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HealthPrism State of Missouri COVID-19 ResponseVaccine Distribution AnalysisJuly 26, 2021Copyright 2021 Deloitte Development LLC. All rights reserved.Deloitte Consulting LLP Trade Secret and Confidential.HealthPrismTM Focusing Resources & Protecting Lives.1
HealthPrism Executive Summary Key Insights2.7MS TAT E W I D EREMAININGU N VA C C I N AT E D18 populationREGION DDEEP DIVE57.5%-0.9%18 population-Southwest Missouri (Region D) still maintains the most COVID-19 case rate hotspots even though it nowcovers fewer Census Tracts-The Census Tracts between Regions F and I experienced rising case rates and emerging clusters of caserate hotspots-Vaccine initiations overall (ages 12 ) increased 11k, a 33% increase week over week (Week 27 to Week 28)-For the fourth straight week, Region D and G vaccinated the highest percentage of their 18 population-Vaccine uptake was elevated in southwest Missouri (Region D), central Missouri (Region F), and in thesuburbs surrounding St. Louis and Kansas City-Uptake deserts in the northeast (Region B) and southeast (E) remain-Some persisting uptake deserts within vulnerable areas of St. Louis experienced vaccine uptake gains-Vaccination uptake has increased in region D as cases have spiked – for the past 3 weeks, the region hasvaccinated the largest additional percent of its population-10 Census Tracts in Region D were identified for targeted outreach based on vaccination rates, case burden,and vulnerabilityCOVID-19C A S E R AT EHOTSPOTSVACCINEU P TA K E T R E N D S-45kNote: Data on vaccinations include 1st round Moderna & Pfizer vaccinations and J&J vaccinations, are based on residence of the 18 individual vaccinated (unless otherwise stated), and are from 07/20/2021. COVID-19 case rate data is a change analysisof rates (cases per 100k) using data from 7/9/21 to 07/23/21. Methodology, data sources, and limitations are available in the Appendix. Full data set provided in corresponding Excel file.Copyright 2021 Deloitte Development LLC. All rights reserved.Deloitte Consulting LLP Trade Secret and Confidential.HealthPrismTM Focusing Resources & Protecting Lives.2For internal use only by State of Missouri. Output based on available data.
14-Day COVID-19 Case Rate Hotspots at the Census Tract LevelHealthPrism For the time period between 7/9/21 and 7/23/21, the change in COVID-19 case rate (per 100,000) is displayed on the left and case rate hotspots (areas withstatistically significant changes in case rates in comparison to surrounding areas) are displayed on the rightSouthwest Missouri (Region D, in blue) still maintains the most COVID-19 case rate hotspots even though it now covers fewer Census TractsThe Census Tracts between Regions F and I (in green) experienced rising case rates and emerging clusters of case rate hotspotsNote: Data normalized by population (per 100,000 residents) per Census Tract. COVID-19 case rate data provided by the State of Missouri as of 07/23/21. Previous 2-week change view provided in the Appendix, along with methodology, data sources,and limitations.Copyright 2021 Deloitte Development LLC. All rights reserved.Deloitte Consulting LLP Trade Secret and Confidential.HealthPrismTM Focusing Resources & Protecting Lives.3For internal use only by State of Missouri. Output based on available data.
HealthPrism 18 Year-olds Remaining UnvaccinatedDarker shades on the map on the left indicate Census Tracts with larger vaccination gaps and on the right higher percentages of unvaccinated (for the 18 population)V A C C I N AT I O N G A P ( # )HP E R C E N T U N V A C C I N AT E D ( % )HBACFVaccination GapQuintiles (#)2,690 – 6,924GA0 – 1,0401,041 – 1,5081,509 – 2,0312,035 – 2,685IDBEUnvaccinatedQuintiles (%)CF0.0% - 41.1%41.1% - 50.8%I50.8% - 57.1%57.1% - 63.3%63.3% - 91.5%DGEAreas with the largest vaccination gaps continue to align with the more urban areas of highest population across MissouriCensus Tracts with the highest percentages of unvaccinated populations are concentrated in more rural areas in Regions B, D, I, G, & ENote: Data on vaccinations include 1st round Moderna & Pfizer vaccinations and J&J vaccinations, are based on residence of the 18 individual vaccinated (unless otherwise stated), and are from 07/20/2021. Methodology, data sources, and limitationsare available in the Appendix. Full data set provided in corresponding Excel file.Copyright 2021 Deloitte Development LLC. All rights reserved.Deloitte Consulting LLP Trade Secret and Confidential.HealthPrismTM Focusing Resources & Protecting Lives.4For internal use only by State of Missouri. Output based on available data.
HealthPrism 12-17 Year-olds Remaining UnvaccinatedDarker shades on the map on the left indicate counties with larger vaccination gaps and on the right higher percentages of unvaccinated (for the 12-17 population)V A C C I N AT I O N G A P ( # )HP E R C E N T U N V A C C I N AT E D ( % )BAHVaccination GapQuintiles (#)CF0 – 111112 – 186187 – 266267 – 370IBAUnvaccinatedQuintiles (%)CF0.0% - 54.3%54.3% - 70.8%70.9% - 82.3%82.4% - 90.2%I90.2% - 99.6%371 – 900DGEDGEFor the 12-17 population, Region C continues to have the largest vaccination gap (109,593), while Region G has the highest percentunvaccinated (93.5%)Note: Data on vaccinated individuals are based on 1st round Moderna & Pfizer vaccinations and J&J vaccinations, based on the residence of the individual vaccinated, and as of 07/20/2021. All vaccinations tagged to the “ 18” age group were assumed tobe between ages 12-17. Analysis ran at the county level due to several Census Tracts still with limited uptake thus far. Null counties were filtered out. Methodology, data sources, and limitations are available in the Appendix. Full data set provided incorresponding Excel file.Copyright 2021 Deloitte Development LLC. All rights reserved.Deloitte Consulting LLP Trade Secret and Confidential.HealthPrismTM Focusing Resources & Protecting Lives.5For internal use only by State of Missouri. Output based on available data.
HealthPrism Regional Vaccination Rates Over TimeThis visualization and table below display weekly and cumulative vaccinationAdditional Percent of 18 Population Vaccinated by Region (Week 24 to Week 28)Vaccination SummaryAdditional Percent of 18 Population Vaccinated18 12-1718 % Vax12-17 % VaxCumulativeCumulative %Previous WeekPrevious Week% 2%1.0%11.5%0.9%Calendar Week (MMWR)Vaccine initiations overall (ages 12 ) increased 11k, a 33% increase week over weekIn both the 18 and 12-17 population, each Region saw an increase in vaccine initiations from the previous weekFor the fourth straight week, Regions D and G vaccinated the highest percentage of the 18 populationNote: All weeks are calendar weeks, defined by SMV using MMWR week, where Week 28 is 7/12 – 7/18. Data on vaccinations include 1st round Moderna & Pfizer vaccinations and J&J vaccinations, are based on residence of the 18 individual vaccinated(unless otherwise stated), and are from 07/20/2021. J&J vaccinations are coded as both dose 1 and dose 2. Methodology, data sources, and limitations are available in the Appendix.Copyright 2021 Deloitte Development LLC. All rights reserved.Deloitte Consulting LLP Trade Secret and Confidential.For internal use only by State of Missouri. Output based on available data.HealthPrismTM Focusing Resources & Protecting Lives.6
HealthPrism 7-Day Vaccination HotspotsVaccination uptake hotspots for 7/14-7/20 are displayed below in red. These vaccine uptake hotspots represent the communities that far exceeded the Stateaverage for the dates indicatedKansas CitySt. LouisVaccine uptake activity continued for a third straight week within southwest Missouri (Region D), and extended towards Region F (Jefferson City)Uptake was also high in selected Census Tracts containing small regional urban centers in Regions I and GNote: Data on vaccinated individuals is based on 1st round Moderna & Pfizer vaccinations and J&J vaccinations, includes all ages, and indicates the residence of the individual vaccinated, and is as of 07/20/2021. Methodology, data sources, andlimitations are available in the Appendix.Copyright 2021 Deloitte Development LLC. All rights reserved.Deloitte Consulting LLP Trade Secret and Confidential.HealthPrismTM Focusing Resources & Protecting Lives.For internal use only by State of Missouri. Output based on available data.7
HealthPrism 7-Day Vaccine Uptake DesertsVaccination uptake deserts are displayed in blue from 7/14-7/20, indicating Census Tracts where vaccination uptake is significantly lower than State averagesKansas CitySt. LouisHow to interpret these maps:High Vaccine UptakeLow Regional UptakeHigh Regional UptakeLow Vaccine Uptake/Uptake DesertStatistically significant clusters of high initiation ratesStatistical outlier – high initiation rates surrounded by low Statistical outlier – low initiation rates surrounded by highClusters of statistically low initiation ratesVaccine uptake desert analysis is more sensitive to differences in uptake by communityAreas in light blue fell further behind State vaccine uptake averages during the timeperiods indicatedVaccine uptake was elevated in southwest Missouri (Region D), central Missouri (Region F), and in the suburbs surrounding St. Louis and Kansas CityUptake deserts in the northeast (Region B) and southeast (E) persistSome endemic uptake deserts within vulnerable areas of St. Louis experienced vaccine uptake gainsNote: Data on vaccinated individuals is based on 1st round Moderna & Pfizer vaccinations and J&J vaccinations, includes all ages, and indicates the residence of the individual vaccinated, and is as of 07/20/2021. Methodology, data sources, andlimitations are available in the Appendix.Copyright 2021 Deloitte Development LLC. All rights reserved.Deloitte Consulting LLP Trade Secret and Confidential.HealthPrismTM Focusing Resources & Protecting Lives.For internal use only by State of Missouri. Output based on available data.8
Region D Deep-DiveAs presented on 7/21Copyright 2021 Deloitte Development LLC. All rights reserved.Deloitte Consulting LLP Trade Secret and Confidential.For internal use only by State of Missouri. Output based on available data.HealthPrism Focusing Resources & Protecting Lives.9
HealthPrism Region D Key InsightsREGIONAL& COUNTYTRENDS-An estimated 58% of Region D’s over 18 population remains unvaccinated-COVID-19 case rates began to spike mid-June in and around Springfield, Joplin andBranson and have spread to a broader area across the region over the past 4 weeks-Vaccination uptake has increased as cases have spiked – for the past 3 weeks, Region D hasvaccinated the largest additional percent of its population-TA R G E TCENSUSTRACTSRecent vaccine initiation has been largely focused on the Springfield and Joplin urbanand suburban areas-10 Census Tracts were identified based on vaccination rates, case burden, and vulnerability,with deep dives provided for the top 3-Within these top 3 Census Tracts, residents tend to have lower levels of educationalattainment and are more likely to be uninsured than the average Missourian-Targeted outreach strategies include partnering with local faith leaders, elected officials,family physicians, and community leaders; meeting residents where they are by offeringmobile vaccinations at places of work and frequented community spots; and usingmotivated reasoning to speak to residents based on their valuesNote: Data on vaccinations include 1st round Moderna & Pfizer vaccinations and J&J vaccinations, are based on residence of the 18 individual vaccinated (unless otherwise stated), and are from 07/14/2021. COVID-19 case rate data is a change analysisof rates (cases per 100k) using data from 7/2/21 to 07/16/21. Methodology, data sources, and limitations are available in the Appendix. Full data set provided in corresponding Excel file.Copyright 2021 Deloitte Development LLC. All rights reserved.Deloitte Consulting LLP Trade Secret and Confidential.HealthPrismTM Focusing Resources & Protecting Lives. 10For internal use only by State of Missouri. Output based on available data.
HealthPrism Region D COVID-19 Case Rate Spread Over TimeThese visuals display the evolution of COVID-19 case rates over the past 4 weeks (June 18th-July 16th) in Region D Case rates jumpedbetween June 18 andJuly 16 across Region DWeek25Week27Week26Legend:Case Rate Deciles01-2728 - 4344 - 5859 - 8182 - 101102 - 127128 - 171172 - 242243 I Early spikes appear inthe southeastern andcentral areas of theregion – aroundSpringfield Recent wave covers theRegion’s southeastcorner Region D: 15% ofstatewide reportedcases through June;36% in early JulyWeek28Note: Data normalized by population (per 100,000 residents) per Census Tract. COVID-19 case rate data provided by the State of Missouri as of 07/16/21. See Appendix for methodology, data sources, and limitations. “Week” corresponds with MMWR.Copyright 2021 Deloitte Development LLC. All rights reserved.Deloitte Consulting LLP Trade Secret and Confidential.HealthPrismTM Focusing Resources & Protecting Lives. 11For internal use only by State of Missouri. Output based on available data.
Region D COVID-19 Case Rate Hotspots at the Census Tract LevelHealthPrism The visuals below depict case rate hotspots (areas with statistically significant changes in case rates in comparison to surrounding areas) for two weeksbetween July 2nd and July 16th14-Day Case Rate Hotspots (7/2-7/16)JoplinSpringfieldCase rates began to spike mid-June in and around Springfield, Joplin and BransonRecent hotspots continue to appear in and around Springfield and Joplin following existing presence of high ratesNote: Data normalized by population (per 100,000 residents) per Census Tract. COVID-19 case rate data provided by the State of Missouri as of 07/16/21. See Appendix for methodology, data sources, and limitations.Copyright 2021 Deloitte Development LLC. All rights reserved.Deloitte Consulting LLP Trade Secret and Confidential.HealthPrismTM Focusing Resources & Protecting Lives.For internal use only by State of Missouri. Output based on available data.12
HealthPrism Region D Vaccine Uptake Over TimeVaccination deserts are shown in blue for one- and four-week periods, identifying Census Tracts where vaccination uptake is significantly lower than State averagesFour-Week Uptake DesertsRegion D Share ofState InitiationsOver TimeJune 18th - July 16thSpringfield25%Avg: 13%10%Jul2021Jan2021How tointerpret these maps:High Vaccine UptakeStatistically significant clusters of high initiation ratesHigh Regional UptakeStatistical outlier – high initiation rates surrounded by lowLow Regional UptakeStatistical outlier – low initiation rates surrounded by highLow Vaccine Uptake/Uptake DesertClusters of statistically low initiation ratesVaccine deserts receded geographically in northern Region D as much of state increased uptakeHandful of communities (e.g. Ash Grove, Stark City) exhibit persistently low rates and buck surrounding trendsRegion Ds share of weekly vaccine initiations has increased steadily in the last 8 weeks rising from 10% (Week 20) to 25% (Week 27)Note: Vaccine uptake desert analyses employ Local Moran’s I test for spatial autocorrelation. Data on vaccinations include 1st round Moderna & Pfizer vaccinations and J&J vaccinations, are based on residence of the individual vaccinated (all ages), andare from 07/14/2021. Methodology, data sources, and limitations are available in the Appendix. Full data set provided in corresponding Excel file.Copyright 2021 Deloitte Development LLC. All rights reserved.Deloitte Consulting LLP Trade Secret and Confidential.HealthPrismTM Focusing Resources & Protecting Lives. 13For internal use only by State of Missouri. Output based on available data.
Target Census TractsPotential Areas to Focus Outreach InitiativesCopyright 2021 Deloitte Development LLC. All rights reserved.Deloitte Consulting LLP Trade Secret and Confidential.For internal use only by State of Missouri. Output based on available data.HealthPrism Focusing Resources & Protecting Lives.14
HealthPrism Potential Target Census Tracts in Region DThe map below highlights Census Tracts that could be targeted for outreach within Region DTo identify target tracts in Region D, we analyzed relationships between:215213114-Day COVID-19 case rate burden/change2Percent of population unvaccinated3Ranking based on the COVID-19 Vulnerability Index (CVI)*Using the above methodology, below are the top 10 Census Tracts, of whichthe top 3 are discussed further in the following slides:OrderCountyCensus ster2922547010110Lawrence29109470100All 10 CensusTracts have apopulation that isat least 60%unvaccinatedNote: Data on vaccinations include 1st round Moderna & Pfizer vaccinations and J&J vaccinations, are based on residence of the 18 individual vaccinated (unless otherwise stated), and are from 07/14/2021. COVID-19 case rate data is a change analysisof rates (cases per 100k) using data from 7/2/21 to 07/16/21. Methodology, data sources, and limitations are available in the Appendix. Full data set provided in corresponding Excel file.*CVI includes percent below 138% FPL, 1 comorbidity, minority, cumulative case rate, and percent unvaccinatedCopyright 2021 Deloitte Development LLC. All rights reserved.Deloitte Consulting LLP Trade Secret and Confidential.HealthPrismTM Focusing Resources & Protecting Lives. 15For internal use only by State of Missouri. Output based on available data.
HealthPrism Target Census Tract –001900 Key CharacteristicsThis tract at a glance:Census Tract -001900GREENE COUNTY95%63%50%36%67%WhiteUnder 55High-schooleducated or belowAt high-risk forat least 1 healthconditionHouseholdswith childrenVA LU E S & P R E F E R E N C E S70% seek out primary careproviders (PCP) for health careRural(non-core)MediumUrbanmetro(Large central metro)COVID-19 METRICS66%% Unvaccinated1,639# Unvaccinated18%14-Day % Increasein Case Rate6,266 per 100kCumulative COVID-19Case Burden27% utilize communityand/or retail health clinics70%MO avg75% identify asreligious – majorityChristian Likely to prefertext messages foroutreachACCESS FACTORSIncomeBroadband65% have an income below 30k27% likely do not havebroadband accessNet WorthHealth Insurance63% have 0 or less net worth18% are likely uninsuredEmploymentThe tract’s top occupations are:1Office and Administrative2Sales3Business and FinancialNote: Data on vaccinations include 1st round Moderna & Pfizer vaccinations and J&J vaccinations, are based on residence of the 18 individual vaccinated (unless otherwise stated), and are from 07/14/2021. COVID-19 case rate data is a change analysis of rates (cases per 100k) using data from 7/2/21 to 07/16/21. Methodology, datasources, and limitations are available in the Appendix. Full data set provided in corresponding Excel file.Copyright 2021 Deloitte Development LLC. All rights reserved.Deloitte Consulting LLP Trade Secret and Confidential.For internal use only by State of Missouri. Output based on available data.HealthPrismTM Focusing Resources & Protecting Lives.16
HealthPrism Target Census Tract –001900 Outreach ConsiderationsCensus Tract View: Vulnerable Population and Points of Interest (POIs)EXAMPLE PARTNERS1Sites for Outreach & Vaccination EventsLabel4325Name1Kearney Street Café2TypeAddressRestaurant1324 W Kearney StQueen of All Saints CatholicChurchWorship1505 W Atlantic St3Grace Bible Baptist ChurchWorship2101 N Johnston Ave4Bowerman ElementarySchoolSchool2148 N Douglas Ave5Reed Middle SchoolSchool2000 N Lyon AveOUTREACH CONSIDERATIONS- Consider partnering with local schools, Parent Teacher Associations(PTAs), and daycare/summer camps to host vaccination events aspart of back-to-school effortsVulnerable Population 30k income and/or1 comorbidities and/orracial/ethnic minorityLow to highdensity- Consider partnering with local businesses to offer vaccinations onsite and inform employers about tax credits to cover the costs ofproviding paid time offPOI Legend#Highlighted POIin TableAdditional POI forConsideration**Detailed list provided in accompanying ExcelCopyright 2021 Deloitte Development LLC. All rights reserved.Deloitte Consulting LLP Trade Secret and Confidential.- Where possible, match canvassers to the neighborhood (e.g.,people from the area, people of faith, parents with children) andencourage sharing of personal stories, shared values, and reasonsfor vaccinationFor internal use only by State of Missouri. Output based on available data.HealthPrismTM Focusing Resources & Protecting Lives.17
HealthPrism Target Census Tract –003300 Key CharacteristicsThis tract at a glance:Census Tract -003300GREENE COUNTY96%62%61%33%55%WhiteUnder 55High-schooleducated or belowAt high-risk forat least 1 healthconditionHouseholdswith childrenVA LU E S & P R E F E R E N C E S68% seek out primary careproviders (PCP) for health careRural(non-core)MediummetroUrban(large central metro)COVID-19 METRICS64%% Unvaccinated1,794# Unvaccinated14%14-Day Increase inCase Rate7,308 per 100kCumulative COVID-19Case Burden29% utilize communityand/or retail health clinics70%MO avg79% identify asreligious – majorityChristian Likely to prefertext messages foroutreachACCESS FACTORSIncomeBroadband73% have an income below 30k21% likely do not havebroadband accessNet WorthHealth Insurance67% have 0 or less net worth22% are likely uninsuredEmploymentThe tract’s top occupations are:1Office and Administrative2Construction & Extraction3ProductionNote: Data on vaccinations include 1st round Moderna & Pfizer vaccinations and J&J vaccinations, are based on residence of the 18 individual vaccinated (unless otherwise stated), and are from 07/14/2021. COVID-19 case rate data is a change analysis of rates (cases per 100k) using data from 7/2/21 to 07/16/21. Methodology, datasources, and limitations are available in the Appendix. Full data set provided in corresponding Excel file.Copyright 2021 Deloitte Development LLC. All rights reserved.Deloitte Consulting LLP Trade Secret and Confidential.For internal use only by State of Missouri. Output based on available data.HealthPrismTM Focusing Resources & Protecting Lives.18
HealthPrism Target Census Tract –003300 Outreach ConsiderationsCensus Tract View: Vulnerable Population and Points of Interest (POIs)EXAMPLE PARTNERSSites for Outreach & Vaccination Events31425LabelNameTypeAddress1Doing SteelBusiness2015 N Golden Ave2Central Plains CementBusiness2125 N Golden Ave3Tom Watkins CommunityCenterCommunityCenter / Park2100 High Street4Palmer Heights BaptistChurchWorship1606 W High St5Springfield Faith AssemblyWorship2001 W Division STOUTREACH CONSIDERATIONS- Consider partnering with construction and production companiesto bring mobile vaccinations on site and inform employers about taxcredits to cover costs of providing paid time offVulnerable Population 30k income and/or1 comorbidities and/orracial/ethnic minorityLow to highdensity- Consider leveraging unions and employee groups as trusted voicesin the community to host listening sessions and share informationPOI Legend#Highlighted POIin TableAdditional POI forConsideration**Detailed list provided in accompanying ExcelCopyright 2021 Deloitte Development LLC. All rights reserved.Deloitte Consulting LLP Trade Secret and Confidential.- Consider partnering with faith leaders at local places of worship topromote vaccination (e.g., encourage pastors to write op-eds in thelocal paper or host listening sessions with their congregation)- Emphasize that the vaccine is completely free and does not requirehealth insurance (“No ID or insurance required”)For internal use only by State of Missouri. Output based on available data.HealthPrismTM Focusing Resources & Protecting Lives.19
HealthPrism Target Census Tract –090602 Key CharacteristicsThis tract at a glance:Census Tract -090602STONE COUNTY97%51%55%33%42%WhiteUnder 55High-schooleducated or belowAt high-risk forat least 1 healthconditionHouseholdswith childrenVA LU E S & P R E F E R E N C E S79% seek out primary careproviders (PCP) for health careRural(non-core)MediumUrbanmetro(Large central metro)COVID-19 METRICS64%% Unvaccinated2,913# Unvaccinated8%14-Day Change inCase Rate11,244 per 100kCumulative COVID-19Case Burden17% utilize communityand/or retail health clinics70%MO avg78% identify asreligious – majorityChristian Likely to preferPhone for outreachACCESS FACTORSIncomeBroadband33% have an income below 30k14% likely do not havebroadband accessNet WorthHealth Insurance33% have 0 or less net worth19% are likely uninsuredEmploymentThe tract’s top occupations are:1Office and Administrative2Building and grounds cleaningand maintenance occupations3 Food PreparationNote: Data on vaccinations include 1st round Moderna & Pfizer vaccinations and J&J vaccinations, are based on residence of the 18 individual vaccinated (unless otherwise stated), and are from 07/14/2021. COVID-19 case rate data is a change analysis of rates (cases per 100k) using data from 7/2/21 to 07/16/21. Methodology, datasources, and limitations are available in the Appendix. Full data set provided in corresponding Excel file.Copyright 2021 Deloitte Development LLC. All rights reserved.Deloitte Consulting LLP Trade Secret and Confidential.For internal use only by State of Missouri. Output based on available data.HealthPrismTM Focusing Resources & Protecting Lives.20
HealthPrism Target Census Tract –090602 Outreach ConsiderationsCensus Tract View: Vulnerable Population and Points of Interest (POIs)EXAMPLE PARTNERSSites for Outreach & Vaccination EventsVulnerablePopulation1Low to high density 30k income and/or1 comorbiditiesand/or racial/ethnicminorityPOI LegendHighlighted POI#in TableAdditional POI forConsideration**Detailed list provided inaccompanying Excel4LabelNameTypeAddress1Southern Stone County FireProtection District Station 8Police/Fire21631 Old Highway 1602First Baptist Church of ReedSpringWorship21969 Main St3Boys and Girls Club ofAmericaCommunityCenter300 Wolves Ln4Reed’s Spring Middle SchoolSchool21016 Main St5Branson West PoliceDepartmentPolice/Fire110 Silver Lady Ln2OUTREACH CONSIDERATIONS3- Leverage family physicians as trusted advisors in this communityand ask them to recommend vaccination during routine appointments5- Consider partnering with faith leaders at local places of worship topromote vaccination (e.g., encourage pastors to write op-eds in thelocal paper or host listening sessions at their church)- Consider partnering with local elected officials and local mediafigures to advocate for vaccination and explain their personal choiceto be vaccinated, using messages that are true to their values- Consider partnering with local police and fire leaders to serve asvaccine “ambassadors” to speak to their community aboutvaccination and participate in ‘get out the shot’ canvassingCopyright 2021 Deloitte Development LLC. All rights reserved.Deloitte Consulting LLP Trade Secret and Confidential.For internal use only by State of Missouri. Output based on available data.HealthPrismTM Focusing Resources & Protecting Lives.21
AppendixCopyright 2021 Deloitte Development LLC. All rights reserved.Deloitte Consulting LLP Trade Secret and Confidential.For internal use only by State of Missouri. Output based on available data.HealthPrism Focusing Resources & Protecting Lives.22
14-Day COVID-19 Case Rate Hotspots at the Census Tract LevelHealthPrism For the time period between 7/2/21 and 7/16/21, the change in COVID-19 case rate (per 100,000) is displayed on the left and case rate hotspots (areas withstatistically significant changes in case rates in comparison to surrounding areas) are displayed on the rightCase Rates and Statistical HotspotsSouthwest Missouri (Region D) experienced second straight instance of sharp increases in case ratesCase rate increases were most intense in the greater Springfield area; while some parts of Region D were flat or experienced decreasesStatistical hotspots largely remained consistent in comparison to last week’s resultsNote: Data normalized by population (per 100,000 residents) per Census Tract. COVID-19 case rate data provided by the State of Missouri as of 07/16/21. Previous 2-week change view provided in the Appendix, along with methodology, data sources,and limitations.Copyright 2021 Deloitte Development LLC. All rights reserved.Deloitte Consulting LLP Trade Secret and Confidential.HealthPrismTM Focusing Resources & Protecting Lives. 23For internal use only by State of Missouri. Output based on available data.
Disclaimers about HealthPrism ContentHealthPrism Content is meant to supplement knowledge and resources already available to you.Content may be used to complement local efforts already taking place in your State and to assist with providing a level ofgranularity and frequency of updates that are not available in public datasets.Information presented is illustrative of a sample of analyses and capabilities that may be available to you to support COVID-19response and recovery efforts in Missouri.Insight(s) represent content generated as of a specific date – content and insights are subject to change given updated data.Content is populated by proprietary and publicly available sources, both of which are non-static and continuously updating.For privacy purposes, Personally Identifiable Information (PII) such as names, addresses, precise location of households are notshared in this report.Copyright 2021 Deloitte Development LLC. All rights reserved.Deloitte
Deloitte Consulting LLP Trade Secret and Confidential. . Data on vaccinated individuals is based on 1st round Moderna & Pfizer vaccinations and J&J vaccinations, includes all ages, and indicates the residence of the individual vaccinated, and is as of 07/20/2021. Methodology, data sources, and
