Coronavirus Daily Briefing Minutes 6.17

6/17/20

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

US 2,104,346 confirmed cases 116,140 deaths

TX 93,206 confirmed cased 2,029 deaths Travis county 4,664 confirmed cases 106 deaths

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- The Austin and Travis County COVID-19 case tracker dashboard will undergo changes Sunday in an effort to provide further comprehensive data to the public, Austin Public Health officials announced on Saturday. The new dashboard design will include more information to give the community a better idea about where Austin-Travis County currently stands with the virus, according to a press release. Health authorities have been working with IT to include demographic data about confirmed cases, hospitalizations and the county’s coronavirus deaths.

Case counts, the total number of deaths and hospitalization numbers will be updated daily, while hospitalization and death demographics will be updated weekly.

Here’s a full list of what the updated dashboard will include:

· A breakdown of COVID-19 symptom onset in comparison to local policy implementations

· The number of confirmed cases and deaths reported each day since the first reported case on March 13 and well as the first symptom onset date on March 2

· Updates to visuals on the site that represent the progression on cases and hospitalizations since the first reported case

· More clarification and context on information already provided on the dashboard

- Austin leaders announced Monday afternoon that Austin/Travis County is moving to Stage 4 (out of 5) risk-based guidelines for COVID-19. In addition, Austin's "Stay Home" order was extended to August 15. The changes are based on a surge in the number of new coronavirus cases and hospitalizations.“This is not about shocking people. We don't want people to live in fear.

We want them to be smart,” said Dr. Mark Escott, Interim Health Authority with Austin Public Health

Dr. Escott says it's critical that the public wear masks and keep their distance whenever and wherever they go out.“Last week we had 799 new cases diagnosed in the Sunday to Saturday period. This represents a 90-percent increase as compared to the week prior,” said Dr. Escott.

-Another key indicator of a surge in COVID-19 is how long it takes for the number of new coronavirus cases to double. In Travis County that doubling time has dropped from 44 days to 25. Austin also saw a record number of hospital admissions on Sunday, moving the seven-day rolling average to above 20 admissions. For weeks, Austin Public Health (APH) has been calculating a seven- day rolling average of new COVID-19 hospitalizations. APH established 20 as the trigger that would prompt a change from Stage 3 to the stricter Stage 4. Travis County hit a 20.6 average on Sunday. Dr. Escott says hospital capacity is at around 70 percent right now with a small percentage of those patients diagnosed with COVID-19. The move to stricter guidelines (Stage 4) is to prevent an overload in the upcoming weeks at Austin area hospitals. According to Dr. Escott, if the number of COVID patients in hospitals exceeds 1100, there would be a need to implement the area’s surge plan. However, that gets more difficult if neighboring cities like Dallas, Houston and San Antonio are experiencing surges at the exact same time. Stage 4 Risk-Based Guidelines recommend those with a lower risk for contracting coronavirus avoid social gatherings with more than 10 people and non-essential travel, shopping and dining. High-risk individuals, which includes people over 65 and those with underlying health conditions, should limit social gatherings to no more than two people.“ It is no longer really safe for people over 65 to be going out,” said Mayor Adler. ""On our current path more people are going to get sick and die than what would happen if we maintain social distancing and wear masks."

-A French physician claims he has treated 2500 patients with hydroxychloroquine with loss of only 10 so there is questioning why we aren’t using the US. This is a question for health authorities. FDA is telling us that the risks outweigh the benefits with the use of this drug. FDA cautions against use of hydroxychloroquine or Chloroquine for COVID19 outside of the hospital setting or a clinical trial due to risk of heart rhythm problems. Therefore it has been taken off the Emergency Use Authorization (EUA) list in this country.

-WHO is excited about a new clinical trial dexamethasone which has shown to drastically reduced deaths of the most severe patients admitted to hospital with COVID 19.

- One of our employees shared that a nephew was tested positive in San Antonio. In SA many HEB employees have been tested positive.

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City of Austin press conference

2.Updates on any action items:

- Clinic re-opening pilot this week will focus on South Clinic. With Austin back to stage 4 guidelines for COVID we want to keep this pilot with the same team rather than introducing new participants. We need to take into consideration the guidance of stage 4. If we go to stage 5 we may have to delay our re-openings.

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

- Phil drafting a follow up communication on our re-opening plans

- Good Town meeting yesterday discussing racism. Some wonderful ideas for action AOMA can take to combat racism. A weekly update will be placed in the student newsletter and websites to provide updates on progress with our plans.

4. Good news, positive experiences in last 24 hours

Today is Global garbage man day, Eat your vegetables day, apple strudel day, bunker hill day, world day to combat desertification and draught, and national cheery tart day

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