STAY HEALTHY | RETURN SMARTER | RETURN STRONGER COVID-19 HAS - - PowerPoint PPT Presentation

STAY HEALTHY | RETURN SMARTER | RETURN STRONGER

COVID-19 HAS 
 CHANGED OUR WORLD

“The COVID-19 pandemic is the single greatest global peacetime catastrophe that humanity has suffered since the end of the Second World War. Barely months into what promises to be a multiyear disaster, the pandemic has already cost America alone over 100,000 lives, tens of millions

• f jobs, and trillions of dollars in lost output,

income, and wealth. The ultimate toll for the world as a whole from this pandemic — both the direct and the indirect consequences — may still lie beyond imagining.”

— National Review

COVID-19
 IS WIDESPREAD 
 IN ARIZONA

2,742 AVERAGE 
 NEW CASES PER DAY 1,463 
 ARIZONA LIVES LOST 59,972 
 TOTAL COVID-19 CASES

ARIZONA
 IS NOT ALONE

RECORD OF DAILY CASES
 ARIZONA
 CALIFORNIA
 FLORIDA
 MISSISSIPPI
 NEVADA
 TEXAS
 SOUTH CAROLINA

DAILY RECORD OF HOSPITALIZATIONS ARIZONA
 ARKANSAS
 CALIFORNIA
 FLORIDA
 NORTH CAROLINA
 SOUTH CAROLINA
 TENNESSEE
 TEXAS

THERE’S MORE WORK TO DO
 WE CAN’T LET UP

OBJECTIVE: 
 SAVE LIVES & 
 PROTECT LIVELIHOODS

SLOW THE VIRUS PROTECT THE MOST VULNERABLE

WEAR A MASK

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

EVERY ARIZONAN NEEDS TO DO THEIR PART

RETURNING SMARTER

• We know that COVID-19 is still widespread in our community
• Vulnerable individuals should limit their time away from home

PHYSICAL DISTANCE WASH YOUR HANDS STAY HOME WHEN SICK

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

GREEN LIGHT 
 TO PROCEED WITH CAUTION

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

YELLOW LIGHT 
 TO YIELD

LET’S MAKE IT CLEAR: YOU ARE SAFER AT HOME

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

SAFER AT HOME: QUESTIONS TO CONSIDER BEFORE GOING OUT

• How many people will you interact with?
• Interacting with more people raises your risk.
• Being in a group with people who aren’t social distancing or wearing cloth

face coverings increases your risk.

• Engaging with new people (e.g., those who don’t live with you) also raises

your risk.

• Some people have the virus and don’t have any symptoms, and it is not yet

known how often people without symptoms can transmit the virus to others.

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

• Can you keep 6 feet of space between you and others? Will you be outdoors or

indoors?

• The closer you are to other people who may be infected, the greater your

risk of getting sick.

• Keeping distance from other people is especially important for people who

are at higher risk for severe illness, such as older adults and those with underlying medical conditions.

• Indoor spaces are more risky than outdoor spaces where it might be harder

to keep people apart and there’s less ventilation.

SAFER AT HOME: QUESTIONS TO CONSIDER BEFORE GOING OUT

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

• What’s the length of time that you will be interacting with people?
• Spending more time with people who may be infected increases your risk
• f becoming infected.
• Spending more time with people increases their risk of becoming infected

if there is any chance that you may already be infected.

SAFER AT HOME: QUESTIONS TO CONSIDER BEFORE GOING OUT

HOLDING BAD ACTORS ACCOUNTABLE

HOLDING THE BAD ACTORS ACCOUNTABLE

NEW GUIDANCE ISSUED LAST WEEK

• Increased measures that establishments MUST take to protect their employees and

their customers

• Provided local authorities with the ability to take enforcement action when a

violation occurs

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

HOLDING THE BAD ACTORS ACCOUNTABLE

NEW:

• On Tuesday, Scottsdale authorities filed charges on an establishment named Riot

House, and reported additional violations to the Department of Liquor Licenses and Control.

• They're not alone. Yesterday the Department of Liquor sent a final notice to

comply to the following establishments:

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

• Riot House
• Bottled Blonde
• Pattie’s
• Casa Amigos
• El Hefe
• International
• Maya Day Club
• Hi-Fi

WHAT ARE WE SEEING BY AGE GROUP?

CASE GROWTH BY AGE

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

13% 12% 15% 48% 11%

Less than 20 20-44 45-54 55-64 Greater Than 65 Report Pending

WEEKLY COVID-19 CASES BY AGE

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

May 17, 2020 May 24, 2020 May 31, 2020 June 7, 2020 June 14, 2020 June 21, 2020

1% 15% 9% 9% 10% 11% 15% 12% 11% 11% 12% 12% 13% 16% 15% 16% 14% 15% 15% 47% 53% 52% 51% 48% 44% 9% 12% 12% 13% 14% 12%

Less than 19 years 20-44y 45-54y 55-64y 65+ Missing

HOSPITALIZATIONS BY AGE

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

41% 20% 16% 22% 1%

Less than 20 20-44 45-54 55-64 greater than 65

THE NUMBERS ➞

FLEXIBILITY FOR STATES TO TAILOR APPLICATION OF THESE CRITERIA TO LOCAL CIRCUMSTANCES

SYMPTOMS CASES HOSPITALS

Downward trajectory of influenza-like illnesses (ILI) reported within a 14-day period

AND

Downward trajectory of COVID-like syndromic cases reported within a 14-day period Downward trajectory of documented cases within a 14- day period

OR

Downward trajectory of positive tests as a percent of total tests within a 14-day period Treat all patients without crisis care.

AND

Robust testing program in place for at-risk healthcare workers, including emerging antibody testing

WHITE HOUSE STATE OR REGIONAL GATING CRITERIA

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

Downward trajectory of influenza-like illnesses (ILI) reported within a 14-day period

AND

Downward trajectory of COVID-like syndromic cases reported within a 14-day period

SYMPTOMS ➞

COVID-LIKE-ILLNESS (CLI) SURVEILLANCE
 INFLUENZA-LIKE-ILLNESS (ILI) SURVEILLANCE

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

Stay Home, Stay Healthy, Stay Connected Order 3/31/2020

Dec 29 Jan 05 Jan 12 Jan 19 Jan 26 Feb 02 Feb 09 Feb 16 Feb 23 Mar 01 Mar 08 Mar 15 Mar 22 Mar 29 Apr 05 Apr 12 Apr 19 Apr 26 May 03 May 10 May 17 May 24 May 31 June 7 June 14

2.7% 2.1% 1.7% 1.4% 1.6% 1.5% 1.9% 1.9% 2.4% 2.4% 3.6% 4.4% 5.2% 6.1% 5.3% 4.8% 4.9% 6.1% 6.8% 6.7% 6.6% 7.2% 6.4% 5.7% 6.2%

8.1% 7.7% 6.3% 5.1% 4.5% 4.4% 4.8% 5% 5.6% 5.1% 6.7% 7.4% 6.8% 5.8% 3.4% 2.7% 2.3% 2.6% 2.5% 2.6% 2.9% 2.7% 2.2% 2.4% 2.8%

CLI Average visits ILI Average Visits

CASES ➞

Downward trajectory of documented cases within a 14-day period

OR

Downward trajectory of positive tests as a percent of total tests within a 14-day period

COVID-19 CASES BY DAY

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

1000 2000 3000 4000

3 / 9 / 2 2 3 / 1 2 / 2 2 3 / 1 5 / 2 2 3 / 1 8 / 2 2 3 / 2 1 / 2 2 3 / 2 4 / 2 2 3 / 2 7 / 2 2 3 / 3 / 2 2 4 / 2 / 2 2 4 / 5 / 2 2 4 / 8 / 2 2 4 / 1 1 / 2 2 4 / 1 4 / 2 2 4 / 1 7 / 2 2 4 / 2 / 2 2 4 / 2 3 / 2 2 4 / 2 6 / 2 2 4 / 2 9 / 2 2 5 / 2 / 2 2 5 / 5 / 2 2 5 / 8 / 2 2 5 / 1 1 / 2 2 5 / 1 4 / 2 2 5 / 1 7 / 2 2 5 / 2 / 2 2 5 / 2 3 / 2 2 5 / 2 6 / 2 2 5 / 2 9 / 2 2 6 / 1 / 2 2 6 / 4 / 2 2 6 / 7 / 2 2 6 / 1 / 2 2 6 / 1 3 / 2 2 6 / 1 6 / 2 2 6 / 1 9 / 2 2 6 / 2 2 / 2 2

Illnesses in the last 4-7 days may not be reported yet. Stay Home, Stay Healthy, Stay Connected Order 3/31/2020 Public Health Emergency Declaration Issued 3/11/2020

First Case

• f

COVID-19 1/26/2020

Testing Blitz Announced 4/27/2020

PERCENTAGE OF POSITIVE TESTS

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

20000 40000 60000 80000 PCR Tests

Jan 19 Jan 26 Feb 23 Mar 01 Mar 08 Mar 15 Mar 22 Mar 29 Apr 05 Apr 12 Apr 19 Apr 26 May 03 May 10 May 17 May 24 May 31 June 7 June 14 June 21

20.1% 18.5% 14.4% 11.9% 8.5% 5.9% 4.9% 5% 6.8% 9.5% 10.8% 10.3% 8.7% 6.7% 5.1% 2.8% 11.5% 0% 0% 0%

Percent Positivity

Treat all patients without crisis care.

HOSPITALS ➞

HOSPITAL BEDS FOR COVID-19

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

DOES NOT INCLUDE 2,600 ADDITIONAL SURGE BEDS

0% 25% 50% 75% 100% A p r 4 A p r 7 A p r 1 A p r 1 3 A p r 1 6 A p r 1 9 A p r

• 2

2 A p r

• 2

5 A p r 2 8 M a y 1 M a y 4 M a y 7 M a y 1 M a y 1 3 M a y 1 6 M a y 1 9 M a y 2 2 M a y 2 5 M a y 2 8 M a y 3 1 J u n e 3 J u n e 6 J u n e 9 J u n e 1 2 J u n e 1 5 J u n e 1 8 J u n e 2 1 J u n e 2 4

Inpatient beds used for COVID patients (data not reported until 4/10) Inpatient beds in use Inpatient beds available

INTENSIVE CARE UNIT HOSPITAL BEDS FOR COVID-19

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

DOES NOT INCLUDE 600 ADDITIONAL ICU SURGE BEDS

0% 25% 50% 75% 100%

M a r 2 7 M a r 3 A p r 2 A p r 5 A p r 8 A p r 1 1 A p r 1 4 A p r 1 7 A p r 2 A p r 2 3 A p r 2 6 A p r 2 9 M a y 2 M a y 5 M a y 8 M a y 1 1 M a y 1 4 M a y 1 7 M a y 2 M a y 2 3 M a y 2 6 M a y 2 9 J u n e 1 J u n e 4 J u n e 7 J u n e 1 J u n e 1 3 J u n e 1 6 J u n e 1 9 J u n e 2 2

ICU beds with COVID patients (data not reported until 4/10) ICU Beds in Use Available ICU beds

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

INTENSIVE CARE UNIT HOSPITAL BEDS

383 766 1149 1532 5 / 1 5 / 2 2 5 / 1 7 / 2 2 5 / 1 9 / 2 2 5 / 2 1 / 2 2 5 / 2 3 / 2 2 5 / 2 5 / 2 2 5 / 2 7 / 2 2 5 / 2 9 / 2 2 5 / 3 1 / 2 2 6 / 2 / 2 2 6 / 4 / 2 2 6 / 6 / 2 2 6 / 8 / 2 2 6 / 1 / 2 2 6 / 1 2 / 2 2 6 / 1 4 / 2 2 6 / 1 6 / 2 2 6 / 1 8 / 2 2 6 / 2 / 2 2 6 / 2 2 / 2 2 6 / 2 4 / 2 2

884 798 862 877 854 883 922 856 820 811 821 927 873 903 884 880 926 989 958 903 878 611 614 556 519 531 464 395 429 438 392 372 379 377 377 374 337 321 311 298 347 333

ICU Beds In Use by COVID-19 Patients ICU Beds In Use by Non COVID-19 Patients

VENTILATORS FOR COVID-19

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

0% 25% 50% 75% 100%

M a r 2 8 M a r 3 1 A p r 3 A p r 6 A p r 9 A p r 1 2 A p r 1 5 A p r 1 8 A p r 2 1 A p r 2 4 A p r 2 7 A p r 3 M a y 3 M a y 6 M a y 9 M a y 1 2 M a y 1 5 M a y 1 8 M a y 2 1 M a y 2 4 M a y 2 7 M a y 3 J u n e 2 J u n e 5 J u n e 8 J u n e 1 1 J u n e 1 4 J u n e 1 7 J u n e 2 J u n e 2 3

Vent use by COVID patients (data not reported until 4/10) Ventilators in use Ventilators available

TESTING ➞

Robust testing program in place for at- risk healthcare workers, including emerging antibody testing and trace contacts of COVID-19 results.

4500 9000 13500 18000 F e b 2 3 M a r 2 M a r 6 M a r 1 M a r 1 4 M a r 1 8 M a r 2 2 M a r 2 6 M a r 3 A p r 3 A p r 7 A p r 1 1 A p r 1 5 A p r 1 9 A p r 2 3 A p r 2 7 M a y 1 M a y 5 M a y 9 M a y 1 3 M a y 1 7 M a y 2 1 M a y 2 5 M a y 2 9 J u n 2 J u n 6 J u n 1 J u n 1 4 J u n 1 8 J u n 2 2

PCR Serology

TESTING BY DAY

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

Testing Blitz Announced 4/27/2020

TOTAL TESTS: 619,143

463,800 155,343

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

TESTING IS IMPORTANT

Allows Public Health to Identify Cases and Contain the Spread

• Testing has more than DOUBLED since stay-at-home expired
• May 15th: 159,421 PCR tests
• Today: 463,800 PCR tests
• Testing has increased by more than 1100% since April 15th
• April 15: 47,398 PCR tests
• Today: 463,800 PCR tests

• DR. CARA CHRIST

ARIZONA DEPARTMENT OF HEALTH SERVICES

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

INCREASING TEST COLLECTION SITES

Increasing Testing in Maryvale

• Working with community providers to increase community

testing in the W. Phoenix/Maryvale area.

• We offered contract support, assistance with collection kits,

national guard, courier service, and lab testing.

• Providers include: CVS, Walgreens, Akos MD, Equity Health,

ASU, CLPC

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

INCREASING TEST COLLECTION SITES

Increasing Testing Statewide

• 62 additional sites added to the azhealth.gov/COVID19testing

Innovative Partnerships

• Working to implement indoor community testing in partnership

with Banner, LabCorp, ASU, and other partners

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

EXPANDING TESTING CAPACITY

• An additional Roche testing machine was secured for Sonora Quest

Laboratories to expand testing in the state.

• Over the weekend, ADHS provided 10,000 specimen collection kits to

Sonora Quest Laboratories to assist with increased demand.

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

EXPANDING TESTING CAPACITY

• ADHS is providing additional funding to increase collection sites to

expand access.

• Providing $1 million each to Sonora Quest Laboratories and TGen to

support COVID-19 testing.

• Distributing 51,462 specimen collection kits to healthcare partners,

laboratories, and local health departments.

• Assisting with procuring equipment, reagents, test kits, and testing

supplies for Arizona testing laboratories.

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

PROMOTING TEST FROM HOME OPTIONS

• Partnering with LabCorp to promote At-Home Testing
• Contact Tracing
• Workplace testing

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

CORRECTIONAL FACILITIES

Testing Updates

• Staff
• SQL serology testing of staff - 45 positive of 645 tested

(7.44%)

• Inmates
• Planning to test all inmates with PCR
• Contract being established for testing

Infection Control

• In person site visits to provide technical assistance

through ICARs

PROVIDING SUPPORT 
 TO OUR HOSPITALS & DOCTORS

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

EXTENSION OF GOOD SAMARITAN EXECUTIVE ORDER

• Healthcare workers have been supporting Arizona through this outbreak,

and we want to be sure to support THEM

• We want them to make the best possible choices, to save the most

number of people, to help everyone that they can, under approved protocols, without concern for liability

• The extension of the executive order provides immunity protections for all

health care workers in our response against COVID-19

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

ADDITIONAL ACTIONS TO SUPPORT HOSPITALS

• Arizona Surge Line
• Post Acute Care Capacity Tracker (PACCCT) Line
• Technical assistance on implementing surge plans
• Public Health is assisting with staffing needs at individual hospitals
• Developing a new, centralized model of nurse placement across the

hospitals in the state

• Providing other resources as needed

SLOW & CONTAIN THE SPREAD

CONTACT TRACING

STAY HOME. STAY HEALTHY. STAY CONNECTED. RETURN STRONGER.

• Statewide Contact Tracing Plan developed and implemented
• Onboarding National Guard, including bilingual guardsman
• Partnering with Chicanos Por La Causa to provide bilingual contact tracing

MAJOR GENERAL MICHAEL MCGUIRE

ARIZONA NATIONAL GUARD ARIZONA DEPARTMENT OF EMERGENCY AND MILITARY AFFAIRS

MASK UP. SAFER AT HOME. BE RESPONSIBLE.

YOU ARE SAFER AT HOME THE VIRUS IS WIDESPREAD