14,735 positive cases 2,610 total hospitalized 784 currently - - PowerPoint PPT Presentation

COLORADO CASES

• 14,735 positive cases
• 2,610 total hospitalized

○ 784 currently hospitalized ○ 72 discharged in last 24 hours

• 56 counties
• 69,449 people tested
• 760 deaths
• 149 outbreaks

DAILY CASE GROWTH RATE

GROWTH RATE: 4/28=2.8%

DAILY HOSPITALIZATION GROWTH RATE

GROWTH RATE: 4/25=0.3%

GROWTH RATE: 4/28=.4%

WE NEED YOU TO DO YOUR PART

SAFER AT HOME

Chronically ill and over 65 yrs old stay home. All people still stay at home as much as possible and wear a face covering when you leave home Bars, Restaurants, gyms and K-12 schools remain closed for in-person activities General population continue to limit social interaction to only your household- avoid unnecessary travel - wear masks in public Friday May 1st- Retail and Personal Service resume with strict social distancing and hygiene practices in place Monday May 4th - In office work can resume at 50% reduction of census- telecommuting should continue to the maximum amount possible. No group gatherings of over 10 people

Safer-at-Home for General Population Stay-at-Home for Vulnerable & more protections at senior facilities Wearing Facial Coverings Enhance Testing, Isolation, and Monitoring

COLORADO’S ALL-OF-THE-ABOVE STRATEGY

1 All critical businesses continue to operate as presently doing based on Safe at Home protocols

Scenario F tests these assumptions with social distancing levels of 65%, 55%, and 45%

SCENARIO F: ALL INTERVENTIONS

Projected timing and magnitude of the peak number of ICU hospitalizations for interventions (Scenario F)

Relax social distancing to 45% Relax social distancing to 55% Relax social distancing to 65%

• Est. peak ICU

need*

• Est. date of

ICU peak

• Est. peak ICU

need*

• Est. date of

ICU peak

• Est. peak ICU

need* Est date of ICU peak Mask wearing, improved case detection and containment, and older adults maintain current high levels of social distancing

4,100 09/10/2020 1,420 09/24/2020 355 04/21/2020

Colorado is currently identifying and isolating 33% of symptomatic cases within 48 hours, model assumes this will increase by 5% per week.

Note: this doesn’t not include contact tracing which will increase suppression impacts

COLORADO TESTING

• To date we have completed 69,449 tests
• We are running about 3,000 tests/day

○ 58 days ago we could only do 160/day ○ Through lean processes and added staffing, lab capacity has improved 20-fold

• We have the private and state lab lab capacity to do over 10K

(but face supply constraints)

Goal between public and private partners: 5,000 tests/day early May and up to 8,500+ tests/day if needed by end of May)

EPIDEMIOLOGY UPDATE: STATE LAB TURN AROUND TIME

HOW DO WE GET THERE?

Increase availability of testing statewide Increase testing supplies Increase epidemiological capacity

ROLE OF TESTING

Must be accompanied by compliance with isolation/quarantine and follow-up contact tracing to get maximum suppression impact

Identify people who are sick Identify hot spots Protect people who are vulnerable

KINDS OF TESTING

Swab Sampling Blood Test

SWAB TESTS VS. BLOOD TESTS

for illustrative purposes only

SEROLOGICAL A.K.A BLOOD TESTING FOR ANTIBODIES

While we don’t yet know enough about what antibody tests mean for individual patients, they can help us build the science base to understand the disease.

• Colorado is spearheading critical research to use antibody

testing to understand the disease.

• CU and CSU are developing their own ELISA tests and

developing use cases for clinical work and fine-tuned techniques that can help us scale faster and cheaper.

• Laboratories across the state are working to validate the tests
• n the market so we can make sure they are accurate.

SEROLOGICAL A.K.A BLOOD TESTING Important efforts are being made to build the science base to increase our knowledge and surveillance: A longitudinal study looking at the rate of infection across Colorado over time A study seeking to understand the role of children in transmission A study looking at infection rates in different communities A study looking at exposure among frontline healthcare workers And a study looking at exposure among senior care workers

SUPPLIES NEEDED FOR TESTING

PPE: Gloves, masks, eye gear and gown Lab: Extraction prep and detection reagents (test) Test: Collection kit (test tube and swab) Equipment and staff to do testing

SUPPLIES NEEDED FOR TESTING

ABI 7500 Fast Dx Real-Time PCR instrument

TESTING FOR THE MONTH OF MAY

Needed Materials Current Supplies Secured Supplies Secured by May 11 Supplies Secured by May 31st Swabs/ Viral Media

15,000 147,000 195,000

Extraction Reagent 20,000

117,000 195,000

Detection Reagent (tests)

100,000 147,000 195,000

FOUR TYPES OF TESTING SITES IN COLORADO

Private sector hospitals and health care facilities Local community based testing sites Targeted testing for outbreaks and at-risk populations The state collaborates with private-sector partners

HOW TESTING IS DONE Healthcare setting:

• Children’s Hospital
• National Jewish
• Denver Health
• UCHealth
• Centura
• Stride, Clinica, and other Community Health Centers
• Kaiser Permanente, expanding healthcare workers and first responder

testing outside their network

HOW TESTING IS DONE

Local community-based testing sites:

• State distributed a playbook to local public health agencies to support them in

their testing efforts

• 51 counties requested a site. The state lab has completed readiness

assessments and approved the plans for 34 of the requests, and has sent testing supplies to support 26 of the community testing sites.

• Mobile, site-specific testing: Example: Island Grove Park in Greeley

HOW TESTING IS DONE Private Sector Partners:

• King Soopers: 4-28

○ Auraria campus testing site: 179 tests administered on first day ○ Site in Boulder later this week State and County Public Health are Conducting testing for outbreaks and at-risk populations:

• 4.24-4.28 Weld county testing site: 882 Weld County residents tested

(124 positive: 88 symptomatic, 34 asymptomatic & 1 unknown)

• Other sites: Pueblo (484), Mesa (482), El Paso (1769)

SENIOR FACILITIES UPDATE:

• Testing Update at Senior Facilities:

○ 4 facilities tested and one ongoing today ■ 1,171 total tests ■ 99 total positive (55 Symptomatic, 33 asymptomatic, 11 unknown)

• Partnership with CSU to run 45,000 tests on nursing home workers

(May/June)

• PPE: Weekly supplies for nursing homes by May 1:

○ Masks: 85,521K ○ Gloves: 388,733K ○ Gowns: 7,840K ○ Eye protection: 10, 413

WHO CAN GET TESTED TODAY?

• Symptomatic healthcare and frontline workers
• Symptomatic hospital and nursing home patients
• Symptomatic workers and others in outbreaks
• Some symptomatic community members
• On a scheduled pilot basis, asymptomatic workers at

senior care facilities

WHO CAN GET TESTED BEGINNING ON MAY 15TH?

• Symptomatic healthcare and frontline workers
• Symptomatic hospital and nursing home patients
• Symptomatic workers and others in outbreaks
• All symptomatic community members who desire it
• Broader outbreak testing
• On a scheduled basis, more asymptomatic workers and

some residents at senior care facilities. Build a more robust program to prevent hotspots in senior, long term care, and congregate care facilities, and other vulnerable populations like people experiencing homelessness

INFRASTRUCTURE NEEDED

Epidemiology team to contain the spread of the virus Partnerships with private and public sector to have more testing sites Robust lab capacity to process the tests

EPIDEMIOLOGY UPDATE

We have doubled the epidemiology and contact tracing team in the past two weeks, and are rapidly growing! 31→ 56 We are building a first in the country COVID Navigator Program, to establish wrap-around supports for those who are sick

EPIDEMIOLOGY: TECHNOLOGY UPDATE

Partnership with MTX & Google, launched Symptom tracker

COSYMPTOMTRACKER.COM

• ID hot spots early
• Daily SMS check-in
• Direct referral to testing sites
• Easier, quicker contact tracing
• Rapid scale
• More data available more quickly

Communities of color have a history of unequal access to health care and economic opportunities

EQUITY TASK FORCE MEMBERS

• Congressman Joe Neguse
• Farduus Ahmed, Hope Communities
• Harry Budisidharta, Asian Pacific Development Center
• Lizeth Chacon, Colorado People's Alliance
• Eudelia Contreras, Lake County Build a Generation
• Maggie Gomez, Center for Health Progress
• Joline Dorce, Dawn Clinic
• Rudy Gonzales , Servicios de la Raza
• Amanda Henderson, Interfaith Alliance
• Deidre Johnson, Center for African American Health
• Adrianne Maddux, Denver Indian Health and Family Services
• Denise Maes, ACLU

EQUITY TASK FORCE MEMBERS

• Kenny Maestas, Colorado Cross-Disability Coalition
• Omar Montgomery, Center for Identity and Inclusion-University of

Colorado Denver

• Priscilla Montoya Vitello, Latino Community Foundation
• Michelle McHenry-Edrington, Colorado Cross-Disability Coalition
• Rosemary McDonnell-Horita, Atlantis Community, Inc.
• Rosemary Lyttle, NAACP
• Ricardo Perez, Hispanic Affairs Project
• Alex Sánchez, Roaring Fork Latino Network and Voces Unidas
• Carmen Stevens, San Luis Valley Immigrant Rights Center,
• Representative from the Ute Mountain Ute Tribe
• Representative from the Southern Ute Tribe