WHAT CITIES AND TOWNS SHOULD KNOW DURING THE COVID-19 PANDEMIC - Joe Thompson, MD, MPH
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WHAT CITIES AND TOWNS SHOULD KNOW DURING THE COVID-19 PANDEMIC Joe Thompson, MD, MPH President and CEO, ACHI Professor, UAMS Colleges of Medicine and Public Health 04.01.2021
COVID-19 IN THE UNITED STATES
At least
30,400,000
confirmed cases
At least
552,000
reported deaths
Sources: Washington Post and Johns Hopkins University, as of April 1, 2021.
COVID-19 IN THE UNITED STATES: DAILY CASES Source: New York Times, March 31, 2021 (using data from state, county and regional health department reports); www.nytimes.com/interactive/2020/us/coronavirus-us-cases.html
JHU COVID-19 DATA: NEW CASES SPREAD (MAR. 30) Sources: Johns Hopkins Coronavirus Resource Center, March 31, 2021
Miami Spring Break 2021: Joe Raedle/Getty Images
DAILY CONFIRMED NEW CASES, 7-DAY MOVING AVG Source: Johns Hopkins University Coronavirus Research Center, www.coronavirus.jhu.edu/data/new-cases, retrieved March 31, 2021
COVID-19 IN ARKANSAS
As of March 31
Cumulative Cases: 330,398
Total Active Cases: 1,695
Hospitalized: 166
On Ventilators: 27
Daily Active
Cases per 1K
Total Deaths: 5,626
as of 3/31/21
Source: Arkansas Department of Health
COVID-19 POSITIVE TESTS SINCE SEPTEMBER Source: ACHI analysis of Arkansas Department of Health data.
COVID-19 HOSPITALIZATIONS IN ARK. PER DAY
1400
1300
1200
Total of “currently hospitalized”
1100 each day since Sept. 1, 2020
1000
900
800
700
600
500
400
300
200
100
0
9/1 9/8 9/15 9/22 9/29 10/6 10/13 10/20 10/27 11/3 11/10 11/17 11/24 12/1 12/8 12/15 12/22 12/29 1/5 1/12 1/19 1/26 2/2 2/9 2/16 2/23 3/2 3/9 3/16 3/23 3/30
Source: Arkansas Department of HealthCOVID-19 HOSPITALIZATIONS & DEATHS BY AGE
6,000
5,327
Cumulative numbers in Arkansas,
5,000 4,612
as of March 29, 2021
4,000 3,861
3,349
3,000
2,336
2,000
1,245
1,000
914
296 468
162 2 5 130
0
0-5 6-18 19-24 25-44 45-64 65-74 75+
Age Group
Hospitalizations Deaths
Source: ACHI Analyses of Arkansas Department of Health data. All death data are provisional and subject to change based on further review by the Arkansas
Department of Health.NEW REPORTED COVID-19 DEATHS IN AR PER DAY
30
28
27
26
25
25 24
22
20 19
18
15
15 14 14 14 14 14
13 13
12 12 12 12 12
11
10 10 10101010 10 10
10 9
8
7 7 7 7
6 6 6
5 5
5 4 4
3
0
*
2/15
2/16
2/17
2/18
2/19
2/20
2/21
2/22
2/23
2/24
2/25
2/26
2/27
2/28
3/1
3/2
3/3
3/4
3/5
3/6
3/7
3/8
3/9
3/10
3/11
3/12
3/13
3/14
3/15
3/16
3/17
3/18
3/19
3/20
3/21
3/22
3/23
3/24
3/25
3/26
3/27
3/28
3/29
3/30
3/31
* On Feb. 28, the Arkansas Department of Health conducted a data clean-up resulting in 174 deaths being removed due to reclassification or duplication.
Source: Arkansas Department of HealthCOVID-19 LONG-TERM EFFECTS
o Organ damage
o Heart
o Lung
o Brain
o Blood Clots
o Mood and fatigue issues
o Many others still unknown
Source: Mayo Clinic, COVID-19 (coronavirus): Long-term effects. https://www.mayoclinic.org/diseases-conditions/coronavirus/in-depth/coronavirus-long-term-effects/art-20490351CORONAVIRUS VARIANTS
o Variants of concern and where they first emerged:
o B.1.1.7 – U.K.
o B.1.351 – South Africa
o P.1 – Brazil / B.1.1.248 – Japan (nearly identical)
o B.1.427/B.1.429 – U.S. (California)
o B.1.526 – U.S. (New York)
o Appear to spread more easily
o Study of the variant from U.K. suggested significantly higher
death rate*
Sources: CDC, Arkansas Department of Health
* BMJ 2021;372:n579 (R. Challen, et al. Risk of mortality in patients infected with SARS-CoV-2 variant of concern 202012/1: matched cohort study); Published March 10, 2021.NEW YORK TIMES VACCINE TRACKER Updated March 31, 2021 Source: Coronavirus Vaccine Tracker, New York Times: nytimes.com/interactive/2020/science/coronavirus-vaccine-tracker.html
COVID-19 VACCINATION PROGRESS IN ARKANSAS As of March 30, all Arkansans age 16 or older are eligible to receive the COVID-19 vaccine Source: Arkansas Department of Health
COVID-19 VACCINATION PROGRESS IN ARKANSAS
STATE FEDERAL
PROGRAM PROGRAM
As of March 31
Hospitals, state long-term care, and Retail (Walmart) & long-term care
others since Dec. 14, 2020. (CVS, Walgreens) since Dec. 28, 2020.
Received: Allocated:
1,755,140 280,130
Administered: Administered:
1,010,188 132,704
Percentage: Percentage:
57.6% 47.4%
Source: Arkansas Department of Health, https://www.healthy.arkansas.gov/programs-services/topics/covid-19-vaccination-planCDC GUIDANCE FOR FULLY VACCINATED PEOPLE
o Fully vaccinated defined as:
o 2 weeks after the second dose in a 2-dose series, OR
o 2 weeks after a single dose vaccine
o Fully vaccinated individuals can gather:
o Indoors with other fully vaccinated people w/o masks
o Indoors with unvaccinated people from 1 other household w/o masks,
unless they or someone they live with is at high risk for severe illness
o If exposed to someone with COVID-19, no need to isolate or
get tested unless you develop symptoms
o However, in group living settings, you should still stay away from others
for 14 days and get tested, even with no symptoms
Source: Centers for Disease Control and Prevention, https://www.cdc.gov/coronavirus/2019-ncov/vaccines/fully-vaccinated.htmlFULLY VACCINATED? WHAT HAS NOT CHANGED
o Wear a mask, stay 6 feet apart, and avoid crowds:
o In public
o At gatherings with unvaccinated people from more than one household
o When visiting with unvaccinated people at high risk
o Continue to avoid medium- or large-sized gatherings
o Delay domestic and international travel
o Watch for COVID-19 symptoms, especially if around someone sick
o If you develop symptoms, get tested and stay home
o Continue to follow guidance at your workplace
Source: Centers for Disease Control and Prevention, https://www.cdc.gov/coronavirus/2019-ncov/vaccines/fully-vaccinated.htmlWHAT CAN YOU DO ONCE FULLY VACCINATED?
1) What are you doing? 2) Who will you be with?
o Is it indoors? o Will there be more than 10
people there?
o If so, is there good ventilation?
o Will you be around many
o Will you be there for more than
people you don’t know?
one hour?
o Is everyone vaccinated?
o High intensity or involve
shouting? o Are they following health
guidelines?
Source: New York Times, Opinion: What Can You Do once You’re Vaccinated, Tara Haelle March 30, 2021. nytimes.com/interactive/2021/03/30/opinion/coronavirus-vaccine-risks.htmlWHAT CAN YOU DO ONCE FULLY VACCINATED?
3) Who is in your circle? 5) What is your health situation?
o Are there kids? o Do you have underlying health
risks for COVID-19?
o Are any adults in your circle or
household not vaccinated? o If you get sick, can you afford to
stop working and isolate?
o Are any immune-compromised,
or not vaccinated and high risk? o Will you have access to sick
leave, testing and essential
supplies if you get sick?
4) Where do you live or where
will you be?
Source: New York Times, Opinion: What Can You Do once You’re Vaccinated, Tara Haelle March 30, 2021. nytimes.com/interactive/2021/03/30/opinion/coronavirus-vaccine-risks.htmlWHAT CAN YOU DO ONCE FULLY VACCINATED? Finally … How comfortable are you with the risk level in each of those five areas? Source: New York Times, Opinion: What Can You Do once You’re Vaccinated, Tara Haelle March 30, 2021. nytimes.com/interactive/2021/03/30/opinion/coronavirus-vaccine-risks.html
COVID-19 RESTRICTIONS AND MASK MANDATES IN ALL 50 STATES Source: New York Times, See Coronavirus Restrictions and Mask Mandates for All 50 States, March 31, 2021. nytimes.com/interactive/2020/us/states-reopen-map-coronavirus.html
AR COVID-19 DIRECTIVES CHANGED TO GUIDANCE o Face coverings o Business and restaurant operations o Casinos, bar and club operations o Barber shops, cosmetology, spas, etc. o Gyms and Fitness Centers o Large indoor or outdoor venues o Elective medical procedures Cities free to institute individual mask mandates Source: Arkansas Department of Health, as of April 1, 2021
ACHI HEALTH POLICY BOARD CALL TO ACTION The board calls on leaders across the state ― business owners, school board members, faith leaders & local elected officials ― to adopt strategies that maintain Arkansas Department of Health and CDC guidelines to help prevent the spread of COVID-19. Specifically, termination of the state mask mandate should be replaced by local decisions to continue important efforts to minimize the spread of this disease, including mask mandates. ACHI Health Policy Board Call to Action, April 1, 2021.
ACHI HEALTH POLICY BOARD CALL TO ACTION
o For businesses, faith-based organizations, and educational
institutions:
o Continue to require masks (over nose and mouth) to protect patrons
and employees
o Maintain signage and other reminders to ensure appropriate distancing
o Keep spaces ventilated
o Encourage employees to get vaccinated
ACHI Health Policy Board Call to Action, April 1, 2021.ACHI HEALTH POLICY BOARD CALL TO ACTION
o For individuals:
o Get vaccinated, and encourage others to do the same
o Wear a mask in public
o Wash your hands often with soap and water
o Maintain appropriate distance from others
o Avoid crowds
ACHI Health Policy Board Call to Action, April 1, 2021.2021 COVID-19 STRATEGY
Action
Science LogicPhoto: Ronni Kurtz on Unsplash
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