COVID-19: 4/10/2020 Update (Including Today’s Health Department Briefing

Distribution of Food Boxes for Laid Off Downtown Workers, Embassy Suites, Knoxville, April 2020
Distribution of Food Boxes for Laid Off Downtown Workers, Embassy Suites, Knoxville, April 2020

It is Good Friday, traditionally a day from which many people draw hope. We’ll likely forever remember this Easter and Passover season for reasons which are quite different from any we’d ever imagined. Still, both holidays remind us of hope, deliverance and a better day to come. Those are good thoughts to keep in mind as we move forward.

I’d like to say a special thank you to every one who helped organize this morning’s food distribution downtown. Cars lined up well before the official 9:00 a.m. starting time and food was being distributed. When last I checked in, an hour after it began, over 200 boxes and bags had been given out and there were fifty cars in line with people waiting for food. It was heart-warming that the work was being done and chilling to see in such stark relief the number of people who need food.

Worldwide Cases and Deaths Through April 8

International News:

As you can see from the included charts, the curve isn’t showing any leveling off. The chart includes data through yesterday (4/8) despite the fact that the most recent day labeled below the chart is April 1. The source is here and you can move your mouse over the chart to see what the totals were each day and that the more recent days are included.

The midday numbers show 1,624,047 cases and 97,298 deaths. This represents about a 5.5% 24 increase in cases and about a 8.1% increase in deaths. The increase in cases is slightly less than yesterday and the increase in deaths is slightly more. A singled day does not make a trend, but a higher figure for deaths is to be expected for a while in that deaths trail the cases.

The U.S. continues to lead the world in cases and is now second in total deaths. Spain, Italy, Germany and France continue to identify about 4,000 to 5,000 new cases a day, which reflects an ongoing concern, but a much better rate than previously seen in those countries. Sweden is getting continued scrutiny for its more laissez faire approach, though they are pushing back on the perception they are doing very little. It now has the eighth highest death rate in the world per capita (excluding countries with 650,000 and fewer citizens).

New Daily Cases in the U.S. Through April 9

National News:

As stated above, the U.S. continues to lead the world in total cases. New York alone has a greater number of cases than any other country in the world, outside our own. We are now second in total deaths behind Italy and we are likely to surpass their total today or tomorrow. For per capita numbers which may make for more fair comparisons, and excluding countries with a similar or smaller population to Knox County, the U.S. has the 8th highest per capita case rate, the 10th highest per capita death rate and 22nd highest rate of testing per capita in the world.

The current numbers indicate 475,237 recognized cases and 17,055 deaths. This reflects a 24 hour increase of about 9% in cases and a 14.7% overnight increase in deaths. The numbers are very close to those posted yesterday. Total new cases yesterday were 33,536 new cases and 1900 new deaths. As seen in the chart above, new cases seem to have hit a plateau. Deaths will take slightly longer to do so.

It’s important to keep in mind how New York’s numbers, because of their population, have and will continue to distort the national picture. The rate in a number of places around the country continues to rise, but because New York’s numbers will be dropping and they are much larger, the country’s numbers will be dropping.

The dynamic tension between opening the economy back up and keeping current social distancing measures in place continue to frame much of the national discourse. President Trump has made it clear he wants the economy open as soon as possible, while members of his medical team are pushing caution. He said in yesterday’s press conference that more widespread testing wouldn’t be a bad thing but implied it would not be a necessary piece to have in place for returning the country to work. Dr. Fauci had a conflicting view:

The keys are to make sure that we have in place the things that were not in place in January.” He said the government would need the capacity to use robust testing for “identification, isolation, contact tracing. There will be cases, we’ve got to be able to act on them in a very deliberate way that doesn’t allow us to get into the situation we find ourselves right now.
The same article and other sources are reporting that an anti-body test may be available within the next week which should show who has been exposed and has some immunity. This would give a more clear picture of the percentage of people nationwide who have had the virus. Some experts feel the number is significantly higher than the acknowledged number of cases due to people who have the illness, but remain asymptomatic. This is a great development.
The debate is also playing out nationally in terms of re-opening schools. Several states have announced schools will not re-open this year, but Governor DeSantis of Florida suggested he may re-open some schools in his state in May. He (incorrectly) stated that the virus, according to CNN, “This particular pandemic is one where, I don’t think nationwide there’s been a single fatality under 25. For whatever reason it just doesn’t seem to threaten, you know, kids,” DeSantis said at an educators’ meeting to discuss distance learning.
Alpesh Patel, Owner of Embassy Suites and Kana Group, Helps Organize Food Distribution, Knoxville, April 2020
State and Local News:
The latest total number of cases reported by the state of Tennessee is 4,634, with 94 deaths. Yesterday there were 272 new cases and 15 new deaths. These numbers reflect twenty-four hour increases of about 6.2% and 19% respectively. Both percentages of increase are worse than yesterday.
Locally, the most moving story I’ve heard was the effort led by Tracy Hicks, Embassy Suites, Sysco and others to provide food to displaced workers. The food was distributed to about 400 people in just two hours. Heartfelt thanks to those locally who are trying to help in these difficult times. This is who we are, Knoxville.
The local number of cases being reported for Knox County is 154, with four deaths, 115 recovered and 35 still-active cases. This is barely changed in the last twenty-four hours, with only two new cases reported. It’s encouraging and, if it holds, the next challenge would be to keep the numbers low and have people continue to practice social distancing as we try to emerge from this situation. Please do not be lulled to sleep and be tempted to cheat. Even small numbers of contacts multiplied around the county could set us back.
Knox County Health Department Briefing:
Charity Menefee led today’s conference. She acknowledged how difficult it will be for many not to gather this weekend with families and faith communities. She noted the numbers above and that one hospitalization and one death have been shown to be connected to another jurisdiction. She said the data on the Knox County Health Department website will be updated this afternoon to give additional information by ethnicity and case counts by zip code.
Regarding the surge beds locally, she said Memphis and Nashville are being prioritized due to their greater infection rate. Plans locally are underway, but are on hold until regional data can be further analyzed. Hospitals are preparing for any surge.
Previously, the health department, due to supply constraints, was able to test 15 to 20 persons per day and starting Monday, they will be able to test as more than 90 per day. Testing criteria has been loosened. Testing is still Monday through Friday and requires an appointment, which can be made by calling 215-5555. People with a primary care provider should contact them first.
Questions:
  • Seeing a slow rate of increase and are pleased, but it is steady and the curve has not turned. She says we can’t say we have seen the worst.
  • Regarding benchmarks to look for to open up the economy, she said it is a complicated and ongoing conversation.
  • With the Governor’s deadline for the current restrictions looming, she was asked would we look at extending ours if he lifted his. She said it depends on the data and it is unknown at this time what the governor may do with regard to the limitations.
  • Asked about the specifics of the new criteria for being tested, she said there are more details, but it includes looking at people who have more risk and people with fewer or different symptoms. She said more information would be forthcoming.
  • Asked who can get a test right now, she said it depends on providers.
  • She said they communicate to other departments in the region. She said social distancing seems to be helping across the region.
  • More outpatient providers now have tests and she said that is encouraging.
  • She said “recovered” means symptom-free for 72 hours.
  • She said information is coming out on immunities, but it is too early to draw conclusions.
  • Given national reports of racial disparities, she said no real surprises were noted when rates by ethnicity and zip codes were examined.

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