ALASKA STATE REPORT 07.14.2020 SUMMARY Alaska is in the yellow zone for cases, indicating between 10 to 100 new cases per 100,000 population last week, and the green zone for test positivity, indicating a rate below Alaska has continued to see a sustained increase in the number of cases with outbreaks in several cities. The test positivity rate remains low. The following three boroughs had the highest number of new cases over the past 3 weeks: 1. Anchorage Municipality, 2. Fairbanks North Star Borough, and 3. Matanuska-Susitna Borough. These localities represent 79.4 percent of new cases in Alaska. Alaska had 37 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. The federal government has deployed the following staff as assets to support the state response: 38 to support leadership, administrative, operations, and logistics activities from USCG and 3 to support lab testing activities from and 1 to support epidemiology activities from CDC. RECOMMENDATIONS Recommend cloth face coverings and maintaining 6 ft distancing for people outside of their homes. Emphasize mask wearing, especially in jurisdictions where cases are occurring. Mandate mask wearing in boroughs with increasing case counts. Continue the testing program for seafood workers. Continue testing programs for nursing homes and long-term care facilities. Require all staff in nursing homes to wearface masks. Investigate outbreaks aggressively, and focus contact tracing efforts on known outbreaks. Specific, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may di??r?om that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in identifying data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. COVID-19 ALASKA STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 275 (37) +31.6% 9,391 (66) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 1.8% -0.1%* 10.4% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 16,450 (2,231) -21.4% 108,656 (764) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 0 (0) -100.0% 105 (1) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating borough-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a borough; 100% represents the baseline mobility level. Data is anonymized and provided at the borough level. Data through 7/11/2020. STATE REPORT I 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE METRO AREA 0 (CBSA) LAST WEEK BOROUGH LAST WEEK 0 0 Red Zone: Those core?based statistical areas (CBSAs) and boroughs that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and boroughs that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the ?Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating borough-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 ALASKA TESTING NEW CASES STATE REPORT 07.14.2020 TOP BOROUGHS Top boroughs based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: Borough-level data from USAFacts. State values are calculated by aggregating borough-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 boroughs based on number of new cases in the last 3 weeks DATA SOURCES Cases: Borough-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 ALASKA STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: Borough-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. ALABAMA STATE REPORT 07.14.2020 SUMMARY Alabama is in the red zone for cases, indicating more than 100 new cases per 100,000 population last week, and the red zone for test positivity, indicating a rate above 10%. Disease trends are moving in the wrong direction with cases continuing to increase and record numbers of new cases occurring in urban, suburban an rural areas. Hospitalizations increased sharply in the past week. The test positivity rate remains very elevated. The vast majority of counties had a positivity rate above 10% in the last week; more testing is needed. Montgomery, which instituted a masking requirement in mid-June, has seen a flattening 0 daily cases. The following three counties had the highest number of new cases over the past 3 weeks: 1. Jefferson County, 2. Mobile County, and 3. Madison County. These counties represent 30.3 percent of new cases in Alabama. Alabama had 177 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. The federal government has deployed the following staff as assets to support the state response: 38 to support leadershilf), administrative, operations, and logistics activities from HHS and and 1 to support medical activities rom VA. RECOMMENDATIONS Mandate wearing of cloth face coverings outside the home statewide. Ensure that all business retailers and personal services require masks and can safely social distance. Current capacity limits of 50% in and restaurants as contained in the state order should be intensi?ed. In all counties with 7?day average test positivity greater than 10%, close bars and gyms, and create outdoor dining opportunities with pedestrian areas. Protect those in nursing homes and long-term care facilities by testing all staff each week and requiring staff to wear cloth face coverings. Limitation of visitors as contained in the state order is essential. Move to community-led testing and work with local community groups to increase testing access. In high transmission settings, consider pooling specimens to test 2-3 persons at once to increase testing access and reduce turnaround times. For families and cohabiting households, screen entire households in a single test by pooling specimens. Specific, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may d?r??am that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in identifying data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. COVID-19 ALABAMA STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 8,644 (177) +12.5% 135,129 (204) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 17.3% +0.2%* 15.7% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 71,864 (1,470) +16.0% 738,971 (1,113) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 98 (2) -2.0% 1,114 (2) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. STATE REPORT 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE Birmingham-Hoover Montgomery Mobile Huntsville METRO AREA 23 Tuscaloosa Dothan Albertville Talladega-Sylacauga (CBSA) Daphne-Fairhope-Foley Alexander City LAST WE Top 12 Auburn-Opelika Enterprise Decatur Gadsden Fort Payne Florence-M uscle Shoals Jefferson Lauderdale Mobile Houston Madison Talladega Montgomery Perry 1 Tuscaloosa 1 4 Coffee COU NTY Marshall Bullock LAST WEEK Shelby Lawrence Top 12 Baldwin Top 12 Geneva shown Lee shown Henry Etowah Lamar Morgan Choctaw DeKalb Fayette Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 - 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 ALABAMA TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 ALABAMA STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. ARKANSAS STATE REPORT 07.14.2020 SUMMARY . Arkansas is in the red zone for cases, indicating more than 100 new cases per 100,000 population last week, and the yellow zone for test positivity, indicating a rate between 5% to 10%. - Arkansas has seen a slight increase in new cases and stability in testing positivity over the past week. - The following three counties had the highest number of new cases over the past 3 weeks: 1. Washington County, 2. Benton County, and 3. Pulaski County. These counties represent 41.1 percent of new cases in Arkansas. . Arkansas had 139 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. - The federal government has deployed the following staff as assets to support the state response: 4 to support leadership, administrative, operations, and logistics activities from FEMA. RECOMMENDATIONS Continue weekly testing of all workers in assisted living and long-term care facilities and require masks and social distancing for all visitors. Mandate public use of masks in all current and evolving hot spots. - Close bars and in hot spot counties. Move to outdoor dining and limit indoor dining to less than 25%; decrease gathering limits to 10. Encourage individuals that have participated in large social gatherings to get tested. - Increase messaging of the risk of serious disease in all age groups with preexisting medical conditions, including obesity, hypertension and diabetes mellitus. Continue the scale-up of testing, moving to community led neighborhood testing and pooled household testing in the Fayetteville and other red zone metro areas. Test households in one tube with rapid turnaround testing. For households that test positive, isolate and conduct follow-up individual tests. - Work with local communities to provide clear guidance for households that test positive, including individual isolation. Continue to enhance contact tracing and ensure the ability of cases and contacts to quarantine or isolate safely. Monitor testing data to identify additional sites of increased transmission and focus public health resources on them. Expand testing capacity in Public Health labs, adding shifts and weekend shifts to decrease turnaround times. Institute 2:1 pooling of test specimens. Speci?c, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may dl??zr?'om that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. COVID-19 COVID-19 ARKANSAS STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 4,186 (139) +7.9% 80,470 (190) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 8.5% +0.2%* 16.5% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 30,735 (1,020) -40.8% 507,967 (1,198) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 32 (1) +0.0% 679 (2) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. STATE REPORT 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE Little Rock-North Little . . Rock-Conway Fa etteVIIle-S rIn dale-R0 ers . METRO AREA Maylvem :40? Silth (CBSA) 5 Russellville 7 Iemp '5 I 'll Pine Bluff LAST WEEK yt an Helena-West Helena Texarkana . Magnolia Hope Washington Pulaski Benton Sebastian Hot Spring Faulkner Yell Pope 1 Lee 2 7 Saline CO NTY Crittenden Jefferson LAST WEEK Sevier Crawford Top 12 Johnson Top 12 Phillips shown Mississippi shown Madison Miller Howard Chicot Columbia Carroll Conway Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 ARKANSAS TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 ARKANSAS STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. ARIZONA STATE REPORT 07.14.2020 SUMMARY . Arizona is in the red zone for cases, with 349 cases per 100,000 population last week, and the red zone fortest positivity, with a rate above 20%. - Arizona has seen stability in new cases and an increase in testing positivity over the past week. - The following three counties had the highest number of new cases over the past 3 weeks: 1. Maricopa County, 2. Pima County, and 3. Yuma County. These counties represent 86.3 percent of new cases in Arizona. Arizona had 349 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. - The federal government has deployed the following staff as assets to support the state response: 58 to support leadership, administrative, operations, and logistics activities from HHS, USCG, VA, and 113 to support medical activities from HHS and 4 to support lab testing activities from and 12 to support epidemiology activities from CDC and HHS. . The federal government has supported a surge testing site in Phoenix, AZ. RECOMMENDATIONS Continue weekly testing of all workers in assisted living and long-term care facilities and require masks and social distancing for all visitors. - Mandate public use of masks in all current and evolving hot spots. - Continue bar and closures in hot spot counties. Move to outdoor dining and limit indoor dining to less than 25%; decrease gathering limits to 10. Encourage individuals that have participated in large social gatherings to get tested. - Increase messaging of the risk of serious disease in all age groups with preexisting medical conditions, including obesity, hypertension and diabetes mellitus. Continue the scale-up of testing, moving to community led neighborhood testing and pooled household testing in Maricopa, Pima, and Yuma counties. - Test households in one tube with rapid turnaround testing. For households that test positive, isolate and conduct follow-up individual tests. - Work with local communities to provide clear guidance for households that test positive, including individual isolation. Continue to enhance contact tracing and ensure the ability of cases and contacts to quarantine or isolate safely. Monitor testing data to identify additional sites of increased transmission and focus public health resources on them. - Expand testing capacity in Public Health labs, adding shifts and weekend shifts to decrease turnaround times. Institute 2:1 pooling of test specimens. Tribal Nations: Continued enforcement of social distancing and masking measures in areas of increased transmission. Continue enhanced testing activities. Support 100% pooled testing in households with isolation for positive households to ensure all outbreaks are immediately curtailed. Increase supplies of Abbott ID Now to test individuals in positive households. - Speci?c, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may di?Ezr?'om that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in idennfving data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. comp-19 COVID-19 ARIZONA STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 25,035 (349) -1.4% 91,111 (178) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 21.6% +0.8%* 11.3% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 109,662 (1,529) -8.9% 707,809 (1,383) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 294 (4) +16.2% 984 (2) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. METRO AREA (CBSA) LAST WEEK COUNTY LAST WEEK 12 ARIZONA STATE REPORT 07.14.2020 LOCALITIES IN RED ZONE Phoenix-Mesa-Chandler Tucson Yuma Show Low Lake Havasu City-Kingman Flagstaff Nogales Sierra Vista-Douglas Safford Maricopa Pima Yuma Pinal Navajo Mohave Coconino Santa Cruz Cochise La Paz Graham Greenlee LOCALITIES IN YELLOW ZONE Prescott Valley-Prescott Payson Yavapai Apache Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 - 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 ARIZONA TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 ARIZONA STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. CALIFORNIA STATE REPORT I 07.14.2020 SUMMARY . California is in the red zone for cases, indicating more than 100 new cases per 100,000 population last week, and the yellow zone for test positivity, indicating a rate between 5% to 10%. - Cases continue to increase in Southern California and the Central Valley, with notably rapid increases in San Bernardino, Orange, and Stanislaus counties. Most Bay area counties have reported decreases or modest increases in the past week. Test positivity rates have risen sharply in Stanislaus, Fresno, and San Bernardino counties. - The following three counties had the highest number of new cases over the past 3 weeks: 1. Los Angeles County, 2. Orange County, and 3. Riverside County. These counties represent 51.8 percent of new cases in California. . California had 153 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. - The federal government has deployed the following staff as assets to supportthe state response: 442 to support leadership, administrative, operations, and logistics activities from HHS, CDC, USCG, and 12 to support medical activities from HHS and and 6 to support epidemiology activities from CDC. RECOMMENDATIONS Continue adaptive inclusion of counties with elevated reported cases on the highly affected counties list, subject to state orders to close indoor operations of selected businesses. - Continue with state masking mandate; recommend development of innovative ways to monitor compliance. - Ensure that all business retailers and personal services require masks and can safely social distance. Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and to increase community level testing. Work with local communities to provide clear guidance for households that test positive, including on individual isolation. - Encourage individuals that have participated in large social gatherings to get tested. - Increase messaging of the risk of serious disease in all age groups with preexisting medical conditions, including obesity, hypertension and diabetes mellitus. - Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates. - Speci?c, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may dw?r?'am that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in idenn?ling data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. COVID-19 CALIFORNIA STATE REPORT 07.14.2020 STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 60,653 (153) +37.1% 91,111 (178) 389,358 (119) 9.3% +1.4%* 11.3% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 539,546 (1,364) -21.5% 707,809 (1,383) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 639 (2) +42.6% 984 (2) 4,616 (1) STATE, LAST WEEK NEW CASES (RATE PER 100,000) MOBILITY DIAGNOSTIC TEST POSITIVITY RATE * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. EE STATE REPORT 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE Los Angeles-Long Beach- San Francisco-Oakland- Anaheim Berkeley Riverside-San Bernardino- Sacramento-Roseville- Ontario Folsom Fresno Bakersfield METRO AREA Stockton Oxnard?Thousand Oaks- (CBSA) 1 1 Modesto 9 Ventura LAST WEEK El Centro Salinas Visalla Vallejo Santa Maria-Santa Barbara San Luis Obispo-Paso Merced Robles Hanford-Corcoran Yuba City Madera Napa Orange Los Angeles Riverside Sacramento San Bernardino Alameda Fresno Kern 14 San Joaquin 1 7 Ventu ra COU NTY Stanislaus Contra Costa LAST WEEK Imperial Monterey Top 12 Tulare Top 12 Solano shown Marin shown Placer Santa Barbara Yolo Merced San Luis Obispo Kings Sutter Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 - 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 CALIFORNIA TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 CALIFORNIA STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. COLORADO STATE REPORT 07.14.2020 SUMMARY Colorado is in the yellow zone for cases, indicating between 10 to 100 new cases per 100,000 population last week, and the green zone for test positivity, with a rate below but approaching Cases have been rising steadily over the last several weeks. Cases are concentrated near the urban centers of Denver and Colorado Springs. Test positivity also increased last week. The following three counties had the highest number of new cases over the past 3 weeks: 1. Denver County, 2. El Paso County, and 3. Adams County. These counties represent 48.0 percent of new cases in Colorado. Colorado had 45 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. The federal government has deployed the following staff as assets to support the state response: 76 to support leadership, administrative, operations, and logistics activities from HHS and and 1 to support epidemiology activities from CDC. RECOMMENDATIONS Continue with state masking mandate and targeted tailored messaging to encourage compliance; develop innovative ways to monitor compliance. Continue the restrictions on bars in counties without a variance as stipulated in Governor?s Order Exercise caution in granting additional county variances, as per order considering the worsening epidemiologic situation in many nearby states. Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours. Work with local community groups to provide targeted, tailored messaging to communities with high case rates and increase community level testing. Encourage individuals that have participated in large social gatherings to get tested. Increase messaging of the risk of serious disease in all age groups with preexisting medical conditions, including obesity, hypertension and diabetes mellitus. Specific, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may dr?er?'om that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in identifying data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. COVID-19 COLORADO STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 2,581 (45) +42.2% 8,538 (70) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 4.5% +0.8%* 5.7% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 41,416 (727) -15.7% 143,551 (1,183) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 34 (1) +30.8% 82 (1) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. COLORADO STATE REPORT 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE Denver-Aurora-Lakewood ETRO AREA Colorado Springs (CBSA) 0 5 Glenwood Springs LAST WEEK Edwards Montrose ElPaso Adams Arapahoe Garfield COUNTY 0 Eagle 1 1 Prowers LAST WEEK Montrose Mineral Conejos Elbert Kit Carson Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the ?Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 COLORADO TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 COLORADO STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. CONNECTICUT STATE REPORT 07.14.2020 SUMMARY Connecticut is in the yellow zone for cases, indicating between 10 to 100 new cases per 100,000 population last week, and the green zone for test positivity, with a steady rate of last week. Connecticut has seen a decrease in new cases and stability in test positivity over the past week. The following three counties had the highest number of new cases over the past 3 weeks: 1. Hartford County, 2. Fairfield County, and 3. New Haven County. These counties represent 79.6 percent of new cases in Connecticut. Connecticut had 16 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. The federal government has deployed the following staff as assets to support the state response: 7 to support leadership, administrative, operations, and logistics activities from FEMA, USCG, and VA. RECOMMENDATIONS Continue limitations on indoor occupancy of bars and restaurants as specified in phase 2 of Connecticut's Reopen Plan. Continue the scaleup of testing and rollout of contact tracing currently underway. Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all members of positive households are individually tested within 24 hours. Continue the state masking requirement and intensify public messaging of its importance given national trends. Speci?c, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may di?er?'om that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in idenn??ing data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. COVID-19 CONNECTICUT STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 570 (16) -13.4% 2,652 (18) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 1.3% -0.0%* 1.8% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 25,540 (715) -62.8% 157,883 (1,063) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 13 (0) -53.6% 196 (1) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. CO CTI UT STATE REPORT I 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE METRO AREA (CBSA) LAST WEEK 0 0 COUNTY LAST WEEK 0 0 Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the ?Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 CONNECTICUT TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 CONNECTICUT STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. THE DISTRICT OF COLUMBIA STATE REPORT 07.14.2020 SUMMARY The District of Columbia is in the yellow zone for cases, indicating between 10 to 100 new cases per 100,000 population last week, and the yellow zone for test positivity, indicating a rate between 5% to 10%. The District of Columbia has seen an increase in new cases over the past week. Last week?s modest increase is a second consecutive week of increase since the phase 2 reopening implemented June 22. District of Columbia had 50 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. RECOMMENDATIONS Actively promote testing of young people and those engaged in public activities, gatherings, and protests to ensure new cases are found before active community spread occurs. Consider modulation of the current phase 2 opening status for certain businesses (bars, restaurants) with potential restrictions on occupancy or operation if the rise in reported cases continues. - Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing. Continue efforts to surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates. For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device. Increase messaging of the risk of serious disease in all age groups with preexisting medical conditions, including obesity, hypertension and diabetes mellitus. Continue to focus on increasing testing in the 25-44 age group. Target messaging for face covering and social distancing to vulnerable communities. Speci?c, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may dr??zr?'om that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. COVID-19 COVID-19 THE DISTRICT OF COLUMBIA STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 354 (50) +35.1% 15,398 (50) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 7.0% -1.6%* 6.0% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 22,798 (3,245) -6.5% 341,768 (1,108) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 11 (2) +0.0% 358 (1) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. THE DISTRICT OF COLUMBIA STATE REPORT 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE METRO AREA Alexandria COUNTY . . . LAST WEEK 0 1 DIstrIct of Columbia, Dc Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the ?Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 THE DISTRICT OF COLUMBIA TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 THE DISTRICT OF COLUMBIA STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. DELAWARE STATE REPORT I 07.14.2020 SUMMARY . Delaware is in the yellow zone for cases, indicating between 10 to 100 new cases per 100,000 population last week, and the yellow zone for test positivity, indicating a rate between 5% to 10%. - Delaware has seen a decrease in new cases and test positivity over the past week after increases in cases the preceding two weeks. . Delaware had 75 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. - The federal government has deployed the following staff as assets to support the state response: 2 to support epidemiology activities from and 5 to support leadership, administrative, operations, and logistics activities from FEMA. RECOMMENDATIONS Continue closure or limited seating of bars in highly affected areas. Modulate business restrictions on occupancy depending on changes in reported cases. - Continue emphasis on masking requirements in more affected areas. - Recruit enough contact tracers as community outreach workers to ensure all cases are contacted and all members of positive households are individually tested within 24 hours. Encourage individuals that have participated in large social gatherings to get tested. - Increase messaging of the risk of serious disease in all age groups with preexisting medical conditions, including obesity, hypertension and diabetes mellitus. - Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community-level testing. - Encourage the New Castle County COVID wastewater surveillance activity to collaborate with the national surveillance network being developed by CDC, if not already doing so. - Speci?c, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may di??r?'om that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in idenn?ling data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. COVID-19 COVID-19 DELAWARE STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 729 (75) -19.5% 15,398 (50) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 5.3% -1.1%* 6.0% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 9,371 (969) +17.7% 341,768 (1,108) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 6 (1) +50.0% 358 (1) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. STATE REPORT I 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE METRO AREA (CBSA) 0 1 Dover LAST WEEK COUNTY New Castle LAST WEEK 0 2 Kent Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the ?Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 DELAWARE TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 DELAWARE STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. FLORIDA STATE REPORT 07.14.2020 SUMMARY . Florida is in the red zone for cases, indicating more than 100 new cases per 100,000 population last week, and the red zone for test positivity, indicating a rate above 10%. - Florida has seen an increase in new cases and an increase in testing positivity over the past week. - The following three counties had the highest number of new cases over the past 3 weeks: 1. Miami-Dade County, 2. Broward County, and 3. Hillsborough County. These counties represent 40.7 percent of new cases in Florida. Florida is seeing broad community spread in many counties and metros. - Florida had 308 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. - The federal government has deployed the following staff as assets to supportthe state response: 82 to support leadership, administrative, operations, and logistics activities from HHS, USCG, VA, and 20 to support medical activities from and 2 to support epidemiology activities from CDC. . The federal government has supported a surge testing site in Jacksonville, FL. RECOMMENDATIONS Continue routine weekly testing of all workers in assisted living and long-term care facilities and require masks and social distancing for all visitors. Mandate masks in all counties with rising test percent positivity. Multiple counties and metros are now in this category. - Keep bars closed in all counties with rising test percent positivity, increase outdoor dining opportunities, decrease indoor dining to 25%, and limit social gatherings to 10 or fewer people. Continue the scale?up of testing, moving to community-led neighborhood testing and working with local community groups to increase household testing of multigenerational households with clear guidance on test positive isolation procedures and mask use. - Ensure all individuals and households engaged in any multi-household July 4th activities are immediately tested, either in pools or as individuals. Increase messaging of the risk of serious disease in all age groups with preexisting medical conditions, including obesity, hypertension and diabetes mellitus. Expand testing capacity in Public Health labs, adding shifts and weekend shifts to decrease turnaround times and institute 2: 1 pools Expand pooled collection into neighborhoods with household pools, allowing rapid household alerts and household isolation with follow-up individual diagnostic tests. This approach will allow rapid screening of entire neighborhoods and isolation of cases to dramatically decrease spread. - Specific, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may dw'er??om that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in identifying data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. COVID-19 FLORIDA STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 65,562 (308) +17.8% 135,129 (204) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 18.6% +1.1%* 15.7% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 323,201 (1,517) -35.8% 738,971 (1,113) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 417 (2) +30.7% 1,114 (2) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. STATE REPORT 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE Miami-Fort Lauderdale- Pompano Beach Tampa-St. Petersburg- Clearvvater Orlando-Kissimmee-Sanford Palm Bay-Melbourne- . TItuswlle JacksonVIlle Crestview-Fort Walton ETRO AREA 2 2 Cape Coral-Fort Myers Beach-Destin (CBSA) Lakeland-Winter Haven . Sebastian-Vero Beach LAST WEEK 10p 12 North Port-Sarasota-Bradenton Pun ta Gorda shown Pensacola-Ferry Pass-Brent . Homosassa Springs Naples-Marco Island Sebrin Avon Park Port St. Lucie Deltona-Daytona Beach-Ormond Beach Tallahassee Miami-Dade Brevard Broward Sarasota Hillsborough Leon Orange Lake 48 Duval 1 7 Indian River COU NTY Palm Beach Okaloosa LAST WEEK Pinellas Charlotte Top 12 Lee TOP 12 Nassau shown Polk shown Citrus Pasco Highlands Seminole Flagler Collier Levy Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the ?Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 FLORIDA TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 FLORIDA STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. GEORGIA STATE REPORT 07.14.2020 SUMMARY . Georgia is in the red zone for cases, indicating more than 100 new cases per 100,000 population last week, and the red zone for test positivity, indicating a rate above 10%. - Disease trends are moving in the wrong direction in Georgia with record numbers of new cases occurring in urban, suburban and rural areas. Test positivity continues to increase. The number of tests has increased, but more testing is needed. - The following three counties had the highest number of new cases over the past 3 weeks: 1. Gwinnett County, 2. Fulton County, and 3. DeKalb County. These counties represent 25.9 percent of new cases in Georgia. - Georgia had 202 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. - The federal government has deployed the following staff as assets to supportthe state response: 122 to support leadership, administrative, operations, and logistics activities from HHS, USCG, VA, and and 8 to support medical activities from VA. RECOMMENDATIONS Protect those in nursing homes and long-term care facilities by testing all staff each week and requiring staff to wear cloth face coverings. - Continue to vigorously investigate outbreaks and implement testing and intensi?ed contact tracing. - Move to community-led testing and work with local community groups to increase testing access. In high transmission settings, consider pooling specimens to test 2-3 persons at once to increase access and reduce turnaround times. For families and cohabiting households, screen entire households in a single test by pooling specimens. Provide clear guidance for households that test positive, including on individual isolation. - In all counties with 7-day average test positivity greater than 10%, close bars, require strict social distancing within restaurants, close gyms, and limit gatherings to 10 or fewer people. Allow localjurisdictions to implement more restrictive policies. Mandate statewide wearing of cloth face coverings outside the home. Encourage individuals that have participated in large social gatherings to get tested. - Increase messaging of the risk of serious disease in all age groups with preexisting medical conditions, including obesity, hypertension and diabetes mellitus. Speci?c, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may dw?r?'am that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in idenn?ing data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. comp-19 COVID-19 GEORGIA STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 21,210 (202) +20.6% 135,129 (204) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 14.8% +1.5%* 15.7% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 72,355 (688) -3.3% 738,971 (1,113) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 137 (1) +65.1% 1,114 (2) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. STATE REPORT 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE Atlanta-Sandy Springs- Alpharetta Columbus Warner Robins Savannah Calhoun Augusta-Richmond County Vidalia METRO AREA 30 Brunswick (CBSA) Macon-Bibb County Hinesville LAST WEEK Top 12 Valdosta Toccoa shown Dalton Cornelia Gainesville Thomaston LaGrange Summerville Athens-Clarke County Douglas Gwinnett Fulton Houston DeKalb Newton Cobb Paulding Chatham Coweta COU NTY 94 Muscogee Gordon GI nn Fa ette LAST WEEK 12 Waylton shown Bibb Toombs Whit?eld Cook Lowndes Stephens Hall Ha bersham Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 GEORGIA TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 GEORGIA STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. HAWAII STATE REPORT 07.14.2020 SUMMARY Hawaii is in the yellow zone for cases, indicating between 10 to 100 new cases per 100,000 population last week, and the green zone for test positivity, indicating a rate below Hawaii has seen an increase in new cases and an increase in testing positivity over the past week. The following three counties had the highest number of new cases over the past 3 weeks: 1. Honolulu County, 2. Kauai County, and 3. Hawaii County. These counties represent 95.4 percent of new cases in Hawaii. Hawaii had 13 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. The federal government has deployed the following staff as assets to support the state response: 33 to support leadership, administrative, operations, and logistics activities from HHS, USCG, and and 1 to support medical activities from VA. RECOMMENDATIONS Careful monitoring in Honolulu is critical, particularly activities in bars and restaurants. Encourage strong safety measures at restaurants and gyms. Continue scale-up of contact tracing. Speci?c, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may dw'er??om that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in identifying data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. COVID-19 HAWAII STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 184 (13) +70.4% 91,111 (178) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 2.9% +1.4%* 11.3% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 10,968 (772) -1.4% 707,809 (1,383) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 0 (0) -100.0% 984 (2) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. STATE REPORT I 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE METRO AREA 0 (CBSA) LAST WEEK COUNTY LAST WEEK 0 0 Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the ?Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 HAWAII TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 HAWAII STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. IOWA STATE REPORT 07.14.2020 SUMMARY Iowa is in the red zone for cases, indicating more than 100 new cases per 100,000 population last week. The state is in the yellow zone for test positivity, indicating a rate between 5% to 10%. Iowa has seen an increase in new cases and stability in testing positivity over the past week. The following three counties had the highest number of new cases over the past 3 weeks: 1. Polk County, 2. Johnson County, and 3. Black Hawk County. These counties represent 35.0 percent of new cases in Iowa. Iowa had 116 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. RECOMMENDATIONS Continue to promote social distancing and the wearing of cloth face coverings when outside the home. Protect those in nursing homes and long-term care facilities by testing all staff each week and requiring staff to wear cloth face coverln gs. Continue to vigorously investigate outbreaks and implement testing and intensi?ed contact tracing. Move to community-led testing work with local community groups to increase testing access. In high transmission settings, consider pooling specimens to test 2?3 persons at once to increase access and reduce turnaround times. For families and cohabiting households, screen entire households in a single test by pooling specimens. Provide clear guidance for households that test positive, including on individual isolation. In all counties with 7-day average test positivity greater than 10%, close bars, require strict social distancing within restaurants, close and limit gatherings to 10 or fewer people. Mandate wearing of cloth face coverings in counties with test positivity greater than Continue to investigate and work aggressively to control outbreaks in meatpacking plants through ongoing testing. Continue to track cases, test percent positivity, and hospitalizations to identify local pockets of increased transmission. Speci?c, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may di?er?'om that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in idenn??ing data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. comp-19 COVID-19 IOWA STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 3,652 (116) +30.1% 12,266 (87) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 6.4% +0.3%* 6.8% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 54,762 (1,735) -6.8% 155,783 (1,103) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 23 (1) +15.0% 77 (1) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. METRO AREA (CBSA) LAST WEEK COUNTY LAST WEEK 1 IOWA STATE REPORT 07.14.2020 LOCALITIES IN RED ZONE Fort Dodge Webster Sioux Franklin Clarke Osceola LOCALITIES IN YELLOW ZONE 14 Top 12 shown 42 Top 12 shown Des Moines-West Des Moines Iowa City Waterloo-Cedar Falls Davenport-Moline-Rock Island Ames Dubuque Omaha-Council Bluffs Sioux City Mason City Marshalltown Muscatine Spirit Lake Polk Johnson Black Hawk Scott Dubuque Story Dallas Woodbury Pottawattamie Cerro Gordo Plymouth Marshall Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the ?Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 IOWA TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 IOWA STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. IDAHO STATE REPORT I 07.14.2020 SUMMARY - Idaho remains in the red zone for cases, indicating more than 100 new cases per 100,000 population last week, and the red zone for test positivity, indicating a rate above 10%. Cases are rapidly increasing cases and the test positivity rate is high and has increased sharply despite an increase in the number of tests last week. - COVID-19-related hospitalizations have risen rapidly in the past week and currently exceed the initial peak in April. - While many counties throughout Idaho are affected, the highest case and test positivity rates are in the Boise area and other counties of southwest Idaho. The following three counties had the highest number of new cases over the past 3 weeks: 1. Ada County, 2. Canyon County, and 3. Kootenai County. These counties represent 75.6 percent of new cases in Idaho. Idaho had 167 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. - The federal government has deployed the following staff as assets to support the state response: 14 to support leadership, administrative, operations, and logistics activities from FEMA. RECOMMENDATIONS Move to community-led neighborhood testing and work with local community groups to increase access of testing. Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates, especially in the Central Health District. - Support the recent mandates for mask wearing in highly affected counties and their adoption in other counties or health districts with rapidly rising reported cases. Encourage individuals that have participated in large social gatherings to get tested. - Increase messaging of the risk of serious disease in all age groups with preexisting medical conditions, including obesity, hypertension and diabetes mellitus. - Consider further modulation of phase 3 opening status of businesses in the Central Health District if cases and hospitalizations continue to rise rapidly. Consider modulation of the current phase 4 opening status for certain businesses (bars, restaurants) in other highly affected areas with rapid rises in cases (Twin Falls, Coeur d?Alene). - Conduct weekly testing of all workers in assisted living and long-tenn care facilities and require masks and social distancing for all visitors. Speci?c, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may dw?r?'om that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in idenn?ling data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. COVID-19 IDAHO STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 2,934 (167) +58.6% 9,391 (66) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 15.9% +2.0%* 10.4% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 22,558 (1,286) +3.7% 108,656 (764) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 9 (1) +350.0% 105 (1) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. STATE REPORT 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE Idaho Falls Boise City Pocatello METRO AREA Coeurd'Alene Blackfoot (CBSA) 5 Twin Falls 7 Mountain Home LAST WEEK Burley Rekburg Ontarlo Hailey Logan Bonneville on Bannock . Bingham Kootenal Elmore Twin Falls Gem COUNTY 1 6 Blaine 1 1 MInIdoka Madison LAST WEEK Payette Top 12 Valley Jerome shown Franklin Owyhee Boise Washington Idaho Goodlng Shoshone Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 - 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 IDAHO TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 IDAHO STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. ILLINOIS STATE REPORT 07.14.2020 SUMMARY Illinois is in the yellow zone for cases, indicating between 10 to 100 new cases per 100,000 population last week, and the green zone for test positivity, indicating a rate below Illinois has seen an increase in new cases and stability in testing positivity over the past week. The following three counties had the highest number of new cases over the past 3 weeks: 1. Cook County, 2. Lake County, and 3. DuPage County. These counties represent 61.5 percent of new cases in Illinois. Illinois had 47 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. The federal government has deployed the following staff as assets to supportthe state response: 107 to support leadership, administrative, operations, and logistics activities from HHS, USCG, VA, and 2 to support medical activities from and 2 to support epidemiology activities from CDC. RECOMMENDATIONS Continue routine weekly testing of all workers in assisted living and long-term care facilities and require masks and social distancing for all visitors. Ensure diagnostic testing continues to expand, speci?cally in Cook, Lake and Du Page counties. Utilize pooled specimen testing to test within speci?c neighborhoods. Monitor activities at bars and restaurants if cases rise and adjust occupancy levels accordingly. Speci?c, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may dI??er?am that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in idenn?ing data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. comp-19 COVID-19 ILLINOIS STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 6,020 (47) +10.3% 28,090 (53) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 3.6% -0.2%* 4.8% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 144,860 (1,137) -26.6% 587,976 (1,119) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 139 (1) -12.0% 454 (1) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. STATE REPORT 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE METROAREA :t-LouisrtM l_ aven - ome- oc (CBSA) 0 3 Islanl; LAST WEEK Cape Girardeau Cumberland Pulaski Mercer COUNTY 1 Clark 7 Washington LAST WEEK White Hamilton Gallatin Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the ?Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 ILLINOIS TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 ILLINOIS STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. INDIANA STATE REPORT I 07.14.2020 SUMMARY . Indiana is in the yellow zone for cases, indicating between 10 to 100 new cases per 100,000 population last week, and the yellow zone for test positivity, indicating a rate between 5% to 10%. - Indiana has seen an increase in new cases and an increase in testing positivity over the past week. Strong action now can prevent a large resurgence in cases. The cancellation of the state fair and requirement in Marion County for wearing masks are good decisions. - The following three counties had the highest number of new cases over the past 3 weeks: 1. Lake County, 2. Marion County, and 3. Elkhart County. These counties represent 36.6 percent of new cases in Indiana. - Indiana had 51 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. - The federal government has deployed the following staff as assets to support the state response: 7 to support leadership, administrative, operations, and logistics activities from and 6 to support epidemiology activities from CDC. RECOMMENDATIONS - Protect those in nursing homes and long-term care facilities by testing all staff each week and requiring staff to wear cloth face coverings. - Continue to vigorously investigate outbreaks and implement testing and intensified contact tracing. - Move to community-led testing and work with local community groups to increase testing access. In high transmission settings, consider pooling specimens to test 2-3 persons at once to increase access and reduce turnaround. For families and cohabiting households, screen entire households in a single test by pooling specimens. Provide clear guidance for households that test positive, including on individual isolation. - In all counties with 7-day average test positivity greater than 10%, close bars, require strict social distancing within restaurants, close and limit gatherings to 10 or fewer people. - Mandate wearing of cloth face coverings outside the home statewide. - Specific, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may di??r?'om that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in idenn?ling data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. COVID-19 INDIANA STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 3,385 (51) +20.9% 28,090 (53) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 6.2% +1.4%* 4.8% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 74,117 (1,108) -17.2% 587,976 (1,119) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 68 (1) -19.0% 454 (1) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. INDIANA STATE REPORT 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE Indianapolis-Carmel- Anderson Fort Wayne Evansville South Bend-Mishawaka METRO AREA 17 Lafayette-WestLafayette Elkhart-Goshen (C BSA) 2 Plymouth Warsaw LAST WEEK Top 12 Louisville/Jefferson County shown Kendallville Michigan City-La Porte Kokomo New Castle Cincinnati Lake Manon AHen St.Joseph 4 Vanderburgh COUNTY 2 Elkhart Tippecanoe LAST WEEK Marshall Kosciusko TOP 12 Porter shown Hendricks Noble LaGrange LaPorte Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the ?Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 INDIANA TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 INDIANA STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. KANSAS STATE REPORT 07.14.2020 SUMMARY . Kansas is in the red zone for cases, indicating more than 100 new cases per 100,000 population last week, and the yellow zone for test positivity, indicating a rate between 5% to 10%. - Kansas has seen an increase in new cases and an increase in testing positivity over the past week. - The following three counties had the highest number of new cases over the past 3 weeks: 1. Johnson County, 2. Sedgwick County, and 3. Wyandotte County. These counties represent 58.7 percent of new cases in Kansas. Kansas had 125 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. - The federal government has deployed the following staff as assets to support the state response: 1 to support leadership, administrative, operations, and logistics activities from FEMA. RECOMMENDATIONS Continue routine weekly testing of all workers in assisted living and long-tenn care facilities and require masks and social distancing for all visitors. Mandate masks in all counties with rising test percent positivity; multiple counties and metros are now in this category. - Close all bars in all counties with rising test percent positivity, increase outdoor dining opportunities, decrease indoor dining to 25%, and limit social gatherings to 10 or fewer people. Continue the scale-up of testing, moving to community-led neighborhood testing and working with local community groups to increase household testing of multigenerational households with clear guidance on test positive isolation procedures and mask use. Ensure all individuals and households engaged in any multi?household July 4th activities are immediately tested, either in pools or as individuals. Increase messaging of the risk of serious disease in all age groups with preexisting medical conditions, including obesity, hypertension and diabetes mellitus. - Expand testing capacity in Public Health labs, adding shifts and weekend shifts to decrease turnaround times. Institute 2:1 pooling of test specimens. Expand pooled collection into neighborhoods with household pools, allowing rapid household alerts and household isolation with follow-up individual diagnostic tests. This approach will allow rapid screening of entire neighborhoods and isolation of cases to dramatically decrease spread. Work with university students to identify and disseminate messaging that resonates with students - Specific, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may dz??zr?om that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in idennfying data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. COVID-19 KANSAS STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 3,625 (125) +150.0% 12,266 (87) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 8.7% +1.2%* 6.8% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 19,464 (669) +4.6% 155,783 (1,103) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 13 (0) +30.0% 77 (1) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. STATE REPORT 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE Kansas City Wichita Manl'gattan METRO AREA Topeka urg (CBSA) 5 Lawrence 8 Hutchinson l' Garden City LAST WEEK Sa Ina Coffeyville Liberal Hays Atchison Johnson Sedgwick Wyandotte Shawnee Crawford Douglas Leavenworth Riley 2 Reno COUNTY 1 Saline Finney LAST WEEK Seward Harvey Haskell Top 12 Butler Norton shown Pottawatomie Ellsworth Montgomery Stanton Bourbon Grant Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 KANSAS TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 KANSAS STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. KENTUCKY STATE REPORT 07.14.2020 SUMMARY Kentucky is in the yellow zone for cases, indicating between 10 to 100 new cases per 100,000 population last week, and the yellow zone for test positivity, indicating a rate between 5% to 10%. Kentucky has seen an increase in new cases and an increase in testing positivity over the past week. The following three counties had the highest number of new cases over the past 3 weeks: 1. Jefferson County, 2. Fayette County, and 3. Warren County. These counties represent 37.4 percent of new cases in Kentucky. Kentucky had 51 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. The federal government has deployed the following staff as assets to support the state response: 4 to support leadership, administrative, operations, and logistics activities from FEMA. RECOMMENDATIONS Continue routine weekly testing of all workers in assisted living and long-term care facilities and require masks and social distancing for all visitors. Mandate masks in all counties with rising test percent positivity; multiple counties and metros are now in this category. Careful monitoring in Louisville and Lexington is critical, particularly activities in bars and restaurants. Continue scale-up of contact tracing. Close all bars in all counties with rising test percent positivity, increase outdoor dining opportunities, decrease indoor dining to 25%, and limit social gatherings to 10 or fewer people. Specific, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may dw?r?'am that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in idenn?ing data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. COVID-19 KENTUCKY STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 2,294 (51) +50.9% 135,129 (204) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 7.8% +1.2%* 15.7% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 30,542 (684) -25.5% 738,971 (1,113) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 35 (1) +9.4% 1,114 (2) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. KENTUCKY STATE REPORT 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE Louisville/Jefferson County Lexington-Fayette Bowling Green Cincinnati METRO AREA 1 6 London Owensboro (CBSA) 1 May?eld Elizabethtown-Fort Knox LAST WEEK TOP 12 Clarksville shown Middlesborough Madisonville Bardstown Glasgow Jefferson Fayette Warren Shelby Boone Laurel COUNTY 5 Graves 54 Daviess LAST WEEK cam" Hardin Casey TOP 12 Christian shown Campbell Knox Beu HopMns Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the ?Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 KENTUCKY TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 KENTUCKY STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. LOUISIANA STATE REPORT 07.14.2020 SUMMARY - Louisiana is in the red zone for cases, indicating more than 100 new cases per 100,000 population last week, and the red zone for test positivity, indicating a rate above 10%. Louisiana has seen an increase in new cases and an increase in testing positivity over the past week. - The following three parishes had the highest number of new cases over the past 3 weeks: 1. East Baton Rouge Parish, 2. Jefferson Parish, and 3. Lafayette Parish. These parishes represent 26.7 percent of new cases in Louisiana. A federal Team is deploying to Lafayette Parish to assist your local teams. Louisiana had 243 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. - The federal government has deployed the following staff as assets to support the state response: 50 to support leadership, administrative, operations, and logistics activities from USCG and 24 to support medical activities from and 1 to support lab testing activities from CDC. The federal government has supported a surge testing site in Baton Rouge, LA. RECOMMENDATIONS The number of red zone parishes and metro areas have signi?cantly increased since last week. Urgent attention to these areas with speci?c interventions is critical. - Continue weekly testing of all workers in assisted living and long-term care facilities and require masks and social distancing for all visitors. - Mandate public use of masks in all current and evolving hot spots. Close bars and in hot spot parishes. - Move to outdoor dining and limit indoor dining to less than 25%; decrease gathering limits to 10. - Encourage individuals that have participated in large social gatherings to get tested. Increase messaging of the risk of serious disease in all age groups with preexisting medical conditions, including obesity, hypertension and diabetes mellitus. - Continue the scale-up of testing, moving to community led neighborhood testing and pooled household testing in the red zone metro areas. - Test households in one tube with rapid turnaround testing. For households that test positive, isolate and conduct follow-up individual tests. Work with local communities to provide clear guidance for households that test positive, including individual isolation. - Continue to enhance contact tracing and ensure the ability of cases and contacts to quarantine or isolate safely. Monitor testing data to identify additional sites of increased transmission and focus public health resources on them. Expand testing capacity in Public Health labs, adding shifts and weekend shifts to decrease turnaround times. Institute 2:1 pooling of test specimens. Specific, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may di?Ezr?'om that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in idennfving data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. comp-19 COVID-19 LOUISIANA STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 11,346 (243) +33.2% 80,470 (190) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 13.1% +2.3%* 16.5% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 88,541 (1,900) -18.9% 507,967 (1,198) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 103 (2) +10.8% 679 (2) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating parish-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a parish; 100% represents the baseline mobility level. Data is anonymized and provided at the parish level. Data through 7/11/2020. METRO AREA 16 (CBSA) LAST WE TOP 12 shown PARISH 44 LAST WEEK Top 12 shown Red Zone: Those core?based statistical areas (CBSAs) and parishes that during the last week reported both new cases above 100 LOUISIANA STATE REPORT 07.14.2020 LOCALITIES IN RED ZONE Baton Rouge Lafayette Lake Charles Shreveport-Bossier City Monroe Houma-Thibodaux Hammond Alexandria Opelousas Jennings Morgan City Bogalusa East Baton Rouge Jefferson Lafayette Calcasieu Caddo Ouachita Livingston Ta ngipahoa Iberia Terrebonne Rapides Acadia per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and parishes that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the Red Zone.? LOCALITIES IN YELLOW ZONE Ruston 3 New Orleans-Metairie Natchez St. Tammany Orleans St. Charles St. John the Baptist Lincoln 1 4 Franklin Madison Top 12 Morehouse shown St. Bernard Plaquemines Bienville Grant Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating parish-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 - 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 LOUISIANA TESTING NEW CASES STATE REPORT 07.14.2020 TOP PARISHES Top parishes based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: Parish-level data from USAFacts. State values are calculated by aggregating parish-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 parishes based on number of new cases in the last 3 weeks DATA SOURCES Cases: Parish-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 LOUISIANA STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: Parish-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. I MASSACH USETTS STATE REPORT 07.14.2020 SUMMARY . Massachusetts is in the yellow zone for cases, indicating between 10 to 100 new cases per 100,000 population last week, and the green zone for test positivity, indicating a rate below - Massachusetts indicators of continue to improve as they have since late April. Massachusetts has seen stability in new cases and stability in testing positivity over the past week. . The following three counties had the highest number of new cases over the past 3 weeks: 1. Middlesex County, 2. Suffolk County, and 3. Essex County. These counties represent 51.2 percent of new cases in Massachusetts. - Massachusetts had 21 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. The federal government has deployed the following staff as assets to supportthe state response: 7 to support medical activities from and 166 to support leadership, administrative, operations, and logistics activities from FEMA, CDC, USCG, and VA. RECOMMENDATIONS - Continue to recommend cloth face coverings and maintaining 6 ft distancing for people outside of their homes, as you are doing. - Continue to implement and improve the contact tracing program. Lessons from the program you are implementing should be shared with other states. . Continue testing program for nursing homes and long-term care facilities. - Continue to track cases, test percent positivity, and hospitalizations, and target measures to the areas with highest incidence. Expand efforts such as the "Stop the Spread" initiative to bring testing to high burden counties. - Specific, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may di?Ezr?'om that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in idennfying data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. COVID-19 MASSACHUSETTS STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 1,482 (21) -4.9% 2,652 (18) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 2.2% -0.3%* 1.8% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 80,619 (1,168) +4.6% 157,883 (1,063) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 149 (2) +6.4% 196 (1) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. MASSACH SETTS STATE REPORT I 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE METRO AREA (CBSA) LAST WEEK 0 0 COUNTY LAST WEEK 0 0 Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the ?Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 MASSACHUSETTS TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 MASSACHUSETTS STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. MARYLAND STATE REPORT 07.14.2020 SUMMARY . Maryland is in the yellow zone for cases, indicating between 10 to 100 new cases per 100,000 population last week, and the green zone for test positivity, indicating a rate below - Maryland has seen stability in new cases and a decrease in testing positivity over the past week. - The following three counties had the highest number of new cases over the past 3 weeks: 1. Prince George?s County, 2. Montgomery County, and 3. Baltimore City. These counties represent 56.4 percent of new cases in Maryland. - Maryland had 50 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. - The federal government has deployed the following staff as assets to supportthe state response: 63 to support leadership, administrative, operations, and logistics activities from HHS, CDC, FEMA, and 4 to support medical activities from and 3 to support epidemiology activities from CDC. RECOMMENDATIONS - Continue weekly testing of all workers in assisted living and long-term care facilities and require masks and social distancing for all visitors. - Increase messaging of the risk of serious disease in all age groups with preexisting medical conditions, including obesity, hypertension and diabetes mellitus. - Careful monitoring in Baltimore and Prince George's and Montgomery counties is critical, particularly activities in bars and restaurants. - Continue to focus on increasing testing for residents aged 25?44. - Target messaging for face covering and social distancing to vulnerable communities. - Specific, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may dwer??om that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in identifying data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. COVID-19 MARYLAND STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 3,004 (50) +5.5% 15,398 (50) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 4.6% -0.8%* 6.0% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 78,775 (1,304) +0.5% 341,768 (1,108) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 82 (1) -2.4% 358 (1) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. STATE REPORT I 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE METRO AREA (CBSA) 0 1 wiillgitfrl?Arl'ngt?n' LAST WEEK Prince George's COUNTY 0 4 Montgomery LAST WEEK Baltimore city, MD Queen Anne's Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the ?Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 MARYLAND TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 MARYLAND STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. MAINE STATE REPORT 07.14.2020 SUMMARY . Maine continues to have lower rates of new cases and lower rates of positive tests than states in more highly affected areas. Maine in the green zone for cases, indicating below 10 cases per 100,000 population last week, and the green zone for test positivity, indicating a rate below . Maine has seen a decrease in new cases and a decrease in testing positivity over the past week. However, reported testing rates have decreased and should increase. - The following three counties had the highest number of new cases over the past 3 weeks: 1. Cumberland County, 2. York County, and 3. Androscoggin County. These counties represent 85.0 percent of new cases in Maine. - Maine had 8 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. - The federal government has deployed the following staff as assets to support the state response: 2 to support medical activities from 1 to support epidemiology activities from and 3 to support leadership, administrative, operations, and logistics activities from FEMA. RECOMMENDATIONS Continue to enforce the requirement for wearing face masks in coastal and more populous counties, as you are doing. Continue to recommend cloth face coverings and maintaining 6 ft distancing for people outside of their homes, as you are doing. - Expand ongoing case identi?cation and contact tracing efforts. Continue testing program for nursing homes and long-term care facilities. Gradual, cautious loosening of community measures, as you are doing, is appropriate. Continue to track cases, test percent positivity, and hospitalizations. - Investigate outbreaks of cases and implement case isolation and testing and quarantine of contacts. Loosening of the quarantine requirement for visitors from low incidence states is appropriate. - Speci?c, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may dwer??om that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in identifying data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. comp-19 COVID-19 MAINE STATE REPORT 07.14.2020 STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 103 (8) -57.6% 2,652 (18) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 1.3% -0.9%* 1.8% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 9,952 (744) -9.4% 157,883 (1,063) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 4 (0) +0.0% 196 (1) 4,616 (1) STATE, LAST WEEK MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. STATE REPORT I 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE METRO AREA 0 (CBSA) LAST WEEK COUNTY LAST WEEK 0 0 Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the ?Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 MAINE TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 MAINE STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. MICHIGAN STATE REPORT 07.14.2020 SUMMARY . Michigan is in the yellow zone for cases, indicating between 10 to 100 new cases per 100,000 population last week, and the green zone for test positivity, indicating a rate below - However, reported cases increased 23% last week, and the test positivity rate also increased. - The following three counties had the highest number of new cases over the past 3 weeks: 1. Wayne County, 2. Kent County, and 3. Oakland County. These counties represent 46.7 percent of new cases in Michigan. - Michigan had 35 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. - The federal government has deployed the following staff as assets to support the state response: 18 to support leadership, administrative, operations, and logistics activities from HHS, USCG, and FEMA. RECOMMENDATIONS - Continue limitations on indoor seating in bars in highly affected areas; consider further modulation of the current phase 4/5 opening status especially for occupancy or operation of certain businesses (bars, restaurants) dependent on changes in local reported cases. - Continue the state masking requirement with improvements such as contained in the July 10 Executive Order 2020-147. Intensify public messaging of its importance given national trends. - Encourage individuals that have participated in large social gatherings to get tested. - Increase messaging of the risk of serious disease in all age groups with preexisting medical conditions, including obesity, hypertension and diabetes mellitus. . Work with local community groups to provide targeted, tailored messaging to communities with high case rates and increase community level testing. - Recruit enough contact tracers as community outreach workers to ensure all cases are contacted and all members of positive households are individually tested within 24 hours. - Specific, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may dwer??om that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in identifying data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. COVID-19 MICHIGAN STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 3,507 (35) +22.8% 28,090 (53) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 3.5% +0.9%* 4.8% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 81,085 (811) +20.4% 587,976 (1,119) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 71 (1) -11.2% 454 (1) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. MICHIGAN STATE REPORT 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE Ann Arbor METRO AREA Saginaw Monroe (CBSA) 0 6 South Bend-Mishawaka LAST WEEK Marinette Iron Mountain Washtenaw Oceana Saginaw Monroe COUNTY Newayg? 0 1 1 Barry LAST WEEK Crawford Dickinson Iosco Gogebic Lake Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the ?Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 MICHIGAN TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 MICHIGAN STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. MINNESOTA STATE REPORT 07.14.2020 SUMMARY Minnesota is in the yellow zone for both cases, with 56 new cases per 100,000 population last week, and for test positivity with a rate of Test positivity has risen by with most increases around the Twin Cities area. Cases have been gradually rising since mid?June although hospitalizations have not, to date. The following three counties had the highest number of new cases over the past 3 weeks: 1. Hennepin County, 2. Ramsey County, and 3. Dakota County. These counties represent 47.1 percent of new cases in Minnesota. Minnesota had 56 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. The federal government has deployed the following staff as assets to supportthe state response: 12 to support leadership, administrative, operations, and logistics activities from USCG and FEMA. RECOMMENDATIONS Ensure that all business retailers and personal services require masks and can safely social distance. Ensure compliance with current Minnesota StaySafe Plan occupancy restrictions. Consider further limitations on occupancy or closure of certain businesses (bars, restaurants) dependent on changes in local reported cases this week. Support local masking requirements that are being instituted and consider a statewide requirement for counties with rapidly increasing case counts. Encourage individuals that have participated in large social gatherings to get tested. Increase messaging of the risk of serious disease in all age groups with preexisting medical conditions, including obesity, hypertension and diabetes mellitus. Work with local community groups to provide targeted, tailored messaging to communities with high case rates. Increase community level testing. Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all members of positive households are individually tested within 24 hours. Specific, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may d?r?am that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in idenn?ing data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. comp-19 COVID-19 MINNESOTA STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 3,142 (56) +4.4% 28,090 (53) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 5.3% +1.0%* 4.8% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 67,819 (1,209) +3.6% 587,976 (1,119) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 29 (1) -47.3% 454 (1) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. MINNESOTA STATE REPORT 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE Minneapolis-St. Paul- Bloomington Mankato Rochester METRO AREA St. Cloud (CBSA) 0 1 0 Austin LAST WEEK Marshall Albert Lea Worthington Willmar New Ulm Hennepin Ramsey Dakota Anoka Watonwan 2 8 Olmsted COUNTY 4 Pipestone Washington LAST WEEK Murray Blue Earth Grant TOP 12 Stearns shown Scott Mower Carver Nicollet Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the ?Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 MINNESOTA TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 MINNESOTA STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. MISSOURI STATE REPORT 07.14.2020 SUMMARY . Missouri is in the yellow zone for cases, indicating between 10 to 100 new cases per 100,000 population last week, and the yellow zone for test positivity, indicating a rate between 5% to 10%. - Missouri has seen an increase in new cases and an increase in testing positivity over the past week. - The following three counties had the highest number of new cases over the past 3 weeks: 1. St. Louis County, 2. Jackson County, and 3. Jasper County. These counties represent 45.5 percent of new cases in Missouri. 0 Counties in the west and southwest of the state have reported the greatest percent increases in cases. Although hospitalizations have remained stable, with an increase in cases, this trend is likely to reverse. - Missouri had 61 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. 0 The federal government has deployed the following staff as assets to supportthe state response: 113 to support leadership, administrative, operations, and logistics activities from and 1 to support medical activities from VA. RECOMMENDATIONS Continue to promote social distancing and the wearing of cloth face coverings when outside the home. Protect those in nursing homes and long-term care facilities by testing all staff each week and requiring staff to wear cloth face coverings. - Continue to vigorously investigate outbreaks and implement testing and intensi?ed contact tracing. Continue community-led testing and work with local community groups to increase testing access. In high transmission settings, consider pooling specimens to test 2-3 persons at once to increase access and reduce turnaround times. For families and cohabiting households, screen entire households in a single test by pooling specimens. Provide clear guidance for households that test positive, including on individual isolation. - In all counties with 7-day average test positivity greater than 10%, close bars, require strict social distancing within restaurants, close and limit gatherings to 10 or fewer people. Mandate wearing of cloth face coverings outside the home in counties with 7-day test positivity greater than Continue to investigate and work aggressively to control outbreaks in meatpacking plants through ongoing testing. - Increase messaging of the risk of serious disease in all age groups with preexisting medical conditions, including obesity, hypertension and diabetes mellitus. Continue to track cases, test percent positivity, and hospitalizations to identify local pockets of increased transmission. Speci?c, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may dw?r?'om that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in idenn?ing data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. COVID-19 MISSOURI STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 3,749 (61) +21.4% 12,266 (87) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 6.2% +0.8%* 6.8% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 58,826 (960) +22.9% 155,783 (1,103) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 29 (0) -29.3% 77 (1) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. MISSOURI STATE REPORT 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE St. Louis Kansas City Springfield Cape Girardeau METRO AREA Branson Joplin 1 1 (CBSA) 2 Warrensburg Lebanon LAST WEEK Kenn?? Sedaha Sikeston Marshall West Plains St. Louis Jackson Jasper St. Louis city, MO McDonald Clay Newton 4 1 Greene COUNTY 8 Cape Girardeau Taney LASTWEEK 0 "50" Top 12 ran In shown Harrison Cass Shannon Perry Carroll Laclede Barry Dunkhn Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the ?Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 MISSOURI TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 MISSOURI STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. MISSISSIPPI STATE REPORT 07.14.2020 SUMMARY Mississippi remains in the red zone for cases, indicating more than 100 new cases per 100,000 population last week, and the red zone for test positivity, indicating a rate above 10%. Hospitalization and deaths have risen sharply over the past two weeks. Recent sharp increases in test positivity in multiple counties in northwest Mississippi are concerning for further increases in cases in that region. The following three counties had the highest number of new cases over the past 3 weeks: 1. Hinds County, 2. DeSoto County, and 3. Harrison County. These counties represent 22.9 percent of new cases in Mississippi. Mississippi had 165 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. RECOMMENDATIONS Ensure that all business retailers and personal services require masks and can safely social distance as ordered for 13 highly affected counties in Executive Order no. 1507, effective July 10, 2020. Consider adding additional counties to mandates if they experience similar increases in cases. Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing. Move to community-led neighborhood testing and work with local community groups to increase access to testing. Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates. For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device. Specific, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may dw?r?'am that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in idenn?ing data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. comp-19 COVID-19 MISSISSIPPI STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 4,939 (165) +7.0% 135,129 (204) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 14.0% +1.3%* 15.7% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 20,655 (692) -31.0% 738,971 (1,113) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 113 (4) +41.2% 1,114 (2) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. STATE REPORT 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE Jackson Gulfport-Biloxi Hattiesburg Memphis Greenville Tu pelo METRO AREA 15 Grenada Meridian Laurel Natchez (CBSA) Indianola 8 West Point LAST WE Top 12 Vicksburg Clarksdale shown Oxford Corinth McComb Picayune Starkville Cleveland Hinds Lee DeSoto Marshall Harrison Lauderdale Rankin Scott 2 Madison 2 Clay COU NTY Washington Coahoma LAST WEEK Grenada Alcorn Top 12 Jackson Top 12 Noxubee shown Sun?ower shown Pearl River Warren Smith Panola Montgomery Forrest Clarke Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 MISSISSIPPI TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 MISSISSIPPI STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. MONTANA STATE REPORT 07.14.2020 SUMMARY . Montana is in the yellow zone for cases, indicating between 10 to 100 new cases per 100,000 population last week, and the green zone for test positivity, indicating a rate below - The increase in cases in Montana since early June has continued. Test positivity rates have also increased. Vigorous action now can halt these increases. . The following three counties had the highest number of new cases over the past 3 weeks: 1. Yellowstone County, 2. Gallatin County, and 3. Missoula County. These counties represent 60.4 percent of new cases in Montana. - Montana had 44 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. The federal government has deployed the following staff as assets to supportthe state response: 4 to support leadership, administrative, operations, and logistics activities from FEMA. RECOMMENDATIONS Continue to promote social distancing and the wearing of cloth face coverings when outside the home. Protect those in nursing homes and long-term care facilities by testing all staff each week and requiring staff to wear cloth face coverings. - Continue to vigorously investigate outbreaks and implement testing and cohorting of people with positive tests to limit transmission. Target testing and disease control activities to the counties with the greatest increase in incidence. In high transmission counties, implement community?led testing and work with local community groups to increase testing access. Consider pooling specimens to test 2-3 persons at once to increase access and reduce turnaround times. For families and cohabiting households, screen entire households in a single test by pooling specimens. Provide clear guidance for households that test positive, including on individual isolation. In all counties with 7-day average test positivity greater than 10%, close bars, require strict social distancing within restaurants, close and limit gatherings to 10 or fewer people. Mandate wearing of cloth face coverings outside the home in counties with 7-day test positivity greater than - Continue to investigate and work aggressively to control outbreaks in meatpacking plants through ongoing testing. Increase messaging of the risk of serious disease in all age groups with preexisting medical conditions, including obesity, hypertension and diabetes mellitus. Continue to track cases, test percent positivity, and hospitalizations to identify local pockets of increased transmission. - Speci?c, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may dz??zr?om that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in idennfying data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. COVI D-19 COVID-19 MONTANA STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 469 (44) +54.8% 8,538 (70) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 4.5% +1.3%* 5.7% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 14,472 (1,362) -13.9% 143,551 (1,183) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 5 (0) +400.0% 82 (1) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. comp-19 STATE REPORT 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE METRO AREA (CBSA) 1 Billings 1 Bozeman LAST WE Gallatin Lake Richland II Carbon COUNTY Custer Madison . LAST WEEK Meagher Granite Stillwater Jefferson Wheatland Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the ?Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 MONTANA TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 MONTANA STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. NORTH CAROLINA STATE REPORT I 07.14.2020 SUMMARY . North Carolina is in the red zone for cases, indicating more than 100 new cases per 100,000 population last week, and is nearly in the red zone for test positivity, indicating a rate above 10%. - North Carolina has seen stability in new cases and stability in testing positivity over the past week. - The following three counties had the highest number of new cases over the past 3 weeks: 1. Mecklenbu rg County, 2. Wake County, and 3. Durham County. These counties represent 33.8 percent of new cases in North Carolina. - North Carolina had 107 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. - The federal government has deployed the following staff as assets to supportthe state response: 19 to support leadership, administrative, operations, and logistics activities from HHS, USCG, and 32 to support epidemiology activities from HHS and and 4 to support medical activities from VA. RECOMMENDATIONS Efforts to reduce transmission in the Hispanic community are key to reducing the impact of the pandemic in North Carolina. Increasing testing, isolating cases, implementing contact tracing, and engaging Hispanic community leaders are urgent priorities. Leverage and expand the North Carolina Community testing in High-priority And Marginalized Populations (CHAMP) program to drive progress. Continue to promote social distancing and required wearing of cloth face coverings when outside the home. - Protect those in nursing homes and long-term care facilities by testing all staff each week and continuing to require staff to wear cloth face coverings. Continue to vigorously investigate outbreaks and implement testing and intensi?ed contact tracing. - In high transmission counties, implement community-led testing and work with local community groups to increase testing access. Consider pooling specimens to test 2-3 persons at once to increase access and reduce turnaround times. For families and cohabiting households, screen entire households in a single test by pooling specimens. Provide clear guidance for households that test positive, including on individual isolation. - Continue to keep bars closed and counties with 7-day average test positivity greater than 10% restrict the number of restaurant patrons to 25% occupancy or lower. Mandate wearing of cloth face coverings outside the home in counties with 7?day test positivity greater than Continue to limit public gatherings to 10 or fewer people. - Continue to investigate and work aggressively to control outbreaks in meatpacking plants through ongoing testing. - Increase messaging of the risk of serious disease in all age groups with preexisting medical conditions, including obesity, hypertension and diabetes mellitus. Continue to track cases, test percent positivity, and hospitalizations to identify local pockets of increased transmission. - Speci?c, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may dI??er?om that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in idenn?ling data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. COVID-19 NORTH CAROLINA STATE REPORT 07.14.2020 STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 11,111 (107) -2.6% 135,129 (204) 389,358 (119) 9.9% -0.5%* 15.7% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 127,755 (1,230) +1.2% 738,971 (1,113) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 90 (1) -12.6% 1,114 (2) 4,616 (1) STATE, LAST WEEK NEW CASES (RATE PER 100,000) MOBILITY DIAGNOSTIC TEST POSITIVITY RATE * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. STATE REPORT 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE Raleigh-Cary Charlotte-Concord-Gastonia Du rham-Chapel Hill Hickory-Lenoir?Morganton Winston-Salem Wilmington Greensboro-High Point ETRO AREA Lumberton 2 7 Fayetteville Beach-Conway?North Asheville (CBSA) 8 Beach Burlington LAST WEEK Albemarle TOP 12 Goldsboro Wilson shown Rocky Mount Virginia Beach-Norfolk-Newport Greenville News Sanford Pinehurst-Southern Pines Mecklenburg Wake Gaston Durham Johnston Guilford Union New Hanover Cumberland COU NTY 25 Cabarrus 5 7 Iredell Catawba Alamance LAST WEEK Top 12 Robeson Top 12 Brunswick shown Davidson shown Orange Rowan Wayne Randolph Pitt Duplin Buncombe Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 - 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 NORTH CAROLINA TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 NORTH CAROLINA STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. NORTH DAKOTA STATE REPORT 07.14.2020 SUMMARY - North Dakota is in the yellow zone for cases, indicating between 10 to 100 new cases per 100,000 population last week, and the green zone for test positivity, indicating a rate below - North Dakota has seen an increase in new cases and an increase in testing positivity over the past week. - The following three counties had the highest number of new cases over the past 3 weeks: 1. Cass County, 2. Burleigh County, and 3. Grand Forks County. These counties represent 64.8 percent of new cases in North Dakota. . North Dakota had 57 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. RECOMMENDATIONS Continue weekly testing of all workers in assisted living and long-term care facilities and require masks and social distancing for all visitors. Continue scale?up of contact tracing. Speci?c, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may dmer?om that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in identifving data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. COVID-19 COVID-19 NORTH DAKOTA STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 432 (57) +63.6% 8,538 (70) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 2.2% +0.6%* 5.7% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 26,742 (3,518) +13.3% 143,551 (1,183) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 5 (1) +150.0% 82 (1) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. 0 RT DAKOTA STATE REPORT I 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE METRO AREA (CBSA) 0 1 Williston LAST WEEK COUNTY . Benson LAST WEEK 1 4 Sins? Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the ?Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 ?Ua POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 NORTH DAKOTA TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 NORTH DAKOTA STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. NEBRASKA STATE REPORT 07.14.2020 SUMMARY Nebraska is in the yellow zone for cases, indicating between 10 to 100 new cases per 100,000 population last week, and the yellow zone for test positivity, indicating a rate between 5% to 10%. Nebraska has seen stability in new cases and an increase in testing positivity over the past week. The following three counties had the highest number of new cases over the past 3 weeks: 1. Douglas County, 2. Lancaster County, and 3. Sarpy County. These counties represent 76.8 percent of new cases in Nebraska. Nebraska had 64 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. The federal government has deployed the following staff as assets to support the state response: 2 to support leadership, administrative, operations, and logistics activities from FEMA. RECOMMENDATIONS Continue weekly testing of all workers in assisted living and long-term care facilities and require masks and social distancing for all visitors. Careful monitoring in Omaha is critical, particularly activities in bars and restaurants. Continue to recommend cloth face coverings and maintaining 6 ft distancing for people outside of their homes. Speci?c, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may dr?er?'om that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in identifying data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. COVID-19 NEBRASKA STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 1,240 (64) +8.8% 12,266 (87) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 7.5% +0.7%* 6.8% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 22,731 (1,178) -26.4% 155,783 (1,103) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 12 (1) -14.3% 77 (1) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. STATE REPORT 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE Omaha-Council Bluffs Lincoln Sioux City METRO AREA (CBSA) 0 9 Grand Island LAST WEEK Norfolk Columbus Lexington Beatrice Douglas Lancaster Sarpy Scotts Bluff 2 Dakota COUNTY 2 Thurston Hall LAST WEEK Hooker Madison TOP 12 Platte shown Saunders Dawson Colfax Saline Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the ?Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 NEBRASKA TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 NEBRASKA STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. NEW HAMPSHIRE STATE REPORT 07.14.2020 SUMMARY New Hampshire isjust within the green zone threshold for cases, indicating below 10 cases per 100,000 population last week, and is in the green zone fortest positivity, indicating a rate below New cases and the testing positivity rate have both decreased over the past week. The following three counties had the highest number of new cases over the past 3 weeks: 1. Hillsborough County, 2. Rockingham County, and 3. Merrimack County. These counties represent 83.4 percent of new cases in New Hampshire. New Hampshire had 10 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. The federal government has deployed the following staff as assets to supportthe state response: 2 to support leadership, administrative, operations, and logistics activities from FEMA. RECOMMENDATIONS Continue the scaleup of testing, moving to community led neighborhood testing and pooled household testing in the top 3 counties. Work with local communities and provide clear guidance on isolation. Test households in one tube with rapid turnaround testing. Isolate positive households and conduct follow-up individual tests in positive households Recruit sufficient contact tracers as community outreach workers to ensure all cases are contacted and all members of positive households are individually tested within 24 hours. Encourage individuals that have participated in large social gatherings to get tested. Increase messaging of the risk of serious disease in all age groups with preexisting medical conditions, including obesity, hypertension and diabetes mellitus. Specific, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may dw?r?'am that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in idenn?ing data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. COVID-19 NEW HAMPSHIRE STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 135 (10) -27.0% 2,652 (18) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 1.3% -0.7%* 1.8% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 12,731 (939) +0.3% 157,883 (1,063) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 14 (1) +27.3% 196 (1) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. NEW HAM PSH I RE STATE REPORT I 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE METRO AREA (CBSA) LAST WEEK 0 0 COUNTY LAST WEEK 0 0 Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the ?Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 NEW HAMPSHIRE TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 NEW HAMPSHIRE STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. NEW JERSEY STATE REPORT 07.14.2020 SUMMARY New Jersey is in the yellow zone for cases, indicating between 10 to 100 new cases per 100,000 population last week, and the green zone for test positivity, indicating a rate below New Jersey has seen a decrease in new cases and stability in testing positivity over the past week. The following three counties had the highest number of new cases over the past 3 weeks: 1. Bergen County, 2. Camden County, and 3. Monmouth County. These counties represent 31.2 percent of new cases in New Jersey. New Jersey had 21 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. The federal government has deployed the following staff as assets to supportthe state response: 8 to support medical activities from and 55 to support leadership, administrative, operations, and logistics activities from FEMA, USCG, and VA. RECOMMENDATIONS Continue weekly testing of all workers in assisted living and long-term care facilities and require masks and social distancing for all visitors. Continue requirement of wearing cloth masks in public spaces and scale?up of contact tracing. Speci?c, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may dw?r?'am that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in idenn?ing data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. comp-19 COVID-19 NEW JERSEY STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 1,886 (21) -13.2% 6,313 (22) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 2.3% -0.2%* 1.6% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 77,074 (865) -39.5% 382,865 (1,346) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 315 (4) -85.0% 567 (2) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. STATE REPORT I 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE METRO AREA 0 (CBSA) LAST WEEK COUNTY LAST WEEK 0 0 Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the ?Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 NEW JERSEY TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 NEW JERSEY STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. NEW MEXICO STATE REPORT 07.14.2020 SUMMARY . New Mexico is in the yellow zone for cases, indicating between 10 to 100 new cases per 100,000 population last week, and the green zone for test positivity, indicating a rate below - New Mexico has seen an increase in new cases and an increase in testing positivity over the past week. - The following three counties had the highest number of new cases over the past 3 weeks: 1. Bernalillo County, 2. Do?a Ana County, and 3. McKinley County. These counties represent 55.0 percent of new cases in New Mexico. . New Mexico had 85 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. - The federal government has deployed the following staff as assets to support the state response: 19 to support leadership, administrative, operations, and logistics activities from HHS, CDC, and 1 to support medical activities from and 18 to support epidemiology activities from CDC. RECOMMENDATIONS Expand testing through community centers and community outreach teams to ensure cases are found and isolated. Decrease social gatherings to 10 or fewer people in counties with rising cases and test percent positivity. - Keep closed in areas with rising cases and test percent positivity. Encourage outdoor dining and ensure bars remain closed unless outdoors. Bring pooled testing online to support rapid test expansion for institutions and speci?c situations, including in preparation for schools and universities opening. - Mandate masks in all counties with any rising cases and increasing test positivity. Tribal Nations: Encourage continued enforcement of social distancing and masking measures in areas of increased transmission and continue enhanced testing activities. Continue to enhance contact tracing and ensure that cases and contacts can quarantine or isolate safely. Monitor testing data to identify additional sites of increased transmission and en sure focused public health resources for these vulnerable communities. Bring pooled testing to Tribal Nations so that all households could be screened weekly or depending on level of community spread. This would allow rapid isolation of households followed by individual diagnostic testing. Speci?c, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may dr??zr?'om that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. COVID-19 COVID-19 NEW MEXICO STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 1,774 (85) +29.8% 80,470 (190) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 4.3% +1.3%* 16.5% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 45,178 (2,156) -8.0% 507,967 (1,198) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 28 (1) +27.3% 679 (2) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. comp-19 EW EXI CO STATE REPORT 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE METRO AREA Las Cruces (CBSA) 0 2 Hobbs LAST WEEK Doria Ana COUNTY Lea 4 - LAST WEEK Hidalgo Torrance Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the ?Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 NEW MEXICO TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 NEW MEXICO STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. EVADA STATE REPORT 07.14.2020 SUMMARY Nevada is in the red zone for cases, indicating more than 100 new cases per 100,000 population last week, and the red zone for test positivity, indicating a rate above 10%. Nevada has seen stability in new cases and a decrease in testing positivity over the past week. Las Vegas continues to have concerning rise in cases. The following three counties had the highest number of new cases over the past 3 weeks: 1. Clark County, 2. Washoe County, and 3. Elko County. These counties represent 97.7 percent of new cases in Nevada. Nevada had 173 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. The federal government has deployed the following staff as assets to supportthe state response: 7 to support leadership, administrative, operations, and logistics activities from and 9 to support medical activities from VA. RECOMMENDATIONS Continue weekly testing of all workers in assisted living and long-term care facilities and require masks and social distancing for all visitors. Ensure enforcement of the masking requirements in business establishments. Consider limitations on occupancy or operation of certain businesses in highly affected counties if cases continue to increase rapidly and communicate this concern to the business community. In collaboration with community-led organizations, conduct neighborhood testing in Las Vegas and surrounding areas. Continue to enhance contact tracing and ensuring the ability of cases and contacts to quarantine or isolate safely. Specific, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may dw?r?'am that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. comp-19 COVID-19 NEVADA STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 5,239 (173) -2.2% 91,111 (178) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 11.4% -0.9%* 11.3% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 47,633 (1,570) +15.2% 707,809 (1,383) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 51 (2) +70.0% 984 (2) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. EVADA STATE REPORT 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE Reno METRO AREA Elko . Pahrump (C BSA) 1 Las Vegas-Henderson-Paradlse 6 Carson City LAST WEEK Fernley Fallon Washoe Elko COUNTY 1 or 6 Nye LAST WEEK a' Carson City, NV Lyon Churchill Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the ?Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 NEVADA TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 NEVADA STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. NEW YORK STATE REPORT 07.14.2020 SUMMARY New York is in the yellow zone for cases, indicating between 10 to 100 new cases per 100,000 population last week, and the green zone for test positivity, indicating a rate below New York continues to experience a gradual decline in new cases that began in mid-April, although the number of reported cases has fluctuated. New York has seen relative stability in new cases and stability in testing positivity over the pa st week. The following three counties had the highest number of new cases over the past 3 weeks: 1. Kings County, 2. Queens County, and 3. Bronx County. These counties represent 37.0 percent of new cases in New York. New York had 23 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. The federal government has deployed the following staff as assets to support the state response: 9 to support medical activities from 1 to support lab testing activities from and 80 to support leadership, administrative, operations, and logistics activities from FEMA, CDC, and USCG. RECOMMENDATIONS Continue to recommend cloth face coverings and maintaining 6 ft distancing for people outside of their homes, as you are doing. Continue testing program for nursing homes and long-term care facilities. Gradual, cautious loosening of community measures, based on local data, as you are doing, is appropriate. Increase messaging of the risk of serious disease in all age groups with preexisting medical conditions, including obesity, hypertension and diabetes mellitus. Continue to track cases, test percent positivity, and hospitalizations. Specific, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may dw?r?'am that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in idenn?ing data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. COVID-19 NEW YORK STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 4,427 (23) -4.6% 6,313 (22) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 1.4% -0.1%* 1.6% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 305,791 (1,565) -28.2% 382,865 (1,346) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 252 (1) -66.9% 567 (2) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. STATE REPORT I 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE METRO AREA 0 (CBSA) LAST WEEK COUNTY LAST WEEK 0 0 Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the ?Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 NEW YORK TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 NEW YORK STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. OHIO STATE REPORT 07.14.2020 SUMMARY . Ohio is in the yellow zone for cases, indicating between 10 to 100 new cases per 100,000 population last week, and the yellow zone for test positivity, indicating a rate between 5% to 10%. - Ohio has seen an increase in new cases and stability in testing positivity over the past week. - The following three counties had the highest number of new cases over the past 3 weeks: 1. Franklin County, 2. Cuyahoga County, and 3. Hamilton County. These counties represent 52.7 percent of new cases in Ohio. Ohio had 65 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. - The federal government has deployed the following staff as assets to support the state response: 16 to support leadership, administrative, operations, and logistics activities from HHS, USCG, and FEMA. RECOMMENDATIONS The color coding of counties according to risk levels is a great communication tool. This system should help guide implementation of restrictions according to risk level. - Continue work to protect residents of nursing homes and long-term care facilities through weekly testing of staff and universal face mask use. - Continue the scale up of testing. in counties with 7?day average test positivity greater than close bars and ensure strict social distancing can be maintained In restaurants. - As you are doing, mandate wearing of cloth face coverings outside the home in the counties with highest transmission. - Continue to promote social distancing and required wearing of cloth face coverings when outside the home. Continue to vigorously investigate outbreaks and implement testing and intensi?ed contact tracing. - In high transmission counties, implement community-led testing and work with local community groups to increase testing access. Consider pooling specimens to test 2-3 persons at once to increase access and reduce turnaround times. For families and cohabiting households, screen entire households in a single test by pooling specimens. Provide clear guidance for households that test positive, including on individual isolation. Increase messaging of the risk of serious disease in all age groups with preexisting medical conditions, including obesity, hypertension and diabetes mellitus. - Speci?c, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may di?Ezr?'om that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in idennfving data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. comp-19 COVID-19 OHIO STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 7,597 (65) +14.7% 28,090 (53) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 5.7% +0.3%* 4.8% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 107,147 (917) -14.3% 587,976 (1,119) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 129 (1) +10.3% 454 (1) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. OHIO STATE REPORT 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE Columbus Cincinnati Cleveland-Elyria Akron METRO AREA 1 6 Toledo Salem (CBSA) 1 Coshocton New Philadelphia-Dover LAST WEEK 12 Norwalk shown Lima Mansfield Athens Wooster Franklin Cuyahoga Hamilton Butler Summit 2 7 Lucas Columbiana Delaware Licking Lake Tuscarawas Greene CO MTV 1 Coshocton LAST WEEK Top 12 shown Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the ?Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 OHIO TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 OHIO STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. OKLAHOMA STATE REPORT 07.14.2020 SUMMARY . Oklahoma is in the red zone for cases, indicating more than 100 new cases per 100,000 population last week, and the yellow zone for test positivity, indicating a rate between 5% to 10%. - Oklahoma has seen an increase in new cases and an increase in testing positivity over the past week. - The following three counties had the highest number of new cases over the past 3 weeks: 1. Tulsa County, 2. Oklahoma County, and 3. Cleveland County. These counties represent 61.9 percent of new cases in Oklahoma. 0 Oklahoma had 102 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. - The federal government has deployed the following staff as assets to supportthe state response: 7 to support leadership, administrative, operations, and logistics activities from CDC and FEMA. RECOMMENDATIONS Tulsa and Oklahoma City have signi?cantly increased burden since last week. Urgent attention to these areas with speci?c interventions is critical. - Continue weekly testing of all workers in assisted living and long-term care facilities and require masks and social distancing for all visitors. - Mandate public use of masks in all current and evolving hot spots. Close bars and in hot spot counties. - Move to outdoor dining and limit indoor dining to less than 25%; decrease gathering limits to 10. - Encourage individuals that have participated in large social gatherings to get tested. Increase messaging of the risk of serious disease in all age groups with preexisting medical conditions, including obesity, hypertension and diabetes mellitus. - Continue the scale-up of testing, moving to community led neighborhood testing and pooled household testing in the red zone metro areas. - Test households in one tube with rapid turnaround testing. For households that test positive, isolate and conduct follow-up individual tests. Work with local communities to provide clear guidance for households that test positive, including individual isolation. - Continue to enhance contact tracing and ensure the ability of cases and contacts to quarantine or isolate safely. Monitor testing data to identify additional sites of increased transmission and focus public health resources on them. - Expand testing capacity in Public Health labs, adding shifts and weekend shifts to decrease turnaround times. Institute 2:1 pooling of test specimens. Team is deploying to Lafayette Parish to assist your local teams - Speci?c, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may dw?r?'am that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in idenn?ing data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. comp-19 COVID-19 OKLAHOMA STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 4,026 (102) +47.7% 80,470 (190) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 9.7% +3.7%* 16.5% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 30,457 (772) +1.4% 507,967 (1,198) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 19 (0) -5.0% 679 (2) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. OKLAHOMA STATE REPORT 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE Lawton Ard more Durant ETRO AREA Oklahoma City Muskogee Tahlequah (CBSA) 3 Tulsa 1 Enid LAST WEEK Miami ponca City Fort Smith Guymon McAlester Cleveland McCurtain Canadian Rogers Tulsa Wagoner COUNTY 4 Oklahoma 2 9 Comanche Okmul ee McClain LAST WEEK Ottawag Top 12 Bryan shown Muskogee Osage Garvin Mayes Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the ?Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 OKLAHOMA TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 OKLAHOMA STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. OREGON STATE REPORT 07.14.2020 SUMMARY Oregon is in the yellow zone for cases, indicating between 10 to 100 new cases per 100,000 population last week, and the green zone for test positivity, indicating a rate below Oregon has seen a slight increase in new cases and a decrease in testing positivity over the past week. The following three counties had the highest number of new cases over the past 3 weeks: 1. Multnomah County, 2. Washington County, and 3. Umatilla County. These counties represent 51.0 percent of new cases in Oregon. Oregon had 44 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. The federal government has deployed the following staff as assets to support the state response: 35 to support leadership, administrative, operations, and logistics activities from USCG and and 2 to support medical activities from VA. RECOMMENDATIONS Continue to require cloth face coverings and promote maintaining 6 ft distancing for people outside of their homes. Increase testing, focusing on counties with increasing numbers of new cases. in counties with 7-day average test positivity greater than close bars and ensure strict social distancing can be maintained In restaurants. Protect those in nursing homes and long-term care facilities by testing all staff each week and requiring staff to wear cloth face coverings. Vigorously investigate outbreaks and implement testing and intensi?ed contact tracing. In high transmission counties, implement community-led testing and work with local community groups to increase testing access. Consider pooling specimens to test 2-3 persons at once to increase access and reduce turnaround times. For families and cohabiting households, screen entire households in a single test by pooling specimens. Provide clear guidance for households that test positive, including individual isolation. Increase messaging of the risk of serious disease in all age groups with preexisting medical conditions, including obesity, hypertension and diabetes mellitus. Speci?c, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may di?er?'om that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in idenn??ing data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. COVID-19 OREGON STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 1,824 (44) +0.3% 9,391 (66) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 4.6% -0.7%* 10.4% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 20,492 (489) -35.9% 108,656 (764) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 23 (1) +187.5% 105 (1) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. STATE REPORT 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE METRO AREA salem Hermiston-Pendleton La Grande (CBSA) 2 Ontario 5 The Dalles LAST WEEK ?Wallis PrineVIlle Washington Manon Umatilla Union COUNTY 4 Malheur 8 Wasco LAST WEEK Morrow Benton Jefferson Columbia Lake Crook Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the ?Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 OREGON TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 OREGON STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. STATE REPORT 07.14.2020 SUMMARY is in the yellow zone for cases, indicating between 10 to 100 new cases per 100,000 population last week, and the green zone for test positivity, indicating a rate below has seen an increase in new cases and stability in testing positivity over the past week. The following three counties had the highest number of new cases over the past 3 weeks: 1. Allegheny County, 2. Philadelphia County, and 3. Lancaster County. These counties represent 42.8 percent of new cases in had 40 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. The federal government has deployed the following staff as assets to supportthe state response: 67 to support leadership, administrative, operations, and logistics activities from HHS, FEMA, and 6 to support medical activities from HHS and 1 to support COVID-19 testing activities from and 3 to support epidemiology activities from CDC. RECOMMENDATIONS Continue weekly testing of all workers in assisted living and long?term care facilities and require masks and social distancing for all visitors. Increase messaging of the risk of serious disease in all age groups with preexisting medical conditions, including obesity, hypertension and diabetes mellitus. Careful monitoring in Pittsburgh of changes in percent COVID positive is critical. Keep an on activities in bars and restaurants. Increase testing in the 25-49 age group. Stress the importance of testing and 14-day isolation for those who test positive for COVID-19. Implement rigorous testing, contact tracing, and community mitigation programs in counties with increasing case trends. Temporarily close bars, limit indoor dining, and require usage of cloth masks in areas with high caseload and percent positivity until cases signi?cantly decline. Specific, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may dr?er?'om that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in idenn??ing data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. COVID-19 PENNSYLVANIA STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 5,137 (40) +17.6% 15,398 (50) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 4.8% +0.2%* 6.0% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 129,894 (1,014) +2.4% 341,768 (1,108) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 135 (1) -19.2% 358 (1) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. STATE REPORT 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE METRO AREA Pittsburgh York-Hanover (CBSA) 0 4 Lebanon LAST WEEK New Castle Allegheny Philadelphia York Dauphin 1 Westmoreland COUNTY Washington LAST WEEK Lebanon TOP 12 Beaver shown Butler Lawrence Greene Clarion Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the ?Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 PENNSYLVANIA TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 PENNSYLVANIA STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. RHODE ISLAND STATE REPORT 07.14.2020 SUMMARY . Rhode Island is in the yellow zone for cases, indicating between 10 to 100 new cases per 100,000 population last week, and the green zone for test positivity, indicating a rate below - The rate of test positivity is among the lowest in the country, although there has been an increase in testing positivity over the past week. . The following three counties had the highest number of new cases over the past 3 weeks: 1. Providence County, 2. Kent County, and 3. Newport County. These counties represent 96.1 percent of new cases in Rhode Island. - Rhode Island had 30 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. The federal government has deployed the following staff as assets to supportthe state response: 1 to support medical activities from and 5 to support leadership, administrative, operations, and logistics activities from FEMA. RECOMMENDATIONS Continue to require cloth face coverings and to promote maintaining 6 ft distancing for people outside of their homes, as you are doing. Continue testing program for nursing homes and long?term care facilities. Continue to track cases, test percent positivity, and hospitalizations. Speci?c, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may di?Ezr?'om that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in idennfying data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. COVID-19 RHODE ISLAND STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 321 (30) -2.7% 2,652 (18) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 2.1% +0.7%* 1.8% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 19,691 (1,862) -2.3% 157,883 (1,063) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 16 (2) -51.5% 196 (1) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. 0 IS LAN STATE REPORT I 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE METRO AREA (CBSA) LAST WEEK 0 0 COUNTY LAST WEEK 0 0 Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the ?Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 RHODE ISLAND TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 RHODE ISLAND STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. SOUTH CAROLINA STATE REPORT 07.14.2020 SUMMARY . South Carolina is in the red zone for cases, indicating more than 100 new cases per 100,000 population last week, and the red zone for test positivity, indicating a rate above 10%. - Test positivity is particularly high in coastal counties, but also in urban areas throughout the state. - The following three counties had the highest number of new cases over the past 3 weeks: 1. Charleston County, 2. Horry County, and 3. Greenville County. These counties represent 41.5 percent of new cases in South Carolina. South Carolina had 214 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. - The federal government has deployed the following staff as assets to support the state response: 7 to support leadership, administrative, operations, and logistics activities from and 9 to support medical activities from VA. RECOMMENDATIONS Continue to promote social distancing and required wearing of cloth face coverings when outside the home. Protect those in nursing homes and long-term care facilities by testing all staff each week and requiring staff to wear cloth face coverings. - Continue to vigorously investigate outbreaks and implement intensi?ed contact tracing. In high transmission counties, implement community-led testing and work with local community groups to increase testing access. Consider pooling specimens to test 2?3 persons at once to increase access and reduce turnaround times. For families and cohabiting households, screen entire households in a single test by pooling specimens. Provide clear guidance for households that test positive, including on individual isolation. In all counties with 7-day average test positivity greater than 10%, close bars, require strict social distancing within restaurants, close and limit gatherings to 10 or fewer people. Mandate wearing of cloth face coverings outside the home in counties with 7-day test positivity greater than Continue to track cases, test percent positivity, and hospitalizations to identify local pockets of increased transmission. Increase messaging of the risk of serious disease in all age groups with preexisting medical conditions, including obesity, hypertension and diabetes mellitus. Continue to conduct targeted analysis of cases, testing, and hospitalizations down to the zip code level, and target testing and interventions towards the highest burden areas. - Specific, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may dz?er?om that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in idennfying data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. comp-19 COVID-19 SOUTH CAROLINA STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 10,859 (214) -2.6% 135,129 (204) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 20.0% -0.3%* 15.7% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 54,292 (1,068) -2.8% 738,971 (1,113) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 136 (3) +44.7% 1,114 (2) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. STATE REPORT 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE Charleston-North Charleston Greenville-Anderson Columbia Beach-Conway?North Beach ETRO AREA 1 7 Charlotte-Concord-Gastonia (CBSA) Hilton Head Island-Bluffton 1 Bennettsville LAST WEEK Top 12 Spartanburg shown Florence Sumter Orangeburg Georgetown Augusta-Richmond County Charleston Horry Aiken Greenville Lancaster Richland Darlington Berkeley Chesterfield COU NTY 3 6 Lexington 1 0 Clarendon artanbur Lee LAST WEEK Top 12 Bzaufort Marlboro shown Dorchester Ab beville York Ed gefield Pickens Hampton Florence Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 - 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 SOUTH CAROLINA TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 SOUTH CAROLINA STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. SOUTH DAKOTA STATE REPORT 07.14.2020 SUMMARY South Dakota is in the yellow zone for cases, indicating between 10 to 100 new cases per 100,000 population last week, and the yellow zone for test positivity, indicating a rate between 5% to 10%. South Dakota has seen stability in new cases and stability in testing positivity over the past week. The following three counties had the highest number of new cases over the past 3 weeks: 1. Minnehaha County, 2. Pennington County, and 3. Lincoln County. These counties represent 41.6 percent of new cases in South Dakota. South Dakota had 48 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. The federal government has deployed the following staff as assets to support the state response: 4 to support leadership, administrative, operations, and logistics activities from and 3 to support epidemiology activities from CDC. RECOMMENDATIONS In counties with 7?day average test positivity greater than restrict indoor dining to 50% occupancy and close bars. In high transmission counties, implement community-led testing and work with local community groups to increase testing access. Consider pooling specimens to test 2-3 persons at once to increase access and reduce turnaround times. Forfamilies and cohabiting households, screen entire households in a single test by pooling specimens. Provide clear guidance for households that test positive, including on individual isolation. Protect those in nursing homes and long-term care facilities by testing all staff each week and requiring staff to wear cloth face coverings. Continue to promote social distancing and required wearing of cloth face coverings when outside the home. Tribal nations should continue enforcing social distancing and mask recommendations. Increase messaging of the risk of serious disease in all age groups with preexisting medical conditions, including obesity, hypertension and diabetes mellitus. Specific, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may dl?er?'om that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in identifying data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. COVID-19 SOUTH DAKOTA STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 423 (48) -4.7% 8,538 (70) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 5.1% -0.1%* 5.7% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 11,345 (1,286) +22.1% 143,551 (1,183) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 11 (1) +37.5% 82 (1) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. SOUTH DAKOTA STATE REPORT 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE METRO AREA Rapid City (CBSA) 0 3 Watertown LAST WEEK $i?ux City Pennington Lincoln Charles Mix Codington Union COU MTV 1 1 2 Dewey Lyman LAST WEEK TOdd Meade Walworth Fall River Day Haakon Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the ?Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 SOUTH DAKOTA TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 SOUTH DAKOTA STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. TENNESSEE STATE REPORT 07.14.2020 SUMMARY . Tennessee is in the red zone for cases, indicating more than 100 new cases per 100,000 population last week, and the yellow zone for test positivity, indicating a rate between 5% to 10%. - Tennessee has seen an increase in new cases and a decrease in testing positivity over the past week. - The following three counties had the highest number of new cases over the past 3 weeks: 1. Shelby County, 2. Davidson County, and 3. Rutherford County. These counties represent 50.0 percent of new cases in Tennessee. - Tennessee had 155 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. - The federal government has deployed the following staff as assets to support the state response: 3 to support leadership, administrative, operations, and logistics activities from and 2 to support medical activities from VA. RECOMMENDATIONS Continue weekly testing of all workers in assisted living and long-term care facilities and require masks and social distancing for all visitors. - Mandate public use of masks in all current and evolving hot spots. - Close bars and in hot spot counties. Move to outdoor dining and limit indoor dining to less than 25%; decrease gathering limits to 10. Encourage individuals that have participated in large social gatherings to get tested. Increase messaging of the risk of serious disease in all age groups with preexisting medical conditions, including obesity, hypertension and diabetes mellitus. Continue the scale-up of testing, moving to community led neighborhood testing and pooled household testing in the Memphis, Knoxville, Nashville and other red zone metro areas. - Test households in one tube with rapid turnaround testing. For households that test positive, isolate and conduct follow-up individual tests. - Work with local communities to provide clear guidance for households that test positive, including individual isolation. Continue to enhance contact tracing and ensure the ability of cases and contacts to quarantine or isolate safely. Monitor testing data to identify additional sites of increased transmission and focus public health resources on them. - Expand testing capacity in Public Health labs, adding shifts and weekend shifts to decrease turnaround times. Institute 2:1 pooling of test specimens. Speci?c, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may dz??r??om that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in identifying data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. COVID-19 TENNESSEE STATE REPORT 07.14.2020 STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 10,510 (155) +17.2% 135,129 (204) 389,358 (119) 9.7% -0.5%* 15.7% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 38,307 (566) -10.6% 738,971 (1,113) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 88 (1) +54.4% 1,114 (2) 4,616 (1) STATE, LAST WEEK NEW CASES (RATE PER 100,000) MOBILITY DIAGNOSTIC TEST POSITIVITY RATE * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. STATE REPORT 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE Memphis Knoxville Nashville-Davidson-- Chattanooga . 'll METRO AREA Cleveland 13 Cf?keV3ue (CBSA) 6 Sevierville 3:13; 8 LAST WEEK TOP 12 Kingsport-Bristol .g shown Lawrenceburg Newport Tullahoma-Manchester Greeneville Davidson Shelby Rutherford Hamilton Sumner Williamson Bradley Knox 1 Sevier 44 Wilson COU NTY Hamblen Putnam LAST WEEK Macon Maury Top 12 Robertson Top 12 Fayette shown Bedford shown Madison Dyer Lawrence Lauderdale Ha rdeman Smith Tipton Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 TENNESSEE TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 TENNESSEE STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. TEXAS STATE REPORT I 07.14.2020 SUMMARY Texas is in the red zone for cases, indicating more than 100 new cases per 100,000 population last week, and the red zone for test positivity, indicating a rate above 10%. Texas has seen an increase in new cases and an increase in testing positivity over the past week. The following three counties had the highest number of new cases over the past 3 weeks: 1. Harris County, 2. Dallas County, and 3. Bexar County. These counties represent 35.0 percent of new cases in Texas. Multiple counties and metros across Texas have signi?cant community spread. Texas had 206 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. The federal government has deployed the following staff as assets to support the state response: 155 to support leadership, administrative, operations, and logistics activities from HHS, CDC, USCG, VA, and 76 to support medical activities from HHS and and 9 to support epidemiology activities from CDC. The federal government has supported a surge testing site in MacAllen/Weslaco, TX. RECOMMENDATIONS Continue routine weekly testing of all workers in assisted living and long-tenn care facilities and require masks and social distancing for all visitors. Mandate masks in all counties with rising test percent positivity; multiple counties and metros are now in this category. Close all bars in all counties with rising test percent positivity, increase outdoor dining opportunities, decrease indoor dining to 25%, and limit social gatherings to 10 or fewer people. Continue the scale?up of testing, moving to community-led neighborhood testing and working with local community groups to increase household testing of multigenerational households with clear guidance on test positive isolation procedures and mask use. Ensure all individuals and households engaged in any multi-household social activities are rapidly tested, either in pools or as individuals. Increase messaging of the risk of serious disease in all age groups with preexisting medical conditions, including obesity, hypertension and diabetes mellitus. Expand testing capacity in Public Health labs, adding shifts and weekend shifts to decrease turnaround times. Institute 2:1 pooling of test specimens. Expand pooled collection into neighborhoods with household pools, allowing rapid household alerts and household isolation with follow-up individual diagnostic tests. This approach will allow rapid screening of entire neighborhoods and isolation of cases to dramatically decrease spread. Speci?c, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may dw?r?'om that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in idenn?ling data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. COVID-19 TEXAS STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 59,138 (206) +29.0% 80,470 (190) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 20.6% +0.9%* 16.5% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 313,056 (1,091) -6.4% 507,967 (1,198) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 497 (2) +95.7% 679 (2) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. STATE REPORT 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE Houston-The Wood lands-Sugar . Amarillo Land Wichita Falls Dallas-Fort Worth-Arlington . . Sherman-Denlson Austin-Round Rock-Georgetown . Athens San Antonio-New Braunfels Granbu METRO AREA 5 1 McAllen-Edinburg-Mission 1 7 Kerwilley (CBSA) Corpus Christi Bonham LAST WEEK T0912 ?Pa? T0912 Gainesville shown Beaumont-Port Arthur shown . Fredericksburg Lubbock Rockport Waco . . . MIneralWells Bi 5 rin College Station-Bryan Harris Collin Dallas Fort Bend Bexar Denton Travis Montgomery 1 2 Tarrant 2 Randall COU NTY Hidalgo Potter LAST WEEK Nueces Grayson Top 12 El Paso Top 12 Rockwall shown Galveston shown Henderson Williamson Hood Lubbock Brewster McLennan Gonzales Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 TEXAS TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 TEXAS STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. UTAH STATE REPORT 07.14.2020 SUMMARY . Utah is in the red zone for cases, indicating more than 100 new cases per 100,000 population last week, and the yellow zone for test positivity, indicating a rate between 5% to 10%. - Utah has seen an increase in new cases over the past week. - The following three counties had the highest number of new cases over the past 3 weeks: 1. Salt Lake County, 2. Utah County, and 3. Davis County. These counties represent 74.6 percent of new cases in Utah. Utah had 140 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. - The federal government has deployed the following staff as assets to support the state response: 2 to support leadership, administrative, operations, and logistics activities from and 2 to support epidemiology activities from CDC. RECOMMENDATIONS The trend in the recent days is very concerning in Utah. If actions are taken early, there can be a dramatic decline in cases. Continue weekly testing of all workers in assisted living and long-term care facilities and require masks and social distancing for all visitors. - Close bars and in hot spot counties. Move to outdoor dining and limit indoor dining to less than 25%; decrease gathering limits to 10. Encourage individuals that have participated in large social gatherings to get tested. - Increase messaging of the risk of serious disease in all age groups with preexisting medical conditions, including obesity, hypertension and diabetes mellitus. Continue the scale-up of testing, moving to community led neighborhood testing and pooled household testing in the Salt Lake City and other red zones. - Test households in one tube with rapid turnaround testing. For households that test positive, isolate and conduct follow-up individual tests. - Work with local communities to provide clear guidance for households that test positive, including individual isolation. Continue to enhance contact tracing and ensure the ability of cases and contacts to quarantine or isolate safely. Monitor testing data to identify additional sites of increased transmission and focus public health resources on them. - Speci?c, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may di?Ezr?'om that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in idennfving data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. comp-19 COVID-19 UTAH STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 4,419 (140) +16.0% 8,538 (70) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 8.9% -0.3%* 5.7% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 45,917 (1,453) -26.8% 143,551 (1,183) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 26 (1) +73.3% 82 (1) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. STATE REPORT 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE METRO AREA Provo-Orem Salt Lake City Ogden-Clearfield (CBSA) 2 St. George 4 Logan LAST WEEK Hebe, Utah Davis Salt Lake Webher Washington Cac COUNTY 5 Tooele 1 0 Box Elder LAST WEEK Millard Summit San Juan wasatCh Garfield Beaver Kane Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the ?Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 UTAH TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 UTAH STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. VIRGINIA STATE REPORT 07.14.2020 SUMMARY . Virginia is in the yellow zone for cases, indicating between 10 to 100 new cases per 100,000 population last week, and the yellow zone for test positivity, indicating a rate between 5% to 10%. The test positivity rate is almost in the red zone. . Virginia has seen an increase in new cases and testing positivity over the past week. Virginia remains at risk for a resurgence in cases. - The following three counties had the highest number of new cases over the past 3 weeks: 1. Fairfax County, 2. Prince William County, and 3. Loudoun County. These counties represent 23.4 percent of new cases in Virginia. - Virginia had 62 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. - The federal government has deployed the following staff as assets to support the state response: 6 to support epidemiology activities from and 162 to support leadership, administrative, operations, and logistics activities from USCG, VA, and FEMA. RECOMMENDATIONS - In counties with 7-day average test positivity greater than close bars and ensure strict social distancing can be maintained in restaurants. - In high transmission counties, implement community-led testing and work with local community groups to increase testing access. Consider pooling specimens to test 2-3 persons at once to increase access and reduce turnaround times. For families and cohabiting households, screen entire households in a single test by pooling specimens. Provide clear guidance for households that test positive, including on individual isolation. - Protect those in nursing homes and long-term care facilities by testing all staff each week and requiring staff to wear cloth face coverings. Ensure all participate in infection prevention and control assessments (IPCAs). - Increase testing in beach communities. Close beaches when outbreaks or increases in cases are identified. - Continue to promote social distancing and require wearing of cloth face coverings when outside the home. - Specific, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may dw'er??om that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in identifying data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. COVID-19 VIRGINIA STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 5,271 (62) +34.5% 15,398 (50) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 9.1% +0.6%* 6.0% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 82,941 (974) -1.2% 341,768 (1,108) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 122 (1) -15.3% 358 (1) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. STATE REPORT 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE Washington-Arlington- Alexandria METRO AREA Virginia Beach-Norfolk-Newport Richmond (CBSA) 2 News 7 R?an?ke . 'Il Charlottesville LAST WEEK Harrisonburg Blacksburg-Christiansburg Kingsport-Bristol Virginia Beach city, VA Fairfax Norfolk city, VA Prince William Portsmouth city, VA Loudoun Albemarle Chesterfield 1 4 Suffolk city, VA 4 Chesapeake city, VA COUNTY Manassas city, VA Richmond city, VA LAST WEEK Henry Henrico Top 12 Westmoreland Top 12 Newport News city, VA Galax city, VA Sh?wn Roanoke city, VA Prince Edward Alexandria city, VA Manassas Park city, VA Hampton city, VA Martinsville city, VA Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 - 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 VIRGINIA TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 VIRGINIA STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. VERMONT STATE REPORT 07.14.2020 SUMMARY Vermont is in the green zone for cases, indicating below 10 cases per 100,000 population last week, and the green zone for test positivity, indicating a rate below Vermont has seen stability in new cases and stability in testing positivity over the past week. The following three counties had the highest number of new cases over the past 3 weeks: 1. Chittenden County, 2. Windham County, and 3. Rutland County. These counties represent 70.7 percent of new cases in Vermont. Vermont had 7 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. The federal government has deployed the following staff as assets to support the state response: 2 to support leadership, administrative, operations, and logistics activities from FEMA and USCG. RECOMMENDATIONS Continue weekly testing of all workers in assisted living and long-term care facilities and require masks and social distancing for all visitors. Continue careful monitoring of changes in cases, testing and hospitalizations. Scale up contact tracing. Speci?c, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may di?Ezr?'om that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in idennfving data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. COVID-19 COVID-19 VERMONT STATE REPORT 07.14.2020 STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 41 (7) +0.0% 2,652 (18) 389,358 (119) 0.7% +0.1%* 1.8% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 9,350 (1,493) -12.7% 157,883 (1,063) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 0 (0) N/A 196 (1) 4,616 (1) STATE, LAST WEEK NEW CASES (RATE PER 100,000) MOBILITY DIAGNOSTIC TEST POSITIVITY RATE * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. STATE REPORT I 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE METRO AREA 0 (CBSA) LAST WEEK COUNTY LAST WEEK 0 0 Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the ?Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 VERMONT TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 VERMONT STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. WASHINGTON STATE REPORT 07.14.2020 SUMMARY Washington is in the yellow zone for cases, indicating between 10 to 100 new cases per 100,000 population last week, and the red zone for test positivity, with a rate thatjumped sharply in the last week as the number of tests reported fell. The following three counties had the highest number of new cases over the past 3 weeks: 1. King County, 2. Yakima County, and 3. Franklin County. These counties represent 49.0 percent of new cases in Washington. While cases fell modestly in Yakima and King counties, sharp increases in cases from multiple counties of eastern Washington contributed to the statewide case count. Persons below the age of 40 constituted three fourths of cases from King County. Washington had 58 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. The federal government has deployed the following staff as assets to supportthe state response: 141 to support leadership, administrative, operations, and logistics activities from HHS, USCG, VA, and 19 to support medical activities from and 1 to support epidemiology activities from CDC. RECOMMENDATIONS Continue the state masking requirement. Ensure that all business retailers and personal services require masks and can safely social distance as laid out in Proclamation 20 25.6. Consider innovative ways to monitor compliance and consider further modulation of business occupancy/operating restrictions if cases continue to increase in highly affected areas. Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all members of positive households are individually tested within 24 hours. Work with local community groups to provide targeted, tailored messaging to communities with high case rates and increase community level testing. Move to community-led neighborhood testing and work with local community groups to increase access to testing. Continue to surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates. Encourage individuals that have participated in large social gatherings to get tested. Increase messaging of the risk of serious disease in all age groups with preexisting medical conditions, including obesity, hypertension and diabetes mellitus. Speci?c, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may di??zr?'om that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. COVID-19 WASHINGTON STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 4,358 (58) +8.8% 9,391 (66) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 13.2% +7.3%* 10.4% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 49,156 (652) -40.7% 108,656 (764) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 73 (1) +55.3% 105 (1) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. STATE REPORT 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE . . okane-S okane Valle ETRO AREA WZnatcheep (CBSA) 4 MosesLake 5 Longview LAST WEEK Othello Centralla Spokane Yakima Clark Franklin Chelan COUNTY 6 Benton 8 Cowlitz LAST WEEK Grant Kittitas Adams Lewis Okanogan Klickitat Pend Oreille Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the ?Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 WASHINGTON TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 WASHINGTON STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. WISCONSIN STATE REPORT 07.14.2020 SUMMARY . Wisconsin is in the yellow zone for cases, indicating between 10 to 100 new cases per 100,000 population last week, and the yellow zone for test positivity, with a rate of - Wisconsin has seen an increase in new cases and an increase in testing positivity over the past week. Both reported cases and test positivity rate continued their several week trend of increasing with an acceleration in the rate of increase in the most recent days. The increase in cases was heavily driven by increases in the Milwaukee area, but also by increases in multiple counties throughout the state. - The following three counties had the highest number of new cases over the past 3 weeks: 1. Milwaukee County, 2. Dane County, and 3. Brown County. These counties represent 52.9 percent of new cases in Wisconsin. 0 Wisconsin had 76 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. - The federal government has deployed the following staff as assets to supportthe state response: 17 to support leadership, administrative, operations, and logistics activities from USCG and 2 to support medical activities from and 3 to support epidemiology activities from CDC. RECOMMENDATIONS Support limiting of indoor seating at bars/restaurants by local public health authorities in highly affected counties. Consider further modulation of business occupancy/operating restrictions if cases continue to increase in other areas. - Encourage mask usage and support local ordinances when enacted. Encourage all individuals under age 40 that participated in large social gatherings or protests to be tested to prevent spread to vulnerable individuals in the community. Signi?cant levels of cases are being found in people under age 40 across the United States. - Move to community-led neighborhood testing and work with local community groups to increase access to testing. - Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates. Increase messaging of the risk of serious disease in all age groups with preexisting medical conditions, including obesity, hypertension and diabetes mellitus. - Speci?c, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may di?Ezr?'om that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in idennfving data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. COVID-19 WISCONSIN STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 4,439 (76) +24.4% 28,090 (53) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 5.1% +0.8%* 4.8% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 112,948 (1,943) +7.2% 587,976 (1,119) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 18 (0) -40.0% 454 (1) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. WISCONSIN STATE REPORT 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE Milwaukee-Waukesha Green Bay Whitewater METRO AREA Janesville-Beloit (CBSA) 0 8 Minneapolis-St. Paul- LAST WEEK Bloomington Watertown-Fort Atkinson Stevens Point Marinette Milwaukee Brown Waukesha Kenosha Walworth COUNTY 1 8 Rock LAST WEEK Jefferson TOP 12 Washington shown Marathon Portage St. Croix Trempealeau Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the ?Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 WISCONSIN TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 WISCONSIN STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. WEST VIRGINIA STATE REPORT 07.14.2020 SUMMARY . West Virginia is in the yellow zone for cases, indicating between 10 to 100 new cases per 100,000 population last week, and the green zone for test positivity, indicating a rate below - West Virginia has seen an increase in new cases and an increase in testing positivity over the past week. - The following three counties had the highest number of new cases over the past 3 weeks: 1. Monongalia County, 2. Kanawha County, and 3. Cabell County. These counties represent 36.7 percent of new cases in West Virginia. West Virginia had 50 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. - The federal government has deployed the following staff as assets to support the state response: 31 to support leadership, administrative, operations, and logistics activities from USCG and FEMA. RECOMMENDATIONS Continue weekly testing of all workers in assisted living and long-term care facilities and require masks and social distancing for all visitors. - Continue the testing campaign in Morgantown led by community organizations, target testing in neighborhoods that have the most cases diagnosed. Test households in one tube with rapid turnaround testing. For households that test positive, isolate and conduct follow-up individual tests. In Morgantown, close bars and in hot spot counties. Move to outdoor dining and limit indoor dining to less than 25%; decrease gathering limits to 10. - Encourage individuals that have participated in large social gatherings to get tested. - Monitor testing data to identify additional sites of increased transmission and focus public health resources on them. Continue to focus on increasing testing among residents aged 20?39. Continue to stress the importance of testing, wearing face coverings in all indoor public places, and 14-day isolation for those who test positive for COVID-19. - Specific, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may di?Ezr?'om that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in idennfying data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. COVID-19 WEST VIRGINIA STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 903 (50) +144.7% 15,398 (50) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 4.8% +2.1%* 6.0% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 17,989 (996) +2.4% 341,768 (1,108) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 2 (0) +100.0% 358 (1) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. WEST VIRGINIA STATE REPORT 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE Parkersburg-Vienna METRO AREA Fairmont (CBSA) 1 Morgantown 4 Washington-Arlington- LAST WEEK Alexandria Weirton-Steubenville Wood Berkeley Harnson Manon Jefferson COUNTY 2 Monongalia 1 2 Marshall LAST WEEK Wetzel Brooke Hancock Pocahontas Boone Nicholas Tyler Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the ?Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 WEST VIRGINIA TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 WEST VIRGINIA STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. WYOMING STATE REPORT 07.14.2020 SUMMARY Wyoming is in the yellow zone for cases, indicating between 10 to 100 new cases per 100,000 population last week, and the green zone for test positivity, indicating a rate below Wyoming has seen stability in new cases and an increase in testing positivity over the past week. Testing rates should be higher. The following three counties had the highest number of new cases over the past 3 weeks: 1. Laramie County, 2. Sweetwater County, and 3. Park County. These counties represent 42 percent of new cases in Wyoming. Wyoming had 37 new cases per 100,000 population in the past week, compared to a national average of 119 per 100,000. The federal government has deployed the following staff as assets to support the state response: 5 to support leadership, administrative, operations, and logistics activities from and 2 to support medical activities from VA. RECOMMENDATIONS Measuring acceptance of the new contact tracing app will be important for Wyoming and may help other states decide how to use similar tools. Continue to recommend cloth face coverings and maintaining 6 ft distancing for people outside of their homes. Continue emphasis on protecting those in nursing homes and long?term care facilities. Cautious loosening of community measures, as you are doing, with reinstitution of measures if cases increase is appropriate. Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus. Specific, detailed guidance on community mitigation measures can be found on the The purpose of this report is to develop a shared understanding of the current status of the pandemic at the national, regional, state and local levels. We recognize that data at the state level may dm?erfrom that available at the federal level. Our objective is to use consistent data sources and methods that allow for comparisons to be made across localities. We appreciate your continued support in identifying data discrepancies and improving data completeness and sharing across systems. We look forward to your feedback. COVID-19 WYOMING STATE REPORT 07.14.2020 STATE, LAST WEEK STATE, % CHANGE FROM PREVIOUS WEEK FEMA/HHS REGION, LAST WEEK UNITED STATES, LAST WEEK 214 (37) +0.0% 8,538 (70) 389,358 (119) DIAGNOSTIC TEST POSITIVITY RATE 3.9% +1.6%* 5.7% 9.6% TOTAL DIAGNOSTIC TESTS (TESTS PER 100,000) 3,659 (633) -39.9% 143,551 (1,183) 3,833,229 (1,172) COVID DEATHS (RATE PER 100,000) 1 (0) N/A 82 (1) 4,616 (1) MOBILITY NEW CASES (RATE PER 100,000) * Indicates absolute change in percentage points DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, previous week is 6/27 - 7/3. Testing: State-level values calculated by using 7-day rolling averages of reported tests. Regional- and national-level values calculated by using a combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. Mobility: Descartes Labs. This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county; 100% represents the baseline mobility level. Data is anonymized and provided at the county level. Data through 7/11/2020. comp-19 STATE REPORT 07.14.2020 LOCALITIES IN LOCALITIES IN RED ZONE YELLOW ZONE METRO AREA (CBSA) 0 2 Eg?ynilene LAST WEEK COUNTY Laramie 0 3 Albany LAST WEEK Goshen Red Zone: Those core?based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and a diagnostic test positivity result above 10%. Yellow Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a diagnostic test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the ?Red Zone.? Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks. DATA SOURCES Cases and Deaths: State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020; last week is 7/4 - 7/10, three weeks is 6/20 - 7/10. Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 7/8. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars, nightclubs, or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene, including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25% of your normal activity Public Officials • Close bars and gyms, and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Use take out, outdoor dining or indoor dining when strict social distancing can be maintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50% of your normal activity Public Officials • Limit gyms to 25% occupancy and close bars until percent positive rates are under 3%; create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities. Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity, hypertension, and diabetes mellitus, and recommend to shelter in place • Work with local community groups to provide targeted, tailored messaging to communities with high case rates, and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can’t quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling: laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours. Consider pools of 3-5 individuals • Surveillance pooling: For family and cohabitating households, screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 WYOMING TESTING NEW CASES STATE REPORT 07.14.2020 TOP COUNTIES Top counties based on greatest number of new cases in last three weeks (6/20 - 7/10) DATA SOURCES Cases: County-level data from USAFacts. State values are calculated by aggregating county-level data from USAFacts; therefore, the values may not match those reported directly by the state. Data is through 7/10/2020. Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data through 7/8/2020. COVID-19 TOTAL DAILY CASES Top 12 counties based on number of new cases in the last 3 weeks DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last 3 weeks is 6/20 - 7/10. COVID-19 WYOMING STATE REPORT 07.14.2020 CASE RATES AND DIAGNOSTIC TEST POSITIVITY DURING THE LAST WEEK NEW CASES PER 100,000 DURING LAST WEEK TEST POSITIVITY DURING LAST WEEK WEEKLY % CHANGE IN NEW CASES PER 100K WEEKLY CHANGE IN TEST POSITIVITY DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10, previous week is 6/27 - 7/3 Testing: HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8, previous week is 6/25 - 7/1. COVID-19 National Picture NEW CASES PER 100,000 LAST WEEK TEST POSITIVITY LAST WEEK DATA SOURCES Cases: County-level data from USAFacts through 7/10/2020. Last week is 7/4 - 7/10 Testing: Combination of CELR (COVID-19 Electronic Lab Reporting) state health department-reported data and HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) through 7/8/2020. Last week is 7/2 - 7/8. COVID-19 Methods STATE REPORT 07.14.2020 COLOR THRESHOLDS: Results for each indicator should be taken in context of the findings for related indicators (e.g., changes in case incidence and testing volume) Metric Green Yellow Red <10 10-100 >100 <-10% -10% - 10% >10% <5% 5%-10% >10% Change in test positivity <-0.5% -0.5%-0.5% >0.5% Total diagnostic tests resulted per 100,000 population per week >1000 500-1000 <500 Percent change in tests per 100,000 population >10% -10% - 10% <-10% COVID-19 deaths per 100,000 population per week <0.5 0.5-2 >2 Percent change in deaths per 100,000 population <-10% -10% - 10% >10% New cases per 100,000 population per week Percent change in new cases per 100,000 population Diagnostic test result positivity rate DATA NOTES • Cases and deaths: County-level data from USAFacts as of 13:00 EST on 07/11/2020. State values are calculated by aggregating county-level data from USAFacts; therefore, values may not match those reported directly by the state. Data are reviewed on a daily basis against internal and verified external sources and, if needed, adjusted. Last week data are from 7/4 to 7/10; previous week data are from 6/27 to 7/3. • Testing: CELR (COVID-19 Electronic Lab Reporting) state health department-reported data are used to describe state-level totals when able to be disaggregated from serology test results and to describe county-level totals when information is available on patients’ county of residence or healthcare providers’ practice location. HHS Protect laboratory data (provided directly to Federal Government from public health labs, hospital labs, and commercial labs) are used otherwise. Some states did not report on certain days, which may affect the total number of tests resulted and positivity rate values. Total diagnostic tests are the number of tests performed, not the number of individuals tested. Diagnostic test positivity rate is the number of positive tests divided by the number of tests performed and resulted. Last week data are from 7/2 to 7/8; previous week data are from 6/25 to 7/1. CELR data is recent as of 00:30 EST on 07/12/2020; HHS Protect data as of 00:30 EST on 07/12/2020. • Mobility: Descartes Labs. These data depict the median distance moved across a collection of mobile devices to estimate the level of human mobility within a locality; 100% represents the baseline mobility level. Data is recent as of 13:00 EST on 07/11/2020 and through 7/11/2020.