th 2020 Dr Mark CunninghamHill Medical Director NEBGH 2 College Reopening 35 colleges have reported at least 1000 cases 230 colleges have reported more than 100 cases Some colleges are managing to maintain normal college life ID: 908753
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COVID-19 Update
Monday October 5
th 2020
Dr Mark Cunningham-HillMedical Director NEBGH
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Slide3College Reopening
35 colleges have reported at least 1,000 cases
230 colleges have reported more than 100 casesSome colleges are managing to maintain ‘normal’ college life
Others have had to revert to virtual classes3
Slide4ControlsRestrictions on gatheringsRestrictions in social interactions
Blend of in-person and virtual classesMasks and physical distancingExcluding visitors and trying to form a ‘bubble’Testing
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Slide5Testing54 percent were performing some coronavirus testing
27 percent were testing undergraduates upon re-entry20%
planned to do regular testing
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Increasing frequency of testing adds increasing assurance
Slide6Testing Considerations
Test
Sensitivity
CostSpeedLocation
PCR
High
$115-225
1-3 days
Home, on-site, off-site
Antigen (POC)
Moderate*
$25-$33
30 minutes
On or off site
Antigen (paper test)
1
Moderate
<$5
15 minutes
Home, on-site
Antibody
2N/A$4230 min – 2 daysHome, on-site, off-site
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1 – Coming soon
2 – Not recommended
Slide7MJ Mina et al. N Engl J Med 2020. DOI: 10.1056/NEJMp2025631
PCR vs. Antigen Tests: Sensitivity and Viral
Load Frequency Testing with Low Analytic Sensitivity Testing with High Analytic Sensitivity.
Slide8Testing ConsiderationsReassurance of employees versus risk management
Handling of personal medical informationLogistical issuesVoluntary versus encouraged versus mandatoryHome versus on-siteNo testing approach is 100% protective
Cost
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Slide9Cost Examples 1000 EmployeesPCR on return to work only = $150KPCR 2 x per week = $1.2MM per month
Rapid Antigen test 2 x per week = $240K per monthPaper Antigen test daily = $150K per monthPooling (pools of 20) x 2 per week = $136K per month
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Slide10Pooling Example
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Slide11Weekly Dive into the Data
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Slide1212
United States
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Slide15NY Boroughs
Neighborhood
ZIP
14-day positivity
(as of 10/4)
# days > 3%
Edgemere/Far Rockaway
11691
5.63%
14+
Borough Park
11219
8.31%
14+
Gravesend/
Homecrest
11223
7.59%
14+
Midwood
11230
6.98%
14+
Bensonhurst/Mapleton
11204
6.47%
14
Flatlands/Midwood
11210
5.94%
14+
Gerritsen Beach/Homecrest/ Sheepshead Bay
11229
4.36%
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Kew Gardens
11415
3.81%
14+
Kew Gardens Hills/Pomonok
11367
3.86%
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Slide16Mayor de Blasio
Beginning Wednesday, October 7th:
Schools and non-essential businesses to closeIndoor and outdoor dining - restaurants only pickup and to-go mealsIf rates are under 3%
schools and non-essential businesses reopen after 2 weeksIf cases continue to rise, all should remain closed for four weeks…..or more
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Questions