Northamptonshire COVID-19 Weekly Surveillance Report - Data ...
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Northamptonshire COVID-19 Weekly Surveillance Report • National lockdown restrictions are in place across England until further Government review. • A mutant, more transmittable strain of the coronavirus is causing rapid increases in infection rates nationally. • Clinically vulnerable adults who shielded in the first lockdown are being urged to do so again. • A record high of 4,307 Northamptonshire residents have tested positive for COVID-19 in the last week. • Coronavirus related hospital admissions and deaths remain high in the over 60s, with up to 30 per cent of beds occupied by patients with the virus. Data up to 3 January 2021
National Lockdown Under the national lockdown restrictions, the Government is ordering everyone to stay at All residents in home. You may only leave the house for limited reasons permitted in law, such as: Northamptonshire and • To shop for essentials across England are • To work, if you absolutely cannot work from home officially being told to • To exercise once a day ‘Stay at Home, Protect • To seek medical assistance, for example to get a COVID-19 test the NHS and Save Lives.’ • Or to escape domestic abuse For the full national lockdown guidance click here. 2
Stay at Home, Protect the NHS and Save Lives • Cases are rising and the mutant strain is rife across the county. Act as though you have the virus, be careful to wear your mask correctly, wash your hands thoroughly and socially distance at all times when outside your home. Stay at home wherever possible but if you have to go out, try to avoid busy places and times. If you were deemed extremely clinically vulnerable during the first lockdown you must shield again if possible. • Data is still showing that coronavirus related hospital admissions and deaths are continuing to rise in the over 60s. It’s absolutely vital that we all exercise the highest degree of personal responsibility, especially when coming into contact with people over the age of 60. If you must mix with people in this age group due to child care responsibilities, you must do all you can to protect them. Ventilate rooms, keep a distance and regularly encourage them and those they care for to hand wash. If we do not act accordingly, the situation in our hospitals will worsen. • Every contact leaves a trace. 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 – are all potential points of COVID-19 transmission and frequent hand washing is key to reducing the risk of catching COVID-19 from surfaces. 3
Total and Weekly Summary A total of 25,683 positive cases have been identified in Northamptonshire to date. Of this number, 4,307 were identified in the last week, 28th December 2020 to 3rd January 2021. This graph shows the total number of people who have tested positive for COVID-19 in Northamptonshire each week since 12th October 2020. Weekly case numbers have increased significantly during the course of December and cases in the latest 7 days have reached a new record high. The latest weekly case total was more than twice as high as the one seen in the peak week at the beginning of November, just after the start of the second national lockdown. The latest week’s figures are likely to increase further as data for the most recent days are subject to reporting delays. 4
Total Cases by District and Borough This table shows the total number of people who Cases in week have tested positive for COVID-19 up to 3rd Total cases to Change from January 2021 in each of Northamptonshire’s Area 28 Dec to 3 Jan 2021 previous week seven districts and boroughs. 3 Jan 2021 Northamptonshire 25,683 4,307 Northamptonshire as a whole and all districts and boroughs have seen an increase in cases Corby 2,191 511 compared to the previous week. Daventry 2,395 460 Northamptonshire’s total weekly cases are now East Northamptonshire 2,634 318 more than twice as high as they were around the start of the second national lockdown in Kettering 3,011 440 November. Northampton 9,989 1,683 Please note that extreme caution must be applied South Northamptonshire 2,955 522 when viewing week on week changes. To see the Wellingborough 2,508 373 overall changes in areas in context please see slides 11, 12 and 13. 5
Rate of Weekly Lab Confirmed Cases This graph includes all testing data. It shows that Northamptonshire’s rate of cases in the last seven days is below the England average, however the gap between the Northamptonshire average and England average has narrowed in recent days. With the exception of Northampton, all districts and boroughs have weekly total rates below the England average. Northampton’s case rate has increased ahead of the national average and is currently the highest in the county, followed by South Northamptonshire. All districts and boroughs are currently on a rising trend, with the rate for Corby having seen the sharpest increase over the past 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. Source: coronavirus.data.gov.uk. 6
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 groups with the most positive tests were 30 to 39 year olds for men and 20 to 29 year olds for 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 and observed hospital admission. 7
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 increased during the course of December and particularly in the days following Christmas. Corby and Northampton’s case rates for ages 60+ are currently higher than the Northamptonshire average. Northampton’s case rate for ages 60+ remains the highest in the county. Although South and East Northamptonshires have seen decreases in rates in recent days, case rate trends for ages 60+ have increased in the last week across all districts and boroughs. * 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. 8
Rates of Cases by District and Borough The data in this table shows us what the total and Rate per Compared to Compared to Cumulative rate most recent week’s positive COVID-19 case numbers 100,000 25 county rate 25 England rate 25 Area per 100,000 to for our districts and boroughs would look like if each Dec to 31 Dec Dec to 31 Dec Dec to 31 Dec 31 Dec 2020 area had the exact same population size (100,000). 2020 2020 2020 Northamptonshire 3,202 502.5 - Sig lower This helps us to compare geographic areas with Corby 2,769 524.8 Similar Similar different sized populations more accurately. Daventry 2,592 477.0 Similar Sig lower Please note that the word sig means ‘significant’ is a East Northamptonshire 2,669 318.4 Sig lower Sig lower statistical term which simply means that the research is valid. Kettering 2,800 368.5 Sig lower Sig lower Northampton 4,176 663.8 Sig higher Sig higher Northamptonshire’s infection rate per 100,000 population for the most recent week is significantly South Northamptonshire 2,947 539.7 Similar Similar lower than the national average. Wellingborough 2,951 400.2 Sig lower Sig lower Source: coronavirus.data.gov.uk All district and borough infection rates except for Northampton’s are significantly lower than or similar to the national average. Northampton’s rate is significantly higher than the national average. 9
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 342 COVID-19 patients occupied hospital beds in Northamptonshire on 5th January 2021, the highest number to date. 10
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. * Please note that the thresholds for the map’s colour coding categories have been updated, therefore this map cannot be directly compared against previous reports. 11
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. 12
Change in Case Rates by Community – Fortnightly per 100,000 population If each community had the exact 1. Walgrave & Moulton (Dav) same size population (100,000) in 2. Little Billing (Nton) Northamptonshire, this graphic 3. Brackley North (SN) shows how COVID-19 case numbers 4. Long Buckby West & Weedon (Dav) in the last 14 days would have 5. Wootton & Collingtree (Nton) changed in each community 6. New Duston East (Nton) compared to the previous 14 days. 7. Delapre (Nton) 8. New Duston West (Nton) The 15 areas with the greatest 9. East Hunsbury (Nton) increases in case rates are listed 10. Rowlett, Gretton & Cottingham (Cor) next to the map. 11. King's Heath & Spencer (Nton) Areas with the greatest increases in 12. Upton & West Hunsbury (Nton) rates of infection show us where 13. Corby Lodge Park (Cor) we need to prioritise and focus our 14. Cogenhoe, Hackleton & Denton (SN) support locally. 15. Long Buckby East & Ravensthorpe (Dav) * 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. 13
Summary of Outbreaks and Exposures 04/01/2021 In the last 28 days Corby Daventry East Northants Kettering Northampton South Northants Wellingborough County total Case total Outbreaks 2 4 3 2 10 1 2 24 212 Care home/service 1 2 1 6 2 12 120 Outbreak Childcare 1 2 3 19 (two or more cases linked Workplace 1 1 1 1 4 57 by place and time to that setting) Education 1 1 6 Hospital/hospice 1 1 1 1 4 10 Other In the last 7 days Clusters Cluster Care home/service (two or more cases Childcare associated with that Workplace setting but not “connected by time and Education place” to that setting) Hospital/hospice Other In the last 7 days Exposures 1 4 4 1 10 19 Care home/service 1 2 1 1 5 12 Exposure (single case where there Childcare has been (or potentially Workplace 1 2 3 3 been) exposure to Education 1 1 2 4 contacts in that setting) Hospital/hospice Other Total active situations 34 231 • 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. • 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. 14
Winter Flu - Protecting the Immune System Winter Flu immunisation uptake up to end of week 52 (27 Dec 2020) This data represents 91.3% of GP practices uploading their data for week 52. 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 65 120,999 98,112 Target met 75% Under 65 at risk 85,156 46,136 17,731 75% Pregnant Women 5,600 2,092 2,108 75% 2 and 3 year olds 17,642 9,413 3,819 75% The table below shows that the current progress for flu uptake has improved in all eligible categories compared to the same period in 2019/20. 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 81.1% 54.2% 37.4% 53.4% Northamptonshire STP 2019/20 69.4% 40.8% 35.0% 35.1% Northamptonshire STP Change +11.7% +13.4% +2.4% +18.3% 15
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) (Tiers 1-3) (England) Regulations 2020 came into force on the 2 December 2020 and amongst a number of new provisions, imposed restrictions on a variety of businesses within our local communities. It was amended on 6th January 2021 to implement Tier 4. • There are a number of well established forums within Northamptonshire to discuss and agree a consistent approach to these new Regulations. • Although there are a number of different agencies enforcing the relevant Tier restrictions, we have established a Joint Enforcement Team to target non-compliance which includes multi agency approach to interventions. • We will continue to engage, explain and encourage within our community to ensure the new provisions are implemented to support public health with the aim of reducing the transmission rate of COVID-19. • Notwithstanding this approach, there are a number of existing provisions including wearing face coverings in certain settings, gatherings, and a failure to self-isolate when required to do so, which will result in the use of proportionate enforcement powers aimed at protecting public health. 16
We Are All In This Together • To find out more information about local testing sites visit: https://www.northamptonshire.gov.uk/coronavirus- updates/Pages/coronavirus-testing-in-northamptonshire.aspx. • Tests can be booked online at nhs.uk/coronavirus 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: https://www.gov.uk/guidance/coronavirus-covid-19-getting- tested. 17
Partners Working on the COVID-19 Response 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. 18
Government Help, Guidance and Fines • 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. • Those who do not follow Test and Trace guidance, or those who breach self-isolation, or lockdown legislation will be fined. 19
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