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Home My WebLink About2020-02-11; Coronavirus Preparedness Update 2; Calderwood, MichaelTo the members of the: CITY COUNCIL {city of - Carlsbad Date ~/i 1 :;,o CA L cc~ CM COO 1,__ DCM (3) i Memo ID# 2020013 Council Memorandum Feb. 11,2020 To: From: Via: Re: Honorable Mayor Hall a d embers of the City Council Michael Calderwood, Fir C David Harrison, Assistant Di r of Emergency Services 'M+r-S co tt Chadwick, City Man g Coronavirus Preparedness Update 2 This memorandum updates the Coronavirus Preparedness Council Memorandum dated Feb. 4 and summarizes major coronavirus developments for the period ending Feb. 10, 2020. Background The outbreak of the respiratory disease known as Coronavirus (2019-nCoV) has continued to spread globally. Unless otherwise indicated, the information in this memorandum comes from Center for Disease Control (CDC) and Health and Human Services (HHS) telebriefings conducted during the week of Feb. 3. These teleconferences are attended by the press and this information is rapidly published by news agencies. Highlights: • Feb.4,6, 7,2020: o No CDC telebriefings o On Feb. 4, Reuters reported that Columbia was the first Latin American country to run coronavirus tests. CDC is reporting Mexico has activated protocols for travelers coming to Mexico and set up mechanisms to provide information on the disease. Mexico is using diagnostic tools to test cases. • Feb. 5, 2020: o CDC states FDA has signed an emergency use authorization (EUA) for test kits, 200 of which will start shipping to CDC labs across country. o CDC is projecting long term need for personal protective equipment for healthcare workers, more guidance in coming days. For health care workers, PPE must be worn appropriately, not excessively. U.S. citizens should not be buying masks. o San Diego County teleconference confirmed 167 American Citizens (AMCIT) from China had arrived at Marine Corps Air Station (MCAS) Miramar. o San Diego County is coordinating with American Red Cross and Volunteers Organizations Active in Disaster (VOAD) to identify AMCIT resource needs and . donation hubs. Fire Department Safety Center 2560 Orion Way I Carlsbad, CA 92010 I 760-931-2141 t CORONAVIRUS PREPAREDNESS Feb. 11,2020 Page 2 • Feb 7, 2020: o President's Novel Coronavirus Task Force (Representatives from Center for Disease Control and Prevention, National Institute for Allergy and Infectious . Diseases, Department of State, Department of Homeland Security, Department of Transportation, and Department of Health and Human Services). Highlights of briefing include: • Risk to American public is low • 12 confirmed cases in U.S., 10 cases from repopulation, 2 cases from human-to-human transmission in U.S. • CDC's infection disease response strategy is identify, diagnose, isolate, treat, contact trace • CDC diagnostic kits have been distributed and are now available for order through International Reagent Resource, for qualified laboratories • U.S. has offered to send expert assistance to China, and has sent 17.8 tons of supplies to Hubei, China • Task Force is assessing risk to American medical supply chain • National Institutes of Health (NIH} and others are working on medical countermeasures, including: point of care diagnostics (antibody tests), therapeutics (conducting tests of drugs and standards of care effectiveness compared with standards of care alone) and vaccines (offered a projection that, if no "glitches", NIH and Moderna could start human vaccine (perhaps Remdesivir) trials within 3 months) • U.S. Ports of Entry using layered screening: • 11 Airports: 3 layers of screening: CBP screening/OHS contract medical personnel screening/CDC screening • Sea Ports: U.S. Coast Guard, along with Customs and Border Protection (CBP) in charge of Port of Entry and processing ships • Land Ports of Entry: Officials screening to determine recent China travel, long standing practice of CBP phone coordination with CDC • The issue of potential concern that could arise, but has not yet, is that of sustained human-to-human transmission in the U.S. Should this occur, the principal strategy of virus containment will be augmented by that of mitigation. More information on mitigation strategies will be shared should sustained human-to-human virus transmission in the U.S. develop. · o San Diego County Teleconference announced a second flight had arrived at MCAS Miramar containing an additional 65 passengers. The total number of patients under investigation (PUI} is 6. It is not currently known whether any of these patients have tested positive for coronavirus. o San Diego Red Cross, San Diego County Office of Emergency Services and Volunteer Organizations Active in Disaster (VOAD) are soliciting specific donations for the Miramar AM CITS. Donation needs list is under development. Donations will be received at the Jacobs & Cushman San Diego Food Bank on CORONAVIRUS PREPAREDNESS Feb. 11,2020 Page 3 Distribution Ave. Carlsbad has offered to provide hygiene kits and hand sanitizers, if needed. • Feb. 8, 2020: o U.S. Embassy in Beijing confirmed first American death from coronavirus, which occurred in Wuhan. • Feb. 10,2020: o Japanese health officials confirmed that of the 135 coronavirus cases on the Diamond Princess cruise ship docked at Yokohama, Japan, 11 are American o San Diego County Teleconference reported that: ■ Of the now 7 Miramar AMCIT patients of interest, 2 confirmed negative, others are pending results ■ There are 135 "medium risk" land border crossing "traveler" cases that SD Health and Human Services is monitoring o Media is reporting that with no signs of infection, coronavirus evacuees at March Air Reserve Base in Riverside are preparing to leave Feb. 11. o UC San Diego Health reported that on Sunday, February 9, CDC officials informed San Diego Public Health that all four patients being evaluated for 2019-nCoV at UC San Diego Health had tested negative for the virus. The four patients were discharged and returned to federal quarantine at MCAS Miramar. Monday morning, CDC officials advised San Diego P_ublic Health that further testing revealed that one of the four patients tested positive for 2019-nCoV. The confirmed positive patient was returned to UC San Diego Health for observation and isolation until cleared by the CDC for release. • Feb. 11, 2020: o CDC Confirms the thirteenth case of 2019 Novel Coronavirus in the U.S. Actions and Next Steps, as appropriate City of Carlsbad Emergency Services continues to coordinate with regional and local stakeholders and conduct public outreach as described in the Feb. 4 Council Memorandum. The Carlsbad Emergency Management Administrative Team,(CEMAT) incident oversight group met on Feb. 4 to assess the developing situation and review response actions. CEMAT departmental representatives are reviewing and coordinating updates to the City's Continuity of Operations Plan (COOP). Staff is reviewing illness and sick leave policies and documentation. Staff began reviewing Health Insurance Portability and Accountability Act (HIPPA) guidance related to coronavirus and public.health emergency information sharing.· City staff was provided guidance on how to stay healthy during the flu season, including information on the coronavirus. · Digital and social media efforts continue to enhance public awareness of virus mitigation "hygiene" strategies. CORONAVIRUS PREPAREDNESS Feb. 11, 2020 Page 4 Carlsbad Emergency Services continues to monitor Presidential Task Force, HHS and CDC telebriefings and participate in regional agency meetings and teleconferences. CC: Celia Brewer, City Attorney Elaine Lu key, Chief Operations Officer Neil Gallucci, Chief of Police