Nov. 18 update on COVID-19 in MN: Record daily deaths push toll above 3K; hospitalizations climb

New curbs coming on high school sports, nightlife

Person wearing a face mask talks to people from behind a plexiglass.
Staff guide and help people through the new saliva COVID-19 testing site at the Minneapolis-St. Paul International Airport on Nov. 12.
Elizabeth Flores | Star Tribune via AP

Updated: 11:58 a.m.

The drumbeat of worsening COVID-19 data hit another grim note Wednesday — 67 more Minnesotans died, a single-day record that pushed the state’s pandemic death toll above 3,000.

Caseloads, hospitalizations and deaths continue largely unabated in Minnesota. The Health Department tallied another 5,102 newly confirmed or probable cases.

Hospitalizations continue to climb steeply, with the seven-day new admissions trend hitting a record. About 1,700 people are in Minnesota hospitals now because of COVID-19 with 355 needing intensive care, according to the latest update.

The number of hospital patients has grown by more than 30 percent in the last week.

New COVID-19 hospitalizations in Minnesota

The overall numbers continue to paint a disturbing picture of a rapidly worsening outbreak in Minnesota not limited to just one region or demographic group, like earlier in the pandemic.

Of the 242,043 confirmed or probable cases identified in the pandemic to date, about 80 percent have recovered to the point they no longer need to be isolated.

New COVID-19 cases per day in Minnesota

Death counts are averaging 35 a day the past seven days, twice as high as two weeks ago.

The deaths reported Wednesday raised Minnesota’s toll to 3,010. Among those who’ve died, about 69 percent had been living in long-term care or assisted living facilities; most had underlying health problems.

New COVID-19 related deaths reported in Minnesota each day

Caseloads rising across age groups

New cases have been spiking the past two weeks in all age groups.

People in their 20s still make up the age bracket with the state’s largest number of confirmed cases — nearly 50,000 since the pandemic began, including more than 27,000 among people ages 20-24.

New Minnesota COVID-19 cases by age, adjusted for population

The number of high school-age children confirmed with the disease has also grown, with more than 19,000 total cases among children ages 15 to 19 since the pandemic began.

The numbers help explain why experts remain particularly concerned about teens and young adults as spreaders of the virus.

Although less likely to feel the worst effects of the disease and end up hospitalized, experts worry youth and young adults will spread it to grandparents and other vulnerable populations.

It’s especially concerning because people can have the coronavirus and spread COVID-19 when they don’t have symptoms.

Walz said recently the state has data showing infection rates rising around bar and restaurant activity after 9 p.m. among young adults, noting that people who have the virus but don’t have symptoms are unwittingly spreading it.

The numbers led him to order new restrictions on late-night social life in Minnesota, including a 10 p.m. curfew for indoor service in bars and restaurants, a move that’s expected to be followed up today by a one-month ban on in-person bar and restaurant service.

Virus surges in swaths of rural Minnesota

Regionally, central and northern Minnesota have driven much of the recent increase in new cases while Hennepin and Ramsey counties show some of the slowest case growth in the state.

New COVID-19 cases by Minnesota region

The fastest growing outbreaks are along the state’s western border with the Dakotas, where the virus is spreading unchecked. But new cases are rising at accelerating rates everywhere in Minnesota.

Collectively, rural areas continue to report the most new COVID-19 cases per capita.

Northern Minnesota, once the region least affected by the disease, has also seen its caseload grow dramatically in recent weeks.

MN counties with the fastest per-capita growth in COVID-19 cases

Latino cases climb

In Minnesota and across the country, COVID-19 has hit communities of color disproportionately hard in both cases and deaths. That’s been especially true for Minnesotans of Hispanic descent for much of the pandemic.

New COVID-19 cases per capita by race

Distrust of the government, together with deeply rooted health and economic disparities, have hampered efforts to boost testing among communities of color, officials say, especially among unauthorized immigrants who fear their personal information may be used to deport them.

Similar trends hold true for Minnesota’s Indigenous residents. Counts among Indigenous people jumped in October relative to population.

Cases among all races and ethnicities continue to rise, although currently the growth is slowest among Black Minnesotans, who reported the most new COVID-19 cases per capita for much of the spring and summer.

New curbs coming for eateries, gyms, youth sports

As the current outbreak rages, Gov. Tim Walz is expected to use a 6 p.m. address to roll out new curbs on Minnesota social life, including restricting bars and restaurants to carry-out or delivery service only for a month. Gyms will also be shut until Dec. 18.

The governor has also signaled this week that high school sports, a staple of Minnesota life in the fall and winter, would likely be put on hold.

Active, confirmed COVID-19 cases in Minnesota

“None of this is easy,” he told reporters Tuesday as he implored Minnesotans to do all they could to stem the disease’s uncontrolled spread. “It’s going to be a difficult four weeks.”

State officials on Monday pleaded with Minnesotans not to gather for Thanksgiving outside their immediate household. They also asked college students to consider not going home for the holiday.

That advice was a change from the state Health Department’s prior recommendations. The agency last week said it’d be OK for people to have gatherings up to 10 from three households.

Now, though, the disease’s rampant, accelerating spread is forcing the hand of public health officials. By Thanksgiving, Minnesota could be seeing more than 10,000 new cases reported daily, Minnesota Health Commissioner Jan Malcolm told reporters.

“The ground is really shifting under our feet and we need to adapt quickly,” she said.

“It's very risky right now to get together with friends,” Kris Ehresmann, the state’s infectious disease director said.

‘Darkest part of the pandemic’

The uncontrolled spread is being driven now by Minnesotans’ informal gatherings and get-togethers with family and friends where it’s transmitted unknowingly by people who have the virus but do not have symptoms, officials say.

“Our behavior is driving this … literally thousands and thousands of small decisions happening around Minnesota that are the issue here,” Malcolm said recently.

Percent of COVID-19 tests to come back positive

There’s increasing concern about the ability of hospitals to handle more. Staffing is becoming a challenge as more health care workers get sick.

COVID-19 is taking a toll on hospital staffing, making care more difficult to provide, even as demand grows. The trends indicate the situation will get much worse in the near future Malcolm told MPR News early Monday.

“We know that hospitalizations lag by about two weeks from, or possibly more than two weeks behind the cases,” she added. “So the hospitalizations we’re seeing today are based on cases that were one-third of what we’re seeing today.”

With COVID-19 raging now, Walz and public health authorities made it clear that the current situation is worsening as the virus runs largely unabated across the state.

Graph of new ICU and non-ICU COVID-19 hospitalizations

“It is no secret that the country, and especially the Upper Midwest, is in the grips of the darkest part of this pandemic,” Walz told reporters Monday.

While the governor expressed hope of a “light at the end of the tunnel” amid news of effective vaccines on the way, he acknowledged the grim counts will continue.

Walz called on Minnesotans to take personal responsibility for helping stem the disease’s spread, noting that Minnesota will soon pass 300,000 total cases and 3,000 deaths in the pandemic. “That will not be the end. The only question is how bad does it get.”

‘If we don’t act now, God help us’

Tuesday’s briefing with Walz included a number of Minnesotans directly affected by the pain of COVID-19.

That included ex-GOP state Rep. Nick Zerwas, who ended up hospitalized in an ICU with the disease.

"I was stunned when I became so overwhelmed and ill from this virus,” said Zerwas, who also has a severe heart condition. “It happened so quickly and it progressed so fast. Two weeks ago I didn’t know a soul in Sherburne County that tested positive,” he said, adding he now knows dozens.

“At no time will this virus ask you who you voted for or what your politics are,” he said. “It does not discriminate, and it is mean. We all have to come together and fight.”

Zerwas, in a weak and raspy voice, conceded he downplayed COVID-19 before contracting it back in the summer but that circumstances have changed completely since then. He said the situation in June and July was “nothing, absolutely nothing” like it is now.

“Everything has changed,” he said. “The virus is here. If we don’t act now, God help us.”

Developments around the state

Red Lake chair: National Guard to aid reservation nursing home

The tribal chair of Red Lake Nation says the state is sending help to deal with rising COVID-19 cases on the northern Minnesota reservation.

Darrell Seki said that as of Monday there were 46 people with active COVID-19 cases on the reservation. He said that includes 19 residents and 13 staff at the Jourdain Perpich Extended Care Facility in Red Lake.

"Due the increased number of COVID cases in our area, Gov. Walz will activate National Guard nurses to assist at the nursing home as our registered nurses and CNAs have tested positive," Seki said in an online post.

Seki said it's been impossible to hire additional staff because so many other nursing homes are also dealing with shortages.

"See what happened is they opened it up for visiting for a week. The residents start getting COVID,” he said. “Then all of a sudden our nurses are getting, our director of nursing is one, even our director of the nursing home got COVID."

The governor's office did not respond to a request for information about potential National Guard deployment to tribal nations in Minnesota. 

— Dan Gunderson | MPR News  

Olmsted County suspends contact tracing as COVID cases surge

A second Minnesota county has said COVID-19 cases are growing so rapidly that they can’t keep up with standard case investigations.

Olmsted County, including Rochester and its surroundings, has jumped from an average of 67 cases a day at the beginning of November to more than 120 cases a day.

Health officials say they can no longer trace the contacts of everyone with a confirmed case. They’re asking people who test positive to reach out to people they’ve been in close contact with on their own.

Positive cases also need to alert their employers, school or child care provider.

Itasca County in northern Minnesota took similar steps last week, and the state of North Dakota did as well, saying the COVID-19 outbreak has outstripped the standard public health measures to fight it.

— Tim Nelson | MPR News

Staff illness reaching crisis levels at nursing homes

Just a month after the state eased restrictions on family visiting long-term care residents, industry officials say COVID-19 is making visits more dangerous than ever.

Patti Cullen, president of Care Providers of Minnesota, said that staff illness is reaching crisis levels in nursing homes, and elderly patients remain as susceptible as ever to the coronavirus.

Patti Cullen, president and CEO of Care Providers of Minnesota, speaks with Cathy Wurzer
by MPR News Staff

She said visits shouldn’t even be on the table because of the prevalence of COVID-19 in the community outside care centers.

"Other than virtual visits or outdoor visits, there is no safe way," she said.

Cullen said that it isn’t just a matter of keeping vulnerable residents safe, but keeping care facilities available to take recovering patients from hospitals. She said they need to take patients to free up hospital beds for people who need a higher level of care.

— Tim Nelson | MPR News

Health Department to start tracing efforts with texts

People who have tested positive for COVID-19 or who have been in contact with a positive case will now be notified by text before receiving a phone call from a contract tracer.

The hope is to increase the rate of answered or returned phone calls to contact tracers. The text will include the contact tracer’s number.

“The idea is to more effectively reach and inform those who test positive for COVID-19 and their close contacts about what they need to do to prevent further spread and to better protect the state’s most vulnerable populations through improved outreach and communication,” Health Commissioner Jan Malcolm said Friday.

— MPR News Staff

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COVID-19 in Minnesota

Data in these graphs are based on the Minnesota Department of Health's cumulative totals released at 11 a.m. daily. You can find more detailed statistics on COVID-19 at the Health Department website.