Oregon COVID-19 Daily Update Summary as of Tuesday 04/07/2020 Operation Center Status Comment State Emergency Coordination Center (ECC) Activated Activated at 1200 on 03/02/2020 State ESF-8 Oregon Health Authority Activated Agency Operations Center (AOC) activated on 01/21/2020 Situation Summary    1,181 cases in Oregon 33 deaths reported in Oregon 23,007 people tested for COVID-19 in Oregon Oregon State Public Health Laboratory (OSPHL) Testing:    2,827 total persons have been tested for COVID-19 at OSPHL 46 specimens were received 4/6; 39 OSPHL test results were released on 4/6 4 specimens pending as of 8:00 PM 4/6 Hospital Capacity Age Distribution Hospitalization Status 742 Age Group Hospitalized 2130 6794 0-19 24 Yes 329 108 198 20 to 29 124 No 756 192 289 30 to 39 179 Not provided 96 816 40 to 49 224 Total Total 50 to 59 214 464 60 to 69 213 Sex (as reported to OHA) 69 70 to 79 123 Sex Female 80 and over 80 Male Not avail. 0 Not avail. Available Total Adult ICU Beds 303 Adult Non-ICU Beds (as reported to OHA by Hospitals) Pediatric NICU/PICU Beds Pediatric Non-ICU Beds Ventilators COVID-19 Details* COVID-19 Admissions Patients COVID-19 Patients on Ventilator *Includes both confirmed and suspected COVID-19 patients Oregon Test Results Positive Negative Total Tested 1,181 21,826 23,007 Total # 1,181 Total # Cases 1,181 # Cases 634 541 6 1,181 Reporting total tested by person, not specimen. This number is subject to change as records are reconciled 1 Oregon COVID-19 Daily Update Summary as of Tuesday 04/07/2020 ECC Personal Protective Equipment (PPE) & Supply Inventory Surgical Masks N95 Face Shields Gowns Gloves Ventilators 0800 Inventory yesterday * 156,350 7,390 6,757 7,200 101,800 0 Shipments/Allocations past 24 hours 103,400 5,180 4,249 3,408 100,200 0 Received past 24 hours 0 0 0 0 0 0 52,950 2,210 2,508 3,792 1,600 0 0 0 0 0 0 0 0800 Inventory today Scheduled Shipments/Allocations Projected End of Day Inventory Total Received Shipments ** 52,950 2,210 2,508 3,792 1,600 0 387,000 79,930 21,138 20,604 201,000 140 Total Shipments to Counties/Tribes ** 515,855 577,191 105,917 62,388 1,796,822 0 - * Inventory number do not match previous version due to a change in inventory procedures and times. ** Shipments out are greater than shipments received due to original quantity on hand. 2 Oregon Daily Update Summary as of Tuesday 04/07/2020 COVID-19 Cases by Onset Date and Hospitalization Status, Oregon, 2020 SO Illnesses that began duringthis a 70 time may not ye be reported tn so . IS lNot Avallable ?5 50 lNot Hospitalized 4O lHospitalized 49?99 $99 @9619 69'? or? f6) @619 Q69 Q?r" Q95) Onset Date visits still make up a small proportion of all reported ED visits 7000 reported, and total ED visits are 5000 visits Count of ED visits I COVID visits Date (each point Is one day) .. and the percentage of visits is decreasing. of all ED visits Date {each point is one day) Oregon COVID-19 Daily Update Summary as of Tuesday 04/07/2020 Not Impacted Services and functions are not impacted but are actively monitoring the situation Emergency Support Function (ESF) Status Definitions Stable Anticipated Instability Minimal impacts to Services are impacted services, long term with solutions being solutions are in place implemented Status Unstable Services are disrupted or unable to meet the current need Impacts and Actions Medical Care Impact  ESF 8 Health and Medical Anticipated Instability Hospital Task Force Long-term Care Task Force Stable EMS Task Force Unstable Anticipated Instability Projected patient influx to Oregon hospitals in the coming weeks if infection rates continue will cause significant surge and personal protective equipment (PPE) shortage throughout the region. Medical Care Actions  Temporary Emergency Provisional EMS License for out of state (OOS) providers and EMS students approved and distributed.  Coordinating with Regional Coalition Support Teams (RCST) to identify alternate destination of care locations.  Assessing actions to help mitigate the predicted PPE shortage.  Developing guidance for EMS medical directors, supervising physicians and agencies to triage and treat/transport to low acuity destination. Medical Care Limiting Factors  PPE stock is strained in the state and across the nation. Patient Movement Public Health Impact  Case investigation for COVID-19 is straining statewide public health resources. Public Health Actions  Ensuring broad translation of materials for the public.  Conducting Long Term Care Facility infection prevention consultations.  Migrant and seasonal farmworker guidance under review but needs additional input from partner agencies.  New Behavioral Health Group includes subject matter experts from adult and child/family services for mental health, substance use disorders and gambling disorders, and senior health advisors who focus on behavioral health issues. Medical Supply Chain Actions  Mass Care Operations Team (MCOT) has finalized assessment team planning for four locations throughout the state to assist OHA with medical surge capabilities.  Work continues to develop at the Wilsonville distribution center. 4 Oregon COVID-19 Daily Update Summary as of Tuesday 04/07/2020 Anticipated Instability ESF 6 Mass Care Medical Supply Limiting Factors  Blood supply shortage due to decreased donations.  Implemented internal organizational changes to Mass Care Operations Team adding a DHS Leadership Operations Team.  Continued expansion of emergency child care services throughout Oregon.  Completed Homeless Service Provider guidance webinar.  Monitoring for impacts.   National Guard is fully integrated into Wilsonville warehouse operations and distribution operation. Beginning to receive data from County PPE users to develop burn rate.  Monitoring for impacts.        911 (3 personnel in Quarantine). Public Safety Radio Systems. Cellular Networks (Monitoring). Data Networks (Monitoring). Public Alerts & Warnings. Deployed staff in support of Wilsonville distribution site. Monitoring for impacts.  The Oregon Department of Forestry, Fire Protection Division continues to develop fire season preparedness and response plans for fire season 2020. Reviewing Infectious Disease Guidance for Wildland Fire Incidents. Supporting Multi-Agency Coordination group, ECC, Incident Management Teams and partners, ensuring continuity of operations. Stable ESF 11 Food and Water Stable ESF 7 Resource Support Stable ESF 1 Transportation Stable ESF 2 Communications Stable ESF 3 Public Works Stable ESF 4 Firefighting   5 Oregon COVID-19 Daily Update Summary as of Tuesday 04/07/2020   All Counties have declared a state of emergency. All Tribes have declared a state of emergency.  Coordinating with Sheriff Search and Rescue teams to give them the latest closure information for State, Federal lands, wilderness trailheads, extreme hiking and climbing areas, parks and day use areas.  Department of Environmental Quality (DEQ) - Is transitioning to an Incident Command System structure to support agency operations during COVID-19. We have developed guidance on how DEQ will respond to oil and hazardous material spills during COVID-19 while protecting response personnel. DEQ - Providing PIO personnel to help staff the ECC Joint Information Center. DEQ is also providing OHA with a part-time Deputy Planning Section Chief. Oregon State Fire Marshal - is in regular communications with all 13 Regional HazMat Emergency Response Teams. Stable ESF 5 Information and Planning Stable ESF 9 Search and Rescue ESF 10 Hazardous Materials Stable    Stable  ESF 12 Energy  Stable  The Oregon Department of Energy (ODOE) continues to monitor impacts to the fuel supply and distribution system with partners. The fuel industry is currently working to address surplus supplies as a result of the travel restrictions and stay-at-home orders in response to COVID 19. Every year on May 1, the fuel industry transitions from winter grade gasoline to summer grade stocks. On March 27, EPA issued a Reid Vapor Pressure (RVP) waiver, allowing companies to continue using the existing surplus supply of winter blend fuels remaining in the system after May 1. Oregon has more stringent requirements. ODOE is working with the Oregon Department of Agriculture and DEQ to ensure all state conditions for an RVP waiver are addressed. 180 Oregon National Guard personnel have been activated to help with Wilsonville Warehouse Distribution Center workload and other missions across the State. Providing tent and cot support to Baker and Lake Counties. ESF 13 Military Support  Stable ESF 14 Public Information    Managing all COVID-19 related information sharing to stakeholders, media outlets, state and federal partners, and the public through various channels and platforms. Content creation and distribution. Coordinate and ensure accurate and timely release of all incident information. Facilitate press availability. 6 Oregon COVID-19 Daily Update Summary as of Tuesday 04/07/2020  ESF 15 Volunteers and Donations Anticipated Instability   There is a shortage of volunteer workforce causing decrease in service delivery. Numerous organizations are offering assistance and resources to the response efforts. Established the Volunteer and Donations Management platform. Link to the platform is https://oregonrecovers.communityos.org.  Oregon Department of Corrections in conjunction with Oregon Correction Enterprises are manufacturing Utility Masks for all Adults in Custody and Department of Corrections Staff across the state.  Developed and distributing guidance for food retailers and food processors related to the Governor's Executive Order and how to maintain proper social distancing in grocery stores. Oregon Department of Agriculture has also been working with farmer's markets and livestock auctions to provide guidance on implementation of the Governor's executive orders. Stable ESF 16 Law Enforcement ESF 17 Agriculture and Animal Protection Stable   Stable ESF 18 Business and Industry  Continuing to have discussions with public and private partners in regards to PPE production by Oregon companies. Currently working on vetting firms and providing that list to the governor’s office. Small Business Development Centers are working with over 415 firms who have suffered direct impact from COVID 19. Prepared by: Nancy Blood SITL, Mike Kroon SITL & Rick Igou PIO Support Reviewed by: Danielle Brown PSC, Rich Tyler Lead PIO, Don Everingham PSC & Alaina Mayfield PSC Approved by: Aaron Dunn IC, Melissa Powell IC and Link Smith IC 7 Oregon COVID-19 Daily Update Summary as of Tuesday 04/07/2020 Oregon Resources Other Resources OHA Public Health COVID-19 Local Public Health Authority Directory ODE and OHA’s CD Guidance Emerging Respiratory Infections: COVID-19 OEM COVID-19 Resources Oregon Coronavirus Information and Resources CDC Coronavirus Disease 2019 (COVID-19) CDC Hygiene Etiquette CDC Handwashing Campaign SAMHSA Coping with Stress During Outbreaks CDC Helping Children Cope with Emergencies Acronyms AOC: Agency Operations Center CD: Communicable Disease CDC: Centers for Disease Control COVID-19: Coronavirus Disease 2019 DEQ: Department of Environmental Quality ECC: Emergency Coordination Center ED: Emergency Department EMS: Emergency Medical System ESF: Emergency Support Function IC: Incident Commander ICS: Incident Command System ICU: Intensive Care Unit IMT: Incident Management Team JIC: Joint Information Center MCOT: Mass Care Operations Team NICU: Neonatal Intensive Care Unit ODA: Oregon Department of Agriculture ODE: Oregon Department of Education ODOE: Oregon Department of Energy OEM: Oregon Office of Emergency Management OHA: Oregon Health Authority OSPHL: Oregon State Public Health Laboratory PICU: Pediatric Intensive Care Unit PPE: Personal Protective Equipment PSC: Planning Section Chief RCST: Regional Coalition Support Teams SAMHSA: Substance Abuse and Mental Health Services Administration SITL: Situation Unit Leader This document is available in other languages, large print, braille or a format you prefer. For ADA accommodations, please contact the COVID-19 Joint Information Center at 503-373-7872 or email ecc.jic@oem.state.or.us. We accept all relay calls or you can dial 711. 8