content.govdelivery.com...Apr 14, 2020 · FOR OFFICAL USE ONLY (FOUO) FEMA Region 3 . SITUATION REPORT - COVID-19 . Tuesday, April 14, 2020. 1. Regional Overview a. FEMA Region …

FOR OFFICAL USE ONLY (FOUO)

FEMA Region 3 SITUATION REPORT - COVID-19 Tuesday, April 14, 2020

1. Regional Overview a. FEMA Region 3 Force Laydown b. DOD Force Laydown c. External Affairs Summary d. Regional Financial Summary e. Alternate Care Site (ACS) Laydown f. COVID-19 Regional Projections

2. State Executive Brief (DC, DE, MD, PA, VA, WV) a. Hot Issues b. State Issues c. COVID-19 Projections d. Personnel Protective Equipment & Ventilators Report e. Non-PPE Report f. Hospital Capacity Report g. Alternate Care Sites h. Testing Sites i. Assistant Secretary for Preparedness and Response j. Defense Coordination Element k. External Affairs Report l. Finance and Admin Report m. Miscellaneous

3. Appendixes a. PPE VENT Report b. ASPR Situation Report

WARNING: This document is FOR OFFICIAL USE ONLY (FOUO). It contains information that may be exempt from public release under the Freedom of Information Act (5 U.S.C 552). It is to be controlled, stored, handled, transmitted, distributed, and disposed of in accordance with DHS policy relating to FOUO information and is not to be release to the public or other personnel who do not have a valid “need-to-know” without prior approval of an authorized DHS official.

April 14, 2020


Situation Report

FEMA Region 3

1. Force Laydown

[Source: R3 GIS]

Regional 3 Situation Report

FOUO - FOR OFFICAL USE ONLY April 14, 2020 1 of 8

2. DoD Force Laydown

[Source: DCE Storyboard]

3. External Affairs Summary Media Traditional media coverage is focused on states’ search for limited supplies, how

severe weather is affecting COVID-19 response efforts, and essential workers’ reaction to current working conditions. FEMA-specific conversation has slightly increased since yesterday but is moderate in volume.

Notable national and regional stories: o Spikes in demand for medications have created drug shortages (The Washington

Post) o From Antibiotics to Albuterol, drug shortages due to COVID-19 (The Washington

Post)

https://twitter.com/washingtonpost/status/1249498694828900353






o Live updates: 44 more virus deaths reported in D.C. region; new data shows black communities are hardest-hit (The Washington Post)

o DMV reports over 2,200 new COVID-19 cases this weekend (Washington Times) o South Korea Set to Ship Coronavirus Testing Kits to U.S. (U.S. News & World

Report) o FEMA Was Planning to Seize Masks Destined for States -- Until the FBI Found Out

They Were Fake (Daily Kos) o The White House Pushed FEMA To Give its Biggest Coronavirus Contract to a

Company That Never Had to Bid (ProPublica) o In Willingboro, a worrying surge in coronavirus cases has officials looking for

answers (The Philadelphia Inquirer) o As feds play ‘backup,’ states take unorthodox steps to compete in cutthroat

global market for supplies (Anchorage Daily News) o Feds allowing N.J. to use hotels for first responders, others who may have been

exposed to coronavirus (NJ.com) Congressional Correspondence

o N/A Letters and Requests for Information

o N/A Social Media- National Trends The top conversation among the public is the reopening of the economy. This

conversation has increased in recent days due in part to comments from government officials and public health experts offering varying opinions. Most people want to see things return to normal, but want it done safely. They want to be assured by testing data that the timing is right.

There is growing discussion about the use of antibody testing to determine who has already recovered from COVID-19. While people are hopeful this could offer a way forward, many are skeptical the nation will be able to offer widespread testing following shortages for COVID-19 tests in many places.

Concern for nursing home residents is increasing. Upon news that more than 3,600 deaths have been linked to nursing homes, many question if enough is being done to protect the elderly.

The general public is responding with anger and frustration following news that a bailout for the US Postal Service has been rejected by the Administration. Many feel the postal service has been a critical lifeline during this pandemic.

There has been an increase in concern over whether FEMA can handle a pandemic and any natural disaster that might occur at the same time upon coverage of emergency responders making new plans amidst the COVID-19 threat.

https://www.washingtonpost.com/dc-md-va/2020/04/13/coronavirus-dc-maryland-virginia-live-updates/

https://www.washingtontimes.com/news/2020/apr/12/washington-dc-maryland-virginia-report-over-2200-n/

https://www.usnews.com/news/world/articles/2020-04-13/exclusive-south-korea-to-ship-600-000-coronavirus-testing-kits-to-us-on-tuesday-source

https://www.usnews.com/news/world/articles/2020-04-13/exclusive-south-korea-to-ship-600-000-coronavirus-testing-kits-to-us-on-tuesday-source

https://www.dailykos.com/stories/2020/4/12/1936741/-FEMA-Was-Planning-to-Seize-Masks-Destined-for-States-Until-the-FBI-Found-Out-They-Were-Fake

https://www.propublica.org/article/the-white-house-pushed-fema-to-give-its-biggest-coronavirus-contract-to-a-company-that-never-had-to-bid

https://www.inquirer.com/health/coronavirus/coronavirus-willinboro-burlington-county-surge-veterans-african-americans-20200412.html

https://www.adn.com/nation-world/2020/04/12/as-feds-play-backup-states-take-unorthodox-steps-to-compete-in-cutthroat-global-market-for-supplies/

https://www.nj.com/coronavirus/2020/04/feds-allowing-nj-to-use-hotels-for-first-responders-others-who-may-have-been-exposed-to-coronavirus.html

https://www.msn.com/en-us/news/us/nursing-home-deaths-soar-past-3600-in-alarming-surge/ar-BB12weay

https://www.msn.com/en-us/news/us/nursing-home-deaths-soar-past-3600-in-alarming-surge/ar-BB12weay



Social Media- Regional Trends Testing sites in several states have been closed due to severe weather: Massachusetts,

Maryland, Pennsylvania, New York, New Jersey, District of Columbia Flash flooding has caused a string of road closures and ponding water is widespread in

low-lying areas. Nursing Homes and Behavioral Health Centers requesting PPE. Grocery stores are beginning to enforce more social distancing measures. Gas stations have been offering discounts to healthcare workers.

[Source: R3 EA Report 4/13/20]

4. Regional Financial Summary (as of: 04/12/2020 8:03 am)

ALLOCATIONS OBLIGATIONS 416X-PUBLIC ASSISTANCE $4,050,003 $0 11XX-SALARIES & BENEFITS Total $10,806 $2,425 21XX-TRAVEL Total $522,300 $67,421 22XX-TRANSPORTION Total $6,029,500 $1,500 23XX-RENT, COMM, UTILITIES Total $844,125 $3,830 24XX-PRINT & REPRO Total $6,000 $0 2501-MISSIONS-FOS Total $1,550,000 $57,534 25XX-OTHER SERVICES Total $372,000 $6,390 26XX-SUPPLIES & MATERIALS Total $581,000 $107,000 41XX-GRANTS Total $0 $0 IMMEDIATE NEEDS ASSISTANCE Total $467,103,170 $11,584,267 2508-MISSIONS-DFA Total $558,033,740 $359,808,907 Total $1,039,102,644 $371,639,274

[Source: FASC: Financial SITREP Data as of 4/12]

https://www.facebook.com/abc27news/posts/10158096366980420



5. Alternate Care Site (ACS) Laydown

[Source: MAP-Region 3 GIS; R3 ACS Ops Tracker]



6. COVID-19 Regional Projection (as of: 04/13/2020 10:00am)

Currently witnessing a doubling of confirmed cases every 8-9 days. For the past 14 days we

have only seen as high as a 19% growth in cases per day. Current mortality rate, based off confirmed cases, is a 2.40% a decrease from yesterday.

[Source: S. Jaros and A. Pickron]

April 14, 2020 DC-1 of 8


REGION 3 Situation Report

DISTRICT OF COLUMBIA 1. Hot Issues NSTR

2. State Issues EOC Status: Full Activation Total Cases: 1,955 (▲80)

DPH EOC Status: Activated Total Fatalities (Confirmed): 52 (▲2)

FEMA Declaration: FEMA-4502-DR-DC Community Based Test Sites (CBTS)

LNO: No (0) Federally supported, Locally managed: 0 (♦0)

IMAT-A: Onsite Federally supported, Privately managed: 0 (♦0)

NG 502(f) Status: Approved

Stay-at-Home Order Stay-at-Home Order for the entire district issued March 30 until April 24, 2020, except essential activities.

K-12 Schools Public schools and charter schools remain closed March 16 until April 24.

Brick-and-Mortar Business Non-essential businesses closed March 25 until April 24, except telework.

Restaurants and Bars Restaurants and bars restricted delivery and take-out only.

Restrictions on Gatherings Gatherings restricted to fewer than 10 people.

Travel Restrictions Not Implemented

Testing on April 14 at the United Medical Center site was postponed due to severe weather conditions.

Over the weekend, DC police and DCNG staffed a joint social distancing detail at several high pedestrian traffic areas.

(Source: DC IMAT-A)

Region 3 Situation Report for District of Columbia

FOUO- FOR OFFICAL USE ONLY April 14, 2020 DC-2 of 8

3. COVID-19 Projections (as of: 04/13/2020 10:00 am)

(Source: District of Columbia Website for Actual Data, S. Jaros and A. Pickron)

Currently witnessing a doubling of confirmed cases every 10 days (Green indicates date of the Stay-at-Home Order). Percent of cases per day seem to be trending down as the effects of social distancing take place. Current mortality rate based off confirmed cases is 2.66%, a decrease from yesterday.

(Source: DC Website for Actual Data, S. Jaros and A. Pickron)

Date DC Cumulative

DC Actuals DC %

3/30/2020 495 94 23% 3/31/2020 586 91 18% 4/1/2020 653 67 11% 4/2/2020 757 104 16% 4/3/2020 902 145 19% 4/4/2020 998 96 11% 4/5/2020 1097 99 10% 4/6/2020 1211 114 10% 4/7/2020 1440 229 19% 4/8/2020 1523 83 6% 4/9/2020 1660 137 9%

4/10/2020 1778 178 7% 4/11/2020 1875 97 5% 4/12/2020 1955 80 4%



4. Personal Protective Equipment (as of: 04/13/2020 4:30 pm)

ITEM Total in State

Total Daily

Usage

Total anticipated

need for next 14-

days

Delta (In State - 14-

day supply)

State Provided

(non-federally sourced)

Total actual

federally requested

Total actual federal

received

Gloves 3,048,460 42,970 601,580 2,722,038 2,800,000 369,392 Gowns/ Coveralls* 11,723 18,203 254,842 - 48,820 49,422

Surgical Masks 146,295 45,456 636,384 - 2,568,945 402,200

N-95 Masks 199,229 5,003 70,042 84,202 9,028,945 120,030

Face Shields 89,761 3,603 50,442 26,836 13,130 66,528

Goggles 1,316 188 2,632 1,504 500,000

Coveralls 851 350 44 501

Resource Allocation Strategy Tiered approach (Skilled Nursing, Healthcare with confirmed cases, Other Healthcare, Homeless Shelter and congregate living) – as of March 30.

* Many places in DC count gowns and coveralls together (Source: Input from PPE-Vent Data by IMAT-A and HHS LNO to DC: Mayor's Press Conference Briefing) 5. Non-Personal Protective Equipment (as of: 04/13/2020 4:00 pm)

Request Date/Time Submitted RRF# Locations Item Status

ACS Staffing 04/07/2020 2664-178873 R3 On Hold Pending UCG Concurrence

Battelle Decon System - NCR 04/05/2020 2664-170509 NRCC Assigned to NRCC for Action

Body Bags - 4,000 03/25/2020 2664-126332 NRCC Complete

FMS - DC (250) 03/28/2020 2664-134265 R3 Assigned to R3 for Action

FMS - DC (50) 03/28/2020 2664-134251 R3 Approved/Ordered

Hygiene Kit - 250 04/04/2020 2664-167308 R3 On Hold by State

Medical Cots 04/01/2020 2664-151727 NRCC Complete

Medical/Test Supplies 03/21/2020 2664-113915 NRCC Approved/Ordered

Mortuary Services 03/25/2020 2664-125659 NRCC Complete

Mortuary Services - 2 04/04/2020 2664-163940 NRCC Approved/Ordered



RRF for DC Office of the Chief Medical Examiner for 2 additional refrigeration trucks has been processed. The trucks will be placed at DC Water and Sewer Blue Plains location.

(Source: R3 Ops; RRFs; WebEOC; DC IMAT-A) 6. Hospital Capacity & Ventilators (As of 04/13/2020 8:20 pm)

All Beds Needed

All Beds Available

Bed Shortage

ICU Beds Needed

ICU Beds Available

ICU Bed Shortage

Invasive Ventilators

Needed IHME

(Modeling Data)

192 (▲22) 1,093♦ 0♦ 43 (▲15) 66♦ 0♦ 39 (▲14)

According to the latest projections from the IHME model: DC reached its peak resource use on April 9, 2020 for all resources (five days later than

previous projected date of April 4, 2020) DC reached its peak resource use on April 9, 2020 for all beds (five days later than previous

projected date of April 4, 2020) DC reached its peak resource use on April 9, 2020 for all ICU beds (one day later than

previous projected date of April 8, 2020) DC reached its peak resource use on April 8, 2020 for all invasive ventilators

(Source: IHME COVID 19, https://covid19.healthdata.org/united-states-of-america/district-of-columbia) (As of 04/13/2020 2:59 pm)

BEDS Total Inpatient Beds

Total Available Inpatient Beds Total ICU Beds Total ICU Beds

Available Actuals 2,430♦ 812 (▼29) 351♦ 94 (▼11)

(Source: DC DOH Hospital Data Report) (As of 04/13/2020 2:59 pm)

VENTILATORS Total Ventilators

Total Ventilators Available

Ventilators from EMAC

Ventilators from SNS

Ventilators Requested

Actuals 442 (▼2) 230 (▲4) 50♦ 50♦ 950♦ (Sources: DC DOH Hospital Data Report; DC RRF Tracker; NONPPE Report)

USACE Site Assessments 04/06/2020 2664-152257 R3 Approved/Ordered



7. Alternate Care Site (ACS) (As of 04/13/20 3:05 pm)

Site Address/BLDG Number Confirmed Site for buildout

Operational Date

Max # Bed Spaces (Non-COVID-19)

DC Convention Center

801 Mt Vernon Place NW Washington, DC 20001 Pending Buildout Unknown 1,910

NOTES: The DC Convention Center has been approved/selected as an ACS with 1,910 beds (1,200

beds will be built in the first phase). An FMS (50 beds) will serve as initial capability. Staffing is TBD.

o USACE determining the scope of the FMS o There was a delay with the lease contract being signed; once completed, work

will move forward o MedStar Health System will sponsor the ACS at the DC Convention Center.

Children’s Hospital overestimated capacity of additional surge beds by 300 beds; DC will evaluate the need to expand surge beds elsewhere based on the model updates.

DC continues to consider opening additional ACSs through the reopening of furloughed facilities and adding beds to existing facilities. Other ACSs will be activated by DC Dept. of General Services (DGS).

o DC DGS placed an order for 1,100 hospital beds for potential ACSs other than the DC Convention Center.

(Source: ACS Matrix in Microsoft Teams; reported in Command & General Staff Mtg; DCE SitRep; DC IMAT-A; R3 ACS TF Daily Meeting Notes)



8. Testing Sites

(Source: FEMA Region 3 GIS, Region 3 EA Testing Site Tracker)

9. Assistant Secretary for Preparedness and Response ASPR report no longer ranking Washington DC as a case hotspot The District is an Emergency Room Visit hotspot (due to respiratory illness) and within

the top 100 nationally, at 1.9x pre-COVID numbers. (Source: ASPR Report)



10. Defense Coordinating Element National Guard Activation Status/#s: Activated; 295 (♦) Personnel USACE is considering asking the DCNG for assistance during construction phase. CA EMAC - Mather AFB to deliver ventilators for DE, MD and DC. Continued discussions with the Health and Medical Surge Planning team centered on defining

the preferred model for medical surge for DC and delineating future surge needs across DC. DC published RRF requesting Title 10 medical staff support for the DC Convention Center.

The SOW is with FEMA and ESF-8 for staffing prior to submission. Medical support will augment the overall staffing solution (250 beds of the 1200 required).

DSC Request is still pending with OSD. The RRF for the medical support to the DC Convention Center is now MA # 4502DR-DC-

DOD-01. It was validated by the DCO on Friday (10 Apr) and is with the UCG(FEMA/HHS) at FEMA HQ for prioritization and approval. Medical assets are obviously in high demand/low supply so the UCG is taking their time to ensure that the available support gets to the locations with the highest need. The requested available date for DOD medical staff support is April 29, acknowledging the limited predictability of infection rates and changing epidemiological modeling. Required date of staff support will likely change as more data is available to validate existing models (predominantly CHIME and IHME).

Recent analysis indicates that DC may have a bed availability delta of 1041 bed not previously identified.

Medical Surge Task Force is considering new COAs to cover the gap. (Source: DCE SITREP)

11. External Affairs Report Media Covid-19 exposes vulnerabilities in D.C. region’s otherwise first-rate health system

(The Washington Post) DC mayor says coronavirus outbreaks will peak in June in nation's capital (Fox

News) Judge Orders Inspection of DC Jail Following Lawsuit (NBC Washington) Amid pandemic, some struggle to abide by new distancing demands (The

Washington Post) Strong storms bringing outages, flooding, risk of tornadoes to DC region (WTOP)

IGA Governor Hogan (MD), Governor Justice (WV), and Mayor Bowser (DC) participated

in a VTC today with Vice President Pence and Administrator Gaynor.

Congressional Closed inquiries

o DC HSEMA: Response letter to DC requesting expanded hospital capacity and support.

https://www.washingtonpost.com/local/covid-19-exposes-vulnerabilities-in-dc-regions-otherwise-first-rate-health-system/2020/04/12/3ed5d92a-7b76-11ea-9bee-c5bf9d2e3288_story.html

https://www.foxnews.com/politics/dc-mayor-says-coronavirus-outbreaks-will-peak-in-june-in-nations-capitol

https://www.foxnews.com/politics/dc-mayor-says-coronavirus-outbreaks-will-peak-in-june-in-nations-capitol

https://www.nbcwashington.com/news/local/judge-orders-inspection-of-dc-jail-following-lawsuit/2271848/

https://www.washingtonpost.com/local/dc-politics/amid-pandemic-some-struggle-to-abide-by-new-distancing-demands/2020/04/12/920b68f8-7cca-11ea-8013-1b6da0e4a2b7_story.html

https://www.washingtonpost.com/local/dc-politics/amid-pandemic-some-struggle-to-abide-by-new-distancing-demands/2020/04/12/920b68f8-7cca-11ea-8013-1b6da0e4a2b7_story.html

https://wtop.com/weather-news/2020/04/strong-storms-bring-risk-for-power-outages-tornadoes-to-dc-region/



Sent Resource Request Response Letter to DC HSEMA regarding a list of supplies, equipment, and medical personnel provided. The letter was approved by DC IMAT Team Leader, the RRCC, EA and the RA

Social Media Field testing locations are closed due to weather (example 1, example 2) An inmate has died in DC Jail. DC Food Program launched an emergency food bag program that will last

recipients 10-14 days.

(Source: R3 EA Report)

12. Regional Financial Summary (as of 04/13/2020 5:00 pm)

FEMA-4502-DR-DC FEMA-4502-DR-DC ALLOCATIONS OBLIGATIONS

416X-PUBLIC ASSISTANCE $1 $0 11XX-SALARIES & BENEFITS Total $1 $218 21XX-TRAVEL Total $84,700 $22,746 22XX-TRANSPORTION Total $129,000 $500 23XX-RENT, COMM, UTILITIES Total $70,000 $0 24XX-PRINT & REPRO Total $1,000 $0 2501-MISSIONS-FOS Total $0 $0 25XX-OTHER SERVICES Total $20,000 $0 26XX-SUPPLIES & MATERIALS Total $3,000 $0 41XX-GRANTS Total $0 $0 IMMEDIATE NEEDS ASSISTANCE Total $50,071,000 $20,843 2508-MISSIONS-DFA Total $75,109,460 $60,359,460

Total $125,488,162 $60,403,767 (Source: Region 3 FASC FW: Financial SITREP Data) 13. Miscellaneous

NSTR

https://twitter.com/AnnieYuTV/status/1249625009666097152

https://twitter.com/_DCHealth/status/1249522224299720708

https://twitter.com/kellyfphares/status/1249724718795632640

https://twitter.com/dc_greens/status/1249725610886340608

April 14, 2020 DE-1 of 8



DELAWARE 1. Hot Issues The Governor joined with the Governors of PA, NY, NJ, CT, RI, and MA in announcing

the creation of a multi-state council to restore the economy and get people back to work. (Additional details in Section 2)

2. State Issues EOC Status: Full Activation Total Cases: 1,625 (▲146)


FEMA Declaration: FEMA-4526-DR-DE Community Based Test Sites (CBTS)


IMAT-A: Onsite and Virtual Federally supported, Privately managed: 0 (♦0)

NG 502(f) Status: Pending Approval. 502(f) RRF is drafted and ready to submit pending a Presidential Proclamation.

Stay-at-Home Order Stay-at-Home Order for entire state until May 15, 2020, or until “the public health threat is eliminated." Exempts essential activities.

K-12 Schools Public and charter schools closed until May 15.

Brick-and-Mortar Businesses

Non-essential businesses closed until May 15 or “the public health threat is eliminated." Exempts telework. Businesses allowed to stay open must enforce specific social distancing rules.

Restaurants and Bars Restaurants and bars restricted to delivery and take-out only.

Restrictions on Gatherings

Gatherings restricted to fewer than 10 people until May 15 or “the public health threat is eliminated."

Travel Restrictions Out-of-state travelers into DE must immediately self-quarantine for 14

days. Out-of-state workers should telework, if possible.

The Governor joined with the Governors of PA, NY, NJ, CT, RI, and MA in announcing

the creation of a multi-state council to restore the economy and get people back to work.

Region 3 Situation Report for Delaware

FOUO- FOR OFFICAL USE ONLY April 14, 2020 DE-2 of 8

o The coordinating group—comprised of one health expert, one economic development expert and the respective Chief of Staff from each state—will work together to develop a fully integrated regional framework to gradually lift the states’ stay at home orders while minimizing the risk of increased spread of COVID-19.

o The council will create this framework using every tool available to accomplish the goal of easing social isolation without triggering renewed spread—including testing, contact tracing, treatment and social distancing—and will rely on the best available scientific, statistical, social and economic information to manage and evaluate those tools.

(Source: DE IMAT-A; DE Governor’s online newsroom)

3. COVID-19 Projections (as of: 04/12/2020 4:30 pm)



Currently witnessing a doubling of confirmed cases

every 7 days (Stay-at-Home Order issued on March 24). Current mortality rate based off confirmed cases is 2.15%, a decrease from yesterday.

(Source: DE COVID-19 Website for Actual Data; S. Jaros and A. Pickron) 4. Personal Protective Equipment (as of: 04/13/2020 5:00 pm)

ITEM Total in State

Total Daily

Usage

Total anticipated

need for next 14-

days


day supply)

State Provided


Total actual federally

requested


received

Gloves 241,700 1,107,150 15,500,100 (15,258,400) - 21,991,600 198,185

Gowns 20,820 44,878 628,292 (607,472) - 422,800 32,034 Surgical Masks 299,150 50,743 710,402 (411,252) - 1,831,900 184,500

N-95 Masks 311,909 4,232 59,248 252,661 - 37,240 74,885

Face Shields 89,907 1,383 19,326 70,581 - 35,000 38,880

Goggles 91,663 928 12,992 78,671 - - -

Coveralls 1,922 - - 1,922 - - 168

Resource Allocation Strategy Approach TBD (Acute care, hospital emergency departments, intensive care units and usage of strike teams) as of March 25.

(Source: Input from PPE-Vent Data by IMAT-A and HHS LNO to DE: State Health Operations Center)

Date DE Cumulative

DE Actuals

DE %

3/30/2020 264 32 14% 3/31/2020 19 55 21% 4/1/2020 368 49 15% 4/2/2020 393 25 7% 4/3/2020 450 57 15% 4/4/2020 595 143 32% 4/5/2020 673 78 13% 4/6/2020 783 110 16% 4/7/2020 928 145 19% 4/8/2020 1116 188 20% 4/9/2020 1209 93 8%

4/10/2020 1326 117 10% 4/11/2020 1479 153 12% 4/12/2020 1625 146 10%



5. Non-Personal Protective Equipment (as of: 04/13/2020 4:00 pm)


Specimen Collection Kits - 50,000 03/17/2020 2628-117424-001 NRCC Assigned to

NRCC for Action (Source: OPS, Resource Request Forms, WebEOC) 6. Hospital Capacity & Ventilators (As of 04/13/20 9:50 pm)

All Beds Needed

All Beds Available

Bed Shortage

ICU Beds

Needed ICU Beds Available

ICU Bed Shortage


Needed IHME

(Modeling Data)

149 (▲47) 696♦ 0♦ 31 (▲13) 41♦ 0♦ 29 (▲13)

According to the latest projections from the IHME model: Delaware reached its peak resource use on April 9, 2020 for all resources Delaware reached its peak resource use on April 9, 2020 for all beds Delaware reached its peak resource use on April 8, 2020 for all ICU beds (one day later than

previous projected date of April 7, 2020) Delaware reached its peak resource use on April 8, 2020 for all invasive ventilators (one day

later than previous projected date of April 7, 2020) (Source: IHME COVID 19 Model, https://covid19.healthdata.org/united-states-of-america/delaware) (Actuals as of 04/13/20 6:23 pm)



Available Actuals 2,062 (▲42) 670 (▲1) 235♦ 112 (▲27)

(Source: Delaware DHSS Hospital Census, ICU Beds, Vents Report 04/13/20 6:23 pm) (Actuals as of 04/13/20 6:23 pm)






Actuals 643♦ 553 (▼1) 50♦ 50♦ 100♦ Total ventilators = 205 ventilators stored at DPH Warehouse + 438 ventilators owned by

Delaware hospitals CA EMAC delivered ventilators to New Castle for DE, MD, and DC on April 8. DE received 50

ventilators via EMAC for approximately 3 weeks (EMAC request expires 04/29/20) Additional FEMA RRF for 50 ventilators received via truck (EMAC + RRF combine for 100

vents) (Sources: PPE Levels for DE Tracker; Delaware DHSS Hospital Census, ICU Beds, Vents Report; NONPPE Report; DEMA Sitrep)



7. Alternate Care Site (ACS) (As of 04/13/20 3:05 pm)

Site Address/BLDG Number

Confirmed Site for buildout

Operational Date

Max # Bed Spaces (Non-

COVID-19) AI DuPont Children’s Hospital Gymnasium

1600 Rockland Road Wilmington, DE 19803 Pending Open TBD 100

AI DuPont Children’s Hospital Employee Gymnasium

1600 Rockland Road Wilmington, DE 19803 Pending Buildout TBD 45

NOTES: After notification, AI DuPont Children’s Hospital Gymnasium will require at least 72 hours to

become operational. Al DuPont Children’s Hospital Employee Gymnasium is a different building than the hospital

gymnasium; staffing will be sourced separately. No further inspections of possible ACSs will be completed in DE. DE will be utilizing DPH’s Blu-Med Mobile Hospital tent in the southern part of the state. DEMA requested and received medical personnel support from DENG to staff AI DuPont ACS;

16 DENG personnel activated to meet the need. (Sources: ACF Matrix on Microsoft Teams; DCE Sitrep; ACS Information Spreadsheet; R3 ACS Ops Tracker; R3 ACS TF Daily Meeting Notes)



8. Testing Sites

(Source: FEMA Region 3 GIS, Region 3 EA Testing Site Tracker) 9. Assistant Secretary for Preparedness and Response HHS ASPR reports COVID-19 minor death hotspots with between 100 and 250%

increase between April 3-April 10 in: o New Castle (<200%) o Sussex (233%)

Emergency Room Visit hotspots (due to respiratory illness) within the top 100 nationally, compared to pre-COVID numbers include:

o Kent (2.6x)

(Source: ASPR Report)



10. Defense Coordinating Element National Guard Activation Status/#s: Activated; 61(♦) Personnel 502(f) RRF is drafted and ready to submit pending a Presidential Proclamation; need 54 SM

on SAD to meet 2% requirement. Priority for April 10 is to develop DE’s RRF/MA requesting 502d status; DCE expects that DE will reach the 2% threshold for SAD to be included on the next POTUS memo authorizing 502(f) status.

CA EMAC – Mather AFB to deliver ventilators for DE, MD, and DC (April 8) Delaware to receive 50 ventilators via EMAC for approximately 3 weeks.

Additional FEMA RRF for 50 ventilators to be received via truck (EMAC + RRF will combine for 100 vents)

Potential setup and staffing of Mobile Medical Facility (hospital tent) from DENG if determined there is a need in southern DE

TBD: potential USACE expertise required if third ACS selected. (Source: DCE SITREP; DCE Storyboard) 11. External Affairs Report

Media How were Delaware businesses deemed essential? Answers unclear as open

records law paused (Delaware Online) University of Delaware expert: Why COVID-19 hit so hard, what it'll take to get back

to normal (Delaware Online) DPP Site-Location Tool Helping Businesses Explore Delaware Remotely During

COVID-19 (Mar Tech Series) Ready to serve: Delaware National Guard assists in virus response (Delaware State

News) Coronavirus Delaware: COVID-19 Survivor ‘Wouldn’t Wish This On Anyone’ As

She’s Discharged With Easter Surprise (CBS 3 Philly) Salvation Army launches COVID-19 virtual food pantry (Delaware Public Media)

IGA At 2:00 PM Governor Carney (DE) and Governor Wolf (PA) participated in a joint

conference call with the Governors of New York, New Jersey, Connecticut, and Rhode Island announcing they are creating a plan to re-open the region. o Number of Participants: 6 Governors

Social Media DE has been proactively testing asymptomatic prison populations


https://www.delawareonline.com/story/news/2020/04/13/how-were-some-delaware-businesses-deemed-essential-answers-unclear/2941347001/

https://www.delawareonline.com/story/news/local/2020/04/13/ud-expert-talks-what-return-normalcy-delaware-take/2968872001/

https://martechseries.com/analytics/behavioral-marketing/location-data/dpp-site-location-tool-helping-businesses-explore-delaware-remotely-covid-19/

https://delawarestatenews.net/coronavirus/ready-to-serve-delaware-national-guard-assists-in-virus-response/

https://delawarestatenews.net/coronavirus/ready-to-serve-delaware-national-guard-assists-in-virus-response/

https://philadelphia.cbslocal.com/2020/04/12/coronavirus-delaware-covid19-survivor-andrianna-williams-christiana-care-easter/

https://www.delawarepublic.org/post/salvation-army-launches-covid-19-virtual-food-pantry

https://www.facebook.com/799724646738155/posts/3000365550007376



12. Regional Financial Summary (as 4/13/2020 6:00 pm)

FEMA-4526-DR-DE FEMA-4526-DR-DE

ALLOCATIONS OBLIGATIONS 416X-PUBLIC ASSISTANCE $1 $0 11XX-SALARIES & BENEFITS Total $2,701 $0 21XX-TRAVEL Total $84,700 $3,084 22XX-TRANSPORTION Total $300,000 $500 23XX-RENT, COMM, UTILITIES Total $70,000 $0 24XX-PRINT & REPRO Total $1,000 $0 2501-MISSIONS-FOS Total $0 $0 25XX-OTHER SERVICES Total $20,000 $0 26XX-SUPPLIES & MATERIALS Total $200,000 $0 41XX-GRANTS Total $0 $0 IMMEDIATE NEEDS ASSISTANCE Total $1,000,000 $20,000 2508-MISSIONS-DFA Total $40,000,000 $0 Total $41,$41,678,402 $23,584

(Source: R3 FAFC Financial SITREP Data) 13. Miscellaneous NSTR.

April 14, 2020 MD-1 of 9



MARYLAND 1. Hot Issues MD labs working to expand operations this week to add 500 more tests per day. They are

implementing new lab procedures, but still have a chronic shortage of supplies. Some of the outdoor testing sites were closed on April 13 due to severe weather.

2. State Issues

EOC Status: Full Activation Total Cases: 8,225 (▲531)


FEMA Declaration: FEMA-4491-DR-MD Community Based Test Sites (CBTS)

LNO: No (0) Federally supported, Locally managed: 0 (●0)

IMAT-A: Onsite Federally supported, Privately managed: 0 (●0)

NG 502(f) Status: Approved

Stay-at-Home Order Stay-at-Home Order for the entire state of Maryland indefinitely, except for essential activities.

K-12 Schools K-12 public schools are closed until April 24. Private schools are to consider closing.

Brick-and-Mortar Businesses Non-essential businesses closed indefinitely except for telework.

Restaurants and Bars Restaurants and bars are restricted to delivery and take-out only.

Restrictions on Gatherings Gatherings are indefinitely restricted to less than ten people.

Travel Restrictions

• Maryland residents are directed that they “should not travel out-of-state unless absolutely necessary”. Residents that do travel out of the state should self-quarantine for 14 days.

• Non-Maryland residents and Maryland residents that have traveled to New York or the tri-state area, must quarantine in place and limit all contact with others for at least 14 days.

MD labs working to expand operations this week to add 500 more tests per day. They are implementing new lab procedures, but still have a chronic shortage of supplies.

Region 3 Situation Report for Maryland

FOUO- FOR OFFICAL USE ONLY April 14, 2020 MD-2 of 9

o MD anticipates having 1,300 available tests between the VEIP sites and FedEx Field next week.

Some of the outdoor testing sites were closed on April 13 due to severe weather. MD planning with Baltimore City on testing sites, including mobile testing sites and

looking at Mondawmin Mall. MDOT MTA will implement further reductions of MARC Train service in response to

significant reductions in ridership as riders continue to limit their use of these services to essential trips only.

A temporary mortuary center will open April 24 at Garden's Ice House in Laurel. Hospital Surge Task Force has credentialed 350 nursing and 50 respiratory externs and

another 50 are in the cue. (Source: MD IMAT-A) 3. COVID-19 Projections (as of: 04/12/2020 10:00 am)



Currently witnessing a doubling of confirmed cases

every 8 days (3/30/2020, Stay at home Order). Percent of cases per day seem to be trending down as the effects of social distancing take place. Current mortality rate based off confirmed cases is 2.86%, an increase from yesterday.

(Source: MD Website for Actual Data, S. Jaros and A. Pickron)


ITEM Total in State

Total Daily

Usage

Total anticipated

need for next 14-

days


day supply)

State Provided


Total actual

federally requested


received

Gloves 323,990 895,597 12,538,358 (12,214,368) 199,300 780,540 276,890 Gowns 75,922 102,872 1,440,208 (1,364,286) 1,400,000 1,366,770 65,922 Surgical Masks 667,691 29,484 412,776 254,915 3,890,900 1,765,500 465,191 N-95 Masks 121,325 102,882 1,440,348 (1,319,023) 9,250,000 1,071,532 121,325 Face Shields 581,373 28,359 397,026 184,347 1,461,000 581,595 81,373 Goggles 1,230 1,380 100,000 - Coveralls 2,798 212,450 1,975 348

Resource Allocation Strategy Prioritization Algorithm (50% Local Health, 40% MD DOH and 10% MD Institute for Emergency Medical Service Systems) as of March 25

MD received a Battelle N-95 Reutilization Unit MD law enforcement is burning through PPE faster than they would like; working on process

how to decontaminate/conserve it. April 12 - MD receiving a number of donations from multiple sources.

(Source: Input from PPE-Vent Data by IMAT-A and HHS LNO to MD: MEMA Executive Overview & IMAT A Logistics; DCE SitRep; DCE Storyboard)

Date MD Cumulative

MD Actuals

MD %

3/31/2020 1660 247 17% 4/1/2020 1985 325 20% 4/2/2020 2331 346 17% 4/3/2020 2758 427 18% 4/4/2020 3125 367 13% 4/5/2020 3609 484 15% 4/6/2020 4045 436 12% 4/7/2020 4371 326 8% 4/8/2020 5529 1158 26% 4/9/2020 6185 656 12%

4/10/2020 6968 783 13% 4/11/2020 7694 726 10% 4/12/2020 8225 531 7%



5. Non-Personal Protective Equipment (as of: 4/13/2020 04:00 PM)


Battelle Decon System 04/05/2020 2629-170419 NRCC Assigned to NRCC for Action

Body Bags - 15,000 03/18/2020 2629-109777 NRCC Approved/Ordered Body Bags - 15,000 03/22/2020 2629-117780 NRCC Approved/Ordered Emergency Medical Assistance Teams

04/07/2020 2629-178507 R3 Approved/Ordered

FMS - Baltimore 03/20/2020 2629-112501 R3 Complete Medical/Test Supplies 03/22/2020 2629-117743-

001 NRCC Assigned to

NRCC for Action Medical/Test Supplies 03/22/2020 2629-117743-

002 NRCC Other- 10,000

swabs ordered Medical/Test Supplies 03/31/2020 2629-149454 R3 Assigned to

NRCC for Action Pharmaceuticals 04/03/2020 2629-160919 R3 On Hold per State Pharmaceuticals 04/09/2020 2629-187237 NRCC On Hold by HHS Pharmaceuticals 04/09/2020 2629-187241 NRCC On Hold by HHS Pharmaceuticals 04/09/2020 2629-187234 NRCC On Hold by HHS Pharmaceuticals 04/09/2020 2629-187223 NRCC On Hold by HHS Pharmaceuticals 04/09/2020 2629-187208 NRCC On Hold by HHS Pharmaceuticals 04/09/2020 2629-187181 NRCC On Hold by HHS Pharmaceuticals 04/09/2020 2629-187151 NRCC On Hold by HHS Pharmaceuticals 04/09/2020 2629-186815 NRCC On Hold by HHS Pharmaceuticals 04/09/2020 2629-187173 NRCC On Hold by HHS Pharmaceuticals 04/09/2020 2629-187212 NRCC On Hold by HHS Pharmaceuticals 04/09/2020 2629-187226 NRCC On Hold by HHS Pharmacy Cache - 1 03/27/2020 2629-132906 NRCC Assigned to HHS

for Action USACE Site Assessments


(Source: R3 Ops Section; RRFs; WebEOC) 6. Hospital Capacity & Ventilators (As of 04/13/20 8:50 pm)

Source All Beds Needed

All Beds Available

Bed Shortage

ICU Beds Needed

ICU Beds Available

ICU Bed Shortage


Needed IHME

(Modeling Data)

1,449 (▼103) 3,961♦ 0♦ 256

(▼34) 266♦ 0 (▼24) 221 (▼28)



According to the latest projections from the IHME model: Maryland reached its peak resource use on April 11, 2020 for all resources (three days

sooner than previous projected date of April 14, 2020) Maryland reached its peak resource use on April 11, 2020 for all beds (three days sooner

than previous projected date of April 14, 2020) Maryland will reach its peak resource use on April 15, 2020 for ICU beds Maryland will reach its peak resource use on April 16, 2020 for invasive ventilators (two days

later than previous projected date of April 14, 2020) (Source: IHME COVID 19, https://covid19.healthdata.org/united-states-of-america/maryland) (As of 04/13/20)



Available Actuals 3,664 (▼70) 1,822 (▼60) 601 (▲35) 266 (▼23)

(Source: COVID-19: Maryland Hospital Status Report by MIEMSS) (As of 04/13/20)






Actuals 1,239 (▼22) 606 (▼26) 120♦ 350♦ 1,296♦ (Sources: COVID-19: Maryland Hospital Status Report by MIEMSS; Maryland RRF spreadsheet; NONPPE Report) 7. Alternate Care Site (ACS) (As of 04/13/20 3:05 pm)



Operational Date

Max # Bed Spaces (Non-

COVID-19) Hagerstown Correctional Bldg. 192

18601 Roxbury Rd. Hagerstown, MD 21746 Pending Buildout Estimated

05/02/2020 192

Baltimore Convention Center

1 West Pratt Street Baltimore, MD 21201 Buildout 04/17/2020 250 (FMS Site)

Washington Adventist Hospital

7600 Carroll Avenue Takoma Park, MD 20912

Pending Buildout TBD 310 non-acute;

or 30 acute/ 280 non-acute

NOTES: Finishing up 17 medical tents and starting another 17 tents at 9 hospital locations.

o A modular tent was installed at the Fort Washington Hospital, with now has 7 patients. MD determined the location for 87 (w/ 870 beds) Advanced Medical Tents, 8 (600+ beds)

Large “Sprung Tents” (i.e. can be set-up without a specialized vendor). 2 ICU modulars will go to Fort Washington and 2 ICU modulars will go to Prince George

Hospital. ICU modulars are assembled by a vendor, and take about 10-14 days to set up. Univ. of MD ACS assessment canceled on April 13 due to threat of severe weather.



Assessments of Ryken High School in Leonardtown and WL Gore Building in Elkton were scheduled for April 13.

Meeting on April 13 between USACE, MD Dept. of General Services, and Counsel to discuss real estate needs for the Washington Adventist Hospital ACS.

USACE contract for the Hagerstown Correctional Facility ACS (exclusively for inmates) build-out awarded on April 11. Estimated to be completed by May 2.

o It will utilize the shuttered portion of the facility for inmates only. o MD is assessing need for Title 10 or Title 32 support medical staffing at the Hagerstown

Correctional Facility ACS. o Looking at tented facilities at Hagerstown and Jessup corrections facilities for

convalescent situations. A facility manager has been hired for the Baltimore Convention Center; IMAT-A initiated

contact.

(Sources: ACS Matrix on Microsoft Teams; Region 3 DCO SITREP/Storyboard; MD IMAT-A; ACS Information spreadsheet; R3 ACS TF Daily Meeting Notes; R3 ACS Ops Tracker)



8. Testing Sites

(Source: FEMA Region 3 GIS, Region 3 EA Testing Site Tracker) 9. Assistant Secretary for Preparedness and Response HHS ASPR reports COVID-19 death hotspots with greater than 250% increase between

April 3-April 10 in: o Anne Arundel (700%) o Baltimore County (600%) o Baltimore City (467%) o Montgomery (386%) o Frederick (350%) o Prince Georges (320%) o Charles (300%) o Carroll (280%)



Lesser but increasing death hotspots include Howard and Kent Counties with between 100% and 250% increase between April 3 – April 10.


o Harford (3.3x) o Allegany (2.4x) o Prince Georges (2.4x)

(Source: ASPR Report) 10. Defense Coordinating Element National Guard Activation Status/#s: Activated; 1,058 (♦) Personnel EPLOs coordinating with OSD and FEMA through the MAST to determine whether cyber is

within the scope of the existing Title 32 Mission Assignment. If not, MD will draft a new Mission Assignment with cyber language.

RRF for medical support (3xHMTFs) to MD will be submitted separately with HHS as the recommended force provider.

MD TAG Lines of Effort: Transportation, Security, Medical, Electrical Power Generation, Communication, Aviation and Sanitization.

DCE following up to make changes to MD’s previously approved Mission Assignment to reflect the extended duration and increased costing data.

MD is assessing need for Title 10 or Title 32 personnel to support medical staffing at Hagerstown Correctional Facility ACS (for inmates exclusively).

HHS Health & Medical Task Force (HMTF) arrived and deployed with MD Nursing Home Strike Teams.

Hospitals at 50% capacity, displaying a surge capacity within existing hospital facilities. (Source: DCE SITREP/Storyboard) 11. External Affairs Report

Media Maryland governor calls disproportionate coronavirus deaths among African

Americans 'very disturbing' (The Hill) New face mask requirements slated to start this week in two Maryland counties

(WUSA) Maryland Military Armor Company Shifts to Face Shields (NBC Washington) New Large Scale COVID-19 Testing Initiative announced by University of Maryland

School of Medicine (USBE) Coronavirus changes tax time, client relationships for Baltimore accountants:

‘We’re not working any less hard, just different’ (The Baltimore Sun)

https://thehill.com/homenews/sunday-talk-shows/492407-maryland-governor-calls-disproportionate-coronavirus-deaths-among

https://www.wusa9.com/article/news/health/coronavirus/new-face-mask-requirements-for-two-maryland-counties/65-41da7c4d-d85f-4be2-a091-62220fe608a3

https://www.nbcwashington.com/news/local/maryland-military-armor-company-shifts-to-face-shields/2271114/

https://www.blackengineer.com/article/new-large-scale-covid-19-testing-initiative-announced-by-university-of-maryland-school-of-medicine/

https://www.baltimoresun.com/coronavirus/bs-fe-cpas-coronavirus-20200413-6kynwvn7rfh7fk2uxkwwwv346a-story.html




in a VTC today with Vice President Pence and Administrator Gaynor Social Media Chesapeake Testing site is closed today due to weather. An inmate has died and 93 inmates have tested positive in MD jails. Peninsula Regional Medical turned its conference center in the Layfield Tower into

a 43-bed COVID-19 ICU.

(Source: R3 EA Report) 12. Regional Financial Summary (as of 04/13/2020 3:34 pm)

FEMA-4491-DR-MD FEMA-4491-DR-MD ALLOCATIONS OBLIGATIONS

416X-PUBLIC ASSISTANCE $1,000,000 $500 11XX-SALARIES & BENEFITS Total $1 $0 21XX-TRAVEL Total $84,700 $0 22XX-TRANSPORTION Total $3,000,500 $0 23XX-RENT, COMM, UTILITIES Total $70,000 $0 24XX-PRINT & REPRO Total $1,000 $0 2501-MISSIONS-FOS Total $750,000 $0 25XX-OTHER SERVICES Total $20,000 $217,501 26XX-SUPPLIES & MATERIALS Total $30,000 $50,230,900 41XX-GRANTS Total $0 $500 IMMEDIATE NEEDS ASSISTANCE Total $201,032,170 $0 2508-MISSIONS-DFA Total $110,727,000 $0

Total $316,715,371 $50,453,303

(Source: R3 FASC Finance and Admin Report) 13. Miscellaneous NSTR

https://twitter.com/QueenAnneEM/status/1249674252426633219?s=20


April 14, 2020 PA-1 of 11



PENNSYLVANIA 1. Hot Issues The Governor joined with the Governors of DE, NY, NJ, CT, RI, and MA in

announcing the creation of a multi-state council to restore the economy and get people back to work. (Additional details in Sections 2).

2. State Issues

EOC Status: Full Activation Total Cases: 22,833 (▲1,178)


FEMA Declaration: FEMA-4506-DR-PA Community Based Test Sites (CBTS)

LNO: Yes (1) Federally supported, Locally managed: 1 (♦0)


NG 502f Status: Approved

Stay-at-Home Order Stay-at-Home Order for the entire commonwealth until April 30, 2020. Philadelphia’s Stay-at-Home Order in effect indefinitely. Both exempt essential activities.

K-12 Schools Public, private and charter schools closed for the remainder of the 2019-20 academic year.

Brick-and-Mortar Business Non-essential businesses closed indefinitely, except telework.

Restaurants and Bars Restaurants and bars are restricted to delivery and take-out only.

Restrictions on Gatherings Gatherings of 10 or more people are strongly discouraged.

Travel Restrictions Non-essential travel prohibited.

The Governor joined with the Governors of DE, NY, NJ, CT, RI, and MA in announcing the creation of a multi-state council to restore the economy and get people back to work.

o The coordinating group—comprised of one health expert, one economic development expert and the respective Chief of Staff from each state—will work together to develop a fully integrated regional framework to gradually

Region 3 Situation Report for Pennsylvania

FOUO- FOR OFFICAL USE ONLY April 14, 2020 PA-2 of 11

lift the states’ stay at home orders while minimizing the risk of increased spread of COVID-19.

o The council will create this framework using every tool available to accomplish the goal of easing social isolation without triggering renewed spread—including testing, contact tracing, treatment and social distancing—and will rely on the best available scientific, statistical, social and economic information to manage and evaluate those tools.

The PA Mass Fatality Plan was approved on April 13.

(Source: PA IMAT-A; PA Governor’s online newsroom) 3. COVID-19 Projections (as of: 04/12/2020 12:00 pm)

Date PA Cumulative

PA Actuals

PA %

3/31/2020 4843 756 18% 4/1/2020 5805 962 20% 4/2/2020 7016 1211 21% 4/3/2020 8420 1404 20% 4/4/2020 10017 1597 19% 4/5/2020 11510 1493 15% 4/6/2020 12980 1470 13% 4/7/2020 14559 1579 12%



Currently witnessing a doubling of confirmed cases every 8-9 days (Green indicates date of the commonwealth-wide Stay-at-Home Order). Percent of cases per day seem to be trending down as the effects of social distancing take place. Current mortality rate based off confirmed cases is 2.22%, a decrease from yesterday.

(Source: PA COVID-19 Website for Actual Data; S. Jaros and A. Pickron) 4. Personal Protective Equipment (as of: 4/13/2020 5:00 pm)

ITEM Total in State

Total Daily

Usage

Total anticipated

need for next 14-

days


day supply)

State Provided


Total actual

federally requested


received

Gloves - 294,485 4,122,790 (4,122,790) 4,436,984 473,725

Gowns - 84,080 1,177,120 (1,177,120) 1,212,173 86,304

Surgical Masks 361,172 126,036 1,764,504 (1,403,332) 869,210 328,500

N-95 Masks 1,551,189 89,291 1,250,074 301,115 615,292 112,250

Face Shields - 176,012 2,464,168 (2,464,168) 2,414,433 110,880

Goggles - 794 11,116 (11,116)

Coveralls - 54,570 763,980 (763,980) 699,090 480

Resource Allocation Strategy Tiered Approach (Long term care, health care, quarantine and isolation facilities, homeless and congregate living) as of March 28.

April 8 - State Provided Resources are not being provided to IMAT-A Planning from PEMA. The numbers in the “Total In State” column is a combination from what is in the warehouse

AND what PADOH believes or estimating to be not used at locations all across the state. They are subtracting quantities from the burn rates & known quantities at each location. This number does not reflect what is in a warehouse for state DOH per IMAT A Planner (Corey Read).

(Source: Input from PPE-Vent Data by IMAT-A and HHS LNO to PA: PA DOH Planning Section Chief)

4/8/2020 16239 1680 12% 4/9/2020 18228 1989 12%

4/10/2020 19979 1751 10% 4/11/2020 21655 1587 8% 4/12/2020 22833 1178 5%



5. Non-Personal Protective Equipment (as of: 04/13/2020 5:00 pm)


ACS Staffing 04/06/2020 2630-173297 NRCC Approved/Ordered Battelle Decon System 04/05/2020 2630-171066 NRCC Assigned to NRCC for

Action Blankets - 10,000 04/02/2020 2630-154971-004 NRCC Complete Body Bags - 7,500 04/02/2020 2630-154978 NRCC Complete COTS - 1,000 04/03/2020 2630-160223 NRCC Assigned to NRCC for

Action Cots - 400 04/02/2020 2630-154971-001 NRCC Assigned to NRCC for

Action Cots - 50 04/02/2020 2630-154971-002 NRCC Assigned to NRCC for

Action FMS - 2 04/03/2020 2630-158013 R3 Assigned to DOD for

Action FMS - Glen Mills 03/23/2020 2630-119722 NRCC Complete FMS - Philadelphia 03/22/2020 2630-119779 NRCC Complete Meals - 291,270 03/28/2020 2630-134411 NRCC Complete Meals - 437,000 04/02/2020 2630-157041 NRCC Delivered -

374,168/Pending - 62,832 Medical/Test Supplies 03/06/2020 2630-117562 NRCC Assigned to NRCC for

Action Medical/Test Supplies 03/17/2020 2630-117032-001 NRCC On Hold by NRCC Medical/Test Supplies 03/17/2020 2630-117032-002 NRCC Assigned to NRCC for

Action Medical/Test Supplies 03/22/2020 2630-115580-001 NRCC Assigned to NRCC for

Action Medical/Test Supplies 03/22/2020 2630-115580-002 NRCC Assigned to NRCC for

Action Pharmacy Cache - 1 03/27/2020 2630-132600 NRCC Assigned to HHS for


Action PODS - 2 04/03/2020 2630-160760 R3 Assigned to R3 for Action PODS - 2 04/03/2020 2630-160809 R3 Assigned to R3 for Action PODS - 2 04/03/2020 2630-160730 R3 Assigned to R3 for Action PPE Manufacturing 04/07/2020 2595-163617 R3 Assigned to R3 for Action USACE Site Assessments





USACE Support for ACS Task Force


(Source: OPS, Resource Request Forms, WebEOC) 6. Hospital Capacity & Ventilators (As of 04/13/20 10:10 pm)

All Beds Needed

All Beds Available

Bed Shortage

ICU Beds Needed

ICU Beds Available

ICU Bed Shortage


Needed IHME

(Modeling Data)

4,287 (▲693) 14,395♦ 0♦ 856

(▲185) 1,043♦ 0♦ 738 (▲171)

According to the latest projections from the IHME model: Pennsylvania will reach its peak resource use on April 16, 2020 for all resources (one day

later than previous projected date of April 15, 2020) Pennsylvania will reach its peak resource use on April 16, 2020 for all beds (one day later

than previous projected date of April 15, 2020) Pennsylvania will reach its peak resource use on April 17, 2020 for ICU beds Pennsylvania will reach its peak resource use on April 17, 2020 for all invasive ventilators

(one day later than previous projected date of April 16, 2020) (Source: IHME COVID 19, https://covid19.healthdata.org/united-states-of-america/pennsylvania) (Actuals of 04/12/20)

BEDS Total inpatient beds

Total available inpatient beds Total ICU beds Total ICU beds

available Actuals 19,859♦ 9,024 (▼143) 4,503♦ 1,698 (▼79)

NOTES: Data inputs provided by PADOH PSC (Jason Godin) via IMAT-A Planning Section

(Source: PA DOH via PA IMAT-A) (Actuals as of 04/13/20 1:15 pm)






Actuals 4,909 3,439 ♦ ♦ 1,000 (Sources: NONPPE Report spreadsheet; PA DOH via IMAT-A Planning Section; PA Hospital Preparedness Dashboard)



Data on Total Ventilators & Ventilators Available provided by the PA Hospital Preparedness Dashboard (new source, therefore changes will be noted beginning with tomorrow’s report)

1,000 Zoll Impact Ventilators have been ordered from Federal stockpile Ventilators are adjustable to accommodate adults and children

(Source: Pennsylvania RRF Tracker; PA PPE Burn Rate and Beds COVID-19 Tracker) 7. Alternate Care Sites (ACS) (As of 04/13/2020 3:05 pm)



Operational Date


Glen Mills School 185 Glen Mills Rd. Glen Mills, PA 19342

Pending Open April 14, 2020 265

Temple University - Liacouras Center

1776 N. Broad St. Philadelphia, PA Pending Open April 16,

2020 221 beds; possible addt’l 250

State-provided

David Lawrence Convention Center

1000 Duquesne Blvd. Pittsburgh, PA

Pending Open April 20, 2020 250+

East Stroudsburg University

200 Prospect St. East Stroudsburg, PA 18301

Pending Buildout

Goal: April 18, 2020 250

NOTES: Temple Univ. Hospital ACS is expected to have a soft opening on April 16. East Stroudsburg site is being prioritized to support accelerated timeline and expansion from

250-500 beds. This site has a corresponding request for DOD medical staff support. Target date is April 18; however, this ACS is still in "approved" status, not yet constructed/capable.

o USACE is updating its assessment for East Stroudsburg based on an increase of required beds from 250 to 500, due to the city’s proximity to NYC and migratory nature of the virus, infection rates in northeast PA are growing at a faster rate than other parts of the commonwealth.

o PA published their RRF requesting medical staff support consistent with 2 Urban Augmentation Medical Task Forces for East Stroudsburg Univ. supporting 500 beds with a start date of April 18. Mission Assignment for medical staffing support has been validated and is with the UCG for prioritization and approval.

USACE and PA have come to a tentative agreement (awaiting a written agreement) to have USACE build-out 5 identified ACSs with a goal for each to be operational by April 20. Initial staffing through local health network is primary strategy for each; engineering and design completed and submitted to PA:

o Ellwood City Hospital / Mercer Co. / SW PA o St. Luke’s Hospital / Bucks Co. / SE PA o Sunbury Community Hospital / Northumberland Co. / Central PA o York Memorial Hospital / York Co. / South-Central PA



o Lancaster General Hospital / Lancaster Co. / South-Central PA. (Sources: ACF Matrix in Microsoft Teams; PA IMAT-A Sitrep Inputs; DCE SitRep; ACS Information Spreadsheet; R3 ACS Ops Tracker)

8. Testing Sites

(Source: R3 GIS; R3 EA Testing Site Tracker) 9. Assistant Secretary for Preparedness and Response HHS ASPR reports COVID-19 death hotspots with greater than 250% increase between

April 3-April 10 in: o Western PA: Allegheny (Pittsburgh) (800%), Beaver (550%), and Westmoreland

(500%) Counties o Southeastern PA: Philadelphia (686%) and surrounding suburban counties of

Berks (1100%), Chester (350%), Lancaster (320%), Montgomery (355%) Counties decreasing as one goes further west and north of the city.



o Northeastern PA: Lackawanna (350%) and Pike (500%) Counties Lesser but increasing death hotspots also include Bucks County (225%), Lehigh Valley

(220%), and Wyoming / Upper Susquehanna Valley. Emergency Room Visit hotspots (due to respiratory illness) within the top 100

nationally, compared to pre-COVID numbers include: o Philadelphia (5.2x) o Montgomery (3.0x) o Butler (2.3x) o Lebanon (2.2x) o Allegheny (2.0x) o Franklin (2.0x) o Westmoreland (1.9x) o Adams (1.9x)

(Source: ASPR Report)

10. Defense Coordinating Element National Guard Activation Status/#s: 534 (♦) Personnel Primarily supporting logistics movement of medical supplies, establishment of testing sites,

distribution and warehouse operations, supporting planning efforts, and medical treatment to non-COVID 19 patients.

o Presidential proclamation received on April 7 approving the use of PANG in a Title 32 502f status. 502(f) RRF has been updated with new period of performance and costing data; submitted to FEMA. Mission Assignment for Title 32 502f status for PA was validated by the DCO and is currently with OSD for approval.

Priority is to support efforts to resource PA’s COVID-19 emerging/potential hotspots, specifically in eastern PA

o Coordinating site visit to East Stroudsburg Univ. ACS. o USACE developing an expedited site build out plan for East Stroudsburg Univ. ACS. o Depending the available capacity of local hospitals, it is anticipated that the Title 10

medical staff will augment the nearby hospitals until they exceed capacity and the supporting ACS is activated.

o Upon activation of the ACS, the Title 10 medical teams would withdraw from the hospitals to staff the ACS. These are tentative plans as PEMA staff, FEMA, HHS and 44th MED Planners work out details.

o Med Aug for 500 Bed ACS ISO East Stroudsburg at NC for review. T32 Activation for Pennsylvania approved Montgomery County CBTS is now closed. State is opening 2 new testing sites next

week, 1 at the Montgomery Community College and 1 at a site TBD in NE PA. The site will be run by the PANG.

East Stroudsburg University construction is in progress. Expected Completion April 14. Wraparound services and Staff Management contracting identified. April 17 Decision Point for April 18 IOC.

At 1600 04-13, DCE had a teleconference w/ PEMA and DCE IMAT & EPLO teams in PA



to discuss plans to employ the 352-1 UAMTF out of California. Following teleconference, DCE will provide a supplemental report with PEMA’s plans, medical personnel requirements (med specialties), and other pertinent details. This morning, the TF-SE A3, COL Walker, and Colonel Dewey to the 352-1 UAMTF, COL Caroline Ryan to give her and her staff an update on tentative JRSOI plans and employment plans in eastern PA. DCE will continue to follow up with her and her team as the situation develops.

Tentatively (pending the outcome of the teleconference), PEMA and state officials will lead DCE on site surveys to both ACS and local hospitals with HHS, FEMA, DCE, 44th Med, and TF-SE planners to include Brig Gen Lambe on April 15. Site survey will determine more details on specific medical requirements, billeting, feeding and local transportation. Med planners will gain fidelity on medical facility & ACS current and planned capabilities, capacity, staffing, etc. MED planners from 44th MED BDE arrived and integrated into DCE for upcoming assessments. Made coordination w/ ARNORTH ENG, LTC Rockwell, who will also participate in planned site surveys at Temple and East Stroudsburg.

Anticipate UAMTF 352-1 arrival on April 16 at JBMDL for JRSOI; the team will split team between Temple University in Philadelphia and East Stroudsburg University.

A new test site will open at Montgomery County Community College on April 15 and another potentially in NE PA, run by PANG. Mohegan Sun CBTS will have a soft launch this weekend (testing first responders and medical staff) then plan on opening up to public on Monday.

BG Lambe from TF-SE tentatively making PA site visit April 15 (PEMA, PANG JOC, ESU, Temple, FEMA R3)

Physical modification of ESU in work (HVAC, Flooring, Emergency Generator). Expected completion April 14. Wraparound Services and Staff Management contracting identified. April 17 Decision Point for 18 April operational. General Purpose soldiers from PANG assisting in set up of ESU ACS 14 April.

Staff training beginning April 14 at Temple University ACS with limited patient intake expected April 16.

(Sources: DCE SitRep and DCE Storyboard)

11. External Affairs Report

Media One Breath at a Time: Fighting for survival inside Philadelphia’s busiest COVID-19

hospital (The Philadelphia Inquirer) Coronavirus Economy: Pennsylvania Lawmakers Split Over Series Of Bills That

Could Reopen Some Businesses (CBS 3 Philly) Pennsylvania candidates regroup for an election without rallies, debates, or door-

knocking due to coronavirus (The Morning Call) A coronavirus mass-testing site is coming to northeast Pennsylvania. What took so

long? (The Morning Call)

https://www.inquirer.com/health/coronavirus/a/philadelphia-coronavirus-response-temple-university-hospital-20200412.html

https://philadelphia.cbslocal.com/2020/04/12/coronavirus-economy-pennsylvania-lawmakers-bills-reopen-some-businesses/

https://www.mcall.com/coronavirus/mc-nws-coronavirus-campaigning-amid-pandemic-pennsylvania-primary-20200413-3zcutxuhrrekvdnavlvzetoulq-story.html

https://www.mcall.com/opinion/mc-opi-coronavirus-testing-lehigh-valley-muschick-20200413-ocj2xw2wqvhjhnpib4bg3muzgu-story.html



Pennsylvania Launches $450M Coronavirus Loan Program for Hospitals (Globe St) Pandemic highlights gaps in internet access, as Congress looks for solutions

(Pennsylvania Capital Star) IGA At 2:00 PM Governor Carney (DE) and Governor Wolf (PA) will participate in a joint

conference call with the Governors of New York, New Jersey, Connecticut, and Rhode Island to announce they are creating a plan to re-open the region.

o Number of Participants: 6 Governors Congressional Open inquiries

o Rep. Cartwright: Would like guidance on Category B Public Assistance for nonprofit organizations and food banks, recovery is awaiting guidance.

o Recovery has been consulted and is formulating guidance.

Social Media Gas stations in Franklin County are offering free gas to healthcare workers Grocery stores are beginning to enforce more social distancing measures Road closures due to flooding in Pulaski County Dairy farmers are reporting that they are disproportionally affected by COVID-19 Testing sites closed due to weather Correctional Industries is making masks for facilities in the state

(Source: R3 EA Report) 12. Regional Financial Summary (as of 04/13/2020 5:00 pm)

FEMA-4506-DR-PA FEMA-4506-DR-PA ALLOCATIONS OBLIGATIONS

416X-PUBLIC ASSISTANCE $3,000,000 $0 11XX-SALARIES & BENEFITS Total $2,701 $1,576 21XX-TRAVEL Total $98,800 $23,252 22XX-TRANSPORTION Total $2,000,000 $0 23XX-RENT, COMM, UTILITIES Total $494,125 $3,830 24XX-PRINT & REPRO Total $1,000 $0 2501-MISSIONS-FOS Total $800,000 $57,534 25XX-OTHER SERVICES Total $20,000 $6,140 26XX-SUPPLIES & MATERIALS Total $140,000 $106,000 41XX-GRANTS Total $0 $0 IMMEDIATE NEEDS ASSISTANCE Total $200,000,000

$11,310,966

2508-MISSIONS-DFA Total $76,900,000 $43,906,267 Total $283,456,626 $55,415,565

https://www.globest.com/2020/04/13/pennsylvania-launches-450m-coronavirus-loan-program-for-hospitals/?slreturn=20200313093246

https://www.penncapital-star.com/covid-19/pandemic-highlights-gaps-in-internet-access-as-congress-looks-for-solutions/

https://www.facebook.com/cbs21news/posts/10156833344622714

https://www.facebook.com/abc27news/posts/10158096366980420

https://www.facebook.com/wsls10/videos/vb.67450987175/712913262867924/?type=2&theater

https://www.facebook.com/PennLive/posts/10157256651886647

https://twitter.com/stjoesreading/status/1249662876576612357

https://twitter.com/CorrectionsPA/status/1249699045779689477



(Source: Financial SITREP) 13. Miscellaneous NSTR

April 14, 2020 VA-1 of 8



VIRGINIA 1. Hot Issues

VA has received modeling data that suggests that VA’s statewide hospital bed capacity will be sufficient in the immediate future. Therefore, VA placed the 3 selected ACSs on hold indefinitely. VA is planning to support existing facilities capabilities. VA is planning to work with VAARNG to put up temporary “pop-up” facilities in the event they are needed. (Additional details in Sections 2 and 7)

2. State Issues

EOC Status: Full Activation Total Cases: 5,747 (▲473)


FEMA Declaration: FEMA-4512-DR-VA Community Based Test Sites (CBTS)



NG 502(f) Status: 502(f) Mission Assignment has been validated and pending OSD approval.

Stay-at-Home Order Stay-at-Home order for the entire commonwealth until June 10, 2020, except for essential activities.

K-12 Schools Schools closed for remainder of the 2019-20 academic year.

Brick-and-Mortar Business

Non-essential businesses must follow a 10-patron limit and social distancing rules, indefinitely.

Restaurants and Bars Restaurants and Bars restricted to delivery and take-out only.

Restrictions on Gatherings Gatherings outside the home restricted to fewer than 10 people.

Travel Restrictions No residents should travel out-of-state unless necessary. Those who have traveled out-of-state should self-quarantine for 14 days.

The Governor, in partnership with researchers, released new infectious disease

modeling on the impact of COVID-19 mitigations in VA. Current models unveiled during a briefing held on April 13 show that social distancing efforts beginning in mid-March have paused the growth of the COVID-19 epidemic in the commonwealth. While data

Region 3 Situation Report for Virginia

FOUO- FOR OFFICAL USE ONLY April 14, 2020 VA-2 of 8

and testing remain limited, current trends suggest that VA’s statewide hospital bed capacity will be sufficient in the immediate future.

As part of the VA Mass Fatality Task Force, VA Office of the Chief Medical Examiner will design a new survey to collect information on human remains storage, morgue status, and capabilities. Local emergency managers will collect information from funeral homes and crematories in their jurisdictions. Healthcare Coalitions will collect information from Hospitals and Long-Term Care Facilities.

(Source: VA Governor’s newsroom) 3. COVID-19 Projections (as of: 04/13/2020 10am)

Date VA Cumulative

VA Actuals VA %

3/31/2020 1250 230 23% 4/1/2020 1484 234 19% 4/2/2020 1706 222 15% 4/3/2020 2012 306 18% 4/4/2020 2637 625 31% 4/5/2020 2878 181 9% 4/6/2020 3333 455 16% 4/7/2020 3645 312 9% 4/8/2020 4042 397 11% 4/9/2020 4509 467 12%



Currently witnessing a doubling of confirmed

cases every 8-9 days (Green indicates date that the Stay-at-Home Order was issued). Current mortality rate based off confirmed cases is 2.59%, a decrease from yesterday.

[Source: VA COVID-19 website for Actual Data, S. Jaros and A. Pickron] 4. Personal Protective Equipment (as of: 4/13/2020 5:30 pm)

ITEM Total in State

Total Daily Usage

Total anticipated need for next 14-

days


day supply)

State Provided


Total actual

federally requested


received

Gloves 300,000 386,976

Gowns 5,000 82,620

Surgical Masks 510,221

N-95 Masks 2,000,000 214,388

Face Shields 162 101,035

Goggles 5,000

Coveralls 14 2,057

Resource Allocation Strategy Prioritization (60% Healthcare Facilities, 20% Local Health Districts, 15% EMS, and 5% to be held in reserve) as of March 25.

4/10/2020 5077 568 13% 4/11/2020 5274 197 4% 4/12/2020 5747 473 9%



Lack of data due to VA trying to consolidate PPE numbers confirmed by IMAT A rep. VDEM and VHHA are aware of gap.

(Source: Input from PPE-Vent Data by IMAT-A and HHS LNO to VA: VHHA and State counterparts) 5. Non-Personal Protective Equipment (as of: 4/13/2020 4:00 pm)


Battelle Decon System 04/07/2020 2631-178556 NRCC On Hold by NRCC Battelle Decon System 04/07/2020 2631-178513 NRCC On Hold by NRCC Battelle Decon System 04/07/2020 2631-178496 NRCC On Hold by NRCC Battelle Decon System - NCR

04/07/2020 2631-178453 NRCC On Hold by NRCC

Body Bags – 3,000 04/08/2020 2631-183838 R3 Assigned to R3 for Action

Ferry Support 04/06/2020 2631-175920 R3 Assigned to R3 for Action

Meals – 300,000 04/06/2020 2631-175812 NRCC Approved/Ordered Pending - 0 Delivered/300,000

Meals – 53,040 03/31/2020 2631-148598 NRCC Complete Medical/Test Supplies 03/22/2020 2631-117417 NRCC Assigned to NRCC for




Action USACE Site Assessments


(Source: OPS, Resource Request Forms, WebEOC) 6. Hospital Capacity & Ventilators (As of 04/13/20 6:00 pm)

All Beds Needed

All Beds Available

Bed Shortage

ICU Beds Needed

ICU Beds Available

ICU Bed Shortage


Needed IHME

(Modeling Data)

1,474 (▲289) 6,581♦ 0♦ 317

(▲85) 329♦ 0♦ 274 (▲79)

According to the latest projections from the IHME model:



Virginia will reach its peak resource use on April 27, 2020 for all resources (one day later than previous projected date of April 26, 2020)

Virginia will reach its peak resource use on April 27, 2020 for all beds (seven days later than previous projected date of April 20, 2020)

Virginia will reach its peak resource use on April 28, 2020 for ICU beds Virginia will reach its peak resource use on April 27, 2020 for invasive ventilators

(Source: IHME COVID-19, https://covid19.healthdata.org/united-states-of-america/virginia) (As of 04/12/20 midnight)



available Actuals 11,569♦ 4,082 (▼18) 1,774♦ 769 (▲76)

(Source: Virginia Roll Up Report from VDH) (As of 04/12/20 midnight)






Actuals 2,833 (▲18) 2,174 (▼14) ♦ ♦ 350 (Sources: Virginia Roll Up Report from VDH; NONPPE Report) 7. Alternate Care Site (ACS) (As of 04/13/2020 3:05 pm)

Site Address/BLDG Number Confirmed

Site for buildout (Y or N)

Operational Date


Hampton Roads Convention Center

1610 Coliseum Drive Hampton, VA 23666

YES - Site Approved

04/01/2020 ON HOLD 560 (♦)

Richmond Convention Center

Richmond Convention Center 403 N 3rd Street Richmond, VA 23219

YES - Site Approved

04/04/2020 ON HOLD 758 (♦)

Dulles Expo Center 4320 Chantilly Shopping Center Chantilly, VA 20151

YES - Site Approved

04/04/2020 ON HOLD 483 (♦)

NOTES:

VA has received modeling data that suggests that VA’s statewide hospital bed capacity will be sufficient in the immediate future. Therefore, VA placed the 3 selected ACSs on hold indefinitely. VA is planning to support existing facilities capabilities. VA is planning to work with VAARNG to put up temporary “pop-up” facilities in the event they are needed.

(Sources: ACF Matrix on Microsoft Teams; DCE SITREP; Daily ACS TF Meeting Notes; VA IMAT-A)

https://covid19.healthdata.org/united-states-of-america/virginia



8. Testing Sites

(Source: R3 GIS; EA Testing Site Tracker) 9. Assistant Secretary for Preparedness and Response HHS ASPR reports COVID-19 death hotspots with greater than 250% increase between

April 3-April 10 in: o Fairfax (1800%) o Loudoun (400%)

Lesser but increasing death hotspots also include: Henrico, Prince Edward, and Prince William Counties.


o Arlington (2.6x) o Alexandria (2.2x)



o Augusta (1.8x) In Virginia, new cases have increased 247% over the past week, from 230 on April 5th to 568

on April 11th. Mecklenburg County (VA) had the highest (300%) relative percent increase in Virginia cases between April 7th and April 10th.

Notable increases in cases from April 7th-April 10th follow I-95, I-81, I-66 and I-64 corridors, as well as the Hampton Roads area.

(Source: ASPR Report) 10. Defense Coordinating Element National Guard Activation Status/#s: 281 (▼6) Personnel to support Various missions across the Commonwealth (♦) Presidential proclamation received on April 7 approving the use of National Guard in a Title 32

502f status. 502(f) RRF has been updated with new period of performance and costing data; submitted to FEMA. MA for Title 32 502f status for VA was validated by the DCO and is currently with OSD for approval. 502(f) Mission Assignment has been validated and pending OSD approval.

RRF for medical staffing pending the outcome of ACS decisions.

(Source: DCE SitRep and DCE Storyboard) 11. External Affairs Report

Media Virginia governor makes Election Day a holiday and expands early voting (CNN) Virginia’s confirmed coronavirus cases increase by fewer than 200 (The Virginian-

Pilot) COVID-19 disrupts Virginia tourism ahead of peak season (The Daily Progress) Virginia Workers Lodge Over 150 Coronavirus-Related Complaints (NBC

Washington) Confusion over park safety produces a patchwork of pandemic policies (Virginia

Mercury) Delta Dental of Virginia contributes $1M in COVID-19 support (Augusta Free Press)

Social Media A majority of outbreaks in Virginia are being attributed to long term care facilities. Virginia Hospital and Healthcare Association data tracking is now reporting

hospitalization and discharge data. Pet emergency food pantries are now set up across Virginia. Campbell County is experiencing flash flooding and power outages. A testing site in Woodbridge is opening on Tuesday. UVA is using ultraviolet room to sanitize used masks for reuse. Some hospitals are allowing staff to wear handmade masks.

https://www.cnn.com/2020/04/12/politics/virginia-election-day-holiday-early-voting/index.html

https://www.pilotonline.com/news/health/vp-nw-coronavirus-virginia-increase-20200412-dzopmyawhnbildmjs4o3snsnha-story.html

https://www.pilotonline.com/news/health/vp-nw-coronavirus-virginia-increase-20200412-dzopmyawhnbildmjs4o3snsnha-story.html

https://www.dailyprogress.com/news/local/covid-19-disrupts-virginia-tourism-ahead-of-peak-season/article_c407ecd1-e046-54d1-835e-7b166a169fc2.html

https://www.virginiamercury.com/2020/04/13/confusion-over-park-safety-produces-a-patchwork-of-pandemic-policies/

https://www.virginiamercury.com/2020/04/13/confusion-over-park-safety-produces-a-patchwork-of-pandemic-policies/

https://augustafreepress.com/delta-dental-of-virginia-contributes-1m-in-covid-19-support/

https://twitter.com/newsadvance/status/1249716487813828608

https://twitter.com/CamThompsonCBS6/status/1249701551217750017


https://www.facebook.com/ABC13News/posts/10157491102587428



https://twitter.com/DominionPostWV/status/1249710213642571780



Virginia state administration and UVA are currently holding a tele-news conference on COVID-19 modeling.


12. Regional Financial Summary (as of 04/13/2020 4:00 pm)

FEMA-4512-DR-VA FEMA-4512-DR-VA ALLOCATIONS OBLIGATIONS

416X-PUBLIC ASSISTANCE $1 $0 11XX-SALARIES & BENEFITS Total $2,701 $0 21XX-TRAVEL Total $84,700 $8,717 22XX-TRANSPORTION Total $300,000 $0 23XX-RENT, COMM, UTILITIES Total $70,000 $0 24XX-PRINT & REPRO Total $1,000 $0 2501-MISSIONS-FOS Total $0 $0 25XX-OTHER SERVICES Total $270,000 $0 26XX-SUPPLIES & MATERIALS Total $3,000 $0 41XX-GRANTS Total $0 $0 IMMEDIATE NEEDS ASSISTANCE Total $0 $1,593 2508-MISSIONS-DFA Total $225,148,800 $200,148,800 Total $225,880,202 $200,159,110

(Source: R3 FASC-Financial SITREP) 13. Miscellaneous NSTR

https://twitter.com/CamThompsonCBS6/status/1249729425849098240

April 14, 2020 WV-1 of 10



WEST VIRGINIA 1. Hot Issues WVNG, in collaboration with researchers from WVU, academic institutions, community

and technical colleges, as well as business and industry leaders from across the state have developed solutions to address the critical PPE shortage. They collaborated and developed an N-95 mask and filter that would alleviate the strain on the supply chain while looking at advancements for design, fit, and decontamination. (Additional details in Section 2)

The Governor placed a 12th county (Jackson) under enhanced restrictions. (Additional details in Section 2)

2. State Issues EOC Status: Full Activation Total Cases: 611 (▲18)


FEMA Declaration: FEMA-4517-DR-WV Community Based Test Sites (CBTS)

LNO: Yes (1) Federally supported, Locally managed: 0 (♦0)


NG 502(f) Status: Mission Assignment for 502(f) status was validated by the DCO and is currently with OSD for approval.

Stay-at-Home Order Stay-at-Home Order for the entire state, indefinitely, except for essential activities.

K-12 Schools Public and private schools closed until April 20.

Brick-and-Mortar Business

Across the entire state, non-essential businesses closed, except for telework, home-based, and businesses closed to public with fewer than 6 employees onsite. In 12 counties, all businesses must require employees to work from home to the maximum extent possible, and businesses allowed to stay open must enforce specific social distancing rules.

Restaurants and Bars Restaurants and bars restricted to delivery and take-out only.

Restrictions on Gatherings

Gatherings outside the home restricted to fewer than 10 people across the state. In 12 counties, gatherings are limited to 5 or fewer people.

Region 3 Situation Report for West Virginia

FOUO- FOR OFFICAL USE ONLY April 14, 2020 WV-2 of 10

Travel Restrictions • Non-essential out-of-state visitors must self-quarantine for 14 days. • State Police may monitor roads for travelers from areas of COVID-19

community spread.

The Governor placed an additional county (Jackson) under enhanced restrictions. Under the new orders, gatherings are limited to 5 or fewer people. All businesses must require employees to work from home to the maximum extent possible. Local Health Departments will establish the maximum occupancy and proper social distance within essential businesses and take action to enforce these health regulations. The State Police will assist with enforcement of local county orders. The other 11 counties with enhanced restrictions include Berkeley, Cabell, Harrison, Jefferson, Kanawha, Marion, Monongalia, Morgan, Ohio, Wayne, and Wood). The 12 counties account for most of the positive cases in the state.

WVNG, in collaboration with researchers from WVU, academic institutions, community and technical colleges, as well as business and industry leaders from across the state have developed solutions to address the critical PPE shortage. They collaborated and developed an N-95 mask and filter that would alleviate the strain on the supply chain while looking at advancements for design, fit, and decontamination.

o Initially, the prototype N-95 masks were developed and refined using 3-D printers from the state’s network of colleges and universities.

o After a working filtration system was developed and the design finalized, the WVNG stood up Task Force Innovation to coordinate the production of PPE throughout the state.

o The typical production of a single mask is around an hour and 45 minutes to 2 hours, while each printer runs 7-8 hours a day using a network of almost 400 printers. Foreseeing this issue, they are working on other avenues such as cast molding to fill in the gaps of 3-D printing.

o Between both types of production – 3-D printing and cast molding – it is expected that the network of WV residents working on this project can produce 200 masks each week.

o WVNG, in conjunction with the WV Hospital Assoc., is testing this new mask through the decontamination and sanitization process. In addition, they are looking into establishing regional quick reaction teams that could travel around the state to offer mobile mask sanitization for healthcare facilities that could potentially save N-95 masks for reuse up to 20 times.

FEMA VAL participating in WV VOAD Feeding Committee to assist with identifying and addressing current feeding needs in WV. Food banks have indicated that there has been an approximate 40% increase in food distribution.

WV Dept. of Education distributed more than 1M multi-day meal packs to students across the state last week.

In response to the USDOT suspending its prohibition on food trucks at federally-funded rest areas, the WV Div. of Highways has set guidelines allowing for food trucks at rest areas as a temporary measure to ease the burden on truck drivers during the ongoing pandemic.



Work Force WV processed 120,000 unemployment claims since March, with the assistance of WVNG.

(Source: WV IMAT-A; WV Governor’s online newsroom; R3 EA Report)

3. COVID-19 Projections (as of: 04/12/2020 10:00 am)

Currently witnessing a doubling of confirmed

cases every 9 days (Stay-at-Home Order issued on March 25). Percent of cases per day seem to be trending down as the effects of social distancing take place. Current mortality rate based off confirmed cases is 1.31%, an increase from yesterday.

(Source: WV COVID-19 Website for Actual Data; S. Jaros and A. Pickron)

Date WV Cumulative

WV Actuals

WV %

4/1/2020 191 26 16% 4/2/2020 217 26 14% 4/3/2020 237 20 9% 4/4/2020 282 45 19% 4/5/2020 324 42 15% 4/6/2020 345 21 6% 4/7/2020 412 67 19% 4/8/2020 483 71 17% 4/9/2020 523 40 8%

4/10/2020 577 54 10% 4/11/2020 593 16 3% 4/12/2020 611 18 3%




ITEM Total in State

Total Daily

Usage

Total anticipated

need for next 14-

days


day supply)

State Provided


Total actual

federally requested


received

Gloves 675,920 196,689 2,753,646 (2,077,726) 1,456,901 14,480,763 231,206

Gowns 13,577 12,182 170,548 (156,971) 38,416 1,081,528 45,773

Surgical Masks 117,195 42,694 597,716 (480,521) 49,520 1,170,808 320,539

N-95 Masks 126,931 10,529 147,406 (20,475) 228,309 453,999 96,101

Face Shields 33,939 33,939 1,536 229,427 81,459

Goggles 12,865 1,173 16,422 (3,557) 9,800 92,877 -

Coveralls 15,293 15,293 16,625 90,068 1,832

Resource Allocation Strategy Prioritization (35% to hospitals, 40% to local health departments (EMS/Primary Care/Home Health), 15% to nursing homes and long-term care facilities, and 10% surge for WV DHHR as of March 31.

WVNG, WVDHSEM, and WV DHHR establishing an interagency task force to refine PPE

tracking and ensure needs are being met. The lack of data for face shields and coveralls is due to lack of reporting in these two

categories from the WVNG and WV Hospital Assoc. per IMAT-A representatives. Per IMAT-A counterpart, the daily usage and 14-day projections will be updated once a week

when the hospitals are required to respond to the survey sent out by the WV Hospital Assoc. Additionally, the ‘State Provided’ column has not been provided by the state. The WV IMAT-A is working actively with the WVNG and WV Hospital Assoc.

RRFs put in for PPE to be utilized by First Responders. Request is for 400,000 gloves, 205,000 face shields, 205,000 N95 respirators, 120,000 surgical gowns – not being recorded in PPE-Vent Data sheet due to non-hospital affiliation.

(Source: Input from PPE-Vent Data by IMAT-A and HHS LNO to WV: WVNG Warehouse Report and WV Hospital Assoc. Report; WV IMAT-A) 5. Non-Personal Protective Equipment (as of: 4/13/2020 04:00 PM)


Hospital Beds - 15 04/08/2020 2632-184747 R3 On Hold - Returned to State

Meals - 300,000 04/01/2020 2632-142989 NRCC Complete




Medical/Test Supplies 03/25/2020 2632-125635-001 NRCC Assigned to NRCC for Action



Medical/Test Supplies 03/27/2020 2632-131260-000-000

NRCC Assigned to NRCC for Action




Oximeters - 1,000 03/27/2020 2632-131651 R3 Assigned to R3 for Action

Thermometers - 96 04/01/2020 2632-150785 R3 Assigned to R3 for Action

(Source: OPS, Resource Request Forms, WebEOC)



6. Hospital Capacity & Ventilators (As of 04/13/2020 7:55 pm)

All Beds Needed

All Beds Available

Bed Shortage

ICU Beds Needed

ICU Beds Available

ICU Bed Shortage


Needed IHME

(Modeling Data)

121 (▼112) 3,032♦ 0♦ 29 (▼11) 196♦ 0♦ 26 (▼10)

According to the latest projections from the IHME model: WV will reach its peak resource use on April 18, 2020 for all resources (six days later

than previous projected date of April 12, 2020) WV will reach its peak resource use on April 18, 2020 for all beds (six days later than

previous projected date of April 12, 2020) WV will reach its peak resource use on April 18, 2020 for all ICU beds (six days later than

previous projected date of April 12, 2020) WV will reach its peak resource use on April 17, 2020 for all invasive ventilators (five days

later than previous projected date of April 12, 2020) (Source: IHME COVID 19, https://covid19.healthdata.org/united-states-of-america/west-virginia) (Actuals as of 04/13/2020 11:06 am)



available Actuals 6,741 (▲14) 4,098 (▲38) 703 (▼15) 275 (▲11)

[Source: West Virginia Daily Hospital Report received via email on 04/13/20 11:06 am] (Actuals as of 04/13/2020 11:06 am)






Actuals 849 (▲18) 646 (▲28) ♦ ♦ 475♦ (Sources: West Virginia Daily Hospital Report for Totals; WV RRF Tracker; NONPPE Tracker) 7. Alternate Care Site (ACS) (as of: 04/13/2020 3:05 pm)


Operational Date


Charleston St. Francis Hospital 333 Laidley St. Charleston, WV 25301

Operational 04/10/2020

36 beds; an additional 36 beds likely available next week

Charleston

Thomas Memorial Hospital 4605 MacCorkle Ave SW South Charleston, WV 25309

Wheeling Ohio Valley Medical Center 2000 Eoff St.




Operational Date


Wheeling, WV 26003

Williamson Williamson Memorial 859 Alderson St. Williamson, WV 25661

St. Francis ACS went operational on April 10 with 36 beds available; an additional 36 beds likely

will be available by next week. R3 working with WV DHHR to determine when additional beds will be available.

WV DHHR has decided not to proceed with the request to utilize the Veterans’ Affairs facility in Martinsburg as an ACS. The state will reassess if the need arises and move the RRF forward.

WV DHHR working with Bateman Hospital (in Huntington) and Sharpe Hospital (in Weston)—two state owned psychiatric hospitals—to identify the number of COVID-19 positive psychiatric patients that could be hospitalized at these facilities.

o WV ACS Task Force working on identifying equipment and supplies that may be needed to support this effort.

o USACE meeting with Bateman Hospital on April 14. WV DHHR Secretary making final decision on whether to expand beds at existing Berkeley Co.

and Jefferson Co. facilities through acquisition or sharing of equipment. (Sources: ACS Matrix on Microsoft Teams; WV IMAT-A; DCE Daily SitRep; ACS Information Spreadsheet; R3 ACS Ops Tracker)



8. Testing Sites

(Source: FEMA Region 3 GIS, Region 3 EA Testing Site Tracker) 9. Assistant Secretary for Preparedness and Response HHS ASPR reports COVID-19 a minor death hotspot with between 100 and 250%

increase between April 3-April 10 in Monongalia County (Morgantown). A lesser but increasing death hotspot is Harrison County. HHS ASPR / CDC reports significant case increases in Berkeley and Cabell Counties,

with lesser but notable increases in: o Monongalia (Morgantown), Marion, and Harrison County o Ohio County (Wheeling) o Kanawha, Jackson, and Wood Counties


o Ohio County (3.2x) (Source: ASPR Report)



10. Defense Coordinating Element National Guard Activation Status/#s: 598 (▲30) Personnel Mission Assignment for 502(f) status was validated by the DCO and is currently with OSD for

approval. FEMA is processing a DFA Mission Assignment for an initial quantity of 1K face-

shields. Additional PPE could follow depending on production rates, costs, and availability from other sources.

502(f) Mission Assignment is in revision to increase troop cap. (Source: DCE SITREP; DCE Storyboard)

11. External Affairs Report Media West Virginia peak now expected today, but Marsh says that doesn’t mean back to

normal right away (WV Metro News) Nation’s governors ask for financial relief as West Virginia stares down $350

million+ budget gap (WV Metro News) A West Virginia church spends Easter making face shields using 3-D printers (The

Washington Post) Pandemic puts pressure on already-struggling West Virginia students, says

national Communities In Schools leader (WV Metro News) West Virginia's First 'Surge' Hospital Amid Virus Outbreak (WV Public

Broadcasting)


in a VTC today with Vice President Pence and Administrator Gaynor Social Media West Virginia received approximately one million unspecified PPE from former

government official connections. A student in a dorm at West Virginia University tested positive for the coronavirus.

As a result, others in the dorm are required to self-quarantine. A Huffington Post article covered recent WV Hospital closures, healthcare worker

furloughs, and financial difficulties. The daily report from WV DHHR announced the state’s 9th death from the

coronavirus, and 626 positive cases.


http://wvmetronews.com/2020/04/12/west-virginia-peak-now-expected-today-but-marsh-says-that-doesnt-mean-back-to-normal-right-away/

http://wvmetronews.com/2020/04/12/nations-governors-ask-for-financial-relief-as-west-virginia-stares-down-350-million-budget-gap/

https://www.washingtonpost.com/religion/2020/04/12/easter-church-west-virginia-ppe-hospital-3d-printers/

https://www.washingtonpost.com/religion/2020/04/12/easter-church-west-virginia-ppe-hospital-3d-printers/

http://wvmetronews.com/2020/04/12/pandemic-puts-pressure-on-already-struggling-west-virginia-students-says-national-communities-in-schools-leader/

https://www.wvpublic.org/post/west-virginias-first-surge-hospital-amid-virus-outbreak

https://www.wvpublic.org/post/west-virginias-first-surge-hospital-amid-virus-outbreak


https://twitter.com/WTRF7News/status/1249683761555329024

https://www.huffpost.com/entry/west-virginia-hospital-closures-coronavirus_n_5e908257c5b63e73d7e3b5e3?ncid=engmodushpmg00000004

https://twitter.com/MotownWVNews/status/1249706630826123271



12. Regional Financial Summary (As of 04/13/2020 7:00 pm)

(Source: Region 3 FASC FW: Financial SITREP Data) 13. Miscellaneous NSTR

FEMA-4517-DR-WV FEMA-4517-DR-WV ALLOCATIONS OBLIGATIONS

416X-PUBLIC ASSISTANCE $50,000 $0 11XX-SALARIES & BENEFITS Total $2,701 $0 21XX-TRAVEL Total $84,700 $5,851 22XX-TRANSPORTION Total $300,000 $0 23XX-RENT, COMM, UTILITIES Total $70,000 $0 24XX-PRINT & REPRO Total $1,000 $0 2501-MISSIONS-FOS Total $0 $0 25XX-OTHER SERVICES Total $22,000 $250 26XX-SUPPLIES & MATERIALS Total $205,000 $1,000 41XX-GRANTS Total $0 $0 IMMEDIATE NEEDS ASSISTANCE Total $15,000,000 $13,364 2508-MISSIONS-DFA Total $30,148,480 $5,163,480 Total $45,883,881 $5,183,945


Appendixes

• PPE & VENTILATOR DATA • ASPR SITUATION REPORT

WARNING: This document is FOR OFFICIAL USE ONLY (FOUO). It contains information that may be exempt from public release under the Freedom of Information Act (5 U.S.C 552). It is to be controlled, stored, handled, transmitted, distributed, and disposed of in accordance with DHS policy relating to FOUO information and is not to be release to the public or other personnel who do not have a valid “need-to-know” without prior approval of an authorized DHS official.

April 13, 2020 1 of 2 FOR OFFICAL USE ONLY (FOUO)

Appendix A: PPE and Ventilator Data

All Data listed in the tables below is sourced from IMAT A Data Collection and Web EOC RRF Data. IMAT A Data can be referenced in Section 4 of the individual state Sections of this document. (all data pulled as of: 04/13/2020 5:00 PM)

1. PPE Rollup By Type

Situation Report


2. PPE Rollup By Date Requested

State Date Required Request Total In StateTotal Needed for 14

Days

Total Requested in

WebEOCWV 03/29/2020 N-95 Masks 126,931 147,406 3,387

Gloves 675,920 2,753,646 1,530,848 Gowns 13,577 170,548 132,771 Surgical Masks 117,195 597,716 108,057 Face Shields 33,939 - 8,255

04/05/2020 N-95 Masks 126,931 147,406 53,379 Gloves 675,920 2,753,646 4,174,400 Gowns 13,577 170,548 271,856 Surgical Masks 117,195 597,716 325,059

DE 04/02/2020 N-95 Masks 311,909 59,248 37,240 Gloves 241,700 15,500,100 21,991,600 Gowns 20,820 628,292 422,800 Surgical Masks 299,150 710,402 1,423,800 Face Shields 89,907 19,326 239,050

MD 04/02/2020 N-95 Masks 121,325 1,440,348 360,000 04/01/2020 N-95 Masks 121,325 1,440,348 540,000

Gloves 323,990 12,538,358 450,000 Gowns 75,922 1,440,208 1,300,000 Surgical Masks 667,691 412,776 1,300,000 Face Shields 581,373 397,026 500,000

DC 03/12/2020 N-95 Masks 199,229 70,042 900,000 VAPA

PPE Rollup By Date Required

No current WebEOC requests based on 14 Day Burn Rate

Region III COVID-19 Profile:Cases, deaths, county hotspots, ED analysis,

ventilator use, hospital capacity, KCER, and SNS PPE distribution

April 13, 2020

**U//FOUO**

2Saving Lives. Protecting Americans.

Analyst Notes• Since yesterday's report, Region III case rate per million

increased 5.7% from 1240.5 to 1310.8. • There was a notable increase of new daily cases in West

Virginia [17.6%] from CDC daily report data on 11Apr to 12Apr (17 to 20 cases respectively).

• Mecklenburg county (VA) had a 231% relative percent increase in cases between 08Apr and 11Apr

Analyst notes: 1) All data is subject to inconsistencies in reporting


Cases, deaths, and case and death rates,Region III, as of 12APR2020

Location Reported in SITREP

Confirmed Cases

Cases in past 7 days Deaths

Cases per million

residents

Cases per million, past 7 days

Deaths per million

residentsRegion III 40444 20560 1039 1310.8 666.3 33.7Delaware 1625 952 35 1668.8 977.6 35.9District of Columbia 1875 877 50 2656.8 1242.7 70.8Maryland 8225 4616 235 1360.5 763.5 38.9Pennsylvania 22834 11191 570 1783.6 874.2 44.5Virginia 5274 2637 141 617.9 308.9 16.5West Virginia 611 287 8 340.9 160.1 4.5

Analyst notes: Data are from CDC SITREPS


Note: Incident charts displays data since 16Mar2020. Total cases before 16Mar2020 was 164. Total deaths before 16Mar2020 was 1. In the 06April CDC report, it noted that one death was determined not to be related to COVID-19.

0500

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Note: Incident cases stacked bar chart displays data since 16Mar2020. Total cases before 16Mar2020 was 164.

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Incident COVID-19 cases, FEMA Region III

Region III - West Virginia

Region III - Virginia

Region III - Pennsylvania

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Note: Incident death stacked bar chart displays data since 16Mar2020. Total deaths before 16Mar2020 was 1.

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Incident COVID-19 deaths, FEMA Region III

Region III - West Virginia

Region III - Virginia

Region III - Pennsylvania

Region III - Maryland

Region III - District of Columbia

Region III - Delaware


Relative Percent Increase in Cumulative Incidence Rate for COVID-19 Infection in Region III counties from April 8 to April 11, among Counties with 10 or More Cases on April 8 (Source:

USAFacts; validated with CDC data available in DCIPHER)

Top 30 counties with greatest relative percent increase

new county name

Case Count for 482020

Case Count for 4112020

Cumulative Incidence 04082020

Cumulative Incidence 04112020

3 day Difference in Cumulative

Incidence 482020 to 4112020

HotSpot 3 Day Relative Percent Change 482020

to 4112020 >10Case

Mecklenburg, VA 16 53 52.20 172.92 120.718 231.25Berks, PA 416 930 99.01 221.35 122.337 123.558Rockingham, VA 20 44 24.62 54.16 29.541 120Harrisonburg City, VA 36 79 66.63 146.21 79.581 119.444Juniata, PA 18 38 72.86 153.82 80.959 111.111Washington, VA 12 24 22.06 44.12 22.058 100Montgomery, VA 16 31 16.16 31.32 15.154 93.75Indiana, PA 21 40 24.85 47.34 22.485 90.476Worcester, MD 10 19 19.30 36.66 17.367 90Columbia, PA 54 99 82.50 151.25 68.748 83.333Hanover, VA 22 38 20.51 35.43 14.920 72.727Frederick, MD 199 341 77.84 133.39 55.545 71.357Culpeper, VA 10 17 19.28 32.78 13.498 70Manassas City, VA 20 34 48.03 81.65 33.621 70Cabell, WV 13 22 13.94 23.60 9.654 69.231Fairfax, VA 570 946 49.53 82.20 32.673 65.965Wicomico, MD 20 33 19.38 31.98 12.598 65Susquehanna, PA 14 23 34.49 56.67 22.173 64.286Fluvanna, VA 12 19 44.80 70.94 26.136 58.333Louisa, VA 16 25 43.50 67.98 24.471 56.25Lynchburg City, VA 20 31 24.35 37.75 13.394 55Spotsylvania, VA 31 47 23.09 35.01 11.919 51.613Prince William, VA 263 390 56.20 83.33 27.136 48.289Lackawanna, PA 266 392 126.19 185.96 59.774 47.368Fauquier, VA 17 25 24.05 35.37 11.319 47.059Prince George's, MD 1310 1923 144.07 211.48 67.414 46.794Calvert, MD 56 82 60.87 89.13 28.260 46.429Delaware, PA 1034 1510 183.09 267.37 84.285 46.035Sussex, DE 279 404 121.68 176.20 54.517 44.803Lawrence, PA 32 46 37.13 53.37 16.244 43.75


(Source: USAFacts; validated with CDC data available in DCIPHER)


Percent Increase in Cumulative COVID-19 Deaths in Region III counties from week ending April 4 to week ending April 11 (Source: USAFacts)

Analyst note: This table only accounts for deaths attributed to a county. Only the top 21 counties with the greatest percent increase are shown.

county state_abbv previous week1 week2 cumulative_previous cumulative_week1 cumulative_week2 total_week1 total_week2 percent_increaseFairfax County VA 03-28-2020 04-04-2020 04-11-2020 1 1 20 0 19 1900Berks County PA 03-28-2020 04-04-2020 04-11-2020 0 2 19 2 17 850Chester County PA 03-28-2020 04-04-2020 04-11-2020 0 2 15 2 13 650Westmoreland County PA 03-28-2020 04-04-2020 04-11-2020 0 0 6 0 6 600Baltimore County MD 03-28-2020 04-04-2020 04-11-2020 1 4 26 3 22 550Allegheny County PA 03-28-2020 04-04-2020 04-11-2020 2 3 19 1 16 533Pike County PA 03-28-2020 04-04-2020 04-11-2020 1 1 6 0 5 500Frederick County MD 03-28-2020 04-04-2020 04-11-2020 0 2 11 2 9 450Philadelphia County PA 03-28-2020 04-04-2020 04-11-2020 5 24 130 19 106 442Charles County MD 03-28-2020 04-04-2020 04-11-2020 1 1 5 0 4 400Loudoun County VA 03-28-2020 04-04-2020 04-11-2020 1 1 5 0 4 400Lancaster County PA 03-28-2020 04-04-2020 04-11-2020 1 5 23 4 18 360Carroll County MD 03-28-2020 04-04-2020 04-11-2020 0 6 25 6 19 317Montgomery County MD 03-28-2020 04-04-2020 04-11-2020 1 9 36 8 27 300Prince George's County MD 03-28-2020 04-04-2020 04-11-2020 3 13 50 10 37 285Baltimore City MD 03-28-2020 04-04-2020 04-11-2020 2 6 22 4 16 267Montgomery County PA 03-28-2020 04-04-2020 04-11-2020 5 17 60 12 43 253Luzerne County PA 03-28-2020 04-04-2020 04-11-2020 2 5 17 3 12 240Lackawanna County PA 03-28-2020 04-04-2020 04-11-2020 2 6 20 4 14 233Sussex County DE 03-28-2020 04-04-2020 04-11-2020 1 3 10 2 7 233Anne Arundel County MD 03-28-2020 04-04-2020 04-11-2020 1 6 19 5 13 217


(Source: USAFacts)


Note: The hospital regions were selected from the top 100 hospital regions across the country, and the top ranking regions may change over time.

HospitalRegion RecentAvg RecentAvgPer100k JanFebAvg JanFebAvgPer100k RatioPA_Philadelphia 53.85714286 3.399775957 9.916666667 0.625997651 5.430972389MD_Harford 2.857142857 1.125054284 1 0.393768999 2.857142857PA_Montgomery 15 1.810273665 5.431034483 0.655443913 2.761904762WV_Ohio 14 33.52891869 5.101694915 12.21816529 2.744186047VA_Arlington 5.142857143 2.165222083 1.930232558 0.812657642 2.664371773DE_Kent 4.714285714 2.640316838 1.868421053 1.046441362 2.523138833MD_Allegany 4.714285714 6.642177829 1.925 2.712222614 2.448979592MD_Prince Georges 24.42857143 2.686501321 10.13333333 1.114400548 2.410714286VA_Alexandria 6.571428571 4.093582864 2.910714286 1.813190236 2.257668712PA_Butler 3.142857143 1.672729042 1.411764706 0.751386308 2.226190476PA_Lebanon 6.428571429 4.549139808 3.186440678 2.254865532 2.017477204DC_District of Columbia 33 4.697809824 17.1 2.434319636 1.929824561PA_Adams 4 3.890634271 2.130434783 2.072185644 1.87755102PA_Allegheny 14 1.148998894 7.583333333 0.622374401 1.846153846PA_Franklin 4.857142857 3.136979919 2.64 1.70504085 1.83982684

TOP HOSPITAL REGIONS WITH EMERGENCY DEPT VISITS (RATIO WITH JAN-FEB AVG)Data pulled from CDC ESSENCE on 04/12/2020; covering 04/02/2020 - 04/09/2020

Data has a 2-day lag to allow hospitals time to report, reducing inaccuracy. ED Visit Count - visits to a hospital emergency dept - Essence query is for number of ED patients with fever, cough, and short difficult breath.

ED Visit Count Per 100k - ED visit count per 100k population. Hospital Region -- NSSP is a collection of zip codes that closely approximate county boundaries in the vast majority of places. Certain cities are pulled from

their surrounding counties and made their own region.


Number of Available Inpatient Beds – Region III(Data from ASPR COP as of 13April)


Number of Available ICU Beds – Region III(Data from ASPR COP as of 13April)


Number of Available Ventilators– Region III(Data from ASPR COP as of 13April)


Hospital Capacity by State - Delaware(Data from ASPR COP as of 13April)


Hospital Capacity by State – Washington DC(Data from ASPR COP as of 13April)


Hospital Capacity by State – Maryland(Data from ASPR COP as of 13April)

Analyst note: Total ICU beds data not received

289ICU BedsAvailable

ICU Beds


Hospital Capacity by State – Pennsylvania(Data from ASPR COP as of 13April)

Analyst note: Ventilator data not received


Hospital Capacity by State – Virginia(Data from ASPR COP as of 13April)


Hospital Capacity by State – West Virginia(Data from ASPR COP as of 13April)


SNS PPE Distribution Report(as of April 13, 2020 5:00 am EDT)

III Delaware Date Directed Status N95 Respirators Surgical

Masks Face Shield Surgical Gowns Coveralls Gloves PAPR Ventilator

Federal Medical

Station Beds

First ShipmentEst. Delivery Date

Last ShipmentEst. Delivery Date

Pro Rata 8,492 20,577 3,918 3,195 - 11,375 3/20/2020High Intensity 3/21/2020 8,492 20,577 3,918 3,195 - 11,375 3/24/2020 tbd

Additional Shipments 50 4/9/2020 --

Final Push 60,450 143,511 31,207 25,688 1,765 184,258 3/28/2020 TBD

Donations Totals 77,434 184,666 39,044 32,077 1,765 207,008 - 50 0

III Maryland Date Directed Status N95 Respirators Surgical


Federal Medical

Station Beds



Pro Rata 55,541 132,309 25,194 20,541 105 73,141 3/20/2020High Intensity 3/21/2020 55,541 132,309 25,194 20,541 105 73,141 3/23/2020 3/27/2020

Additional Shipments 220 + 250 250 3/23/2020 4/12/2020

Final Push 60,450 143,511 31,207 25,688 1,765 184,258 3/29/2020 4/8/2020


III Pennsylvania Date Directed Status N95 Respirators Surgical


Federal Medical

Station Beds




Additional Shipments 500

Final Push 120,900 287,022 62,413 51,375 3,528 368,514 3/27/2020 4/1/2020



SNS PPE Distribution Report(as of April 13, 2020 5:00 am EDT)

III Virginia Date Directed Status N95 Respirators Surgical


Federal Medical

Station Beds




Additional Shipments Final Push 60,450 143,511 31,207 25,688 1,765 184,258 3/29/2020 TBD


III Washington DC Date Directed Status N95 Respirators Surgical


Federal Medical

Station Beds



Pro Rata 5,789 13,789 2,626 2,141 11 7,623 3/22/2020High Intensity 3/21/2020 5,789 13,789 2,626 2,141 11 7,623 3/24/2020 TBD

Additional Shipments 50 50 4/10/2020 --

Final Push 120,900 287,022 62,413 51,375 3,528 368,514 3/27/2020 TBD


III West Virginia Date Directed Status N95 Respirators Surgical


Federal Medical

Station Beds



Pro Rata 17,826 42,464 8,086 6,593 34 23,474 3/22/2020High Intensity 3/20/2020 17,826 42,464 8,086 6,593 34 23,474 3/21/2020 TBD

Additional Shipments Final Push 60,450 143,511 31,207 25,688 1,765 184,258 3/30/2020 TBD


Documents

content.govdelivery.com...Apr 14, 2020 · FOR OFFICAL USE ONLY (FOUO) FEMA Region 3 . SITUATION REPORT - COVID-19 . Tuesday, April 14, 2020. 1. Regional Overview a. FEMA Region …