Clark County COVID-19 positives as of Thursday, Apr 29th:

243,550, ⬆️395 from 243,155 (4/28)

• Clark County Positivity Rate: 5.6% (4/28), 5.6% (4/27), 5.5% (4/26)
• SNV Hospital Capacity: 70% (4/25), 71% (4/24), 72% (4/23)

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14-day tracking estimates:

• Active Cases: 4257
• Hospitalized: 280

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SNHD reports 95.6% (242,931, ⬆️296 from 242,635 (4/28)) of cases have recovered.

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SNHD weekly flu snapshot (week 15: 4/11 thru 4/17):

Age / Deaths / Hospitalized

• 0-4 / 0 / 1
• 5-17 / 0 / 0
• 18-24 / 0 / 1
• 25-49 / 0 / 6 ⬆️1
• 50-64 / 0 / 9 ⬆️1
• 65 / 6 / 24 ⬆️1
• Total / 6 / 41 ⬆️3
• 2019-2020 Cases: 1483
• 2018-2019 Cases: 924

41 influenza-associated hospitalizations and 6 deaths. Approximately 40% area ER and urgent care visits were adults (age 18-44) for flu symptoms. Influenza A is the dominant strain.

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Total Hospitalized: 11,958, ⬆️42 from 11,916 (4/28)

• ICU: 4178, ⬆️8 from 4170 (4/28)
• Intubated: 2058, ⬆️3 from 2055 (4/28)
• Deceased while hospitalized: 3624, ⬆️8 from 3616 (4/28)

*Hospitalized excludes deaths

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Total Deaths: 4295, ⬆️11 from 4284 (4/28)

(2882 with underlying medical conditions)

Not mutually exclusive conditions:

• Hypertension 1854⬆️
• Immunocompromised 144
• Chronic Heart Disease 874⬆️
• Chronic Liver Disease 103
• Chronic Kidney Disease 629⬆️
• Diabetes 1376⬆️
• Neurologic/Neurodevelopmental 330
• Chronic Lung Disease 707⬆️
• Historically Healthy 260
• Other 1096⬆️

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Positive Results Age Range Breakdown:

• 0-4 5056⬆️5 2.08%
• 5-17 23311⬆️47 9.57%
• 18-24 30624⬆️48 12.60%
• 25-49 111388⬆️191 45.70%
• 50-64 47137⬆️77 19.40%
• 65 25951⬆️27 10.70%
• Unknown 83 0.03%

MIS-C Cases 64

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School Cases (4/29)

Total: 1315 NC; Past 2wks: 71 ⬇️13

• Staff 653 NC; 14 ⬇️8
• Students 662 NC; 57 ⬇️9

Public: 831 NC; 69 ⬇️11

• Staff 474 NC; 13 ⬇️2
• Students 357 NC; 56 ⬇️9

Private: 484 NC; 2 ⬇️2

• Staff 179 NC; 1 ⬇️2
• Students 305 NC; 1 NC

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Hospitalized Age Range Breakdown:

• 0-4 101⬆️1 0.60%
• 5-17 177 1.10%
• 18-24 332⬆️1 2.10%
• 25-49 3620⬆️12 23.20%
• 50-64 4327⬆️23 27.80%
• 65 7023⬆️13 45.10%
• Unknown 2 0.00%

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Deaths Age Range Breakdown:

• 0-4 0 0.00%
• 5-17 4 0.10%
• 18-24 7 0.20%
• 25-49 295 6.90%
• 50-64 839⬆️2 19.50%
• 65 3150⬆️9 73.30%

Test result average turnaround time is < 24-hours with UMC/SNHD sites. CVS is averaging 2 to 3 days.

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Expect weekend case report lag. "Daily case counts reflect newly reported cases and may represent cases that were tested in the preceding days, which could significantly impact the count on days when a relatively large number of laboratory reports arrive in one day." SNHD confirmed they are not counting COVID-19 antibody positives into their COVID-19 positive case counts.

Majority of information is pulled from Southern Nevada Health District's COVID-19 dashboard and historical reports. Including NV Health Response CV19 Tracker.

Our positives are averaging 300/day, our recovery rate remains steady (90 % range), our hospitalizations remain steady (<400).

SNHD dashboard includes "Place of Possible Exposure" tab, listing cumulative and last 30 days cases in establishments.

Top 10 Places of Possible Exposure

(Last 30 days) (4/29)

1. Other (1428 ⬆️40)
2. Food Establishment (873 ⬆️3)
3. Grocery Store (626 ⬆️12)
4. Work (579 ⬆️12)
5. Casino (575 ⬆️16)
6. Medical Facility (544 ⬆️6)
7. Hotel/Motel (528 ⬆️15)
8. School (416 ⬆️19)
9. Air Travel (270 ⬇️1)
10. Gas Station (80 ⬆️6)

Nevada Hospital Association 2021 week 18 report summary:

• Admissions have dropped from a (2021) high of 181 per day to less than 50 people per day
• Hospitals anticipate increases as restrictions are lightened. They have learned to adapt to treat CV19 patients.
• Confirmed CV19 SNV: 254 (4/27)
• Hospitalized CV19 SNV: 303
• ICU: 56
• Ventilator Req: 34
• CDC announces surface transmission is considered low. Little evidence supporting routine use of disinfectants. Soap & water once per day is sufficient. (Wk15 report)

Source (weekly, every Wed): https://nvha.net

Protect our vulnerable and continue to practice good hygiene habits, including wearing a mask to prevent asymptomatic spread as mandated by Governor Sisolak (onus is on businesses, which we want to keep open, but Metro will not enforce it; OSHA is responsible for mask enforcement by fining the business). To report a non-compliant business through the state, call (702) 486-9020.

CV19 mandates to switch from state control to county control by May 1st. Social distancing measures to be determined by counties on May 1st. Clark County approved mitigation measures on Tuesday, April 20th at 9am. Full capacity goal is expected to be June 1st. "The Nevada Gaming Control Board will continue to set the rules for gaming floors and casinos. The board has stressed vaccine penetration among employees is key to casinos reopening." Source.

Nevada task force approves Clark County COVID-19 mitigation plan (4/27). Source.

Changes to expect:

• Decrease social distancing from six feet to three feet
• Remove all social distancing and capacity guidelines once 60% of population has received at least one vaccine dose
• Private gatherings & events
  • From 10 indoors/25 outdoors to -> CDC guidance for those vaccinated
• Food & Beverage establishments
  • From 50% occupancy to 80% occupancy
  • Seating: from 6 per table to 12 per table
  • No change in bar seating
  • Self service buffets: from prohibited to each station supervised by employee, hand sanitizer offered to patrons prior to tableware, service utensils changed out every hour
  • Food table preparation: from prohibited to possible as long as patrons are wearing face coverings while food is being prepared
• Gyms/Studio locker rooms
  • Community showers, saunas, vapor baths, salt therapy rooms, hot tubs, spas and other communal areas were prohibited to pools, hot tubs and spas may open (50%), the rest remain prohibited
  • Equipment not socially distanced can be used if facility follows conditions: limitation number of occupants, staff/supplies present disinfectant for high touch areas, adequate ventilation, routine cleaning & disinfecting of equipment
• Adult entertainment establishments may operate under proposed measures: Face coverings for all employees/patrons when not consuming food/drink/smoking, employers must maintain housekeeping practices, daily surveys of staff health conditions, 12ft stage distanced if entertainer is not masked, and social distancing practices
• Night/Dayclubs: reopen with 50% restrictions, mask practices, daily survey on staff health, social distancing which means no dance floor

Doctors are doing convalescent plasma therapy treatments and are seeking plasma donors to help those in need. One plasma donation can help five patients. Blood donors can get the antibodies testing done for free through Vitalant.

US FDA emergency use authorized treatments are: Remdesivir, Dexamethaaone, Regeneron's antibody cocktail (REGEN-COV2), and Eli Lilly's antibody treatment: baricitinib - a combination of Veklury and the JAK inhibitor Olumiant.

City Serve coordinates testing sites throughout the valley. Testing is only on Saturdays. Schedule a no-cost test here: https://cityservelv.org/

UMC, E7 Health and local laboratories are able to conduct FDA approved antibodies testing. Cost is normally $149 , but your insurance may reimburse you for the test. Check your coverage first. Vitalant/Universal Blood Services will do a free antibody test for any eligible donors.

UMC is able to process 4,000 tests per day. It is encouraged for anyone to be tested. Symptoms are no longer required. Appointment is preferred, walk-up testing is available.

UMC's testing sites are inside Stan Fulton Building and Las Vegas Convention Center. They can do 1,200 tests per day, Tues-Sat 8am to 4pm. No symptoms, insurance, or citizenship required for testing; requesting insurance coverage as of 1/11. Schedule an appointment online through UMC's website (www.umcsn.com). Sites are walk-in, appointment or walk-up. Both sites now use the self-nasal swab test kits. Families can be tested as one household together.

UMC's COVID-19 test guidelines:

• After positive test, no follow-up test is needed after 7-day isolation period asymptomatic; or 10-day with symptoms and no fever after 24 hours.
• If employer requires a negative test in order for employee to return to work, then employer provides the test

Guidelines are to save test kits for those exhibiting symptoms.

See all testing locations on the SNHD website.

All CVS pharmacy drive-thru locations can also testing, no cost should be associated. Validate with your insurance. If no insurance, there should be no charge. Requires an appointment.

FDA officially grants emergency-use authorization of the Pfizer-BioNTech vaccine (12/11/2020). Distribution of vaccine began (12/14/2020).

The first vaccine was tested 3/16/2020. Pfizer claims their vaccine is more than 95% effective. Moderna vaccine claims about 94.5% effective. Oxford/AstraZeneca vaccine is 70% to 90% effective based on dosage program (single dose versus duo dose). Johnson & Johnson (aka Jensen) vaccine is 86% effective; with 100% hospitalization prevention, including deaths. Blood clots are as prevalent with Pfizer and Moderna as with AstraZeneca (Source).

Vaccine distribution has been expanded:

• 4/5: Everyone.

Schedule an appointment at: www.vax4nv.nv.gov

Want a specific vaccine? This site shows: https://vaccinefinder.org/search/

Total doses administered (NV/Clark): 2,026,997 (4/29) / 1,354,962 (4/28)

• 1st dose stage (NV/Clark): 1,126,711 Pop: 45.07% / 817,482 Pop: 44.75%
• 2nd dose stage (NV/Clark): 793,693 Pop: 31.75% / 585,647 Pop: 32.06%

Source.

Cashman Center and Las Vegas Convention Center are the vaccine mega centers; capable to distribute 40k to 45k shots per week (about 4k per day per site).

Cashman Center will stop vaccine distribution on May 5th. All will switch to Las Vegas Convention Center. SNHD will deploy mobile strike teams throughout the valley for vaccinations.

Regional vaccine pop-up sites will be throughout the valley to provide access to those wanting the vaccine. Visit SNHD site for eligibility and to book your appointment online.

Seniors who need assistance scheduling for their COVID-19 vaccine, call 1-800-401-0946, 8am to 8pm, 7 days a week.

Las Vegas Convention Center is the main 2nd dose distribution center. Open Tues-Sat, Central Hall, for both Moderna & Pfizer. If you didn't receive a notification to get your 2nd dose, call 702-759-0850 to make your 2nd dose appointment.

UMC's vaccine mega center will be at Encore, near the parking lot of their convention center area. They are prepared to distribute hundred per day according to the state guidelines. Appointment is required.

North Las Vegas residents 70 and older can visit VaxNLV.com to fill out a simple intake form to enroll for vaccinations. Enrollment for these seniors will be open until Friday evening. Immediately after, the City will begin pre-enrollment for the general public. Seniors ages 70 or older who would like a vaccine may also call (702) 342-8417 for additional assistance, though wait times may be significantly longer than using the online, mobile-friendly platform.

Already vaccinated? Validate your own vaccine records here: ttps://izrecord.nv.gov

You cannot look up other people's info. The system requires you to input either your cell number or email to get a verification code in order for the system to show you your records. This only shows vaccinations you received in Nevada.

Remain mindful to give our medical community the ability to focus on those in need of their expertise to survive and combat the virus.

For Nevada COVID-19 metrics, with historical spreadsheet and graph data, visit: The Nevada Independent Coronavirus Tracking or check out the link in our side bar.