2456 results found

1. Suggestions for public health and preparedness

   What better time to use the emergency broadcasting systems? Why aren’t tickers running on television and radio programs from EBS informing citizens of where to find FAQs about the virus, quarantine areas, stay in place orders, mask access, etc.?

   Why are so many trained CERT volunteers not deployed to assist in civil defense e.g. collecting samples, assisting with distribution of infection control resources, food and accurate information to underserved citizens?

   Comparative examples from other nations with SARS and MERS experience such as Taiwan (below) indicate a need for a similar national strategy that includes federal, state, local groups and volunteers that function through this crisis in methods that are sustained and predictable.

   “Lessons from Taiwan”
   Reference
   https://www.atlanticcouncil.org/blogs/new-atlanticist/lessons-from-taiwans-experience-with-covid-19/
   Chang-Ching Tu is the Taiwan senior fellow in the Scowcroft Center for Strategy and Security’s Asia Security Initiative and assistant professor at the ROC (Taiwan) National Defense University.

   Background of Taiwan government agencies recognition of an emerging crisis

   -Classifying the unknown disease as “Severe Special Infectious Pneumonia” as early as January 15

   -Given the relative lack of scientific knowledge about the virus, for most people in general health, active education and public messaging should be a top priority to stop the spread of the virus.

   -Widespread testing was quickly implemented to allow people who are not infectious to function in the economy, protect the vulnerable and reduce uncertainty for employers to manage their businesses. Masks were required for all citizens homemade or commercial with priorities to health care and essential infrastructure workers.

   Established health care system prior to crisis and civil defense networks

   -Procurement strategy to maintain national stockpile for civil defense purposes

   -National health system employs early intervention, a flexible command structure, a comprehensive epidemic prevention strategy, integrated medical big data, and proactive information disclosure to promote understanding and cooperation.

   -Utilize existing emergency warning systems such as the emergency broadcast network

   Effective government-led public-private collaboration regarding accurate and timely information dissemination
   -Non-political “Central Epidemic Situation Command Center” whose purpose is to share knowledge of epidemic prevention across large networks, to gradually disseminate correct guidance on prevention and control among the public.
   -Simultaneous updates from relevant government departments, medical institutions, and private social media accounts, television and radio repetitive announcements, real time dashboards
   -Provide hotel space and provisions for people who need to be isolated including medical staff
   -Government agencies take leadership to manage medical supplies and provide a unified information platform that is available to all citizens, prioritizing distribution and supply management for medical personnel

   -Leverage big data from health insurance companies to identify clusters of infections or symptomatic reports from care providers while maintaining individual patient privacy

   -Government coordination with the private sector to build a dense “social safety net,” to ensure that every individual has access to daily needs met by agencies and established volunteer civil defense workers

   -Launch various “mask maps” and “epidemic prevention maps” that let the public know immediately the locations and quantity of epidemic prevention supplies from drive through pharmacies

   Adjust social etiquette and lifestyle in a timely manner.
   -Social distancing and wearing a mask becomes part of a normal lifestyle. Campaigns that encourage any person experiencing a type of illness should wear a mask and self isolate.

   -Transparent government implemented rationing policies that deal with increased demand for masks, disinfectants, and other anti-epidemic supplies must allow medical staff and patients to have priority access to PPE devices.

   -Adjust social gathering and post banners in areas of high occupancy including stations providing hand washing and mask dispensers

   -Create a single source of accurate information such as the “Meme Engineering team” . When it discovers misinformation or disinformation online, the team will verify it within sixty minutes and clarify it to the public immediately. These measures can prevent unnecessary panic and anxiety during the epidemic prevention period.

   -Stagger worker arrivals at workplace or number of weeks alternating with stay at home periods if testing not available to reduce contact on mass transit systems and workplace entry points.

   What better time to use the emergency broadcasting systems? Why aren’t tickers running on television and radio programs from EBS informing citizens of where to find FAQs about the virus, quarantine areas, stay in place orders, mask access, etc.?

   Why are so many trained CERT volunteers not deployed to assist in civil defense e.g. collecting samples, assisting with distribution of infection control resources, food and accurate information to underserved citizens?

   Comparative examples from other nations with SARS and MERS experience such as Taiwan (below) indicate a need for a similar national strategy that includes federal, state, local groups and volunteers… more

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2. Serology testing focused on Maricopa county? What about the rest of the state?

   Out of 33 locations, 1 is in Pima County, 2 are in Pinal, the rest are Maricopa and the Phoenix region. Why does our state focus on the Phoenix area, instead of making this type of testing available in every county?

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3. can you please provide a cumulative number of confirmed cases by day for the entire state?

   what I said

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4. Adjust the scale on the zip code map

   The scale on the coved 19 zip code map should be adjusted to reflect the current situation. As most zip codes have more than 50 cases within Maricopa County, you can’t easily see he hot spots. The scale should change to reflect zip codes that have more than 100 and more than 200 cases

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5. Make sure the charts line up with the numbers (e.g. the deaths by day)

   On June 10th, for example, you reported 25 covid related deaths, with a little note that this includes 'probable' deaths. This would be fine, but the bar-chart just below it only shows 3 deaths for the same date. I am assuming this is because the chart does not include 'probable' deaths? Whatever the reason for the difference, it is not very transparent... and the discrepancy in the daily numbers just makes them look unreliable.

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6. You should report the number of hospitalizations and deaths in those hospitals.

   There are a number of hospitals that do a better job of taking care of their patients. Those hospitals should be rewarded by being identified through reporting on the number of Covid-19 hospitalizations, recoveries, intubations and deaths. Hospitals that under perform should be identifiable to the general public so that patients can make informed decisions about where they go and those under performing locations can make improvements instead of using the old standard "we're doing the best we can" so that they continue to do things in a manner that is less successful than other locations. For example I suspect that out of the 218 deaths in Pima County a large number of these occurred during hospitalization. If I divide the number of deaths by the number of hospitalizations the fatality rate is 40% which is much higher than Maricopa County if the assumption that deaths are taking place in hospitals and not elsewhere is correct. But I can't know if this is true because the State of Arizona intentionally does not present the statistics in this way. Since Banner in Tucson has the vast majority of beds in Tucson it looks like Banner has a 40% mortality rate for Covid-19 patients. Banner in Maricopa County it would naturally follow looks like it has a much lower mortality rate. These institutions are owned and managed by the same entity so why should there be a several fold difference? It would help to know using facts that are location specific so that improvements can be made at under performing locations. You can't fix it if your just covering up the problem.

   There are a number of hospitals that do a better job of taking care of their patients. Those hospitals should be rewarded by being identified through reporting on the number of Covid-19 hospitalizations, recoveries, intubations and deaths. Hospitals that under perform should be identifiable to the general public so that patients can make informed decisions about where they go and those under performing locations can make improvements instead of using the old standard "we're doing the best we can" so that they continue to do things in a manner that is less successful than other locations. For example I suspect… more

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7. Why did number of COVID-19 cases reported by day change?

   I've been tracking the Pima Co. reported cases closely for a while, and today all of the numbers going back to 3/15 changed. Since they were reported by date of sample collection, this should not have been possible. As an example, May 30th used to show 135 new cases tested on that day. However now it shows only 62, a change of -77. Those cases (along with many others from the last week of May) seem to have been moved to 6/4, which went from 94 cases to 214. The number of tests reported per day has not changed.
   What happened to the way the data is reported to cause this change?

   I've been tracking the Pima Co. reported cases closely for a while, and today all of the numbers going back to 3/15 changed. Since they were reported by date of sample collection, this should not have been possible. As an example, May 30th used to show 135 new cases tested on that day. However now it shows only 62, a change of -77. Those cases (along with many others from the last week of May) seem to have been moved to 6/4, which went from 94 cases to 214. The number of tests reported per day has not changed.
   What… more

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8. Data on confirmed covid cases - EPI chart

   Confirmed cases by day seems to be manipulated data. I have been tracking your EPI chart and the number of cases increase (which is to be expected) but also decreases (which doesn't make sense). For example the bar chart for April 29 peaked at 417 on May 6th but on May 7 dropped by 36 to 381. The cases continued to climb to another peak of 398 on May 14 and then dropped to 387 on June 5th. This anomaly happened again for tests recorded to the following dates: 4/30, 5/3 (which had a high of 305 on May 7 and a low of 151 on June 5). This also happened on 5/5. This did not happen on 5/7 and 5/10. I have not been tracking every day but it happened frequently enough to make me question your numbers...... Maybe there is an explanation but I can't think of one... Perhaps you can tell us why this happens?

   Confirmed cases by day seems to be manipulated data. I have been tracking your EPI chart and the number of cases increase (which is to be expected) but also decreases (which doesn't make sense). For example the bar chart for April 29 peaked at 417 on May 6th but on May 7 dropped by 36 to 381. The cases continued to climb to another peak of 398 on May 14 and then dropped to 387 on June 5th. This anomaly happened again for tests recorded to the following dates: 4/30, 5/3 (which had a high of 305 on May 7… more

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9. Get EPI curve data current with data from the Summary Page

   Your EPI curve data entry lags what is happening on the summary page by 5 days. It is perhaps the most critical curve on the website. The Johns Hopkins data is up to date... Get with it!

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10. Poor response time in dashboard

    Very good presentation. Sluggish performance today.

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11. Show Trend Chart for Deaths by Demographic

    You are only showing the Demographic Deaths by Day and not showing where those deaths belong in a trend.

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12. Stop the terrible growth of coronavirus-19 cases in Arizona. This is insane.
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13. Post a Date and Time, when Posting your UpDate on the COVID-19, (in the morning, and night).

    Its confusing, as to whether your posting on most current tallies on the COVID-19; or by Yavapai County's 'Community Health Services'?

    Or, is your most current updates coming from Community Health Services of Yavapai?

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14. Please fix COVID-19 Cases by Day" Data

    This data set cannot be viewed beyond April 8. Today is April 15th. Please fix this.

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15. Your numbers should match county health department reports.

    Update you COVID confirmed cases to match county healthdepartment reports, specifically Yuma. Yuma County has shown 20 for a couple of days and yours shows 17.

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16. Additional Info for 65+

    How about breaking out the 65+ deaths by "how many were in assisted living/nursing home" vs ones living on their own. This would give a better perspective for the 65+ category in the reporting of covid-19 infections and deaths.

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17. Add horizontal scrollbar to the "COVID-19 Cases by Day" graph

    The graph is being cut off on the right-hand side, with no way to scroll right to see newest data.

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18. Please separate observation from daily inpatient chart

    Would like to see observation number separate from inpatient numbers in the Hospital Specific Metrics section. This may help to make better sense of the admit vs. discharge numbers and inpatient numbers. Since the discharge numbers are consistently greater than the admit numbers now, and given that the inpatient numbers are going up, I can only assume the rise is observation numbers. Would love to see that quantified.

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19. Add ability to enter the start date to display on the charts

    Re COVID data dashboard: Is the chart displayed by default starting from the beginning of sampling/testing, or for a set time back? It would be good if we could select the starting date if it is earlier than the default chart.

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20. INDICATE covid-19 DEMOGRAPHICS OF THOSE TESTING POSITIVE

    INDICATE DEMOGRAPHICS OF THOSE TESTING POSITIVE WITHIN THE PAST MONTH.
    GIVE DATA FROM A WEEKLY BASIS NOT CUMULATIVE FROM THREE MONTHS AGO. WHAT IS HAPPENING NOW??

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