Risk of Community Spread
The charts in the above chart box show that the seven-day average of new cases in Evanston, suburban Cook County, Chicago, and the State is trending downward.
The seven-day average of new cases for the State is the lowest it has been since July 29. Evanston had only one case today out of 1,400 tests. The seven-day average for Northwestern University students and staff is zero.
For benchmarks used to assess the risk of spread, see footnotes 1–4.
Evanston – COVID
The City reported one new COVID-19 case of an Evanston resident today, compared to none yesterday.
The average number of new cases per day in the last seven days is 3.4, down from the seven-day average of 4.6 on May 14.
In the last seven days, there was a total of 24 new COVID-19 cases of Evanstonians, which equates to about 32 new cases per 100,000 people in the seven-day period.
Evanston’s case positivity rate for the last seven days is 0.6%.
There has been a total of 4,623 COVID-19 cases of Evanston residents during the pandemic, 134 of which are active.
No Evanstonian has died from COVID-19 since May 6. The number of deaths due to COVID-19 is 117.
Impact of Northwestern University. Northwestern University has posted data on its website reporting that between May 14 and May 20, there were no new confirmed COVID-19 cases of NU faculty, staff, and students. If the faculty, staff or students reside in Evanston, they would be included in the City’s numbers. The numbersr reported by NU, though, includes people who live outside of Evanston. 
Illinois – COVID-19
In the State, there were 1,573 new COVID-19 cases reported today, up from 1,542 yesterday.
Statewide, the average number of new cases per day in the last seven days is 1,421, which is the lowest seven-day average this year. The seven-day average one week ago on May 14 was 1,715, so today’s number is down by 17%. The downward trend continues. An accompanying chart shows the trend.
In the seven days ending May 21, the number of new cases per 100,000 people in the State was 79, down from 95 one week ago.
The seven-day case positivity rate for the State today is 2.2% and the test positivity rate is 2.8%.
On a Statewide basis, the number of hospitalizations due to COVID-19 was 1,426 as of midnight on May 20. The number is up from 1,112 on March 15.
The Illinois Department of Public Health said today that the trends in new hospital admissions and total patients hospitalized due to COVID-19 has been “decreasing” in the last 28 days.
The number of patients using ICU beds is 360, up from 227 on March 15. The number of patients on ventilators is 206, up from 95 on March 15.
On a Statewide basis, there were 21 deaths due to COVID-19 in the last 24 hours, which brings the total to 22,556. IDPH said today the trend in the mortality rate has been “increasing” in the last 28 days, adding that the increase is not significant.
For the last seven days, the numbers of deaths in the State are 47, 24, 6, 21, 28, 42, and 21 today. The seven-day average is 31.
Variants in Illinois
IDPH is reporting a combined total of 7,280 confirmed cases of COVID-19 variants in the State. The combined total of variants is up 15% from one week ago.
Vaccinations in the State
A total of 10,767,013 doses of vaccine have been administered in Illinois. As of May 21, 81.92% of Illinois residents 65 and older have had at least one dose of a COVID-19 vaccine and 59.27% of the residents 16 and older have had at least one dose of a COVID-19 vaccine. These percentages continue to move up very slowly.
1/ On Feb. 12, the CDC issued a K-12 School Operational Strategy. As part of that strategy, the report says, “CDC recommends the use of two measures of community burden to determine the level of risk of transmission: 1) the total number of new cases per 100,000 persons in the past 7 days; and 2) the percentage of nucleic acid amplification tests (NAATs), including RT-PCR tests that are positive during the last 7 days. The two measures of community burden should be used to assess the incidence and spread of SARS-CoV-2 in the surrounding community (e.g., county) and not in the schools themselves.” The CDC provides a chart to assess whether the risk of transmission is low, moderate, substantial, or high. The CDC recommends different types of mitigations depending on the risk level. If the two indicators suggest different levels of risk, the mitigations recommended in the higher level of risk should be implemented, says CDC. The table below, reprinted from CDC’s report, provides CDC’s Indicators and Thresholds for Community Transmission of COVID-219.
CDC’s guidelines are available here: Operational Strategy for K-12 Schools through Phased Prevention | CDC
2/ Number of Cases per 100,000 Population. On July 1, 2020, a network of research, policy and public health experts convened by Harvard’s Global Health Institute and Edmond J. Safra Center published a Key Metrics for COVID Suppression framework that provides guidance to policy makers and the public on how to target and suppress COVID-19 more effectively across the nation. The targets for new COVID-19 cases per 100,000 people are as follows (these are converted from cases per day to cases per week): a) less than 7 cases: “on track for containment;” b) 7 to 63 cases: “community spread,” rigorous test and trace program advised; c) 70 to 168 cases: “accelerated spread,” stay-at-home orders and/or rigorous test and trace programs advised; and d) 169+: ”tipping point,” stay-at-home orders necessary. The article is available here: https://globalepidemics.org/key-metrics-for-covid-suppression/
IDPH provides these categories and ratings: 1) “minimal” – fewer than 50 cases per 100,000 in a week; 2) “moderate” – between 50 and 100 cases per week; and 3) “substantial” more than 100 cases per 100,000 in a week. In its Metrics for School Determination of Community Spread, IDPH says the “target” is 50 cases per week per 100,000 people.
3/ The Test Positivity Rate. In addition, on May 26, 2020, Johns Hopkins University & Medicine Coronavirus Resource Center said on its website that “the World Health Organization (WHO) advised governments [on May 15, 2020] 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.” Link: https://coronavirus.jhu.edu/testing/testing-positivity
The Harvard Global Health Institute (HGHI) says, “A network of research, policy, and public health organizations convened by Harvard and MIT called the TTSI Collaborative has agreed on a 3% test positive rate or below as a key indicator of progress towards suppression level testing.”
IDPH says the test positivity target is 5% or less. IDPH provides these categories and ratings: 1) “Minimal” – test positivity rate is equal to or less than 5%: 2) “Moderate” – test positivity rate is between 5% and 8%; and 3) “Substantial” – test positivity rate is over 8%. In its Metrics for School Determination of Community Spread, IDPH says the target is 5%.
4/ Calculations. The RoundTable calculates the number of cases per 100,000 using case data provided by IDPH and assuming that the population of Suburban Cook County is 2.469 million, that the population of Chicago is 2.710 million, and that the population of Illinois is 12.671 million.
5/ Northwestern University COVID-19 Cases. Ike C. Ogbo, Director of Evanston’s Health & Human Services Department, told the RoundTable that the COVID-19 cases reported by the City include cases of faculty, staff, and students attending Northwestern University who live in Evanston. The RoundTable asked the City in an FOIA Request to provide the number of NU students who tested positive for COVID-19 and who live in Evanston. The City refused to provide the data. On Oct. 26, the RoundTable appealed the City’s decision to the Public Access Counselor of the Attorney General’s Office. On Nov. 13, 2020, the City filed a response claiming it does not have any records showing the number of NU students who tested positive for COVID-19 and who live in Evanston.
The RoundTable has asked Northwestern University on several occasions to provide information breaking out the number of new COVID-19 cases of its faculty, staff and students by residency in Evanston. NU did not respond.
Bridge phase A Bridge to Phase 5 (illinois.gov)