COVID-19

Situation ReportMay 18, 2020

as of 5:00 PM

COVID-19 State Dashboard

Updated as of 4:00 PM 5/18/2020

Virginia COVID-19 Map Tool or ARCGIS

You must have a username and password to access

VHHA COVID-19 Dashboard

Updated as of 4:00 PM 5/18/2020

VHHA COVID-19 Trend Data on AGOLYou must have a username and password to access AGOL with

trend data – daily data publicly available at VHHA Dashboard

Incident Objectives1. TESTING: Develop community testing and point prevalence surveillance strategies in

accordance with the Governor’s priorities.

2. CONTACT TRACING: Develop a contact strategy to keep the rate of spread within the

capability of existing healthcare capacity.

3. MEDICAL SURGE: Continue to support and refine medical surge plans in collaboration with

hospitals, long-term care facilities, correctional facilities and other congregate settings in the

community..

4. EQUITY: EQUALITY AND ETHICAL CONSIDERATIONS: Ensure all operations are actively

centered on and consider impacts to the most under resourced individuals and communities.

Integrate, prioritize, measure, and validate equitable and ethical practices for all response and

recovery decisions, actions, and resource allocation.

5. SUPPLY CHAIN MANAGEMENT: Maintain and adapt strategies to ensure supplies of goods

and materials can meet an evolving demand environment.

6. FEDERAL AID AND RECOVERY PROGRAMS: Begin working with local governments and

other eligible applicants for federal aid.

7. SUSTAINMENT: Prepare to maintain operations for the remainder of the year and respond to

any secondary outbreaks and other emergencies.

COVID-19 Organizational Chart

ESF-8 Public Health & Medical Updates

6

• The Virginia Hospital & Healthcare Association (VHHA) has launched a new online data

dashboard focused on statistics associated with COVID-19 cases in licensed nursing

facilities across the Commonwealth. The data that populates the new dashboard is

voluntarily supplied by licensed nursing facilities in the Commonwealth and flows through the

Virginia Healthcare Alerting and Status System (VHASS). The dashboard does not reflect

conditions at assisted living facilities.

• The VDH Office of Communications will host a media telebriefing on May 21 from 10:30 -

11:30 a.m. This briefing will focus on Virginia's contact tracing efforts and will feature VDH

subject matter experts to explain recruitment efforts and contact tracing in Virginia. An MP3

digital download and written transcript of the tele-press conference will be posted at:

https://www.vdh.virginia.gov/coronavirus/media-room/.

Current level of community transmission in Virginia: Widespread

Number of known COVID-19 testing sites in Virginia as of 5/18/20: 249

Number of Medical Reserve Corps (MRC) volunteers deployed on 5/17/20: 49

Number of visits made to the VDH COVID-19 website on 5/17/20: 218,702

Number of calls received by VDH (877-ASK-VDH3) and local health district call centers on

5/17/20:57

To access an interactive version of this dashboard, visit https://www.vdh.virginia.gov/coronavirus/.

To access an interactive version of this dashboard, visit https://www.vdh.virginia.gov/coronavirus/.

To access an interactive version of this dashboard, visit https://www.vdh.virginia.gov/coronavirus/.

To access an interactive version of this dashboard, visit https://www.vdh.virginia.gov/coronavirus/.

ESF-8 Public Health & Medical Updates

1

1

New/updated VDH resources:

• VDH Aerosol Generating Procedures and COVID-19 Infographic

• Long-Term Care Facility Task Force page

• Frequently Asked Questions

New/updated Federal resources:

• FDA Authorizes First Standalone At-Home Sample Collection Kit That Can Be Used With Certain

Authorized Tests

• Interim Guidance for Syringe Services Programs

• COVID-19 Serology Surveillance

• CDC Seroprevalence Survey Types

• Interim Clinical Guidance for Management of Patients with Confirmed Coronavirus Disease

(COVID-19)

• MMWR Early Release: Decline in Child Vaccination Coverage During the COVID-19 Pandemic

— Michigan Care Improvement Registry, May 2016–May 2020

• CDC Activities and Initiatives Supporting the COVID-19 Response and the President’s Plan for

Opening America Up Again

• COCA Call: May 19, 2020 – Multisystem Inflammatory Syndrome in Children (MIS-C) Associated

with Coronavirus Disease 2019 (COVID-19)

COVID-19 Workgroup Updates

• Healthcare Coordination

• A second shipment of remdesivir from HHS was received by VDH on Friday, May 15.

VDH and VHHA are working together to distribute the medication based on the random

selection model as determined by the VDMAC.

• VDH, DMAS and other healthcare coordination workgroup members are working to

implement a Buoy Health application intended to assist with triage of ill callers and

routing of patients to the most appropriate test sites.

• Public Health Surveillance & Guidance

• As most of Virginia enters into Phase One of easing restrictions, the workgroup

continues to ensure that case investigation, contact tracing, monitoring, point prevalence

surveys, and public health and commercial laboratory testing efforts are expanded

through additional staffing, resource acquisition, and public outreach and education.

• Guidance for local health districts, healthcare providers, community settings and the

general public continues to be developed and maintained.

• Community Mitigation

• Guidance continues to be developed for various business sectors, communities and

congregate settings around implementing non-pharmaceutical interventions.

COVID-19 Workgroup Updates

• Testing Capacity & Coordination

• Targeted outreach is occurring to clinicians (based on zip codes) in areas with pharmacy

chain testing sites to make them aware of this available free testing supported by HHS

(sites include: Walmart sites in Prince William (2), Culpeper and Olney, as well as Rite

Aid sites in Virginia Beach and Colonial Heights).

• Virginia’s public health laboratory (DCLS, UVA, VCU, VT, Fairfax) testing capacity is now

1,470 tests per day.

• Provider Outreach & Detailing

• The Medical Reserve Corps (MRC) continues to recruit and deploy medical and non-

medical volunteers to bolster the work of local health departments, hospitals, and

healthcare providers. As of May 17, there are 17,668 approved MRC volunteers and

750 new volunteer applications currently being processed.

Emergency Support Functions (ESFs)

Human Services Branch

Emergency Support Functions (ESFs)

Human Services Branch

Emergency Support Functions (ESFs)

Emergency Services Branch

Emergency Support Functions (ESFs)

Emergency Services Branch

Emergency Support Functions (ESFs)

Infrastructure Branch

Emergency Support Functions (ESFs)

Infrastructure Branch

Region 5

Number of Cases (by Region): 4,028 cases / 131 fatalities

Accomplishments Significant Activity Next 24-72 Hours

• PPE deliveries coordinated regularly

• Eastern Shore Testing of 1400 people 5/8-9

• Region 5 Call held on 5/11

• Battelle System in Newport News operational

• 818 individuals tested at the Smithfield Meat Packing Facility

last week

• Monitoring coordination with VDH

• Monitor PPE Critical Status

• Coordinate PPE WebEOC requests with localities.

• Coordinate COVID-19 testing in Region 5

• Monitor Tropical Storm Arthur and Coastal flooding

Regional Support East

Region 7

Number of Cases (by Region): 17,637 cases / 532 fatalities

Accomplishments Significant Activity Next 24-72 Hours

• Participated in a NOVA Planners Call

• Coordinated with localities on case counts.

• Local Emergency Managers call

• Coordinated and sorted PPE delivery with the support of the

National Guard.

• RCC Regional Coordination Call

Region 1

Number of Cases (by Region): 4,025 cases / 208 fatalities

Accomplishments Significant Activity Next 24-72 Hours

• Held conference call to obtain public messaging assistance

for a locality with a high COVID-19 related mortality rate.

• Continue to distribute recovery information to locals, PNPs,

authorities, towns, and respond to inquiries.

• Process resource requests for urgent needs.

• Distribute Battelle System information and respond to

inquiries.

Regional Support WestRegion 2

Number of Cases (by Region): 2,189 cases / 56 fatalities

Accomplishments Significant Activity Next 24-72 Hours

• Maintained Situational Awareness of current severe weather

threats and regional power outages.

• Coordinated resource requests for localities.

• Participated in today’s COVID-19 VDH Partner Coordination

Call

• Delivered resiliency message to the team and asked them to

begin thinking of resources needed to maintain regional

resiliency.

• Develop strategies for communicating Recovery /

Reimbursement information to localities and partners.

• Coordinate PPE Requests.

• Coordinating with VAARNG and VDH for testing capabilities.

• Monitoring the outbreak at Heritage Hall.

• Incorporating Social Vulnerability Index to Region 2 COVID-19

Dashboard for situational awareness and planning purposes.

• Continue to seek answers regarding approval for N-95 and

KN-95 from the FDA.

Region 3

Number of Cases (by Region): 2,348 cases / 58 fatalities

Accomplishments Significant Activity Next 24-72 Hours

• N95 Fit Testing conducted for Appomattox Country first

responders on 5/17

• COVID-19 testing conducted in Rockingham County and the

City of Harrisonburg

• Coordinating PPE requests and deliveries

• Working with local Ems and agencies to make sure PPE

requests are entered correctly under the new process

• Providing information and answering questions regarding the

recovery process.

• PPE POD delivery scheduled for 5/20 in Lynchburg.

Regional Support West

Region 4

Number of Cases (by Region): 325 cases / 8 fatalities

Accomplishments Significant Activity Next 24-72 Hours

• Worked with VDEM Grants as well as individuals from public

schools, local governments and correctional institutions on

initial damage assessment activities.

• Worked on an approved mask list for the Battelle System.

• Communicate with all local emergency managers who have

not entered initial damage assessment information into

Virginia PA.

Region 6

Number of Cases (by Region): 588 cases / 21 fatalities

Accomplishments Significant Activity Next 24-72 Hours

• Facilitated legislative/VARNG TAG visit to NRV HD

• Implemented Battelle System at VT

• Conducted conference calls w/ regional stakeholders

• Implemented Courier System for test samples VDH/VARNG

• Providing information to all stakeholders on PPE process

• Supporting testing initiatives across VDH/VARNG/localities

• Support local fatality management planning efforts

• Coordinate w/VDH/NSPA to support LTCs

• Monitor weather conditions for possible flooding this week

• Coordinating fit testing support

• Support VDH Epi Investigation conflicts

Recovery Dashboard

COVID-19 Call Schedule800 830 900 930 1000 1030 1100 1130 1200 1230 1300 1330 1400 1430 1500 1530 1600 1630

Mo

nd

ay,

May

18

Daily Plans

Sync

Cabinet Brief CRC Call VDEM R4 Call(11-11:15)

LOGS

Buying Call

Check-In

Public Health

Surveillance and

Guidance

AFN Partners CallVDH Tactics Meeting

& CDC All State Call

Training, Education,

Exercise Group VEST

Tactics

Meeting

Mass Fatality - OCME

District Office

Teleconference

VDEM R2 Call

Weekly Ops

Brief

(9:15) VDH COVID-

19 Leadership Group

VDEM All Hands

CallFEMA All States Call

Governor's Press

Briefing

VDEM R7 CallSecretary

Brief

Testing Capacity &

Coordination Working Group

Meeting

VDEM R5 Call State Feeding Task Force

Private Sector Team Call

FEMA R3

VOAD/VAL Call

R5 ACF Call

Provider Outreach Workforce

Subgroup

ESF/Regional Support

Sync

Tues

day

, M

ay 1

9

Testing Capacity &

Coordination Working Group

Meeting

Provider Outreach

Medical Subgroup

COVID-19 Health Equity

Workgroup Public Health

Surveillance and

Guidance

Regional Call WestHealthcare Coordination Team A

MeetingUC Leadership Update

Secretary

Brief

Long Term Care

Subgroup Meeting(11-11:15)

LOGS

Buying Call

Check-In

Mass Fatality - OCME

District Office

Teleconference

VDH Tactics Meeting VDEM R1 CallLTCF

Planning

CallDaily Plans

SyncVDEM R6 Call Regional Call East CDC Live

Stakeholder

Call (5-

6PM)Cabinet BriefPA Applicants

Brief Local Govt

PA Applicants Brief

Local Govt

Wed

nes

day

, M

ay 2

0

Testing Capacity &

Coordination Working Group

Meeting

(9:15) VDH COVID-

19 Leadership Group

COVID-19 Legal

& Policy Working

Group

(11-11:15)

LOGS

Buying Call

Check-In

Public Health

Surveillance and

Guidance

VDEM R3 Call

VDH

Tactics

Meeting

CDC Returning Traveller

Discussion

Workforce

Readiness

Group Call

VDH Community

Mitigation Working Group

VEST

Tactics

MeetingDaily Plans

Sync

PA Applicants

Brief Local GovtFEMA All States Call

Private

Sector Call

Private Sector Working

Group

Governor's Press

Briefing

Provider Outreach Workforce

SubgroupPrivate Sector Team Call Telehealth Subgroup

Meat and Poulty Facility

Workgroup

Secretary

Brief

CRC Call Cabinet Brief

Mass Fatality - OCME

District Office

Teleconference

PA Applicants Brief

State Agencies and

Tribal Govt

CDC Live Stakeholder

Call (4-5PM)