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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 of 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 CASESARIZONA CALIFORNIAFLORIDAMISSISSIPPINEVADATEXASSOUTH CAROLINA

DAILY RECORD OF HOSPITALIZATIONS ARIZONAARKANSASCALIFORNIAFLORIDANORTH CAROLINASOUTH CAROLINATENNESSEETEXAS

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 PARTRETURNING 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


GREEN LIGHT TO PROCEED WITH CAUTION


YELLOW LIGHT TO YIELD

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


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.


• 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


• 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

of 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 ACCOUNTABLENEW 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


HOLDING THE BAD ACTORS ACCOUNTABLENEW: • 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:


• 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


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


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


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


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) SURVEILLANCEINFLUENZA-LIKE-ILLNESS (ILI) SURVEILLANCE


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

Dec 29

Jan 05

Jan 12

Jan 19

Jan 26

Feb 0

2Fe

b 09Fe

b 16Fe

b 23Mar

01Mar

08Mar

15Mar

22Mar

29Apr

05Apr

12Apr

19Apr

26

May 03

May 10

May 17

May 24

May 31

June 7

June 1

4

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


0

1000

2000

3000

4000

3/9/20

20

3/12/2

020

3/15/2

020

3/18/2

020

3/21/2

020

3/24/2

020

3/27/2

020

3/30/2

020

4/2/20

20

4/5/20

20

4/8/20

20

4/11/2

020

4/14/2

020

4/17/2

020

4/20/2

020

4/23/2

020

4/26/2

020

4/29/2

020

5/2/20

20

5/5/20

20

5/8/20

20

5/11/2

020

5/14/2

020

5/17/2

020

5/20/2

020

5/23/2

020

5/26/2

020

5/29/2

020

6/1/20

20

6/4/20

20

6/7/20

20

6/10/2

020

6/13/2

020

6/16/2

020

6/19/2

020

6/22/2

020

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 of

COVID-19 1/26/2020

Testing Blitz Announced 4/27/2020

PERCENTAGE OF POSITIVE TESTS


20000

40000

60000

80000

PCR Tests

Jan 19

Jan 26

Feb 2

3Mar

01Mar

08Mar

15Mar

22Mar

29Apr

05Apr

12Apr

19Apr

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-19STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

DOES NOT INCLUDE 2,600 ADDITIONAL SURGE BEDS

0%

25%

50%

75%

100%

Apr 04

Apr 07

Apr 10

Apr 13

Apr 16

Apr 19

Apr-22

Apr-25

Apr 28

May 1

May 4

May 7

May 10

May 13

May 16

May 19

May 22

May 25

May 28

May 31

June

3Ju

ne 6

June

9

June

12

June

15

June

18

June

21

June

24

31%27%25%23%21%18%18%16%17%17%17%14%13%12%12%11%11%10%11%10%10%10%10%9%9%10%10%10%9%10%9%10%10%9%10%9%10%9%9%9%9%9%8%8%8%8%8%7%7%

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

INTENSIVE CARE UNIT HOSPITAL BEDS FOR COVID-19STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

DOES NOT INCLUDE 600 ADDITIONAL ICU SURGE BEDS

0%

25%

50%

75%

100%

Mar 27

Mar 30

Apr 2

Apr 5

Apr 8

Apr 11

Apr 14

Apr 17

Apr 20

Apr 23

Apr 26

Apr 29

May 2

May 5

May 8

May 11

May 14

May 17

May 20

May 23

May 26

May 29

June

1Ju

ne 4

June

7

June

10

June

13

June

16

June

19

June

22

36%37%33%31%32%

28%27%26%26%25%24%23%23%23%23%20%19%19%18%21%20%20%19%18%18%17%17%18%19%18%18%20%18%17%17%17%17%18%

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


INTENSIVE CARE UNIT HOSPITAL BEDS

0

383

766

1149

1532

05/15

/2020

05/17

/2020

05/19

/2020

05/21

/2020

05/23

/2020

05/25

/2020

05/27

/2020

05/29

/2020

05/31

/2020

06/02

/2020

06/04

/2020

06/06

/2020

06/08

/2020

06/10

/2020

06/12

/2020

06/14

/2020

06/16

/2020

06/18

/2020

06/20

/2020

06/22

/2020

06/24

/2020

884798862877854883922856820811821

927873903884880926989958903878

611614556519531464

395429438392372379377377374337321311298347333

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

VENTILATORS FOR COVID-19


0%

25%

50%

75%

100%

Mar 28

Mar 31

Apr 3

Apr 6

Apr 9

Apr 12

Apr 15

Apr 18

Apr 21

Apr 24

Apr 27

Apr 30

May 3

May 6

May 9

May 12

May 15

May 18

May 21

May 24

May 27

May 30

June

2Ju

ne 5

June

8

June

11

June

14

June

17

June

20

June

23

25%24%22%22%21%21%21%18%19%18%17%18%17%17%16%15%14%14%14%16%

13%13%14%13%13%13%13%13%12%13%12%12%11%11%12%11%12%11%11%11%12%12%11%11%12%12%11%11%11%11%11%11%12%11%11%11%11%11%11%12%12%11%11%12%12%12%11%15%

11%11%10%11%13%12%12%12%

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

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

0

4500

9000

13500

18000

Feb 2

3Mar

02Mar

06Mar

10Mar

14Mar

18Mar

22Mar

26Mar

30Apr

03Apr

07Apr

11Apr

15Apr

19Apr

23Apr

27

May 01

May 05

May 09

May 13

May 17

May 21

May 25

May 29

Jun 0

2Ju

n 06Ju

n 10Ju

n 14Ju

n 18Ju

n 22

PCR Serology

TESTING BY DAY


Testing Blitz Announced 4/27/2020

TOTAL TESTS: 619,143463,800 155,343


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


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


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


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.


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.


PROMOTING TEST FROM HOME OPTIONS

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


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


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


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 TRACINGSTAY 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

stay healthy | return smarter | return strongerthere’s more work to do ... healthy, stay connected...

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