COVID-19: 8/13/2020 Update

Tennessee Daily Cases 8.13.2020 (Source: TN.gov)
Worldwide Daily Cases 8.13.2020 (Source: Worldometers.com)

“Is it the weekend, yet?” Urban Boy, age five, asks me this each morning as I stumble out to make coffee in the kitchen, where he’s been patiently waiting for his coffee bean. We’re working on days of the week. What he’s really asking is, “When are you going to stop working so we can play?” It’s a good reminder. However, wherever, and with whomever, we all need to play. Just play safely so we can end this nightmare and get back to the play to which were formerly accustomed.

International News:

Since the beginning of the pandemic, 20,873,031 people across the world have become ill with COVID-19 and 748,365 have died. Almost 13.8 million have recovered and a bit under 6.4 million remain ill. Yesterday, an additional 285,623 people were diagnosed and reported and 6,816 died worldwide.

Yesterday’s 285,623 additional cases is about 21,000 higher than the day before, but the better comparison is a week ago when the total was 271,685. The roughly 14,000 increase over the same day last week results in an increase of about 2,000 in the seven-day average since yesterday, with the daily average now reaching 261,433, a new high.

Worldwide Daily Deaths 8.13.2020 (Source: Worldometers.com)

The 6,813 additional deaths compares to 6,832 a week ago. The small difference doesn’t change the seven-day moving average which remains at 5,873. A week ago the average was about 80 lower, showing the glacial increases in daily deaths being reported. The current rate remains similar to that of late April. Countries reporting the most deaths yesterday remained the same: the U.S. (1,386), Brazil (1,164), India (950) and Mexico (926).

The top also remains the same for countries reporting the most cases. Four countries continue to report more than 10,000 cases: India (67,006 – a new high for the country), Brazil (58,081), the U.S. (54,345) and Colombia (12,066). 31 countries reported more than 1,000 new cases, the highest I recall. It topped the 30 reported one week ago today. Those 31 countries now include four European countries. Of those, France and Spain are reporting over 2,000 and 3,000 new cases, respecitively.

We tend to think of Europe as the hardest hit spot in the world, but it depends on how you measure “hardest hit.” Removing countries with less than 1,000,000 in population, the countries with the most cases per capita since the beginning of the pandemic are currently (in order): Qatar, Bahrain, Chile, Panama, Kuwait, the U.S., Oman, Peru, Brazil and Armenia.

Some of these countries don’t hit the headlines because their populations are relatively small, but the impact of cases has been worst there. The fact that four of the countries are in the Middle East might surprise some people.

Deaths per capita since the beginning of the pandemic paint a different picture and likely reveal why Europe remains seared into our minds. In general, countries (and the northeastern U.S.) suffered far higher death rates as we had much less information about the virus. The top ten for deaths per capita at this point (eliminating countries with fewer than 1 million people): Belgium, Peru, Spain, the U.K., Italy, Sweden, Chile, the U.S., Brazil and France.

U.S. Daily Cases 8.13.2020 (Source: Worldometers.com)

National News:

5,365,527 Americans have been diagnosed with COVID-19 and 169,225 have died. Just over 2.8 million have recovered and just under 2.4 million people remain ill. Yesterday, the U.S. reported an additional 54,345 cases and 1,386 deaths.

The 54,345 new cases, yesterday, compare to 55,148 a week ago. The seven-day average moves down, as a result, to 55,008 new cases per day. The average has remained close to 55,000 for the last six days, plateauing after decreasing for the previous three weeks.

U.S. Daily Deaths 8.13.2020 (Source: Worldometers.com)

Deaths continue to rise extremely slowly. Yesterday’s total of 1,386 deaths was slightly higher than the 1,319 reported a week earlier and the seven-day average has now reached 1,067. The total reported on Tuesday (1,504) was the largest daily number of deaths in the U.S. since May 27. States reporting the most deaths yesterday were Texas (225), Florida (212), California (160), Arizona (148), and Georgia (105).

Eleven states reported 1,000 or more new cases yesterday and four reported multiple thousands: California (9,090), Florida (8,109), Texas (6,305), and Georgia (3,565). Other southeastern states near the top include Tennessee (#6), Louisiana (#9), Mississippi (#11), Alabama (#12), South Carolina (#14), Virginia (#16) and Arkansas (#19).

States with smaller populations are never going to appear at the top of the lists for deaths or cases, so it is helpful to look at states with the most cases per capita and the most deaths per capita. While northeastern states, hit when we knew much less, continue to have the most deaths per capita, the lists are interesting and show some states have been hit hard while not making the news for eye-popping numbers.

Top states for per capita cases (in order): Louisiana, Arizona, Florida, Mississippi, New York, New Jersey, Alabama, Georgia, South Carolina, and Rhode Island. Top states in per capita deaths (in order): New Jersey, New York, Massachusetts, Connecticut, Rhode Island, Louisiana, Mississippi, Michigan, Illinois and Delaware. Tennessee, the sixteenth most populous state, ranks 12th in cases per capita and 34th in deaths per capita. It’s interesting to note that Texas and California, near the top each day recently in both categories for totals, are found on neither list.

In other national news, jobless claims fell as negotiations on a new stimulus bill have stalled. Mortality rates may suggest that more people have died of COVID-19 than reported, with the anticipated U.S. mortality rate having been exceeded by over 200,000 deaths since March. The excess deaths have shown up in the parts of the country as each has experienced a higher level of outbreak. Here’s information on the mask study done by Duke University, and referenced in a comment recently (thanks, J.L.). Spoiler: Masks work, but bandanas and Gaiters are the least effective.

Tennessee Daily Cases 8.13.2020 (Source: TN.gov)

State and Local News:

A total of 126,393 Tennesseans have been diagnosed with COVID-19 since the beginning of the pandemic and 1,289 have reportedly died of the illness. Yesterday, an additional 1,478 cases were reported along with 18 additional deaths. 1,977 people were reported to have recovered, bringing than number to 87,290. 37,814 Tennesseans remain ill, a level we have roughly maintained for a while. Last week on the same day we had 37,404 active cases and two weeks ago we had 38,285.

90 people were hospitalized yesterday and the total currently hospitalized dropped to 1,067 confirmed cases and 245 pending cases. The number of COVID-19 positive ICU patients and ventilated patients has declined over the last two weeks and currently sits at 367 and 171, respectively. The 18 additional deaths yesterday leave the seven-day average of deaths at over 20.

Tennessee Daily Testing and Positive Test Result Rate 8.13.2020 (Source: Johns Hopkins University)

As stated previously, with the positive rate of tests remaining remarkably stable, and currently sitting at 8.3%, the increase in cases yesterday over the day before necessarily means more tests were reported. From one day to the next, testing went from about 12.9 K to 18.9 K and the result was cases rose from 1,001 yesterday to 1,478 today. If we’d tested 25,000, as we have numerous recent days, the case number would have been about 2,075.

Locally, the Knox County Health Department confirmed 99 new cases of COVID-19, bringing that total to 5,035. 2,987 people have recovered and 2,175 people remain ill. 30 Knox County residents are currently hospitalized and an additional death was reported. There are currently 174 probable cases.

Of those who have died, the age breakdown is as follows: Age 18 – 44 (5 deaths), Age 45 – 64 (14 deaths), Age 65 – 74 (6 deaths) and Age 75+ (22 deaths). Sixteen of the deaths have been females, and thirty-one have been males. Race of those who died included 10 black, 30 white, 2 other and 5 unknown. Of note from last night’s meeting, a presentation of mortality rates included the following information:

  • Our case mortality rate is .88, or jut below 1% deaths for cases with an outcome.
  • Tennessee’s rate is right around 1%
  • The U.S. rate is 3%.
  • For people over 75, the rate is over 10%.
  • COVID-19 currently ranks fourth as the leading cause of death for the year nationally and will likely finish third
  • Best numbers available indicate it is likely about 7th in Knox County, so far, for the year.

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