Florida Covid Statistics: What Is Really Happening, July 14, 2022

Florida has had the worst adult hospital admissions rate in the US for 7 straight weeks.

Salemi USF: COVID-19 Hospitalizations in Florida

To download a pdf of this post, click here.

I have also published an omicron variant post, archived delta variant information, and archived general Covid-19 information. However, the most recent omicron information is here.

To check on other states, I recommend finding the statistical category you’re seeking on this post and then clicking on Dr. Salemi’s or the CDC’s site and entering a different state or county.

An Overview:

If you were infected with Covid in Florida before the end of March, you are highly unlikely to have immunity to the 99% of subvariants which now predominate. Three doses of the AstraZeneca or Pfizer vaccines are also significantly less protective when compared to earlier omicron subvariants.

Florida has the 3rd highest number of excess deaths compared to other states. That is the total number of excess deaths, not the number per 100,000 people. California has 80% more people than Florida; TX has 35% more.

In the US, during May 15–22, 2022, 2 boosters prevented 96% of deaths; 1 booster prevented 87%; and a primary series prevented 83% of Covid fatalities. A 2nd booster is much less effective at preventing infections. For people 50+ during May 15–21, having at least 2 boosters prevented 81%; 1 booster prevented 76%; and a primary series prevented 84%.

A report released by the US House Select Subcommittee on the Coronavirus Crisis in June 2022 explains Florida’s approach to the pandemic: get as many lower-risk people infected as quickly as possible to reach herd immunity.

In July 2020, one senior federal official advocated for deliberate infection “kind of like measles parties.” He wrote, “Infants, kids, teens, young adults, middle aged with no conditions, etc. have zero to little risk…so we use them to develop herd…we want them infected…and recovered…with antibodies…Hospitals are NOW geared, PPE in place, ICU beds are on the ready, doctors and nurses alert….”

Scott Atlas, the chief architect of the herd immunity plan, advised the DeSantis Administration before joining the federal government. Dr. Joseph Ladapo also promoted this “low testing/no masks/no lockdown” strategy to the White House before becoming the state’s surgeon general.

This week, Florida ranks 3rd worst in Covid deaths; 2nd worst in the nation for adult Covid cases; worst for adult Covid hospital admissions (every day since 6-6-22); 3rd worst for adult hospitalizations; 5th worst for adult ICU patients; 3rd worst for pediatric admissions; and 17th for pediatric hospitalizations.

So far, 16 permanent Florida residents under 1 year old have died, two in the last week. Florida children aged 1–4 have a death rate 22% worse than the national average, with 11 deaths. Compared to the rest of the US, ages 5–14 and 15–29 are dying at a rate 38% higher than their peers nationwide.

When I remove smaller states with higher ranks but only one death, the state’s rankings worsen to 8th for <1; 4th for 1–4; and 4th for 5–14. During July 8–14, 212 children were admitted to Florida hospitals with Covid.

The CDC Cumulative Death data indicates there have been 12,326 deaths reported during January 1, 2022June 14, 2022, 7% more than 11,507 which the state is claiming. They began using that chart format on June 16th.

Over 3,000 Covid deaths which a state auditor detected in early June will not be added to the state tally. According to a spokesman, the Florida Department of Health does not consider having Covid listed on a death certificate sufficient to count it as due to Covid.

Comparing the June 30th to the June 16th report, there is an increase of 500,000 people who had received at least one shot by the same date (June 16th). The FL Department of Health spokesman refused to explain the discrepancy.

The official Department of Health web site lies about the FDA’s recommended age for vaccination, saying it is 12+, not 6 months+. Until receiving a demand from a bipartisan Congressional committee on June 18th, the FL Dept of Health prevented hospitals and doctors’ offices from preordering the vaccines which the FDA and CDC approved for children at least 6 months old. See the Vaccination section for a more detailed account.

On July 8th, the FDA upgraded the status for the Pfizer vaccine in ages 12–17 from an Emergency Use Authorization to full approval. Five days later, the agency issued an Emergency Use Authorization for Novavax in adults. That vaccine employs older technology which some people who have resisted vaccination to this point may find acceptable.

There were more cumulative cases reported for children under five in the June 16th report (192,875) than in the June 30th report (191,640). That gives us -1,235 for June 17–23, when the state was hindering vaccination of that age group. It has not been corrected.

On June 28th, Dr. Ladapo testified to Congress that he and Governor DeSantis made the decision not to preorder vaccines and to prevent county health departments from administering them. He estimated that would affect 33,000 children. When asked about the risk of Covid infections compared to the risk of vaccination, the surgeon general called it “a perverse question.” He asserted what matters is the risk of vaccination vs. non-vaccination.

On June 30th, the day the president of the Florida Academy of Pediatrics began vaccinating young children, the state removed her from her board position at Florida Healthy Kids. Florida’s Chief Financial Official claimed it was for “some very political statements that do not reflect the CFO’s point of view, even going so far as to as to say that the state is ‘obstruct(ing)’ access to vaccines. The CFO does not share your opinion and believes the state has gone to great lengths to protect lives in the face of the Coronavirus.”

With all Florida counties having high transmission, I strongly recommend getting a booster now, if you are eligible for one. Omicron-specific boosters are not expected until October. Medicare will cover the cost for those with that insurance. Each household can order up to three sets of four Covid tests at Covid.gov.

.

.

CDC: Excess Deaths Associated with COVID-19 by Jurisdiction/Cause

Florida Covid Statistics: What is Really Happening?

CDC: Variant Proportions

CDC: CDC Strengthens Recommendations and Expands Eligibility for COVID-19 Booster Shots

MedPage: Report Shows Trump Administration Embraced Herd Immunity via Mass Infections—The Strategy Likely Contributed to Many Preventable Deaths, Report Notes

Salemi USF: Covid-19 in Florida

Florida Covid Response: Who Is Eligible for a Covid-19 Vaccine

McClatchy: Congressional Panel Demands DeSantis Briefing on COVID Vaccines for Kids by End of Month

FDA: FDA Roundup July 8, 2022

FDA: Coronavirus (COVID-19) Update: FDA Authorizes Emergency Use of Novavax COVID-19 Vaccine, Adjuvanted

Tampa Bay Times: Ladapo Tells Congress that Florida Decision Could Limit Kids’ Vaccine Access

Florida Politics: Doctor Ousted from Florida Children’s Health Board Over Vaccine Views

CDC: COVID-19 Vaccine Booster Shots

CDC: Community Transmission in Florida

..

On July 13th, the CDC deemed almost all of Florida as a sustained or newer hotspot:

CDC COVID-19 Community Profile Report

Evidence from South Africa indicates that people who were previously infected with omicron BA.1 are susceptible to reinfection from the newer subvariants omicron BA.2.12.1, BA.4 and omicron BA.5. People who were vaccinated were 5 times less likely to experience reinfection than unvaccinated individuals.

These newer strains replicate in people’s nasal passages, tending to result in less severe illness. The early omicron variants triggered long Covid in 4% of people, compared to 10% of those infected with the delta variant. Serious cases are rare but do occur, especially in unvaccinated individuals.

NEJM: Neutralization Escape by SARS-CoV-2 Omicron Subvariants BA.2.12.1, BA.4, and BA.5

MedPage: Omicron BA.4 and BA.5: Starting from Scratch Yet Again—Here’s What We Know and What We Still Need to Find Out

Lancet: Risk of Long COVID Associated with Delta versus Omicron Variants of SARS-CoV-2

Laboratory evidence on serum samples corroborates the South African evidence of increased susceptibility to reinfection with BA.2.12.1, BA.4, and BA.5 for people who had breakthrough infections due to the omicron BA.1 variant.

Three doses of the AstraZeneca (A) or Pfizer (B) vaccines are also significantly less protective when compared to earlier omicron subvariants.

These charts are on logarithmic scales, so the declines are larger than they appear until you see the lower dilution number required to neutralize the viruses:

Subsequent research indicates that infection with the BA.2 subvariant also fails to confer immunity against BA.2.12.1, BA.4, and BA.5.

MedRxiv: Omicron Sub-Lineages BA.4/BA.5 Escape BA.1 Infection-Elicited Neutralizing Immunity

Nature: BA.2.12.1, BA.4 and BA.5 Escape Antibodies Elicited by Omicron Infection

DPZ: Emerging Omicron Subvariants BA.2.12.1, BA.4, and BA.5 are Inhibited Less Efficiently by Antibodies

On July 9, 2022, 99% of sequenced samples in the US and in the region which includes Florida were BA.2.12.1, BA.4, or BA.5. That means that only 1% of the SARS-CoV-2 virus infection which is spreading in the state can be prevented by vaccination or an infection which occurred before late March 2022:

CDC: Variant Proportions

.

.

Until June 2021, Florida reported Covid statistics every day with an online database.

Weeks before the delta variant took hold in the state with devastating effects, the Department of Health switched to a weekly pdf while withholding data previously available to the public.

Now Florida is halving the frequency of reports to the public to every two weeks. The state is directing people to the CDC, where there is an information lag.

Tampa Bay Times: Florida Limits COVID Data to Every 2 Weeks, State Says Via Meme: Department of Health Officials Announced the Change Via Twitter, Using Vince McMahon and Cat Memes

Palm Beach Post: Florida to Update COVID-19 Data Less Frequently than All Other States

Florida Covid-19 Response

I heartily disagree with this official announcement made from the Florida Department of Health retweeting their spokesman’s personal Twitter account on March 11th. We need more information, not less.

Unfortunately, the tactic works: even Floridians tend to express shock when I tell them about the most recent statistics:

Florida Covid-19 Response

Dr. Jason Salemi from the University of South Florida was compiling some data from the CDC during weeks when the state did not issue an official report.

Even before his hard drive crashed after April 24th, he did not have direct access to the Florida data.

His rebuilt site is omitting data derived from the Florida Department of Health reports:

May 19, 2022 Florida Covid Stats: What Is Really Happening?

Salemi USF: COVID-19 in Florida

Beginning in June 2021, Florida removed all archived Covid data from their web site. Until March 17th, they replaced the statistics from the previous week with a new report. Now that occurs every two weeks.

That makes it much more difficult—even for those who have saved the old data—to see the actual numbers of cases and deaths. No hospitalization information is included.

On the Florida Department of Health web site, you can locate influenza records from 2001 but not Covid data from earlier than July 8, 2022.

TBT: Why Doesnt Florida Trust Its Residents with Basic COVID Information?

Florida Covid-19 Response

Florida Influenza Surveillance Reports 2001–2022

.

.

These bullet points are a summary of the data in the rest of this post:

Florida Covid Deaths:

  • As of 7-14-22, the state has reported 76,662 Covid deaths among permanent FL residents to the CDC.
  • On 6-6-22, a report from the Florida Auditor General revealed the state omitted 3,000 Covid deaths from official reporting during March–October 2020.
  • The state says having Covid listed on a death certificate is not sufficient reason to count the death as Covid-related, so they will not be added to the Cumulative Deaths.
  • On June 4, 2021, the state removed 744 deaths among non-permanent residents and stopped reporting them.
  • During June 2021–June 2022, Florida reported only 7,405 of the 40,840 Covid deaths among permanent residents as “New Deaths” (18%).
  • 1,615 permanent Florida residents died from Covid in June 2022, a 322% increase from May (382).
  • There were 469 deaths among permanent residents reported during July 8–14. That is 55% more than in the previous week and 3rd worst in the nation per capita.
  • The state is claiming only 14% of them as “New Deaths” (64).
  • Miami-Dade reported 48 deaths in the last week (-13%); Broward, 42 (+100%); Palm Beach, 33 (+27%); Orange, 26 (+271%); and Hillsborough, 32 (+220%).
  • FL has 9.2% of US deaths when vaccinations were available to all over 15, for 6.6% of the US population.
  • Over half of Florida’s Covid deaths have occurred since everyone over 15 became eligible for vaccination.
  • Permanent Florida residents aged 80+ rank 9th best among the 50 states and Washington DC, with 24% fewer deaths than the national average for that age group.
  • 16 children under 1 year old have died, 2 in the last week. Without small states with one death, FL ranks 8th worst.
  • Florida has the 7th worst death rate in the nation for ages 1–4, with 11 deaths. Removing small states with 1 death makes Florida the 4th worst. The state has 22% more deaths in that age group than expected based upon the national average.
  • Children aged 5–14 are in the worst ranking demographic at 6th. Without small states with one death, FL is 4th worst. There have been 38% more Covid deaths in that age group than the national average.
  • People aged 15–24 are tied with children aged 5–14 for the demographic with the worst Mortality Rate Ratio, 38% higher than the national average.
  • 6.2% of seniors with a + test died from Covid (6.8% nationwide). 1.3% of all permanent Florida residents who are 65+ have died from Covid.
  • For July 1–14, 84.6% of deaths occurred among senior citizens. There were 3 deaths among people <29. Two of those were in children <16.
  • FL does not report Covid deaths stratified by vaccination status. However, deaths roughly correspond to vaccination percentages by demographic group.
  • The CDC Cumulative Death data indicates there have been 12,326 deaths reported this year by June 14th, not the 11,507 which the state is claiming.
  • CA has 80% more people than Florida, yet almost the same number of excess deaths.
  • Among the 6 largest states, the Florida death rate is below only Pennsylvania’s.

.

.

FL Covid Vaccinations:

  • On 7-13-22, the FDA issued an Emergency Use Authorization for Novavax in adults. That vaccine employs older technology which some people who have resisted vaccination to this point may find acceptable.
  • On 7-8-22, the FDA upgraded the status for the Pfizer vaccine in ages 12–17 from an Emergency Use Authorization to full approval.
  • On 6-17-22, the FDA issued an Emergency Use Authorization for the Pfizer and Moderna vaccines for children as young as 6 months old. The CDC recommended them a day later.
  • The FL Dept of Heath website claims the FDA recommends vaccination for those 12+, not 6 months+. The 7-14-22 official report says it is 5+.
  • Florida was the only state which failed to preorder doses for the youngest children, a move Governor DeSantis and the Department of Health spokesman said was deliberate.
  • Despite claiming health care providers could order doses directly, they were unable to do so for several days.
  • Within an hour of receiving a demand for an explanation from a bipartisan Congressional committee, the state began enabling healthcare providers to order the vaccines.
  • On 6-28-22, Dr. Ladapo testified to Congress that 33,000 young children are unlikely to access vaccination due to the ban on county health departments providing them.
  • I recommend using the Vaccines. gov site to locate a participating pharmacy. Young children can receive Covid vaccines at the same time as routine immunizations.
  • Publix has announced they will not vaccinate children under 5, although they were the first in the state to receive adult dosages.
  • On 6-30-22, the president of the Florida Chapter of the American Academy of Pediatrics was removed from the board of FL Healthy Kids for disagreeing with the DeSantis administration about the necessity of vaccination.
  • As of 7-14-22, 2.2% of permanent Florida residents aged 6 months–4 years had received their first shot (23,500).
  • Nationwide, 400,000 children <5 received a Covid shot by July 13, 2022.
  • For those <6 months, having a mother who received 2 doses while pregnant reduced hospitalizations by 38% during omicron and 80% during delta. Vaccine efficacy doubled when given after 20 weeks.
  • Pregnant women who received boosters had 4x the antibodies of those with 2 doses. Their newborns had 2x as many antibodies as their mothers.
  • On 3-7-22, a discussion panel moderated by Governor DeSantis recommended against Covid vaccination for healthy children due to the risk of adolescent males developing myocarditis. Florida is the only state to make such a declaration.
  • On 5-27-22, the Special Olympics dropped their vaccine mandate for a national tournament after the state threatened to fine them $27,500,000.
  • The risk of cardiac inflammation due to Covid is 540% higher for boys aged 5–11 than vaccination. No girls developed symptoms after vaccination.
  • Among 400 children hospitalized during the omicron wave, 1 in 3 had no preexisting conditions, 1 in 5 required care in the ICU, and 9 in 10 were unvaccinated.
  • During May 2022, unvaccinated children aged 5–11 were 70% more likely to need hospital admission than their vaccinated peers.
  • Unvaccinated teens aged 12–17 were 112% more likely than boosted teens.
  • Hospitalization rates doubled for ages 5–11 and tripled for teens since April.
  • As of 7-14-22, only 24% of Floridians aged 5–11 had at least one shot; 64% of adolescents did. On 6-30-22, the state claimed a 7% rise in vaccinated teens with new 10,500 doses, not a 0.5% rise.
  • On 7-14-22, Florida claimed a 72% vaccination rate. This includes anyone with at least one shot, over 600,000 snowbirds, and “vaccine tourists.” The state report inexplicably claims to exclude children under 5 and include those 6 months–1 year old.
  • 61% of people in Florida had at least completed a vaccine series by July 14th.
  • In the June 30th and June 16th reports, there is an increase of 500,000 people who had received at least one shot by the same date (June 16th). The FL DoH spokesman refused to explain the discrepancy.
  • Long Covid occurs significantly less often in vaccinated people. Vaccination after infection can also reduce or eliminate Long Covid symptoms.
  • 27% had booster shots by July 14th, an important precaution against severe illness and transmission of the omicron variants.
  • During May 2022, boosters prevented 63% of omicron hospitalizations among people aged 18–49; 74% for ages 50–64; and 74% for senior citizens. Compared to April, hospitalizations in May doubled for every age and vaccination status.
  • Compared to people with boosters during May 22–28, 2022, unvaccinated people aged 18–29 were over 3x more likely to die; it was 5x for 30–49; it was 5.5x for ages 50–64; 9x for ages 65–79; and 5x for people over 80.
  • During the initial omicron wave in Israel, a second booster prevented 64% of hospitalizations and 72% of Covid deaths among nursing home residents compared to those who received only a first booster.
  • In the US during May 15–22, 2022, at least 2 boosters prevented 96% of deaths; 1 booster prevented 87%; and a primary series prevented 83%.
  • A 2nd booster is much less effective at preventing infections. For people 50+ during June 5–12, having at least 2 boosters prevented 81% of infections; 1 booster prevented 76%; and a primary series prevented 84% compared to the rate in unvaccinated people.
  • Mixing booster vaccine types will give you the best protection: they stimulate different parts of your immune system. If you had 2 or 3 Moderna, I recommend getting a Pfizer and vice versa.
  • As of 7-13-22, 1,100,000 Floridians had received a 2nd booster shot, only 26% of those who had previously gotten a first booster.
  • Medicare will cover 100% of the cost of a second booster shot.
  • The state does not report cases or deaths by vaccination status.
  • On 1-14-22, the governor refused to enforce the federal mandate for healthcare workers upheld by the Supreme Court a day earlier.
  • On 1-19-22, the state put Orange County’s epidemiologist on leave for chiding his employees’ 40% vaccination rate.
  • On 1-15-22 the governor said many nurses avoid vaccination due to “trying to have families.” Numerous studies confirm vaccination does not cause infertility.

.

.

Florida Covid Cases:

  • With the rise in at-home testing since the omicron wave began, it is important to know that official confirmed cases are likely to be significantly undercounted.
  • The state reported 78,245 confirmed cases among permanent Florida residents (+15%).
  • There have been 6,640,046 confirmed Covid cases in Florida among permanent residents.
  • This wave has shown more consistent case numbers than previous ones.
  • On 6-6-22, a report from the Florida Auditor General revealed that 60% of people who tested positive for Covid during March–October 2020, were never notified of their results. That affected at least 183,000 infected individuals.
  • On June 4, 2021, the state removed all data from anyone who is not a permanent resident and stopped reporting it. This deleted 43,535 cases.
  • On 7-14-22, Florida’s state rank for confirmed cases rose to 2nd worst in the US.
  • The most recent CDC data shows 100% of Florida counties have high transmission rates.
  • All the most populated counties increased: Miami-Dade had 15,834 (+12%); Broward had 7,166 (+11%); Palm Beach had 4,559 (+15%); Hillsborough had 5,279 (+15%).  Orange County—where Disney is located—had 4,547 (+16%).
  • It does not appear that the -1,235 cases for children <5 during June 17–23, 2022, has been rectified. That occurred when the state was preventing their vaccination.
  • During this week, 548 infants <6 months tested positive (+10%). For children aged 6 months–4 years, there were 2,804 confirmed cases last week (+19%). Among those 5–19, 7,010 tested positive (+17%). In total, 10,362 permanent Florida residents under the age of twenty tested positive last week (+11% compared to the previous report).
  • During the 2021–2022 school year, the Hillsborough County School District reported 29,000 cases among students and personnel.
  • Florida law prohibits requiring masks in non-medical settings.
  • Parents decide about quarantining after a close contact at school.
  • On 1-31-22, FL shifted its focus to “high congregate settings,” not schools and day cares.
  • During the week leading up to that announcement 38,629 school-aged children in Florida had tested positive.
  • On 1-31-22, FL students absent due to Covid exposure are truant per Orange County.

.

.

Florida Covid Testing and Prevention:

  • A report released by the US House Select Subcommittee on the Coronavirus Crisis in June 2022 explains Florida’s approach to the pandemic: get as many people infected as quickly as possible to reach herd immunity.
  • One Trump Administration official wrote, “Infants, kids, teens, young adults, middle aged with no conditions, etc. have zero to little risk…so we use them to develop herd…we want them infected…and recovered…with antibodies.”
  • Scott Atlas, the chief architect, advised the DeSantis Administration before joining the federal government. Dr. Joseph Ladapo also promoted this “low testing/no masks/no lockdown” strategy to the White House before becoming the state’s surgeon general.
  • Dr. Birx wrote an email refusing to meet with the group which included Dr. Ladapo, calling them, “a fringe group without grounding in epidemics, public health, or on the ground common sense experience.”
  • With omicron reinfections becoming common, we now know that achieving herd immunity against SARS-CoV-2 is a myth, yet their tactics have not changed.
  • Due to at-home testing, the number of cases is likely to be under-reported.
  • The CDC advises notifying your doctor of positive at-home tests.
  • Public health officials recommend maintaining a positivity rate <5% for 2 weeks before reopening.
  • Florida crossed the 5% threshold during April 9–21, 2022.
  • CDC data using information from the state for July 8–12 steadily increased from 23.27% to 24.22%, with an average of 23.77% (+4%).
  • That means there were about 372,000 cases in Florida during July 8–14, 2022 (+20%).
  • Florida is claiming a 21.2% positivity rate in their report. The last time the data they sent to the CDC reflected a percentage that low was on June 17th.
  • All of Florida’s 67 counties are above the 5% threshold; 92% of them are above 20%.
  • Orange County, where Disney is located, reported that 28.56% of tests were positive.
  • Of the 50 with increased positivity, 30 were larger than 2 full percentage points
  • On 12-30-21, when it was virtually impossible to find an at-home test, FL’s Agriculture Secretary revealed 1,000,000 expired antigen tests.
  • On 1-4-22, Dr. Ladapo decried the “testing psychology” in Florida to identify all cases.
  • On 1-8-22, FL’s web site told those not at high risk of severe cases to avoid testing.
  • On 1-9-22, the governor announced 1,000,000 tests for long-term care and nursing homes
  • On 2-7-22, the state reprimanded two companies which failed to report 230,000 test results from December and January until that week.
  • On 3-2-22 Governor DeSantis chided a group of teens in a county with a high alert level and told them to remove their face masks. He then used that episode to raise campaign funds. Under those conditions, the CDC recommends that everyone wear masks indoors.
  • On 3-31-22, a UF faculty committee revealed discrepancies in the surgeon general’s hiring as a tenured professor.

.

.

Florida Covid Treatment:

  • Omicron mutations render ineffective almost all monoclonal antibodies previously in use.
  • 100% of US cases are due to those viral strains.
  • For the week ending January 8th, 97% of sequenced cases in the region which includes Florida were omicron.
  • Sotrovimab worked against the omicron BA.1 variant at a dosage 3x more than for delta.
  • During the first week of January, Florida used 140 of its 4,400 Sotrovimab doses and 2,700 of Regeneron.
  • On 1-18-22, FL opened more infusion centers to distribute 15,000 doses of Regeneron.
  • The FDA revised its EUA for Regeneron on 1-24-22, prohibiting its use against omicron.
  • DeSantis objected to no shipments; all FL antibody infusion centers closed on 1-25-22.
  • Sotrovimab is 27 times less effective for omicron BA.2.
  • During April 3–9, 2022, the percentage of BA.2 increased from 80% to 91% in the region which includes Florida (71.7% BA.2 and 19.3% of the newer BA.2.12.1).
  • On 4-5-22, the FDA revoked the Emergency Use Authorization for Sotrovimab nationwide due to the predominance of BA.2 in every state.
  • On 7-9-22, the percentage of the BA.2 subvariant in the region which includes Florida fell to 1%, with BA.2.12.1 declining to 17%; BA.4 remaining at 15%, and BA.5 climbing rapidly to 65%. BA.1 has disappeared.
  • A monoclonal antibody called bebtelovimab is effective against BA.2, BA.2.12.1, BA.4, and BA.5. It began shipping to Florida during February 14–20.
  • Here is the most recent weekly federal allocation of 11,427 Covid-specific treatments to Florida: 2,685 post-exposure Bebtelovimab (for all omicron types); 6,330 of the oral Paxlovid; 2,112 of the less-effective oral Molnupiravir.
  • In total, there are enough highly effective treatments for 9,315 Covid patients being delivered to the state.
  • As of July 10th, Florida patients had used 51% of the state’s cumulative Paxlovid deliveries (+1%); 11% of the Molnupir (+1%); 39% of the Bebtelovimab (+4%); and 32% of the Evusheld (no change).
  • On 7-6-22, the FDA authorized pharmacists to prescribe Paxlovid since treatment must begin within 5 days of symptoms developing.
  • On 1-8-21, the FDA issued an Evusheld EUA for those with severe immunosuppression.
  • People with certain cancers or organ transplants receive the highest priority.
  • DeSantis announced it on 12-17-21, when Covid was raging through Miami-Dade County.
  • First shipments only to a small private fee-based clinic in Broward County on 12-24-21.
  • People flew from out of state to receive it at the iCare Clinic.
  • The large transplant hospital in Miami was to receive it four weeks later.
  • During Jan 24–30, 2022 the federal government sent 32,000 outpatient treatments.
  • Evusheld requires a much higher dosage against omicron BA.2.12.1, BA.4, and BA.5, which account for 99% of cases in Florida’s region.
  • On 6-29-22, the FDA increased the dosage and recommended getting the shots every 6 months.
  • On 6-26-22, Florida received a monthly allocation of 12,336 doses of pre-exposure Evusheld for severely immunocompromised people.

.

.

Florida Covid Hospitalizations:

  • You won’t find any hospitalization info on Florida’s Weekly Reports since 6-4-21.
  • Florida must relay all hospitalization data to the US Dept of Health and Human Services.
  • For August 1, 2020–July 14, 2022, Florida has had 451,224 new hospital admissions for Covid patients. This represents 9.1% of all Covid admissions for 6.6% of the US population.
  • During July 8–14, 2022, there was an average of 725 admissions per day, a total of 5,122 (+ 7%).
  • On July 14th, there were 3.39 new admissions/100,000 Floridians; 3.12 the week before.
  • Hospitalization admissions for adult age groups showed no clear pattern. They ranged from -8% (ages 18–29) to 23% (50–59).
  • Pediatric admissions increased 1%. 212 children were admitted to FL hospitals this week.
  • Compared to delta, omicron admissions are higher for younger than 30 and older than 69.
  • On 7-14-22, Florida was the worst in the nation for adult Covid admissions, 3rd worst for adult hospitalizations; 5th worst for adult ICU patients, 3rd worst for pediatric admissions; and 17th for pediatric hospitalizations.
  • On 7-15-22, 3,972 adult Covid patients were hospitalized (+9%).
  • The state has had seven straight weeks with the worst ranking for adult admissions, with 709 adult admissions per day (+6%).
  • 400 patients needed ICU care, 10% of adults hospitalized with Covid (-1%).
  • 78 children were hospitalized (+9%), with 49 pediatric admissions on that day (no change). Florida’s pediatric admissions rank remained 3rd worst in the US.
  • One in 8 admissions are for children, down from 1 in 4 on April 15th.
  • On 7-13-22, Orange County—where Disney is located—had 257 new hospital admissions in the last 7 days (+17%). Miami-Dade had 689 (-1%); Broward had 495 (-1%); Palm Beach had 379 (+22%); and Hillsborough had 403 (-2%).
  • Largest increases were in the Panhandle.
  • On 7-15-22, 79% of hospital beds in Florida were full (+2%); 7.5% used by Covid patients. Covid patients accounted for 4,341 hospital beds (+8%).
  • 6.9% of ICU beds were used by 412 Covid patients (-2%). Overall, 74% of ICU beds are occupied in the state. 9% of hospitalized Covid patients were in the ICU.
  • 1/3 are admitted for Covid diagnosis; 1/3 for Covid worsening an underlying condition; and one-third for reasons unrelated to their viral infection.

.

.

Until January 1, 2022, Florida was the only state in the US which was releasing statistics on a weekly basis. Several states switched to that schedule when Florida moved to reporting every two weeks.

Information available in Florida’s reports is far more limited than what the state provided before June 2021.

On October 18th, I followed the Dept of Health’s recommendation to contact their COVID Data Analytics section, then went outside.

When I returned, I had to do a major recovery process following an unauthorized attempt to access my hard drive. I still have not received a response from the FL COVID Data Analytics group.

Even the main site for the Florida Dept of Health appears on an unsecure connection: www.floridahealth.gov.

After several weeks of my computer downloading the official Florida Covid report for the first time since October 2021, it is once again refusing to open the file, citing a security risk.  

Dr. Salemi has resumed posting a link to the report, which is how I am accessing it:

Florida Covid Statistics: What is Really Happening?

Florida Covid-19 Response

Salemi USF: COVID-19 in Florida

Faculty at the University of Florida charge that they have felt external pressure from the highest levels of state government to delete data related to their Covid research.

They also encountered “barriers to accessing and analyzing” data and “barriers to publication of scientific research which inhibited the ability of faculty to contribute scientific findings during a world-wide pandemic.”

On January 21, 2022, a federal judge sided with the plaintiffs in a 74-page ruling.

He asserted the University of Florida was “willing to suffer threats to its accreditation, congressional inquiries, unrelenting bad press, an all-but-certain hit to its rankings, and the substantial monetary cost of hiring an experienced D.C. firm to defend its policy. The only thing UF will not do, it seems, is amend its policy to make clear that it will never consider viewpoint in denying a request to testify.” As in The Emperor’s New Clothes, the emperor’s lords, “fearing the loss of their jobs and the Emperor’s good grace, enabled the charade by praising the Emperor’s fine suit.”

The Hill: University of Florida Initiates Investigation into Alleged Destruction of COVID-19 Research Data

Tampa Bay Times: Federal Judge Orders Injunction to UF’s Conflict of Interest Policy

On March 31, 2022, a University of Florida faculty committee released a report charging that the university violated its own practices when hiring Joseph Ladapo, Florida’s surgeon general to a tenured position.

Required faculty input regarding his application was due on September 17, 2021. However, Dr. Ladapo was informed he had the appointment on September 16th.

After receiving the letter with an October 1,2021 start date, Dr. Ladapo changed it to September 20th, just prior to the news conference where the governor announced him as our new surgeon general:

In response to a reporter’s questions, Jeremy Redfern, the Florida Department of Health spokesman, sent an email stating, “The time of those at the University of Florida writing 100-page reports regarding hiring practices would be better spent working on important issues like research and curing cancer.”

Tampa Bay Times: Joseph Ladapo Hiring Violated UF Procedures, Faculty Report Says: Some Faculty Felt Ladapo, Florida’s Surgeon General, Was the Subject of “Preferential Treatment on the Basis of His Political Opinions”

.

.

This data from July 8–14, 2022, is the only Covid report available from the Florida Department of Health (DoH). Whenever the state adds a new report, it removes the previous one:

  • New cases = 78,245; Cumulative cases = 6,640,046
  • Positivity rate = 21.2%
  • New deaths = 64; Cumulative deaths = 76,662
  • Vaccination rate = 72%
  • Fully vaccinated people minus those with booster shots: 7,841,520
  • Total booster doses: 5,871,227

Salemi USF: COVID-19 in Florida

Here is some of the data from July 1–7, 2022 which the state submitted to the CDC.

Cumulative numbers are derived from adding the new CDC information to the June 30th Florida Department of Health report.

The corrected vaccination rate is from the CDC.

Positivity data reflects the average for the week as reported to the CDC:

  • New cases = 67,807; Cumulative cases = 6,561,784
  • Positivity rate = 22.83%
  • New deaths = 42; Cumulative deaths = 76,193
  • Vaccination rate = 67.7%
  • Fully vaccinated people minus those with booster shots: 8,459,999 (58%)
  • Vaccinated with at least one booster dose: 6,075,779 (27%)

July 7, 2022 Florida Covid Stats: What Is Really Happening?

.

.

On February 25, 2022, the CDC updated their masking guidelines based heavily upon Covid hospital admissions and utilization and, to a lesser extent, upon the number of new cases in a county.

It does not reflect the level of transmission. They range from low (green) through medium (yellow) to high risk (orange).

Rural areas without hospital services may look better than they are. You can click on the hyperlink below this for more specific information and the interactive map.

This is the situation in Florida as of July 14, 2022. Fifty-eight counties are at the highest level; 9 are at the medium level; none are green.

Currently, 97% of Floridians live in counties at the highest risk. One week earlier, 53 counties were at the highest level:

In areas of high alert, the CDC advises everyone to wear a high-quality tight-fitting mask indoors. Please note that relaxed masking guidelines in green areas do not apply to severely immunocompromised people.

CDC: COVID-19 Community Levels

Tampa Bay Times: COVID-19 Cases Rise in Florida as BA.5 Becomes the Region’s Dominant Strain

July 7, 2022 Florida Covid Stats: What Is Really Happening?

Here is the map for the same date based upon the level of Community Transmission:

CDC: Community Transmission in US

On March 2, 2022, Governor DeSantis visited Hillsborough County. As he approached a group of masked high school students, he said, “You do not have to wear those masks. I mean, please take them off. Honestly, it’s not doing anything and we’ve gotta stop with this COVID theater. So, if you want to wear it, fine, but this is ridiculous.”

He then used that outburst to raise campaign funds.

WFLA: ‘This Is Ridiculous’: DeSantis Scolds Students for Wearing Face Masks During USF Visit

The Hill: DeSantis Fundraises off Video of Him Chiding Students for Wearing Masks

Hillsborough County had a high alert level for Covid before and after that date:

Feb 25, 2022 Florida Covid Stats: What Is Really Happening?

March 3, 2022 Florida Covid Stats: What Is Really Happening?

.

.

Florida Covid Vaccinations:

Compare the FDA’s June 17, 2022, Emergency Use Authorization for eligibility in children (6 months+) to what Florida says on the Department of Health website (12+) and in the July 14, 2022, Department of Health report’s vaccination notes (5+):

FDA: FDA Authorizes Pfizer-BioNTech COVID-19 Vaccine for Emergency Use in Children 5 through 11 Years of Age

Florida Covid Response: Who Is Eligible for a Covid-19 Vaccine

Salemi USF: COVID-19 in Florida

.

.

As expected, on June 18th, the CDC issued a statement recommending vaccination for all children at least 6 months old. The FDA granted Emergency Use Authorization to the Pfizer and Moderna vaccines on June 17th

They also expanded eligibility for the Moderna vaccine to children aged 5–17 years old.

On July 8th, the FDA upgraded the status for the Pfizer vaccine in ages 12–17 to full approval:

CDC: CDC Recommends COVID-19 Vaccines for Young Children

FDA: Coronavirus (COVID-19) Update: FDA Authorizes Moderna and Pfizer-BioNTech COVID-19 Vaccines for Children Down to 6 Months of Age

FDA: FDA Roundup, July 8, 2022

Since the clinical trials in young children occurred while omicron was prevalent, it is not surprising that both vaccines showed lower efficacy in preventing infection.

Two doses of Moderna were more effective (51% in 6 months–under 2 years; 37% in 2–4 years) than two shots of the Pfizer vaccine, which failed to produce a sufficient immune response. That is why a full series of Pfizer consists of three shots (80% effective).

Both types were well-tolerated, with side effects comparable to other childhood vaccines.

Ars Technica: Why Moderna’s FDA-Authorized COVID Shot for Under 5s Has the Edge Over Pfizer’s

MedPage: Pfizer or Moderna: Which COVID Vaccine Is the Best Bet for Your Toddler?

In anticipation of FDA approval, the federal government created a June 13, 2022, deadline for states to preorder the smaller doses of the Pfizer and Moderna vaccines required for children aged 6 months–4 years old. Florida was the only state to miss that deadline.

While federal pharmacies like Costco, Publix, Sam’s Club, Walgreens, and Winn-Dixie can order doses directly from the US government, most of them do not administer any vaccinations to children under 3 years old.

CVS Minute Clinics are an exception, accepting children at least 18 months old. Despite being the first pharmacies to receive the adult vaccines in Florida, Publix has announced they will not provide them for children under 5.

I recommend using the Vaccines.gov website to locate a participating pharmacy.

During a press conference, Governor DeSantis asserted, “I would say we are affirmatively against the COVID vaccine for young kids. These are the people who have zero risk of getting anything.”

The spokesman for the Florida Department of Health stated, “The Florida Department of Health [DoH]… has made it clear to the federal government that states do not need to be involved in the convoluted vaccine distribution process, especially when the federal government has a track record of developing inconsistent and unsustainable COVID-19 policies. It is also no surprise we chose not to participate in distribution of the COVID-19 vaccine when the Department does not recommend it for all children.”

As with all other childhood vaccines, Florida hospitals were able to preorder the Pfizer vaccine for children aged 5–11 in November 2021 from the state program Florida SHOTS.

However, the state’s website did not provide that option for the younger cohort for several days after receiving widespread attention in the national press.

The president of the FL chapter of the American Academy of Pediatrics stated that in her contacts with the FL DoH on this issue, the agency never claimed the situation would change after the FDA authorized the vaccines.

Within an hour of the bipartisan House Select Subcommittee on the Coronavirus demanding an explanation, pediatric healthcare providers were able to place orders directly beginning on June 17, 2022.

Participants in the Florida SHOTS program must order at least 100 doses. Unlike for all other age groups, the state will not store the lower dosage vaccines.

As a result, small independent pediatric clinics may find it harder to deliver these shots, making it even more difficult for parents with children under 18 months old. A ten-dose vial must be thrown after away 12 hours.

According to a federal official, “The state of Florida intentionally missed multiple deadlines to order vaccines to protect its youngest kids. Now despite repeated efforts to reach out and engage officials in the state of Florida, elected officials deliberately chose to delay taking action to deny Florida parents the choice of whether to vaccinate their children or not.”

Tampa Bay Times: Florida Infants, Toddlers Face COVID Vaccine Delay, White House Says

Fox: Florida Pharmacies Will Have COVID Vaccines for Eligible Kids Under 5

CNBC: Covid Vaccine “Deserts” and Tech Woes: Publix’s Florida Rollout Highlights Risks as Retailers Play a Larger Role

The Hill: Florida-Based Publix Says They Will Not Offer Vaccine “At This Time” to Kids Under 5

Web MD: Florida Governor Rejects COVID Vaccines for Young Kids

WFLA: Pediatrics Group Calls on Florida to Order COVID Vaccine for Kids

NY Times: After Public Pressure, Florida Allows Pediatricians to Order Vaccines for Very Young Children

McClatchy: Congressional Panel Demands DeSantis Briefing on COVID Vaccines for Kids by End of Month

Tampa Bay Times: “Waiting for So Long”: COVID Vaccines Reach Youngest Floridians

Miami Herald: COVID Vaccine for Infants Arrive in Florida. Here’s Why Doctors Are Throwing Them Away

On June 28th, Florida Surgeon General Joseph Ladapo testified to the House subcommittee.

He confirmed that he and Governor DeSantis made the decision not to preorder the lower dose vaccines and to prohibit county health departments from vaccinating young children.

Dr. Ladapo admitted this would likely prevent 33,000 children without a regular doctor from receiving vaccination.

When a subcommittee member asked Dr. Ladapo about the risk of Covid infections compared to the risk of vaccination, the surgeon general called it “a perverse question.”

He asserted the comparison which matters is the risk of vaccination vs. non-vaccination, as if SARS-CoV-2 poses “little to no risk of severe illness complications.”

That same day, a high-ranking federal health official pledged to deliver smaller quantities of vaccines directly to health care providers who request them.

Based upon the experience with other age groups, pediatricians can safely give Covid vaccines with routine immunizations.

On June 30th, the same day she began vaccinating young children, the state removed the president of the Florida Academy of Pediatrics from her board position at Florida Healthy Kids.

Florida’s Chief Financial Official made the move due to “some very political statements that do not reflect the CFO’s point of view, even going so far as to as to say that the state is ‘obstruct(ing)’ access to vaccines.’ The CFO does not share your opinion and believes the state has gone to great lengths to protect lives in the face of the Coronavirus.”

Tampa Bay Times: Ladapo Tells Congress that Florida Decision Could Limit Kids’ Vaccine Access

MedPage: Pediatrician Axed for Advocating COVID Vax in Youngest Kids

MedPage: Youngest Kids Can Get COVID Shots with Other Vaccines

As of July 14th, approximately 23,500 young children had received their first shot in Florida, 2.2% of that age group:

Nationwide, 400,000 children <5 had received a Covid vaccination by July 13, 2022:

Salemi USF: COVID-19 in Florida

CDC: COVID-19 Vaccinations in the United States

For infants too young to receive vaccination, having a mother who received two doses of a vaccine while pregnant reduced hospitalizations by 38% during the omicron wave and 80% during delta.

Vaccine efficacy doubled when administered after 20 weeks rather than earlier.

Pregnant women who received boosters had 4x the antibodies of those with 2 doses. Their newborns had 2x as many antibodies as their mothers.

MedPage: Newborns’ Protection with Moms’ COVID Vax Dips During Omicron

NEJM: Maternal Vaccination and Risk of Hospitalization for Covid-19 among Infants

JAMA: COVID-19 mRNA Vaccine Booster During Pregnancy Increases Maternal and Fetal Antibodies

On March 7, 2022, a discussion panel moderated by Governor DeSantis recommended against Covid vaccination for healthy children due to the risk of adolescent males developing myocarditis. The state surgeon general noted that Florida is the only state to make such a declaration.

Tampa Bay Times: Florida Says Healthy Kids Shouldn’t Get COVID Vaccine, Contradicting CDC

At least four researchers cited by the state disagreed with how Florida officials used their work. A pediatrics professor from Vanderbilt University Medical Center who co-authored one of the papers said, “I think there is cherry-picking of sentences to support what (the state) wanted. You don’t just pick one sentence from one paper that agrees with what you think you want to say. That’s not what a health department is supposed to do.”

Each of the studies Florida officials cited recommended Covid vaccination for children as safe and effective. Florida health officials omitted that information in their updated guidelines.

The researchers asserted that vaccination remains the best way to protect children from severe Covid.

Tampa Bay Times: COVID Researchers: Florida “Cherry-Picked” Our Work in Kid Vaccine Recommendation

On May 27, 2022, the Florida Department of Health threatened to fine the Special Olympics $27,500,000 if the organization continued to mandate vaccination for participants in a week-long national tournament.

The organization issued a statement saying they would nullify the decree “based upon the Florida Department of Health’s interpretation of Florida law.”

Politico: Special Olympics Reverses Vaccine Requirement After Florida Threatens $27.5M Fine

In contrast to the myocarditis arising from vaccination, the inflammation resulting from SARS-CoV-2 can cause life-threatening heart conditions in children, adolescents, and adults.

A study of 77,000 children found that 5–11-year-old boys were 540% more likely to develop heart inflammation after a Covid infection than after vaccination.

No girls of that age who were vaccinated developed myocarditis or pericarditis. Hormones account for the differences in risk between age groups and sexes:

Circulation: Myocarditis with COVID-19 mRNA Vaccines

MMWR: Cardiac Complications After SARS-CoV-2 Infection and mRNA COVID-19 Vaccination—PCORnet, United States, January 2021–January 2022

.

.

Since August 2020, 14,213 Florida minors have required hospitalization for Covid in Florida:

Fifty permanent Florida residents <16 have died, and many of the survivors have subsequently developed serious health conditions, like diabetes.

While children are at lower risk than adults, throughout the US, Covid is one of the top ten causes of death in those aged 5–11:

Tampa Bay Times: The CDC Says Kids Should Get the COVID Vaccine—Despite Florida

Peterson-KFF: COVID-19 Leading Cause of Death Ranking

Salemi USF: COVID-19 in Florida

On May 17, 2022, the FDA approved a booster shot of the Pfizer vaccine for children aged 5–11.

Throughout the US, children are three times as likely to have had severe disease from omicron than from previous variants:

MedPage: FDA Authorizes COVID Booster for Younger Kids—Agency Citers Concern over Omicron, Long Covid in Its Reasoning

JAMA: Acute Upper Airway Disease in Children with the Omicron (B.1.1.529) Variant of SARS-CoV-2—A Report form the US National COVID Cohort Collaborative

MMWR: Hospitalizations of Children Aged 5–11 Years with Laboratory-Confirmed COVID-19—COVID-NET, 14 States, March 2020–February 2022

.

.

As of July 14, 2022, 61% of people in Florida had at least completed a vaccine series.

24% of Florida residents aged 5–11 had received at least one dose of a Covid vaccine. According to the newest report, 64% of adolescents had.

People who receive a booster shot are removed from the Series Completed Category and added to the Additional or Booster Dose Category.

Based upon CDC data, 24% of permanent Florida residents and snowbirds have received a booster shot:

Salemi USF: COVID-19 in Florida

June 2, 2022 Florida Covid Stats: What Is Really Happening?

On March 25, 2022, USA Today reported that over 600,000 snowbirds had been included in Florida’s official vaccination tally.

That happened in over 100 zip codes. Many “vaccine tourists” were in Miami-Dade County. For cases and deaths in the state, Florida counts only permanent residents.

USA Today: Florida Overcounts Vaccinations by 600,000 People. Snowbirds Responsible, Analysis Shows

This is from the June 30th report. For the week beginning on June 10th, about 15,841,000 people had at least one shot:

And this is from the June 16th report. For the week beginning on June 10th, about 15,340,000 people had at least one shot. That is a difference of about 500,000 people:

June 30, 2022 Florida Covid Stats: What Is Really Happening?

June 16, 2022 Florida Covid Stats: What Is Really Happening?

The spokesman for the Florida Department of Health offered no explanation other than “Please read the last page of the report.” 

According to that section, the population is based upon the number of Floridians at least 5 years old, a statement which contradicts the portion above which discusses how they derived the number of infants to include.

It is also identical to the Vaccination Notes from the previous report:

Salemi USF: COVID-19 in Florida

Palm Beach Post: Florida’s COVID-19 Vaccination Count Jumps 263,000 in Two Weeks. DeSantis Officials Won’t Say Why

.

.

We can use this CDC data released on July 13, 2022, to compare Florida’s vaccination rates to national figures:

CDC: Primary Series Completion, Booster Dose Eligibility, and Booster Dose Receipt by Age, Unites States

As of July 13, 2022, 1,121,728 Floridians had a second booster shot. That amounts to 26% of those 50+ who had previously received a first booster:

CDC: Percent of People with a First Booster Dose Who Received a Second Booster Dose Reported to the CDC by State/Territory for the Population 50 Years of Age and Older

At most, 27% of permanent Florida residents and snowbirds have received a booster shot.

Note that the segments of the population with the highest percentage of boosted individuals also have lower than expected death rates compared to the national averages:

CDC: Integrated County View Florida

Salemi USF: Covid Deaths by State

.

.

A review of fifteen studies concerning vaccination and the conglomeration of symptoms known as “long Covid” found a significantly reduced rate in those who were vaccinated before getting infected.

Post-viral vaccination reduced or eliminated symptoms in up to 30% of long Covid sufferers. However, symptoms did worsen on occasion after vaccination.

UK Health Security: The Effectiveness of Vaccination Against Long Covid

Mixing vaccine types for a booster shot will give you the best protection because they stimulate different parts of your immune system.

If you had 2 or 3 Moderna, I recommend getting a Pfizer and vice versa. The CDC recommends using the same vaccine for the first two doses.

Ars Technica: Pfizer, Moderna Vaccines Aren’t the Same; Study Finds Antibody Differences: The Findings Add Further Weight to the Idea of Mix-and-Match Boosting

CDC: Interchangeability of COVID-19 Vaccine Products

On May 24th, the CDC added approval for a fifth shot for people 12+ with moderate to severe immunocompromisation.

The agency previously approved a second booster shot of the Moderna or Pfizer vaccine for all adults aged 50+. Children aged 5–11 are eligible for one booster regardless of health status.

There are no safety issues associated with the additional shot. People on Medicare can receive a second booster shot at no cost.

During the initial omicron wave in Israel, a second booster prevented 64% of hospitalizations and 72% of Covid deaths among nursing home residents compared to those who received only a first booster.

CDC: CDC Strengthens Recommendations and Expands Eligibility for COVID-19 Booster Shots

CDC: COVID-19 Vaccines for People Who Are Moderately or Severely Immunocompromised

Center for Medicare: Eligible Individuals Can Receive Second COVID-19 Booster Shot at No Cost

CDC: COVID-19 Vaccine Boosters

MedPage: Second COVID Booster Protected Seniors in Long-Term Care

Research involving breakthrough omicron infections indicates the number of viral particles is significantly lower in people who have had booster shots. People with two doses carried the same amount of virus as unvaccinated people.

Nature: Infectious Viral Load in Unvaccinated and Vaccinated Individuals Infected with Ancestral, Delta or Omicron SARS-CoV-2

The CDC has removed hospitalization information for adults who received only a primary series, backdated to December 2021. This data compares people with boosters to those who remain unvaccinated.

Looking at the numbers for May compared to April, hospitalization rates roughly doubled for every age and vaccination status category. You can click on the link to see the charts:

CDC: Rates of Laboratory-Confirmed COVID-19 Hospitalizations by Vaccination Status

The risk of death among unvaccinated people and those with a primary series during the weeks of May 22–28, 2022, is as follows:

Relative Risk of Death by Vaccination Status
AgePrimary SeriesUnvaccinated
18–2903
30–4915x
50–6415.5x
65–7919x
80+15x

CDC: Rates of COVID-19 Cases and Deaths by Vaccination Status

This graphic depicts the vaccination status of the US adult population compared to the death rates during September 2021–February 2022:

Peterson-KFF: COVID-19 Mortality Preventable by Vaccines

.

.

A second booster in people 50+ makes an enormous difference in the risk of dying from Covid.

During May 15–22, 2022, 2 boosters prevented 96% of deaths (0.23/100,000); 1 booster prevented 87% of deaths (0.72/100,000). A primary series prevented 83% of deaths (0.92/100,000) compared to unvaccinated individuals (5.49/100,000):

CDC: Rates of COVID-19 Deaths by Vaccination Status and 2+ booster Doses in Ages 50+ Years

As we are currently seeing in the US, a second booster is much less effective at preventing infections than hospitalizations or deaths.

For people 50+ during June 5–12, 2022, having at least 2 boosters prevented 81% of infections (152.79/100,000); 1 booster prevented 76% of infections (192.13/100,000); and a primary series prevented 84% of infections (130.49/100,000) compared to the rate in unvaccinated people (818.41/100,000):

CDC: Rates of COVID-19 Cases by Vaccination Status and 2+ Booster Doses in Ages 50+ Years

.

.

On January 14, 2022, Governor DeSantis’s office announced it would not enforce the federal government’s vaccine mandate for healthcare workers.

The US Supreme Court upheld the requirement for all healthcare facilities which receive federal funds on the 13th.

On January 19th, the Florida Department of Health placed the epidemiologist who led Orange County’s pandemic response on administrative leave.

The state considered charging him with a criminal offense for sending an email chiding the county’s public health employees for their 40% vaccination rate. That suspension ended on March 22, 2022.

A day later, Governor DeSantis promoted a conspiracy theory by asserting that many nurses are avoiding vaccination because “they’re trying to have families.”

Numerous studies confirm that vaccination does not cause infertility; in fact, getting Covid can reduce male fertility.

Becker’s Hospital Review: DeSantis Casts aside CMS Vaccine Rule for Hospitals

BBC: Top Florida Health Official on Leave over Support for Vaccination

Physicians Society Central FL: Orange’s State Health officer Raul Pino Reinstated After Leave over Vaccine E-mail

Twitter: DeSantis Pushes Infertility Conspiracy

Covid-19: The Omicron Variant

.

.

Covid Deaths in Florida:

On June 6, 2022, a report from the Florida Auditor General revealed that the state omitted approximately 3,000 Covid deaths from official reporting during March–October 2020. The Tampa Bay Times article includes a link to the audit.

Those deaths are still not reflected in the June 30th report or in the chart below.

The Department of Health responded that having Covid listed on a death certificate is not sufficient to count that as a Covid death, so the state will not amend the cumulative death statistic.

Tampa Bay Times: Florida’s Health Department Undercounted COVID Cases and Deaths, State Audit Says

Palm Beach Post: Florida Leads Nation in New COVID Deaths, CDC Data Shows

During June 2021–June 2022, Florida reported only 7,405 of the 40,840 Covid deaths among permanent residents as “New Deaths” (18%).

In June 2022, cumulative data indicated there were 1,615 Covid deaths among permanent Florida residents. Only 185 were counted as “New Deaths” (11%). Covid deaths in June were 322% higher than in May:

Florida Covid Statistics: What is Really Happening?

Despite making national news for the state government’s attempt to cover up the number of deaths, nothing has changed in the Florida Department of Health’s methodology.

The Hill: Florida Reported ‘Artificial Decline’ in COVID-19 Deaths as Cases Were Surging

On June 4th, the state removed all data from anyone who has not established permanent residency and stopped reporting information from visitors, seasonal residents, and migrant workers. This deleted 744 deaths.

I can no longer access this file, as my browser deems it a security risk:

FL Covid-19 Cases and Monitoring as of June 3, 2021

When the state receives a report of a death from an earlier week, that information is added to “Cumulative Deaths” without being noted in “Previous Week Deaths.”

It usually takes more than one week for death reports to get sent to the state. 

Florida Politics: Florida Reports 1000+ Covid-19 Deaths in Past Week

Using the July 14th cumulative data from the state and the CDC data from July 7th, which showed 76,662 and 76,193 Florida deaths, I determined there were 469 Covid deaths reported in Florida during July 8–14, 2022.

This is a 55% increase compared to the previous week (302). Only 64 of them were counted as new deaths (14%):

Salemi USF: COVID-19 in Florida

July 7, 2022 Florida Covid Stats: What Is Really Happening?

CDC: Integrated County View Florida

.

.

Clicking on individual counties reveals a higher number than the state’s “new deaths” total.

During July 8–14, Miami-Dade County reported 48 deaths; Broward had 42; Palm Beach County had 33; Orange—where Disney is located—had 26; and Hillsborough had 32:

CDC: Florida Reported Deaths by County

Compared to the previous week, Miami-Dade’s fatalities declined by 13%; Broward’s doubled; Palm Beach County’s increased by 27%; Orange’s rose 271%; and Hillsborough’s increased by 220%:

CDC: Percent Change in Florida Deaths from Previous 7 Days

.

.

According to CDC data, there had been 76,662 Covid deaths in Florida by July 14, 2022.

Florida residents at least sixteen years old became eligible for vaccination on April 1, 2021.

SARS-CoV-2 infections have killed 42,462 permanent residents of the state since that date. Over half the Covid deaths in Florida have occurred since April 1, 2021.

Despite having only 6.6% of the US population, this represents 9.2% of all American Covid-19 deaths since everyone at least 16 years old qualified for vaccination:

Trends in Number of COVID-19 Cases and Deaths in the US Reported to CDC, by State

.

.

In the aftermath of his hard drive crashing, Dr. Salemi is making some impressive upgrades to his site.

Here is Florida’s ranking of Covid deaths stratified by age. A Mortality Rate Ratio = 1 is the national average, so infants under one year old and senior citizens are the only age groups which have fared better than expected.

Permanent Florida residents aged 85+ rank 9th best among the 50 states and Washington DC, with 24% fewer deaths than the national average for that age group.

Sixteen Floridians under 1 year old have died, some of whom may have fallen within the new vaccination eligibility criteria.

Florida has the 7th worst death rate in the nation for ages 1–4 with 11 deaths, 22% more than expected based upon the national average.

People aged 5–14 and 15–24 are the demographics with the worst Mortality Rate Ratio, 36% higher than the national average with 29 and 216 deaths.

When I remove smaller states with higher ranks but only one death, Florida’s rankings rise to 8th worst for <1; 4th worst for 1–4; and 4th worst for 5–14:

July 14, 2022

Salemi USF: Covid Deaths by State

Nationwide, 6.8% of senior citizens who have tested positive have died:

CDC: Demographic Trends of COVID-19 Cases and Deaths in the US Reported to CDC

This is the July 14, 2022, death report from the state.

On June 16, 2022, Florida added the right side of this chart to calculate 2022 deaths separately. This was likely due to the lower death rate from the omicron variants. I have no idea why the state is delaying the 2022 information by a month.

6.2% of Florida’s seniors with a positive test died from Covid (1,266/100,000). That amounts to 1.3% of all permanent Florida residents who are 65+:

Here is the death data from the June 30, 2022, report:

We can compare the two sets of data to determine the number of deaths in each age bracket during July 1–14:

AGEDEATHS% DEATHS
0–1520.2
16–2910.1
30–3970.9
40–49202.6
50–59476.1
60–64425.4
65+65284.6
77199.9

Regarding the right side of the state’s chart, the CDC Cumulative Death data indicates there have been 12,326 deaths reported this year by June 14th, not 11,507 (a 7% difference):

75,497 on June 14, 2022
63,171 on December 31, 2022

Salemi USF: COVID-19 in Florida

July 7, 2022 Florida Covid Stats: What Is Really Happening?

Trends in Number of COVID-19 Cases and Deaths in the US Reported to CDC, by State

.

.

Florida does not report deaths by vaccination status, so I cannot determine the percentage of deaths occurring in unvaccinated people, those who received a full series, or boosted individuals.

However, note the rough correlation between Dr. Salemi’s Mortality Rate Ratios and vaccination rates:

Salemi USF: COVID-19 in Florida

Salemi USF: Covid Deaths by State

.

.

The CDC recently updated their algorithm for calculating excess deaths in the US to include six years of data, rather than four, due to the pandemic skewing the expected numbers. This accounts for the higher than typical age of Florida’s population.

You can click on each bar on their site to see the data for that week. It takes up to eight weeks for complete reporting:

Here is another way to visualize that chart. You can see all states by clicking Percent Excess Deaths on the CDC’s site:

CDC: Excess Deaths Associated with COVID-19

Florida has a higher than expected proportion of excess deaths compared to other states, including 17,000 unrelated to Covid.

This is the total number of excess deaths throughout the pandemic, not the number per 100,000 people.

California has 80% more people than Florida yet the number of excess deaths is nearly the same.

It looks like last week’s rendition from the CDC which vaulted Florida into first place was an error that has now been corrected:

Tampa Bay Times: Florida’s Preventable Deaths Rose During the Pandemic. It Wasn’t Just COVID

CDC: Excess Deaths Associated with COVID-19 by Jurisdiction/Cause

July 7, 2022 Florida Covid Stats: What Is Really Happening?

.

.

In this map of Covid deaths rates, if you go to the CDC’s site and click on Florida, you will see on the July 16th update that only 64 deaths are reported for the last 7 days, despite 469 when comparing the state’s cumulative deaths for July 14, 2022, with July 7, 2022.

The other large states have much higher numbers for the week.

Florida ranks second for the highest proportion of Covid deaths among the six largest states: CA (232); TX (301); FL (356); NY (256); PA (359); IL (305):

CDC: United States COVID-19 Cases, Deaths, and Laboratory Testing by State and Territory

To get an accurate picture of that map for the last seven days, we must determine the death rate for 469 deaths, not 64.

Doing that shows that Florida had 2.2 deaths/100,000, ranking 3rd in per capita deaths reported in the last 7 days:

CDC: US Covid-19 7-Day Death Rate per 100,000, by State/Territory

.

.

Covid Cases in Florida:

With the rise in at-home testing since the omicron wave began, it is important to know that official confirmed cases are likely to be significantly undercounted.

For the week ending on July 14, 2022, the Florida Department of Health reported 78,245 confirmed Covid cases.

Adding those to the state’s previous cumulative count gives us a total of 6,640,046 cumulative Covid cases among permanent residents.

Florida reported 67,807 new cases for the week ending on July 7th, so that is a 15% increase.

This wave has shown more consistent case numbers than the others we have experienced:

Salemi USF: COVID-19 in Florida

July 7, 2022 Florida Covid Stats: What Is Really Happening?

CDC: Integrated County View Florida

.

.

On June 6, 2022, a report from the Florida Auditor General revealed that 60% of people who tested positive for Covid during March–October 2020, were never notified of their results.

That affected at least 183,000 individuals infected with the SARS-CoV-2 virus and likely had a major impact on preventing Covid transmission in the state. The Tampa Bay Times article includes a link to the audit.

Tampa Bay Times: Florida’s Health Department Undercounted COVID Cases and Deaths, State Audit Says

On June 4, 2021, the state removed all data from anyone who has not established permanent residency and stopped reporting information from visitors, seasonal residents, and migrant workers. This deleted 43,535 cases.

I can no longer access this file, as my browser deems it a security risk:

FL Covid-19 Cases and Monitoring as of June 3, 2021

Dr. Salemi has begun publishing state rankings of confirmed cases, with the addition of Washington DC and New York City.

While Hawaii’s case numbers have plummeted, Florida has shifted to 2nd worst from 4th a week ago. Only MS is faring worse:

Salemi USF: COVID-19 Cases in Florida

.

.

Clicking on this map at the CDC’s web site will show you the exact number of confirmed cases for any county.

During July 8–14, Miami-Dade increased to 15,834; Broward had 7,166; Palm Beach had 4,559; Hillsborough had 5,279.  

Orange County—where Disney is located—had 4,547:

CDC: Florida Reported Cases by County

It is very strange to see this map almost uniform in color. Just like a week earlier, the greatest increases in cases are concentrated in the northern and central inland parts of the state.

Miami-Dade reported a 12% increase; Broward rose 11%; Palm Beach went up 15%; Orange rose 16%; and Hillsborough increased 15%:

CDC: Florida Percent Change of Cases

Dr. Jason Salemi was posting very helpful county-level case data until April 22nd. Unfortunately, the county-level data he used to post is no longer available:

Salemi USF: COVID-19 Cases in Florida

April 28, 2022 Florida Covid Stats: What Is Really Happening?

April 22, 2022 Florida Covid Stats: What Is Really Happening?

Data released by the state tells us nothing about the amount of change:

Salemi USF: COVID-19 in Florida

.

.

To evaluate the trend in Covid infections among children during the week of July 8–14, 2022, we can use the data from two weeks earlier.

Children under 5 are now separated into two age brackets based upon vaccination eligibility.

During this week, 548 infants <6 months tested positive. A week earlier, exactly 500 confirmed cases occurred in that age bracket (+10%).

For young children aged 6 months–4 years, there were 2,804 confirmed cases last week, compared to 2,357 during July 1–8 (+19%).

Given the overall increase in the state, it does not appear that the -1,235 for children <5 during June 17–23, 2022, has been rectified. That occurred at precisely the time when the state was preventing vaccination of young children.

Among those 5–19, 7,010 tested positive, 17% more than the prior week (5,983) and 10% more than two weeks ago (6,366).

In total, 10,362 Florida residents under the age of twenty tested positive last week, 11% higher than in the previous report (9,295):

Salemi USF: COVID-19 in Florida

June 30, 2022 Florida Covid Stats: What Is Really Happening?

.

.

This school year began on August 10th, and the Hillsborough County School District instituted a mandatory mask mandate on August 18th. They ended it on October 15th.

Florida law prohibits requiring masks in non-medical settings and now leaves the decision about quarantining after a close contact at school to the child’s parents.

HCSD: Covid Frequently Asked Questions

A study of schools with more than 1.1 million students and 157,000 staff members determined a 72% drop of in-school Covid transmission occurred with mandatory mask policies instead of optional or partial masking.

NIH: Mandatory Masking in Schools Reduced COVID-19 Cases During Delta Surge

The Hillsborough County School District published a notice effective January 31, 2022:

“The Florida Department of Health has shifted COVID-19 case investigation focus to: ‘high-congregate settings’ (nursing homes/skilled nursing/assisted living facilities, correctional facilities, homeless shelters, group homes) at high risk for secondary transmission or poor health outcomes among their residents as a result of COVID-19 infection. Public schools and daycare settings are not considered congregate settings.”

During the week leading up to that announcement 38,629 school-aged children in Florida had tested positive.

Hillsborough County School District: COVID-19 Student Protocol

Jan 27, 2022 Florida Covid Stats: What Is Really Happening

On January 26th, the Orange County School District announced that the state will no longer permit excused absences for Covid effective January 31st. Children who quarantined after a Covid exposure would be considered truant:

Orange County School District: Unexcused Absences for Covid

Schools closed for the summer after May 26th. As of May 23, 2022, there had been 29,051 cases during this school year in the Hillsborough County School District:

Hillsborough County Public Schools Covid Dashboard

.

.

Florida Covid Testing:

A report released by the US House Select Subcommittee on the Coronavirus Crisis in June 2022 explains Florida’s approach to the pandemic:

In March 2020, a radiologist named Scott Atlas began pushing the federal government to stop the “a massive overreaction” that was “inciting irrational fear.”

He claimed that SARS-CoV-2 would kill about 10,000 Americans, a number so small that it “would be unnoticed” compared to influenza.

Dr. Atlas advocated isolating high-risk people and exposing lower-risk Americans to the virus as quickly as possible. Masks and widespread social distancing would prevent that from happening, so he eschewed them.

On July 4, 2020, another like-minded Trump Administration official wrote this:

Dr. Deborah Birx pointed out that many Americans over 70 live in multi-generational households, to no avail.

Dr. Atlas advised Ron DeSantis on Florida’s Covid response.

Several months later, Jared Kushner secretly hired him to join the Trump Administration.

Mr. Kushner told him to hide his badge and had him anonymously join Coronavirus Task Force online meetings for the first two weeks he was employed there, because Dr. Birx “would be extremely sensitive and upset and threatened if I came in.”

A memorandum written by Dr. Atlas called “Strategy for Moving Forward Covid-19” stated this:

He also claimed, “…emerging research adding insights into immunity and suggesting that herd immunity may arise with a far lower population infection rate than originally thought…We expect to see more cases with more social interactions, because this is a contagious disease.”

In August 2020, Dr. Atlas invited several doctors to the White House who agreed with his approach. One of them was Dr. Joseph Ladapo, who now serves as the Florida Surgeon General.

Dr. Birx sent this email to the vice president’s chief of staff, calling them “a fringe group without grounding in epidemics, public health, or on the ground common sense experience”:

The group met anyway.

During her testimony to the House Select Subcommittee, Dr. Birx called the meeting “dangerous”, and said, “any credibility given to these individuals in this moment while we were headed into the fall would be dangerous for our overall response and ability to contain the virus.”

Fearing that large-scale testing was harmful because it would interfere with achieving herd immunity and lead to “lockdowns [which would] hurt Americans more than the virus,” Dr. Atlas wrote this on August 3, 2020:

After fierce debate, the testing guidance was drastically weakened against the wishes of the CDC director.

An unknown person removed the recommendation for people without symptoms to self-isolate for 14 days after close contact with an infected person. Testing declined significantly.

In September, Dr. Atlas sent an email claiming that PCR tests were “misleadingly positive.”

His “remedy” was to make the lab work stop after fewer cycles, making the virus harder to detect:

Three weeks after restrictions were loosened, the CDC reinstated 14 days of isolation even with a negative test.

When Jared Kushner read a draft tweet created for President Trump to ask everyone to wear a mask to slow viral spread, Dr. Atlas objected that it wasn’t consistent with the president’s disparagement of masks. It was weakened to read “only if you cannot socially distance.”

Dr. Atlas then wrote several op-eds claiming that masking could be harmful due to contamination and giving a false sense of security:

His anti-mask program enabled the spread of the virus, perfectly in keeping with his desire to get as many people infected quickly as possible.

The subcommittee cited Dr. Atlas’ schemes to promote herd immunity as a major factor in the subsequent rejection of vaccines by many Americans.

While meeting with the House Select Subcommittee on the Coronavirus, multiple former senior officials on the White House Coronavirus Task Force emphasized that Dr. Atlas severely impaired the effectiveness of the pandemic response.

Dr. Birx estimated that 130,000 more lives were lost due to those decisions, which closely mirror what we have seen implemented by the DeSantis Administration in Florida. You can find a link to the full report here:

MedPage: Report Shows Trump Administration Embraced Herd Immunity via Mass Infections—The Strategy Likely Contributed to Many Preventable Deaths, Report Notes

With omicron reinfections becoming common, we now know that achieving herd immunity against SARS-CoV-2 is a myth, yet their tactics have not changed.

Becker Hospital Review: How Omicron changed the Reinfection Landscape

A scandal erupted on December 30th concerning 1,000,000 expired antigen tests sitting in a warehouse. At that time, it was virtually impossible to find an at-home test.

On January 3, 2022, the Florida Surgeon General decried the “testing psychology” which seeks to identify all Covid cases to slow the rate of community transmission.

On January 6th, the governor announced the state was shipping 1,000,000 test kits to long-term care and nursing facilities. Florida’s web site shifted its focus to testing. Specifically, that people who are not high-risk should avoid it:

The Hill: Florida Surgeon General Blasts “Testing Psychology” around COVID-19

Florida Covid-19 Response

The Hill: DeSantis Administration Says It Let a Million COVID-19 Tests Expire in Florida Warehouse

The Hill: Florida Sending 1 Million Free COVID-19 Tests to Elderly Communities

On February 7th, the Florida Department of Health officially reprimanded two testing companies which failed to report the results of 230,000 Covid tests taken during December and January.­­

Tampa Bay Times: Florida Contractors Didn’t Report 230,000 COVID Tests on Time During Omicron Wave

Every household in the US is now eligible to receive 3 shipments of 4 free Covid tests from the federal government at Covid.gov.

The shift to home-based testing with the first omicron wave is highly likely to result in an under-reporting of Covid cases. The CDC advises those with a positive at-home test to report the results to their doctor.

CDC: Self Testing at Home or Anywhere

.

.

Public health officials recommend maintaining a positivity rate less than 5% for two weeks before reopening.

That means enough testing is taking place to capture even asymptomatic cases.

JHU: COVID-19 Testing: Understanding the “Percent Positive”

Florida crossed the 5% threshold during April 9–21, 2022:

June 2, 2022 Florida Covid Stats: What Is Really Happening?

Here is what the Florida Department of Health is reporting:

Salemi USF: COVID-19 in Florida

According to data which the state reported to the CDC, seven-day positivity rate averages during July 8–12 steadily increased from 23.27% to 24.22%, with an average of 23.77% (+4%).

That means there were about 372,000 cases in Florida during July 8–14, 2022 (+20%).

The last time Florida reported a 21.2% positivity rate to the CDC was on June 17th:

CDC: Florida Daily Covid Testing

.

.

Dr. Jason Salemi, an epidemiologist from the University of South Florida, was posting very helpful county-level data until April 22nd.

Unfortunately, his site no longer includes county-level data since the crash of his hard drive.

Salemi USF: COVID-19 in Florida

April 22, 2022 Florida Covid Stats: What Is Really Happening?

On July 12, 2022, every Florida county exceeded the 5% threshold, with only 5 of them below 20%.

Disney’s location (Orange County) had a 28.56% positivity rate:

CDC: Florida Positivity Percentages by County

Fifty of the state’s 67 counties experienced an increase in their positivity rates compared to a week earlier. Thirty reported increases of at least two full percentage points.

You can check on the amount of change in your county’s positivity rate by going to the link under this map:

CDC: Florida Change in Weekly Percentage of Positivity by County

.

.

Covid Therapeutics in FL:

Until January 8th, the state continued to emphasize monoclonal antibody treatment as the focus of the Covid-19 Response web site:

Florida Covid-19 Response

Mutations which have resulted in the omicron variants render ineffective almost all the monoclonal antibodies previously in use, including the antibody combination used in Regeneron against the delta variant (imdevimab and casirivimab).

In the US, 100% of new cases were due to the omicron strains by January 29, 2022:

Covid-19: The Omicron Variant

NEJM: Efficacy of Antibodies and Antiviral Drugs Against Covid-19 Omicron Variant

March 24, 2022 Florida Covid Stats: What Is Really Happening?

For the week ending January 8th, 97% of sequenced cases in the region which includes Florida were omicron:

CDC: Variant Proportions

Jan 13, 2022 Florida Covid Stats: What Is Really Happening?

At that time, there was only one monoclonal antibody produced in the US which could attach to circulating omicron BA.1 particles.

Sotrovimab worked against the original omicron variant and omicron BA.1 at a dosage three times that required to neutralize the delta variant.

Covid-19: The Omicron Variant

NEJM: Efficacy of Antibodies and Antiviral Drugs Against Covid-19 Omicron Variant

During the first week of January 2022, hospitals in Florida used 140 of the state’s stockpile of 4,400 Sotrovimab doses, in contrast to over 2,700 doses of the ineffective Regeneron monoclonal antibody.

On January 18th, the state announced the opening of additional monoclonal antibody infusion centers to distribute what remained of the 15,000 additional doses of Regeneron secured on January 7th.

Tampa Bay Times: Omicron Undermines Florida’s Strategy to Combat Coronavirus: Gov. Ron DeSantis Continues to Tout Monoclonal Antibody Therapies, but New Evidence Shows Their Effectiveness Against COVID-19 Is Waning

Florida Health: Florida to Open Additional Monoclonal Antibody Therapy Treatment Sites

A week later, the FDA revised its Emergency Use Authorizations for the two components of Regeneron, prohibiting their use against the omicron variant.

The federal government stopped shipping those monoclonal antibodies. Why the state continues to emphasize this is mystifying:

Florida Covid-19 Response

Governor DeSantis accused the Biden Administration of having no clinical evidence, despite the manufacturers of both antibodies noting they are now ineffective:

FDA: Coronoavirus (COVID-19) Update: FDA Limits Use of Certain Monoclonal Antibodies to Treat COVID-19 Due to the Omicron Variant

Daniel Dale: DeSantis vs Regeneron and Lilly

Abcellera: Statement on the Neutralization Activity of Its Monoclonal Antibody Therapies Against the Omicron Variant of Concern

Ron DeSantis: Governor DeSantis Condemns Biden Administration’s Haphazard Decision to Revoke Authorization of Lifesaving Monoclonal Antibody Treatments

.

.

The subvariant called BA.2 was first detected in the US on January 15th.

With the rise in the even more transmissible BA.2.12.1—which evolved from BA.2—the CDC separated that newer strain from the subvariant into a new category. It accounts for 17% of sequenced samples, vs. 1% for BA.2.

In May 2022, the CDC began calculating the percentages of BA.4 (16%) and BA.5 (65%). BA.1 has been completely replaced:

In this map, pink shows the amount of omicron BA.2 and red represents BA.2.12.1. Light green designates BA.4 and dark green depicts BA.5.

In the region which includes Florida during June 26–July 2, 2022, the percentage of BA.2 fell to 1%; BA.2.12.1 declined sharply to 17%; BA.4 remained the same at 15%; and BA.5 again climbed sharply to 66%:

Sotrovimab is 27 times less effective against BA.2 than for BA.1. Therefore, on April 5, 2022, the FDA amended the Emergency Use Authorization to revoke the use of Sotrovimab nationwide.

CDC: Variant Proportions

April 14, 2022 Florida Covid Stats: What Is Really Happening?

Does Any Monoclonal Antibody Work Against BA.2?—Pre-print Lab Data Cast Doubt on the One Remaining Effective Antibody Treatment

BioRxiv: Antibody Evasion Properties of SARS-CoV-2 Omicron Sublineages

MedPage: COVID Antivirals Appear to Hold Up Against BA.2—In Lab Study, Monoclonal Antibodies Required Much Higher Concentrations Versus Omicron Subvariant

FDA: Update [4/5/2022] FDA Revokes Use of Sotrovimab to Treat COVID-19 Nationwide Due to the BA.2 Omicron Sub-variant

.

.

A different monoclonal antibody called Bebtelovimab neutralizes omicron BA.1, BA.2, BA.2.12.1, BA.4 and BA.5.

In this chart, not being highlighted means an antibody works well. The June 29, 2022, update indicates we still have no information about its efficacy against BA.5.
Thankfully, subsequent research indicates that it remains effective:

Medical News Today: The Latest Omicron Subvariant: What We Know So Far about BA.2.12.1

Stanford Univ: Coronavirus Antiviral and Resistance Database

DPZ: Emerging Omicron Subvariants BA.2.12.1, BA.4, and BA.5 are Inhibited Less Efficiently by Antibodies

On February 10, 2022, the US Department of Health and Human Services announced the purchase of enough Bebtelovimab to treat 600,000 people. It began shipping nation-wide within a week.

Public Health Emergency: State/Territory-Coordinated Weekly Distribution of COVID-19 Therapeutics

On April 25, 2022, the federal government changed its allocation method to one aligned with vaccine delivery and switched to a new web page:

HHS: COVID-19 Therapeutics Thresholds, Orders, and Replenishment by Jurisdiction

Here is the most recent federal allocation of 11,427 Covid-specific treatments to Florida:

  • 2,685 post-exposure Bebtelovimab (for all omicron types)
  • 6,330 of the oral Paxlovid
  • 2,112 of the less-effective oral Molnupiravir (Lagevrio)
  • None of the pre-exposure Evusheld

In total, there were enough highly effective treatments for 9,315 Covid patients delivered to the state during the week of July 11th:

1

As of July 10th, Florida patients had used 51% of the state’s cumulative Paxlovid deliveries (+1% from last week); 11% of the Legevrio (Molnupir) (+1%); 39% of the Bebtelovimab (+4%); and 32% of the Evusheld (no change):

FDA: Coronavirus (COVID-19) Update: FDA Authorizes New Monoclonal Antibody for Treatment of COVID-19 that Retains Activity Against Omicron Variant

HHS: Secretary Becerra Announces HHS Purchase of 600,000 Treatment Courses of New Monoclonal Antibody that Works Against Omicron

HHS: COVID-19 Therapeutics by Jurisdiction

July 7, 2022 Florida Covid Stats: What Is Really Happening?

On July 6, 2022, the FDA granted pharmacists the authorization to prescribe Paxlovid, citing the need to begin treatment within 5 days of symptoms developing.

However, the agency does recommend seeing a physician first whenever possible.

MedPage: FDA Gives Pharmacists Thumbs Up for Paxlovid Prescribing

On December 8, 2021, the FDA issued an Emergency Use Authorization (EUA) for Evusheld, a monoclonal antibody developed to protect people over the age of 12 with severe immunosuppression against infection.

Due to the scarce supply, people with certain cancers or who have received organ transplants receive the highest priority.

Governor DeSantis announced the new preventative was available on December 17th, when Covid was raging through Miami-Dade County.

However, the first shipments went to a small private fee-based clinic in Broward County, not to a major medical center. People flew from out of state to receive it.

A spokesperson for the state claimed the iCare Clinic received priority because it was open on Christmas and New Year’s Day.

Jackson Memorial, the hospital in Miami with the most transplant patients in FL, was to receive it four weeks later. Before that time, 11,000 doses had already been shipped to the state.

FDA: FDA Authorizes New Long-Acting Monoclonal Antibodies for Pre-Exposure Prevention of COVID-19 in Certain Individuals

Governor’s Office: Governor DeSantis Highlights New Preventative Monoclonal Antibody for Immunocompromised Patients

Stat: A Tiny Florida Company Got more of a Scarce Covid Therapy than Some Big Hospitals, Raising Equity Questions

Miami Herald: Florida Sent Scarce COVID-19 Therapy to a Private Broward Clinic before Jackson Memorial

Local 10: Jackson, UM Hospital to Receive Shipments of Monoclonal Antibody Doses for Immunodeficient Patients

Public Health Emergency: State/Territory-Coordinated Weekly Distribution of COVID-19 Therapeutics

Evusheld appears to remain effective against the newer omicron subvariants but at a much higher dosage.

On June 29th, the FDA revised the dosage of each component of Evusheld and recommended repeating the shots every 6 months:

MedRxiv: Further Antibody Escape by Omicron BA.4 and BA.5 from Vaccine and BA.1 Serum

Stanford Univ: Coronavirus Antiviral and Resistance Database

FDA: FDA Authorizes Revisions to Evusheld Dosing

Florida received a monthly allocation of 12,336­­ doses of Evusheld on June 25th:

HHS: COVID-19 Therapeutics by Jurisdiction

.

.

Covid Hospitalizations in Florida:

You won’t find any hospitalization information on Florida’s Weekly Surveillance Reports. Florida stopped reporting Covid hospitalizations on June 4, 2021.

However, Florida must relay all hospitalization data to the US Department of Health and Human Services (HHS).

Florida reported a record 13,028 hospitalizations for Covid-19 on August 24, 2021, to the US Department of Health and Human Services.

COVID Data Tracker: New Admissions of Patients with Confirmed COVID-19 per 100,000 Population by Age Group

Since the omicron variants became predominant, hospital officials are seeing more incidental Covid cases among people who are in the hospital.

Roughly one-third are admitted for a primary diagnosis of Covid; one-third for a Covid infection making an underlying condition worse; and one-third for reasons unrelated to their viral infection.

WaPo: In the Nation’s Hospitals, this Covid Wave Is Different

MedPage: When COVID Pushes Other Conditions Past the “Tipping Point”—Is the Patient Hospitalized “for” COVID, “with” COVID, or Somewhere in Between?

.

.

For August 1, 2020–July 14, 2022, Florida has had 451,224 new hospital admissions for Covid patients. This represents 9.1% of all Covid admissions for 6.6% of the US population.

During July 8–14, 2022, there was an average of 725 admissions per day, a total of 5,122. That was an increase of 7% from the previous week (4,711; 679/day).

Nevertheless, that was 68% fewer compared to the peak during August 11–17, 2021, when there were 10.42 admissions/100,000 Floridians:

You can find more detailed hospitalization statistics on the same CDC COVID Data Tracker, choosing Florida as the Jurisdiction and stratifying by any age:

On July 14, 2022, hospitalization admission rates rose with increasing age. The amount of change this week ranged from -8% (ages 18–29) to 23% (50–59). Pediatric admissions increased 1% from a week earlier.

Compared to the delta variant wave we encountered in 2021, omicron admissions have been higher for people younger than 30 and older than 69.

On July 7th, there were 3.39 new admissions/100,000 Floridians; 3.12 the week before:

AGEADMISSIONS% CHANGE
0–170.69    1
18–291.10 -8
30–391.64    9
40–491.62 -4
50–592.24      23      
60–694.467
70+10.307
all3.399
   

During August 1, 2020–July 14, 2022, there have been 14,213 pediatric hospital admissions with confirmed Covid in Florida, with 212 of those in the last week:

COVID Data Tracker: New Admissions of Patients with Confirmed COVID-19 per 100,000 Population by Age Group

.

.

Dr. Salemi is now publishing the hospitalization rankings for every state and Washington DC for each age group over time.

On July 14th, Florida was the worst in the nation for adult Covid admissions (every day since 6-6-22), 3rd worst for adult hospitalizations; 5th worst for adult ICU patients, 3rd worst for pediatric admissions; and 17th for pediatric hospitalizations:

Salemi USF: COVID-19 Hospitalizations in Florida

When Florida officials refused to preorder vaccines for young children, the state was the 2nd worst in the US for pediatric admissions:

June 13–30, 2022

June 30, 2022 Florida Covid Stats: What Is Really Happening?

.

.

Adult hospitalizations and admissions in Florida have risen steadily over the last eight weeks.

On July 15, 2022, 3,972 adult Covid patients were hospitalized (+9%).

The state has had seven straight weeks with the worst ranking for adult admissions, with 709 adult admissions per day (+6%).

Following a week of improvement, adult hospitalizations returned to 3rd worst. Ten percent of hospitalized adults needed ICU care, falling by 1% to 400.

Pediatric Covid hospitalizations are 9% higher on July 14th than a week earlier, with 78 children in the hospital.

There were 49 pediatric admissions on that day (no change). Florida’s pediatric admissions rank remained 3rd worst in the US.

One in 8 admissions are for children, down from 1 in 4 on April 15th:

Salemi USF: COVID-19 Hospitalizations in Florida

April 22, 2022 Florida Covid Stats: What Is Really Happening?

.

.

Here is the most recent county-level data from the CDC. You can click on their web site’s map to see specific information for each county.

On July 13th, Orange County—where Disney is located—had 257 new hospital admissions in the last 7 days (+17%).

Miami-Dade had 689 (-1%); Broward had 495 (-1%); Palm Beach had 379 (+22%); and Hillsborough had 403 (-2%):

CDC: Florida Confirmed COVID-19 New Hospital Admissions by County

This is the percentage of change in hospital admissions by county as of July 13th. The locations with the largest increases are in the Panhandle:

CDC: Percent Change in Hospital Admissions by County

.

.

HHS tracks Hospital Utilization.

On July 15th, 79% of hospital beds in Florida were full (+2%).

Covid patients accounted for 4,341 of them (7.5% of utilized beds, up from 6.9%).

A week earlier, there were 4,035 hospitalized Covid patients, so there were 8% more inpatients with Covid:

6.9% percent of ICU beds in use in Florida were used by 412 Covid patients, 2% fewer than a week earlier (421; 6.7%). This represents 9% of hospitalized Covid patients.

Overall, 74% of ICU beds are occupied in the state, up from 73% on July 8th:

HHS: Hospital Utilization by State

July 7, 2022 Florida Covid Stats: What Is Really Happening?

Many hospitals are publishing their own occupancy statistics. For example, Tampa General Hospital released this on July 15th:

  • There were 69 Covid-19 admissions, up from 60 a week before
  • 8 Covid patients were in their ICU, down from 13 a week earlier

Tampa General: Hospital Bed Availability for COVID-19 Patients

July 7, 2022 Florida Covid Stats: What Is Really Happening?

Archived posts on Florida Covid statistics are available here

Florida Covid Statistics: What is Really Happening?