With tests scarce, epidemiologists are looking at hospitalizations as an indicator of how the novel coronavirus is spreading. But in some of the areas of the country worst-hit by COVID-19, states and counties aren't releasing that data.
The result is an incomplete picture of where the pandemic is surging, even in hotspots such as Washington and California.
"So as long as people aren't being turned away, we must focus on hospitalizations and ICU cases," says Steven Goodman, an epidemiologist and Stanford University's associate dean of Clinical and Translational Research. "The more reliable numbers, aside from the number of deaths, are how many people get sick enough to be in the hospital and in the ICU. That's what we need to know."
Many public health departments, such as New York City's, are publishing daily updates on the number, age and location of hospitalized patients. Louisiana is reporting the number of patients on ventilators.
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