COVID-19

Situation ReportMay 1, 2020

as of 5:00 PM

COVID-19 State Dashboard

Updated as of 4:00 PM 5/1/2020

Virginia COVID-19 Map Tool or ARCGIS

You must have a username and password to access

VHHA COVID-19 Dashboard

Updated as of 4:00 PM 5/1/2020

VHHA COVID-19 Trend Data on AGOLYou must have a username and password to access AGOL with

trend data – daily data publicly available at VHHA Dashboard

Incident Objectives1. PUBLIC HEALTH SURVEILLANCE: Current Surveillance (identify cases) of COVID - 19, to

include the development of tracking tools and dashboards of Virginia.

2. CONTAINMENT: Identifying cases early and isolating them; conduct contact tracing and

quarantine them.

3. COMMUNITY MITIGATION: Implement social distancing strategies to prevent spread.

4. COORDINATE HEALTHCARE SERVICES.

5. COMMUNICATIONS: Communicate to the public, business community, and state employees in

a transparent and consistent means across state government.

6. PLANNING: Review, assess, and develop contingency plans for

a) Medical Supplies and PPE

b) Medical Surge

c) Telework

d) Trigger points for (A) public health emergency requiring quarantine or isolation; (B) state

emergency declaration; and (C) limitations on mass gatherings, schools, and/or

transportation.

e) COOP & COG

7. TRAINING, EDUCATION and EXERCISE: Identify and provide training, education and exercise

materials to state employees and response partners.

8. POLICY GUIDANCE: Provide consistent policy guidance across state government.

9. COSTS: Track financial costs for COVID – 19

10. WORKFORCE HEALTH and SAFETY: establish appropriate measures for the safety and

wellness of state workforce.

COVID-19 Organizational Chart

ESF-8 Public Health & Medical Updates

6

• VDH has launched a revised and more interactive version of the daily COVID-19 Cases in

Virginia report. Additionally, the Weekly COVID-19 Activity Report has been rebranded

as COVID-19 Data Insights, which will complement the COVID-19 Cases in Virginia report

with more in-depth analyses. VDH will update the COVID-19 Data Insights as new analyses

become available.

• The Office of the Governor, VDH Office of Health Equity and the VEST Health Equity

Workgroup will host two upcoming webinars:

• Rural Community Conversation – May 5th from 6:00-7:00 pm

• People with Disabilities Community Conversation – May 6th from 6:00-7:00 pm

Current level of community transmission in Virginia: Widespread

Number of Medical Reserve Corps (MRC) volunteers deployed on 5/1/20: 146

Number of visits made to the VDH COVID-19 website on 4/30/20: 394,044

Number of calls received by VDH (877-ASK-VDH3) and local health district call centers on

4/30/20:526

For epidemiological data, please see the COVID-19 Cases in Virginia report and the COVID-19 Data Insights

report.

ESF-8 Public Health and Medical Updates

7

New/updated VDH resources:

• COVID-19 Testing

• VDH Point Prevalence Survey Guidance for Long-Term Care Facilities

• American Veterinary Medical Association flow chart for testing for SARS-CoV-2

New/updated Federal resources:

• CDC COVID-19 County Data

• Criteria for Return to Work for Healthcare Personnel with Confirmed or Suspected

COVID-19 (Interim Guidance)

• Discontinuation of Home Isolation Guidance

• Mitigate Healthcare Personnel Staffing Shortages

• Clinical Care Guidance for Healthcare Professionals about Coronavirus (COVID-19)

• Guidance for Blood and Plasma Facilities

• Keeping Children Healthy While School’s Out

• Ten Clinical Tips on COVID-19 for Healthcare Providers Involved in Patient Care

• First Responders and Law Enforcement

• SARS-CoV-2 Sequencing for Public Health Emergency Response, Epidemiology, and

Surveillance(SPHERES)

ESF-8 Public Health and Medical Updates

8

New/updated Federal resources:

• MMWR Articles:

• Public Health Response to the Initiation and Spread of Pandemic COVID-19 in the United

States, February 24–April 21, 2020

• Summary: Various factors contributed to accelerated spread during February–March

2020, including continued travel-associated importations, large gatherings, introductions

into high-risk workplaces and densely populated areas, and cryptic transmission resulting

from limited testing and asymptomatic and presymptomatic spread. Targeted and

communitywide mitigation efforts were needed to slow transmission. Factors that

amplified the March acceleration and associated mitigation strategies that were

implemented can inform public health decisions as the United States prepares for

potential re-emergences.

• COVID-19 Among Workers in Meat and Poultry Processing Facilities ― 19 States, April 2020

• Summary: COVID-19 cases among U.S. workers in 115 meat and poultry processing

facilities were reported by 19 states (Including VA). Among approximately 130,000

workers at these facilities, 4,913 cases and 20 deaths occurred. Factors potentially

affecting risk for infection include difficulties with workplace physical distancing and

hygiene and crowded living and transportation conditions. Improving physical distancing,

hand hygiene, cleaning and disinfection, and medical leave policies, and providing

educational materials in languages spoken by workers might help reduce COVID-19 in

these settings and help preserve the function of this critical infrastructure industry.

COVID-19 Workgroup Updates

• Healthcare Coordination

• The Office of EMS has developed an informational flyer to help stress the importance of

not delaying treatment for time-sensitive medical emergencies.

• Medical surge planning for Department of Corrections facilities and local/regional jails is

ongoing.

• Public Health Surveillance & Guidance

• Technical assistance for outbreaks and point prevalence surveys (PPS) is being

provided. A total of 19 PPS requests have been received to date.

• Planning efforts are underway to expand contact tracing capacity at local health districts

to complement a planned increase in testing.

• Community Mitigation

• Guidance is being developed for various business and community sectors as the plan to

reopen Virginia is considered.

• Outreach with various groups (funeral directors, poultry plants, business leaders, etc.)

continues.

COVID-19 Workgroup Updates

• Testing Capacity & Coordination

• A map of testing sites in Virginia is available on the VDH website. Additional sites can be

added to the VDH website through submission of an online form.

• Provider Outreach & Detailing

• The Virginia Medical Reserve Corps (MRC) has launched a new website with step-by-

step instructions, templates and resources for facilities to request MRC volunteers to

support long-term care and hospital medical surge.

• The MRC continues to recruit and deploy medical and non-medical volunteers to bolster

the work of local health departments, hospitals, and healthcare providers.

Emergency Support Functions (ESFs)

Human Services Branch

Emergency Support Functions (ESFs)

Human Services Branch

Emergency Support Functions (ESFs)

Emergency Services Branch

Emergency Support Functions (ESFs)

Emergency Services Branch

Emergency Support Functions (ESFs)

Infrastructure Branch

Emergency Support Functions (ESFs)

Infrastructure Branch

Region 5

Number of Cases (by Region): 2,520 cases / 79 fatalities

Accomplishments Significant Activity Next 24-72 Hours

• PPE deliveries coordinated on 4/27.

• Emergency request for CGH.

• Conducted Region 5 Call with locality partners.

• Monitoring outbreak on Eastern Shore.

• Coordinate this week’s PPE deliveries.

• Continue ACF Coordination Calls.

• Coordinate Battelle System.

• Monitor critical PPE needs.

• Maintain coordination with VDH.

Regional Support East

Region 7

Number of Cases (by Region): 8,912 cases / 255 fatalities

Accomplishments Significant Activity Next 24-72 Hours

• Fielded questions from localities regarding order process.

• Worked to clarify recovery guidelines

• Progressing through ACF modeling using new modeling data

• Local Emergency Managers call to coordinate reopening

considerations.

• NVHA receiving a shipment of PPE at the NVERS

warehouse.

Region 1

Number of Cases (by Region): 2,392 cases / 177 fatalities

Accomplishments Significant Activity Next 24-72 Hours

• Identified site for Battelle System.

• Responded to urgent PPE requests from localities and

coordinating supply delivery.

• Coordinate Battelle delivery, installation, and messaging.

• Distribute recovery information to locals, PNPs, authorities,

towns, and respond to inquiries.

• Continue to participate in hospital surge planning

Regional Support WestRegion 2

Number of Cases (by Region): 1,101 cases / 19 fatalities

Accomplishments Significant Activity Next 24-72 Hours

• Maintained situational awareness of current severe weather

threats and regional power outages

• Coordinated resource requests at the regional level.

• Coordinate PPE requests at the regional level.

• Accepting and distributing PPE.

• Coordinating and supporting localities and regional partners.

• Planning support to localities for Mass Fatality, Congregate

Sheltering and PPE acquisition.

• Development of a regional dashboard.

Region 3

Number of Cases (by Region): 1,411 cases / 38 fatalities

Accomplishments Significant Activity Next 24-72 Hours

• Worked with VDEM Grants as well as individuals from public

schools, local governments and correctional institutions on

initial damage assessment activities including an explanation

of FEMA policies under the Public Assistance Program.

• National Guard CBRN team conducted PPE training at a LTCF

in Albemarle, currently 450 training and ongoing.

• Agreement completed with VANG to utilize Lynchburg Armory

for R3 PPE POD.

• Conducted weekly call with local EMs and Health Partners.

• Communicate with local emergency managers who have not

entered initial damage assessment information into Virginia

PA.

• Monitoring large outbreak at a correctional facility in

Buckingham County.

• Working with COVID-19 UC, Health Equity WG, and City of

Harrisonburg to conduct community outreach and distribute

masks and hand sanitizer to at risk populations

Regional Support West

Region 4

Number of Cases (by Region): 169 cases / 6 fatalities

Accomplishments Significant Activity Next 24-72 Hours

• Worked with VDEM Grants as well as individuals from public

schools, local governments and correctional institutions on

initial damage assessment activities.

• Worked on an approved mask list for the Battelle System.

• Communicate with all local emergency managers who have

not entered initial damage assessment information into

Virginia PA.

Region 6

Number of Cases (by Region): 396 cases / 7 fatalities

Accomplishments Significant Activity Next 24-72 Hours

• Transferred execution of PPE distro to VANG LNO.

• Worked with VA Tech to put MOU in place for Battelle.

• Conducted conference calls with regional stakeholders.

• Provided Materials Support to Floyd Co.

• Work to implement test courier – VANG

• Execute implementation of Battelle System at VA Tech.

• Support local fatality management planning.

• Coordinate with VDH/NSPA to support LTCs.

• Assist in Floyd Co. Cyber Incident.

COVID-19 Call Schedule800 830 900 930 1000 1030 1100 1130 1200 1230 1300 1330 1400 1430 1500 1530 1600 1630

Fri

day

, M

ay 0

1

CRC Call

Cabinet Brief(9:15) VDH COVID-

19 Leadership Group

VDH COVID-19

Partner Call (11-11:15)

LOGS

Buying

Call

Check-In

FEMA All States CallMedical Workforce

Subcommittee VDH

Tactics

Meeting

CDC Returning Traveller

DiscussionSecretary

Brief

Partner State

Agency &

Organization

Briefing

Mass Fatality - OCME

District Office

Teleconference

VDH Community

Mitigation Working Group

Daily Plans

SyncEMS Subgroup

Governor's Press

Briefing

VEST

Tactics

MeetingMass Fatality - Local

Health Districts Call

Weekly Port Partner Call

VDH Meeting LHDsEconomic Crisis Strike

Force Meeting

Provider Outreach Workforce

Subgroup

Private Sector Team

CallVDEM R1 Call

Meat and Poulty Facility

Workgroup

Sat

urd

ay,

May

2

Cabinet Brief VDH

Tactics

Meeting

Secretary

BriefDaily Plans

Sync

Sund

ay,

May

3

Cabinet BriefVDH

Tactics

Meeting

Secretary

BriefDaily Plans

Sync