THE BUSINESS OF METRO MKE - DR. JOHN RAYMOND Medical College of Wisconsin
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DR. JOHN RAYMOND DR. BENJAMIN WESTON DR. LAURA CASSIDY
Medical College of Wisconsin Medical College of Wisconsin Medical College of Wisconsin
THE BUSINESS OF METRO MKE
Presented on 1/11/2022 1
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Presented on 1/11/2022 2
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coronavirus-mmac.org/smart-restart/toolkit
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Tim
Sheehy
President
Metro Milwaukee Association of Commerce
THE BUSINESS OF METRO MKE
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PRESENTED BY:
MMAC
John R. Raymond Sr., MD
COVID-19 Update Laura Cassidy, MS, PhD
01.11.2022
Presented on 1/11/2022 5 Ben
5 Weston, MD, MPH
COVID-19 UPDATE 01.11.2022
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PRESENTED BY:
John R. Raymond Sr., MD Laura D. Cassidy, MS, PhD Ben Weston, MD, MPH
President and CEO Professor & Director Associate Professor, Medical
Medical College of Epidemiology College of Wisconsin
Wisconsin Medical College of Director of Medical Services,
Wisconsin Milwaukee County Office of Analytics by Ali Nemati
MCW Institute for Health
Presented on 1/11/2022 6 Emergency Management
and Equity
7 Learn
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COVID-19 CASES AND INDICATORS – 01.10.2022 N M O R E AT
Covid19.MCW.edu
covid19.mcw.edu
WISCONSIN 1,219,470
9,063 27% 1.45
TOTAL CASES IN WI
01.10.2022
7-DAY AVERAGE POSITIVITY BY TEST R 191,059
9,113 reported on 01.10.2022 WISCONSIN 7-DAY TOTAL CASES IN
WISCONSIN MILWAUKEE COUNTY
TRENDING UNFAVORABLY AVERAGE TRENDING FLAT 01.10.2022
MILWAUKEE 7,989
1,800 36.2% 1.1
PREVIOUS HIGHEST 2020
DAILY POSITIVE CASES IN
WISCONSIN
11.18.2020
7-DAY AVERAGE POSITIVITY BY TEST R
599 reported on 01.10.2022
MILWAUKEE 7-DAY
AVERAGE TRENDING FLAT MILWAUKEE 1,649
TRENDING UNFAVORABLY PREVIOUS HIGHEST 2020
DAILY POSITIVE CASES IN
MILWAUKEE
Presented on 1/11/2022 7 11.09.2020
8 Learn
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COVID-19 DEATHS & HOSPITALIZATIONS – 01.10.2022 N M O R E AT
Covid19.MCW.edu
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WISCONSIN
11,475
28 2,259 472 TOTAL WI COVID-19
DEATHS AS OF
01.10.2022
7-DAY AVERAGE HOSPITALIZATIONS ICU CENSUS
DAILY DEATHS
WISCONSIN TRENDING
WISCONSIN
TRENDING UNFAVORABLY
WISCONSIN
TRENDING 2,277
PEAK WI COVID-19
FLAT UNFAVORABLY HOSPITAL CENSUS
11.17.2020
96% 92% 266 456
PEAK 2020 ICU CENSUS
11.16.2020
ICU OCCUPANCY % HOSPITAL BED ICU CENSUS HERC-7
TRENDING FLAT OCCUPANCY TRENDING UNFAVORABLY
TRENDING FLAT 104
24% of Wisconsin hospital beds are occupied by COVID-19 positive patients PREVIOUS HIGHEST
DAILY COVID-19 DEATHS
11.4% of hospitalized COVID-19 patients are on ventilators WISCONSIN
Presented on 1/11/2022
11.23.2020
8
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COVID-19 TRENDS IN WISCONSIN 01.10.2022 N M O R E AT
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Screenshots
from:
dhs.wisconsin.gov/c
ovid-19/data.htm
Accessed on 01.10.2022
Presented on 1/11/2022 9
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WISCONSIN COUNTIES’ COVID-19 DISEASE BURDENS Covid19.MCW.edu
covid19.mcw.edu
11.12.2020 – 11.25.2020 03.03.2021 – 03.16.2021 06.23.2021 – 07.06.2021 12.22.2021 – 01.04.2022
Very High: 25 Counties
Critically High: 47
WISCONSIN’S COVID-19 CASE BURDEN OVER 14 months
Presented on 1/11/2022 10Learn
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NEW PERSPECTIVES WITH OMICRON VARIANT N M O R E AT
Covid19.MCW.edu
covid19.mcw.edu
• We have less than two months of experience with Omicron variant.
Omicron causes fewer
• Case counts are higher than ever due to massively increased hospitalizations per
transmissibility of Omicron variant. case of COVID-19 than
• Case counts still matter, but only in the context of a broader set of metrics. delta, but it is
explosively contagious.
• Temporarily, we cannot use case counts to predict hospitalizations and The massive number
deaths from COVID-19. The usual relationship between cases and of new infections with
hospitalizations and deaths has been decoupled by Omicron. omicron has filled our
hospitals and sidelined
• Cases of Omicron are 1/3 to ½ as likely to result in hospitalization and many frontline
death as cases of delta COVID-19. healthcare workers.
The next month is
• A substantial percentage of hospitalized COVID-19 patients have “incidental going to be
infections”, distinguishing hospitalized “from” vs “with” COVID-19. challenging.
• Incidental does not mean insignificant or trivial…
• Omicron complicates clinical care, exacerbates co-morbidities, and
increases morbidity and mortality from non-COVID-19 diseases.
Presented on 1/11/2022 11Learn
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WHAT WE KNOW ABOUT O-VARIANT 01.10.2022 N M O R E AT
Covid19.MCW.edu
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• First reported out of
• Omicron (pronounced OH-muh-kraan, AH-muh-kraan, OH-mee-kraan or South Africa around
oh-MIKE-ron) is a new COVID-19 variant; also called B1.1.529. Thanksgiving 2021
• It has about four dozen mutations, many of which make it more
• Highly contagious,
transmissible, and change the proteins in the spike protein, raising much more so than
concerns about immune evasion. delta
• It has been detected in nearly every country and US state.
• Now the dominant
• It has virtually extinguished transmission of the Delta variant in South strain in South Africa,
Africa, Europe and USA. . Europe and USA.
• It is much more transmissible than the highly contagious Delta strain.
• Previous infection with COVID-19 (β, α, or Δ strains), so-called “natural
immunity”, and vaccines provide less protection against omicron
infection.
• Full vaccination status and boosters provide significant protection
hospitalizations and deaths from Omicron.
Presented on 1/11/2022 12Learn
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WHAT IS DIFFERENT ABOUT OMICRON? N M O R E AT
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• First reported out of
• The incubation or latency period from exposure to symptoms period South Africa around
of omicron us shorter than other strains… 2-3 days vs. 5-7 days. Thanksgiving 2021
• The doubling time in populations is astonishingly fast… 2-3 days. • Believed to be highly
• Symptoms seem to be milder… cough, stuffy or runny nose, contagious, much
headache, fatigue, scratchy or sore throat. more so than delta
• Symptoms seem to resolve more quickly than previous strains, • Concerns about
• Vaccines, monoclonal antibodies, and previous infections with COVID-19 immune escape,
sensitivity of rapid
give reduced protection from infection. antigen tests, and
• Previous infection with alpha, beta and delta strains provides little effectiveness of
protection from Omicron. monoclonal antibody
therapies
• However, laboratory studies suggest that Omicron could provide
substantial protection from previously circulating strains, although this
observation needs to be confirmed in patients and populations.
Presented on 1/11/2022 13Learn
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MCW EXPERTS IN COVID-19 N M O R E AT
Covid19.MCW.edu
covid19.mcw.edu
Ben Weston, MD, MPH
Associate Professor, Medical College of
Wisconsin
Director of Medical Services, Milwaukee County
Office of Emergency Management
• 2021 Healthcare Champion, Milwaukee
Business Journal
Presented on 1/11/2022 14Learn
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MILWAUKEE COUNTY COVID-19 UPDATE N M O R E AT
Covid19.MCW.edu
covid19.mcw.edu
Cases Hospitalizations
% Pos
Deaths
Tests
Presented on 1/11/2022 15Learn
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MILWAUKEE COUNTY’S PANDEMIC RESPONSE N M O R E AT
Covid19.MCW.edu
covid19.mcw.edu
• UEOC (Unified Emergency Operations Center)
• Cross Sector Coordination
• 14 Health Departments
• EMS and Health System Engagement
• Alternate Care Facility
• Testing and Vaccination Access
• Messaging
• Data-Informed
• Transparent
• Equity-Focused
Presented on 1/11/2022 16Learn
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UNIQUE PERSPECTIVES N M O R E AT
Covid19.MCW.edu
covid19.mcw.edu
• MC Chief Health
Policy Advisor
• UEOC Medical
Director
• MC EMS Medical
Director
• Emergency
Department Physician
• Academic Physician
Presented on 1/11/2022 17Learn
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MCW EXPERTS IN COVID-19 N M O R E AT
Covid19.MCW.edu
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Laura D. Cassidy, MS, PhD
Professor & Director Epidemiology
Medical College of Wisconsin
• 2021 Recipient of Distinguished Service
to Public Heath Award, Wisconsin Public
Health Association
• 2021 Recipient of Dynamic Leadership
Award, Marcus Performing Arts Center
Presented on 1/11/2022 18Workplace Safety Principles
A framework to design and implement workplace safety principles for all businesses
Prepare and Protect Prepare and Protect
WORKFORCE CUSTOMERS
Protective Practices Risk Awareness
Screening Education
Rapid Response to Cases Communication
Work from Home Options Vaccinations
Risk Mitigation Social Masks
Cultural Practices Distancing
Education and Hygiene
Communication Practices
Vaccinations Prepare and Protect
FACILITY
Masks FACILITY Disinfecting Practices
Environmental Controls
Workspace Design
Workflow Design
Controlled Access
Provide Masks
Sources: Medical College of Wisconsin, CDC, WHO, OSHALearn more:
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du
20CONSULTATIONS AND CONSIDERATIONS FOR A VARIETY OF Learn
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BUSINESSES
Weekly meetings with MMAC, Health Department and business leaders in addition to
consultations with individual businesses
• Restaurants
• Performing Arts
• Visual Arts
Webinars and consultations
• School Boards
• Early Childhood Care
• Manufacturing
• International Corporations
• National Bar Exam
• Wisconsin Medical Society
• Wisconsin Association of Independent Colleges and Universities (WAICU)
Risk and Benefit: Always considering the balance between operating safely and staying
in business
Presented on 1/11/2022 21DATA SOURCES
SOURCES
DATA Learn
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WE USE MULTIPLE EXTERNAL DATA SOURCES FOR THESE PRESENTATIONS
• Wisconsin Hospital Association: wha.org/COVID-19Update
• Wisconsin Department of Health Services: https://www.dhs.wisconsin.gov/covid-19/index.htm
• Milwaukee County: https://county.milwaukee.gov/EN/COVID-19
• https://covidtracking.com/
• New York Times: https://www.nytimes.com/interactive/2020/us/coronavirus-us-cases.html
• and https://www.nytimes.com/interactive/2020/science/coronavirus-vaccine-tracker.html
• Wisconsin Electronic Disease Surveillance System (secure access required)
• Milwaukee County Unified Emergency Operations Center (secure access required)
• Centers for Disease Control and Prevention: https://www.cdc.gov/coronavirus/2019-ncov/community/health-equity/race-ethnicity.html
• Worldometers: https://www.worldometers.info/coronavirus/
• Johns Hopkins: https://coronavirus.jhu.edu/vaccines
• Kaiser Family Foundation Vaccine Monitor Dashboard https://www.kff.org/coronavirus-covid-19/dashboard/kff-covid-19-vaccine-
monitor-dashboard/
MEDICAL COLLEGE OF WISCONSIN ANALYTICS
• Institute for Health and Equity
• Division of Epidemiology
• Epidemiology Data Resource Center and Geographic Information System
Presented on 1/11/2022 22You can also read
