Thursday marked a decrease in the number of hospitalizations for COVID-19 in suburban Cook County, and the area is also seeing continued decreases in positivity rates, as that number has dropped to 14%. Those states and territories are: Alaska, Colorado, Connecticut, District of Columbia, Florida, Georgia, Guam, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Massachusetts, Michigan, Minnesota, Mississippi, Montana, Nebraska, Nevada, New Hampshire, New Mexico, North Carolina, Northern Mariana Islands, Oklahoma, Rhode Island, South Carolina, South Dakota, Tennessee, Utah, U.S. Virgin Islands, Virginia, Washington, West Virginia, Wisconsin, and Wyoming. The region's positivity rate rose from 1.9 percent to 2.4 percent last week, and its average number of new hospitalizations of people with coronavirus symptoms was up by one. Beginning the week of January 23, 2023, the main COVID-19 dashboard will be updated weekly rather than daily. 1860 S Komensky Ave, Chicago, IL 60623. If there are fewer than 5 hospitalizations for CLI for 7 days, then <5 will be reported due to sensitivity of individually identifiable data. Suburban Cook County is at just 1%, though that number has been rising consistently since mid-June. If the region's positivity rate remains the same or increases over the next 14 days, more stringent restrictions could be implemented, the governor's office said. As part of this case definition, IDPH began including in its total case counts individuals who previously were reported as a confirmed or probable case, but have become infected again. Data Sources: Cases and deaths data from JHU CSSE. Multisyndrome Inflammatory Syndrome in Children, https://www.cdc.gov/coronavirus/2019-ncov/index.html, Grant Accountability and Transparency (GATA). The test positivity rate in Cook County is relatively low. This is the number of new cases reported to IDPH in the previous week. This is a rapidly evolving situation and information will be updated as needed here and on the CDC website at https://www.cdc.gov/coronavirus/2019-ncov/index.html. Bukod sa NCR, nasa low risk na rin ang positivity rates sa . By applying the same metrics to each county, IDPH is using a standardized approach to monitor the state as a whole. IDPH builds in a three-day lag into the data in order to add some cases that are not captured through I-NEDSS (~3% to 5% of the total data) when they publish data at the county-level or region-level on their own website. Davies said the pandemic is moving in a positive direction and that COVID-19 may soon be . Blue indicates that the county is experiencing overall stable COVID-19 metrics. *Data shown is >5 cases per zip code which is consistent with Collection, Disclosure, and Confidentiality of Health Statistics (77 Ill. Adm. Code 1005). Data is not updated on weekends or holidays. IDPH monitors daily many key metrics including test positivity in aggregate, by RESTORE, by EMS, by county and sub county regions to determine if and when additional mitigation actions and interventions are necessary. It is based on the date results are reported into the ELR. Percent of COVID-19 cases associated with a cluster = [Cases with outbreak ID occurring within 7 days] / [total cases occurring within the same 7 days] x 100. Each level helps convey how much COVID-19 is impacting your community using data on hospitalizations and cases. This isnot a metric that is used to trigger a county warning. News 3 04/13/2020. The regions positivity rate has continued to plummet, dropping to 9.1%, and the region is also seeing an uptick in hospital bed availability (24.3%) as the area has recorded 10 straight days of decreases in hospitalizations. Placer County has seen COVID-19 metrics worsen over the past few weeks, with the 7-day average daily case rate at 8. This allows for better identification of testing needs and trends in the region. [4] This was the second case of COVID-19 in the United States during the pandemic. It should be assumed that COVID-19 exposure can occur in every county in IL. 4/22/2022: IDPH has stopped updating test and hospitalization numbers so we are unable to update the tests/rate/hospitalization components of our website. The news is better on the overall hospitalizations front, as the region has seen six consecutive days of declines in that metric, with the census count falling to 347 on Thursday. Restore Illinois Regional Phase Dashboard Regional Phase Dashboard For detailed metrics of the phase progression per region click on the region name in the table above to see the DPH Restore page for the specified region. Copyright 2023 NBCUniversal Media, LLC. CHICAGO (AP) Four years ago, Paul Vallas finished toward the bottom of the pack in a crowded race for Chicago mayor. As part of this case definition, IDPH began including in its total case counts individuals who previously were reported as a confirmed or probable case, but have become infected again. 102,736,819 Total Cases Reported 40,404 Current 7-Day Average* Underlying datasets related to cases, hospitalizations, deaths, and vaccine coverage on the Chicago Data Portal will be also updated once a week on Wednesdays at 5:30pm. Behavioral Risk Factor Surveillance System, Pregnancy Risk Assessment Monitoring System, Grant Accountability and Transparency (GATA). ), *Number of new cases per 100,000 persons within the last 14 days is calculated by adding the number of new cases in the zip code in the last 14 days divided by the population in the zip code and multiplying by 100,000. Data Last Updated ##/##/####. The weekly count of COVID-like Illness (CLI) hospital admissions is measured using the Illinois Syndromic Surveillance System. Nyberg has an estimated net worth of between Million - Million which she has earned through her career as a reporter and anchor. Many of these county-level indicators are similar to the Restore Illinois criteria and support that larger framework. To roll back Tier 3 mitigations, the following criteria must be met: -A regions positivity rate must be at or below 12% for three consecutive days. These indicators are calculated for the 11Illinois COVID-19 regions. The region has seen increases in both ICU bed (30.5%) and hospital bed (23.5%) availability in recent days, along with decreases in hospitalizations for nine days. This metric looks at the number of recent COVID-19 cases per 100,000 people to describe the potential number of people who are currently ill and may be infectious. These world-class studios are home to some of the industry's most beloved films and shows. We will update it with new data if and when the state makes it available. The lone area where the region is still falling short of moving forward from Tier 3 mitigations is its ICU bed availability, which increased to 15.5%. According to the latest COVID region numbers released on July 11, Region 4 on the Missouri border has the highest positivity rate: 7.8%, compared to Chicago's 1.1% and Cook County 1.2%.. It is unknown whether Region 6 will be allowed to move forward thuogh, as Gov. The Illinois Department of Public Health will determine when the new restrictions can be relaxed or if additional restrictions are needed. January 14, 2021. Calculated as a rate = [County case count for 7 days] / [County population] x100,000. While the positivity rate in this region dropped to 13.1%, the region saw a downturn in hospital bed availability (12.8%) and an increase in ICU bed availability (17.1%). Typically, these states' Monday updates include the weekend totals. Data is not updated on weekends or holidays. The reporting since the New Year has not adhered to this reporting schedule, with a gap in reporting from January 5, 2023 - January 17, 2023. **American Indian or Alaskan Native, *Asian, Native Hawaiian, or Other Pacific Islander Illinois Key Health Indicators Other Birth Data Leading Causes of Death Heart Disease Cancer COVID-19 Accidents Stroke Chronic Lower Respiratory Diseases Alzheimer's Disease Diabetes Kidney Disease Influenza/Pneumonia Death rates are age-adjusted. The CRC data visualizations will remain available for past dates and reports, but will no longer have up to date information on testing positivity and criteria. Cases that are linked to a cluster are identified using an outbreak ID number. Hospitals are assigned to one of 11 Emergency Medical Services (EMS) regions. The number of deaths is obtained by looking at the number of deaths with COVID infection as the underlying cause of death or the contributing cause of death, confirmed either by investigations or record match with the Illinois Vital Records data. Last updated: 8/29/2022. Zips with <10 cases are not shown. -A regions hospitalizations must have decreased on seven of the preceding 10 days. Region 4's positivity rate was 11.8% on Wednesday. Seven states reported more than 10k cases today: CA, FL, IL, NY, PA, OH, and TX. Some areas are seeing. All 11 of Illinois healthcare regions are currently operating under Tier 3 coronavirus mitigation rules, but some regions are trending in the right direction to have those rules eased in the coming weeks. Located at a beautiful place in Auburn, CA 95603, TK Nails & Spa offers the ultimate in pampering and restoring your beauty with our whole-hearted, careful & professional staff. Positivity rates dropped stlightly across the region Sunday, currently sitting at 13%. Indicators are calculated daily for each region based on the most current, complete data. Data is Provisional. Track bed and ventilator capacity, availability, and occupancy across all Chicago hospitals. We will update it with new data if and when the state makes it available. The regions seven-day positivity rate must drop below 12% for three consecutive days. For general questions about COVID-19 and Illinois' response and guidance, call 1-800-889-3931 or emaildph.sick@illinois.gov, Vax Verify - Illinois Resident Immunization Portal, This is a rapidly evolving situation and information will be updated as needed here and on the CDC website at, For general questions about COVID-19 and Illinois' response and guidance, call, Behavioral Risk Factor Surveillance System, Pregnancy Risk Assessment Monitoring System. Data represent total number of tests performed and reported electronically at IDPH, commercial, or hospital laboratories. During Phase 4, IDPH reminds everyone to wash their hands, wear a face covering, and watch their distance. All numbers displayed are provisional and will change. Data for this region is not yet available. Browse COVID-19 datasets that are available for download on the Chicago Data Portal. Using these data, communities are classified as low, medium, or high. Though the region was seeing a steady decrease of hospitalizations over nine days, Chicago increased by two Sunday. Several Illinois healthcare regions that had seen progress in their coronavirus metrics in recent days have taken steps back, but a few are still advancing toward a potential rollback of Tier 3 coronavirus mitigation rules. If there are fewer than 5 ED visits for CLI for 7 days, then the percent is not calculated, due to the small number instability in the percent and <5 will be reported. Please send questions or suggestions for improvement to soqic@northwestern.edu. South Lawndale has experienced one of the most severe COVID-19 outbreaks in Chicago. Learn more about how CDPH and the CDC are using genomic testing to track SARS-CoV-2 variants. Buddy, a German Shepherd living with his family in Staten . Johns Hopkins experts in global public health, infectious disease, and emergency preparedness have been at the forefront of the international response to COVID-19. If there are fewer than 10 new cases for 7 days, the rate is not calculated and the exact count is used, due to instability in the rate. The. These data are calculated/estimated from publicly available data from IDPH. COVID-19 Illinois Cases Use this interactive map to source information about COVID-19 cases in Illinois. For more information, please go to the COVID-19 Surveillance page. Standoff Systems Description. McLean County Health Department (MCHD) is reporting 131 new cases of COVID-19 since last Friday, 02/17/23, bringing our total of probable and confirmed cases to 64,026. The statewide positivity rate had dipped to 2.1% on March 13. Sa datos na ibinahagi ni OCTA Research fellow Dr. Guido David, bumaba pa sa 1.6% ang positivity rate sa NCR noong Pebrero 25 mula sa 1.7% noong Pebrero 18, 2023. While that was a rise from 11.6% on Tuesday, it marked the fourth consecutive day the rate has been below 12%. Hospitalizations are on the rise in this region, but positivity rates are on a dramatic decline, dropping to 12.5% this week. COVID-19: German Shepherd In NY, One Of First Dogs In Nation To Test Positive, Dies At Age 6. by Zak Failla. Ethics of Digital Contact Tracing: Principles. Weekly number of CLI hospital admission = total number of CLI admissions for 7 days. This metric looks at the number of recent COVID-19 cases per 100,000 people to describe the potential number of people who are currently ill and may be infectious. This graph shows the proportion of beds utilized for COVID and non-COVID patients in the Illinois COVID Regions corresponding to the zip codes selected above. (You may select multiple. The data are constantly being entered and may change as cases are investigated. A dog in New York who was one of the first in the country to be diagnosed with COVID-19 died shortly before his seventh birthday. (Aligned with CDC threshold guidelines), (Hover over the line to see the number of cases for a specific day), (Hover over the line to see the rate for a specific day), (Solid - Selected Zip Codes; Dashed - Illinois; Dotted - Regional), (Hover over the line to see the statistics for a specific day). Copyright 2023 NBCUniversal Media, LLC. Greater Chicago Area. Zip code is the zip code of residence, which may not be the location of the exposure. Coronavirus COVID-19 in Illinois by the numbers: Here's a weekly update on cases, positivity rate and hospital data in your area Chelan County has seen 110.5 positive cases per 100,000 residents, and Douglas County has seen 86.9 positive cases per 100,000 residents. Calculation: 100 x [Sum of medical and surgical beds available in the region for 7 days] / [Sum of total medical and surgical beds in the region for same 7 days]. The region has seen continued declines in positivity rates, falling to 13.1% this week, and it also remains over the 20% threshold in both hospital bed availability and ICU bed availability. Last Updated:##/##/####, Case rate reported Sun-Sat *Native Hawaiian or Other Pacific Islander For example, if the local area is currently orange, some questions you should consider include: Should I still attend or host a large gathering? Within a couple of blocks, Mexican flags fly. Data are updated daily from the IDPH COVID-19 statistics page (https://www.dph.illinois.gov/covid19/covid19-statistics). By applying the same metrics to each region, IDPH uses a standardized approach to monitor the state as a whole while also monitoring regional trends. Calculation: 100 x [Sum of positive tests for 7 days] / [Sum of total tests for same 7 days]. 4/22/2022: IDPH has stopped updating test and hospitalization numbers so we are unable to update the tests/rate/hospitalization components of our website. This is a rapidly evolving situation and information will be updated as needed here and on the CDC website at https://www.cdc.gov/coronavirus/2019-ncov/index.html. If you have online banking, you'll now use the same username and password to access your mortgage. Each indicator is compared to a pre-established threshold criteria to evaluate the COVID-19 disease burden and hospital resource capacity. (Target: decreasing or stable Sun-Sat), No Target The department also announced the launch of a new telehealth test-to-treat program in partnership with Southern Illinois University Medicine. After a long line of decreases in hospitalizations, that number ticked upward on Saturday and Sunday. City Public Health Commissioner Dr. Allison Arwady has said she's not concerned yet, attributing it to a 40% drop in testing. Find information about how SARS-CoV-2 is monitored in Chicagos wastewater. IDPH is working with commercial labs to obtain the necessary data. Data is updated on weekdays, Monday-Friday, either daily or weekly. Data are provisional and subject to change. As of August 1, 2020, policy events are drawn from from various state-specific sources. CDC looks at the combination of three metrics new COVID-19 hospital admissions per 100,000 population in the past 7 days, the 7-day average percent of staffed inpatient beds occupied by COVID-19 patients, and total new COVID-19 cases per 100,000 population in the past 7 days to determine the COVID-19 Community Level. Hospitalizations have. Hospitalizations have decreased each of the last 10 days in the region, with ICU bed availability also dropping to 19.1% Sunday. CHICAGO Four people were shot, one fatally, in the city's South Lawndale neighborhood early Sunday morning. CDC recommends using county COVID-19 Community Levels to help determine which COVID-19 prevention measures to use for individuals and communities. J.B. Pritzker said that IDPH will need to make the final determination. Masks, Treatment, Vaccines, and Testing Resources near you. An average of 1,605 cases per day were reported in Illinois in the last week.Cases have increased by 10 percent from the average two weeks ago.Deaths have decreased by 46 percent . IDPH is monitoring several indicators that measure the health burden of COVID-19 in each Illinois county and capture a countys ability to respond. Layered prevention strategies like staying up to date on vaccines, screening testing, ventilation and wearing masks can help limit severe disease and reduce the potential for strain on the healthcare system. The county level metrics are presented as weekly values, based on Sunday to Saturday of the week prior to the update. These data are provided by the Surgical Outcomes and Quality Improvement Center (SOQIC) at Northwestern Medicine in partnership with our data analytics collaborator, Jeffrey Softcheck MBA, for informational purposes only. IL COVID-19 Regions Methodology Test Positivity Each day, for each region and county, a 7-day test positivity average is calculated by dividing the sum of COVID-19 positive tests for 7 days by the sum of the total COVID-19 tests for the same 7 days, rounded to one decimal place. Data are provisional and are updated daily. Zip code is zip code of residence, which may not be location of exposure. It excludes testing data that are received from sites that have not implemented ELR. Calculated as a rate = [County case count for 7 days] / [County population] x100,000 Illinois County Map of COVID-19 Positive Cases *Some data has yet to be provided by commercial laboratories (including counties). These metrics are intended to be used for local level awareness of each countys progress during Phase 4 and will help local leaders, businesses, local health departments, and the public make informed decisions and promote healthy behaviors. Just 17% of the regions ICU beds are open for COVID-19 patients. ICU bed availability has taken a similar path, and the region finally saw a decline in hospitalizations this week. Data Last Updated ##/##/####. **Criteria to Distinguish a New Case from an Existing Case New confirmed or probable cases will be enumerated if SARS-CoV-2 sequencing results from a new positive specimen and a positive specimen from the most recent previous case demonstrate a different lineage OR if the person was most recently counted as a confirmed or probable case with onset date (if available) or first positive specimen collection date for that classification more than 90 days prior. His new campaign message, concentrated on citizens' safety and support for the police . Here is where things stand in Illinois as of Thanksgiving (note: positivity rates have a three-day lag in data, meaning the latest information in that statistic is from Monday): Bed availability in this region continues to drop, falling to 23% on Thursday, while ICU bed availability, after a brief rebound, has also declined to 24%. (Target: less than 50 per 100,000), Death number reported Sun-Sat While the positivity rate in this region has dropped to 12.5%, the availability of ICU beds has continued its worrying decline, dropping to 19.7% on Thursday. ICU bed availability remains very low, sitting at 15.2%, but hospital bed availability has increased to 23%, reversing a recent downward trend. Trying again, focused this time on crime, he was the top vote getter Tuesday, toppling the incumbent mayor and advancing to an April runoff to lead one of the country's largest cities. On Nov. 19, just 10.8% of the hospital beds in these two counties were available in the event of a surge in COVID-19 cases, but that number has rebounded to 19.5% as of Thursday. At Bank of the West, you will be part of fundamentally different type of bank that is having a positive impact on the world. These indicators can be used to determine whether additional community mitigation interventions are needed for a region to control the further spread of COVID-19. Cases of COVID-19 are reported to the Illinois Electronic Disease Surveillance System (I-NEDSS). People with symptoms, a positive test, or exposure to someone with COVID-19 should wear a mask. WTNH employees rate the overall compensation and benefits package 2. As of 4/11/2022 this page will no longer be updated. Champaign County and its data are included in Region 6, but University of Illinois at Urbana-Champaign saliva testing is broken out separately. Counties meeting set targets will be indicated inblue, while counties that are not meeting the targets will be indicated inorange. Access health data for Chicago and your community. This map is optimized for modern browsers (Chrome, Firefox, Edge, etc.) Using these data, the COVID-19 Community Level is classified as low, medium, or high. Each day, for each region, the sum of the available medical and surgical beds over seven days is divided by the sum of the total medical and surgical beds (i.e., bed capacity) over the same period. J.B. Pritzker has indicated that the state may not allow regions to roll back mitigations due to concerns of holiday-related spikes in COVID-19 numbers, but Region 6 in east-central Illinois has met all three criteria to move forward, leaving the state to make an interesting decision on whether to pull back on restrictions. Thedataisconstantlybeingenteredandmaychangeascasesareinvestigated. Therefore,numbersmayvaryfromothersiteswheredataispublished. COVID-19: Severe Weather Causes Many Mobile Testing Sites In Region To Close. The positivity rate in this region has dropped to 12.7%, while ICU bed availability (19.1%) and hospital bed availability (15.6%) both increased on Sunday. Data from this map is provided by the Centers for Disease control data source is available here. Region 9 could potentially hit the thresholds required to move back from Tier 3 mitigations, as the region hit 11.9% positivity rate on Dec. 10. Reduced counts in U.S. cases and deaths are the result of states and territories not reporting the information for some or all of the weekend. Illinois' stated update frequency for the state dashboard is "Data is updated on weekdays, Monday-Friday, either daily or weekly. Orange indicates there are warning signs of increased COVID-19 risk in the county. Region 6 (Champaign EMS region) 7.3 percent coronavirus positivity rate on Oct. 20, when excluding the University of Illinois comprehensive saliva testing program, down by 0.1 points from a week . All rights reserved, We Are Heartbroken': What We Know After Chicago Police Officer Shot, Killed in Line of Duty, Clemson DE KJ Henry Calls Justin Fields Modern Day Michael Vick', Chicago Police Officer Shot and Killed on Southwest Side. Refer to source notes below for more detail. If there are focal increases in test positivity, even below the 8% threshold, they are flagged and aggressively investigated, and reported to the governors team. , reported panic . The measures are evaluated collectively to determine if multiple indicators are at warning levels. Illinois Department of Public Health Chicago has jumped from 0.4% positivity to 0.9% in the last week. County-level visits are measured by where the patient lives and the date they visited the emergency department. (Target: at least 20% of ICU beds available). Emergency department (ED) visits for COVID-Like Illness (CLI) are collected in near-real time using the Illinois Syndromic Surveillance System for hospitals, which looks at the reason an individual visits an emergency department and diagnosis. According to the Illinois Department of Public Health, there are currently three regions that are seeing positivity rates of 8% or higher, which under previous COVID mitigation plans would have triggered additional restrictions. This metric is used for context to understand large increases in cases. The test positivity rate in Tazewell County is very high. As that information is identified, the map will be updated appropriately. At all levels, people can wear a mask based on personal preference, informed by personal level of risk. If there are fewer than 5 total cases for 7 days, then the percent is not calculated, due to the small number instability in the percent and <5 cases will be reported. Explore vaccination rates among different demographic groups in Chicago and trends over time. Here is where things stand in Illinois healthcare regions: The region has seen its positivity rate rapidly decline in recent days, dropping to 12.1% on Dec. 10. All numbers displayed are provisional and will change. Prior to that, the data source for policy events was the National Governors Association. It is also an indicator of successful investigation of cases to a known source. Target: Testing is Sufficient when test positivity is less than or equal to 8%, Emergency Department visits for COVID-19-like illness This region has seen hospitalizations increase on nine of the last 10 days, has their hospital bed availability has been under the 20% threshold for nine consecutive days. Data from this map is provided by the Centers for Disease Control and Prevention data source is available here. The weekly age breakdown for all cases added to the total is as follows: COVID-related deaths are not reported out on the same day they occur. This chart is officially out of date as more than 30 states across the US have stopped reporting testing positivity or significantly scaled down their testing reports. All rights reserved. The new rate is based on tests . For a region to move forward from Tier 3 mitigation rules, several statistical benchmarks have to be met. The entire national case definition can be found at:https://ndc.services.cdc.gov/case-definitions/coronavirus-disease-2019-2021/. The number of tests performed and reported through Electronic Laboratory Reporting (ELR) is presented only for context and increased awareness of testing resources, but is not a metric that is used to trigger a county warning. When making decisions about community prevention strategies and individual preventive behaviors in addition to vaccination, health officials and people should consider the COVID-19 Community Level in the county. To see the positivity rate in each Illinois county and in the state's. The region may finally be turning a corner in terms of hospitalizations, as the region has seen slight decreases on each of the last three days, but other metrics remain concerning here, including the availability of hospital beds and ICU beds, both of which are under the 20% threshold required to move out of Tier 3 restrictions. This website is a resource to help advance the understanding of the virus, inform the public, and brief policymakers in order to guide a response, improve care, and save lives. Data on new cases acts as an early warning indicator of potential increases in health system strain in the event of a COVID-19 surge or new variant. In Region 5, located in the southern tip of Illinois, the positivity rate remains on the rise, currently sitting at 11%. for severe disease to ensure they know how to get rapid testing, Behavioral Risk Factor Surveillance System, Pregnancy Risk Assessment Monitoring System, Grant Accountability and Transparency (GATA), Stay up to date with COVID-19 vaccines and boosters, Maintain improved ventilation throughout indoor spaces when possible, Follow CDC recommendations for isolation and quarantine, including getting tested if you are exposed to COVID-19 or have symptoms of COVID-19, Have a plan for rapid testing if needed (e.g., having home tests or access to testing), Talk to your healthcare provider about whether you are a candidate for treatments like oral antivirals, PrEP, and monoclonal antibodies, Distribute and administer vaccines to achieve high community vaccination coverage and ensure health equity, Maintain improved ventilation in public indoor spaces, Ensure access to testing, including through point-of-care and at-home tests for all people, Communicate with organizations and places that serve people who are immunocompromised or at, Ensure access and equity in vaccination, testing, treatment, community outreach, support services for disproportionately affected populations, Talk to your healthcare provider about whether you need to wear a mask and take other precautions (e.g., testing), If you have household or social contact with someone at, consider self-testing to detect infection before contact, consider wearing a mask when indoors with them, Consider implementing screening testing or other testing strategies for people who are exposed to COVID-19 in workplaces, schools, or other community settings as appropriate, Implement enhanced prevention measures in high-risk congregate settings (see guidance for, Wear a well-fitting maskindoors in public, regardless of vaccination status (including in K-12 schools and other indoor community settings), Consider avoiding non-essential indoor activities in public where you could be exposed, Consider setting-specific recommendations for prevention strategies based on local factors, Implement healthcare surge support as needed. 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