COVID-19 COCONINO COUNTY WEEKLY UPDATE - COCONINO COUNTY October 15, 2021

 
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COVID-19 COCONINO COUNTY WEEKLY UPDATE - COCONINO COUNTY October 15, 2021
COVID-19
  COCONINO
COUNTY WEEKLY
   UPDATE
 Morbidity and Mortality Weekly Report (MMWR)
       Week 40 (10/03/2021- 10/09/2021)

       COCONINO COUNTY
        October 15, 2021

                                                1
Situation Summary
                   MMWR Week 40 (10/03/2021-10/09/2021)

A total of 21,918 positive COVID-19 cases have been reported among Coconino
            County residents from March 15, 2020 – October 9, 2021.
               Deaths: 337 (1.5% of cases)                        Probable Deaths: 5
               Recovered Cases: 20,054                            (91% of cases)
               Hospitalizations: 1,596                            (7.3% of cases)

               Total Fully Vaccinated: 72,350                     (59.2% of the eligible population)

Cases Reported Week 40 (October 3, 2021 - October 9, 2021):

           353                         74%                              249.5                         6.8%
         Positive                    Not Fully                         Rate per                     Positivity
          Cases                     Vaccinated                         100,000                        Yield

                                        Community Transmission
•     Coconino County has a current incidence rate of 249.5 per 100,000, percent
      positivity of 6.8%, and COVID-19-Like-Illness incidence (CLI) of 6.4%*.
•     Coconino County is currently at a High ** level of community transmission.
             Indicator                    Low               Moderate              Substantial                High
                                      Transmission        Transmission           Transmission            Transmission
    Total new cases per                     0-9                10-49                 50-99                    ≥100
    100,000 persons in the last
    7 days
    Percentage of PCR tests
COVID-19 Situation Summary*
 Cumulative Counts (March 15, 2020 – October 9, 2021):

                  21,918                     326,212                  108,383                   11.2%
                  Positive                    Total                    People                  Positivity
                   Cases                      Tests                    Tested                    Yield

       15,491.0 cases per 100,000 Coconino County Residents
                                vs.
           15,644.8 cases per 100,000 Arizona Residents

          Weekly Case Counts Among Coconino County Residents:
       2020 Cases
       2021 Cases
       Current Rate per 100,000
                                                                                          405
                                                                                383                     388
                                                          376
                                                                                                                      353
                                                                  335
                       323
                                    313
       293
                                              281                             312
                                                                                              286.2
                                                      265.7                     270.7                       274.2
                                                                                        284                           249.5
                       228.3        221.2                             236.8
          207.1
                                             198.6                                                              209
                                                                180
                                                                                                      162

    119

                                                     86
                  69           80
                                            61

     8/7          8/14         8/21         8/28     9/4        9/11          9/18      9/25          10/2          10/9

*Cases reported from 3/15/20-10/9/21                                                                                        3
COVID-19 Situation Summary*
Please visit Vaccine Administration at azdhs.gov for additional Coconino County vaccine data.
COVID-19 Vaccinations Among Coconino County Residents:
Fully Vaccinated by Race**                                      Vaccinations by Age                      Fully Vaccinated by Sex
                                                                      63,747
                           Other/
         White            Unknown                                                                   30,545
         27,699            20,781                                              20,464     22,575
                                                       15,576                                                               Female
         Male                                                                                                    33,892
         (39%)         Male (30%)
                               Female                                                                            (47%)
                                                                                                                             38,370
                           Female                                                                                 Male       (53%)
                            Native
COVID-19 Situation Summary*
Location:
                                                 Case
                                  Positive                    Positivity          Fully           % of Population
      Location                                Incidence
                                   Cases                        Yield          Vaccinated        Fully VaccinatedŦ
                                             per 100,000
      Flagstaff                   13,529       14,172            9.3%             46,239                54.0%
      Page                         1,407       18,683           16.7%             5,497                 80.6%
      Tribal
                                   5,194       21,098           15.1%             14,273                68.7%
      Communities
      Williams                      795        13,960           15.4%             2,334                 46.6%
      Grand Canyon                  253        9,968            14.2%             1,562                 72.0%
      Other Areas                   740        13,114           12.7%             2,445                 43.4%
ŦPopulation  estimates include residents aged 10 and older.
Vaccination data of Sedona residents have been excluded from Community calculations due to limitations in identifying
residents of Coconino and Yavapai Counties. The removal of this data has resulted in the decrease of fully vaccinated
individuals reported.

              Key Take Away
          • Page experienced the largest increase in cases from the previous week
            with an 93% increase.
          • The lowest cumulative percentage of the population fully vaccinated
            was observed in Williams.

                        Flagstaff
                                 COVID-19 Cases by Geographic Area
                  350   Page
                        Tribal Communities
                  300   Williams
Number of Cases

                  250   Other Areas
                  200
                  150
                  100
                   50
                   0

*Cases reported from 3/15/20-10/9/21                                                                                    5
COVID-19 Situation Summary*
 Age:
       Age             Positive       Case Incidence            Positivity          Fully             % of Population
                        Cases          per 100,000                Yield          Vaccinated          Fully VaccinatedŦ
COVID-19 Situation Summary*
 Race/Ethnicity:
           Race/                   Confirmed         Case Incidence per           Fully           % of the Population
          Ethnicity                  Cases                100,000              Vaccinated          Fully VaccinatedŦ

  Native American                    7,892                 21,684                17,111                   51.7%
  White                              7,794                 10,207                27,699                   37.1%
  Hispanic                           3,459                 17,355                 5,092                   28.6%
  Black or African
                                      282                  17,893                  539                    25.2%
  American
  Asian/
                                      281                   9,781                 1,128                   36.6%
  Pacific Island
  Other/ Unknown                     2,210                    N/A                20,781                    N/A
  ŦPopulation  estimates include residents aged 10 and older.
 Vaccination data of Sedona residents have been excluded from Race/Ethnicity calculations due to limitations in
 identifying residents of Coconino and Yavapai Counties. The removal of this data has resulted in the decrease of fully
 vaccinated individuals reported.
           Key Take Away
   • The lowest cumulative percentage of the population fully vaccinated
     was observed in Black or African American residents. The highest
     cumulative percentage of the population fully vaccinated was
     observed among Native American residents.
  Sex:
                                                                                                     % of the
                  Confirmed         Case Incidence         Positivity           Fully
     Sex                                                                                          Population Fully
                    Cases            per 100,000             Yield           Vaccinated
                                                                                                    VaccinatedŦ
   Female            11,190               15,654              10.2%             38,370                   61.6%
    Male             10,684               15,309              12.2%             33,892                   56.6%
   Ŧ Population   Estimates include residents aged 12 and older
           Key Take Away
  • Although females have a slightly higher incidence of COVID-19
    compared to males, females had 27% more tests than male residents.
  • Male residents have higher testing positivity yields.
                                                                                                                          7
*Cases reported from 3/15/20-10/9/21
COVID-19 Situation Summary*

COVID-19 TESTING BY WEEK:

                  7,000                                                                                              20.0%
                                                                                       6,526
                                                            5,916              5,952              6,081 6,063        18.0%
                  6,000                           5,808
                                                                      5,579                                          16.0%
                                         5,118
                  5,000                                                                                              14.0%
Number of Tests

                                                                                                                             Percent Positive
                                 4,166
                                                                                                                     12.0%
                  4,000 3,671
                                                                                                                     10.0%
                  3,000 9.0%      9.6%     7.3%                                 7.3%
                                                            7.1%     7.1%                 6.6%    7.1%               8.0%
                                                                                                           6.8%
                                                    5.9%
                  2,000                                                                                              6.0%

                                                                                                                     4.0%
                  1,000
                                  323 313                  376       335       383      405       388      353       2.0%
                           293                    281
                      -                                                                                              0.0%

                                              Total Tests**         Positive         Positivity Yield
                  *Percent positivity was calculated using only ELR data due to insufficient reporting.
                  **Data was changed to display total tests per week rather than number of people tested per week.
                  COVID-19 Diagnostic Testing:
                  People Tested: A total of 108,383 Coconino County residents have been tested.
                  Tests Conducted: A total of 326,212 have been conducted among Coconino
                  County residents.
                  Investigations: The investigations team interviews Coconino County Residents that
                  test positive for COVID-19. Investigations completed 9,271
                  Monitoring: The monitoring team contacts confirmed cases/people exposed to
                  confirmed cases to monitor for symptoms, identify needs, and provides assistance
                  as requested.
                  •   Currently being monitored: 119 (As of 10/9/2021)
                  •   Total individuals monitored to date: 9,142
   *Cases reported from 3/15/20-10/9/21                                                                                                         8
COVID-19 Situation Summary*
Hospitalizations
(not all hospitals are currently reporting hospitalization data to Coconino County):
                                                          93                                      Hospitalizations
        Percentage of                           Hospitalized
                                                        Pending                                    Per 100,000
            Cases
            7.3%                                   1,596 Tests                                        1,128
            Sex
                                                 15% of hospitalized residents were in the
                                                       ICU and 6% were intubated.
         806          790
        (51%)        (49%)                Hospitalized Coconino COVID-19 Patients by
                     Female                                  Age
           Male
                                                              457                                                      498
                                                                                   279                  303
                                           59

                                      0-19 years        20-44 years             45-54 years      55-64 years         65+ years

            Weekly Case Counts Among Coconino County Residents:
                        Hospitalized Coconino COVID-19 Patients by Age
      40
                          26                                               27        29                       21
                                    27          21           21
               23                                                                                17
      20                                                                                                               13

       0
               8/7       8/14      8/21         8/28         9/4       9/11         9/18         9/25         10/2    10/9
                                                                  Week
COVID-19 Situation Summary*
COVID-19 Related Deaths:
     Percentage of                             Deaths                                Fatalities
         Cases                                                                      Per 100,000
         1.5%                                   337                                    238.2
             Sex                     Coconino COVID-19 Deaths                               Race
                                                                                                   Hispanic,
           Male        Female                 by Age                                                26 (8%)
                       142                                          185
                      (42%)                                                     Native
          195                                                                                         White,
                      Female                              81                   American,
         (58%)                       36                                                              36 (11%)
                                                35
          Male                                                                    255
                                                                                 (75%)               Other,
                                    20-44      45-54    55-64     65+ years                          20 (6%)
                                    years      years    years
     Weekly COVID-19 Deaths Among Coconino County Residents:
                  COVID-19                        5
                  Deaths
                                                                                3
     2            2                                                  2
                                          1               1                                1
                               0                                                                      0

  8/7/21     8/14/21      8/21/21    8/28/21   9/4/21   9/11/21   9/18/21     9/25/21    10/2/21   10/9/21

*Cases reported from 3/15/20-10/9/21                                                                           10
COVID-19 Situation Summary*
           *Cases reported from 3/15/20-10/9/21
         COVID-19 Variants:
                                      Total Variants Being Monitored** and Variants of Concern***
                          Alpha                              279
                         Gamma           24
                           Delta                                                                                   1110
                         Epsilon                       213
                            Mu       3
                                Male          Female
**Variants Being Monitored include variants for which there are data indicating a potential or clear impact on approved or
authorized medical countermeasures or that has been associated with more severe disease or increased transmission but
are no longer detectedFemale
                          or are circulating at very low levels in the U.S, and as such, do not pose a significant and imminent
risk to public health in the U.S.
*** VariantsMale
               of Concern include variants for which there is evidence of an increase in transmissibility, more severe disease
(e.g., increased hospitalizations or deaths), significant reduction in neutralization by antibodies generated during previous
infection or vaccination, reduced effectiveness of treatments or vaccines, or diagnostic detection failures.
For more information about SARS-CoV-2 variants, please visit the CDC webpage:
SARS-CoV-2 Variant Classifications and Definitions (cdc.gov)

                         89% of identified variants of concern are among Flagstaff residents.
                                    Variants Being Monitored and Variants of Concern by Month
                         100%
Proportion of Variants

                          80%
                          60%
                          40%
                          20%
                           0%
                                   February      March         April       May        June    July      August   September
                                                                             Month
                                      Alpha        Gamma           Delta    Epsilon      Mu    Other Variants
        2,547 positive SARS-CoV-2 samples from Coconino County residents have been sequenced by partnering
                                     laboratories to identify circulating variants.

                                                             Vaccine BreakthroughŦ:
     Total Vaccine Breakthrough Cases: 1,078                                                         (4.9% of all cases)

     Vaccine Breakthrough Cases with Variant of Concern: 231                                         (21% of vaccine
                                                                                                     breakthrough cases)
ŦDefinedas testing positive for COVID-19 after meeting the designation of fully vaccinated. Information received
from report produced by ADHS. For more information regarding variant testing in Arizona, please visit the
                                                                                                                            11
TGen website: AZ COVID-19 Sequencing Dashboard (tgen.org)
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