Fishers Health Department COVID19 UPDATE BOARD OF HEALTH

Fishers Health Department COVID-19 UPDATE BOARD OF HEALTH MEETING 7/17/20

OBJECTIVES • Describe testing activities • Review testing site data • Present community data • Review actions taken • Outline research • Recommend action

FISHERS TESTING SITE DATA • • Dramatic increase leading up to July 4, which has continued Increase in symptomatic individuals being tested Increased capacity to 240/day Booked 2 -3 days in advance *Colors represent symptom triage structure ranging from no symptoms (clear) to highly symptomatic (black)

FISHERS TESTING SITE DATA

https: //www. fishersrecovery. com/

Hamilton County & District 5 • Increasing positives • Increasing ED visits • Admissions steady • Deaths decreasing https: //www. regenstrief. org/covid-dashboard/ Additional data available at: https: //www. coronavirus. in. gov/2393. htm https: //globalepidemics. org/july-6 -2020 -state-testing-targets/

EVENTS AND CONTEXT In past 2 weeks • High school athletics open • Teams effected: • • • Football Softball Soccer Swimming Basketball Soccer Other groups effected: • Summer camps • Workplaces • Daycares

Actions Taken • Contact tracing • Business assessment tool • Business testing • Preventative messaging • Media interviews • Social media • School plan review • Notify LTC facilities of trends • Response plan with schools

CHALLENGES • Lab delays • Capacity limits • Confusing guidelines • Misinformation • Disregard of • • Guidelines Contact tracing Governor’s orders Recommendations

• Meta-analysis showed support for face masks, distancing, eye protection (The Lancet, June 27, 2020, https: //doi. org/10. 1016/S 0140 -6736(20)31142 -9 • Mandating masks in public correlates with decline in case rates (Health Affairs, June 16, 2020, https: //doi. org/10. 1377/hlthaff. 2020. 00818) 0 2020 -02 -29 2020 -03 -03 2020 -03 -05 2020 -03 -07 2020 -03 -09 2020 -03 -11 2020 -03 -13 2020 -03 -15 2020 -03 -17 2020 -03 -19 2020 -03 -21 2020 -03 -23 2020 -03 -25 2020 -03 -27 2020 -03 -29 2020 -03 -31 2020 -04 -02 2020 -04 -04 2020 -04 -06 2020 -04 -08 2020 -04 -10 2020 -04 -12 2020 -04 -14 2020 -04 -16 2020 -04 -18 2020 -04 -20 2020 -04 -22 2020 -04 -24 2020 -04 -26 2020 -04 -28 2020 -04 -30 2020 -05 -02 2020 -05 -04 2020 -05 -06 2020 -05 -08 2020 -05 -10 2020 -05 -12 2020 -05 -14 2020 -05 -16 2020 -05 -18 2020 -05 -20 2020 -05 -22 2020 -05 -24 2020 -05 -26 2020 -05 -28 2020 -05 -30 2020 -06 -01 2020 -06 -03 2020 -06 -05 2020 -06 -07 2020 -06 -09 2020 -06 -11 2020 -06 -13 2020 -06 -15 2020 -06 -17 2020 -06 -19 2020 -06 -21 2020 -06 -23 2020 -06 -25 2020 -06 -27 2020 -06 -29 2020 -07 -01 2020 -07 -03 2020 -07 -05 2020 -07 -07 2020 -07 -09 2020 -07 -11 2020 -07 -13 2020 -07 -15 Evidence Available 7 Day Rolling Averages of Cases per 100, 000 in Highest COVID Burden Counties in Indiana Over Time Mask Mandate St. Joe Hamilton St. Joe Elkhart Mask Mandate Elkhart 40 35 30 25 20 15 10 5 Lake Allen Marion

ACTION RECOMMENDED • Require masks in certain settings • Consider increased gathering restrictions • Discuss schools with community leadership • Daily messaging from Health Director • Weekly messaging from Health Officer • Develop infographics • Intensify contact tracing • Improve contact management structure

Discussion • • • Current Mask Orders (legal review) Current Executive Orders (legal review) Pros Cons Other Suggestions Way Forward