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 29.
When Lebanon County turns ‘green’ on Friday, July 3, it will be the last of Pennsylvania’s 67 counties to do so.
“We will soon have all of our counties in green,” Gov. Tom Wolf said in a press release on Friday, June 26. “A milestone worth a cautious celebration of the hard work and collaborative spirit of Pennsylvanians. But we must remember that the restrictions that remain in the green phase will help us continue to enjoy the freedoms this phase allows for.”
In the ‘green’ phase, restaurants and bars may reopen indoor service at 50% capacity. Personal care services, such as nail parlors, salons, and barbershops, as well as gyms and spans, may reopen by appointment up to 50% capacity. Casinos, theaters, and malls may also now reopen at up to 50% capacity.
Businesses allowed to operate at 50% occupancy during ‘yellow’ may increase to 75% occupancy in the ‘green’ phase. Mask requirements will remain in place, and large gatherings of more than 250 people will still be prohibited.
The number of new COVID-19 cases over the last 14 days per 100,000 residents is currently at 99 for Lebanon County. Lebanon County had the highest count in this metric for all of the southcentral region since June 11, but as of Friday, June 26, it has lost this dubious accolade to Dauphin County, which as of today has registered 114 new cases over the last 14 days per 100,000 residents.
For additional context, the southcentral region is currently at 62, Lancaster County is at 117, Philadelphia County is at 95, and the state overall is at 54.
The southcentral region includes Adams, Bedford, Blair, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Juniata, Lebanon, Mifflin, Perry, and York counties.
Daily new cases over last 14 days per 100,000 residents
Read More: Spotlight PA’s statewide coronavirus tracker
In terms of relative comparisons, the current figure of 99 new COVID-19 cases over the last 14 days per 100,000 residents represents an increase of 62% compared to one month ago and a decrease of 36% compared to 14 days ago. This figure is 37% of the all-time high of 268 on April 21.
A rise in the new case rate earlier this month generally corresponded with an increase in test volume. Lebanon County has seen saw more reported in recent weeks than earlier in the pandemic, with the positive rate remaining lower than it did in those previous periods. Although test volume increased over June, the overall per capita test rate for Lebanon County remains lower than in other counties, such as Dauphin, Philadelphia, and Berks.
Lebanon County COVID-19 test volume remains higher than historical average levels, with 982 tests conducted on average every day seven days in June compared to an average of approximately 540 tests were conducted every seven days in May. The positive rate was approximately 9% in June compared to 12% in May.
Daily new cases and negative results as 7-day trailing average
Positive test rate as 7-day trailing average
In terms of raw numbers, Lebanon County is now tracking at 1,331 cases of the novel coronavirus, according to current Pennsylvania Department of Health data, with 8,295 negative tests. (All figures in this article are based on DOH data unless otherwise noted.)
57 of those cases are probable cases, a designation made by healthcare providers based on symptoms and known exposures.
The Department of Health is reporting 43 deaths as of today, while Lebanon County is reporting 35. According to the county’s COVID-19 dashboard, the 35 deaths are linked to residents from Lebanon County municipalities as follows:
- City of Lebanon (2)
- Cleona Borough (1)
- Cornwall Borough (3)
- Myerstown Borough (16)
- North Cornwall Township (6)
- South Lebanon Township (5)
- Swatara Township (2)
Calculated as a percentage of confirmed cases, coronavirus currently has a mortality rate of 3.2% in Lebanon County – although due to still-limited testing as well as the occurrence of asymptomatic/undetected cases, the actual mortality rate may be lower than that. The mortality rate is however much higher in nursing homes and in general the virus should still be considered as extremely dangerous.
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 78% of cases are considered recovered.
Daily new cases as 7-day trailing average
In late May, it was reported that the state is including positive antibody tests in its overall counts. Antibody tests are not broken out to date by the state in its county-level reporting. Negative antibody tests are not counted towards the state’s overall negative case count.
Neither WellSpan Health, Lebanon Veterans Affairs Medical Center, nor UPMC Pinnacle are actively conducting antibody testing in Lebanon County at this time, with Quest Diagnostics being the only firm known to offer this type of testing at present. However, tests could be performed on Lebanon County residents at facilities outside of the county and show up on state data, which is based on county of residence.
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) – 44 positive, 404 negative, seven probable
- 17010 (Campbelltown) – zero positive, 22 negative, zero probable
- 17016 (Cornwall) – 15 positive, 94 negative, zero probable
- 17026 (Fredericksburg) – 18 positive, 129 negative, 1-4 probable (redacted)
- 17028 (Grantville) – five positive, 108 negative, zero probable
- 17038 (Jonestown) – 46 positive, 342 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) – 413 positive, 2,645 negative, eight probable
- 17046 (Lebanon) – 464 positive, 1,990 negative, 17 probable
- 17064 (Mount Gretna) 1-4 positive (redacted), 45 negative, zero probable
- 17067 (Myerstown) – 182 positive, 830 negative, 1-4 probable (redacted)
- 17073 (Newmanstown) – 36 positive, 231 negative, 1-4 probable (redacted)
- 17078 (Palmyra) – 51 positive, 982 negative, 12 probable
- 17087 (Richland) – 18 positive, 113 negative, 1-4 probable (redacted)
- 17545 (Manheim) – 126 positive, 981 negative, 1-4 probable
- 17963 (Pine Grove) – 34 positive, 339 negative, zero probable
- 19551 (Robesonia) – 15 positive, 191 negative, 1-4 probable (redacted)
- 19567 (Womelsdorf) – 57 positive, 190 negative, zero probable
The share of cases linked to nursing homes has steadily climbed through the pandemic, currently registering at approximately 1 out of every 7 cases being a nursing home resident or staff member. According to DOH data from 2017, Lebanon County is among the Pennsylvania counties with the highest number of nursing home beds per capita and the highest nursing home occupancy rates.
Deaths from COVID-19 occur at a far higher rate in nursing home residents than among the general population, with these deaths comprising the majority of overall deaths linked to the novel coronavirus in Lebanon County.
Percentage of COVID-19 cases linked to nursing homes
Percentage of COVID-19 deaths linked to nursing homes
As of Monday, June 29, the state was reporting COVID-19 cases at seven nursing homes or personal care facility in the county, with 203 cases among residents and 40 cases among employees. According to DOH data, there have been 31 coronavirus-linked deaths at Lebanon County nursing homes or personal care facilities to date.
Here is nursing home data from the Department of Health as of Wednesday, June 24:
- Cedar Haven – 30 cases among residents, 24 cases among staff, 1-4 deaths
- Cornwall Manor – 11 cases among residents, five cases among staff, 1-4 deaths
- Coutryside Christian Community – Zero cases among residents, zero cases among staff, zero deaths
- Kadima at Campbelltown – Zero cases among residents, zero cases among staff, zero deaths
- Kadima at Palmyra – No data available
- Lebanon Valley Brethren Home – Zero cases among residents, zero cases among staff, zero deaths
- Lebanon Valley Home – Zero cases among residents, zero cases among staff, zero deaths
- ManorCare Health Services Lebanon – 45 cases among residents, 10 cases among staff, nine deaths
- Spang Crest Manor – Zero cases among residents, 1-4 cases among staff, zero deaths
- StoneRidge Poplar Run – 18 cases among residents, 6 cases among staff, zero deaths
- StoneRidge Town Centre – 65 cases among residents, 20 cases among staff, 18 deaths
DOH data and self-reported data do not always line up. The state has previously received criticism from nursing homes about its reporting methodology.
According to data released by StoneRidge, 17 deaths have occurred to date among residents at StoneRidge Town Centre in Myerstown. This figure has remained constant since May 29 with no new deaths or resident cases reported since that date.
Cedar Haven has also reported that it is dealing with an outbreak, with 30 confirmed cases and four deaths to date. On Monday, June 22, Cedar Haven said that it had not seen any new confirmed cases in the previous ten days.
“All of us at Cedar Haven offer our sincere and heartfelt condolences to their families and loved ones during this difficult time,” said the facility in the statement. LebTown previously reported on the efforts the facility was taking to fend off the virus.
Cedar Haven said that 26 staff members have tested positive to date, with all impacted staff said to be following strict quarantine requirements. A Cedar Haven spokesperson noted the facility has been following a strict mitigation protocol since mid-March, a twice daily survey and temperature screening for staff members, as well as a full telehealth program and restrictions on visitors in favor of video call visits.
Cedar Haven spokesperson Meg Farrington said that while the company couldn’t comment on the actions of any specific employees, staff members who do not comply with the policies and procedures would be subject to termination.
As of mid-April, WellSpan Health has made available a dashboard showing hospital-specific data. According to this dashboard, to date there have been 5,620 tests performed by WellSpan Health in Lebanon County, with 5,574 of those finalized and 46 pending. 883 tests (15.8%) were positive.
Currently there are 10 confirmed positive COVID-19 patients at WellSpan Good Samaritan Hospital and three presumed patients under investigation.
WellSpan Good Sam in-patient census
According to WellSpan data, 12 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.
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 care to 19 people who tested positive for COVID-19 as “active cases,” 17 veterans, one employee, and one veteran-employee. Active cases are defined as patients tested or treated at a VA facility for known or probable COVID-19 who have neither died nor reached convalescent status, which is itself defined as patients who are “either post-hospital discharge, or 14 days after their last positive test, whichever comes later.” 137 additional people (117 veterans and 20 employees) are considered convalescent cases at present. The facility has recorded 18 known deaths from the virus. These figures include residents of the VA’s long-term care Community Living Centers.
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 the daily number of new cases in Lebanon County looks.
Here’s how that looks when negative tests are included.
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’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
Overall Tests as Percent of Overall Population
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:
- Postive Cases as Percent of Overall Population
- Overall Tests as Percent of Overall Population
- 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.
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.
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Full Disclosure: WellSpan Health is an advertiser on LebTown. 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.