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STAY HOME | STAY HEALTHY | STAY CONNECTED | RETURN STRONGER


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STAY HOME. STAY HEALTHY. STAY CONNECTED. RETURN STRONGER.

CALM & STEADY APPROACH

URGENT ACTIONTO PROTECT PUBLIC HEALTH

LATER TIMING AND LIGHTER TOUCH IN PLACING RESTRICTIONS ON THE ECONOMY

EMPHASIS ON MAKING DATA-INFORMED DECISIONS

FLEXIBILITY FOR STATES TO TAILOR APPLICATION OF THESE CRITERIA TO LOCAL CIRCUMSTANCES

SYMPTOMS CASES HOSPITALS

Downward trajectory of influenza-like illnesses (ILI) reported within a 14-day period

AND

Downward trajectory of Covid-like syndromic cases reported within a 14-day period

Downward trajectory of documented cases within a 14-day period

OR

Downward trajectory of positive tests as a percent of total tests within a 14-day period

Treat all patients without crisis care.

AND

Robust testing program in place for at-risk healthcare workers, including emerging antibody testing

WHITE HOUSE PROPOSES STATE OR REGIONAL GATING CRITERIA


Downward trajectory of influenza-like illnesses (ILI) reported within a 14-day period

AND

Downward trajectory of Covid-like syndromic cases reported within a 14-day period

SYMPTOMS →

Dec 29 Jan

5Jan

12Jan

19Jan

26Fe

b 2Fe

b 9Fe

b 16

Feb 2

3Mar

1Mar

8Mar

15Mar

22Mar

29Apr

5Apr

12Apr

19Apr

26

3.95%

5.3%4.95%

6.65%

7.3%6.75%

5.75%

3.4%

2.65%2.25%

2.6%2.5%2.65%2.9%2.7%2.25%2.35%

2.8%

0%

2.3%2.4%

3.5%

4.35%

5.2%

6.3%

5.5%5%5.05%

6.35%

7.1%7%7.05%7.6%

6.8%

6%6.55%

ILI Visit CLI visits

0%

Stay Home, Stay Healthy, Stay

Connected Order 3/31/2020

COVID-LIKE-ILLNESS (CLI) SURVEILLANCEINFLUENZA-LIKE-ILLNESS (ILI) SURVEILLANCE


3.95%

CASES →Downward trajectory of documented cases within a 14-day period

OR

Downward trajectory of positive tests as a percent of total tests within a 14-day period

0

125

250

375

500

3/2/20

20

3/4/20

20

3/6/20

20

3/8/20

20

3/10/2

020

3/12/2

020

3/14/2

020

3/16/2

020

3/18/2

020

3/20/2

020

3/22/2

020

3/24/2

020

3/26/2

020

3/28/2

020

3/30/2

020

4/1/20

20

4/3/20

20

4/5/20

20

4/7/20

20

4/9/20

20

4/11/2

020

4/13/2

020

4/15/2

020

4/17/2

020

4/19/2

020

4/21/2

020

4/23/2

020

4/25/2

020

4/27/2

020

4/29/2

020

5/1/20

20

5/3/20

20

COVID-19 CASES BY DAY


Illnesses in the last 4-7 days may not be reported yet.

Stay Home, Stay Healthy, Stay

Connected Order 3/31/2020

Dine-In at Restaurants

Closed 3/19/2020

Public Health Emergency Declaration Issued

3/11/2020

First Case of COVID-19 1/26/2020

Schools Closed

3/15/2020

PERCENTAGE OF POSITIVE TESTS


0

7500

15000

22500

30000

Jan 19

Jan 26

Feb 2

Feb 9

Feb 1

6Fe

b 23

Mar 1

Mar 8

Mar 15

Mar 22

Mar 29

Apr 5

Apr 12

Apr 19

Apr 26

Not detected Positive

0%6%9%10%10%9%7%5%2%0%0%0%0%0%0% 2%

Treat all patients without crisis care.

HOSPITALS →

HOSPITAL BEDS


0%

25%

50%

75%

100%

Apr 05

Apr 06

Apr 07

Apr 08

Apr 09

Apr 10

Apr 11

Apr 12

Apr 13

Apr 14

Apr 15

Apr 16

Apr 17

Apr 18

Apr 19

Apr 20

Apr 21

Apr 22

Apr 23

Apr 24

Apr 25

Apr 26

Apr 27

Apr 28

Apr 29

Apr 30

May 1

May 2

May 3

9%10%10%9%10%10%10%9%10%10%9%9%9%9%9%9%8%8%8%8%8%7%7%

Inpatient beds used for COVID patients (data not reported until 4/10)Inpatient beds in useInpatient beds available

INTENSIVE CARE UNIT HOSPITAL BEDS


0%

25%

50%

75%

100%

Mar 27Mar

28Mar

29Mar

30Mar

31Apr

1Apr

2Apr

3Apr

4Apr

5Apr

6Apr

7Apr

8Apr

9Apr

10Apr

11Apr

12Apr

13Apr

14Apr

15Apr

16Apr

17Apr

18Apr

19Apr

20Apr

21Apr

22Apr

23Apr

24Apr

25Apr

26Apr

27Apr

28Apr

29Apr

30May

1May

2

17%18%19%19%19%18%20%18%19%20%18%18%18%17%13%17%18%17%17%17%18%18%16%

ICU beds with COVID patients (data not reported until 4/10)ICU Beds in UseAvailable ICU beds

VENTILATORS


0%

25%

50%

75%

100%

Mar 28

Mar 29

Mar 30

Mar 31

Apr 1

Apr 2

Apr 3

Apr 4

Apr 5

Apr 6

Apr 7

Apr 8

Apr 9Apr

10Apr

11Apr

12Apr

13Apr

14Apr

15Apr

16Apr

17Apr

18Apr

19Apr

20Apr

21Apr

22Apr

23Apr

24Apr

25Apr

26Apr

27Apr

28Apr

29Apr

30May

1May

2May

3

12%11%11%11%11%11%11%12%12%11%11%12%12%12%11%15%11%11%10%11%13%12%12%12%

Vent use by COVID patients (data not reported until 4/10)Ventilators in useVentilators available

TESTING →Robust testing program in place for at-risk healthcare workers, including emerging antibody testing and trace contacts of COVID-19 results.

ANTIBODY TESTINGSTAY HOME. STAY HEALTHY. STAY CONNECTED. RETURN STRONGER.

SONORA QUEST LABORATORIES

UNIVERSITY OF ARIZONA

Building capacity to conduct more than 3,000 tests per day.

Later this month, antibody testing to consumers without needing a provider’s order or insurance in Arizona.

Funding provided to University of Arizona to conduct 250,000 COVID-19 antibody tests for:

• Health care workers • First responders • UofA Faculty and Students

ARIZONA TESTING BLITZSTAY HOME. STAY HEALTHY. STAY CONNECTED. RETURN STRONGER.

•List of testing locations at www.azhealth.gov/testingblitz •Expanding testing is available now, with an emphasis on the next two Saturdays.

WEEK 1 • A major success, partnering with community labs to rapidly increase

diagnostic testing availability at drive through sites.

WHO CAN GET TESTED? • Dr. Christ has issued a statewide standing order allowing anyone who thinks

they are infected or recently exposed to COVID-19 can be tested.

WHERE CAN I FIND MORE INFO?

http://www.azhealth.gov/testingblitz

TESTING BY DAY


0

1750

3500

5250

7000

4/16/2

020

4/17/2

020

4/18/2

020

4/19/2

020

4/20/2

020

4/21/2

020

4/22/2

020

4/23/2

020

4/24/2

020

4/25/2

020

4/26/2

020

4/27/2

020

4/28/2

020

4/29/2

020

4/30/2

020

5/1/20

20

5/2/20

20

5/3/20

20

5,5605,3675,538

6,468

2,973

1,375895

1,7322,303

1,7942,0172,0961,449

652

1,5101,9451,8151,900

Testing Blitz Announced 4/27/2020

PERCENTAGE OF POSITIVE TESTS


0

7500

15000

22500

30000

Jan 19

Jan 26

Feb 2

Feb 9

Feb 1

6Fe

b 23

Mar 1

Mar 8

Mar 15

Mar 22

Mar 29

Apr 5

Apr 12

Apr 19

Apr 26

Not detected Positive

0%6%9%10%10%9%7%5%2%0%0%0%0%0%0% 2%

CONTACT TRACING


WHAT IS IT? • Provides the ability to rapidly trace the contacts of cases and test those

exposed to identify new cases. • Helps to contain new infections to prevent or slow transmission of COVID-19 in

their communities. • Included in the White House gating criteria guidelines as one of the core state

preparedness activities.

TODAY• ADHS will begin piloting an enhanced statewide contact tracing strategy with

Pima County and Mohave County. • By Friday, ADHS will implement enhanced contract tracing statewide.

LONG-TERM CARE FACILITIES →

LONG-TERM CARE FACILITY TESTINGSTAY HOME. STAY HEALTHY. STAY CONNECTED. RETURN STRONGER.

GOAL• Increase testing for the vulnerable population and staff within

congregate settings to enhance infection control recommendations for those facilities.

ARIZONA DEPARTMENT OF CORRECTIONS, RECIDIVISM, AND REENTRYGOAL• Expand testing capacity for inmates and correctional officers.

LONG-TERM CARE FACILITY NOTIFICATIONSTAY HOME. STAY HEALTHY. STAY CONNECTED. RETURN STRONGER.

NEW EXECUTIVE ORDER • Require notification to the next of kin for any resident who has

tested positive, or been exposed to a COVID-positive individual. • Require disclosure of any previous or active COVID cases in the

facility to any approved applicant from a prospective resident.

A P L A N T O R E I N V I G O R A T E A R I Z O N A ’ S E C O N O M Y

RETURNING STRONGER

OUR PLAN: RETURNING THE ARIZONA WAY

GRADUAL & PHASED IN

BALANCE PUBLIC HEALTH & RETURNING STRONGER

INCREASE TESTING TO RETURN IN MAY WHILE MAINTAINING STRONG PHYSICAL DISTANCING

PHASE IN RETURN BASED ON THE RECOMMENDATIONS BY THE CDC AND HEALTH EXPERTS THROUGH MAY AND JUNE


DOWNWARD TRAJECTORY OF INFLUENZA AND COVID-LIKE ILLNESS

DOWNWARD TRAJECTORY OF POSITIVE TESTS

TREATING ALL PATIENTS WITHOUT CRISIS CARE

EXPANDING TESTING AVAILABILITY, INCLUDING ANTIBODY TESTING AND CONTACT TRACING

ARIZONA IS HEADED IN THE RIGHT DIRECTION

OUR APPROACH TO REENERGIZING

ARIZONA’S ECONOMY!

SERVICES CURRENTLY RESUMING IN ARIZONA


ELECTIVE SURGERIES May 1st: Authorized hospitals and outpatient surgical centers to resume elective surgeries if they can demonstrate adequate capacity.

RETAIL SHOPPINGMonday, May 4th: Limited opening through appointments, curbside pickup, or delivery.

Friday, May 8th: Fully reopen with strict physical distance and CDC guidelines.

BARBERS AND SALONSSTAY HOME. STAY HEALTHY. STAY CONNECTED. RETURN STRONGER.

Friday, May 8th: Implement public health protections and CDC guidelines, including:

• Reduced occupancy/capacity. • Comprehensive sanitation protocols. • Provide cloth face coverings to employees and

visitors to wear. • Waiting areas, service areas, should provide for

appropriate physical distancing. • Consider operating by appointment-only to

manage occupancy levels.

DINE-IN SERVICES


Monday, May 11th: Implement public health protections and CDC guidelines, including:

• Maintaining physical distancing, including limiting parties to no more than 10.

• Operating with reduced occupancy and capacity. • Limiting areas conducive to congregating. • Implementing comprehensive sanitation protocols. • Continuing to provide delivery or curbside service. • Implementing symptom screening for employees

prior to the start of their shift.

CONTINUE TO LIMIT TIME AWAY FROM HOME

GUIDANCE FOR VULNERABLE ADULTS


BUSINESSES AND EMPLOYERS

✓ Elderly individuals. ✓ Individuals with serious underlying health conditions, including high

blood pressure, chronic lung disease, diabetes, obesity, asthma, and those whose immune system is compromised such as by chemotherapy for cancer and other conditions requiring such therapy.

✓ Strongly consider special accommodations, or exclusive scheduling hours for the elderly and vulnerable citizens.

✓ Employers should provide personnel who are members of a vulnerable population, special accomodations, including extended leave.

CONTINUE TO PRACTICE GOOD HYGIENE REMEMBER TO DO YOUR PART


PEOPLE WHO FEEL SICK SHOULD STAY HOME

✓Wash your hands with soap and water or use hand sanitizer, especially after touching frequently used items or surfaces.

✓Avoid touching your face. ✓Cover your cough or sneeze, cough into a tissue, or the inside of your

elbow. ✓Disinfect frequently used items and surfaces as much as possible. ✓ Strongly consider using face coverings while in public, and particularly

when using mass transit.

✓Do not go to work or school. ✓Contact and follow the advice of your medical provider.

UPCOMING: GYMS, POOLS


A P L A N T O R E I N V I G O R A T E A R I Z O N A ’ S E C O N O M Y

RETURNING STRONGER

DR. CARA CHRIST ARIZONA DEPARTMENT OF HEALTH SERVICES

THE LATEST ON COVID-19


8,919 CASES

85,253 TESTS

15 COUNTIES

362 DEATHS

4,751

STAY HOME | STAY HEALTHY | STAY CONNECTED | RETURN …STAY HOME. STAY HEALTHY. STAY CONNECTED....

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