Case Surveillance Update | 2020.11.23

Trends in short

  • New COVID-19 cases continue to surge throughout the country. On November 20 the United States reported 198,585 new cases, the highest single-day count since the beginning of the pandemic.[1]
  • Over the past two weeks the number of daily coronavirus-related deaths has increased by 54%. The US has now recorded more than 12.3 million total cases and more than 256,000 deaths due to COVID-19.[2]
  • As in the rest of the country, new cases are continuing to surge in Connecticut. The state is currently seeing an average of 1,832 new cases per day, compared to 988 cases per day two weeks ago.[3]
  • The number of daily COVID-19 cases are also rising in Rhode Island, which is seeing an average of 925 new cases per day this week compared to 501 per day two weeks ago.[4]

International case numbers

  • 58,900,313 COVID-19 cases worldwide; 1,391,311 deaths; 37,649,839 recovered.[5]
  • The United States continued to have the highest number of COVID-19 cases at 12,282,123 cases. India has the second highest number of cases with 9,139,865 cases, Brazil third with 6,071,401, and France fourth with 2,191,454.[6]
  • Restrictions that many European countries instituted over the past couple of weeks appear to have successfully slowed the spread of coronavirus. The rate of new cases is falling for the first time in months. The most recent restrictions have generally been less severe than those that many instituted in the spring– while many businesses are closed and gatherings must remain small, schools have generally stayed open and limits on travel are less strict.[7]

Distribution of new coronavirus cases and deaths worldwide each week (from The World Health Organization COVID-19 Weekly Situation Update, as of 11/17/2020).[8]

US National case numbers

  • 12,282,123 cases of coronavirus confirmed by lab tests, 256,837 deaths, and 4,525,513 recovered cases. 179,340,847 total tests have been conducted.[9]
  • The highest-risk states in the country are currently North Dakota, Wyoming, South Dakota, New Mexico, and Minnesota. North Dakota, which has topped this list for many weeks, saw a 4% decrease in the number of new COVID-19 cases in the past two weeks. Wyoming, however, has seen a 58% increase in the number of its new cases over the past two weeks.[10]

Risk in population

COVID-19 deaths reported to National Center for Health Statistics as of November 18, 2020[11]
Age group Total number of deathsPercentage of reported deaths
0-245010.22%
25-446,3232.73%
45-5412,0335.20%
55-6429,01612.55%
65-7449,86221.57%
75+133,46257.73%
Provisional Death Counts for COVID-19 by Demographic Characteristics as of November 18, 2020[12]
Population Total
Female45.89%
Male54.11%
White40.30%
Black15.10%
American Indian or Alaskan Native0.30%
Asian9.80%
Native Hawaiian or Pacific Islander0.10%
Hispanic32.40%
Other2.00%

Known cases in Connecticut (call 211 or text “CTCOVID” to 898211 for information)

  • As of November 22, 2020 there are 106,740 confirmed and probable cases (+5,271 from November 21), 875 hospitalizations (+27 from November 6), and 4,871 deaths. 3,031,062 patients have been tested in the state with a 4.83% daily positivity rate.[13]
  • All eight counties have seen at least a 27% increase in case counts in the past two weeks.
  • Confirmed and probable cases:
    • Fairfield County: 35,272 cases, 1,477 deaths
    • Hartford County: 26,424 cases, 1,570 deaths
    • Litchfield County: 3,853 cases, 160 deaths
    • Middlesex County: 3,358 cases, 200 deaths
    • New Haven County: 26,531 cases, 1,202 deaths
    • New London County: 5,592 cases, 163 deaths
    • Tolland County: 2,824 cases, 72 deaths
    • Windham County: 2,313 cases, 27 deaths
    • Pending address validation: 308 cases, 1 deaths

Cumulative Cases and Deaths in CT with Percent Increase from Previous Reporting Period

CountyNov 23Nov 6Oct 26Oct 12Sept 27
Fairfield Cases
(% increase)
Deaths
(% increase)
35,272 (27.6)
1,477 (1.9)
27,652 (19.8)
1,450 (1.2)
22,322 (7.6)
1,430 (0.3)
20,752 (3.0)
1,426 (0.2)
20,141 (3.2)
1,422 (0.2)
Hartford Cases
(% increase)
Deaths
(% increase)
26,424 (29.5)
1,570 (3.4)
20,409 (15.5)
1,518 (3.3)
17,062 (10.0)
1,464 (1.5)
15,520 (5.8)
1,442 (1.0)
14,670 (4.3)
1,434 (0.2)
Litchfield Cases
(% increase)
Deaths
(% increase)
3,853 (42.5)
160
(8.1)
2,704 (22.4)
148
(3.5)
2,116 (10.3)
143
(1.4)
1,919 (2.5)
141
(0.0)
1,872 (4.4)
141
(0.7)
Middlesex Cases
(% increase)
Deaths
(% increase)
3,358 (43.8)
200
(1.0)
2,335 (19.3)
198
(0.5)
1,873 (12.4)
196
(1.6)
1,667 (5.3)
193
(0.0)
1,583 (3.9)
193
(0.0)
New Haven Cases
(% increase)
Deaths
(% increase)
26,531 (32.3)
1,202 (5.1)
20,053 (20.0)
1,144 (1.6)
16,073 (8.0)
1,123 (0.4)
14,877 (3.1)
1,118 (0.3)
14,434 (2.7)
1,115 (0.3)
New London Cases
(% increase)
Deaths
(% increase)
5,592 (29.3)
163
(8.7)
4,326 (17.1)
150
(7.1)
3,456 (34.5)
136
(8.0)
2,570 (31.1)
126
(9.6)
1,959 (17.0)
115
(3.6)
Tolland Cases
(% increase)
Deaths
(% increase)
2,824 (41.8)
72
(5.9)
1,991 (14.6)
68
(0.0)
1,689 (12.5)
68
(1.5)
1,502 (10.8)
67
(0.0)
1,356 (6.8)
67
(3.1)
Windham Cases
(% increase)
Deaths
(% increase)
2,313 (37.3)
27
(28.6)
1,685 (19.7)
21
(16.7)
1,324 (19.5)
17
(0.0)
1,108 (12.5)
17
(6.3)
985 (13.5)
16
(6.7)

Connecticut Cumulative Statistics by Month for Age and Race/Ethnicity per 100,000 

Age, total (deaths)Race/ethnicity rate per 100,000 population (deaths)
(end of month) Cases, (Deaths)<2020-4950-69>70WhiteBlackHispanic Other
Mar.3,128 (69)94 (0)1,419 (3)1,150 (25)461 (60)NANANANA
Apr.27,700 (2,257)775 (2)10,820 (52)9,299 (391)6,572 (1,808)365 (67)829 (89)723 (34)211 (11)
May42,743 (3,970)1,617 (2)16,792 (75)13,547 (655)10,660 (3,237)584 (116)1,365 (146)1,248 (56)755 (42)
June46,572 (4,324)2,024 (2)18,805 (81) 14,380 (708)11,304 (3,533)677 (132)1,577 (166)1,493 (63)860 (47)
July49,810 (4,432)2,572 (2)20,518 (82)15,104 (725)11,561 (3,623)728 (135)1,681 (169)1,601 (65)888 (47)
Aug.53,006 (4,466)3,236 (2)22,284 (82)15,731 (730)11,728 (3,652)773 (136)1,814 (170)1,738 (67)977 (48)
Sept.71,182 (4,616)6,632 (2)31,860 (86)19,655 (761)13,035 (3,767)994 (140)2,151 (172)2,341 (70)1,364 (49)
  • The Yale New Haven Health System currently has 336 hospitalized patients with a COVID-19 diagnosis. The number of hospitalized patients in the system is still increasing but appears to have plateaued. YYNH currently has 202 patients, 48 of whom are in the ICU and 15 of whom are on ventilators. GH currently has 16 patients, Westerly has 10, BH has 81, and L and M has 27.  
  • During the peak of the pandemic, approximately one-third of all hospitalized patients were in the ICU. Currently, only one-fifth of patients are in the ICU, reflecting either that patients are less sick or there is now better treatment available that keeps individuals outs of the ICU. 
  • Yale has now moved from “yellow” status to “orange” COVID level after 20 undergraduate on-campus students test positive. Students affiliated with three residential colleges have been asked to quarantine.[14]

Connecticut developments

  • Due to a rising surge of COVID-19 cases, Governor Lamont announced a roll back to a modified phase two of that state’s reopening. Restaurant indoor capacity was reduced from 75% to 50% and all indoor dining must be closed by 9:30pm.[15] The seven-day positivity rate rose to 5.8% last Friday and the Governor predicts a “COVID cloud” coming and the worst has yet to hit the state. A number of new guidelines implemented Monday, November 23 include mandatory mask use in gyms and 25% fitness class capacity.[16]
  • Seven of eight counties in At least half a dozen school districts have closed at least one school building because of staffing shortages as schools continue to see rising cases of COVID-19.[17]

Known cases in Rhode Island (call 401-222-8022 for information)

  • As of November 23, 2020[18]
    • 50,573 confirmed cumulative cases (+12,564 from 11/9/20; a 24.8% increase in the two-week period)
    • 1,468,082 total tests conducted (+210,443 from 11/9/20)
    • 285 patients currently hospitalized (+73 from 11/9/20)
    • 30 patients currently in ICU (+3 from 11/9/20)
    • 1,309 deaths in the state (+76 from 10/23/20)

Rhode Island developments

  • Rhode Island instituted new restrictions to slow the spread of COVID-19 and announced a two week “pause” to begin on November 30. On November 19, Governor Raimondo banned residents from socializing with anyone outside of their household including during Thanksgiving. During the “pause” colleges and universities must move all classes online, offices will be closed when possible, bar areas and recreational venues will be closed, and all indoor sport and fitness facilities will be closed. Other limitations include restricting indoor dining to 33% capacity and only allowing one household per table, capping houses of worship at 25% capacity, limiting retail caps to 1 shopper in the store per 100 square feet, and moving high school instruction to school’s limited in-person plans.[19]
  • Rhode Island’s hospital COVID-19 beds are currently at 97% capacity. The state is preparing for the likely event that field hospitals will need to open to accommodate more cases as the new daily case count in the state continues to increase.[20]

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