Cases | coronavirus https://coronavirus.utah.gov/ Keeping Utah Informed on the Latest Coronavirus Updates Wed, 16 Nov 2022 00:18:08 +0000 en-US hourly 1 https://coronavirus.utah.gov/wp-content/uploads/cropped-favicon-8-32x32.png Cases | coronavirus https://coronavirus.utah.gov/ 32 32 Respiratory illness is increasing in Utah https://coronavirus.utah.gov/respiratory-illness-is-increasing-in-utah/ Wed, 16 Nov 2022 00:04:37 +0000 https://coronavirus.utah.gov/?p=13342 Hospitals across the country are experiencing an increase in very sick patients from respiratory illnesses like flu and RSV. The highest hospitalization rates are in children and older adults. In the past two weeks, Utah’s Intermountain Primary Children’s Hospital has seen a rapid increase in the number of children who require hospitalization with RSV, which has filled all pediatric beds across the state.

The flu vaccine protects people from serious illness and hospitalization. It’s especially important for people who are most vulnerable to serious illness from the flu.

While flu numbers are still low in Utah, an increase is being seen in many other parts of the country and is expected to arrive in Utah in coming weeks. The Centers for Disease Control and Prevention (CDC) has already reported two pediatric flu deaths in the 2022-23 season. And if an anticipated COVID-19 surge folllows, resulting in a so-called tripledemic, hospitals could be overwhelmed this winter. Vaccination against both flu and COVID-19 can help Utah avert this crisis.

Janelle Delgadillo, an epidemiologist with the Utah Department of Health and Human Services (DHHS) says, “Flu severity in Utah is low right now, but we have seen a growing trend in residents who seek treatment for flu and flu-like illness. There is not vaccine for RSV, but there are vaccines for flu and COVID-19. Getting a flu vaccine and being up-to-date with your COVID-19 vaccines are the best way to reduce your risk of illness.”

While some people who get a flu or COVID-19 vaccine may still get sick, vaccination can make their illness less severe. Being up-to-date on your immunizations not only protects you but may also help protect those around you who are at higher risk for becoming seriously ill with respiratory illness such as babies, young children, older adults, people who are pregnant, and those who have chronic health conditions.


Stay up-to-date on immunizations

Available flu vaccines have been updated this season to help protect against 4 different flu viruses expected to circulate in Utah and the rest of the U.S. Flu vaccines are widely available and many times are provided at no cost to you. To find a flu provider near you, search your ZIP code at https://www.vaccines.gov/find-vaccines/, To see what’s happening with flu in Utah, visit https://epi.health.utah.gov/influenza-reports/. Numbers are updated weekly, generally on Wednesday.

The new bivalent COVID-19 vaccine contains 2 components to provide better protection against COVID-19 caused by the omicron variant. To find a COVID-19 vaccine in Utah, visit https://coronavirus.utah.gov/vaccine-distribution/.


Protect young children from RSV

While there is no vaccine available for RSV at this time, parents and those who care for young children should take extra precautions, such as:

  • Avoid close contact with sick people.
  • Cover your coughs and sneezes and use masks if appropriate.
  • Wash their hands (and yours) often with soap and water for at least 20 seconds.
  • Clean and disinfect surfaces.
  • Avoid touching their face (and yours) with unwashed hands.
  • Limit the time they spend in childcare centers or other potentially contagious settings when RSV activity is high.
  • Stay home when you’re sick.

Call your healthcare provider if your child has trouble breathing, isn’t drinking enough fluids, or symptoms are getting worse.

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Vaccine Real Talk: Can Fully Vaccinated People Get COVID-19? https://coronavirus.utah.gov/vaccine-real-talk-can-fully-vaccinated-people-get-covid-19/ Thu, 10 Jun 2021 15:00:32 +0000 https://coronavirus.utah.gov/?p=9231

Two weeks ago, the New York Yankees made the news when several fully vaccinated people in their organization tested positive for COVID-19. Here in Utah, we’ve also had a small number of confirmed cases of fully vaccinated people testing positive for COVID-19.
 
A small number of people who are vaccinated will still test positive for COVID-19. These are called “breakthrough cases.” This is to be expected. No vaccine is 100% effective but it’s important to keep in mind that the vast majority of “breakthrough cases” don’t have any symptoms of COVID-19 or very mild symptoms. This means the vaccines are still a success and are doing their job at keeping people from getting seriously ill. The polio vaccine is another example of a vaccine that doesn’t completely stop the polio virus from growing in our bodies but is extremely effective at preventing the disease.

As of late March 2021, which is approximately the time vaccinations were opened to 16 and older. There have been 22,767 total COVID-19 cases identified in Utah 99.6% or 22,208 of them, have been unvaccinated people.

CDC is working with state and local health departments to investigate COVID-19 vaccine breakthrough cases. They’ll watch for patterns, trends, underlying health conditions, and more to better understand breakthrough cases.


If I can get COVID-19 anyway, why get the vaccine?

The COVID-19 vaccine is extraordinarily effective at preventing serious illness in people who get sick with COVID-19. From the Yankees example above, all but one of the people were asymptomatic, which means they didn’t have any symptoms, and the other person was only mildly ill. A growing body of evidence suggests that people who are fully vaccinated are less likely to have asymptomatic infection or transmit COVID-19 to others.

Looking back to January 1, about the time when we started opening vaccinations to broader segments of the public:

  • There have been 126,697 total COVID-19 cases identified in Utah. 99.3% (n=125,865) of them have been unvaccinated people.
  • There have been 5,349 people hospitalized. 98.3% (n=5,256) of them were unvaccinated.
  • And there have been 758 deaths. 99.6% (n=755) of them were unvaccinated.

What can be done to prevent breakthrough cases?

The most important thing you can do is get BOTH doses of your vaccine (for Pfizer and Moderna) and take precautions, like wearing a mask around other people, until you’re fully vaccinated. Fully vaccinated means it’s been 2 weeks since your final dose. For Pfizer and Moderna, that’s 2 weeks after your 2nd dose. For Johnson & Johnson, it’s 2 weeks after your first and only dose.

It’s possible for a person to get sick with COVID-19 if they’re infected just before or just after being vaccinated because their body hasn’t had time to build full protection from the virus yet. With variants still spreading across the globe, it’s more important than ever to get vaccinated. Research shows the vaccines are effective against the variants identified so far.


Get the facts from your Doctor

We’ve been on the road throughout the state asking your local family doctors, pediatricians, nurses, pharmacists, and even some of your neighbors about the COVID-19 vaccine. We’ve created a series of brief videos of their advice and their answers to common questions. None of their answers are scripted; these are genuine, honest conversations. Hear for yourself what they have to say, or share with a friend or family member who has similar questions.


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One Year Ago: Looking Back at the Impact of the COVID-19 Pandemic https://coronavirus.utah.gov/one-year-ago-looking-back-at-the-impact-of-the-covid-19-pandemic/ Thu, 11 Mar 2021 19:02:16 +0000 https://coronavirus.utah.gov/?p=8134 Text from this post is taken from a media statement by CDC Director Rochelle P. Walensky, MD, MPH. This statement was made in observance of marking one-year since the official declaration of the global COVID-19 pandemic.

One year ago today, the World Health Organization declared COVID-19 a global pandemic. The toll of this disease and the continued loss of life around the world and in our nation is heartbreaking. To so many of you who have felt the pain and loss of a loved one during this pandemic – you have suffered the ultimate loss, and we grieve with you.

After a year of this fight, we are tired, we are lonely, we are impatient. There have been too many missed family gatherings, too many lost milestones and opportunities, too many sacrifices. And still, through it all, there is determination; there are stories of giving and hope, of stamina and perseverance.  We are better together, and together, we will endure.

The vaccination of millions every day gives me hope. Hope that we can beat this pandemic. And hope that we can get back to being with our family, friends, and community. And soon.

Earlier this week, CDC released our first evidence-based guidance for fully vaccinated people. These new recommendations are a first step in our process of returning to everyday activities – safely spending time with family and friends, hugging our grandparents and grandchildren, and celebrating birthdays and holidays.

While we accumulate more evidence to support the safe return to everyday activities, please continue taking precautions in public and when around people who are at high risk for severe COVID-19 disease. Whether you are already vaccinated or not yet vaccinated, wear a well-fitted mask, practice physical distancing, wash your hands often, avoid medium and large gatherings, and avoid travel. We know these measures work to prevent the spread of this virus and help protect each other. 

This pandemic will end. And, our public health work will continue. Through the near-blinding spotlight of this crisis, we now clearly see what we should have addressed before– the long-standing inequities that prevent us from achieving optimal health for all. We see the impact of years of neglect of our public health infrastructure. We see the critical need for data that move faster than disease, to prevent rather than react. To move past this pandemic, we must resolutely face these challenges head on and fully embrace the innovations, the new partnerships, and the resilience of our communities that have emerged from this crisis. It is the only way we can turn tragedy and sorrow into lasting progress and improved health for all.

In one year, we have lost over 520,000 Americans to COVID-19. These are grandparents, parents, and children. They are siblings, friends, and neighbors. They are our loved ones and our community. We join together to grieve these losses and intensify our efforts so they were not in vain. I thank you for your perseverance and for your unity of mission. Together, our strength and hope will guide us to the end of this pandemic.


Utah COVID-19 Response

In Utah, the COVID-19 response began early. By mid-March, Governor Herbert had already created the COVID-19 Community Task Force to monitor the situation. That task force was led by then Lieutenant Governor Spencer Cox and included members from the Utah Department of Health, Utah Department of Public Safety, Utah Division of Emergency Management and others. Governor Herbert declared a state of emergency on March 6, 2020.

As part of that initial response, the state launched coronavirus-stage.at.utah.gov. Since March 2020, there have been over 49,000,000 hits to our website, amounting to approximately 9,000,000 unique visitors. The most visited page on the site is our case counts dashboard. The case counts dashboard represents the UDOH’s commitment to be transparent about the COVID-19 situation in Utah. The dashboard has grown over the past year to include demographic information, outbreak information and vaccine information.

Utah COVID-19 Response Storymap

A storymap outlining Utah’s COVID-19 response has been created. You can explore it here.


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Gov. Gary Herbert declares state of emergency for hospital overcrowding, case surge https://coronavirus.utah.gov/gov-gary-herbert-declares-state-of-emergency-for-hospital-overcrowding-case-surge/ Mon, 09 Nov 2020 04:30:10 +0000 https://coronavirus.utah.gov/?p=5473 Governor and Utah Department of Health Issue Statewide Mask Mandate, Pause Extracurricular Activities, Ask Utahns to Limit Gatherings to Household Only

Following weeks of continued stress on Utah’s hospital networks due to a rise in cases of COVID-19, Gov. Gary R. Herbert has declared a new State of Emergency to address hospital overcrowding. 

The situation is dire and unsustainable. We must take action now to protect our hospitals and healthcare workers and to avoid further devastation on our families, communities, and businesses. 

Along with the State of Emergency, the governor and Utah Department of Health have issued concurrent executive and public health orders to curb the surge of cases in Utah.


View the press releaseView our explanation pageView the public health order


The orders are effective Monday, Nov. 9 and will remain in effect until Nov. 23, 2020

1. The entire state is now under a mask mandate.

statewide mask mandate is now in effect indoors and outdoors anytime you are within 6 feet of someone from another household.
  • You must wear a face mask indoors and outdoors anytime you are within 6 feet of anyone from another household. This means you must wear a face mask anytime you are around people you don’t live with.
  • Customers, patrons and employees of businesses must wear a face mask.

Even after the orders issued today expire, the mask mandate will be extended for the foreseeable future.


2. Casual social gatherings are only allowed with people you live with until November 23, 2020. 

Keep gatherings to your same household only

This does not apply to work, school or religious services, where masking and physical distancing are already enforced.

You should cancel plans with extended family and friends for the next two weeks. Telework if you can.

Businesses and restaurants are not shut down because of this, but if you go out to eat, it should only be with people from your home.

  • Businesses must post signage that lists COVID-19 symptoms and face mask and physical distancing requirements.
  • Event hosts must require masks of all participants.
  • Restaurants will require at least 6 feet of distance between household groups or seating parties. 
  • Bars must stop serving alcohol at 10 p.m. 

3. All school extracurricular activities, sports and clubs are on hold for the duration of the orders. 

Youth and high school sports and activities are temporarily on hold
  • No organized or school-sponsored extracurricular activities, including sports and intramural events. Currently scheduled high school football games are allowed to continue with increased restrictions.
  • No private, recreation, or club sports and athletic events.
  • After November 23, 2020, it is anticipated weekly testing of participants in high school sports will be implemented.
  • Intercollegiate sporting events are allowed due to already enforced health requirements.

4. College students, who either live on campus or attend at least one in-person class per week, are required to be tested for COVID-19 weekly. 

Weekly testing on college campuses will begin soon.
  • K-12 schools are open for in-person learning.
  • College and university students who live on campus or attend an in-person class will be tested for COVID-19 each week.
  • Testing is encouraged to begin as soon as possible, but must be implemented by the beginning of spring semester.

“This is a sacrifice for all of us. But if we make it, it will make all the difference for our overworked healthcare workers, who desperately need our help.”

Utah Gov. Gary Herbert


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Straining the System: What Does it mean to have Utah hospitals at capacity? https://coronavirus.utah.gov/straining-the-system-what-does-it-mean-to-have-utah-hospitals-at-capacity/ Sat, 07 Nov 2020 00:17:18 +0000 https://coronavirus.utah.gov/?p=5462 Governor Herbert and Utah’s hospital leaders have been telling Utahns for several weeks that sharply increasing COVID-19 cases could strain Utah’s hospitals beyond their capacity. This chart demonstrates that COVID cases have increased fivefold in only two months between Sept 5th and Nov. 5th.

The next figure shows COVID-19 hospitalizations have increased four times (400%) in the same period—the last 8 weeks.

Chart, histogram

Description automatically generated
https://coronavirus.utah.gov/case-counts/

The following chart shows the total number of COVID-19 cases hospitalized throughout the pandemic. About five percent (5%) of Utah’s COVID cases need hospitalization: the more cases, the more demand on hospitals.

During the July surge, the highest number of COVID-19 hospitalizations was 296. As of Nov. 5th, there were 402 hospitalizations.

The following chart depicts total ICU use for all causes. Throughout the summer, ICU beds were about 70% full. However, beginning in October, 85% of ICU beds have been full. Hospitals ICU units are functionally full when they reach 85%.

Chart

Description automatically generated

The bottom blue line on the graph above shows the percentage of COVID-19 cases in our ICUs, which increased from the July peak surge of 22% to 32% in early November.

Please remember that before the COVID-19 pandemic, Utah’s hospital ICU units were typically from 60% to 70% occupied by patients with heart attacks, strokes, traumatic injuries and other conditions requiring round-the-clock care from skilled nurses, doctors and technologists. Currently, COVID cases have added another 32% of cases.

Utah’s ICU hospital beds are nearly full.


Utahns frequently ask, “Why are hospitals overwhelmed with COVID patients when I know of hospitals that have only a few COVID patients or none at all, and when you’ve been reporting that statewide ICU utilization is only 70-80%? Doesn’t that mean they have some space left?” 

Not all ICU beds are equal.

For many months, community hospitals—including those in rural areas— have been referring COVID patients to higher tier hospitals with expertise, experience and equipment to care for these patients, called “referral hospitals.” While Utah hospitals have about 535 ICU beds, referral hospitals have only 453 ICU beds. 

Under normal circumstances regular hospitals take care of most of their own cases, but “refer” complex or more severe cases to the higher tier “referral hospitals.” But in this current major spike in cases, referral hospitals are nearly full. The University of Utah Hospital and Intermountain Medical Center have handled the majority of Utah’s severe COVID cases. Both have been full or nearly full for the last few weeks as have McKay-Dee in Ogden and St. George Hospital in Washington County. The last chart above shows that all referral hospital beds are about 85% full.

Load Leveling Among Hospitals.

The State and the Utah Hospital Association have stood up a virtual transfer command center, which keeps track of ICU and hospital census. Beginning in November, as some hospital ICU units have reached capacity, the command center was called upon to arrange transfers to other hospitals with remaining capacity.

“Beds don’t treat people; people treat people.”

Critical care doctors, nurses and highly-skilled technicians like pulmonary techs have been working nearly round the clock since the pandemic hit Utah last March. They are exhausted and overwhelmed. And as this article explains, we just don’t have enough of them: “Health systems can build more ICU beds and buy more ventilators, but the ICU workforce is less easily expandable. For decades leading up to COVID-19, we have known that a mismatch exists in the U.S. between the need for ICU beds and the number of qualified ICU practitioners. COVID-19 has simply widened this gap.”

At the same time, the constant, intense demand on these professionals, infections and quarantines of front-line healthcare workers, as well as the general life challenges all of us face during this difficult pandemic, have dramatically reduced the available nursing staff as the pandemic drags on. Thus, as we reach maximum hospital ICU capacity, hospitals are making do: 1) doctors and nurses are caring for more patients and work more shifts, increasing the burden on them, and/or 2) the hospital may have to use doctors and nurses that aren’t trained or as experienced in critical care. Hospitals have expanded capacity by building additional temporary ICU beds. Staff have had to work many extra shifts. They’ve brought in other doctors and nurses to supplement regular staff. The state has leased skilled nursing facilities for COVID patient overflow.

In the early spikes in Italy, New York, and elsewhere, there were only a handful of those severe hotspots, so they were able to build field hospitals and bring in doctors and nurses from other areas. Unfortunately, the current surge is a national one, so there aren’t doctors and nurses available to come help. Arizona, Nevada, Idaho, and Colorado can’t send nurses and doctors to help Utah because they’re dealing with their own serious spikes.

In the coming days, rural hospitals may no longer be able to refer serious patients (COVID or otherwise) to referral hospitals but will have to do the best they can to care for them. And even at referral hospitals, patients will increasingly be cared for by doctors and nurses who are acting outside their specialty and/or are caring for more patients than is ideal. 

When hospitals get overwhelmed: Crisis Standards of Care.

When hospital resources are maxed out, doctors must make tough choices about who gets scarce attention, drugs and supplies. Years ago, the State of Utah with the Utah Hospital Association drafted Crisis Standards of Care, which guides doctors in deciding who gets care and who doesn’t, based on who is most likely to survive. The Standards have been updated to reflect the unique issues of the pandemic.

Although no one wants to make such choices, our escalating case counts put us on a trajectory that might require it.

Universal Masking Can Avert Disaster.

This dire result can be avoided or lessened dramatically if Utahns wear masks, socially distance whenever they around others, avoid social gatherings, and take other hygienic measures. Otherwise, Utah could replay the tragedies we saw in Italy, New York and other areas last spring when hospitals were completely inundated with COVID-19 patients.

Do Hospitals Make More Money on COVID Patients?

Some have alleged hospitals make more money treating COVID patients, which incentivizes them to take more COVID patients or to diagnose patients with two or more conditions including COVID as a primary COVID diagnosis. Hospitals and doctors will be reimbursed for treating COVID cases by health insurance companies, Medicare and Medicaid based on established rates of payment. There is no upcharge or financial gain for treating a COVID patient or classifying a patient with a primary COVID diagnosis. Hospitals are urging people to avoid contracting COVID so they don’t need hospital care. Hospitals want fewer not more COVID cases.

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Gov. Herbert Statement on Friday COVID-19 Case Count https://coronavirus.utah.gov/gov-herbert-statement-on-friday-covid-19-case-count/ Sat, 07 Nov 2020 00:04:49 +0000 https://coronavirus.utah.gov/?p=5460 SALT LAKE CITY (Nov. 6, 2020) – Today the Utah Department of Health reported 2,987 cases of COVID-19 and 17 new deaths. Gov. Gary R. Herbert released the following statement: 

“The numbers being reported today are exactly what we’ve been warning Utah residents about for weeks. They are why we’ve implored Utahns to adopt the behaviors that could have prevented us from reaching this point.

COVID-19 is spreading rampantly and uncontrolled in our communities. Getting ahead of this trend will become more and more difficult with every passing day. In the coming days I will be announcing additional policies designed to address this ongoing surge.” 

Case counts can be reviewed here.

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Utah will deploy a single Wireless Emergency Alert statewide due to rising case counts https://coronavirus.utah.gov/utah-will-deploy-a-single-wireless-emergency-alert-statewide-due-to-rising-case-counts/ Fri, 30 Oct 2020 19:52:45 +0000 https://coronavirus.utah.gov/?p=5365 Utah reported record case counts for COVID-19 today.

Despite the ongoing pandemic, there are a number of people who are not aware of the dire situation we find ourselves in.

Today, we will issue a single Wireless Emergency Alert statewide as a brief interruption to make sure nearly everyone is aware of the serious nature of the pandemic.

The alert will feature the following text:

State of Utah: COVID-19 is spreading rapidly. Record cases. Almost every county is a high transmission area. Hospitals are nearly overwhelmed. By public health order, masks are required in high transmission areas. Social gatherings are limited to 10 or fewer. Visit coronavirus-stage.at.utah.gov/utah-health-guidance-levels to see your county’s information. Be careful!

FAQs and known concerns

What areas are going to be alerted?
This alert will be sent statewide.

Who will receive the alert?
The alert is intended to go to everyone within the state of Utah who has a WEA-capable mobile phone. Because the technology for sending the alert is not perfect and not all phones have the same alerting protocols built in, some people may not receive the alert directly.

How long will the alert be active?
The alert will become active at 2 p.m. on Friday, October 30, 2020, and will remain active for 15 minutes. This should mitigate the repeat alert problem we’ve seen with alerts deployed for long durations.

What do I do if I receive the alert?
Please visit the website link in the alert to become familiar with the different transmission levels in the state. Our goal is to slow the spread of COVID-19 so we don’t overwhelm our healthcare system.

If you’d like to participate in our survey to measure the effectiveness and reach of the alert, please take our survey here: https://forms.gle/Xy3r46sCpKBge2wv9

What if I didn’t receive the alert on my phone?
There are a number of reasons this can happen and they are outside of the State’s control.

  • You may have opted out of receiving government alerts.
  • Your phone may not be capable of receiving the alerts or the full message. Verizon has a list of WEA-capable phones here and the level of WEA capability they have. Most carriers have the same list of phones
  • Your carrier may not have sent the alert appropriately.
  • You may have been out of range of a cell phone tower that was broadcasting the alert.
  • Your nearest cell phone tower may not have correctly transmitted the alert.
  • You may have been using a significant amount of data or been on a phone call at the time and the alert did not interrupt that data stream.
  • Your phone may have been off.
  • Help us provide feedback to the FCC by taking our survey here: https://forms.gle/Xy3r46sCpKBge2wv9

How accurate is the targeting of these messages?
Because the technology is not perfect, sometimes people who are miles away from an intended area may receive the alert. Sometimes people may not receive an alert. We tend to have a problem in Utah with Verizon phones not receiving these alerts. Help us provide feedback to the FCC by taking our survey here: https://forms.gle/Xy3r46sCpKBge2wv9

What will the alert sound like?
Phones that are WEA-capable will make unique tones and vibrations that may be similar to the Emergency Alert System tests seen on TV. If your phone is on silent, you will not hear the tones.

What good is it going to do?
Remember, coronavirus disease (COVID-19) is deadly for some. It causes severe symptoms in others. The number of people who are being hospitalized is unsustainable. If we can just get this message in everyone’s hands, we believe more people will take action to slow the spread of COVID-19.

Though many people have experienced mild cases of the disease, we need to err on the side of caution and protect those around us who may be more vulnerable by wearing a mask, limiting our social gatherings and getting tested when we have symptoms.

You can learn more about keeping yourself and others safe at coronavirus-stage.at.utah.gov and by following UtahCoronavirus on Twitter and Facebook.

What data do you have about me?
The State of Utah receives no data about the cell phone owners who receive this message. WEAs are sent using cell broadcast technology, which pushes information to cell phone towers, delivers the information to cell phones in range and does not report back how many users receive the message.

You remain anonymous to us.

What if I have questions?
For health-related questions about coronavirus, contact the Coronavirus Information Line at 1-800-456-7707.
For emotional relief and support, please call 1-833-442-2211.
Please also visit coronavirus-stage.at.utah.gov.
To provide feedback on the quality of the alert, please fill out our survey here. https://forms.gle/Xy3r46sCpKBge2wv9


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State Leaders Publish Unified Response Scoreboard https://coronavirus.utah.gov/state-leaders-publish-unified-response-scoreboard/ Thu, 10 Sep 2020 17:55:05 +0000 https://coronavirus.utah.gov/?p=4767 When the state started its unified response to the COVID-19 pandemic back in March 2020, leaders worked furiously to look at ways to support the public health experts, while minimizing impacts to Utah’s economy.

Our public health response to this COVID-19 pandemic has been stronger than any similar disease response in generations. If you study the pandemic from 1918, you’ll see that we are taking many of the same measures. We have encouraged mask wearing and social distancing. We have limited the way people gather. 

Today, state leaders rolled out a new data dashboard, one that visualizes how the state will measure its progress toward strong public health and a strong economy.

The Unified Response Scoreboard champions two major goals. On the public health side, we are aiming for a case-fatality ratio of less than 1%.

We’re also actively monitoring the 7-day rolling average number of cases per day, as well as ICU utilization, and metrics regarding long term care facilities and outbreak containment efforts. 

For economic recovery, we are striving to maintain or even lower the unemployment rate of 4.5% between now and the end of this calendar year. These goals are supplemented with tracking job placements. We want to increase job placements resulting in 50,000 or fewer filing weekly unemployment weekly claims by end of the year.

These metrics will be even more important to track as we move into fall and winter because a new school year, flu season and winter colds. Working the whole community, the state has created an enhanced accountability framework and new tools to drive results. 

This framework is completely transparent so the public not only has full information, but so the public can be part of the solution.

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Glad you asked: How does Utah count COVID-19 deaths? https://coronavirus.utah.gov/glad-you-asked-how-does-utah-count-covid-19-deaths/ Tue, 01 Sep 2020 23:29:39 +0000 https://coronavirus.utah.gov/?p=4606

Definitions, explained in the context of COVID-19:

Comorbidity: A health condition that exists at the same time as another condition.

Pre-existing condition: A health condition or risk factor that existed before a person became sick.

Comorbidities can be caused by COVID-19 OR comorbidities can be pre-existing conditions and contribute to complications of COVID-19.

Example 1: A healthy person contracts COVID-19, which leads to pneumonia, which leads to respiratory failure, which leads to sepsis, which leads to death. Pneumonia, respiratory failure and sepsis are all comorbidities with COVID-19.

Example 2: A person who already has diabetes and hypertension contracts COVID-19. These risk factors make the person more susceptible to the effects of COVID-19, and the person dies. Diabetes and hypertension are comorbidities with COVID-19.


Background

The question of how public health officials count deaths related to COVID-19 has resurfaced this past weekend after the CDC updated death information on its website and some misunderstood what the information meant.

The CDC publishes a page titled Weekly Updates. Under the “Comorbidities” headline, some took issue with this line (emphasis is ours):

For 6% of the deaths, COVID-19 was the only cause mentioned. For deaths with conditions or causes in addition to COVID-19, on average, there were 2.6 additional conditions or causes per death.

CDC

What is really just a description of the completeness of a small percentage of death certificates nationwide spiraled into a conspiracy theory about how many people have died because of COVID-19. Unfortunately, some have taken that sentence to mean that “only 6% of deaths were caused by COVID-19.”

The fact is…

… that 6% of the COVID-19 death certificates nationwide mention only COVID-19 as the cause of death, without describing a succession of causes. Most other death certificates might look like the following example and will include comorbidities, or coexisting conditions. In the example below, the comorbid conditions came after and because of COVID-19. Many other certificates also include comorbid pre-existing conditions that caused complications and worsened the person’s outcome.

Example death report. Screen shot from the Salt Lake Tribune “Trib Talk” referenced below.

Ideally, all death certificates will indicate a clear chain of factors in the cause of death, like the example above. We know that people don’t die from a virus itself. It’s the disease the virus causes and the resulting conditions — pneumonia, hypoxia, organ failure — that lead to death. On the certificate above, it’s clearly stated. You can read more about the effects of COVID-19 on the human body in our blog post here.

The 6% of certificates that listed only COVID-19 simply did not provide the explanatory pathway of conditions. The CDC doesn’t tell us why. But they report that “lack of specificity” is among the common problems with death certificates and that “the level of completeness varies.” We know there are many overworked medical professionals. The CDC gives detailed instructions for reporting that can be found here.

The main thing to remember is that all COVID-19 death certificates list COVID-19 as at least a contributing cause of death. And the vast majority — 94%, according to the CDC’s technical notes — list it as THE underlying cause of death, meaning the condition “which initiated the train of morbid events leading directly to death.”

How COVID-19 deaths are certified in Utah

Early on in the pandemic, Utah Department of Health began publicly reporting deaths caused by COVID-19, which means that COVID-19 was the underlying condition that led to a person’s death.

In other words, the person would still be alive if it weren’t for contracting COVID-19.

Most of the COVID-19 deaths in Utah are certified by a person’s attending medical doctor, and we know that most Utah deaths have happened in a hospital setting or long-term care facility.

Because the State of Utah wants to certify effect of COVID-19 in our community, the Office of the State Medical Examiner, headed by Dr. Erik Christensen, has undertaken a review of every Utah death that is thought to be COVID-19 related to ensure what role COVID-19 played in death. This extra review gives us confidence that the number of deaths we have reported, 409 as of Sept. 1, 2020, is accurate.

We go in-depth on this topic on our COVID-19 Deaths in Utah page.


Please watch the following discussion between Nate Carlisle, a reporter from the Salt Lake Tribune, State Medical Examiner Dr. Erik Christensen, and Dr. Marion Bishop, an emergency room doctor in Utah and Wyoming. This was part of a “Trib Talk” chat uploaded August 3, 2020. This clip starts at 3:23:

The bottom line is that Utah is taking extra care, using our state experts, to present accurate data to the public.


What’s next?

You can review the latest case count information on the website so you can help track our state’s progress as we work to improve the situation for all Utahns.

Please remember to stay home if you’re sick, to wear a mask if you are around others and to wash your hands.

By working together, we can slow the spread of COVID-19 for the greater good.

One day, we won’t have to by physically distant. How soon we get there depends on each of us.

Videos en español


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Updates to Case Counts Dashboard https://coronavirus.utah.gov/updates-to-case-counts-dashboard/ Thu, 16 Jul 2020 18:06:47 +0000 https://coronavirus.utah.gov/?p=3879 (July, 16, 2020) – The Utah Department of Health (UDOH) has made updates to the case counts dashboard. The following video explains those changes.

Dr. Angela Dunn explains changes to the Utah Coronavirus Case Counts Dashboard
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