{"id":681,"date":"2020-05-05T11:13:58","date_gmt":"2020-05-05T01:13:58","guid":{"rendered":"http:\/\/saipandiabetesblog.com\/?p=681"},"modified":"2020-05-05T11:14:01","modified_gmt":"2020-05-05T01:14:01","slug":"covid-19-cnmi-vs-the-world","status":"publish","type":"post","link":"https:\/\/saipandiabetesblog.com\/index.php\/2020\/05\/05\/covid-19-cnmi-vs-the-world\/","title":{"rendered":"COVID-19 CNMI vs the World"},"content":{"rendered":"<body>\n<p>Saipan doing well with COVID-19 infection.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>Compared to the rest of the world, Saipan and the CNMI are faring quite well.\u00a0 COVID-19 testing levels here are higher, while disease rates and death rates are lower than most other parts of the world.\u00a0 As I have <a href=\"http:\/\/saipandiabetesblog.com\/index.php\/2020\/05\/03\/diabetes-covid-19-good-news\/\">previously blogged<\/a>, Saipan is especially vulnerable to <a href=\"https:\/\/www.diabetes.org\/coronavirus-covid-19\/how-coronavirus-impacts-people-with-diabetes\">COVID complications, as they occur at much higher rates in those with diabetes<\/a>.\u00a0 Since <a href=\"http:\/\/i2io42u7ucg3bwn5b3l0fquc.wpengine.netdna-cdn.com\/wp-content\/uploads\/2017\/04\/CNMI-NCD-Survey-Report-FINAL-2017.pdf\">Saipan has one of the highest rates of diabetes in the world<\/a>, we need to be especially careful here.\u00a0 In the following paragraphs I will outline how the CNMI compares to other parts of the world in terms of COVID-19 testing rates, rates of disease, and of course death.<\/p>\n\n\n\n<p>COVID-19 Testing<\/p>\n\n\n\n<p>So far the <a href=\"https:\/\/www.chcc.gov.mp\/coronavirusinformation.php\">CNMI has tested 1480 people<\/a> for COVID-19 infection.\u00a0\u00a0 Directly comparing this to other parts of the world can be difficult.\u00a0 Most studies will list findings in tests per million population.\u00a0 Maybe my epidemiology skills just aren\u2019t strong enough, but I have trouble picturing what a gathering of a million people would look like.\u00a0 I can, however, easily picture 1000 people.\u00a0 Therefore, most of the numbers I discuss will be in cases per thousand population.\u00a0 As the estimate of our CNMI population is 56,682, doing the math tells us we have done 26 COVID tests for every thousand people living here.<\/p>\n\n\n\n<p><a href=\"https:\/\/ourworldindata.org\/covid-testing\">Most countries have done FAR less than this<\/a>.\u00a0 I will list a few below, again this is per thousand people.<\/p>\n\n\n\n<ol class=\"wp-block-list\" type=\"1\"><li>CNMI\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 26<\/li><li>Italy\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 34<\/li><li>USA\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0 21<\/li><li>Turkey\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 12<\/li><li>South Korea\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 12<\/li><li>India\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0 4<\/li><li>California\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0 1.9<\/li><li>Japan\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 1.4<\/li><li>Philippines\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 1.0<\/li><\/ol>\n\n\n\n<p>Only a handful of countries have done more testing per capita than the CNMI.\u00a0 These include Iceland, Estonia, and Italy.<\/p>\n\n\n\n<p>Another interesting comparison is to other US territories.\u00a0 Guam has done comparatively well, but lags behind the CNMI.\u00a0 In order of the number of tests per thousand population.<\/p>\n\n\n\n<ol class=\"wp-block-list\" type=\"1\"><li>CNMI\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 26<\/li><li><a href=\"https:\/\/www.ghs.guam.gov\/jic-release-no-109-end-day-results-zero-test-positive-covid-19-dphss\">Guam\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 19<\/a><\/li><li><a href=\"https:\/\/www.ghs.guam.gov\/jic-release-no-109-end-day-results-zero-test-positive-covid-19-dphss\">US Virgin Islands\u00a0\u00a0\u00a0 10<\/a>  <\/li><li>American Samoa       1<\/li><li>Puerto Rico                  0.4<\/li><\/ol>\n\n\n\n<p><\/p>\n\n\n\n<p>The CNMI has done more COVID testing per person than almost anywhere else in the world.\u00a0 Guam is not too far behind, but CNMI has tested 26 times more than American Samoa, thirteen times more than California, and 60 times more than Puerto Rico.<\/p>\n\n\n\n<p>I consider the level of testing done in the CNMI thus far to be quite remarkable.\u00a0 We should all be very proud of our first responders, the leadership of CHCC as well as the Governor\u2019s COVID-19 task force.\u00a0 They had very limited resources to work with, and clearly maximized them.\u00a0 This accomplishment is even more extraordinary when you consider that other parts of the world all had a significant head start. \u00a0\u00a0Our first COVID case was announced on March 28.\u00a0 The US as a whole had its first case in early January.\u00a0 Many, many other <a href=\"https:\/\/www.aljazeera.com\/news\/2020\/04\/covid-19-pandemic-testing-world-leaders-stepping-200402201221844.html\">countries had a very slow start<\/a> to their testing, not the CNMI.\u00a0 It is also important to consider that the <a href=\"https:\/\/en.wikipedia.org\/wiki\/List_of_U.S._states_and_territories_by_GDP\">Virgin Islands, Puerto Rico, and Guam are much wealthier than the CNMI<\/a>.<\/p>\n\n\n\n<p>COVID PREVALENCE<\/p>\n\n\n\n<p>So far <a href=\"https:\/\/www.chcc.gov.mp\/coronavirusinformation.php\">14 people have been diagnosed<\/a> with COVID-19 in the CNMI.\u00a0 This is less than one person per thousand (0.25).\u00a0 About 1 of every 4,000 people in the CNMI has been diagnosed.\u00a0 Most parts of the world are much worse than this, <a href=\"https:\/\/www.realclearpolitics.com\/coronavirus\/\">here is a partial listing<\/a> of cases per thousand population.<\/p>\n\n\n\n<ol class=\"wp-block-list\" type=\"1\"><li>CNMI\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 0.25<\/li><li>Spain\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 5.3<\/li><li>USA\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 3.7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/li><li>Italy\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 3.5<\/li><li>Great Britain\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 2.8<\/li><li>South Korea\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 0.21<\/li><li>Japan\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 0.12\u00a0\u00a0\u00a0\u00a0<\/li><\/ol>\n\n\n\n<p>From the above you can see that most major countries in Europe, as well as the United States have between 15 to 20 times more cases per thousand than the CNMI.\u00a0 Among major countries only South Korea (barely) and Japan have a lower prevalence than Saipan.<\/p>\n\n\n\n<p>Now a comparison to other US Territories:\u00a0 COVID cases per thousand population.<\/p>\n\n\n\n<ol class=\"wp-block-list\" type=\"1\"><li>CNMI\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 0.25<\/li><li>Puerto Rico\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 0.60<\/li><li>Virgin Islands\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a00.62<\/li><li>Guam\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0   0.89<\/li><li>American Samoa\u00a0\u00a0\u00a0\u00a0\u00a0 No cases yet<\/li><\/ol>\n\n\n\n<p>In other words, the other territories have 2.5 to 3.5 times more cases per thousand than us in the CNMI.<\/p>\n\n\n\n<p>Deaths from COVID<\/p>\n\n\n\n<p>So far two people have died from COVID-19 infection in the CNMI.\u00a0 With so few cases, statistical analysis is difficult, and even one more case can dramatically change the numbers.\u00a0 I will list a few anyway.\u00a0 2 deaths in the CNMI is equivalent to 1 in 28,000 or (0.04).\u00a0\u00a0 Because the numbers are so small I will use deaths per 100,00 for comparison purposes.\u00a0<\/p>\n\n\n\n<p>\u00a0Below is a listing:\u00a0 Deaths per one hundred thousand population<\/p>\n\n\n\n<ol class=\"wp-block-list\" type=\"1\"><li>CNMI\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 3.5<\/li><li>Guam\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 3.6<\/li><li>Spain\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 54<\/li><li>Italy\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 48<\/li><li>Great Britain\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 43<\/li><li>United States\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 21<\/li><li>South Korea\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 0.5<\/li><li>Japan\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 0.4<\/li><\/ol>\n\n\n\n<p>Most countries have a death rate from COVID-19 between 7 and 17 times higher than the CNMI.\u00a0 Guam and Saipan are very similar to each other, while South Korea and Japan have extraordinarily low death rates compared to virtually anywhere else.<\/p>\n\n\n\n<p>Overall, these findings have been highly reassuring to me.\u00a0 Of course great caution and care is still needed, things could easily get worse.\u00a0Also, there are currently 110 pending tests, if many are positive, these numbers will change.   I had, however, feared it would be far worse at this point.\u00a0 I will encourage my friends at CHCC and the Governor\u2019s task force to keep up the good work.\u00a0 What has been accomplished so far with testing is simply amazing.<\/p>\n<\/body>","protected":false},"excerpt":{"rendered":"<p>Saipan doing well with COVID-19 infection. Compared to the rest of the world, Saipan and the CNMI are faring quite well.\u00a0 COVID-19 testing levels here are higher, while disease rates and death rates are lower than most other parts of the world.\u00a0 As I have previously blogged, Saipan is especially vulnerable to COVID complications, as [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[1],"tags":[],"class_list":{"0":"post-681","1":"post","2":"type-post","3":"status-publish","4":"format-standard","6":"category-uncategorized","7":"entry"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>COVID-19 CNMI vs the World - Saipan Diabetes Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"http:\/\/saipandiabetesblog.com\/index.php\/2020\/05\/05\/covid-19-cnmi-vs-the-world\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"COVID-19 CNMI vs the World - Saipan Diabetes Blog\" \/>\n<meta property=\"og:description\" content=\"Saipan doing well with COVID-19 infection. Compared to the rest of the world, Saipan and the CNMI are faring quite well.\u00a0 COVID-19 testing levels here are higher, while disease rates and death rates are lower than most other parts of the world.\u00a0 As I have previously blogged, Saipan is especially vulnerable to COVID complications, as [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"http:\/\/saipandiabetesblog.com\/index.php\/2020\/05\/05\/covid-19-cnmi-vs-the-world\/\" \/>\n<meta property=\"og:site_name\" content=\"Saipan Diabetes Blog\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/Hardt-Eye-Clinic-185448998142786\/\" \/>\n<meta property=\"article:published_time\" content=\"2020-05-05T01:13:58+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2020-05-05T01:14:01+00:00\" \/>\n<meta name=\"author\" content=\"donhardt\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"donhardt\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"6 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"http:\\\/\\\/saipandiabetesblog.com\\\/index.php\\\/2020\\\/05\\\/05\\\/covid-19-cnmi-vs-the-world\\\/#article\",\"isPartOf\":{\"@id\":\"http:\\\/\\\/saipandiabetesblog.com\\\/index.php\\\/2020\\\/05\\\/05\\\/covid-19-cnmi-vs-the-world\\\/\"},\"author\":{\"name\":\"donhardt\",\"@id\":\"http:\\\/\\\/saipandiabetesblog.com\\\/#\\\/schema\\\/person\\\/cf5d6c73bf8f97a1294e7460f257cf5a\"},\"headline\":\"COVID-19 CNMI vs the World\",\"datePublished\":\"2020-05-05T01:13:58+00:00\",\"dateModified\":\"2020-05-05T01:14:01+00:00\",\"mainEntityOfPage\":{\"@id\":\"http:\\\/\\\/saipandiabetesblog.com\\\/index.php\\\/2020\\\/05\\\/05\\\/covid-19-cnmi-vs-the-world\\\/\"},\"wordCount\":1155,\"commentCount\":0,\"publisher\":{\"@id\":\"http:\\\/\\\/saipandiabetesblog.com\\\/#organization\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"http:\\\/\\\/saipandiabetesblog.com\\\/index.php\\\/2020\\\/05\\\/05\\\/covid-19-cnmi-vs-the-world\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"http:\\\/\\\/saipandiabetesblog.com\\\/index.php\\\/2020\\\/05\\\/05\\\/covid-19-cnmi-vs-the-world\\\/\",\"url\":\"http:\\\/\\\/saipandiabetesblog.com\\\/index.php\\\/2020\\\/05\\\/05\\\/covid-19-cnmi-vs-the-world\\\/\",\"name\":\"COVID-19 CNMI vs the World - 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