed guidance on communitymitigation measures can be found on the CDC website. Thepurposeof this reportis to developa sharedunderstanding of thecurrentstatusof thepandemicat the national , regional , stateand locallevels. Werecognize thatdata at thestate levelmaydiffer from thatavailableatthe federallevel. Our objectiveis to useconsistent data sourcesand methodsthatallowfor comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 NEBRASKA STATE REPORT 07.26.2020 STATE, % CHANGE FROM PREVIOUS STATE LASTWEEK NEW CASES 1,804 (93) (RATE PER 100,000) DIAGNOSTIC TEST 9.1% POSITIVITY RATE ( TESTS PER 100,000) COVID DEATHS 20 ( RATE PER 100,000 ) ( 1) AT LEASTONE MOBILTY MOBILTY TO UNITED STATES LASTWEEK LAST WEEK + 19.6 % 16,495 ( 117 ) 460,137 ( 140) 8.2 % -4.8 % 5,437,404 ** 141 6,434 ( 1) (2 ) + 0.7 % * 2.2 % 8.5 % 201,537 ** ( 1,425) + 5.3 % COVID - 19 CASE RELATIVEBASELINE REGION WEEK + 0.6 % * 27,645** ( 1,429) TOTAL DIAGNOSTICTESTS FEMA/ HHS ( 1,657) 5.2 % 12.1% 100 % 80 % 60 % 40 % 20 % 0 % 2/23 3/1 4/5 3/8 3/15 3/22 3/29 4/12 4/19 4/26 5/3 6/7 5/17 5/31 6/14 6/21 6/28 7/5 7/12 7/19 7/26 Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregating county -leveldata from USAFacts; therefore , the valuesmaynotmatch those reported directly by the state. Data is through 7/24/2020; last week is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 NEBRASKA STATE REPORT 07.26.2020 COVID - 19 COUNTY ANDMETRO ALERTS LOCALITIES IN RED ZONE LOCALITIES IN YELLOW ZONE Omaha-Council Bluffs METRO AREA Lincoln (CBSA) LASTWEEK 9 Sioux City Kearney Grand Island Columbus Scottsbluff Fremont Lexington Hastings Douglas Lancaster Thayer Hamilton COUNTY LASTWEEK 9 Clay Perkins Polk McPherson Hooker 32 Top 12 shown (full list below ) Sarpy Dakota Buffalo Hall Cass Platte Thurston Scotts Bluff Dodge Dawson Washington Saunders AllYellow Counties: Sarpy, Dakota, Buffalo, Hall, Cass, Platte, Thurston, ScottsBluff, Dodge, Dawson,Washington, Saunders, Seward, Saline, Adams , Colfax, Otoe, Richardson, Cuming, Keith, Antelope, Knox, Pierce, Phelps, BoxButte, Johnson, Greeley, Nuckolls, Stanton, Kimball , Holt, Merrick Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity result between 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020 ; last week is 7/18 -7/24 , three weeks is 7/4 - 7/24 . Testing :CELR ( COVID - 19 Electronic Lab Reporting) state health department -reported data through 7/22/2020 . Lastweek is 7/16 - 7/22. Testing datamay bebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 NEBRASKA STATE REPORT 07.26.2020 C-ASE CASE 19 COVID NEW 600 400 200 Daily COVID - 19 Cases Daily COVID -19 Cases ( 7 - day average) 5000 TESTING T-EST COVID 19 25.0 % 4000 20.0 % 3000 15.0 % 2000 10.0 % 1000 5.0 % OF TESTS PERC NTAGE TOTAL 0.0 % % Positivity Rate (by result date 7 day avg.) Daily Tests Completed ( 7 day avg. ) Top counties based on greatest number ofnew cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES Douglas ) CASES NEW CUMULATIVE 8000 Lancaster Sarpy Dakota 6000 Buffalo Hall Cass Platte 4000 Thurston Scotts Bluff ( 2000 - - 3/8 3/15 3/22 3/29 4/5 4/12 - - 4/19 4/26 6/7 5/3 5/10 5/17 5/24 5/31 6/14 6/21 6/28 7/5 7/12 7/19 7/26 DATA SOURCES Cases: County-leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: CELR ( COVID - 19 Electronic Lab Reporting) statehealth department-reported data through 7/22/2020. COVID - 19 Top 12 counties based on number ofnew cases in the last 3 weeks Daily COVID - 19 Cases ( 7- day average) Daily COVID - 19 Cases LancasterCounty Douglas County Sarpy County 80 40 200 100 CASE DAILY TO AL 300 60 30 40 20 20 10 DakotaCounty Hall County Buffalo County 150 15 200 100 10 100 50 5 10.0 Thurston County Platte County Cass County 40 7.5 40 30 5.0 20 20 2.5 10 0.0 Scotts Bluff 150 Dodge Dawson County 30 10 100 20 50 10 E / 4/5 7/4 7/19 5/5 5/20 6/4 6/19 7/4 7/19 DATA SOURCES Cases: County-leveldata from USAFacts through 7/24/2020. Last 3 weeks is 7/4 - 7/24. 3/21 4/5 5/5 4/20 5/20 6/4 6/19 COVID - 19 NEBRASKA STATEREPORT 07.26.2020 CASE RATESAND DIAGNOSTIC TESTPOSITIVITYDURING THE LASTWEEK NEW CASES PER 100,000 DURING TEST POSITIVITYDURING LAST LASTWEEK Date: 7/26/2020 WEEK Date : 7/26/2020 MT MT the WI WI MN SD MN SD WY WY IA IA NE NE Casesper 100K TestPositivity 20 Cases inLast 14Days 0.1to 9.9 = Casesin Last 14Days % to 4.9% 10 to 99.9 0 KS KS 100 to 199.9 5 CO 200 to 499.9 500 orMore Date: 7/26/2020 % to 9.9 % to 19.9% % 10 20% WEEKLY % CHANGEIN NEW WEEKLY CHANGEIN TEST CASES PER 100K POSITIVITY MT Date: 7/26/2020 MT or More SE WI WI MN SD MN SD WY WY IA IA NE NE Percent Changein Casesper100K Casesin Last 14Days Absolute Changein TestPositivity Cases in Last 14Days % 2 % 100% Less 10% to 99.9 Less KS LittleChange 10% to 99.9% More 100% to 999.9% More 1.000% KS Less 0.5% to 1.9% Less LittleChange 0.5 to 1.9% More 2 % + More DATA SOURCES Cases: County-leveldata from USAFactsthrough 7/24/2020. Lastweek is7/18 - 7/24, previousweek is 7/11- 7/17. Testing: CELR (COVID- 19 ElectronicLab Reporting ) state health department-reporteddata through 7/22/2020. Lastweek is 7/16 - 7/22, previousweek is 7/9 - 7/15. Testingdatamaybebackfilledover time, resultingin changesweek- to-week in testing data. It is criticalthat statesprovideasup- to -datetestingdata aspossible. NEVADA STATE REPORT 07.26.2020 SUMMARY Nevada is in thered zone for cases, indicatingmore than 100 new cases per 100,000 population last week, and the red zone for test positivity , indicating a rate above 10 % . Nevada continued to have high numbers of cases diagnosed and high test percent positivity over the pastweek. The following three counties had the highest number ofnew cases over the past 3 weeks: 1.Clark County, 2. Washoe County , and 3. Elko County . These counties represent 97.9 percent ofnew cases in Nevada. Nevada had 246 new cases per 100,000 population in the pastweek , compared to a national average of 140 per 100,000. The federal governmenthasdeployed thefollowing staff as assets to support the state response: 8 to support operations activities from FEMA. During Jul 18 - Jul24 , on average , 25 patients with confirmed COVID - 19 and 36 patients with suspected COVID - 19 were reported as newly admitted each day to hospitals in Nevada. An average of76 percent ofhospitals reported each day during this period; therefore , this may be an underestimate ofthe actualtotalnumber of COVID -related hospitalizations. Underreportingmay lead to a lower allocation of critical supplies . RECOMMENDATIONS In areas that continue to have high and increasing levels oftest positivity, consider further limitationson occupancy oroperation of certain businesses if cases continueto increase rapidly. Protect vulnerable populationsin assisted living and long-term care facilities through weekly testing of all workers and requiringmasks. In facilities with workers who tested positive, ensure all residents have been tested and appropriate cohorting measures are in place. Ensure enforcementof themasking requirements in business establishments. Continue to enhance contact tracing and ensure the ability of cases and contacts to quarantineor isolate safely. For family and cohabitatinghouseholds, screen entire householdsin a single testby pooling a sample of each member's sample. For householdsthattest positive, isolate and conduct follow -up individualtests. Expand testing capacity in publichealth labs, adding shifts and weekend shiftsto reduce turnaround times. Specific , detailed guidance on community mitigationmeasures can be found on the CDCwebsite . Thepurposeof this reportis to developa sharedunderstanding of thecurrentstatusof thepandemicat the national , regional , stateand locallevels. Werecognize thatdata at thestate levelmaydiffer from thatavailableatthe federallevel. Our objectiveis to useconsistent data sourcesand methodsthatallowfor comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 NEVADA STATE REPORT STATE, % CHANGE FROM PREVIOUS STATE LASTWEEK NEW CASES WEEK 7,592 ( 246 ) (RATE PER 100,000) DIAGNOSTIC TEST + 0.0 % * 50,415** ( 1,637) TOTAL DIAGNOSTICTESTS ( TESTS PER 100,000) COVID DEATHS 85 ( RATE PER 100,000 ) ( 3) AT LEASTONE +9.5 % ** + 46.6 % -0.5 % * 11.3 % COVID - 19 CASE MOBILTY RELATIV BASELINE MOBILTY TO REGION UNITED STATES LASTWEEK LAST WEEK ( 179) 460,137 ( 140) 10.4 % 8.5 % 91,957 + 3.4 % 13.7 % POSITIVITY RATE FEMA /HHS 1,135,434 ** 5,437,404 ** (2,214) ( 1,657) 1,581 (3) 6,434 (2 ) 13.7 % 12.1% 100 % 80 % 60 % 40 % 20 % 0 % 2/23 3/1 4/5 3/8 3/15 3/22 3/29 4/12 4/19 4/26 5/3 5/10 5/17 5/24 5/31 6/14 6/21 6/28 7/5 7/12 7/19 7/26 Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregating county -leveldata from USAFacts; therefore , the valuesmaynotmatch those reported directly by the state. Data is through 7/24/2020; lastweek is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 NEVADA STATE REPORT 07.26.2020 COVID - 19 COUNTY AND METRO LOCALITIES IN RED ZONE ALERTS LOCALITIES IN METRO AREA ( CBSA ) LASTWEEK 3 Las Vegas- Henderson - Paradise Elko Pahrump YELLOW ZONE Reno 4 Carson City Fernley Fallon Washoe COUNTY LASTWEEK Carson City Clark Elko Nye 6 Lyon Churchill Eureka Storey Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity result between 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020 ; last week is 7/18 -7/24 , three weeks is 7/4 - 7/24 . Testing :CELR ( COVID - 19 Electronic Lab Reporting) state health department -reported data through 7/22/2020 . Lastweek is 7/16 - 7/22. Testing datamay bebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 NEVADA STATE REPORT 07.26.2020 1500 C-ASE CASE 19 COVID NEW 1000 500 Daily COVID - 19 Cases Daily COVID - 19 Cases ( 7 - day average) 8000 15.0 % 6000 10.0 % 4000 5.0 % 2000 0.0 % % PositivityRate ( by resultdate 7 day avg.) Daily Tests Completed ( 7 day avg. ) Top countiesbased on greatest number ofnew cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES Clark ) Washoe Elko 30000 Nye CASES NEW CUM LATIVE ( CarsonCity Douglas 20000 Lyon Churchill Lander Humboldt 10000 3/8 3/15 3/22 3/29 4/5 - - 4/12 4/19 4/26 6/7 5/3 5/10 5/17 5/24 5/31 6/14 6/21 6/28 7/5 7/12 7/19 7/26 DATA SOURCES Cases: County-leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: CELR ( COVID - 19 Electronic Lab Reporting) statehealth department-reported data through 7/22/2020. COVID - 19 Top 12 counties based on number ofnew cases in the last 3 weeks Daily COVID - 19 Cases Daily COVID - 19 Cases ( 7 - day average) Clark County Washoe County 30 Elko County 150 1000 20 100 500 10 50 CASE DAILY TO AL 30 Nye County City 10.0 Douglas County 7.5 6 20 5.0 4 10 2.5 N 0.0 Lyon County 4 ChurchillCounty 6 Lander 10 2 5 2 HumboldtCounty 3 PershingCounty 3 MineralCounty 6 2 N 4 1 2 3/21 5/20 6/4 6/19 7/4 7/19 1 3/21 4/5 4/20 5/5 5/20 6/4 61/9 7/4 7/19 DATA SOURCES Cases: County-leveldata from USAFacts through 7/24/2020. Last 3 weeks is 7/4 - 7/24. 4/5 4/20 5/5 5/20 6/4 7/4 7/19 COVID - 19 NEVADA STATEREPORT 07.26.2020 CASE RATESAND DIAGNOSTIC TESTPOSITIVITYDURING THE LASTWEEK NEW CASES PER 100,000 DURING TEST POSITIVITYDURING LAST LASTWEEK WEEK Date: 7/26/2020 Date: 7/26/2020 OR OR ID ID WY WY NV NV UT UT CA CA Cases per 100K 20Cases Last 14Days 0.1 9.9 Test Positivity % AZ 100 to 199.9 5 % to 9.9% 200 to499.9 500 orMore 10 % to 19.9% 20% or More WEEKLY % CHANGEIN NEW WEEKLY CHANGEIN TEST CASES PER 100K POSITIVITY MT Date: 7/26/2020 % 20 Casesin Last 14Days to 4.9 10 to 99.9 AZ MT Date: 7/26/2020 OR OR ID ID WY WY NV NV UT UT CA CA Percent Changein Casesper100K = 20 Casesin Last 14Days Absolute Changein TestPositivity Casesin Last 14Days 100% Less Little Change 10% to 99.9% More 100% to 999.9% More 1,000 AZ Less 0.5% to 1.9% Less Little Change 0.5% to 1.9 % More 2 More % AZ % 2 % 10% to 99.9 Less DATA SOURCES Cases: County-leveldata from USAFactsthrough 7/24/2020. Lastweek is7/18 - 7/24, previousweek is 7/11- 7/17. Testing: CELR (COVID- 19 ElectronicLab Reporting ) state health department-reporteddata through 7/22/2020. Lastweek is 7/16 - 7/22, previousweek is 7/9 - 7/15. Testingdatamaybebackfilledover time, resultingin changesweek- to-week in testing data. It is criticalthat statesprovideasup- to -datetestingdata aspossible. NEW HAMPSHIRE STATEREPORT 07.26.2020 SUMMARY New Hampshire is in the yellow zonefor cases, indicating between 10 to 100 new cases per 100,000 population last week , and the green zone for test positivity , indicating a rate below 5 . New Hampshire hasseen an increase in new cases and stability in testing positivity over the past week . The increase in cases was heavily driven by Hillsborough County . The following three counties had the highestnumber of new cases over the past 3 weeks: 1. Hillsborough County, 2.Rockingham County , and 3.Merrimack County. These counties represent 83.7 percent ofnew cases in New Hampshire New Hampshire had 16 140 per 100,000 . cases per 100,000 population in the past week , compared to a national average of The federalgovernment has deployed the following staff as assets to support the state response: 2 to support FEMA. operations activities During Jul 18 - Jul24 on average, 4 patients with confirmed COVID - 19 and 24 patients with suspected COVID - 19 were reported asnewly admitted each day to hospitals in New Hampshire . An average of 93 percentofhospitals reported each day during this period ; therefore, this may be an underestimate of the actual total number of COVID -related hospitalizations. Underreportingmay lead to a lower allocation of critical supplies. * RECOMMENDATIONS Continuethe scale- up of testing , movingto community - led neighborhoodtesting andpooled household testingin the top 3 counties. Work with localcommunitiesand provideclear guidanceon isolation and quarantineprocedures . Recruitsufficientcontacttracersas communityoutreachworkers to ensure allcasesare contacted andallmembersof positivehouseholdsareindividuallytestedwithin 24 hours. Specific, detailed guidanceon communitymitigationmeasurescan be found on the CDCwebsite. Thepurposeof this reportis to developa sharedunderstanding of thecurrentstatusof thepandemicat the national , regional , stateand locallevels. Werecognize thatdata at thestate levelmaydiffer from thatavailableatthe federallevel. Our objectiveis to useconsistent data sourcesand methodsthatallowfor comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 NEW HAMPSHIRE STATE REPORT 07.26.2020 STATE LAST WEEK NEW CASES 211 ( 16) (RATE PER 100,000 ) DIAGNOSTIC TEST 1.7 % POSITIVITY RATE 15,014** TOTAL DIAGNOSTICTESTS COVID DEATHS 14 ( RATE PER 100,000 ) ( 1) AT LEASTONE 0.0 % COVID - 19 CASE MOBILTY TO FEMA/ HHS REGION UNITED STATES WEEK LASTWEEK LAST WEEK + 22.0 % + 0.0 % * +16.1% ** ( 1,104) ( TESTS PER 100,000) RELATIV BASELIN MOBILTY STATE, % CHANGE FROM PREVIOUS + 180.0 % -7.4 % * 3,831 ( 26 ) 460,137 ( 140) 1.6 % 8.5 % 201,843 ** 5,437,404 ** ( 1,360) ( 1,657) 153 6,434 ( 1) (2 ) 4.4 % 12.1% 100 % 80 % 60 % 40 % 20 % 0 % 6/7 6/14 6/21 6/28 7/5 7/12 7/19 7/26 Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregating county -leveldata from USAFacts; therefore , the valuesmaynotmatch those reported directly by the state. Data is through 7/24/2020; last week is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 NEW HAMPSHIRE STATE REPORT 07.26.2020 COVID - 19 COUNTY ANDMETRO ALERTS LOCALITIESIN RED ZONE LOCALITIES IN YELLOW ZONE METRO AREA N/A N/A N/A N/A ( CBSA ) LASTWEEK COUNTY LASTWEEK Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity result between 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020 ; last week is 7/18 -7/24 , three weeks is 7/4 - 7/24 . Testing :CELR ( COVID - 19 Electronic Lab Reporting) state health department -reported data through 7/22/2020 . Lastweek is 7/16 - 7/22. Testing datamay bebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 NEW HAMPSHIRE STATE REPORT 07.26.2020 C1-AS9ES COVID CASE NEW 150 100 50 Daily COVID - 19 Cases ( 7 - da TESTING T-ESTS COVID 19 Daily COVID - 19 Cases average ) 20.0 % OF 4000 15.0 % 3000 10.0 % 2000 5.0 % 1000 Daily Tests Completed ( 7 day avg. ) TESTS PERC NTAGE TOTAL 0.0 % % Positivity Rate (by result date 7 day avg.) Top counties based on greatest number ofnew cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES Hillsborough Rockingham Merrimack Carroll 3000 CASES NEWCUMULATIVE ( Belknap Strafford 2000 Grafton Coos Cheshire 1000 Sullivan 3/8 3/15 - 3/22 3/29 4/5 4/12 4/19 4/26 - 5/3 5/10 5/17 5/24 5/31 6/7 6/14 6/21 6/28 7/5 - 7/12 7/19 7/26 DATA SOURCES Cases: County-leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: CELR ( COVID - 19 Electronic Lab Reporting) statehealth department-reported data through 7/22/2020. COVID - 19 Top 12 counties based on number ofnew cases in the last 3 weeks Daily COVID - 19 Cases ( 7 -day average ) Hillsborough Rockingham 75 60 50 40 25 20 Merrimack County County 30 80 100 Daily COVID - 19 Cases 20 10 CASE DAILY TO AL 6 Carroll County 4 Strafford County Belknap County 15 3 4 10 2 2 5 1 Grafton County 2.0 Cheshire County Coos County 8 1.5 4 6 1.0 4 2 0.5 2 0.0 3 Sullivan County 2 1 3/21 5/5 4/5 4/20 7/4 6/4 5/20 6/19 7/19 DATA SOURCES Cases: County-leveldata from USAFacts through 7/24/2020. Last 3 weeks is 7/4 - 7/24. COVID - 19 NEW HAMPSHIRE STATE REPORT 07.26.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LASTWEEK NEW CASES PER 100,000 DURING TEST POSITIVITY DURING LAST LASTWEEK WEEK D Date: 7/26/2020 Date: 7/26/2020 the ME ME VT NH NH NY NY Cases per 100K < Cases Last 14 Days 0.1to 9.9 10 to 99.9 TestPositivity 0 Casesin Last 14Days % to 4.9 5 100to 199.9 499.9 500 orMore MA WEEKLY % CHANGEIN NEW WEEKLY CHANGEIN TEST CASES PER 100K POSITIVITY D Date: 7/26/2020 % to 9.9 % 10 % to 19.9 20% or More MA Date: 7/26/2020 the ME ME VT NH NH PercentChangein Casesper100K NY Absolute Changein Test Positivity <=20 Cases inLast 14 Days 100 % Less <= 20 Casesin Last 14Days + Less % Less % LittleChange 10 % to 99.9% More 0.5% to MA More 1,000 More Less LittleChange 100% to 999.9% MA 0.5% to 1.9% 2 More More % % 10 to DATA SOURCES Cases : County -leveldata from USAFacts through 7/24/2020 . Last week is 7/18 - 7/24 , previous week is 7/11 - 7/17. Testing : CELR (COVID - 19 Electronic Lab Reporting ) state health department -reported data through 7/22/2020 . Last week is 7/16 - 7/22 previousweek is 7/9 - 7/15 . Testing data may be backfilled over time, resulting in changes week - to -week in testing data. It is critical that states provide asup- to -date testing data aspossible. NEW JERSEY STATE REPORT 07.26.2020 SUMMARY New Jersey is in the yellow zonefor cases, indicatingbetween10 to 100 new casesper 100,000 population lastweek, andthe green zone for testpositivity, indicatinga ratebelow 5% . New Jersey hasseen an increase in new cases and stability in testingpositivity overthe pastweek. Outbreaksamongadolescentsandyoung adults linked to indoor socialeventswere reported. Thefollowingthree countieshad the highestnumberofnew cases over the past 3weeks: 1.Bergen County, 2.Middlesex County, and 3. Monmouth County. These countiesrepresent30.8 percent of new cases in New Jersey. New Jersey had 23new cases per 100,000populationin the pastweek, comparedto a nationalaverageof 140per 100,000. The federal governmenthasdeployedthe followingstaff as assets to support the state response: 70 to support operations activities from FEMA; 16 to support operationsactivitiesfrom USCG; and 3 to supportoperationsactivities from VA. During Jul 18 - Jul 24 , on average, 34 patientswith confirmed COVID - 19 and213 patientswith suspected COVID - 19were reported as newlyadmittedeach dayto hospitalsin New Jersey. An averageof 70 percentofhospitalsreportedeach day duringthisperiod; therefore, thismaybean underestimateof the actualtotalnumberofCOVID -relatedhospitalizations. Underreporting maylead to a lower allocation of criticalsupplies. * RECOMMENDATIONS Continueweekly testing of allworkers in assisted livingand long-term care facilities, and requiremasksand social distancing for all visitors. Continue requirement ofwearing cloth masks in public spaces and scale -up of contact tracing. Consider lowering the gathering size limitagain if cases continue to increase. Protect those in nursinghomes and long-term care facilities by ensuring access to facility-wide testing in response to a resident or staff member with COVID - 19. Address staff and supply shortages. Ensure social distancing and universalfacemask use. Specific, detailed guidance on communitymitigation measures can be found on the CDC website. Thepurposeof this reportis to developa sharedunderstanding of thecurrentstatusof thepandemicat the national , regional , stateand locallevels. Werecognize thatdata at thestate levelmaydiffer from thatavailableatthe federallevel. Our objectiveis to useconsistent data sourcesand methodsthatallowfor comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 NEW JERSEY STATE REPORT 07.26.2020 STATE, % CHANGE FROM PREVIOUS STATE LASTWEEK NEW CASES (RATE PER 100,000 ) DIAGNOSTIC TEST POSITIVITY RATE 2,050 (23) + 11.9% 2.3 % + 0.0 % * -23.7 AT LEASTONE 6,939 ( 24 ) 460,137 ( 140) 1.6 % 8.5 % 527,635** ( 1,862) 5,437,404 ** 249 6,434 ( 1) (2 ) -0.7 % * 8.7 % COVID - 19 CASE MOBILTY LAST WEEK -44.8 % ( 1) ( RATE PER 100,000 ) TO LAST WEEK 101 COVID DEATHS RELATIV BASELINE MOBILTY ** ( 1,127) ( TESTS PER 100,000) UNITED STATES REGION WEEK 100,126 ** TOTAL DIAGNOSTICTESTS FEMA/ HHS ( 1,657) 8.1% 12.1% 100 % 80 % 60 % 40 % 20 % 0 % 2/23 3/1 3/8 4/5 3/15 3/22 3/29 4/12 4/19 4/26 5/3 5/10 6/7 5/17 5/24 5/31 6/14 6/21 6/28 7/5 7/12 7/19 7/26 Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregating county -leveldata from USAFacts; therefore , the valuesmaynotmatch those reported directly by the state. Data is through 7/24/2020; lastweek is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 NEW JERSEY STATE REPORT 07.26.2020 COVID - 19 COUNTY ANDMETRO ALERTS LOCALITIES IN RED ZONE LOCALITIES IN YELLOW ZONE METRO AREA N/A ( CBSA ) LASTWEEK 1 Atlantic City - Hammonton COUNTY LASTWEEK N/A Atlantic Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity result between 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020 ; last week is 7/18 -7/24 , three weeks is 7/4 - 7/24 . Testing :CELR ( COVID - 19 Electronic Lab Reporting) state health department -reported data through 7/22/2020 . Lastweek is 7/16 - 7/22. Testing datamay bebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 JERSEY NEW STATE REPORT 07.26.2020 C1-AS9E CASE COVID NEW 5000 4000 3000 2000 1000 Daily COVID - 19 Cases ( 7 - day TESTING T-EST COVID Daily COVID - 19 Cases ge) 60 % 20000 15000 19 40 % 10000 20 % 5000 OF TESTS PERCNTAGETOTAL 0 % % Positivity Rate (by result date 7 day avg.) Daily Tests Completed (7 day avg. ) Top countiesbased on greatest number ofnew cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES 20000 Bergen Middlesex Monmouth 15000 Camden ) CASES NEWCUMULATIVE ( Ocean Hudson Essex Passaic Gloucester 10000 Burlington 5000 - 3/8 4/5 3/15 3/22 3/29 6/7 5/3 4/12 4/19 4/26 5/10 5/17 5/24 5/31 6/14 6/21 6/28 7/5 7/12 7/19 7/26 DATA SOURCES Cases: County-leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: CELR ( COVID - 19 Electronic Lab Reporting) statehealth department-reported data through 7/22/2020. COVID - 19 Top 12 counties based on number ofnew cases in the last 3 weeks Daily COVID - 19 Cases ( 7 -day average) Daily COVID - 19 Cases MiddlesexCounty Bergen County MonmouthCounty 300 800 400 600 200 400 200 100 200 CASE DAILY TO AL Ocean County Camden County Hudson County 300 200 600 150 200 400 100 100 200 50 600 Essex County Passaic County GloucesterCounty 600 100 400 400 200 50 200 Atlantic County Burlington County Morris County 300 150 100 200 100 50 100 50 3/21 4/5 4/20 5/5 5/20 6/4 6/19 7/19 3/21 4/5 6/4 7/19 DATA SOURCES Cases: County- leveldata from USAFacts through 7/24/2020 . Last 3 weeks is 7/4 - 7/24 . 3/21 COVID - 19 NEW JERSEY STATE REPORT 07.26.2020 CASE RATESAND DIAGNOSTIC TESTPOSITIVITYDURING THE LASTWEEK NEW CASES PER 100,000 DURING TEST POSITIVITYDURING LAST LAST WEEK WEEK Date: 7/26/2020 Date: 7/26/2020 CT CT NY NY PA PA NJ Casesper 100K DE Test Positivity Casesin Last 14Days MD 500orMore DC VA % to 9.9 % 10 % to 19.9% 20% or More DC WEEKLY % CHANGEIN NEW WEEKLY CHANGE IN TEST CASES PER 100K POSITIVITY Date: 7/26/2020 % to 4.9 % DE 100to 199.9 200 to 499.9 VA 0 MD in Last 5 20 14Days 0.1to 9.9 10 to99.9 Date: 7/26/2020 CT CT NY NY PA PA Percent Changein Casesper 100K AbsoluteChange in TestPositivity Cases in Last 14Days Casesin Last 14 Days % 100% 10 to 99.9% Less MD DE 2 LittleChange 10% to 99.9% More MD DE 100% to 999.9% More DC 1.000 More VA 0.5% to 1.9% More 2 % VA % + Less 0.5% to 1.9% Less LittleChange DC DATA SOURCES Cases: County-leveldata from USAFactsthrough 7/24/2020. Lastweek is7/18 - 7/24, previousweek is 7/11- 7/17. Testing: CELR (COVID- 19 ElectronicLab Reporting ) state health department-reporteddata through 7/22/2020. Lastweek is 7/16 - 7/22, previousweek is 7/9 - 7/15. Testingdatamaybebackfilledover time, resultingin changesweek- to-week in testing data. It is criticalthat statesprovideasup- to -datetestingdata aspossible. NEW MEXICO STATE REPORT 07.26.2020 SUMMARY New Mexico is in the yellow zonefor cases, indicatingbetween 10 to 100new casesper 100,000populationlastweek, andthe green zone for test positivity, indicatinga ratebelow 5 % . New Mexico has seen stability in new casesand stabilityintesting positivity over the pastweek. Thefollowingthreecountieshadthehighestnumberofnew casesover the past 3weeks: 1.Bernalillo County, 2. DoñaAna County, and 3.McKinleyCounty. These countiesrepresent55.8 percentof new casesin New Mexico. Continueaggressivemitigationefforts asthere is early evidencethese effortsare effective. New Mexico had 96 new casesper 100,000 populationin thepastweek , compared to a nationalaverageof 140 per 100,000. The federal governmenthasdeployedthe followingstaff as assets to support the stateresponse: 9 to supportoperations activities from FEMA; 17 to support epidemiology activities from CDC; and 2 to support operationsactivities from CDC. During 18 - Jul24 , on average, 19patientswith confirmedCOVID- 19and 18 patientswith suspectedCOVID- 19 were reported as newlyadmittedeach dayto hospitalsin New Mexico. An averageof 43 percentof hospitalsreportedeachday duringthisperiod; therefore, thismaybean underestimateof the actualtotalnumberofCOVID -relatedhospitalizations. Underreporting maylead to a lower allocation ofcriticalsupplies. * RECOMMENDATIONS Mandatemasksin all countieswith anyrising cases. Expandtesting through communitycenters and communityoutreachteamsto ensureasymptomaticcasesare found and isolated New Mexico isan excellentstate to conductpooled testingin thelargecommerciallaboratoriesto furtherexpand community testing Limitsocialgatheringsto fewerthan 10 peopleincountieswith risingcases and increasingtest percentpositivity. Keep gymsclosed in areaswith rising cases andtestpercentpositivity. Encourageoutdoor dining and ensurebarsremain closed unless patrons can beoutdoorsandsociallydistanced. Bring pooled testingonlineto providerapidtest expansion into institutionsandspecific situations, includingin preparationfor schooland university opening. Require all universitieswith RNAdetection platformsto usethis equipmentto expand surveillancetestingfor schools (K - 12, communitycolleges) and universitystudents. TribalNations: Encouragecontinued enforcementof socialdistancingandmasking measures in areasof increased transmission. Continueenhancedtestingactivities. Continueto enhance contacttracingand ensure that cases andcontacts can quarantineor isolate safely. Monitortesting data to identifyadditionalsitesof increased transmission and ensure focused public health resourcesfor these vulnerablecommunities. Specific, detailed guidanceon communitymitigationmeasures can befoundon the CDCwebsite. Thepurposeof this reportis to develop a sharedunderstanding of the currentstatusof thepandemicat the national , regional , state and locallevels. Werecognize thatdata at thestate levelmaydiffer from thatavailableatthe federallevel. Our objectiveis to useconsistent data sourcesand methodsthatallowfor comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 NEW MEXICO STATE REPORT 07.26.2020 STATE, % CHANGE FROM PREVIOUS STATE LASTWEEK NEW CASES WEEK 2,018 (96 ) (RATE PER 100,000 ) DIAGNOSTIC TEST COVID DEATHS -6.3 % ** 5,437,404 ** ( 929 ( 1,657) + 38.5 % ( 2) AT LEASTONE +6.3 % * 15.4 % 8.5 % 396,835 ** 36 ( RATE PER 100,000 ) 460,137 ( 140) 13.3 % (2,310) ( TESTS PER 100,000) LAST WEEK 89,941 (211) + 0.5 % * 48,442** TOTAL DIAGNOSTICTESTS UNITED STATES LAST WEEK + 5.8 % 4.7 % POSITIVITY RATE FEMA/HHS REGION 1,274 6,434 (3) (2) 20.8 % 12.1% COVID - 19 CASE 100 % 80 % 60 % 40 % 20 % 0 % 2/23 3/1 4/5 3/8 3/15 3/22 3/29 4/12 4/19 4/26 5/3 5/10 6/7 5/17 5/24 5/31 6/14 6/21 7/5 6/28 7/12 7/19 7/26 Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregating county -leveldata from USAFacts; therefore , the valuesmaynotmatch those reported directly by the state. Data is through 7/24/2020; last week is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 NEW MEXICO STATE REPORT 07.26.2020 COVID - 19 COUNTY ANDMETRO ALERTS LOCALITIESIN RED ZONE LOCALITIES IN YELLOW ZONE Albuquerque Hobbs METRO AREA N/A ( CBSA ) LASTWEEK 6 Clovis Roswell Carlsbad-Artesia Portales Bernalillo Lea Curry Valencia COUNTY LASTWEEK N/A 9 Chaves Eddy Roosevelt Hidalgo Union Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity result between 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020 ; last week is 7/18 -7/24 , three weeks is 7/4 - 7/24 . Testing :CELR ( COVID - 19 Electronic Lab Reporting) state health department -reported data through 7/22/2020 . Lastweek is 7/16 - 7/22. Testing datamay bebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 NEW MEXICO STATEREPORT 07.26.2020 C-ASE CASE 19 COVID NEW 300 200 100 Daily COVID -19 Cases ( 7 - day aver Dai COVID- 19 Cases 8000 TESTING T-ESTS COVID 8.0 % 6000 19 6.0 % 4000 4.0 % 2000 2.0 % OF TESTS PERCNTAGETOTAL 0.0 % % Positivity Rate (by result date 7 day avg. ) Daily Tests Completed ( 7 day avg. ) Top counties based on greatest number ofnew cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES Bernalillo 4000 DoñaAna ) CASES NEW CUMULATIVE San Juan Lea 3000 Sandoval Santa Fe 2000 Rio Arriba Curry Valencia ( 1000 3/8 3/15 3/22 3/29 - - - - - - - 4/5 4/12 4/19 4/26 5/3 5/10 - - - - / 5/17 5/24 5/31 9 7/5 6/14 6/21 6/28 7/12 7/19 7/26 DATA SOURCES Cases: County-leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: CELR ( COVID - 19 Electronic Lab Reporting) statehealth department-reported data through 7/22/2020. COVID - 19 Top 12 countiesbased on number ofnew cases in the last 3 weeks Daily COVID - 19 Cases Daily COVID - 19 Cases ( 7 -day average) BernalilloCounty 80 150 DoñaAna County County 100 60 100 40 50 50 20 CASE DAILY TO AL 80 San Juan County SandoyalCounty Lea County 30 40 60 20 40 20 10 20 Santa Fe County Rio Arriba County 20 Curry County 40 15 20 30 10 20 10 5 10 Chaves County Valencia County Eddy County 15 20 10 10 10 5 3/21 4/5 4/20 6/4 5/5 5/20 6/9 7/4 7/19 6/4 7/19 DATA SOURCES Cases: County- leveldata from USAFacts through 7/24/2020 . Last 3 weeks is 7/4 - 7/24 . 7/4 7/19 COVID - 19 NEW MEXICO STATE REPORT 07.26.2020 CASE RATESAND DIAGNOSTIC TESTPOSITIVITYDURING THE LASTWEEK NEW CASES PER 100,000 DURING TEST POSITIVITYDURING LAST LAST WEEK WEEK HERE : 7/26/2020 the Seria : 7/26/2020 UT UT KS KS OK AZ OK AZ NM NM Casesper 100K 20 Cases inLast 14 Days TestPositivity 0.1to 9.9 Cases Last 14Days 10 to 99.9 0 % to 4.9% 100 to 199.9 5 % to 200 to 499.9 500 orMore 10% to 19.9% 20% or More WEEKLY % CHANGEIN NEW WEEKLY CHANGEIN TEST CASES PER 100K POSITIVITY 7/26/2020 % : 7/26/2020 the UT UT CO KS KS OK AZ OK AZ NM NM Percent Changein Casesper100K Casesin Last 14Days % 100 Less Casesin Last 14Days Less LittleChange 10% to 99.9% More % 2 % 10% to 99.9 Less Absolute Changein Test Positivity 100% to 999.9% More 1.000% LittleChange 0.5% to 1.9% Less + % 0.5 % to 1.9 % More 2 More DATA SOURCES Cases: County-leveldata from USAFactsthrough 7/24/2020. Lastweek is7/18 - 7/24, previousweek is 7/11- 7/17. Testing: CELR (COVID- 19 ElectronicLab Reporting ) state health department-reporteddata through 7/22/2020. Lastweek is 7/16 - 7/22, previousweek is 7/9 - 7/15. Testingdatamaybebackfilledover time, resultingin changesweek- to-week in testing data. It is criticalthat statesprovideasup- to -datetestingdata aspossible. NEW YORK STATE REPORT 07.26.2020 SUMMARY New York is in the yellow for cases , indicating between 10 to 100 new cases per 100,000 population last week , and the green zone for test positivity , indicating a rate below 5 % . New York hasseen stability in new cases and stability in testing positivity over the past week . The following three counties had the highest number ofnew cases over the past 3weeks: 1.Kings County , 2. Queens County , and 3.New York County . These counties represent 34.5 percent of cases in New York . New York had 25 new cases per 100,000 population in the pastweek, compared to a nationalaverage of 140 per 100,000. The federal governmenthas deployed the following staff as assets to support the state response: 77 to support operations activities from FEMA; 3 to support operations activities from ASPR; 2 to support testing activities from CDC ; 1 to support epidemiology activities from CDC ; and 18 to support operations activities from USCG . During Jul 18 - Jul 24 , on average, 75 patients with confirmed COVID - 19 and 262 patients with suspected COVID - 19 were reported as newly admitted each day to hospitals in New York . An average of 78 percent of hospitals reported each day during this period ; therefore, this maybe an underestimate of the actual totalnumber of COVID -related hospitalizations. Underreportingmay lead to a lower allocation ofcritical supplies. RECOMMENDATIONS Continue to urge useof clothface masks and 6 ft distancing forpeopleoutsideof their homes, especiallyin allindoor environments. Continueregulartesting of allstaff atnursinghomesand long-term carefacilities and enforce use of facemasksfor all staff. As public transportation expandsand ridership increases, continueto educate and enforcesocialdistancing and use of face masks Continueactivecaseinvestigationwith contacttracing and early quarantineof contactsand isolation ofcases. Intensifyfocus on populous areaswith elevated or increasing transmission, such as Bronx, Broome, New York, Oneida, Richmondand SchenectadyCounties. Considerpooled testingasdescribedbelow to increaseaccess andreduceturnaround times, with particularfocus on groupsat highestrisk . Considerpooledworkplacetestingfor essentialworkersand pooled communitytesting forfamiliesand among demographicgroupswith demonstrated elevated risk. Increasemessagingofthe risk of seriousdisease forolderindividuals and forindividuals allage groupswith preexisting medicalconditions, including obesity, hypertension, and diabetesmellitus. Continue to track cases and case rates, test percentpositivity, andhospitalizations . Follow tourist trendsand surveillance signals closely for any increase in cases or test positivity duringtouristseason . Specific, detailed guidance on communitymitigationmeasures can be found on the CDC website. Thepurposeof this reportis to developa sharedunderstanding of thecurrentstatusof thepandemicat the national , regional , stateand locallevels. Werecognize thatdata at thestate levelmaydiffer from thatavailableatthe federallevel. Our objectiveis to useconsistent data sourcesand methodsthatallowfor comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 NEW YORK STATE REPORT 07.26.2020 STATE, % CHANGE FROM PREVIOUS FEMA/HHS STATE , REGION UNITED STATES LASTWEEK WEEK LASTWEEK LAST WEEK 4,889 (25 ) -6.9% 6,939 ( 24 ) 460,137 ( 140) 1.4 % -0.1 * 1.6 % 8.5 % NEW CASES (RATE PER 100,000 ) DIAGNOSTIC TEST POSITIVITY RATE 427,509** TOTAL DIAGNOSTICTESTS ( 2,198) ( TESTS PER 100,000) COVID DEATHS -6.1% ** 148 AT LEASTONE MOBILTY TO ( 1,862) ( 1,657) 249 6,434 ( 1) (2 ) +0.2 % * 7.7 % COVID - 19 CASE RELATIVEBASELINE MOBILTY 5,437,404 ** + 2.8 % ( 1) ( RATE PER 100,000 ) 527,635** 8.1% 12.1% 100 % 80 % 60 % 40 % 20 % 0 % 2/23 3/1 3/8 3/15 3/22 3/29 4/5 4/12 4/19 4/26 5/3 6/7 5/10 5/17 5/24 5/31 6/14 6/21 6/28 7/5 7/12 7/19 7/26 Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregating county -leveldata from USAFacts; therefore , the valuesmaynotmatch those reported directly by the state. Data is through 7/24/2020; last week is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 NEW YORK STATE REPORT 07.26.2020 COVID - 19 COUNTY ANDMETRO ALERTS LOCALITIES IN RED ZONE LOCALITIES IN YELLOW ZONE METRO AREA N/A N/A N/A N/A ( CBSA ) LASTWEEK COUNTY LASTWEEK Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity result between 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020 ; last week is 7/18 -7/24 , three weeks is 7/4 - 7/24 . Testing :CELR ( COVID - 19 Electronic Lab Reporting) state health department -reported data through 7/22/2020 . Lastweek is 7/16 - 7/22. Testing datamay bebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 YORK NEW STATE REPORT 07.26.2020 CASE NEW C-ASE 19 COVID 12500 10000 7500 5000 2500 Daily COVID - 19Cases TESTING TESTS COVID 19 7 - day ave Daily COVID - 19 Cases ge) 50 % 60000 40 % 40000 30 % 20 % 20000 10 % OF TESTS PERCENTAGE TOTAL 0 % % Positivity Rate (by result date 7 day avg. ) Daily Tests Completed ( 7 day avg.) Top counties based on greatest number ofnew cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES 60000 Kings Queens New York Bronx 40000 Suffolk Nassau Erie ) CASES NEW CUMULATIVE ( Westchester Monroe 20000 Onondaga 4/5 3/8 3/15 3/22 3/29 4/12 4/19 4/26 5/3 5/10 - - - 7/5 5/17 5/24 5/31 6/14 6/21 6/28 7/12 7/19 7/26 DATA SOURCES Cases: County-leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: CELR ( COVID - 19 Electronic Lab Reporting) statehealth department-reported data through 7/22/2020. COVID - 19 Top 12 counties based on number ofnew cases in the last 3 weeks Daily COVID -19 Cases Daily COVID - 19 Cases ( 7 - day average) Kings 2000 New York County QueensCounty 1500 2000 1500 1000 1000 1000 500 500 CASE DAILY TO AL Bronx County 2000 County 1500 Nassau County 1500 1500 1000 1000 1000 500 500 500 Erie County WestchesterCounty 100 MonroeCounty 200 1000 75 150 50 100 500 25 50 150 Onondaga County Richmond County 100 Albany County 800 75 100 600 50 400 50 25 200 5/5 5/20 6/4 6/19 7/19 3/21 4/5 4/20 5/5 5/20 6/4 7/4 7/19 DATA SOURCES Cases: County-leveldata from USAFacts through 7/24/2020. Last 3 weeks is 7/4 - 7/24. 3/21 4/5 4/20 5/5 5/20 6/4 7/19 COVID - 19 NEW YORK STATE REPORT 07.26.2020 CASE RATESAND DIAGNOSTIC TESTPOSITIVITYDURING THE LASTWEEK NEW CASES PER 100,000 DURING TEST POSITIVITYDURING LAST LASTWEEK WEEK Date: 7/26/2020 Date: 7/26/2020 ME ME VT VT NH NH NY NY MA MA RI RI CT CT Cases per 100K TestPositivity Cases Last 14Days 0.1to 9.9 PA 100 to 199.9 NJ OH Casesin Last 14Days 0 % to 4.9% PA 10 to 99.9 200 499.9 500 orMore 5 % to 9.9% NJ OH 10 % to 19.9% 20% or More WEEKLY % CHANGEIN NEW WEEKLY CHANGEIN TEST CASES PER 100K POSITIVITY E Date: 7/26/2020 Date: 7/26/2020 ME ME NH NH NY NY MA MA RI CT RI PercentChangein Casesper100K CT Cases in Last 14 Days 100% Less AbsoluteChange in Test Positivity Casesin Last 14 Days % 10% to 99.9 Less NJ 100% to 999.9% More 1,000 More % PA 0.5% to 1.9% Less NJ OH LittleChange 0.5% to 1.9 % More 2 More % OH 2 + Less LittleChange 10 to 99.9% More PA DATA SOURCES Cases: County-leveldata from USAFactsthrough 7/24/2020. Lastweek is7/18 - 7/24, previousweek is 7/11- 7/17. Testing: CELR (COVID- 19 ElectronicLab Reporting ) state health department-reporteddata through 7/22/2020. Lastweek is 7/16 - 7/22, previousweek is 7/9 - 7/15. Testingdatamaybebackfilledover time, resultingin changesweek- to-week in testing data. It is criticalthat statesprovideasup- to -datetestingdata aspossible. NORTH CAROLINA STATE REPORT 07.26.2020 SUMMARY North Carolinais in the red zone forcases, indicating more than 100new casesper 100,000populationlastweek, and the yellow zonefortest positivity, indicating a ratebetween 5 % to 10 % . North Carolinahas seen stabilityinnew cases and adecrease in testing positivityover the pastweek. The following three countieshadthe highestnumberofnew cases overthepast3weeks: 1. MecklenburgCounty, 2. Wake County, and 3.Guilford County. These countiesrepresent31.0 percentofnew cases in North Carolina. Community spreadin North Carolinais occurringthroughout the state andmitigation effortsneed tobeimplemented statewide. North Carolinahad 129new casesper 100,000 population in the pastweek, compared to anationalaverageof140 per 100,000. The federal governmenthasdeployed thefollowing staff asassets to supportthe state response: 3 to support operations activities from FEMA; 6 to supportepidemiology activitiesfrom CDC; and 7 to support operationsactivitiesfrom USCG. During Jul 18 - Jul24, on average, 127 patientswith confirmed COVID- 19 and 241patients with suspected COVID- 19were reported as newly admitted each day to hospitals in North Carolina. An average of 85 percentofhospitals reported each day during thisperiod; therefore, thismaybe an underestimateofthe actualtotalnumberofCOVID -relatedhospitalizations. Underreporting mayleadto a lowerallocation of criticalsupplies. * RECOMMENDATIONS Protectthosein nursinghome , assistedliving, and long- term care facilitiesby assuringaccessto rapidfacility-widetestingin responseto a residentor staffmemberwith COVID - 19. Ensure socialdistancingand universalfacemaskuse. Mandateuse ofmasksin allcurrentand evolvinghotspots. Close establishments where socialdistancingandmask use cannotoccur, such asbars. Moveto outdoordiningandlimitindoordiningto less than 25 of normalcapacity. Ask citizensto decreasesocialgatheringsto fewer than 10 people. Encourageindividualsthathaveparticipatedin anylarge socialgatheringsto get tested. Increasemessagingof the risk ofseriousdisease in all agegroupswith preexistingmedicalconditions, includingobesity, , and diabetesmellitus. hypertension Continuethe scale-up oftesting, movingto community- led neighborhoodtesting . Work with localcommunitiesto implementandprovideclearguidanceforhouseholdsthattest positive, includingon individualisolationand quarantiningprocedures . Continue to enhancecontacttracingand ensure theability ofcasesandcontactsto quarantineor isolate safely. Monitortestingdatato identifyadditionalsites ofincreasedtransmissionandfocuspublic health resourceson them . Ensureallpublic healthlabsare fully staffedandrunning24/7, utilizingallplatforms to reduceturnaroundtimes. Institute3: 1 poolingof test specimenson allhigh throughputmachinesas longas turnaroundtimesare greaterthan 36 hours. Forfamilies and cohabitinghouseholds , screenentirehouseholdsin a singletestbypoolingspecimens. Requirealluniversitieswith RNAdetectionplatforms to usethis equipmentto expandsurveillancetestingfor schools( K- 12, community colleges anduniversitystudents. Specific, detailed guidanceon communitymitigationmeasurescan be found ontheCDCwebsite. Thepurposeof this reportis to develop a sharedunderstanding of the currentstatusof thepandemicat the national , regional , state and locallevels. Werecognize thatdata at the state levelmay differ from that availableatthefederallevel. Our objectiveis to use consistent data sourcesandmethodsthatallow for comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 NORTH CAROLINA STATE REPORT 07.26.2020 STATE, % CHANGE FROM PREVIOUS STATE LAST WEEK NEW CASES 13,504 (RATE PER 100,000) ( 129) DIAGNOSTIC TEST 8.8 % POSITIVITY RATE 176,065** TOTAL DIAGNOSTICTESTS COVID DEATHS 140 AT LEASTONE LAST WEEK -4.6 % 168,276 (252) 460,137 ( 140) -1.4 % * 14.3 % 8.5 % 1,071,031** 5,437,404 ** ( 1,601) ( 1,657) 2,048 6,434 ( 3) (2) + 4.0 % * 12.6 % COVID - 19 CASE UNITED STATES LASTWEEK + 7.7 % ( 1) ( RATE PER 100,000 ) REGION WEEK +13.4 % ** ( 1,679) ( TESTS PER 100,000) FEMA/ HHS 23.1% 12.1% 100 % 80 % 60 % 40 % 20 % 0 % 2/23 3/1 4/5 3/8 3/15 3/22 3/29 4/12 4/19 4/26 5/3 6/7 5/10 5/17 5/24 5/31 6/14 6/21 6/28 7/5 7/12 7/19 7/26 Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregating county -leveldata from USAFacts; therefore , the valuesmaynotmatch those reported directly by the state. Data is through 7/24/2020; lastweek is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 NORTH CAROLINA STATE REPORT 07.26.2020 COVID - 19 COUNTY AND METRO LOCALITIES IN RED ZONE ALERTS LOCALITIES IN YELLOW ZONE Raleigh- Cary Charlotte- Concord -Gastonia METRO Fayetteville Durham -Chapel Hill Lumberton Winston- Salem Wilson AREA ( CBSA) 10 LASTWEEK Greensboro -High Point 27 -NorthMyrtleBeach MyrtleBeach- Conway Mount Airy Cullowhee Sanford Henderson Top 12 shown (fulllist below ) Virginia Beach- Norfolk -NewportNews Hickory - Lenoir -Morganton Asheville Wilmington Burlington Greenville RockyMount Shelby Jacksonville Wake Mecklenburg Gaston Guilford Union Durham Johnston Cumberland COUNTY Cabarrus Robeson LAST WEEK Top 12 shown Catawba ( full list Randolph below ) Iredell Forsyth 59 Top shown ( fulllist below ) New Hanover Alamance Pitt Rowan Davidson Cleveland Henderson Caldwell Wilson Brunswick AllRed CBSAs: Charlotte -Concord -Gastonia , Fayetteville , Lumberton , Wilson , Myrtle Beach -Conway-North Myrtle Beach , Mount Airy , Cullowhee, Sanford , Henderson Virginia Beach -Norfolk -Newport News All Yellow CBSAs Raleigh - Cary , Greensboro High Point, Durham -Chapel Hill Winston -Salem , Hickory -Lenoir-Morganton , Asheville, Wilmington , Burlington , Greenville, Rocky Mount, Shelby, Jacksonville , Goldsboro , Albemarle , Pinehurst-Southern Pines, Roanoke Rapids, Forest City , New Bern , Marion , Washington , Rockingham , DevilHills, North Wilkesboro , Kinston , Elizabeth City , Brevard , Laurinburg All Yellow Counties : Wake , Guilford , Durham , Forsyth , New Hanover, Alamance , Pitt, Rowan , Davidson , Cleveland , Caldwell, Brunswick , Orange, Onslow , Lincoln , Burke, Wayne, Nash, Stanly , Duplin ,Harnett, Sampson , Moore , Pender ,Granville, Rutherford , Halifax ,McDowell Craven , Chatham , Edgecombe , Beaufort , Cherokee, Haywood , Richmond, Dare , Yadkin , Wilkes, Lenoir, Davie , Transylvania , Stokes, Scotland , Pasquotank , Northampton , Martin , Hertford , Person , Bertie , Currituck , Swain , Caswell, Ashe, Pamlico, Alleghany , Camden , Perquimans ,Gates, Graham Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity result between 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020 ; last week is 7/18 -7/24 , three weeks is 7/4 - 7/24 . Testing :CELR ( COVID - 19 Electronic Lab Reporting) state health department -reported data through 7/22/2020 . Lastweek is 7/16 - 7/22. Testing datamay bebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 NORTH CAROLINA STATE REPORT 07.26.2020 2500 CASE NEW C-ASE 2000 19 1500 COVID 1000 500 Daily COVID - 19 Cases Daily COVID - 19 Cases ( 7 -day average) 25000 TESTING TEST COVID 19 15.0 % 20000 10.0 % 15000 10000 5.0 % 5000 OF TESTS PERCNTAGETOTAL 0.0 % % Positivity Rate (by result date 7 day avg. ) Daily Tests Completed ( 7 day avg. ) Top counties based on greatest number ofnew cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES Mecklenburg Wake Guilford ) 15000 CASES NEW CUMULATIVE ( Durham Gaston 10000 Union New Hanover Johnston Cumberland 5000 4/5 3/8 3/15 3/22 3/29 4/12 - 4/19 4/26 5/3 - 5/10 5/17 - - 5/24 5/31 - - - 6/14 6/21 6/28 7/5 6/7 7/12 7/19 7/26 DATA SOURCES Cases: County-leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: CELR ( COVID - 19 Electronic Lab Reporting) statehealth department-reported data through 7/22/2020. COVID - 19 Top 12 counties based on number ofnew cases in the last 3 weeks Daily COVID - 19 Cases Daily COVID - 19 Cases ( 7- day average) Mecklenburg County 300 Wake County Guilford County 400 100 300 200 75 200 50 100 100 CASE DAILY TO AL 25 Durham County 100 Gaston County Forsyth County 150 100 75 75 100 50 50 50 25 100 Union County 25 New HanoverCounty Johnston County 60 80 75 60 40 50 40 100 20 25 20 Cabarrus County CumberlandCounty 75 60 50 40 25 20 100 RobesonCounty 75 3/21 4/5 5/5 4/20 5/20 6/4 6/19 7/4 7/19 50 25 3/21 4/5 4/20 5/5 5/20 6/4 7/19 DATA SOURCES Cases: County-leveldata from USAFacts through 7/24/2020. Last 3 weeks is 7/4 - 7/24. 3/21 7/19 COVID - 19 NORTH CAROLINA STATE REPORT 07.26.2020 CASE RATESAND DIAGNOSTIC TESTPOSITIVITYDURING THE LASTWEEK TEST POSITIVITY DURING LAST NEW CASES PER 100,000 DURING LASTWEEK Date: IN WEEK MD 7/26/2020 MD Date: 7/26/2020 IN OH OH WV VA VA KY KY NC NC TN TN Cases per100K TestPositivity 20CasesinLast 14Days 0.1to 9.9 SC GA 10 to 99.9 AL Casesin Last 14Days GA 0 % to 4.9% AL 5 100 to 199.9 200 to 499.9 WEEKLY % CHANGEIN NEW WEEKLY CHANGEIN TEST CASES PER 100K POSITIVITY MD Date : 7/26/2020 IN OH % to 9.9 % 10 % to 19.9% 20% or More More DEHERE MD Date : 7/26/2020 IN OH VA VA KY KY NC NC TN TN Percent Changein Casesper100K SC Absolute Change in Test Positivity 20Cases inLast 14 Days 100% Less SC 10% to 99.9 % Less AL LittleChange 10 to 99.9% More GA Casesin Last 14 Days 2 + Less % GA 0.5% to 100% to 999.9% Less LittleChange More 0.5% to 1.9% % 1,000 More AL More 2 % + More DATA SOURCES Cases: County-leveldata from USAFactsthrough 7/24/2020. Lastweek is7/18 - 7/24, previousweek is 7/11- 7/17. Testing: CELR (COVID- 19 ElectronicLab Reporting ) state health department-reporteddata through 7/22/2020. Lastweek is 7/16 - 7/22, previousweek is 7/9 - 7/15. Testingdatamaybebackfilledover time, resultingin changesweek- to-week in testing data. It is criticalthat statesprovideasup- to -datetestingdata aspossible. NORTH DAKOTA STATE REPORT 07.26.2020 SUMMARY . North Dakota is in the red zone for cases, indicating more than 100 new cases per 100,000 population lastweek , and the green zone for test positivity , indicating a ratebelow 5 % . North Dakota has seen an increase in new cases and stability in testing positivity over the past week. The following three counties had the highest number ofnew cases over the past 3 weeks: 1.Cass County , 2. Burleigh County, and 3.Grand Forks County . These counties represent 54.6 percent ofnew cases in North Dakota. However, also continued to increase in rural counties . Most counties in North Dakota reported cases last week , and rapid growth continued in 5 counties lastweek - 3 counties (Ward , Montrail ,Williams) along US 2 west of Minot and 2 counties (Morton , Stark ) along 1-94 west of Bismarck . Spikes were also reported in Stutsman County, between Bismarck and Fargo, and Benson County , between Minot and Grand Forks. North Dakota had 108 new cases per 100,000 population in the past week , compared to a nationalaverage of 140 per 100,000 During Jul 18 - Jul24 , on average, 6 patients with confirmed COVID - 19 and 8 patients with suspected COVID -19 were reported as newly admitted each day to hospitals in North Dakota. An average of34 percent of hospitals reported each day during this period ; therefore, this may be an underestimate of the actual total number of COVID -related hospitalizations. Underreportingmay lead to a lower allocation of critical supplies. * RECOMMENDATIONS Consider restrictions on occupancy and operating hours ofbars andrestaurants, and on gathering sizes in counties with continued increase in cases. Continue scale-up ofcontact tracing. Continue intensive testing andmonitortesting data to identify additionalsites of increased transmission ; focus public health resources on those sites . Consider task forces for Burleigh County (Bismarck) where incidence exceeds 100 cases per 100,000 population in the lastweek . Continueweekly testing ofallworkers in assisted living and long-term care facilities, and requiremasks and social distancing for allvisitors . Protectthose in nursinghomes and long-term care facilities by ensuringaccess to rapid facility -wide testing in response to a resident or staffmemberwith COVID -19. Address staff and supply shortages. Ensure social distancing and universalfacemask use. Specific, detailed guidance on community mitigation measures can be found on theCDC website. Thepurposeof this reportis to developa sharedunderstanding of thecurrentstatusof thepandemicat the national , regional , stateand locallevels. Werecognize thatdata at thestate levelmaydiffer from thatavailableatthe federallevel. Our objectiveis to useconsistent data sourcesand methodsthatallowfor comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 NORTH DAKOTA STATE REPORT 07.26.2020 STATE LASTWEEK NEW CASES STATE, % CHANGE FROM PREVIOUS WEEK 34,424** TOTAL DIAGNOSTICTESTS 10,273 5.7 % +14.9 % ** 5,437,404 ** ( 1,564) ( 1,657) 103 6,434 ( 1) (2 ) + 80.0% ( RATE PER 100,000 ) ( 1) AT LEASTONE +0.2 % * 5.2 % COVID - 19 CASE 8.5 % 191,736 ** 9 COVID DEATHS 460,137 ( 140) (84) (4,517) ( TESTS PER 100,000) MOBILTY LAST WEEK + 0.5 % * 3.3 % POSITIVITY RATE MOBILTY UNITED STATES +29.4 % ( 108 ) DIAGNOSTIC TEST TO REGION LASTWEEK 823 (RATE PER 100,000) RELATIVE BASELIN FEMA/HHS 4.6 % 12.1% 120 % 100 % 80 % 60 % 40 % 20 % % 2/23 3/1 3/8 3/15 3/22 3/29 4/5 4/12 4/19 4/26 5/3 5/10 5/17 5/24 5/31 6/14 6/21 6/28 7/5 7/12 7/19 7/26 Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregatingcounty-leveldata from USAFacts; therefore, the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020; lastweek is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 NORTH DAKOTA STATE REPORT 07.26.2020 COVID - 19 COUNTY ANDMETRO ALERTS LOCALITIES IN RED ZONE LOCALITIES IN YELLOW ZONE METRO AREA 1 N/A ( CBSA ) LASTWEEK Williston Williams LASTWEEK Mountrail Burke COUNTY w Hettinger Bowman 6 Sioux Kidder Sheridan Oliver Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity result between 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020 ; last week is 7/18 -7/24 , three weeks is 7/4 - 7/24 . Testing :CELR ( COVID - 19 Electronic Lab Reporting) state health department -reported data through 7/22/2020 . Lastweek is 7/16 - 7/22. Testing datamay bebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 NORTH DAKOTA STATE REPORT 07.26.2020 C-ASE CASE 19 COVID NEW 200 150 100 50 Daily COVID - 19 Cases Daily COVID- 19 Cases ( 7 - day average) 5000 TESTING TESTS COVID 19 8.0 % OF 4000 6.0 % 3000 4.0 % 2000 2.0 % 1000 TESTS PERCENTAGE TOTAL 0.0 % Daily Tests Completed( 7 day avg.) % PositivityRate ( by resultdate 7 dayavg.) Top counties based on greatest number ofnew cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES Cass Burleigh GrandForks ) Williams Morton 2000 CASES NEW CUMULATIVE Ward Walsh Stark Mountrail Benson 1000 ( - - 4/5 3/8 3/15 3/22 3/29 4/12 4/19 4/26 - 5/3 5/10 5/17 5/24 5/31 - 7/5 9 6/14 6/21 6/28 7/12 7/19 7/26 DATA SOURCES Cases: County-leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: CELR ( COVID - 19 Electronic Lab Reporting) statehealth department-reported data through 7/22/2020. COVID - 19 Top 12 counties based on number ofnew cases in the last 3 weeks Daily COVID - 19 Cases Daily COVID - 19 Cases ( 7-day average) Cass County DAILY TO AL 80 40 100 60 30 75 40 20 50 20 10 25 WilliamsCounty CASE GrandForksCounty Burleigh County Ward County MortonCounty 20 15 10 15 10 10 5 5 5 Walsh County 10.0 Stark County 15 MountrailCounty 10.0 7.5 10 5.0 5.0 5 2.5 2.5 0.0 0.0 6 Benson County Mckenzie County 8 4 Stutsman County 6 4 4 2 2 2 3/21 4/5 4/20 5/5 7/4 5/5 6/19 7/4 7/19 DATA SOURCES Cases: County-leveldata from USAFacts through 7/24/2020. Last 3 weeks is 7/4 - 7/24. 3/21 4/5 4/20 7/4 COVID - 19 NORTH DAKOTA STATE REPORT 07.26.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LASTWEEK NEW CASES PER 100,000 DURING TEST POSITIVITY DURING LAST WEEK LASTWEEK Service Date : 7/26/2020 Date: 7/26/2020 the ND ND MT MT MN MN Cases per 100K 20Cases Last 14 Days 0.1to 9.9 Test Positivity 20 14Days 10 to 99.9 SD % 5 100 to 199.9 200 to 499.9 500 orMore WY WEEKLYCHANGEIN TEST CASES PER 100K POSITIVITY Sri % to 9.9% 10% to 19.9% 20% or More WY WEEKLY % CHANGEIN NEW Date: 7/26/2020 in 0 % to 4.9 SD Date: 7/26/2020 ND ND MT MT MN Percent Change Cases per 100K MN < 20Casesin Last 14Days AbsoluteChangein Test Positivity = 20Cases in Last 14 Days % 100 Less 2 % 10% to 99.9 Less SD WY 100 % to 999.9% More 1.000 + % LittleChange 10% to 99.9% More Less 0.5% to 1.9% Less SD LittleChange 0.5% to 1.9% More WY 2 % + More DATA SOURCES Cases : County -leveldata from USAFacts through 7/24/2020 . Last week is 7/18 - 7/24 , previous week is 7/11 - 7/17. Testing : CELR (COVID - 19 Electronic Lab Reporting ) state health department -reported data through 7/22/2020 . Last week is 7/16 - 7/22 previousweek is 7/9 - 7/15 . Testing data may be backfilled over time, resulting in changes week - to -week in testing data. It is critical that states provide asup- to -date testing data aspossible. OHIO STATE REPORT 07.26.2020 SUMMARY Ohio is in the yellow zone for cases, indicatingbetween 10 to 100 new casesper 100,000 populationlast week, and the yellow zone for testpositivity , indicatinga ratebetween 5 % to 10% . Ohio hasseen stabilityinnew cases and stabilityin testing positivity over thepast week. The followingthree countieshad the highestnumber ofnew cases overthe past 3weeks: 1. Franklin County , 2. Cuyahoga County, and 3. Hamilton County. These countiesrepresent46.1percentofnew cases in Ohio . Communityspread is evidentacrossthe state inallmajormetros and the counties surroundingthosemetros. Ruralspread is occurringin the southern areaofthe state. Ohio had 81new cases per 100,000 populationin the pastweek, comparedto a nationalaverageof 140 per 100,000. The federalgovernmenthasdeployed the followingstaff as assets to supportthestate response: 11to supportoperations activitiesfrom FEMA; 1to supportoperationsactivities from ASPR; and 4 to support operations activities from USCG . During Jul 18 - Jul24, on average, 179 patientswith confirmed COVID - 19 and663patientswith suspected COVID- 19were reported as newly admitted each day to hospitals in Ohio . An average of68 percentofhospitals reported each day during this period; therefore, thismaybe an underestimateofthe actualtotalnumberofCOVID -relatedhospitalizations. Underreporting maylead to a lowerallocationofcriticalsupplies. * RECOMMENDATIONS Protectthosein nursinghome assistedliving, and long-term carefacilitiesby assuringaccessto rapid facility- wide testingin responseto a residentorstaffmemberwith COVID- 19. Ensuresocialdistancingand universalfacemaskuse. Mandateuse ofmasksin allcurrentand evolvinghotspots acrossthe state. Close establishments wheresocialdistancingandmaskuse cannotoccur, such as bars, nightclubs, and entertainmentvenues. Moveto outdoordiningandlimitindoordiningto less than 25 of normalcapacity. Ask citizensto limitsocialgatheringsto fewer than 10people. Encourageindividualsthathave participatedin any largesocialgatheringsto get tested. Increasemessagingof the risk of seriousdiseasein allage groupswith preexisting medicalconditions, includingobesity, , and diabetesmellitus. hypertension Continuethe scale-up oftesting, movingto community- led neighborhoodtesting . Work with localcommunitiesto implementandprovideclearguidanceforhouseholdsthattest positive, includingon individualisolationand quarantiningprocedures. Continue to enhancecontacttracingand ensure theability ofcasesandcontactsto quarantineor isolate safely. Monitortestingdatato identifyadditionalsites of increasedtransmissionand focuspublichealth resourceson them . Ensureeverypublic healthlab is fully staffedand running24/7 , utilizingallplatforms to reduceturnaroundtimes. Institute4: 1 poolingof test specimenson allhigh throughputmachinesas longas turnaroundtimesaregreaterthan 36 hours. Forfamilies and cohabitinghouseholds , screenentirehouseholdsin a single test by poolingspecimens. Require alluniversitieswith RNAdetection platformsto usethis equipmentto expandsurveillancetestingfor schools( K - 12, community colleges anduniversitystudents. Specific, detailed guidanceon communitymitigationmeasurescan be found ontheCDCwebsite. Thepurposeof this reportis to develop a sharedunderstanding of the currentstatusof thepandemicat the national , regional , state and locallevels. Werecognize thatdata at the state levelmay differ from that availableatthefederallevel. Our objectiveis to use consistent data sourcesandmethodsthatallow for comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 OHIO STATE REPORT 07.26.2020 STATE, % CHANGE FROM PREVIOUS STATE LASTWEEK NEW CASES WEEK 9,469 (81) (RATE PER 100,000) DIAGNOSTIC TEST COVID DEATHS MOBILTY RELATIVEBASELINE MOBILTY TO 5,437,404 ** 486 6,434 ( 1) (2 ) -0.4 % * 6.4 % COVID - 19 CASE 8.5 % 987,491** ( 1,879) + 124.4 % (2 ) AT LEASTONE 460,137 ( 140) 5.2 % -4.9 % ** 184 ( RATE PER 100,000 ) 39,685 LAST WEEK ( 76 ) ( 1,277) ( TESTS PER 100,000) UNITED STATES + 0.1 % * 149,241** TOTAL DIAGNOSTICTESTS REGION LAST WEEK + 0.5 % 6.4 % POSITIVITY RATE FEMA/ HHS ( 1,657) 5.7 % 12.1% 100 % 80 % 60 % 40 % 20 % 0 % 2/23 3/1 3/8 3/15 3/22 3/29 4/5 4/12 4/19 4/26 5/3 5/10 6/7 5/17 5/31 6/14 6/21 6/28 7/5 7/12 7/19 7/26 Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregating county -leveldata from USAFacts; therefore , the valuesmaynotmatch those reported directly by the state. Data is through 7/24/2020; lastweek is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 OHIO STATE REPORT 07.26.2020 COVID - 19 COUNTY ANDMETRO ALERTS LOCALITIES IN RED ZONE LOCALITIES IN YELLOW ZONE Columbus Cleveland -Elyria Cincinnati METRO AREA (CBSA ) LASTWEEK 2 Toledo Celina 24 Top 12 shown (fulllist below ) Dayton -Kettering Akron Youngstown -Warren -Boardman Canton -Massillon Athens Lima Salem Sandusky Fremont Franklin Cuyahoga Hamilton Lucas Fairfield COUNTY LAST WEEK 43 Wood 6 Ottawa Mercer Henry Montgomery Butler Summit Warren Top 12 shown ( fulllist below ) Delaware Licking Mahoning Stark Lake AllYellow CBSAs: Columbus, Cleveland- Elyria , Cincinnati, Dayton -Kettering, Akron , Youngstown-Warren -Boardman , Canton -Massillon, Athens, Lima, Salem , Sandusky , Fremont, Chillicothe , Norwalk , Findlay, Marion,Weirton -Steubenville , Portsmouth , Defiance,Wapakoneta , Sidney, Wheeling , Van Wert,Washington Court House AllYellow Counties: Franklin , Cuyahoga , Hamilton , Montgomery, Butler, Summit, Warren , Delaware, Licking, Mahoning, Stark , Lake, Trumbull Greene , Athens, Medina, Allen , Columbiana , Erie, Sandusky , Ross , Huron , Hancock ,Geauga , Union , Marion, Holmes, Scioto, Madison , Defiance, Auglaize, Fulton , Highland , Shelby , Preble , Putnam , Carroll, Perry , Van Wert, Paulding, Pike, Fayette, Meigs Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity resultbetween 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020; lastweek is 7/18 - 7/24 , three weeks is 7/4 - 7/24 . Testing : HHS Protect laboratory data (provided directly to FederalGovernment from public health labs, hospital labs, and commercial labs) through 7/22/2020. Lastweek is 7/16 - 7/22. Testing datamaybebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to-date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 OHIO STATE REPORT 07.26.2020 2500 C-ASE CASE 19 COVID NEW 2000 1500 1000 500 Daily COVID -19 Cases Daily COVID - 19 Cases ( 7- day average) 25.0 % TESTING TESTS COVID 19 20000 20.0 % 15000 15.0 % 10000 10.0 % 5000 5.0 % OF TESTS PERCENTAGETOTAL 0.0 % % Positivity Rate (by result date 7 day avg.) Daily Tests Completed ( 7 day avg. ) Top countiesbased on greatest number ofnew cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES Franklin 15000 Cuyahoga Hamilton ) CASES NEW CUM LATIVE ( Montgomery Lucas Butler 10000 Summit Warren Fairfield 5000 Delaware 3/8 3/15 3/22 3/29 4/5 - 4/12 4/19 - - 4/26 5/3 - - - 6/7 5/10 5/17 5/24 5/31 7/5 6/21 6/28 7/12 7/19 7/26 DATA SOURCES Cases: County-leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: CELR ( COVID - 19 Electronic Lab Reporting) statehealth department-reported data through 7/22/2020. COVID - 19 Top 12 counties based on number ofnew cases in the last 3 weeks Daily COVID - 19 Cases ( 7 -day average) Franklin County Daily COVID - 19 Cases 400 CuyahogaCounty 400 300 300 200 200 100 100 Hamilton County 200 CASE DAILY TO AL LucasCounty Montgomery County 80 Butler County 100 60 100 75 40 50 50 20 25 Summit County Fairfield County Warren County 100 40 40 75 30 50 20 20 25 40 10 Delaware County Lorain County Licking County 40 40 30 30 30 20 20 20 10 10 10 - 3/21 4/5 4/20 7/4 6/4 5/5 5/20 6/19 7/19 3/21 4/5 4/20 5/5 5/20 6/4 7/4 7/19 DATA SOURCES Cases: County- leveldata from USAFacts through 7/24/2020 . Last 3 weeks is 7/4 - 7/24 . 3/21 4/5 7/19 COVID - 19 OHIO STATE REPORT 07.26.2020 CASE RATESAND DIAGNOSTIC TESTPOSITIVITYDURING THE LASTWEEK NEW CASES PER 100,000 DURING TEST POSITIVITY DURING LAST LASTWEEK WEEK Date: 7/26/2020 Date: 7/26/2020 NY NY MI MI PA PA OH OH MD MD IN IN IL IL Cases per100K 20CasesinLast 14 Days Test Positivity in Last 0.1to 9.9 200 to KY % % to 9.9 10% to 19.9% 20 or More % 500 orMore WEEKLY % CHANGEIN NEW WEEKLY CHANGEIN TEST CASES PER 100K POSITIVITY Date: 7/26/2020 0 100to 199.9 KY % to 4.9% 5 14Days 10 to 99.9 Date: 7/26/2020 NY NY MI MI PA PA OH MD Percent Changein Casesper100K IN IL MD IN Absolute Change in TestPositivity Casesin Last 14Days Casesin Last 14Days % 100 Less % 2 10 % to 99.9% Less LittleChange 10% to 99.9% More KY 0.5% to 1.9% More 2 More + 100% to 999.9% More 1.000 LittleChange % KY Less 0.5% to 1.9% Less DATA SOURCES Cases: County-leveldatafrom USAFactsthrough 7/24/2020. Lastweekis 7/18 - 7/24, previousweek is 7/11- 7/17. Testing: HHSProtectlaboratorydata (provideddirectlyto FederalGovernmentfrom publichealth labs, hospitallabs, and commerciallabs) through7/22/2020. Lastweek is 7/16 - 7/22 previousweek is 7/9 - 7/15. Testingdatamaybebackfilledover time, resultingin changesweek-to -week in testingdata. Itis criticalthatstatesprovideas up-to -datetesting data as possible. OKLAHOMA STATEREPORT 07.26.2020 SUMMARY Oklahomais in the redzoneforcases, indicatingmorethan 100 new casesper 100,000 population last week, and thered zone fortest positivity, indicatinga rate above 10 % . Over the pastweek, Oklahomacontinuesto havehighnumber ofcasesdiagnosed andhigh test percentpositivity. The following three countieshad the highestnumberofnew cases overthepast3weeks: 1.OklahomaCounty, 2.Tulsa County, and 3. ClevelandCounty. These countiesrepresent58.7 percentofnew cases in Oklahoma. Morecountiesand CBSAs are in the red zonethis week. Oklahomahad 126new casesper 100,000 populationin thepastweek, compared to a nationalaverageof 140 per 100,000. The federal governmenthasdeployed the followingstaff as assets to support the stateresponse: to supportoperations activities from FEMA; 2 to support epidemiology activities from CDC; and 1 to supportoperationsactivitiesfrom CDC. During Jul 18 - Jul24 , on average, 70 patientswith confirmed COVID- 19and81patientswith suspected COVID- 19 were reported as newlyadmittedeach dayto hospitalsin Oklahoma. An average of51percentofhospitals reported each day during this period; therefore, thismaybean underestimateofthe actualtotalnumberofCOVID - relatedhospitalizations . Underreporting maylead to alower allocation of criticalsupplies. RECOMMENDATIONS Closingbarsand reducingindoordiningat restaurantsto 25% capacityis criticalto disrupttransmission. Maskmandates mustbe implementedin yellow and red zones. Protectvulnerablepopulations in assistedliving and long- term care facilitiesthroughweeklytestingof allworkersand requiringmasks . In facilitieswith workerswhotestedpositive, ensureallresidentshavebeen tested and appropriatecohorting measuresarein place. Continueto enhancecontacttracingand ensuretheabilityofcases and contactsto quarantineor isolatesafely. Monitortestingdata to identifyadditionalsitesof increased transmissionandfocuspublichealthresourceson them . Forfamilyandcohabitatinghouseholds , screen entirehouseholdsin a single testbypoolinga sampleof eachmember's sample. Forhouseholdsthattestpositive, isolateand conductfollow - upindividualtests. Expandtesting capacity in publichealthlabs addingshifts andweekendshiftsto reduceturnaroundtimes. Increasemessagingoftherisk of seriousdisease in allagegroupswith preexisting medicalconditions , includingobesity, hypertension, and diabetesmellitus. Specific, detailedguidanceon communitymitigationmeasures can befoundonthe CDCwebsite. Thepurposeof this reportis to developa sharedunderstanding of thecurrentstatusof thepandemicat the national , regional , stateand locallevels. Werecognize thatdata at thestate levelmaydiffer from thatavailableatthe federallevel. Our objectiveis to useconsistent data sourcesand methodsthatallowfor comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 OKLAHOMA STATE REPORT 07.26.2020 STATE, % CHANGE FROM PREVIOUS STATE LAST WEEK NEW CASES 4,975 ( 126) (RATE PER 100,000) DIAGNOSTIC TEST 30,467 ** TOTAL DIAGNOSTICTESTS COVID DEATHS 89,941 (211) 460,137 ( 140) 13.3 % 8.5 % 396,835 ** 5,437,404 ** ( 1,657) ( 929 + 34.5 % ( 1) AT LEASTONE MOBILTY -1.5 % -0.9% ** 5.3 % + COVID - 19 CASE MOBILTY LAST WEEK 39 ( RATE PER 100,000 ) TO UNITED STATES LASTWEEK ( 770) ( TESTS PER 100,000) RELATIVEBASELINE REGION WEEK +0.7 % * 10.1% POSITIVITY RATE FEMA /HHS % * 1,274 6,434 (3) (2) 20.8 % 12.1% 100 % 80 % 60 % 40 % 20 % 0 % 2/23 3/1 4/5 3/8 3/15 3/22 3/29 4/12 4/19 4/26 5/3 5/10 5/17 6/7 5/31 6/14 6/21 6/28 7/5 7/12 7/19 7/26 Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregating county -leveldata from USAFacts; therefore , the valuesmaynotmatch those reported directly by the state. Data is through 7/24/2020; lastweek is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 OKLAHOMA STATE REPORT 07.26.2020 COVID - 19 COUNTY ANDMETRO ALERTS LOCALITIES IN RED ZONE LOCALITIES IN YELLOW ZONE Oklahoma City Lawton Durant METRO AREA ( CBSA) LAST WEEK Tulsa 5 Altus Miami Enid Fort Smith 13 Top 12 shown (fulllist below ) Muskogee Stillwater Shawnee Ardmore Tahlequah Weatherford Duncan Ponca City McAlester Cleveland Oklahoma COUNTY 16 Tulsa Canadian Jackson Rogers Wagoner Grady McCurtain Ottawa Creek LAST WEEK 12 shown Garfield ( full list below) Adair Sequoyah Caddo 39 Top 12 shown ( fulllist below ) Comanche Delaware Bryan Muskogee Payne Pottawatomie McClain Mayes AllRed CBSAs: Tulsa, Altus, Miami,Enid, Fort Smith AllYellow CBSAs OklahomaCity, Lawton, Durant,Muskogee, Stillwater, Shawnee, Ardmore, Tahlequah,Weatherford, Duncan, Ponca City, McAlester, Guymon All Yellow Counties: Cleveland, Canadian, Rogers,Grady, Comanche, Delaware, Muskogee, Bryan, Payne, Pottawatomie, McClain, Mayes, Carter, Cherokee, Osage, Logan, LeFlore, Seminole, Custer, Stephens, Kay, Pittsburg, Lincoln, Pawnee, Atoka, Hughes,Murray, Latimer, Texas, Okfuskee, Major, Haskell, , Blaine, Greer, Nowata, RogerMills, Beaver,Grant Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity resultbetween 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020; lastweek is 7/18 - 7/24 , three weeks is 7/4 - 7/24 . Testing : HHS Protect laboratory data (provided directly to FederalGovernment from public health labs, hospital labs, and commercial labs) through 7/22/2020. Lastweek is 7/16 - 7/22. Testing datamaybebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to-date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 OKLAHOMA STATE REPORT 07.26.2020 CASE NEW C-ASE 19 COVID 1000 750 500 250 Daily COVID - 19 Cases Daily COVID -19 Cases ( 7 - day average) 5000 10.0 % 4000 8.0 % 3000 6.0 % 2000 4.0 % 1000 2.0 % Daily Tests Completed ( 7 day avg. ) OF TESTS PERCENTAGE TOTAL 0.0 % % Positivity Rate (by result date 7 day avg.) Top counties basedon greatest number ofnew cases in last - 7/24 ) weeks ( CTOUONTPIES Oklahoma ) Tulsa Cleveland 6000 Canadian CASES NEWCUMULATIVE ( Rogers 4000 Jackson Wagoner McCurtain 2000 Grady Okmulgee 3/8 3/15 3/22 3/29 4/5 4/12 - 4/19 4/26 5/3 6/7 5/10 5/17 5/24 5/31 6/14 6/21 6/28 7/5 7/12 7/19 7/26 DATA SOURCES Cases: County -leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: HHSProtect laboratory data ( provided directly to FederalGovernment from public health labs, hospital labs, and commerciallabs) through 7/22/2020 . COVID - 19 Top 12 counties based on number ofnew cases in the last 3 weeks Daily COVID - 19 Cases ( 7 -day average) OklahomaCounty Daily COVID - 19 Cases Tulsa County 100 ClevelandCounty 300 200 75 200 50 100 100 25 CASE DAILY TO AL Canadian County Rogers County Jackson County 40 40 40 30 20 20 20 10 30 McCurtain County Wagoner County Okmulgee County 20 10 40 20 20 10 Comanche County Grady County 20 10 3/21 4/5 4/20 6/4 5/5 5/20 7/4 / DelawareCounty 40 20 20 10 6/4 7/19 DATA SOURCES Cases: County-leveldata from USAFacts through 7/24/2020. Last 3 weeks is 7/4 - 7/24. 6/19 7/4 7/19 COVID - 19 OKLAHOMA STATE REPORT 07.26.2020 CASE RATESAND DIAGNOSTIC TESTPOSITIVITYDURING THE LASTWEEK NEW CASES PER 100,000 DURING TEST POSITIVITY DURING LAST LASTWEEK WEEK Date: 7/26/2020 Date: 7/26/2020 CO KS KS MO MO OK NM OK AR NM TX AR TX Casesper 100K 20 Cases Last 14Days 0.1to 9.9 Test Positivity = Cases Last 14Days 0 % to 4.9% 10 to 99.9 5 100 to 199.9 200 to 499.9 500 orMore WEEKLY % CHANGEIN NEW WEEKLYCHANGEIN TEST CASES PER 100K POSITIVITY Date: 7/26/2020 % to 9.9 10% to 19.9% 20% or More Date: 7/26/2020 KS KS MO MO OK NM AR NM AR Percent Changein Casesper100K TX Casesin Last 14Days % 100 Less Absolute Changein Test Positivity % Casesin Last 14Days 2 10 % to 99.9% Less TX Little Change 0.5% to 1.9% More 2 More + 100% to 999.9% More 1.000% Less 0.5% to 1.9% Less % LittleChange 10% to 99.9% More DATA SOURCES Cases: County-leveldatafrom USAFactsthrough 7/24/2020. Lastweekis 7/18 - 7/24, previousweek is 7/11- 7/17. Testing: HHSProtectlaboratorydata (provideddirectlyto FederalGovernmentfrom publichealth labs, hospitallabs, and commerciallabs) through7/22/2020. Lastweek is 7/16 - 7/22 previousweek is 7/9 - 7/15. Testingdatamaybebackfilledover time, resultingin changesweek-to -week in testingdata. Itis criticalthatstatesprovideas up-to -datetesting data as possible. OREGON STATEREPORT 07.26.2020 SUMMARY Oregon is in the yellow zone for cases , indicatingbetween 10 to 100 new cases per 100,000 population lastweek , and the green zone fortestpositivity , indicating a rate below 5 % . Oregon hasseen stability in new cases and a decrease in testing positivity over the pastweek . The following three counties had the highestnumber ofnew cases over the past 3 weeks: 1.Multnomah County , 2. Washington County, and 3. Umatilla County . These counties represent 50.4 percent of new cases in Oregon . Oregon had 55 new cases per 100,000 population in the pastweek , compared to a nationalaverage of 140 per 100,000 . The federal government has deployed the following staff as assets to support the state response: 30 to support operations activities from FEMA; 2 to support epidemiology activities from CDC ; and 5 to support operations activities from USCG . During Jul 18 - Jul 24, on average, 15 patients with confirmed COVID - 19 and 82 patients with suspected COVID - 19 were reported asnewly admitted each day to hospitals in Oregon . An average of 75 percent ofhospitals reported each day during this period; therefore , this may be an underestimate of the actualtotalnumber of COVID -related hospitalizations. Underreportingmaylead to a lower allocation of critical supplies. * RECOMMENDATIONS Continue to require cloth facemasksand promote social distancingfor people outside of their homes, particularlyin indoor settings In countieswith 7-day average testpositivity greater than 5% , close bars, restrictgyms to 25 % occupancy, and ensure social distancing at restaurants ( emphasizing outdoor dining over indoor) . Protectthose in nursinghomes and long- term care facilities by testing all staffeachweek and requiringstaff to wear face masks. In populous counties with elevated or increasingtransmission, such asDeschutes, HoodRiver, Jefferson, Klamath,Malheur, Marion, Multnomah Umatilla, and Washington counties, ensure vigorous case investigation (with early quarantineof contacts and isolation ofcases), implementcommunity- led testing, and work with local community groups to increasetestingaccess. Consider pooled testing as described below to increase access and reduceturnaround times. Ensureallworkplacesare enforcingsocial distancingand theuse offacemasksand have procedures forcase investigation with contact tra Increasemessaging of the risk ofseriousdisease in older individuals andin all age groups with preexistingmedicalconditions, includingobesity, hypertension, and diabetesmellitus. TribalNations: Continue to promotesocialdistancing andmask recommendations. Develop specific culturally relevant education and public healthmessaging. Pooled testing should beinstituted formulti- generationalhouseholds. Spaces to provide quarantineof contacts and isolation ofcases should beprovided as needed. Specific , detailedguidance on communitymitigationmeasurescan be found on the CDC website. Thepurposeof this reportis to developa sharedunderstanding of thecurrentstatusof thepandemicat the national , regional , stateand locallevels. Werecognize thatdata at the state levelmaydiffer from thatavailableat the federallevel. Our objectiveis to useconsistent data sourcesandmethodsthatallow for comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 OREGON STATE REPORT 07.26.2020 STATE , STATE, % CHANGE FROM PREVIOUS LASTWEEK WEEK 2,302 (55 ) -1.8 % 4.2 % -0.8 % * NEW CASES (RATE PER 100,000 ) DIAGNOSTIC TEST POSITIVITY RATE 75,082** TOTAL DIAGNOSTICTESTS ( 1,780) ( TESTS PER 100,000) COVID DEATHS 28 ( RATE PER 100,000 ) ( 1) AT LEASTONE 1.8 % COVID- 19 CASE MOBILTY RELATIVEBASELINE MOBILTY TO +17.7 % ** + 27.3 % -0.6 % * FEMA/HHS REGION UNITED STATES LAST WEEK LAST WEEK 12,065 460,137 ( 140) (84 ) 6.6 % 8.5 % 221,815 ** ( 1,546) 5,437,404 ** 113 6,434 ( 1) (2) ( 1,657) 12.1% 4.4 % 100 % 80 % 60 % 40 % 20 % 0 % 6/7 6/14 Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregating county -leveldata from USAFacts; therefore , the valuesmaynotmatch those reported directly by the state. Data is through 7/24/2020; last week is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 OREGON STATEREPORT 07.26.2020 COVID - 19 COUNTY AND METRO LOCALITIES IN RED ZONE ALERTS LOCALITIES IN YELLOW ZONE METRO AREA Salem Hermiston-Pendleton Ontario ( CBSA ) LASTWEEK Hood River w Prineville Multnomah Marion Umatilla COUNTY LASTWEEK Malheur 4 Morrow Jefferson 6 Hood River Crook Wallowa Sherman Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity result between 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020 ; last week is 7/18 -7/24 , three weeks is 7/4 - 7/24 . Testing :CELR ( COVID - 19 Electronic Lab Reporting) state health department -reported data through 7/22/2020 . Lastweek is 7/16 - 7/22. Testing datamay bebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 OREGON STATEREPORT 07.26.2020 C-ASES CASE 19 COVID NEW 400 300 200 100 Daily COVID - 19 Cases Daily COVID - 19 Cases ( 7 -day average) TESTING TESTS COVID 10000 19 6.0 % 8000 6000 4.0 % 4000 2.0 % OF TESTS PERCENTAGE TOTAL 2000 0.0 % % Positivity Rate (by result date 7 day avg. ) Daily Tests Completed ( 7 day avg. ) Top counties based on greatest number ofnew cases in last three weeks (7/4 - 7/24 ) 4000 CTOUONTPIES Multnomah Washington Umatilla ) 3000 CASES NEW CUMULATIVE ( Marion Clackamas Malheur Lane Deschutes 2000 Morrow Yamhill 1000 - - - - 4/12 4/19 4/26 4/5 3/8 3/15 3/22 3/29 - - - / 9 5/3 5/10 5/17 5/24 5/31 6/14 6/21 6/28 - - 7/5 7/12 7/19 7/26 DATA SOURCES Cases: County-leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: CELR ( COVID - 19 Electronic Lab Reporting) statehealth department-reported data through 7/22/2020. COVID - 19 Top 12 counties based on number ofnew cases in the last 3 weeks Daily COVID - 19 Cases Daily COVID - 19 Cases ( 7 -day average) MultnomahCounty Umatilla County WashingtonCounty 80 100 60 60 75 40 40 50 20 25 CASE 60 Marion County 20 MalheurCounty Clackamas County, 60 40 40 DAILY TO AL 30 40 20 20 20 10 LaneCounty Deschutes County Morrow County 10 30 20 20 5 10 10 Yamhill County Jefferson County Jackson County 15 15 10 10 20 15 10 5 4/5 4/20 5/5 6/4 7/4 7/19 3/21 4/5 4/20 5/5 5/20 6/4 6/19 714 7/19 DATA SOURCES Cases: County-leveldata from USAFacts through 7/24/2020. Last 3 weeks is 7/4 - 7/24. 3/21 4/5 4/20 5/5 5/20 6/4 7/4 7/19 COVID - 19 OREGON STATE REPORT 07.26.2020 CASE RATESAND DIAGNOSTIC TESTPOSITIVITYDURING THE LASTWEEK NEW CASES PER 100,000 DURING TEST POSITIVITYDURING LAST LASTWEEK WEEK Date: 7/26/2020 Date: 7/26/2020 WA WA MT MT OR OR ID ID Cases per100K TestPositivity 20Cases Last 14Days 0.1to 9.9 CA 100 to 199.9 NV 5 NV = Casesin Last 14Days % to 4.9% 0 10 to 99.9 CA 200 to 499.9 500 orMore % to 9.9% 10% to 19.9% 20% or More WEEKLY % CHANGEIN NEW WEEKLY CHANGEIN TEST CASES PER 100K POSITIVITY Date: 7/26/2020 Date : 7/26/2020 WA WA MT MT OR OR Percent Changein Casesper100K ID Casesin Last 14Days Absolute Changein Test Positivity = 20Cases Last 14 Days 100% Less % 2 10% to 99.9 % Less LittleChange 10% to 99.9% More CA NV 100% to 999.9% More 1,000 More Less 0.5% to 1.9% Less CA NV Change 0.5 % to 1.9 % More 2 % + More DATA SOURCES Cases: County-leveldata from USAFactsthrough 7/24/2020. Lastweek is7/18 - 7/24, previousweek is 7/11- 7/17. Testing: CELR (COVID- 19 ElectronicLab Reporting ) state health department-reporteddata through 7/22/2020. Lastweek is 7/16 - 7/22, previousweek is 7/9 - 7/15. Testingdatamaybebackfilledover time, resultingin changesweek- to-week in testing data. It is criticalthat statesprovideasup- to -datetestingdata aspossible. PENNSYLVANIA STATE REPORT 07.26.2020 SUMMARY Pennsylvaniais inthe yellow zonefor cases, indicatingbetween10 to 100 new casesper 100,000 population lastweek, and the green zonefor test positivity, indicatinga rate below 5% . Statewide, Pennsylvaniahasbeen stablein new casesandtest positivity overthepastweek . Thefollowingthree countieshadthe highestnumberofnew cases over thepast3weeks: 1. AlleghenyCounty, 2.Philadelphia County, and 3. DelawareCounty. These countiesrepresent43.6 percentofnew cases in Pennsylvania. Morecounties and CBSAsare in the yellow zonethis week . Pennsylvaniahad 48new cases per 100,000 populationin the pastweek, comparedto a nationalaverage of 140per 100,000. The federal governmenthasdeployedthe followingstaff as assets to support the state response: 72 to support operations activities from FEMA; 15 to support operationsactivitiesfrom ASPR ; and supportoperationsactivitiesfrom USCG. During 18 - Jul24 , on average,65 patientswith confirmedCOVID- 19and295 patients with suspected COVID - 19were reported as newly admittedeach day tohospitalsin Pennsylvania An average of 56 percentofhospitalsreported each day duringthisperiod; therefore, thismaybean underestimateof the actualtotalnumberofCOVID -relatedhospitalizations. Underreporting maylead to a lower allocation of criticalsupplies. * RECOMMENDATIONS In red and yellow zones, closingbars and reducingindoordiningat restaurantsto 25% capacityiscriticalto disrupt transmission. Philadelphiamustinterveneearly; closingbars is criticalto stopping the spread. Maskmandatesmustremain in place. Actingearly and quickly with nursinghomes iscritical, particularlyin cities andcounties withincreasingcases andtest positivity. Protectvulnerablepopulationsin assisted livingand long-term carefacilitiesthrough weekly testing of allworkers and requiringmasks. In facilities with workerswho tested positive, ensure all residentshavebeen tested and appropriate cohortingmeasuresarein place. Continueto enhancecontacttracingand ensuretheability of cases and contactsto quarantineor isolate safely. Forfamily and cohabitatinghouseholds , screen entirehouseholdsin a single testby poolinga sample of eachmember's sample. Forhouseholdsthat test positive, isolate and conductfollow -up individualtests. Expandtestingcapacity in public health labs, addingshifts andweekendshifts to reduce turnaround times. Increase messagingof the risk of seriousdisease in all agegroupswith preexistingmedicalconditions , includingobesity, hypertension, and diabetesmellitus. Specific, detailedguidance on communitymitigationmeasurescan be found on the CDC website. Thepurposeof this reportis to developa sharedunderstanding of thecurrentstatusof thepandemicat the national , regional , stateand locallevels. Werecognize thatdata at thestate levelmaydiffer from thatavailableatthe federallevel. Our objectiveis to useconsistent data sourcesand methodsthatallowfor comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 PENNSYLVANIA STATE REPORT 07.26.2020 STATE, % CHANGE FROM PREVIOUS STATE LASTWEEK NEW CASES WEEK 6,094 (RATE PER 100,000 ) + 8.8 % ( 48) DIAGNOSTIC TEST 4.9 % POSITIVITY RATE ( TESTS PER 100,000) COVID DEATHS -2.7 % ( 1) ( RATE PER 100,000 ) AT LEASTONE MOBILTY RELATIV BASELINE MOBILTY TO + 0.5 % * 10.8 % COVID - 19 CASE LAST WEEK 20,675 460,137 ( 140) 6.3 % +0.4 % ** 109 UNITED STATES LASTWEEK (67) + 0.1 % * 150,150 ** ( 1,173) TOTAL DIAGNOSTICTESTS FEMA/HHS REGION 8.5 % 502,047 ** 5,437,404 ** ( 1,627) ( 1,657) 286 6,434 ( 1) (2 ) 10.8 % 12.1% 100 % 80 % 60 % 40 % 20 % 0 % 2/23 3/1 3/8 3/15 3/22 3/29 4/5 4/12 4/19 4/26 6/7 5/3 5/10 5/17 5/24 5/31 6/14 6/21 6/28 7/5 7/12 7/19 7/26 Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregating county -leveldata from USAFacts; therefore , the valuesmaynotmatch those reported directly by the state. Data is through 7/24/2020; last week is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 PENNSYLVANIA STATE REPORT 07.26.2020 COVID - 19 COUNTY ANDMETRO ALERTS LOCALITIES IN RED ZONE LOCALITIES IN YELLOW ZONE Pittsburgh Lancaster METRO AREA N /A ( CBSA ) LASTWEEK 7 Harrisburg- Carlisle York -Hanover Chambersburg-Waynesboro New Castle Youngstown-Warren -Boardman Allegheny Philadelphia Delaware 17 COUNTY LASTWEEK Beaver Top 12 shown (full list below ) Chester Lancaster York Westmoreland Washington Dauphin Franklin Butler Fayette All Yellow Counties: Allegheny, Philadelphia, Delaware, Chester, Lancaster, York ,Westmoreland, Washington, Dauphin, Franklin, Butler, Fayette, Lawrence, Mercer, Armstrong, Greene, Bedford Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity result between 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020 ; last week is 7/18 -7/24 , three weeks is 7/4 - 7/24 . Testing :CELR ( COVID - 19 Electronic Lab Reporting) state health department -reported data through 7/22/2020 . Lastweek is 7/16 - 7/22. Testing datamay bebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 PENNSYLVANIA STATE REPORT 07.26.2020 2000 CASE NEW C-ASE 1500 19 COVID 1000 500 Daily COVID - 19 Cases ( 7 - day ave TESTING TESTS COVID 19 Daily COVID - 19 Cases ge) 20000 25.0 % 20.0 % 15000 15.0 % 10000 10.0 % 5000 5.0 % OF TESTS PERCNTAGETOTAL 0.0 % % Positivity Rate (by result date 7 day avg.) Daily Tests Completed ( 7 day avg. ) Top counties based on greatest number ofnew cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES 25000 ) CASES NEW CUMULATIVE Allegheny Philadelphia Delaware 20000 Montgomery Bucks Chester 15000 Lancaster York 10000 Westmoreland Berks ( 5000 - 3/8 - - 4/5 3/15 3/22 3/29 4/12 4/19 4/26 - - - 5/10 5/17 5/24 - 5/3 5/31 6/14 - - 6/21 6/28 7/5 7/12 7/19 7/26 DATA SOURCES Cases: County-leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: CELR ( COVID - 19 Electronic Lab Reporting) statehealth department-reported data through 7/22/2020. COVID - 19 Top 12 counties based on number ofnew cases in the last 3 weeks Daily COVID - 19 Cases ( 7 -day average ) 600 AlleghenyCounty Daily COVID - 19Cases PhiladelphiaCounty DelawareCounty 300 200 400 150 200 100 200 100 50 CASE DAILY TO AL Bucks Montgomery County Chester 200 80 150 150 60 100 100 40 50 20 50 80 Lancaster County York County Westmoreland County 40 80 60 30 60 40 20 40 20 20 Berks, County 100 200 10 Beaver County Washington County 40 75 150 100 50 50 25 30 20 3/21 4/5 4/20 5/5 5/20 6/4 7/4 7/19 10 3/21 4/5 4/20 5/5 5/20 6/4 6/19 7/4 7/19 DATA SOURCES Cases: County-leveldata from USAFacts through 7/24/2020. Last 3 weeks is 7/4 - 7/24. 3/21 4/5 4/20 5/5 5/20 6/4 61/9 7/4 7/19 COVID - 19 PENNSYLVANIA STATEREPORT 07.26.2020 CASE RATESAND DIAGNOSTIC TESTPOSITIVITYDURING THE LASTWEEK TEST POSITIVITYDURING LAST NEW CASES PER 100,000 DURING LASTWEEK WEEK Date: 7/26/2020 Date: 7/26/2020 NY NY CT PA CT NJ PA OH NJ OH Cases per 100K 20Cases Last 14 Days MD Test Positivity DE % 0 10 to 99.9 DC DC 100 to VA Casesin Last 14Days to 4.9% MD 0.1to 9.9 DE 5 % to 9.9% VA 10 20 % 200 to % 500 orMore WEEKLY % CHANGEIN NEW CASES PER to 19.9% or More WEEKLY CHANGEIN TEST 100K POSITIVITY Date: 7/26/2020 Date: 7/26/2020 NY NY CT CT NJ PA OH Absolute Changein Test Positivity 100% Less 10% to 99.9 Less DE DC VA MD % MD DE LittleChange 10% to 99.9% More 100% to 999.9% More 1,000 More DC VA Casesin Last 14Days 2 Less % Casesin Last 14Days 0.5% to 1.9% Less LittleChange 0.5% to 1.9% More 2 More + Percent Changein Casesper100K OH NJ % PA DATA SOURCES Cases: County-leveldata from USAFactsthrough 7/24/2020. Lastweek is7/18 - 7/24, previousweek is 7/11- 7/17. Testing: CELR (COVID- 19 ElectronicLab Reporting ) state health department-reporteddata through 7/22/2020. Lastweek is 7/16 - 7/22, previousweek is 7/9 - 7/15. Testingdatamaybebackfilledover time, resultingin changesweek- to-week in testing data. It is criticalthat statesprovideasup- to -datetestingdata aspossible. RHODE ISLAND STATE REPORT 07.26.2020 SUMMARY RhodeIsland is in the yellow zone for cases , indicatingbetween 10 to 100 new cases per 100,000 population last week, and the green zone for test positivity , indicating a rate below 5% . RhodeIsland has seen a decrease in new cases and stability in testing positivity over the pastweek . The following three counties had the highest number ofnew cases over the past 3 weeks: 1.Providence County , 2. KentCounty , and 3.Washington County . These counties represent 84.5 percent of new cases in Rhode Island . Rhode Island had 41 new cases per 100,000 population in the pastweek , compared to a national average of 140 per 100,000 The federalgovernmenthas deployed the following staff as assets to support the state response: 4 to support operations activities from FEMA. During Jul 18 - Jul24 , on average , 5 patients with confirmed COVID - 19 and 24 patientswith suspected COVID - 19 were reported asnewly admitted each day to hospitals in Rhode Island. An average of70 percent ofhospitals reported each day during this period ; therefore, thismaybe an underestimate of the actual totalnumber of COVID -related hospitalizations. Underreportingmay lead to a lower allocation ofcritical supplies. RECOMMENDATIONS Continue to promote socialdistancing andrequire theuseoffacemasks for people outside of their homes, enforcing use in indoor settings. Ensure effective public health messaging to emphasize need for cloth facemasks, especially astourist season intensifies Continue testingprogram for nursing homes and long- term care facilities andrequiringall staff to wear face maskswhile on duty . Continue vigorous case investigation with contact tracing and early quarantine of contacts and isolation of all known or suspected cases . Continue to track cases and case rates, test percentpositivity, and hospitalizations to inform interventions. Increase messaging of the risk ofserious disease in older individuals and in all age groups with preexisting medicalconditions, includingobesity, hypertension, and diabetesmellitus. Specific, detailed guidance on community mitigationmeasures can be found on the CDC website. Thepurposeof this reportis to developa sharedunderstanding of thecurrentstatusof thepandemicat the national , regional , stateand locallevels. Werecognize thatdata at thestate levelmaydiffer from thatavailableatthe federallevel. Our objectiveis to useconsistent data sourcesand methodsthatallowfor comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 RHODE ISLAND STATE REPORT 07.26.2020 STATE, % CHANGE FROM PREVIOUS STATE LASTWEEK NEW CASES 431 (RATE PER 100,000 ) (41) DIAGNOSTIC TEST ( RATE PER 100,000 ) AT LEASTONE MOBILTY MOBILTY +6.9% ** 460,137 ( 140) 1.6 % 8.5 % 5,437,404 ** ( 1,360) ( 1,657) 153 6,434 -36.4 % +6.2 % * 6.2 % ( 26 ) 201,843** ( 1) COVID - 19 CASE TO + 0.1 % * 7 COVID DEATHS LAST WEEK 3,831 (2,031) ( TESTS PER 100,000) UNITED STATES LASTWEEK -10.4 % 21,517 ** TOTAL DIAGNOSTICTESTS RELATIVEBASELINE WEEK 2.3 % POSITIVITY RATE FEMA/ HHS REGION ( 1) (2) 4.4 % 12.1% 100 % 80 % 60 % 40 % 20 % 0 % 2/23 3/1 4/5 3/8 3/15 3/22 3/29 4/12 4/19 4/26 5/3 5/10 6/7 5/17 5/24 5/31 6/14 Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregating county -leveldata from USAFacts; therefore , the valuesmaynotmatch those reported directly by the state. Data is through 7/24/2020; lastweek is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 RHODE ISLAND STATE REPORT 07.26.2020 COVID - 19 COUNTY ANDMETRO ALERTS LOCALITIES IN RED ZONE LOCALITIES IN YELLOW ZONE METRO AREA N/A N/A N/A N/A ( CBSA ) LASTWEEK COUNTY LASTWEEK Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity resultbetween 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020; lastweek is 7/18 - 7/24 , three weeks is 7/4 - 7/24 . Testing : HHS Protect laboratory data (provided directly to FederalGovernment from public health labs, hospital labs, and commercial labs) through 7/22/2020. Lastweek is 7/16 - 7/22. Testing datamaybebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to-date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 RHODE ISLAND STATE REPORT 07.26.2020 C-ASE CASE 19 COVID NEW 500 400 300 200 100 Daily COVID - 19 Cases ( 7 - day av Daily COVID - 19 Cases age) 3000 15.0 % 2000 10.0 % 1000 5.0 % OF TESTS PERCENTAGE TOTAL 0.0 % Daily Tests Completed (7 day avg.) % Positivity Rate (by result date 7 day avg. ) Top counties based on greatest number of new cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES Providence Kent Washington Bristol ) 10000 CASES NEWCUMULATIVE Newport 5000 ( - 4/5 3/8 3/15 3/22 3/29 4/12 4/19 4/26 5/3 6/7 5/10 5/17 5/24 5/31 - 6/14 6/21 6/28 - - 7/12 7/19 7/5 7/26 DATA SOURCES Cases: County -leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: HHSProtect laboratory data ( provided directly to FederalGovernment from public health labs, hospital labs, and commerciallabs) through 7/22/2020 . COVID - 19 Top 12 counties based on number ofnew cases in the last 3 weeks Daily COVID - 19 Cases ( 7 - day average ) CASE DAILY TO AL 1500 Providence County 150 Daily COVID - 19 Cases Kent County, WashingtonCounty 40 30 100 1000 20 50 500 10 Bristol County Newport County 30 20 20 10 10 DATA SOURCES Cases: County-leveldata from USAFacts through 7/24/2020. Last 3 weeks is 7/4 - 7/24. COVID - 19 RHODE ISLAND STATE REPORT 07.26.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LASTWEEK NEW CASES PER 100,000 DURING TEST POSITIVITYDURING LAST LASTWEEK WEEK HERE Date: 7/26/2020 HERE Date: 7/26/2020 w MA MA RI RI CT CT Cases per 100K Cases Last Test Positivity 14 Days 0.1to 9.9 10 to 99.9 499.9 500 orMore NY 0 100 to 199.9 % to 4.9% 5 < = 20 Casesin Last 14Days % to 9.9 10 % to 19.9 20% orMore NY WEEKLY % CHANGEIN NEW WEEKLY CHANGE IN TEST CASES PER 100K POSITIVITY HERE Date: 7/26/2020 Date : 7/26/2020 MA MA RI CT CT PercentChange in Casesper 100K AbsoluteChange in Test Positivity < Casesin Last 14 Days = 20 Casesin Last 14Days 2 % + Less % 100% Less 10 to 99.9 Less LittleChange 10% to 99.9% More 0.5% to 1.9% Less LittleChange 100% to 999.9% NY More 0.5 % to 1.9% More 2% + 1.000 NY DATA SOURCES Cases : County -leveldata from USAFacts through 7/24/2020 . Last week is 7/18 - 7/24, previousweek is 7/11 - 7/17 . Testing : HHS Protect laboratory data (provided directly to Federal Government from public health labs,hospital labs, and commercial labs) through 7/22/2020 . Last week is 7/16 - 7/22 previous week is 7/9 - 7/15 . Testing data may bebackfilled over time, resulting in changes week -to -week in testing data. Itis critical that states provide as up -to -date testing data as possible . SOUTH CAROLINA STATE REPORT 07.26.2020 SUMMARY South Carolinais in thered zone for cases, indicatingmore than 100 new casesper 100,000populationlastweek, and the red zone fortest positivity, indicatinga rateabove 10 % . South Carolinahasseen stabilityin new cases and a decreasein testingpositivityoverthe pastweek. Thefollowingthree countieshadthehighestnumberofnew cases over the past 3weeks: 1. Charleston County, 2.Greenville County, and 3. Horry County. These countiesrepresent33.3 percentofnew cases in South Carolina. The pandemic is widespread across South Carolinaand will require aggressive mitigation acrossthe state to reduce community spread. South Carolinahad 242new cases per 100,000 population in the pastweek, compared to a nationalaverageof 140per 100,000. The federalgovernmenthasdeployed the following staff as assets to supportthe state response: 8 to support operations activitiesfrom USCG. During Jul 18 - Jul24, on average, 137 patientswith confirmed COVID- 19 and 88 patients with suspected COVID- 19 were reported as newly admitted each day to hospitals in South Carolina. An averageof 75 percentof hospitalsreported eachday during thisperiod; therefore, thismaybe an underestimateofthe actualtotalnumberofCOVID -relatedhospitalizations. Underreporting mayleadto a lowerallocation of criticalsupplies. * RECOMMENDATIONS Protectthosein nursinghome , assistedliving, and long- term carefacilitiesby assuringaccessto rapid facility- wide testingin responseto a residentorstaffmemberwith COVID- 19. Ensuresocialdistancingand universalfacemaskuse. Mandateuse ofmasksin allcurrentand evolvinghotspots. Closeestablishments where socialdistancingandmaskuse cannotoccur, such asbars and alleveningentertainment venues. Moveto outdoordiningandlimitindoordiningto less than 25 of normalcapacity. Ask citizensto limit socialgatheringsto fewerthan 10 people. Encourageindividualsthathaveparticipated in largesocialgatheringsto get tested. Increasemessagingoftherisk of seriousdiseasein all age groupswith preexistingmedicalconditions , includingobesity, , and diabetesmellitus. hypertension Continue the scale-up oftesting,moving to community-ledneighborhoodtesting . Workwith localcommunitiesto implement and provideclearguidancefor householdsthattestpositive, includingon individualisolationand quarantiningprocedures . Continue to enhancecontacttracingand ensuretheability of casesandcontactsto quarantineor isolatesafely. Monitortestingdatato identifyadditionalsites of increasedtransmissionandfocuspublichealth resourcesthere. Ensure the publichealth lab is fully staffed andrunning24/7, utilizingallplatformsto reduceturnaroundtimes. Institute3: 1 or 2 : 1 poolingoftest specimenson allhighthroughputmachinesas longas turnaroundtimes are greaterthan 36 hours. For familiesandcohabitinghouseholds , screen entire householdsin a singletest by pooling specimens . Requireall universitieswith RNA detectionplatformsto use this equipmentto expandsurveillancetestingfor schools( K - 12, communitycolleges) anduniversitystudents. Specific, detailedguidanceon communitymitigationmeasures can befound onthe CDCwebsite. Thepurposeof this reportis to developa sharedunderstanding of thecurrentstatusof thepandemicat the national , regional , stateand locallevels. Werecognize thatdata at the state levelmay differ from that availableatthefederallevel. Our objectiveis to use consistent data sourcesandmethodsthatallow for comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 SOUTH CAROLINA STATE REPORT 07.26.2020 STATE, % CHANGE FROM PREVIOUS STATE LAST WEEK NEW CASES 12,441 ( 242) (RATE PER 100,000) DIAGNOSTIC TEST 18.5 % POSITIVITY RATE 67,264** ( 1,306) TOTAL DIAGNOSTICTESTS ( TESTS PER 100,000) COVID DEATHS ( RATE PER 100,000 ) AT LEASTONE MOBILTY RELATIVEBASELINE MOBILTY TO LAST WEEK -8.4 % 168,276 (252 ) 460,137 ( 140) -3.3% * 14.3 % 8.5 % + 9.3 % * 31.5 % COVID - 19 CASE LASTWEEK +66.2 % (5 ) UNITED STATES REGION WEEK +3.5 % ** 261 FEMA/ HHS 1,071,031** 5,437,404 ** ( 1,601) ( 1,657) 2,048 6,434 ( 3) (2) % 23.1 % 100 % 80 % 60 % 40 % 20 % 0 % 3/1 3/8 2/23 4/5 3/15 3/22 3/29 4/12 4/19 4/26 6/7 5/3 5/10 5/17 5/24 5/31 6/14 6/21 6/28 7/5 7/12 7/19 7/26 Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregating county -leveldata from USAFacts; therefore , the valuesmaynotmatch those reported directly by the state. Data is through 7/24/2020; last week is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 SOUTH CAROLINA STATE REPORT 07.26.2020 COVID - 19 COUNTY AND METRO LOCALITIES IN RED ZONE ALERTS LOCALITIES IN YELLOW ZONE Charleston North Charleston Greenville - Anderson Columbia METRO AREA (CBSA ) LASTWEEK 16 Top 12 shown ( full list below ) MyrtleBeach-Conway- North MyrtleBeach Charlotte- Concord- Gastonia Hilton Head Island- Bluffton Spartanburg Florence 2 Seneca Bennettsville Sumter Orangeburg Augusta-Richmond County Greenwood Charleston Greenville Horry Richland Berkeley COUNTY Lexington Spartanburg LAST WEEK Top 12 shown (full list below ) 2 Oconee Marlboro Dorchester Beaufort York Florence Orangeburg All Red Charleston North Charleston, Greenville-Anderson , Columbia, Myrtle Beach- Conway -North Myrtle Beach, Charlotte- Concord -Gastonia, Hilton Head Island-Bluffton, Spartanburg, Florence, Sumter, Orangeburg, Augusta -Richmond County, Greenwood ,Georgetown, Newberry ,Gaffney, Union AllRed Counties: Charleston , Greenville, Horry, Richland, Berkeley, Lexington, Spartanburg, Dorchester, Beaufort, York , Florence, Orangeburg, Anderson, Sumter, Aiken , Pickens, Greenwood , Laurens, Georgetown, Kershaw , Darlington, Newberry, Lancaster, Williamsburg, Colleton, Cherokee, Jasper, Clarendon , Chesterfield , Chester, Bamberg, Marion , Barnwell, Dillon, Fairfield, Union, Hampton, Calhoun , Saluda, Abbeville, Lee, Edgefield, Allendale, McCormick Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity result between 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020 ; last week is 7/18 -7/24 , three weeks is 7/4 - 7/24 . Testing :CELR ( COVID - 19 Electronic Lab Reporting) state health department -reported data through 7/22/2020 . Lastweek is 7/16 - 7/22. Testing datamay bebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 SOUTH CAROLINA STATEREPORT 07.26.2020 CASE C-ASES 19 COVID NEW 1500 1000 500 Daily COVID - 19 Cases ( 7 - da ave Daily COVID - 19 Cases ge ) 30.0 % 10000 OF 8000 20.0 % 6000 4000 10.0 % TESTS PERCENTAGE TOTAL 2000 0.0 % Daily Tests Completed (7 day avg.) % Positivity Rate (by result date 7 day avg. ) Top counties based on greatest number ofnew cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES Charleston 10000 Greenville ) Horry Richland 8000 CASES NEWCUMULATIVE Berkeley 6000 Lexington Spartanburg Dorchester 4000 Beaufort York ( 2000 4/5 3/8 3/15 3/22 3/29 - 4/12 4/19 4/26 5/3 - 6/7 5/10 5/17 5/24 5/31 7/5 6/14 6/21 6/28 7/12 7/19 7/26 DATA SOURCES Cases: County-leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: CELR ( COVID - 19 Electronic Lab Reporting) statehealth department-reported data through 7/22/2020. COVID - 19 Top 12 counties based on number ofnew cases in the last 3 weeks Daily COVID- 19 Cases Daily COVID - 19 Cases ( 7 -day average) Charleston County GreenvilleCounty 400 Horry County 300 200 300 200 200 100 100 100 CASE DAILY TO AL RichlandCounty Berkeley County Lexington County 150 150 100 100 200 150 100 50 50 50 Spartanburg County 150 DorchesterCounty BeaufortCounty 100 100 75 100 50 50 50 25 York County FlorenceCounty 150 Orangeburg County 100 80 75 100 60 50 40 50 25 3/21 4/5 7/4 6/4 5/5 4/20 5/20 6/19 / 20 3/21 4/5 4/20 5/5 5/20 6/4 6/19 7/4 7/19 DATA SOURCES Cases: County-leveldata from USAFacts through 7/24/2020. Last 3 weeks is 7/4 - 7/24. 3/21 4/5 4/20 5/5 5/20 7/4 6/19 7/19 COVID - 19 SOUTH CAROLINA STATE REPORT 07.26.2020 CASE RATESAND DIAGNOSTIC TESTPOSITIVITYDURING THE LASTWEEK NEW CASES PER 100,000 DURING TEST POSITIVITYDURING LAST LAST WEEK WEEK 7/26/2020 TN TN NC GA NC GA Cases per100K in Last Test Positivity 14Days Casesin Last 14Days 0.1to 9.9 100to 199.9 AL 0 10 to 99.9 10 % to 19.9 20% orMore 200 to499.9 500 WEEKLY % % to 4.9% 5 % to 9.9 % AL More CHANGE IN NEW WEEKLY CHANGEIN TEST POSITIVITY CASES PER 100K 7/26/2020 7/26/2020 TN NC NC SC Percent Changein Casesper100K GA =20 Cases in Last 14 Days 100% Less GA Casesin Last 14 Days 10% to 99.9 % Less 2 + Less 100% to 999.9% More 1.000 % LittleChange 10% to 99.9% More AL AbsoluteChange in Test Positivity 0.5% to AL % Less LittleChange 0.5% to 1.9% More % + More DATA SOURCES Cases: County-leveldata from USAFactsthrough 7/24/2020. Lastweek is7/18 - 7/24, previousweek is 7/11- 7/17. Testing: CELR (COVID- 19 ElectronicLab Reporting ) state health department-reporteddata through 7/22/2020. Lastweek is 7/16 - 7/22, previousweek is 7/9 - 7/15. Testingdatamaybebackfilledover time, resultingin changesweek- to-week in testing data. It is criticalthat statesprovideasup- to -datetestingdata aspossible. SOUTH DAKOTA STATEREPORT 07.26.2020 SUMMARY South Dakota is in the yellow zone for cases , indicatingbetween 10 to 100 new cases per 100,000 population last week, and the green zone for test positivity, indicating a rate below 5% . South Dakotahasseen stability in new cases and stability in testing positivity over thepast week . The following three counties had the highest number ofnew cases over the past 3 weeks: 1.Minnehaha County , 2. Pennington County, and 3. Lincoln County. These counties represent48.9 percent ofnew cases in South Dakota . SouthDakota had 46 new cases per 100,000 population in the pastweek , compared to anational average of140 per 100,000 The federalgovernmenthas deployed the following staff as assets to support the stateresponse: 5 to support operations activities from FEMA and 7 to support epidemiology activities from CDC. During Jul 18 - Jul24 , on average , 9 patients with confirmed COVID - 19 and 6 patients with suspected COVID - 19 were reported as newly admitted each day to hospitals in South Dakota. An average of65 percent ofhospitals reported each day during this period ; therefore, thismaybe an underestimate of the actual totalnumber of COVID -related hospitalizations. Underreportingmay lead to a lower allocation of criticalsupplies. * RECOMMENDATIONS Promote socialdistancinganduse of cloth face maskswhenoutsidethehome, especiallywhenin indoorsettings. In countieswith 7-day averagetest positivity greater than 5 % , close bars, restrictgymsto 25% occupancy, ensure social distancingatrestaurants( emphasizingoutdoordiningover indoor) , andlimit social gatheringsto 25 peopleorfewer. In countieswith elevatedorincreasingtransmission, implementcommunity- led testingandwork with localcommunity groups to increase testing access. Institutepooled testing as described below to further increaseaccessandreduce turnaround times. In all crowdedworkplace settings, such asmeatprocessingorpackingplants, enforceimplementation of socialdistancing, the useof facemasks, andearly and vigorous contactinvestigationfor allidentified cases. Protect those in nursinghomesandlong- term care facilitiesby testing all staffeach week and requiringstaff to wearface masks Increasemessagingofthe risk of serious disease in older individuals and in allage groupswith preexistingmedicalconditions, includingobesity, hypertension, and diabetesmellitus. TribalNations: Continueto promote socialdistancingandmask recommendations . Develop specificculturally relevant education andpublichealth messaging. Pooled testingshould be institutedformulti- generationalhouseholds. Spacesto provide quarantineof contactsand isolation of cases should beprovided as needed. Specific, detailed guidance on communitymitigationmeasures can be found on the CDC website. Thepurposeof this reportis to developa sharedunderstanding of thecurrentstatusof thepandemicat the national , regional , stateand locallevels. Werecognize thatdata at thestate levelmaydiffer from thatavailableatthe federallevel. Our objectiveis to useconsistent data sourcesand methodsthatallowfor comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 SOUTH DAKOTA STATE REPORT 07.26.2020 STATE, % CHANGE FROM PREVIOUS STATE, LASTWEEK NEW CASES 410 (RATE PER 100,000 ) ( 46 ) DIAGNOSTIC TEST ( TESTS PER 100,000) + 0.1% * ( RATE PER 100,000 ) -11.3 % ** AT LEASTONE MOBILTY RELATIVEBASELINE MOBILTY TO 8.5 % 5,437,404 ** ( 1,564) ( 1,657) 103 6,434 ( 1) ( 2) + 2.0 % * 3.0 % COVID - 19 CASE 460,137 ( 140) 191,736 ** -33.3 % ( 1) LAST WEEK 5.7 % 6 COVID DEATHS UNITED STATES 10,273 (84 ) + 4.9% 9,007** ( 1,018) TOTAL DIAGNOSTICTESTS REGION LAST WEEK WEEK 4.0 % POSITIVITY RATE FEMA/ HHS 4.6 % 12.1% 125 % 100 % 75 % 50 % 25 % % 2/23 3/1 4/5 3/8 3/15 3/22 3/29 4/12 4/19 4/26 5/3 5/10 5/17 5/24 5/31 6/7 6/14 6/21 6/28 7/5 7/12 7/19 7/26 Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregatingcounty-leveldata from USAFacts; therefore, the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020; lastweek is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 SOUTH DAKOTA STATE REPORT 07.26.2020 COVID - 19 COUNTY ANDMETRO ALERTS LOCALITIES IN RED ZONE LOCALITIES IN METRO YELLOW ZONE Sioux Falls Mitchell AREA N /A ( CBSA ) LASTWEEK 5 Sioux City Huron Vermillion Minnehaha Lincoln Union Beadle COUNTY LASTWEEK Lake Turner Douglas 12 Davison Clay Mellette Roberts Hanson Faulk Bennett Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity result between 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020 ; last week is 7/18 -7/24 , three weeks is 7/4 - 7/24 . Testing :CELR ( COVID - 19 Electronic Lab Reporting) state health department -reported data through 7/22/2020 . Lastweek is 7/16 - 7/22. Testing datamay bebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 SOUTH DAKOTA STATE REPORT 07.26.2020 250 C-ASES CASE NEW 200 19 150 COVID 100 50 Daily COVID - 19 Cases Daily COVID - 19 Cases (7 - day average ) 2500 TESTING TESTS COVID 19 50 % 2000 40 % 1500 30 % 1000 20 % 500 10 % OF TESTS PERCENTAGE TOTAL 0 % % Positivity Rate (by result date 7 day avg. ) Daily Tests Completed ( 7 day avg. Top counties based on greatest number ofnew cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES 4000 Minnehaha Pennington Lincoln ) 3000 CASES NEW CUMULATIVE ( Dewey Oglala Lakota Union Brookings Beadle Lake 2000 Codington 1000 4/5 3/8 3/15 3/22 3/29 4/12 L 4/19 4/26 5/3 5/10 5/17 / 9 5/24 5/31 6/14 6/21 - 5 6/28 7/12 / 7 7/19 7/26 DATA SOURCES Cases: County-leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: CELR ( COVID - 19 Electronic Lab Reporting) statehealth department-reported data through 7/22/2020. COVID - 19 Top 12 counties based on number ofnew cases in the last 3 weeks Daily COVID - 19 Cases Daily COVID - 19 Cases ( 7 -day average) MinnehahaCounty 40 PenningtonCounty Lincoln County 200 30 20 150 20 100 10 10 50 WW CASE DAILY TO AL 15 Dewey County 15 10 10 10 5 8 Union County Oglala Lakota County 5 5 Beadle County Brookings County 6 Lake County 30 6 4 20 4 N 10 8 N Davison County Codington County BrownCounty 20 6 15 4 4 2 2 3/21 4/5 4/20 7/4 5/5 5/20 7/19 10 5 5/20 6/4 6/19 714 7/4 7/19 DATA SOURCES Cases: County-leveldata from USAFacts through 7/24/2020. Last 3 weeks is 7/4 - 7/24. 7/19 COVID - 19 SOUTH DAKOTA STATE REPORT 07.26.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LASTWEEK TEST POSITIVITYDURING LAST NEW CASES PER 100,000 DURING LASTWEEK Date: 7/26/2020 WEEK Date : 7/26/2020 Camin and the ND ND MT MT MN MN SD SD WY WY Casesper 100K 20Cases Last 14 Days Test Positivity 0.1to 9.9 NE Casesin 14Days NE 0 % to 4.9 % 10 to 99.9 5 100 to 199.9 WEEKLY % CHANGEIN NEW WEEKLY CHANGEIN TEST CASES PER 100K POSITIVITY Date: 7/26/2020 % to 9.9 % 10% to 19.9% 20% or More 200 to499.9 500 orMore Date : 7/26/2020 ND ND MT MT MN MN SD SD Percent Changein Casesper100K WY WY Absolute Change in Test Positivity = 20Casesin Last 14Days Casesin Last 14Days % 100 Less LittleChange 10 % to 99.9% More 100 % to 999.9% More 1.000 NE + NE % 2 % 10% to 99.9 Less Less 0.5% to 1.9% Less LittleChange 0.5% to 1.9 % More 2 % + More DATA SOURCES Cases : County -leveldata from USAFacts through 7/24/2020 . Last week is 7/18 - 7/24 , previous week is 7/11 - 7/17. Testing : CELR (COVID - 19 Electronic Lab Reporting ) state health department -reported data through 7/22/2020 . Last week is 7/16 - 7/22 previousweek is 7/9 - 7/15 . Testing data may be backfilled over time, resulting in changes week - to -week in testing data. It is critical that states provide asup- to -date testing data aspossible. TENNESSEE STATE REPORT 07.26.2020 SUMMARY Tennesseeis in the red zone for cases, indicatingmorethan 100 new casesper 100,000 populationlast week, and the red zone fortest positivity, indicatinga rate above 10 % . Tennesseehas seenstability in new cases and an increasein testingpositivity over the pastweek. Thefollowingthree countieshadthe highestnumberofnew cases over the past 3 weeks: 1. Davidson County, 2.Shelby County, and 3. Rutherford County. These counties represent 39.9 percentofnew cases in Tennessee. Morecountiesand CBSAs are in the hotzone this week. Tennesseehad 216 new cases per 100,000 populationinthe pastweek , compared to anationalaverageof 140per 100,000. The federal governmenthasdeployed the followingstaff as assets to support the stateresponse: 3 to supportoperations activities from FEMA. During Jul 18 - Jul24 , on average, 158 patientswith confirmed COVID- 19and 201patients with suspected COVID- 19 were reported as newlyadmittedeach dayto hospitalsin Tennessee. An averageof 87 percentofhospitals reported each day during this period; therefore, thismaybean underestimateofthe actualtotalnumberofCOVID - relatedhospitalizations . Underreportingmaylead to lower allocation ofcriticalsupplies.* RECOMMENDATIONS In red and yellow zones, closingbars and limiting indoor transmission at restaurants to 25 % capacity is critical to disrupt Statewide mask mandate is critical to stop the spread .Work with localcommunity groups to develop strong public messaging of its importance in avoiding disruptions to business and schooloperations. More nursinghomeswith at least one 19 case were reported this week . Acting quickly with nursinghomes is critical, particularly in cities and counties with increasing cases and positivity. Protect vulnerable populations in assisted living and long-term care facilities through weekly testing of allworkers and requiring masks. In facilities with workers who tested positive, ensure allresidents have been tested and appropriate cohortingmeasures are in place. For family and cohabitating households, screen entire households in a single test by pooling a sample of each member's sample . For households that test positive, isolate and conduct follow -up individual tests . Expand testing capacity in public health labs, adding shifts and weekend shifts to reduce turnaround times . Increasemessaging ofthe risk of serious disease in all age groups with preexistingmedical conditions, including obesity, hypertension , and diabetes mellitus. Specific , detailed guidance on community mitigationmeasures can be found on the CDC website . Thepurposeof this reportis to developa sharedunderstanding of thecurrentstatusof thepandemicat the national , regional , stateand locallevels. Werecognize thatdata at thestate levelmaydiffer from thatavailableatthe federallevel. Our objectiveis to useconsistent data sourcesand methodsthatallowfor comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 TENNESSEE STATE REPORT 07.26.2020 STATE, % CHANGE FROM PREVIOUS STATE, LASTWEEK NEW CASES 14,726 (216) (RATE PER 100,000) DIAGNOSTIC TEST 11.1% POSITIVITY RATE TOTAL DIAGNOSTICTESTS 52,365** ( TESTS PER 100,000) 123 ( RATE PER 100,000 ) (2 ) MOBILTY MOBILTY UNITED STATES LASTWEEK LAST WEEK + 6.8 % 168,276 (252 ) 460,137 ( 140) + 0.7 % * 14.3 % 8.5 % -14.7 % ** 1,071,031** 5,437,404 ** ( 1,601) ( 1,657) 2,048 6,434 ( 3) (2 ) + 20.6 % AT LEASTONE + 3.9 % * 13.3% COVID - 19 CASE TO REGION WEEK (767 ) COVID DEATHS RELATIVEBASELINE FEMA /HHS 23.1% 12.1% 100 % 80 % 60 % 40 % 20 % 0 % 2/23 3/1 4/5 3/8 3/15 3/22 3/29 4/12 4/19 4/26 5/3 5/10 5/17 5/31 6/7 6/14 6/21 6/28 7/5 7/12 7/19 7/26 Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregating county -leveldata from USAFacts; therefore , the valuesmaynotmatch those reported directly by the state. Data is through 7/24/2020; last week is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 TENNESSEE STATE REPORT 07.26.2020 COVID - 19 COUNTY AND METRO LOCALITIESIN RED ZONE ALERTS LOCALITIES IN YELLOW ZONE Knoxville METRO AREA (CBSA ) LASTWEEK 10 Nashville -Davidson Murfreesboro Franklin Memphis Morristown Jackson Cleveland Sevierville McMinnville Chattanooga Clarksville Lawrenceburg Brownsville Union City Newport Greeneville Davidson Hamilton Shelby Knox Rutherford Williamson Blount Sumner Wilson COUNTY Montgomery Bradley LAST WEEK Top 12 shown Sevier ( fulllist Hamblen below ) Maury Johnson City Kingsport -Bristol Tullahoma -Manchester Shelbyville Dyersburg Lewisburg Martin 38 Top shown ( fulllist below ) Washington Sullivan Macon Anderson Tipton Gibson Robertson Loudon Hardeman Carter All Red Nashville-Davidson--Murfreesboro-- Franklin , Memphis, Morristown, Jackson , Cleveland, Sevierville, McMinnville, Lawrenceburg, Brownsville, Union City All Yellow Counties: Hamilton, Knox, Williamson, Blount,Washington , Sullivan , Macon, Anderson, Tipton, Gibson, Loudon, Carter, Jefferson , Fayette, Cheatham , Bedford , Dyer, Cocke, Hardin , Greene, McNairy, Roane, Hawkins, Coffee, Lincoln ,Marshall, Franklin , Decatur, Carroll, Weakley, Cannon, Sequatchie, Stewart, Fentress, Benton, Lewis, Johnson, Lake Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity resultbetween 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020; lastweek is 7/18 - 7/24 , three weeks is 7/4 - 7/24 . Testing : HHS Protect laboratory data (provided directly to FederalGovernment from public health labs, hospital labs, and commercial labs) through 7/22/2020. Lastweek is 7/16 - 7/22. Testing datamaybebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to-date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 TENNESSEE STATE REPORT 07.26.2020 CASE NEW C-ASES 19 COVID 3000 2000 1000 Daily COVID - 19 Cases ( 7 -day average ) Daily COVID - 19 Cases 10.0 % 8000 8.0 % 6000 6.0 % 4000 4.0 % 2000 OF TESTS PERCNTAGETOTAL 2.0 % 0.0 % Daily Tests Completed ( 7 day avg. ) % Positivity Rate (by result date 7 day avg. ) Top counties based on greatest number of new cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES Davidson ) CASES NEWCUMULATIVE ( 15000 Rutherford Hamilton Knox Williamson 10000 Sumner Wilson Montgomery 5000 Bradley - - 4/5 3/8 3/15 3/22 3/29 4/12 4/19 4/26 5/10 - - 5/17 5/24 5/31 6/7 6/14 6/21 6/28 7/5 7/12 7/19 7/26 DATA SOURCES Cases: County -leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: HHSProtect laboratory data ( provided directly to FederalGovernment from public health labs, hospital labs, and commerciallabs) through 7/22/2020 . COVID - 19 Top 12 counties based on number ofnew cases in the last 3 weeks Daily COVID - 19 Cases Daily COVID- 19 Cases ( 7 - day average) Davidson County 600 Shelby County RutherfordCounty 600 150 400 400 100 200 200 CASE DAILY TO AL HamiltonCounty 150 50 Knox County Williamson County 200 150 100 150 100 100 50 50 50 100 100 Sumner County Wilson County Montgomery County 80 75 75 60 50 50 40 25 25 100 20 BlountCounty Sevier County Bradley County 80 60 75 60 40 50 40 20 25 20 3/21 5/5 4/5 4/20 5/20 7/4 6/4 6/19 7/19 3/21 4/5 4/20 5/5 5/20 6/4 6/19 7/4 7/19 DATA SOURCES Cases: County-leveldata from USAFacts through 7/24/2020. Last 3 weeks is 7/4 - 7/24. 3/21 5/20 6/4 7/4 7/19 COVID - 19 TENNESSEE STATEREPORT 07.26.2020 CASE RATESAND DIAGNOSTIC TESTPOSITIVITYDURING THE LASTWEEK NEW CASES PER 100,000 DURING TEST POSITIVITY DURING LAST LASTWEEK WEEK OH Date: 7/26/2020 OH Date: 7/26/2020 the IN IN IL IL KY KY VA VA MO MO NC NC TN TN AR AR SC Cases per100K TestPositivity Casesin Last 100 to 199.9 200 to 499.9 % WEEKLY % CHANGEIN NEW WEEKLYCHANGEIN TEST CASES PER 100K POSITIVITY OH OH Date : 7/26/2020 Cam % to 9.9 % 10 % to 19.9% 20 or More 500 orMore Date: 7/26/2020 % 20 Casesin Last 14Days % to 4.9 GA AL MS 10 to 99.9 0 14Days 0.1to 9.9 5 GA AL MS IN IN IL KY KY VA VA MO MO NC NC TN AR PercentChange in Casesper 100K AR in Last 14Days % 100 Less 10% to 99.9 Less GA Little Change 10% to 99.9% More % 100% to 999.9% More 1,000 More MS AL Less 0.5% to 1.9% Less LittleChange 0.5% to 1.9% More 2 More + AL % MS % 2 % GA Absolute Changein Test Positivity Casesin Last 14Days DATA SOURCES Cases: County-leveldatafrom USAFactsthrough 7/24/2020. Lastweekis 7/18 - 7/24, previousweek is 7/11- 7/17. Testing: HHSProtectlaboratorydata (provideddirectlyto FederalGovernmentfrom publichealth labs, hospitallabs, and commerciallabs) through7/22/2020. Lastweek is 7/16 - 7/22 previousweek is 7/9 - 7/15. Testingdatamaybebackfilledover time, resultingin changesweek-to -week in testingdata. Itis criticalthatstatesprovideas up-to -datetesting data as possible. TEXAS STATEREPORT 07.26.2020 SUMMARY Texas is in thered zonefor cases, indicatingmore than 100 new cases per 100,000populationlastweek, and the red zonefor test positivity, indicatinga rateabove 10 % . Texashasseen a decreasein new cases and an increasein testingpositivity over thepastweek . The following three countieshad the highestnumberofnew cases overthepast 3weeks: 1.HarrisCounty, 2.BexarCounty, and 3.DallasCounty. These countiesrepresent 36.5 percentofnew casesin Texas. Texas is experiencingbroad communityspread acrossthe state and aggressivestatewidemitigationefforts are required to controlthe pandemic in Texas. Texas had215 new cases per 100,000population in the pastweek, compared to a nationalaverageof 140 per 100,000. Thefederalgovernmenthasdeployed the following staffas assets to support the state response: 329 to supportmedical activitiesfrom DOD ; 72 to supportoperationsactivities from FEMA; 112 to supportmedicalactivitiesfrom ASPR ; 12 support operationsactivities from ASPR; 10 to support epidemiology activitiesfrom CDC; 9 to support operationsactivitiesfrom USCG ; support operationsactivities from VA . and During Jul 18 - Jul 24 , on average, 914 patients with confirmed COVID - 19 and 580 patientswith suspected COVID - 19were reported as newly admitted each day to hospitals in Texas. Due to incompletereporting, thismaybe an underestimateofthe actualtotalnumberof COVID -relatedhospitalizations. Underreportingmaylead to a lowerallocation of criticalsupplies. RECOMMENDATIONS Protectthose in nursinghome, assisted living, and long- term care facilitiesby assuringaccess to rapid facility-wide testing in responseto a resident or staffmemberwith COVID - 19. Ensuresocialdistancingand universalfacemaskuse. Mandatemasksin allcountieswith risingtest percentpositivity. Multiple countiesandmetros are now in this category. Close allbars in allcountieswith greaterthan 5 % test positivity, increaseoutdoordiningopportunities, andlimitindoor dining to 25 % of normalcapacity. Ensure every citizen knowsto limit socialgatherings to fewer than 10 people. Continue the scale- up oftesting,moving to community- led neighborhoodtesting. Work with localcommunity groupsto increasehousehold testingofmultigenerationalhouseholds, with clear guidance on testpositiveisolation proceduresand mask use Ensure allindividualsandhouseholdsengaged in anymulti-householdactivitiesare immediatelytested, either in poolsor as individuals Increasemessagingoftherisk ofseriousdiseasein allagegroupswith preexistingmedicalconditions, includingobesity, hypertension, and diabetesmellitus. Expand testing capacityin publichealth labsby adding shifts and weekendshifts to reduce turnaround times. Institute 3: 1 or 2 : 1 pools of test specimens. Expand pooled collectioninto neighborhoodswith householdpools, allowingrapid household alerts and householdisolation with follow -up individualdiagnostictests. This approachwill allow rapid screeningofentireneighborhoodsand isolation of cases to dramaticallyreducespread. Require alluniversitieswith RNAdetection platformsto use this equipmentto expand surveillance testing for schools (K- 12, community colleges) anduniversitystudents. Specific, detailed guidanceon communitymitigationmeasurescan be found on the CDC website. The purposeof this reportis to developa shared understanding of the currentstatusof the pandemicat thenational , regional , stateand locallevels . Werecognize thatdata atthe statelevelmay differfrom thatavailableatthe federallevel . Ourobjectiveis to use consistent data sourcesandmethodsthatallow for comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 TEXAS STATE REPORT 07.26.2020 STATE, % CHANGE FROM PREVIOUS STATE LAST WEEK NEW CASES 166,807** TOTAL DIAGNOSTICTESTS COVID DEATHS 953 ( RATE PER 100,000 ) (3 ) AT LEASTONE MOBILTY TO 8.5 % 5,437,404 ** 396,835 ** -52.3 % ** ( 1,657) ( 929 + 31.6 % +2.4 % * 24.8 % COVID - 19 CASE 460,137 ( 140) 13.3 % ( 575 ) ( TESTS PER 100,000) LAST WEEK 89,941 (211) + 0.7 % * 17.3 % POSITIVITY RATE UNITED STATES LAST WEEK -14.3% (215) DIAGNOSTIC TEST RELATIVEBASELINE MOBILTY WEEK 62,315 (RATE PER 100,000) FEMA/HHS REGION 1,274 6,434 (3) (2) 20.8 % 12.1% 100 % 80 % 60 % 40 % 20 % 0 % 2/23 3/1 3/8 3/15 3/22 3/29 4/5 4/12 4/19 4/26 5/3 5/10 5/17 5/24 5/31 6/7 6/14 6/21 6/28 7/5 7/12 7/19 7/26 Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregating county -leveldata from USAFacts; therefore , the valuesmaynotmatch those reported directly by the state. Data is through 7/24/2020; lastweek is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 TEXAS STATE REPORT 07.26.2020 COVID - 19 COUNTY AND METRO LOCALITIES IN RED ZONE ALERTS LOCALITIES IN YELLOW ZONE Dallas-FortWorth - Arlington Houston - TheWoodlands-Sugar Land San Antonio- New Braunfels METRO AREA ( CBSA ) LASTWEEK 45 Top 12shown ( fulllist below) COUNTY LAST WEEK Top 12 shown (full list below ) Austin -Round Rock-Georgetown McAllen-Edinburg-Mission CorpusChristi ElPaso Brownsville-Harlingen Beaumont-Port Arthur Laredo Waco Killeen -Temple Longview Abilene Wichita Falls 21 Athens Sherman-Denison City Top 12 shown Bay ( fulllist Stephenville Granbury below) Lubbock Gainesville MineralWells Levelland Harris Bexar Collin Fort Bend Dallas Tarrant Randall Parker Hunt Wichita Hidalgo Travis Nueces El Paso Cameron Galveston Montgomery Webb 75 Top shown ( fulllist below ) Henderson Grayson Atascosa Matagorda Rockwall Erath AllRed Dallas - FortWorth-Arlington, Houston-TheWoodlands -SugarLand , SanAntonio- New Braunfels Austin- RoundRock-Georgetown , McAllen-Edinburg Mission , CorpusChristi,ElPaso, Brownsville - Harlingen , Beaumont -PortArthur , LaredoWaco Lubbock , Odessa, Victoria, CollegeStation- Bryan, Tyler,Midland , DelRio, Palestine , SanAngelo, EaglePass,RioGrandeCity-Roma , Lufkin, Plainview , Huntsville , Jacksonville , Nacogdoches , Corsicana , MountPleasant , Alice, Raymondville , Beeville , Uvalde , PortLavaca, ElCampo, Texarkana , Brownwood , Paris, Kingsville , Hereford , Brenham, Andrews , Rockport , Sweetwater , Dumas All Yellow CBSAs : Killeen- Temple,Longview, Abilene , WichitaFalls , Athens , ShermanDenison , BayCity, Stephenville , Granbury , Gainesville , Mineral Wells, Levelland , Sulphur Springs , BigSpring , Bonham, Lamesa , Zapata, Pecos,Borger , Pampa,Vernon AllRed Counties : Harris , Bexar , Dallas , Tarrant , Hidalgo , Travis, Nueces , ElPaso, Cameron , Galveston , Montgomery , Webb, Brazoria , Williamson , Denton, Jefferson , McLennan , Lubbock , Ector, Victoria,Bell , Smith, Brazos, Ellis, Hays, ValVerde , Anderson , Midland , Tom Green, Maverick , Starr,Angelina , Comal,Gregg, Guadalupe , Bastrop, Kaufman, Johnson , Hale, Walker, Caldwell , Taylor , Orange , Chambers , San Patricio , Polk, Cherokee , Nacogdoches , Hardin, Navarro , Lavaca, DeWitt , Willacy,LaSalle, Bee, Titus, Uvalde , Wilson, Jim Wells, Calhoun, Gonzales , Wharton , Grimes , Medina, Burnet, Bowie, Brown,Lamar, Kleberg , Madison, VanZandt , Waller, Hill , DeafSmith, Washington , Karnes, Jackson , Robertson , Burleson , Andrews , Crockett , Colorado , Lamb , Refugio , Marion Aransas , Dallam , Bosque , Limestone , Nolan, Garza, LiveOak, Trinity, Moore , Houston , Real , Falls, Terry, Pecos, Duval,Reeves, Camp , Castro, Goliad, Runnels , Reagan , Sutton, Winkler , Swisher, Yoakum, Mitchell , Bailey,Martin, Edwards , Concho, Coke, Fisher, Schleicher , Shackelford , Jack, Kinney , Culberson , Childress ,McMullen , Hardeman AllYellow Counties : Collin, FortBend, Randall , Parker , HuntWichita , Henderson , Grayson , Atascosa , Matagorda , Rockwall , Erath, Harrison, Hood,Coryell , Fayette , Milam, Wise, Wood,Zavala, Cooke , Palo Pinto , Leon, Austin,Hockley , Freestone , Upshur , San Jacinto, Hopkins , Howard , Fannin, Lee, Kendall , Dawson , Shelby , Cass, Zapata, Llano Young , Ward, Brooks , Jasper , Blanco, Comanche , Lampasas , Bandera , Panola, Rusk, Hutchinson , SanAugustine , Floyd, Tyler, Gray,Morris, Jim Hogg , Eastland , Haskell , Montague , Rains , Wilbarger , Callahan , McCulloch , Red River Crosby,Clay, Stephens , San Saba, Donley,Wheeler , Oldham, Upton, Coleman , Delta, Baylor , Foard Red Zone: Those core-based statistical areas ( ) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity result between 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020 ; last week is 7/18 -7/24 , three weeks is 7/4 - 7/24 . Testing :CELR ( COVID - 19 Electronic Lab Reporting) state health department -reported data through 7/22/2020 . Lastweek is 7/16 - 7/22. Testing datamay bebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 TEXAS STATE REPORT 07.26.2020 CASE NEW C-ASE 19 COVID 15000 10000 5000 Daily COVID -19 Cases ( 7 - day average ) Daily COVID - 19 Cases 20.0 % 50000 15.0 % 40000 30000 10.0 % 20000 5.0 % 10000 0.0 % % Daily Tests Completed (7 day avg.) Positivity Rate (by result date 7 day avg.) Top counties based on greatest number of new cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES Harris 60000 Bexar Dallas ) Tarrant CASES NEWCUMULATIVE ( Hidalgo Travis 40000 Nueces El Paso Cameron 20000 Galveston - 4/5 3/8 3/15 3/22 3/29 4/12 4/19 - - 4/26 5/3 - - 6/14 5/10 5/17 5/24 5/31 - 6/21 6/28 7/5 7/12 7/19 7/26 DATA SOURCES Cases: County-leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: CELR ( COVID - 19 Electronic Lab Reporting) statehealth department-reported data through 7/22/2020. COVID - 19 Top 12 counties based on number ofnew cases in the last 3 weeks Daily COVID - 19 Cases Daily COVID - 19 Cases ( 7- day average) 2000 Harris County Bexar County DallasCounty 1000 1500 4000 1000 500 2000 500 CASE DAILY TO AL Tarrant County Travis County Hidalgo County 800 600 1000 600 400 400 500 200 200 600 El Paso County NuecesCounty 400 CameronCounty 400 300 400 200 200 200 100 600 Galveston County Webb County Montgomery County 800 200 600 400 400 100 200 200 3/21 / 4/20 5/5 5/20 6/4 6/19 7/19 IZ 4/5 5/5 4/20 5/20 6/4 7/4 7/19 DATA SOURCES Cases: County-leveldata from USAFacts through 7/24/2020. Last 3 weeks is 7/4 - 7/24. 3/21 4/5 5/5 4/20 5/20 6/4 6/19 7/4 COVID - 19 TEXAS STATE REPORT 07.26.2020 CASE RATESAND DIAGNOSTIC TESTPOSITIVITYDURING THE LASTWEEK NEW CASES PER 100,000 DURING TEST POSITIVITY DURING LAST LASTWEEK WEEK Nyte 7/26/2020 : 7/26/2020 UT UT IL CO IL KS KS MO MO KY KY TN OK OK AZ AZ AR AR NM NM AL MS FL LA AL MS TX FL LA Cases per100K TestPositivity 20 Casesin Last 14Days 0.1to 9.9 0 % to 4.9 % 100 to 199.9 5 20 Casesin 14Days 10 to 99.9 % to 9.9 % 10 % to 19.9% 20% or More 200 to 499.9 500 orMore WEEKLY % CHANGEIN NEW WEEKLY CHANGEIN TEST CASESPER 100K POSITIVITY E 7/26/2020 UT Set Nyte : 7/26/2020 UT IL KS IL KS MO MO KY KY TN TN OK OK AZ AZ AR NM MS TX AR NM AL FL LA AL MS FL TX Percent Changein Casesper100K < 14 Days in Last AbsoluteChange in Test Positivity in Last 14 Days 2 Less LittleChange 10 to 99.9% More % 100% Less 10% to 99.9 % Less 100% to 999.9% Little Change More 0.5% to 1.9% More 1,000 % More 0.5% to 1.9% Less % + More DATA SOURCES Cases: County-leveldata from USAFactsthrough 7/24/2020. Lastweek is7/18 - 7/24, previousweek is 7/11- 7/17. Testing: CELR (COVID- 19 ElectronicLab Reporting ) state health department-reporteddata through 7/22/2020. Lastweek is 7/16 - 7/22, previousweek is 7/9 - 7/15. Testingdatamaybebackfilledover time, resultingin changesweek- to-week in testing data. It is criticalthat statesprovideasup- to -datetestingdata aspossible. UTAH STATEREPORT 07.26.2020 SUMMARY Utah is in thered zonefor cases, indicatingmorethan100new cases per 100,000 populationlastweek, and the yellow zone for testpositivity, indicatinga ratebetween 5 % to 10 % . Utah hasseen stability in new cases and stability in testingpositivity over the pastweek. Thefollowingthree countieshadthehighestnumberofnew cases over the past 3weeks: 1. Salt Lake County, 2.Utah County, and 3. Davis County. These counties represent73.2 percentofnew cases in Utah . Morecountiesand CBSAs are in the hotzone this week. Utahhad 137new cases per 100,000 population in thepastweek, compared to anationalaverage of 140 per 100,000. The federal governmenthasdeployed the followingstaff as assets to support the stateresponse: 2 to supportoperations activities from FEMA. During Jul 18 - Jul24 , on average, 20 patientswith confirmed COVID- 19 and33 patientswith suspected COVID- 19were reportedas newly admitted each day to hospitals in Utah. An averageof78 percentof hospitals reported each dayduring this period; therefore, this maybean underestimateofthe actual totalnumberofCOVID- relatedhospitalizations . Underreporting may lead to a lowerallocationof criticalsupplies. * RECOMMENDATIONS In red andyellow zones, closingbars andreducingindoordiningat restaurantsiscriticalto disrupttransmission. Statewidemaskmandateis criticalto stop the spread. Work with localcommunitygroupsto developstrongpublicmessaging of its importancein avoidingdisruptionsto business and schooloperations . Protectvulnerablepopulationsin assistedlivingand long- term care facilitiesthroughweeklytestingof allworkersand requiring masks. In facilitieswith workerswhotestedpositive, ensureallresidentshave been tested andappropriatecohorting measuresarein place. Continue to enhancecontacttracingand ensure theability of casesandcontactsto quarantineor isolatesafely. Forhouseholdsthattestpositive, isolate and conductfollow -up individualtests. Expand testingcapacityinpublic health labs, addingshifts andweekend shifts to reduceturnaroundtimes. Increasemessagingoftheriskofseriousdisease in allagegroupswith preexisting medicalconditions,includingobesity, . hypertension, and diabetesmellitus Specific, detailed guidanceon communitymitigationmeasurescan befound on the CDCwebsite. Thepurposeof this reportis to developa sharedunderstanding of thecurrentstatusof thepandemicat the national , regional , stateand locallevels. Werecognize thatdata at thestate levelmaydiffer from thatavailableatthe federallevel. Our objectiveis to useconsistent data sourcesand methodsthatallowfor comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 UTAH STATE REPORT 07.26.2020 STATE LASTWEEK NEW CASES 4,399 ( 137 ) (RATE PER 100,000) DIAGNOSTIC TEST POSITIVITY RATE TOTAL DIAGNOSTICTESTS ( TESTS PER 100,000) 60,713 ** ( 1,894) -13.7 % ** ( RATE PER 100,000 ) ( 1) 7.0 % COVID - 19 CASE MOBILTY MOBILTY TO + 4.8 % + 0.0 % * 39 RELATIVEBASELINE WEEK 8.4 % COVID DEATHS AT LEASTONE STATE, % CHANGE FROM PREVIOUS + 39.3 % -0.9 % FEMA/HHS REGION UNITED STATES LASTWEEK LAST WEEK 10,273 (84 ) 5.7 % 460,137 ( 140) 8.5 % 191,736 ** 5,437,404 ** ( 1,564) ( 1,657) 103 6,434 ( 1) (2 ) 4.6 % 12.1% 100 % 80 % 60 % 40 % 20 % 0 % Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregating county -leveldata from USAFacts; therefore , the valuesmaynotmatch those reported directly by the state. Data is through 7/24/2020; last week is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 UTAH STATE REPORT 07.26.2020 COVID - 19 COUNTY ANDMETRO ALERTS LOCALITIES IN RED ZONE LOCALITIES IN YELLOW ZONE Salt Lake City Provo -Orem METRO AREA N /A ( CBSA ) LASTWEEK 8 Ogden -Clearfield St.George Heber Logan Cedar City Vernal Salt Lake Utah Davis Weber COUNTY LASTWEEK San Juan Kane Garfield 15 Washington Cache Tooele Top 12 shown Iron (full list Wasatch below ) Millard Duchesne Uintah AllYellow Counties: Salt Lake, Utah, Davis, Weber,Washington, Cache, Tooele, Iron, Wasatch, Millard, Duchesne , , Beaver, Emery, Rich Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity result between 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020 ; last week is 7/18 -7/24 , three weeks is 7/4 - 7/24 . Testing :CELR ( COVID - 19 Electronic Lab Reporting) state health department -reported data through 7/22/2020 . Lastweek is 7/16 - 7/22. Testing datamay bebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 UTAH STATEREPORT 07.26.2020 C-ASE CASE 19 COVID NEW 800 600 400 200 Daily COVID - 19 Cases Daily COVID - 19 Cases ( 7 - day average) 10000 8.0 % 8000 6.0 % 6000 4.0 % 4000 2.0 % 2000 OF TESTS PERCENTAGE TOTAL 0.0 % Daily Tests Completed (7 % PositivityRate (byresult date 7 day avg.) day avg. ) Top countiesbased on greatest number ofnew cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES Salt Lake ) Utah Davis 15000 Weber CASES NEW CUMULATIVE ( Washington Cache 10000 Tooele SanJuan Summit Iron 5000 3/8 3/15 3/22 3/29 4/5 4/12 4/19 4/26 - 5/3 5/10 5/17 5/24 - - - 5/31 6/7 6/14 6/21 6/28 7/5 7/12 7/19 7/26 DATA SOURCES Cases: County-leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: CELR ( COVID - 19 Electronic Lab Reporting) statehealth department-reported data through 7/22/2020. COVID - 19 Top 12 counties based on number ofnew cases in the last 3 weeks Daily COVID - 19 Cases Daily COVID - 19 Cases ( 7 -day average ) Salt Lake County 200 100 UtahCounty Davis County 400 300 200 100 CASE DAILY TO AL 150 75 100 50 50 25 Weber County Washington County 200 Cache County 80 80 150 60 60 100 40 40 20 20 Tooele County 30 50 San Juan Summit County 20 20 20 10 10 10 Iron County Box Elder County, Wasatch County 10.0 15 10 7.5 10 5.0 5 5 2.5 0.0 4/5 4/20 5/20 6/4 7/4 7/19 6/4 7/4 7/19 DATA SOURCES Cases: County- leveldata from USAFacts through 7/24/2020 . Last 3 weeks is 7/4 - 7/24 . 3/21 7/4 7/19 COVID - 19 STATE REPORT 07.26.2020 CASE RATESAND DIAGNOSTIC TESTPOSITIVITYDURING THE LASTWEEK NEW CASES PER 100,000 DURING TEST POSITIVITY DURING LAST LASTWEEK WEEK Date: 7/26/2020 SE Date: 7/26/2020 OR OR ID ID SD SD WY NE NE NV NV UT UT Cases per100K 20 Cases inLast 14Days 0.1to 9.9 CA TestPositivity Casesin Last 14Days CA 0 % to 4.9 % 10 to 99.9 100 to 199.9 AZ 5 % to 9.9% AZ 10% to 19.9% 20 or More % 200 to 499.9 500 orMore WEEKLY % CHANGEIN NEW WEEKLY CHANGEIN TEST CASES PER 100K POSITIVITY Date: 7/26/2020 Date: 7/26/2020 OR OR ID ID SD SD WY WY NE NE NV NV UT UT PercentChange in Casesper 100K CO Absolute Change in Test Positivity Casesin Last 14Days 100% Less Casesin Last 14Days 10 % to 99.9% Less LittleChange 10% to 99.9% More AZ 100% to 999.9% More 1.000 % 2 CA Less 0.5% to 1.9% Less AZ LittleChange 0.5% to 1.9% More 2 + More % CA DATA SOURCES Cases: County-leveldata from USAFactsthrough 7/24/2020. Lastweek is7/18 - 7/24, previousweek is 7/11- 7/17. Testing: CELR (COVID- 19 ElectronicLab Reporting ) state health department-reporteddata through 7/22/2020. Lastweek is 7/16 - 7/22, previousweek is 7/9 - 7/15. Testingdatamaybebackfilledover time, resultingin changesweek- to-week in testing data. It is criticalthat statesprovideasup- to -datetestingdata aspossible. VERMONT STATE REPORT 07.26.2020 SUMMARY Vermont is in the green zone for cases, indicatingbelow 10 cases per 100,000 population lastweek , and the green zonefor test positivity, indicating a rate below 5 % . Vermonthas seen a decrease in new cases and stability in testing positivity over thepastweek . The following three counties had the highestnumber ofnew cases over the past 3 weeks: 1. Chittenden County , 2. Lamoille County, and 3.Windsor County . These counties represent70.5 percentofnew cases in Vermont. Vermont had 8 new casesper 100,000 population in the pastweek , compared to a national average of 140 per 100,000 . The federal government has deployed the following staff as assets to support the state response: 1 to support operations activities from FEMA and 1 to support operations activities from USCG . During Jul 18 - Jul24, on average, 2 patients with confirmed COVID - 19 and 22 patients with suspected COVID - 19 were reported as newly admitted each day to hospitals in Vermont. An average of76 percentofhospitals reported each day during this period; therefore , this may be an underestimate ofthe actualtotalnumber of COVID -related hospitalizations. Underreporting may lead to a lower allocation ofcritical supplies. * RECOMMENDATIONS Continue to communicate the public health and economic benefits ofcompliance with the new statemasking mandate taking effect August including the benefit to decrease potentialdisruptions tobusiness activity and school operations. Continueweekly testing ofallworkers in assisted living and long-term care facilities, and requiremasks and social distancing for all visitors . Continue your vigorous testing program and continue carefulmonitoring of changes in cases , testing, and hospitalizations. Continue to scale- up contact tracing. Protectthose in nursinghomes and long-term care facilities by ensuringaccess to rapid facility -wide testing in response to a resident or staffmember w with COVID - 19. Address staff and supply shortages. Ensure social distancing and universalfacemask use. Specific , detailed guidance on community mitigation measures can be found on the CDC website . Thepurposeof this reportis to developa sharedunderstanding of thecurrentstatusof thepandemicat the national , regional , stateand locallevels. Werecognize thatdata at thestate levelmaydiffer from thatavailableatthe federallevel. Our objectiveis to useconsistent data sourcesand methodsthatallowfor comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 VERMONT STATE REPORT 07.26.2020 STATE, % CHANGE FROM PREVIOUS STATE LASTWEEK NEW CASES WEEK 13,035** ( 2,089) TOTAL DIAGNOSTICTESTS ( TESTS PER 100,000) 3,831 +18.3% ** COVID DEATHS AT LEASTONE 1.6 % 8.5 % ( 1,360) ( 1,657) 153 6,434 ( 1) (2 ) -2.9 % 0.0 % 460,137 ( 140) 5,437,404 ** (0) COVID - 19 CASE ( 26 ) 201,843 ** N/ A ( RATE PER 100,000 ) MOBILTY LAST WEEK -0.1% * 0.8 % POSITIVITY RATE MOBILTY UNITED STATES -10.5% (8 ) DIAGNOSTIC TEST TO REGION LASTWEEK 51 (RATE PER 100,000) RELATIVEBASELINE FEMA/HHS 4.4 % 12.1% 100% 80 % 60 % 40 % 20 % 0 % 2/23 3/1 3/8 3/15 3/22 3/29 4/5 4/12 4/19 4/26 5/3 5/10 5/17 5/24 5/31 6/7 7/5 6/14 6/21 6/28 7/12 7/19 7/26 Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregatingcounty-leveldata from USAFacts; therefore, the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020; lastweek is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 VERMONT STATEREPORT 07.26.2020 COVID - 19 COUNTY ANDMETRO ALERTS LOCALITIES IN RED ZONE LOCALITIES IN YELLOW ZONE METRO AREA N/A N/A N/A N/A ( CBSA ) LASTWEEK COUNTY LASTWEEK Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity result between 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020 ; last week is 7/18 -7/24 , three weeks is 7/4 - 7/24 . Testing :CELR ( COVID - 19 Electronic Lab Reporting) state health department -reported data through 7/22/2020 . Lastweek is 7/16 - 7/22. Testing datamay bebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 VERMONT STATEREPORT 07.26.2020 C-ASE CASE 19 COVID NEW 60 40 20 Daily COVID - 19 Cases ( 7 -day ave Daily COVID - 19 Cases ge) 25.0 % TESTING TESTS COVID 20.0% 1500 19 15.0 % 1000 10.0 % 500 5.0 % OF TESTS PERCENTAGE TOTAL 0.0 % % Positivity Rate (by result date 7 day avg. ) Daily Tests Completed ( 7 day avg. ) Top counties based on greatest number ofnew cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES ) CASES NEW CUMULATIVE ( Chittenden Lamoille Windsor 600 Bennington Rutland Caledonia 400 Washington Addison Franklin GrandIsle 200 - - - - 4/12 4/19 4/26 4/5 3/8 3/15 3/22 3/29 - 5/3 - 5/10 5/17 5/24 6/7 6/14 6/21 6/28 - - 5/31 7/5 - - 7/12 7/19 7/26 DATA SOURCES Cases: County-leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: CELR ( COVID - 19 Electronic Lab Reporting) statehealth department-reported data through 7/22/2020. COVID - 19 Top 12 counties based on number ofnew cases in the last 3 weeks Daily COVID - 19 Cases ( 7 - day average) ChittendenCounty 3 Daily COVID - 19 Cases WindsorCounty LamoilleCounty 40 6 2 30 4 20 1 N 10 DAILY TO AL 10.0 Rutland County 2.0 Caledonia County 4 7.5 1.5 5.0 1.0 2.5 0.5 0.0 0.0 2 4 CASE Bennington County Franklin County County Washington County 30 6 3 20 4 2 10 N 1 3 Grand Isle County 8 Windham County 1.00 6 0.75 4 0.50 Orange County 1 2 N 0.25 0.00 3/21 6/4 7/4 7/19 DATA SOURCES Cases: County- leveldata from USAFacts through 7/24/2020 . Last 3 weeks is 7/4 - 7/24 . 7/4 COVID - 19 VERMONT STATEREPORT 07.26.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LASTWEEK NEW CASES PER 100,000 DURING TEST POSITIVITYDURING LAST LASTWEEK WEEK Date: 7/26/2020 Date: 7/26/2020 the ME VT ME VT NH NH Casesper100K NY NY TestPositivity < 20Cases Last 14Days 0.1to 9.9 MA = 20 Casesin Last 14Days % to 4.9% MA 0 10 to 99.9 5 % to 9.9% 100 to 199.9 200 to499.9 500 orMore RI CT WEEKLY % CHANGEIN NEW WEEKLY CHANGEIN TEST CASES PER 100K POSITIVITY Date: 7/26/2020 10 % to 19.9% 20% or More RI CT Date: 7/26/2020 ME VT ME VT NH NH Percent Changein Casesper100K < 20Casesin Last 14 Days NY Absolute Change in Test Positivity NY = Casesin Last 14Days 100% Less 10% to 99.9 % Less 2 + Less % LittleChange MA MA 0.5% to 1.9% Less 10 % to 99.9% More 100% to 999.9 LittleChange % 1,000 RI CT 0.5% to 1.9% More 2 More + CT More % RI DATA SOURCES Cases : County -leveldata from USAFacts through 7/24/2020 . Last week is 7/18 - 7/24 , previous week is 7/11 - 7/17. Testing : CELR (COVID - 19 Electronic Lab Reporting ) state health department -reported data through 7/22/2020 . Last week is 7/16 - 7/22 previousweek is 7/9 - 7/15 . Testing data may be backfilled over time, resulting in changes week - to -week in testing data. It is critical that states provide asup- to -date testing data aspossible. VIRGINIA STATEREPORT 07.26.2020 SUMMARY Virginia is in the yellow zone forcases, indicatingbetween 10 to 100new cases per 100,000populationlastweek, and the red zone for testpositivity, indicating a rate above 10 % . Virginia hasseen stability in new cases andstability in testingpositivityoverthepastweek. The followingthree countieshad the highestnumberofnew casesoverthe past3 weeks: 1.Virginia BeachCity, 2. Norfolk City , and 3.Fairfax County. These countiesrepresent26.3 percentofnew casesin Virginia. Virginiahad82 new casesper 100,000populationin the pastweek, compared to a nationalaverageof 140 per 100,000. Thefederalgovernmenthasdeployed the followingstaff as assets to support the stateresponse: 54 to support operationsactivitiesfrom FEMA; 1 to support epidemiologyactivitiesfrom CDC; 1to supportoperationsactivities from CDC; 86 to supportoperationsactivities from USCG; and 18to supportoperationsactivities from VA. During Jul 18 - Jul24 , on average, 124 patientswith confirmed COVID - 19 and 168patientswith suspectedCOVID 19were reportedasnewlyadmitted each day to hospitalsin Virginia. An averageof78 percentofhospitals reported each day duringthis period; therefore, this maybe an underestimateof the actualtotalnumberof COVID-relatedhospitalizations . Underreporting maylead to a lowerallocationofcriticalsupplies. RECOMMENDATIONS Enforce social distancing and use of cloth face masks when outside the home, particularly in indoorsettings. Enforcement will be particularly important for the tourist industry and in themany cities where case counts are elevated or climbing. Consider citations and penalties for violations . In counties and cities with 7 -day average test positivity greater than 5 % , close bars, restrict gyms to 25 % occupancy , and ensure strict social distancing can bemaintained in restaurants (emphasize outdoor over indoor dining ). Develop targeted messaging and outreach to 20-49 age groups,marginalized populations, and out-of-state tourists . In high transmission counties and cities, implement community -led testing and work with local community groups to increase testing access . Implement pooled testing asdescribed below to further increase access and reduce turnaround times . As feasible , focus testing resources in themost populous or touristed areas with highest transmission Increase testing in beach communities and tourist areas. Enact strict prevention policies when outbreaks or increases in cases are identified , such as closing bars and indoor restaurants, enforced distancing on beaches, and penalties for social gatherings over 10 people . Protect those in nursing homes and long-term care facilities (LTCFs) by testing all staff each week andrequiring staff to wear facemasks. Ensure all LTCFs participate in infection prevention and control assessments, including mandated testing of all incoming residents and restricted visitation . Specific , detailed guidance on community mitigation measures can be found on the CDC website. Thepurposeof this reportis to developa sharedunderstanding of thecurrentstatusof thepandemicat the national , regional , stateand locallevels. Werecognize thatdata at the state levelmay differ from that availableatthefederallevel. Our objectiveis to use consistent data sourcesandmethodsthatallow for comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 VIRGINIA STATE REPORT 07.26.2020 STATE LASTWEEK NEW CASES (RATE PER 100,000 ) DIAGNOSTIC TEST POSITIVITY RATE + 7.6 % 10.8 % +0.0 % * COVID DEATHS 44 ( RATE PER 100,000 ) ( 1) AT LEASTONE 11.6 % COVID - 19 CASE MOBILTY MOBILTY TO +8.2 % ** ( 1,397) ( TESTS PER 100,000) RELATIVEBASELINE WEEK 7,000 ( 82 ) 119,210** TOTAL DIAGNOSTICTESTS STATE, % CHANGE FROM PREVIOUS -33.3 % +2.2 % * FEMA/ HHS REGION LAST WEEK UNITED STATES 20,675 460,137 ( 140) (67) 6.3 % LAST WEEK 8.5 % 502,047 ** 5,437,404 ** ( 1,627) ( 1,657) 286 6,434 ( 1) (2 ) 10.8 % 12.1% 100 % 80 % 60 % 40 % 20 % 0 % Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregating county -leveldata from USAFacts; therefore , the valuesmaynotmatch those reported directly by the state. Data is through 7/24/2020; last week is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 VIRGINIA STATE REPORT 07.26.2020 COVID - 19 COUNTY AND METRO LOCALITIES IN RED ZONE ALERTS LOCALITIES IN YELLOW ZONE Washington -Arlington -Alexandria Richmond Charlottesville Roanoke METRO AREA Virginia Beach-Norfolk -Newport News Danville (CBSA ) LASTWEEK 10 Lynchburg Martinsville Staunton Winchester Kingsport- Bristol Blacksburg- Christiansburg Virginia Beach City Norfolk City Chesapeake City NewportNews City COUNTY LASTWEEK Top 12shown (full list below ) All Red Portsmouth City Hampton City Suffolk City James City Danville City Manassas City IsleofWight Martinsville City Fairfax PrinceWilliam Chesterfield 74 Top 12 shown (full list below ) Loudoun Henrico Richmond City Alexandria City Arlington Albemarle Roanoke City Spotsylvania Charlottesville City Virginia Beach- Norfolk- NewportNews, Danville All Yellow Counties: Fairfax, PrinceWilliam , Chesterfield, Loudoun, Henrico, Richmond City, Alexandria City, Arlington, Albemarle, Roanoke City, Spotsylvania, Charlottesville City, Stafford, Henry, Lynchburg City, York, PetersburgCity, Pittsylvania, Roanoke, Frederick, Bedford, Montgomery, Waynesboro City , Gloucester, Washington, Carroll, HarrisonburgCity, Prince George, FredericksburgCity, HopewellCity, Halifax, StauntonCity ,Warren, ManassasPark City, Page, Campbell, Franklin City, Nottoway, Franklin , Smyth, New Kent, Fluvanna, Salem City, Tazewell,Mecklenburg, Caroline, WilliamsburgCity, Botetourt, Amherst, PrinceEdward, Buchanan, Wythe, KingWilliam , Grayson, ColonialHeights City, Russell, Dinwiddie, Buckingham , Scott, Rockbridge, Alleghany, Northampton, Pulaski, Poquoson City, Appomattox, Clarke, King and Queen, Radford City, Lunenburg, Dickenson, Mathews, Bland, Craig, Covington City Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity result between 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020 ; last week is 7/18 -7/24 , three weeks is 7/4 - 7/24 . Testing :CELR ( COVID - 19 Electronic Lab Reporting) state health department -reported data through 7/22/2020 . Lastweek is 7/16 - 7/22. Testing datamay bebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 VIRGINIA STATE REPORT 07.26.2020 CASE NEW C-ASE 19 COVID 1500 1000 500 Daily COVID - 19 Cases ( 7 -day average ) TESTING TESTS COVID 19 Daily COVID - 19 Cases 25.0 % 15000 20.0 % 10000 15.0 % 10.0 % 5000 5.0 % OF TESTS PERCENTAGETOTAL 0.0 % % Positivity Rate (by result date 7 day avg. Daily Tests Completed ( 7 day avg. ) Top countiesbasedon greatestnumber ofnew cases in last three weeks (7/4 - 7/24) CTOUONTPIES Virginia Beach City 15000 Norfolk City Fairfax ) CASES NEW CUM LATIVE ( ChesapeakeCity Prince William 10000 NewportNewsCity Chesterfield Portsmouth City Loudoun 5000 Henrico - - 3/8 4/5 3/15 3/22 3/29 - - - 4/12 4/19 4/26 - - - - 5/10 5/17 5/24 5/3 5/31 6/14 7/5 6/21 6/28 7/12 7/19 7/26 DATA SOURCES Cases: County-leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: CELR ( COVID - 19 Electronic Lab Reporting) statehealth department-reported data through 7/22/2020. COVID - 19 Top 12 counties based on number ofnew cases in the last 3 weeks Daily COVID - 19 Cases Daily COVID - 19 Cases ( 7 -day average) 150 Virginia Beach City 150 Norfolk City FairfaxCounty 400 100 100 CASE DAILY TO AL 200 50 50 300 Chesapeake City PrinceWilliam Newport News City 80 100 60 200 40 50 100 20 ChesterfieldCounty Loudoun County Portsmouth City 80 200 40 60 150 40 100 20 20 50 Henrico County Hampton City 80 60 Richmond City 60 40 40 40 20 20 20 - 3/21 4/5 4/20 5/5 5/20 6/4 7/4 6/19 / 3/21 4/20 5/20 6/4 7/4 7/19 DATA SOURCES Cases: County-leveldata from USAFacts through 7/24/2020. Last 3 weeks is 7/4 - 7/24. 3/21 4/5 4/20 5/5 5/20 6/4 6/19 7/4 7/19 COVID - 19 VIRGINIA STATE REPORT 07.26.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LASTWEEK NEW CASES PER 100,000 DURING TEST POSITIVITY DURING LAST LASTWEEK WEEK NY NY 7/26/2020 PA PA NJ NJ OH OH MD MD DE DE IN IN VA VA KY KY Cases per100K 20CasesinLast 14Days 0.1to 9.9 NC TN Test Positivity Casesin Last 14Days 0 % to 4.9 NC TN % 10 to 99.9 5 100 to 199.9 200 to 499.9 500 orMore SC AL AL GA GA WEEKLY % CHANGEIN NEW WEEKLY CHANGEIN TEST CASES PER 100K POSITIVITY NY 7/26/2020 % to 9.9 % 10 % to 19.9% 20% or More SC NY 7/26/2020 PA PA NJ NJ OH OH MD MD DE DE IN IN VA VA KY KY PercentChange in Casesper 100K Absolute Changein Test Positivity Casesin Last 14 Days NC 0.5% to 1.9 Less LittleChange 100% to 999.9% More SC AL GA 1,000 Casesin Last 14 Days 2 + Less TN % LittleChange 10 % to 99.9% More TN SC More 0.5% to 1.9% More 2 More % NC 100% Less 10% to 99.9 % Less GA DATA SOURCES Cases: County-leveldata from USAFactsthrough 7/24/2020. Lastweek is7/18 - 7/24, previousweek is 7/11- 7/17. Testing: CELR (COVID- 19 ElectronicLab Reporting ) state health department-reporteddata through 7/22/2020. Lastweek is 7/16 - 7/22, previousweek is 7/9 - 7/15. Testingdatamaybebackfilledover time, resultingin changesweek- to-week in testing data. It is criticalthat statesprovideasup- to -datetestingdata aspossible. WASHINGTON STATEREPORT 07.26.2020 SUMMARY Washington is in the yellow zone forcases, indicatingbetween 10 to 100new cases per 100,000 population last week, and the yellow zone for test positivity, indicating a rate between5 % to 10 % . Washington has seen stability in new cases and stabilityin testing positivity over the pastweek. The followingthree countieshad the highestnumber ofnew casesoverthe past 3weeks: 1. King County , 2. Yakima County, and 3.PierceCounty . These countiesrepresent43.8 percentof new cases in Washington. Cases decreased in manyeastern Washingtoncounties, including Yakima,but continued to increasesharply in Okanogan, Douglas, and Chelan counties. Washington had 75 new cases per 100,000populationin thepastweek, compared to a nationalaverageof 140 per 100,000. Thefederalgovernmenthas deployed the following staffas assets to support the stateresponse: 112 to supportoperations activitiesfrom FEMA; 3 to support operations activities from ASPR; 6 to supportepidemiology activities from CDC ; to supportoperations activities from USCG; and 1 to support operations activities from VA . During Jul 18 - Jul24, on average, 31patientswith confirmed COVID - 19 and 62 patientswith suspected COVID - 19were reported as newly admitted each day to hospitals in Washington. An average of71percentofhospitals reportedeach day duringthisperiod; therefore, thismaybe an underestimateofthe actualtotalnumberof COVID - relatedhospitalizations. Underreportingmay lead to alowerallocation of criticalsupplies. * RECOMMENDATIONS Continuestatemaskingrequirement . Intensifycommunicationto thepublic aboutdisruption ofbusinessand school operationsif casescontinueto increase. Consider innovativeways tomonitorcompliance. Ensurethat allbusinessretailers and personalservicesrequiremasksandcan safely socialdistance as laid outinProclamation 20 Considerfurthermodulation ofbusinessoccupancyand operatingrestrictionsif casescontinueto increaseafterJuly 24 changes to SafeStartPhasedReopeningguidelinestakeeffect. Recruitmorecontacttracers as communityoutreachworkers to ensure allcasesare contactedand allmembersof positive householdsare individuallytestedwithin 24 hours. Work with local community groupsto providetargeted, tailoredmessagingto communitieswith high case ratesandincrease communityleveltesting. As assaysreceiveFDAEmergencyUse Authorizationsfor pooling, laboratoriesshould usepoolingofsamples to increasetesting access and reduce turnaround times. Moveto community- led neighborhoodtesting andwork with localcommunitygroupsto increase access of testing. Continueto surge testingand contacttracingresourcesto neighborhoodsand zip codes with highestcaserates. Specific, detailed guidanceon communitymitigationmeasurescan befound on the CDCwebsite. Thepurposeof this reportis to developa sharedunderstanding of thecurrentstatusof thepandemicat the national , regional , stateand locallevels. Werecognize thatdata at thestate levelmaydiffer from thatavailableatthe federallevel. Our objectiveis to useconsistent data sourcesand methodsthatallowfor comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 WASHINGTON STATE REPORT 07.26.2020 STATE, % CHANGE FROM PREVIOUS STATE LASTWEEK NEW CASES WEEK 5,720 (75 ) (RATE PER 100,000) DIAGNOSTIC TEST ( TESTS PER 100,000) COVID DEATHS ( RATE PER 100,000 ) AT LEASTONE MOBILTY RELATIVEBASELINE MOBILTY TO 8.5 % 221,815 ** ( 1,546) 5,437,404 ** 113 6,434 ( 1) ( 2) -1.8 % 4.5 % COVID- 19 CASE 460,137 ( 140) 6.6 % + 15.2 % ( 1) LAST WEEK (84 ) +6.7 % ** 53 UNITED STATES 12,065 -0.2 % * 92,343** ( 1,213) TOTAL DIAGNOSTICTESTS LAST WEEK -2.8 % 5.7 % POSITIVITY RATE FEMA/HHS REGION ( 1,657) 12.1% 4.4 % 100 % 80 % 60 % 40 % 20 % 0 % 2/23 3/1 4/5 3/8 3/15 3/22 3/29 4/12 4/19 4/26 5/3 6/7 5/10 5/17 5/24 5/31 6/14 6/21 6/28 7/5 7/12 7/19 7/26 Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregating county -leveldata from USAFacts; therefore , the valuesmaynotmatch those reported directly by the state. Data is through 7/24/2020; last week is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 WASHINGTON STATE REPORT 07.26.2020 COVID - 19 COUNTY AND METRO LOCALITIESIN RED ZONE METRO AREA (CBSA ) LASTWEEK ALERTS LOCALITIES IN Kennewick-Richland Yakima 5 Wenatchee Othello Walla Walla 5 Benton Franklin LASTWEEK Chelan Okanogan Douglas Adams WallaWalla ZONE Spokane- SpokaneValley MosesLake Yakima COUNTY YELLOW 10 Longview Ellensburg Pullman King Spokane Grant Cowlitz Kittitas Skamania Pend Oreille Klickitat Whitman Pacific Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity resultbetween 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020; lastweek is 7/18 - 7/24 , three weeks is 7/4 - 7/24 . Testing : HHS Protect laboratory data (provided directly to FederalGovernment from public health labs, hospital labs, and commercial labs) through 7/22/2020. Lastweek is 7/16 - 7/22. Testing datamaybebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to-date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 WASHINGTON STATE REPORT 07.26.2020 1500 C-ASE CASE 19 COVID NEW 1000 500 Daily COVID - 19 Cases ( 7 -day average ) Daily COVID -19 Cases 10.0 % OF 12500 8.0 % 10000 6.0 % 7500 4.0 % 5000 2.0 % 2500 Daily Tests Completed (7 day avg.) TESTS PERCNTAGETOTAL 0.0 % % Positivity Rate (by result date 7 day avg.) Top countiesbased on greatestnumber of new cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES King Yakima Pierce ) CASES NEW CUMULATIVE Spokane Benton Franklin Snohomish 10000 Clark Chelan 5000 Okanogan ( - - 3/8 - - - - 4/12 4/19 4/26 4/5 3/15 3/22 3/29 - - 5/3 5/10 5/17 5/24 5/31 - 6/7 7/5 6/14 6/21 6/28 - 7/12 7/19 7/26 DATA SOURCES Cases: County -leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: HHSProtect laboratory data ( provided directly to FederalGovernment from public health labs, hospital labs, and commerciallabs) through 7/22/2020 . COVID - 19 Top 12 countiesbased on number ofnew cases in the last 3 weeks Daily COVID - 19 Cases Daily COVID -19 Cases ( 7 -day average) 300 Yakima County King, County PierceCounty 300 100 200 200 50 100 100 CASE DAILY TO AL Franklin County BentonCounty Spokane County 150 100 100 50 50 100 50 150 Clark County Snohomish County 40 100 Chelan County 30 100 20 50 50 10 Grant County Okanogan County 40 Douglas County 80 60 30 60 40 20 40 20 10 20 3/21 4/5 4/20 6/4 5/5 5/20 7/4 / IZ / 4/5 4/20 5/5 5/20 6/4 7/4 7/19 DATA SOURCES Cases: County-leveldata from USAFacts through 7/24/2020. Last 3 weeks is 7/4 - 7/24. 6/19 7/4 7/19 COVID - 19 WASHINGTON STATE REPORT 07.26.2020 CASE RATESAND DIAGNOSTIC TESTPOSITIVITYDURING THE LASTWEEK TEST POSITIVITYDURING LAST NEW CASES PER 100,000 DURING LASTWEEK WEEK Date: 7/26/2020 Date: 7/26/2020 WA WA MT MT Cases per 100K 20 Casesin Last 14Days 0.1to 9.9 < Test Positivity 20 Casesin Last 14Days 10 to 99.9 OR 100to 199.9 200 to 499.9 500 % to 9.9% 10 % to 19.9% 20% or More More WEEKLY % CHANGEIN NEW WEEKLY CHANGEIN TEST CASES PER 100K POSITIVITY Date: 7/26/2020 5 OR 0 % to 4.9 % Date: 7/26/2020 WA WA MT Percent Changein Casesper 100K Cases in Last 14Days Absolute Changein Test Positivity Casesin Last 14 Days 2 Less % 100 Less 10% to 99.9% Less + 0.5% to 1.9% Less LittleChange 0.5% to 1.9% More 2 More + OR % 100% to 999.9% More 1.000 % LittleChange 10 to 99.9% More OR DATA SOURCES Cases: County-leveldatafrom USAFactsthrough 7/24/2020. Lastweekis 7/18 - 7/24, previousweek is 7/11- 7/17. Testing: HHSProtectlaboratorydata (provideddirectlyto FederalGovernmentfrom publichealth labs, hospitallabs, and commerciallabs) through7/22/2020. Lastweek is 7/16 - 7/22 previousweek is 7/9 - 7/15. Testingdatamaybebackfilledover time, resultingin changesweek-to -week in testingdata. Itis criticalthatstatesprovideas up-to -datetesting data as possible. WEST VIRGINIA STATEREPORT 07.26.2020 SUMMARY WestVirginia is in the yellow zoneforcases, indicatingbetween 10 to 100new cases per 100,000populationlastweek, andthe green zone for test positivity, indicatinga ratebelow 5 % . Statewide, WestVirginiahasseen stabilityin new casesand stability in testingpositivityoverthe pastweek. Thefollowingthreecountieshadthehighestnumberofnew casesover the past 3weeks: 1.MonongaliaCounty, 2.Kanawha County, and 3. BerkeleyCounty. These counties represent41.3 percentofnew cases inWestVirginia. More countiesandCBSAsare in thehotzonethis week. WestVirginiahad 46 new casesper 100,000 population in thepastweek , comparedto anationalaverageof 140 per 100,000. The federal governmenthasdeployedthe followingstaff as assets to support the stateresponse: 9 to supportoperations activities from FEMA; 6 to support epidemiologyactivities from CDC; and 23 to support operationsactivities from USCG . During Jul 18 - Jul24, on average, 18 patientswith confirmed COVID- 19 and45 patientswith suspectedCOVID- 19were reported as newlyadmittedeach dayto hospitalsin West Virginia. An average of72 percentofhospitalsreported each day duringthisperiod; therefore, thismaybean underestimateof the actualtotalnumberofCOVID -relatedhospitalizations. Underreporting maylead to a lower allocation of criticalsupplies. * RECOMMENDATIONS In red andyellow zones, closingbars andreducingindoordiningat restaurantsiscriticalto disrupttransmission. Statewidemaskmandateis criticalto stop the spread. Work with localcommunitygroupsto developstrongpublicmessaging of its importancein avoidingdisruptions to business and schooloperations . Protectvulnerablepopulationsin assistedlivingand long- term care facilitiesthroughweeklytesting of allworkersand requiring masks. In facilitieswith workers whotested positive, ensure allresidentshave been tested andappropriatecohorting measuresarein place. Continueto enhancecontacttracingand ensure the abilityofcases and contactsto quarantineorisolatesafely. Forfamily and cohabitatinghouseholds , screen entirehouseholdsin a single testby poolinga sample of eachmember's sample. Forhouseholdsthattest positive, isolate andconductfollow - up individualtests. Expandtestingcapacityin publichealth labs, addingshiftsandweekendshifts to reduceturnaroundtimes. Increasemessagingofthe risk of seriousdiseasein allage groupswith preexistingmedicalconditions, includingobesity, mellitus . hypertension, anddiabetes Specific, detailedguidanceon communitymitigationmeasurescan befound on the CDCwebsite. Thepurposeof this reportis to developa sharedunderstanding of thecurrentstatusof thepandemicat the national , regional , stateand locallevels. Werecognize thatdata at thestate levelmaydiffer from thatavailableatthe federallevel. Our objectiveis to useconsistent data sourcesand methodsthatallowfor comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 WEST VIRGINIA STATE REPORT 07.26.2020 STATE, % CHANGE FROM PREVIOUS STATE, LASTWEEK NEW CASES 827 (RATE PER 100,000 ) ( 46 ) DIAGNOSTIC TEST WEEK ( TESTS PER 100,000) ( RATE PER 100,000 ) MOBILTY 6.3 % 5,437,404 ** 286 6,434 ( 1) (2 ) 10.8 % 12.1% +2.5 % * 4.1 % 8.5 % 502,047** ( 1,627) -40.0 ( ) AT LEASTONE MOBILTY 460,137 ( 140) LAST WEEK (67) +56.3% ** COVID - 19 CASE TO 20,675 3 COVID DEATHS RELATIVEBASELINE UNITED STATES + 0.1% * 40,002** (2,232) TOTAL DIAGNOSTICTESTS REGION LAST WEEK -6.6 % 4.3 % POSITIVITY RATE FEMA/ HHS ( 1,657) 100 % 80 % 60 % 40 % 20 % 0 % 2/23 3/1 3/8 3/15 3/22 3/29 4/5 4/12 4/19 4/26 5/3 5/10 6/7 5/17 5/24 5/31 6/14 6/21 6/28 7/5 7/12 7/19 7/26 Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregating county -leveldata from USAFacts; therefore , the valuesmaynotmatch those reported directly by the state. Data is through 7/24/2020; lastweek is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 WEST VIRGINIA STATE REPORT 07.26.2020 COVID - 19 COUNTY ANDMETRO ALERTS LOCALITIES IN RED ZONE LOCALITIES IN YELLOW ZONE Morgantown Wheeling METRO AREA N /A ( CBSA ) LASTWEEK 8 Parkersburg-Vienna Weirton -Steubenville Fairmont Washington -Arlington -Alexandria MountGay -Shamrock Winchester Monongalia Ohio Cabell COUNTY LASTWEEK w Mingo Grant Pendleton 17 Top 12shown (full list below ) Wood Marion Wayne Hancock Logan Brooke Mineral Lincoln Taylor All Yellow Counties: Monongalia, Ohio Cabell, Wood, Marion,Wayne, Hancock, Logan, Brooke, Mineral , Lincoln, Taylor, Mason, Hampshire, Clay, Morgan, Webster Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity result between 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020 ; last week is 7/18 -7/24 , three weeks is 7/4 - 7/24 . Testing :CELR ( COVID - 19 Electronic Lab Reporting) state health department -reported data through 7/22/2020 . Lastweek is 7/16 - 7/22. Testing datamay bebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 WEST VIRGINIA STATE REPORT 07.26.2020 C-ASE CASE 250 200 19 COVID NEW 150 100 50 Daily COVID - 19 Cases Daily COVID - 19 Cases (7 - day aver 6000 6.0 % 4000 4.0 % 2000 2.0 % OF TESTS PERCENTAGE TOTAL 0.0 % % Positivity Rate (by result date 7 day avg .) Daily Tests Completed (7 day avg. ) Top counties basedon greatest number ofnew cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES Monongalia Kanawha 800 ) Berkeley Ohio 600 CASES NEW CUMULATIVE Cabell Wood Marion Harrison 400 Putnam Raleigh ( 200 4/5 3/8 3/15 3/22 3/29 - 4/12 4/19 4/26 5/3 - - 5/10 5/17 6/7 5/24 5/31 6/14 6/28 7/5 7/12 7/19 7/26 DATA SOURCES Cases: County-leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: CELR ( COVID - 19 Electronic Lab Reporting) statehealth department-reported data through 7/22/2020. COVID - 19 Top 12 counties based on number ofnew cases in the last 3 weeks Daily COVID - 19 Cases Daily COVID - 19 Cases ( 7- day average) KanawhaCounty MonongaliaCounty Berkeley County 20 60 40 15 40 10 20 20 CASE DAILY TO AL 30 Ohio County CabellCounty Wood County 20 15 15 20 LO 10 10 5 5 Marion County Putnam County HarrisonCounty 10.0 20 10 5 15 7.5 10 5.0 2.5 5 0.0 10.0 Raleigh County 40 Wayne County 10.0 7.5 30 7.5 5.0 20 5.0 2.5 10 2.5 0.0 Hancock County 0.0 7/4 7/19 6/4 6/19 7/4 DATA SOURCES Cases: County- leveldata from USAFacts through 7/24/2020 . Last 3 weeks is 7/4 - 7/24 . 6/19 7/4 COVID - 19 WEST VIRGINIA STATE REPORT CASE RATESAND DIAGNOSTIC TESTPOSITIVITYDURING THE LASTWEEK Da NEW CASES PER 100,000 DURING TEST POSITIVITY DURING LAST LASTWEEK WEEK E /2020 2020 PA PA NJ NJ OH OH MD MD DE DE DC DC IN IN VA VA Cases per 100K TestPositivity 20Casesin Last 14Days KY Casesin Last KY 0.1to 9.9 14Days 0 % to 4.9% 10 to 99.9 5 100to 1999 % to 9.9 % 10 % to 19.9% 20% orMore 200 to499.9 500 More WEEKLY % CHANGEIN NEW WEEKLY CHANGEIN TEST CASES PER 100K POSITIVITY 26 /2020 2020 PA PA NJ NJ OH OH MD MD DE DE DC DC IN IN Percent Change Casesper100K VA Casesin Last 14Days VA % % 10% to 99.9 Less Changein Absolute TestPositivity Casesin Last 14Days 100 Less 100% to 999.9% More 1,000 % 2 + Less 0.5% to 1.9% Less LittleChange 0.5% to 1.9% More 2 More + LittleChange 10% to 99.9% More KY % KY DATA SOURCES Cases: County-leveldata from USAFactsthrough 7/24/2020. Lastweek is7/18 - 7/24, previousweek is 7/11- 7/17. Testing: CELR (COVID- 19 ElectronicLab Reporting ) state health department-reporteddata through 7/22/2020. Lastweek is 7/16 - 7/22, previousweek is 7/9 - 7/15. Testingdatamaybebackfilledover time, resultingin changesweek- to-week in testing data. It is criticalthat statesprovideasup- to -datetestingdata aspossible. WISCONSIN STATEREPORT 07.26.2020 SUMMARY Wisconsin is in the red zonefor cases, indicatingmorethan 100new cases per 100,000 populationlastweek, and the yellow zone fortestpositivity, indicatinga ratebetween 5 % to 10 % . Wisconsin has seen an increase in new cases and stability in testingpositivityover the pastweek. The increasein cases continuesto be driven by increasesin theMilwaukeeandGreen Bay CBSAs, but involves an increasingnumberof countiesthroughoutthe state, includingin thewest (Trempeleau, Pepin) and northwest (Iron County) . The followingthree countieshad the highestnumberofnew cases over thepast 3 weeks: 1.MilwaukeeCounty , 2.DaneCounty, and 3.Waukesha County. These counties represent52.8 percentofnew cases in Wisconsin . Wisconsinhad 110 new cases per 100,000population in thepast week, comparedto a nationalaverageof 140 per 100,000. Thefederalgovernmenthas deployed the following staff as assets to support the stateresponse: 12 to support operations activities from FEMA; 2 to supportepidemiology activitiesfrom CDC; and 1 to support operationsactivitiesfrom USCG. During Jul 18 - Jul24, on average, 38 patientswith confirmed COVID - 19 and 46 patientswith suspected COVID- 19were reported as newlyadmitted each day to hospitals in Wisconsin. An average of 72 percentofhospitals reported each day during this period; therefore, thismaybe an underestimateofthe actualtotalnumber of COVID - relatedhospitalizations . Underreportingmay lead to a lowerallocation of criticalsupplies. * RECOMMENDATIONS Communicateto the public aboutthe risks of disruptionto businessactivity, travel, andschooloperationsif cases continueto rise. Supportlimitingofindoorseating atbars/ restaurantsby localpublichealthauthoritiesin highly affectedcounties. Consider furthermodulationofbusinessoccupancyandoperatingrestrictionsifcases continueto increasein other areas. Encourage maskusageand supportthe localordinancesbeingenactedby counties and cities. Considera state-widemasking mandateif casescontinueto increase. Encourageallindividualsunderage40 that participatedin largesocialgatheringsor proteststo be tested to preventspreadto vulnerable individualsinthecommunity. Significantlevels of asymptomaticcasesare beingfound in peopleunderage 40 across theUnitedStates. Move to community- led neighborhoodtestingandwork with local communitygroupsto increaseaccess to testing. Surgetesting and contacttracingresourcestoneighborhoods and zip codeswith highestcaserates. Specific, detailedguidanceon communitymitigationmeasurescan befoundon theCDCwebsite. Thepurposeof this reportis to developa sharedunderstanding of thecurrentstatusof thepandemicat the national , regional , stateand locallevels. Werecognize thatdata at thestate levelmaydiffer from thatavailableatthe federallevel. Our objectiveis to useconsistent data sourcesand methodsthatallowfor comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 WISCONSIN STATE REPORT 07.26.2020 STATE STATE, % CHANGE FROM PREVIOUS LASTWEEK WEEK 6,409 ( 110 ) + 11.3% NEW CASES (RATE PER 100,000) DIAGNOSTIC TEST 164,494 ** ( 2,825 ) TOTAL DIAGNOSTICTESTS ( TESTS PER 100,000) COVID DEATHS 45 ( RATE PER 100,000 ) ( 1) AT LEASTONE MOBILTY MOBILTY TO UNITED STATES LAST WEEK ( 76 ) 5.2 % 8.5 % 987,491** ( 1,879) 5,437,404 ** 486 6,434 ( 1) (2 ) + 136.8 % -0.5 % * 2.4 % 460,137 ( 140) 39,685 +16.2 % ** COVID - 19 CASE RELATIVEBASELINE REGION LAST WEEK + 0.2 % * 5.6 % POSITIVITY RATE FEMA/HHS ( 1,657) 5.7 % 12.1% 100 % 80 % 60 % 40 % 20 % 0 % 3/1 4/5 3/8 2/23 3/15 3/22 3/29 4/12 4/19 4/26 5/3 5/10 6/7 5/17 5/24 5/31 6/14 6/21 6/28 7/5 7/12 7/19 7/26 Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregating county -leveldata from USAFacts; therefore , the valuesmaynotmatch those reported directly by the state. Data is through 7/24/2020; last week is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 WISCONSIN STATE REPORT 07.26.2020 COVID - 19 COUNTY ANDMETRO ALERTS LOCALITIES IN RED ZONE LOCALITIES IN YELLOW ZONE Milwaukee -Waukesha Green Bay Chicago -Naperville -Elgin Racine METRO AREA N/ A (CBSA) LASTWEEK 9 Janesville-Beloit Whitewater Wausau -Weston Minneapolis-St. Paul-Bloomington Marinette Milwaukee Waukesha Brown Kenosha 20 COUNTY LASTWEEK N /A Top 12 shown (full list below) Racine Rock Walworth Marathon Washington Ozaukee Marinette Trempealeau All Yellow Counties: Milwaukee,Waukesha, Brown, Kenosha, Racine, Rock,Walworth,Marathon,Washington, Ozaukee,Marinette, Trempealeau, Clark,Marquette, Kewaunee, Iron, Pepin, Buffalo, Taylor, Price Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity result between 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020 ; last week is 7/18 -7/24 , three weeks is 7/4 - 7/24 . Testing :CELR ( COVID - 19 Electronic Lab Reporting) state health department -reported data through 7/22/2020 . Lastweek is 7/16 - 7/22. Testing datamay bebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 WISCONSIN STATEREPORT 07.26.2020 CASE NEW C-ASES 1000 800 19 COVID 600 400 200 0 Daily COVID - 19 Cases Daily COVID -19Cases ( 7 - day average) 40.0 % 20000 30.0 % 15000 20.0 % 10000 10.0 % 5000 OF TESTS PERCENTAGETOTAL 0.0 % % Daily Tests Completed ( 7 day avg. ) Positivity Rate (by result date 7 day avg.) Top counties based on greatest number ofnew cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES Milwaukee ) Dane Waukesha 15000 Brown CASES NEW CUMULATIVE ( Kenosha Racine 10000 Outagamie Rock Walworth Marathon 5000 - - 4/5 3/8 3/15 3/22 3/29 4/12 - 4/19 4/26 - - 6/7 5/3 5/10 5/17 5/24 5/31 6/14 6/21 6/28 - 7/5 7/12 7/19 7/26 DATA SOURCES Cases: County-leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: CELR ( COVID - 19 Electronic Lab Reporting) statehealth department-reported data through 7/22/2020. COVID - 19 Top 12 counties based on number ofnew cases in the last 3 weeks Daily COVID - 19 Cases Daily COVID- 19 Cases ( 7 - day average ) 150 MilwaukeeCounty Dane County Waukesha County 200 400 100 150 100 200 50 50 CASE DAILY TO AL 150 Brown County Kenosha County RacineCounty 80 150 60 100 100 50 50 20 30 Outagamie County 40 Rock County 40 30 30 20 20 10 10 Walworth County 20 10 Marathon County 30 Sheboygan County WashingtonCounty 20 20 15 20 10 10 10 5 - 3/21 4/5 4/20 6/4 5/5 5/20 7/4 7/19 IZ / 4/5 4/20 5/5 5/20 6/4 7/4 7/19 DATA SOURCES Cases: County- leveldata from USAFacts through 7/24/2020 . Last 3 weeks is 7/4 - 7/24 . 3/21 4/5 4/20 5/5 5/20 7/4 6/4 6/19 7/19 COVID - 19 WISCONSIN STATEREPORT 07.26.2020 CASE RATESAND DIAGNOSTIC TESTPOSITIVITYDURING THE LASTWEEK NEW CASES PER 100,000 DURING TEST POSITIVITYDURING LAST LAST WEEK WEEK Date: 7/26/2020 Date: 7/26/2020 the MN MN WI WI SD SD MI MI Cases per100K 20 Cases inLast 14Days 0.1to 9.9 IA Test Positivity 10 to 99.9 = Casesin Last 14Days % to 4.9% 0 IA 5 100 to 199.9 IL NE IL 200 to 499.9 500 orMore WEEKLY % CHANGEIN NEW WEEKLY CHANGEIN TEST CASES PER 100K POSITIVITY Date: 7/26/2020 % to 9.9 % 10% to 19.9% 20% or More Date: 7/26/2020 the ND ND MN MN WI WI SD SD Percent Changein Casesper 100K in Last Absolute Changein Test Positivity 14Days Casesin Last 14Days % 100 Less % 2 10 % to 99.9% Less LittleChange 10% to 99.9% More IL NE 100% to 999.9% More 1.000% Less 0.5% to 1.9% Less IA LittleChange IL INE 0.5 % to 1.9 % More 2 + More % IA DATA SOURCES Cases: County-leveldata from USAFactsthrough 7/24/2020. Lastweek is7/18 - 7/24, previousweek is 7/11- 7/17. Testing: CELR (COVID- 19 ElectronicLab Reporting ) state health department-reporteddata through 7/22/2020. Lastweek is 7/16 - 7/22, previousweek is 7/9 - 7/15. Testingdatamaybebackfilledover time, resultingin changesweek- to-week in testing data. It is criticalthat statesprovideasup- to -datetestingdata aspossible. WYOMING STATE REPORT 07.26.2020 SUMMARY Wyoming is in the yellow zone for cases , indicating between 10 to 100 new cases per 100,000 population last week, and the green zone for test positivity, indicating a ratebetween 5 % to 10 % . Wyoming has seen an increase in new cases and a decrease in testing positivity over the pastweek . The following three counties had the highest number ofnew cases over thepast 3 weeks: 1. Teton County , 2 . Laramie County , and 3.Sweetwater County. These counties represent 43.9 percent ofnew cases in Wyoming . Wyoming had 58 new cases per 100,000 population in the past week , compared to a national average of 140 per 100,000 . The federal governmenthasdeployed thefollowing staff as assets to support the state response: 5 to support operations activities from FEMA. During Jul 18 - Jul24, on average, 3 patients with confirmed COVID -19 and 7 patients with suspected COVID - 19 were reported as newly admitted each day to hospitals in Wyoming . An average of 73 percent ofhospitals reported each day during this period ; therefore, thismaybe an underestimate of the actual totalnumber of COVID -related hospitalizations. Underreportingmay lead to a lower allocation ofcritical supplies. RECOMMENDATIONS Promote socialdistancing and the use of cloth face masksfor people outside of their homes. Enactmandates in counties with elevated or increasing transmission (e.g., where case rates exceed 50/ 100K population ). Require face masks for all indoor environments outside the home, particularly crowded workplace settings such asmeat-packing plants. Continue aggressive case investigation and innovative contact tracing (use ofapp) , with early isolation of known or suspected cases and quarantine of all contacts. Maintain a particular focus in counties with elevated or increasing transmission , such as Fremont, Laramie, Lincoln, Sweetwater and Teton counties . Tribal Nations: Continue to promote socialdistancing andmask recommendations . Develop specific culturally relevant education and public health messaging. Pooled testing should be instituted for multi- generational households . Spaces to provide quarantine of contacts and isolation of cases should be provided as needed. Continue to protect those in nursing homes and long-term care facilities with effective surveillance, requiring face masks for all staff, and implementing aggressive measures for any identified cases Increase messaging on the risk of serious disease for older individuals and for individuals in allage groups with preexisting risk factors, such as obesity, hypertension , and diabetes mellitus. Specific , detailed guidance on community mitigationmeasures can be found on the CDC website . Thepurposeof this reportis to developa sharedunderstanding of thecurrentstatusof thepandemicat the national , regional , stateand locallevels. Werecognize thatdata at thestate levelmaydiffer from thatavailableatthe federallevel. Our objectiveis to useconsistent data sourcesand methodsthatallowfor comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 WYOMING STATE REPORT 07.26.2020 STATE, % CHANGE FROM PREVIOUS STATE, LASTWEEK NEW CASES 6,943** ( 1,200 ) TOTAL DIAGNOSTICTESTS ( TESTS PER 100,000) COVID DEATHS 1 ( RATE PER 100,000 ) ( ) AT LEASTONE 460,137 ( 140) (84) 5.7 % -31.6 % ** 8.5 % 191,736 ** 5,437,404 ** ( 1,564) ( 1,657) 103 6,434 ( 1) (2 ) -66.7 % + 0.0 % * 0.0 % COVID - 19 CASE MOBILTY 10,273 -1.3 % * 2.5 % POSITIVITY RATE MOBILTY LAST WEEK + 23.1% (58 ) DIAGNOSTIC TEST TO UNITED STATES LASTWEEK 336 (RATE PER 100,000 ) RELATIVEBASELINE WEEK FEMA/HHS REGION 4.6 % 12.1% 120 % 100 % 80 % 60 % 40 % 20 % % 2/23 3/1 4/5 3/8 3/15 3/22 3/29 4/12 4/19 4/26 6/7 5/3 5/10 5/17 5/24 5/31 6/14 6/21 6/28 7/5 7/12 7/19 7/26 Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregatingcounty-leveldata from USAFacts; therefore, the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020; lastweek is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 WYOMING STATE REPORT 07.26.2020 COVID - 19 COUNTY ANDMETRO ALERTS LOCALITIESIN RED ZONE LOCALITIES IN YELLOW ZONE METRO AREA N/A ( CBSA ) LASTWEEK 2 Jackson Rock Springs Teton Sweetwater COUNTY LASTWEEK N/A 5 Park BigHorn Weston Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity resultbetween 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020; lastweek is 7/18 - 7/24 , three weeks is 7/4 - 7/24 . Testing : HHS Protect laboratory data (provided directly to FederalGovernment from public health labs, hospital labs, and commercial labs) through 7/22/2020. Lastweek is 7/16 - 7/22. Testing datamaybebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to-date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels of personal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 WYOMING STATE REPORT 07.26.2020 200 CASE NEW C-ASES 19 COVID O Daily COVID - 19 Cases Daily COVID - 19Cases ( 7 - day average) 25.0 % 20.0% 15.0 % 10.0 % 5.0 % 0.0 % Daily Tests Completed (7 day avg. ) % Positivity Rate ( by result date 7 day avg. ) Top counties based on greatest number ofnew cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES Teton Laramie Sweetwater ) Fremont Natrona CASES NEW CUMULATIVE Uinta Lincoln Campbell Albany Carbon ( 3/8 3/15 3/22 3/29 - - 4/5 4/12 4/19 4/26 - - 6/7 5/3 5/10 5/17 5/24 5/31 7/5 6/14 6/21 6/28 7/12 7/19 7/26 DATA SOURCES Cases: County-leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: CELR ( COVID - 19 Electronic Lab Reporting) statehealth department-reported data through 7/22/2020. COVID - 19 Top 12 counties based on number ofnew cases in the last 3 weeks Daily COVID - 19 Cases ( 7- day average) 30 Teton County Daily COVID - 19 Cases Laramie County SweetwaterCounty 60 10 20 40 10 20 5 FremontCounty CASE DAILY TO AL 15 NatronaCounty 15 Uinta County 20 10 10 5 5 10 Lincoln County Campbell 8 Albany County 8 10 6 6 4 4 5 2 10.0 Carbon County 10.0 Sublette County Park County 6 7.5 7.5 5.0 5.0 2.5 2.5 0.0 0.0 3/21 4/5 7/4 7/19 2 3/21 4/5 4/20 5/5 5/20 6/4 6/19 7/4 7/19 DATA SOURCES Cases: County-leveldata from USAFacts through 7/24/2020. Last 3 weeks is 7/4 - 7/24. 3/21 4/5 4/20 5/5 5/20 6/4 7/4 7/19 COVID - 19 WYOMING STATEREPORT 07.26.2020 CASE RATESAND DIAGNOSTIC TESTPOSITIVITYDURING THE LASTWEEK NEW CASES PER 100,000 DURING TEST POSITIVITYDURING LAST LASTWEEK WEEK HERE Date : 7/26/2020 Date: 7/26/2020 ND ND MT MT SD SD ID ID WY WY NV Cases per 100K in Last < 20 14 Days Test Positivity 0.1to 9.9 Casesin Last 14Days % to 4.9% 10 to 99.9 0 UT 100 to 199.9 5 UT % WEEKLY % CHANGEIN NEW WEEKLY CHANGEIN TEST CASES PER 100K POSITIVITY Deth Date : 7/26/2020 % to 9.9 % 10% to 19.9% 20 or More 200to 499.9 500 orMore Date: 7/26/2020 ND ND MT MT SD SD ID ID WY WY NV Percent Changein Casesper 100K Casesin Last 14Days AbsoluteChangein TestPositivity Casesin Last 14Days % 100 Less % LittleChange 0.5 % to 1.9 % More 2 More + 100% to 999.9% More 1.000 Less 0.5% to 1.9% Less % LittleChange 10% to 99.9% More UT 2 % 10% to 99.9 Less UT DATA SOURCES Cases: County-leveldatafrom USAFactsthrough 7/24/2020. Lastweekis 7/18 - 7/24, previousweek is 7/11- 7/17. Testing: HHSProtectlaboratorydata (provideddirectlyto FederalGovernmentfrom publichealth labs, hospitallabs, and commerciallabs) through7/22/2020. Lastweek is 7/16 - 7/22 previousweek is 7/9 - 7/15. Testingdatamaybebackfilledover time, resultingin changesweek-to -week in testingdata. Itis criticalthatstatesprovideas up-to -datetesting data as possible. COVID - 19 NationalPicture NEW CASES PER 100,000 LASTWEEK Date : New Cases per 100K in the Last Week WY NM Cases per 100K 20 Casesin Last 14 Days 0.1to 9.9 10 to 99.9 100 to 199.9 MEXICO 200 to 499.9 500 orMore TEST POSITIVITYLASTWEEK Date: TestPositivity in theLastWeek MT OR WY NM MS AL LA TestPositivity 20 Cases Last 14 Days % 0 % to 4.9 5 % to 9.9% 10% to 19.9% 20 % or More DATA SOURCES Cases: County -level data from USAFacts through 7/24/2020 . Lastweek is 7/18 - 7/24 . Testing : Combination of CELR (COVID - 19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to FederalGovernment from public health labs, hospital labs, and commercial labs) through 7/22/2020 . Lastweek is 7/16 -7/22 . Testing data may be backfilled over time, resulting in changes week -to week in testing data .Itis critical that states provide as up-to -date testing data as possible . COVID - 19 Methods STATEREPORT 07.26.2020 COLOR THRESHOLDS: Resultsfor each indicatorshould be taken in contextofthefindings forrelated indicators( e.g., changes in caseincidenceandtesting volume) Metric Green < 10 New cases per 100,000 population perweek Percent change in new cases per 100,000 population Diagnostic test result positivity rate Changein test positivity Total diagnostic tests resulted per 100,000 population per week COVID -19deaths per 100,000 population per week Percent change in deathsper 100,000 population Change in SNFswith at leastone 19 case 19 case 10-100 -10 % - 10 % Red > 100 > 10 % <5 % 5 % -10 % > 10 % < -0.5 % -0.5 % -0.5 % > 0.5 % 500-1000 < 500 -10 % - 10 % < -10 % > 1000 > 10 % Percentchange in tests per 100,000 population SkilledNursing Facilitieswith atleast one < -10 % Yellow < 0.5 0.5-2 > < -10 % -10 % - 10 % > 10 % 0 % 0.1% -5 % > 5 % < -0.5 % -0.5 % -0.5 % > 0.5 % DATA NOTES Casesand deaths: County- leveldata from USAFactsas of 14:00 EDTon 07/26/2020. Statevalues are calculatedby aggregatingcounty- leveldatafrom USAFacts; therefore, valuesmaynotmatch thosereported directly by the state. Data arereviewed on a dailybasisagainstinternaland verified externalsourcesand, ifneeded, adjusted. Lastweek data arefrom 7/18 to 7/24; previousweek data are from 7/11to 7/17. Testing : CELR ( COVID- 19ElectronicLab Reporting ) statehealth department - reporteddata are used to describe state- leveltotalswhen ableto be disaggregatedfrom serologytest results andto describe county-leveltotals when information is availableon patients' countyofresidenceor healthcareproviders practicelocation. Protectlaboratorydata( provideddirectly to Federal Governmentfrom public health labs, hospitallabs, and commerciallabs) are usedotherwise. Somestates did notreporton certaindays, whichmay affect the total numberoftests resultedand positivity ratevalues. Totaldiagnostictestsarethenumberof tests performed, not the numberofindividualstested. Diagnostictest positivityrateis thenumberofpositivetests divided by the numberof tests performedandresulted. Lastweek data arefrom 7/16 to 7/22; previousweek data are from 7/9 to 7/15. HHSProtectdata isrecentas of13:30 EDT on 07/26/2020. Testingdata areinclusive of everythingreceived andprocessedby the CELR system as of 19:00EDTon 07/25/2020 . Testingdatamaybebackfilledover time , resultingin changesweek- to- week in testingdata. Itis criticalthatstatesprovideas up - to- datetestingdataas possible. Mobility: DescartesLabs. These data depictthemedian distancemoved acrossa collection ofmobiledevicesto estimatethelevelofhumanmobilitywithin a locality; 100% representsthebaselinemobilitylevel . Data is recent asof 13:00EDT on07/26/2020and through 7/24/2020. Hospitalizations : Unifiedhospitalizationdatasetin HHS Protect This figuremaydifferfrom statedata due to differencesin hospital lists andreportingbetweenfederaland state systems . These data excludepsychiatric, rehabilitation, and religiousnon-medicalhospitals. Data is recentas of 13:10 EDTon 07/25/2020. SkilledNursingFacilities : National HealthcareSafetyNetwork ( NHSN . Quality checksareperformedon data submitted to the NHSN. Data thatfailthese qualitychecksor appearinconsistent with surveillanceprotocolsmay be excluded from analysis. Also note thatdatapresentedby NHSN is morerecentthan thedatapubliclyposted by CMS. Therefore, data presentedmay differslightly from thosepubliclypostedby CMS.