COVID-19 SITUATIONAL REPORT - AASTEC TRIBAL SERVICE AREA - NM, SW CO, AND WEST TEXAS - Albuquerque Area ...

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COVID-19 SITUATIONAL REPORT - AASTEC TRIBAL SERVICE AREA - NM, SW CO, AND WEST TEXAS - Albuquerque Area ...
COVID-19 SITUATIONAL REPORT
 AASTEC TRIBAL SERVICE AREA – NM, SW CO, AND WEST TEXAS

                            DAILY HIGHLIGHTS – December 9, 2021
76% of the eligible population has received at least one dose of a COVID vaccine in the US, and 64.3% are fully
vaccinated. Almost 25% of the total US population has received a booster dose. The 7-day average of vaccine doses
administered in the United States have risen to about 1.9 million, including 2.4 million given on December 8.

The number of new COVID-19 cases, hospitalizations, and deaths throughout the U.S. increased this past week.
According to the CDC, the average number of new COVID-19 cases are about 118,000 a day. The total number of new
COVID-19 cases for the week that ended Dec. 5 was 848,258, an increase of 64 percent from the previous week. Deaths
attributed to COVID-19 for the same time period were listed as 9,114, a jump of almost 60 percent from the prior week.
Hospitalizations are sitting at about 59,000, around 9,000 more than late last week. In 12 states, the seven-day average
of admissions with COVID-19 has climbed at least 50% from two weeks earlier.

The FDA on Thursday authorized the Pfizer/BioNTech COVID-19 vaccine for use as a booster in people ages 16 and
17, and the CDC also recommended it for this age group. It's the first COVID-19 vaccine booster authorized for 16- and
17-year-olds in the U.S. Just as with adults, 16- and 17-year-olds are eligible to receive a booster dose six months after
their second dose of the Pfizer/BioNTech vaccine. About 2.6 million US teens in this age group would be eligible for
boosters already, in addition to the 141 million adults already eligible for boosters.

Two studies from Israel published Wednesday in The New England Journal of Medicine showed booster doses of
Pfizer/BioNTech's coronavirus vaccine reduced infections tenfold and reduced COVID-19 deaths by 90%. While deaths
and severe cases were low among fully vaccinated people, booster shots lowered them dramatically more. It's more
evidence that boosters not only restore waning immunity, but improve protection against emerging coronavirus
variants. Likewise, Pfizer and BioNTech announced that preliminary lab studies show a third dose of the Pfizer/BioNTech
vaccine can improve protection against Omicron.

The US began requiring international travelers to show proof of a negative COVID test taken no more than a day before
their flight on Monday. This move is intended to limit the spread of the omicron variant.
COVID-19 SITUATIONAL REPORT - AASTEC TRIBAL SERVICE AREA - NM, SW CO, AND WEST TEXAS - Albuquerque Area ...
NEW MEXICO
During a New Mexico Department of Health COVID-19 update, state health officials announced hospitals are continuing
to see a high number of hospitalizations. A total of eight hospitals in NM have enacted crisis standards of care. Two
hospitals in Albuquerque have a large list of patients waiting for a hospital bed, one hospital has 65 people waiting,
while the other has 90 people. The influx of patients are due to patients delaying care and coming into emergency
rooms sicker and taking long to recover, and more patients hospitalized due to COVID-19.

Booster doses are available to everyone 18 and older in New Mexico. Appointments can be made at vaccinenm.org

According to an amended public health order issued last week, the state of New Mexico will require workers in high-risk
settings receive a booster shot when eligible. High risk environments include health care workers and those who work in
congregate-care settings. Public school and state employees must submit to weekly COVID testing if they are not
vaccinated. The amended public health order requires those categories of workers to receive a booster by Jan. 17, 2022
or within a month of eligibility.

New Mexico COVID-19 Cases Overview
The table below shows new and total counts of COVID-19 cases, tests, hospitalizations, deaths, and vaccine
information within NM. Unless otherwise noted, these numbers are reported as of 5 p.m. MT on 12/9/2021.

                       THURS                FRI          SAT/SUN/MON                    TUES           WED           THURS
                         12/2              12/3            12/4 - 12/6                  12/7           12/8           12/9
     NEW
    CASES              2046              2385                   3791                    961 1441 1619
     NEW
   DEATHS               14                14                     12                      11  15   14
       7-day average                           Total Cases                                 Total Deaths

           1,596                           328,332                                          5,459
       Daily Tests Administered per 1,000 People                                     Percent Positive Tests

                              7.0                                                           10.4%
                                                                        Total Vaccine Doses           % of Received Doses
    Currently Hospitalized                Total Hospitalized
                                                                              Received                   Administered

              716                            21,211                    3,223,249                             87%
                                         % Population Received at Least                      % Population Received
        Total Shots Given
                                              One Vaccine Dose                                Two Vaccine Doses

     3,707,185                                          78%                                           64%
*COVID related deaths are reported when a death certificate has been issued and some death certificates are delayed due to
insufficient information.

                                                                                                                    Page 2 of 22
COVID-19 SITUATIONAL REPORT - AASTEC TRIBAL SERVICE AREA - NM, SW CO, AND WEST TEXAS - Albuquerque Area ...
Number of COVID-19 Cases over Time in New Mexico
350000

300000

250000

200000

150000

100000

 50000

       0
       15-Mar   15-May        15-Jul       15-Sep   15-Nov        15-Jan       15-Mar      15-May       15-Jul        15-Sep        15-Nov

                                       New COVID-19 Cases by Day - New Mexico
4000

3500

3000

2500

2000

1500

1000

 500

   0
  3/11/2020       6/11/2020             9/11/2020   12/11/2020             3/11/2021        6/11/2021            9/11/2021
                                                    New Cases              7 Day Average

                                       New COVID-19 Deaths by Day - New Mexico
 120

 100

  80

  60

  40

  20

  0
 3/11/2020        6/11/2020             9/11/2020    12/11/2020            3/11/2021        6/11/2021             9/11/2021

                                                    New Deaths             7 Day Average

* NOTE: New Mexico added 110 COVID-related deaths to the state's total on May 24, 2021, after the New Mexico
Department of Health (NMDOH) said they completed an audit of public health records.

                                                                                                                              Page 3 of 22
COVID-19 SITUATIONAL REPORT - AASTEC TRIBAL SERVICE AREA - NM, SW CO, AND WEST TEXAS - Albuquerque Area ...
NM Average Number of COVID Cases and Deaths by Month
                              Average Number of New Cases per day in NM by Month
                                      AASTEC Situational Awareness Report
1800                                                                 1686.8
1600                                                                        1476.4
1400
1200
                                                                                   1006.5
1000
                                                                                                                                                     772.1
 800                                                                                                                                   704.5 680.3
                                                             550.2
 600
                                                                                            395.3
 400                                   272.7
                                                                                                    210.3 202.7 172.1          168.8
                   103.2 141.1 150.4           153.3 136.1
 200                                                                                                                    82.5
           15.0
     0

                                    Average Number of Deaths per day in NM by Month
                                          AASTEC Situational Awareness Report
35
                                                                            29.3
30
                                                                                   26.0
25

20                                                                   18.3
                                                                                            15.5
15
                                                                                                                                               9.4
10                      7.5                                                                                                                           8.3
                                                                                                    7.1         6.4
                  3.9         4.7      4.7     4.4           4.5                                          4.3
 5                                                   3.3                                                                2.5             3.5
                                                                                                                                2.3
         0.2
 0

                                                                                                                                              Page 4 of 22
COVID-19 SITUATIONAL REPORT - AASTEC TRIBAL SERVICE AREA - NM, SW CO, AND WEST TEXAS - Albuquerque Area ...
New Mexico COVID-19 Cases and Deaths by County
              COVID-19 Case and Death Rates in New Mexico by County*
             County           Total Cases (Rate per 100,000)   Total Deaths (Rate per 100,000)
           Bernalillo                 91622 (13491.3)                   1207 (177.7)
             Cibola                   4237 (15883.8)                     153 (573.6)
             Lincoln                  3530 (18036.0)                      42 (214.6)
           McKinley                   17113 (23978.9)                    529 (741.2)
              Otero                   8670 (12846.3)                     130 (192.6)
           Rio Arriba                 5953 (15295.1)                      87 (223.5)
            San Juan                  27407 (22109.9)                    608 (490.5)
           Sandoval                   19730 (13444.8)                    291 (198.3)
            Santa Fe                  15561 (10349.3)                    185 (123.0)
            Socorro                   2314 (13908.8)                      66 (396.7)
              Taos                     3057 (9342.1)                      71 (217.0)
      New Mexico Overall             328332 (15658.5)                   5459 (260.3)
      United States Overall        49458520 (15067.8)                  790766 (240.9)
                                        Sources: US Census, NMDOH, CDC, Data updated 12/9/2021

New Mexico COVID-19 Cases by County & per 100,000 Population

                                                                                             Page 5 of 22
COVID-19 SITUATIONAL REPORT - AASTEC TRIBAL SERVICE AREA - NM, SW CO, AND WEST TEXAS - Albuquerque Area ...
New Mexico COVID-19 Cases by Race/Ethnicity, Gender & Age
                   Cases of COVID-19 in New Mexico by Race/Ethnicity
100%
 90%
 80%
 70%
 60%
 50%                        44.0%
 40%
 30%
                                               20.0%
 20%       13.8%                                                                                 16.4%

 10%                                                           1.3%             0.8%
 0%
           AI/AN            Hispanic           White      African American      Asian           Unknown

  Cases of COVID-19 in New Mexico by Age Group
       AGE GROUP              PERCENT OF CASES
                                                                Cases of COVID-19 in New
          0-9                          7.8%
                                                                   Mexico by Gender
         10-19                         13.8%
         20-29                         18.2%
         30-39                         17.4%                      Male,                       Female,
                                                                  47.7%                        52.3%
         40-49                         14.3%
         50-59                         12.1%
         60-69                         9.0%
         70-79                         4.7%
         80-89                         2.1%
          90+                          0.6%

New Mexico General Resources
 ● To register for vaccinations, go to the NMDOH website. For assistance, dial 1-855-600-3453, press option 0
   for vaccine questions, and then option 4 for tech support. The hours of the hotline are Mon-Fri 8am to 5pm.
 ● New Mexico COVID-19 Hotline: 1-855-600-3453, Non-Health COVID-19 Call-line: 1-833-551-0518
 ● New Mexico COVID-19 Senior Food Helpline: 1-800-432-2080
 ● NMConnect app (available for iPhone and Android) is a one-stop for Behavioral Health Resources
 ● COVID Safe Practices for Individuals and Employers
 ● COVID-19 in New Mexico Data Dashboard
 ● New Mexico Indian Affairs Department COVID-19 Response Document
 ● Check your COVID-19 test results here
 ● New Mexico Data Modeling Microsite
 ● New Mexico Department of Health COVID-19 Website
 ● Information for Workers affected by COVID-19

                                                                                                  Page 6 of 22
COVID-19 SITUATIONAL REPORT - AASTEC TRIBAL SERVICE AREA - NM, SW CO, AND WEST TEXAS - Albuquerque Area ...
Testing Sites in New Mexico
  ● In addition to IHS/Tribal/Urban Indian health facilities, testing sites and testing information provided by
    the New Mexico Department of Health and private partners can be found online at the NMDOH website.

New Mexico Public Health Orders and Guidelines in Effect
The most current NMDOH Public Health Order can be found on the NMDOH COVID-19 website. The Public Health
Emergency Order clarifies the Current Guidance, Advisories, and Emergency Public Health Orders Remain in Effect;
and amends Prior Public Health Emergency Orders to Impose County-by-County Restrictions Due to COVID-19.

The public health order includes directives on:
  • Red to Green Framework.
  • Mask wearing.
  • Rapid responses for “essential” and “nonessential” businesses.
  • COVID-Safe Practices for businesses, houses of worship, and other non-profit entities.
  • COVID-Safe Practices educational institutions serving children and young adults.
  • Capacity level and restrictions for State museums.

Beginning 4/23/21, New Mexico enacted Public Health Order Emergency Order Clarifying that Current Guidance
Documents, Advisories, and Emergency Public Health Orders Remain in Effect; and Amending Prior Public Health
Orders to Impose County-by-County Restrictions Due to COVID-19.

Beginning 4/5/21, New Mexico amended Public Health Emergency Order Temporarily Limiting Long-Term Care
Facilities Visitation Due to COVID-19

Beginning 2/26/21, New Mexico enacted Public Health Emergency Order Implementing Administration
Requirements for All COVID-19 Vaccine Providers and Requiring Accurate Information be Provided by Individuals
Registering to Receive the COVID-19 Vaccine.

Beginning 1/8/21, New Mexico enacted Emergency Order Implementing Administration and Reporting
Requirements for All COVID-19 Vaccine Providers.

Beginning 12/15/20, New Mexico Amended Public Health Order Implementing Additional Contact Tracing
Information Requirements for All Laboratories and Submitters Submitting COVID-19 Test Results.

Beginning 3/24/20, New Mexico Public Health Emergency Order limiting the wholesale of PPE:
   • No provider or wholesaler may sell PPE without the prior permission of the New Mexico Department of
       Health inside or outside the state of New Mexico.

                                                                                                     Page 7 of 22
COLORADO
Colorado state data show that a third dose of COVID-19 vaccine significantly reduces the risk of getting sick or needing
to be hospitalized. Coloradans who get a third shot (a booster shot) are 2.4 times less likely to contract COVID-19 than
those who do not get the shot. Roughly 41% of eligible Coloradans have gotten the third dose.

CDPHE reported that the wastewater surveillance system has picked up the omicron variant in Boulder County. The data
point to low transmission of the variant as CDPHE does not yet know how many cases there are in the community.
CDPHE plans to test more specimens from Boulder County PCR tests for the variant.

Colorado COVID-19 Cases Overview
The table below shows new and total counts of COVID-19 cases, tests, hospitalizations, deaths, and vaccine
information within Colorado. Each day, Colorado Department of Public Health and the Environment reports the
previous day’s numbers. Unless otherwise noted, these numbers are reported as of 5 p.m. MT on 12/9/2021.

                  THURS               FRI          SAT/SUN/MON                   TUES           WED           THURS
                   12/2              12/3            12/4-12/6                   12/7           12/8           12/9
   New
   Cases         3142              2820                  5264                  3041 2377 2516
   New
  Deaths            61                 7                    36                    85             30             59
                                                                                               Deaths due to COVID-
               7-Day Average                                    Total Cases
                                                                                                        19

               2,288                                      851,785                                  9,863
    Daily Tests Administered per 1,000
                                                          Percent Positive Tests               Currently Hospitalized
                  People

                   5.7                                         7.4%                                1,408
                                                                                                % of Received Doses
       Total Vaccine Doses Received                         Total Shots Given
                                                                                                   Administered

       10,379,085                                      8,897,564                                     86%
   % Population Received at Least One Vaccine Dose                  % Population Received Two Vaccine Doses

                         72%                                                          64%

                                                                                                             Page 8 of 22
Number of COVID-19 Cases Over Time in Colorado
900000
800000
700000
600000
500000
400000
300000
200000
100000
       0

                    New COVID-19 Cases by Day - Colorado
   7000
   6000
   5000
   4000
   3000
   2000
   1000
           0

                              New cases   7 day average

                   New COVID-19 Deaths by Day - Colorado
 300
 250
 200
 150
 100
  50
   0

                             New deaths   7 day average

                                                                Page 9 of 22
Colorado COVID-19 Cases and Deaths by County
                     COVID-19 Cases and Deaths in Colorado by County*
           COUNTY           TOTAL CASES (RATE PER 100,000)   TOTAL DEATHS (RATE PER 100,000)
    Denver                         104,299 (14342.3)                  1,038 (142.7)
    La Plata                        7,140 (12699.9)                     63 (112.1)
    Montezuma                       4,045 (15449.0)                     50 (191.0)
    Colorado Overall               851,785 (14791.2)                  9,554 (165.9)
    United States Overall        49,458,520 (15067.8)                790,766 (240.9)
                                             *Data from 12/9/2021, Sources: US Census, CDPHE, CDC

Colorado COVID-19 Cases by County & per 100,000 population

                                                                                           Page 10 of 22
Colorado COVID-19 Cases Demographics
                           Cases of COVID-19 in Colorado by Age Group
                       AGE GROUP           PERCENT OF CASES            PERCENT OF DEATHS
                           0-9                      6.55%                        0.05%
                          10-19                    12.74%                        0.17%
                          20-29                    20.07%                        0.94%
                          30-39                    18.36%                        1.80%
                          40-49                    14.78%                        3.95%
                          50-59                    12.28%                        8.00%
                          60-69                    8.39%                         15.23%
                          70-79                    4.19%                         24.31%
                           80+                     2.64%                         45.55%
                        Unknown                    0.01%                          0.00%

         Cases in Colorado by Sex                                        Deaths in Colorado by Sex
       Unknown,                                                    Unknown,
         1.9%                                                        0.2%

       Male,                          Female,                                                        Female,
       48.3%                           49.8%                          Male,                           44.4%
                                                                      55.4%

                   COVID-19 Cases and Deaths in Colorado by Race and Ethnicity
100%

 80%
           66.1%

 60%
       48.1%

 40%

                       24.0%
                            19.8%                                                         20.1%
 20%

                                       3.0% 3.3%                                              4.5%     2.9% 4.2%
                                                       1.5% 1.7%         0.6% 0.6%
 0%
         White          Hispanic    African American       Asian              AI/AN       Unknown        Other

                                                   Cases     Deaths

                                                                                                        Page 11 of 22
Testing Sites in Colorado
● Southern Ute Health Center – IHS beneficiaries can schedule COVID-19 testing Mon-Fri by calling 970-563-
    4581. Vaccine appointments can be scheduled by calling 970-563-4581.
● Ute Mountain Ute Health Clinic – Testing is available through the Ute Mountain Ute Public Health Dept on
    Mondays and Wednesdays from 9am-11am. Schedule an appointment by calling 970-560-3494. Rapid testing is
    available on Thursdays from 10am-2pm. Schedule an appointment by calling 970-564-5384 or 970-749-9662.
In addition to most I/T/U facilities, the following test sites are available in La Plata and Montezuma Counties:
● Cortez, CO: Southwest Memorial Hospital: Mon-Fri, 8:00 a.m. to 2:00 p.m. Call for appointment at 970-565-
    1037.
● La Plata County Community Testing Site provides testing from 1 to 5 p.m. Monday through Thursday and
    Saturday at the La Plata County Fairgrounds, 2500 Main Ave., Durango
● Cedar Diagnostics: Monday-Friday, 7:00 a.m. to 5:00 p.m. To make an appointment, please call 970-247-0937,
    (dial 2 for Durango and Pagosa Springs, dial 3 for Cortez).
● Durango, CO: La Plata County Fairgrounds: People who meet the testing criteria need to call their doctors as
    soon as possible for a doctor’s order and then call 970-385-8700 after 8 a.m. Fridays to schedule a time for
    testing.
● Durango, CO: Durango Public Library drive-thru testing Wednesdays from 10 a.m. - 4 p.m. Appointments
    required: 970-335-2288

Colorado General Resources
●   COHELP COVID-19 and Vaccination Hotline: 1-877-CO VAX CO (1-877-268-2926) or via the.
●   Montezuma County COVID-19 Information Helpline: 970-564-4799
●   Colorado COVID-19 Online Helpline: COHELP@RMPDC.org
●   Colorado Telehealth and Nurseline Directory: https://covid19.colorado.gov/telehealth-nurselines-directory
●   Colorado COVID-19 Social Assistance Helpline: http://www.211.org/services/covid19
●   Colorado Department of Health COVID-19 Website: https://covid19.colorado.gov/
●   For supply requests or donations, please follow the steps on the Colorado Business EOC website
●   For questions about getting resources amid the coronavirus outbreak in Colorado: Call 2-1-1 or visit
    www.211Colorado.org, or residents may text their zip code to 898-211. Officials are urging residents to not call
    9-1-1 unless it is a medical emergency.
●   Request support for a community test site and resources here.
●   Colorado COVID-19 case data can be found here.
●   Find a map of community testing sites here.
●   ConnectToCareJobs.com connects residential care facilities with health care professionals looking for jobs.
●   Help Colorado Now relief fund and resource hub have various opportunities to donate/receive support.

Colorado Public Health Orders and Guidelines Currently in Effect
Public Health Order 20-38 was amended and requires face coverings for unvaccinated and not fully vaccinated
patients, residents, visitors, and staff of places serving vulnerable or at-risk populations. Exceptions for individuals
aged 11 and younger and those with medical intolerance or other impairment. Unvaccinated and not fully
vaccinated staff are encouraged to participate in daily rapid testing or weekly PCR testing. The Order also includes
hospital reporting requirements to provide the state with critical information to assess the statewide capacity to
provide necessary medical care and services to Coloradans.

                                                                                                            Page 12 of 22
Public Health Order 21-20 concerns hospital capacity and access to care. Hospital and other surgery centers are
ordered to cease all cosmetic procedures which if delayed six months will not cause harm to the patient. Local
authorities are encouraged to provide enforcement.
Public Health Order 21-01 was amended and concerns access to COVID vaccines and the reporting of demographic
data. Access to vaccines is encouraged through the use of vaccine clinics as well as the removal of barriers to access
such as ID cards and health insurance. The order now includes a provision requiring providers to administer second
shots and any additional or booster shots regardless of where the individual received prior vaccinations. It also
requires providers to administer vaccines to any individual who self-attests that they meet the criteria approved by
the FDA and recommended by CDC. Demographic data reporting should include full name, date of birth, gender
identity, address, telephone number, email address, and race and ethnicity.

The Southern Ute Indian Tribe Public Health Order regarding face coverings states that all individuals over two
years old must wear face coverings over their nose and mouth when entering or moving within any pubic indoor
space, unless the individual is alone in the room. Individuals may remove the mask in cases of disability or medical
need, when seated at a food establishment, when exercising alone or with household members, and other
exemptions as listed in the order.

Executive Order D 2021 122 Colorado’s Recovery Executive Order signifies the end of the state’s health emergency
declaration. The Order directs agencies to make it easier for people to distribute and administer the COVID-19
vaccine, but still leaves some authority with the governor, such as the ability to activate the National Guard for use
as needed, the maintenance of some funds for response activities related to COVID-19 and waiving some rules to
expand the state’s healthcare workforce.

On April 5, 2020, Gov. Polis’ Expert Emergency Epidemic Response Committee (GEEERC) voted to update the crisis
standards of care guidelines to help professionals decide where to allocate scarce resources when patient needs
exceed what is available. These updates align Colorado with the National Academies of Sciences, Engineering, and
Medicine’s Rapid Expert Consultation on Crisis Standards of Care for the COVID-19 Pandemic, published in March
2020. The updates state each hospital should have a crisis triage team that uses a tiered approach to determine
allocation of resources, such as ventilators. If there is a tie, the team moves to the next tier of considerations: Tier 1
(scoring system based on severity of illness, morbidity, measure of chronic illness), Tier 2 (pediatric patients,
healthcare workers, first responders), Tier 3 (pregnancies, sole caregivers, and other special considerations), and
Tier 4 (random allocation).

                                                                                                            Page 13 of 22
TEXAS (EL PASO AREA)
The Work Safe, Stay Home Order was extended for the third time. The Order urges all El Pasoans to continue to wear a
face covering and maintain social distancing. The Order will remain in place through February 1, 2022 unless extended.
In addition to wearing face masks and social distancing, Mayor Leeser is asking citizens to get vaccinated before the
holidays and are urging caution so that the case count does not reach the same heights as last year.

The City of El Paso will expand their testing services to include Influenza A and Influenza B, in addition to COVID-19. Free
testing is available without an appointment at the following locations:
    ● Don Haskins Recreation Center, 7400 High Ridge (Drive Thru Testing)
             o Monday – Sunday, 8:30 a.m. to 4 p.m.
    ● UTEP Testing Site, 3333 N. Mesa (Drive Thru and Walk-Up Testing)
             o Monday – Sunday, 8:30 a.m. to 4 p.m.
    ● Sports Park Testing, 1780 N. Zaragoza (Drive Thru Testing)
             o Monday – Sunday, 8:30 a.m. to 4 p.m.

City of El Paso COVID-19 Cases Overview
The table below shows total counts of COVID-19 cases, tests, and deaths in the City of El Paso. Unless otherwise
noted, these numbers are reported as of 5 p.m. MT on 12/06/2021.
                   THURS           FRI                      SAT    SUN          THURS                 MON        TUE
                   Dec 2          Dec 3                    Dec 4   Dec 5        Dec 6                 Dec 7     Dec 8
    NEW
   CASES          708 731                            564           565          698 878 684
     7 Day Average              Total Positive Cases                   Total Deaths due to COVID-19

          690                       166,794                                         2,917
                                                                   Total Currently
         Positivity Rate (7-Day Average)                                                              Total Recovered
                                                                    Hospitalized

                       23.1%                                            399                           155,521
       Total Vaccine Doses Administered                            % Received at Least One Vaccine Dose

                  1,317,384                                                         81.6%
                                       1

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                                                                                                                Page 14 of 22
Texas COVID-19 Cases and Deaths
                         COVID-1 Cases and Deaths in Texas by County*
                                                                           TOTAL DEATHS (RATE PER
          COUNTY              TOTAL CASES (RATE PER 100,000)
                                                                                 100,000)
El Paso                              166,794 (19874.5)                          2,917 (347.6)
Texas Overall                       3,600,253 (12416.4)                        73,227 (252.5)
United States Overall               49,458,520 (15067.8)                       790,766 (240.9)
                                                                                      *updated 12/9/2021

                        Number of COVID-19 Cases over Time in El Paso, Texas
180,000

160,000

140,000

120,000

100,000

 80,000

 60,000

 40,000

 20,000

      -

                            New COVID-19 Cases per Day - City of El Paso
  4000
  3500
  3000
  2500
  2000
  1500
  1000
   500
      0

                                         7 day average     7 day average

                                                                                            Page 15 of 22
City of El Paso COVID-19 Cases and Deaths Demographics
The most recent case counts from the City of El Paso Department of Public ealth (DP ) were reported
on 12/06/2021. Positive cases in El Paso County include 87,253 females and 79,541 males:
                                   COVID-19 in the City of El Paso by Age Group
            AGE GROUP                          NUMBER OF CASES                       NUMBER OF DEATHS

            Under 20                                35,543                                   2
             20-29                                  33,313                                  22
             30-39                                  27,497                                  59
             40-49                                  24,098                                  166
             50-59                                  21,214                                  372
             60-69                                  14,129                                  645
             70-79                                  6,683                                   718
              80+                                   4,283                                   916

               Cases in El Paso by Sex                               Deaths in El Paso by Sex

                                                                                                  Female,
       Male,                                                                                       39.7%
       47.7%                           Female,
                                        52.3%
                                                             Male,
                                                             60.3%

Testing Sites in the City of El Paso
   ● Texas Health and Human Services released an online, interactive map to help find a testing site. Find your
     closest site here: https://covidtest.tdem.texas.gov/
   ● Testing is free and available 7 days a week from 9 am to 4 pm. No appointment is needed. For more
     information click here.

El Paso Area General Resources
  ● Texas Department of Health: https://dshs.texas.gov/coronavirus/
  ● City of El Paso Department of Public Health Hotline: (915) 212-6843 or (915) 212-COVID
         o Open from 7 a.m. to 8 p.m., Monday through Friday
         o Open from 10 a.m. to 6 p.m., Saturday and Sunday
    o For referral services contact 2-1-1 Texas Call Center available 24/7 and select option 6 for more
        information
    o Updates available for City and DPH on social media platforms at http://www.elpasotexas.gov/public-
        health and at www.epstrong.org
  ● Culberson County: Public Health Region 09/10: (888) 847-6892
  ● Hudspeth County: Public Health Region 09/10: (888) 847-6892

                                                                                                    Page 16 of 22
El Paso Area Public Health Orders and Breaking News Archive
  ● In accordance with Governor Greg Abbott’s Executive Order o 32 (GA-32), Public Health and Emergency
    officials have amended the City’s 6th Local Emergency Directive. Restaurants are now able to provide dine-
    in service past 10 pm and local businesses are currently allowed to operate at 50 percent occupancy. This is
    in accordance with the standards set forth by GA-32. More information here.
  ● The first shipment of Pfizer’s COVID-19 vaccine arrived last week, the vaccine was sent mostly to area
    hospitals in El Paso and Las Cruces. Frontline healthcare workers currently have priority for vaccine
    distribution. The first shipment of Moderna COVID-19 vaccine is expected to arrive this week. The vaccine
    will be administered to 900 firefighters and 2,100 healthcare workers. Between the Pfizer and Moderna
    vaccines, about 25 different health care providers are expecting vaccines for a total of about 14,400 doses.
    The Department of Health is planning for the arrival of additional vaccine doses and preparing to administer
    the vaccine at seven locations, 5 drive-thru, 2 walk-in and 2 by appointment. Please visit epstrong.org for
    more vaccine distribution information.
  ● El Paso COVID-19 hospitalizations and new cases have seen a drop in the past couple weeks, officials will
    know by the end of next week if the city was able to avoid a spike in cases resulting from the Thanksgiving
    holiday. Learn more here.

                                                                                                   Page 17 of 22
INDIAN HEALTH SERVICE
Following guidance established by the Centers for Disease Control and Prevention, clinicians at IHS collect samples
with swabs and access testing through laboratories in their jurisdictions. This is the standard testing procedure
across the country and is not unique to the IHS. A confirmed case is defined as a person who has tested positive for
2019 novel coronavirus. Data are reported from IHS, tribal, and urban Indian organization facilities, though
reporting by tribal and urban programs is voluntary. The most recent data available are from Dec. 5, 2021.

                                             Cases of COVID-19 by IHS Area
                                                                                             Cumulative %        7-day Rolling
      IHS AREA                   TESTED                 POSITIVE           NEGATIVE
                                                                                               Positive           Positivity
         Alaska                   870,453                 26,964             734,732              3.5%                 5.5%
     Albuquerque                  124,327                 10,027              92,995              9.7%                10.4%
        Bemidji                   241,147                 18,751             221,809              7.8%                10.4%
        Billings                  132,959                 10,118             119,077              7.8%                 6.5%
       California                 137,128                 13,380             118,126              10.2%                4.3%
      Great Plains                200,314                 18,198             181,401              9.1%                10.3%
       Nashville                  123,910                 10,008             111,048              8.3%                 8.2%
        Navajo                    373,255                 44,047             272,224              13.9%               14.5%
     Oklahoma City                779,671                 93,252             675,930              12.1%                8.0%
        Phoenix                   239,877                 30,714             207,932              12.9%               15.7%
       Portland                   181,891                 12,651             168,674              7.0%                 3.2%
        Tucson                     49,984                  4,004              45,855              8.0%                10.6%
        TOTAL                    3,454,916                292,114           2,949,803             9.0%                 9.5%
*These data represent the total number of Indian Health Service patients tested for COVID-19, reported to the IHS as of 11:59 pm EDT
on 12/5/2021, www.ihs.gov/coronavirus.

                                                                                                                     Page 18 of 22
Cumulative Number of COVID-19 Cases over Time in IHS Albuquerque Area
12000

10000

8000

6000

4000

2000

   0

            Cumulative Number of COVID-19 Cases over Time in IHS Navajo Area
 50000

 45000

 40000

 35000

 30000

 25000

 20000

 15000

 10000

  5000

        0

                                                                               Page 19 of 22
COVID-19 VACCINATION IN THE UNITED STATES
According to the CDC COVID Data Tracker, as of December 9th, a total of 588,422,575 vaccine doses have been
delivered throughout the U.S., and 237,468,725 people have initiated vaccination (1st dose received) while
200,717,387 have received 2 doses. See the figure below for the percentage of people that have initiated vaccine
by state as reported by states to the CDC.

As of Wednesday December 8th, in New Mexico 78% of people have been given at least one dose (64% fully
vaccinated), in Colorado 72% of people have been given at least one dose (64% fully vaccinated), and in Texas 65%
of people have been given at least one dose (56% fully vaccinated).

                            COVID-19 Vaccination in New Mexico by County
               COUNTY                   % of Residents Partially Vaccinated     % of Residents Fully Vaccinated
  Bernalillo                                           88.9                                  77.9
  Cibola                                               90.9                                  75.5
  Lincoln                                              71.3                                  61.9
  McKinley                                             99.0                                  90.8
  Otero                                                63.9                                  53.5
  Rio Arriba                                           99.0                                  86.9
  San Juan                                             93.3                                  78.4
  Sandoval                                             98.1                                  80.6
  Santa Fe                                             77.4                                  84.7
  Socorro                                              76.6                                  69.9
  Taos                                                 99.0                                  86.9
  New Mexico Overall                                   72.5                                  64.5
  United States Overall                                71.0                                  60.0
                                                     Source: https://cvvaccine.nmhealth.org/public-dashboard.html

                                                                                                     Page 20 of 22
Vaccine Administered by Race/Ethnicity (New Mexico State Data)
                                                                       % Partially
                 Race/Ethnicity               Population Total                         % Fully Vaccinated
                                                                       Vaccinated
American Indian/Alaska Native                     157,872                 99.0                 94.3
Asian Pacific Islander                             32,752                 99.0                 94.7
Black or African American                          39,517                 66.7                 57.6
Hispanic or Latino                                848,375                 60.9                 53.8
White                                             713,608                 79.6                 70.8
                                              Source: https://cvvaccine.nmhealth.org/public-dashboard.html

                   COVID-19 Vaccine Distribution and Administration by IHS Area*
               Area               Total Doses Distributed     Total Doses Administered      % Administered
    Albuquerque                          161,675                       161,098                    99.6
    Bemidji                              204,635                       154,702                    75.6
    Billings                             103,385                       67,429                     65.2
    California                           282,825                       192,375                    68.0
    Great Plains                         191,990                       130,410                    67.9
    Nashville                            131,305                       94,444                     71.9
    Navajo                               359,815                       324,648                    90.2
    Oklahoma City                        600,190                       468,327                    78.0
    Phoenix                              258,090                       204,120                    79.1
    Portland                             129,955                       95,560                     73.5
    Tucson                                14,990                        11,277                  75.2
    Total                               2,438,855                     1,904,390                 78.1
                                                                                         *Data as of 12/6/2021
                                                                       Source: https://www.ihs.gov/coronavirus/

•    On Wednesday, the US reached a milestone – over 200,000,000 Americans are now fully-vaccinated. News of
     the Omicron variant has encouraged an uptick in vaccination as well.

•    Worldwide, about 73 percent of shots that have gone into arms have been administered in high- and upper-
     middle-income countries, according to the Our World in Data project at the University of Oxford. Only 0.8
     percent of doses have been administered in low-income countries. As the emergence of the Omicron variant of
     the coronavirus has spurred governments of wealthy nations to step up booster-shot campaigns, the World
     Health Organization again expressed concern on Thursday that the push could further undermine global
     vaccine equity. Because most current infections, which are still overwhelmingly being driven by the Delta
     variant, are affecting unvaccinated people, the W.H.O. said, getting vaccines to those who have no protection
     should be the priority.

                                                                                                     Page 21 of 22
NATIONAL GUIDELINES
    •    CDC Resource: Operating Schools during COVID-19
    •    CDC Resource: Tribal Communities
    •    CDC Resource: Decision Tool for Reopening Bars and Restaurants
    •    CDC Guidance: Community, Work, and School safely reopening without triggering an outbreak
    •    COVID-19 Workforce Virtual Toolkit: Resources for Healthcare Decision-Makers
    •    The White House Opening Up America Again guidelines
    •    CDC and the White House guidelines for wearing a cloth face mask when out in populated public areas. Based on
         studies showing that many people with COVID-19 do not show symptoms but can still transmit the virus through
         speaking, coughing, or sneezing.
             o The mask is not a substitute for physical distancing practices. Physical distancing is still the most
                 effective way to slow the spread of the virus.
             o The aim of wearing a face covering is to protect the people around you in case you are asymptomatic.
             o This video provides tips on how to improve the fit of your mask.
    •    The CDC and White House guidelines for essential workers who have been exposed to someone infected with
         COVID-19.

                                NATIONWIDE GENERAL RESOURCES
● Albuquerque Area Southwest Tribal Epidemiology Center (AASTEC) COVID-19 Webpage with locally tailored Native
  resources: http://db.aastec.net/covid-19/index.html
● Tribal Communities Resource Center: https://www.cdc.gov/coronavirus/2019-ncov/community/tribal/index.html
● Health Departments Resource Center: https://www.cdc.gov/coronavirus/2019-ncov/php/index.html
● Myths Debunked about COVID-19: https://www.fema.gov/Coronavirus-Rumor-Control
● Self-Symptom Checker from CDC: https://www.cdc.gov/coronavirus/2019-ncov/symptoms-
  testing/symptoms.html
● Cleaning and Disinfecting Different Types of Surfaces: https://www.cdc.gov/coronavirus/2019-ncov/prevent-
  getting-sick/cleaning-disinfection.html
● Strategies to Optimize PPE Supplies: https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/index.html
● Guidance on Face Coverings/Masks: https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/diy-cloth-
  face-coverings.html
● Stay Connected for Global Travel Advisory Updates: https://travel.state.gov/content/travel/en/international-
  travel/before-you-go/about-our-new-products/staying-connected.html
● CDC Travel Resources Page: https://wwwnc.cdc.gov/travel/destinations/traveler/none/united-
  states?s_cid=ncezid-dgmq-travel-single-001
● What to Know about COVID-19: https://www.cdc.gov/coronavirus/2019-nCoV/index.html
● State-by-State Mortality Peak: https://www.npr.org/sections/health-shots/2020/04/07/825479416/new-yorks-
  coronavirus-deaths-may-level-off-soon-when-might-your-state-s-peak
● Care for Breastfeeding Women: https://www.cdc.gov/coronavirus/2019-ncov/hcp/care-for-breastfeeding-
  women.html

                               RELIABLE SOCIAL MEDIA RESOURCES
●       Facebook, Instagram, TikTok, Twitter, CDC Snapchat & World Health Organization Snapchat

                                                                                                         Page 22 of 22
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