SUMMARY • • • • • • • KANSAS STATE REPORT 10.04.2020 Kansas is in the red zone for cases, indicating 101 or more new cases per 100,000 population last week, with the 12th highest rate in the country. Kansas is in the yellow zone for test positivity, indicating a rate between 5.0% and 7.9%, with the 13th highest rate in the country. Kansas continues to experience high levels of new cases and saw a slight decrease in test positivity over the last week. The following three counties had the highest number of new cases over the last 3 weeks: 1. Johnson County, 2. Sedgwick County, and 3. Wyandotte County. These counties represent 35.7% of new cases in Kansas. 50% of all counties in Kansas have moderate or high levels of community transmission (yellow, orange, or red zones), with 25% having high levels of community transmission (red zone). During the week of Sep 21 - Sep 27, 9% of nursing homes had at least one new resident COVID-19 case, 25% had at least one new staff COVID-19 case, and 4% had at least one new resident COVID-19 death. Kansas had 154 new cases per 100,000 population in the last week, compared to a national average of 90 per 100,000. Between Sep 26 - Oct 2, on average, 43 patients with confirmed COVID-19 and 52 patients with suspected COVID-19 were reported as newly admitted each day to hospitals in Kansas. An average of 92% of hospitals reported either new confirmed or new suspected COVID patients each day during this period; therefore, this may be an underestimate of the actual total number of COVID-related hospitalizations. Underreporting may lead to a lower allocation of critical supplies. RECOMMENDATIONS • • • • • • • • • • • Keep mitigation efforts in place; demonstrate to communities where their efforts are successful. Messaging to communities about effectiveness of masks is critical as many outdoor activities will be moving indoors with colder weather approaching. Masks must be worn indoors in all public settings and group gathering sizes should be limited. Work with rural communities to message how masks work and protect individuals from COVID-19. In high transmission zones, limit indoor dining, bar hours, and expand outdoor dining options. Make all antigen test results available on public dashboards. Antivirals and antibodies have the most impact when used early in hospital admissions (within 48 hours). Ensure hospitals are effectively administering these medications to prevent morbidity and mortality. Abbott BinaxNOW tests should be used in a sentinel surveillance capacity. Sentinel surveillance among specific populations across Kansas will help provide specific information to each community regarding local transmission and where mitigation efforts needed to be enhanced. Prioritize these populations for routine sentinel surveillance: K-12 teachers; staff working in nursing homes, assisted living, senior living facilities, and other congregate living settings including correctional facilities; and first responders. One quarter of nursing homes have at least one positive staff member and the trend among residents with COVID-19 is increasing. Use these findings not only to prevent transmission in nursing homes but also as sentinel surveillance indicating spread in the community and work on local mitigation efforts. Review specific nursing homes where community transmission is low, but staff have COVID-19. Conduct community testing in university towns to rapidly identify positives and isolate them. With cases potentially decreasing in university settings, work with students to keep cases down particularly, with the goal to keep transmission low until Thanksgiving. Tribal Nations: Increase testing, continue to expand culturally-specific public health education, developed with community leaders, especially as tribal social events pick back up. Conduct prompt contact tracing on all cases and provide housing and supplies to support immediate quarantine of contacts and isolation of cases. Specific, detailed guidance on community mitigation measures can be found on the CDC website. The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may differ from that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in identifying data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. COVID-19 COVID-19 KANSAS STATE REPORT 10.04.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK NEW COVID-19 CASES (RATE PER 100,000) 4,492 (154) -7% 24,114 (171) 294,477 (90) VIRAL (RT-PCR) LAB TEST POSITIVITY RATE 7.5% -0.6%* 8.5% 4.6% 58,872** (2,021) +7%** 238,314** (1,685) 6,436,385** (1,961) COVID-19 DEATHS (RATE PER 100,000) 66 (2.3) +94% 311 (2.2) 4,935 (1.5) SNFs WITH ≥1 NEW RESIDENT COVID-19 CASE (≥1 NEW STAFF CASE) 9% (25%) +0%* (+3%*) 14% (30%) 9% (20%) 4% +1%* 5% 3% TOTAL VIRAL (RT-PCR) LAB TESTS (TESTS PER 100,000) MOBILITY SNFs WITH ≥1 NEW RESIDENT COVID-19 DEATH * Indicates absolute change in percentage points. ** Due to delayed reporting, this figure may underestimate total diagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES – Additional data details available under METHODS Note: Some dates may have incomplete data due to delays in reporting. Data may be backfilled over time, resulting in week-to-week changes. Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 10/2/2020; last week is 9/26 - 10/2, previous week is 9/19 - 9/25. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 9/30/2020. Last week is 9/24 - 9/30, previous week is 9/17 9/23. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county. The 100% represents the baseline mobility level prior to the pandemic; lower percent mobility indicates less population movement. Data is anonymized and provided at the county level. Data through 10/1/2020. SNFs: Skilled nursing facilities. National Healthcare Safety Network. Data are reported separately for cases among residents and staff. Last week is 9/21-9/27, previous week is 9/14-9/20. COVID-19 KANSAS STATE REPORT 10.04.2020 COVID-19 COUNTY AND METRO ALERTS* Top 12 shown in table (full lists below) METRO AREA (CBSA) LAST WEEK LOCALITIES IN RED ZONE LOCALITIES IN ORANGE ZONE LOCALITIES IN YELLOW ZONE 8 2 9 Dodge City Hays Garden City Pittsburg Liberal Great Bend Ottawa St. Joseph Hutchinson Emporia Kansas City Wichita Manhattan Lawrence Topeka Salina Coffeyville Atchison Parsons COUNTY LAST WEEK 26 Ford Ellis Finney Crawford Seward Barton Cherokee Dickinson Grant Franklin Pottawatomie Thomas 9 Wyandotte Leavenworth Reno Miami Lyon Meade Doniphan Linn Stanton 17 Johnson Sedgwick Douglas Shawnee Butler Saline Montgomery Atchison Pawnee Geary Brown Haskell All Red Counties: Ford, Ellis, Finney, Crawford, Seward, Barton, Cherokee, Dickinson, Grant, Franklin, Pottawatomie, Thomas, Rooks, Stevens, Nemaha, Phillips, Cheyenne, Rawlins, Ness, Rush, Logan, Sherman, Sheridan, Gove, Marshall, Scott All Yellow Counties: Johnson, Sedgwick, Douglas, Shawnee, Butler, Saline, Montgomery, Pawnee, Atchison, Geary, Brown, Haskell, Russell, Jefferson, Labette, Rice, Kearny * Localities with fewer than 10 cases last week have been excluded from these alerts. Note: Lists of red, orange, and yellow localities are sorted by the number of new cases in the last 3 weeks, from highest to lowest. Some dates may have incomplete data due to delays in reporting. Data may be backfilled over time, resulting in week-to-week changes. DATA SOURCES – Additional data details available under METHODS Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 10/2/2020; last week is 9/26 - 10/2, three weeks is 9/12 - 10/2. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 9/30/2020. Last week is 9/24 - 9/30. COVID-19 KANSAS TESTING NEW CASES STATE REPORT 10.04.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (9/12 - 10/2) DATA SOURCES – Additional data details available under METHODS Note: Some dates may have incomplete data due to delays in reporting. Data may be backfilled over time, resulting in week-to-week changes. Cases: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 10/2/2020. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 9/30/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES – Additional data details available under METHODS Cases: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 10/2/2020. Last 3 weeks is 9/12 - 10/2. COVID-19 KANSAS STATE REPORT 10.04.2020 CASE RATES AND VIRAL LAB TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING THE LAST WEEK VIRAL (RT-PCR) LABORATORY TEST POSITIVITY DURING THE LAST WEEK WEEKLY CHANGE IN NEW CASES PER 100,000 WEEKLY CHANGE IN VIRAL (RT-PCR) LABORATORY TEST POSITIVITY DATA SOURCES – Additional data details available under METHODS Note: Some dates may have incomplete data due to delays in reporting. Data may be backfilled over time, resulting in week-to-week changes. Cases: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 10/2/2020. Last week is 9/26 - 10/2, previous week is 9/19 - 9/25. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 9/30/2020. Last week is 9/24 - 9/30, previous week is 9/17 - 9/23. COVID-19 National Picture NEW CASES PER 100,000 LAST WEEK NATIONAL RANKING OF NEW CASES PER 100,000 LAST WEEK National Rank NEW CASES PER 100,000 IN THE WEEK ONE MONTH BEFORE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 State ND SD WI MT UT IA NE ID AR OK MO KS WY TN MN KY AL MS AK NV IL IN TX SC NC DE RI GA LA WV FL NM CO OH MI MD VA MA CA PA NJ HI CT WA AZ OR NY DC NH ME VT DATA SOURCES Note: Some dates may have incomplete data due to delays in reporting. Data may be backfilled over time, resulting in week-to-week changes. Cases: County-level data from USAFacts through 10/2/2020. Last week is 9/26 - 10/2; the week one month before is 8/29 - 9/4. COVID-19 National Picture VIRAL (RT-PCR) LAB TEST POSITIVITY LAST WEEK NATIONAL RANKING OF TEST POSITIVITY LAST WEEK National Rank VIRAL (RT-PCR) LAB TEST POSITIVITY IN THE WEEK ONE MONTH BEFORE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 State MT UT ID SD OK NE WI MO NV KY AL IA KS SC ND MS TN TX AR VA GA OR IN NC MN WY FL IL LA DE WV AZ AK PA HI MI MD CO CA WA NM OH NJ CT NH RI NY MA DC ME VT DATA SOURCES Note: Some dates may have incomplete data due to delays in reporting. Data may be backfilled over time, resulting in week-to-week changes. Testing: Combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 9/30/2020. Last week is 9/24 - 9/30; the week one month before is 8/27 - 9/2. COVID-19 METHODS STATE REPORT 10.04.2020 COLOR THRESHOLDS: Results for each indicator should be taken in context of the findings for related indicators (e.g., changes in case incidence and testing volume). Values are rounded before color classification. Metric Dark Green Light Green Yellow Orange Red ≤4 5–9 10 – 50 51 – 100 ≥101 Percent change in new cases per 100,000 population ≤-26% -25% – -11% -10% – 0% 1% – 10% ≥11% Diagnostic test result positivity rate ≤2.9% 3.0% – 4.9% 5.0% – 7.9% 8.0% – 10.0% ≥10.1% Change in test positivity ≤-2.1% -2.0% – -0.6% -0.5% – 0.0% 0.1% – 0.5% ≥0.6% Total diagnostic tests resulted per 100,000 population per week ≥2001 1001 – 2000 750 – 1000 500 – 749 ≤499 Percent change in tests per 100,000 population ≥26% 11% – 25% 1% – 10% -10% – 0% ≤-11% COVID-19 deaths per 100,000 population per week ≤0.1 0.2 – 0.4 0.5 – 1.0 1.1 – 2.0 ≥2.1 Percent change in deaths per 100,000 population ≤-26% -25% – -11% -10% – 0% 1% – 10% ≥11% New cases per 100,000 population per week Skilled Nursing Facilities with at least one resident COVID-19 case, death 0% 1% – 5% ≥6% Change in SNFs with at least one resident COVID-19 case, death ≤-2% -1% – 1% ≥2% DATA NOTES • • • • • • • Some dates may have incomplete data due to delays in reporting. Data may be backfilled over time, resulting in week-to-week changes. It is critical that states provide as up-to-date data as possible. Cases and deaths: County-level data from USAFacts as of 16:56 EDT on 10/04/2020. State values are calculated by aggregating county-level data from USAFacts; therefore, values may not match those reported directly by the state. Data are reviewed on a daily basis against internal and verified external sources and, if needed, adjusted. Last week data are from 9/26 to 10/2; previous week data are from 9/19 to 9/25; the week one month before data are from 8/29 to 9/4. Testing: The data presented represent viral COVID-19 laboratory diagnostic and screening test (reverse transcription polymerase chain reaction, RT-PCR) results—not individual people—and exclude antibody and antigen tests, unless stated otherwise. CELR (COVID-19 Electronic Lab Reporting) state health department-reported data are used to describe county-level viral COVID-19 laboratory test (RT-PCR) result totals when information is available on patients’ county of residence or healthcare providers’ practice location. HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) are used otherwise. Some states did not report on certain days, which may affect the total number of tests resulted and positivity rate values. Because the data are deidentified, total viral (RT-PCR) laboratory tests are the number of tests performed, not the number of individuals tested. Viral (RT-PCR) laboratory test positivity rate is the number of positive tests divided by the number of tests performed and resulted. Resulted tests are assigned to a timeframe based on this hierarchy of test-related dates: 1. test date; 2. result date; 3. specimen received date; 4. specimen collection date. Resulted tests are assigned to a county based on a hierarchy of test-related locations: 1. patient residency; 2. provider facility location; 3. ordering facility location; 4. performing organization location. States may calculate test positivity other using other methods. Last week data are from 9/24 to 9/30; previous week data are from 9/17 to 9/23; the week one month before data are from 8/27 to 9/2. HHS Protect data is recent as of 11:17 EDT on 10/04/2020. Testing data are inclusive of everything received and processed by the CELR system as of 19:00 EDT on 10/03/2020. Mobility: Descartes Labs. These data depict the median distance moved across a collection of mobile devices to estimate the level of human mobility within a locality. The 100% represents the baseline mobility level prior to the pandemic; lower percent mobility indicates less population movement. Data is anonymized and provided at the locality level. Data is recent as of 16:47 EDT on 10/04/2020 and is through 10/1/2020. Hospitalizations: Unified hospitalization dataset in HHS Protect. This figure may differ from state data due to differences in hospital lists and reporting between federal and state systems. These data exclude psychiatric, rehabilitation, and religious non-medical hospitals. In addition, hospitals explicitly identified by states/regions as those from which we should not expect reports were excluded from the percent reporting figure. The data presented represents raw data provided; we are working diligently with state liaisons to improve reporting consistency. Data is recent as of 18:09 EDT on 10/04/2020. Skilled Nursing Facilities: National Healthcare Safety Network (NHSN). Data report resident and staff cases independently. Quality checks are performed on data submitted to the NHSN. Data that fail these quality checks or appear inconsistent with surveillance protocols may be excluded from analyses. Data presented in this report are more recent than data publicly posted by CMS. Last week is 9/21-9/27, previous week is 9/14-9/20. County and Metro Area Color Categorizations • Red Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases at or above 101 per 100,000 population, and a lab test positivity result at or above 10.1%. • Orange Zone: Those CBSAs and counties that during the last week reported both new cases between 51–100 per 100,000 population, and a lab test positivity result between 8.0–10.0%, or one of those two conditions and one condition qualifying as being in the “Red Zone.” • Yellow Zone: Those CBSAs and counties that during the last week reported both new cases between 10–50 per 100,000 population, and a lab test positivity result between 5.0–7.9%, or one of those two conditions and one condition qualifying as being in the “Orange Zone” or “Red Zone.”