Community spread is perpetuating COVID-19

"We know now, just the fact of community spread says that at least 1%, at the very least 1% of our population is carrying this virus in Ohio today."

That was Ohio Department of Health Director Dr. Amy Acton speaking on March 12, when Ohio had only five confirmed COVID-19 cases. One percent of Ohio's population would be about 117,000 cases. "Community spread" means that the virus was transmitted by someone from inside the community, not someone who brought it in from outside.

"Whenever you know of two people that have it due to community spread, then you can assume that 1% of your population has it," explained Acton's press secretary, who cited a 2017 Morbidity and Mortality Weekly Report from the Centers for Disease Control, according to the Cleveland ABC TV affiliate.

Illinois has about 12.7 million people, so 1% of that would be 127,000. As of March 20, Illinois was reporting 585 known COVID-19 cases, with five deaths.

"Basically, our people don't refute their numbers," said Gov. J.B. Pritzker's press secretary Jordan Abudayyeh via email.

"If the trajectory of cases we've seen in Illinois this past week continues," Abudayyeh said, "a week from now we could see approximately 3,400 more total case than we have now." That was on March 19.

"If the assumption is made that 20% of these cases are severe," Abudayyeh continued, "approximately 650 new cases could need hospitalizations. Again, this assumes the trajectory will continue as it has this past week."

Pritzker said last week that his administration had been looking to other states and countries to see what Illinois should emulate and what Illinois should avoid doing. He singled out Italy, saying he's trying to make sure "we don't end up in the situation that Italy is in." Italy's total number of deaths (3,405) surpassed China's yesterday. China's population is just under 1.4 billion. Italy's is a little over 60 million. So, yeah, don't do what Italy did.

Italy's median age is 10 years higher than the Illinois median of 37.4, and that is very likely driving up that country's death rate since it hits the oldest the hardest. China's median age is about a year older than Illinois'.

But it's impossible to compare confirmed Illinois cases and Italy's because, as of March 20, Illinois had tested just 4,286 people, compared to Italy's 206,886. Italy's first confirmed case was on Jan. 31, seven days after Illinois' first confirmation.

The governor can't do a whole lot about the testing situation because the federal government has so thoroughly botched its handling of this pandemic. But the state is making some progress. Pritzker told reporters last Thursday that as of Wednesday Illinois was able to conduct more than 1,000 tests. "And in just a few days," he said, the state "will be increasing that to more than 2,000 tests per day." But even at that rate, it would take 18 more days to catch up to where Italy was at that time, adjusting for population size.

The governor is cautiously aggressive. He wasn't the very first governor to close bars and restaurants and cancel parades, but he was among the first, for instance.

You can almost see Pritzker's thinking play out if you pay attention to what he says. He telegraphs his actions, which, frankly, is a good thing. He broadly hints that he will do something, which gets everyday people debating the topic among themselves. He does not suddenly announce anything out of the blue.

When it comes right down to it, we have to assume that Ohio is right and this is basically everywhere. We should start behaving like we are already carriers. We shouldn't have had to wait for a government order to stay at home if we could.

And, so I believe the governor was right to order most Illinoisans to stay home as much as possible for at least 16 days, the third governor to do so.

The only way to defeat this virus is to take away its food; and we're the food.

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