COVID-19 Tompkins County Response - Presentation to the Tompkins County Legislature
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COVID-19 Tompkins County Response Presentation to the Tompkins County Legislature August 17, 2021 COVID-19 Spread County Operations Exec. Orders Communications
July 7 – August 17, Cases Rise, Delta is the New Normal COVID-19 Data County / Partner Communications/Messaging Disease Incidence Operations 7/28 - Starting to see an uptick in cases, urging vaccinations. 4,716 total positive cases (+311), 7/30 - Local mask advisory goes into effect. 7/30 - Announcement of local indoor mask advisory regardless of (108 active cases) vaccination status. Follows CDC guidance for areas with 14 hospitalized, 32 deaths (+1) 8/9 - Directive issued for County "substantial" transmission. employees, masks Vaccine Doses (NYS Tracker) 7/30 - TCHD resumes posting of daily data COVID-19 data table 71,774 first doses, 67,884 completed 8/11 - County vaccine / testing (from weekly over last month). requirement passed by Legislature 8/5 - COVID-19 virtual update hosted on YouTube 8/14 - Vaccine clinic & tabling at Executive Orders / Southside Community Health Fair 8/5 - Data published on positive cases by vaccination status Governor Announcements 8/17 - EOC/Frank meeting with 8/10 - Local Delta variant data published August 10, Governor Andrew Cuomo resigns, superintendents on fall semester Kathy Hochul to become Governor on 8/24. planning. 8/17 - Robocall August 12, NYSED Guidance released recommending following CDC schools Message in all communications continues to clarify guidance that all available vaccines are highly effective in August 16, NYSDOH approves booster doses preventing severe disease, hospitalizations, and for immunocompromised individuals (direction death. is to communicate with PCP) Presentation to the Tompkins County Legislature – August 17, 2021
Regular OT Hours COVID-19 Hours Hours Worked Reg Pay OT Pay Comptime Totals 62,750 9,649 $2,093,344 $114,052 $396,522 Comptime is the dollar equivalent of the hours “earned." FFCRA Leave Employees Total Hours (Families First Coronavirus FFRA 2/3's pay 29 3,377 Response Act) FRP Full Pay 70 5,057 FFRA = 2/3rds pay (initial 2 weeks an employee does not need to use available fringes to supplement their pay; week #3 through week #12 an employee is required to supplement using their available fringes) FFRP = Full Pay Two weeks (up to 80 hrs., available) Examples: 1. employee goes during worktime to get COVID test; 2. an employee is quarantined until results show negative for COVID-19 test; employee is quarantined after travel, etc.) COVID-19 Related $5,143,000 (+$1.3m) as of 8/16/21 . Expenses •Primary changes: •Cayuga Med, Testing $ 1.26m •Contract staffing (Nursing) $ 37,000 Presentation to the Tompkins County Legislature – August 17, 2021
COVID-19 vaccines are readily available throughout the community, through pharmacies, doctors offices, and pop-up Vaccination Clinics clinics. TCHD is hosting several upcoming clinics, listed online alongside other community & Local Availability options at https://tompkinscountyny.gov/health/covid19popup •August 18: Newfield Central School (ages 12+) •Sept. 1: Tompkins Cortland Community College (TC3) (ages 12+) •Sept. 2: Tompkins Cortland Community College (TC3) (ages 12+) •Sept. 13: Groton American Legion, 307 Main St. Groton. (ages 18+) Presentation to the Tompkins County Legislature – August 17, 2021
Positive Cases by Vaccination Status Ineligible are Children Under 12 Interactive chart: https://tompkinscountyny.gov/health/factsheets/coronavirusdata#vaccinationstatus Presentation to the Tompkins County Legislature – August 17, 2021
Hospitalizations 14 Active Hospitalizations • Vast majority of hospitalizations are unvaccinated. • Several recent hospitalizations have been fully vaccinated, and some have been admitted for non- covid related issues and tested positive upon admittance. • Vaccination continues to provide very high levels of protection against severe disease and hospitalization. Presentation to the Tompkins County Legislature – August 17, 2021
Understanding the The New Normal Delta Variant • Vast majority of cases across the U.S., NYS, and Tompkins County • Of the 87 samples from the months of June and July that were available for sequencing, 86 samples were of variants, and 80 of those 8/10/21 Press Release were the Delta variant. • All samples of fully vaccinated individuals sequenced in this batch Delta FAQ on TCHD Website resulted from infection by the Delta variant. Data continue to show that Higher Transmission Rate COVID-19 vaccines are • The Delta variant is known to be more contagious and spread more highly effective at preventing rapidly than the original COVID-19 virus. severe illness, hospitalization, • Data has also emerged showing that vaccinated individuals infected and death both locally and with the Delta variant can still contract and spread the virus. nationally, even for those • A majority of the positive cases in Tompkins County in June and July infected with the Delta variant. resulted from large indoor gatherings and domestic travel. • In areas with substantial or high transmission rates, fully vaccinated individuals should wear a mask in public indoor settings to help prevent the spread of Delta and protect others. Presentation to the Tompkins County Legislature – August 17, 2021
Local State of Disease Management Capacity Considerations • Hospitalization rate and Cayuga Health System capacity Emergency • Community infection rate & positive cases, contact tracing capacity at TCHD. Considerations • Disease severity & hospitalizations, • Emerging variants & health impacts The NYS SOE expired on 6/24. Emergency Powers • Declared by County Chief Executive (Administrator) Tompkins County SOE expired 7/03. • Emergency orders & mask mandates • Enforcement concerns Federal Declaration of Emergency • EOC reinstatement & work program shifts set to expire 9/30 (may be renewed). • Suspension of policies/procedures Message to the Community • There are many more "knowns" than in March 2020. • A SOE will indicate an emergency-level event to residents & local institutions incl. Schools & colleges. • Would indicate high level of local concern while rest of NYS has similar spread. Presentation to the Tompkins County Legislature – August 17, 2021
COVID-19 Positive Cases 7/14-8/10 (200 Total) Age Range Includes all positive cases 7/14-8/10 Data reported by Tompkins County Health Dept. Data is self-reported by each sampled individual. Total population data source: 2018 ACS 1yr est. Updates will occur when large enough numbers are present to protect the privacy of individuals. The Health Department is now pulling its data from New York State database systems. Data used here to report case demographics has been taken from NYS's CommCare system. Historic CommCare data is only accessible for July 1, 2020 to the present. This represents 88% of Tompkins County cases. Testing data posted daily is taken from the Electronic Clinical Laboratory Report System (ECLRS). Presentation to the Tompkins County Legislature – August 17, 2021
COVID-19 Positive Cases 7/14-8/10 (200 Total) Race Includes all positive cases 7/14-8/10 Data reported by Tompkins County Health Dept. Data is self-reported by each sampled individual. Total population data source: 2018 ACS 1yr est. Updates will occur when large enough numbers are present to protect the privacy of individuals. The Health Department is now pulling its data from New York State database systems. Data used here to report case demographics has been taken from NYS's CommCare system. Historic CommCare data is only accessible for July 1, 2020 to the present. This represents 88% of Tompkins County cases. Testing data posted daily is taken from the Electronic Clinical Laboratory Report System (ECLRS). Presentation to the Tompkins County Legislature – August 17, 2021
COVID-19 Positive Cases 7/14-8/10 (200 Total) Ethnicity Includes all positive cases 7/14-8/10 Data reported by Tompkins County Health Dept. Data is self-reported by each sampled individual. Total population data source: 2018 ACS 1yr est. Updates will occur when large enough numbers are present to protect the privacy of individuals. The Health Department is now pulling its data from New York State database systems. Data used here to report case demographics has been taken from NYS's CommCare system. Historic CommCare data is only accessible for July 1, 2020 to the present. This represents 88% of Tompkins County cases. Testing data posted daily is taken from the Electronic Clinical Laboratory Report System (ECLRS). Presentation to the Tompkins County Legislature – August 17, 2021
Vaccination Demographics Age First Doses, n=72,164 (Inclusive of nursing homes and travelers to other sites) Includes all first vaccine doses of Tompkins County residents through 8/10/2021 Total population data source: 2018 ACS 1yr est. Updates will occur when large enough numbers are present to protect the privacy of individuals. Data reported through NYS Immunization Information System (NYSIIS) Data is self-reported by each vaccinated individual. Presentation to the Tompkins County Legislature - August 17, 2021
Vaccination Demographics Race First Doses, n=72,194 (Inclusive of nursing homes and travelers to other sites) Includes all first vaccine doses of Tompkins County residents through 8/10/2021 Total population data source: 2018 ACS 1yr est. Updates will occur when large enough numbers are present to protect the privacy of individuals. Data reported through NYS Immunization Information System (NYSIIS) Data is self-reported by each vaccinated individual. Presentation to the Tompkins County Legislature – August 17, 2021
Vaccination Demographics Ethnicity First Doses, n=72,194 (Inclusive of nursing homes and travelers to other sites) Includes all first vaccine doses of Tompkins County residents through 8/10/2021 Total population data source: 2018 ACS 1yr est. Updates will occur when large enough numbers are present to protect the privacy of individuals. Data reported through NYS Immunization Information System (NYSIIS) Data is self-reported by each vaccinated individual. Presentation to the Tompkins County Legislature – August 17, 2021
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