Coronavirus

After an Earlier Decline, COVID-19 Cases and Hospitalizations Are on the Rise Again

Alabama’s COVID-19 case numbers had been declining recently, but that’s taken a turn for the worse in the past few weeks.

Like much of the country, Alabama has seen increases in the moving averages of new cases per day, with the 7-day average now at 1,183.57 per day and the 14-day average at 1,147.57. Hospitalizations also have spiked to more than 1,000 for the first time in two months.

The cumulative total of positive tests as of Wednesday had risen to 187,706. Of those, 160,380 are confirmed cases and the rest are probable.

The moving averages of new daily cases are now at their highest levels since early September, though they still are still well below the peaks of July, when the state was averaging just fewer than 2,000 new cases per day. The 7-day average has increased by 41.8% since its most recent low on Sept. 12, and the 14-day average is up by 29.3% over its low on Sept. 19.

Those higher numbers were calculated by BirminghamWatch after taking into account recent periodic spikes in the numbers of cases reported by the Alabama Department of Public Health that were caused because some laboratories had submitted a large number of backlogged older test results.

For instance, last week, two days of sharp spikes in the numbers were due to a dump of case reports dating back as far as August. Using additional ADPH data, BirminghamWatch was able to account for the old cases separately and adjust those daily totals downward to accurately calculate moving averages for the past two weeks.

There also are unwelcome trends upward in the statewide number of hospitalizations and the positivity rate — the percentage of total tests that return positive results.

For the first time since the end of August, the number of COVID-19 patients occupying hospital beds is above the 1,000 mark. Wednesday’s report showed 1,013 hospitalized patients, with a 7-day average of 941.17. The total is up 44% from a recent low on Sept. 25.

The 14-day moving average of the positivity rate has climbed to an all-time high of 20.73%, which means more than one out of every five people who took a coronavirus test in that period were found to be positive for the virus.

While the number of new positive cases has been on the increase, the spike in the positivity rate also can be attributed in part to fewer tests being administered over the past two weeks. The current percentage is more than four times the 5% level that immunology experts consider to be the maximum goal.

The number of currently active cases has risen to 79,442 as of Oct. 21, the most recent count available. That number is up by almost 6,000 from the previous week.

But the data does show some relatively good news in the number of deaths attributed to COVID-19. The moving averages of daily deaths are in decline after a rise over the first half of October, with the 7-day average at 11.86 deaths per day and the 14-day average standing at 12.48. The 7-day mark had been as high as 23.29 a little more than a week ago.

In total, Alabama has had 2,911 reported deaths since the pandemic’s outset, with 2,713 of those confirmed and 198 probable.

Alabama’s upward COVID-19 trends are similar to those in other states, with several in the northern Great Plains seeing severe spikes. Wisconsin currently reports more than 10,000 people hospitalized by COVID-19, with more than 5,200 new cases on Tuesday. Minnesota, North Dakota and South Dakota have also seen surges in new cases.

The pandemic has also affected major sports events. The Wisconsin Badgers have canceled their Big Ten Conference game Saturday against Nebraska after head coach Paul Chryst and 11 others with the program tested positive. The 2021 edition of the Boston Marathon has been postponed from April until at least next fall.

Closer to home, Jefferson County has had 23,769 cases since the pandemic began, with 965 new cases in the past week. The county’s death toll now stands at 383, with seven added in the past week. The county positivity rate is up to 13.52%, the highest recorded in the past two months.

BirminghamWatch’s analysis of COVID-19 data is taken from reports by the ADPH on its COVID-19 daily reports web page and its online dashboard.

Here are total cases, tests conducted and deaths in each county, as reported by the ADPH:

Autauga 2103 14273 31
Baldwin 6743 57469 69
Barbour 1045 5987 9
Bibb 856 6511 15
Blount 1988 12366 25
Bullock 650 3031 17
Butler 1015 5033 41
Calhoun 4689 32710 62
Chambers 1370 9829 47
Cherokee 761 5372 14
Chilton 1909 10418 32
Choctaw 394 1753 12
Clarke 1380 7475 17
Clay 758 3904 12
Cleburne 577 2718 9
Coffee 1826 14809 11
Colbert 2082 14465 32
Conecuh 565 2603 13
Coosa 214 1774 3
Covington 1767 9763 29
Crenshaw 611 3412 30
Cullman 2600 21378 25
Dale 1808 14464 52
Dallas 1881 11132 27
DeKalb 3512 18172 29
Elmore 3265 23718 58
Escambia 1753 9011 31
Etowah 4365 31905 52
Fayette 594 4373 13
Franklin 2077 9170 32
Geneva 935 6699 7
Greene 346 2385 16
Hale 780 5554 30
Henry 728 5100 6
Houston 4212 37124 34
Jackson 2219 16882 17
Jefferson 23769 232261 383
Lamar 516 3436 5
Lauderdale 2371 22354 43
Lawrence 877 5095 33
Lee 6624 51942 65
Limestone 2951 20417 31
Lowndes 717 2805 28
Macon 541 4082 20
Madison 9467 104948 98
Marengo 1035 6998 22
Marion 1103 7194 31
Marshall 4452 26595 51
Mobile 17039 113612 318
Monroe 660 4898 10
Montgomery 10435 60321 199
Morgan 4263 28983 35
Perry 596 3324 6
Pickens 874 6056 18
Pike 1355 9638 14
Randolph 843 5000 16
Russell 1976 12345 3
St. Clair 3070 23987 42
Shelby 7563 65580 65
Sumter 477 2925 21
Talladega 2739 20228 37
Tallapoosa 1353 12028 87
Tuscaloosa 10539 80964 141
Walker 2855 18255 93
Washington 754 3945 12
Wilcox 571 2781 12
Winston 943 6169 13
Cases:
187706
Tested (Diagnostic & Antibody):
1411908
Deaths:
2911