FEMA Region 3 Executive Brief - COVID-19 - Granicus€¦ · 09/04/2020 · public release under the Freedom of Information Act (5 U.S.C 552). It is to be controlled, stored, handled,

FOR OFFICAL USE ONLY (FOUO)

FEMA Region 3

Executive Brief - COVID-19 Thursday, April 9, 2020

1. Regional Overview

a. Resource Prioritization

b. FEMA Region 3 Force Laydown

c. DOD Force Laydown

d. External Affairs Summary

e. Regional Financial Summary

f. Alternate Care Site (ACS) Laydown

g. 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

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 9, 2020 1 of 5 FOR OFFICAL USE ONLY (FOUO)

SITUATION REPORT

FEMA Region 3

1. Force Laydown

(Source: FEMA Region 3)

Regional 3 Situation Report

FOUO - FOR OFFICAL USE ONLY April 9, 2020 2 of 5

2. DoD Force Laydown

(Source: DCO Storyboard: DCER3_COVID19_Storyboard_7APR20)

3. External Affairs Summary Media Ø Notable national and regional stories:

· Maryland to join DC and Va. in offering racial data on coronavirus (WTOP) · Companies Offer FEMA Critical Supplies the Government Can't Buy (The Wall Street

Journal/MSN ) · Officials in at least 6 states are accusing the federal government of quietly diverting their

orders for coronavirus medical equipment (Business Insider) · 'No one really knows who's in charge': States navigate federal agencies amid crisis

(CNN) · States Brawling in Medical Marketplace With Scant Federal Help (Bloomberg)



· Key coronavirus task force working from home after member tests positive (Axios)

Congressional Ø Correspondence

· Creating the Read Ahead Packet for the RA regarding the 4/9 Congressional Conference Call

Ø Letters and Requests for Information · Resource Requests Letter from DC HSEMA regarding a list of supplies, equipment, and

medical personnel the District of Columbia needs immediately to effectively address the COVID-19 pandemic

Ø Next R3 delegation call scheduled for Thursday 4/9 at 2:00PM R3 RA and USACE Ms. Karen Baker confirmed as main speakers. Around 50 participants anticipated to attend.

Social Media- National Trends Ø Public distrust in the federal response remains widespread. Currently the public is

reacting with anger towards news that the Acting Inspector General appointed to oversee the $2 trillion stimulus package was removed.

Ø The FEMA conversation on social and traditional remains very focused on the distribution of PPE and critical supplies. Members of the public are still sharing stories of FEMA seizing PPE intended for medical providers.

Ø Other traditional news outlets highlight how states are sharing critical medical equipment with each other as the total number of U.S. cases reaches 400,000.

Social Media- Regional Trends Ø People who are relatives of healthcare workers have become great message amplifiers

for social distancing and hygiene measures to prevent community spread Ø People are messaging about wearing masks, posting selfies, social distancing or

spending time with family outdoors in order to encourage people to self-quarantine Ø Posts from/by/about the National Guards of our states are getting lots of likes and positive

support (Source: External Affairs Report 4/8/2020 2:12 PM)

4. Regional Financial Summary (as of: 04/06/2020 5:00 pm)

ALLOCATIONS OBLIGATIONS

416X-PUBLIC ASSISTANCE $4,050,003 $0

11XX-SALARIES & BENEFITS Total $10,806 $2,425

21XX-TRAVEL Total $522,300 $53,455

22XX-TRANSPORTION Total $5,929,500 $1,000

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 $2,140

26XX-SUPPLIES & MATERIALS Total $581,000 $100,000

41XX-GRANTS Total $0 $0

IMMEDIATE NEEDS ASSISTANCE Total $466,221,000 $713,392

2508-MISSIONS-DFA Total $471,222,800 $265,500,067

Total $951,309,534 $266,433,843 (Source: Finance and Admin Section Chief: Financial SITREP 4-8-2020 (Data as of 4-7-2020)

5. Alternate Care Site (ACS) Laydown

(Source: MAP-Region 3 GIS; R3 ACS Ops Tracker.xlsx)



6. COVID-19 Regional Projection (as of: 04/08/2020 10:00am)

(Source: S. Jaros and A. Pickron)

Ø Currently witnessing a doubling of confirmed cases every 6 days. For past 8 days we have seen only as high as a 19% growth in cases per day. Current mortality rate based off confirmed cases is 1.83%. Continue to see a gap between projections and actuals which should become more prevalent as mitigation takes course. (S. Jaros).


1. REGION III Situation Report

DISTRICT OF COLUMBIA 1. Hot Issues

Ø NSTR

2. State Issues

EOC Status: Full Activation Total Cases: 1,440 (

Region 3 Situation Report for District of Columbia

FOUO- FOR OFFICAL USE ONLY April 9, 2020 2 of 7

3. COVID-19 Projections (as of: 04/08/2020 10:00 am)

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

Ø Currently witnessing a doubling of confirmed cases every 7 days (Green indicates 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 1.88%. Notice I have added a box to the graph to show the states ranking within the country as far as highest confirmed case counts.

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

Date DC

Cumulative DC

Actuals DC %

3/25/2020 231 48 26%

3/26/2020 267 36 16%

3/27/2020 304 37 14%

3/28/2020 342 38 13%

3/29/2020 401 59 17%

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. Personnel Protective Equipment & Ventilators (as of: 04/08/2020 6:30 am)

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 1,151,330 42,970 601,580 1,146,330 663,760 5,000

Gowns 89,800 18,203 254,842 87,710 55,657 2,090

Surgical Masks 365,964 45,456 636,384 352,464 814,600 13,500

N-95 Masks 316,386 5,003 70,042 310,866 1,132,478 5,520

Face Shields 94,913 3,603 50,442 92,321 67,665 2,592

Goggles - - - - - - -

Coveralls 1,504 188 2,632 1,504 500,000 0

Ventilators (adult)

440 185 440 20 0

Ventilators (Ped)

199 79 199 0 0

(Source: Input from PPE-Vent Data)

Ø 4/3 - DCE IHME model projects DC will need 107 ventilators (155 on the high end) by peak death date of 4/13.

Ø 4/7 – DCDOH reports via email 4/7 Total ventilators available: 238 Ø 4/7 – 50 Ventilators delivered on 4/7 per IMAT A Rep. Ø DC counts gowns and coveralls together

(Source: HHS SITREP, Input from IMAT-A and HHS LNO)

5. Non-Personnel Protective Equipment (as of: 04/07/2020 5:30 pm)

Request Date/Time Submitted

RRF# Locations Item Status

ACS Staffing 04/07/2020 2664-178873 R3 Assigned to DOD for Action

Battelle Decon System 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 NRCC On Hold by HHS

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



Hygiene Kit - 1 04/04/2020 2664-167308 R3 Assigned to R3 for Action

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 R3 Assigned to R3 for Action

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

(Source: OPS, Resource Request Forms, WebEOC)

6. Hospital Capacity (Modeling as of 04/08/2020 4:40 pm; Actuals as of 04/08/2020 4:23 pm)

All Beds Needed

All Beds Available

Bed Shortage

ICU Beds Needed

ICU Beds Available

ICU Bed Shortage

Invasive Ventilators

Needed

IHME (Modeling

Data)

182 ( 78)

1,093 0 34

( 16) 66 0

29 ( 14)

Actuals N/A 822

( 30) N/A N/A

105 ( 2)

N/A Refer to

Section 4

According to the latest projections from the IHME model: Ø DC will reach its peak resource use on April 9, 2020 for all resources (6 days later than the

previously projected date of April 3, 2020) Ø DC will reach its peak resource use on April 9, 2020 for all beds (6 days later than the

previously projected date of April 3, 2020) Ø DC will reach its peak resource use on April 12, 2020 for all ICU beds. Ø DC will reach its peak resource use on April 12, 2020 for all invasive ventilators (4 days later

than the previously projected date of April 8, 2020) (Source: IHME COVID 19, https://covid19.healthdata.org/united-states-of-america/district-of-columbia; Actuals provided via email from DC DOH on 04/08/2020 4:23:51 pm)

7. Alternate Care Site (ACS) (As of 04/08/2020 2:30 pm)

Site Address/BLDG

Number Confirmed Site for

buildout Operational Date

Max # Bed Spaces (Non-COVID-19)

DC Convention Center

801 Mt Vernon St NW

Validating w/ IMAT-A

Unknown 1,910

Ø The DC Convention Center has been approved/selected as an ACS with 1,910 beds. An FMS

(50 beds) will serve as initial capability. Staffing is TBD. USACE determining the scope of the FMS. Engineering and design for the DC Convention Center begins in the next 24-48-hour operational period.



USACE requested a site-walk at the DC Convention Center and placement of command vehicle at site.

Ø MedStar Health System will sponsor the ACS at the DC Convention Center. Ø DCNG will develop a Containerized Medical Solution (CMS; formerly known as “Pods”)

demonstration plan. These are the container negative pressure/isolation chambers developed by USACE for quarantine purposes. DC is slated to receive 6 CMS units, which be placed at the United Medical Center.

Ø DC is still considering another ACS at Washington Adventist Hospital, which can accommodate 310 non-acute beds or 280 non-acute and 30 acute beds. Univ. of MD would provide staffing; Johns Hopkins Univ. is hiring doctors and medical school graduates.

Ø 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). DC IMAT-A will meet with DCHSEMA for coordination on other ACSs.

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)

8. Testing Sites

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



9. Assistant Secretary for Preparedness and Response Ø HHS ASPR reports Washington DC as a COVID Death Hotspot with a 100-250% increase

March 30-April 6. (Source: ASPR Report)

10. Defense Coordinating Element Ø National Guard Activation Status/#s: Activated; 264 Personnel Ø USACE is considering asking the DCNG for assistance during construction phase. Ø Closely monitoring 3 significant factors to ensure the full employment of T10 medical forces on

arrival, if approved.

Projected completion date of the DC Convention Center (assuming that is the intended

location of Title 10 Medical employment for DC).

Evolving epidemiological models that shift the projected peak infection rates, dates, and

locations.

Evolving State capacity to treat COVID-19 patients (equipment, bed space, staffing, etc.) through other means (organic, volunteer medical personnel, commercial contracts, etc.)

As these 3 factors develop over time, DCE will keep TFSE informed, particularly if DCE projects that Title 10 forces might arrive too early, too late, or are needed in a different location based on emerging priorities and the spread of the virus.

Ø CA EMAC - Mather AFB to deliver ventilators for DE, MD and DC.

(Source: DCE R3 COVID19 SITREP 8 APR; IMAT-A SitRep Input)

11. External Affairs Report Media Ø Federal judge seeks quick action in DC jails coronavirus lawsuit (WTOP) Ø DC fights to enforce distancing and braces for looming surge (WKBN) Ø Concerns about housing crisis after coronavirus (WHNT)

IGA Ø DC HSEMA: Receipt of the letter from DC requesting expanded hospital capacity and

support; Received 4/8/2020 § Response forthcoming. Coordination underway with the DC IMAT Team

Social Media Ø People protested in cars at the DC Mayor Press conference as of 4/8/2020 at 1100,

seeking to highlight prison conditions and de-incarceration of inmates in the District of Columbia.

(Source: FEMA R3 External Affairs Report 04/08/2020)



12. Regional Financial Summary (as of 04/07/2020 6:00 pm)

FEMA-4502-DR-DC FEMA-4502-DR-DC


416X-PUBLIC ASSISTANCE $1 $0

11XX-SALARIES & BENEFITS Total $1 $218

21XX-TRAVEL Total $84,700 $17,237

22XX-TRANSPORTION Total $29,000 $500

23XX-RENT, COMM, UTILITIES Total $70,000 $0


2501-MISSIONS-FOS Total $0 $0

25XX-OTHER SERVICES Total $20,000 $0

26XX-SUPPLIES & MATERIALS Total $3,000 $0




Total $115,228,702 $55,081,755 (Source: Region 3 FASC FW: Financial SITREP 4-8-2020 Data as of 4-7-2020)

13. Miscellaneous Ø NSTR


REGION III Situation Report

DELAWARE 1. Hot Issues Ø NSTR

2. State Issues

EOC Status: Full Activation Total Cases: 928 (

Region 3 Situation Report for Delaware


3. COVID-19 Projections (as of: 04/07/2020 4:30 pm)

Ø Currently witnessing a doubling of confirmed cases

every 6 days (3/24/2020, Stay at home Order). Current mortality rate based off confirmed cases is 1.72%. Notice I have added a box to the graph to show the states ranking within the country as far as highest confirmed case counts. (S. Jaros).

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

Date DE

Cumulative DE

Actuals DE %

3/25/2020 119 15 14%

3/26/2020 130 11 9%

3/27/2020 165 35 27%

3/28/2020 214 49 30%

3/29/2020 232 18 8%

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. Personnel Protective Equipment & Ventilators (as of: 04/08/2020 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 261,800 1,570,833 21,991,662 0 21,991,699 198,185

Gowns 22,899 30,200 422,800 0 422,800 168

Surgical Masks 316,900 116,275 1,627,850 0 1,831,900 184,500

N-95 Masks 315,731 2,660 37,240 0 37,240 74,885

Face Shields 71,617 2,500 35,000 15,000 35,000 38,880

Goggles 91,824 504 98,784 20,016 0 0

Coveralls 1,922 0 0 0 0 168

Ventilators (adult)

95 0 0 0 100 0

Ventilators (Ped) 0 0 0 0 0 0


Ø 4/7/ p Delaware DoH Reports 320 total available Vents (Delaware DOHSS Hospital Census,

ICU Beds, Vents report, April 7, 2020 3:55:34 PM) Ø CA EMAC – Mather AFB to deliver ventilators to New Castle for DE, MD, and DC (08 APR 20

@ 1630hrs) Delaware to receive 50 ventilators via EMAC for approximately 3 weeks, per DCE Daily SitRep 4/8

Ø Additional FEMA RRF for 50 ventilators to be received via truck (EMAC + RRF will combine for 100 vents), per DCE Daily SitRep 4/8

Ø DE has not separated ventilator numbers between Adults / Peds




Specimen Collection Kits - 50,000

03/17/2020 2628-117424-001 NRCC Assigned to NRCC

for Action (Source: OPS, Resource Request Forms, WebEOC)




All Beds Needed

All Beds Available

Bed Shortage

ICU Beds

Needed

ICU Beds Available

ICU Bed Shortage


Needed

IHME (Modeling

Data)

87 ( 40)

696 0 17 ( 7) 41 0 14 ( 7)

Actuals N/A 666

( 10) N/A N/A

65 ( 11)

N/A Refer to

Section 4

According to the latest projections from the IHME model: Ø Delaware will reach its peak resource use on April 9, 2020 for all resources (four days later

than previously projected date of April 5, 2020) Ø Delaware will reach its peak resource use on April 9, 2020 for all beds (four days later than

previously projected date of April 5, 2020) Ø Delaware will reach its peak resource use on April 9, 2020 for all ICU beds (three days later

than previously projected date of April 6, 2020) Ø Delaware will reach its peak resource use on April 10, 2020 for all invasive ventilators (five

days later than previous projected date of April 5, 2020)

(Sources: IHME COVID 19 Model, https://covid19.healthdata.org/united-states-of-america/delaware; Actuals from

Delaware DHSS Hospital Census, ICU Beds, Vents report)


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

YES TBD 41

Ø On April 8, USACE briefed DEMA on the results of the recent ACS inspections. On April 9,

DEMA is going to have a call with the hospital administrators.

Ø No further inspections of possible ACSs will be completed in DE.

Ø DE will be utilizing DPH’s Blu-Med Mobile Hospital tent down in the southern part of the state. This mobile hospital is owned by the state and is mostly self-contained. At maximum it

has space for 50-60 patients depending on the need for an administrative station. A site must be chosen for the mobile hospital. The sites observed have some amount of

utility connection and a big enough space, so parking lots or fields adjacent to hospitals are preferred.

The tent is module, so sizing is not the issue, however drainage and slope are a huge consideration.

Ø AI Dupont Gymnasium ACS will require at least 72 hours from notification.



Ø DEMA has requested medical personnel support from DENG to staff AI Dupont ACS. DENG activating 16 personnel to meet the need.

(Sources: ACF Matrix on Microsoft Teams; DCE Sitrep; ACS Information Spreadsheet “ACS Information 20200408.xls”)

8. Testing Sites


9. Assistant Secretary for Preparedness and Response Ø HHS ASPR reports the main COVID Death Hotspot is New Castle County with an increase of

100%-250% from March 30-April 6. (Source: ASPR Report)



10. Defense Coordinating Element Ø National Guard Activation Status/#s: Activated; 52 ( 1325) Personnel Ø 502(f) RRF is drafted and ready to submit pending a Presidential Proclamation; need 54 SM

on SAD to meet 2% requirement. Ø CA EMAC – Mather AFB to deliver ventilators for DE, MD, and DC (08 APR 20 @ 1630hrs)

Delaware to receive 50 ventilators via EMAC for approximately 3 weeks. Ø Additional FEMA RRF for 50 ventilators to be received via truck (EMAC + RRF will combine for

100 vents) (Source: Region 3 DCO SITREP/Storyboard)

11. External Affairs Report

Media Ø Lunchtime logistics in Middletown with the Delaware National Guard (WDEL) Ø State: Mobile hospital would help deal with coronavirus surge in Kent, Sussex counties

(Delmarva Now) Ø Gov. Carney on latest COVID-19 projections: 'We have the capacity' (WDEL)

Social Media Ø People are tweeting about the lack of social distancing enforcement at parks. Ø After hearing reports that Delaware had its largest jump in case numbers in one day,

people are disagreeing on social media as to the severity of what further restrictions should be put in place.

(Source: FEMA R3 External Affairs Report 04/08/2020)

12. Regional Financial Summary (as 4/8/2020 11:06 AM)

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



11XX-SALARIES & BENEFITS Total $2,701 $0

21XX-TRAVEL Total $84,700 $3,084








IMMEDIATE NEEDS ASSISTANCE Total $1,000,000 $0

2508-MISSIONS-DFA Total $40,000,000 $0

Total $41,678,402 $3,084 (Source: Region 3 FAFC Financial SITREP 4-8-2020 (Data as of 4-7-2020)



13. Miscellaneous Ø Testing site placement seems relatively well-matched to the HHS ASPR report hotspot

designation.



MARYLAND 1. Hot Issues Ø NSTR

2. State Issues


Region 3 Situation Report for Maryland



Ø Currently witnessing a doubling of confirmed cases

every 7 days (Green indicates 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 2.36%. Notice I have added a box to the graph to show the states ranking within the country as far as highest confirmed case counts.

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

Date MD

Cumulative MD

Actuals MD %

3/26/2020 580 157 37%

3/27/2020 774 194 33%

3/28/2020 993 219 28%

3/29/2020 1239 246 25%

3/30/2020 1413 174 14%

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%




ITEM Total in

State

Total Daily

Usage

Total anticipated

need for next 14-

days


day supply)

State Provided


Total actual

federally requested


received

Gloves

Gowns

Surgical Masks

N-95 Masks

Face Shields

Goggles

Coveralls

Ventilators (adult)

Ventilators (Ped)


Ø MD receiving 50x Ventilators that were released from CA (Source: Region 3 DCO

SITREP/Storyboard) Ø MD will receive a Batelle N95 Reutilization Unit (Source: Region 3 DCO SITREP/Storyboard) Ø 4/8 - No Burn Rate Data Provided to IMAT A Planning from MEMA (PPE-Vent Data Sheet) Ø MD does not separate Adult and Ped ventilators

5. Non-Personnel Protective Equipment (as of: 4/8/2020 05:00 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 Assigned to R3 for

Action

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- NRCC Other- 10,000 swabs





117743-002 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

Pharmacy Cache - 1 03/27/2020 2629-132906 NRCC Assigned to HHS for

Action

USACE Site Assessments 04/04/2020 2629-164137 R3 Approved/Ordered

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

Action


6. Hospital Capacity (Modeling as of 04/08/20 4:10 pm; Actuals as of 04/08/20)

Source All Beds Needed

All Beds Available

Bed Shortage

ICU Beds Needed

ICU Beds Available

ICU Bed Shortage


Needed

IHME (Modeling

Data)

2,809 ( 3,634)

3,961 0

( 2,482) 547

( 677) 266

281 ( 677)

465 ( 575)

Actuals N/A 4,095

( 412) N/A N/A

529 ( 33)

N/A Refer to

Section 4

According to the latest projections from the IHME model: Ø Maryland will reach its peak resource use on April 17, 2020 for all resources (one day sooner

than previously projected date of April 18, 2020) Ø Maryland will reach its peak resource use on April 17, 2020 for all beds (one day sooner than

previously projected date of April 18, 2020) Ø Maryland will reach its peak resource use on April 18, 2020 for ICU beds (one day sooner than

previously projected date of April 19, 2020) Ø Maryland will reach its peak resource use on April 18, 2020 for invasive ventilators (one day

sooner than previously projected date of April 19, 2020)

(Sources: IHME COVID 19, https://covid19.healthdata.org/united-states-of-america/maryland; Actuals from “COVID-19: Maryland Hospital Status Report” published by the MIEMSS; MD Daily Hospital Report)




Site Address/BLDG

Number Confirmed Site

for buildout Operational

Date

Max # Bed Spaces (Non-

COVID-19)

Hagerstown Correctional Bldg. 192

18601 Roxbury Rd, Hagerstown, MD 21746

Waiting for MATO to be approved

TBD 192

Baltimore Convention Center

1 West Pratt Street, Baltimore, MD 21201

YES 04/23/2020 250 (FMS Site)

Washington Adventist Hospital

11890 Healing Way Silver Spring, MD 20904

Waiting signed RRF from State

TBD 310 non-acute;

or 30 acute/ 280 non-acute

Ø USACE conducting assessments at St. Mary County Hollywood Volunteer Hall and Capt.

Walter Drake Elementary School in Leonardtown within the next 24-48 hours. Ø MD School of the Blind Campus in Baltimore is no longer a confirmed ACS. However,

discussions continue between MD and the school administration. Ø MD Hospital Surge Task Force is hiring people to be facility managers for ACSs. So far it has

hired one for the Baltimore Convention Center ACS.

(Sources: ACF Matrix on Microsoft Teams; Region 3 DCO SITREP/Storyboard; MD IMAT-A; ACS Information spreadsheet “ACS Information 20200408.xls”)



8. Testing Sites


9. Assistant Secretary for Preparedness and Response Ø HHS ASPR reports COVID death hotspots including Baltimore and surrounding suburban

counties westward to Frederick, as well as suburban counties of Washington DC with greater than 250% increase March 30th-April 6th.

(Source: ASPR Report)



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

within the scope of the existing T32 MA. If not, MD will draft a new MA with cyber language. Ø MD continues to open new testing sites Ø MD expects to complete staffing assessments for medical surge this week to include

contributions by the Medical Reserve Corps Ø MD anticipates the 230 nursing homes in MD becoming hotspots in the state. Planning for

additional staffing/testing Ø Potential RRF for T10 or MDNG medical staffing at Hagerstown Correctional Facility.

Assessments continue. Ø RRF for medical support (3xHMTFs) to MD will be submitted separately with HHS as the

recommended force provider. Ø CA EMAC - Mather AFB to deliver ventilators to New Castle for DE, MD and DC (08 APR 20

@ 1630hrs); MD is receiving 50x Ventilators that were released from CA Ø MD TAG Lines of Effort: Transportation, Security, Medical, Electrical Power Generation,

Communication, Aviation and Sanitization Ø DCE following up to make changes to Maryland’s previously approved MA to reflect the

extended duration and increased costing data

(Source: Region 3 DCO SITREP/Storyboard 8APR20)

11. External Affairs Report Media Ø Additional coronavirus-related deaths at Maryland nursing homes (WBALTV) Ø 14 arrests made, 600+ warnings issued for violating COVID orders in Maryland (FOX

Baltimore) Ø One Maryland Giant worker dies, another tests positive for COVID-19 as grocers roll out

more protective measures (Baltimore Sun) Ø When will the coronavirus peak in Maryland? Here’s what to know about the predictions

(Baltimore Sun) Ø Limited protections leave migrant workers vulnerable to coronavirus, advocates fear

(Delmarva Now) Ø Update: New Hours for St. Mary’s County Drive-Thru COVID-19 Testing (Southern

Maryland Chronicle) Ø Maryland forms strike teams to battle virus in nursing homes (WTOP) Ø Maryland weather: Severe storms could bring damaging winds, hail early Wednesday

morning (Baltimore Sun) Ø Charles drive-thru coronavirus testing site open Thursday (SoMd News) Ø Maryland Engineers Converting Breast Pumps Into Ventilators (NBC Washington) Ø Prince George's County now leads MD in confirmed coronavirus cases (WUSA9) Ø Employee at Seagirt Marine Terminal at Port of Baltimore tests positive for the

coronavirus (Capital Gazette) Ø Maryland prepares for domestic abuse surge during coronavirus (WUSA9)



Ø Put Peace Corps volunteers to work on US soil to fight COVID-19 (TDN)

Congressional Ø Open inquiries

Sen. Cardin: Seeking follow-up on delegation letter § Received 4/7 § Letter finalization in process, implementing new data on vents; pending

closure after RA approval Ø Closed inquiries

Sen Hoyer: Offering a private sector company who claims they can deliver PPE in

mass quantities. § Received 4/7; closed 4/8. § R3 Private Sector consulted with logistics and provided the office with an

extensive packet of information with key contacts within the federal government

properly suited to the private sector constituent. Sen Hoyer: Public Assistance Inquiry regarding opportunities for the MD Auto

Insurance Fund (MD AIF) § Received 4/7/2020; closed 4/8 § R3 Recovery provided the appropriate guidance to the congressional office.

Although, the MD AIF is not eligible for PA based on the initial description of the

organization and nature of their work, it is still possible for them to work with the

state and file a PA application for official determination. The

was shared. Additionally, state contact info for

PA applications was provided.

Social Media Ø Prince George’s County now leads Maryland in confirmed COVID-19 cases. Ø The Arc in Montgomery County, MD is asking for donations of thermometers, gloves &

face masks. Ø A news outlet did a video spot of the FMS at Baltimore Convention Center. Ø Baltimore police officer accused of coughing at housing complex residents. Ø Maryland now has a state rumor control page.

(Source: FEMA R3 External Affairs Report)



12. Regional Financial Summary (as of 04/08/2020 7:00 pm)

FEMA-4491-DR-MD FEMA-4491-DR-MD



11XX-SALARIES & BENEFITS Total $1 $631


22XX-TRANSPORTION Total $3,000,500 $500



2501-MISSIONS-FOS Total $750,000 $0






Total $315,435,201 $37,806,935

(Source: Region 3 FASC Finance and Admin Report 04/08/2018 (data as of 04/07/2020))

13. Miscellaneous Ø Testing site placement seems relatively well matched to the HHS ASPR report hotspot

designation.



PENNSYLVANIA 1. Hot Issues Ø The Governor signed an order to ensure the efficient allocation and effective use of

critical medical resources, such as N95 face masks, ventilators, respirators, face shields, safety goggles, disinfectants and other sanitizing solutions by hospitals in the commonwealth.

2. State Issues


Region 3 Situation Report for Pennsylvania


located within the commonwealth, submit current inventory quantities of PPE, pharmaceuticals and other medical resources to PEMA within 5 days. Health care providers and facilities are further ordered to provide written reports detailing facility health care needs and other pertinent information in the form, manner and frequency directed by PEMA. (PA Governor’s online newsroom)

Ø PA has received 89,856 shelf stable meals from the Defense Logistics Agency (DLA) to date. An additional 667,456 shelf stable meals are expected April 9-11. PEMA coordinating with FEMA Logistics for additional drop-offs at the PA Farm Show Complex. (PA-IMAT A)

Ø The Governor ordered commonwealth flags on all commonwealth facilities, public buildings and grounds fly at half-staff until further notice to honor COVID-19 victims. (PA Governor’s online newsroom)

3. COVID-19 Projections (as of: 04/07/2020 12:00 pm)



Ø Currently witnessing a doubling of confirmed

cases every 6 days (Green indicates 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 1.65%. I think it is important to note that the death went up by 78 which is 5 times the amount of the previous days report. Notice I have added a box to the graph to show the states ranking within the country as far as highest confirmed case counts. (S. Jaros).

(Source: Pennsylvania 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 62,967 252,469 3,534,566 3,471,599 690,346 473,725

Gowns 0 72,131 1,009,834 1,009,834 141,761 86,304

Surgical Masks 963,450 108,202 1,514,828 551,378 869,210 328,500

N-95 Masks 1,977,875 76,656 1,073,184 -904,691 615,292 112,250

Face Shields 0 151,022 2,114,308 2,114,308 173,271 110,880

Goggles 1,899 680 9,520 7,621

Coveralls 0 46,840 655,760 655,760 3,990 480

Ventilators (adult)

5,174 1,499 3,590 -1,584 1,000 0

Ventilators (Ped)


Date PA

Cumulative PA

Actuals PA %

3/26/2020 1687 560 50%

3/27/2020 2218 531 31%

3/28/2020 2751 533 24%

3/29/2020 3394 643 23%

3/30/2020 4087 693 20%

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%



Ø 4/8 - State Provided Resources are not being provided to IMAT-A Planning from PEMA.

Ø Data inputs are coming directly from PADOH PSC, Jason Godin per IMAT A Planning. Ø Ventilators are adjustable to accommodate adults and children.




ACS Staffing 04/06/2020 2630-173297 NRCC Assigned to NRCC for Action

Battelle Decon System 04/05/2020 2630-171066 R3 Assigned to R3 for Action

Body Bags - 7,500 04/02/2020 2630-154978 NRCC Assigned to NRCC for Action

COTS - 1,000 04/03/2020 2630-160223 NRCC Assigned to NRCC for Action

Cots and Miscellaneous related items

04/02/2020 2630-154971 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 89,856 Delivered/201,404 Pending

Meals - 437,000 04/02/2020 2630-157041 NRCC Complete

Medical/Test Supplies 03/06/2020 2630-117562 NRCC Assigned to NRCC for Action

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




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

Pharmacy Cache - 1 03/27/2020 2630-132668 NRCC Assigned to HHS for Action

PODS - 2 04/03/2020 2630-160760 R3 Assigned to R3 for Action



PPE Manufacturing 04/07/2020 2595-163617 R3 Assigned to R3 for Action

USACE Site Assessments

03/31/2020 2630-147743 R3 Approved/Ordered

USACE Support for ACS Task Force





6. Hospital Capacity (Modeling as of 04/08/20 5:20 pm; Actuals as of 04/07/20)

All Beds Needed

All Beds Available

Bed Shortage

ICU Beds Needed

ICU Beds Available

ICU Bed Shortage


Needed

IHME (Modeling

Data)

2,180 ( 465)

14,395 0 418

( 104) 1,043 0

355 ( 88)

Actuals N/A 9,024

( 155) N/A N/A

1,698 ( 37)

N/A Refer to

Section 4

According to the latest projections from the IHME model: Ø Pennsylvania will reach its peak resource use on April 13, 2020 for all resources (two

days later than previously projected date of April 11, 2020) Ø Pennsylvania will reach its peak resource use on April 13, 2020 for all beds (two days

later than previously projected date of April 11, 2020) Ø Pennsylvania will reach its peak resource use on April 14, 2020 for ICU beds Ø Pennsylvania will reach its peak resource use on April 14, 2020 for all invasive

ventilators

(Sources: Modeling is from https://covid19.healthdata.org/united-states-of-america/pennsylvania; Actuals are from “PDoH PA PPE burn rate and beds.xls” 04/07/2020)

7. Alternate Care Sites (ACS) (as of: 04/07/2020 3:45 pm)

Site Address/BLDG

Number

Confirmed Site for buildout

Operational Date


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

YES April 18,

2020 250

Temple University - Liacouras Center

1776 N. Broad St. Philadelphia, PA

YES April 13,

2020 221 beds; possible addt’l 250

State-provided

David Lawrence Convention Center

1000 Duquesne Blvd. Pittsburgh, PA

YES April 20,

2020 250+

East Stroudsburg University

200 Prospect St. East Stroudsburg, PA 18301

YES Goal: April 18, 2020

177

Ø There will no longer be an ACS at the Pittsburgh Convention Center. PA ACS focus

shifting to East Stroudsburg University. 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.

USACE is updating its assessment for East Stroudsburg based on an increase of required beds from 250 to 500. Performance works statements for the 5 shuttered hospitals are complete.

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.

Ø USACE and PA have come to a tentative agreement (awaiting a written agreement) to have USACE build-out 5 identified ACSs:

Ellwood City Hospital in Mercer Co. (southwest PA). Initial staffing through local health network is primary strategy. Engineering and design completed and submitted to PA. Goal is operational by April 20.

St. Luke’s Hospital in Bucks Co. (southeast PA). Initial staffing through local health network is primary strategy. Engineering and design completed and submitted to PA. Goal is operational by April 20.

Sunbury Community Hospital in Northumberland Co. (central PA). Initial staffing through local health network is primary strategy. Engineering and design completed and submitted to PA. Goal is operational by April 20.

York Memorial Hospital in York Co. (south-central PA). Initial staffing through local health network is primary strategy. Engineering and design completed and submitted to PA. Goal is operational by April 20.

Lancaster General Hospital in Lancaster Co. (south-central PA). Initial staffing through local health network is primary strategy. Engineering and design completed and submitted to PA. Goal is operational by April 20.

Ø Glen Mills School and Temple University ACSs primary staffing through contract with volunteer backfill.

Ø RRF submitted for 3x UAMTF (2x for Pittsburgh Convention Center, 1x East Stroudsburg), but RRF has been revised for 2x UAMTF for PA, with specific location TBD.

Ø USACE walk-through assessment with contractor for Glen Mills School was scheduled for April 7.

(Sources: ACF Matrix in Microsoft Teams; PA IMAT-A Sitrep Inputs; DCE SitRep, ACS Information Spreadsheet “ACS Information 20200408.xls”)



8. Testing Sites


9. Assistant Secretary for Preparedness and Response Ø HHS ASPR reports COVID-19 death hotspots in Philadelphia and surrounding

suburban counties of Lancaster, Berks, Montgomery, and Bucks, with greater than 250% increase between March 30-April 6, decreasing as one goes further west and north of the city.

Ø Beaver County, northwest of Pittsburgh, is also a death hotspot with greater than 250% increase since March 30.


10. Defense Coordinating Element Ø National Guard Activation Status/#s: 513 ( 5) Personnel Ø 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.



Ø Presidential proclamation received on April 7 approving the use of PANG in a Title 32

502f status

Ø 502(f) RRF has been updated with new period of performance and costing data;

submitted to FEMA.

Ø MA requesting DOD medical staff support for the East Stroudsburg ACS is ready to go forward in WebEOC.

Ø DCE will closely monitor 3 significant factors to ensure the full employment of Title 10 medical forces on arrival, if approved.

Projected completion date of the East Stroudsburg.

Evolving epidemiological models that shift the projected peak infection rates,

dates, and locations.

Evolving State capacity to treat COVID-19 patients (equipment, bed space,

staffing, etc.) through other means (organic, volunteer medical personnel,

commercial contracts, etc.).

As these 3 factors develop over time, DCE will keep TFSE informed, particularly if

DCE projects that Title 10 forces might arrive too early, too late, or are needed in a

different location based on emerging priorities and the spread of the virus.

(Sources: DCE SitRep and DCE Storyboard)


Media Ø 14,559 Infected, 240 dead due to COVID-19 in Pennsylvania to date (ABC 27) Ø Pennsylvania plans to release racial data on coronavirus cases, but faces

collection challenges (PennLive) Ø Pennsylvania hospitals could see surge of coronavirus cases as soon as this

weekend (WPXI) Ø A clinic in Pennsylvania is bringing the Amish drive-through coronavirus testing

for their horse and buggies (CNN) Ø White House task force is watching Philly area as a developing coronavirus hot

spot (The Philadelphia Inquirer) Ø Philly ordered a half-million masks to protect first responders and hospitals from

coronavirus. They never arrived. (The Philadelphia Inquirer) Ø Activists say Pennsylvania’s critical-care guidelines discriminate against the

disabled for COVID-19 care (The Philadelphia Inquirer) Ø More than 42,000 Pennsylvania businesses applied for exemption from

coronavirus shutdown order (WGAL) Ø Pennsylvania Department of Labor & Industry says about half of state's one

million unemployment claims have been processed (WGAL) Ø Coronavirus leaves home buyers and sellers in limbo — and at financial risk

(The Philadelphia Inquirer)



Ø Pennsylvania nearing peak of COVID-19 outbreak, projections show (PennLive)

Ø Plans in place in case coronavirus affects Scranton's public safety workers (The Times-Tribune)

Social Media Ø News of the White House Task Force naming Philadelphia as an emerging hot

spot has residents wondering what to do and what that exactly means. Ø The Philadelphia Commissioner reported that cases are slowing and the

situation is hopefully stabilizing, with 505 new cases today, for total of 4,777 confirmed cases in the city as of 1300 on 4/8/20.

Ø State flags will fly at half staff until further notice to honor victims of the pandemic.

Ø The Mayor of Hazleton is pleading for residents to adhere to social distancing guidelines. In the comments, many residents are calling for stronger enforcement from law enforcement.

(Source: R3 EA Report)

12. Regional Financial Summary (as of 04/08/2020 11:00 am)

FEMA-4506-DR-PA FEMA-4506-DR-PA



11XX-SALARIES & BENEFITS Total $2,701 $1,576

21XX-TRAVEL Total $98,800 $20,514

22XX-TRANSPORTION Total $2,000,000 $0

23XX-RENT, COMM, UTILITIES Total $494,125 $3,830


2501-MISSIONS-FOS Total $800,000 $57,534

25XX-OTHER SERVICES Total $20,000 $2,140

26XX-SUPPLIES & MATERIALS Total $140,000 $100,000




Total $263,956,626 $24,922,827 (Source: Financial SITREP Data as of 4-8-2020.xls)

13. Miscellaneous Ø NSTR



VIRGINIA 1. Hot Issues

Ø NSTR

2. State Issues


Region 3 Situation Report for Virginia


3. COVID-19 Projections (as of: 04/07/2020 10am)


cases every 6 days (Green indicates Stay at home Order). Current mortality rate based off confirmed cases is 2.06%. Notice I have added a box to the graph to show the states ranking within the country as far as highest confirmed case counts. (S. Jaros)

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

Date VA

Cumulative VA

Actuals VA %

3/26/2020 460 69 18%

3/27/2020 604 144 31%

3/28/2020 739 135 22%

3/29/2020 890 151 20%

3/30/2020 1020 130 15%

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%




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

Ventilators (adult)

2,574 705 350 0

Ventilators (Ped)

0


Ø 4/7 – Lack of data due to VA trying to consolidate PPE numbers confirmed by IMAT A Rep.

VDEM and VHHA aware of gap.




Battelle Decon System

04/07/2020 2631-178556 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 Shipment Scheduling






Medical/Test Supplies

03/22/2020 2631-117417 NRCC Assigned to NRCC for Action

Pharmacy Cache - 1 04/06/2020 2631-176252 R3 On Hold - Requires GAR Signature



USACE Site Assessments



6. Hospital Capacity

(Modeling as of 04/08/20 5:45 pm; Actuals not provided by VDH as of 04/08/20 9:00 pm)

All Beds Needed

All Beds Available

Bed Shortage

ICU Beds Needed

ICU Beds Available

ICU Bed Shortage


Needed

IHME (Modeling

Data)

1,615 ( 1,230)

6,581 0 319

( 241) 329

0 ( 231)

272 ( 204)

Actuals Not

provided by VDH

Not provided by VDH

Not provided by VDH

Not provided by VDH

Not provided by

VDH

Not provided by

VDH

Refer to Section 4

**VDH will submit revised reporting on 4/9/2020 per M. Reece, VDH, 4/7/2020 According to the modeling data provided by the IHME website: Ø Virginia will reach its peak resource use on April 20, 2020 for all resources Ø Virginia will reach its peak resource use on April 20, 2020 for all beds Ø Virginia will reach its peak resource use on April 21, 2020 for ICU beds Ø Virginia will reach its peak resource use on April 20, 2020 for invasive ventilators

(Sources: IHME COVID 19, https://covid19.healthdata.org/united-states-of-america/virginia; Actuals not received via email from Virginia Department of Health, on 04/08/2020)




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 Potentially 05/04/2020

560 ( )

Richmond Convention Center

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

YES - Site Approved

04/04/2020


758 ( )

Dulles Expo Center 4320 Chantilly Shopping Center Chantilly, VA 20151

YES - Site Approved

04/04/2020


483 ( )

Ø VA placed the 3 selected ACSs on hold pending receipt of modeling results from Univ. of VA.

Decision expected on April 9 or April 10. Ø VANG will assist with establishing ACSs and will provide additional logistical support. Ø

(Sources: ACF Matrix on Microsoft Teams; DCE SITREP)



8. Testing Sites

(Source: R3 GIS; EA Testing Site Tracker)

9. Assistant Secretary for Preparedness and Response Ø HHS ASPR reports COVID Death Hotspots in the suburban counties of Washington DC, as

well as Richmond City/Henrico County with greater than 250% increase March 30th-April 6th. Ø Notable increases in cases since March 30th tend to follow I-95, I-66 and I-64 corridors, as

well as the Hampton Roads area. (Source: ASPR Report)

10. Defense Coordinating Element Ø National Guard Activation Status/#s: 276 ( 30) Personnel to support Ø Various missions across the Commonwealth ( ) Ø Presidential proclamation received on April 7 approving the use of National Guard in a Title 32

502f status Ø 502(f) RRF has been updated with new period of performance and costing data; submitted to

FEMA. (Source: DCE SitRep and DCE Storyboard)




Media Ø U.S. Army Corps of Engineers ready to convert Hampton Roads Convention Center into

medical care space (13 News Now) Ø Expert explains why models of Virginia’s coronavirus peak keeps changing (WTVR) Ø Update: Virginia Attorney General asks state to extend suspension of utility disconnection

through June 10 (Richmond Times-Dispatch) Ø Virginia scientists using genetic technology to get handle on COVID-19 in state (NBC 12) Ø Virginia’s secretary of finance says future uncertain (WAVY) Ø Virginia schools will be able to keep millions in federal education money; 3,333 coronavirus

cases in the commonwealth (The Daily Progress) Ø Confusion and controversy reign over food trucks in Virginia Beach residential neighborhoods

(The Virginian-Pilot) Ø VCU will not refund tuition, mandatory fees with students learning online (Richmond Times-

Dispatch) Ø Pilot program connects VCU Health doctors, first responders in rural Virginia counties amid

pandemic (WRIC) Social Media Ø While the state curve appears to be flattening based on modeling, Virginians think the public

needs get better on social distancing. Ø UVA and Stanford have created a crowdsourcing system to collect data about social distancing




12. Regional Financial Summary(as of 04/08/2020 4:00 pm)

FEMA-4512-DR-VA FEMA-4512-DR-VA












IMMEDIATE NEEDS ASSISTANCE Total $0 $51,593


Total $174,275,202 $148,601,568

(Source: Region 3 FASC-Financial SITREP Data as of 4-8-2020)

13. Miscellaneous Ø Testing site placement seems relatively well matched to the HHS ASPR report hotspot

designations.



WEST VIRGINIA 1. Hot Issues

Ø The Governor placed a 7th county (Marion) under enhanced restrictions.

Ø WV selected the Veterans’ Affairs facility in Martinsburg as an ACS. State is still determining

the capacity and staffing required.

Ø WV no longer pursuing Fairmont Hospital or Clarksburg nursing facility as ACSs due to

updated modeling provided by WVU. WV DHHR and WVNG working on the transfer of

equipment from Fairmont to the St. Francis ACS.

2. State Issues

EOC Status: Full Activation Total Cases: 412 (

Region 3 Situation Report for West Virginia


Ø The Governor placed a 7th county (Marion) 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 of and proper social distance within essential businesses and taking action to enforce these health regulations. The State Police will assist with enforcement of local county orders. The other 6 counties with enhanced restrictions include Berkeley, Harrison, Jefferson, Kanawha, Monongalia, and Morgan. The 7 counties account for over 60% of the positive cases in the state. (WV Governor EO 22-20)

Ø R3 Logistics and WVNG distributed PPE to St. Francis Hospital on April 8. WVNG also delivered hand sanitizer to Jefferson and Nicholas Counties and Cabell-Huntington Hospital on April 8. (WV Governor’s online newsroom)

Ø FEMA held call with state foster care program stakeholders on April 8 to discuss non-congregate shelter needs. FEMA is providing information to various state agencies regarding reimbursement under Public Assistance. (WV IMAT-A)

Ø WV Mass Fatality Task Force received the state’s Mass Fatality Plan on April 7. It is now being reviewed. (WV IMAT-A)





cases every 6 days (3/25/2020, 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 0.97%. Notice I have added a box to the graph to show the states ranking within the country as far as highest confirmed case counts. (S. Jaros)

(Source: West Virginia 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 1,249,140 196,689 2,753,646 1,504,506 14,480,763 213,206

Gowns 8,622 12,182 170,548 161,926 1,081,528 38,874

Surgical Masks 5,900 42,694 597,716 591,816 1,170,808 228,439

N-95 Masks 58,546 10,529 147,406 88,860 453,999 96,102

Face Shields 480 -480 229,427 47,379

Goggles 9,780 1,173 16,422 6,642 92,877 26,477

Coveralls 16,894 -16,894 90,068 35,902

Ventilators (adult)

723 215 -723 475 0

Ventilators (Ped)


Ø 4/2 WV Hospital Association Report: The current total ventilator count is for 57 of the 59

hospitals. Other ventilators (National Guard, FRMC) = 91 (not included in the 761 total). Ø 4/3 R3 Non PPE Report shows the request for 75 vents (RRF#: 2632 114875) is on hold by

HHS spending allocation decision.

Date WV

Cumulative WV

Actuals WV %

3/27/2020 96 20 26%

3/28/2020 113 17 18%

3/29/2020 124 11 10%

3/30/2020 145 21 17%

3/31/2020 165 20 14%

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%



Ø 4/7 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 Association per IMAT A representatives.

Ø 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 Association.

5. Non-Personnel Protective Equipment (as of: 4/7/2020 05:30 PM)




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

Action


Action


Action

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

NRCC Assigned to NRCC for

Action


Action


Action


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





All Beds Needed

All Beds Available

Bed Shortage

ICU Beds Needed

ICU Beds Available

ICU Bed Shortage


Needed

IHME (Modeling

Data)

347 ( 372)

3,032 0 65

( 61) 196 0

55 ( 52)

Actuals N/A 3,914

( 500) N/A N/A

202 ( 62)

N/A Refer to

Section 4

According to the latest projections from the IHME model:

Ø WV will reach its peak resource use on April 15, 2020 for all resources (1 day sooner than previous projected date of April 16, 2020);

Ø WV will reach its peak resource use on April 15, 2020 for all beds (1 day sooner than previous projected date of April 16, 2020);

Ø WV will reach its peak resource use on April 15, 2020 for all ICU beds (2 days sooner than previous projected date of April 17, 2020);

Ø WV will reach its peak resource use on April 16, 2020 for all invasive ventilators (1 day sooner than previous projected date of April 17, 2020).

(Sources: Modeling from IHME COVID 19, https://covid19.healthdata.org/united-states-of-america/west-virginia; Actuals from WV Daily Hospital Report e-mail 04/08/20 4:18 pm)

7. Alternate Care Site (ACS) (as of: 04/08/2020 8:30 pm)

Site Address/BLDG




Charleston

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

State Selected Site/Awaiting Build Out

04/10/2020

30 beds with an additional 75 with supplementary equipment

Charleston

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

Wheeling

Ohio Valley Medical Center 2000 Eoff St. Wheeling, WV 26003



Site Address/BLDG




Williamson

Williamson Memorial 859 Alderson St. Williamson, WV 25661

Ø WV selected the Veterans’ Affairs facility in Martinsburg as an ACS. State is still determining the

capacity and staffing required. Ø WV no longer pursuing Fairmont Hospital or Clarksburg nursing facility as ACSs due to updated

modeling provided by WVU. WV DHHR and WVNG working on the transfer of equipment from Fairmont to the St. Francis ACS starting April 9.

Ø WV is no longer pursuing the River Oaks ACS. Ø WV looking to expand the WV DHHR-managed Sharpe Hospital in Weston to serve COVID-19

positive psych patients and homeless patients that were expected at Fairmont. The facility is currently half full.

Ø WV DHHR Secretary making final decision on whether to expand beds at existing Berkley Co. and Jefferson Co. facilities through acquisition or sharing of equipment.

(Source: ACS Matrix on Microsoft Teams; IMAT-A; Region 3 DCE Daily SitRep; ACS Information Spreadsheet “ACS Information 20200408.xls”)



8. Testing Sites


9. Assistant Secretary for Preparedness and Response Ø HHS ASPR / CDC Hotspots are Berkeley and Jefferson Counties in the Eastern Panhandle

area, and to a lesser degree the Morganville (Monongalia County), Harrison County, and Charleston (Kanawha and Putnam Counties) areas.


10. Defense Coordinating Element Ø National Guard Activation Status/#s: 536 ( 19) Personnel



Ø Presidential proclamation received April 7 approving the use of National Guard in a Title 32 502f status.

Ø 502(f) RRF has been updated with new period of performance and costing data; submitted to FEMA.

Ø R3 Logistics and WVNG distributed PPE to St. Francis Hospital on April 8. Ø WVNG also delivered hand sanitizer to Jefferson and Nicholas Counties and Cabell-

Huntington Hospital on April 8. Ø WV DHHR and WVNG working on the transfer of equipment from the former Fairmont ACS to

the St. Francis ACS starting on April 9.

(Source: Region 3 DCO SITREP/Storyboard; WV IMAT-A; WV Governor’s online newsroom)


Media Ø WVU Medicine implements 4-point plan to deal with coronavirus impact (WV Metro

News) Ø WV schools and CTE centers donate 65,000 protective items to frontline workers

(WOWK) Ø New Data Calls For 'Cautious Optimism' In W.Va.'s Battle Against COVID-19 (WV

Public Broadcasting) Ø Unemployed due to COVID-19? WorkforceWV begins relief efforts (WBOY) Ø There’s a lot of concern here': West Virginia braces for spread of coronavirus (ABC

News) Ø West Virginia Poised to Become First State to Allow Political Gambling (Bloomberg)

Social Media Ø WVU’s Rockefeller Neuroscience Institute (RNI), WVU Medicine, and Oura announced

a national study designed to accelerate early detection of the COVID-19 virus symptoms.

Ø WV liquor stores are only selling to customers with state identification. Ø There’s been engagement in discussing tweets about the safety and job security of coal

miners




12. Regional Financial Summary

(As of 04/08/2020 7:00 pm)

13. Miscellaneous Ø Testing sites are relatively numerous and well-spaced throughout the State, not just in the

HHS ASPR / CDS designated hotspots.

FEMA-4517-DR-WV FEMA-4517-DR-WV


416X-PUBLIC ASSISTANCE $50,000 $0










IMMEDIATE NEEDS ASSISTANCE Total $15,000,000 $0

2508-MISSIONS-DFA Total $25,000,000 $15,000

Total $40,735,401 $17,674

FOR OFFICAL USE ONLY (FOUO)

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.


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 updated as of: 04/08/2020 7:00 AM)

1. PPE Rollup By Type

State Request Total In StateTotal Daily Usage /

Daily Burn RateTotal Needed for 14 Days

Total

Requested

in WebEOC

DE Face Shields 71,617 2,500 35,000 239,050

Gloves 261,800 1,570,833 21,991,662 21,991,600

Gowns 22,899 30,200 422,800 422,800

N-95 Masks 315,731 2,660 37,240 37,240

Surgical Masks 316,900 116,275 1,627,850 1,423,800

MD Face Shields - - - 500,000

Gloves 47,100 0 - 550,000

Gowns 10,000 0 - 1,300,000

N-95 Masks - 0 - 450,000

Surgical Masks 800 0 - 1,300,000

WV Face Shields 480 0 - 8,255

Gloves 1,249,140 196,689 2,753,646 5,739,507

Gowns 8,622 12,182 170,548 404,627

N-95 Masks 58,546 10,529 147,406 56,766

Surgical Masks 5,900 42,694 597,716 433,116

DC Gloves 1,151,330 42,970 601,580

Gowns 89,800 18,203 254,842

Surgical Masks 365,964 45,456 636,384

N-95 Masks 316,386 5,003 70,042

Face Shields 94,913 3,603 50,442

Coveralls - - -

Goggles 1,504 188 2,632

PA Gloves 62,967 231,623 3,242,722

Gowns - 66,176 926,464

Surgical Masks 963,450 99,268 1,389,752

N-95 Masks 1,977,875 70,327 984,578

Face Shields - 138,553 1,939,742

Goggles 2,523 624 8,736

Coveralls - 42,973 601,622

VA N/A - - -

PPE Rollup By Type

No current

WebEOC

requests

based on 14

Day Burn

Rate.

Regional Administrator Executive Summary

FOUO - FOR OFFICAL USE ONLY

April 7, 2020 2 of 2

2. PPE Rollup By Date Requested

State Date Required Request Total In StateTotal Needed for 14

Days

Total

Requested in

WebEOC

WV 03/29/2020 N-95 Masks 58,546 147,406 3,387

Gloves 1,249,140 2,753,646 1,530,848

Gowns 8,622 170,548 132,771

Surgical Masks 5,900 597,716 108,057

Face Shields 480 - 8,255

04/05/2020 N-95 Masks 58,546 147,406 53,379

Gloves 1,249,140 2,753,646 4,208,659

Gowns 8,622 170,548 271,856

Surgical Masks 5,900 597,716 325,059

DE 04/02/2020 N-95 Masks 315,731 37,240 37,240

Gloves 261,800 21,991,662 21,991,600

Gowns 22,899 422,800 422,800

Surgical Masks 316,900 1,627,850 1,423,800

Face Shields 71,617 35,000 239,050

MD 04/02/2020 N-95 Masks - - 450,000

04/01/2020 Gloves 47,100 - 550,000

Gowns 10,000 - 1,300,000

Surgical Masks 800 - 1,300,000

Face Shields - - 500,000

DC

PA

VA

PPE Rollup By Date Required

No current WebEOC requests based on 14 Day Burn Rate.

Region III COVID-19 Cases and Deaths

April 8, 2020

2Saving Lives. Protecting Americans.

Analyst Notes

• There was a notable increase of deaths in Pennsylvania

[217%] over the past 24 hours, (06APR -18 deaths to 07APR

- 57 deaths).

• District of Columbia has the 8th and Pennsylvania has the 9th

highest rates of COVID-19 cases in the past 7 days in the

U.S.

• Region III case rate per million increased from 724.2 to 816.7,

a percent change of 12.8%.


Cases, deaths, and case and death rates,

Region III, as of 07APR2020

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

residents

Region III 25198 16318 458 816.7 528.9 14.8

Delaware 928 609 16 953 625.4 16.4

District of Columbia 1211 716 24 1715.9 1014.5 34.0

Maryland 4371 2711 103 723 448.4 17.0

Pennsylvania 14943 9949 248 1167.2 777.1 19.4

Virginia 3333 2083 63 390.5 244 7.4

West Virginia 412 250 4 229.9 139.5 2.2

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.

0

500

1000

1500

2000

2500

3000

3500

3/16

/202

0

3/18

/202

0

3/20

/202

0

3/22

/202

0

3/24

/202

0

3/26

/202

0

3/28

/202

0

3/30

/202

0

4/1/

2020

4/3/

2020

4/5/

2020

4/7/

2020

Region III: Incident Cases (cumulative: 25,198)

0102030405060708090

3/16

/202

0

3/18

/202

0

3/20

/202

0

3/22

/202

0

3/24

/202

0

3/26

/202

0

3/28

/202

0

3/30

/202

0

4/1/

2020

4/3/

2020

4/5/

2020

4/7/

2020

Region III: Incident Deaths (cumulative: 458)


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

0

500

1000

1500

2000

2500

3000

3500

3/16

/202

03/

17/2

020

3/18

/202

03/

19/2

020

3/20

/202

03/

21/2

020

3/22

/202

03/

23/2

020

3/24

/202

03/

25/2

020

3/26

/202

03/

27/2

020

3/28

/202

03/

29/2

020

3/30

/202

03/

31/2

020

4/1/

2020

4/2/

2020

4/3/

2020

4/4/

2020

4/5/

2020

4/6/

2020

4/7/

2020

Case

s per

day

Data cutoff date

Incident COVID-19 cases, FEMA Region III

Region III - West Virginia

Region III - Virginia

Region III - Pennsylvania

Region III - Maryland

Region III - District of Columbia

Region III - Delaware


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

0

10

20

30

40

50

60

70

80

90

3/16

/202

03/

17/2

020

3/18

/202

03/

19/2

020

3/20

/202

03/

21/2

020

3/22

/202

03/

23/2

020

3/24

/202

03/

25/2

020

3/26

/202

03/

27/2

020

3/28

/202

03/

29/2

020

3/30

/202

03/

31/2

020

4/1/

2020

4/2/

2020

4/3/

2020

4/4/

2020

4/5/

2020

4/6/

2020

4/7/

2020

Deat

hs p

er d

ay

Data cutoff date

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 3 to April 6, among Counties with 10 or More Cases on April 3 (Source:

USAFacts; validated with CDC data available in DCIPHER)

Top 30 counties with greatest relative percent increase

new county name

Case Count for 432020

Case Count for 462020

Cumulative Incidence 04032020

Cumulative Incidence 04062020

Difference in Cumulative Incidence

04032020 to 04062020

HotSpot Relative Percent Change 432020

to 462020 >10Case

Frederick, MD 54 138 21.12 43.81 22.687 155.556Kent, DE 54 128 30.24 48.17 17.922 137.037Spotsylvania, VA 11 26 8.19 17.88 9.684 136.364Lebanon, PA 54 124 38.21 75.01 36.797 129.63Montour, PA 16 33 87.72 180.92 93.202 106.25Isle Of Wight, VA 11 22 29.77 48.71 18.943 100Henrico, VA 112 207 34.02 58.92 24.904 84.821Jefferson, WV 12 22 21.12 36.96 15.842 83.333New Castle, DE 279 496 49.88 77.95 28.069 77.778Lancaster, PA 232 408 42.68 68.25 25.572 75.862Luzerne, PA 484 849 152.37 233.28 80.908 75.413Carbon, PA 34 59 52.94 77.85 24.912 73.529Columbia, PA 15 26 22.92 33.61 10.694 73.333Lehigh, PA 584 1006 158.65 238.25 79.598 72.26Dauphin, PA 79 132 28.51 42.58 14.074 67.089Alexandria City, VA 56 93 34.88 46.10 11.213 66.071Schuylkill, PA 63 103 44.35 63.35 19.005 63.492Prince George's, MD 563 916 61.92 86.33 24.414 62.7Berks, PA 201 326 47.84 65.69 17.851 62.189Lackawanna, PA 119 190 56.45 81.60 25.143 59.664Portsmouth City, VA 17 27 17.96 27.47 9.511 58.824Philadelphia, PA 2284 3611 144.18 197.90 53.720 58.1York, PA 121 189 26.99 38.15 11.154 56.198Frederick, VA 20 31 22.64 30.56 7.923 55Marion, WV 11 17 19.61 24.96 5.348 54.545Chesapeake City, VA 50 77 20.61 29.67 9.067 54Northampton, PA 466 716 152.88 208.66 55.773 53.648Wayne, PA 23 35 44.86 64.36 19.502 52.174Baltimore, MD 427 648 51.54 71.22 19.676 51.756Delaware, PA 542 822 95.97 125.36 29.393 51.661


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


Percent Increase in Cumulative COVID-19 Deaths in Region III counties from week ending March 30 to week

ending April 6 (Source: USAFacts)

Analyst note: This table only accounts for deaths attributed to a county. Only the top 25 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_increaseMontgomery County MD 03-23-2020 03-30-202004-06-2020 1 1 19 0 18 1800Baltimore County MD 03-23-2020 03-30-202004-06-2020 1 1 11 0 10 1000Carroll County MD 03-23-2020 03-30-202004-06-2020 0 1 10 1 9 900Anne Arundel County MD 03-23-2020 03-30-202004-06-2020 0 1 8 1 7 700Beaver County PA 03-23-2020 03-30-202004-06-2020 0 0 6 0 6 600Fairfax County VA 03-23-2020 03-30-202004-06-2020 1 1 6 0 5 500Bucks County PA 03-23-2020 03-30-202004-06-2020 0 3 17 3 14 467Lancaster County PA 03-23-2020 03-30-202004-06-2020 0 2 11 2 9 450Frederick County MD 03-23-2020 03-30-202004-06-2020 0 0 4 0 4 400Baltimore City MD 03-23-2020 03-30-202004-06-2020 0 2 8 2 6 300Berks County PA 03-23-2020 03-30-202004-06-2020 0 0 3 0 3 300Chester County PA 03-23-2020 03-30-202004-06-2020 0 0 3 0 3 300Loudoun County VA 03-23-2020 03-30-202004-06-2020 0 1 4 1 3 300Philadelphia County PA 03-23-2020 03-30-202004-06-2020 0 7 28 7 21 300Richmond City VA 03-23-2020 03-30-202004-06-2020 0 0 3 0 3 300Prince George's County MD 03-23-2020 03-30-202004-06-2020 1 6 23 5 17 283Delaware County PA 03-23-2020 03-30-202004-06-2020 0 4 15 4 11 275Montgomery County PA 03-23-2020 03-30-202004-06-2020 1 5 18 4 13 260Lackawanna County PA 03-23-2020 03-30-202004-06-2020 1 2 7 1 5 250Howard County MD 03-23-2020 03-30-202004-06-2020 0 1 3 1 2 200New Castle County DE 03-23-2020 03-30-202004-06-2020 0 3 9 3 6 200Lehigh County PA 03-23-2020 03-30-202004-06-2020 0 3 8 3 5 167Washington DC 03-23-2020 03-30-202004-06-2020 2 9 24 7 15 167Henrico County VA 03-23-2020 03-30-202004-06-2020 0 8 20 8 12 150Northampton County PA 03-23-2020 03-30-202004-06-2020 2 5 12 3 7 140


(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 RatioMD_Harford 5.4 2.1 1.0 0.4 5.4NJ_Passaic 65.7 13.1 14.4 2.9 4.6MI_Oakland 96.0 7.6 22.6 1.8 4.3PA_Montgomery 18.3 2.2 5.4 0.7 3.4OR_Clackamas 8.4 2.0 2.7 0.6 3.2LA_Iberville 3.1 9.6 1.0 3.1 3.1MS_Hinds 10.3 4.3 3.3 1.4 3.1CO_Denver 13.1 1.8 4.3 0.6 3.1MA_Hampden 25.1 5.3 9.3 2.0 2.7SC_Oconee 3.4 4.4 1.3 1.6 2.7PA_Adams 5.7 5.6 2.1 2.1 2.7MS_Jones 5.7 8.3 2.2 3.2 2.6MA_Plymouth 4.9 0.9 2.0 0.4 2.5MD_Prince Georges 24.3 2.7 10.1 1.1 2.4MD_Allegany 4.6 6.4 1.9 2.7 2.4FL_Pinellas 31.4 3.2 13.6 1.4 2.3CO_Adams 10.0 2.0 4.4 0.9 2.3AZ_Yavapai 14.6 6.3 6.6 2.8 2.2

TOP HOSPITAL REGIONS WITH EMERGENCY DEPT VISITS (RATIO WITH JAN-FEB AVG)Data pulled from CDC ESSENCE on 04/06/2020; covering 03/28/2020 - 04/03/2020

Data only through 03Apr to allow hospitals time to report, reducing inaccuracy due to lag ED Visit Count - visits to a hospital emergency dept with flu-like symptoms & negative flu test, total over 7-day span

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

surrounding counties and made their own region.


Ranked Results of Vent Use by State

(As of 06April)6-Apr-2020 Ventilators ASPR Ventilator Model IHME Estimates

Rank(Based on

ASPR Model Days to Max

Cap)State Or Territory

Reported Total # Vents

Reported # Vents In

Use*%

CapacityDate at Max Capacity†

Projected Days to Max

Capacity†Date at Peak

Demand‡

Projected Days to

Peak Demand‡

Date of Peak Ventilator Demand

Projected Days to

Peak Vent Demand Capacity

1 NJ 2005 1337 67% 7-Apr-2020 1 3-Apr-2020 -3 16-Apr-2020 104 SC 1265 354 28% 13-Apr-2020 7 7-Apr-2020 1 26-Apr-2020 206 DE 438 234 53% 14-Apr-2020 8 6-Apr-2020 0 5-Apr-2020 -16 NV 810 389 48% 14-Apr-2020 8 13-Apr-2020 7 19-Apr-2020 138 AL 1469 649 44% 15-Apr-2020 9 15-Apr-2020 9 20-Apr-2020 148 VT 176 82 47% 15-Apr-2020 9 7-Apr-2020 1 31-Mar-2020 -610 CT 1334 571 43% 16-Apr-2020 10 6-Apr-2020 0 22-Apr-2020 1611 CO 1709 544 32% 17-Apr-2020 11 7-Apr-2020 1 6-Apr-2020 013 AR 764 240 31% 18-Apr-2020 12 N/A N/A 25-Apr-2020 1913 RI 221 72 33% 18-Apr-2020 12 9-Apr-2020 3 27-Apr-2020 2114 AZ 825 418 51% 10-Apr-2020 4 12-Apr-2020 6 23-Apr-2020 1715 CA 10925 3799 35% 17-Apr-2020 11 31-Mar-2020 -6 15-Apr-2020 915 FL 7794 2517 32% 19-Apr-2020 13 15-Apr-2020 9 22-Apr-2020 1615 TX 8677 2692 31% 19-Apr-2020 13 12-Apr-2020 6 21-Apr-2020 1517 KY 1449 411 28% 20-Apr-2020 14 7-Apr-2020 1 23-Apr-2020 1717 PR n.d. n.d. n.d. 20-Apr-2020 14 6-Apr-2020 0 n.d. n.d.17 TN 1455 366 25% 20-Apr-2020 14 14-Apr-2020 8 18-Apr-2020 1220 GU 39 9 23% 21-Apr-2020 15 4-Apr-2020 -2 n.d. n.d.20 NC 3014 701 23% 21-Apr-2020 15 11-Apr-2020 5 15-Apr-2020 920 OK 948 215 23% 21-Apr-2020 15 6-Apr-2020 0 24-Apr-2020 1820 PA 5182 1442 28% 21-Apr-2020 15 9-Apr-2020 3 14-Apr-2020 824 HI 534 93 17% 22-Apr-2020 16 6-Apr-2020 0 12-Apr-2020 624 VA 2566 626 24% 22-Apr-2020 16 11-Apr-2020 5 20-Apr-2020 1425 IA 838 30 4% 6-May-2020 30 N/A N/A 26-Apr-2020 2026 IL 2647 1320 50% 13-Apr-2020 7 2-Apr-2020 -4 18-Apr-2020 1226 UT 640 122 19% 23-Apr-2020 17 8-Apr-2020 2 25-Apr-2020 1926 WI 1600 1290 81% 23-Apr-2020 17 6-Apr-2020 0 18-Apr-2020 1228 DC 432 177 41% 24-Apr-2020 18 12-Apr-2020 6 12-Apr-2020 631 LA 3175 955 30% DNEC N/A 6-Apr-2020 0 6-Apr-2020 032 MD 1164 584 50% 12-Apr-2020 6 11-Apr-2020 5 19-Apr-2020 1333 ME 324 52 16% 25-Apr-2020 19 14-Apr-2020 8 17-Apr-2020 11

Ventilator Data

Source Palantir Foundry on 06-April-2020

Notes *Italics indicate ASPR model projections for today based on historical reports of in-use ventilators

†Max capacity indicates mitigation measures are NOT in place

(e.g., shelter-in-place, stay at home)

‡Peak demand indicates mitigation maesures are in place

IHME model includes reported mitigation measures

implemented at the the state- or territory-level

n.d.indicates no data

N/A indicates not applicable

DNEC indicates does not exceed capacity

STATE & TERRITORY RANKINGS ARE BASED SOLELY ON

ASPR MODEL FOR STATES & TERRITORIES REPORTING

VENTILATOR DATA (N=18)

IHME Estimates Data

Timestamp 4/5/2020

Source Uwashington IHME


Hospital Capacity by State

(Data as of 08April)

Delaware Washington DC




Pennsylvania Virginia




West Virginia


Daily status of dialysis beneficiaries impacted by COVID-19KCER data as of 07Apr2020 Region III

COVID- 19 Positive (+) Patients and Staff PUI Testing *Only identify persons being tested for

COVID-19

Tested Negative (-) for COVID 19

COVID-19 Positives (+) that have Recovered

COVID-19 Positives (+) Deaths

State Patients

COVID-19 Positive (+) Patients Admitted to Hospital/ receiving

treatment in hospital

COVID-19 Positive Patients receiving treatment in out-patients facility

COVID-19 Positive (+) Home Patents Self-

Monitoring and continuing home

therapy

Staff Patient PUIs Staff PUIsPatients Tested

Negative

Staff Tested Negative

Recovered Patients

Recovered Staff

Patient Deaths Staff Deaths

Washington DC 7 3 3 0 2 15 2 2 0 0 0 0 0Delaware 0 0 0 0 0 11 2 6 0 0 0 0 0Maryland 34 16 11 2 4 179 6 79 0 4 0 0 0

Pennsylvania 71 44 16 0 8 255 42 165 15 0 0 8 0Virginia 23 9 10 2 5 164 20 100 7 1 0 2 0

West Virginia 3 1 0 1 0 26 4 22 4 0 0 1 0

KCER data may be inconsistently reported across facilities, resulting in interpretability issues (e.g., negative counts).


SNS PPE Distribution Report

(as of April 8, 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 Shipment

Est. Delivery Date

Last Shipment

Est. Delivery Date

Pro Rata 8,492 20,577 3,918 3,195 - 11,375 3/20/2020

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

Additional Shipments 50 TBD

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


Surgical

Masks Face Shield

Surgical


Federal

Medical

Station Beds

First Shipment

Est. Delivery Date

Last Shipment

Est. Delivery Date

Pro Rata 55,541 132,309 25,194 20,541 105 73,141 3/20/2020

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

Additional Shipments 2220 250 3/23/2020 3/23/2020

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

Donations

Totals 171,533 408,130 81,595 66,771 1,975 330,539 - 2220 250

III Pennsylvania Date


Surgical

Masks Face Shield

Surgical


Federal

Medical

Station Beds

First Shipment

Est. Delivery Date

Last Shipment

Est. Delivery Date

Pro Rata 122,196 291,094 55,429 45,193 231 160,916 3/22/2020

High Intensity 3/21/2020 122,196 291,094 55,429 45,193 231 160,916 3/23/2020 3/31/2020

Additional Shipments 500

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

Donations

Totals 365,293 869,210 173,272 141,761 3,990 690,347 - 0 500


SNS PPE Distribution Report

(as of April 8, 2020 5:00 am EDT)

III Virginia Date


Surgical

Masks Face Shield

Surgical


Federal

Medical

Station Beds

First Shipment

Est. Delivery Date

Last Shipment

Est. Delivery Date

Pro Rata 76,969 183,355 34,914 28,466 146 101,359 3/22/2020

High Intensity 3/21/2020 76,969 183,355 34,914 28,466 146 101,359 3/24/2020 3/31/2020

Additional Shipments

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

Donations

Totals 214,389 510,222 101,035 82,621 2,056 386,975 - 0 0

III Washington DC Date


Surgical

Masks Face Shield

Surgical


Federal

Medical

Station Beds

First Shipment

Est. Delivery Date

Last Shipment

Est. Delivery Date

Pro Rata 5,789 13,789 2,626 2,141 11 7,623 3/22/2020

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


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

Donations

Totals 132,477 314,601 67,664 55,657 3,550 383,760 - 0 0

III West Virginia Date


Surgical

Masks Face Shield

Surgical


Federal

Medical

Station Beds

First Shipment

Est. Delivery Date

Last Shipment

Est. Delivery Date

Pro Rata 17,826 42,464 8,086 6,593 34 23,474 3/22/2020

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


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

Donations

Totals 96,101 228,439 47,379 38,873 1,832 231,206 - 0 0

Documents

FEMA Region 3 Executive Brief - COVID-19 - Granicus€¦ · 09/04/2020 · public release under the Freedom of Information Act (5 U.S.C 552). It is to be controlled, stored, handled,