NORTH CAROLINA STATE REPORT 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. Mecklenburg 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 support the 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 pmpose 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 recogni:e 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 identi?'ing data discrepancies and improving data completeness and sharing across systems. We look forward to yourfeedback. comp-19 /"6$9?;E 1"4&0 /)4"%$1) 3X:XL JLTOJX [ C@>BG>DCDC (&)&*+ . /0)12* 34"! 54*6$"7( ,**- 3*!)800( 4*2$"1+ %)(& ,**- 71$&*9 (&)&*(+ %)(& ,**- ;;+;;; :;<>= ?@AB. ;CD+;@E :@. EAB. &"&)% 9$)21"(&$/ &*(&( :&*(&( 5*4 ;<<+<<<= ;@>+>DD :;+@C<= I;A@. >CG+E>; :;+;;C= C+GCC+@@E :;+;>@= /"6$9 9*)&0( :4)&* 5*4 ;<<+<<<= E< :;= ?;@AB. ;+;;F :@= F+B;B :;= (&)&*+ %)(& ,**- 1*, /)(*( :4)&* 5*4 ;<<+<<<= !"#$%$&' 9$)21"(&$/ &*(& 5"($&$6$&' 4)&* ! 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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. 5"%$/' 4*/"!!*19)&$"1( 3"4 /"71&$*( $1 &0* 4*9 ^"1* 5XUVRY !LKKJSRMS ! \)'2 ' 8'*F '( '-- (%8)* ,.(*%$) (/) /,8) '#$ 8'%#('%# 1/5*%&'- $%*('#&) ! 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