Tuesday, June 16, 2020

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NCR Watch Desk: Situational Analysis Report COVID-19 #182

Current Situation Overview
There are 74,377 COVID-19 cases (an increase 330 since the last SITREP) and 2,796 related deaths (an increase of 12 since the last SITREP) in the National Capital Region (NCR).

National

The FDA revoked the emergency use authorization (EUA) that allowed for chloroquine phosphate and hydroxychloroquine sulfate donated to the Strategic National Stockpile to be used to treat certain hospitalized patients with COVID-19 when a clinical trial was unavailable, or participation in a clinical trial was not feasible. The agency determined that the legal criteria for issuing an EUA are no longer met.
  • Based on its ongoing analysis of the EUA and emerging scientific data, the FDA determined that chloroquine and hydroxychloroquine are unlikely to be effective in treating COVID-19 for the authorized uses in the EUA.
  • Additionally, in light of ongoing serious cardiac adverse events and other potential serious side effects, the known and potential benefits of chloroquine and hydroxychloroquine no longer outweigh the known and potential risks for the authorized use. FDA
Update: The FDA announced it is warning healthcare providers about a newly discovered potential drug interaction related to the investigational antiviral drug Remdesivir. Based on a recently completed non-clinical laboratory study, the FDA is revising the fact sheet for healthcare providers that accompanies the drug to state that co-administration of Remdesivir and chloroquine phosphate or hydroxychloroquine sulfate is not recommended as it may result in reduced antiviral activity of Remdesivir. FDA
Maryland
Montgomery County has achieved its benchmarks and will officially enter Phase 2 of reopening on June 19 at 5:00 PM (1700). Phase 2 allows additional businesses and activities to start and/or increase modified operations under specified guidelines. 


The guidelines include:
  • Retail - curbside and limited in-store; one patron per 200 sq. ft. of sales space
  • Restaurants - outdoor/patio seating and limited indoor dining with requirements; up to 50 percent capacity maximum indoors if social distancing can be maintained
  • Childcare – childcare programs can reopen with a maximum of 15 individuals per classroom
  • Gyms - fitness centers, and other indoor physical activities; open with requirements; one patron per 200 sq. ft. of fitness space
  • Houses of Worship - virtual, drive-in, and limited indoor and outdoor services with requirements - one congregant/family unit per 200 sq. ft. of service space
  • Salons/Barbers/Nails - all personal services allowed by appointment only; one patron per 200 sq. ft. of service delivery space
  • Office Spaces and Multi-tenant Commercial Buildings - limited use for nonessential personnel with requirements; telework strongly encouraged where applicable
  • Indoor and Outdoor pools (public and private) – open with capacity restrictions
  • Ride-On Bus Service - expanded schedule; expanded routes
  • Concerts and theaters, senior centers, libraries and recreational facilities will remain closed in Phase 2.
Update: As of June 15, the state’s key COVID-19 health metrics continue to trend in a positive direction, with the positivity rate dropping to 6.55%, now in single digits in all 24 jurisdictions, and ICU beds falling below 300 for the first time since April 06. These positive trends are being recorded as Maryland marks one month since the beginning of Stage 1 of the ‘Maryland Strong: Roadmap to Recovery’. Maryland

Virginia

A new Economic Resilience and Recovery Program has been adopted to address the near and long-term impacts of the COVID-19 pandemic. The program will focus resources on economic resilience and recovery while staying true to the “GO Virginia” mission of creating higher-paying jobs that strengthen and diversify regional economies. 

Virginia Update: VDH announced it has added the ethnicities of Asian or Pacific Islander; Black; Latino; Native American; White; Other Race; Two or More Races to the COVID-19 Dashboard. The new reporting categories allow VDH to provide more detail on racial and ethnic health disparities while preserving individual privacy. VDH

Jurisdictional/Government Reopening Status and Operational Services


Marine Corps Base Quantico Open with Modified Operations Update. Montgomery County will enter Phase 2 of reopening on June 19 at 5:00 PM (1700). A detailed listing of each jurisdiction’s “Reopening/Operating Status”, by agency or department, can be viewed by accessing the link embedded in the name of the respective jurisdiction. Virginia and Maryland titles, State level, do not have links embedded.



National Capital Region (NCR) Community Lifelines

Healthcare and Public Health
  • Maryland
Update: The Clinton and Hyattsville VEIP COVID-19 testing sites will not operate this week. MDH
Montgomery County Department of Health and Human Services (MCDHHS) is now offering free COVID-19 testing at Wheaton Community Recreation Center (located at 11701 Georgia Ave in Silver Spring) on Wednesdays and Fridays. Testing is by appointment only. Dial 240.777.1755 to schedule an appointment or visit the MCDHHS website. Montgomery County
  • Virginia
The Department of Behavioral Health and Development Services has established a “warm” line to help people who are having trouble dealing with life changes as a result of COVID-19. Callers can receive emotional support and referrals for mental and behavioral health and other services. The COVID Warm Line number is 877.349.6428 and is staffed from 9:00 AM - 9:00 PM (0900 – 2100) Monday - Friday and 5:00 - 9:00 PM (1700-2100) on Saturday and Sunday. VEST SITREP (June 12)

Confirmed Cases and Fatalities Reported in the NCR

Jurisdiction
Cases
Fatalities
Jurisdiction
Cases
Fatalities
29,431
821
9,799
515
Arlington County
2,346
125
35,147
1,460
2,160
48
Montgomery County
13,657
655
13,215
436
 17,920
617
3,404
71
Charles County
1,272
81
Prince William Health District
8,306
141
2,298
107



TOTAL
2,796

June 16, 5:00 AM (0500): District of Columbia data is sourced from DC Department of Health. Maryland data is sourced from Maryland Department of Health (MDH), Prince George’s County Health Department (cases only and fatalities), and Frederick County Health Department (cases and fatalities). Virginia data is sourced from Virginia Department of Health (VDH). Note: VDH and MDH total case numbers combines positive tests (Confirmed) and symptomatic (Probable) into a single case count.


Food, Water, Shelter
  • Maryland
Update: Food sites service hours for Montgomery County Public Schools will change effective June 16. Students can pick up breakfast, lunch, and dinner meals at school and mobile trucks from 10:00 AM – 12:00 PM (1000-1200). MCPS
One June 16 and June 18 at 12:30 PM (1230), Prince George’s County and the United Way of the National Capital Area will be distributing prepared meals to go. Prince George’s County
  • June 16 meals will be distributed at St. Mark the Evangelist Catholic Church located at 7501 Adelphi Rd in Hyattsville.
On June 18, meals will be distributed:
  • St. Mary’s of Piscataway located at 13401 Piscataway Rd in Clinton
  • Faith Temple No. 2 Free Will Baptist Church located at 211 Maryland Park Dr. in Capitol Heights, MD
Update: Officials have announced there is currently no outbreak among Eastern Shore’s population of poultry workers and there have been no laboratory-confirmed COVID-19 cases associated with the state’s poultry processing facilities in the month of June. Maryland
  • Virginia
On June 18, the Fairfax County Park Authority’s Farmers Market in Herndon will open for the season. Herndon’s market is on the 700 block of Lynn Street, by the Red Caboose. It will be open on Thursdays from 8:00 AM – 12:30 PM. (0800-1230)
Locations and operating hours of the nine other markets can be found on the Farmers Markets website.
When possible, shoppers at all of the markets are encouraged to preorder their items directly from the local vendors. Fairfax County
Safety and Security
  • Virginia
On June 23 from 10:00 AM – 12:00 PM (1000-1200), Arlington County’s Virginia Insurance Counseling and Assistance Program (VICAP), in partnership with Adult Protective Services and the U.S. Securities and Exchange Commission are recognizing World Elder Abuse Awareness by hosting a virtual presentation on avoiding COVID-19 investment scams. Registration for the event will close by June 19 at 5:00 PM (1700). Arlington County
Topics include:
Covid-19 scams
Investment scams
Abuse
Exploitation

Communications
  • Maryland
On June 18 at 6:30 PM (1830), there will be a Tele-Town Hall to provide residents with an update on the county government’s COVID-19 response. Prince George’s County
  • Virginia
Update: Arlington County has added two new free Wi-Fi hotspot locations to keep residents connected during the COVID-19 pandemic. Arlington County
Locations are:
Charles Drew Community Center: 3500 23rd St S
Barcroft Sports & Fitness Center: 200 S Four Mile Run Dr.

Transportation/Reopening Information
*MARC/Commuter Bus fare increase scheduled on June 30 has been delayed. *Expanded scheduled/routes with Phase 2 reopening on June 19 at 5:00 PM (1700). “Reopening/Operating Status” can be viewed by accessing the link embedded in the name of the transportation agency/company.



Hazardous Materials
  • Maryland
Starting July 01, the collection of bulk and large metal items will return for the City of Bowie residents. Large bulk items that cannot fit in a trashcan or bag may be placed next to regular trash on the normal trash collection days. Large metal items will be collected on Wednesdays by appointment only. Dial 301.809.2344 or visit www.cityofbowie.org/servicerequest to schedule an appointment. City of Bowie COVID-19 SITREP (June 15)
National
DHS Chief Medical Officer released draft of Framework for Counterfeit and Substandard Supplies for the COVID-19 Response on June 12. The goal is to ensure public health supply chain quality and reliability; focus on PPE, critical shortages of essential medications, and COVID-19 diagnostic test kits. DHS NOC (June 15)
  • National Institute of Health (NIH)
The NIH has launched a centralized, secure enclave called the “National COVID Cohort Collaborative” as an effort to help scientists determine health risk factors and identify potentially effective treatments. NIH
  • Biomedical Advanced Research and Development Authority’s (BARDA)
One BARDA’s first private sector partners in the COVID-19 response, Regeneron, has begun the first clinical trials of REGN-COV2, its therapeutic two-antibody “cocktail” for COVID-19 patients. This treatment, developed with BARDA support, has the potential to be one of the first therapeutics specifically designed to inhibit SARS-COV-2, the virus that causes COVID-19.
The investigational antibody cocktail may help COVID-19 patients recover from the disease more quickly, while simultaneously giving patients more time to develop their own antibodies to fight the infection.
Regeneron is also planning to explore REGN-COV2’s potential for preventing SARS-CoV-2 infection in people who have not yet been infected by the virus. BARDA
  • Centers for Disease Control and Prevention (CDC)
The CDC has released consolidated recommendations for COVID-19 testing, including interim testing guidelines for nursing home residents and healthcare personnel, as well as testing strategy options for high-density critical infrastructure workplaces after a COVID-19 case is identified. These recommendations compile and update previous testing guidance. CDC
  • American Red Cross
The American Red Cross has announced it has begun testing all blood, platelet and plasma donations for COVID-19 antibodies. The Red Cross hopes that testing for antibodies will provide its donors insight into whether they may have been exposed. American Red Cross

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