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SNOHOMISH HEALTH DISTRICT WEEKLY COVID‐19 REPORT 15 – NOVEMBER 21, 2020

SUMMARY OF KEY COVID‐19 SAFE START METRICS Metric Definition Current Prior Target Nov 15‐Nov 21 Nov 8–Nov 14 Activity Cases per 100,000 population during the 300 278 <25 14 days ending on the last day of the week (Fig. 1, p. 2)

Average daily census of Snohomish 59 49 ‐‐ County residents hospitalized with COVID‐19 for the week (Fig. 9, p. 11) New hospitalizations per 100,000 7.2 5.9 ‐‐ population for the week

Healthcare Percentage of licensed acute care 78% 83% <80% System hospital beds occupied Readiness Percentage of licensed acute care 8.6% 6.9% <10% hospital beds occupied by COVID‐19 cases Testing Average daily tests per 100,000 Data 225 ‐‐ population for the week unavailable Testing positivity rate for the week Data 9.9% <2% (Table 10, p.12) unavailable Median time from symptom onset to 2 day 2 day <2 days specimen collection among cases for the week Case and Percent of cases reached by phone or in 31% 33% 90% contact person within 24 hours of receipt of investigations positive lab test report on a case (pp. 13‐14) Percent of contacts reached by phone or Unavailable 50% 80% in person within 48 hours of receipt of due DOH positive lab test report on a case system upgrade Protecting Number of outbreaks reported by week 19 17 ≤2 high‐risk (defined as 2 or more non‐household populations cases epidemiologically linked within 14 days in a workplace, congregate living or institutional setting; Table 8, p. 8) Notes:

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WEEKLY COVID‐19 REPORT SNOHOMISH HEALTH DISTRICT – NOVEMBER 21, 2020

COVID‐19 EPIDEMIOLOGIC OVERVIEW

Figure 1: Snohomish County COVID‐19 case rates per 100,000, 1st through November 21st, 2020

Snohomish County COVID‐19 Case Rate per 100,000 for 2‐week Rolling Periods 350 300 300 278

250

100,000 187 200 per

150 129 121125 105 Rate 100 96 96 95 86 100 80 74 71 69 59 61 60 Case 53 54 49 51 43 52 49 43 46 32 38 42 50 19 26 25 21 21 25

0 11/7/2020 ‐ 10/24/2020 10/17/2020 10/10/2020 10/03/2020 09/26/2020 09/19/2020 09/12/2020 09/05/2020 08/29/2020 08/22/2020 08/15/2020 08/08/2020 08/01/2020 07/25/2020 07/18/2020 07/11/2020 07/04/2020 06/27/2020 06/20/2020 06/13/2020 06/06/2020 05/30/2020 05/23/2020 05/16/2020 05/09/2020 05/02/2020 04/25/2020 04/18/2020 04/11/2020 04/04/2020 11/21/2020 03/28/2020 11/14/2020 03/21/2020 03/14/2020 10/31/2020 ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ 10/25 10/18 10/11 10/04 09/27 09/20 09/13 09/06 08/30 08/23 08/16 08/09 08/02 07/26 07/19 07/12 07/05 06/28 06/21 06/14 06/07 05/31 05/24 05/17 05/10 05/03 04/26 04/19 04/12 04/05 03/29 03/22 11/08 03/15 11/01 03/08 03/01

Case rate per 100,000 Goal case rate per 100,000

Data source: Snohomish Health District COVID‐19 database.

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WEEKLY COVID‐19 REPORT SNOHOMISH HEALTH DISTRICT NOVEMBER 15 – NOVEMBER 21, 2020

Figure 2: Number of Snohomish County COVID‐19 cases by date of report

Snohomish County COVID‐19 Cases by Report Date 300

250

200 cases

of 150 Number 100

50

0 3/5/2020 4/2/2020 4/9/2020 5/7/2020 6/4/2020 7/2/2020 7/9/2020 8/6/2020 9/3/2020 1/19/2020 3/12/2020 3/19/2020 3/26/2020 4/16/2020 4/23/2020 4/30/2020 5/14/2020 5/21/2020 5/28/2020 6/11/2020 6/18/2020 6/25/2020 7/16/2020 7/23/2020 7/30/2020 8/13/2020 8/20/2020 8/27/2020 9/10/2020 9/17/2020 9/24/2020 10/1/2020 10/8/2020 11/5/2020 10/15/2020 10/22/2020 10/29/2020 11/12/2020 11/19/2020

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WEEKLY COVID‐19 REPORT SNOHOMISH HEALTH DISTRICT NOVEMBER 15 – NOVEMBER 21, 2020

Figure 3: Snohomish County COVID‐19 epidemiologic curve

Snohomish County COVID‐19 Case Onset Dates 250

200

150 Cases

of

Number 100

50

0 2/1/2020 3/3/2020 4/7/2020 5/5/2020 6/3/2020 7/1/2020 7/8/2020 8/5/2020 9/2/2020 9/9/2020 1/16/2020 2/10/2020 2/17/2020 2/25/2020 3/10/2020 3/17/2020 3/24/2020 3/31/2020 4/14/2020 4/21/2020 4/28/2020 5/12/2020 5/19/2020 5/26/2020 6/10/2020 6/17/2020 6/24/2020 7/15/2020 7/22/2020 7/29/2020 8/12/2020 8/19/2020 8/26/2020 9/16/2020 9/23/2020 9/30/2020 10/7/2020 11/4/2020 10/14/2020 10/21/2020 10/28/2020 11/11/2020 11/18/2020 Note: data for the most recent week (far right end) of the figure are not complete, and those counts are likely to increase with completion of pending investigations.

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WEEKLY COVID‐19 REPORT SNOHOMISH HEALTH DISTRICT NOVEMBER 15 – NOVEMBER 21, 2020

Figure 4: Cumulative total COVID‐19 cases in Snohomish County by report date

Snohomish County COVID‐19 Cases, Cumulative Total

16000

14000

12000

10000 Cases

of 8000

6000 Number

4000

2000

0 3/5/2020 4/2/2020 4/9/2020 5/7/2020 6/4/2020 7/2/2020 7/9/2020 8/6/2020 9/3/2020 1/19/2020 3/12/2020 3/19/2020 3/26/2020 4/16/2020 4/23/2020 4/30/2020 5/14/2020 5/21/2020 5/28/2020 6/11/2020 6/18/2020 6/25/2020 7/16/2020 7/23/2020 7/30/2020 8/13/2020 8/20/2020 8/27/2020 9/11/2020 9/17/2020 9/24/2020 10/1/2020 10/8/2020 11/5/2020 10/15/2020 10/22/2020 10/29/2020 11/12/2020 11/18/2020

Table 1: Sex at birth of COVID‐19 cases in Snohomish County

Sex at birth Current 2‐Week Period Prior 2‐Week Period Cumulative 11/8‐11/21/2020 11/1‐11/14/2020 01/20/2020‐present Female 1334 1209 6637 Male 1234 1170 7273 Grand Total 2568 2379 13910

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WEEKLY COVID‐19 REPORT SNOHOMISH HEALTH DISTRICT NOVEMBER 15 – NOVEMBER 21, 2020

Table 2: Age group of COVID‐19 cases in Snohomish County

Age group in years Current 2‐Week Period Prior 2‐Week Period Cumulative 11/8‐11/21/2020 11/1‐11/14/2020 01/20/2020‐present 0‐14 213 204 1094 15‐19 231 213 960 20‐29 547 538 2750 30‐39 519 432 2524 40‐49 383 354 2180 50‐59 326 294 1938 60‐69 186 167 1248 70‐79 93 100 636 80+ 70 77 574 Unknown 0 0 6 Grand Total 2568 2379 13910

Figure 5: Snohomish County cumulative total COVID‐19 cases by age group

Snohomish County COVID‐19 Cases by Age Group 3000 2750

2524 2500

2180

2000 1938 Cases

of 1500 1248 1094 Number 960 1000

636 574 500

6 0 0‐14 15‐19 20‐29 30‐39 40‐49 50‐59 60‐69 70‐79 80+ Unknown

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WEEKLY COVID‐19 REPORT SNOHOMISH HEALTH DISTRICT NOVEMBER 15 – NOVEMBER 21, 2020

Figure 6: Snohomish County cumulative COVID‐19 case rates per 100,000 by age group

Snohomish County COVID‐19 Case Rates per 100,000 by Age Group

80+ 2285

70‐79 1216

60‐69 1287

50‐59 1703

40‐49 1925

30‐39 2125

20‐29 2825

15‐19 2075

0‐14 708

0 500 1000 1500 2000 2500 3000 Case Rate per 100,000

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WEEKLY COVID‐19 REPORT SNOHOMISH HEALTH DISTRICT NOVEMBER 15 – NOVEMBER 21, 2020

Figure 7: Number of COVID‐19 cases by report date and age group

Snohomish County COVID‐19 Cases by Report Date and Age Group 600

500

400 Cases

of 300

200 Number

100

0

0‐14 15‐19 20‐29 30‐39 40‐49 50‐59 60‐69 70‐79 80+

*Notes: 1. This graph will be updated every 2 weeks for completeness of data points. 2. As time intervals on the x‐axis are shown in sequential two‐week periods, findings here lag behind changes noted in Table 2 above.

Table 3: Type of exposure among COVID‐19 cases in Snohomish County

Type of exposure Current 2‐Week Period Prior 2‐Week Period Cumulative 11/8‐11/21/2020 11/1‐11/14/2020 01/20/2020‐present Close contact 1108 1052 5493 Community acquired 762 674 4629 Long‐term Care Facility Associated 120 146 1070 Healthcare Worker 23 40 449 Travel 5 5 148 Corrections 7 9 86 Nosocomial 8 15 42 Unknown 535 438 1993 Grand Total 2568 2379 13910

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WEEKLY COVID‐19 REPORT SNOHOMISH HEALTH DISTRICT NOVEMBER 15 – NOVEMBER 21, 2020

Figure 8: Type of exposure among Snohomish County COVID‐19 cases by month of illness onset

Snohomish County COVID‐19 Cases by Type of Exposure and Report Date 1200

1000

800 Cases

of 600

400 Number

200

0

Long‐term care associated Close contact Community acquired All others

Table 4: Current case status of COVID‐19 cases in Snohomish County

Current status Current 2‐Week Period Prior 2‐Week Period All cases 11/8‐11/21/2020 11/1‐11/14/2020 01/20/2020‐present Home isolation 1962 1795 2973 Hospitalized 34 25 50 Survived1 11 79 9825 Deceased 10 8 268 Unknown 551 472 794 Grand Total 2568 2379 13910 1No longer in isolation, not hospitalized at this time, not deceased

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WEEKLY COVID‐19 REPORT SNOHOMISH HEALTH DISTRICT NOVEMBER 15 – NOVEMBER 21, 2020

Table 5: Symptom status of confirmed COVID‐19 cases in Snohomish County by month of report

Month Asymptomatic (%) Symptomatic (%) Total Jan‐Feb 0 (0%) 5 (100%) 5 (1.7%) 1122 (98.3%) 1141 97 (7.5%) 1200 (95.5%) 1297 May 101 (14.9%) 575 (85.1%) 676 121 (20.6%) 466 (79.4%) 587 183 (17.4%) 868 (82.6%) 1051 96 (13.4%) 619 (86.6%) 715 64 (13%) 422 (87%) 486 164 (10.5%) 1400 (89.5%) 1564 Grand Total 845 (11.2%) 6,677 (88.8%) 7,522 Data source: WDRS, only includes confirmed cases with available symptom status data. This table is updated monthly.

Table 6: Hospitalization of COVID‐19 cases in Snohomish County

Ever hospitalized Current 2‐Week Period Prior 2‐Week Period Cumulative 11/8‐11/21/2020 11/1‐11/14/2020 01/20/2020‐present No 1942 1838 10906 Yes 82 67 969 Unknown 544 474 2035 Grand Total 2568 2379 13910

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WEEKLY COVID‐19 REPORT SNOHOMISH HEALTH DISTRICT NOVEMBER 15 – NOVEMBER 21, 2020

Table 7: New Outbreaks Detected 11/15‐11/21/2020

Facility name Facility type Number of cases A Adult family home <5 B Adult family home <5 C Childcare <5 D Construction <5 E Construction 6 F Government <5 G LTCF <5 H LTCF <5 I Manufacturing 7 J Real estate <5 K Restaurant <5 L Restaurant <5 M Restaurant <5 N Restaurant <5 O Restaurant <5 P School <5 Q School <5 R Social Event 16 S Veterinary <5 Total outbreaks 19 64

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WEEKLY COVID‐19 REPORT SNOHOMISH HEALTH DISTRICT NOVEMBER 15 – NOVEMBER 21, 2020

Table 8: City of residence of COVID‐19 cases in Snohomish County

City Current 2‐Week Period Prior 2‐Week Period Cumulative 11/8‐11/21/2020 11/1‐11/14/2020 01/20/2020‐present Arlington 125 142 627 Bothell 174 151 1002 Brier 13 10 57 Darrington <5 <5 14 Edmonds 132 128 892 Everett 634 612 3900 Gold Bar 10 7 47 Granite Falls 17 17 98 Lake Stevens 152 142 724 Lynnwood 388 369 2061 Marysville 298 239 1330 Mill Creek 51 46 261 Monroe 98 121 673 Mountlake Terrace 53 49 323 Mukilteo 44 34 247 North Lakewood <5 <5 <5 Silvana <5 <5 <5 Snohomish 185 165 916 Stanwood 113 101 414 Startup 0 0 <5 Sultan 10 11 87 Tulalip 55 22 157 Woodinville 5 7 42 Woodway <5 <5 23 Unknown <5 0 6 Grand Total 2568 2379 13910

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WEEKLY COVID‐19 REPORT SNOHOMISH HEALTH DISTRICT NOVEMBER 15 – NOVEMBER 21, 2020

COVID‐19 CONTROL PROCESS INDICATORS

Figure 9: COVID‐19 acute care hospital census by date among Snohomish County residents

Snohomish County COVID‐19 Hospitalizations by Date

140

120

100

Cases 80

of

60 Number 40

20 Mean: 40; Median: 30; Range 15‐126

0 3/1/2020 3/8/2020 4/5/2020 5/3/2020 6/7/2020 7/5/2020 8/2/2020 8/9/2020 9/6/2020 3/15/2020 3/22/2020 3/29/2020 4/12/2020 4/19/2020 4/26/2020 5/10/2020 5/17/2020 5/24/2020 5/31/2020 6/14/2020 6/21/2020 6/28/2020 7/12/2020 7/19/2020 7/26/2020 8/16/2020 8/23/2020 8/30/2020 9/13/2020 9/20/2020 9/27/2020 10/4/2020 11/1/2020 11/8/2020 10/11/2020 10/18/2020 10/25/2020 11/15/2020 Data source: Snohomish Health District COVID‐19 database

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WEEKLY COVID‐19 REPORT SNOHOMISH HEALTH DISTRICT NOVEMBER 15 – NOVEMBER 21, 2020

Table 9: Testing activity in Snohomish County through , 2020.

Week Tests Reported Negative Positive % Positive

9/20‐9/26/2020 7241 7014 227 3.1%

9/27‐10/03/2020 7071 6804 267 3.8%

10/4‐10/10/2020 8517 8129 388 4.6%

10/11‐10/17/2020 8274 7800 474 5.7%

10/18‐10/24/2020 9677 9141 536 5.5%

10/25‐10/31/2020 10058 9473 585 5.8%

11/1‐11/7/2020 12150 11033 1117 9.2%

11/8‐11/14/2020 13082 11793 1289 9.9%

Total 10/18‐11/14/2020

(4‐week total) 45,471 41,923 3,548 7.8%

Data source WA DOH COVID Dashboard (all data updated due to change in testing surveillance by WA DOH, please disregard data in previous reports). Data no longer available after November 18th, 2020.

Figure 10: Rolling 7‐day average percent positivity of COVID‐19 tests in Snohomish County by week

Snohomish County Percent Positivity Rate of COVID‐19 Tests

25.0 20.7 20.0 Positive

15.0 11.7 10.7 9.8 9.7 9.610.2 9.2 8.5

Percent 10.0 6.5 7.0 6.2 5.6 5.4 5.2 5.3 5.7 5.1 4.2 5.0 4.5 3.8 3.3 3.4 3.6 2.9 3.2 3.8 3.0 3.1 3.7 5.0 2.5 1.9 1.8 2.2 2.2 2.5 Average 0.0 9/5/2020 8/1/2020 8/8/2020 7/4/2020 5/2/2020 5/9/2020 6/6/2020 4/4/2020 3/7/2020 11/7/2020 9/19/2020 9/26/2020 10/3/2020 9/12/2020 8/22/2020 8/29/2020 8/15/2020 7/18/2020 7/25/2020 7/11/2020 6/20/2020 6/27/2020 6/13/2020 4/18/2020 4/25/2020 5/16/2020 5/23/2020 5/30/2020 4/11/2020 3/21/2020 3/28/2020 3/14/2020 ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ 10/31/2020 11/14/2020 10/24/2020 10/10/2020 10/17/2020 ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ 8/2/2020 5/3/2020 3/1/2020 9/6/2020 8/30/2020 8/9/2020 7/26/2020 7/5/2020 6/28/2020 6/7/2020 4/26/2020 5/31/2020 4/5/2020 3/29/2020 3/8/2020 11/1/2020 9/20/2020 9/27/2020 9/13/2020 8/23/2020 8/16/2020 7/19/2020 7/12/2020 6/21/2020 6/14/2020 4/19/2020 5/10/2020 5/17/2020 5/24/2020 4/12/2020 3/22/2020 3/15/2020 11/8/2020 10/4/2020 10/25/2020 10/11/2020 10/18/2020 Page 14 of 22

WEEKLY COVID‐19 REPORT SNOHOMISH HEALTH DISTRICT NOVEMBER 15 – NOVEMBER 21, 2020

Table 10: Percent of case investigations completed within 1 and 2 days of initial notification of case

Number Percent Number Percent Cases Week contacted contacted contacted contacted Reported within 1 day within 1 day within 2 days within 2 days

9/27‐10/03/2020 261 208 80% 223 85% 10/4‐10/10/2020 348 244 70% 259 74% 10/11‐10/17/2020 499 351 70% 394 79% 10/18‐10/24/2020 516 375 73% 417 80% 10/25‐10/31/2020 534 354 66% 430 80% 11/1‐11/7/2020 1049 434 41% 629 60% 11/8‐11/14/2020 1329 436 33% 690 52% 11/15‐11/21/2020 1240 385 31% 650 52% Data source: Snohomish Health District COVID‐19 database. Includes PCR confirmed cases only

Figure 11: Case notification to investigation completion interval in days (11/15‐11/21/2020) Snohomish County COVID‐19 Case Notification to Investigation Completion Interval in Days 350

300

250

Cases 200

of

150 Number 100

50

0 012345678Lost to follow‐up

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WEEKLY COVID‐19 REPORT SNOHOMISH HEALTH DISTRICT NOVEMBER 15 – NOVEMBER 21, 2020

Table 11: Percent of identified contacts notified and quarantined within 2 days

Week Contacts identified Number contacted Percent contacted within 2 days within 2 days

9/27‐10/3/2020 370 298 81% 10/4‐10/10/2020 529 405 77% 10/11‐10/17/2020 912 647 71% 10/18‐10/24/2020 812 610 75% 10/25‐10/31/2020 735 551 75% 11/1‐11/7/2020 1053 757 72% 11/8‐11/14/2020 1004 501 50% 11/15‐11/21/2020 Data unavailable DOH system upgrade Data source: Snohomish Health District contact database.

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WEEKLY COVID‐19 REPORT SNOHOMISH HEALTH DISTRICT NOVEMBER 15 – NOVEMBER 21, 2020

COVID‐19 IN LONG‐TERM CARE FACILITIES

Long‐term Care Facility (LTCF) Associated COVID‐19 Cases:

Figure 12: LTCF‐associated COVID‐19 cases by onset date

Snohomish County Long‐term Care Facility Associated COVID‐19 Cases by Onset Date 80 75 72 74 70 65 59 58 60 57 53 48 50 Cases

42 41 39 of 40 34 34 31 30 27 25 26 22

Number 21 17 20 14 14 11 11 11 13 10 10 10 8 10 10 6 7 2 2 3 1 3 0 (blank)

3/7/2020 4/4/2020 5/2/2020 5/9/2020 6/6/2020 7/4/2020 8/1/2020 8/8/2020 9/5/2020 or

11/7/2020 3/14/2020 3/21/2020 3/28/2020 4/11/2020 4/18/2020 4/25/2020 5/16/2020 5/23/2020 5/30/2020 6/13/2020 6/20/2020 6/27/2020 7/11/2020 7/18/2020 7/25/2020 8/15/2020 8/22/2020 8/29/2020 9/12/2020 9/19/2020 9/26/2020 10/3/2020 ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ 10/17/2020 10/24/2020 10/31/2020 11/14/2020 11/21/2020 10/10/2020 ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ 3/1/2020 5/3/2020 8/2/2020 <3/1/2020 3/8/2020 3/29/2020 4/5/2020 4/26/2020 5/31/2020 6/7/2020 6/28/2020 7/5/2020 7/26/2020 8/9/2020 8/30/2020 9/6/2020 11/1/2020 3/15/2020 3/22/2020 4/12/2020 4/19/2020 5/10/2020 5/17/2020 5/24/2020 6/14/2020 6/21/2020 7/12/2020 7/19/2020 8/16/2020 8/23/2020 9/13/2020 9/20/2020 9/27/2020 11/8/2020 10/4/2020 10/11/2020 10/18/2020 10/25/2020 11/15/2020 Table 12: Type of LTCF‐associated COVID‐19 case

Type Number Percent Resident 550 51.4% Staff 513 47.9% Visitor 5 0.5% Other <5 ‐‐ Grand Total 1070 100.0%

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WEEKLY COVID‐19 REPORT SNOHOMISH HEALTH DISTRICT NOVEMBER 15 – NOVEMBER 21, 2020

Table 13: Current status of LTCF‐associated COVID‐19 cases

Current status Number Percent Survived1 749 70.0% Isolation 149 13.9% Hospitalized 8 0.7% Deceased 136 12.7% Unknown 28 2.6% Grand Total 1070 100.0% 1No longer in isolation, not hospitalized at this time, not deceased

Table 14: LTCF‐associated cases ever hospitalized for COVID‐19 illness

Ever hospitalized Residents Staff No 345 (62.7%) 441 (86.0%) Yes 185 (33.6%) 28 (5.5%) Unknown 20 (3.6%) 44 (8.6%) Grand Total 550 513

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WEEKLY COVID‐19 REPORT SNOHOMISH HEALTH DISTRICT NOVEMBER 15 – NOVEMBER 21, 2020

Table 15: LTCF and adult family home associated COVID‐19 outbreaks (note only outbreaks with >5 cases are listed)

Facility Number Percent of total LTCF‐ Outbreak resolved associated cases Josephine Caring Community #2 107 14.2% No Regency Care Monroe 83 11.0% No Sunrise View Everett 80 10.6% Yes Rosewood Courte Memory Care 46 6.1% Yes Lynnwood Post‐Acute Rehab 45 6.0% Yes Heritage Court Assisted Living 43 5.7% Yes Terrace at Beverly Lake Memory Care 38 5.0% Yes Bethany at Silver Lake 34 4.5% No Chateau Pacific Assisted Living 33 4.4% Yes Josephine CC 33 4.4% Yes Mountain View Skilled Nursing Marysville 31 4.1% Yes Prestige Post Acute Rehab Edmonds 27 3.6% Yes Cedar Creek Memory Care 22 2.9% Yes Pacifica Senior Living Lynnwood 16 2.1% Yes Gencare Scriber Gardens 13 1.7% Yes Bethany at Pacific 12 1.6% Yes BW Heavenly Adult Family Home 9 1.2% Yes Cascade Valley Senior Living 9 1.2% No Quilceda Creek Adult Family Home #1 8 1.1% Yes Harbour Pointe Senior Living 8 1.1% Yes Terrace at Beverly Lake Memory Care #2 8 1.1% Yes Premier Adult Family Home Everett 7 0.9% Yes Bothell Health Care 7 0.9% Yes Homecomings II AFH Bothell 6 0.8% Yes Acacia Senior Home II 6 0.8% Yes Bethany at Pacific #2 6 0.8% No Sunrise of Edmonds 6 0.8% Yes Mountlake Terrace Plaza 5 0.7% Yes Anest Adult Family Home 5 0.7% Yes Grand Total 753 100.0%

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WEEKLY COVID‐19 REPORT SNOHOMISH HEALTH DISTRICT NOVEMBER 15 – NOVEMBER 21, 2020

COVID‐19 DEATHS

Figure 13: Snohomish County COVID‐19 related deaths by date of death

Snohomish County COVID‐19 Related Deaths by Week 30 25 25 20 20 18 16 Deaths

of

15 13 13 10 10 10 9 9 9 8 8 10 77 7 6 7 6 Number 5 5 5 4 3 3 3 3 33 3 3 5 2 2 1 1 1 0 3/7/2020 4/4/2020 5/2/2020 5/9/2020 6/6/2020 7/4/2020 8/1/2020 8/8/2020 11/7/2020 3/14/2020 3/21/2020 3/28/2020 4/11/2020 4/18/2020 4/25/2020 5/16/2020 5/23/2020 5/30/2020 6/13/2020 6/20/2020 6/27/2020 7/11/2020 7/18/2020 7/25/2020 8/15/2020 8/22/2020 8/29/2020 9/12/2020 9/19/2020 9/26/2020 10/3/2020 ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ 10/31/2020 11/14/2020 11/21/2020 10/10/2020 10/17/2020 10/24/2020 ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ 3/1/2020 5/3/2020 8/2/2020 3/8/2020 3/29/2020 4/5/2020 4/26/2020 5/31/2020 6/7/2020 6/28/2020 7/5/2020 7/26/2020 8/9/2020 9/6/2020 11/1/2020 3/15/2020 3/22/2020 4/12/2020 4/19/2020 5/10/2020 5/17/2020 5/24/2020 6/14/2020 6/21/2020 7/12/2020 7/19/2020 8/16/2020 8/23/2020 9/13/2020 9/20/2020 9/27/2020 11/8/2020 10/4/2020 11/15/2020 10/11/2020 10/18/2020 10/25/2020 Table 16: Gender of COVID‐19 related deaths in Snohomish County

Gender Number Percent Female 142 53.0% Male 126 47.0% Grand Total 268 100.0%

Table 17: Age group of COVID‐19 related deaths in Snohomish County

Age group in years Number Percent Death rate per 100,000 population Case Fatality Rate (%) 20‐29 2 0.7% Not calculated <5 0.1% 30‐39 1 0.4% Not calculated <5 <0.1% 40‐49 12 4.5% 10.6 0.6% 50‐59 18 6.7% 15.8 0.9% 60‐69 31 11.6% 32.0 2.5% 70‐79 75 28.0% 143.3 11.8% 80+ 129 48.1% 513.6 22.5% Grand Total 268 100.0% 32.3 1.9%

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WEEKLY COVID‐19 REPORT SNOHOMISH HEALTH DISTRICT NOVEMBER 15 – NOVEMBER 21, 2020

Figure 14: Number of Snohomish County COVID‐19 related deaths by age group

Snohomish County COVID‐19 Related Deaths by Age Group 140 129

120

100

80 75 Cases

of

60 Number

40 31

18 20 12

2 1 0 20‐29 30‐39 40‐49 50‐59 60‐69 70‐79 80+

Table 18: Underlying health conditions of COVID‐19 related deaths in Snohomish County

Underlying health condition Number Percent Yes 253 94.4% No 9 3.4% Unknown 6 2.2% Grand Total 268 100.0%

Table 19: Hospitalization of COVID‐19 related deaths in Snohomish County

Ever hospitalized Number Percent Yes 197 73.5% No 68 25.4% Unknown 3 1.1% Grand Total 268 100.0%

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WEEKLY COVID‐19 REPORT SNOHOMISH HEALTH DISTRICT NOVEMBER 15 – NOVEMBER 21, 2020

Table 20: Type of exposure among COVID‐19 related deaths in Snohomish County

Type of exposure Number Percent Long term care associated 135 50.4% Community acquired 87 32.5% Close contact 20 7.5% Nosocomial 12 4.5% Travel 2 0.7% Unknown 12 4.5% Grand Total 268 100.0%

Table 21: City of residence of COVID‐19 related deaths in Snohomish County

City Number Percent Arlington 7 2.6% Bothell 16 6.0% Darrington 1 0.4% Edmonds 34 12.7% Everett 95 35.4% Lake Stevens 5 1.9% Lynnwood 32 11.9% Marysville 23 8.6% Mill Creek 6 2.2% Monroe 12 4.5% Mountlake Terrace 5 1.9% Mukilteo 2 0.7% Snohomish 5 1.9% Stanwood 19 7.1% Sultan 1 0.4% Tulalip 3 1.1% Woodinville 2 0.7% Grand Total 268 100.0%

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