COVID-19 Response & Recovery - Celeste L. Davis, REHS, MPH Incident Commander Melino Gianotti Emergency Coordinator

COVID-19 Response &
     Recovery
    Celeste L. Davis, REHS, MPH
       Incident Commander

         Melino Gianotti
      Emergency Coordinator

Situation Report
• National Public Health Emergency Declaration through January 31, 2022
• As of January 13, 2022…
   • Cases are rising sharply all over – but the Omicron variant is less severe…
      anticipate continued rapid rise, and hopefully, as seen in the NE, a decline
                                   • Idaho: Omicron surge continues, likely to implement crisis standards
                                     of care for hospitals soon, low vaccination rates across the state, no
                                     state mask mandate
                                   • Oregon: Omicron surge, good vaccination rates and statewide
                                     mask mandate, hospitals under major stress, vaccination mandates
                                     for state employees HCW and teachers
                                   • Washington: Omicron surge, hospitals are under major stress, good
                                     vaccination rates and statewide mask mandate, vaccination
                                     mandates for state employees HCW and teachers
                                   • PNW Tribes: Omicron surge causing some lock downs, moving
                                     back to telehealth, vaccination rates range, mandates vary

Incident Action Plan
• Cases are undercounted but remain a valuable indicator of local
  conditions
• Hospitalizations may say more about how stressed the system is
  than the severity of Omicron – unvaccinated are stressors
• Focus on keeping schools safe and open, ensuring essential
  services are available – protecting workers, children, elders, and
  those who can’t be vaccinated
   • Vaccine mandates, indoor mask mandates, telework and telehealth where needed
   • Testing remains problematic, but federal gov’t making major purchases and requiring insurance to pay
     for home test kits
   • New CDC isolation and quarantine requirements – shortened time frames based on symptoms and
     emerging science, keeping essential services available and protecting critical infrastructure
   • New therapeutics are effective, especially Paxlovid antiviral

Incident Action Plan
• Consider your COOP Plans as we manage this wave and hold our breaths for what
  may be next…
• Public Health Priorities
   • OTC rapid home testing is beneficial for controlling spread
   • Because of testing scarcity and slow turnaround of labs – use testing for symptomatic and
     high risk to determine treatment modalities
   • Forego contact tracing; Prioritize case and contact investigation to those who are at high
     risk for complications/hospitalization and those with significant exposure histories
     (household contacts, congregate settings)
• We must anticipate and adapt to the virus as we move
  to recovery phase

Toward Recovery: Learning to Live with COVID

                                                         From: Guidance for Health Care
                                                         Leaders During the Recovery Stage
                                                         of the COVID-19 Pandemic: A
                                                         Consensus Statement

                           JAMA Netw Open. 2021;4(7):e2120295.
                           doi:10.1001/jamanetworkopen.2021.20295, Date of download: 1/12/2022

Emergency Coordinator Role
• Intra-Action Reviews of Tribal & NPAIHB COVID-19 response efforts &
  Lessons Learned Reports
• Assist Tribes with the development of recovery plans
• Technical assistance for response
   • COVID-19 response - contact tracing, support for testing & outreach, data
     collection and analysis, medical countermeasures and points of dispensing, long-
     term vaccination planning, environmental health and infection prevention
   • Public information and risk communication
   • Building capacity to have permanent public health emergency preparedness and
     response capabilities at the Board

COVID-19 Intra-Action Review Timeline

January – February                                                                 April – September
       2022                               March 2022                                       2022                           December 2022

                                            Intra-Action
                        Identify which
                                          Review Template:                                               Intra-Action
                      tribes would like                                                                                   Aggregate Report
 Present project &                        Coordinating with       Preparation &      Completion of     Review/Lessons                             Report
                       to partner with                                                                                       – Complete
  objectives to all                           partners,            Logistics for        Review         Learned Report                          Discussions &
                          NPAIHB on                                                                                        qualitative data
     43 tribes                            ensuring efficient        Interviews        Interviews       submitted to all                         Next Steps
                       COVID-19 Intra-                                                                                         analysis
                                          use of qualitative                                                tribes
                       Action Reviews
                                               coding

                      March 2022                               March – September                       1 month after                          January 2023
                                                                      2022                               interview

Your Incident Commander & Emergency
Coordinator
• COVID Incident Command – me :
  cdavis@npaihb.org, 505.670.8380

 • Emergency Coordinator – Melino
   Gianotti: mgiannoti@npaihb.org,
   971.337.5317

                             Thank you for all you have done
                                  and continue to do~