KAN

LTH&

HUM

COVID -19HHS/ FEMA Interagency VTCOFHEA

RITY

Centers for Disease Control and Prevention

Situation Update

CoronavirusDisease2019 ( COVID - 19)

Currentepidemic curve status*,by U . S . County, 30 April2020

Epicurve status

Low incidence growth

Elevated incidence growth

Elevated incidence plateau

Sustained decline

Low incidence plateau

1-5 cases in the past twoweeks

cases in the past two weeks

No reported cases

NYC

PR

Purposeof this mapProvides the most detailed view into both the burden of

illness and the trajectory of new illnesses

GU

ASRMI

MPPW

FSM

Main Findingsremains a large number of counties whose

burden continues to grow or are in an elevatedincidence plateau, including in the Great Lakes region,parts of the Southeast, Northeast, and around southernCalifornia

is to have all communities be represented inthe lightercolors, demonstratinglittle to no disease

burden and no increase in trajectory

MAN&*Categorized according to the slope of a spline fit to the 3 day moving average ofdaily incidence and the

number of new cases (per 100, 000 the past 2 weeks. Elevated incidence is defined as > 10 new cases per 100,000in the past two weeks.

CORTROL

Sources: USAFacts, US Census

RVICES

HUMAN

2OFECURIT

CoronavirusDisease 2019 (COVID- 19)Change in Daily Incidence* ,

by U . S . County, 30 April 2020

Change in incidence

per 100, 000 per day

Greater decline

Moderate decline

Plateau

Moderate increase

NYC

Greater increase

1-5 cases in the past 2 weeks

cases in the past 2 weeks

No reported casesAS

RMI

MPPurposeof this mapDescribesthe trajectory of new illnessesas recently

increasing, being stable, or decreasing in numberPW

FSMMain Findings

rates continue to decrease in multiple

counties , including hard hit areas in Louisiana and inthe New York City region

Incidence rates have recently plateaued in areasaround Chicago

CES*Measured asthe change in slope of a spline fit to smootheddaily incidence Incidencewas smoothed using a3- day moving average. These values therefore representthe change in 3- day averagenumberofnew casesper 100.000

per day Greaterdeclines are - 1 moderatedeclines are > . 1 plateaus are > - 0. 1 to . 1 moderate increasesare > 0 . 1 to 1. greater increases are > 1. Countiesdenoted as O cases in thepast 2 weekshave hadatleast 1 case

previously.

CORTROL

Sources: USAFacts, US Census

SERVICES

&HUMA

3OMELASENTOF

Daily change in cumulative COVID - 19 case and

death countsDaily change in cumulative COVID - 19 case counts

AsofMay 1 (preliminary) N = 1,092, 815 ( 30, 369 new )% changein lastday : 2. 9 % (rangelast7 days: 2. 4 % - 3. 7 % )

50000

ProbableCases45000 Confirmed Cases

Daily change in cumulative COVID - 19 death counts

As ofMay 1 (preliminary ) N =64, 283 ( 1, 877 new )% change in last day : 3 .0 % ( range last 7 days: 2 .5 % - 4 .4 % )

4000

3500ProbableDeaths

ConfirmedDeaths

4 ,062probable

deathsreported

on 4 / 1540000

3000

35000

250030000

25000 2000

20000 1500

150001000

10000

5005000

25 10 12 14 16 18 20 22 24 26 28 30 1 3 5 7 9 11 13 15 17 19 2123 25 27 29 1 25 10 12 14 16 18 20 22 24 26 28 30 1 3 5 7 9 11 13 15 17 19 2123 25 27 29

February MarchApril May February March April * Preliminary May

Note, asof 12 April, totals and figures include confirmed and probable cases and deaths reported from statesSERVICES

HUM

4

OMELAOF

VD

States with High % Lab Test Positives : NJ, NYTotal test volume per 10,000 state residents and % positive by day

New Jersey New York

40Test Results per

10k ResidentsTest Resultsper

10k Residents

25

Last14 Days Last14 Days

2020-03-051

2020-03-

2020-04-02

2020-04-

2020-04-301

2020-03-

2020-03-

2020-04-02

2020-04-16

2020-04-301

Source : protect. hhs. govSERVICES

5OMELAENT

OFH

VD SEC

States that are Reopening : GA, FLTotal test volume per 10, 000 state residents and % positive by day

Georgia Florida

15

60

Test Results per

10k Residents

Test Results per10k Residents

12 .5

10. 0

7 . 5

5 . 0

2. 5

Last 14 Days

Last 14 Days

2020-03-05

2020-03-19

2020-04-02

2020-04-16

2020-04-301

2020-03-05

2020-03-19

2020-04-021

2020-04-16

2020-04-301

SERVICES

Source: protect.hhs.gov 6OMELA

VD

Acute signs and symptoms on admission among hospitalizedCOVID cases, COVID -NET, March 1 May 1 (N = 2,591)

Number ( % ) Respiratory signs/ symptoms Number % )

Cough

Shortness of breath

Congested / runny nose

Sore throat

Non -respiratorysigns/ symptoms

Fever/ chills

Muscle aches/myalgiasDiarrhea

Nausea / vomiting

Headache

Chest painAltered mental status/confusion

Abdominal pain

Anosmia /decreased smell

Dysgeusia / decreased taste

Rash

Seizure

Conjunctivitis

1961(75.7)

1816 (70.1)

406 (15. 7)

339 (13. 1)

156 (6 . 0)Wheezing

1961(75.7 )805 (31. 1)

715 (27.6 )

641(24. 7 )

460 (17.8 )357 (13.8 )287 (11. 1)

253 (9. 8 )

94 (3 .6 )

85 ( .3 )

15 (0 .6 )

(0 . 5 )12 (0. 5)

Hemoptysis/bloody sputum 44 ( 1. 7 )

* 3 of 20 (15.0 % ) pediatric cases with data on symptomshad inability toeat/ poor feeding; 1 of 20 (5. 0 % ) ofpediatric caseswith dataon symptoms

hadcyanosis and lethargy

SERVICES

HUMAN

OMELAENTOFH

VD

Interventions and outcomes among hospitalized

COVID - 19 cases, COVID -NET, March 1 May 1

Intervention/ Outcome

Among cases with discharge

date recorded and completed

data

ICU

Mechanicalventilation *

Vasopressor

HENC*

RRT

BIPAP/ CPAP *ECMO

640 / 2045 (31.3 )370 / 2043 (18. 1)

298 / 2044 (14.6)

137/ 2043 (6 .7)

99 /2041 ( .9 )

62/2043 (3.0)

6 / 2043 (0 . 3)

340/ 2045 ( 16 .6 )In -hospitaldeath

*MechanicalVentilation, BIPAP /CPAP and arenow defined in a hierarchicaland mutually exclusive fashion . Any patientrequiring invasivemechanicalventilation

assigned to invasive mech vent category ; ifno mech vent requiredbutpatientreceived BIPAP/ CPAP, assigned to BIPAP/ CPAP category; ifnomech ventor BIPAP/ CPAPrequired butpatient received assigned to category

SERVICES

MEN

8

OMELAVD SEC

KAN

LTH&

HUM

OFHEA COVID - 19HHS/FEMA Interagency VTCRITY

Data and AnalyticsTask Force

Projected Cases per DayUnited States

1,000, 000 - Outcomes

Modelled Cases

Cases

500, 000 -

Range Estimates

2 .5 % - 97.5 %

25 .0 % - 75 .0 %

NumberofCases

250, 000 -

100,000 -

50,000 -

25, 000 -

10, 000 -

3

2020 -03- 15 2020- 04- 01 2020-04- 15 2020 - 05 -01 2020-05- 15 2020 -06 -01Date

NB: Run Date 2020 -05 -01; IDD Combined

VICES

COVID - 19 Response Data & Analytics Task Force

FOUO Only

10MELA SECUR

Projected Deaths per DayUnited States

Outcomes

ModelledDeaths

Deaths

10,000 Range Estimates

2.5 % - 97.5 %

25. 0 % - 75. 0 %

NumberofDeaths

2 ,500

1,000 -

500 -250

2020-03- 15 2020-04-01 2020- 04- 15 2020- 05 -01 2020-05- 15 2020- 06 -01Date

NB: Run Date 2020- 05 -01; IDD Combined

VICES

COVID -19Response Data & Analytics Task Force

FOUO Only

11D SECU

H U.S.

DE

COVID - 19HHS/FEMA Interagency VTCENT

OFHE

VELAN URITYSECU

Community Mitigation

Task Force

CDC Assistance for High Risk Settings

(asof 11:00AM EDT,May 1, 2020)

MEMT

ND

ORMN

NHSD WI

WY ��

PANENV RI

IL IN OH

MO NJ

NCDE

AZ

NMAR MD

AL D.C

Stateswith CDC staff currently deployed to assist in

high risk settingsCurrent Previous

term Care Facilities

of Corrections/Prisons

Puerto Rico FoodIndustry

HomelessPopulations

*Data reflect cumulativedeploymentscoordinated by the Health DepartmentTask Force since April3 , 2020

&HUMA

COVID -19Response Community Mitigation Task Force 1OMELA

Response to Meat and Poultry ProcessingFacilities

To slow the spread ofCOVID -19 in meat andpoultry processingfacilities :

production considered critical

infrastructure

reported in facilities across 23 states

Field teams currently deployed to 8 states

Special considerations for IPC:

Facility layout and operations limit social

distancing options

Personnel and administrative policies

Diverse workforce

Working communities and transportation

Screen workers forsymptoms

Increase space betweenworkers

Enhance cleaning anddisinfection

Providemultilingualeducation/training

Dyal JW , GrantMP, Broadwater , et al. COVID -19 Among

Workers in Meat and Poultry Processing Facilities

States, April 2020 .MMWR Morb MortalWkly Rep . ePub :

1May 2020 .

SERVICES

&HUMA

COVID -19Response Community Mitigation Task Force 14 1OMELAENT

OFH

MMWR: Meat and Poultry Processing

As ofApril 27, COVID -19 outbreaks had been reported in 23 states; among 19statesreporting data for the MMWR, 115meat or poultry processing plantshad COVID - 19 cases.Outofover 130,000 workers in these affectedmeat or poultry processingplants, 3 % were identified ashaving COVID - 19. Among workers, 20 COVIDrelated deaths were reported .

Several facilities noted challenges in preventing and controlling the spread of

COVID - 19 , such as difficulties with

increasing physical space between employees at theworksite;

using face coverings as recommended; or

communicating safety information to workers in a wide variety oflanguages .

RVICESSER

COVID -19Response Community Mitigation Task Force 15OFHE

HOMELAND

H U.S.

DE

COVID -19 HHS/ FEMA Interagency VTCENT

OFHE

VELAN URITYSECU

Community Based Testing Sites

Task Force

CDC Guidelines: Collecting, Handlingand Testing COVID - 19Specimens

Summary of Recent Changes

Revisionsweremade on April 29, 2020 to reflect the following:

Update guidance on viral transport medium ( ) to note that somepoint-of-care tests advise against its use.

• Remove preference for NP swabs

Update guidance foruse of personalprotective equipment while obtaining specimens.

Revisionswere made on April 14, 2020 to reflect the following:

Clarify specimen collection procedures for all swab types and align with other respiratory disease specimen collection

guidelines

SERVICES

OFFICE OF THE

ASSISTANT SECRETARY FOR HEALTH 17

H U.S.

DE

COVID - 19HHS/FEMA Interagency VTCENT

OFHE

VELAN URITYSECU

Supply Chain

Task Force

COVID - 19 By the Numbers

56

Major Disaster Declarations

approved in all50 states,5 territories andWashington DC

$ 5 . 8 billionin emergency protective

measures

216107 51

airbridge flightmissions

messages

to cellphonesvia theWirelessEmergency

Alert System

to broadcaststationsvia the

Emergency Alert System

criticalsupplies shipped

7.3 million 111.8 million 607,283 903.0 million 78.5 million 17.0 million

face shieldsface surgicalmasks coveralls gloves N95respirators gowns

6 . 4 million1. 2 +

billionsamples tested , 067

140,617 tested at

Community -Based Testing Sites

110, 779 private partner site samples

ventilators available

timespeopleviewed

info on CDCwebsites

FEMANumbersas of 5/ 02/ 2020