- GAO analysis of COVID-19 in nursing homes: The Government Accountability Office, an organization that does research and audits on behalf of Congress, has a new report out this week on the devastating COVID-19 outbreaks that took place in nursing homes. The GAO researched about 13,000 facilities, using CDC data from May 2020 to January 2021. 94% of the nursing homes in the study faced at least one COVID-19 outbreak, with the majority of outbreaks (85%) lasting five weeks or more.
- Johns Hopkins Pandemic Data Initiative: The Johns Hopkins Coronavirus Resource Center is one of the most widely-cited sources of COVID-19 data, providing detailed and up-to-date information for both the U.S. and the world. But the resource center’s scientists “have struggled to work with COVID-19 data that is inconsistent, incomplete, and insufficient,” writes JHU data lead Beth Blauer in a blog post. A new section of the resource center will explore data inconsistencies and highlight possible solutions.
- Excess deaths by U.S. county: Excess deaths, or those deaths that occur above a region’s past baseline, are a common metric for examining the true toll of COVID-19. In addition to reporting excess deaths by U.S. states and demographic categories, the CDC’s National Center for Health Statistics (NCHS) also reports this information by county. A group of researchers (Stokes et al.) recently analyzed these county-level data and found that U.S. COVID-19 deaths may be underestimated by about 20%; their findings were published this week in PLOS Medicine.
- Vaccine consent laws by state: As the Pfizer vaccine is now available to children ages 12 to 15, a lot of teenagers out there may want to know if they can get vaccinated without parental permission. The site VaxTeen provides these kids with information on the consent laws in every state, as well as a guide for talking to your parents about vaccines and other resources. (H/T Robin Lloyd.)
Tag: GAO
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Featured sources, May 23
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Hey CDC, when dashboard?
As dedicated CDD readers may remember, one of President Biden’s big COVID-19 promises was the creation of a “Nationwide Pandemic Dashboard” that would be a central hub for all the information Americans needed to see how the pandemic was progressing in their communities.
The Biden administration sees the CDC’s COVID Data Tracker as that dashboard and plans to continue improving it as time goes on, White House COVID-19 Data Director Cyrus Shahpar said in an interview with The Center for Public Integrity last month. But a new report from the Government Accountability Office suggests that the CDC’s tracker has a long way to go before it becomes the centralized system that Americans need.
The Government Accountability Office, or GAO, is a federal watchdog agency that evaluates other federal agencies on behalf of Congress. Its full report, released last Wednesday, is over 500 pages of problems and recommendations, ranging from the Emergency Use Authorization process to health care for veterans.
But, as COVID Tracking Project leader Erin Kissane pointed out on Twitter, there are some real data bangers starting in the appendix:
Here are a few of those data bangers:
- Recommending that the federal government provides more comprehensive data on who gets a COVID-19 vaccine. The GAO specifically wants to see more data on race and ethnicity, so that the public can gauge how well vaccination efforts are reaching more vulnerable demographic groups. The agency also notes the challenge of finding occupational data on vaccinations, something we’ve bemoaned before at the CDD.
- Calling out the lack of public awareness for federal data. Some experts the GAO interviewed noted that “the public may be more aware of non-federal sources of data on COVID-19 indicators (e.g., the COVID Tracking Project, Johns Hopkins) than sources from the federal government,” in part because those non-federal sources started providing public data earlier in 2020. The federal agencies need to step up their communications game.
- Stating the need for central access to federal data. The GAO describes how the HHS lacks a central, public-facing COVID-19 data website, while the CDC’s COVID Data Tracker fails to provide access to the full suite of information available from the HHS. Specific missing data pages include COVID-19 health indicators and vaccine adverse events.
Overall, the GAO says, the agency recommends that “HHS make its different sources of publicly available COVID-19 data accessible from a centralized location on the internet.” One would think this is a pretty straightforward recommendation to follow, but HHS reportedly “neither agreed nor disagreed” with the assessment.
While there’s a lot more to dig into from this report, it is only part of a long evaluation process to improve federal data collection and reporting. The new report is part of a GAO effort that started last March, reports POLITICO’s Sarah Owermohle:
The latest report is part of nearly yearlong effort by GAO to track the federal pandemic response after a directive in the March 2020 CARES Act. The watchdog first called on CDC to “completely and consistently collect demographic data” including comprehensive results on long-term health outcomes across race and ethnicity, in September. It later criticized the government’s lack of “consistent and complete COVID-19 data” in a January report.
I, for one, am excited to see what the GAO does next—and how the federal public health agencies respond.
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Featured sources and federal data updates, Feb. 28
We’re sneaking a few more federal updates into the source section this week.
- CDC changed their methodology for state vaccination counts: Last Saturday, February 20, the CDC made two major changes to how it reports vaccination data. First, instead of simply reporting doses administered by federal agencies (the Department of Defense, Indian Health Services, etc.) as fully separate counts, the agency started reporting these doses in the states where they were administered. Second, the CDC started reporting vaccinations in the state where someone is counted as a resident, rather than where they received the shot. Both of these changes make state-reported counts and CDC-reported counts less directly comparable, since states typically don’t track federal agency doses and count doses based on where they were administered. You can read more about these changes on Bloomberg’s vaccine tracker methodology and analysis blog; Bloomberg is now using CDC data only to update its U.S. data.
- VaccineFinder is open for COVID-19 vaccines: As of Wednesday, Americans can use this national tool to find COVID-19 vaccine appointments. Just put in your ZIP code and select a radius (1 mile, 10 miles, 50 miles, etc.), and the tool will show you providers nearby. For each provider, the tool provides contact information—and, crucially, whether this location actually has vaccines in stock. Unlike many other federal dashboards, VaccineFinder isn’t a new tool; it was developed during the H1N1 flu outbreak in 2009. STAT’s Katie Palmer provides more history and context on the site here.
- Government Accountability Office may push for more data centralization: The Government Accountability Office (or GAO), a watchdog agency that does auditing and evaluations for Congress, has been investigating the federal government’s COVID-19 data collection—and is finding this collection “inconsistent and confusing,” according to a report by POLITICO’s Erin Banco. While the GAO’s report won’t be finalized and made public until March, the agency is expected to recommend that data should be more standardized. It could call for the CDC to make changes to its data collection on cases, deaths, and vaccines similar to how the HHS revamped collection for testing and hospitalization data in summer 2020. CDC officials are wary of these potential changes; it’ll definitely be a big data story to follow this spring.
- Global.health is ready for research: Back in January, I wrote about Global.health, a data science initiative aiming to bring anonymized case data to researchers on a global scale. The initiative’s COVID-19 dataset is now online, including over 10 million individual case records from dozens of countries. 10 million case records! Including demographic and outcomes data! If you’d like to better understand why this dataset is a pretty big deal, read this article in Nature or this one in STAT. I plan on digging into the dataset next week, and may devote more space to it in a future issue.
- NIH COVID-19 treatment guidelines: In one of the White House COVID-19 press briefings this week, Dr. Fauci referenced this National Institutes of Health (NIH) website intended to provide both physicians and researchers with the latest guidance on how to treat COVID-19 patients. The website acts as a living medical document, featuring an interactive table of contents and a text search tool. Follow @NIHCOVIDTxGuide on Twitter for updates.
- Burbio’s K-12 School Opening Tracker: Burbio, a digital platform for community events, is actively monitoring over 1,200 school districts to determine which schools are currently using virtual, in-person, and hybrid models. The sample size includes the 200 largest districts in the U.S. and other districts with a mix of sizes and geographies, in order to reflect local decision-making across the U.S. See more methodology details here.
- COVID-19’s impact on LGBTQ+ communities: The Journalist’s Resource at Harvard Kennedy School has compiled a list of recent research on how the coronavirus pandemic impacted LGBTQ+ Americans. In many cases, the pandemic furthered disproportionate poverty and poor health outcomes in this community; they shouldn’t be ignored in COVID-19 coverage.
- The Accountability Project: A repository of public data run by the Investigative Reporting Workshop, the Accountability Project reached 1 billion records last week. The Project includes several COVID-19-related datasets, including a dataset of Paycheck Protection Program loans and data on hospitals and nursing homes.
COVID-19 Data Dispatch 