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Public Health Sudbury & Districts COVID-19 Epidemiology Update of 9

Public Health Sudbury & Districts

Coronavirus Disease 2019 (COVID-19)

Epidemiology Update

These data are based on information available from Public Health Sudbury & Districts as of 6:00 PM May 10,

2020, unless otherwise specified.

Note: There may be a lag between the date a case is confirmed by the laboratory to Public Health and the date a

case is publicly reported. This is due to the public health follow-up that is required before a case is publicly

reported.

Highlights

As of the time of reporting, among residents of the Public Health Sudbury & Districts service area, there have

been:

• 61 cases of COVID-19

• 2 deaths from COVID-19

o The case fatality rate is 3.3%

▪ Case Fatality Rate is calculated using the following formula: Total Deaths/Total Confirmed Cases

• 8,424 tests for COVID-19 as of 6:00 PM May 9, 2020

o This represents a testing rate of 4,237 per 100,000 people

o This total now includes data from ongoing targeted surveillance initiatives in Long-term-Care

Homes and Emergency Child Care Centres.

Of the confirmed cases:

• 35 cases were female

• 23 cases were between the ages of 40 to 59

• 35 cases were attributed to either Contact of a case with unknown exposure or No travel and no contact

with a known case (unknown exposure)

• 13 cases were related to outbreaks in 6 Long-term Care Homes

o 1 death is related to a Long-term Care Home outbreak


Epidemiology ― Sudbury and districts

Total confirmed cases as of May 10, 2020 at 6 PM: 61

Cases over time

Notes:

Coordinated targeted surveillance in Long-term Care Homes and Emergency Child Care Centres began on

Saturday, April 25. This targeted surveillance may account for recent increases in cases seen below. Also, the

Integrated Public Health Information Systems (iPHIS) protocols for assigning Onset Date uses the date of testing

in absence of other reliable information, which can account for increased numbers since that time.

Confirmed cases, by date of reporting, Sudbury and districts

Confirmed cases, by date of symptom onset, Sudbury and districts


Cumulative confirmed cases, by date of reporting, Sudbury and districts

Cumulative confirmed cases, by date of symptom onset, Sudbury and districts

Case Characteristics

Number Percentage

Number of Cases 61 100%

Change from previous report 1 1.7%*

Gender: Male 23 37.7%

Gender: Female 35 57.4%

Gender not specified 3 4.9%

Ages: 19 and under 3 4.9%

Ages: 20-39 17 27.9%

Ages: 40-59 23 37.7%

Ages: 60-79 16 26.2%

Ages: 80 and over 2 3.3%

Area: Greater Sudbury 56 91.8%

Area: Manitoulin District 3 4.9%

Area: Sudbury District 2 3.3% Data source: Public Health Sudbury & Districts

*Percent change represents the degree of change over time, calculated: (New-Original)/Original


Probable Exposure*

Number Percentage

Travel-related 22 36.1%

Contact of a travel-related case 4 6.6%

No travel and no contact with a known case (unknown exposure) 18 29.5%

Contact of a case with unknown exposure 17 27.9%

Pending/undetermined 0 0% Data source: Public Health Sudbury & Districts

Confirmed cases, by date of reporting and probable exposure, Sudbury and districts

Data Source: Public Health Sudbury & Districts

*Cases with unknown exposure in graph legend are defined as No history of travel and no contact with a known case

(unknown exposure) in Probable Exposure table

Cumulative confirmed cases, by date of reporting and probable exposure, Sudbury and districts

Data Source: Public Health Sudbury & Districts

*Cases with unknown exposure in graph legend are defined as No history of travel and no contact with a known case

(unknown exposure) in Probable Exposure table.


Case Outcome

Total COVID-19 related deaths as of May 10, 2020 at 6 PM: 2

Case Fatality Rate (CFR)

CFR

Ontario 8.1%

Sudbury and districts 3.3% Data source: Public Health Sudbury & Districts and Ontario Ministry of Health

Resolved Cases

Number of resolved

Percentage

Ontario 14,772 73.0%

Sudbury and districts 52 85.2% Data source: Public Health Sudbury & Districts and Ontario Ministry of Health

Testing

Total number of tests for COVID-19 as of May 9, 2020 at 6 PM: 8,424. This total and the accompanying graph now

includes data from ongoing targeted surveillance initiatives in Long Term-Care Homes and Emergency Child Care

Centres.

Daily tests in Sudbury and districts, Monday, March 30 to Saturday, May 9, 2020


Cumulative tests in Sudbury and districts, Monday, March 30 to Saturday, May 9, 2020

Data source: Public Health Sudbury & Districts

*Note: The increase in reported daily tests beginning April 21, 2020 is due to the inclusion of testing numbers from targeted surveillance in group

settings.

Tests in Sudbury and districts, by community and targeted surveillance as of Saturday, May 9, 2020

Population Tested Total Tested % of Eligible Population

Tested

General Public 5,044 NA

Long-Term Care - Residents 1,452 87.5%

Long-Term Care - Staff 1,881 87.7%

Emergency Child Care Centres - Staff 47 100.0%

Total 8,424 NA Data source: Public Health Sudbury & Districts

Outbreaks in Facilities

Ontario Ministry of Health direction requires a COVID-19 outbreak be declared in a Long-Term Care home with a

single laboratory-confirmed case in a resident or staff member.

• In total there have been 6 COVID-19 outbreaks in area facilities; all outbreaks are in Long-term Care Homes. A total of 13 cases (5 resident cases and 8 staff cases), and 1 death is associated with these outbreaks.

• Of the declared outbreaks in Long-term Care Homes, 5 are active, and 1 is resolved.

• The 5 outbreaks that remain active are summarized in the table below


Summary of active outbreaks in facilities, Sudbury & Districts

Name of Facility Facility Type Units Affected Date Active (dd/mm/yy)

Total Cases

Pioneer Manor Long-Term Care Home Facility-wide 26/04/2020 7

Extendicare York Long-Term Care Home Facility-wide 28/04/2020 1

St-Gabriel’s Villa Long-Term Care Home Facility-wide 02/05/2020 1

Wikwemikong

Nursing Home Long-Term Care Home Facility-wide 08/05/2020 1

Finlandia Nursing

Home Long-Term Care Home Facility-Wide 10/05/2020 1

Data source: Public Health Sudbury & Districts

Regional context

Confirmed cases, by date of reporting, Sudbury and districts and Northeastern Ontario


Confirmed cases, by date of reporting, Ontario

Cumulative confirmed cases, by date of reporting, Sudbury and districts and Northeastern Ontario

Cumulative confirmed cases, by date of reporting, Ontario


Regional COVID-19 summary

Location Confirmed

Cases

Incidence Rate per

100,000** Deceased

Case Fatality

Rate Resolved

Resolved Rate

Point Prevalence

per 100,000***

Tests per

100,000 Pop

% Positive

Tests

Data Availability

Canada 67,996 180.9 4,728 7.0% 31,638 46.5% 96.7 2,908 6.2% May 10,

2020

Ontario 20,238 138.0 1,634 8.1% 14,772 73.0% 37.3 2,960 4.8% May 10,

2020

Northern Ontario

269 33.8 8 3.0% 222 82.5% 5.9 3,672† 1.1% May 8, 2020*

Northeastern Ontario

176 31.5 7 4.0% 141 80.1% 6.3 3,728 1.0% May 8, 2020*

Public Health Sudbury & Districts

61 30.7 2 3.3% 52 85.2% 4.5 4,237 0.8% May 10,

2020

Data Sources: Statistics Canada, Government of Canada COVID-19 Update, Ontario MOH COVID-19 Update, integrated Public Health Information

System (iPHIS) database, Northwestern Health Unit, Thunder Bay District Health Unit, Algoma Public Health, North Bay Parry Sound District Health Unit,

Public Health Sudbury & Districts, Porcupine Health Unit, Timiskaming Health Unit. Tests per 100K have been revised based on MOHLTC IntelliHealth

2019 projections.

† includes an update from Public Health Sudbury & Districts to include Child Care testing. * Most currently available information at date and time of production. Public Health Sudbury & Districts may update this table after the 4 PM deadline

for Northern health unit reporting to Ontario Health – North. Testing data for Northern Ontario now include Active Surveillance testing.

** Incidence is the number of new cases in the population *** Prevalence is the current number of unresolved cases

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