NPAIHB COVID-19 Weekly Update - August 24, 2021 Please sign in using the chat box
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NPAIHB COVID-19
Weekly Update
August 24, 2021
Please sign in using the chat box:
Enter the tribe or organization you are representing
and names of all people participating with you today
Information for Today’s Call
Agenda Guidelines
• Welcome & Introduction: Chairman Lewis • Please place yourself on mute
• NPAIHB COVID-19 Situation Report: Celeste Davis unless speaking
• Data Update: Victoria Warren-Mears • Sign in, using chat box, with
• Indian Health Service Update: Dean Seyler, Geniel your tribe/organization and
Harrison, Ashley Tuomi names of all participants
• State Partner Updates: • Use the chat box for
• Washington: Lou Schmitz, Tamara Fife, Jessie Dean, and questions, for Q&A after
Tam Lutz
updates and announcements
• Oregon: Julie Johnson, Candice Jimenez, and Sue Steward
• Idaho: Joyce Broadsword, Liz Coronado, and Jessica
Leston
NPAIHB COVID-19 Situation Report Celeste Davis
COVID Emergency Response - NPAIHB
Situation Report: 8/24/21
Come on people now, smile on your brother…
• Full FDA approval of Pfizer vaccine, 16+, “Comirnaty”
• J&J for 18+, Moderna for 16+, Pfizer for 12-15 remain EUA approved
• Additional dose of Pfizer or Moderna for immunocompromised
• 28 days post 2nd dose of Pfizer or Moderna vaccine, specific conditions
• Anticipate full approval of other COVID vaccines and development of
childhood vaccines, “booster” for adults 8 months post
• Unvaccinated are the problem – behavioral health risk or
social risk?
Let us know about testing supply and capacity challenges or other
unmet public health or medical needs
Upcoming Indian Country ECHO telehealth opportunities
• Trans & Gender Affirming Care ECHO – 2nd & 4th Monday of every
month at 11am PT:
• Monday, August 23rd at 11am PT
• To learn more and join: https://www.indiancountryecho.org/program/trans-
and-gender-affirming-care/
• HCV/ SUD ECHO – 4th Wednesday of every month at 11am PT:
• Wednesday, August 25th at 11am PT
• To learn more and join: https://www.indiancountryecho.org/program/hepatitis-
c/
Upcoming Indian Country ECHO telehealth opportunities
• Behavioral Health ECHO – 4th Thursday of every month at 12pm PT:
• Thursday, August 26th at 12pm PT
• To learn more and join:
https://www.indiancountryecho.org/program/behavioral-health-echo/
• Maternal & Child Health ECHO – 4th Thursday of every month at 12pm PT:
• Thursday, August 26th at 12pm PT CANCELLED this week
• To learn more and join: https://www.indiancountryecho.org/program/maternal-
and-child-health/
• COVID-19 ECHO – Next Session
• Wednesday, September 1st at 12pm PT
• To learn more and join: https://www.indiancountryecho.org/events/covid-19-
echo-september-1-2021/
Data Update Victoria Warren-Mears
Cumulative AI/AN COVID-19 Cases 1. King County, WA 2. Multnomah County, OR 3. Jefferson County, OR 4. Yakima County, WA 5. Spokane County, WA 6. Snohomish County, WA 7. Whatcom County, WA 8. Pierce County, WA 9. Marion County, OR 10. Bannock County, ID
Characteristics of COVID-19 Cases through 8/21
Regional COVID-19 Data Race N %
AI/AN 16,475 1.7%
Non-AI/AN 589,670 59.5%
Unknown 385,684 38.9%
Total 991,829 100.0%
EpiCurve of COVID-19 Cases by Week
Case Status AI/AN State Total
Laboratory Confirmed 91.3% 89.7%
Probable 8.7% 10.3%
Sex AI/AN State Total
Male 45.3% 48.1%
Female 52.3% 49.9%
Other 0.0% 0.0%
Missing/Unknown 2.3% 2.0%
Age Group AI/AN State Total
0-9 8.0% 5.4%
10-19 14.1% 11.9%
20-29 21.1% 20.9%
30-39 18.7% 17.9%
40-49 14.6% 15.1%
50-59 11.4% 12.6%
60-69 7.5% 8.5%
70-79 3.3% 4.6%
80+ 1.3% 3.0%
Missing 0.0% 0.0%
Hospitalization Status AI/AN State Total
Hospitalized 6.8% 5.3%
Not Hospitalized 79.8% 80.2%
Unknown 13.4% 14.5%
Data Source: CDC COVID-19 Case Surveillance DataState of Idaho Take Home Messages • In Idaho, AI/AN COVID-19 cases have increased 61% over the past 4 weeks of complete data, while total COVID-19 cases have increased 150%. • Idaho vaccination average per day is increasing.
Characteristics of COVID-19 Cases through 8/21
Idaho COVID-19 Data
Race N %
AI/AN 2,633 1.2%
Non-AI/AN 141,848 66.7%
IDAHO Unknown 68,251 32.1%
Total 212,732 100.0%
EpiCurve of COVID-19 Cases by Week
Case Status AI/AN State Total
Laboratory Confirmed 82.9% 79.9%
Probable 17.1% 20.1%
Sex AI/AN State Total
Male 42.1% 47.7%
Female 56.1% 51.7%
Other 0.0% 0.0%
Missing/Unknown 1.8% 0.6%
Age Group AI/AN State Total
0-9 7.0% 3.8%
10-19 15.6% 11.9%
20-29 19.0% 20.5%
30-39 18.7% 16.8%
40-49 14.1% 15.3%
50-59 10.5% 13.0%
60-69 8.8% 9.6%
70-79 4.3% 5.7%
80+ 2.1% 3.5%
Missing 0.0% 0.0%
Hospitalization Status AI/AN State Total
Hospitalized 7.2% 4.5%
Not Hospitalized 61.5% 65.3%
Unknown 31.3% 30.3%
Data Source: CDC COVID-19 Case Surveillance DataState of Oregon Take Home Messages • In Oregon, AI/AN COVID-19 cases have increased 121% over the past 4 weeks of complete data, while total COVID-19 cases have increased 184%. Oregon total cases are at their highest level since the pandemic began in early 2020. • Total emergency department visits in Oregon decreased for the total population, and AI/AN ED visits increased for the last 2 weeks. • AI/AN and total ED visits with a COVID diagnosis have risen sharply over the past 2 weeks. The AI/AN COVID visit rate increased by 168% and the total visit rate increased by 45%. Visits rates for COVID-like illness have followed a similar upward trend. • AI/AN ED visits rates for pneumonia increased for the last two weeks. Pneumonia ED visit rates for the total population increased by 20% over the past two weeks. • ED visit rates for influenza-like illness in the total population appear to be increasing over time and increased for AI/AN last week. • ED visit rates for suspected vaccine adverse events remain low for the AI/AN population; there have been
Characteristics of COVID-19 Cases through 8/21
Oregon COVID-19 Data Race N %
OREGON AI/AN 6,005 2.4%
Non-AI/AN 194,702 77.7%
Unknown 49,937 19.9%
Total 250,644 100.0%
EpiCurve of COVID-19 Cases by Week
Case Status AI/AN State Total
Laboratory Confirmed 96.5% 96.5%
Probable 3.5% 3.5%
Sex AI/AN State Total
Male 45.4% 48.0%
Female 53.4% 50.6%
Other 0.1% 0.0%
Missing/Unknown 1.1% 1.3%
Age Group AI/AN State Total
0-9 7.8% 5.3%
10-19 14.0% 11.8%
20-29 20.8% 20.8%
30-39 18.8% 17.6%
40-49 15.1% 15.2%
50-59 11.7% 12.7%
60-69 7.4% 8.6%
70-79 3.3% 4.9%
80+ 1.2% 3.2%
Missing 0.0% 0.0%
Hospitalization Status AI/AN State Total
Hospitalized 7.1% 5.3%
Not Hospitalized 69.8% 62.9%
Unknown 23.1% 31.8%
Data Source: CDC COVID-19 Case Surveillance DataOregon State COVID-19 and BH Visits
COVID-19 & Behavioral Health Emergency Department Indicators by Race, Oregon State,
12/22/2019 - 08/21/2021
Rates per 10,000 Emergency Department (ED) Visits
Covid-related Behavioral Health
COVID-19
Covid Influenza Vaccine-
Coronavirus Pneumonia Influenza Drug Suicide Suicide Psychological
Like Like associate
Diagnosis Diagnosis Diagnosis Overdose Ideation Attempt Distress
Illness Illness d Adverse
Events
AI/AN 180.2 298.2 189.2 194.3 58.9 2.8 82.5 145.7 41.6 198.8
non-AI/AN 117.1 240.1 161.1 172.7 47.4 2.8 63.5 106.3 29.6 176.1
Oregon State 118.5 243.7 161.4 175.7 47.7 2.8 63.6 106.5 29.7 176.2Washington State Take Home Message • In Washington, AI/AN COVID-19 cases have increased 237% over the past 4 weeks of complete data, while total COVID-19 cases have increased 235%. • Total health care visits in Washington have decreased slightly last week for both AI/AN and the total state population. • AI/AN and total health care visits with a COVID diagnosis have decreased over the past 2 weeks, though still higher than that of one month ago. Compared to 2 weeks ago, the AI/AN COVID visit rate decreased by 5% and the total visit rate increased by 25%.Visits rates for COVID-like illness have followed a similar upward trend. • Healthcare visit rates for pneumonia or influenza-like illness have not changed much for AI/AN for the total population since two weeks ago. • Healthcare visit rates for suspected vaccine adverse events remain low for the AI/AN population; there have been
Characteristics of COVID-19 Cases through 8/21
Washington COVID-19 Data
Race N %
AI/AN 7,837 1.5%
Non-AI/AN 253,120 47.9%
Unknown 267,496 50.6%
Total 528,453 100.0%
EpiCurve of COVID-19 Cases by Week
Case Status AI/AN State Total
Laboratory Confirmed 90.2% 90.3%
Probable 9.8% 9.7%
Sex AI/AN State Total
Male 46.4% 48.3%
Female 50.2% 48.9%
Other 0.0% 0.0%
Missing/Unknown 3.4% 2.9%
Age Group AI/AN State Total
0-9 8.4% 6.1%
10-19 13.7% 12.0%
20-29 22.0% 21.1%
30-39 18.6% 18.5%
40-49 14.5% 15.0%
50-59 11.5% 12.4%
60-69 7.1% 8.1%
70-79 3.0% 4.1%
80+ 1.1% 2.7%
Missing 0.1% 0.1%
Hospitalization Status AI/AN State Total
Hospitalized 6.3% 5.6%
Not Hospitalized 93.7% 94.4%
Unknown 0.0% 0.0%
Data Source: CDC COVID-19 Case Surveillance DataWashington State COVID-19 and BH Visits
COVID-19 & Behavioral Health Care Visit Indicators by Race, Washington State, 12/22/2019 - 08/21/2021
Rates per 10,000 Health Care Visits
Covid-Related Behavioral Health
COVID-19
COVID Covid-Like Pneumonia Influenza- Influenza Vaccine- Drug Suicide Suicide Psychological
Diagnosis Illness Diagnosis Like Illness Diagnosis associated Overdose Ideation Attempt Distress
Adverse Events
AI/AN 66.6 124.5 68.2 52.7 18.8 2.0 33.4 52.1 14.1 295.8
non-AI/AN 54.9 97.4 59.5 47.8 17.7 2.2 15.0 33.1 7.1 316.6
WA State 54.3 96.7 58.1 47.7 17.6 2.2 15.0 33.3 7.1 311.7Data Notes
• Data Source: CDC’s COVID-19 Case Surveillance Data, accessed
through the HHS Protect System
• Data Notes:
• Data include probable and laboratory confirmed cases of SARS-CoV-2 reported
to CDC by state health departments
• AI/AN cases include all records where the variable race_aian = “Yes”
• Data are restricted to cases among residents of Idaho, Oregon, and WashingtonIndian Health Service Update Dean Seyler, Geniel Harrison, Ashley Tuomi
State Partner Updates Washington AIHC/DOH/HCA: Lou Schmitz, Tamara Fife, and Jessie Dean NPAIHB: Tam Lutz Oregon OHA: Julie Johnson NPAIHB: Candice Jimenez and Sue Steward Idaho DHW: Joyce Broadsword NPAIHB: Liz Coronado and Jessica Leston
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