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The coronavirus pandemic has been difficult not just because of its enormity but also because of its mystery.

COVID-19 IN COLORADO

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More than a year in now, public health officials still find themselves surprised at some of the tricks that the SARS-CoV-2 coronavirus that causes COVID-19 can pull.

“We certainly haven’t seen any virus that behaves like this in our lifetime,” said Jill Hunsaker Ryan, the executive director of the Colorado Department of Public Health and Environment.

So, given the scope of the crisis and the unknowns involved, it would be a mistake so say that any state has handled the pandemic well. But some states have clearly done better than others. And the one-year anniversary of Colorado’s first case — which was last Friday, March 5 — provides an opportunity to see how Colorado weathered the past year and how it compared to the rest of the nation.

These 13 charts tell the story.

One in four Coloradans may have been infected

There have been slightly more than 430,000 confirmed coronavirus cases in Colorado. But because so many cases are asymptomatic and so many cases hit during periods when testing capacity was strained, we know there were likely many more than that.

How many more? The team of Colorado School of Public Health and other university researchers that created a mathematical model to chart the course of the pandemic have estimated an answer. They believe approximately 1,585,000 Coloradans have been infected by the virus. Of those, they estimate that around 1,267,000 Coloradans — about 22% of the state — retain some natural immunity as a result of infection.

A chart produced by researchers at the Colorado School of Public Health and other state universities showing confirmed coronavirus infections compared to estimated infections. (The Colorado School of Public Health)

Colorado had lower case and death rates than most surrounding states

Every surrounding state but Wyoming and New Mexico had coronavirus case rates above 10,000 cases per 100,000 people. Colorado’s rate of confirmed coronavirus cases was the lowest in its immediate region — about 7,500 cases per 100,000 people.

Colorado had the second-lowest rate of deaths among people with coronavirus infections among surrounding states, behind Utah.

Colorado cases have stayed below the national average – except during the fall

For most of the pandemic, Colorado has been in the middle of the pack or better nationally in terms of case rate. The exception was in the fall, when the state experienced an enormous surge that briefly made it one of the nation’s COVID-19 hotspots.

Colorado hit its peak earlier than most states

That fall wave meant Colorado peaked sooner than most other states in the country, according to data kept by the COVID Tracking Project, an effort by The Atlantic magazine. Colorado’s peak for new cases thus far came on Nov. 12, when the state recorded 6,773 new cases in a single day. The following week was the peak for the state’s highest number of cases in a single week. Both put Colorado ahead of the curve nationally.

A chart produced by The COVID Tracking Project at The Atlantic showing when each state had its record day for new coronavirus cases. Colorado’s fell in the second week of November. (The COVID Tracking Project at The Atlantic)

Hospitals avoided major stress, for the most part

One of the abiding fears of the pandemic has been that the state could overwhelm its hospital capacity, leading to even more deaths among patients who might otherwise be saved.

Hunsaker Ryan and Gov. Jared Polis have called avoiding this scenario their North Star — the thing guiding all decisions on restrictions. And, so far at least, Colorado has been successful at avoiding the dire circumstances seen in other states.

Colorado didn’t run out of ventilators and only briefly during the pandemic has seen more than half of its critical-care ventilators in use. The state has not yet had more than 90% of its intensive-care hospital beds in use.

Things got pretty scary in the fall — Polis has said the state was days away from having to activate its field hospitals. And while the state did implement some emergency plans around hospital staffing and protective equipment, it has not yet had to activate hospital crisis standards of care that would decide which patients receive life-saving treatment and which do not.

A screenshot of a slide from a Colorado Department of Public Health and Environment presentation showing hospital stress levels over the course of the pandemic. Colorado hospital experienced only a brief period of high stress in the fall of 2020. (Screenshot by John Ingold, The Colorado Sun)

Colorado had a lower death rate than the nation

After the first, spring wave, Colorado’s death rate from COVID-19 tracked lower than the national average. Had Colorado followed the nation’s death rate, the state would have seen an additional 3,000 deaths so far, said Dr. Rachel Herlihy, the state epidemiologist.

She credited the state’s policies and behaviors around mask-wearing and social distancing.

“All of those things made a difference,” she said. “We saved more lives here in Colorado.”

A screenshot of a slide from a Colorado Department of Public Health and Environment presentation showing the cumulative death rate from coronavirus in Colorado versus the nation. After the spring 2020 wave, Colorado’s rate stayed below the national rate. (Screenshot by John Ingold, The Colorado Sun)

There’s wide variation among counties

Colorado has five counties with no reported deaths from COVID-19, and several others with fewer than five deaths. But it also has three counties where the death rates calculate out to more than 3 deaths per every 1,000 people.

And case rates show a similar disparity. The county with the highest rate of confirmed cases — Crowley County, with more than 340 cases per every 1,000 people — is 10 times higher than the county with the lowest rate — Park County, with about 30 cases per 1,000 people.

Often, in small counties, these high rates are driven by outbreaks. Crowley County saw outbreaks at a prison and a nursing home that, combined, added 142 cases to the small county’s total.

Older Coloradans bore the brunt of the virus

People over the age of 80, who make up about 3.2% of the state’s population and 3.2% of the state’s confirmed COVID-19 cases, account for nearly 54% of the state’s deaths from the virus. People under the age of 30, who account for around a third of the state’s COVID-19 cases, make up less than 1% of the state’s deaths.

This shows why state health officials have been focused on getting the vaccine first to older Coloradans. And that, in turn, explains why people age 60 and older make up the majority of those who have received a vaccination so far.

Racial and ethnic disparities remain

At one point early on in the pandemic, more than half of the patients hospitalized in Colorado with COVID-19 were Hispanic, even though Hispanic Coloradans make up only about 22% of the state’s population.

Those statistical disparities have lessened as the pandemic continued on, and cases and deaths for Black and Hispanic Coloradans are now tracking closer to their share of the population. But inequities remain, especially when it comes to vaccination.

White Coloradans make up 86% of people who have received at least one dose of a vaccine and whose race is documented in state records. Whites account for about 68% of the state’s population. Meanwhile, Hispanics account for about 6% of those who have been vaccinated and whose race is known.

Testing capacity has greatly improved

Back in the earlier days of the pandemic, Polis talked about the need for the state to be able to run tens of thousands of coronavirus tests per day. And then, for weeks after, as people struggled to get tested and get results back in a timely manner, that looked like a hopeless goal.

But Colorado can now easily do what Polis a year ago proposed. The state’s record for tests run in a day at private labs and the state health lab is 66,690 tests, run on Nov. 25.

A chart produced by the Colorado Department of Public Health and Environment showing the number of coronavirus tests performed per day. The red line shows a moving 7-day average of test positivity. (Provided by CDPHE)

Colorado had once been among the national leaders in rolling out coronavirus vaccinations. It’s since slipped back into the pack as other states have ramped up their efforts.

But the state has now passed the 1 million mark for people who have received at least one dose of vaccine. And the Centers for Disease Control and Prevention estimates the state has gotten vaccinations to nearly 25% of its population 18 and older.

(Note: The chart below was made using data reported as of March 5. The numbers have risen for all states since then, as data from vaccination clinics over the past week have been added.)

The unemployment rate hasn’t bounced back like in other states

Colorado’s unemployment rate peaked at 12.2% in April. That’s no where close to the highest in the nation — Nevada saw an unemployment rate in April above 30%.

But Colorado’s rate is notable because it hasn’t dropped back down significantly the way it has in other states. The state’s unemployment rate in December was a preliminary 8.4%, the fourth-highest in the nation. A study by the personal finance website WalletHub put Colorado near the bottom in terms of its COVID economic recovery.

This content was originally published here.