Outagamie County Public Health COVID-19 Report for Schools – May 13, 2021 Report Scope Information provided in this summary includes confirmed COVID-19 cases from Apr. 28 – May 11, 2021. Some case metrics will be for all persons living in Outagamie County, while other case metrics may be only for persons living in Outagamie County Public Health (OCPH) jurisdiction. School District Scope School district information is organized by the seven public school districts in OCPH jurisdiction. This excludes the Appleton Area School District (AASD) and School District of New London. AASD is served by the Appleton Health Department while over 90% of the New London School District population resides in Waupaca County. Additionally, while the Oneida Nation has their own public health jurisdiction, Oneida cases are included in the Seymour data. State Update The Outagamie County Public Health Division Emergency Order requiring facial coverings has been repealed in alignment with recommendations from the CDC and DHS. OCPH still strongly recommends that facial coverings be worn in public by unvaccinated individuals and that vaccinated individuals continue to wear facial coverings in certain situations where appropriate (this situation is fluid and more materials will be forthcoming). The Fox Cities COVID-19 Vaccine Clinic will not be operating beyond the 27th of May. Emergency use authorization has been granted to Pfizer for use in 12- to 15-year olds. Local clinics are advertising which vaccines they will offer at https://www.vaccines.gov/. This website may be used to find available Pfizer vaccines for 12- to 17-year-olds, as this is the only vaccine that age group may currently receive. Case Summary Outagamie County COVID-19 Summary Statistics Cumulative Data Through 05/12/2021 Testing Change from Metric Current Week Previous Week Total People Tested: 114313 933 Positive: 20628 69 Negative: 93685 864 OUTAGAMIE COUNTY PUBLIC HEALTH FOR OFFICIAL USE ONLY 1 Insights Case Positive New - - Positive Case Count Positive Case Count 60 10 15 20 25 10 20 30 40 50 0 0 5 be due to a backlog in data at the state level. state at the data in be to a due backlog to appears April 27 oncases spike in the that Please note to persist. expected are these numbers in Oscillations 2020. summer since seen we’ve than lower numbers case to see We continue date. by cases reported confirmed positive lab show two charts The following 15 28 13-Apr 14 15 14-Apr 34 31 29 26 15-Apr 17 16 25 16-Apr 18 23 17-Apr 18 POS_NEW POS_NEW 15 18 22 18-Apr 11 11 19 19-Apr 30 Days) (Last Cases Positive New 14 Days) (Last Cases Positive New 17 15 19 1 OUTAGAMIE COUNTY PUBLIC HEALTH HEALTH PUBLIC COUNTY OUTAGAMIE 20-Apr 15 21-Apr 9 15 14 16 6 FOR OFFICIAL USE ONLY USE ONLY FOR OFFICIAL 22-Apr 23-Apr 10 13 Pos 7Day Average New Pos 7Day Average New 11 6 24-Apr 22 12 10 25-Apr 5 11 10 14 13 26-Apr 27-Apr 51 15 11 16 28-Apr 16 13 29-Apr 14 15 17 16 30-Apr 12 8 1-May 15 18 17 2-May 1 14 12 16 6 POS_NEW Trend 3-May POS_NEW Trend 4-May 22 12 12 14 13 5-May 3 6-May 16 13 12 13 13 8 7-May 8-May 14 12 12 3 11 9-May 7 13 13 10-May 11 7 10 11-May 8 10 12-May 8 2 2 WI-DHS Data Resources Local Data: DHS launched enhanced local data that provides an easy way to find local data and to compare metrics across locations and over time with disease activity and hospital capacity metrics: Disease Activity leads with the COVID-19 case activity levels, which track changes in confirmed COVID-19 numbers, as well as levels of COVID-19-like illness (CLI) and influenza-like illness (ILI) in emergency departments. Each activity level is supplemented with the overall trends to provide a more complete picture of COVID-19 in a community. Activity levels are categorized as low, medium, high, or very high, to help with interpretation. The addition of a “very high” level helps target those areas of highest concern under conditions where widespread community transmission is already the norm across much of the state. Hospital Capacity helps track the impact of COVID-19 on the regional health care system. It shows trends in COVID-19 hospitalizations and current use of hospital beds, ICU beds, and ventilators. Cases Among School-Age Children: This data breaks down confirmed COVID-19 cases by youth age group or school-aged children. It includes those under age 3, 4–8 years-old, 9–13 years-old, and 14–17 years- old. COVID-19 Vaccine Data provides information on the number of vaccine doses that have been allocated to the state of Wisconsin and how many have been administered to patients (including the type of vaccine). The site provides a breakdown of vaccination recipients by sex, age group, race, and ethnicity at both statewide and countywide levels. You can also see daily/weekly administration and the number of Wisconsinites who have completed their vaccine series. Local data are now available on the DHS website. Curious about how these metrics guide local decision-making? For more information on using disease activity and hospital capacity metrics, use the following WI-DHS document: Slowing the Spread of COVID-19: Mitigation Strategies for Wisconsin Communities (PDF) OUTAGAMIE COUNTY PUBLIC HEALTH FOR OFFICIAL USE ONLY 3 The updated Disease Activity showing the burden (case rate per 100,000) is available at 5:00 pm on Wednesdays. Visit the website to see current data. https://www.dhs.wisconsin.gov/covid- 19/disease.htm The burden in Outagamie County is now characterized in the “moderately high” category Outagamie is mid-low in the county burden distribution The burden in Outagamie County did not change significantly this week (107.7 last week) Testing fell back down this week and is quite low OUTAGAMIE COUNTY PUBLIC HEALTH FOR OFFICIAL USE ONLY 4 Trend Rate) (CaseBurden County Outagamie 1000 1200 1400 200 400 600 800 Burden needs to drop by less than half to reach the “moderate” category category “moderate” the to reach half than less by needs to drop Burden category high” “moderately the in remains The burden 0 6/16 58.8 High >100 = L Two Week Totals New COVID-19 Cases in Outagamie County, County, Outagamie in Cases COVID-19 New Totals Week Two o 57.1 w 65.8 = 7/16 90.3 ≤ 124 1 0 150.7 157.2 8/16 163.2 164.3 161 180 280 Level Riskand per 100,000 Rate OUTAGAMIE COUNTY PUBLIC HEALTH HEALTH PUBLIC COUNTY OUTAGAMIE 9/16 414.0 545.2 754.1 1036.5 FOR OFFICIAL USE ONLY USE ONLY FOR OFFICIAL 10/16 Very High=>350 M 1,142.5 o 1113.7 d e 1245.9 r a 1263.9 t e 11/16 1155.6 = 1218.2 > 1210.6 1 0 1001.1 ≤ 719.3 12/16 5 0 663.2 681.2 574.6 469.0 1/16 493.5 726.9 Critically High=>1000 M 694.8 o 469.0 d 390.6 e 2/16 r 331.3 a t 244.8 e l y 187.7 H 195.3 3/16 i g 182.3 h = 165.9 > 155.6 5 143.1 0 4/16 162.1 ≤ 200.8 1 0 175.2 0 118.1 107.7 86.0 5 5 Case Indicators Defined Burden (case rate) and trajectory (case change) indicators are based on confirmed COVID-19 cases. The COVID-19 activity level maps burden and trajectory indicators based on whether the burden status is low, moderate, moderately high, or high and whether trajectory status is significantly shrinking, growing, or have no statistically significant change. Burden Burden status is based on the case rate per 100,000 of residents in the last two weeks. The cutoffs are fairly conservative, but this is appropriate for a highly transmissible virus, where small numbers can multiply rapidly if not properly contained. Trajectory (percent case change) Trajectory is the percent change from previous to current week and p-value (indicates statistical significance) from a test against the percent change equal to zero. OUTAGAMIE COUNTY PUBLIC HEALTH FOR OFFICIAL USE ONLY 6 Determining Activity Level - The current activity level is determined by the current combination of Burden and Trajectory OUTAGAMIE COUNTY PUBLIC HEALTH FOR OFFICIAL USE ONLY 7 WI-DHS data and metrics are available at https://www.dhs.wisconsin.gov/covid-19/data.htm *Note that values in this graph reflect all cases in a particular school district, not just cases among children COVID caseloads remained low across most of the county’s districts this week OUTAGAMIE COUNTY PUBLIC HEALTH FOR OFFICIAL USE ONLY 8 Age Group Comparison - Data is for the Outagamie County Public Health Jurisdiction Weekly COVID-19 Cases by School Age Group 90 80 70 60 s e s a C 50 f o 0-4 r e b 40 5-10 m u N 11-13 30 14-18 19-24 20 10 0 Week COVID-19 case rates decreased slightly among children in the county this week OUTAGAMIE COUNTY PUBLIC HEALTH FOR OFFICIAL USE ONLY 9 Percent Weekly COVID-19 Cases by School Age Group 18.0% 16.0% 14.0% s e 12.0% s a C y l k 10.0% e e 0-4 W f o 8.0% 5-10 t n e c 11-13 r e P 6.0% 14-18 19-24 4.0% 2.0% 0.0% Week The proportion of cases represented by school-age children continues to outweigh their proportion of the total population, and did not change significantly this week OUTAGAMIE COUNTY PUBLIC HEALTH FOR OFFICIAL USE ONLY 10 NOTE: No vaccine is currently approved for children under the age of 12.