COVID-19 Briefing for Partner - PowerPoint Presentation

1. COVID-19 Briefing for Partner Agencies and OrganizationsLilian Peake, MD, MPHState EpidemiologistDirector, Office of EpidemiologyVirginia Department of HealthFebruary 28, 2020

2. When and How Did the Outbreak Start?2Source: www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports/

3. How Many People Are Sick?Confirmed Cases as of 2/27/20Reported by the World Health OrganizationTotal82,294 casesChina78,630 cases; 2,747 deathsOutside of China3,664 cases; 57 deaths46 countries3Source: www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports/

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5. How Many Cases Are in the U.S.?Confirmed Cases in the United StatesTravel-related12Person-to-person from known case2Exposure unknown1Cases among Persons Repatriated to the United StatesWuhan, China 3Diamond Princess Cruise Ship42Total as of 2/26/20605

6. How Has the U.S. Prevented Spread?1/30/20 - WHO declared the outbreak a Public Health Emergency of International Concern1/31/20 - Health and Human Services Secretary Azar declared a Public Health Emergency2/7/20 - Virginia State Health Commissioner Norman Oliver declared COVID-19 a Communicable Disease of Public Health Threat for Virginia6

7. U.S. Travel RestrictionsU.S. government suspended entry to the U.S. of foreign nationals who were in China in previous 14 days (beginning 2/2/20)U.S. citizens, residents and their family members who were in China in previous 14 days undergo health monitoring for up to 14 days and may have movement restrictions7

8. U.S. Airport ScreeningTravelers from China are “funneled” to 11 airportsUndergo health assessments to assess riskAsymptomatic travelers from Hubei: mandatory quarantineAsymptomatic travelers from mainland China: continue to final destination for public health monitoring8

9. VIRGINIA’s PUBLIC HEALTH RESPONSE9

10. PlanningEstablished Incident Management Team in JanuaryIncident action plansDaily meetings Sit Reps M,W,F and IAPs every 2 weeks - wide distributionCoordinationDaily coordination between local, state, and federal public health Weekly operational briefings with local health districtsPartner briefings10

11. Operations: Statewide Coordinated Response11

12. Communications12Comprehensive public information campaign - media, webpage, 211 call center (1-877-ASK-VDH3), targeted communications

13. Operations: Health Information13

14. Operations: Monitoring14179Travelers Under Public Heath Monitoring in Virginia as of 2/25/20Current Monitoring Status#Completed monitoring97Under monitoring (as of 2/25/20)82Risk for COVID-19 Exposure#No risk 2Low risk14Medium risk162High risk0Pending1

15. Operations: Surveillance and Investigation15Test Results for Persons Tested for COVID-19 in VirginiaAs of 2/27/20RegionPositiveNegativePending*Total Number of Persons TestedCentral0303Eastern0000Northern0314Northwest0000Southwest0011Total0628

16. Epidemic Curve of COVID-19 Cases Outside of China by Date and Likely Exposure Location16As of February 27, 2020

17. Where Is Community Transmission Occurring Outside of China?Widespread or sustained community spread in China, Iran, Italy, Japan, and South Korea Instances of apparent community spread include Hong Kong, Singapore, Taiwan, Thailand, and Vietnam CDC Travel NoticesLevel 1 (Watch) - Hong KongLevel 2 (Enhanced Precautions) – Japan, Italy, IranLevel 3 (Avoid) – China, South Korea Reconsider cruise ship voyages to or within Asia

18. Who Should Be Tested for 2019-nCoV?As of 2/27/2018Source: www.cdc.gov/coronavirus/2019-nCoV/clinical-criteria.htmlAffected Geographic Areas = Those with CDC Travel Alerts Levels 2 &3As of 2/27/20 = China, South Korea, Iran, Italy, Japan

19. PREPARING FOR POSSIBILITY OF Sustained community transmission in the US19

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21. Build on Pandemic Influenza PreparednessCOVID-19 seems to be spreading much like fluPan flu preparedness ongoing since 20042019 - Cardinal Resolve exercise involving over 400 stakeholders from across VirginiaVDH reviewing pan flu plans and guidance to inform CVOID-19 preparednessVDH actively encouraging partners in all sectors to review their pandemic flu plans and adapt them to this situation

22. Vaccination and TreatmentTreatmentCurrently no specific antiviral treatment Supportive careResearch ongoing 2/25/20 - Randomized, controlled clinical trial to evaluated safety and efficacy of remdesivir at Univ. of NebraskaVaccine Currently no vaccineNIH research and development ongoing Projected timeline = 12-18 months 22

23. Nonpharmaceutical Interventions

24. Nonpharmaceutical Interventions: ResourcesCDC Community Mitigation Guidelines to Prevent Pandemic Influenza–United States, 2017 www.cdc.gov/mmwr/volumes/66/rr/rr6601a1.htm#suggestedcitation CDC pandemic flu educational and planning materials by setting www.cdc.gov/nonpharmaceutical-interventions

25. What Can Partner Agencies/Organizations Do?Maintain open lines of communication with your local health department or VDH central officeReview emergency operations plan, pan flu plan, and continuity of operations planBe prepared to support Emergency Support Function (ESF-8) as identified in the Commonwealth of Virginia Emergency Operations Plan (COVEOP)Maintain situational awareness through trusted sourcesDirect Virginians to www.vdh.virginia.gov/coronavirus 25

26. Take Home MessagesCurrent risk of COVID-19 infection to the American public is still considered lowAs of today, no COVID-19 cases in Virginia Rapidly evolving situationInterim guidance will continue to changeVigilance, frequent communication, and coordination among partners is critical Promote flu and respiratory infection preventionUpdates will be communicated via www.vdh.virginia.gov/coronavirus as information is available 26

27. ResourcesVirginia Department of Health (VDH) 35 Local Health Districtswww.vdh.virginia.gov/coronavirusRespiratory@vdh.virginia.gov Centers for Disease Control and Prevention (CDC)www.cdc.gov/coronavirus/2019-nCoV World Health Organization (WHO)www.who.int/emergencies/diseases/novel-coronavirus-2019 27

28. Thank you!