We We are i in this T Toget ether er Tribal Covid-19 Response - - PowerPoint PPT Presentation

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We We are i in this T Toget ether er Tribal Covid-19 Response - - PowerPoint PPT Presentation

Oct 03, 2022 102 likes •304 views

We We are i in this T Toget ether er Tribal Covid-19 Response Collaboration and Partnerships New Mexico Department of Health Kathyleen M. Kunkel Secretary August 4, 2020 1190 S. St. Francis Drive Santa Fe, NM 87505 Phone:

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1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

We We are i in this T Toget ether er Tribal Covid-19 Response Collaboration and Partnerships

New Mexico Department of Health Kathyleen M. Kunkel Secretary August 4, 2020

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1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Num umber of AI AIAN AN COVID-19 Case ses s by D Date te

20 20 40 40 60 60 80 80 100 100 120 120 140 140 160 160 180 180 200 200

27-F

  • Feb-2
  • 20

27-M

  • Mar-2
  • 20

27- 7-Apr-20 20 27-M

  • May-2
  • 20

27- 7-Jun-20 20 27-J

  • Jul-2
  • 20

Number er of cases es Notif ifie ied of fir irst tribal al case Firs rst re recognized

  • utbreak in

n a tribal commu munity Second re recognized tribal al outbreak ak

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1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Number o

  • f AI

AIAN AN COVID-19 Cases a and A As a a Perc rcentage age o

  • f A

All COVID-19 C 19 Cases b by Date

0. 0.1 0. 0.2 0. 0.3 0. 0.4 0. 0.5 0. 0.6 0. 0.7 0. 0.8 0. 0.9 20 20 40 40 60 60 80 80 10 100 12 120 14 140 16 160 18 180 20 200

27-F

  • Feb-2
  • 20

27-M

  • Mar-2
  • 20

27- 7-Apr-20 20 27-M

  • May-2
  • 20

27- 7-Jun-20 20 27-J

  • Jul-2
  • 20

Perce centage Number of

  • f cases

AI AIAN AN c cases Percent AIA AIAN

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1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

216 216.3 6.6 12.5 11.8 9.4 50 50 100 100 150 150 200 200 250 250

AI AIAN AN As Asian Blac ack His ispanic ic White te Age ge-adjusted rate per 100, 00,00 000

COV OVID-19 19 Age-adjuste ted Mortality ty Rate te by R Race/E /Ethni hnicity

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1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

762. 62.7 51 51.4 46. 46.0 52. 52.9 21 21.1

100 100 200 200 300 300 400 400 500 500 600 600 700 700 800 800 900 900

AI AIAN AN As Asian Blac ack His ispanic ic White te Age ge-adjusted rate per 100, 00,00 000

COV OVID-19 19 Age-adju justed Hospitaliz lizatio ion Rate by Race/E /Ethni hnicity

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1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

COV OVID-19 19 Ep Epid idemio miolo logic ic Re Respo ponse

NMDOH OH n notified o

  • f

positive C COVID-19 test r result Case n notif ific icatio ion a and investig igatio ion b by t trib ibal public h heal alth a authority Contact t tracing g – colle llect close c contacts o

  • f ca

case durin ing i infectio ious p perio iod Contac act m monitoring f for 1 14 days f from l last e exposure Case m monit itorin ing f for 1 10 days* f from s m symptom m

  • n
  • nset o
  • r d

date o

  • f t

test i if asymptomatic Coordinating g response t to

  • ut

utbreaks i in n congr grega gate c care and w work p place settings

*20 days for r case e with sev evere ere illnes ess or severe immunos

  • suppression
  • n
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1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Publi lic H Healt lth Authority ty

  • HIPAA Privacy Rule recognizes

the legitimate need for public health authorities to have access to protected health information

  • Authority based on geographic

boundaries not tribal affiliation or race

  • Developed a protocol to

delegate duties and respect tribe’s public health authority

  • Leveraged partnerships to

respond to this unique public health challenge

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1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Looking Fo Forwar ard

Strengths hs

  • Dedicated ex

experience ced NMDOH OH s staff

  • Exis

isting p partnership ips

  • Volunt

nteer s support

  • Tw

Two-way communication t to ens nsur ure o

  • ut

utbreak control

Opportuni unities

  • Connect t

the e various data syst systems nee eeded ed f for outbrea eak resp sponse se

  • Requirem

ements f for identifying r race and tribal affiliation d data fr from

  • m h

hos

  • spitals,

cli linics, a and la labs

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1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

COV OVID-19 AIAN Trib ibal Epid idem emio iology Team Contacts

  • Medical E

l Epidemiolo logist / / Team Lead

  • Dr. T

Tiern rney M Murp rphy Tierne ney.Mur urphy@state.nm nm.us us

  • Tribal E

Epidemiologist Broo

  • oke D

Dom

  • man

Brooke.D .Doman an@stat ate.n .nm.u .us

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1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Community T Testin ing a and S Surveilla llance P Process a and P Partnerships

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1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Community T Testin ing a and S Surveilla llance P Process a and P Partnerships

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1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Commun unity T Test Event nts a and Sur Surveillanc nce P Plans

15% 32% 30% 23%

COV OVID-19 t tests p s performed i in tribal c communities s (NMDOH, P , Presbyterian, I , I.H.S .S) Not A AI/AN e exclusi sive

April May June July N=34, 4,530 530 April=5, =5,294 294 June=10, =10,211 211 May=11, =11,065 065 July=7, =7,960 960

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1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Looking fo forwar ard

Strengths

  • Developed strong working

relationships with both IHS and tribal personnel in many communities

  • We (DOH NW Region) have

learned a lot from Tribal partners Opportunities

  • Agree with ERD: need for

better data systems; better reporting of race/ethnicity data

  • DOH personnel dedicated to

tribal response

  • More lab capacity (not specific

to the tribal response – but super important for any place with high case rates)

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1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Present enter er

Public Health Division

  • Dr. Miranda Durham, Medical Director, NW Region

Mirandah.durham@state.nm.us

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1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

NM Department o t of Health Bure reau of H Heal alth E Emerge rgency M Manage agement Department Operations Center (DOC)

  • Fulfill COVID-19 test kit requests
  • Transport COVID positive and Isolation patients
  • Monitor ICU beds and ventilator usage in neighboring states (TX

and AZ)

  • Provide state-wide volunteer medical personnel and ancillary

staff for shelters and alternate care sites through Medical Reserve Corp/NMSERVES

  • Work with state-wide emergency managers for jurisdictional

requests (i.e., cooling stations during the recent heat wave)

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1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

NM D Departmen ent of

  • f H

Health, , BHEM EM Department Operations Center (DOC)

  • Manage the Battelle Critical Care Decontamination System

(CCDS); 19,000 N-95 masks have been decontaminated to date

  • Partner with the National Guard to deliver testing kits; to staff &

equip alternate care sites; and in vaccine planning

  • Collaborate with tribal partners in developing isolation and

quarantine sites

  • Collaborate with IHS partners in COVID-19 planning
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1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Present enter er

Sandra Cole, Department Operations Center, Bureau of Health Emergency Management, Tribal Liaison Sandra.Cole@state.nm.us

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1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Communication/Education R Resources

  • NMDOH COVID-19 weblink https://cv.nmhealth.org/
  • Weekly clinicians call, Office of Tribal Liaison; semi-weekly

non-clinicians call

  • Direct follow-ups with tribal leaders
  • National and interagency calls
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1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Present enter er

Aiko Allen, Tribal Liaison Aiko.Allen@state.nm.us