Northamptonshire COVID-19 Weekly Surveillance Report - Northamptonshire County Council
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Northamptonshire COVID-19 Weekly Surveillance Report • Clinically vulnerable adults who shielded in the first lockdown are being urged to do so again – even if they have received both doses of the vaccine • A total of 3,009 Northamptonshire residents have tested positive for COVID-19 in the last week • Mixing between households, in spite of national lockdown rules, is still the greatest cause of transmission locally Data up to 24 January 2021
National Lockdown All residents in Under the national lockdown restrictions, the Government is ordering everyone to stay at Northamptonshire and home. You may only leave the house for limited reasons permitted in law, such as: across England are • To shop for essentials officially being told to • To work, if you absolutely cannot work from home ‘Stay at Home, Protect • To exercise once a day the NHS and Save Lives.’ • To seek medical assistance, for example to get a COVID-19 test • Or to escape domestic abuse Full National Lockdown Guidance 2
Rapid COVID-19 Testing • Two community COVID-19 Rapid Testing Centres are open in Northamptonshire for key workers who are not showing symptoms of COVID-19. • The new community based testing sites are at Lodge Park Sports Centre in Corby and the University of Northampton. The test is called a Lateral Flow Test and involves a swab of the mouth and nose and provides a result within 30 minutes. • The aim of testing people who do not have COVID-19 symptoms is to identify those who may be infectious without being aware in order to reduce spread of the virus but it cannot definitively tell you if you do not have COVID-19. For those who test positive, immediate isolation is required for 10 days as with a PCR test. • Testing slots must be booked online in advance and priority is given to workers in the following sectors: Health or social care, transportation, education or childcare (if not receiving regular rapid tests via the workplace), essential shops, supermarkets or financial services, food production or processing, warehousing, packing or distribution, essential public sector services including waste, bin collections, security, construction, utilities or communications and agency workers. It is advisable for those people working in these sectors to take up the opportunity to get tested on a weekly basis to help to reduce the spread of the virus. • Further sites across the county will open in the coming weeks. 3
COVID-19: Let’s Use All The Tools We Have! Lockdown is starting to work but we have a long way to go. Remember: ‘act as if you have it’ because you may not know you do. Stay at home, stay safe, keep others safe and together we will beat this! • Get tested! Did you know that up to 80% of people who have COVID-19 may show no symptoms at all but they still carry the disease at a strength which could kill another person? If such a high percentage of the population could have the disease without showing symptoms, they could be casually spreading the disease everywhere they go. Community-based asymptomatic testing sites are now open to those who are unable to work from home and particularly those in high-risk workplaces or key worker roles. Testing is available at sites in Corby and Northampton with booking available through the NCC website. Large workplaces can also apply to host lateral flow device testing in house. Details will appear on the NCC website shortly. • Get vaccinated! Respond to the call when it’s your turn and get that jab in your arm. The more people who get vaccinated, the more likely we are to beat the coronavirus. The new mass Vaccination Centre is now open at the Royal Pavilion building in Moulton Park. This presents us with the opportunity of vaccinating even more people each week, as national supplies allow. Letters will be sent out to people in priority cohorts 1-4, over 80s, front line workers, over 75s and the over 70s and Clinically Extremely Vulnerable, explaining how they can book online or by phone. When you are contacted, please attend your booked appointments at exactly the time you’re asked to, so that we can avoid queues in this cold weather. • Complacency can kill! Although we have these new tools to help us in the fight against COVID-19, the new mutant strain of the virus is up to 70% more transmissible and 30% more deadly than the previous strain. Even though case rates are reducing slowly, they remain alarmingly high. However tired you may be, keep following the gold standard trio: hands, face space. We all know that COVID-19 is invisible which is why it presents us with such a mammoth challenge. We are in national lockdown and compliance with Government restrictions and regulations is essential if we are to see our positive case rates, hospitalisations and deaths continue to come down. 4
Total and Weekly Summary A total of 37,496 positive cases have been identified in Northamptonshire to date. Of this number, 3,009 were identified in the last week, 18th to 24th January 2021. This graph shows the total number of people who have tested positive for COVID-19 in Northamptonshire each week since 2nd November 2020. Weekly case numbers increased significantly during the course of December and into early January. Although cases have been decreasing over the last two weeks, the latest weekly case total is still 18% higher than that seen in the week of 21st December 2020. The latest week’s figures are likely to increase further as data for the most recent days are subject to reporting delays. 5
Total Cases by District and Borough This table shows the total number of people who have tested positive for COVID-19 up to 24th January Cases in week 2021 in each of Northamptonshire’s seven districts Total cases to Change from Area 18 Jan to 24 Jan and boroughs. 24 Jan 2021 previous week 2021 Northamptonshire’s total weekly cases shows an Northamptonshire 37,496 3,009 Decrease increase of 18% when compared to the week of 21st Corby 3,782 401 Decrease December 2020. Daventry 3,404 219 Decrease Northamptonshire as a whole, and all districts and East Northamptonshire 3,569 285 Increase boroughs except for East Northamptonshire, have Kettering 4,388 406 Decrease seen a decrease in case numbers when compared to the previous week. These decreases are good news Northampton 14,625 1,138 Decrease but we must work together to maintain this trend. South Northamptonshire 4,050 228 Decrease Please note that extreme caution must be applied Wellingborough 3,678 332 Decrease when viewing week on week changes. To see the overall changes in areas in context please see slides 14, 15 and 16. 6
Rates of Cases by District and Borough The data in this table show us what the total and Cumulative Rate per Compared to Compared to most recent week’s positive COVID-19 case rate per 100,000 15 County rate 15 England rate 15 Area numbers for our districts and boroughs would 100,000 to Jan to 21 Jan Jan to 21 Jan Jan to 21 Jan 21 Jan 2021 2021 2021 2021 look like if each area had the exact same population size (100,000). Northamptonshire 4,858 450.2 - Sig higher Corby 5,069 603.7 Sig higher Sig higher This helps us to compare geographic areas with different sized populations more accurately. Daventry 3,877 304.8 Sig lower Sig lower East Northamptonshire 3,684 305.7 Sig lower Sig lower Northamptonshire’s infection rate per 100,000 population for the most recent week is 450.2, Kettering 4,188 444.1 Similar Similar which is significantly higher than the national Northampton 6,366 589.0 Sig higher Sig higher average. South Northamptonshire 4,216 292.1 Sig lower Sig lower All district and borough infection rates, except for Wellingborough 4,489 442.9 Similar Similar Northampton and Corby, are significantly lower Source: Gov.uk Coronavirus Dashboard than or similar to the national average. *Please note that the word sig means ‘significant’, Northampton and Corby’s rates are significantly which is a statistical term that simply means that the higher than the national average. research is valid. 7
Percentage Change in Recent 7-day Case Rate This chart shows percentage changes in case rates over the last 3 months. Percentage changes are calculated by comparing to the previous non-overlapping 7-day period. It shows that Northamptonshire’s case rates increased more rapidly in December than they did ahead of the previous national lockdown in November and have decreased more slowly following the implementation of national lockdown policies. * Data for the last 5 days are not displayed as they will be incomplete. Source: Gov.uk Coronavirus Dashboard 8
Deaths Within 28 Days of Positive Test This table shows total number of deaths of people Total deaths Deaths in week Change from who had a positive test result for COVID-19 and died Area to 24 Jan 18 Jan to 24 Jan previous within 28 days of the first positive test, reported up 2021 2021 week to 24th January 2021 for each of Northamptonshire’s seven districts and boroughs. Northamptonshire 1,144 58 Decrease Northamptonshire as a whole, and all districts and Corby 106 8 Decrease boroughs except for East Northamptonshire, have Daventry 120 8 Decrease seen either a decrease or no change in numbers of deaths when compared to the previous week. East East Northamptonshire 158 7 Increase Northamptonshire has seen an increase in deaths Kettering 148 12 Decrease compared to the previous week. Northampton 406 14 Decrease We must work together now more than ever to South Northamptonshire 95 4 No change reduce numbers of deaths as recent scientific evidence suggests that the new variant of COVID-19 Wellingborough 111 5 Decrease in the UK is deadlier than the original virus. Source: Gov.uk Coronavirus Dashboard * People who died more than 28 days after their first positive test are not included, whether or not COVID-19 was the cause of death. 9
Rate of Weekly Lab Confirmed Cases This graph includes all testing data. Recent data shows that Northamptonshire’s rate of cases in the last seven days remains above the England average. With the exception of Daventry, South Northamptonshire and East Northamptonshire, all districts and boroughs now have weekly total rates above the England average, with recent data showing a rising case rate trend in East Northamptonshire and Kettering. All other districts and boroughs are showing decreasing trends in case rates over the last couple of weeks. Corby’s rate is currently the highest in the county, followed closely by Northampton. As Corby saw the sharpest increase in cases after Christmas, its case rate is currently 211% higher than it was on 21st December 2020. Source: Gov.uk Coronavirus Dashboard. * These are 7-day rolling total numbers of cases as a rate per 100,000 population – this is done to even out the fluctuations we see in testing volumes on weekdays vs weekends. 10
Recent Cases by Age and Gender This graph shows the number of positive test results for COVID-19 in Northamptonshire over the last 28 days by gender and by ten-year age band. Overall, more women than men tested positive for COVID- 19 in the last 28 days. The age group with the most positive tests was 30 to 39 year olds for both men and women. Case numbers are currently highest amongst working age adults. The new variant is appearing to cause more hospital admissions and deaths in this age category. Over the last 4-week period there have been further increases in numbers of cases amongst people aged 60+. This is of particular concern as these age groups tend to be at greater risk of more severe disease, observed hospital admission and death. *Please refer to the gov.uk coronavirus dashboard heat map for more information on cases in specific age groups. 11
Rate of Weekly Lab Confirmed Cases in Ages 60+ This graph includes testing data for people aged 60+. It shows that the rate of confirmed cases for people aged 60+ in Northamptonshire has started to fall in the last week following the sharp rise seen since Christmas. Northampton and Kettering’s case rates for ages 60+ are currently higher than the Northamptonshire average. Corby’s case rate for ages 60+ has fallen slightly below Northamptonshire average in the last week. Northampton’s rate remains the highest in the county, followed by Kettering’s. Case rates in all districts and boroughs remain high but have decreased or plateaued in the last week. * These are 7-day rolling total numbers of cases as a rate per 100,000 population – this is done to even out the fluctuations we see in testing volumes on weekdays vs weekends. 12
Hospital Beds Occupied by Confirmed COVID-19 Patients This chart shows the trend in numbers of beds at Northampton and Kettering General Hospitals occupied by COVID-19 patients since 1st August 2020. It shows that the number of beds occupied due to COVID-19 remained relatively steady over the late summer through to mid-October, at which point numbers of patients in hospital began to increase sharply. Although case rates went down during the second national lockdown, the numbers of patients in hospital due to COVID-19 continued to rise. There has been a further sharp rise in hospital bed occupancy following a brief decline in the run-up to Christmas. The latest data shows that a total of 346 COVID-19 patients occupied hospital beds in Northamptonshire on 26th January 2021. Bed occupancy appears to now be on a decreasing trend following the record high of 422 seen on 13th January 2021. 13
Cases by Community – Last 28 Days The chart shows the local communities within Northamptonshire where COVID-19 infections over the last 28 days are highest. Knowing the areas with the highest case numbers in the last 28 days help us to prioritise and focus our support locally. 14
Case Rates by Community – Last 28 Days per 100,000 population These graphics show what positive COVID- 19 case numbers over the last 28 days would look like if each local community had the exact same size population (100,000). The map illustrates the 28-day infection rate per 100,000 population across the whole county. * Please note that the numbers shown on this page represent the best possible estimate we can make from a wider range of numbers, because there is always a margin of error when calculating cases per 100,000 population – particularly where actual case numbers are small. 15
Change in Case Rates by Community – Fortnightly per 100,000 population Rank Name If each community had the exact 1. Kettering Central East (Kett) same size population (100,000) in 2. Kettering East (Kett) Northamptonshire, this graphic 3. Stornton & Sixfields (Nton) shows how COVID-19 case numbers in the last 14 days would have 4. Oundle, Warmington & Titchmarsh (EN) changed in each community 5. Daventry South & Southbrook (Dav) compared to the previous 14 days. 6. Kettering Town & West (Kett) 7. Kettering Avondale Grange (Kett) The 15 areas with the greatest 8. St Michael's Road (Nton) increases in case rates are listed 9. Ringstead, Woodford & Stanwick (EN) next to the map. 10. Brickhill (Wboro) 11. Eastfield (Nton) Areas with the greatest increases in 12. Geddington, Rushton & Stoke Albany (Kett) rates of infection show us where 13. Barton Seagrave (Kett) we need to prioritise and focus our 14. Raunds (EN) support locally. 15. Town Centre & Semilong (Nton) * Please note that the numbers shown on this page represent the best possible estimate we can make from a wider range of numbers, because there is always a margin of error when calculating cases per 100,000 population – particularly where actual case numbers are small. 16
Summary of Outbreaks 25/01/2021 Two or more cases linked by place and time to that setting. Totals are 28 day counts for care homes and hospitals, and 14 day counts for all other locations. In the last 28 days Corby Daventry East Northants Kettering Northampton South Northants Wellingborough County total Case total Outbreaks 6 6 6 7 22 6 5 58 625 Care home/service 4 5 6 7 17 4 5 48 535 Childcare 1 0 0 0 0 0 0 1 11 Workplace 0 0 0 0 3 2 0 5 55 Education 0 1 0 0 2 0 0 3 22 Hospital/hospice 1 0 0 0 0 0 0 1 2 Other 0 0 0 0 0 0 0 0 0 • Please note that this summary covers all situations classified as ‘active’. An active situation has had at least 1 positive case within the previous 28 days. • Outbreaks are pended if there are no new cases reported for Care H/Heath care in 14 days and 7 days for others. • Although outbreaks have increased this week and are related to a particular setting - it is important to note that the majority of cases are due to community household transmission. 17
Winter Flu - Protecting the Immune System Winter Flu immunisation uptake up to end of week 02 (11-17 Jan 2021) This data represents 91.3% of GP practices uploading their data for week 02. Please note that individuals can appear in more than one cohort, e.g. pregnant and in risk category. Number of further Total Number eligible Number of immunisations Target Group immunisations required to Target % people given meet target Over 65 120,542 98,147 Target met 75% Under 65 at risk 93,829 50,078 20,294 75% Pregnant Women 5,921 2,266 2,175 75% 2 and 3 year olds 17,653 9,558 3,682 75% The table below shows that the current progress for flu uptake has improved in all eligible categories compared to week 02 in 2020. Total Combined At-Risk STP Year 65 and over Population 6 months to All Pregnant Women All Aged 2-3 years under 65 years Northamptonshire STP 2020/21 81.4% 53.4% 38.3% 54.1% Northamptonshire STP 2019/20 70.1% 41.8% 35.2% 38.7% Northamptonshire STP Change +11.3% +11.6% +3.1% +15.4% 18
Public Health Measures • Public Health Northamptonshire, Environmental Health Departments within District and Borough Councils, Northamptonshire County Council and Northants Police will use enforcement powers where there is non-compliance in relation to COVID-19 Regulations. • The Health Protection (Coronavirus, Restrictions) (All Tiers) (England) Regulations 2020 are currently in force imposing Tier 4 restrictions nationally since 6th January 2021. • There are a number of established forums within Northamptonshire to discuss and agree a consistent approach to these Regulations. • Although there are a variety of agencies enforcing these restrictions, we have established a Joint Enforcement Team to target non- compliance which includes a multi-agency approach to interventions. • We will continue to engage with our community to ensure compliance with the objective of supporting public health and reducing the transmission rate of COVID-19. • However, gatherings in private dwellings; undertaking non-essential journeys; a failure to wear face coverings and failure to self- isolate when required to do so will result in the use of proportionate enforcement powers aimed at protecting public health which can include the service of Fixed Penalty Notices. 19
Got Symptoms? Get Tested • To find out more information about local testing sites visit: Northamptonshire COVID-19 Testing Update. • Tests can be booked online at NHS COVID-19 or by calling 119. Home testing kits can also be ordered subject to availability. • It is vital that when you leave the house to be tested you must go straight to the testing centre and return home immediately to self- isolate until you get your results. • Advice on how to access a COVID-19 test can be found here: COVID-19 Guidance on Getting Tested. 20
Help, Guidance and Fines • Government Financial support is now available for eligible individuals who have to self-isolate for up to 14 days. Details of financial support can be found here. • Northamptonshire County Council has put together a Self-isolation support pack for residents. • Those who do not follow Test and Trace guidance, or those who breach self-isolation, or lockdown legislation will be fined £1,000. 22
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