stay healthy | safer at home · covid-like-illness (cli) surveillance influenza-like-illness (ili)...

STAY HEALTHY | SAFER AT HOME

THANK YOUNURSES | DOCTORS | HEALTHCARE WORKERS

SAFER AT HOME

134,613 TOTAL COVID-19 CASES

3,501 AVG CASES PER DAY WEEK OF JUNE 28

3,249 AVG CASES PER DAY WEEK OF JULY 5

2,492 ARIZONA LIVES LOST

COVID-LIKE ILLNESS IN EMERGENCY ROOMS

COVID PATIENT ICU/HOSPITAL BED USE

PERCENTAGE OF POSITIVE TESTS

COVID-LIKE-ILLNESS (CLI) SURVEILLANCE INFLUENZA-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

Jun 28

July 5

2.7%3.7%3.5%

2.9%2.1%1.7%1.4%1.6%1.5%1.9%1.9%

2.5%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%

12.7%

16.9%

15%

11.5%

8.5%

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

STAY HEALTHY. SAFER AT HOME

0

1500

3000

4500

6000

2/27/2

020

3/2/20

20

3/6/20

20

3/10/2

020

3/14/2

020

3/18/2

020

3/22/2

020

3/26/2

020

3/30/2

020

4/3/20

20

4/7/20

20

4/11/2

020

4/15/2

020

4/19/2

020

4/23/2

020

4/27/2

020

5/1/20

20

5/5/20

20

5/9/20

20

5/13/2

020

5/17/2

020

5/21/2

020

5/25/2

020

5/29/2

020

6/2/20

20

6/6/20

20

6/10/2

020

6/14/2

020

6/18/2

020

6/22/2

020

6/26/2

020

6/30/2

020

7/4/20

20

7/8/20

20

7/12/2

020

COVID-19 CASES BY DAY

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

Stay at Home Order Ended

5/15/2020


PERCENTAGE OF POSITIVE TESTS

20000

40000

60000

80000

100000

120000PCR Tests

Jan 19

Feb 0

2Fe

b 16

Feb 2

3Mar

01Mar

08Mar

15Mar

22Mar

29Apr

05Apr

12Apr

19Apr

26

May 03

May 10

May 17

May 24

May 31

Jun 0

7Ju

n 14

Jun 2

1Ju

n 28

Jul 05

Jul 12

18.9%17.3%21.1%20.5%18.1%

14.1%11.7%8.6%5.9%4.9%5.1%6.9%9.6%10.9%10.5%8.8%6.8%5.2%2.8%

11.8%11.8%

0%0%0%

Percent Positivity


Stay at Home Order Ended

5/15/2020

HOSPITAL BEDS FOR COVID-19DOES 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 01

May 04

May 07

May 10

May 13

May 16

May 19

May 22

May 25

May 28

May 31Ju

n 03Ju

n 06Ju

n 09Ju

n 12Ju

n 15Ju

n 18Ju

n 21Ju

n 24Ju

n 27Ju

n 30Ju

l 03Ju

l 06Ju

l 09Ju

l 12Ju

l 15

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


0%

25%

50%

75%

100%

Mar 27

Mar 31

Apr 4

Apr 8

Apr 12

Apr 16

Apr 20

Apr 24

Apr 28

May 2

May 6

May 10

May 14

May 18

May 22

May 26

May 30

June

3Ju

ne 7

June

11

June

15

June

19

June

23

June

27Ju

ly 1Ju

ly 5Ju

ly 9Ju

ly 13

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


INTENSIVE CARE UNIT HOSPITAL BEDS FOR COVID-19DOES NOT INCLUDE 600 ADDITIONAL ICU SURGE BEDS

0%

25%

50%

75%

100%

Mar 28

Mar 31

Apr 3

Apr 6

Apr 9Apr

12Apr

15Apr

18Apr

21Apr

24Apr

27Apr

30May

3May

6May

9

May 12

May 15

May 18

May 21

May 24

May 27

May 30

June

2Ju

ne 5Ju

ne 8

June

11

June

14

June

17

June

20

June

23

June

26

June

29Ju

ly 2Ju

ly 5Ju

ly 8Ju

ly 11Ju

ly 14

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


VENTILATORS FOR COVID-19

0

7500

15000

22500

30000

Apr 16

Apr 19

Apr 22

Apr 25

Apr 28

May 01

May 04

May 07

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

June

30Ju

ly 3Ju

ly 5Ju

ly 8Ju

ly 11Ju

ly 14

Serology PCR


Testing Blitz Announced 4/27/2020

TOTAL TESTS: 951,809203,318 748,491

TESTING BY DAY

RECENT ACTIONS TO SLOW THE SPREAD

PROHIBITING LARGE GATHERINGS

LOCAL MASK ORDINANCES

PAUSING OPERATIONS OF GYMS, BARS, NIGHTCLUBS, WATER PARKS & TUBING

DELAYING THE FIRST DAY OF SCHOOL

REDUCING RESTAURANT CAPACITY

NO OPPORTUNITIES FOR CONGREGATING

•BARS •GYMS •MOVIE THEATERS •CONCERTS •SPRING TRAINING •LARGE EVENTS

•LARGE VENUES •COLLEGE SPORTS •MAJOR LEAGUE BASEBALL

•NBA •NFL


COUNTIES MARICOPA COUNTY COCONINO COUNTY PIMA COUNTY SANTA CRUZ COUNTY YUMA COUNTY

CITIES AND TOWNS AVONDALE BISBEE BULLHEAD CITY CAREFREE CASA GRANDE CHANDLER CLARKDALE CLIFTON

COOLIDGE COTTONWOOD DOUGLAS ELOY FLAGSTAFF GOODYEAR GUADALUPE GLENDALE GILBERT GLOBE JEROME KINGMAN LAKE HAVASU CITY MAMMOTH MESA MIAMI NOGALES ORO VALLEY

WINKELMAN WINSLOW YOUNGTOWN YUMA RECOMMENDED APACHE JUNCTION CAVE CREEK CHINO VALLEY EL MIRAGE MARICOPA PAGE PARADISE VALLEY PARKER PRESCOTT PRESCOTT VALLEY QUEEN CREEK SIERRA VISTA

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

#MASKUPAZSTAY HEALTHY. SAFER AT HOME

ARIZONA’S NEW NORMAL

TRACKING THE RESULTS

Rt

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

Arizona (6/29) Rt= ~1.18

STAY HEALTHY. SAFER AT HOMESTAY HEALTHY. SAFER AT HOME

THE GOAL: < 1.0

https://rt.live/

Arizona (7/9) Rt= ~1.10


https://rt.live/

THE GOAL: < 1.0

Arizona Rt= ~.98


https://rt.live/

THE GOAL: < 1.0

Arizona Rt= ~.97


https://rt.live/

California Rt= ~1.07

Nevada Rt= ~1.08

Florida Rt= ~1.07

New York Rt= ~1.10

Texas Rt= ~1.06

MONTANA Rt= ~1.39

THE GOAL: < 1.0


HOW THE NUMBER OF CASES HAS CHANGEDLAST WEEK THIS WEEK


HOW THE NUMBER OF CASES HAS CHANGEDOVER THE LAST TWO WEEKS


CASE TRENDS IN THE UNITED STATES, D.C, AND PUERTO RICO3-DAY MOVING AVERAGE

GREEN = DOWNWARD TREND

RED = UPWARD TREND

THERE’S NO END DATE IN SIGHT THERE ARE NO VICTORY LAPS

WE CAN’T LET UP

STAY HEALTHY | SAFER AT HOME

MASK UPENSURING ACCESS TO MASKS FOR VULNERABLE ARIZONANS • Free, non-medical cloth masks to Arizonans who are 65 and older or medically-

vulnerable • Starting TOMORROW, JULY 17, Arizona citizens in these vulnerable categories

simply need to visit azhealth.gov/OrderMasks to submit their order • Each order will receive a package of five (5) cloth masks shipped directly to their

residential address free of charge [limit one order per household] • The State will also work with licensed congregate care facilities to provide direct

shipments to meet the needs of their residents in these categories


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


ARIZONA: OPEN FOR LEARNING

K-12 EDUCATION

PUBLIC UNIVERSITIES

ARIZONA: OPEN FOR LEARNING

• Working with Superintendent Hoffman, school leaders, teachers, parents to ensure students continue receiving quality education through the pandemic.

• Focus on flexibility for school leaders, public health for students and teachers, and a priority around students in low-income communities.


EXPANDING TESTING

PROJECT CATAPULT

• Partnership between Sonora Quest Laboratories, Euroimmun/PerkinElmer, and ADHS

• Sonora Quest expects to exponentially increase their ability to process tests. process 35,000 diagnostic tests per day by the end of July, and up to 60,000 tests per day by the end of August.


35,000 tests60,000 tests

BY THE END OF JULY

BY THE END OF AUGUST

ASU TESTING UPDATE


COVID-19 TESTING STRIKE FORCE SITES• What: Partnership today with the U.S. Department of Health and Human

Services (HHS) to provide additional diagnostic testing in Arizona. Cloth-face coverings provided to all participants.

• When: Beginning Friday, July 17 for 12 straight days

• Where: South Mountain Park | 10919 S. Central Avenue, Phoenix, AZ 85042 Maryvale High School | 3415 N 59th Ave, Phoenix, AZ 85033

• How: To ensure an appointment and reduce wait times, participants are encouraged to pre-register at azhealth.gov/SurgeTesting.


http://azhealth.gov/SurgeTesting

CONTINUED INVESTMENTS IN PUBLIC HEALTH

SIGNIFICANT INVESTMENTS IN PUBLIC HEALTH• Over $5.7 billion in

unemployment benefits • $441 million for cities and counties • $270 million for schools and school

districts • $150 million to advance FEMA

reimbursements to non-profits and local jurisdictions

• $70 million for testing • $60 million for PPE • $35 million for contact tracing


• $33 million for additional hospital capacity and staff

• $9 million for election-related funding

• $5 million for homeless shelters • $5 million for eviction assistance • $1.75 million to enhance food

security and millions more to help those most vulnerable.

NEW: $50 MILLION DEPOSIT TO THE PUBLIC HEALTH FUND

DR. CARA CHRIST ARIZONA DEPARTMENT OF HEALTH SERVICES

KNOW THE RISK

SAFER AT HOME: QUESTIONS TO CONSIDER BEFORE GOING OUT• How many people will you interact with? • Can you keep 6 feet of space between you and others? Will you be outdoors

or indoors? • What’s the length of time that you will be interacting with people?


HOSPITAL RESOURCES

STAFFING INITIATIVE • Contract with Vizient, Inc. to provide nursing staff to hospitals for 6 weeks • Cost is assumed by ADHS

Priorities: • 1) Rural small hospitals with high transfers through the Arizona Surge Line • 2) Large hospitals that accept high numbers of transfers through the Arizona

Surge Line


STAFFING INITIATIVE • Staffing was granted to each of the health systems who applied • A total of 584 out of state nurses will be provided to aid 21 hospitals

• 250 Medical-Surgical Nurses • 334 ICU/Critical Care Nurses • 74 percent of the nurses were provided to the Central and Southern

regions • Consideration to specialty services such as ECMO were considered


• $10 Million dollars to expand post acute care capacity for patients recovering from COVID-19

• Negotiating contract with Skilled Nursing Facility • Provider has COVID wards and units • Potential to provide up to 330 additional beds

• Ongoing Activities • Engaging stakeholder to identify additional post acute options • Working with other partners/facilities to bring on additional capacity

through the incentive program • Adding to the Post Acute Care Capacity Tracker (PACCT) Dashboard to

assist hospitals with discharge planning

POST ACUTE CARE INITIATIVE


MAJOR GENERAL MICHAEL MCGUIRE ARIZONA NATIONAL GUARD

ARIZONA DEPARTMENT OF EMERGENCY AND MILITARY AFFAIRS

PROTECTING PUBLIC HEALTH & ARIZONA FAMILIES

PANDEMIC UNEMPLOYMENT ASSISTANCE & RELIEF

PANDEMIC UNEMPLOYMENT RELIEF • $6,448,014,077 unemployment benefits paid to date. • 958,001 Arizonans currently receiving unemployment relief

• 330,695 Unemployment Benefits • 627,306 Pandemic Unemployment Assistance

• Arizona is experiencing the fraud attempts witnessed in other states. • Working with the FBI and the Department of Labor continue combating

this fraud and ensure these dollars are preserved for Arizonans who need them.


STRENGTHENING HOUSING PROTECTIONS FOR ARIZONANS IMPACTED BY COVID-19

EVICTION PROTECTION • March 24: Executive Order delaying evictions for those impacted by

COVID-19. • Established the COVID-19 Rental Assistance Program, administered by

Arizona Community Action Agencies. • To date $1,122,963.96 has been provided to Arizona renters. • Order is set to expire on July 25.


NEW EXECUTIVE ORDER

• Extending eviction moratorium on residential evictions until October 31. • $650,000 for Community Action Agencies to improve staffing and

administration of rental assistance programs, providing assistance to families and individuals faster.

• $5 million to establish the Foreclosure Prevention Program. • Providing targeted relief to homeowners who rely on income from

tenants, helping them avoid foreclosure. • In total, state and local governments have directed more than $80 million

on programs to assist renters and prevent homelessness.


ADDITIONAL ACTIONS• Earlier this week: $1.6 million from the U.S. Department of Housing and

Urban Development’s Emergency Solutions Grant (ESG) was distributed to combat homelessness.

• The funding will support counseling services, guidance on independent living, rental assistance and as well as homeless shelters throughout the state.

• Provided $250,000 from Chicanos Por La Causa for the organization's Statewide Housing Program, which finds housing for homeless individuals.

• In May: $300,000 provided to St. Vincent De Paul and Open Hearts, providing Arizonans in need with rental assistance, telehealth and transportation to health services.


MOVING FORWARD OUR PLAN OF ACTION

THE PLAN AHEAD • We’re going to continue taking a responsible approach, guided by public

health • Continue ramping up testing in Arizona to identify infections

• Increasing Lab Capacity • Additional Collection Sites

• Continue relief to county health officials in contact tracing to contain the spread

• Monitor the efficacy of our mitigation strategies


METRICS TO WATCH• Cases • Testing & Percent Positivity Rate

• At the state and county level • Indicates the rate of spread and broad testing availability

• Mobility & Rt • Arizonans are safer at home — this metric quantifies non-essential travel • Rt indicates the rate of spread

• Capacity • Monitoring our ability to care for Arizonans


ACTION STEPS


PHYSICAL DISTANCE

WASH YOUR HANDS

STAY HOME

WEAR A MASK

WEAR A MASK

THE VIRUS IS WIDESPREAD

YOU ARE SAFER AT HOME

stay healthy | safer at home · covid-like-illness (cli) surveillance influenza-like-illness (ili)...

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