Northamptonshire COVID-19 Weekly Surveillance Report - Data ...
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Northamptonshire COVID-19 Weekly Surveillance Report • National lockdown restrictions continue in place across England until further Government review • A mutant, more transmittable strain of the coronavirus is causing rapid increases in infection rates • 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 3,643 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 • Coronavirus related hospital admissions and deaths remain high in the over 60s and one in three beds are occupied by patients with the virus Data up to 17 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 • This week two new COVID-19 Rapid Testing Centres opened 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. For those who test positive, fast action can then be taken to protect colleagues and family members of and in reducing any onward risk of transmission. • 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 over the next three weeks. 3
COVID-19 complacency can kill! • COVID can be invisible. 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. That means you could be casually spreading the disease everywhere you go. That is why you should always ‘act as if you have it’ because you may not know you do. Stay at home, Protect the NHS and Save lives. If you must leave the house, you must take as many precautions as possible not to transmit this deadly virus. If you test positive, but still feel absolutely fine, you must still self-isolate for ten days. Community-based asymptomatic testing sites will be open to those who are unable to work from home and particularly those in high-risk workplaces or key worker roles. Testing will be available at sites in Corby and Northampton and will be fully operational from 21st January (booking available via NCC website). Further sites across county to come on-line over the next 3 weeks. • Every touch leaves a trace. Listen out for our radio adverts reminding you all that the virus can be transferred on all surfaces. Think before you touch and remember that pedestrian crossing buttons, lift buttons, handrails and car doors are all touch points which may be harbouring the coronavirus. When using public transport, shopping, accepting parcels and deliveries (including online shopping), car sharing (in bubbles), touching doors, going in and out of buildings – remember these are all potential points of COVID-19 transmission and frequent hand washing or sanitising is key to reducing the risk of catching COVID-19 from surfaces. The new variant is spreading rapidly so hand washing, face coverings and keeping a distance are all vital. • Complacency can kill! The new variant is up to 70% more transmissible. We are in national lockdown and compliance with Government restrictions and regulations is essential if we are to see our positive case rates continue to come down. Thank you to each and every one of you who is staying at home and following the rules – it’s working but we have a long way to go still. Keep at it and we will beat this! 4
Total and Weekly Summary A total of 34,385 positive cases have been identified in Northamptonshire to date. Of this number, 3,643 were identified in the last week, 11th to 17th January 2021. This graph shows the total number of people who have tested positive for COVID-19 in Northamptonshire each week since 26th October 2020. Weekly case numbers have increased significantly over the last month. Although cases in the latest week have decreased compared to the previous week’s record high, the latest weekly case total shows a 88% increase when compared to the week of 14th 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 17th Cases in week January 2021 in each of Northamptonshire’s Total cases to Change from Area 11 Jan to 17 seven districts and boroughs. 17 Jan 2021 previous week Jan 2021 Northamptonshire’s total weekly cases shows an Northamptonshire 34,385 3,643 Decrease increase of 88% when compared to the week of Corby 3,369 457 Decrease 14th December 2020. Daventry 3,177 327 Decrease Northamptonshire and all districts and boroughs East Northamptonshire 3,280 275 Decrease have seen a decrease in case numbers when Kettering 3,974 455 Decrease compared to the previous week. These decreases are good news but we must work together to Northampton 13,427 1,422 Decrease maintain this trend. South Northamptonshire 3,818 346 Decrease Please note that extreme caution must be applied Wellingborough 3,340 361 Decrease when viewing week on week changes. To see the overall changes in areas in context please see slides 13, 14 and 15. 6
Rates of Cases by District and Borough The data in this table show us what the total and Compared to Cumulative rate Rate per Compared to most recent week’s positive COVID-19 case numbers England rate 8 Area per 100,000 to 100,000 8 Jan county rate 8 Jan for our districts and boroughs would look like if each Jan to 14 Jan 14 Jan 2021 to 14 Jan 2021 to 14 Jan 2021 area had the exact same population size (100,000). 2021 Northamptonshire 4,404 521.2 - Similar This helps us to compare geographic areas with Corby 4,466 697.9 Sig higher Sig higher different sized populations more accurately. Daventry 3,570 407.2 Sig lower Sig lower Northamptonshire’s infection rate per 100,000 East Northamptonshire 3,379 330.1 Sig lower Sig lower population for the most recent week is 521.2, which is similar to the national average. Kettering 3,742 428.4 Sig lower Sig lower Northampton 5,766 691.0 Sig higher Sig higher All district and borough’s infection rates except for Northampton and Corby’s are significantly lower South Northamptonshire 3,923 418.0 Sig lower Sig lower than or similar to the national average. Wellingborough 4,045 473.0 Similar Similar Northampton and Corby’s rates are significantly Source: Gov.uk Coronavirus Dashboard higher than the national average. *Please note that the word sig means ‘significant’, which is a statistical term that simply means that the research is valid. 7
Deaths Within 28 Days of Positive Test This table shows total number of deaths of Deaths in week Total deaths to Change from people who had a positive test result for Area 11 Jan to 17 Jan 17 Jan 2021 previous week COVID-19 and died within 28 days of the first 2021 positive test, reported up to 17th January 2021 for each of Northamptonshire’s seven Northamptonshire 1,068 70 Increase districts and boroughs. Corby 96 11 Increase Northamptonshire as a whole, Corby, Daventry 107 7 Increase Daventry, Kettering and South East Northamptonshire 151 5 Decrease Northamptonshire have seen an increase in deaths compared to the previous week. Kettering 133 11 Increase Northampton 386 22 No change *People who died more than 28 days after their first positive test are not included, South Northamptonshire 91 5 Increase whether or not COVID-19 was the cause of Wellingborough 104 9 Decrease death. Source: Gov.uk Coronavirus Dashboard 8
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 continue to rise and now slightly levelling up with the England average. With the exception of Northampton and Corby, all districts and boroughs have weekly total rates below the England average. Northampton and Corby’s case rate have increased ahead of the national average but in recent days have seen a downward trend. Corby has seen a particularly sharp increase of 515% when compared to the rate on 14th December 2020 and now has the highest rate in the county, followed closely by Northampton. Case rates in all districts and boroughs remain concerningly high. 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. 9
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 20 to 29 year olds for both men and women. Case numbers are currently highest amongst working age adults. 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. 10
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 Corby’s case rates for ages 60+ are currently higher than the Northamptonshire average. Corby’s case rate for ages 60+ saw a particularly sharp increase in recent weeks, and while it has since declined it remains the highest in the county. 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. 11
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 411 COVID-19 patients occupied hospital beds in Northamptonshire on 19th January 2021, which is only slightly below the record high of 422 seen on 13th January 2021. 12
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. 13
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. 14
Change in Case Rates by Community – Fortnightly per 100,000 population Rank Name If each community had the exact 1. Corby Kingswood (Cor) same size population (100,000) in 2. Town Centre & Semilong (Nton) Northamptonshire, this graphic 3. St Michael's Road (Nton) shows how COVID-19 case numbers in the last 14 days would have 4. Corby Lodge Park (Cor) changed in each community 5. Cliftonville & Rushmere (Nton) compared to the previous 14 days. 6. King's Heath & Spencer (Nton) 7. Irchester, Wollaston & Bozeat (Wboro) The 15 areas with the greatest 8. Kettering Central East (Kett) increases in case rates are listed 9. Kettering Avondale Grange (Kett) next to the map. 10. Kingsley Park & Racecourse (Nton) 11. Kettering Town & West (Kett) Areas with the greatest increases in 12. Corby Village & Weldon (Cor) rates of infection show us where 13. Eastfield (Nton) we need to prioritise and focus our 14. Daventry North (Dav) support locally. 15. Stornton & Sixfields (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. 15
Summary of Outbreaks 18/01/2021 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 7 7 4 6 26 3 6 59 630 Care home/service 6 5 4 5 19 2 4 45 472 Childcare 0 1 0 0 1 0 0 2 10 Workplace 1 1 0 1 3 1 2 9 128 Education 0 0 0 0 0 0 0 0 0 Hospital/hospice 0 0 0 0 3 0 0 3 20 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. 16
Winter Flu - Protecting the Immune System Winter Flu immunisation uptake up to end of week 01 (4-10 Jan 2021) This data represents 91.3% of GP practices uploading their data for week 01. 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 65 120,746 98,139 Target met 75% Under 65 at risk 93,760 49,457 20,863 75% Pregnant Women 5,798 2,203 2,146 75% 2 and 3 year olds 17,653 9,494 3,746 75% The table below shows that the current progress for flu uptake has improved in all eligible categories compared to week 01 in 2020. Total Combined At Risk STP Year 65 and over Population 6months to All Pregnant Women All Aged 2- 3 under 65 years Northamptonshire STP 2020/21 81.3% 52.7% 38.0% 53.8% Northamptonshire STP 2019/20 69.8% 41.1% 35.3% 37.2% Northamptonshire STP Change +11.5% +11.6% +2.7% +16.6% 17
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. 18
We Are All In This Together • 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. 19
Partners Working on the COVID-19 Response In Northamptonshire all system colleagues have come together to fight the virus: the police, fire officers, pharmacists, our Clinical Commissioning Group and hospital colleagues. The definitions below will explain the roles of the other groups involved. PHE – Public Health England An executive agency of the Department of Health and Social Care (DHSC) which is the expert national public health agency which fulfils the Secretary of State for Health and Social Care’s statutory duty to protect health and address inequalities, and executes his power to promote the health and wellbeing of the nation. We work with the Midlands PHE Office. Local Public Health Teams Part of Local Authorities (Upper tier and unitary) since 2013, led by Directors of Public Health with a number of specific statutory responsibilities, including health protection and local control of infectious diseases including immunisation and related functions. Joint Biosecurity Centre (JBC) The JBC aims to provide evidence-based, independent analysis, assessment and advice to inform local and national decision-making in response to COVID- 19 outbreaks. This includes: • helping to inform action on testing, contact tracing and local outbreak management in England • informing an assessment of the risks to UK public health from inbound international travel • advising on the COVID-19 alert level acting as the main point of liaison between Local Authorities and the Chief Medical Officer and Secretary of State. Environmental Health Officers Work within District and Borough Local Authorities and are responsible for monitoring and enforcing health and hygiene legislation. They are working closely with Public Health Northamptonshire on COVID-19 workplace outbreaks, with the COVID-19 Schools Cell and Northamptonshire County Council’s Test and Trace service. 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. 21
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