The Palm Beach Post: June 11, 2020

To see the full article at The Palm Beach Post’s website, click here.

Former Health Department geographic data scientist Rebekah Jones has created, which asserts that the state’s widely read public-facing dashboard under reports how many people have tested positive for the pathogen. Florida also overcounts how many have been tested, Jones said, to the benefit of Gov. Ron DeSantis’ push to reopen the state after two months of quarantine.

>>See Rebekah Jones’ COVID-19 dasboard

“I decided to stop wallowing in self-pity and do something constructive, something useful with the skill set I’ve been using for so long,” Jones said. “People have a right to know what’s going on in a straightforward nonpolitical kind of way.”

The information her dashboard reports comes from publicly available state data, much of which is not reported front and center on state websites, but buried in thousand-page reports or scattered PDF files. It includes hard-to-find hospital capacity information provided by another state agency, the Agency for Health Care Administration.

Jones, who built the state dashboard, was fired May 18 after refusing to “manipulate” COVID-19 data to justify reopening, she has said. DeSantis said she was fired because “she didn’t listen to the people who were her superiors.”

In her most noticeable break from the state, Jones’ site shows far more people with the illness than the state reports. To the daily number of people with positive coronavirus tests, Jones adds those testing positive to antibodies that may indicate the presence of the disease.

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While the Health Department reported 69,069 confirmed cases on Thursday, Jones’ website showed 75,897.

That could be a mistake, cautioned Dr. Terry Adirim, chairwoman of Florida Atlantic University’s Department of Integrated Biomedical Science. She warned against combining the results because antibody tests are more prone to false positives. Jones separately shows the state’s tally as well.

Jones’ site also offers a different death toll. She listed 2,938 deaths in Florida on Thursday while the state listed 2,848 because her site includes deaths of non-residents who caught the virus in Florida.

The state has excluded those people since mid-April. The Palm Beach Post includes non-resident deaths in its daily reporting.

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Tests or people tested?

One of Jones’ most controversial claims after her firing was that the state fiddled with the so-called positivity rate to make it easier to justify reopening counties that weren’t ready by using the wrong testing data to draw its conclusions.

On Thursday, the Health Department’s site declared more than 1.3 million “total people tested” in bold type on its website. But Jones’ website says the true figure is about 30 percent less, just over 1 million.

The state’s testing tally reflects the number of tests conducted, not how many people were tested, a state data guide shows.

The figure Jones reports isn’t on any easily viewed public website maintained by the state. It can be found by downloading data non-programmers would find incomprehensible. The Post uses that data for a county-by-county testing map that has been on its website since March.

>> See The Post’s coronavirus maps and charts, including latest case countsPreviousNext

If Florida is indeed misreporting how many people have been tested, it makes the health situation in Florida look better than it is. By dividing the number of cases into the number of tests instead of the number of people tested, the state erroneously reports a lower percentage of people testing positive, Jones said.

When DeSantis allowed most of the state to reopen in early May, he relied in part on positivity, demanding that less than 10 percent of those tested in every county have positive test results before a county could reopen.

Some counties that met the criteria using the state’s formula may have fallen short under Jones’ definition.

For instance, Palm Beach County would have a 12 percent positivity rate under Jones’ formula, while the state calculates a positivity rate of less than 8 percent.

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A report card on reopening

The state allowed Palm Beach County to start reopening businesses on May 11 even after testing uncovered outbreaks in the Glades and Lake Worth Beach. The number of new daily cases in the county has skyrocketed since late May.Great deal on iPhone SEAd by Metro by T-Mobile See More

Jones’ dashboard shows “report cards” judging each county’s readiness to enter Phase 2.

The state’s benchmarks for reopening also include two weeks of declining counts in new cases, declines in COVID-like illness from hospitals and emergency rooms and positivity.

By Jones’ calculations based on data reported last week, only two counties qualify: Liberty and Clay.

>>As county’s coronavirus cases soar, expert says rapid reopening may be to blame

“People have a right to know what’s going on in a straightforward nonpolitical kind of way,” she said.

But without the backing of the state, it is uncertain that her site will win over the public. In a statement announcing the new site, Jones said her website “will always be under construction,” and “we look forward to hearing from the community about what they would like to see on their dashboard.”

Jones’ site also lists details collected by the state for each victim, including those from before March 1, when Florida announced its first cases. “92-year-old Male in Palm Beach County, who was first diagnosed or tested 2/29/2020, 7:00 PM and became an official case after DOH received positive lab results 3/27/2020, 1:00 AM,” one record reads for example.Great deal on iPhone SEAd by Metro by T-Mobile See More

“We weren’t allowed to really draw attention to deaths, which is why I added hospitalizations and deaths which use something we buried in a PDF but never showed on our dashboard,” Jones said. “So people can bring the humanity aspect of this to the forefront.”

>>Florida coronavirus rates twice as high in black, Hispanic areas, internal state data shows

Where can you get tested?

While the state’s dashboard reports only the number of residents who have ever been hospitalized with COVID-19, Jones’ includes hospitalizations and deaths of non-residents. It also pulls the AHCA data to show the number of intensive care unit beds available by hospital, illustrating the strain the virus is putting on health care.

Unlike the state dashboard, Jones includes a map showing hundreds of testing sites statewide, with information such as phone numbers, addresses and how to schedule an appointment.

Jones created the state’s dashboard and map in March, working at one point, she said, 36 days straight without a day off. It earned praise from Dr. Deborah Birx, the White House coronavirus response coordinator. Jones was in charge of updating statewide coronavirus figures, which detail the number of tests and confirmed cases for each county.

A Health Department manager asked Jones in early May to hide state data from public view the night before The Post reported that Floridians felt COVID-19 symptoms as early as January. Jones told her boss in an email it was the “wrong call” but removed the data.Great deal on iPhone SEAd by Metro by T-Mobile See More

After The Post story published, it was returned to the site.

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Jones was removed from her data management duties on May 5, she said, in retaliation for refusing to “manipulate” the data to make coronavirus look less prevalent among those getting tested for the pathogen.

On May 29, the state’s dashboard went offline for a day, hidden behind a login screen, when a Health Department worker tried to program the software powering the dashboard to make the data private.

Jones, who lives in Tallahassee, has set up a GoFundMe account while she works on her dashboard, with a goal of raising $50,000. Contributors have donated more than $4,000 so far.

“I was very very worried about paying bills next Friday,” she said.


Public Release: June 11, 2020

This article was written by the Wolf.

How our map is different:

We count everyone who has had a confirmed-positive COVID-19 lab result, including antibody testing. Any cumulative count of positive people in Florida should include any person who has a confirmed-positive lab result, whether tested while symptomatic or not. This helps us better track the disease burden on healthcare systems and its spread in the community.

We show the number of positive people, hospitalizations, and deaths for everyone tested in Florida, regardless of their legal address. DOH excludes non-residents from its demographic data, zip code data, death data, and case data over time.

We apply the CDC’s guidance on counting “recovered” cases to show by-county estimates of the number of recovered people. This calculation includes all cases diagnosed more than six weeks ago where no death, hospitalization or ER admission is on file, for both residents and non-residents.

We show hospital data – including active bed counts, capacity, and ICU/isolation availability, updated hourly by the Agency for Health Care Administration (AHCA) through a public data feed.

We also break down deaths and hospitalizations by age group for both residents and non-residents.

We provide a report card for each county to measure readiness to enter the next phase of reopening based on the criteria DOH and the State outlined in late April.

We provide data about the impacts of COVID-19, including lives lost, economic, and social factors by region and county.

We provide testing site locations and data, including hours of operation, test type, and contact information for every testing facility in the state. We have a separate testing application tool, as well, which can be used to search for facilities and print directions.

We provide information about community resources, including the locations, contact information and hours for Red Cross facilities, food banks, USDA Meals for Kids locations, and more.

We show city-level case data, made available through daily PDF reports but never added to the DOH dashboard, so communities can better-understand their risk.

We calculate positivity based on the number of people tested, not the number of new cases divided by the total numbers of tests processed across all labs each day, which includes duplicates and re-tests (though we also provide this information for context).

We put the data in context, clearly stating each variable’s limitations and caveats, for all the data on the site, including DOH’s data.

We provide public data feeds that aren’t dependent on the now-unreliable DOH dashboard, and are pulled directly from the PDF reports issued by DOH each morning. Anyone can download the raw data and analyze it, regardless of whether or not the dashboard is crashing, and we provide the daily data for all PDFS and data tables published by DOH each day on our Open Data site.

Most importantly, we ask the community for input. If there’s data the public wants to see, and we have a way of accurately counting or finding that data, we will do our best to do so. If people want to add event information or resources the public can access for testing or for help, they can add it to our map by filling out a short, anonymous survey.

What we still can’t do:

Count probable cases and deaths. Florida does not follow CDC guidance on reporting probable cases, hospitalizations or deaths by not publishing this data. Without critical information about probable cases, our understanding of the virus, its burden on our communities and health systems, and its change in spread over time is very limited.

Measure precise recovery and recovery rates based on case data. The CDC outlined clear guidance for determining what qualifies someone as being “recovered” two months ago, but DOH never released that data (even though they have it). Without the data from DOH, we can only estimate the number of recovered based on the data DOH already makes public, which could be over/under the CDC-outlined guidance.

Show total cases that include non-residents at the zip code or city level. Both the zip code and city-level data provided by DOH excludes non-residents and all persons testing positive by antibody testing.

Provide county or zip-code level data for antibody testing. Data currently is submitted based on county, presumably the county of residence, but that is not clear. It is also unclear if this data includes residents and non-residents.  

Show data about cases in prisons, jails and other detention centers. DOH currently only reports prison deaths of confirmed-positive inmates. No data is provided regarding case totals, testing, or probably cases for prisons or jails in the state of Florida.