Covid 19 Watch

COVID-19 WATCH
Weekly Coronavirus Disease 2019 (COVID-19) Surveillance Report
March 2, 2021 Data through week ending 2/27/2021

Summary of Confirmed COVID-19 Cases, San Diego County Residents
Cases Deaths Outbreaks

260,356 3,303 1,882
Percentage in
Median Age Median Age Congregate
Settings
36 78
Range 0-108 Range 10-106 27%
COVID-19 Confirmed and Probable Cases by Onset* Week
Figure 1. COVID-19 Confirmed and Probable Cases by Week of Illness

Onset*, San Diego County Residents, N=272,151
30,000
Confirmed N=260,356
25,000 Probable N=11,795
20,000
15,000
10,000
5,000
0
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
7
8
9
1
2
3
4
5
6
7
8
Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb
2020 2021
CDC Week and Calendar Month

Confirmed Probable**
*When onset date is unavailable, specimen collection date, date of death, or date reported is used instead.
**Probable cases are antigen positive tests received since August 1, 2020.
Epidemiology and Immunization Services Branch

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COVID-19 WATCH

Table 1. Confirmed COVID-19 Cases and Deaths
Summary of San Diego County Confirmed COVID-19 Cases and Deaths
Confirmed cases 260,356 Deaths 3,303
Hospitalizations 13,122 (5%) Underlying Conditions 3,172 (96%)
Illness onset date range* 2/14/2020-2/27/2021 Death date range 3/21/2020-2/26/2021
Median age 36 years Median age 78 years
Age range 0-108 years Age range 10-106 years
Male 124,939 (48%) Male 1,941 (59%)
Female 133,369 (52%) Female 1,362 (41%)
Healthcare workers 11,470 (4%) Case Fatality Ratio 1.3%
Summary of Non-County Resident COVID-19 Cases
Confirmed cases 18,242 Hospitalizations 1,100 (6%)
Note: percentage hospitalized and healthcare workers are calculated based on the total number of cases; information may be unknown in some cases. Hospitalization
counts are likely underreported and may increase as additional information is obtained.
Demographic Summary of Confirmed COVID-19 Cases
Figure 2. Confirmed COVID-19 Cases by Age Group

San Diego County Residents, N=260,356
Cases Rate per 100,000 population

70,000 12,000
60,000 10,000 Rate per 100,000
50,000
8,000
40,000
Cases
6,000
30,000
4,000
20,000
10,000 2,000
0 0
0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+
Age in Years

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Demographic Summary of Confirmed COVID-19 Cases (continued)
Figure 3. Confirmed COVID-19 Cases by Sex and Age Group

Female Male
60,000
50,000
40,000
30,000
20,000
10,000
0
0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+
Age in Years
Figure 4. Confirmed COVID-19 Cases by Race/Ethnicity

San Diego County Residents, N=211,591*
Cases Rate per 100,000 population
140,000 18,000
120,000 16,000
14,000
Rate per 100,000
100,000
12,000
80,000
Cases
10,000
60,000 8,000
6,000
40,000
4,000
20,000 2,000
0 0
Hispanic or White Black or Asian Native American Multiple Race
Latino African Hawaiian/ Indian/Alaska
American Pacific Native
Islander
Race/Ethnicity
*Race and ethnicity are unknown for 48,765 cases.

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COVID-19 WATCH

COVID-19 Confirmed Case, Hospitalization, and Death Rates by Race/Ethnicity
Figure 5. Age-Adjusted Rates of COVID-19 Cases by Race/Ethnicity,

San Diego County Residents
Hispanic / Latino 11,536
White 3,850
Black 4,640
Asian 3,292
NHPI* 15,046
AIAN* 3,460
Multiple Race 2,477
Total 6,262
0 1,000 2,000 3,000 4,000 5,000 6,000 7,000 8,000 9,000 10,000 11,000 12,000 13,000 14,000 15,000 16,000
Figure 6. Age-Adjusted Rates of COVID-19 Hospitalizations by

Race/Ethnicity, San Diego County Residents
Hispanic / Latino 734
White 174
Black 384
Asian 203
NHPI* 856
AI/AN 213
Multiple Race 180
Total 330
0 50 100 150 200 250 300 350 400 450 500 550 600 650 700 750 800 850 900 950 1,000 1,050
Figure 7. Age-Adjusted Rates of COVID-19 Deaths by Race/Ethnicity,

Hispanic / Latino 187
White 53
Black 90
Asian 70
NHPI* 120
Multiple Race 46
Total 85
0 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150 160 170 180 190 200
The black lines represent the 95% confidence intervals (error bars). Rates are not calculated for less than 20 events.
*NHPI=Native Hawaiian/Pacific Islander, AIAN=American Indian/Alaska Native.
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COVID-19 WATCH

Confirmed COVID-19 Cases by Age and Week
Figure 8. COVID-19 Confirmed Cases by Age Group and Week of Illness

10,000
9,000
8,000
7,000
6,000
5,000
4,000
3,000
2,000
1,000
0
7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 1 2 3 4 5 6 7 8
2020 2021

0-19 years 20-39 years 40-59 years 60+ years
Figure 9. COVID-19 Confirmed Cases for Ages 0-18 Years by Week of Illness
1,400
1,200
1,000
800
600
400
200
0
7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 1 2 3 4 5 6 7 8
2020 2021

0-5 years 6-11 years 12-14 years 15-18 years

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COVID-19 WATCH

Confirmed COVID-19 Cases by Geography
Figure 10. Cumulative COVID-19 Rates by Zip Code of Residence,

San Diego County
(Countywide Rate = 7,768 per 100,000 Population)
Rates calculated using 2019 population estimates from the San Diego Association of Governments. Rates not calculated for counts under 5
cases or populations less than 10,000. Zip code is zip code of residence, which may not be location of exposure.
Case counts and rates for each zip code are updated routinely on the County of San Diego COVID-19 website.

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COVID-19 WATCH

Confirmed COVID-19 Cases by Geography (continued)
Figure 11. COVID-19 Rates by Zip Code of Residence, 2/14/2021-2/27/2021,

San Diego County
(Countywide Rate = 251 per 100,000 Population)
Rates calculated using 2019 population estimates from the San Diego Association of Governments. Rates not calculated for counts under 5
cases or populations less than 10,000. Zip code is zip code of residence, which may not be location of exposure.
Case counts and rates for each zip code are updated routinely on the County of San Diego COVID-19 website.

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COVID-19 WATCH

Confirmed COVID-19 Hospitalizations by Age and Week
Figure 12. COVID-19 Hospitalizations by Age Group and Week of Hospital

Admission, San Diego County Residents, N=13,122*
700
600
500
400
300
200
100
0
7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 1 2 3 4 5 6 7 8
2020 2021
*Admit date and age are unknown for some hospitalizations. Hospitalization counts are likely underreported and may increase as additional
information is obtained.
Summary of COVID-19-associated Deaths
Figure 13. COVID-19 Deaths by Week of Death

300
250
200
150
100
50
0
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 1 2 3 4 5 6 7 8
Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb
2020 2021

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COVID-19 WATCH

Summary of COVID-19-associated Deaths (continued)
Figure 14. Confirmed COVID-19 Cases and Case Fatality Rate

(All Age Case Fatality Rate=1.3%)
Cases Case Fatality Rate

70,000 20%
60,000
Case Fatality Rate

50,000 15%
40,000
Cases
10%
30,000
20,000 5%
10,000
0 0%
0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+
Age in Years
Figure 15. Common Underlying Conditions, COVID-associated Deaths
Hypertension 43%
Diabetes 35%
Cardiac Disease 28%
Dementia/Alzheimer's 21%
Chronic Kidney Disease 16%
COPD/Asthma 12%
Obesity 9%
Immunocompromised 7%
No Underlying Condition 3%
Persons may have more than one underlying condition. These data are abstracted from death certificates and available medical records and
may not reflect a complete list of underlying conditions for each person.

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COVID-19 WATCH

COVID-19 Potential Exposure Settings
Table 2. COVID-19 Potential Exposure Settings, San Diego County Residents
• The number of persons reporting potential exposures in community settings is an indication of movement of
persons during the 2-14 days prior to their onset of symptoms (or specimen collection if asymptomatic).
• Persons may be exposed in multiple settings, including in community exposure settings, in the household, in
educational settings, and during travel.
• Persons may have potential exposures in more than one community, household, or other setting.
• Potential exposure in any of these settings does not indicate a confirmed source of infection.
Last 2 Weeks Cumulative
Confirmed COVID-19 Case Summary
(2/14 – 2/27) (6/5 – 2/27)
Total Positive Cases 8,399 252,109
Number Interviewed 3,964 119,948
Selected Exposures among those with Completed
Interviews Count % Count %
Potential Community Exposure Settings a
At least one potential community exposure settingb 1,664 42.0% 52,095 43.4%
Bars and Restaurants 291 7.3% 8,152 6.8%
Casinos 32 0.8% 989 0.8%
Group Gatherings 54 1.4% 2,736 2.3%
Gyms 20 0.5% 473 0.4%
Hair Salons or Barbers 86 2.2% 2,083 1.7%
Places of Worship 76 1.9% 2,290 1.9%
Protests 0 0.0% 47 0.0%
Retail locations 332 8.4% 11,343 9.5%
Workplacesc 1,245 31.4% 38,064 31.7%
No potential community exposure setting reported 2,300 58.0% 67,853 56.6%
Average number of community settings visited 1.4 1.4
Range of community settings visited 1-10 1-24
Household Exposuresd 1,515 38.2% 44,068 36.7%
Any On-site Education-related Exposures 226 5.7% 4,656 3.9%
Childcare/Preschools 33 0.8% 1,080 0.9%
K-12 schools 144 3.6% 2,611 2.2%
Colleges/Universities 52 1.3% 1,060 0.9%
Any Travel-related Exposures 386 9.7% 16,186 13.5%
Travel within the United States 268 6.8% 9,909 8.3%
Travel to Mexico 109 2.7% 5,922 4.9%
Travel to Another International Location 2 0.1% 176 0.1%
a Potential community exposure settings are defined as indoor or outdoor locations in which cases came within 6 feet of anyone who was not a household
member for at least 15 minutes during the 2-14 days prior to symptom onset, even if the case wore a mask or facial covering. Potential exposure settings are
places case-patients visited during their exposure period, not confirmed sources of infection. Persons may have visited more than one location.
b Effective 11/24/2020, travel exposures are excluded from community exposure settings.
c Workplaces may include other community settings (e.g., bar/restaurant, hair salon, retail).
d Persons with household exposures reported having close contact with someone in their household with laboratory-confirmed COVID-19, though this was not
independently verified. Household exposures may have occurred outside the 2-14 days prior to symptom onset.

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COVID-19 WATCH

Emergency Department Data
Figure 16. Percent of Emergency Department Visit Chief Complaints for ILI,
Respiratory Symptoms, Fever, or COVID-like Illness* by Week, San Diego County
35
30
Percent of ED Visits
25
20
15
10
5
0
7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 1 2 3 4 5 6 7 8
2020 2021

Respiratory Symptoms Influenza-like Illness Fever COVID-like Illness*
Categories are not mutually exclusive. *COVID-like Illness includes fever and cough, shortness of breath, or difficulty breathing OR
coronavirus diagnostic codes.
Figure 17. Percent of Emergency Department Visit Chief Complaints for ILI,
Respiratory Symptoms, Fever, or COVID-like Illness* by Week, San Diego County
Among Patients Age 60 Years or Older
30
25
Percent of ED Visits
20
15
10
5
0
7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 1 2 3 4 5 6 7 8
2020 2021

Respiratory Symptoms Influenza-like Illness Fever COVID-like Illness*
Categories are not mutually exclusive. *COVID-like Illness includes fever and cough, shortness of breath, or difficulty breathing OR
coronavirus diagnostic codes.
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COVID-19 WATCH

COVID-19 Laboratory Test Positivity Rate
Figure 18. COVID-19 Testing Volume and Positivity by Week of Specimen

Collection, San Diego County
250,000 20
200,000
Number of Tests
15
Percent Positive
150,000
10
100,000
5
50,000
0 0
11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 1 2 3 4 5 6 7 8
Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb
2020 2021

Total Tests Performed % Positive
Includes PCR tests performed by COSD Public Health, hospital, and reference laboratories and reported via Electronic Laboratory Reporting (ELR) and line lists.
Excludes invalid, indeterminate, and unsatisfactory results.
COVID-19 Vaccinations
Figure 19. Number of COVID-19 Vaccinations Administered and Cumulative

Number of Persons Fully Vaccinated by Week
Cumulative Persons Fully Vaccinated

180,000 350,000
160,000 Vaccines Administered = 898,812 300,000
Vaccines Administered
140,000 Persons Fully Vaccinated = 288,842 250,000

120,000
100,000 200,000
80,000 150,000
60,000
100,000
40,000
20,000 50,000
0 0
49 50 51 52 53 1 2 3 4 5 6 7 8
Dec Jan Feb
2020 2021
The bars show vaccines administered, not individuals vaccinated. The line shows the cumulative number of persons fully vaccinated per the dose and
schedule regimen for the vaccine received. Only includes vaccines that have been recorded in the San Diego Immunization Registry (SDIR). Some
healthcare providers, including Veteran’s Affairs, the Department of Defense, some tribal entities, and prisons do not report to SDIR.
See this dashboard, updated daily, for more detailed vaccine status information for San Diego County.
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COVID-19 WATCH
COVID-19 Watch Data Sources

The following sources of data are used to produce this report:
• COVID-19 case reports: Medical providers and laboratories report individual cases of PCR-confirmed COVID-19 via fax or
electronic laboratory reporting (ELR) to the County of San Diego Epidemiology Unit.
• COVID-19 deaths: The County of San Diego requests that all deaths related to COVID-19 be reported for surveillance
purposes. Medical facilities may report these deaths directly to the Epidemiology Unit or they may be identified by the
Office of Vital Records through death certificate registration. The Epidemiology Unit compiles the data, and only reports
deaths that can be verified by a death certificate.
• Emergency Department Chief Complaint Data: Electronic emergency department data are reported to the Epidemiology
Unit daily. The number of respiratory chief complaints and the number of total emergency department visits are used to
calculate percentages for all respiratory-related visits and visits specific to influenza-like illness, fever, and COVID.
• COVID-19 outbreaks:
o Skilled Nursing Facilities: at least one case of laboratory-confirmed COVID-19 in a resident.
o Non-SNF Institution/Congregate Settings: at least one case of laboratory-confirmed COVID-19 in the setting of ≥2 cases
of acute illness compatible with COVID-19 in residents or staff members of residential congregate settings with onset
within a 14-day period.
o Community settings: three or more laboratory-confirmed COVID-19 cases in different households in a cluster of 2 or
more acute illnesses compatible with COVID-19** with onset within a 14-day period.
• COVID-19 vaccinations: Number of vaccinations registered in the San Diego Immunization Registry (SDIR) by participating
providers. Some providers, including the VA, DoD, other military, some tribal, and prisons do not report to SDIR.
• SANDAG population estimates, vintage 2019: Rates are calculated using 2019 population estimates from the San Diego
Association of Governments. Rates are not calculated for counts under five cases.
The purpose of the weekly COVID-19 Watch is to summarize current COVID-19 surveillance in San Diego County.
Data are preliminary and may change due to delayed reporting and additional information obtained during investigations.

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COVID-19 WATCH

Weekly Coronavirus Disease 2019 (COVID-19) Surveillance Report

March 2, 2021 Data through week ending 2/27/2021

Cases Deaths Outbreaks

COVID-19 Confirmed and Probable Cases by Onset* Week

Figure 1. COVID-19 Confirmed and Probable Cases by Week of Illness

CDC Week and Calendar Month

Epidemiology and Immunization Services Branch

March 2, 2021 Data through week ending 2/27/2021

Demographic Summary of Confirmed COVID-19 Cases

Figure 2. Confirmed COVID-19 Cases by Age Group

Cases Rate per 100,000 population

Epidemiology and Immunization Services Branch

March 2, 2021 Data through week ending 2/27/2021

Figure 3. Confirmed COVID-19 Cases by Sex and Age Group

Figure 4. Confirmed COVID-19 Cases by Race/Ethnicity

Epidemiology and Immunization Services Branch

March 2, 2021 Data through week ending 2/27/2021

Figure 5. Age-Adjusted Rates of COVID-19 Cases by Race/Ethnicity,

Figure 6. Age-Adjusted Rates of COVID-19 Hospitalizations by

Figure 7. Age-Adjusted Rates of COVID-19 Deaths by Race/Ethnicity,

March 2, 2021 Data through week ending 2/27/2021

Figure 8. COVID-19 Confirmed Cases by Age Group and Week of Illness

CDC Week and Calendar Month

CDC Week and Calendar Month

Epidemiology and Immunization Services Branch

March 2, 2021 Data through week ending 2/27/2021

Figure 10. Cumulative COVID-19 Rates by Zip Code of Residence,

Epidemiology and Immunization Services Branch

March 2, 2021 Data through week ending 2/27/2021

Figure 11. COVID-19 Rates by Zip Code of Residence, 2/14/2021-2/27/2021,

Epidemiology and Immunization Services Branch

March 2, 2021 Data through week ending 2/27/2021

Figure 12. COVID-19 Hospitalizations by Age Group and Week of Hospital

Summary of COVID-19-associated Deaths

Figure 13. COVID-19 Deaths by Week of Death

Epidemiology and Immunization Services Branch

March 2, 2021 Data through week ending 2/27/2021

Figure 14. Confirmed COVID-19 Cases and Case Fatality Rate

Cases Case Fatality Rate

Case Fatality Rate

Figure 15. Common Underlying Conditions, COVID-associated Deaths

Epidemiology and Immunization Services Branch

March 2, 2021 Data through week ending 2/27/2021

Epidemiology and Immunization Services Branch

March 2, 2021 Data through week ending 2/27/2021

CDC Week and Calendar Month

CDC Week and Calendar Month

March 2, 2021 Data through week ending 2/27/2021

Figure 18. COVID-19 Testing Volume and Positivity by Week of Specimen

CDC Week and Calendar Month

Figure 19. Number of COVID-19 Vaccinations Administered and Cumulative

Cumulative Persons Fully Vaccinated

140,000 Persons Fully Vaccinated = 288,842 250,000

March 2, 2021 Data through week ending 2/27/2021

COVID-19 Watch Data Sources

Epidemiology and Immunization Services Branch

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