Coronavirus York updates; 23rd April 2021

Deaths

No further hospital deaths announced today

Test results

Six additional positive test results today. Total now 12,223.

One fewer case in York today. Brings total down to 31.

Rate /100k population now 14.72. Expected to increase over the weekend.

Neighbourhoods

Only 4 neighbourhoods have infection rates above 10 today. The rate in Westfield /Foxwood North has now fallen back below 3 cases.

Vaccinations

Tests

3932 PCR tests were conducted in York during the week ending 18th April.

Of these, 0.7% were positive. That is the same proportion as the previous day.

2985 “lateral flow” tests were also conducted on 22nd April 2021.

Hospital

Council COVID-19 commentary

The York council has updated its “open data” briefing on the pandemic. It is reproduced below for convenience

The data is accurate as at 8.00 a.m. on Friday 23.04.21. Some narrative for the data covering the latest period is provided here below:

People with Covid Symptoms

• NHS Pathways/111 triages – as at 19.4.21 there had been 58 total covid triages in the CYC area in the last 7 days. The peak number of triages was 653 in the 7 day period to 20.9.20.

• As at 22.4.21, the Covid Symptom App estimates 19 per 100,000 in York with symptomatic covid (responses from a sample of 4,146 people). The peak rate was 1,283 on 7.1.21.

Diagnosed cases

• As at 22.4.21 York has had 12,217 cases since the start of the pandemic, a rate of 5,801 per 100,000 of population. The cumulative rate in York is below the national (6,828) and regional (7,103) averages. Cases identified through Lateral Flow Tests will be removed if they have a negative follow up PCR test within 72 hours so the cumulative total of cases can, on occasions, go down.

• The PHE ‘Exceedance’ rating compares the no. of new cases over a 14 day period with the previous 6 weeks and provides a RAG rating to indicate if the previously observed trend in the number of new cases is worsening. The latest rating for York (19.4.21) is Amber. This is due to a higher than ‘expected’ number of cases on 1 occasion(s) in the most recent 14 day monitoring period. In recent weeks the number of cases have been low in York which has an effect on the thresholds used to determine the RAG rating – a small change can mean the difference between a red, amber and green rating.

• The provisional rate of new Covid cases per 100,000 of population for the period 14.4.21 to 20.4.21 in York is 17.6 (37 cases). (Using data published on Gov.uk on 22.4.21).

• The latest official “validated” rate of new Covid cases per 100,000 of population for the period 11.4.21 to 17.4.21 in York was 15.2 (32 cases). The national and regional averages at this date were 23.8 and 46.7 respectively (using data published on Gov.uk on 22.4.21).

• York is currently ranked 39th out of 149 Upper Tier Local Authorities (UTLAs) in England with a rank of 1 indicating the lowest 7 day rate.

• For the 7 day period 10.4.21.to 16.4.21 the number of cases in each ward varied from 0 to 6 and rates varied from 0 to 59.7 per 100,000. 10 wards had zero cases.

• The rate of new Covid cases per 100,000 of population for the period 11.4.21 to 17.4.21 for people aged 60+ in York was 2.0 (1 case). The national and regional averages were 10.0 and 14.8 respectively.

• As at 20.4.21, the latest 7 day positivity rate in York (Pillar 2 PCR tests only) was 0.86%. The national and regional averages are 1.0% and 2.5% respectively.

• As at 20.4.21 the latest 7 day positivity rate in York (Pillar 2 Lateral Flow Tests only) was 0.12%. The national and regional averages are 0.1% and 0.2% respectively.

• As at 20.4.21 the latest 7 day positivity rate in York (Pillar 1 tests only) was 0%. The national average is 0.6%.

• As at 16.4.21 York University reported 1 individual within the University community who was currently self-isolating because they have had a positive COVID-19 test. The peak number was 331 on the 19.10.20.

• As at 5.4.21 York St. John reported 0 individuals within the University community who were currently self-isolating because they have had a positive COVID-19 test. The peak number was 82 on the 8.10.20.

Contact Tracing

• Since 28.5.20 a total of 11,406 confirmed CYC Covid cases have been uploaded into the NHS Test and Trace system and 10,305 of the cases have been completed (90.3%). 26,705 ‘contacts’ of these cases have been identified and 20,263 of these have been completed (75.9%).

• Local Contact Tracing. Between 10.3.21 and 16.4.21, 155 referrals had been actioned by the local contact tracing service. Of the referrals actioned, 145 (93.5%) were successful and 10 (6.5%) were unable to be reached via phone or home visit, but guidance leaflets were posted where possible. (NB on the 10.3.21 the local CYC team became responsible for contacting all cases rather than just those that the national team could not contact).

Cases in Residential Care Settings

• As at 22.4.21 there were 0 care homes in the CYC area with confirmed Covid-19 infection (at least 1 case of either a staff member or resident).

• The latest ‘outbreak’ (2+ cases) in a residential care setting in York were reported by PHE on 25.2.21 (1 home).

Cases amongst School Aged Children

• In the 7 days up to 19.4.21 there were 7 children of primary or secondary school age who tested positive (across 5 different schools).

COVID Bed Occupancy in York Hospital

• As at 20.4.21 there were 4 confirmed Covid-19 patients in General and Acute beds. The peak number was 157 on 19.1.21.

• As at 20.4.21 there were 0 confirmed Covid-19 patients and 0 suspected Covid-19 patients in the Intensive Treatment Unit. The peak number for people in ITU was 19 on 10.5.20.

• As at 20.4.21 there had been 0 patients admitted with suspected Covid-19 and 0 with confirmed Covid-19 in the previous 24 hours.

• As at 20.4.21 there had been 0 confirmed patients discharged with COVID-19 in last 24 hours.

• Between 5.4.21 and 11.4.21, 4 CYC residents were discharged from York hospital after needing NHS care for symptoms linked to covid-19 infection.

R Number

• The ‘R’ value (the number of people that one infected person will pass on a virus to, on average) for the North East and Yorkshire area on 16.4.21 was estimated to be in the range 0.7 to 1.0. The previous estimate was (0.8 to 1.0) on 9.4.21.

Total Vaccinations

• As at 21.4.21 a total of 95,215 CYC residents have had the first dose of the vaccine. This represents 45.2% of the estimated total population of York and 54.7% of the estimated adult (18+) population of York.

• As at 21.4.21 a total of 33,679 CYC residents have had both doses of the vaccine. This represents 16% of the estimated total population of York and 19.4% of the estimated adult (18+) population of York.

Deaths

The two sources about deaths from Covid-19 at LA level are ONS data and local registrar data. They are derived from the same source (civil registration data). ONS data is more comprehensive as it includes deaths of York residents which have occurred and been registered outside York. Local registrar data is useful as it enables a breakdown by age and gender. The most recently available data is summarised below:

• ONS weekly data: In the most recent period (Week 14: 3.4.21 to 9.4.21) 0 Covid-19 deaths were recorded as having occurred for CYC residents. In weeks 11, 12 and 13 there had been 4, 0 and 2 deaths respectively.

• ONS Cumulative data: Since the start of the pandemic, for deaths occurring up to 9th April 2021 and registered up to 17th April 2021, 392 Covid-19 deaths were recorded as having occurred for CYC residents (227 in hospital, 134 in care homes, 23 at home/elsewhere and 8 in a hospice). The number of deaths per 100,000 of population in York is 186.12 which is lower than the national average of 230.22

• Local Registrar data (Cumulative): Since the start of the pandemic (using data for deaths occurring up to 14.4.21), a cumulative total of 372 deaths of CYC residents where COVID-19 was mentioned (confirmed or suspected) on the death certificate, have been registered. The average age of the people who died was 82.2, with an age range of 44-104. The age profile of those dying in York is older than the national average (79.6% of those who died in York were aged 75+ compared with 73.1% nationally). 178 of the 372 were male (47.8%), less than the national average (54.3%).