covid-19 update & actions to support equity in alameda ......2020/07/30 · note: includes deaths...
TRANSCRIPT
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RACIAL DISPARITIES TASK FORCEJuly 30, 2020
Kimi Watkins-TarttPublic Health Director
COVID-19 Update & Actions toSupport Equity in Alameda County
Dr. Nicholas MossInterim Health Officer
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Racial Inequities in Alameda County
Note: Includes cases with known race/eth (86%);Latest numbers on County Dashboard
Share of COVID-19 Cases by Race/Ethnicity vs. Share of the County Population
Source: ACPHD, with data from CalREDIE as of 7.26.20
60%
12% 11%8%
0.7% 0.3% 1%6%
22%
31% 31%
10%
0.8% 0.2%4%
0.3%0%
10%
20%
30%
40%
50%
60%
70%
Latino Asian White Black NHOPI AIAN Multi-race Other
% of Cases (with known Race/Eth) % of County Population
https://ac-hcsa.maps.arcgis.com/apps/opsdashboard/index.html#/1e0ac4385cbe4cc1bffe2cf7f8e7f0d9
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Note: Includes hospitalizations with known race/eth (96%);
Share of COVID-19 Hospitalizations by Race/Ethnicity vs. Share of the County Population
49%
16% 15% 15%
22%
10%
31% 31%
0%
10%
20%
30%
40%
50%
60%
Latino Black Asian White
% of Hospitalizations(with known Race/Eth)
% of County Population
Source: ACPHD, with data from CalREDIE as of 7.26.20
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Note: Includes deaths with known race/eth (99%)
Share of COVID-19 Deaths by Race/Ethnicity vs. Share of the County Population
Source: ACPHD, with data from CalREDIE as of 7.26.20
28%
22% 21%24%22%
10%
31% 31%
0%
10%
20%
30%
40%
Latino Black Asian White
% of Deaths(with known Race/Eth)
% of CountyPopulation
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Death Rates (per 100,000 pop)by Race/Ethnicity
Case-Fatality Rate (per 100 cases)by Race/Ethnicity
Source: ACPHD, with data from CalREDIE as of 7.28.20
19.7
13.4
8.97
10.6
0
5
10
15
20
25
Black/African
American
Latino/Hispanic
White Asian Total(with known
race/eth)
Deat
h ra
te p
er 1
00,0
00 p
op
5.0%
3.9%
3.3%
0.9%
2.1%
0%
1%
2%
3%
4%
5%
6%
Black/African
American
White Asian Latino/Hispanic
Total(with known
race/eth)
Case
-Fat
ality
Rat
io
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COVID-19 Case Rates (per 100,000 pop) by Zip Code in Alameda County
Source: ACPHD, with data from CalREDIE as of 7.28.20
Inequities by Place in Alameda County
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Social Gradient in Disease:COVID-19 Case Rates by Neighborhood Poverty Level
Source: ACPHD, with data from CalREDIE as of 6.14.20
116.5188.3
336.4
535.5
802.8
0
100
200
300
400
500
600
700
800
900
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Essential Work & Work Conditions Matter
Source: PolicyLink, “A Profile of Frontline Workers in the Bay Area”, May 13, 2020
Racial/Ethnic Distribution of Frontline vs. All Workers: Alameda County, 2014-2018
29% 29%
11%
4%
27%
21%
31%
9%
4%
35%
0%
5%
10%
15%
20%
25%
30%
35%
40%
Hispanic AAPI Black Other White
All Frontline Industries All Workers
People of color comprise over7 out of 10
frontline workers.
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64% in Building Cleaning & Waste
Management
LATINO/A WORKERS account for:
57% in Construction
47% in Domestic Work
55% in Agriculture,
Forestry, & Fishing
BLACK WORKERS account for:
35% inPublic Transit
20% in Child Care& Social Services
ASIAN/PI WORKERS account for:
39% in Trucking,Warehouse, &
Postal
39% in Healthcare
Racial/Ethnic Distribution of Workers in Frontline Sectors: Alameda County, 2014-2018
Source: PolicyLink, “A Profile of Frontline Workers in the Bay Area”, May 13, 2020
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Congregate & Close Living Quarters MatterAlameda County
35% Latino/a30% Black
Racial/Ethnic Distribution of
Homeless Cases
46% Black39% Latino/a
Racial/Ethnic Distribution of
Santa Rita Jail Cases
Racial/Ethnic Distribution of Skilled Nursing Facility Cases
28% Asian23% White19% Black
Source: ACPHD, with data from CalREDIE as of 6.25.20Source: ACPHD, with data from CalREDIE as of 7.5.20 Source: ACPHD, with data from CalREDIE as of 6.25.20
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Source of Contact among Latino Cases reporting Contact with a Confirmed Case:
Alameda CountyN=1,381
70%
12% 10%3%
0%
10%
20%
30%
40%
50%
60%
70%
80%
household work community healthcare
Source: ACPHD, with data from CalREDIE as of 7.5.20
Racial/Ethnic Distribution of High-Risk Households:
CaliforniaOver-crowded with at least 1 essential worker
Source: Botts & Lo Benichou, https://calmatters.org/projects/california-coronavirus-overcrowded-neighborhoods-homes/
Racial/ethnicdistribution
Native AmericanMulti-raceBlackAPIWhiteHispanic
https://calmatters.org/projects/california-coronavirus-overcrowded-neighborhoods-homes/
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Age Distribution of Deaths by Age Group
Source: ACPHD, with data from CalREDIE as of 7.15.20
Age Matters
12%14%
31%
39%
0%
10%
20%
30%
40%
51-60 61-70 71-80 81+
Age Distribution of Casesby Age Group
10%
26%
37%
12%15%
0%
10%
20%
30%
40%
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Age Distribution of Cases for Race/Ethnicity & Age Group
Source: ACPHD, with data from CalREDIE as of 7.5.20
13%4% 3% 2%
10%
27%
18% 19% 14%
24%
41%
32% 29%29%
37%
11%
19%17%
14%
13%
7%
26%33%
40%
16%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Latino Asian Black White TOTAL
61+
51-60
31-50
18-30
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HCSA Health Equity Team
Focus on communities with high COVID-19 disease burden African American, Latino, Pacific Islander, and Mam West Oakland, East Oakland, Ashland/Cherryland and parts of South Hayward
Actionable initiatives supporting HCSA DOC disease response strategy Improve data quality Expand & target testing access Case and contact investigations Information & Education Supports to isolate and quarantine Engage and partner with impacted communities
8/3/202016
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Improve Data Quality
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COVID-19 Testing Locations: http://www.acphd.org/2019-ncov/testing.aspx
Expanded & Targeted Testing
http://www.acphd.org/2019-ncov/testing.aspx
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Case Investigation & Contact Tracing
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Specialty Populations
Dedicated outbreak teams: LTCFs, Santa Rita, Homeless Investigate and confirm occurrence of an outbreak Conduct case investigation and identify contacts Provide testing, cleaning/disinfection, outbreak control measures
and reopening guidance and TA
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Supports for Isolation & Quarantine
Project Roomkey Food Distribution& Delivery
Isolation & Quarantine Orders & Instructions
• English• Spanish• Chinese
• Vietnamese• Khmer• Arabic• Tagalog• Hindi
Information & Guidance
Case Management when needed
Food Delivery
Isolation/quarantine housing
Exploring Wage Replacement
Developing partnership with All-In
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Community Engagement, Education & Information
Engagement & Partnership with:• Youth• Faith-Based Community• Racial/Ethnic Groups
• African American/Black• Latino/Hispanic• Mam• Pacific Islanders
Education
Interfaith Councilof Alameda County
Information & Resources
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Countywide campaign Free, locally produced face coverings
& health promotion WIC clinics Testing sites Parks
Posters available in multiple languages and disseminated to businesses countywide
4 murals under production in highly impacted neighborhoods
Mask On Alameda County!
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Alameda County Workplace Safety Teams
• Investigation• Mitigation
• Employer specific guidance
• Work exclusions
• Reporting workplace cases
• General guidance on next steps
• General guidance & tech assistance on safe reopening
• Employee resource guides
Recovery Workplace
OutbreaksDisease Containment
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Workplace Safety
Local guidance and technical assistance for businesses for safe reopening
Site-Specific Protection Plan (Appendix A of the Health Officer Order) Required of all businesses in County Physical distancing, face coverings, administrative controls, handwashing, enhanced
cleaning, & employee training Workplace Outbreak support
Employers must report positive cases among employees ACPHD provides guidance on next steps We recommend AGAINST mandatory testing to return to work for people
who have tested positive
Worker resources http://www.acphd.org/2019-ncov/resources-residents/worker-resources.aspx
Exploring partnerships with businesses and labor organizations
http://www.acphd.org/2019-ncov/resources-residents/worker-resources.aspx
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Workplace Safety: State’s Employer Playbook
Released 7/24/20 Detailed resource list and guidance for employers to promote safety
Site Specific COVID-19 Prevention Plan Reporting cases to Health Dept and managing outbreaks Applicable leave laws Employee education on COVID-19 symptoms, spread and prevention Return to work criteria
Enforcement contacts for State’s Strike Teams ACPHD working on updating/aligning local guidance
https://files.covid19.ca.gov/pdf/employer-playbook-for-safe-reopening--en.pdf
https://files.covid19.ca.gov/pdf/employer-playbook-for-safe-reopening--en.pdf
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For Questions or More Information:
Kimi Watkins-Tartt
Public Health Director
Nicholas Moss, MD
Interim Health Officer
mailto:[email protected]:[email protected]
Slide Number 1Slide Number 2Slide Number 3Slide Number 4Slide Number 5Slide Number 6Slide Number 7Slide Number 8Slide Number 9Slide Number 10Slide Number 11Slide Number 12Slide Number 13Slide Number 14Slide Number 15HCSA Health Equity TeamSlide Number 17Slide Number 18Case Investigation & Contact TracingSpecialty PopulationsSupports for Isolation & QuarantineCommunity Engagement, Education & InformationMask On Alameda County!Alameda County Workplace Safety TeamsWorkplace SafetyWorkplace Safety: State’s Employer PlaybookSlide Number 27