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DAILY HIGHLIGHTS

CORONAVIRUS DISEASE 2019 (COVID-19)SITUATIONAL REPORT #17 APRIL 3, 2020

UNITED STATES

Globally, COVID-19 cases have surpassed 970,000 with more than 50,000 deaths.

U.S. Surgeon General Jerome Adams is suggesting the best way to prevent the continuation of the COVID-19 is for those in the United States to stay home.

President Trump has extended the COVID-19 guidelines for America until April 30th.

The California Area Indian Health Service (IHS) has reported that 18 California IHS patients have tested positive for COVID-19.

The total number of cases in the U.S. increased from 213,144 as reported on Thursday 4/2/2020 to 239,279 reported today. The number of deaths increased from 4,513 to 5,443.

COVID-19: U.S. at a Glance*• Total cases: 239,279• Total deaths: 5,443• Jurisdictions reporting cases: 55 (50 states, District of Columbia, Puerto Rico, Guam, the Northern MarianaIslands, and the U.S. Virgin Islands)* Data include both confirmed and presumptive positive cases of COVID-19 reported to CDC or tested at CDC sinceJanuary 21, 2020, with the exception of testing results for persons repatriated to the United States from Wuhan, Chinaand Japan. State and local public health departments are now testing and publicly reporting their cases. In the eventof a discrepancy between CDC cases and cases reported by state and local public health officials, data reported bystates should be considered the most up to date.Public Health Laboratory TestingAs of the evening of April 2, the total number of public health laboratories (PHL) that have completed verificationand are offering testing is 95. This includes one or more PHL in 50 states plus DC, Guam and Puerto Rico.

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As of April 2, 2020, there are a total of 10,701 positive cases and 237 deaths in California.

Ages of all confirmed positive cases:• Age 0-17: 120 cases• Age 18-49: 5,302 cases• Age 50-64: 2,879 cases• Age 65 and older: 2,342 cases• Unknown/Missing: 58 casesGender of all confirmed positive cases:• Female: 5,015 cases• Male: 5,547 cases• Unknown: 139 cases

In order to better focus public health resources on the changing needs of California communities, beginning on March 18, the state is no longer collecting information about California travelers returning from countries that have confirmed COVID-19 outbreaks. Community transmission of COVID-19 has been identified in California since late February, and since early March, most of the confirmed cases in the state were not relat-ed to travel outside of the United States.

Twenty-two public health labs in California are testing samples for COVID-19. These labs include the California Department of Public Health’s Laboratory in Richmond, Alameda, Contra Costa, Humboldt, Long Beach, Los Angeles, Monterey, Napa-Solano-Yolo-Marin (located in Solano), Or-ange, Riverside, Sacramento, San Bernardino, San Diego, San Francisco, San Joaquin, San Luis Obispo, San Mateo, Santa Clara, Shasta, Sonoma, Tulare and Ventura County public health laboratories The Richmond Laboratory will provide diagnostic testing within a 48-hour turnaround time. This means California public health officials will get test results sooner, so that patients will get the best care.

CALIFORNIA

The Indian Health Service (IHS) California Area as of 4/3/2020 reports that 392 IHS patients in the California Area have been tested for COVID-19. Of these, 18 patients have tested positive for COVID-19

and 250 have tested negative for COVID-19.

CORONAVIRUS DISEASE 2019 (COVID-19)SITUATIONAL REPORT #17 APRIL 3, 2020

If you have any questions or concerns, please contact: Vanesscia Cresci at vcresci@crihb.org or Aurimar Ayala at aayala@crihb.org

INDIAN HEALTH SERVICE CALIFORNIA AREA

Confirmed Cases by County

CONFIRMED CASES AND DEATHS BY COUNTYCURRENT AS OF 12PM ON APRIL 3, 2020

Counties with Reported Deaths (n=31)

1. Alameda2. Contra Costa3. Imperial4. Kern5. Los Angeles6. Madera7. Marin8. Mendocino9. Mono10. Monterey11. Napa12. Nevada13. Orange14. Placer15. Riverside16. Sacramento

17. San Benito18. San Bernardino19. San Diego20. San Francisco21. San Joaquin22. San Mateo23. Santa Clara24. Santa Cruz25. Shasta26. Solano27. Sonoma28. Sutter29. Tulare30. Ventura31. Yolo

Counties with Community

Transmission (n=38)

1. Alameda2. Butte3. Contra Costa4. City of Berkeley5. City of Long Beach6. City of Pasadena7. El Dorado8. Fresno9. Humbolt10. Imperial11. Kern12. Los Angeles13. Marin14. Mono15. Monterey16. Nevada17. Orange18. Placer19. Riverside20. Sacramento21. San Benito22. San Bernardino23. San Diego24. San Francisco25. San Joaquin26. San Luis Obispo27. San Mateo28. Santa Barbara29. Santa Cruz30. Santa Clara31. Siskiyou32. Solano33. Sonoma34. Stanislaus35. Tulare36. Ventura37. Yolo38. Yuba

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Counties with Most Reported Cases*1. Los Angeles: 45662. Santa Clara: 10193. San Diego: 9664. Orange: 7115. San Fransisco: 497

> 4000

> 1000 to 4000

> 500 to 1000

> 100 to 500

> 0 to 100

*Note: County-level case and death counts are reported based on data found on countywebsites as of 1pm on days reported. Some case counts include presumptive cases.

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Urban Indian Health Programs

Counties with Community Transmission (n=38)

Tribal Health Programs

1. American Indian Healing Center2. American Indian Health & Services Corporation3. Bakersfield American Indian Health Project4. Fresno American Indian Health Project5. Indian Health Center of Santa Clara Valley6. Native American Health Center, Inc.7. Sacramento Native American Health Center, Inc.8. San Diego American Indian Health Center9. United American Indian Involvement, Inc.

1. Cabazon Band of Mission Indians2. Central Valley Indian Health, Inc.3. Chapa-De Indian Health Program, Inc.4. Colusa Indian Health Community Council5. Consolidated Tribal Health Project, Inc.6. Feather River Tribal Health, Inc.7. Greenville Rancheria Tribal Health Program8. Indian Health Council, Inc.9. Karuk Tribal Health & Human Services Program10. K’ima:w Medical Center11. Lake County Tribal Health Consortium, Inc.12. MACT Health Board, Inc.13. Mathiesen Memorial Health Clinic14. Northern Valley Indian Health, Inc.15. Pit River Health Service, Inc.16. Anav Tribal Health Clinic17. Redding Rancheria Tribal Health Center18. Riverside-San Bernardino County Indian Health, Inc.19. Rolling Hills Clinic20. Round Valley Indian Health Center, Inc.21. Santa Ynez Tribal Health Clinic22. Shingle Springs Tribal Health Program23. Sonoma County Indian Health Project, Inc.24. Southern Indian Health Council, Inc.25. Strong Family Health Center26. Susanville Indian Rancheria27. Sycuan Band of the Kumeyaay Nation28. Table Mountain Rancheria Medical Center29. Toiyabe Indian Health Project, Inc.30. Tule River Indian Health Center, Inc.31. Tuolumne Me-Wuk Indian Health Center32. United Indian Health Service, Inc.33. Warner Mountain Indian Health Program

This map shows community transmission cases reported to the county. The locations of Tribal Health Programs and Urban Indian Health Programs are being shown as reference only.

COUNTIES WITH COMMUNITY TRANSMITTED CASES

TRIBAL STATE OF EMERGENCY AND SHELTER IN PLACE DECLARATIONS

Tribes Issuing Shelter in Place Order (n=3)20. Hoopa Valley Tribe46. Tule River Tribe51. Wiyot Tribe

Emergency Declarations (n=54)

Tribes do not need to issue a state of emergency to access FEMA resources.

1. Agua Caliente Band of Cahuilla Indians2. Bear River Band of Rohnerville Rancheria3. Big Pine Paiute Tribe4. Big Valley Band of Pomo Indians5. Bishop Paiute Tribe6. Blue Lake Rancheria7. Buena Vista Rancheria8. Cachil DeHe Band of Wintun Indians of the

Colusa Indian Community9. Cahto Tribe10. Chemehuevi Indian Tribe11. Cher-Ae Heights Indian Community of the

Trinidad Rancheria 12. Chicken Ranch Rancheria of Me-Wuk

Indians of California13. Colorado River Indian Tribes14. Coyote Valley Band of Pomo Indians15. Dry Creek Rancheria Band of Pomo Indians16. Elk Valley Rancheria17. Enterprise Rancheria

18. Fort Mojave Indian Tribe19. Habematolel Pomo of Upper Lake Tribe20. Hoopa Valley Tribe 21. Iipay Nation of Santa Ysabel22. Jamul Indian Village23. La Jolla Band of Luiseno Indians24. Karuk Tribe25. Mesa Grande Band of Diegueno Mission Indians26. Middletown Rancheria of Pomo Indians of

California27. Morongo Band of Mission Indians28. North Fork Rancheria of Mono Indians of

California29. Pala Band of Mission Indians30. Pechanga Band of Luiseno Indians31. Picayune Rancheria of the Chukchansi

Indians32. Pit River Tribe33. Redding Rancheria34. Resighini Rancheria

35. Rincon Band of Luiseno Indians36. Robinson Rancheria37. San Manuel Band of Mission Indians38. San Pasqual Band of Mission Indians39. Santa Ynez Band of Chumash Indians40. Shingle Springs Band of Miwok Indians41. Soboba Band of Luiseno Indians42. Susanville Indian Rancheria43. Table Mountain Rancheria44. Tolowa Dee-Ni’ Nation45. Torres Martinez Desert Cahuilla Indians46. Tule River Tribe47. Tuolumne Band of Me-Wuk Indians 48. Twenty-Nine Palms Band of Mission Indians49. Viejas Band of Kumeyaay Indians50. Wilton Rancheria 51. Wiyot Tribe52. Yocha Dehe Wintun Nation53. Yurok Tribe54. Quartz Valley Indian Reservation

4922

45

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19

2521

245416

12

28

27

53

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2

44

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TRIBAL HEAD START CLOSED AS DIRECTED BY LOCAL SCHOOL DISTRICTS OR TRIBAL COUNCIL ORDERS

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California Rural Indian Health Board, Inc.Indian Health Service, California Area Office

California Consortium for Urban Indian Health

161215

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1. Big Sandy Rancheria Tribal Head Start2. Big Pine Early Head Start3. Bishop Paiute Tribe Head Start & Early Head Start4. Lytton Rancheria Head Start5. Pinoleville Native American Head Start & Early Head Start6. Manchester-Point Arena Head Start7. Round Valley Indian Tribes Head Start8. Redding Rancheria Head Start9. Chemehuevi Head Start10. Campo Kumeyaay Head Start11. Hoopa Tribal Early Head Start & Head Start12. Karuk Tribal Head Start13. Quechan Head Start14. Yurok Tribe Head Start15. Elk Valley Rancheria Head Start16. Howonquet Head Start17. Tule River Head Start

Tribal Head Starts

SANTA

CRUZ

SAN

MATEO

Emergency Declarations

(37 Counties)

Governor Newsom Issued Statewide

Stay At Home Executive Order

March 19, 2020Click here to read the Executive Order

Emergency Declarations and Shelter in Place /Safer at Home

Orders

(20 Counties)

Click the color dotson the map

for county information

SAN

FRANCISCO

Updated 11:55 amMarch 30, 2020

California Counties

COVID-19 Response

www.counties.org

FOR ADULTS

AGE 75+

Data is based on official documents, county correspondence with CSAC and media reports.

Links to official documents are provided when available.