05-28-2020, 05:54 AM
The SCC Board of Supervisors held a meeting (6+ hour, starting at 1:30PM after a morning meeting) on Tuesday (May 26). The portion on the county's response to COVID-19 begins at 54:30. Dr Cody begins speaking about 1:13:00 into it. (Names below may be misspelled as I'm working from audio only. My apologies.)
57:30 Results of a survey of SCC residents about COVID-19. 1000 interviewed in 4 languages, May 14-18.
1:13 Dr, Sara Cody indicated her concern over the state's rapid changing of recommendations and the lack of controls to measure the effect of those changes. As I understand her, she feels that when a change is made, there should be a 14-day (or, preferably, 21-day) time until the next change, in order to determine the consequence in new infections of the change.
Separately, she expressed concern over the state's permitting meetings of up to 100 people. She indicated that if one of these became a superspreading event (my words), it would overwhelm the test & trace capability of the county.
[Not mentioned here, but suggested during the PPE segment was concern that the county's case load doesn't jump & result in PPE shortages as PPE is still in short supply.]
Dr Fensterscheib talked about testing. He indicated that the private health providers (later mentioned I believe as Kaiser, PAMF, Stanford (Health)) were not able to do the quantity of tests desired for their members due to supply chain issues for the reagents. Positivity is about 1% county wide, but higher risk areas (East SJ, Gilroy, parts of MV) are 3% or more. [There were more than 2000 tests/day for 3 days in the past week.]
Dr. Sara Redmon talked about Contact Tracing (1:33). California has rolled out an electronic platform for Contact Tracing reporting in association with SalesForce, Accentiure, and Amazon Web Services. SCC was 2nd county to adopt this. About 50 people doing CT, covering the 10-30 new cases a day. Because of SiP, the number of contacts are generally limited and they are "just able to keep up". [She does not define what a "contact" is or is not. My guess is the definition of "contact" is limited to a level that allows them to "just keep up". For instance, if a grocery store worker gets sick, I doubt they are considering ANY customers as close contacts. Ditto for any commuter that traveled by bus/Bart/Light Rail for 2x10 trips during the two weeks before symptoms.]
Evelyn Ho (1:36:10) talks about the scaling up to meet increased demands as SiP is eased. They want to scale to cover a peak of 75 new cases daily with up to 40 "close" contacts each. This requires about 1000 people to do this work. [Working backwards: 75*40=3000 close contacts to deal with per day (and I imagine there is a lot of overlap in super-spreader cases) means that each worker averages 3 close contacts per day (oversimplified!)). They do not mention the time scale for close contacts]
Currently 44 staff, with 45 being trained this week. By end of next week, they expect an additional 75 staff trained & ready to work. [By the above estimate, this 44+45+75=164 can cover about a total off 495 contacts per day.] Working to have 500 by the (end of?) the week of June 11. Averaging 100 new staff per week. Total of 1000 by mid July.. The State is considering providing 10K such workers across the state. SCC has requested 500 of that number [SCC has ~ 2/40 of California population.] The plan is not depending on the availability of these state workers.
Kee Lee covered isolation & quarantine support (1:41:04) This includes motel rooms for those that can't isolate at home (incl. homeless). Also covers support, if needed, for those isolating at home.
1:45:00 Sara Redmon regarding congregate housing.
1:48:10 Dr. Jennifer Tong regarding PPE.
1:52:00 Alan Minato regarding expenditures since COVID-19 crisis started. $49M spent plus $48M encumbrances, some seem understated.
2:10:35 Commissioners ask questions (10 minutes per commissioner)
3:00 2nd round of commissioner questions
57:30 Results of a survey of SCC residents about COVID-19. 1000 interviewed in 4 languages, May 14-18.
1:13 Dr, Sara Cody indicated her concern over the state's rapid changing of recommendations and the lack of controls to measure the effect of those changes. As I understand her, she feels that when a change is made, there should be a 14-day (or, preferably, 21-day) time until the next change, in order to determine the consequence in new infections of the change.
Separately, she expressed concern over the state's permitting meetings of up to 100 people. She indicated that if one of these became a superspreading event (my words), it would overwhelm the test & trace capability of the county.
[Not mentioned here, but suggested during the PPE segment was concern that the county's case load doesn't jump & result in PPE shortages as PPE is still in short supply.]
Dr Fensterscheib talked about testing. He indicated that the private health providers (later mentioned I believe as Kaiser, PAMF, Stanford (Health)) were not able to do the quantity of tests desired for their members due to supply chain issues for the reagents. Positivity is about 1% county wide, but higher risk areas (East SJ, Gilroy, parts of MV) are 3% or more. [There were more than 2000 tests/day for 3 days in the past week.]
Dr. Sara Redmon talked about Contact Tracing (1:33). California has rolled out an electronic platform for Contact Tracing reporting in association with SalesForce, Accentiure, and Amazon Web Services. SCC was 2nd county to adopt this. About 50 people doing CT, covering the 10-30 new cases a day. Because of SiP, the number of contacts are generally limited and they are "just able to keep up". [She does not define what a "contact" is or is not. My guess is the definition of "contact" is limited to a level that allows them to "just keep up". For instance, if a grocery store worker gets sick, I doubt they are considering ANY customers as close contacts. Ditto for any commuter that traveled by bus/Bart/Light Rail for 2x10 trips during the two weeks before symptoms.]
Evelyn Ho (1:36:10) talks about the scaling up to meet increased demands as SiP is eased. They want to scale to cover a peak of 75 new cases daily with up to 40 "close" contacts each. This requires about 1000 people to do this work. [Working backwards: 75*40=3000 close contacts to deal with per day (and I imagine there is a lot of overlap in super-spreader cases) means that each worker averages 3 close contacts per day (oversimplified!)). They do not mention the time scale for close contacts]
Currently 44 staff, with 45 being trained this week. By end of next week, they expect an additional 75 staff trained & ready to work. [By the above estimate, this 44+45+75=164 can cover about a total off 495 contacts per day.] Working to have 500 by the (end of?) the week of June 11. Averaging 100 new staff per week. Total of 1000 by mid July.. The State is considering providing 10K such workers across the state. SCC has requested 500 of that number [SCC has ~ 2/40 of California population.] The plan is not depending on the availability of these state workers.
Kee Lee covered isolation & quarantine support (1:41:04) This includes motel rooms for those that can't isolate at home (incl. homeless). Also covers support, if needed, for those isolating at home.
1:45:00 Sara Redmon regarding congregate housing.
1:48:10 Dr. Jennifer Tong regarding PPE.
1:52:00 Alan Minato regarding expenditures since COVID-19 crisis started. $49M spent plus $48M encumbrances, some seem understated.
2:10:35 Commissioners ask questions (10 minutes per commissioner)
3:00 2nd round of commissioner questions