Oklahoma’s COVID-19 daily case average has doubled in three weeks, but Gov. Kevin Stitt repeatedly said it had “plateaued” Thursday as he downplayed concerns about the state’s surge.
“We’ve been on this plateau now for the last three weeks of number of cases,” Stitt told reporters and a Facebook live audience.
However, state data contradict the governor, showing a clear upward trajectory. The seven-day rolling average of daily cases climbed 96% in three weeks, reaching a record average of 1,110 cases on Thursday that is up from 565 reported July 9.
The seven-day rolling average — the average of the number of new cases reported each day in a seven-day span — is a metric chosen by the state early in the pandemic. The moving average smooths out daily fluctuations in the number of new positive tests and inconsistencies in testing turnaround times.
A Tulsa World reporter asked Stitt’s office for an explanation of his plateau comments and how he can reconcile them with a doubling of the daily case average in the time frame he used multiple times.
Baylee Lakey, communications director for Stitt, didn’t address the surge in daily positive cases in her email response. Instead, she cited two data metrics that Stitt didn’t reference in his remarks.
“As noted in the (Oklahoma State Department of Health’s) weekly Epidemiologist report, the percentage of positives cases this week is 8.9%, the lowest since July 3,” Lakey wrote. “Furthermore, when looking at the data based on onset of symptoms and the date COVID-19 tests were administered, Oklahoma has remained largely steady on the active presence of COVID-19 since July 18.”
However, state data show that active cases in Oklahoma have risen 70% during Stitt’s timeline of the past three weeks.
The State Health Department reported 6,793 active cases statewide Thursday, up from 3,986 active cases reported July 9. Using Lakey’s date of July 18 still yields a 38% increase in active cases as of Thursday.
The Health Department didn’t respond to similar questions about Stitt’s comments.
Stitt’s handling of the pandemic is drawing scrutiny at the federal level.
The chairman of a U.S. House of Representatives subcommittee tasked with investigating issues related to the coronavirus pandemic noted that a July 26 report from the White House Coronavirus Task Force “provides a dire assessment of the situation in Oklahoma … .”
The chairman’s July 29 letter states that the subcommittee’s review found that Oklahoma doesn’t appear to be following at least five different recommendations from the Task Force and is only partially complying with another.
Depending on whether a county is considered to be a hotspot or is nearing becoming one, the recommendations include caps on social gatherings, closing bars, reducing indoor dining capacity to 25%; limiting gyms to 25% of their occupancy capacity; ensuring that retailers and personal services require masks and safe social distancing; and implementing mask mandates.
“The Task Force report privately recommended that Oklahoma implement these health measures to help reverse the dangerous spike in cases across the state and to prevent unnecessary deaths,” wrote the subcommittee chairman, U.S. Rep. James Clyburn, D-S.C. “Failure to comply is allowing the virus to spread, prolonging and exacerbating the public health crisis facing the state.”
When a reporter asked the governor about the document Thursday, he called the letter a “political statement.”
Stitt said he’s on calls with the president, vice president and 49 other governors every week, looking at the recommendations and making decisions based on the facts in Oklahoma.
“What you’re talking about is, I think, a subcommittee inside Congress that really is just trying to make a political statement either against the president or our state,” Stitt said. “I don’t know exactly where it’s coming from.”
Stitt again highlighted the state’s color-coded COVID-19 alert system, which he rolled out July 9 in response to Coronavirus Task Force recommendations to “give counties some level of assurance.”
However, public health officials in Oklahoma have called the alert map unhelpful.
The system uses county-specific rates of new coronavirus cases to determine whether a county is “new normal,” low risk, moderate or high risk.
But the only way a county can become high risk is if the number of hospital beds or ventilators drops below 5% or the amount of personal protective equipment statewide drops below five days’ worth, regardless of whether an individual county’s hospital system is overwhelmed.
In a separate news conference Thursday, Tulsa Health Department Executive Director Bruce Dart broached the topic of the Coronavirus Task Force report and the state’s color-coded alert system by saying, “There’s issues, I think, with both criteria, to be perfectly honest.”
Dart said Tulsa County has local data and that local data should be the basis for decisions. He said he had read some excerpts from the White House document about closing bars early and reducing restaurant capacity to 25% capacity.
“I don’t know of any business that can function and make a profit at 25% capacity. And, frankly, here in Tulsa County that’s not our main risk,” Dart said. “For here we talk about gatherings. Our main concern right now — the data’s telling us — is things like weddings, camps, sport-related gatherings, long-term care facilities, and we’re starting to see a few cases out of child care.”
Dart said the state’s alert system “isn’t going to be real helpful to us” unless it uses a regional concept for hospitalizations rather than statewide metrics.
“If our hospitals are exceeding capacity here and there’s hospital beds elsewhere, we still won’t meet their high-risk, or red, category,” Dart said.
Dr. Dale Bratzler, chief COVID officer for the University of Oklahoma, made similar comments July 17.
Bratzler said the color-coded map “is not helpful at this point.” He noted how the state was mostly one color even though there are ongoing and specific hot spots in the state.
He also called it “unrealistic” for the state to suggest that it will transfer patients from a Tulsa hospital, for example, to a small rural hospital simply because it has an available bed.
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COVID-19 basics everyone needs to know as the pandemic continues
How it spreads, who's at risk

Studies have shown many infected people show no symptoms or have symptoms so mild they may go undetected; those people can still transmit COVID-19 to About 20% of patients diagnosed with COVID-19 require hospitalization.
The disease can be fatal, especially for vulnerable populations: those older than 65, living in a nursing home or long-term care facility, and anyone with underlying health conditions such as diabetes, heart disease, lung disease or obesity.
Science of virus spread

COVID-19 is spread mainly from person to person via respiratory droplets produced by an infected person. Spread is most likely when people are in close contact, within about 6 feet. A person might also be infected with COVID-19 after touching a surface or object that has the virus on it and then touching their face. According to the CDC, evidence suggests the novel coronavirus may remain viable for hours to days on surfaces, though that form of transmission is said to be minor.
Transmission between people more than 6 feet from one another may occur in poorly ventilated and enclosed spaces, the CDC says, especially where activities cause heavier breathing, such as singing or exercising.
The infectious period for patients can begin up to 48 hours before symptom onset.
List of symptoms

The CDC recently expanded its list of possible symptoms of COVID-19. The symptoms can appear from two days to two weeks after exposure.
- Fever or chills
- Cough
- Shortness of breath or difficulty breathing
- Fatigue
- Muscle or body aches
- Headache
- New loss of taste or smell
- Sore throat
- Congestion or runny nose
- Nausea or vomiting
- Diarrhea
This list does not include all possible symptoms and will continue to be updated by the CDC. One symptom not included is "purple toes," which someone may experience with no other symptoms, sometimes several weeks after the acute phase of an infection is over. The coloration and pain is caused by a lack of blood flow to the toes caused by excessive blood clotting, a late-stage concern with COVID-19 infections.
Kinds of testing

Those getting tested may experience different kinds of swabs. The viral test, known as PCR, involves a deep nasal swab that can be painful.
Other tests that require less-invasive swabs may produce results faster, but with less accuracy. These should not be used diagnostically.
It is not yet known whether COVID-19 antibodies can protect someone being infected again or how long protection might last.
The 'serious seven'

The "serious seven" refer to close contact environments where residents should take extra precautions if they choose to attend. The seven are gyms, weddings, house gatherings, bars, funerals, faith-based activities and other small events, according to Tulsa Health Department Director Bruce Dart.
Treatments being investigated

The FDA has allowed for antiviral drug remdesivir, previously tested on humans with Ebola, to treat more severe cases of COVID-19 in adults and children. Safety and effectiveness aside, preliminary studies have shown it can shorten recovery time for some patients.
After previously approving an emergency use authorization, the FDA as of July 1 cautions against use of hydroxychloroquine or chloroquine for COVID-19 outside of the hospital setting or a clinical trial. A review of safety issues includes reports of serious heart rhythm problems and other safety issues, including blood and lymph system disorders, kidney injuries, and liver problems and failure.
Convalescent serum therapy

Some patients are receiving convalescent serum, meaning the antibodies made by people who have recovered after a COVID-19 infection. Antibody-rich blood plasma is being given to severely or critically ill COVID-19 patients, including Ascension St. John, Saint Francis Health System, OSU Center for Health Sciences and Hillcrest HealthCare System in Tulsa.
From June to July, requests for convalescent plasma from the Oklahoma Blood Institute multiplied seven-fold.
Recovery, as defined by CDC

To be considered recovered (without a test), these three things must happen, the CDC advises:
- No fever for at least 72 hours (three full days of normal temperature without the use of medicine)
- Other symptoms improved (no more cough, etc.)
- At least 10 days since symptoms first appeared
Corey Jones
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corey.jones
@tulsaworld.com
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