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COVID-19 2nd wave - Texas only - Stats and such


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9 hours ago, scottsins said:

Define “effective vaccine” and why don’t you think we will have one for this virus?

I see no reason to think that we will not have an effective vaccine. The early phase studies demonstrate an immune response. There are some wrinkles from some of the animal studies, but I don't see any reason to throw your hands up in the air. I don't think that our prior coronavirus experience really informs the current situation. 

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We will have a vaccine by 1Q2021.  If not, we get on the sweden program.

I’m skeptical of the timing of a vaccine. But vaccine or not, come Spring of 2021 our country as a whole will say, “We’re done folks.” 

These.
We don’t have the patience as a people to go much past the new year (who are we kidding....we barely had the patience to go a couple of weeks).
I’d add in the possibility of cheap and easy saliva tests making it more feasible to open some other activities - universities, etc - to a greater degree sometime late fall.
The question will be how the rest of the world deals with us. Will Americans be able to freely move about the globe? It’s gonna take a widespread vaccine for that.
And, punchline: I think the antivaxxers are gonna freak, because a lot of countries are going to flat-out say “no vaccine, no entry.” You’re free to be an irrational idiot here, but Germany ain’t having none of your shit.
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12 hours ago, Anastasis said:

We will have a vaccine by 1Q2021.  If not, we get on the sweden program.

I'm still in on Nov(late) but agree for widespread availability we are talking Jan/Feb.

footnote...we are already on the sweden program, IMHO.

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49 minutes ago, Brisketexan said:

 


These.
We don’t have the patience as a people to go much past the new year (who are we kidding....we barely had the patience to go a couple of weeks).
I’d add in the possibility of cheap and easy saliva tests making it more feasible to open some other activities - universities, etc - to a greater degree sometime late fall.
The question will be how the rest of the world deals with us. Will Americans be able to freely move about the globe? It’s gonna take a widespread vaccine for that.
And, punchline: I think the antivaxxers are gonna freak, because a lot of countries are going to flat-out say “no vaccine, no entry.” You’re free to be an irrational idiot here, but Germany ain’t having none of your shit.

 

anti vaxxers are a pretty small number.  sure like any small number idiot group these days they can amplify.  I'm guessing the vast majority of anti vaxxers aren't headed out of country anyway.

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13 hours ago, Surly Bevo said:

So let’s say there is no good vaccine solution by say March 2021. What then. At some point behind the scenes do we start prepping for full blown reopening and letting it roll (ie creating massive increase in ability to deal with sick and very sick while at the same time prepping the country for the idea that a terrible death toll will be part of the equation). I say all that under the thought that we have zero ability to maintain current state past that time frame (economically, psychologically, emotionally, personal responsibility etc etc etc). We can barely do it as a society now.

We need leadership at all levels that isn't fucking wishy-washy about masks, or more importantly, that doesn't fight local mask ordinances or restrictions on the size of gatherings or business capacity.  Even as Georgia is rising in cases, the governor is still vowing to fight local municipalities over masks and capacity/gatherings.  And we here in Texas saw how state leadership was very publicly fighting local officials until things got really bad.  We need more people to see masks as a medical necessity instead of a fucking political statement, so that we don't reach the point where things get really bad.

Hell, yesterday I was at my kids' soccer practice, and there was a woman there who had no mask in sight, and was bitching loudly that she shouldn't have to wear a mask when she's outdoors, even if she's around other people, and that we shouldn't listen to the media.  She was within a few feet of other people and was just raging about it.  Nobody was asking the bitch to wear a mask while out jogging or riding her bike, but when she's going to be around other people, including walking past people on the sidewalk, she can fucking wear one.

We could have reopened far more than we have, and earlier, if only people would fucking wear masks, practice good hygiene, keep a little distance, and just be respectful of their fellow Americans.

Edited by atomheartbevo
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5 minutes ago, atomheartbevo said:

It's pretty fucking sad that there are so many fucking snowflakes who have a problem with a little piece of fabric, when that little piece of fabric, and being nice towards your fellow human beings, could get us open earlier.

I thought I was about to see a fight at Costco Liquor in Cedar Park last week. My wife and I were the only people in the store. A black man came in with a mask around his neck and the clerk asked him to wear his mask. The guy said he would in a minute and the clerk said he needed to do it now if he wanted to shop. So the guy pulled his mask over his mouth without covering his nose. The clerk asked him to wear the mask properly and the guy flipped and said he was in healthcare and blah, blah, blah. The clerk was very calm and simply said that he could either wear the mask properly and continue shopping, leave, or stay and wait for security. The guy got in the clerk's face but then left without throwing punch. Sucked for the clerk who had a non-mask wearing mouth breather in his face. But, I was impressed with how calm he remained.

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TCAD updated deaths today for Travis Co. Added 38 deaths last week. Still ~82% of deaths come from 60 year old + age groups. See mortality rate below chart by age bracket.

image.png.a34e3c6db10aebe26de02e34ef517104.png

<1 (118 Cases) - 0 Deaths - 0% Mortality Rate

1 - 9 (713 Cases) - 0 Deaths - 0% Mortality Rate

10-19 (1,930 Cases) - 1 Death - 0.05% Mortality Rate

20 - 29 (6,363 Cases) - 2 Deaths - 0.03% Mortality Rate

30 - 39 (5,165 Cases) - 6 Deaths - 0.12% Mortality Rate

40 - 49 (3,920 Cases) - 13 Deaths - 0.33% Mortality Rate

50 - 59 (2,788 Cases) - 39 Deaths - 1.4% Mortality Rate

60 - 69 (1,600 Cases) - 74 Deaths - 4.63% Mortality Rate

70 - 79 (800 Cases) - 77 Deaths - 9.63% Mortality Rate

80+ (611 Cases) - 124 Deaths - 20.29% Mortality Rate

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54 minutes ago, atomheartbevo said:

but when she's going to be around other people, including walking past people on the sidewalk, she can fucking wear one.

Yeah she should wear a mask in that situation but that vector of transmission is not near the top of list in infectivity. It’s the birthday party in a 1200 sq ft house with 50 unmasked people including diabetics and cardiovascular diseased patients that makes me smh.

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Did a quick comparison of Travis County Mortality rate by age bracket for CV19 (it is very close to national avg) and the 2018-2019 flu season mortality rate.

I did two slices of the flu season mortality rate:

1) Deaths vs Medical Exam

2) Deaths vs Hospitalization

Hospitalization by age cohort is not something I have been actively been tracking (I have been looking at cases & deaths) but I do have mortality rate vs the total # of hospitalizations.

While the age brackets don't match exactly they are close for the 60+ cohort. CV19 looks to be much deadlier for this group than the flu. It is interesting to see that the flu (~74% of total deaths 65 year old+) and CV19 (~82% of deaths 60 year old +), largely kill old people.

Seeing all the huge parties with younger folks not wearing masks should really cause alarm as if they go home to parents/grandparents they have a good chance of killing them.

Age Group 10 to 19 20 to 29 30 to 39 40 to 49 50 to 59 60 to 69 70 to 79 >80 Total Total Hosp Only
CV19 Mortality Rate 0.05% 0.03% 0.12% 0.33% 1.40% 4.63% 9.63% 20.29% 1.40% 9.05%
Age Group 5 to 17 18 to 49 50 to 64 65+ Total          
2018-2019 Flu Mortality Rate W/Medical Exam 0.01% 0.06% 0.14% 1.48% 0.21%          
2018-2019 Flu Mortality Rate W/Hospitalization 1.00% 3.66% 5.79% 9.15% 6.96%          
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Is there good data yet about (and I acknowledge there are so many comorbidities out there and the correlation won't be know for a long whilte)...but regarding connection between overweight and deaths regardless of age bracket?  It's only anecdotal, but the outlier age mortalities (when they show kids through 60 years of age), it's striking to me that almost none of them were overweight.  All the time I've spent in senior centers, there's just not that many overweight 80 year olds.  They died off long ago from something else.  But the stats are bearing out this cohort of people over 75 who are obese.  And I'm just wondering who they are and then the weight profile of the under 75 cohort.  I guess the media uses outlier cases for ratings, but I also just know that people over 75 that have lived that long aren't that old because their BMI was so damn high.  I dunno, I haz confuse 

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22 minutes ago, Lobo said:

Is there good data yet about (and I acknowledge there are so many comorbidities out there and the correlation won't be know for a long whilte)...but regarding connection between overweight and deaths regardless of age bracket?  It's only anecdotal, but the outlier age mortalities (when they show kids through 60 years of age), it's striking to me that almost none of them were overweight.  All the time I've spent in senior centers, there's just not that many overweight 80 year olds.  They died off long ago from something else.  But the stats are bearing out this cohort of people over 75 who are obese.  And I'm just wondering who they are and then the weight profile of the under 75 cohort.  I guess the media uses outlier cases for ratings, but I also just know that people over 75 that have lived that long aren't that old because their BMI was so damn high.  I dunno, I haz confuse 

What I’ve seen is just some quick hit studies that say “obesity makes it worse”  

However I’ve not seen any kind of broad study that shows BMI of either

A) hospitalization or B) mortality. 

Edit - Belay that as the Annals of Internal Medicine just came out with a report that shows out of a sample of ~7000 people that BMI does have an effect on mortality.

Those with high BMI are 4x more likely to die than those with lower BMI. In addition those that are younger & male with high BMI scores are much more likely to die than those with lower BMI. (In particular those 40-60 years of age)

I will plot it out in a chart on my next post. It is an interesting read.

 

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Ok - Rather than me chart it out. Here is a clip from the study. It is bucketed by <60year old & 60 year old +. Then you can see the BMI buckets and the mortality rate by each.

BMI > 30 is considered obese, anything over 40 is severely obese. You see a significant increase in likelihood of death among those with higher BMI scores <60 years old. Less so for those >60. I think that is frankly due to fact that those >60 are screwed to some degree already in terms of their mortality rate so BMI really doesn't impact there as badly as in those folks that are younger. They way to read this is that the line is a risk factor of 1 and the bars show the range and the composite risk factor that the BMI score applies.

image.thumb.png.90c19a0213f0df8d3451aea4621f08b5.png

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Yeah she should wear a mask in that situation but that vector of transmission is not near the top of list in infectivity. It’s the birthday party in a 1200 sq ft house with 50 unmasked people including diabetics and cardiovascular diseased patients that makes me smh.

What if she wanted to French kiss him tho?
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1 hour ago, GreenspointTexas said:

Why would BMI not have an effect on mortality?

 

being fat kills you earlier, makes you more prone to getting cancer, and makes it harder for you to breathe. Of course being fat is going to be a risk factor for death with a respiratory virus

It does. See chart i posted above. 

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5 hours ago, Bartles said:

Dallas tossing in 5K new cases due to "coding error" may not help the stats. Clay says they're mostly from July

 

 

4 hours ago, Message Board User said:

And some from March and April...

This is the kind of shit that should make the conspiracy nuts perk up.

But TexAgs is too busy studying the architecture of Epstein's properties.

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As happens every now and then in Travis county you see a drop in a bucket by 1 or 2. Day over day, the 80+ group dropped by 2 so there must have been some coding error that was caught.

<200 cases yesterday for Travis County so nice start to the week (down ~100 week over week). Big jump albeit on small numbers in the 1-19 year old brackets with these two brackets exceeding their normal contribution by 10pts vs normal.

Age Bracket <1 1 to 9 10 to 19 20 to 29 30 to 39 40 to 49 50 to 59 60 to 69 70 to 79 >80 Total
New Cases 8/16 vs 8/15 0 9 17 33 35 26 11 3 3 -2 135
% of Daily Change 0.00% 6.67% 12.59% 24.44% 25.93% 19.26% 8.15% 2.22% 2.22% -1.48%  
% of Total Cases 0.49% 2.99% 8.06% 26.49% 21.54% 16.34% 11.59% 6.64% 3.33% 2.52%   24,143
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So has there been any official explanation of how in the fuck the State had a "backlog" with "coding errors" resulting in all these new reported cases (another 1000+ in Dallas today from June)?  What a disgrace.   Just more proof you can't pay attention to anything other than hospitalization data (which continues to be trending lower in Dallas at least).

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9 hours ago, BrazilHorn said:

As happens every now and then in Travis county you see a drop in a bucket by 1 or 2. Day over day, the 80+ group dropped by 2 so there must have been some coding error that was caught.

<200 cases yesterday for Travis County so nice start to the week (down ~100 week over week). Big jump albeit on small numbers in the 1-19 year old brackets with these two brackets exceeding their normal contribution by 10pts vs normal.

Age Bracket <1 1 to 9 10 to 19 20 to 29 30 to 39 40 to 49 50 to 59 60 to 69 70 to 79 >80 Total
New Cases 8/16 vs 8/15 0 9 17 33 35 26 11 3 3 -2 135
% of Daily Change 0.00% 6.67% 12.59% 24.44% 25.93% 19.26% 8.15% 2.22% 2.22% -1.48%  
% of Total Cases 0.49% 2.99% 8.06% 26.49% 21.54% 16.34% 11.59% 6.64% 3.33% 2.52%   24,143

Is this possibly school or is it too early?  Seems too early.

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1 minute ago, Liquor and Poker said:

Is this possibly school or is it too early?  Seems too early.

I think too early. My supposition is these are camp based/typical summer kids getting out of house etc. Last camps came home ~7-10 days ago so this is about when they would present with infection etc.

We may also see a run up as parents may be testing kids in advance of school in order to quarantine prior to sending etc

Will definitely be interesting to see if we see big spike in UT zip code & in the school age brackets.

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8 hours ago, Skipper said:

So has there been any official explanation of how in the fuck the State had a "backlog" with "coding errors" resulting in all these new reported cases (another 1000+ in Dallas today from June)?  What a disgrace.   Just more proof you can't pay attention to anything other than hospitalization data (which continues to be trending lower in Dallas at least).

Something is completely fucked. I gave up on thinking I could figure anything out from the data a few weeks ago. At this point I don’t think the hospitalization data is right either, at least here in Nueces. If it is right then we have a weaker strain going on.

so I’m back to watching new cases, which we know isn’t right, but at least you can see a trend. We are flat basically, but down somewhat since last month. I still think October is going to be brutal.

fun links

https://www.cctexas.com/sites/default/files/20200814-Public-Health-Briefing.pdf

https://www.cctexas.com/sites/default/files/8-14-20-TAMUCC-COVID-19.pdf

These numbers pretty clearly aren’t right but they keep moving the 7 day average. That data dump is throwing everything off.

 

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These numbers don’t make sense. I’ll guess 325 for tomorrow unless the state decides to dump more. Corpus still has a problem and resuming school will just add to the fun.

7/6
288 new cases
269/88 hosp/icu
18.68% positive cumulative

7/7
388
285/88
20.23%

7/8
445
302/103
21.24%

7/9
343
332/93
22.38%

7/10
412
344/93
24.13%

7/11
293
351/98
24.8%

7/12
209
338/100
25.46%

7/13
253
331/96
25.46

7/14
605
326/83
25.46 -we obviously broke it and they stopped reporting it

7/15
500
339/106
 
7/16
329
387/109

7/17
310
379/111

7/18
236
388/109

7/19
172
383/122

7/20
237
380/116

7/21
289
408/121

7/22
502
408/134

7/23
354
421/157

7/24
175
430/157

7/25
215
410/156

7/26
66
422/152

7/27
230
414/152

7/28
254
401/152

7/29
259
397/147

7/30
230
387/144

7/31
356
358/133

8/1
177
343/129

8/2
97
321/127

8/3
238


8/4
249
332/131

8/5
259
326/132

8/6
231
306/126

8/7
436
294/136

8/8
85
302/128

8/9
1171
290/120

8/10
508
278/111

8/11
308
275/114

8/12
506
264/107

8/13
169
259/102

8/14
124
259/102? Not updated?

8/15
351
229/85

8/16
166
231/82


8/17
80
230/87


 

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If it was anyone other than the State of Texas, I would wonder why no one was spot checking the numbers to make sure the totals that were being spit out jived with what was being fed in.  Anything involving the State and a computer is a guaranteed clusterfuck though, so this isn't surprising.

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Here is the day over day change for Travis County by age group. Fairly standard distribution vs the total share by age group across cases.

Back into the 200-300 range (264) in terms of case count. This is 35 more cases than reported a week ago. I believe that by and large somewhere between 200-300 cases/day seems to be new normal.

Age Bracket <1 1 to 9 10 to 19 20 to 29 30 to 39 40 to 49 50 to 59 60 to 69 70 to 79 >80 Total
New Cases 8/17 vs 8/16 0 3 24 82 68 35 27 16 4 5 264
% of Daily Change 0.00% 1.14% 9.09% 31.06% 25.76% 13.26% 10.23% 6.06% 1.52% 1.89%  
% of Total Cases 0.48% 2.97% 8.08% 26.54% 21.58% 16.31% 11.58% 6.63% 3.31% 2.52%   24,407
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https://www.kbtx.com/2020/08/15/texas-is-not-tracking-coronavirus-data-in-the-classroom-as-schools-reopen/

Quote

As schools across Texas open their doors, the state is currently not tracking COVID-19 data provided by districts.

Leaders from both College Station and Bryan school districts say they have a plan in case someone in their schools contracts COVID-19.

“No plan can cover everything,” said Dr. Seth Sullivan, Brazos County Alternate Health Authority. “We know that. These administrators care about these kids. They care for their teachers. They care about their parents and they have put in the effort. There is no doubt about it.”

The plan includes reporting the information to the Brazos County Health District, which “follows with applicable federal, state and local laws and regulations, including confidentiality requirements of the Americans with Disabilities Act (ADA) and Family Educational Rights and Privacy Act (FERPA),” according to both College Station ISD and Bryan ISD.

Quote

In a statement, the Texas Education Agency, the body that oversees both primary and secondary public education, said they are in active discussions on the idea of COVID-19 data collection from schools and if they will provide that information to the public.

“This question on data collection is still under active deliberation by the agency, and we expect to have an update in the coming weeks on what, if any, data will be required and how it will be recorded.”

 

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On 8/17/2020 at 5:14 PM, Skipper said:

So has there been any official explanation of how in the fuck the State had a "backlog" with "coding errors" resulting in all these new reported cases (another 1000+ in Dallas today from June)?  What a disgrace.   Just more proof you can't pay attention to anything other than hospitalization data (which continues to be trending lower in Dallas at least).

Hey, look man, it was only 500,000 tests we are talking about, that had "coding errors", the state is trying it's best!

https://www.kxan.com/news/texas/coding-errors-meant-504000-covid-19-test-results-were-not-previously-reported-to-the-state-dshs-says/

Quote

The Department of State Health Services said it has been working to address multiple coding errors that have lead to backlogs of testing data being reported by the state.

Most recently, DSHS discovered over the weekend that Walgreens experienced a coding error in its test reporting. Once the issue was resolved, 59,000 test results filtered through the state’s system.

Quote

DSHS spokesperson Lara Anton said the backlog did not affect patient notification, however. “Patients are notified by their health care provider. So, they were notified when their test results came back,” Anton explained.

Quote

The first issue arose when the state’s processing system was only able to take in 48,000 tests per day, which was an issue when the state was testing more than 60,000 people a day in July. According to DSHS, the system was upgraded Aug. 1, and is now able to take in 100,000 a day.

Quote

That backlog was then cleared within the first week of August, according to DSHS. 

Then, DSHS said there was a coding issue with Quest Diagnostics’ labs. Quest began reporting in two different data streams, and there was a coding issue with the new second stream, which was not able to upload into the state’s system.

Quote

DSHS said once it was able to find the error with the code, 350,000 results came in from Quest which was still being processed early last week.

Quote

Quest Diagnostics issued the following statement, explaining it initially learned of the error in May and it has since been resolved: 

This was not a Quest reporting issue. The Texas department of health changed its PHINMS server (where the public health ELRs are sent) in preparation for moving HL7 2.5.1 feed into production and did not tell Quest about the new PHINMS server, so Quest was sending the HL7 2.3.1 feed to their old PHINMS server not realizing that Texas DOH wasn’t receiving them. We were first alerted on May 7 that there was an issue. We immediately worked with Texas DOH to trouble shoot the issue that day. The data feed issue has since been resolved.

QUEST DIAGNOSTICS

Quote

DSHS reported another lab for a hospital system in Northeast Texas, Christus Meditech, also had a coding error. That caused another 95,000 results to come through the system once the issue was resolved.

These backlogs are causing issues for local health departments across the state.

“Local health departments are having to cross-reference these test results to figure out if it’s a duplicate notification, or if it’s an older but previously unreported case that they need to include into their case counts,” Anton explained.

Quote

“We expect that’ll be a few more days before we really see the sort of the final downstream of these three backlogs where they all show up in case counts for local jurisdictions,” Anton said.

DSHS said these backlogs could also explain why the state’s 7-day positivity rate increased so much this month.

Of course, this means that even as things were really bad this summer, they were probably a lot worse than what was being said.

 

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1 hour ago, atomheartbevo said:

Hey, look man, it was only 500,000 tests we are talking about, that had "coding errors", the state is trying it's best!

https://www.kxan.com/news/texas/coding-errors-meant-504000-covid-19-test-results-were-not-previously-reported-to-the-state-dshs-says/

Of course, this means that even as things were really bad this summer, they were probably a lot worse than what was being said.

 

Actually, it just mean things were more widespread.  Kind of along the lines with the 10x assumption from CDC.  It means the virus is more widespread and less deadly once we get some therapeutics and a vaccine.  

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Travis county jumped over 300 cases yesterday with 349. Last week Tuesday was 296 cases so even with the normal Tuesday true up this is a high day and the highest day since July 21st.

Fairly even distribution across the age groups so no real "A-has" here.

Age Bracket <1 1 to 9 10 to 19 20 to 29 30 to 39 40 to 49 50 to 59 60 to 69 70 to 79 >80 Total
New Cases 8/18 vs 8/17 2 10 26 99 82 59 35 24 8 4 349
% of Daily Change 0.57% 2.87% 7.45% 28.37% 23.50% 16.91% 10.03% 6.88% 2.29% 1.15%  
% of Total Cases 0.48% 2.97% 8.07% 26.57% 21.61% 16.32% 11.56% 6.64% 3.29% 2.50%   24,756
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  • immamac changed the title to COVID-19 2nd wave - Texas only - Stats and such

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