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Agenda 02/23/2021 Item #5A (Covid Update)02/23/2021 EXECUTIVE SUMMARY Recommendation to accept the COVID-19 Status Report. OBJECTIVE: To keep the Board of County Commissioners (Board) and the public informed regarding the current status of the COVID-19 pandemic and County government's response and planning efforts. CONSIDERATIONS: On March 9, 2020, Governor Ron DeSantis declared a state of emergency across the State of Florida in response to the rapid international and domestic spread of the COVID-19 pandemic. The Governor subsequently issued a series of executive orders restricting social and business gatherings consistent with guidance from the federal Centers for Disease Control (CDC). Also, the state began ramping up testing capacity in an effort to test all suspected cases of the disease in Florida and begin treating and isolating those who test positive for the virus. This Agenda Item is the recurring monthly update from the local Department of Health and County staff regarding local efforts to contain the spread of the virus in Collier County , restore County services and facilitate the Governor's Executive Order with respect to the phased reopening of the local economy. FISCAL IMPACT: There is no Fiscal impact associated with this Executive Summary. GROWTH MANAGEMENT IMPACT: There is no Growth Management impact associated with this item. LEGAL CONSIDERATIONS: This item has been reviewed by the County Attorney, raises no legal issues at this time, and requires majority support for action. -JAK RECOMMENDATION: To accept the COVID-19 Status Report and provide further direction as appropriate. Prepared By: James C. French, Department Head, Public Services Department ATTACHMENT(S) 1. BCC Covid Briefing Feb 23 (PPTX) 5.A Packet Pg. 14 02/23/2021 COLLIER COUNTY Board of County Commissioners Item Number: 5.A Doc ID: 15052 Item Summary: Recommendation to accept the COVID-19 Status Report. Meeting Date: 02/23/2021 Prepared by: Title: – Public Services Department Name: Todd Henry 02/12/2021 7:51 AM Submitted by: Title: Deputy Department Head - GMD – Public Services Department Name: James C French 02/12/2021 7:51 AM Approved By: Review: Operations & Veteran Services Kimberley Grant Additional Reviewer Completed 02/12/2021 9:16 AM Public Services Department Todd Henry Public Services Deapartment Completed 02/12/2021 9:19 AM Public Services Department James C French PSD Dept Head Review Completed 02/12/2021 9:50 AM Office of Management and Budget Laura Wells Level 3 OMB Gatekeeper Review Completed 02/12/2021 10:07 AM County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 02/12/2021 11:21 AM Grants Therese Stanley Additional Reviewer Completed 02/12/2021 11:42 AM Budget and Management Office Ed Finn Additional Reviewer Completed 02/12/2021 4:32 PM County Manager's Office Dan Rodriguez Level 4 County Manager Review Completed 02/15/2021 2:31 PM Board of County Commissioners MaryJo Brock Meeting Pending 02/23/2021 9:00 AM 5.A Packet Pg. 15 Florida Department of Health in Collier County Kimberly Kossler, MPH, RN, CPH, Administrator & Health Officer Muhammad Abbasi, MPH, Division Director, Communicable Disease Control & Prevention BCC Briefing February 23, 2021 5.A.1 Packet Pg. 16 Attachment: BCC Covid Briefing Feb 23 (15052 : COVID-19 Status Report) 2 Symptoms 10 9 12 10 11 12 18 8 10 8 7 8 5 8 0 2 4 6 8 10 12 14 16 18 20 2/22/32/42/52/62/72/82/92/102/112/122/132/142/15Influenza-Like Illness Syndrome in Collier County 0 2 4 6 8 10 12 14 16 18 20 7/187/258/18/88/158/228/299/59/129/199/2610/310/1010/1710/2410/3111/711/1411/2111/2812/512/1212/1912/261/21/91/161/231/302/62/13Influenza-Like Illness Syndrome 14-Day Moving Averages in Collier County 5.A.1 Packet Pg. 17 Attachment: BCC Covid Briefing Feb 23 (15052 : COVID-19 Status Report) 3 Symptoms 24 21 18 18 17 21 29 11 21 13 11 9 12 11 0 5 10 15 20 25 30 35 2/22/32/42/52/62/72/82/92/102/112/122/132/142/15COVID-Like Illness Syndrome in Collier County 0 5 10 15 20 25 30 35 40 7/187/258/18/88/158/228/299/59/129/199/2610/310/1010/1710/2410/3111/711/1411/2111/2812/512/1212/1912/261/21/91/161/231/302/62/13COVID-Like Illness Syndrome 14-Day Moving Averages in Collier County 5.A.1 Packet Pg. 18 Attachment: BCC Covid Briefing Feb 23 (15052 : COVID-19 Status Report) 4 Po sitivity Rate 8.9% 4.8%4.5% 6.8% 4.7% 5.6% 8.5% 6.5% 4.9% 6.6% 5.4% 6.4% 7.1% 5.8% 0% 2% 4% 6% 8% 10% 12%2/22/32/42/52/62/72/82/92/102/112/122/132/142/15Positivity Rate for COVID-19 in Collier County Target Range % Positive COVID-19 Persons 5.A.1 Packet Pg. 19 Attachment: BCC Covid Briefing Feb 23 (15052 : COVID-19 Status Report) 5 Po sitivity Rate New Cases Total T ests Po sitiv ity Rate Golden Gate (34116, 34117, 34120)332 4,665 7.1% Immo kalee/Ave Maria (34142, 34143)81 1,511 5.4% East Naples (34112, 34113)175 2,824 6.2% City of Naples (34101, 34102, 34103)95 1,500 6.3% Marco Islan d (34145)32 536 6.0% North Nap les (34108, 34109, 34110, 34119)313 5,677 5.5% Other (34104, 34105, 34106, 34107, 34114, 34138, 34139, 34141)170 3,382 5.0% 14 Day Region Specific Testing Data Data for Feb.2, 2021 -Feb.15, 2021 5.A.1 Packet Pg. 20 Attachment: BCC Covid Briefing Feb 23 (15052 : COVID-19 Status Report) 6 Hospital Ca pacity 103 99 116 100 93 107 97 96 102 96 93 100 97 99 647 655 661 685 677 641 626 671 673 699 693 685 649 668 74 74 59 62 66 85 89 88 60 65 64 62 86 75 144 140 132 121 132 135 156 113 133 108 118 121 136 126 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 2/2 2/3 2/4 2/5 2/6 2/7 2/8 2/9 2/10 2/11 2/12 2/13 2/14 2/15 Available Hospital Beds in Collier County COVID-19 Filled Beds Non-COVID-19 Filled Beds Unfilled Beds/Staff Available Unfilled Beds/No Staff Available 5.A.1 Packet Pg. 21 Attachment: BCC Covid Briefing Feb 23 (15052 : COVID-19 Status Report) 7 Hospitalizations 0 50 100 150 200 7/187/258/18/88/158/228/299/59/129/199/2610/310/1010/1710/2410/3111/711/1411/2111/2812/512/1212/1912/261/21/91/161/231/302/62/1314-Day Moving Average of COVID-19 Cases in Collier County Hospitals 5.A.1 Packet Pg. 22 Attachment: BCC Covid Briefing Feb 23 (15052 : COVID-19 Status Report) 8 COVID-19 Deaths Collier County Rank Cause of De ath Collier County Florida Flori da Rank All Causes 3,596 206,975 1 Cance r 881 45,199 2 2 He art Di seases 799 46,929 1 3 Stroke 426 13,238 4 4 2020 COV ID-19 Deaths 379 24,542 3 5 Un intenti onal Injury 262 12,616 5 6 Chronic Lower Re spiratory Disease 154 12,346 6 7 Alzhe imers Di sease 112 6,711 7 8 Di abete s 71 6,195 8 9 Chronic Li ver Di sease &Cirrhosis 61 3,342 10 10 Parki nson's Di sease 56 3,552 9 11 Nephritis, Nephroti c Syndrome, Nephrosis 49 3,242 11 12 Sui ci de 45 3,082 12 Re sident De ath Counts by Year by 30 Le ading Rankabl e Cause s of Death (2019) 2020 379 2021 43 To tal COVID-19 Deaths 422 Summary of COVID-19 Deaths in Collier County 5.A.1 Packet Pg. 23 Attachment: BCC Covid Briefing Feb 23 (15052 : COVID-19 Status Report) 9 COVID-19 Vaccination COVID-19 doses administered in Collier County Persons vaccinated for COVID-19 in Collier County 5.A.1 Packet Pg. 24 Attachment: BCC Covid Briefing Feb 23 (15052 : COVID-19 Status Report) 10 COVID-19 Vaccination 5.A.1 Packet Pg. 25 Attachment: BCC Covid Briefing Feb 23 (15052 : COVID-19 Status Report) 11 Pfizer Moderna Biotechnology mRNA mRNA Efficacy (old variants) 95%94.1% B.1.1.7 variant impact Predicted not to have impact on efficacy Predicted not to have impact on efficacy B.1.351 variant impact 0.81-1.46 fold decrease in neutralizing antibodies (NOT efficacy) 6-fold decrease in neutralizing antibodies (NOT efficacy) Effectiveness (Severe COVID-19) 90%100% Contingency plan for new variants Developing booster Developing booster Age 16+18+ # doses 2 (3 weeks apart)2 (4 weeks apart) Va riants and Vaccine Ef ficacy 5.A.1 Packet Pg. 26 Attachment: BCC Covid Briefing Feb 23 (15052 : COVID-19 Status Report) 12 •Primary vaccination site is North Collier Regional Park supported by DOH-Collier, Collier County Emergency Management, Emergency Medical Services (EMS), Collier County Fire, Collier County Sheriff ’s Office, Healthcare Network of Southwest Florida, and Collier County Parks. •Va ccination is offered multiple days a week. •DOH-Collier, with EMS/Fire partners, has administered over 20,000 doses, 80% of which were provided to the 65 years and old population. •Over 64,000 Collier County residents have been vaccinated. •Partnering with EMS, North Collier Fire, City of Naples Fire, and Marco Fire to target 65+ in local communities. •Partnering with Healthcare Network of SWFL for vaccination events in Immokalee •Partnering with NCH to target the extremely vulnerable •DOH-Collier is working with the Naples Senior Center and faith-based organizations to identify individuals who meet criteria for vaccination. •DOH-Collier provided dedicated days fo r frontline health care workers with direct patient contact. •Currently utilizing Eventbrite for appointments and 2nd dose notifications. COVID-19 Vaccination 5.A.1 Packet Pg. 27 Attachment: BCC Covid Briefing Feb 23 (15052 : COVID-19 Status Report) 13 Public Health Advisory January 21, 2021 issued by Florida State Surgeon General •Va lid Florida Driver License or Florida Identification Card OR •Tw o of the following items: •A deed, mortgage, monthly mortgage statement, mortgage payment booklet or residential rental or lease agreement •A utility hookup or work order that is not more than 2 months old •A utility bill that is not more than 2 months old •Mail from a bank or other financial institution, including checking, savings, or investment account statements, that is not more than 2 months old •Mail from a government agency that is not more than 2 months old •One of the above items from the individual’s parent, step-parent, legal guardian or other person with whom the individual resides and a statement from the parent, step-parent, legal guardian or other person with whom the person resides stating that the person resides with him or her. Please note, the above residency requirements do NOT apply to health care providers or individuals presenting for their second dose of the COVID-19 vaccine. COVID-19 Vaccination Re sidency Requirement 5.A.1 Packet Pg. 28 Attachment: BCC Covid Briefing Feb 23 (15052 : COVID-19 Status Report) 14 •Te sting at DOH-Collier is available Monday through Friday by appointment only. •Close contact and outbreak related testing is available throughout the week. •Te sting is also readily accessible in the community at urgent care centers, hospitals, physicians’ offices, pharmacies, and other locations •Over 10,000 tests reported per week COVID-19 Testing 5.A.1 Packet Pg. 29 Attachment: BCC Covid Briefing Feb 23 (15052 : COVID-19 Status Report)