Post on 26-May-2020
transcript
KAN
LTH&
HUM
COVID -19HHS/ FEMA Interagency VTCOFHEA
RITY
Centers for Disease Control and Prevention
Situation Update
CoronavirusDisease2019 ( COVID - 19)
Currentepidemic curve status*,by U . S . County, 30 April2020
Epicurve status
Low incidence growth
Elevated incidence growth
Elevated incidence plateau
Sustained decline
Low incidence plateau
1-5 cases in the past twoweeks
cases in the past two weeks
No reported cases
NYC
PR
Purposeof this mapProvides the most detailed view into both the burden of
illness and the trajectory of new illnesses
GU
ASRMI
MPPW
FSM
Main Findingsremains a large number of counties whose
burden continues to grow or are in an elevatedincidence plateau, including in the Great Lakes region,parts of the Southeast, Northeast, and around southernCalifornia
is to have all communities be represented inthe lightercolors, demonstratinglittle to no disease
burden and no increase in trajectory
MAN&*Categorized according to the slope of a spline fit to the 3 day moving average ofdaily incidence and the
number of new cases (per 100, 000 the past 2 weeks. Elevated incidence is defined as > 10 new cases per 100,000in the past two weeks.
CORTROL
Sources: USAFacts, US Census
RVICES
HUMAN
2OFECURIT
CoronavirusDisease 2019 (COVID- 19)Change in Daily Incidence* ,
by U . S . County, 30 April 2020
Change in incidence
per 100, 000 per day
Greater decline
Moderate decline
Plateau
Moderate increase
NYC
Greater increase
1-5 cases in the past 2 weeks
cases in the past 2 weeks
No reported casesAS
RMI
MPPurposeof this mapDescribesthe trajectory of new illnessesas recently
increasing, being stable, or decreasing in numberPW
FSMMain Findings
rates continue to decrease in multiple
counties , including hard hit areas in Louisiana and inthe New York City region
Incidence rates have recently plateaued in areasaround Chicago
CES*Measured asthe change in slope of a spline fit to smootheddaily incidence Incidencewas smoothed using a3- day moving average. These values therefore representthe change in 3- day averagenumberofnew casesper 100.000
per day Greaterdeclines are - 1 moderatedeclines are > . 1 plateaus are > - 0. 1 to . 1 moderate increasesare > 0 . 1 to 1. greater increases are > 1. Countiesdenoted as O cases in thepast 2 weekshave hadatleast 1 case
previously.
CORTROL
Sources: USAFacts, US Census
SERVICES
&HUMA
3OMELASENTOF
Daily change in cumulative COVID - 19 case and
death countsDaily change in cumulative COVID - 19 case counts
AsofMay 1 (preliminary) N = 1,092, 815 ( 30, 369 new )% changein lastday : 2. 9 % (rangelast7 days: 2. 4 % - 3. 7 % )
50000
ProbableCases45000 Confirmed Cases
Daily change in cumulative COVID - 19 death counts
As ofMay 1 (preliminary ) N =64, 283 ( 1, 877 new )% change in last day : 3 .0 % ( range last 7 days: 2 .5 % - 4 .4 % )
4000
3500ProbableDeaths
ConfirmedDeaths
4 ,062probable
deathsreported
on 4 / 1540000
3000
35000
250030000
25000 2000
20000 1500
150001000
10000
5005000
25 10 12 14 16 18 20 22 24 26 28 30 1 3 5 7 9 11 13 15 17 19 2123 25 27 29 1 25 10 12 14 16 18 20 22 24 26 28 30 1 3 5 7 9 11 13 15 17 19 2123 25 27 29
February MarchApril May February March April * Preliminary May
Note, asof 12 April, totals and figures include confirmed and probable cases and deaths reported from statesSERVICES
HUM
4
OMELAOF
VD
States with High % Lab Test Positives : NJ, NYTotal test volume per 10,000 state residents and % positive by day
New Jersey New York
40Test Results per
10k ResidentsTest Resultsper
10k Residents
25
Last14 Days Last14 Days
2020-03-051
2020-03-
2020-04-02
2020-04-
2020-04-301
2020-03-
2020-03-
2020-04-02
2020-04-16
2020-04-301
Source : protect. hhs. govSERVICES
5OMELAENT
OFH
VD SEC
States that are Reopening : GA, FLTotal test volume per 10, 000 state residents and % positive by day
Georgia Florida
15
60
Test Results per
10k Residents
Test Results per10k Residents
12 .5
10. 0
7 . 5
5 . 0
2. 5
Last 14 Days
Last 14 Days
2020-03-05
2020-03-19
2020-04-02
2020-04-16
2020-04-301
2020-03-05
2020-03-19
2020-04-021
2020-04-16
2020-04-301
SERVICES
Source: protect.hhs.gov 6OMELA
VD
Acute signs and symptoms on admission among hospitalizedCOVID cases, COVID -NET, March 1 May 1 (N = 2,591)
Number ( % ) Respiratory signs/ symptoms Number % )
Cough
Shortness of breath
Congested / runny nose
Sore throat
Non -respiratorysigns/ symptoms
Fever/ chills
Muscle aches/myalgiasDiarrhea
Nausea / vomiting
Headache
Chest painAltered mental status/confusion
Abdominal pain
Anosmia /decreased smell
Dysgeusia / decreased taste
Rash
Seizure
Conjunctivitis
1961(75.7)
1816 (70.1)
406 (15. 7)
339 (13. 1)
156 (6 . 0)Wheezing
1961(75.7 )805 (31. 1)
715 (27.6 )
641(24. 7 )
460 (17.8 )357 (13.8 )287 (11. 1)
253 (9. 8 )
94 (3 .6 )
85 ( .3 )
15 (0 .6 )
(0 . 5 )12 (0. 5)
Hemoptysis/bloody sputum 44 ( 1. 7 )
* 3 of 20 (15.0 % ) pediatric cases with data on symptomshad inability toeat/ poor feeding; 1 of 20 (5. 0 % ) ofpediatric caseswith dataon symptoms
hadcyanosis and lethargy
SERVICES
HUMAN
OMELAENTOFH
VD
Interventions and outcomes among hospitalized
COVID - 19 cases, COVID -NET, March 1 May 1
Intervention/ Outcome
Among cases with discharge
date recorded and completed
data
ICU
Mechanicalventilation *
Vasopressor
HENC*
RRT
BIPAP/ CPAP *ECMO
640 / 2045 (31.3 )370 / 2043 (18. 1)
298 / 2044 (14.6)
137/ 2043 (6 .7)
99 /2041 ( .9 )
62/2043 (3.0)
6 / 2043 (0 . 3)
340/ 2045 ( 16 .6 )In -hospitaldeath
*MechanicalVentilation, BIPAP /CPAP and arenow defined in a hierarchicaland mutually exclusive fashion . Any patientrequiring invasivemechanicalventilation
assigned to invasive mech vent category ; ifno mech vent requiredbutpatientreceived BIPAP/ CPAP, assigned to BIPAP/ CPAP category; ifnomech ventor BIPAP/ CPAPrequired butpatient received assigned to category
SERVICES
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OMELAVD SEC
KAN
LTH&
HUM
OFHEA COVID - 19HHS/FEMA Interagency VTCRITY
Data and AnalyticsTask Force
Projected Cases per DayUnited States
1,000, 000 - Outcomes
Modelled Cases
Cases
500, 000 -
Range Estimates
2 .5 % - 97.5 %
25 .0 % - 75 .0 %
NumberofCases
250, 000 -
100,000 -
50,000 -
25, 000 -
10, 000 -
3
2020 -03- 15 2020- 04- 01 2020-04- 15 2020 - 05 -01 2020-05- 15 2020 -06 -01Date
NB: Run Date 2020 -05 -01; IDD Combined
VICES
COVID - 19 Response Data & Analytics Task Force
FOUO Only
10MELA SECUR
Projected Deaths per DayUnited States
Outcomes
ModelledDeaths
Deaths
10,000 Range Estimates
2.5 % - 97.5 %
25. 0 % - 75. 0 %
NumberofDeaths
2 ,500
1,000 -
500 -250
2020-03- 15 2020-04-01 2020- 04- 15 2020- 05 -01 2020-05- 15 2020- 06 -01Date
NB: Run Date 2020- 05 -01; IDD Combined
VICES
COVID -19Response Data & Analytics Task Force
FOUO Only
11D SECU
H U.S.
DE
COVID - 19HHS/FEMA Interagency VTCENT
OFHE
VELAN URITYSECU
Community Mitigation
Task Force
CDC Assistance for High Risk Settings
(asof 11:00AM EDT,May 1, 2020)
MEMT
ND
ORMN
NHSD WI
WY ��
PANENV RI
IL IN OH
MO NJ
NCDE
AZ
NMAR MD
AL D.C
Stateswith CDC staff currently deployed to assist in
high risk settingsCurrent Previous
term Care Facilities
of Corrections/Prisons
Puerto Rico FoodIndustry
HomelessPopulations
*Data reflect cumulativedeploymentscoordinated by the Health DepartmentTask Force since April3 , 2020
&HUMA
COVID -19Response Community Mitigation Task Force 1OMELA
Response to Meat and Poultry ProcessingFacilities
To slow the spread ofCOVID -19 in meat andpoultry processingfacilities :
production considered critical
infrastructure
reported in facilities across 23 states
Field teams currently deployed to 8 states
Special considerations for IPC:
Facility layout and operations limit social
distancing options
Personnel and administrative policies
Diverse workforce
Working communities and transportation
Screen workers forsymptoms
Increase space betweenworkers
Enhance cleaning anddisinfection
Providemultilingualeducation/training
Dyal JW , GrantMP, Broadwater , et al. COVID -19 Among
Workers in Meat and Poultry Processing Facilities
States, April 2020 .MMWR Morb MortalWkly Rep . ePub :
1May 2020 .
SERVICES
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COVID -19Response Community Mitigation Task Force 14 1OMELAENT
OFH
MMWR: Meat and Poultry Processing
As ofApril 27, COVID -19 outbreaks had been reported in 23 states; among 19statesreporting data for the MMWR, 115meat or poultry processing plantshad COVID - 19 cases.Outofover 130,000 workers in these affectedmeat or poultry processingplants, 3 % were identified ashaving COVID - 19. Among workers, 20 COVIDrelated deaths were reported .
Several facilities noted challenges in preventing and controlling the spread of
COVID - 19 , such as difficulties with
increasing physical space between employees at theworksite;
using face coverings as recommended; or
communicating safety information to workers in a wide variety oflanguages .
RVICESSER
COVID -19Response Community Mitigation Task Force 15OFHE
HOMELAND
H U.S.
DE
COVID -19 HHS/ FEMA Interagency VTCENT
OFHE
VELAN URITYSECU
Community Based Testing Sites
Task Force
CDC Guidelines: Collecting, Handlingand Testing COVID - 19Specimens
Summary of Recent Changes
Revisionsweremade on April 29, 2020 to reflect the following:
Update guidance on viral transport medium ( ) to note that somepoint-of-care tests advise against its use.
• Remove preference for NP swabs
Update guidance foruse of personalprotective equipment while obtaining specimens.
Revisionswere made on April 14, 2020 to reflect the following:
Clarify specimen collection procedures for all swab types and align with other respiratory disease specimen collection
guidelines
SERVICES
OFFICE OF THE
ASSISTANT SECRETARY FOR HEALTH 17
H U.S.
DE
COVID - 19HHS/FEMA Interagency VTCENT
OFHE
VELAN URITYSECU
Supply Chain
Task Force
COVID - 19 By the Numbers
56
Major Disaster Declarations
approved in all50 states,5 territories andWashington DC
$ 5 . 8 billionin emergency protective
measures
216107 51
airbridge flightmissions
messages
to cellphonesvia theWirelessEmergency
Alert System
to broadcaststationsvia the
Emergency Alert System
criticalsupplies shipped
7.3 million 111.8 million 607,283 903.0 million 78.5 million 17.0 million
face shieldsface surgicalmasks coveralls gloves N95respirators gowns
6 . 4 million1. 2 +
billionsamples tested , 067
140,617 tested at
Community -Based Testing Sites
110, 779 private partner site samples
ventilators available
timespeopleviewed
info on CDCwebsites
FEMANumbersas of 5/ 02/ 2020