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Caveats and Comments
1
Overview:
This is my analysis, not Stanford’s. My goal is to understand the trajectory of COVID. It is not confidential and can be freely shared. The R program code is
available at https://github.com/StevenLShafer/COVID19/. The daily analysis are available at https://1drv.ms/u/s!AuOyHP_aTIy7rowrt2AjGpWm_frnEQ?e=KBcNbh.
You are welcome to use the R code on GitHub for any purpose.
I am attempting to keep the analysis and commentary apolitical. I am now including partisan lean as a metric to help understand the epidemic. I occasionally point
out misrepresentations by government officials. I occasionally point out where government recommendations have placed Americans at increasing risk.
I try to provide a daily update in the morning, except Sundays. My analysis my be delayed by my clinical responsibilities as a Stanford anesthesiologist.
There is a lot of information on the figures. If something isn’t clear, please see the explanation on slide 2.
Data sources:
• USA Case Data: https://github.com/CSSEGISandData/COVID-19/raw/master/csse_covid_19_data/csse_covid_19_time_series/time_series_covid19_confirmed_US.csv
• USA Death Data: https://github.com/CSSEGISandData/COVID-19/raw/master/csse_covid_19_data/csse_covid_19_time_series/time_series_covid19_deaths_US.csv
• USA Testing and Hospitalization Data: https://raw.githubusercontent.com/COVID19Tracking/covid-tracking-data/master/data/states_daily_4pm_et.csv
• Global Case Data: https://github.com/CSSEGISandData/COVID-19/raw/master/csse_covid_19_data/csse_covid_19_time_series/time_series_covid19_confirmed_global.csv
• Global Death Data: https://github.com/CSSEGISandData/COVID-19/raw/master/csse_covid_19_data/csse_covid_19_time_series/time_series_covid19_deaths_global.csv
• Global Testing Data: https://raw.githubusercontent.com/owid/covid-19-data/master/public/data/owid-covid-data.csv
• Mobility Data: https://www.gstatic.com/covid19/mobility/Global_Mobility_Report.csv
• Partisan Lean: MIT Election Data and Science Lab: https://doi.org/10.7910/DVN/VOQCHQ/HEIJCQ
• Ensemble Model: https://github.com/reichlab/covid19-forecast-hub/raw/master/data-processed/COVIDhub-ensemble/2020-xx-xx-COVIDhub-ensemble.csv
Models:
1. Future projections of case numbers are based on the Gompertz function (https://en.wikipedia.org/wiki/Gompertz_function): log 𝑐𝑢𝑚𝑢𝑙𝑎𝑡𝑖𝑣𝑒 𝑐𝑎𝑠𝑒𝑠 =
𝑐𝑢𝑟𝑟𝑒𝑛𝑡 𝑐𝑎𝑠𝑒𝑠 + 𝑚𝑎𝑥𝑖𝑚𝑢𝑚 𝑐𝑎𝑠𝑒𝑠 − 𝑐𝑢𝑟𝑟𝑒𝑛𝑡 𝑐𝑎𝑠𝑒𝑠 1 − 𝑒−𝑘 𝑡 . This is a naïve asymptotic model. k is the rate constant, such that log(2) / k = time to 50%
rise. t is the number of days. Wikipedia The Gompertz function is estimated from the last 3 weeks of data for cumulative cases (red dots in the figures).
Deaths are predicted from a log linear regression of deaths over the past 21 days. For the US, and individual states, I am also including the 98% prediction
interval from the COVID-19 Forecast Hub (https://covid19forecasthub.org/).
2. The rate of change in daily cases and deaths is the slope of delta cases / day over the last 14 days, divided by the average number of cases.
Locations
The locations for the modeling are where Pamela and I have family and friends, locations of interest to friends and colleagues, or countries in the news (e.g.,
China, South Korea, Sweden, Brazil) or with significant economic impact on the United States (e.g., Japan, Canada, Mexico). Locations are easy to add.
Stay safe, well, resilient, and kind.
Steve Shafer
steven.shafer@Stanford.edu
2,586,092
152,804
1
10
100
1,000
10,000
100,000
1,000,000
10,000,000
100,000,000
Actual(points)/Predicted(line)
Phase
Pre-Model
Modeled
Deaths
Tests
USA projection as of 2020-05-27
0
10,000
20,000
30,000
0
2,000
4,000
6,000
Cases/Day
Deaths/Day
Cases: 1,662,302 (32,123) -- Deaths: 98,220 (829) -- Case Mortality: 5.9% -- Daily Change in Cases: -0.5%
Explanation of the Figures
2
Brown dots:
cumulative tests
Red dots: cumulative cases
used to estimate Gompertz
function, presently set to last
3 weeks
Red line: predicted cumulative
cases based on the Gompertz
function estimated from the red
dots
Red number: total cases
on June 30th, based on
the Gompertz function
estimated from the red
dots
Black number: total
Deaths on July 31th,
based on log-linear
regression of the past
21 days
Black line: predicted
cumulative deaths, based
on a log linear regression
of deaths over past 21
days.
Axis for deaths / day, usually
1/10th of the axis for cases /
day on the left side of the
figure.
Green line: linear regression
over 8 days, used to calculate
percent increase / decrease
(see below)
Daily change in cases,
calculated as the slope of the
green line (above left) /
number of new cases
yesterday.
Case mortality:
cumulative deaths
/ cumulative cases.
Cases / day calculated
from cumulative cases
used to estimate the
Gompertz function
Cases / day calculated
from cumulative cases
not used to estimate the
Gompertz function
Deaths / day,
axis is on the left
Blue line: today
Blue dots: cumulative cases not
used to estimate Gompertz
function
Cumulative cases
(yesterday’s cases)
and cumulative deaths
(yesterday’s deaths)
Axis for cases / day.
Axis for deaths / day
appears to the right.
Geographic
location
Date of analysis,
also shown as
blue vertical line
below
Purple wedge: 98% ensemble
prediction interval from COVID-19
Forecast Hub (USA and US
States only)
Worldwide
33,712,725
1,039,616
1
10
100
1,000
10,000
100,000
1,000,000
10,000,000
100,000,000
Cumulative
Phase
Pre-Model
Modeled
Deaths
Worldwide projection as of 2020-09-15
0
100,000
200,000
300,000
0
5,000
10,000
15,000
Cases/Day
Deaths/Day
Cases: 28,994,093 (235,879) -- Deaths: 923,857 (3,642) -- Case Mortality: 3.2% -- Daily Change: +0.1% Cases, +0.1% Deaths
2020-09-14 Summary: 3
USA
7,167,389
210,580
1
10
100
1,000
10,000
100,000
1,000,000
10,000,000
100,000,000
Cumulative
Phase
Pre-Model
Modeled
Deaths
Tests
USA projection as of 2020-09-15
Mother'sDay
MemorialDay
July4th
July15,2020
LaborDay
0
20,000
40,000
60,000
0
1,000
2,000
3,000
Cases/Day
Deaths/Day
Cases: 6,519,573 (34,450) -- Deaths: 194,071 (378) -- Case Mortality: 3.0% -- Daily Change: -0.7% Cases, -0.7% Deaths
2020-09-14 Summary: 4
Non-authoritarian Asian ensemble
117,364
2,238
1
10
100
1,000
10,000
100,000
1,000,000
10,000,000
100,000,000
Cumulative
Phase
Pre-Model
Modeled
Deaths
Tests
Japan, South Korea, Thailand, and Vietnam (Population = 328 MM)
Non-authoritarian Asian ensemble projection as of 2020-09-15
0
500
1,000
1,500
0
20
40
60
80
Cases/Day
Deaths/Day
Cases: 102,469 (554) -- Deaths: 1,904 (12) -- Case Mortality: 1.9% -- Daily Change: -2.4% Cases, -0.6% Deaths
2020-09-14 Summary: 5
Western Europe
2,434,503
157,687
1
10
100
1,000
10,000
100,000
1,000,000
10,000,000
100,000,000
Cumulative
Phase
Pre-Model
Modeled
Deaths
Tests
Belgium, France, Germany, Greece, Italy, Portugal, Spain, Netherlands, Luxembourg, and the UK (Population = 344MM)
Western Europe projection as of 2020-09-15
0
20,000
40,000
60,000
0
1,000
2,000
3,000
Cases/Day
Deaths/Day
Cases: 2,050,376 (7,840) -- Deaths: 155,856 (26) -- Case Mortality: 7.6% -- Daily Change: -0.7% Cases, -0.1% Deaths
2020-09-14 Summary: 6
Worldwide cases
USA
India
Brazil
Russia
Peru
Colombia
Mexico
SouthAfrica
Spain
Argentina
Chile
Iran
France
UnitedKingdom
Bangladesh
SaudiArabia
Pakistan
Turkey
Iraq
Italy
Germany
Philippines
Indonesia
Ukraine
Israel
Canada
Bolivia
Ecuador
Kazakhstan
DominicanRepublic
Romania
Egypt
Belgium
China
Morocco
Sweden
Netherlands
Guatemala
Japan
Belarus
Poland
Honduras
Ethiopia
Portugal
Venezuela
Nigeria
Nepal
Algeria
Uzbekistan
Switzerland
Ghana
Kyrgyzstan
Afghanistan
Azerbaijan
CzechRepublic
Kenya
Austria
Serbia
Paraguay
ElSalvador
Australia
Libya
SouthKorea
Denmark
Cameroon
USA
0
2,000,000
4,000,000
6,000,000
1 6 11 16 21 26 31 36 41 46 51 56 61 66
Rank
Totalcasestodate
Worldwide cases
Excludes countries with population < 5,000,000
2020-09-14 Summary: 7
Worldwide cases
Chile
Peru
Brazil
Israel
USA
Colombia
Spain
Argentina
SouthAfrica
Bolivia
SaudiArabia
DominicanRepublic
Sweden
Iraq
Honduras
Belgium
Kyrgyzstan
Ecuador
Belarus
Russia
Kazakhstan
Switzerland
France
Guatemala
UnitedKingdom
Iran
Mexico
Portugal
Netherlands
Italy
Romania
Azerbaijan
Serbia
India
Canada
Austria
Paraguay
Turkey
ElSalvador
Denmark
Libya
CzechRepublic
Ukraine
Germany
Philippines
Bulgaria
Morocco
Venezuela
Bangladesh
Poland
Ghana
Nepal
Pakistan
Uzbekistan
Finland
Algeria
Afghanistan
Australia
Hungary
Greece
Tajikistan
Egypt
Zambia
Cameroon
Senegal
USA
None
1 in 200
1 in 100
1 in 67
1 in 50
1 in 40
1 in 33
1 6 11 16 21 26 31 36 41 46 51 56 61 66
Rank
Totalcasestodate
Worldwide cases
Excludes countries with population < 5,000,000
2020-09-14 Summary: 8
Average new cases over past 7 days
Israel
Argentina
Spain
Peru
Colombia
Iraq
Brazil
Libya
France
USA
Chile
Paraguay
CzechRepublic
Bolivia
India
Netherlands
Belgium
DominicanRepublic
Austria
Morocco
Ukraine
Hungary
Honduras
Romania
Switzerland
UnitedKingdom
Denmark
Portugal
Mexico
Guatemala
Venezuela
Nepal
Russia
Philippines
SouthAfrica
Iran
SaudiArabia
Italy
Slovakia
Tunisia
Greece
Turkey
Sweden
Belarus
Canada
Jordan
Uzbekistan
Azerbaijan
Germany
Bulgaria
Indonesia
Kyrgyzstan
ElSalvador
Poland
Bangladesh
Ethiopia
Serbia
Zambia
Algeria
Finland
Zimbabwe
Mozambique
Tajikistan
Guinea
Uganda
USA
None
1 in 10,000
1 in 5,000
1 in 3,333
1 in 2,500
1 in 2,000
1 in 1,667
1 6 11 16 21 26 31 36 41 46 51 56 61 66
Rank
Averagecases/day
Average new cases over past 7 days
Excludes countries with population < 5,000,000
2020-09-14 Summary: 9
Worldwide deaths
USA
Brazil
India
Mexico
UnitedKingdom
Italy
France
Peru
Spain
Iran
Colombia
Russia
SouthAfrica
Chile
Argentina
Ecuador
Belgium
Germany
Canada
Indonesia
Iraq
Bolivia
Turkey
Pakistan
Netherlands
Sweden
Egypt
China
Bangladesh
Philippines
SaudiArabia
Romania
Ukraine
Guatemala
Poland
Honduras
Switzerland
DominicanRepublic
Portugal
Kazakhstan
Algeria
Morocco
Japan
Afghanistan
Israel
Nigeria
Kyrgyzstan
Ethiopia
Sudan
Australia
ElSalvador
Austria
Belarus
Serbia
Bulgaria
Hungary
Denmark
Kenya
Yemen
Azerbaijan
Paraguay
Venezuela
CzechRepublic
Cameroon
Uzbekistan
USA
0
50,000
100,000
150,000
200,000
1 6 11 16 21 26 31 36 41 46 51 56 61 66
Rank
Totaldeathstodate
Worldwide deaths
Excludes countries with population < 5,000,000
2020-09-14 Summary: 10
Worldwide deaths
Peru
Belgium
Bolivia
Ecuador
Spain
Chile
UnitedKingdom
Brazil
Sweden
Mexico
Italy
USA
Colombia
France
Netherlands
Iran
SouthAfrica
Argentina
Canada
Honduras
Switzerland
Iraq
Guatemala
DominicanRepublic
Kyrgyzstan
Romania
Portugal
Israel
SaudiArabia
Russia
Germany
Denmark
ElSalvador
Kazakhstan
Bulgaria
Serbia
Austria
Turkey
Belarus
Paraguay
Ukraine
India
Azerbaijan
Egypt
Hungary
Finland
Libya
Poland
Afghanistan
Algeria
Morocco
CzechRepublic
Philippines
Australia
Indonesia
Pakistan
Sudan
Bangladesh
Greece
Zambia
Yemen
Nicaragua
Haiti
Cameroon
Senegal
USA
None
1 in 5,000
1 in 2,500
1 in 1,667
1 in 1,250
1 in 1,000
1 6 11 16 21 26 31 36 41 46 51 56 61 66
Rank
Totaldeathstodate
Worldwide deaths
Excludes countries with population < 5,000,000
2020-09-14 Summary: 11
Average daily deaths over past 7 days
Ecuador
Bolivia
Argentina
Colombia
Peru
Mexico
Brazil
Chile
Iraq
USA
Paraguay
Israel
Iran
Libya
Romania
SouthAfrica
DominicanRepublic
Honduras
Guatemala
Ukraine
Spain
India
SaudiArabia
Morocco
Bulgaria
Philippines
Russia
Turkey
Belarus
ElSalvador
Indonesia
Kazakhstan
Australia
Portugal
France
Austria
CzechRepublic
Venezuela
Greece
Nepal
Azerbaijan
Poland
Algeria
Bangladesh
Belgium
Uzbekistan
Zambia
Egypt
Zimbabwe
Ethiopia
Serbia
Tunisia
Angola
Hungary
Italy
UnitedKingdom
Jordan
Syria
Sweden
Switzerland
Netherlands
Canada
Togo
Haiti
Kenya
USA
None
1 in 100,000
1 in 50,000
1 in 33,333
1 in 25,000
1 6 11 16 21 26 31 36 41 46 51 56 61 66
Rank
Averagedeaths/day
Average daily deaths over past 7 days
Excludes countries with population < 5,000,000
2020-09-14 Summary: 12
Case Mortality vs. Testing
AREBHR
LUX
DNK
MLTISR
USA
ISL
RUS
AUS
LTU
QAT
GBR
MDV
BEL
PRT
IRL
NZL
BLR
SAU
CAN
DEU
ESP
KWT
NORSRBAUTLVA
CHL
FIN
SGP
CHE
KAZ
EST
ROU
GRC
NLD
TUR
CZE
ITA
PAN
SVN
POL
SVK
BGR
ZAF
MAR
COL
HUN
URY
HRV
SLVIRQ
CUB
UKR
MYS
IRN
INDKOR
DOM
RWA
CRI
PRYARG
NPL
PHL
BRA
BOL
PER
ECU
JPN
GHA
TUN
PAK
LKA
MEX
BGD
FJI
SEN
ETH
TGO
UGA
KENJOR
ZWE
ZMB
THA
IDN
CIV
TWN
MOZMMR
VNM
MWI
NGA
USA
0
4
8
12
0 20 40 60 80
% Tested
%CaseMortality
Case Mortality vs. Testing as of 2020-09-14
ARE: United Arab Emirates, BHR:Bahrain, MLT: Malta, ISR: Israel, LTU: Lithuania, ISL: Iceland
2020-09-14 Summary: 13
Mortality Trends
0
2
4
6
8
10
12
14
USCaseRateMortality
Mortality Type:
13 day rolling median
Cumulative
Daily Raw
Daily vs. Cumulative US Case Rate Mortality
Last week excluded because deaths are often backdated
2020-09-14 Summary: 14
Change in New Cases per Day
New cases are:
Increasing > +3%
Increasing between +1% and +3%
No Change (-1% to +1%)
Decreasing between -1% and -3%
Decreasing > -3%
New cases by state as of 2020-09-15
2020-09-14 Summary: 15
Cases as a Percent of Peak Cases
HI TX FL
OK LA MS AL GA
AZ NM KS AR TN NC SC DC
CA UT CO NE MO KY WV VA MD DE
OR NV WY SD IA IN OH PA NJ CT RI
WA ID MT ND MN IL MI NY MA
WI VT NH
AK ME
0
25
50
75
100
0
25
50
75
100
0
25
50
75
100
0
25
50
75
100
0
25
50
75
100
0
25
50
75
100
0
25
50
75
100
0
25
50
75
100
PercentofPeak
Daily Cases as a Percent of Peak Cases
2020-09-14 Summary: 16
Change in New Deaths per Day
New deaths are:
Increasing > +0.5%
Increasing between +0.1% and +0.5%
No Change (-0.1% to +0.1%)
Decreasing between -0.1% and -0.5%
Decreasing > -0.5%
New deaths by state as of 2020-09-15
2020-09-14 Summary: 17
Deaths as a Percent of Peak Deaths
HI TX FL
OK LA MS AL GA
AZ NM KS AR TN NC SC DC
CA UT CO NE MO KY WV VA MD DE
OR NV WY SD IA IN OH PA NJ CT RI
WA ID MT ND MN IL MI NY MA
WI VT NH
AK ME
0
25
50
75
100
0
25
50
75
100
0
25
50
75
100
0
25
50
75
100
0
25
50
75
100
0
25
50
75
100
0
25
50
75
100
0
25
50
75
100
PercentofPeak
Daily Deaths as a Percent of Peak Deaths
2020-09-14 Summary: 18
Change in cases vs change in deaths
AL
AK
AZ
AR
CA
CO
CT DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UTVT
VA
WA
WV
WI
WY-6
-3
0
3
6
-20 -10 0
Change in cases (%/day)
Changeindeaths(%/day)
Change in cases vs change in deaths over last 14 days as of 2020-09-14
2020-09-14 Summary: 19
Total US COVID-19 Cases
California
Texas
Florida
NewYork
Georgia
Illinois
Arizona
NewJersey
NorthCarolina
Tennessee
Louisiana
Pennsylvania
Alabama
Ohio
Virginia
SouthCarolina
Massachusetts
Michigan
Maryland
Indiana
Missouri
Mississippi
Wisconsin
Minnesota
Washington
Iowa
Nevada
Arkansas
Oklahoma
Colorado
Utah
Kentucky
Connecticut
Kansas
Nebraska
Idaho
Oregon
NewMexico
RhodeIsland
Delaware
SouthDakota
NorthDakota
DistrictofColumbia
WestVirginia
Hawaii
Montana
NewHampshire
Alaska
Maine
Wyoming
Vermont
0
200,000
400,000
600,000
800,000
1 6 11 16 21 26 31 36 41 46 51
Rank
Totalcases
Masks
No
Yes
Governor
aa
Democratic
Republican
Total US COVID-19 Cases
p masks as of July 20, 2020: 0.47, p governor: 0.82. NB: association != causation.
2020-09-14 Summary: 20
Total US COVID-19 Cases
Louisiana
Florida
Mississippi
Arizona
Alabama
Georgia
SouthCarolina
Tennessee
Nevada
Iowa
Texas
Arkansas
NewYork
NewJersey
RhodeIsland
Illinois
DistrictofColumbia
NorthDakota
Nebraska
Idaho
Delaware
California
Maryland
SouthDakota
Massachusetts
Utah
NorthCarolina
Oklahoma
Missouri
Kansas
Indiana
Virginia
Wisconsin
Connecticut
Minnesota
NewMexico
Kentucky
Michigan
Ohio
Pennsylvania
Colorado
Washington
Alaska
Montana
Hawaii
Wyoming
WestVirginia
Oregon
NewHampshire
Maine
Vermont
None
1 in 100
1 in 50
1 in 33
1 6 11 16 21 26 31 36 41 46 51
Rank
TotalCases
Masks
No
Yes
Governor
aa
Democratic
Republican
Total US COVID-19 Cases
p masks as of July 20, 2020: 0.39, p governor: 0.053. NB: association != causation.
2020-09-14 Summary: 21
Average US COVID-19 cases over the past
7 days
NorthDakota
SouthDakota
Arkansas
Missouri
Iowa
Oklahoma
Wisconsin
SouthCarolina
Alabama
Tennessee
Louisiana
Nebraska
Georgia
Mississippi
Utah
Kansas
Illinois
Indiana
Idaho
Kentucky
Delaware
Virginia
Florida
Texas
NorthCarolina
Alaska
Montana
Nevada
WestVirginia
Minnesota
Maryland
Hawaii
California
Ohio
RhodeIsland
Wyoming
Michigan
DistrictofColumbia
Pennsylvania
Arizona
Colorado
Washington
Oregon
NewMexico
NewJersey
NewYork
Connecticut
NewHampshire
Maine
Vermont
Massachusetts
None
1 in 10,000
1 in 5,000
1 in 3,333
1 in 2,500
1 6 11 16 21 26 31 36 41 46 51
Rank
NewCases/Day
Masks
No
Yes
Governor
aa
Democratic
Republican
Average US COVID-19 cases over the past 7 days
p masks as of July 20, 2020: 0.0014, p governor: 0.0035. NB: association != causation.
2020-09-14 Summary: 22
Total US COVID-19 Deaths
NewYork
NewJersey
Texas
California
Florida
Massachusetts
Illinois
Pennsylvania
Michigan
Georgia
Arizona
Louisiana
Connecticut
Ohio
Maryland
Indiana
SouthCarolina
NorthCarolina
Virginia
Mississippi
Alabama
Tennessee
Washington
Colorado
Minnesota
Missouri
Nevada
Iowa
Wisconsin
RhodeIsland
Kentucky
Arkansas
Oklahoma
NewMexico
DistrictofColumbia
Delaware
Kansas
Oregon
Nebraska
NewHampshire
Utah
Idaho
WestVirginia
SouthDakota
NorthDakota
Maine
Montana
Hawaii
Vermont
Alaska
Wyoming
0
10,000
20,000
30,000
1 6 11 16 21 26 31 36 41 46 51
Rank
TotalDeaths
Masks
No
Yes
Governor
aa
Democratic
Republican
Total US COVID-19 Deaths
p masks as of July 20, 2020: 0.066, p governor: 0.27. NB: association != causation.
2020-09-14 Summary: 23
Total US COVID-19 Deaths
NewJersey
NewYork
Massachusetts
Connecticut
Louisiana
RhodeIsland
Mississippi
DistrictofColumbia
Arizona
Michigan
Illinois
Maryland
Delaware
Pennsylvania
Georgia
SouthCarolina
Florida
Indiana
Texas
Alabama
Nevada
NewMexico
Iowa
Ohio
California
Minnesota
Colorado
Arkansas
NewHampshire
Virginia
Tennessee
NorthCarolina
Missouri
Washington
Kentucky
Idaho
Oklahoma
Nebraska
NorthDakota
SouthDakota
Wisconsin
Kansas
WestVirginia
Utah
Montana
Oregon
Maine
Vermont
Wyoming
Hawaii
Alaska
None
1 in 2,000
1 in 1,000
1 in 667
1 in 500
1 6 11 16 21 26 31 36 41 46 51
Rank
TotalDeaths
Masks
No
Yes
Governor
aa
Democratic
Republican
Total US COVID-19 Deaths
p masks as of July 20, 2020: 0.029, p governor: 0.31. NB: association != causation.
2020-09-14 Summary: 24
Average US COVID-19 deaths over the past
7 days
Louisiana
Mississippi
Florida
SouthCarolina
Georgia
Arkansas
Tennessee
Texas
Nevada
Idaho
Montana
Iowa
Nebraska
NorthDakota
California
Kansas
Arizona
NorthCarolina
Alabama
RhodeIsland
Kentucky
Oklahoma
Massachusetts
Ohio
SouthDakota
Illinois
Minnesota
WestVirginia
Indiana
NewMexico
Hawaii
Michigan
Missouri
Wisconsin
Delaware
DistrictofColumbia
Maryland
Oregon
Pennsylvania
Virginia
NewJersey
Washington
Utah
Connecticut
Colorado
NewHampshire
Alaska
NewYork
Maine
Vermont
Wyoming
None
1 in 1,000,000
1 in 500,000
1 in 333,333
1 in 250,000
1 in 200,000
1 in 166,667
1 6 11 16 21 26 31 36 41 46 51
Rank
Deaths/Day
Masks
No
Yes
Governor
aa
Democratic
Republican
Average US COVID-19 deaths over the past 7 days
p masks as of July 20, 2020: 0.22, p governor: 0.072. NB: association != causation.
2020-09-14 Summary: 25
Daily testing trends
HI TX FL
OK LA MS AL GA
AZ NM KS AR TN NC SC DC
CA UT CO NE MO KY WV VA MD DE
OR NV WY SD IA IN OH PA NJ CT RI
WA ID MT ND MN IL MI NY MA
WI VT NH
AK ME
min
max
min
max
min
max
min
max
min
max
min
max
min
max
min
max
Dailytestingfrommintomax
Daily testing trends from min to max
Line = Friedman's supersmoother
2020-09-14 Summary: 26
Change in daily tests over past 14 days
Indiana
Missouri
Maine
Minnesota
SouthDakota
Hawaii
SouthCarolina
Michigan
Illinois
Nevada
Wyoming
Connecticut
Oklahoma
Washington
Massachusetts
Ohio
Arkansas
NorthDakota
Virginia
NorthCarolina
Kentucky
NewYork
Kansas
Delaware
Nebraska
NewJersey
Iowa
Mississippi
Utah
WestVirginia
NewHampshire
Texas
DistrictofColumbia
Montana
Tennessee
Oregon
Colorado
California
Georgia
Maryland
RhodeIsland
Pennsylvania
NewMexico
Louisiana
Alaska
Idaho
Florida
Alabama
Wisconsin
Arizona
Vermont
-4.0
-2.0
0.0
2.0
4.0
1 6 11 16 21 26 31 36 41 46 51
Rank
Changeindailytests(%/day)
Masks
No
Yes
Governor
aa
Democratic
Republican
Change in daily tests over past 14 days
p masks as of July 20, 2020: 0.63, p governor: 0.44. NB: association != causation.
2020-09-14 Summary: 27
Percent Tested
Alaska
NewYork
DistrictofColumbia
Louisiana
NewMexico
Illinois
Connecticut
Tennessee
NewJersey
California
Michigan
NorthDakota
RhodeIsland
Massachusetts
Arkansas
WestVirginia
Delaware
Montana
Oklahoma
NorthCarolina
Maine
Georgia
Vermont
Maryland
Wisconsin
Florida
Utah
Ohio
Minnesota
Iowa
Washington
Mississippi
Alabama
Nevada
Kentucky
SouthCarolina
Nebraska
Virginia
Texas
SouthDakota
Indiana
Missouri
Hawaii
Arizona
NewHampshire
Idaho
Kansas
Wyoming
Oregon
Pennsylvania
Colorado
0
20
40
60
1 6 11 16 21 26 31 36 41 46 51
Rank
PercentTested
Masks
No
Yes
Governor
aa
Democratic
Republican
Percent Tested
p masks as of July 20, 2020: 0.042, p governor: 0.19. NB: association != causation.
2020-09-14 Summary: 28
Percent of Positive COVID Tests
Arizona
Mississippi
Alabama
Florida
Idaho
SouthCarolina
Texas
Nevada
Georgia
Kansas
Iowa
SouthDakota
Nebraska
Missouri
Indiana
Arkansas
Utah
Maryland
Pennsylvania
Colorado
Louisiana
Virginia
RhodeIsland
Delaware
NorthDakota
NorthCarolina
Oklahoma
Tennessee
Wisconsin
Minnesota
Massachusetts
NewJersey
Kentucky
California
Illinois
Ohio
Wyoming
Washington
Oregon
NewYork
DistrictofColumbia
Hawaii
Connecticut
Michigan
NewHampshire
NewMexico
Montana
WestVirginia
Alaska
Maine
Vermont
0.0
5.0
10.0
15.0
1 6 11 16 21 26 31 36 41 46 51
Rank
PercentofPositiveTests
Masks
No
Yes
Governor
aa
Democratic
Republican
Percent of Positive COVID Tests
p masks as of July 20, 2020: 0.016, p governor: 0.0028. NB: association != causation.
2020-09-14 Summary: 29
Positive fraction trends
HI TX FL
OK LA MS AL GA
AZ NM KS AR TN NC SC DC
CA UT CO NE MO KY WV VA MD DE
OR NV WY SD IA IN OH PA NJ CT RI
WA ID MT ND MN IL MI NY MA
WI VT NH
AK ME
min
max
min
max
min
max
min
max
min
max
min
max
min
max
min
max
Fractionpositivefrommintomax
Positive fraction trends from min to max
2020-09-14 Summary: 30
Change in positive tests over past 14 days
NorthDakota
WestVirginia
SouthDakota
Wisconsin
Montana
Alaska
Missouri
Kansas
Oklahoma
Kentucky
Iowa
Alabama
Utah
Idaho
Minnesota
Arkansas
Nebraska
Florida
Oregon
Virginia
Tennessee
Mississippi
Nevada
Indiana
Pennsylvania
Delaware
Maryland
Georgia
SouthCarolina
NewMexico
Wyoming
Colorado
Hawaii
Michigan
Louisiana
Ohio
NewHampshire
Texas
California
Arizona
NorthCarolina
Washington
Illinois
RhodeIsland
Vermont
NewJersey
DistrictofColumbia
NewYork
Connecticut
Massachusetts
Maine
-1.0
0.0
1.0
1 6 11 16 21 26 31 36 41 46 51
Rank
Changeinpositivetests(%/day)
Masks
No
Yes
Governor
aa
Democratic
Republican
Change in positive tests over past 14 days
p masks as of July 20, 2020: 0.0044, p governor: 0.015. NB: association != causation.
2020-09-14 Summary: 31
Change in tests vs change in positive tests
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
-1.0
-0.5
0.0
0.5
1.0
1.5
-4 -2 0 2
Change in tests (%/day)
Changeinpositivetests(%/day)
Change in tests vs change in positive tests last 14 days as of 2020-09-14
Size of the state font reflects the number of deaths over the past 7 days.
2020-09-14 Summary: 32
Current hospitalizations as a percent of peak
since FebruaryMissouri
Montana
SouthDakota
WestVirginia
NorthDakota
Nebraska
Kentucky
Hawaii
Alaska
Oklahoma
Arkansas
Wyoming
Iowa
NorthCarolina
Idaho
Virginia
Utah
Kansas
Georgia
Tennessee
Ohio
Oregon
Indiana
Wisconsin
Mississippi
Alabama
SouthCarolina
Washington
California
Minnesota
Nevada
Louisiana
NewMexico
Texas
Illinois
Florida
RhodeIsland
Colorado
DistrictofColumbia
Delaware
Maryland
Maine
Michigan
Pennsylvania
Arizona
Massachusetts
NewHampshire
Vermont
NewJersey
Connecticut
NewYork
0
30
60
90
1 6 11 16 21 26 31 36 41 46 51
Rank
Hospitalizations(%ofpeak)
Masks
No
Yes
Governor
aa
Democratic
Republican
Current hospitalizations as a percent of peak since February
p masks as of July 20, 2020: 0.014, p governor: 0.044. NB: association != causation.
2020-09-14 Summary: 33
Hospitalizations trends
HI TX FL
OK LA MS AL GA
AZ NM KS AR TN NC SC DC
CA UT CO NE MO KY WV VA MD DE
OR NV WY SD IA IN OH PA NJ CT RI
WA ID MT ND MN IL MI NY MA
WI VT NH
AK ME
min
max
min
max
min
max
min
max
min
max
min
max
min
max
min
max
Hospitalizationsfrommintomax
Hospitalizations trends from min to max
2020-09-14 Summary: 34
Change in hospitalizations over past 14
days
Maine
DistrictofColumbia
SouthDakota
Utah
Montana
Delaware
Oregon
Nebraska
NewMexico
Wisconsin
NewYork
Missouri
WestVirginia
Massachusetts
RhodeIsland
NorthDakota
Kentucky
Illinois
Michigan
NewJersey
Iowa
Virginia
Oklahoma
Pennsylvania
Arkansas
NorthCarolina
Tennessee
Alaska
Indiana
Connecticut
Colorado
Idaho
Georgia
Maryland
Hawaii
Ohio
Minnesota
Wyoming
NewHampshire
SouthCarolina
Kansas
Washington
Texas
Alabama
Louisiana
California
Mississippi
Nevada
Arizona
Florida
Vermont
-9.0
-6.0
-3.0
0.0
1 6 11 16 21 26 31 36 41 46 51
Rank
Changeinhospitalizations(%/day)
Masks
No
Yes
Governor
aa
Democratic
Republican
Change in hospitalizations over past 14 days
p masks as of July 20, 2020: 0.22, p governor: 0.17. NB: association != causation.
2020-09-14 Summary: 35
Case Mortality vs. Testing
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
ILIN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD TN
TX
UT
VT
VA
WA
WV
WI
WY
2
4
6
8
20 30 40 50
% Tested
%Mortality
Mortality vs. Testing as of 2020-09-14
2020-09-14 Summary: 36
Change in New Cases per Day
Direction
Increasing > +2%
Increasing between +0.5% and +2%
No Change (-0.5% to +0.5%)
Decreasing between -0.5% and -2%
Decreasing > -2%
NA
Trends by county as of 2020-09-15
NA = Inadequate data
2020-09-14 Summary: 37
Percent Change by Partisan Lean
-10
-5
0
5
10
0 25 50 75 100
Percent Republican
Percentchangeinnewcasesperday
25
50
75
Republican
Counties by 2016 presidential election results
Dark green line is a Friedman's supersmoother
2020-09-14 Summary: 38
Percent Change by Population
-10
-5
0
5
10
1,000 10,000 100,000 1,000,000 10,000,000
Population
Percentchangeinnewcasesperday
25
50
75
Republican
Counties by Population
Dark green line is a Friedman's 'super smoother'
2020-09-14 Summary: 39
Cases as a Percent of Population
0.001%
0.01%
0.1%
1%
10%
20%
1,000 10,000 100,000 1,000,000 10,000,000
County Population
Totalcases
Total Cases as a Percent of County Population
Slanted lines are counties with small integer numbers of cases, green line: Friedman's 'super smoother'
2020-09-14 Summary: 40
Deaths as a Percent of Population
0.0001%
0.001%
0.01%
0.1%
1%
1,000 10,000 100,000 1,000,000 10,000,000
County Population
Totaldeaths
Total Deaths as a Percent of County Population
Slanted lines are counties with small integer numbers of cases, green line: Friedman's 'super smoother'
2020-09-14 Summary: 41
Case Mortality vs. Population
0.1%
1%
10%
100%
1,000 10,000 100,000 1,000,000 10,000,000
County Population
Casemortality
Case Mortality vs. County Population
2020-09-14 Summary: 42

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COVID-19 Update (Summary): September 14, 2020

  • 1. Caveats and Comments 1 Overview: This is my analysis, not Stanford’s. My goal is to understand the trajectory of COVID. It is not confidential and can be freely shared. The R program code is available at https://github.com/StevenLShafer/COVID19/. The daily analysis are available at https://1drv.ms/u/s!AuOyHP_aTIy7rowrt2AjGpWm_frnEQ?e=KBcNbh. You are welcome to use the R code on GitHub for any purpose. I am attempting to keep the analysis and commentary apolitical. I am now including partisan lean as a metric to help understand the epidemic. I occasionally point out misrepresentations by government officials. I occasionally point out where government recommendations have placed Americans at increasing risk. I try to provide a daily update in the morning, except Sundays. My analysis my be delayed by my clinical responsibilities as a Stanford anesthesiologist. There is a lot of information on the figures. If something isn’t clear, please see the explanation on slide 2. Data sources: • USA Case Data: https://github.com/CSSEGISandData/COVID-19/raw/master/csse_covid_19_data/csse_covid_19_time_series/time_series_covid19_confirmed_US.csv • USA Death Data: https://github.com/CSSEGISandData/COVID-19/raw/master/csse_covid_19_data/csse_covid_19_time_series/time_series_covid19_deaths_US.csv • USA Testing and Hospitalization Data: https://raw.githubusercontent.com/COVID19Tracking/covid-tracking-data/master/data/states_daily_4pm_et.csv • Global Case Data: https://github.com/CSSEGISandData/COVID-19/raw/master/csse_covid_19_data/csse_covid_19_time_series/time_series_covid19_confirmed_global.csv • Global Death Data: https://github.com/CSSEGISandData/COVID-19/raw/master/csse_covid_19_data/csse_covid_19_time_series/time_series_covid19_deaths_global.csv • Global Testing Data: https://raw.githubusercontent.com/owid/covid-19-data/master/public/data/owid-covid-data.csv • Mobility Data: https://www.gstatic.com/covid19/mobility/Global_Mobility_Report.csv • Partisan Lean: MIT Election Data and Science Lab: https://doi.org/10.7910/DVN/VOQCHQ/HEIJCQ • Ensemble Model: https://github.com/reichlab/covid19-forecast-hub/raw/master/data-processed/COVIDhub-ensemble/2020-xx-xx-COVIDhub-ensemble.csv Models: 1. Future projections of case numbers are based on the Gompertz function (https://en.wikipedia.org/wiki/Gompertz_function): log 𝑐𝑢𝑚𝑢𝑙𝑎𝑡𝑖𝑣𝑒 𝑐𝑎𝑠𝑒𝑠 = 𝑐𝑢𝑟𝑟𝑒𝑛𝑡 𝑐𝑎𝑠𝑒𝑠 + 𝑚𝑎𝑥𝑖𝑚𝑢𝑚 𝑐𝑎𝑠𝑒𝑠 − 𝑐𝑢𝑟𝑟𝑒𝑛𝑡 𝑐𝑎𝑠𝑒𝑠 1 − 𝑒−𝑘 𝑡 . This is a naïve asymptotic model. k is the rate constant, such that log(2) / k = time to 50% rise. t is the number of days. Wikipedia The Gompertz function is estimated from the last 3 weeks of data for cumulative cases (red dots in the figures). Deaths are predicted from a log linear regression of deaths over the past 21 days. For the US, and individual states, I am also including the 98% prediction interval from the COVID-19 Forecast Hub (https://covid19forecasthub.org/). 2. The rate of change in daily cases and deaths is the slope of delta cases / day over the last 14 days, divided by the average number of cases. Locations The locations for the modeling are where Pamela and I have family and friends, locations of interest to friends and colleagues, or countries in the news (e.g., China, South Korea, Sweden, Brazil) or with significant economic impact on the United States (e.g., Japan, Canada, Mexico). Locations are easy to add. Stay safe, well, resilient, and kind. Steve Shafer steven.shafer@Stanford.edu
  • 2. 2,586,092 152,804 1 10 100 1,000 10,000 100,000 1,000,000 10,000,000 100,000,000 Actual(points)/Predicted(line) Phase Pre-Model Modeled Deaths Tests USA projection as of 2020-05-27 0 10,000 20,000 30,000 0 2,000 4,000 6,000 Cases/Day Deaths/Day Cases: 1,662,302 (32,123) -- Deaths: 98,220 (829) -- Case Mortality: 5.9% -- Daily Change in Cases: -0.5% Explanation of the Figures 2 Brown dots: cumulative tests Red dots: cumulative cases used to estimate Gompertz function, presently set to last 3 weeks Red line: predicted cumulative cases based on the Gompertz function estimated from the red dots Red number: total cases on June 30th, based on the Gompertz function estimated from the red dots Black number: total Deaths on July 31th, based on log-linear regression of the past 21 days Black line: predicted cumulative deaths, based on a log linear regression of deaths over past 21 days. Axis for deaths / day, usually 1/10th of the axis for cases / day on the left side of the figure. Green line: linear regression over 8 days, used to calculate percent increase / decrease (see below) Daily change in cases, calculated as the slope of the green line (above left) / number of new cases yesterday. Case mortality: cumulative deaths / cumulative cases. Cases / day calculated from cumulative cases used to estimate the Gompertz function Cases / day calculated from cumulative cases not used to estimate the Gompertz function Deaths / day, axis is on the left Blue line: today Blue dots: cumulative cases not used to estimate Gompertz function Cumulative cases (yesterday’s cases) and cumulative deaths (yesterday’s deaths) Axis for cases / day. Axis for deaths / day appears to the right. Geographic location Date of analysis, also shown as blue vertical line below Purple wedge: 98% ensemble prediction interval from COVID-19 Forecast Hub (USA and US States only)
  • 3. Worldwide 33,712,725 1,039,616 1 10 100 1,000 10,000 100,000 1,000,000 10,000,000 100,000,000 Cumulative Phase Pre-Model Modeled Deaths Worldwide projection as of 2020-09-15 0 100,000 200,000 300,000 0 5,000 10,000 15,000 Cases/Day Deaths/Day Cases: 28,994,093 (235,879) -- Deaths: 923,857 (3,642) -- Case Mortality: 3.2% -- Daily Change: +0.1% Cases, +0.1% Deaths 2020-09-14 Summary: 3
  • 4. USA 7,167,389 210,580 1 10 100 1,000 10,000 100,000 1,000,000 10,000,000 100,000,000 Cumulative Phase Pre-Model Modeled Deaths Tests USA projection as of 2020-09-15 Mother'sDay MemorialDay July4th July15,2020 LaborDay 0 20,000 40,000 60,000 0 1,000 2,000 3,000 Cases/Day Deaths/Day Cases: 6,519,573 (34,450) -- Deaths: 194,071 (378) -- Case Mortality: 3.0% -- Daily Change: -0.7% Cases, -0.7% Deaths 2020-09-14 Summary: 4
  • 5. Non-authoritarian Asian ensemble 117,364 2,238 1 10 100 1,000 10,000 100,000 1,000,000 10,000,000 100,000,000 Cumulative Phase Pre-Model Modeled Deaths Tests Japan, South Korea, Thailand, and Vietnam (Population = 328 MM) Non-authoritarian Asian ensemble projection as of 2020-09-15 0 500 1,000 1,500 0 20 40 60 80 Cases/Day Deaths/Day Cases: 102,469 (554) -- Deaths: 1,904 (12) -- Case Mortality: 1.9% -- Daily Change: -2.4% Cases, -0.6% Deaths 2020-09-14 Summary: 5
  • 6. Western Europe 2,434,503 157,687 1 10 100 1,000 10,000 100,000 1,000,000 10,000,000 100,000,000 Cumulative Phase Pre-Model Modeled Deaths Tests Belgium, France, Germany, Greece, Italy, Portugal, Spain, Netherlands, Luxembourg, and the UK (Population = 344MM) Western Europe projection as of 2020-09-15 0 20,000 40,000 60,000 0 1,000 2,000 3,000 Cases/Day Deaths/Day Cases: 2,050,376 (7,840) -- Deaths: 155,856 (26) -- Case Mortality: 7.6% -- Daily Change: -0.7% Cases, -0.1% Deaths 2020-09-14 Summary: 6
  • 9. Average new cases over past 7 days Israel Argentina Spain Peru Colombia Iraq Brazil Libya France USA Chile Paraguay CzechRepublic Bolivia India Netherlands Belgium DominicanRepublic Austria Morocco Ukraine Hungary Honduras Romania Switzerland UnitedKingdom Denmark Portugal Mexico Guatemala Venezuela Nepal Russia Philippines SouthAfrica Iran SaudiArabia Italy Slovakia Tunisia Greece Turkey Sweden Belarus Canada Jordan Uzbekistan Azerbaijan Germany Bulgaria Indonesia Kyrgyzstan ElSalvador Poland Bangladesh Ethiopia Serbia Zambia Algeria Finland Zimbabwe Mozambique Tajikistan Guinea Uganda USA None 1 in 10,000 1 in 5,000 1 in 3,333 1 in 2,500 1 in 2,000 1 in 1,667 1 6 11 16 21 26 31 36 41 46 51 56 61 66 Rank Averagecases/day Average new cases over past 7 days Excludes countries with population < 5,000,000 2020-09-14 Summary: 9
  • 12. Average daily deaths over past 7 days Ecuador Bolivia Argentina Colombia Peru Mexico Brazil Chile Iraq USA Paraguay Israel Iran Libya Romania SouthAfrica DominicanRepublic Honduras Guatemala Ukraine Spain India SaudiArabia Morocco Bulgaria Philippines Russia Turkey Belarus ElSalvador Indonesia Kazakhstan Australia Portugal France Austria CzechRepublic Venezuela Greece Nepal Azerbaijan Poland Algeria Bangladesh Belgium Uzbekistan Zambia Egypt Zimbabwe Ethiopia Serbia Tunisia Angola Hungary Italy UnitedKingdom Jordan Syria Sweden Switzerland Netherlands Canada Togo Haiti Kenya USA None 1 in 100,000 1 in 50,000 1 in 33,333 1 in 25,000 1 6 11 16 21 26 31 36 41 46 51 56 61 66 Rank Averagedeaths/day Average daily deaths over past 7 days Excludes countries with population < 5,000,000 2020-09-14 Summary: 12
  • 13. Case Mortality vs. Testing AREBHR LUX DNK MLTISR USA ISL RUS AUS LTU QAT GBR MDV BEL PRT IRL NZL BLR SAU CAN DEU ESP KWT NORSRBAUTLVA CHL FIN SGP CHE KAZ EST ROU GRC NLD TUR CZE ITA PAN SVN POL SVK BGR ZAF MAR COL HUN URY HRV SLVIRQ CUB UKR MYS IRN INDKOR DOM RWA CRI PRYARG NPL PHL BRA BOL PER ECU JPN GHA TUN PAK LKA MEX BGD FJI SEN ETH TGO UGA KENJOR ZWE ZMB THA IDN CIV TWN MOZMMR VNM MWI NGA USA 0 4 8 12 0 20 40 60 80 % Tested %CaseMortality Case Mortality vs. Testing as of 2020-09-14 ARE: United Arab Emirates, BHR:Bahrain, MLT: Malta, ISR: Israel, LTU: Lithuania, ISL: Iceland 2020-09-14 Summary: 13
  • 14. Mortality Trends 0 2 4 6 8 10 12 14 USCaseRateMortality Mortality Type: 13 day rolling median Cumulative Daily Raw Daily vs. Cumulative US Case Rate Mortality Last week excluded because deaths are often backdated 2020-09-14 Summary: 14
  • 15. Change in New Cases per Day New cases are: Increasing > +3% Increasing between +1% and +3% No Change (-1% to +1%) Decreasing between -1% and -3% Decreasing > -3% New cases by state as of 2020-09-15 2020-09-14 Summary: 15
  • 16. Cases as a Percent of Peak Cases HI TX FL OK LA MS AL GA AZ NM KS AR TN NC SC DC CA UT CO NE MO KY WV VA MD DE OR NV WY SD IA IN OH PA NJ CT RI WA ID MT ND MN IL MI NY MA WI VT NH AK ME 0 25 50 75 100 0 25 50 75 100 0 25 50 75 100 0 25 50 75 100 0 25 50 75 100 0 25 50 75 100 0 25 50 75 100 0 25 50 75 100 PercentofPeak Daily Cases as a Percent of Peak Cases 2020-09-14 Summary: 16
  • 17. Change in New Deaths per Day New deaths are: Increasing > +0.5% Increasing between +0.1% and +0.5% No Change (-0.1% to +0.1%) Decreasing between -0.1% and -0.5% Decreasing > -0.5% New deaths by state as of 2020-09-15 2020-09-14 Summary: 17
  • 18. Deaths as a Percent of Peak Deaths HI TX FL OK LA MS AL GA AZ NM KS AR TN NC SC DC CA UT CO NE MO KY WV VA MD DE OR NV WY SD IA IN OH PA NJ CT RI WA ID MT ND MN IL MI NY MA WI VT NH AK ME 0 25 50 75 100 0 25 50 75 100 0 25 50 75 100 0 25 50 75 100 0 25 50 75 100 0 25 50 75 100 0 25 50 75 100 0 25 50 75 100 PercentofPeak Daily Deaths as a Percent of Peak Deaths 2020-09-14 Summary: 18
  • 19. Change in cases vs change in deaths AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UTVT VA WA WV WI WY-6 -3 0 3 6 -20 -10 0 Change in cases (%/day) Changeindeaths(%/day) Change in cases vs change in deaths over last 14 days as of 2020-09-14 2020-09-14 Summary: 19
  • 20. Total US COVID-19 Cases California Texas Florida NewYork Georgia Illinois Arizona NewJersey NorthCarolina Tennessee Louisiana Pennsylvania Alabama Ohio Virginia SouthCarolina Massachusetts Michigan Maryland Indiana Missouri Mississippi Wisconsin Minnesota Washington Iowa Nevada Arkansas Oklahoma Colorado Utah Kentucky Connecticut Kansas Nebraska Idaho Oregon NewMexico RhodeIsland Delaware SouthDakota NorthDakota DistrictofColumbia WestVirginia Hawaii Montana NewHampshire Alaska Maine Wyoming Vermont 0 200,000 400,000 600,000 800,000 1 6 11 16 21 26 31 36 41 46 51 Rank Totalcases Masks No Yes Governor aa Democratic Republican Total US COVID-19 Cases p masks as of July 20, 2020: 0.47, p governor: 0.82. NB: association != causation. 2020-09-14 Summary: 20
  • 21. Total US COVID-19 Cases Louisiana Florida Mississippi Arizona Alabama Georgia SouthCarolina Tennessee Nevada Iowa Texas Arkansas NewYork NewJersey RhodeIsland Illinois DistrictofColumbia NorthDakota Nebraska Idaho Delaware California Maryland SouthDakota Massachusetts Utah NorthCarolina Oklahoma Missouri Kansas Indiana Virginia Wisconsin Connecticut Minnesota NewMexico Kentucky Michigan Ohio Pennsylvania Colorado Washington Alaska Montana Hawaii Wyoming WestVirginia Oregon NewHampshire Maine Vermont None 1 in 100 1 in 50 1 in 33 1 6 11 16 21 26 31 36 41 46 51 Rank TotalCases Masks No Yes Governor aa Democratic Republican Total US COVID-19 Cases p masks as of July 20, 2020: 0.39, p governor: 0.053. NB: association != causation. 2020-09-14 Summary: 21
  • 22. Average US COVID-19 cases over the past 7 days NorthDakota SouthDakota Arkansas Missouri Iowa Oklahoma Wisconsin SouthCarolina Alabama Tennessee Louisiana Nebraska Georgia Mississippi Utah Kansas Illinois Indiana Idaho Kentucky Delaware Virginia Florida Texas NorthCarolina Alaska Montana Nevada WestVirginia Minnesota Maryland Hawaii California Ohio RhodeIsland Wyoming Michigan DistrictofColumbia Pennsylvania Arizona Colorado Washington Oregon NewMexico NewJersey NewYork Connecticut NewHampshire Maine Vermont Massachusetts None 1 in 10,000 1 in 5,000 1 in 3,333 1 in 2,500 1 6 11 16 21 26 31 36 41 46 51 Rank NewCases/Day Masks No Yes Governor aa Democratic Republican Average US COVID-19 cases over the past 7 days p masks as of July 20, 2020: 0.0014, p governor: 0.0035. NB: association != causation. 2020-09-14 Summary: 22
  • 23. Total US COVID-19 Deaths NewYork NewJersey Texas California Florida Massachusetts Illinois Pennsylvania Michigan Georgia Arizona Louisiana Connecticut Ohio Maryland Indiana SouthCarolina NorthCarolina Virginia Mississippi Alabama Tennessee Washington Colorado Minnesota Missouri Nevada Iowa Wisconsin RhodeIsland Kentucky Arkansas Oklahoma NewMexico DistrictofColumbia Delaware Kansas Oregon Nebraska NewHampshire Utah Idaho WestVirginia SouthDakota NorthDakota Maine Montana Hawaii Vermont Alaska Wyoming 0 10,000 20,000 30,000 1 6 11 16 21 26 31 36 41 46 51 Rank TotalDeaths Masks No Yes Governor aa Democratic Republican Total US COVID-19 Deaths p masks as of July 20, 2020: 0.066, p governor: 0.27. NB: association != causation. 2020-09-14 Summary: 23
  • 24. Total US COVID-19 Deaths NewJersey NewYork Massachusetts Connecticut Louisiana RhodeIsland Mississippi DistrictofColumbia Arizona Michigan Illinois Maryland Delaware Pennsylvania Georgia SouthCarolina Florida Indiana Texas Alabama Nevada NewMexico Iowa Ohio California Minnesota Colorado Arkansas NewHampshire Virginia Tennessee NorthCarolina Missouri Washington Kentucky Idaho Oklahoma Nebraska NorthDakota SouthDakota Wisconsin Kansas WestVirginia Utah Montana Oregon Maine Vermont Wyoming Hawaii Alaska None 1 in 2,000 1 in 1,000 1 in 667 1 in 500 1 6 11 16 21 26 31 36 41 46 51 Rank TotalDeaths Masks No Yes Governor aa Democratic Republican Total US COVID-19 Deaths p masks as of July 20, 2020: 0.029, p governor: 0.31. NB: association != causation. 2020-09-14 Summary: 24
  • 25. Average US COVID-19 deaths over the past 7 days Louisiana Mississippi Florida SouthCarolina Georgia Arkansas Tennessee Texas Nevada Idaho Montana Iowa Nebraska NorthDakota California Kansas Arizona NorthCarolina Alabama RhodeIsland Kentucky Oklahoma Massachusetts Ohio SouthDakota Illinois Minnesota WestVirginia Indiana NewMexico Hawaii Michigan Missouri Wisconsin Delaware DistrictofColumbia Maryland Oregon Pennsylvania Virginia NewJersey Washington Utah Connecticut Colorado NewHampshire Alaska NewYork Maine Vermont Wyoming None 1 in 1,000,000 1 in 500,000 1 in 333,333 1 in 250,000 1 in 200,000 1 in 166,667 1 6 11 16 21 26 31 36 41 46 51 Rank Deaths/Day Masks No Yes Governor aa Democratic Republican Average US COVID-19 deaths over the past 7 days p masks as of July 20, 2020: 0.22, p governor: 0.072. NB: association != causation. 2020-09-14 Summary: 25
  • 26. Daily testing trends HI TX FL OK LA MS AL GA AZ NM KS AR TN NC SC DC CA UT CO NE MO KY WV VA MD DE OR NV WY SD IA IN OH PA NJ CT RI WA ID MT ND MN IL MI NY MA WI VT NH AK ME min max min max min max min max min max min max min max min max Dailytestingfrommintomax Daily testing trends from min to max Line = Friedman's supersmoother 2020-09-14 Summary: 26
  • 27. Change in daily tests over past 14 days Indiana Missouri Maine Minnesota SouthDakota Hawaii SouthCarolina Michigan Illinois Nevada Wyoming Connecticut Oklahoma Washington Massachusetts Ohio Arkansas NorthDakota Virginia NorthCarolina Kentucky NewYork Kansas Delaware Nebraska NewJersey Iowa Mississippi Utah WestVirginia NewHampshire Texas DistrictofColumbia Montana Tennessee Oregon Colorado California Georgia Maryland RhodeIsland Pennsylvania NewMexico Louisiana Alaska Idaho Florida Alabama Wisconsin Arizona Vermont -4.0 -2.0 0.0 2.0 4.0 1 6 11 16 21 26 31 36 41 46 51 Rank Changeindailytests(%/day) Masks No Yes Governor aa Democratic Republican Change in daily tests over past 14 days p masks as of July 20, 2020: 0.63, p governor: 0.44. NB: association != causation. 2020-09-14 Summary: 27
  • 29. Percent of Positive COVID Tests Arizona Mississippi Alabama Florida Idaho SouthCarolina Texas Nevada Georgia Kansas Iowa SouthDakota Nebraska Missouri Indiana Arkansas Utah Maryland Pennsylvania Colorado Louisiana Virginia RhodeIsland Delaware NorthDakota NorthCarolina Oklahoma Tennessee Wisconsin Minnesota Massachusetts NewJersey Kentucky California Illinois Ohio Wyoming Washington Oregon NewYork DistrictofColumbia Hawaii Connecticut Michigan NewHampshire NewMexico Montana WestVirginia Alaska Maine Vermont 0.0 5.0 10.0 15.0 1 6 11 16 21 26 31 36 41 46 51 Rank PercentofPositiveTests Masks No Yes Governor aa Democratic Republican Percent of Positive COVID Tests p masks as of July 20, 2020: 0.016, p governor: 0.0028. NB: association != causation. 2020-09-14 Summary: 29
  • 30. Positive fraction trends HI TX FL OK LA MS AL GA AZ NM KS AR TN NC SC DC CA UT CO NE MO KY WV VA MD DE OR NV WY SD IA IN OH PA NJ CT RI WA ID MT ND MN IL MI NY MA WI VT NH AK ME min max min max min max min max min max min max min max min max Fractionpositivefrommintomax Positive fraction trends from min to max 2020-09-14 Summary: 30
  • 31. Change in positive tests over past 14 days NorthDakota WestVirginia SouthDakota Wisconsin Montana Alaska Missouri Kansas Oklahoma Kentucky Iowa Alabama Utah Idaho Minnesota Arkansas Nebraska Florida Oregon Virginia Tennessee Mississippi Nevada Indiana Pennsylvania Delaware Maryland Georgia SouthCarolina NewMexico Wyoming Colorado Hawaii Michigan Louisiana Ohio NewHampshire Texas California Arizona NorthCarolina Washington Illinois RhodeIsland Vermont NewJersey DistrictofColumbia NewYork Connecticut Massachusetts Maine -1.0 0.0 1.0 1 6 11 16 21 26 31 36 41 46 51 Rank Changeinpositivetests(%/day) Masks No Yes Governor aa Democratic Republican Change in positive tests over past 14 days p masks as of July 20, 2020: 0.0044, p governor: 0.015. NB: association != causation. 2020-09-14 Summary: 31
  • 32. Change in tests vs change in positive tests AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY -1.0 -0.5 0.0 0.5 1.0 1.5 -4 -2 0 2 Change in tests (%/day) Changeinpositivetests(%/day) Change in tests vs change in positive tests last 14 days as of 2020-09-14 Size of the state font reflects the number of deaths over the past 7 days. 2020-09-14 Summary: 32
  • 33. Current hospitalizations as a percent of peak since FebruaryMissouri Montana SouthDakota WestVirginia NorthDakota Nebraska Kentucky Hawaii Alaska Oklahoma Arkansas Wyoming Iowa NorthCarolina Idaho Virginia Utah Kansas Georgia Tennessee Ohio Oregon Indiana Wisconsin Mississippi Alabama SouthCarolina Washington California Minnesota Nevada Louisiana NewMexico Texas Illinois Florida RhodeIsland Colorado DistrictofColumbia Delaware Maryland Maine Michigan Pennsylvania Arizona Massachusetts NewHampshire Vermont NewJersey Connecticut NewYork 0 30 60 90 1 6 11 16 21 26 31 36 41 46 51 Rank Hospitalizations(%ofpeak) Masks No Yes Governor aa Democratic Republican Current hospitalizations as a percent of peak since February p masks as of July 20, 2020: 0.014, p governor: 0.044. NB: association != causation. 2020-09-14 Summary: 33
  • 34. Hospitalizations trends HI TX FL OK LA MS AL GA AZ NM KS AR TN NC SC DC CA UT CO NE MO KY WV VA MD DE OR NV WY SD IA IN OH PA NJ CT RI WA ID MT ND MN IL MI NY MA WI VT NH AK ME min max min max min max min max min max min max min max min max Hospitalizationsfrommintomax Hospitalizations trends from min to max 2020-09-14 Summary: 34
  • 35. Change in hospitalizations over past 14 days Maine DistrictofColumbia SouthDakota Utah Montana Delaware Oregon Nebraska NewMexico Wisconsin NewYork Missouri WestVirginia Massachusetts RhodeIsland NorthDakota Kentucky Illinois Michigan NewJersey Iowa Virginia Oklahoma Pennsylvania Arkansas NorthCarolina Tennessee Alaska Indiana Connecticut Colorado Idaho Georgia Maryland Hawaii Ohio Minnesota Wyoming NewHampshire SouthCarolina Kansas Washington Texas Alabama Louisiana California Mississippi Nevada Arizona Florida Vermont -9.0 -6.0 -3.0 0.0 1 6 11 16 21 26 31 36 41 46 51 Rank Changeinhospitalizations(%/day) Masks No Yes Governor aa Democratic Republican Change in hospitalizations over past 14 days p masks as of July 20, 2020: 0.22, p governor: 0.17. NB: association != causation. 2020-09-14 Summary: 35
  • 36. Case Mortality vs. Testing AL AK AZ AR CA CO CT DE DC FL GA HI ID ILIN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY 2 4 6 8 20 30 40 50 % Tested %Mortality Mortality vs. Testing as of 2020-09-14 2020-09-14 Summary: 36
  • 37. Change in New Cases per Day Direction Increasing > +2% Increasing between +0.5% and +2% No Change (-0.5% to +0.5%) Decreasing between -0.5% and -2% Decreasing > -2% NA Trends by county as of 2020-09-15 NA = Inadequate data 2020-09-14 Summary: 37
  • 38. Percent Change by Partisan Lean -10 -5 0 5 10 0 25 50 75 100 Percent Republican Percentchangeinnewcasesperday 25 50 75 Republican Counties by 2016 presidential election results Dark green line is a Friedman's supersmoother 2020-09-14 Summary: 38
  • 39. Percent Change by Population -10 -5 0 5 10 1,000 10,000 100,000 1,000,000 10,000,000 Population Percentchangeinnewcasesperday 25 50 75 Republican Counties by Population Dark green line is a Friedman's 'super smoother' 2020-09-14 Summary: 39
  • 40. Cases as a Percent of Population 0.001% 0.01% 0.1% 1% 10% 20% 1,000 10,000 100,000 1,000,000 10,000,000 County Population Totalcases Total Cases as a Percent of County Population Slanted lines are counties with small integer numbers of cases, green line: Friedman's 'super smoother' 2020-09-14 Summary: 40
  • 41. Deaths as a Percent of Population 0.0001% 0.001% 0.01% 0.1% 1% 1,000 10,000 100,000 1,000,000 10,000,000 County Population Totaldeaths Total Deaths as a Percent of County Population Slanted lines are counties with small integer numbers of cases, green line: Friedman's 'super smoother' 2020-09-14 Summary: 41
  • 42. Case Mortality vs. Population 0.1% 1% 10% 100% 1,000 10,000 100,000 1,000,000 10,000,000 County Population Casemortality Case Mortality vs. County Population 2020-09-14 Summary: 42