Jefferson County School Board Dr. Mark Johnson, MD, MPH Kate - PowerPoint PPT Presentation

Jefferson County School Board Dr. Mark Johnson, MD, MPH Kate Watkins, MPH

Jefferson County COVID-19 Cases (as of 8/10/2020) https://www .jeffco.us/40 07/COVID- 19-Case- Summary Stay at Home order CO Mask Mandate Safer at Home order

Jefferson County Number of COVID-19 Cases by Age Group and by Week of Report (through 8/8/2020) 53 cases in those 19 years and under last week

Jefferson County Percent of COVID-19 Cases by Age Group and by Week of Report (through 8/8/2020)

Metro Denver Number of COVID-19 Cases among those < 12 and 12-19 years of age by Week of Report (through 8/8/2020) 275 cases in those 19 years and under last week

Meeting Standard Close to Standard Protect our Neighbors Metrics Not Meeting Standard • Sufficient hospital bed capacity: • Hospitals in the county or region (as defined by the local public health agency) have sufficient bed capacity to manage a 20 percent surge in hospital admissions or patient transfers. • Sufficient PPE Supply: • Local hospitals must have two weeks of PPE available based on current PPE use standards. • Stable or declining COVID-19 hospitalizations: • Stable (no greater than 25% increase) or declining counts of new confirmed COVID-19 hospitalizations in the county’s referral hospitals (as defined by the local public health agency) in the last 14 days compared to previous 14 day period OR no more than two new hospital admissions of county residents with confirmed COVID-19 on a single day in the last 14 days .

Meeting Standard Close to Standard Protect our Neighbors Metrics Not Meeting Standard • Fewer new cases: • 25 or fewer new cases/100,000 people in the past two weeks (two-week cumulative incidence), excluding cases among residents of congregate facilities (senior care, other residential care, youth corrections, corrections) experiencing outbreaks. OR • Two-week average molecular test positivity rate of less than 5% AND county is meeting minimum testing rate (0.75 per 1,000 population) AND two-week cumulative incidence is no greater than 50 cases/100,000 people in the past two weeks.

Meeting Standard Close to Standard Protect our Neighbors Metrics Not Meeting Standard • Sufficient testing capacity: • County or region has the capacity to test (collect samples and testing partnerships) 15 people per 10,000 residents per day. • Ability to implement case investigation and contact tracing protocol. • Local public health agency is able to implement Colorado’s case investigation and contact tracing protocol for at least 85 percent of assigned cases within 24 hours. • Documented surge-capacity plan for case investigation and contact tracing: • Local public health agency has a documented surge-capacity plan that they can investigate and contact trace their share, based on population, of our state’s overall 500 cases per day goal. This means they need a plan to be able to investigate and contact trace up to 8.7 cases per 100,000 population per day . • Documented strategies to offer testing to close contacts: • Local public health agency has documented strategies in place to offer testing , in conjunction with health care systems and other testing locations, to close contacts of outbreak-associated cases .

COVID-19 in Young Children Source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6931e1.htm

Source: http://ww11.doh.state.fl.us/comm/_partners/covid19_report_archive/serology_latest.pdf

Results of COVID-19 testing, school outbreak, Jerusalem, May 2020 (n = 1,312) Israeli upper school – grades 7-12 • >1,100 students Re-opens May 17, 2020 Closes May 27, 2020 after 2 cases confirmed School-wide testing • Student attack rate: 13% (57% asymptomatic) • Staff attack rate: 16% Stein-Zamir Chen , Abramson Nitza , Shoob Hanna , Libal Erez , Bitan Menachem , Cardash Tanya , Cayam Refael , Miskin Ian . A large COVID-19 outbreak in a high school 10 days after schools’ reopening, Israel, May 2020. Euro Surveill. 2020;25(29):pii=2001352. https://doi.org/10.2807/1560-7917.ES.2020.25.29.2001352 Received: 08 Jul 2020; Accepted: 21 Jul 2020. https://www.eurosurveillance.org/content/10.2807/1560-7917.ES.2020.25.29.2001352

Community COVID-19 spread after, school outbreak, Jerusalem, May 2020 (n = 5,519) Stein-Zamir Chen , Abramson Nitza , Shoob Hanna , Libal Erez , Bitan Menachem , Cardash Tanya , Cayam Refael , Miskin Ian . A large COVID-19 outbreak in a high school 10 days after schools’ reopening, Israel, May 2020. Euro Surveill. 2020;25(29):pii=2001352. https://doi.org/10.2807/1560-7917.ES.2020.25.29.2001352 Received: 08 Jul 2020; Accepted: 21 Jul 2020. https://www.eurosurveillance.org/content/10.2807/1560-7917.ES.2020.25.29.2001352

Successful School Openings – Country Disease Activity Level Reopening Thresholds for Schools by Selected Countries. Average = 6.83 case/M/D 40.00 35.50 35.00 30.00 New Cases per Million per Day 25.00 20.00 15.00 11.50 10.37 9.20 10.00 6.90 6.65 6.30 5.00 0.78 0.87 0.31 0.30 0.02 0.06 0.00 *Included countries: Australia, New Zealand, Denmark, Norway, France, Germany, Belgium, Spain, Netherlands, Hong Kong, Vietnam, Japan, Singapore and South Korea. *Singapore, which re-opened school at 81.3/million cases, excluded because cases confined to migrant camps. *Denmark gradually re-opened schools at 35.5 cases/m/7-day average (started K-5 with a dozen pupils per pod) *Data source: UNMC College of Public Health ‘COVID-19 Back to School PlayBook’ and https://ourworldindata.org/coronavirus

Where are we? Reopening Thresholds for Schools by Selected Countries. Average = 6.83 case/M/D 90.00 82.91 80.00 70.00 New Cases per Million per Day 60.00 55.17 50.00 40.00 35.50 30.00 20.00 11.50 10.37 9.20 6.90 6.65 10.00 6.30 0.78 0.87 0.31 0.30 0.02 0.06 0.00 *Included countries: Australia, New Zealand, Denmark, Norway, France, Germany, Belgium, Spain, Netherlands, Hong Kong, Vietnam, Japan, Singapore and South Korea. *Singapore, which re-opened school at 81.3/million cases, excluded because cases confined to migrant camps. *Denmark gradually re-opened schools at 35.5 cases/m/7-day average (started K-5 with a dozen pupils per pod) *Data source: UNMC College of Public Health ‘COVID-19 Back to School PlayBook’ and https://ourworldindata.org/coronavirus *Jefferson and Metro data from CEDRS reports

Recommended Benchmarks What those mean in Jefferson County numbers > 30 cases per 15 - 29 cases 3 -14 cases < 3 cases per day per day per day day Recommendations by UNMC School of Public Health: https://www.unmc.edu/publichealth/_documents/UNMC_COPH_K-12_Playbookv1.pdf