10/27/2020 MEDICAL & DATA UPDATES TIER STATUS RED - - PowerPoint PPT Presentation

WELCOME TO THE INSTITUTIONS OF HIGHER EDUCATION TELEBRIEFING

10/27/2020

MEDICAL & DATA UPDATES

TIER STATUS RED (SUBSTANTIAL) TIER- EIGHT WEEK

• Unadjusted case rate of 7.4 (7.8 last week) per 100,000

residents and an adjusted rate of 6.5 (7.0 last week)

• Adjusted down due to high testing rate (309 vs 239 state

median)

• Testing positivity percentage increased to 3.5% (3.3%

last week).

LOCAL HIGHLIGHTS- DAILY CASES

NEW HEALTH EQUITY METRIC

The Health Equity Testing Percentage will place Counties in

• ne of the Tiers:

This metric will NOT move counties back a tier, only up a tier! Health equity testing positivity percentage dropped from 5.5% to 5.1%. County has submitted required plans to state.

IHE STATUS

• As of today, 6 active cases, 3 of which were on campus with total of

44 student cases and 2 in employees

• 4211 tests with positivity rate of 1.09%, 0.38% in on-campus

students

• CSUSM, 18 cases in students (15 of whom lived on campus) and 7

in employees

• SDSU Students are encouraged to stay-at-home through 6 am 11/2

OTHER LOCAL INFO

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• COVID Watch updates
• Added antigen / probable results, 14-day case rate by zip codes, deaths

by age group per week, potential exposure settings

• Influenza Watch weekly publications began (20th year!)
• County testing sites now testing children as young as 6 months
• Dr. Hood and Dr. Saywer appointed to CA COVID-19 Scientific Safety

Review Workgroup

CDC UPDATES

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https://www.cdc.gov/coronavirus/2019-ncov/covid-data/investigations-discovery/hospitalization-death-by-race-ethnicity.html https://www.cdc.gov/coronavirus/2019-ncov/downloads/covid-data/hospitalization-death-by-race-ethnicity.pdf

COVID-19 Hospitalization and Death by Race/Ethnicity

CDC CLOSE CONTACT UPDATE

NEW INFORMATION ON DEFINING A CLOSE CONTACT

• Someone who was within 6 feet of an infected person for a cumulative

total of 15 minutes or more over a 24-hour period* starting from 2 days before illness onset (or, for asymptomatic patients, 2 days prior to test specimen collection) until the time the patient is isolated.

• Individual exposures added together over a 24-hour period (e.g., three 5-

minute exposures for a total of 15 minutes).

• Example: It’s no longer defined as “I spent 15 mins in a small room

with person X on Tuesday.” It could also be “I made 5 quick trips to speak to X for 3 mins each between Tuesday afternoon and Wednesday morning.”

https://www.cdc.gov/coronavirus/2019-ncov/php/contact-tracing/contact-tracing- plan/appendix.html#contact

OTHER UPDATES

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• CDPH Theme Parks Guidance
• Smaller facilities may resume outdoor operations and limited capacity in

Tier 3 (moderate/orange), while larger parks may do so in Tier 4 (minimal/yellow)

• CDPH Sporting Events at Outdoor Stadiums Guidance
• Live professional sporting events may operate with limited capacity in Tiers

3 and 4 only with pre-assigned tickets to ensure physical distancing of patrons and other modifications

• CDPH Industry guidance: Expanded personal care services
• Hair salons, barbershops, nail salons, tattoo places now all allowed in

Purple tier w/modifications

• CDPH COVID-19 Vaccination Plan
• CDC has developed a Toolkit for People 15-21

HALLOWEEN & GATHERING GUIDANCE

CDPH – NEW GATHERING GUIDANCE

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GUIDANCE FOR PRIVATE GATHERINGS (10/9/2020)

1. Attendance

• 3 Households Maximum & keep Households Stable Over Time
• 2. Gather Outdoors & Keep it Short-Two hours or less
• 3. Don't Attend Gatherings If You Feel Sick or You Are in a High-Risk Group
• 4. Practice Physical Distancing and Hand Hygiene at Gatherings
• 5. Wear a Face Covering to Keep COVID-19 from Spreading

6. Avoid Singing, Chanting, and Shouting

Health Officer Order Updated October 9, 2020

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PRACTICE THE BIG FOUR

HALLOWEEN GUIDANCE Halloween Guidance* during the COVID-19 pandemic!

To minimize the spread of COVID-19 and ensure children have a fun, safe Halloween, the County of San Diego offers guidance for the most common activities to protect you and your loved ones

 Available in multiple languages.

HALLOWEEN GUIDANCE UPDATE

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NOT ALLOWED:

• In-person gatherings, events, or parties with

more than 3 households are not permitted, even if they are conducted outdoors, since maintaining 6-feet of distance between participants cannot be easily maintained.

NOTIFICATION OF A POSITIVE CASE

SCHOOL IS NOTIFIED OF POSITIVE COVID-19 CASE IN STUDENT OR STAFF SCHOOL SHOULD BE NOTIFIED BY STAFF/STUDENT/FAMILY OF STUDENT OR THE COUNTY OF SAN DIEGO

Student or Staff has + COVID-19 test Staff notifies school COVID-19 Liaison Parent/student notifies school School’s COVID-19 Liaison is contacted by County of San Diego

COVID-19 LIAISON NOTIFIES COUNTY OF SAN DIEGO DEPARTMENT OF PUBLIC HEALTH SERVICES (A & B) SCHOOL’S COVID LIAISON MUST CONTACT THE DEPARTMENT OF PUBLIC HEALTH SERVICES

Call: 888-950-9905 Fill out online Notification Form at

• n the Coronavirus-sd.com/K12Schools
• website. Can be utilized for all

education sector(s).

OR

ISOLATE AND EXCLUDE ISOLATE CASE AND EXCLUDE FROM SCHOOL FOR 10 AT LEAST DAYS FROM SYMPTOM ONSET OR TEST DATE

Home Isolation Support

• Home Isolation Guidelines
• Temporary Lodging Program (For family that needs support to Isolate or Quarantine)

ID CONTACTS (†)

IDENTIFY CONTACTS (†): QUARANTINE & EXCLUDE EXPOSED CONTACTS (LIKELY ENTIRE COHORT (††)) FOR 14 DAYS AFTER THE LAST DATE THE CASE WAS PRESENT AT SCHOOL WHILE INFECTIOUS

• Recommend testing of close contacts, prioritize symptomatic contacts (testing will NOT

shorten 14-day quarantine)

• See Quarantine Guidance for Coronavirus Disease 2019 (COVID-19)
• (†) A close contact is defined as someone who was within 6 feet of an infected person

for a cumulative total of 15 minutes or more over a 24-hour period. In some school situations, it may be difficult to determine whether individuals have met this criterion and an entire cohort, classroom, or other group may need to be considered exposed, particularly if people have spent time together indoors

• (††) A cohort is a stable group with fixed membership that stays together for courses

and avoids contact with other persons or cohorts

RECOMMEND TESTING OF CONTACTS, PRIORITIZE SYMPTOMATIC CONTACTS ENCOURAGE AND RECOMMEND TESTING School Staff Students

• Anyone (3 months and up) may be

tested at any of the county’s public testing sites

• School personnel should contact their

school or school district for information

• n receiving a test
• For students, contact student health

services or primary care provider for

• testing. If unable to get tested thru PCP,

then State & County sites are available for free testing. To find a location or day a testing site is occurring, call 2-1-1 or go to the county’s public testing sites

DISINFECT AND CLEAN

DISINFECTION AND CLEANING OF CLASSROOM AND PRIMARY SPACES WHERE CASE SPENT SIGNIFICANT TIME

• COVID-19 Guidance for Cleaning and Disinfection
• Cleaning & Disinfecting Your Facility

NOTIFY CONSIDER NOTIFICATION TO THE SCHOOL COMMUNITY THAT THERE IS A POSITIVE CASE ON CAMPUS

IHE CONSIDERATIONS

• IHE settings contain a mixed population of students and staff ranging from young

to older adults who are highly interconnected in multiple, close-contact networks, such as dormitories, classrooms, lecture halls, sports teams, clubs and fraternities/sororities.

• As a result, these close settings may cause the IHE population to be more

susceptible to increased transmission of SARS-CoV-2.

• IHEs might need to implement short-term closure procedures. If this happens,

IHEs should work with local public health officials to determine whether in- person classes need to be cancelled or moved to virtual delivery and/or buildings and facilities need to close.

IHE-WHEN TO TEST?

IHEs might test students, faculty, or staff for purposes of surveillance, diagnosis, screening, or in the context of an outbreak. Individuals should be considered for and offered testing if they:

• Show signs or symptoms consistent with COVID-19 (diagnostic) or have a recent known or

suspected exposure to a person with laboratory-confirmed COVID-19 (diagnostic)

• Have been asked or referred to get testing by their healthcare provider or health department

(diagnostic) or are part of a cohort for whom testing is recommended (in the context of an

• utbreak)
• Are attending an IHE that requires entry screening (entry testing as part of screening)
• Volunteer to be tested in order to monitor occurrence of cases and positivity rate (surveillance)
• It is not recommended to retest previously positive asymptomatic individuals within 3 months of

a positive test. Data currently suggest that some individuals test persistently positive due to residual virus material but are unlikely to be infectious. https://www.cdc.gov/coronavirus/2019-ncov/community/colleges-universities/ihe-testing.html

ALISON CASCIANO, PUBLIC HEALTH NURSE EPIDEMIOLOGY AND IMMUNIZATION SERVICES BRANCH COUNTY OF SAN DIEGO HEALTH & HUMAN SERVICES AGENCY INSTITUTIONS OF HIGHER EDUCATION EPI CONTACT KAREE HOPKINS, PUBLIC HEALTH NURSE SUPERVISOR

PUBLIC HEALTH SERVICES COUNTY OF SAN DIEGO HEALTH & HUMAN SERVICES AGENCY SCHOOLS GROUP CONTACT

Decision Tree, Communication with Epidemiology Flowchart, and Reporting a Positive Case

PLEASE ASK US YOUR QUESTIONS IN THE CHAT

ANNOUNCEMENTS

2021 CECO Grant

WE RISE BY LIFTING OTHERS

• The CECO Grant is for non-profits that aim to improve

services that address the diverse needs of the San Diego region.

• These grants, which vary from a couple hundred dollars

to a couple thousand dollars, support vulnerable populations such as seniors, people experiencing homelessness, at-risk youth and people with disabilities.

• CECO is now accepting grant applications for 2021
• Deadline: November 2nd

* Images above are linked to the website

VOTING DURING COVID-19

• Voting by mail is simple, safer, and secure!
• As mail ballots start showing up in mailboxes around

San Diego County, the Registrar of Voters office is reminding voters that it’s safer to mark your ballot at home to avoid the risk of contracting COVID-19

• You can learn how to vote from home at

www.sdvote.com

FLU VACCINE CLINICS

• The influenza vaccine is now available at doctors’
• ffices and pharmacies throughout San Diego County

and is covered by medical insurance

• People who do not have healthcare coverage can get

vaccinated at one of the County’s six Public Health Centers or a local community clinic

• The County is hosting free flu shot events from

October 22nd through November 3rd. To learn more please visit our website.

LIVE WELL ADVANCE – SAVE THE DATE & REGISTRATION IS NOW OPEN!!