July 16, 2020 Saving Lives, Protecting People, Improving Services KCMO Health Department COVID-19 Update Downtown Council Executive Committee https://www.kcmo.gov/city-hall/departments/health/coronavirus Rex Archer, MD, MPH @RexArcherMD Director of Health, KCMO
KCMOHD COVID-19 Goals 1. Prevent Hospitalizations/Deaths Protect the High Risk! Slow Down the Outbreak* through Social Distancing, Wearing Masks, Timely Disease Investigation/Contact Tracing and Eventually Vaccination) 2. Re-open the Economy as Safely as Possible * Testing alone nor Medical Care can do anything to slow the outbreak
7/14/2020 3:11 PM Prepared by CEPA, KCMO Health Department
COVID-19: Are you an older adult at risk? As you get older the risk for severe illness from COVID-19 increases with age, with older adults at highest risk. People in their 50s are higher risk for severe illness than people in their 40s. Similarly people in their 60s or 70s in general, are at higher risk for illness than people in their 50s. The greatest risk for severe illness from COIVD-19 is among those 85 or older. Other factors such as having an underlying medical condition may increase your risk for severe illness.
*CDC reports show that 8 out of 10 COVID-19 deaths reported in the U.S. have been adults 65 years of older. It is important of people with increased risk and those who live with them to protect themselves from getting covid-19. The best way to protect yourself and help reduce the spread of the virus is to • Limit interaction with people as much as possible • Take precaution to prevent getting COVID-19 when you are interacting with others. • Wear a mask or face covering • Wash hand frequently • Maintain social distance of at least 6ft. • Limit contact of commonly touched surfaces or shared items.
Strongest & Most Consistent Evidence • Sickle Cell disease • Type II Diabetes Mellitus COPD • Obesity (body mass index (BMI)>30 • Solid Organ Transplantation • Chronic Kidney disease; • and those undergoing dialysis Mixed Evidence • Asthma • Cerebrovascular Disease (affects blood vessels and blood supply to brain) • Hypertension or High blood pressure • Pregnancy • Smoking • Immunocompromised Individuals • (cancer treatment, blood or bone marrow transplant, immune deficiencies, HIV/AIDS, use of corticosteroids or other immune weakening medicines)
Where Masks Aren’t Required, Virus Cases Have Gone Up States where mask use is ... Change -25% Mandatory in public Required by employees and patrons -12% of certain businesses Required by employees of certain +70% businesses +84% Recommended, but not required U.S. total +22%
New cases, New cases, States where mask use is ... Change June 1-7 June 15-21 -25% Mandatory in public 61,064 45,950 Required by employees and -12% 24,860 21,796 patrons of certain businesses Required by employees of +70% 28,321 48,062 certain businesses +84% Recommended, but not required 38,638 71,165 U.S. total +22% 152,883 186,973
When epidemiologists said they expect to do these activities in their personal lives, assuming the pandemic and response unfold as they expect
Maybe a year or more 3 to This 12 1 yr.+ Never summe mos again r . Attend a wedding or a funeral (n = 501) 17 41 42 <1 Hug or shake hands when greeting a friend 14 39 42 6 (503) Go out with someone you don't know well 14 42 42 2 (363) Attend a church or other religious service 13 43 43 2 (220) Stop routinely wearing a face covering 7 40 52 1 (513) Attend a sporting event, concert or play (489) 3 32 64 1
https://www.pnas.org/content/early/2020/06/10/20096371 17
1. How to recognize, manage, and communicate in a crisis 2. How to pivot from managing a crisis to advocating for long-term policy change that can prevent the crisis from happening again 3. How to awaken a sense of crisis on a longstanding problem to generate momentum for change
7/14/2020 • Blacks/African Americans are: • Less likely to live in neighborhoods with abundant healthy food options, green space, working lighting and an overall sense of safety • More likely to live in densely populated areas, use public transit, and have problems accessing quality health care • Regarding work for Black and Hispanic residents: • More likely to be a part of the new COVID-19 ‘essential workforce’ – as bus drivers, food service workers, janitors, retail cashiers, stockers • Less likely to be paid if they get sick and have to miss work This means that Black and Hispanic workers and their • families are over-exposed to COVID-19
There are 159 countries in the United Nations (UN) that require paid sick leave for their residents and yet the United States is not one of them. In fact, we are far behind many of our UN counterparts in that we have no federal requirements for paid sick leave. This means that no matter how hard our nation’s health and government organizations work to protect the public from contagious diseases during outbreaks, the US policy on sick leave (or lack thereof) leaves residents vulnerable and has a negative impact on their lives in a number of ways, starting with job security and fi nancial stability .
Assuring Public Health Infrastructure Public Health Response ● Bioterrorism ● Emerging Infections ● Other Health Threats Essential Capabilities Laboratory Disease Surveillance Practice Investigations Basic Workforce Communication Organizational and Information Development Capacity Infrastructure Systems Standards Systems
KCMOHD COVID-19 Goals 1. Prevent Hospitalizations/Deaths Protect the High Risk! Slow Down the Outbreak* through Social Distancing, Wearing Masks, Timely Disease Investigation/Contact Tracing and Eventually Vaccination) 2. Re-open the Economy as Safely as Possible * Testing alone nor Medical Care can do anything to slow the outbreak
Questions/Comments? New Jersey’s Governor Murphy says, “Public Health Creates Economic Health.” The implied corollary is: Underinvesting in Public Health Creates Economic Depressions!
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