Lebanon County daily COVID-19 tracker

9 min read2,889 views and 121 shares Posted June 1, 2020

Editor’s Note: We are standardizing the format for daily COVID-19 case data updates. These articles may feel repetitious but we want each one to stand alone in terms of providing maximum context around the data. This is the update for Monday, June 1.

Lebanon County is now tracking at 972 cases of the novel coronavirus, according to current Pennsylvania Department of Health data, with 4,638 negative tests.

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In late May, it was reported that the state is including positive antibody tests in its overall counts. The state does not break out antibody testing from its county-level counts, but to date positive serology tests constitute less than 1% of the state’s overall positive case count. Negative antibody tests are not counted towards the state’s overall negative case count.

However, neither WellSpan Health, Lebanon Veterans Affairs Medical Center, nor UPMC Pinnacle are actively conducting antibody testing in Lebanon County at this time.

Read More: Pa. is mixing coronavirus test results, and that could distort our view of the disease

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The Department of Health is reporting 33 deaths at this time, while Lebanon County is reporting 27. According to the county’s COVID-19 dashboard, the 27 deaths are linked to residents from Lebanon County municipalities as follows:

  • City of Lebanon (2)
  • Cleona Borough (1)
  • Cornwall Borough (3)
  • Myerstown Borough (12)
  • North Cornwall Township (5)
  • South Lebanon Township (2)
  • Swatara Township (2)

The Department of Health has recently begun reporting a total “recovered” percentage as part of its daily updates. A person is considered recovered if a case has not been reported as a death after more than 30 days past the date of the first positive test or the onset of symptoms. At present, the state says 67% of cases are considered recovered.

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The state began breaking cases out by ZIP code in mid-April. Find the full dashboard here or see below for how cases looked across Lebanon County ZIP codes as of the last time the data was updated.

  • 17003 (Annville) – 30 positive, 230 negative, five probable
  • 17010 (Campbelltown) – zero positive, nine negative, zero probable
  • 17016 (Cornwall) – 11 positive, 29 negative, zero probable
  • 17026 (Fredericksburg) – 16 positive, 76 negative, 1-4 probable (redacted)
  • 17028 (Grantville) – 1-4 positive (redacted), 73 negative, zero probable
  • 17038 (Jonestown) – 28 positive, 194 negative, 1-4 probable (redacted)
  • 17039 (Kleinfeltersville) zero positive, 1-4 negative (redacted), zero probable
  • 17041 (Lawn) – zero positive, 1-4 negative (redacted), zero probable
  • 17042 (Lebanon) – 297 positive, 1,424 negative, five probable
  • 17046 (Lebanon) – 385 positive, 1,314 negative, eight probable
  • 17064 (Mount Gretna) 1-4 positive (redacted), 25 negative, zero probable
  • 17067 (Myerstown) – 110 positive, 402 negative, 1-4 probable (redacted)
  • 17073 (Newmanstown) – 18 positive, 127 negative, 1-4 probable (redacted)
  • 17078 (Palmyra) – 40 positive, 557 negative, nine probable
  • 17087 (Richland) – six positive, 55 negative, zero probable
  • 17545 (Manheim) – 97 positive, 537 negative, zero probable
  • 17963 (Pine Grove) – 24 positive, 200 negative, zero probable
  • 19551 (Robesonia) – 12 positive, 117 negative, 1-4 probable (redacted)
  • 19567 (Womelsdorf) – 44 positive, 116 negative, zero probable

As of Tuesday, May 26, the state was reporting COVID-19 cases at four nursing homes or personal care facility in the county, with at least 102 cases among residents and at least 12 cases among employees. According to DOH data, there have been at least 16 coronavirus-linked deaths at Lebanon County nursing homes or personal care facilities to date. According to data released by StoneRidge, 17 of those deaths were residents at StoneRidge Town Centre in Myerstown.

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Here is nursing home data from the Department of Health as of Tuesday, May 26:

  • Cornwall Manor – 11 cases among residents, 1-4 cases among staff, 1-4 deaths
  • ManorCare Health Services Lebanon – 15 cases among residents, 1-4 cases among staff, 1-4 deaths
  • StoneRidge Poplar Run – 1-4 cases among residents, zero cases among staff, zero deaths
  • StoneRidge Town Centre – 75 cases among residents, 10 cases among staff, 14 deaths

DOH data and self-reported data do not always line up. At present, StoneRidge is reporting 65 residents who have tested positive for COVID-19 at Town Centre, while the state is reporting 75. The state has previously received criticism from nursing homes about the inaccuracy of its data.

Read More: Pa. health officials quietly alter erroneous nursing home case, death counts as providers cry foul

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As of mid-April, WellSpan Health has made available a dashboard showing hospital-specific data. According to this dashboard, to date there have been 3,955 tests performed by WellSpan Health in Lebanon County, with 3,841 of those finalized and 114 pending. 675 tests (17.6%) were positive.

According to WellSpan data, eight deaths have occurred at WellSpan Good Samaritan Hospital as a result of coronavirus. WellSpan notes that this information is not based on patient residency and therefore may differ from DOH statistics. Currently there are six confirmed positive COVID-19 patients at WellSpan Good Samaritan Hospital and two suspected/presumed positive patients.

The Department of Veterans Affairs also makes some information available regarding treatment of coronavirus at its facilities. As of today, the Lebanon VA Medical Center is providing in-patient care to 11 veterans who tested positive for COVID-19 and 104 additional people as outpatients (85 veterans and 19 employees). The facility has recorded 14 known deaths from the virus. These figures include residents of the VA’s long-term care Community Living Centers.

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Charts

Here’s how Lebanon County’s confirmed case count has grown since the pandemic began.

Here’s how confirmed cases compare to overall tests in Lebanon County.

Here’s how confirmed cases look as a percentage of overall tests, averaged over the previous seven days.

Here’s how the daily number of new cases in Lebanon County looks.

Here’s how that looks when negative tests are included.

Here’s how daily new cases in Lebanon County look averaged over the previous seven days.

Here’s how the daily number of new tests (positive and negative) looks averaged over the previous seven days.

Lastly, here’s new cases on a rolling 14-day sum per 100,000 people in Lebanon County.

Gov. Tom Wolf had said that a county or region would need to show 50 or fewer new cases per 100,000 residents over a two week period to advance to the next stage in his proposed tiered reopening plan. The count for the Southcentral Region is also included in the above graph.

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The Southcentral Region includes Adams, Bedford, Blair, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Juniata, Lebanon, Mifflin, Perry, and York counties. Here’s how those counties compare to each other in this metric. For context, we have included the statewide rate.

Last week, Gov. Wolf announced that Lebanon County would be moved to ‘yellow’ on Friday, May 29. All remaining counties—Berks, Bucks, Chester, Delaware, Lackawanna, Lancaster, Lehigh, Northampton, Montgomery, and Philadelphia—will be moved to yellow on June 5.

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Read More: Lebanon County is now officially in the “yellow phase” of state reopening plan

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For additional context, Philadelphia County is at 137 new cases over the last 14 days per 100,000 residents, Lehigh County is at 76, and Berks County is at 84.

Here’s a map view of the same data, as of today.

Here is a chart that shows cases linked to nursing homes as a percentage of overall cases. (This chart has not been updated yet today due to a delay in the state’s data update. We will update this post when current data becomes available.)

Here is a chart that shows deaths linked to nursing homes as a percentage of overall deaths. (This chart has not been updated since Tuesday, May 26, due to a delay in the state’s data update. We will update this post when current data becomes available.)

Here is a chart that shows an estimated mortality rate based on a thirty day recovery period from the time of the state receiving a positive test result.

Here is the same chart as above but excluding nursing homes. Please note that this chart and the one below it are limited for the time being as comprehensive nursing home data only became available on April 16. (This chart has not been updated since Tuesday, May 26, due to a delay in the state’s data update. We will update this post when current data becomes available.)

And here showing nursing homes only. (This chart has not been updated since Tuesday, May 26, due to a delay in the state’s data update. We will update this post when current data becomes available.)

See our full dataset here.

Relative Comparisons

Here’s how Lebanon County compares to other counties, as well as the region and state, across three main metrics.

Postive Cases as Percent of Overall Population

Postive Cases as Percent of Overall Population

Overall Tests as Percent of Overall Population

Overall Tests as Percent of Overall Population

Positive Cases as Percent of Overall Tests

Positive Cases as Percent of Overall Tests

Frequently Asked Questions

Where are COVID-19 cases occurring in Lebanon County?

The state began releasing ZIP-level date on April 20 and intends to update this dataset daily. We now include it in the main update above. Some ZIP codes are missing at this point and the DOH says they are working on including them. Previously, the DOH had declined to share ZIP code level data, citing HIPAA concerns. LebTown editorialized on this issue and questioned the applicability of HIPAA in this regard. In April the state also presented counties with an offer for specific addresses (but not names) of COVID-19 patients to be shared with 911 centers, but Lebanon County has declined so far to enter that agreement, citing concerns shared by the County Commissioners Association of Pennsylvania that the agreement exposes the county to undue liability. Lancaster Newspapers has reported that the Lancaster County Commissioners share this view as well. In any event, that agreement, if ratified, would prevent county officials from sharing the data with the public.

How does Lebanon County look compared to other counties?

This is a complicated question and there’s no one answer to it. In our primary daily update, we track a few specific ratios:

  1. Postive Cases as Percent of Overall Population
  2. Overall Tests as Percent of Overall Population
  3. Positive Cases as Percent of Overall Tests

In general, Lebanon County will be doing well if we can continue to increase #1 while holding steady with #2. In that scenario, #3 would necessarily go down.

How does the state define a COVID-19 case?

Initially cases were only listed by the state if a positive test had been recorded. In April, the state began including probable cases as well. Here is how the state defines probable cases:

  • Appropriate symptoms of COVID-19 and exposed to a high-risk scenario
  • A positive antibody test and either symptoms or a high-risk exposure
  • A fatal case with no known test result, but COVID-19 named as either the primary or a contributing cause of death

Probable cases were counted in the overall death count for some time, but the DOH reversed course on that decision. Additionally, positive antibody, or serology, tests are also being counted towards the positive case count. The state does not include negative antibody tests in its negative case data.

How many tests have been done in Lebanon County?

This is a complicated question. The state does not track, at least publicly, the total number of outstanding tests at the county level. WellSpan Health began disclosing hospital-specific data related to COVID-19 testing and treatment on April 22 and we include this information in our daily update above. One complication here is that just because a test was administered in a specific county, does not mean that the person who received the test resides in that same county. However the state has recently added the number of negative tests to its county-level data. By adding the negative tests number with the total cases number, we can estimate the total number of tests taken by Lebanon County residents, although this figure should be seen as a proxy and not an absolute or highly precise measure.

How many people have recovered from COVID-19?

The state began reporting a recovery count in late May and we have begun including this figure in our daily tracker updates. LebTown has also added an estimated mortality chart based on a thirty day recovery period, but it should be taken directionally and not as a precise figure. This percentage is calculated as the number of new deaths that occurred over a thirty day period compared to new cases in that same period.

How can Lebanon County and the Department of Health have two different numbers for COVID-19 deaths?

The Department of Health has said that fatal cases which are not reported through the state’s electronic system may not be captured in the official counts. Likewise, cases reported directly to the state may not also be reported to the county coroner. Read more on this subject in our article with Lebanon County Coroner Dr. Jeffery Yocum here. Additionally, the state and county have different criteria for registering a death – the state counts a death if the deceased tested positive for COVID-19 at the time of their death, whereas the county counts a death if COVID-19 symptoms were the primary cause of death.

How did you select which ZIP codes to list?

Some local ZIP codes include land in other counties as well as in Lebanon County. To be comprehensive we have included any ZIP code that falls even partly inside county lines. Note that Ono (17077), Quentin (17083), Rexmont (17085), and Schaefferstown (17088) are still not present in the source data.


Read all of LebTown’s COVID-19 coverage here.

Access LebTown’s comprehensive COVID-19 resource guide here.

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Full Disclosure: WellSpan Health is an advertiser on LebTown at present. LebTown does not make editorial decisions based on advertising relationships and advertisers do not receive special editorial treatment. Learn more about advertising with LebTown here.

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