stay healthy | safer at homeweekly covid-19 cases by age stay healthy.return smarter.return...

STAY HEALTHY | SAFER AT HOME

THANK YOUNURSES | DOCTORS | HEALTHCARE WORKERS

PATIENCE & PERSEVERANCE

YOU ARE SAFER AT HOME THE VIRUS IS WIDESPREAD

2,857 AVERAGE NEW CASES PER DAY

1,588 ARIZONA LIVES LOST

74,553TOTAL COVID-19 CASES

RECORD CASESARIZONACALIFORNIAFLORIDA MISSISSIPPI NEVADATEXASSOUTH CAROLINA

ARIZONA IS NOT ALONE

RECORD HOSPITALIZATIONS ARIZONACALIFORNIAFLORIDAMISSISSIPPINEVADATEXASSOUTH CAROLINA

STAY HEALTHY. SAFER AT HOME

29 STATES HAVE SEEN INCREASES IN COVID-19 CASESOVER THE LAST WEEK

WEEKLY COVID-19 CASES BY AGE

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

May 10, 2020 May 17, 2020 May 24, 2020 May 31, 2020 June 7, 2020 June 14, 2020 June 21, 2020

10.9%9%8.8%10.2%11.2%15.3%15.3%11.3%10.4%11%11.7%12.3%13.5%13.5%15.2%14.7%15.8%14.3%15.3%15.3%15.1%52%53.7%52.3%50.9%47.6%44.2%43.5%

10.5%12.1%12%12.9%13.6%11.8%12.6%

Less than 19 years 20-44y 45-54y 55-64y 65+

HOSPITALIZATIONS BY AGE


40%

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


COVID-LIKE ILLNESS IN EMERGENCY ROOMS

COVID PATIENT HOSPITAL BED USE

PERCENTAGE OF POSITIVE TESTS

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

Jun 07

Jun 14

Jun 21

3%2.9%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%

10.2%10.1%

8.2%

6.4%

5.2%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

6/25/2

020

6/28/2

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


25000

50000

75000

100000

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%18.6%14.4%11.8%8.5%5.9%4.9%5%6.8%9.5%10.8%10.3%8.8%6.7%5.1%2.8%

9.8%

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

June

27

36%33%27%29%26%25%22%20%18%18%17%18%18%

14%13%13%12%12%11%10%11%10%10%11%10%9%9%10%10%9%10%10%10%10%9%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 8Apr

11Apr

14Apr

17Apr

20Apr

23Apr

26Apr

29May

2May

5May

8

May 11

May 14

May 17

May 20

May 23

May 26

May 29

June

1Ju

ne 4Ju

ne 7

June

10

June

13

June

16

June

19

June

22

June

25

June

28

40%39%34%34%35%33%32%31%

27%26%25%25%25%22%23%23%22%23%20%19%18%19%20%19%18%18%18%17%18%17%19%19%20%19%18%18%13%

18%17%18%16%

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

06/26

/2020

06/28

/2020

679657611614556519531464

395429438392372379377377374337321311298347333

820802884

798862877854883922856820811821927873903884880926989958903878

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

June

26

27%28%25%

18%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

CONTINUED PARTNERSHIP WITH OUR HOSPITALSEXECUTIVE ORDER TO INCREASE CAPACITY • Our hospitals have been responsive and worked to ensure we continue to build

capacity within our hospital system.

ONGOING CONVERSATIONS WITH HOSPITAL CEO’S • Peter Fine, Banner Health • Linda Hunt, Dignity Health • Robert Gray, Mayo Clinic • Todd LaPorte, Honor Health • Robert Trenschel, Yuma Regional Medical Center • Steve Purves, Valleywise Health • Judy Rich, Tucson Medical Center


CONTINUED PARTNERSHIP WITH OUR HOSPITALSSTATE DISASTER MEDICAL ADVISORY COMMITTEE • Recommended implementation of Crisis Standards of Care on 6/26 • Establishing statewide standards of care ensures that all hospitals are providing the

same level of care and patients are not treated by different standards.

ADHS WILL ACTIVATE CRISIS STANDARDS OF CARE • Activate tactics to address space, staff, and resource constraints as necessary for

the hospital’s current situation. • Prepare for surge and anticipate fully staffing hospitals. • Cease all surgeries EXCEPT non-emergent, essential surgeries and procedures that

do not impair the care of other patients. • Activate Hospital Incident Command and meet with increasing frequency. • Establish regular communication with local health jurisdiction.


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

0

7500

15000

22500

30000

Feb 2

2Mar

01Mar

05Mar

09Mar

13Mar

17Mar

21Mar

25Mar

29Apr

02Apr

06Apr

10Apr

14Apr

18Apr

22Apr

26Apr

30

May 04

May 08

May 12

May 16

May 20

May 24

May 28

Jun 0

1Ju

n 05Ju

n 09Ju

n 13Ju

n 17Ju

n 21Ju

n 25

PCR Serology

TESTING BY DAY


Testing Blitz Announced 4/27/2020

TOTAL TESTS: 677,757511,059 166,748

WE CAN’T LET UP

OBJECTIVE: SAVE LIVES & PROTECT LIVELIHOODS

SLOW THE VIRUS PROTECT THE MOST VULNERABLE

WEAR A MASK

STAY HEALTHY. SAFER AT HOMESTAY HEALTHY. SAFER AT HOME

#MASKUPAZ

ACTUAL 3,858

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 SAFER AT HOME


Rt

The average number of people who become infected by an infectious person.

Arizona Rt= ~1.18

STAY HEALTHY. SAFER AT HOMESTAY HEALTHY. SAFER AT HOME

THE GOAL: < 1.0

https://rt.live/

POTENTIAL SPREAD: 3,858 x 1.18 = 4,553

4,553 x 1.18 = 5,373

5,373 x 1.18 = 6,340

16,266

MASK UP. SAFER AT HOME. BE RESPONSIBLE.

TOP PRIORITY: MINIMIZING GATHERINGS & CONGREGATING

NEW EXECUTIVE ORDER PAUSING OPERATIONS OF BARS, GYMS, MOVIE THEATERS, WATERPARKS, TUBING

NEW EXECUTIVE ORDER PAUSING OPERATIONS OF BARS, GYMS, MOVIE THEATERS, WATERPARKS, TUBING • Effective today at 8pm, with a targeted reopening in one

month • In order to reopen the establishments must attest to adhere to

all public health regulations, and post it for the public to see • Enforcement will be led by local public health officials and local

authorities


LIMITING MASS GATHERINGS • Prohibited: Indoor or outdoor public events of 50 or more • The Department of Liquor Licenses and Control shall cease issuing special event

licenses • Applicable statewide • Cities and counties have the authority to approve larger events, but only if

adequate safety precautions are implemented, including physical distancing measures


GUIDANCE FOR POOLS• Public pools: municipal, hotels, motels

• Prohibit groups larger than 10 from congregating together in or near the pool

• Private pools: apartments, condos, multi-housing complexes • Must post signage at all entrances requiring physical

distancing and limiting groups larger than 10 from congregating in or near the pool


CERTAINTY FOR ARIZONA SCHOOLS DELAYING THE FIRST DAY OF SCHOOL • Target date: August 17, 2020 • Continuously reevaluating this target date

KEEPING ARIZONA KIDS SAFE AND HEALTHY • Work with Superintendent Hoffman to continue

encouraging virtual check-ins. • Encourage meal programs to continue for kids in

need.


STAYING CONNECTED WITH THE ONES WE LOVE MOST

GRANTS FOR ELECTRONIC DEVICES & TABLETS • For Long-Term Care Facilities & Skilled-Nursing

Facilities • Partnering with AARP • $10,000 per facility


DR. CARA CHRIST ARIZONA DEPARTMENT OF HEALTH SERVICES

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


TESTING INITIATIVES


Increasing Testing in Maryvale • ADHS partnered with Equality Health:

• Funding for support staff, portable restrooms, and water • PPE for staff • Cloth face coverings for patients .

• ADHS worked with CVS, Walgreens, and AkosMD to open additional testing sites in the Maryvale area

• We’re working toward additional efforts with Banner Health and ASU to expand further

TESTING INITIATIVES


Convalescent Plasma • Convalescent plasma is a treatment that some doctors are using for people with severe coronavirus disease 2019 (COVID-19)

• People who've recovered from COVID-19 have antibodies to the disease in their blood.

• Their blood can be collected and the plasma, containing the antibodies can be given to people with severe COVID-19 to boost their ability to fight the virus.

• If you've had COVID-19 and recovered from it, consider donating blood.

HOW CAN YOU GET TESTED? WHO CAN GET TESTED? • If you believe you are positive or have been exposed to COVID-19, you are eligible

to receive testing

VISIT OUR TESTING SITE • www.azhealth.gov/covid19testing • 232 test collection sites across the state, with new sites being added frequently

PREREGISTER • Many of the locations offer preregistration, to guarantee availability and reduce

wait times.


http://www.azhealth.gov/covid19testing

UPDATED GUIDANCE FOR INDEPENDENCE DAY & BEYONDHOUSE PARTIES, FAMILY GATHERINGS, POOL PARTIES & BBQs • Celebrate with your immediate household or daily contacts • Protect your most vulnerable family members and friends:

invite parents and grandparents to join through FaceTime or other video chat methods

• Stay outside when possible, stay hydrated, physically distance, and wear a mask


MAJOR GENERAL MICHAEL MCGUIRE ARIZONA NATIONAL GUARD

ARIZONA DEPARTMENT OF EMERGENCY AND MILITARY AFFAIRS

YOU ARE SAFER AT HOME THE VIRUS IS WIDESPREAD

stay healthy | safer at homeweekly covid-19 cases by age stay healthy.return smarter.return...

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