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Oregon COVID-19 Weekly Report

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Oregon COVID-19 Weekly Report Informe semanal de COVID-19 Resumen de vigilancia semanal de Oregón Nuevo coronavirus (COVID-19) División de Salud Pública de Oregón Publicado el 9 de diciembre de 2020 Antecedentes Los datos del Informe semanal de COVID-19 se concluirán todos los domingos a las 11 p. m., hora de verano del Pacífico, y el informe se publicará el miércoles. Tenga en cuenta que los datos informados aquí se están actualizando continuamente. Para obtener información actualizada a diario, visite el sitio web sobre COVID-19 de la Autoridad de Salud de Oregón (Oregon Health Authority, OHA): https://govstatus.egov.com/OR-OHA-COVID-19. Hasta las 11 p. m. del domingo, 6 de diciembre, hubo 85,788 casos de COVID-19 informados a la Autoridad de Salud de Oregón. De estos, 3,741 (4.4 %) son casos “presuntos”, digamos personas que tienen síntomas compatibles con COVID-19 y contacto cercano con un caso confirmado, pero no tuvieron una prueba de laboratorio que lo confirme. Aunque no están confirmados, los casos presuntos muy probablemente tengan COVID-19, debido a los síntomas específicos y a la exposición conocida. Se les recomienda a los casos presuntos que se realicen pruebas de detección para confirmar si tienen COVID-19. Los casos presuntos que obtengan un resultado positivo se recategorizan a casos confirmados. Estos datos representan una visión global de los factores de riesgo de COVID-19, características clínicas y demográficas de los casos e incluyen datos sobre casos con exámenes complementarios pendientes. No se ha entrevistado a todos los casos al momento del presente informe. Los datos que se muestran en este informe provienen del sistema electrónico de vigilancia de la enfermedad para enfermedades de declaración obligatoria para Oregón. Durante la semana del 29 de noviembre al 5 de diciembre*, se realizó la prueba de detección de COVID-19 a 170,934 residentes de Oregón, y el 8.1 % obtuvo un resultado positivo.† Esta cifra representa un método “basado en la realización de pruebas” mediante el cual se utilizan todos los informes electrónicos de laboratorio recibidos por la OHA para calcular el porcentaje de pruebas positivas.§ Se pueden encontrar en línea tablas detalladas de la cantidad de pruebas y el porcentaje de pruebas positivas en https://public.tableau.com/profile/oregon.health.authority.covid.19#!/vizhome/OregonHealthAu thorityCOVID-19DataDashboard/COVID- 19EPICases?:display_count=y&:toolbar=n&:origin=viz_share_link&:showShareOptions=false * Este rango de fechas coincide con la “semana MMWR” de los Centros para el Control y la Prevención de Enfermedades (Centers for Disease Control and Prevention, CDC). † No incluye pruebas de anticuerpos (serología). § www.cdc.gov/coronavirus/2019-ncov/lab/resources/calculating-percent-positivity.html Los datos son provisorios y están sujetos a cambio. Página 1 de 18 Informe semanal de COVID-19 Resumen de vigilancia semanal de Oregón Nuevo coronavirus (COVID-19) División de Salud Pública de Oregón Publicado el 9 de diciembre de 2020 Resumen del informe semanal Durante el lunes 30 de noviembre hasta el domingo 6 de diciembre, la OHA registró 10,355 nuevos casos de infección por COVID-19; un aumento del 14 % sobre el conteo de la semana pasada y la 7.ª semana consecutiva de niveles récord. Los 85,788 casos informados hasta la fecha implican que el 2 % de los residentes de Oregón ha tenido COVID-19. El recuento de casos en aumento está sobrepasando la capacidad de las autoridades de salud pública local de Oregón para investigar e identificar las fuentes de infección; hasta octubre, el 34 % de los casos se consideró “esporádico” pero de los casos con inicio durante las primeras tres semanas de noviembre, el 52 % se indicó como “esporádico”. Cuatrocientos noventa y cuatro pacientes con COVID-19 fueron hospitalizados la semana pasada (un promedio de 70 por día) y 133 residentes de Oregón murieron en asociación con la COVID-19 (mayor a los 86 de la semana anterior y un promedio de 19 por día). Mil cuarenta y cinco de los 85,788 casos informados hasta la fecha en Oregón han muerto en asociación con la COVID-19 (una tasa de letalidad de casos del 1.2 %). Datos recientes sobre mortalidad en Oregón, incluidas las muertes relacionadas con la COVID-19, están disponibles en https://public.tableau.com/profile/oha.center.for.health.statistics. Las personas de origen étnico hispano se vieron afectadas de manera desproporcionada por la COVID-19: representan el 13 % de la población de Oregón, pero el 39 % de los casos de origen étnico conocido reportados hasta la fecha. Según la edad, la incidencia más alta de infección informada es de entre 20 y 49 años de edad, lo que representa el 39 % de la población de Oregón, pero el 55 % de los casos informados. Las personas menores de 30 años componen el 37 % de la población de Oregón y representan el 37 % de los casos informados, pero solo el 9 % de las hospitalizaciones y 2 muertes. Las tasas de hospitalización y muerte aumentan con la edad. Si bien solo un 3.9 % de los residentes de Oregón tienen 80 años de edad o más, representan 540 (52 %) de las muertes relacionadas con COVID-19; 790 (76 %) de las muertes ocurren entre residentes de Oregón de 70 años de edad o más. Encuentre información adicional en https://public.tableau.com/profile/oregon.health.authority.covid.19#!/vizhome/OregonCOVID- 19CaseDemographicsandDiseaseSeverityStatewide/DemographicData. Características clínicas, factores de riesgo y características demográficas La Figura 1 muestra el número de casos informados por semana de inicio y vínculo epidemiológico. La Figura 2 muestra el número de casos esporádicos informados por semana de inicio y raza. La Figura 3 muestra el número de casos esporádicos informados por semana de inicio y origen étnico. La Figura 4 proporciona información sobre los signos y síntomas de todos los casos de COVID-19. De 85,788 casos, 54,253 (63.2 %) informó tener Los datos son provisorios y están sujetos a cambio. Página 2 de 18 Informe semanal de COVID-19 Resumen de vigilancia semanal de Oregón Nuevo coronavirus (COVID-19) División de Salud Pública de Oregón Publicado el 9 de diciembre de 2020 signos y síntomas de COVID-19. Los síntomas informados con más frecuencia son tos (n=33,902, 39.5 %) y dolor de cabeza (n=30,603, 35.7 %). La Figura 3 proporciona información sobre el porcentaje de casos de COVID-19 que informan síntomas. La Figura 4 proporciona información sobre los factores de riesgo de todos los casos de COVID-19. Los factores de riesgo más frecuentes son tener contacto con un caso de COVID-19 confirmado previo a la aparición de los síntomas (n=47,698; 55.6 %) y tener afecciones médicas subyacentes (n=45,454; 53.0 %). Tenga en cuenta que cada persona puede informar más de un signo/síntoma o factor de riesgo. Cuando se muestran por semana en este informe, los datos de casos se categorizan por semana de inicio de síntomas informados, no por fecha de caso informado. Esto da como resultado números reducidos en la semana más reciente o más debido a retrasos en los informes. Los datos son provisorios y están sujetos a cambio. Página 3 de 18 Informe semanal de COVID-19 Resumen de vigilancia semanal de Oregón Nuevo coronavirus (COVID-19) División de Salud Pública de Oregón Publicado el 9 de diciembre de 2020 Designaciones de vínculo epidemiológico Esporádico: casos que no tienen exposición conocida a otro caso o brote. Brote: casos que tienen una exposición definida y compartida con al menos otro caso. Por ejemplo, una exposición definida podría ser un evento, un lugar de trabajo, un lugar de congregación, etc. Grupo: casos que tuvieron contacto con otro caso, pero la exposición no está bien definida. Por ejemplo, casos en dos hogares que interactuaron muchas veces antes de la aparición de la enfermedad. Hogar: casos que estuvieron expuestos a otro caso, en su hogar. Contacto cercano: casos que estuvieron expuestos a otro caso, fuera de su hogar. Esta designación se agregó el 7/15. Debido al retraso entre la información de casos y la investigación de casos, la proporción de casos categorizados como esporádicos es alta en la semana más reciente o más; algunos de estos casos se recategorizarán luego de que finalice la investigación. Los datos son provisorios y están sujetos a cambio. Página 4 de 18 Informe semanal de COVID-19 Resumen de vigilancia semanal de Oregón Nuevo coronavirus (COVID-19) División de Salud Pública de Oregón Publicado el 9 de diciembre de 2020 Los datos son provisorios y están sujetos a cambio. Página 5 de 18 Informe semanal de COVID-19 Resumen de vigilancia semanal de Oregón Nuevo coronavirus (COVID-19) División de Salud Pública de Oregón Publicado el 9 de diciembre de 2020 *Las situaciones de convivencia grupal incluyen, entre otras, centros de atención a largo plazo, hogares grupales, cárceles y refugios. Los datos incluyen a personas con casos confirmados que viven o trabajan en situaciones de convivencia grupal. **La atención directa al paciente solo se pregunta si un caso es un trabajador o voluntario de atención médica. El denominador es el número de trabajadores o voluntarios de atención médica. ***Las afecciones médicas subyacentes incluyen enfermedad cardiovascular, enfermedad hepática crónica, enfermedad pulmonar crónica, enfermedad renal crónica, fumador actual o exfumador, diabetes mellitus, estado de compromiso inmunitario, afección neurológica/del desarrollo neurológico, obesidad u otras enfermedades crónicas. Las siguientes tablas muestran las características demográficas de todos los casos de COVID-19. Las Tablas 1 y 2 muestran el recuento de casos y la gravedad por categorías demográficas. Las Figuras 7 y 8 muestran la distribución demográfica de casos por semana de inicio. Las Tablas 3 y 4 muestran la raza y el origen étnico, respectivamente.
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