cov i d- 1 9 watc h

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The purpose of the COVID-19 Watch is to summarize the coronavirus surveillance in the City of Cleveland, Ohio. This summary report reflects the period star�ng from February 15, 2020 un�l April 3, 2021.

What Ma�ers Most

1. There has been an increase in the number of new COVID-19 cases and hospitaliza�ons in Cleveland for two weeks in a row (Fig. 1). These trends emphasize the need to con�nue social distancing and mask-wearing in public spaces.

2. The likelihood of severe outcomes for COVID-19 pa�ents, such as hospitaliza�on and death, has increased as well. The number of hospitaliza�ons has increased slightly for the second week in a row. The apparent case-fatality rate for the month of February (1.88%) is already higher than that of January (1.21%), despite the fact that only 82% of reported deaths occurring in February have been confirmed, compared with the 96% of reported deaths occurring in January.

3. Since the onset of the pandemic, individuals under 40 years of age have account for 51% of all cases in Cleveland. However, this week these younger Cleveland residents account for 57% of new cases (Fig. 2).

4. Sixteen posi�ve cases 'U.K. Variant' B.1.1.7 have been iden�fied among Cleveland residents. This variant strain has increased transmissibility and may contribute to the increase in cases seen recent weeks.

4. Demographic iden�fiers such as age, gender, race, and ethnicity in cumula�ve charts are unvarying as total cases in City of Cleveland near 30,000. Observing the changes in these demographic iden�fiers week to week over the last four repor�ng periods has shown more significant varia�ons.

5. As of April 3, 2021, CDPH has administered 47,294 doses of COVID-19 vaccines to the community, including first and second doses of Moderna and Pfizer.

Report Contents

: Key Findings

Pages 2-3: Overview & Summary

Pages 4-7: Case Demographics

Pages 8-9: Hospitaliza�on Metrics

Page 10: Death Metrics

Pages 10-13: City vs County Trends

Page 14: Metadata

Page 1 of 14

Cleveland Department of Public Health75 Erieview Plaza, Floor 3Cleveland, Ohio 44114Office: 216-420-7743Fax: 216-664-6159

This data report is intended only for the use of the Cleveland Department of Public Health and contains informa�on that is privileged and confiden�al. If the reader of the report is not the intended recipient or an authorized representa�ve of the intended recipient, you are hereby no�fied that any dissemina�on of this report is strictly prohibited. If you have received this data report in error, no�fy the Cleveland Department of Public Health. Immediately delete the data report from your system.

COVID-19 WATCHWeekly Coronavirus Disease (COVID-19) Surveillance Report

Thursday, April 8, 2021

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MEASURE TOTAL CLEVELAND RESIDENTS NON-CLEVELAND RESIDENTS

Total Individuals Served 33,134 20,726 12,408

Vaccine Summary**

COVID-19 Summary

MEASURE TOTAL CONFIRMED PROBABLE

Cases

Deaths*

Hospitaliza�ons

28,948

436

2,012

26,824

389

2,006

2,124

47

6

Weekly Summary

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MEASURE TOTAL CONFIRMED PROBABLE 7-DAY CHANGE

Cases

Hospitaliza�ons

485

21

388

20

97

1

4 %

17%



*Note: Any deaths reported a�er April 1, 2021 are not reported in this report. Defini�ve cause of death can take weeks to determine and hence number of deaths in the previous weeks

are subject to change as more informa�on is reported from ODH.

**Vaccine data were exported from ImpactSIIS on March 30. Total Cleveland Popula�on is 380,989 as reported by the US Census Bureau 2019 es�mates. There are no es�mates for

“Unknown” or “Other” demographic groups, so percent of popula�on cannot be calculated for these groups. One individual has unknown vaccina�on date.

Case Defini�ons: Confirmed: Meets confirmatory laboratory evidence. NOTE: Asymptoma�c infec�ons are reportable as confirmed cases. Probable: 1) Meets clinical

criteria AND epidemiologic linkage with no confirmatory laboratory tes�ng performed for SARS-CoV-2. 2) Meets presump�ve laboratory evidence AND was reported on or a�er

11/1/2020. (For reports received prior to 11/1/2020: meets presump�ve laboratory evidence AND either clinical criteria OR epidemiologic linkage). 3}Meets vital records criteria with no

confirmatory laboratory evidence for SARS-CoV-2.

47,294Total Doses Administered

57,106Total Doses Received by CDPH



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Figure 1. City of Cleveland COVID-19 Total Cases by Repor�ng Week, February 15, 2020 to April 3, 2021 (n=28,948)

0

500

1000

1500

2000

Num

ber o

f Cas

es

Mar 2020 May 2020 Jul 2020 Sep 2020 Nov 2020 Jan 2021 Mar 2021

485

2138

106

585

1281

1219

414

261

97 130

1442

1101

363

462

359

142

111

376

195

185

149

1575

629

390

144

220

304

108

134

133

297

1311

1919

827

113

1714

386

466

498

199

434

81 114

155

213

247

436

219

186

151

112

195

662

1543

1180

Total Cases by Specimen Collec�on Date as of April 3, 2021

Note: If specimen collec�on date is unknown, the earliest known date associated with a case is used. Fig.1 does not include 18 cases without any associated date. Retrospec�vely, 4

confirmed cases reported before February 15 are not included in this graph.

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Figure 3. Total COVID-19 Cases in City of Cleveland by Age (Mar 7, 2021 - Apr 3 2021) (N = 1,699)

0

50

100

Previous 4-Repor�ng Week

Tota

l Cas

e Co

unt

Mar 07 Mar 14 Mar 21 Mar 28

Cases

0-19

20-29

30-39

40-49

50-59

60-69

70-79

80-89

90+

41.53Average Age

38Median Age

0Min Age

108Max Age

Total Cases by Age Group

Figure 2. Repor�ng Week City of Cleveland COVID-19 Cases by Age (Mar 28, 2021- Apr 3, 2021) (N = 485)

0%

10%

20%

Age Group (Years)

% C

ases

for R

epor

�ng

Wee

k

0-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89

11.3%

24.1%22.5%

14.0% 14.8%

9.5%

2.3% 1.4%

Cases

Confirmed

Probable

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38.22Average Age

35Median Age

0Min Age

88Max Age

Note: Fig 3 does not include 1 cases for whom age was unknown. Fig 2 does not include any cases above 90 years old.





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Figure 5. Total COVID-19 Case in City of Clevelands by Gender (Mar 7, 2021 - Apr 3, 2021) (N= 1,673)

0

100

200


Tota

l Cas

e Co

unt


194

264

179

254

184

213

178

207

CasesFemale

Male

Total Cases by Gender

Figure 4. Repor�ng Week City of Cleveland COVID-19 Cases by Gender (Mar 28, 2021- Apr 3, 2021) (N = 477)

0%

20%

40%

60%

Gender

% C

ases

for R

epor

�ng

Wee

k

Female Male

55.3%

44.7%

CasesConfirmed

Probable

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Note: Figure 4 and Figure 5 do not include 8 and 27 cases respec�vely for whom gender was unknown.





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Figure 7. Total COVID-19 Cases in City of Cleveland by Race (Mar 7, 2021 - Apr 3, 2021) (N= 1,400)

0

50

100

150


Tota

l Cas

e Co

unt


1 214 510 9

128

185

116

161

1 1

57 5770

56

121

159

103

153

CasesAIAN

Asian

Black

NHPI

Other

White

Total Cases by Race

Figure 6. Repor�ng Week City of Cleveland COVID-19 Cases by Race (Mar 28, 2021- Apr 3, 2021) (N = 408)

0%

20%

40%

60%

Race

% C

ases

for R

epor

�ng

Wee

k

Black White Other Asian AIAN

45.3%

39.0%

14.0%

1.2% 0.5%

CasesConfirmed

Probable

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Note: Figure 6 does not include 77 cases with unknown races and no cases iden�fied as NHPI were reported in the repor�ng week. Figure 7 does not include 300 cases with unknown

races. AIAN = American Indian/Alaska Na�ve; NHPI =Na�ve Hawaiian and other Pacific Islander. Other race includes two or more races.





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Figure 9. Total COVID-19 Cases in City of Cleveland by Ethnicity (Mar 7, 2021 - Apr 3, 2021) (N = 1,700)

0

100

200


Tota

l Cas

e Co

unt


5132

55 52

188

259

177

233

147

194

131

181

Cases Hispanic/La�no NonHispanic/NonLa�no Unknown

Total Cases by Ethnicity

Figure 8. Repor�ng Week City of Cleveland COVID-19 Cases by Ethnicity (Mar 28, 2021- Apr 3, 2021) (N = 485)

0%

20%

40%

Ethnicity

% C

ases

for R

epor

�ng

Wee

k

Hispanic/La�no NonHispanic/NonLa�no Unknown

6.6%

53.4%

40.0%

Cases Confirmed Probable

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Hospitaliza�on by Admission Date

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*Hospitaliza�on count were reported by hospital admission date instead of specimen-collected date. Measure changed from 2/12/2021.* Hospitaliza�on data are reconciled with ODRS which will result in some fluctua�on in total hospitaliza�on count from previous weeks.Note: In Fig. 10, 99 cases are not included due to missing admission date.



Figure 10. City of Cleveland COVID-19 Hospitaliza�ons by Repor�ng Week, Feb 15, 2020 to Apr 3, 2021 (N= 2,012)

0

20

40

60

80

100

Hospitaliza�on Date

Num

ber o

f Hos

pita

liza�

ons

May 2020 Jul 2020 Sep 2020 Nov 2020 Jan 2021 Mar 2021

21989321 5762 5442 35 63 39 48 332916 15 13162421 1632 4843 7230 7 1837 13 7 2249 4839 73 53 34 1823 6038 55 43 844 11 3033 12 6 1549 34



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Figure 11. City of Cleveland COVID-19 Hospitaliza�on Metrics by Demographics, Feb 15, 2020 to Apr 3, 2021 (N= 2,012)

Total Hospitaliza�on Metrics

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Fig 11: By Gender graph does not include 1 unknown gender. By Race graph does not include 50 unknown race.



By Gender

1034 (51.4%)

978 (48.6%)

Male

Female

By Age

0%

10%

20%

Age Group (Years)

% H

ospi

taliz

ed

0-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 90+

3.6%

6.8% 7.7%

11.0%

20.0%

22.4%

16.5%

9.3%

2.7%

By Race

0% 20% 40% 60%% Hospitalized

Black

White

Other

Asian

AIAN

NHPI

69.8%

20.3%

8.5%

1.0%

0.3%

0.1%

By Ethnicity

1709 (84.9%)

161 (8.0%)

Unknown 143 (7.1%)

NonHispanic/NonLa�no

Hispanic/La�no

Weekly Coronavirus Disease (COVID-19) Surveillance ReportThursday, April 8, 2021



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Figure 12. City of Cleveland COVID-19 Death metrics by Demographics, Feb 15, 2020 to Apr 3, 2021 (N= 436)

Total Death Metrics

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By Gender

230 (52.8%)

206 (47.2%)

Male

Female

By Age

0%

10%

20%

30%

Age Group (Years)

% D

eath

s

20-29 30-39 40-49 50-59 60-69 70-79 80-89 90+

0.7% 0.9%3.0%

10.6%

20.4%

28.4%

22.2%

13.8%

By Race

0% 20% 40%% Deaths

Black

White

Other

Asian

53.4%

38.0%

7.8%

0.8%

By Ethnicity

398 (91.3%)

37 (8.5%)

NonHispanic/NonLa�no

Hispanic/La�no



Note: Deaths by race graphs does not include 41 unknown race.

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Figure 13. Comparison of Total Number of Cases Between the City of Cleveland & Cuyahoga County, Reported Weekly, Feb15, 2020 to Apr 3, 2021

0K

2K

4K

6K

8K

Num

ber o

f Cas

es in

Cuy

ahog

a Co

unty


CDPH Cuy Co. (excluding Cleveland City)

City vs. County Comparisons—Total Number of Cases

Note: According to the US Census Bureau, the City of Cleveland represents 31% of the Cuyahoga County popula�on.

CCBH: Cuyahoga County Board of Health; Cuy County : Cuyahoga County

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28,930CDPH Case Count

102,498Cuy. Co. Cases

28.2%% of CDPH Cases in Cuy. County



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Figure 14. Comparison of Hospitaliza�on Counts Between the City of Cleveland & Cuyahoga County, Reported Weekly, Feb15, 2020 to Apr 3, 2021

0

100

200

300

400

Hospitaliza�on Date

Tota

l Hos

pita

liza�

on C

ount

of C

uyah

oga

Coun

ty


CDPH Hospitaliza�on Count Cuy Co. (excluding Clv City)Hospitaliza�on Count

City vs. County Comparisons—Hospitaliza�on Count

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2,012CDPH Hospitaliza�on Count

6,148Cuy Co. Hospitaliza�on Count

32.7%% Hosp N



Note: This week the percentage of hospitaliza�ons in Cuyahoga County a�ributed to Cleveland City is 55%.

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Figure 15. Comparison of Death Counts Between the City of Cleveland & Cuyahoga County, Reported Weekly, Feb 15, 2020to Apr 3, 2021

0

50

100

150

Date of Death

Tota

l Dea

th C

ount

of C

uyah

oga

Coun

ty


CDPH Death Count Cuy Co (excluding Clv City) Death Count

City vs. County Comparisons—Death Count

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436CDPH Death Count

2,188Cuy Co. Death Count

19.9%% of CDPH Deaths in Cuy County



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This data report is intended only for the use of the Cleveland Department of Public Health and contains informa�on that is privileged and confiden�al. If the reader of the data report is not the intended recipient or an authorized representa�ve of the intended recipient, you are hereby no�fied that any dissemina�on of this data report is strictly prohibited. If you have received this data report in error, no�fy the Cleveland Department of Public Health. Immediately delete the data report from your system.

*The Cuyahoga County numbers are approximate and have been populated using the ODRS from 4/5/2021.

Metadata

This data report reflects the period star�ng from February 15, 2020 through April 3, 2021 for the City of Cleveland, Ohio.

Total Cases represent confirmed and probable cases.

Cleveland City data and Cuyahoga County data are compiled on 4/5/2021 using the Ohio Disease Repor�ng System (ODRS).

Data is preliminary and subject to change as more informa�on is gained.

There may be a lag in repor�ng.

Data is reported by Specimen Collec�on Date. If specimen collec�on date is unknown, date reported is used as a subs�tute for the specimen collec�on date. The number of cases can vary based on date used for analysis.

Primary Source: Cleveland Department of Public Health

Organiza�on: Cleveland Department of Public Health



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