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TIER STATUS
RED (SUBSTANTIAL) TIER- EIGHT WEEK
Unadjusted case rate of 7.4 (7.8 last week) per 100,000
residents and an adjusted rate of 6.5 (7.0 last week)
Adjusted down due to high testing rate (309 vs 239 state
median)
Testing positivity percentage increased to 3.5% (3.3%
last week).
NEW HEALTH EQUITY METRIC
The Health Equity Testing Percentage will place Counties in one of the Tiers:
This metric will NOT move counties back a tier, only up a tier!
Health equity testing positivity percentage dropped from 5.5% to 5.1%. County has submitted required plans to state.
IHE STATUS
As of today, 6 active cases, 3 of which were on campus with total of
44 student cases and 2 in employees
4211 tests with positivity rate of 1.09%, 0.38% in on-campus
students
CSUSM, 18 cases in students (15 of whom lived on campus) and 7
in employees
SDSU Students are encouraged to stay-at-home through 6 am 11/2
OTHER LOCAL INFO
7
COVID Watch updates
Added antigen / probable results, 14-day case rate by zip codes, deaths
by age group per week, potential exposure settings
Influenza Watch weekly publications began (20th year!)
County testing sites now testing children as young as 6 months
Dr. Hood and Dr. Saywer appointed to CA COVID-19 Scientific Safety
Review Workgroup
CDC UPDATES
8https://www.cdc.gov/coronavirus/2019-ncov/covid-data/investigations-discovery/hospitalization-death-by-race-ethnicity.html
https://www.cdc.gov/coronavirus/2019-ncov/downloads/covid-data/hospitalization-death-by-race-ethnicity.pdf
COVID-19 Hospitalization and Death by Race/Ethnicity
CDC CLOSE CONTACT UPDATE
NEW INFORMATION ON DEFINING A CLOSE CONTACT
Someone who was within 6 feet of an infected person for a cumulative total of 15 minutes or more over a 24-hour period* starting from 2 days before illness onset (or, for asymptomatic patients, 2 days prior to test specimen collection) until the time the patient is isolated.
Individual exposures added together over a 24-hour period (e.g., three 5-minute exposures for a total of 15 minutes).
Example: It’s no longer defined as “I spent 15 mins in a small room with person X on Tuesday.” It could also be “I made 5 quick trips to speak to X for 3 mins each between Tuesday afternoon and Wednesday morning.”
https://www.cdc.gov/coronavirus/2019-ncov/php/contact-tracing/contact-tracing-plan/appendix.html#contact
OTHER UPDATES
10
CDPH Theme Parks Guidance Smaller facilities may resume outdoor operations and limited capacity in
Tier 3 (moderate/orange), while larger parks may do so in Tier 4 (minimal/yellow)
CDPH Sporting Events at Outdoor Stadiums Guidance Live professional sporting events may operate with limited capacity in Tiers
3 and 4 only with pre-assigned tickets to ensure physical distancing of patrons and other modifications
CDPH Industry guidance: Expanded personal care services Hair salons, barbershops, nail salons, tattoo places now all allowed in
Purple tier w/modifications
CDPH COVID-19 Vaccination Plan
CDC has developed a Toolkit for People 15-21
CDPH – NEW GATHERING GUIDANCE
12
GUIDANCE FOR PRIVATE GATHERINGS (10/9/2020) 1. Attendance
3 Households Maximum & keep Households Stable Over Time
2. Gather Outdoors & Keep it Short-Two hours or less
3. Don't Attend Gatherings If You Feel Sick or You Are in a High-Risk Group
4. Practice Physical Distancing and Hand Hygiene at Gatherings
5. Wear a Face Covering to Keep COVID-19 from Spreading
6. Avoid Singing, Chanting, and Shouting Health Officer Order Updated
October 9, 2020
HALLOWEEN GUIDANCE
Halloween Guidance* during the COVID-19 pandemic!
To minimize the spread of COVID-19 and ensure children have a fun, safe Halloween, the County of San Diego offers guidance for the most common
activities to protect you and your loved ones
Available in multiple languages.
HALLOWEEN GUIDANCE UPDATE
15
NOT ALLOWED:
• In-person gatherings, events, or parties with
more than 3 households are not permitted,
even if they are conducted outdoors, since
maintaining 6-feet of distance between
participants cannot be easily maintained.
SCHOOL IS NOTIFIED OF POSITIVE COVID-19 CASE IN STUDENT OR STAFF
SCHOOL SHOULD BE NOTIFIED BY STAFF/STUDENT/FAMILY
OF STUDENT OR THE COUNTY OF SAN DIEGO
Student or Staff has + COVID-19 test
Staff notifies school COVID-19 Liaison
Parent/student notifies school
School’s COVID-19 Liaison is contacted by County of San
Diego
COVID-19 LIAISON NOTIFIES COUNTY OF SAN DIEGO DEPARTMENT OF PUBLIC HEALTH SERVICES (A & B)
SCHOOL’S COVID LIAISON MUST CONTACT THE
DEPARTMENT OF PUBLIC HEALTH SERVICES
Call: 888-950-9905 Fill out online Notification Form at
on the Coronavirus-sd.com/K12Schoolswebsite. Can be utilized for all
education sector(s).
OR
ISOLATE AND EXCLUDE
ISOLATE CASE AND EXCLUDE FROM SCHOOL FOR 10 AT LEAST
DAYS FROM SYMPTOM ONSET OR TEST DATE
Home Isolation Support• Home Isolation Guidelines• Temporary Lodging Program (For family that needs support to Isolate or Quarantine)
ID CONTACTS (†)
IDENTIFY CONTACTS (†):
QUARANTINE & EXCLUDE EXPOSED CONTACTS (LIKELY ENTIRE COHORT (††)) FOR 14
DAYS AFTER THE LAST DATE THE CASE WAS PRESENT AT SCHOOL WHILE INFECTIOUS
Recommend testing of close contacts, prioritize symptomatic contacts (testing will NOT
shorten 14-day quarantine)
See Quarantine Guidance for Coronavirus Disease 2019 (COVID-19)
o (†) A close contact is defined as someone who was within 6 feet of an infected person
for a cumulative total of 15 minutes or more over a 24-hour period. In some school
situations, it may be difficult to determine whether individuals have met this criterion
and an entire cohort, classroom, or other group may need to be considered exposed,
particularly if people have spent time together indoors
o (††) A cohort is a stable group with fixed membership that stays together for courses
and avoids contact with other persons or cohorts
RECOMMEND TESTING OF CONTACTS, PRIORITIZE SYMPTOMATIC CONTACTS
ENCOURAGE AND RECOMMEND TESTING
School Staff Students
• Anyone (3 months and up) may be tested at any of the county’s public testing sites
• School personnel should contact their school or school district for information on receiving a test
• For students, contact student health services or primary care provider for testing. If unable to get tested thru PCP, then State & County sites are available for free testing. To find a location or day a testing site is occurring, call 2-1-1 or go to the county’s public testing sites
DISINFECT AND CLEAN
DISINFECTION AND CLEANING OF CLASSROOM AND PRIMARY
SPACES WHERE CASE SPENT SIGNIFICANT TIME
o COVID-19 Guidance for Cleaning and Disinfection
o Cleaning & Disinfecting Your Facility
IHE CONSIDERATIONS
IHE settings contain a mixed population of students and staff ranging from young
to older adults who are highly interconnected in multiple, close-contact networks,
such as dormitories, classrooms, lecture halls, sports teams, clubs and
fraternities/sororities.
As a result, these close settings may cause the IHE population to be more
susceptible to increased transmission of SARS-CoV-2.
IHEs might need to implement short-term closure procedures. If this happens,
IHEs should work with local public health officials to determine whether in-
person classes need to be cancelled or moved to virtual delivery and/or buildings
and facilities need to close.
IHE-WHEN TO TEST?
IHEs might test students, faculty, or staff for purposes of surveillance, diagnosis, screening, or in the
context of an outbreak. Individuals should be considered for and offered testing if they:
Show signs or symptoms consistent with COVID-19 (diagnostic) or have a recent known or
suspected exposure to a person with laboratory-confirmed COVID-19 (diagnostic)
Have been asked or referred to get testing by their healthcare provider or health department
(diagnostic) or are part of a cohort for whom testing is recommended (in the context of an
outbreak)
Are attending an IHE that requires entry screening (entry testing as part of screening)
Volunteer to be tested in order to monitor occurrence of cases and positivity rate (surveillance)
It is not recommended to retest previously positive asymptomatic individuals within 3 months of
a positive test. Data currently suggest that some individuals test persistently positive due to
residual virus material but are unlikely to be infectious.
https://www.cdc.gov/coronavirus/2019-ncov/community/colleges-universities/ihe-testing.html
ALISON CASCIANO, PUBLIC HEALTH NURSEEPIDEMIOLOGY AND IMMUNIZATION SERVICES BRANCH
COUNTY OF SAN DIEGO HEALTH & HUMAN SERVICES AGENCYINSTITUTIONS OF HIGHER EDUCATION EPI CONTACT
KAREE HOPKINS, PUBLIC HEALTH NURSE SUPERVISORPUBLIC HEALTH SERVICES
COUNTY OF SAN DIEGO HEALTH & HUMAN SERVICES AGENCYSCHOOLS GROUP CONTACT
Decision Tree, Communication with Epidemiology Flowchart, and Reporting a Positive Case
2021 CECO Grant
WE RISE BY LIFTING OTHERS
The CECO Grant is for non-profits that aim to improve
services that address the diverse needs of the San Diego
region.
These grants, which vary from a couple hundred dollars
to a couple thousand dollars, support vulnerable
populations such as seniors, people experiencing
homelessness, at-risk youth and people with disabilities.
CECO is now accepting grant applications for 2021
Deadline: November 2nd
* Images above are linked to the website
VOTING DURING COVID-19
• Voting by mail is simple, safer, and secure!
• As mail ballots start showing up in mailboxes around San Diego County, the Registrar of Voters office is reminding voters that it’s safer to mark your ballot at home to avoid the risk of contracting COVID-19
• You can learn how to vote from home at www.sdvote.com
FLU VACCINE CLINICS
• The influenza vaccine is now available at doctors’ offices and pharmacies throughout San Diego County and is covered by medical insurance
• People who do not have healthcare coverage can get vaccinated at one of the County’s six Public Health Centers or a local community clinic
• The County is hosting free flu shot events from October 22nd through November 3rd. To learn more please visit our website.
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