COVID-19 Data

Changes in COVID-19 Data Reporting

The California COVID-19 State of Emergency ended February 28, 2023 and the federal Public Health Emergency for COVID-19 ended May 11, 2023. In response, the Centers for Disease Control and Prevention (CDC), the California Department of Public Health (CDPH), and the Fresno County Department of Public Health (FCDPH), will shift to more sustainable and meaningful public health practices and data reporting.

As a county, we now find ourselves at a different point in the pandemic. We are in a better place in our response, with more tools and resources to better protect the community (e.g., testing, vaccinations, treatments) and can transition away from the emergency phase.

COVID-19 is still a public health risk and a Public Health Department priority.  Though our data going forward will be different, the Department is still committed to COVID-19 surveillance and monitoring.

One of the bigger data changes is that aggregated COVID-19 case data dashboards will be retired. With widespread use of at-home testing, the number of cases confirmed by PCR and Point-Of-Care testing represents only a fraction of actual cases in the community. Metrics of disease severity, like hospitalizations and deaths, as well as wastewater levels of SARS-CoV-2, provide a more reliable and sustainable picture of the impact of COVID-19.

Data Moving Forward

Case Data

Aggregate counts of COVID-19 cases have become less representative of actual community transmission of SARS-CoV-2 over time, related to decreased laboratory testing, increased at-home testing, changes in reporting practices, and asymptomatic infections. In the next phase of surveillance, aggregated COVID-19 case data will no longer be reported on routine dashboards or used as a primary surveillance metric.

CDC Principal Deputy Director Dr. Nirav Shah, “we will still be able to tell that it’s snowing, even though we’re no longer counting every snowflake”.

Death (Mortality) Data

Moving forward, COVID-19 death certificate data from the California Integrated Vital Records System will be used as the primary source of COVID-19 death data.

Reporting of COVID-19 deaths will shift to align with reporting methods similar to other communicable diseases under public health surveillance.

Death Data

Genomic/ Variant surveillance

Genomic surveillance to estimate SARS-CoV-2 circulating variants will continue at a national, regional, and state level. During the pandemic County trends have aligned with Statewide variant trends.

Variant Data

Vaccination Data

Vaccines remain one of the best tools to prevent severe illness, hospitalizations, and death from COVID-19. Vaccines remain easily accessible in Fresno County. Due to the plateau in Fresno County vaccination trends, the increased surveillance offered by the FCDPH COVID-19 Immunization Dashboard is no longer providing meaningful insights and will be retired. Data can still be found on State and CDC websites.

Vaccination Data

Wastewater Surveillance

Those with COVID-19 can shed the virus in their feces (waste), even if they don’t have symptoms. The virus can then be detected in wastewater. Wastewater surveillance acts as an early warning that COVID-19 is spreading in a community.

Wastewater Data

Hospital Reporting

COVID-19 associated hospital admission levels will continue to be reported as long as the data is available. However, the mandate requiring hospitals to report has expired so data is more limited.

Hospital Data

The websites listed above do not represent a comprehensive list of all COVID-19 resources. 

Covid-19 Post Declaration Surveillance Banner

Epidemiology Reports

To see additional FCDPH Epidemiology Reports and Statistics please go to the Epidemiology Program Page

Retired Dashboards

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