We We are i in this T Toget ether er Tribal Covid-19 Response - PowerPoint PPT Presentation

We We are i in this T Toget ether er Tribal Covid-19 Response Collaboration and Partnerships New Mexico Department of Health Kathyleen M. Kunkel Secretary August 4, 2020 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Num umber of AI AIAN AN COVID-19 Case ses s by D Date te 200 200 180 180 Second re recognized tribal al outbreak ak 160 160 140 140 Firs rst re recognized er of cases es outbreak in n a 120 120 tribal commu munity 100 100 Number 80 80 Notif ifie ied of fir irst tribal al case 60 60 40 40 20 20 0 27-F -Feb-2 -20 27-M -Mar-2 -20 27- 7-Apr-20 20 27-M -May-2 -20 27- 7-Jun-20 20 27-J -Jul-2 -20 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Number o of AI AIAN AN COVID-19 Cases a and A As a a Perc rcentage age o of A All COVID-19 C 19 Cases b by Date 200 20 0.9 0. 18 180 0.8 0. 160 16 0.7 0. 140 14 0.6 0. of cases 12 120 centage 0.5 0. Number of 10 100 Perce 0.4 0. 80 80 0.3 0. 60 60 0. 0.2 40 40 0.1 0. 20 20 0 0 27-F -Feb-2 -20 27-M -Mar-2 -20 27- 7-Apr-20 20 27-M -May-2 -20 27- 7-Jun-20 20 27-J -Jul-2 -20 AI AIAN AN c cases Percent AIA AIAN 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

COV OVID-19 19 Age-adjuste ted Mortality ty Rate te by R Race/E /Ethni hnicity 250 250 216.3 216 200 200 0 000 00,00 150 150 ge-adjusted rate per 100, 100 100 50 50 12.5 11.8 9.4 6.6 Age 0 AIAN AI AN Asian As Blac ack His ispanic ic White te 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

COV OVID-19 19 Age-adju justed Hospitaliz lizatio ion Rate by Race/E /Ethni hnicity 900 900 762. 62.7 800 800 0 000 00,00 700 700 ge-adjusted rate per 100, 600 600 500 500 400 400 300 300 200 200 Age 100 100 51 51.4 52.9 52. 46. 46.0 21.1 21 0 AIAN AI AN As Asian Blac ack His ispanic ic White te 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

COV OVID-19 19 NMDOH OH n notified o of positive C COVID-19 Ep Epid idemio miolo logic ic test r result Respo Re ponse Case n notif ific icatio ion a and investig igatio ion b by t trib ibal public h heal alth a authority Coordinating g Contact t tracing g – colle llect response t to close c contacts o of ca case out utbreaks i in n durin ing i infectio ious p perio iod Case m monit itorin ing f for 1 10 congr grega gate c care days* f from s m symptom m and w work p place on onset o or d date o of t test i if settings asymptomatic Contac act m monitoring f for 1 14 days f from l last e exposure *20 days for r case e with sev evere ere illnes ess or severe immunos osuppression on 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Publi lic H Healt lth Authority ty • HIPAA Privacy Rule recognizes the legitimate need for public health authorities to have access to protected health information • Authority based on geographic boundaries not tribal affiliation or race • Developed a protocol to delegate duties and respect tribe’s public health authority • Leveraged partnerships to respond to this unique public health challenge 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Looking Fo Forwar ard Strengths hs Opportuni unities • Connect t the e various • Dedicated ex experience ced NMDOH OH s staff data syst systems nee eeded ed f for outbrea eak • Exis isting p partnership ips resp sponse se • Volunt nteer s support • Requirem ements f for • Tw Two-way identifying r race and communication t to tribal affiliation d data ens nsur ure o out utbreak fr from om h hos ospitals, control cli linics, a and la labs 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

COV OVID-19 AIAN Trib ibal Epid idem emio iology Team Contacts • Medical E l Epidemiolo logist / / Team Lead Dr. T Tiern rney M Murp rphy Tierne ney.Mur urphy@state.nm nm.us us • Tribal E Epidemiologist Broo ooke D Dom oman Brooke.D .Doman an@stat ate.n .nm.u .us 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Community T Testin ing a and S Surveilla llance P Process a and P Partnerships 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Community T Testin ing a and S Surveilla llance P Process a and P Partnerships 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Commun unity T Test Event nts a and Sur Surveillanc nce P Plans COV OVID-19 t tests p s performed i in tribal c communities s (NMDOH, P , Presbyterian, I , I.H.S .S) Not A AI/AN e exclusi sive April 15% 23% May June July 32% 30% N=34, 4,530 530 April=5, =5,294 294 June=10, =10,211 211 May=11, =11,065 065 July=7, =7,960 960 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Looking fo forwar ard Strengths Opportunities • Developed strong working • Agree with ERD: need for relationships with both IHS better data systems; better and tribal personnel in many reporting of race/ethnicity communities data • We (DOH NW Region) have • DOH personnel dedicated to learned a lot from Tribal tribal response partners • More lab capacity (not specific to the tribal response – but super important for any place with high case rates) 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Present enter er Public Health Division Dr. Miranda Durham, Medical Director, NW Region Mirandah.durham@state.nm.us 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

NM Department o t of Health Bure reau of H Heal alth E Emerge rgency M Manage agement Department Operations Center (DOC) • Fulfill COVID-19 test kit requests • Transport COVID positive and Isolation patients • Monitor ICU beds and ventilator usage in neighboring states (TX and AZ) • Provide state-wide volunteer medical personnel and ancillary staff for shelters and alternate care sites through Medical Reserve Corp/NMSERVES • Work with state-wide emergency managers for jurisdictional requests (i.e., cooling stations during the recent heat wave) 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

NM D Departmen ent of of H Health, , BHEM EM Department Operations Center (DOC) • Manage the Battelle Critical Care Decontamination System (CCDS); 19,000 N-95 masks have been decontaminated to date • Partner with the National Guard to deliver testing kits; to staff & equip alternate care sites; and in vaccine planning • Collaborate with tribal partners in developing isolation and quarantine sites • Collaborate with IHS partners in COVID-19 planning 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Present enter er Sandra Cole, Department Operations Center, Bureau of Health Emergency Management, Tribal Liaison Sandra.Cole@state.nm.us 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Communication/Education R Resources • NMDOH COVID-19 weblink https://cv.nmhealth.org/ • Weekly clinicians call, Office of Tribal Liaison; semi-weekly non-clinicians call • Direct follow-ups with tribal leaders • National and interagency calls 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Present enter er Aiko Allen, Tribal Liaison Aiko.Allen@state.nm.us 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org