October 7 Update – Trends

State of the State

Please see the excerpts below and then read the article at the Concord Monitor. While things are relatively good in New Hampshire, they are trending the wrong way. I agree with Mr. Brooks statement:

“But as long as the state’s daily case counts keeps increasing, even if it’s only increasing by a small amount, we can’t relax. After all, exponential growth always starts slowly and plenty of other places have shown how quickly you can go from having the virus under control to needing a full lockdown.”

There is an old math exercise to understand exponential growth. You ask someone if they prefer to be paid $1000 per week for a month, or get paid just 2 cents on day one, and then get your pay doubled every day for 30 days. Grab a calculator and try it. .02 x 2. Then just hit the enter button 29 more times. ~ Steve

COVID tracker: New cases keep edging up but things are still pretty good

https://www.concordmonitor.com/covid-coronavirus-nh-new-hampshire-36571332

Goal 1: No sustained increase in number of new hospitalizations related to COVID-19. Have we met this goal? Yes.

The two-week average of new hospitalizations has hovered between one-half and one per day all summer.  

It edged up slightly to 1.1 per day by Oct. 2. That’s the highest since early August, which is a little alarming, but on the other hand it’s still so very low that small fluctuations don’t necessarily indicate a trend.

It bears watching closely, however.

COVID-related deaths also remain very low, less than one every three days.

Goal 2: A two-week drop in new cases. Have we met this goal? No.

As mentioned above, the two-week average in daily new cases has risen slowly but pretty steadily since late August.

Goal 3: Fewer than four new cases per 100,000 people each day, or 54 new cases a day. Have we met this goal? Yes.

The average number of new cases has been below 54, the per-capita level commonly used as a sign of widespread infection, since mid-June.

Goal 4: Conducting at least 150 PCR tests per 100,000 people each day, or 2,000 tests per day. Have we met this goal? Yes, easily.

The average number of test results reported each day was about 3,500 last week, thanks to increased testing at schools and colleges. UNH, in particular, is cranking out tests through its own lab.

Goal 5: A positive rate of PCR tests below 5%, indicating that we’re doing enough testing to get a good handle on how widespread the virus is. Have we met this goal? Yes, easily.

As measured by the Department of Health and Human Services, the positive rate has been below 3% since the first week of June and recently fell under 1%.

Critics emerge about livestreaming New Hampshire trials

https://www.unionleader.com/news/health/coronavirus/critics-emerge-about-livestreaming-new-hampshire-trials/article_3d3ce657-5144-57c1-a326-f50339d4be9a.html

New Hampshire 2019 Novel Coronavirus (COVID-19) Summary Report

(data updated as of October 6, 2020 – 9:00 AM)

Number of Persons with COVID-19 18,731
Recovered7,785 (89%)
Deaths Attributed to COVID-19446 (5%)
Total Current COVID-19 Cases500
Persons Who Have Been Hospitalized for COVID-19743 (9%)
Current Hospitalizations20
Total Persons Tested at Selected Laboratories, Polymerase Chain Reaction (PCR)2283,471
Total Persons Tested at Selected Laboratories, Antibody Laboratory Tests231,302
Persons with Specimens Submitted to NH PHL47,778
Persons with Test Pending at NH PHL3429
Persons Being Monitored in NH (approximate point in time)2,825

1 Includes specimens positive at any laboratory and those confirmed by CDC confirmatory testing.
2 Includes specimens tested at the NH Public Health Laboratories (PHL), LabCorp, Quest, Dartmouth-Hitchcock Medical Center, Mako, certain hospital laboratories, the University of New Hampshire and their contracted laboratory, and those sent to CDC prior to NH PHL testing capacity.
3 Includes specimens received and awaiting testing at NH PHL. Does not include tests pending at commercial laboratories.

NH DHHS COVID-19 Update – October 6, 2020


Concord, NH – The New Hampshire Department of Health and Human Services (DHHS) has issued the following update on the new coronavirus, COVID-19.
On Tuesday, October 6, 2020, DHHS announced 53 new positive test results for COVID-19, for a daily PCR test positivity rate of 0.6%. Today’s results include 34 people who tested positive by PCR test and 19 who tested positive by antigen test. There are now 500 current COVID-19 cases diagnosed in New Hampshire.
Several cases are still under investigation. Additional information from ongoing investigations will be incorporated into future COVID-19 updates. Of those with complete information, there are fifteen individuals under the age of 18 and the rest are adults with 47% being female and 53% being male. The new cases reside in Rockingham (10), Hillsborough County other than Manchester and Nashua (8), Strafford (6), Merrimack (3), Belknap (2), Cheshire (1), Grafton (1), and Sullivan (1) counties, and in the cities of Nashua (9) and Manchester (7). The county of residence is being determined for five new cases.
No new hospitalized cases were identified. There are currently 20 individuals hospitalized with COVID19. Twelve of the new cases had no identified risk factors. Community-based transmission continues to occur in the State and has been identified in all counties. Of those with complete risk information, most of the cases have either had close contact with a person with a confirmed COVID-19 diagnosis or recently traveled.
DHHS has also announced two additional deaths related to COVID-19. We offer our sympathies to the family and friends.
 1 female resident of Hillsborough County, 60 years of age and older
 1 male resident of Hillsborough County, 60 years of age and older
In New Hampshire since the start of the pandemic, there have been a total of 8,731 cases of COVID-19 diagnosed with 743 (9%) of those having been hospitalized.

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Oct 5 Update – Changes to tracking COVID

New Stats

There is a new methodology in tracking and reporting cases which will temporarily inflate numbers. Positive antigen tests are now being counted towards the total case number since the person at some had COVID. This is from a fellow Representative and friend who is also a doctor and brilliant at statistical analysis:

“Public Health is changing its daily NH DHHS COVID-19 Update report as it was pointed out to them that their methodology was making NH look very bad in reports that rely on the Covid Tracking Project for data input, such as Johns Hopkins and rt.live.This was obviously concerning right before the election.Technical details are available at the linked website.Briefly, the Total Persons Tested at Selected Laboratories, Polymerase Chain Reaction (PCR) line was being used as a denominator in calculations of percent positivity of tests divided by people tested.As we have a surveillance strategy in places like UNH that retests people that had previously tested negative, this was not increasing the numbers of people tested for the first time, resulting in anomalously high numbers.As an interim, they deleted the Total Persons Tested at Selected Laboratories, Polymerase Chain Reaction (PCR) line.I believe we will be seeing a Testing Encounters line, which is the new preferred way of reporting, and will result in more favorable reporting about NH.” ~ Dr. Bill Marsh

The best advice is to wait a few weeks into the new methodology to see what the trends actually are, and also watch the two week average since that will have a smoothing effect on anomalies. ~ Steve

Many states have moved toward greater transparency about their test data reporting methods, and we’re making changes to better represent what they publish. We’re also introducing a “new” way some states are counting tests—one we think all states and territories would be wise to embrace. https://covidtracking.com/blog/counting-covid-19-tests

NH update: State adds results of antigen testing, raising numbers

COVID-19 positives from a different type of diagnostic test will now be included in New Hampshire’s case counts, state health officials have announced. Along with new positive tests reported Friday, this change has adjusted the state’s total number of cases confirmed to date upward to 8,534. This is up 217 over Thursday’s reported total of 8,317.

“We had previously reported only positive cases confirmed by a PCR test, per national guidance, with antigen positives considered suspect cases of COVID-19,” N.H. Department of Health and Human Services spokesman Jake Leon explained in an email Friday evening. “With the State’s decision to now report positive antigen tests, that adjusted all data including hospitalizations and deaths, not just cases.” More at https://www.sentinelsource.com/news/health/nh-update-state-adds-results-of-antigen-testing-raising-numbers/article_67298f8c-9bec-520d-add9-5e8a77be4c28.html

N.H. COVID update: Sharp rise in new cases over the weekend; almost 500 people have the disease

The slow rise in new COVID-19 cases that New Hampshire has seen recently became noticeably faster over the weekend.

The state reported 218 new cases from Friday through Sunday, the most we’ve seen in three consecutive days since June 4-6.

This raised the statewide two-week average to 44, the highest in three and a half months.

While that figure remains well below the level of 54, or four new cases per 100,000 people each day, which the Monitor is using as a measure of whether the pandemic is under control, the average has risen sharply since schools and colleges reopened. More at https://www.concordmonitor.com/covid-coronavirus-nh-new-hampshire-36637426

New Hampshire 2019 Novel Coronavirus (COVID-19) Summary Report

(data updated as of October 4, 2020 – 9:00 AM)

Number of Persons with COVID-19 18,645
Recovered7,710 (89%)
Deaths Attributed to COVID-19443 (5%)
Total Current COVID-19 Cases492
Persons Who Have Been Hospitalized for COVID-19743 (9%)
Current Hospitalizations23
Persons with Specimens Submitted to NH PHL47,613
Persons with Test Pending at NH PHL31.004
Persons Being Monitored in NH (approximate point in time)2,750

1 Includes specimens positive at any laboratory and those confirmed by CDC confirmatory testing.
2 Includes specimens tested at the NH Public Health Laboratories (PHL), LabCorp, Quest, Dartmouth-Hitchcock Medical Center, Mako, certain hospital laboratories, the University of New Hampshire and their contracted laboratory, and those sent to CDC prior to NH PHL testing capacity.
3 Includes specimens received and awaiting testing at NH PHL. Does not include tests pending at commercial laboratories.

On Sunday, October 4, 2020, DHHS announced 53 new positive test results for COVID-19. There are now 492 current COVID-19 cases diagnosed in New Hampshire. Today’s results include 33 people that tested positive by PCR test and 20 that tested positive by antigen test. 

Several cases are still under investigation. Additional information from ongoing investigations will be incorporated into future COVID-19 updates. Of those with complete information, there are six individuals under the age of 18 and the rest are adults with 45% being female and 55% being male. The new cases reside in Hillsborough County other than Manchester and Nashua (16), Rockingham (11), Merrimack (5), Strafford (5), Belknap (2), and Grafton (1) counties, and in the cities of Nashua (9) and Manchester (3). The county of residence is being determined for one new case.

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Sullivan County Receives Over $1.7 Million for Lead Paint Abatement

October 2, 2020, Newport, NH:   Sullivan County was recently notified it has been awarded $1,703,524 from Housing and Urban Development (HUD) to eliminate lead-based paint hazards for low income families.  The County was one of 15 first-time recipients of this funding.  In all, there were 44 grants approved and a total of nearly $165 million. 

The funding is comprised of two sources:  $1,303,524 is for lead hazards and $400,000 is from the “healthy homes” program which will provide flexibility to address other health & safety deficiencies that are unrelated to lead hazards.  The County will have 42 months to do the work. 

According to Sullivan County Manager Derek Ferland, “This is outstanding news for Sullivan County and we look forward to making a positive impact in our communities by protecting families—especially those with young children.  The City of Claremont has demonstrated tremendous leadership on this issue and we are pleased to partner with them to obtain these resources.” 

This grant caps off a multi-year effort of a partnership comprised of the Claremont Lead Action Team, the Greater Sullivan County Regional Public Health Network, and Sullivan County.  This group has been working together to develop new approaches to combat childhood lead poisoning and improve the county’s housing stock.  A planning grant that was awarded to Dartmouth-Hitchcock from the Environmental Public Health Tracking Program of NH Department of Health and Human Services helped the team evaluate existing lead abatement programs.  As a result of that effort, the group determined a large HUD grant was the best way to make meaningful progress to eradicate lead hazards. 

Over 80 percent of homes in Sullivan County were built prior to 1978, which was the year lead-based paint was banned in the United States.  

Sullivan County’s staff will lead the next steps which include hiring a program manager and certified lead inspector to oversee the program.  Once on board, they will process applications and coordinate with qualified contractors to do the work.  In the meantime, interested homeowners, landlords, tenants, or contractors should contact Sullivan County. 

Press Release Contact:

Derek Ferland, County Manager

manager@sullivancountynh.gov   603-863-2560

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