{"id":6986,"date":"2021-11-18T11:17:26","date_gmt":"2021-11-18T16:17:26","guid":{"rendered":"http:\/\/www.khpi.org\/blog\/?p=6986"},"modified":"2022-02-08T13:34:42","modified_gmt":"2022-02-08T18:34:42","slug":"when-is-a-covid-19-epidemic-plateau-not-one","status":"publish","type":"post","link":"http:\/\/www.khpi.org\/blog\/when-is-a-covid-19-epidemic-plateau-not-one\/","title":{"rendered":"When Is a Covid-19 Epidemic Plateau Not One?"},"content":{"rendered":"\n<h5><span class=\"has-inline-color has-medium-brown-color\">Possible answer:  When new cases and the Percent Test Positivity Rate progressively increase for 12 days or more.<\/span>&nbsp;<\/h5>\n\n\n\n<p>I do not have much more to add to my comments of November 13 but will allow the data to speak for itself.&nbsp;&nbsp;Yesterday&#8217;s announced 2195 new cases is the highest daily count since October 14.&nbsp;&nbsp;Yesterday&#8217;s case count was higher than any of the previous 4 Wednesdays.&nbsp;&nbsp;Given that this week&#8217;s 3 remaining weekdays through Saturday comprise those with historically higher counts, it can be projected that the total number of new cases this week will exceed those of the previous three or even four weeks.&nbsp;&nbsp;Since the number of daily tests has been fairly stable, increased testing does not explain the increase in case numbers but the progressively increasing Test Positivity Rate helps.&nbsp;&nbsp;Hospital utilization is creeping up and along with ICU and ventilator utilization and deaths will eventually follow wherever new cases go.&nbsp; Elsewhere in the world and in some other US states, that place is another winter surge.<\/p>\n\n\n\n<p>I am personally being very careful to follow good public health measures including getting a booster vaccination, wearing a mask indoors in public, and limiting my exposure to groups. I recommend the same to everyone else.<\/p>\n\n\n\n<p>The full set of updated data visualizations can be viewed on KHPI&#8217;s interactive <a href=\"https:\/\/public.tableau.com\/app\/profile\/peter.hasselbacher\/viz\/Covid-19TrackinginKY\/7-DayCasesDeaths\">Tableau Public Website.<\/a><\/p>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/ky-overview-11-17-21-scaled.jpg\"><img loading=\"lazy\" width=\"575\" height=\"383\" src=\"http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/ky-overview-11-17-21-575x383.jpg\" alt=\"\" class=\"wp-image-6999\" srcset=\"http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/ky-overview-11-17-21-575x383.jpg 575w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/ky-overview-11-17-21-300x200.jpg 300w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/ky-overview-11-17-21-150x100.jpg 150w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/ky-overview-11-17-21-768x512.jpg 768w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/ky-overview-11-17-21-1536x1024.jpg 1536w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/ky-overview-11-17-21-2048x1366.jpg 2048w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/ky-overview-11-17-21-1200x800.jpg 1200w\" sizes=\"(max-width: 575px) 85vw, 575px\" \/><\/a><figcaption>Data on this overview plot of cases and deaths and all those graphs below current to 11-17-21.<\/figcaption><\/figure>\n\n\n\n<!--more-->\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/cases-avgs-all-11-17-21-2-scaled.jpg\"><img loading=\"lazy\" width=\"575\" height=\"415\" src=\"http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/cases-avgs-all-11-17-21-2-575x415.jpg\" alt=\"\" class=\"wp-image-6997\" srcset=\"http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/cases-avgs-all-11-17-21-2-575x415.jpg 575w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/cases-avgs-all-11-17-21-2-300x216.jpg 300w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/cases-avgs-all-11-17-21-2-150x108.jpg 150w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/cases-avgs-all-11-17-21-2-768x554.jpg 768w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/cases-avgs-all-11-17-21-2-1536x1107.jpg 1536w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/cases-avgs-all-11-17-21-2-2048x1477.jpg 2048w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/cases-avgs-all-11-17-21-2-1200x865.jpg 1200w\" sizes=\"(max-width: 575px) 85vw, 575px\" \/><\/a><figcaption>7-Day average new cases exceeding 14-Day average indicating epidemic expansion.<\/figcaption><\/figure>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/cases-avgs-wed-11-17-21-1-scaled.jpg\"><img loading=\"lazy\" width=\"575\" height=\"415\" src=\"http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/cases-avgs-wed-11-17-21-1-575x415.jpg\" alt=\"\" class=\"wp-image-6996\" srcset=\"http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/cases-avgs-wed-11-17-21-1-575x415.jpg 575w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/cases-avgs-wed-11-17-21-1-300x216.jpg 300w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/cases-avgs-wed-11-17-21-1-150x108.jpg 150w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/cases-avgs-wed-11-17-21-1-768x554.jpg 768w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/cases-avgs-wed-11-17-21-1-1536x1107.jpg 1536w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/cases-avgs-wed-11-17-21-1-2048x1477.jpg 2048w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/cases-avgs-wed-11-17-21-1-1200x865.jpg 1200w\" sizes=\"(max-width: 575px) 85vw, 575px\" \/><\/a><figcaption>New case counts for individual Wednesdays.<\/figcaption><\/figure>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/tpr-7dcases-11-17-21-scaled.jpg\"><img loading=\"lazy\" width=\"575\" height=\"445\" src=\"http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/tpr-7dcases-11-17-21-575x445.jpg\" alt=\"\" class=\"wp-image-6994\" srcset=\"http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/tpr-7dcases-11-17-21-575x445.jpg 575w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/tpr-7dcases-11-17-21-300x232.jpg 300w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/tpr-7dcases-11-17-21-150x116.jpg 150w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/tpr-7dcases-11-17-21-768x594.jpg 768w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/tpr-7dcases-11-17-21-1536x1188.jpg 1536w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/tpr-7dcases-11-17-21-2048x1584.jpg 2048w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/tpr-7dcases-11-17-21-1200x928.jpg 1200w\" sizes=\"(max-width: 575px) 85vw, 575px\" \/><\/a><figcaption>Test Positivity Rate and 7-Day average new case counts rising for last 12 days at least.<\/figcaption><\/figure>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/cases-week-all-11-17-21-scaled.jpg\"><img loading=\"lazy\" width=\"575\" height=\"383\" src=\"http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/cases-week-all-11-17-21-575x383.jpg\" alt=\"\" class=\"wp-image-6993\" srcset=\"http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/cases-week-all-11-17-21-575x383.jpg 575w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/cases-week-all-11-17-21-300x200.jpg 300w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/cases-week-all-11-17-21-150x100.jpg 150w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/cases-week-all-11-17-21-768x512.jpg 768w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/cases-week-all-11-17-21-1536x1024.jpg 1536w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/cases-week-all-11-17-21-2048x1365.jpg 2048w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/cases-week-all-11-17-21-1200x800.jpg 1200w\" sizes=\"(max-width: 575px) 85vw, 575px\" \/><\/a><figcaption>Weekly new case counts. Most recent week includes only Sun. through Wed.<\/figcaption><\/figure>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/hospitals-11-17-21-b-1.jpg\"><img loading=\"lazy\" width=\"575\" height=\"450\" src=\"http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/hospitals-11-17-21-b-1-575x450.jpg\" alt=\"\" class=\"wp-image-6992\" srcset=\"http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/hospitals-11-17-21-b-1-575x450.jpg 575w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/hospitals-11-17-21-b-1-300x235.jpg 300w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/hospitals-11-17-21-b-1-150x117.jpg 150w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/hospitals-11-17-21-b-1-768x601.jpg 768w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/hospitals-11-17-21-b-1-1536x1202.jpg 1536w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/hospitals-11-17-21-b-1-2048x1603.jpg 2048w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2021\/11\/hospitals-11-17-21-b-1-1200x939.jpg 1200w\" sizes=\"(max-width: 575px) 85vw, 575px\" \/><\/a><figcaption>Hospital and ICU utilization through 11-17-21.<\/figcaption><\/figure>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<p><br>Peter Hasselbacher, MD<br>Emeritus Professor of Medicine, UofL<br>18 November 2021<\/p>\n<div class=\"sharedaddy sd-sharing-enabled\"><div class=\"robots-nocontent sd-block sd-social sd-social-icon-text sd-sharing\"><h3 class=\"sd-title\">Share this:<\/h3><div class=\"sd-content\"><ul><li><a href=\"#\" class=\"sharing-anchor sd-button share-more\"><span>Share<\/span><\/a><\/li><li class=\"share-end\"><\/li><\/ul><div class=\"sharing-hidden\"><div class=\"inner\" style=\"display: none;\"><ul><li class=\"share-facebook\"><a rel=\"nofollow noopener noreferrer\" data-shared=\"sharing-facebook-6986\" class=\"share-facebook sd-button share-icon\" href=\"http:\/\/www.khpi.org\/blog\/when-is-a-covid-19-epidemic-plateau-not-one\/?share=facebook\" target=\"_blank\" title=\"Click to share on Facebook\" ><span>Facebook<\/span><\/a><\/li><li class=\"share-linkedin\"><a rel=\"nofollow noopener noreferrer\" data-shared=\"sharing-linkedin-6986\" class=\"share-linkedin sd-button share-icon\" href=\"http:\/\/www.khpi.org\/blog\/when-is-a-covid-19-epidemic-plateau-not-one\/?share=linkedin\" target=\"_blank\" title=\"Click to share on LinkedIn\" ><span>LinkedIn<\/span><\/a><\/li><li class=\"share-end\"><\/li><li class=\"share-twitter\"><a rel=\"nofollow noopener noreferrer\" data-shared=\"sharing-twitter-6986\" class=\"share-twitter sd-button share-icon\" href=\"http:\/\/www.khpi.org\/blog\/when-is-a-covid-19-epidemic-plateau-not-one\/?share=twitter\" target=\"_blank\" title=\"Click to share on Twitter\" ><span>Twitter<\/span><\/a><\/li><li class=\"share-email\"><a rel=\"nofollow noopener noreferrer\" data-shared=\"\" class=\"share-email sd-button share-icon\" href=\"mailto:?subject=%5BShared%20Post%5D%20When%20Is%20a%20Covid-19%20Epidemic%20Plateau%20Not%20One%3F&body=http%3A%2F%2Fwww.khpi.org%2Fblog%2Fwhen-is-a-covid-19-epidemic-plateau-not-one%2F&share=email\" target=\"_blank\" title=\"Click to email a link to a friend\" data-email-share-error-title=\"Do you have email set up?\" data-email-share-error-text=\"If you&#039;re having problems sharing via email, you might not have email set up for your browser. You may need to create a new email yourself.\" data-email-share-nonce=\"35cbcbc54c\" data-email-share-track-url=\"http:\/\/www.khpi.org\/blog\/when-is-a-covid-19-epidemic-plateau-not-one\/?share=email\"><span>Email<\/span><\/a><\/li><li class=\"share-end\"><\/li><li class=\"share-end\"><\/li><\/ul><\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>Possible answer: When new cases and the Percent Test Positivity Rate progressively increase for 12 days or more.&nbsp; I do not have much more to add to my comments of November 13 but will allow the data to speak for itself.&nbsp;&nbsp;Yesterday&#8217;s announced 2195 new cases is the highest daily count since October 14.&nbsp;&nbsp;Yesterday&#8217;s case count &hellip; <a href=\"http:\/\/www.khpi.org\/blog\/when-is-a-covid-19-epidemic-plateau-not-one\/\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;When Is a Covid-19 Epidemic Plateau Not One?&#8221;<\/span><\/a><\/p>\n<div class=\"sharedaddy sd-sharing-enabled\"><div class=\"robots-nocontent sd-block sd-social sd-social-icon-text sd-sharing\"><h3 class=\"sd-title\">Share this:<\/h3><div class=\"sd-content\"><ul><li><a href=\"#\" class=\"sharing-anchor sd-button share-more\"><span>Share<\/span><\/a><\/li><li class=\"share-end\"><\/li><\/ul><div class=\"sharing-hidden\"><div class=\"inner\" style=\"display: none;\"><ul><li class=\"share-facebook\"><a rel=\"nofollow noopener noreferrer\" data-shared=\"sharing-facebook-6986\" class=\"share-facebook sd-button share-icon\" href=\"http:\/\/www.khpi.org\/blog\/when-is-a-covid-19-epidemic-plateau-not-one\/?share=facebook\" target=\"_blank\" title=\"Click to share on Facebook\" ><span>Facebook<\/span><\/a><\/li><li class=\"share-linkedin\"><a rel=\"nofollow noopener noreferrer\" data-shared=\"sharing-linkedin-6986\" class=\"share-linkedin sd-button share-icon\" href=\"http:\/\/www.khpi.org\/blog\/when-is-a-covid-19-epidemic-plateau-not-one\/?share=linkedin\" target=\"_blank\" title=\"Click to share on LinkedIn\" ><span>LinkedIn<\/span><\/a><\/li><li class=\"share-end\"><\/li><li class=\"share-twitter\"><a rel=\"nofollow noopener noreferrer\" data-shared=\"sharing-twitter-6986\" class=\"share-twitter sd-button share-icon\" href=\"http:\/\/www.khpi.org\/blog\/when-is-a-covid-19-epidemic-plateau-not-one\/?share=twitter\" target=\"_blank\" title=\"Click to share on Twitter\" ><span>Twitter<\/span><\/a><\/li><li class=\"share-email\"><a rel=\"nofollow noopener noreferrer\" data-shared=\"\" class=\"share-email sd-button share-icon\" href=\"mailto:?subject=%5BShared%20Post%5D%20When%20Is%20a%20Covid-19%20Epidemic%20Plateau%20Not%20One%3F&body=http%3A%2F%2Fwww.khpi.org%2Fblog%2Fwhen-is-a-covid-19-epidemic-plateau-not-one%2F&share=email\" target=\"_blank\" title=\"Click to email a link to a friend\" data-email-share-error-title=\"Do you have email set up?\" data-email-share-error-text=\"If you&#039;re having problems sharing via email, you might not have email set up for your browser. 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