Where We Are Today April 3, 2020
New and Cumulative COVID-19 Cases and Interventions District of Columbia Mayor’s First confirmed COVID- Order: 19 case in DC Mayor’s Order to Stay-at- DPR Sites Closed Mayor’s Order: Establish the 1M Contingency home Non-essential services Consequence Cash Reserve Fund DC Health Rulemaking: closed order Management Team Nightclubs, gyms, spas, No gatherings >250 issued Structure and Public Health Emergency massage, theaters closed Executive Declared Mayor’s Order: Distance Learning at Schools Leadership Social distancing DC Health Advisory: No requirements for Mayor’s Order: gatherings >1000 essential businesses Emergency COVID-19 Bill No gatherings >50 or >10 in Passes Council vulnerable pops. DC Emergency District Response Plan Mayor’s Order: Operations Center Implemented Mayor’s Order: No gatherings >10 activated Tidal Basin Closure Washington Convention Restaurants/Bars can’t Center Closure seat patrons April 3, 2020
District Response Org Chart Mayor Bowser Exec Policy Group CA Young, COS Falcicchio, DCA Donahue, L. Nesbitt, C. Rodriguez JIC Finance Daily Govt Ops L. Foster J. Reed DCA Donahue Incident Commander C. Rodriguez Mission Support & Planning Operations Resilience Mod. Govt Ops C. Osborn C. Geldart K. Bush J. Melder EOC Red Team Support Functions Health & Med Human Services Technology Facilities D. Lucas Various P. Ashley J. Brown K. Anderson L. Parker Procurement EOC Blue Team P Works & Infrastr Public Safety Cost Recovery HR & People T. Spriggs H. Gil G. Schutter J. Shackleford R. Gardner V. Gibson March 24, 2020
COVID-19 Response Emergency Amendment Act of 2020 KEY LEGISLATIVE PROVISIONS SUMMARY OF REQUIREMENTS • Extends unemployment compensation to those unemployed due to COVID-19 UNEMPLOYMENT INSURANCE • Prohibits evictions of residential and commercial tenants as well as late fees, and prohibits utility shut-offs for non-payment. PUBLIC BENEFITS & PROTECTIONS FOR • Extends public benefit programs such as the Healthcare Alliance, TANF, and SNAP. Places limits RESIDENTS on price gouging and stockpiling. • Creates a small business grant program to assist nonprofit organizations and small contractors. • Allows for delivery and carry-out sales by restaurants of beer/wine, if sold along with prepared SUPPORT FOR food. LOCAL BUSINESSES • Delays retail sales tax payments to the government by stores, restaurants, and other businesses. • Extends deadlines/expirations of corporate tax filings, drivers licenses, professional licenses, etc. • Allows the Council to meet virtually. • Provides meeting flexibility to ANCs, boards, and commissions. CONTINUITY OF OPERATIONS • Allows flexibility in FOIA and Open Meetings. • Delays the submission date for the Mayor’s budget to May 6.
Regional Outlook As of April 1 April 3, 2020
Washington, DC As of April 2 120 100 80 60 40 20 0 0-18 19-30 31-40 41-50 51-60 61-70 71-80 81+ Female Male April 3, 2020
Increased Testing Friday, April 3 is the first day of Testing has increased drive-thru testing at United Medical Center. Testing is for: from about 300 tests • DC residents with symptoms who are per 1 million persons 65-years and older; • DC residents with symptoms who have (March 18) to about underlying health conditions; • Individuals with symptoms who work in a health care provider or facility in DC; 4,000 tests per 1 and • First responders with symptoms who million persons work for District Government. (March 28). April 3, 2020
Local First Responder PPE Supply Who this Supply Serves: Out to First On Hand Burn Rate per Need Through PPE Item Total Ordered Total Received DC’s First Responders: Responders Month August • MPD & FEMS N-95 Masks 275,440 275,440 205,440 70,000 55,000 275,000 • DOC & DYRS Surgical Masks 500,000 51,010 16,950 34,060 106,000 530,000 • DBH St. Elizabeths & CPEP • DHS Homeless Services Gowns/Coveralls 20,893 13,918 3,578 10,340 5,583 27,912 • CFSA Face Shields 62,000 1107 119 988 21,720 108,600 • DPW Gloves (Pair) 603,870 150,890 92,240 58,650 212,000 1,060,000 • DDOT Local Health Provider PPE Supply Who this Supply Serves: Total Ordered Burn per Need thru DC’s Healthcare Providers: PPE Item Total Received Out to Providers On Hand + SNS Month* August* • Hospitals • Primary Care N-95 Masks 692,901 214,341 65,542 148,799 93,000 372,000 • Private Providers Surgical Masks 5,157,620 557,623 187,660 369,963 1,486,656 7,433,280 • Long-Term Care Gowns 86,837 86,837 26,837 60,000 195,000 840,000 • Dialysis Facilities Face Shields 66,515 66,515 1,415 65,100 52,200 208,800 • Home Health Agencies Gloves (Pair) 603,870 514,400 14,400 500,000 6,000,000 24,000,000 • Clinics *Burn rate and need for supply calculated at 60% of total, system-wide usage for COVID-19
Where We Are Headed: Medical Surge April 3, 2020
COVID-19 Confirmed Positive Cases and Current Positive (As of April 1): 586 Estimated Actual Case Projections Projected Total Infections: 100000 90000 93,676 80000 70000 6 60000 7 6 50000 , 3 9 Hospitalization Peak: July 1, 2020 40000 30000 Hospital Beds Needed: 5,500 20000 10000 586 0 3/1/2020 4/1/2020 5/1/2020 6/1/2020 7/1/2020 8/1/2020 9/1/2020 10/1/2020 11/1/2020 12/1/2020 Estimated Infections Confirmed Cases Based on CHIME model April 3, 2020
Loss of Life As of April 3, 15 DC residents have passed away due to COVID-19. Tragically, our model projects that loss of life will continue. Mild Estimate Moderate Estimate Severe Estimate >1,000 Estimated cumulative number of deaths 220 440 Preliminary estimate Do your part to save lives: stay home. Based on CHIME model April 3, 2020
CHIME vs. IHME: Resources Needed CHIME Scenario IHME Model Acute Care Beds 4/16 Date peak 6/28 No. of acute care beds needed at peak 2,992 754 Beds needed 1,806 None ICU Beds Date peak 6/30 – 7/1 4/16 No. of ICU beds needed at peak 2,792 134 Beds needed 2,705 47 Ventilators No. of ventilators needed at peak 1,453 107 Ventilators needed 1,030 None April 3, 2020
CHIME Scenario 6-DAY DOUBLING, 31% REDUCTION IN CONTACT 4,500 4,000 3,500 2,992 3,000 2,792 2,500 Number 2,000 1186 1,500 1,000 500 87 0 0 6 3 0 7 4 1 8 5 1 8 5 2 9 6 3 0 7 3 0 7 4 1 7 4 1 8 3 0 1 2 2 0 1 1 2 0 0 1 2 2 0 1 2 2 0 1 1 2 3 0 1 2 2 , , , , , , , , , , , , , , , , , , , , , , , , , , , r r r r g g g g g p p p p r y y y y n n n n n l l l l u u u u a p p p p a a a a u u u u u u u u u u e e e e J J J J M A A A A M M M M A A A A A S S S S J J J J J Date Projected Census of Covid-19 Patients (Acute Beds) Projected Census of COVID-19 Patients Requiring ICU N Acute Beds Available as of 3/29/2020 Adult ICU Beds Available as of 3/29/2020 April 3, 2020
Our Hospitals and Health Care Providers are Answering the Call On On We Wedn dnesda day: hospitals ls di directed d to create addi dditional l capacity (125% of (1 of curren ent bed eds). ). As of April 2, over three-quarters of additional capacity identified. Others stepping up: Bridgepoint and Psychiatric Institute of Washington. April 3, 2020
Meeting the Surge Demand: 5,500 Beds 1. Increase Hospital Space. Postpone elective procedures. 2. Maximize Hospital Space. Expand capacity in existing healthcare facilities by using other available space and adding beds. 3. Reopen Facilities. Open furloughed healthcare facilities with USACE help. 4. Add New Beds. Establish alternate care sites outside of hospitals. 5. Add Staff. Coordinating with DCNG and FEMA for necessary workforce. April 3, 2020
Meeting the Surge Demand: Supplies & Equipment What We’ll Need to Support 5,500 Hospital Beds Ventilators 1000 N-95 Masks 600,000 Surgical Masks 5.6 million Gowns 1.4 million Face Shields 350,000 Gloves 40 million April 3, 2020
Everyone Has a Role to Play in Flattening the Curve April 3, 2020
Social Distancing is a Social Responsibility April 3, 2020
Seek the Advice of a Medical Professional if You Feel Ill April 3, 2020
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