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Governor JB Pritzker said on June 23 that all four regions of the State are on track to move to Phase 4 of the Restore Illinois Plan on June 26. This article provides data as of June 24 showing how Evanston, the Northeast Region, and the State are doing in containing the pandemic. It also provides a summary of what businesses and activities may open up in phase 4, and what could trigger placing a region back into phase 3.
While Illinois is showing improvement in containing the pandemic, continuing to do so will depend on people using face coverings, maintaining social distancing, and adhering to the new guidelines. The pandemic is not over. On a nationwide basis, the average number of new COVID-19 cases in the last seven days is 28,166 per day, compared to an average of 21,596 in the first seven days of June, or a 30% increase.
New COVID-19 Cases
The data below show the number of new confirmed COVID-19 cases in Evanston, Cook County, and Illinois. The number of new cases is important because about 30% of the people who have COVID-19 are hospitalized, said Dr. Ngozi Ezike, Director of Illinois Department of Public Health. In addition, people who have COVID-19 are infectious and may spread the disease.*
New cases and deaths of Evanstonians: There were 2 new confirmed COVID-19 cases of Evanston residents today, bringing the total to 777 cases. Of those, 27 are active.
Over the last seven days, the City reported an average of 2.7 new COVID-19 cases per day. For the seven days prior, there was an average of 2.0 new cases per day. The trend is shown in the above chart.
No Evanstonians lost their lives to COVID-19 in the last four days. The total number of Evanstonians who have died due to the virus is 68.
According to data provided by IDPH on June 21, 49 residents or staff of long-term care facilities in Evanston have died due to COVID-19. Thus, 70% of the deaths of Evanstonians due to COVID-19 were of residents or staff at long-term care facilities. Two facilities account for 35 of the deaths.
New Cases and deaths in Cook County and Illinois: There were 354 new cases of COVID-19 in Cook County in the last 24 hours, and 715 in the State.
Between June 20 and June 24, the average number of new COVID-19 cases per day in Cook County was 317, and in the State, it was 614. The trend is shown in the smaller chart above.
The number of deaths in Illinois due to COVID-19 increased by 64 in the last 24 hours, bringing the total number of deaths due to COVID-19 in Illinois to 6,770.
Hospital Admissions and Surge Capacity in the Northeast Region
One important metric to determine how well a State or region is containing the pandemic is whether the number of hospitalizations for people with COVID-19 is declining or increasing.
A key metric used to determine whether a region is prepared to deal with a potential surge in COVID-19 cases is whether the hospitals in the region have available bed capacity to serve additional COVID-19 patients if there is a surge. The State has used having a 14% bed capacity as a target.
IDPH reports that in the last 28 days hospitalizations in the Northeast Region declined by 85%. IDPH does not report the number of hospitalizations in the Region, but there is a downward trend.
The Northeast Region has available 33% of its medical/surgical beds, 42% of its ICU beds, and 73% of its ventilators. This easily meets the minimum capacity of 14%.
On a Statewide basis, the number of hospitalizations due to COVID-19 was 3,336 on May 29 (the date the State moved to Phase 3 of the Restore Illinois plan). As of midnight on June 23, the number had declined to 1,614. The second chart in the chart box shows the trend in hospitalizations since May 29.
Adequacy of Testing
Widespread testing is essential to controlling the spread of the COVID-19 virus and to open an economy safely.
One measure used by researchers to assess whether the amount of testing is adequate is to look at the percent of people who test positive on COVID-19 tests. The World Health Organization said on May 15 that the test-positive rate should be below 5% before opening an economy. A higher test-positive rate reflects that there is an inadequate amount of testing. **
IDPH reported that the test-positive rate for the Northeast Region as of June 24 was 5%, down 2 percentage points in the last 14 days.
The Northeast Region meets the rate recommended by WHO.
On a Statewide basis, the test positivity rate on June 24 was 2.1%. The average for the last five days was 2.4%.
The Number of Tests in Illinois
In a May 7 study, the Harvard Global Health Institute (HGHI) estimated that Illinois needed to be administering 64,167 tests a day in order to safely open the economy. On the same day, Gov. Pritzker said, “I think we’re going to need many more tests than that.”***
While the State has almost quadrupled the number of tests it has been administering since the beginning of April, the average number of tests per day between June 20 and June 24 is 23,568, still far short of the target of 64,167 set by HGHI.
On June 24, there were 29,331 tests.
The IDPH recommends that those who have participated in a recent mass gathering, such as a march or rally, get tested 5 to 7 days after the event, or immediately if symptoms develop.
Widespread contact tracing is also essential to controlling the spread of the COVID-19 virus and to open an economy safely.
In its criteria to move from Phase 3 to Phase 4, the Restore Illinois plan provides with respect to this criterion: “Begin contact tracing and monitoring within 24 hours of diagnosis for more than 90% of cases in region.” Dr. Ezike said this is an “internal goal.”
IDPH has not monitored whether any region of the State met this criterion.
On a Statewide basis, Gov. Pritzker said on May 29 that contact tracing was only being done on about 30% of the known cases, far short of the 90% goal. IDPH has not provided more recent data.
On June 23, Gov. Pritzker said the number of contract tracers has been increasing across the State, but that he was not in a positon to provide metrics regarding the amount of contact tracing being done, but would do so in a future news conference.
Cook County has received about $41 million in grant funding from IDPH to rapidly scale-up its COVID-19 contact tracing program in suburban Cook County. The County recently said it would not have contact tracing fully in place until the fall.
What Businesses and Activities Can Open in Phase 4
All Regions of the State are on track to move from Phase 3 in the Restore Illinois Plan to Phase 4 on June 26. The Restore Illinois Plan provides that the following activities or businesses may open up in a Region that is in Phase 4. Almost all must do so in accordance with guidance approved by IDPH.
Gatherings: All gatherings of 50 people or fewer are allowed with this limit subject to change based on latest data and guidance
Travel: Travel should follow IDPH and CDC approved guidance
Health care: All health care providers are open
Education and child care: P-12 schools, higher education, all summer programs, and child care open with IDPH approved safety guidance
Outdoor recreation: All outdoor recreation allowed
Manufacturing: All manufacturing open with IDPH approved safety guidance
“Non-essential” businesses: All employees return to work with IDPH approved safety guidance; Employers are encouraged to provide accommodations for COVID-19-vulnerable employees
Bars and restaurants: Open with capacity limits and IDPH approved safety guidance
Personal care services and health clubs: All barbershops, salons, spas and health and fitness clubs open with capacity limits and IDPH approved safety guidance
Entertainment: Cinema and theaters open with capacity limits and IDPH approved safety guidance
Retail: Open with capacity limits and IDPH approved safety guidance
The Governor released guidance for the opening of many businesses and activities on June 22, a summary of which is available here. Guidance for opening schools was released on June 23 and a summary is available here.
Under the Restore Illinois Plan, a Region of the State could be placed back into Phase 3, based on the following factors:
- Sustained rise in the COVID-19 test positivity rate
- Sustained increase in hospital admissions for COVID-19 like illness
- Reduction in hospital capacity threatening surge capabilities
- Significant outbreak in the region that threatens the health of the region
Phase 5 is the last phase of the Restore Illinois Plan. A region may move to Phase 5 if there is a vaccine, effective and widely available treatment, or the elimination of new cases over a sustained period of time through herd immunity or other factors.
Free Covid-19 Tests on June 29
The City of Evanston’s Health and Human Services Department is partnering with AMITA Health St. Francis Hospital to offer COVID-19 health screening and testing events to Evanston residents at the James Park Field House parking lot, located on Mulford Street west of Dodge Avenue and the Levy Senior Center, on the following days while supplies last on Monday, June 29, 3 p.m. to 5 p.m. For more information about COVID-19, please visit cityofevanston.org/covid19 or call/text 847-448-4311. For convenience, residents may simply dial 311 in Evanston.
* IDPH reports only the number of COVID-19 cases which have been confirmed through a test. The number does not include people who are infected, but who have not been tested, which may include people who are asymptomatic or who have minor symptoms. Any person who is infected, whether symptomatic or asymptomatic, may spread the disease.
** On May 26, Johns Hopkins University & Medicine Coronavirus Resource Center said on its website that “the World Health Organization (WHO) advised governments [on May 15] that before reopening, rates of positivity in testing (i.e., out of all tests conducted, how many came back positive for COVID-19) should remain at 5% or lower for at least 14 days.”
Johns Hopkins explains, “The rate of positivity is an important indicator, because it can provide insights into whether a community is conducting enough testing to find cases. If a community’s positivity is high, it suggests that that community may largely be testing the sickest patients and possibly missing milder or asymptomatic cases. A lower positivity may indicate that a community is including in its testing patients with milder or no symptoms.” Link: https://coronavirus.jhu.edu/testing/testing-positivity
***Ashish Jha, MD, MPH, the Faculty Director of the Harvard Global Health Institute (“HGHI), and two colleagues conclude in a May 7 report, “HGHI and NPR publish new state testing targets” that, on a nationwide basis, 900,000 tests for COVID-19 are needed each day to open the economy. They also provide estimates of the tests each state should be ready to provide by May 15. For Illinois, they say that 64,167 tests a day are needed. Link to HGHI’s report: https://globalepidemics.org/2020/05/07/hghi-projected-tests-needed-may15/
And link to accompanying article: https://www.npr.org/sections/health-shots/2020/05/07/851610771/u-s-coronavirus-testing-still-falls-short-hows-your-state-doing
On June 23, the RoundTable asked Dr. Jha by email if he had updated his estimates of needed tests, and if his May 7 estimate of about 64,000 tests per day for Illinois was still a reasonable estimate. The RoundTable has not yet received a response.