Healthy Central Valley Together Update
Last compiled on 10/18/2023
Please see below for the latest update on Merced, Stanislaus, and Yolo County wastewater data.
For each county, the aggregated trend is population-weighted. It is calculated using the 10-days trimmed average for each site. For each date, an individual site trimmed smoothed value for the day is multiplied by the plant’s population, then these are summed and divided by the total population of all sites.
| Percent change | |||
| Virus | Merced County | Stanislaus County | Yolo County |
|---|---|---|---|
| SARS-CoV-2 | 40.2% | 50.8% | +12.6% |
| Influenza A | +14.7% | +LL | 47.2% |
| Influenza B | 40.2% | 50.8% | +12.6% |
| RSV | +72.7% | +LL | +125.5% |
| HMPV | 45.3% | ND | 19.1% |
| Norovirus | 5.5% | 26.3% | 8.9% |
| Percent change is calculated here using average of measurements over the past two weeks compared to the average of measurements from the prior two weeks. | |||
| ND- Non-detect (below detection limit) | |||
| +LL increasing but at low levels | |||
| Weeks 100-101: 09/17 - 09/30 | |||
| Weeks 102-103: 10/01 - 10/14 | |||
| Current wastewater level | |||
| Virus | Merced County | Stanislaus County | Yolo County |
|---|---|---|---|
| SARS-CoV-2 | Low | Low | High |
| Influenza A | Medium | High | Medium |
| Influenza B | Low | Low | High |
| RSV | High | High | Medium |
| HMPV | Medium | Low | Medium |
| Norovirus | Low | Low | Low |
| The current wastewater levels are estimated using the 10-day rolling average (10-d.m.a). The 33rd and 66th percentiles are calculated over the past 365 days before 14 days ago. For counties with less than 365 days, all days before 14 days ago are used. The current wastewater level is classified as: | |||
| • Low: The current 10-dma is below 33rd percentile | |||
| • Medium: The current 10-dma is between the 33rd and 66th percentile | |||
| • High: The current 10-dma is above 66th Percentile | |||
| The Relative Strength Index | |||
| Virus | Merced County | Stanislaus County | Yolo County |
|---|---|---|---|
| SARS-CoV-2 | Very likely downward | Very likely downward | No Trend |
| Influenza A | No Trend | Likely upward | Downward |
| Influenza B | Very likely downward | Very likely downward | No Trend |
| RSV | Upward | Upward | No Trend |
| HMPV | No Trend | No Data | No Trend |
| Norovirus | No Trend | Very likely downward | Downward |
| Week 103: 10/01 - 10/14 | |||
| * The Relative Strength Index (RSI) calculates a ratio of the recent upward price movements to the absolute price movement. Developed by J. Welles Wilder. | |||
| Mann-Kendall trend test | |||
| Virus | Merced County | Stanislaus County | Yolo County |
|---|---|---|---|
| SARS-CoV-2 | Very likely downward | Very likely downward | Very likely upward |
| Influenza A | Very likely downward | Very likely upward | Very likely downward |
| Influenza B | Very likely downward | Very likely downward | Very likely upward |
| RSV | Very likely upward | Very likely upward | Very likely upward |
| HMPV | Very likely downward | No Data | No Trend |
| Norovirus | Very likely upward | Very likely downward | Very likely downward |
| Week 103: 10/01 - 10/14 | |||
| * The Mann-Kendall (MK) trend test is a nonparametric test that evaluates whether there is a monotonic trend in a time-series dataset. We applied the MK trend test to raw N/PMMoV data and used a 14-day lookback period. We interpreted positive values of the test statistic, tau (τ), with p ≤ 0.1, p ≤ 0.05, and p ≤ 0.01 as upward, likely upward, and very likely upward trends, respectively. We interpreted negative τ values with p ≤ 0.1, p ≤ 0.05, and p ≤ 0.01 as downward, likely downward, and very likely downward trends, respectively. | |||
| Percent change in the last 14 days | |||
| Virus | Merced County | Stanislaus County | Yolo County |
|---|---|---|---|
| SARS-CoV-2 | Very likely downward | Very likely downward | Very likely upward |
| Influenza A | Very likely downward | Very likely upward | Very likely downward |
| Influenza B | Very likely downward | Very likely downward | Very likely upward |
| RSV | Very likely upward | Very likely upward | Very likely upward |
| HMPV | Very likely downward | No Trend | No Trend |
| Norovirus | Very likely upward | Very likely downward | Very likely downward |
| Week 103: 10/01 - 10/14 | |||
| * The slope is calculated from a least-squares linear regression of log10-transformed values of the N/PMMoV data versus day. We used a 14-day look-back period to calculate the slope. For each slope estimate, we extracted the 90%, 95%, and 99% confidence intervals (CIs) to calculate the 90%, 95%, and 99% CIs for each PC estimate. We interpreted PC values greater than 0 for the 90%, 95%, and 99% upper CIs as upward, likely upward, and very likely upward trends, respectively. We interpreted PC values less than 0 for the 90%, 95%, and 99% lower CIs as downward, likely downward, and very likely downward trends day and previous n - 1 days. | |||
The embedded graph shows the effective reproductive number, Rt, which is the expected number of new infections caused by a single infectious person where some individuals may no longer be susceptible. It used to assess whether the epidemic is growing (>1), shrinking (<1), or holding steady (~1). To compute Rt from wastewater data, we utilize a proxy of the cases derived from the smoothed SARS-CoV-2 RNA concentration. The process involves dividing the smoothed concentration by the minimum concentration observed in the treatment plant. This normalization step ensures that the minimum concentration corresponds to a value of \(1\), serving as a reference point. Next, we multiply the normalized concentration by a scalar value, k, which we set as 4. This assumption implies that the minimum concentration observed in the treatment plant corresponds to approximately 4 infected individuals. The choice of k is not critical for calculating since it is scale-free.
The formula for computing the proxy of cases from wastewater data is as follows: \[I_{ww}= k \frac{C_{RNA}}{min {(C_{RNA})}}\] where \(C_{RNA} = (C_1,\ldots,C_n)\) represents the smoothed concentration vector at different time points. By applying this formula, we obtain a proxy of the cases based on the wastewater data.
| Percent change | ||||||||
| Virus | Merced County | Stanislaus County | Yolo County | |||||
|---|---|---|---|---|---|---|---|---|
| Merced | Los Banos | Modesto | Turlock | Davis | Esparto | Winters | Woodland | |
| SARS-CoV-2 | 46.6% | +110.7% | 38.2% | +81.9% | +42% | 76.3% | +71.1% | 38.9% |
| Influenza A | +3468.1% | 45.2% | +LL | +LL | 31.4% | ND | ND | 55.3% |
| Influenza B | ND | ND | ND | +LL | ND | ND | ND | ND |
| RSV | 9.9% | +202.1% | +327.8% | +127.8% | 14.9% | ND | ND | ND |
| HMPV | ND | +LL | ND | ND | ND | ND | ND | +127.6% |
| Norovirus | +149.4% | +65.5% | 31% | +39.7% | +37.3% | +122.5% | 75.9% | 34.4% |
| Percent change is calculated here using average of measurements over the past two weeks compared to the average of measurements from the prior two weeks. | ||||||||
| ND- Non-detect (below detection limit) | ||||||||
| +LL increasing but at low levels | ||||||||
| Weeks 100-101: 09/17 - 09/30 | ||||||||
| Weeks 102-103: 10/01 - 10/14 | ||||||||
| Current wastewater level | ||||||||
| Virus | Merced County | Stanislaus County | Yolo County | |||||
|---|---|---|---|---|---|---|---|---|
| Merced | Los Banos | Modesto | Turlock | Davis | Esparto | Winters | Woodland | |
| SARS-CoV-2 | Low | Medium | Low | Low | High | Low | Medium | Medium |
| Influenza A | High | High | Low | Low | Low | Low | Low | High |
| Influenza B | Low | Low | Low | High | Low | Low | Low | Low |
| RSV | High | Medium | Low | Low | Low | Low | Low | Low |
| HMPV | Low | Medium | Low | Low | Low | Low | Low | High |
| Norovirus | Medium | Low | Low | Low | Low | Medium | Low | Low |
| The current wastewater levels are estimated using the 10-day rolling average (10-d.m.a). The 33rd and 66th percentiles are calculated over the past 365 days before 14 days ago. For cities with less than 365 days, all days before 14 days ago are used. The current wastewater level is classified as: | ||||||||
| • Low: The current 10-dma is below 33rd percentile | ||||||||
| • Medium: The current 10-dma is between the 33rd and 66th percentile | ||||||||
| • High: The current 10-dma is above 66th Percentile | ||||||||
| Percent change in the last 14 days | ||||||||
| Virus | Merced County | Stanislaus County | Yolo County | |||||
|---|---|---|---|---|---|---|---|---|
| Merced | Los Banos | Modesto | Turlock | Davis | Esparto | Winters | Woodland | |
| SARS-CoV-2 | Very likely downward | Very likely upward | Very likely downward | No Trend | Upward | Likely upward | Very likely upward | Likely downward |
| Influenza A | No Trend | Downward | No Trend | No Trend | Very likely downward | No Trend | No Trend | No Trend |
| Influenza B | No Trend | No Trend | No Trend | No Trend | No Trend | No Trend | No Trend | No Trend |
| RSV | No Trend | No Trend | No Trend | Downward | Likely downward | No Trend | No Trend | No Trend |
| HMPV | Very likely downward | No Trend | No Trend | No Trend | No Trend | No Trend | No Trend | Upward |
| Norovirus | Very likely upward | Very likely upward | Very likely downward | No Trend | Very likely upward | Very likely upward | Very likely downward | Very likely downward |
| Week 103: 10/01 - 10/14 | ||||||||
| * The slope is calculated from a least-squares linear regression of log10-transformed values of the N/PMMoV data versus day. We used a 14-day look-back period to calculate the slope. For each slope estimate, we extracted the 90%, 95%, and 99% confidence intervals (CIs) to calculate the 90%, 95%, and 99% CIs for each PC estimate. We interpreted PC values greater than 0 for the 90%, 95%, and 99% upper CIs as upward, likely upward, and very likely upward trends, respectively. We interpreted PC values less than 0 for the 90%, 95%, and 99% lower CIs as downward, likely downward, and very likely downward trends day and previous n - 1 days. | ||||||||
| The Relative Strength Index | ||||||||
| Virus | Merced County | Stanislaus County | Yolo County | |||||
|---|---|---|---|---|---|---|---|---|
| Merced | Los Banos | Modesto | Turlock | Davis | Esparto | Winters | Woodland | |
| SARS-CoV-2 | No Trend | No Trend | Downward | No Trend | No Trend | Downward | Upward | No Trend |
| Influenza A | No Trend | No Trend | No Trend | No Data | No Trend | No Data | No Data | No Data |
| Influenza B | No Data | No Data | No Data | No Data | No Data | No Data | No Data | No Data |
| RSV | No Trend | No Data | No Trend | No Trend | No Trend | No Data | No Trend | No Data |
| HMPV | No Trend | No Data | No Data | No Data | No Data | No Data | No Data | Very likely upward |
| Norovirus | Likely upward | No Trend | Downward | No Trend | No Trend | No Trend | Very likely downward | No Trend |
| Week 103: 10/01 - 10/14 | ||||||||
| * The Relative Strength Index (RSI) calculates a ratio of the recent upward price movements to the absolute price movement. Developed by J. Welles Wilder. | ||||||||
| Mann-Kendall trend test | ||||||||
| Virus | Merced County | Stanislaus County | Yolo County | |||||
|---|---|---|---|---|---|---|---|---|
| Merced | Los Banos | Modesto | Turlock | Davis | Esparto | Winters | Woodland | |
| SARS-CoV-2 | Likely downward | Very likely upward | Very likely downward | No Trend | Upward | Likely upward | Likely upward | No Trend |
| Influenza A | No Trend | Likely downward | No Trend | No Data | Very likely downward | No Data | No Data | No Data |
| Influenza B | No Data | No Data | No Data | No Data | No Data | No Data | No Data | No Data |
| RSV | No Trend | No Data | No Trend | Likely downward | Downward | No Data | No Trend | No Data |
| HMPV | Very likely downward | No Data | No Data | No Data | No Data | No Data | No Data | Very likely upward |
| Norovirus | Very likely upward | Very likely upward | Likely downward | No Trend | Very likely upward | Likely upward | Very likely downward | Very likely downward |
| Week 103: 10/01 - 10/14 | ||||||||
| * The Mann-Kendall (MK) trend test is a nonparametric test that evaluates whether there is a monotonic trend in a time-series dataset. We applied the MK trend test to raw N/PMMoV data and used a 14-day lookback period. We interpreted positive values of the test statistic, tau (τ), with p ≤ 0.1, p ≤ 0.05, and p ≤ 0.01 as upward, likely upward, and very likely upward trends, respectively. We interpreted negative τ values with p ≤ 0.1, p ≤ 0.05, and p ≤ 0.01 as downward, likely downward, and very likely downward trends, respectively. | ||||||||
Merced’s average SARS-CoV-2 concentrations (N/PMMoV) decreased ⬇️ by 46.6% between the most recent two weeks and the two weeks prior to that. Los Banos’ average increased ⬆️ by 110.7%.
Merced’s average Influenza A concentrations (Flu A/PMMoV) increased ⬆️ by 3468.1% between the most recent two weeks and the two weeks prior to that. Los Banos’ average decreased ⬇️ by 45.2%.
Merced’s average Influenza B concentrations (Flu B/PMMoV) showed no detection between the most recent two weeks and the two weeks prior to that. Los Banos’ average showed no detection.
Merced’s average RSV concentrations (RSV/PMMoV) decreased ⬇️ by 9.9% between the most recent two weeks and the two weeks prior to that. Los Banos’ average increased ⬆️ by 202.1%.
Merced’s HMPV concentrations (HMPV/PMMoV) showed no detection between the most recent two weeks and the two weeks prior to that. Los Banos’s average +LL.
Merced’s average Norovirus concentrations (Norovirus/PMMoV) increased ⬆️ by 149.4% between the most recent two weeks and the two weeks prior to that. Los Banos’ average increased ⬆️ by 65.5%.
Modesto’s average SARS-CoV-2 concentrations (N/PMMoV) decreased ⬇️ by 38.2% between the most recent two weeks and the two weeks prior to that. Turlock’s average increased ⬆️ by 81.9%.
Modesto’s average Influenza A concentrations (Flu A/PMMoV) +LL between the most recent two weeks and the two weeks prior to that. Turlock’s average +LL.
Modesto’s average Influenza B concentrations (Flu B/PMMoV) showed no detection between the most recent two weeks and the two weeks prior to that. Turlock’s average +LL.
Modesto’s average RSV concentrations (RSV/PMMoV) increased ⬆️ by 327.8% between the most recent two weeks and the two weeks prior to that. Turlock’s average increased ⬆️ by 127.8%.
Modesto’s average HMPV concentrations (HMPV/PMMoV) showed no detection between the most recent two weeks and the two weeks prior to that. Turlock’s average showed no detection.
Modesto’s average Norovirus concentrations (Norovirus/PMMoV) decreased ⬇️ by 31% between the most recent two weeks and the two weeks prior to that. Turlock’s average increased ⬆️ by 39.7%.
Davis’ average SARS-CoV-2 concentrations (N/PMMoV) increased ⬆️ by 42% between the most recent two weeks and the two weeks prior to that. Esparto’s average decreased ⬇️ by 76.3%. Winters’ average increased ⬆️ by 71.1%. Woodland’s average decreased ⬇️ by 38.9%.
Davis’ average Influenza A concentrations (Flu A/PMMoV) decreased ⬇️ by 31.4% between the most recent two weeks and the two weeks prior to that. Esparto’s average showed no detection. Winters’ average showed no detection. Woodland’s average decreased ⬇️ by 55.3%.
Davis’ average Influenza B concentrations (Flu B/PMMoV) showed no detection between the most recent two weeks and the two weeks prior to that. Esparto’s average showed no detection. Winters’ average showed no detection. Woodland’s average showed no detection.
Davis’ average RSV concentrations (RSV/PMMoV) decreased ⬇️ by 14.9% between the most recent two weeks and the two weeks prior to that. Esparto’s average showed no detection. Winters’ average showed no detection. Woodland’s average showed no detection.
Davis’ HMPV concentrations (HMPV/PMMoV) showed no detection between the most recent two weeks and the two weeks prior to that. Esparto’s average showed no detection. Winters’ average showed no detection. Woodland’s average increased ⬆️ by 127.6%.
Davis’ Norovirus concentrations (Norovirus/PMMoV) increased ⬆️ by 37.3% between the most recent two weeks and the two weeks prior to that. Esparto’s average increased ⬆️ by 122.5%. Winters’ average decreased ⬇️ by 75.9%. Woodland’s average decreased ⬇️ by 34.4%.
There are no detections for samples taken at our plants from the last two weeks. https://healthycvtogether.org/monkeypox-data/