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Home My WebLink AboutCOM 0912.000 2018-2020 SUBMITTED BY: MAYOR HARRY KIM P/COUNCIL • COVID- 19 : & How to Reopen Mayor's Discussion with County Council May 6, 2020 Comm. No. -` Ref. To: I co h Ref. Date Principles to Reopen Goal: Reopen safely, while leveraging the opportunities and lessons learned to build a more resilient community. • Risk Framework. Re-opening would be in accordance with: • A Level of Risk framework • Consistent with the State for uniformity, interdependency, and collective best-practice research • Reliable Public Health System. Before any major reopening that comes with it the associated risk of potential outbreak, there needs to be in place a proven and reliable system: • Screening • Testing • Contact tracing for all new cases and their close contacts • Healthcare system with adequate capacity • Phased Re-Opening • Gradual by phases to enable monitoring • Businesses and activities with the lowest risk of spreading the virus would be allowed to restart first Principles to Reopen continued • Community Effort • Community awareness, support, and vigilance • Personal responsibility • Help each other • Protect the Vulnerable • Special and appropriate protections at each level of risk • Continued support • Reset to a More Resilient Economy • Strengthened healthcare system • Workplace adaptations using technology to work smarter • Improved local-based food network • Safety net navigation system for those in need • Work place policies for basic sick leave and health insurance • Diversified economic base Risk Level Framework Confirmed Cases Risk Level Reopen Phase apt. y increasing Leve 4 oc •own _ Phase 1: Targeted stabilizing Level 3 Reopening Continued or better stabilization Phase 2A: Reopening Low infection rate Level 2 Phase 2B: Reopening Level 1. Phase 3: Recovery Not a threat; vaccine widely available Level 0 Resilient New Normal Monitoring Factors to Determine Risk Level • Contagiousness of the Disease • Rate of Transmission • Healthcare System Demand • # New Cases/Day • Active Cases/Total Beds • Healthcare System Supply • Testing Capacity (% maximum testing capacity in relation to rate of new cases/day • Bed capacity, ICU capacity, Ventilator Capacity • Surge/crisis plan in place Pre-requisites to Major Reopening : 1 Y.Y i e„...0. _ „„...,., 9 1 1 SCREENING TESTING CONTACT TRACING & QUARANTINE SURVEILLANCE • Where: Ports of entry;public • Test all symptomatic individuals • Rapid reporting of confirmed and • Isolate all confirmed and probable places(schools,government, • Test all with prolonged close probable cases cases healthcare,businesses) contact with COVID+ • Investigation and isolation of • Quarantine people in prolonged • Screen to find symptomatic cases • Test all arrivals from a confirmed and probable cases close contact with a positive or and those with prolonged close state/country with community • Notification and quarantine of all probable case contact with a positive case widespread infection close contacts and downstream • Quarantine those who traveled • Monitoring or tracking system for • Test first responders,health care contacts from a state/country with symptomatic or self-quarantine workers and those seeking health • Development of unified widespread community infection cases care Surveillance&Incident • Effective enforcement • Ensure rapid and comprehensive Management Systems for data testing to identify clusters sharing and reporting • Surveillance testing Source: Public Health Recovery Task Force led by HMSA Phased Reopening R Reop • Home usinees Gatherings Air Travel No international,domestic& Level 4 Lockdown Yes Essential None(<10) interisland self-quarantine Phase 1:Targeted Level 3 Reopening Yes Essential+Low Risk None(<10) ? Essential+ Phase 2A: Reopening Relaxed Low/Medium Risk Small (<?) ? No, social All,with social Level 2 Phase 2B: Recovery distance distance Medium(<?) social distance Phase 3: Resilient Level 1 New Normal No,vaccine All,adaptations? Large(>?) adaptations? Business & Activity Risk Assessment Criteria • Contact intensity • Contact type: close to distant • Contact duration: brief to prolong • Example: low contact intensity is brief and fairly distant, like walking past someone in a grocery store; high contact intensity involves prolonged close contact, like sharing a dormitory; medium contact intensity is between those two poles, like eating in a restaurant with seats separated by several feet • Number of contacts • Approximate number of people in the setting at the same time, on average • Low, medium, high (high number of people riskier) Source: "Public Health Principles for a Phase Reopening During COVID-19: Guidance for Governors" (John Hopkins Bloomberg School of Public Health, 2020) Sanitation & Social Distance Requirements for Businesses to Open • Physical Distancing • 6' spacing • Occupancy limit • Prevention • Protective equipment (masks, gloves) • Sanitizing (sanitizers at entry, high-touch disinfection) • Physical barriers (e.g., plexiglass separations) • Workplace safety • Employee screening for symptoms • Policies and procedures Task Forces • Prevention & Education • Leader: Lance Uchida (HFD) • Mission: • Educate and train senior housing operators, businesses, schools • Inspect, advise, assist • Support testing • Logistics and Finance • Leaders: Deanna Sako (Finance), Tom Olson (CD) • Mission: • Develop inventory control and ordering system • Setup expedited purchasing system • Develop system for tracking funding sources • Setup COVID-19 accounting system Task Forces (continued • County Workplace Policies • Leader: William Brilhante (DHR) • Mission: • Coordinate County workplace preventive measures • Develop County workplace leave policies • Coordinate continuity of operations plans for each department • Develop system for status reporting by department • Brainstorm workforce adjustment alternatives • Innovate County one-stop online services system • Isolation Facilities • Leader: Talmadge Magno (CD) • Mission: • Ensure incoming travelers control • Establish self-quarantine facilities • Establish confirmed cases isolation facilities • Coordinate hospital supplementary facilities Task Forces (continued • Safety Net • Leader: Sharon Hirota (Mayor's Office) • Mission: • Develop coordination system with volunteer and service providers to address food, healthcare, rental, and other assistance • Setup call center and assistance navigation • Develop homeless shelter-in-place plan • Bug Busters Disinfection • Leaders: David Yamamoto (DPW), James Komata (DPR) • Mission: • Disinfect high use public areas • Ensure worker protection • Secure disinfection supplies and ensure proper mixtures • Extend to private businesses frequented by the publics Task Forces (continued • Stay Healthy Promotion • Leader: Barett Otani (Mayor's Office) • Mission: • Developcreative outreach (e.g., assist seniors with technology, checking-in system for seniors) • Eat Healthy (e.g., personal shoppers, CSA) • Promote Exercise • Promote Positive Attitude • Business Assistance & Economic Recovery • Leader: Diane Ley (R&D) • Mission: • Research and promote business survival best practices • Monitor and facilitate access to business assistance grants and loans • Develop and coordinate economic recovery strategies and funding Task Forces (continued • Seniors Protection & Support • Leader: Marcie Saquing (Hawai'i Island Adult Care) • Mission: • Coordinate with Prevention & Education Task Force for outreach and training to senior services providers • Coordinate with Safety Net Task Force to assist seniors with food, healthcare, and other needs • Coordinate with Stay Healthy Task Force to support seniors during stay home order • Identify and address any gap needs • Task Force Support • GIS, Website, and Dashboard (Asia Wassner (DPW), Josh Black (CD)) • Legal (Joe Kamelamela, Renee Schoen, Craig Masuda (Corporation Counsel)) • Communication (Denise Laitinen (DPW))