Fishers Health Department COVID19 UPDATE CITY COUNCIL WORK

Fishers Health Department COVID-19 UPDATE CITY COUNCIL WORK SESSION 7/20/20

OBJECTIVES • Describe testing activities • Review testing site data • Present community data • Review actions taken • Outline research • Action needed

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)

https: //www. fishers. in. us/1161/COVID-19

FISHERS TESTING SITE DATA Stay at home orders recommended when % Positive is >10%

We never got where we need to be • Mitigation goal (flatten the curve): <10% positive • Suppression goal (assumes masks, distancing, handwashing): <3% positive

https: //www. fishersrecovery. com/ https: //www. fishers. in. us/1161/COVID-19

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 affected: • Summer camps • Workplaces • Daycares

Actions Taken • Community testing & tracing • Assessment tool • Business testing • Messaging • Plan reviews • Community calls/partnerships • • Businesses Day cares Health care providers Long term care • Response planning

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

Evidence Available 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) • 14 -day downward trend in cases and % pos for next phase (White House Task Force, https: //www. whitehouse. gov/openingamerica/) • 14 -day average % Positive <5% for school opening (https: //www. governor. ny. gov/news/governor-cuomo- announces-new-data-driven-guidance-reopening-schools ) 7 Day Rolling Averages of Cases per 100, 000 in Highest COVID Burden Counties in Indiana Over Time Mask Mandate Elkhart Mask Mandate St. Joe 40 35 30 25 20 15 10 5 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 • Meta-analysis showed support for face masks, distancing, eye protection (The Lancet, June 27, 2020, Hamilton St. Joe Elkhart Lake Allen Marion

WHAT DO WE ALL WANT?

COMMUNITY ACTION NEEDED Require facial coverings Employer support and flexibility Limit large gatherings Continue mitigation measures and response plans Assistance from health care providers: immunizations, appointments, testing • Community support • • • distancing, masks, limited gatherings • answer calls, provide information, quarantine/isolate • check on vulnerable neighbors WE ARE ALL IN THIS TOGETHER