Not a whole lot different than expected. The states that were bad continue to be bad and to be closer as expected (AZ, SC, OK, FL), but Hawaii made some of the improvements I had been expecting/predicting.
Texas, holy shit that’s not good. Slight uptick in R0, lots of new cases, they’re at 16-38 statewide, they were 18-42 yesterday. So we check in on Houston, which we now know is redirecting adult patients to a children’s hospital. We see a whopping 1,994 new cases, which takes the R0 from 1.34 to 1.49. They have a 10% reduction in available hospital beds, an 11.4% reduction in available ICU beds, and a 5% increase in available ventilators. They were on pace to tip over in 16 days, now it’s 11.4 days.
And this is why you see them shifting adults to children’s hospitals. I can’t help but to think of my friend in Houston who has not spoken to me since I called him out for being selfish, reckless, and inconsiderate of service workers for going out to eat in a restaurant there a few weeks ago. He and our third friend told me it was safe, I explained why it was not and that things were about to get very bad there. The other friend told me I was mentally unwell, neither has spoken to me since.
Orlando (Orange County) sees its R0 stay pretty high at 4.18, the 7-day number is 2.22, so it’s probably in between those. They surged capacity by 5%, but they still drop from 484 available beds to 448. This gives them 3.5 days to overflow, but if you take an R0 of more like 2.2, it goes up to almost 7 days. So you have to hope that the 4.18 is noise in the data and the real number is 2.2 and hopefully declining. That maybe buys them extra time to scale capacities. But really they’re just re-arranging the deck chairs at this point. Their ICU’s are at about 80% capacity.
Three Florida counties check in at under 10% ICU capacity remaining. Columbia (west of Jacksonville, north of Gainesville) 8.33%, Escambia (Pensacola) 5.93%, Bay (Panama City) 3.64%. There are some other big counties in bad shape. Volusia (Daytona) has less ICU capacity than Orange. Palm Beach is about the same. Broward and Miami-Dade aren’t far behind.
For overall hospital capacity, only Hardee (inland, east of Sarasota) (12% left) and Flagler (north of Daytona) (6% left) are worse than Orange (12% left).
So, yeah, things are about to get really bad in parts of Florida and Texas in addition to Arizona and South Carolina. I should also point out that there aren’t any cities I’ve drilled down into to find out that they’re okay. I haven’t even checked Austin, TX or Miami, FL, for example. I haven’t gone city level in Arizona. Granted, I’m not picking at random - I’m picking big cities and eyeballing the graphs picking ones that look bad.
Edited to Add: The Houston and Orlando data is only through 6/22, they lag by a day at the county level. So keep that in mind, too. Thus 3.5-7 days could very well be 2.5-6 if they are still on the same track.