Briefing Minutes 8.19

8/19/20

1. Any CDC, local health department, CCAOM or other agency updates?

US 5,422,242 confirmed cases over 40K new cases in 24 hours 169,870 deaths, 520 new deaths in 24 hours

TX 228,522 confirmed cases, 7,282 new cases in 24 hours, 10,250 deaths 216 new deaths in 24 hours Travis county 24,409 confirmed cases 306 deaths

-APH received approximately 2,200 lab reports from DSHS on Aug. 13 and has since been processing and entering the reports. The majority of the results are duplicate records with case investigation already completed by APH. Additionally, many of the results are from more than a month ago, with some records dating back as far as April. While backlogged lab results are just being received by APH, most cases should have been notified by their providers of their results. "The new cases are the result of a backlog of electronic lab reports sent from the DSHS. The National Electronic Disease Surveillance System (NEDSS) Electronic Laboratory Reporting (ELR) system at DSHS provides a method for hospital and clinical laboratories to electronically submit test results to fulfill their statutory obligation to report test results to the public health authority. "APH will continue to process the backlogged lab results and will not know the true impact of the reporting error until processing is complete."

- Comparing COVID-19 pandemic to the Spanish flu, also known as the 1918 flu pandemic, an unusually deadly influenza pandemic caused by the H1N1 influenza A virus. Lasting from February 1918 to April 1920 (2 years and 2 months), it infected 500 million people–about a third of the world's population at the time–in four successive waves

- Things have improved in Wuhan and things are opening up there

-Taiwan is also doing well, seems to now have it under control, schools are re-opening without any COVID outbreaks

2.Updates on any action items:

-Reminder we must follow City of Austin orders during the City’s Stage Four Crisis status. Crowds must be limited to 10 or less and must be able to maintain distance, even if outside, and of course proper PPE like masks are required at all times

- Just one more reminder NO TONGUE Analysis during Phase I of re-opening

- Bags of food available in our Food Pantry

3. Communication for our AOMA community? Any new issues?

Question: Is Aug31-Sept11 good time for Benefits Open enrollment? We are planning 2 virtual information sessions with Q&A, recorded session for those who miss the live virtual session and Gallagher reps will also schedule 1:1 meetings for Q&A. We will go with this timeframe and set times of the two group meetings (virtual) so there is little conflict for faculty and supervisors.

- Discussion of Dr. Luo’s comment about hospitals who are designated for COVID. These hospitals are requiring testing for their patients and Dr. Luo and Dr. Jing asked if we should screen patients for whether they have visited these hospitals and if we should wait for their test results. After much discussion it was agreed that we already screen our patients for hospital visits so no need to try and also screen for a given hospital or wait for test results. We reminded each other that we agreed we would use time strategy vs. testing strategy for requiring isolation or quarantine as suggested by Austin Public Health. Our screening is actually more rigorous than other schools and outpatient clinics.

4. Good news, positive experiences in last 24 hours

- Michael is getting some great photos of us wearing our masks, but we must remember we cannot use pictures of students without student permission. Brian will provide Michael with forms needed. Although students do get a form on Admission they don’t always sign or may change their minds. We can’t assume they are good with us posting their photos on student or other sites.

- Today is National Aviation, Potato, and World Humanitarian Day, also International Bow day, and National soft ice cream day

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