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    3.    
AD HOC COMMITTEE ON COVID-19 ECONOMIC IMPACT AND RECOVERY
Meeting Date: 05/20/2021  
Subject:    COVID 19 UPDATES AND DISCUSSION ON PROSPECTS FOR HOLDING PUBLIC AND PRIVATE EVENTS IN 2021
Submitted For: Candace Andersen, District II Supervisor
Department: Board of Supervisors District II  
Referral No.:  
Referral Name:
Presenter: Chair Andersen; Dr. Thomas Warne, Deputy County Health Officer Contact: Julie DiMaggio Enea (925) 655-2056

Information
Referral History:
Although the Board of Supervisors has authority over County issues, under State law, when an emergency of this nature is declared and there is a pandemic of this magnitude, the Health Officer of each county has the legal authority to impose whatever orders she or he deems necessary to protect the public.


Ad Hoc Committee

On Tuesday, April 21, 2020, the Board of Supervisors formed this ad hoc committee to advise the Health Department on COVID19 impacts. The goal of the committee is to work toward having a sustainable COVID-19 mitigation and recovery plan. The committee engages with the community and industry on issues of concern, advising the Board of Supervisors and the County Health Officer on possible ways to interpret and apply Health Orders so they will continue to keep the community safe but allow, to the greatest extent safely possible, more businesses to re-open; and to provide common-sense applications to outdoor activities.

The Committee has so far conducted 23 public meetings, having met almost weekly from May through July 2020 and then monthly from August 2020 forward. Meeting topics have covered recreation and lifestyle services; in-home and other personal services; small businesses; family, social and religious gatherings; schools and dining; and vaccines; a plan to move to fully to Stage 2 and, regrettably, the second surge that required postponement of many planned Phase 2 re-openings; the State's move to the Tier system of recovery, and the county's movement between tiers from Orange back to Purple (most restrictive) and, five months later, back to Orange, the current County tier. See the next paragraph for a review of the County's tier journey. Written and video records of all prior Committee meetings are posted on the County's website at this link (use the Previous button at the site to scroll back to prior Committee meetings).


State's Blueprint for a Safer Economy

In August 2020, the State subsequently established a four-tier reopening plan under its Blueprint for a Safer Economy, which became the Committee's primary reference point. Under the Blueprint, every county was assigned by the State to a tier based on a county's test positivity and adjusted case rate (see Tier chart at the end of this section). The State reviews and updates tier assignments weekly. To move forward, a county must meet the next tier’s criteria for two consecutive weeks.

On September 29, 2020, Contra Costa County progressed from the Purple (most restrictive Widespread) Tier to the Red (Substantial) Tier, and on October 27, 2020 progressed again to the Orange (Moderate) Tier. Following a resurgence of new cases and increase in hospitalizations, the County, on November 16, 2020 was moved back to the Purple Tier where it remained until March 14, 2021 when the County progressed to the Red Tier. The County, on April 7, progressed once again to the Orange Tier where it remains. Additionally, Governor Newsom implemented a Regional Stay-at-Home Order between December 3, 2020 and January 25, 2021 in response to concerns about shrinking ICU capacity. Click to learn more about tier assignments and metric details.


State's Plan to Move Beyond the Current Blueprint

On April 6, Governor Newsom announced that he is looking to move beyond the Blueprint for a Safer Economy to fully reopening California's economy. He predicted that on June 15, if vigilant, all industries across the state can return to usual operations with common-sense risk reduction measures such as masking and vaccinations. The state will monitor hospitalization rates, vaccine access, and vaccine efficacy against variants with the option to revisit the June 15 date if needed.

Vaccines

Late December 2020 brought the availability of two vaccines, one from Pfizer and one from Moderna. Both available vaccines require two injections a few weeks apart. The first injection starts building protection. A second injection a few weeks later is needed to get the most protection the vaccine has to offer. In response to guidelines from the State, Contra Costa Health Services (CCHS) is now offering the vaccine at no cost to people aged 16 and older who live, work or go to school in Contra Costa County. Click here to request an appointment from CCHS .

In late March 2021, the single dose Johnson & Johnson vaccine became available.

People who have been fully vaccinated are advised to:

  • Take steps to protect oneself and others in many situations, like wearing a mask, staying at least 6 feet apart from others, and avoiding crowds and poorly ventilated spaces. Take these precautions whenever you are:
  • Still avoid medium or large-sized gatherings.
  • If one travels, one should still take steps to protect oneself and others. You will still be required to wear a mask on planes, buses, trains, and other forms of public transportation traveling into, within, or out of the United States, and in U.S. transportation hubs such as airports and stations. Fully vaccinated international travelers arriving in the United States are still required?to get tested within 3 days of their flight (or show documentation of recovery from COVID-19 in the past 3 months) and should still get tested 3-5 days after their trip.
  • Still watch out for symptoms of COVID-19, especially if you’ve been around someone who is sick. If you have symptoms of COVID-19, you should get tested and stay home and away from others.
  • You will still need to follow guidance at your workplace.

Testing

All Bay Area residents are also encouraged to get tested for COVID-19, and to do so immediately if they have symptoms. Check with your local health department for more information about testing and about efforts in your community to fight the COVID-19 pandemic. For more information, please visit cchealth.org/coronavirus to read the latest health order and its appendices, and for local information about Contra Costa's response to the COVID-19 pandemic.

Here is a link to the updated FAQs (Frequently Asked Questions): FAQs

Referral Update:
Deputy County Health Officer Dr. Thomas Warne will provide a COVID-19 update at today's meeting. A discussion will then follow regarding vaccinating youths and what may happen after June 15, the date Governor Newsom predicted he would authorize moving beyond the Blueprint for a Safer Economy to fully reopening California's economy. Following that discussion, there will be an opportunity for general public comment and public comment on any agendized matter. The Committee and Dr. Warne will be available to respond to questions raised during the meeting. County Superintendent of Schools Lynn Mackey may be available to provide an update on local school openings and respond to questions.

The most significant developments since our last meeting on April 15, 2021 are:
  • The County, on April 24, met its goal of administering over one million vaccine doses by May 31.
  • Bay Area Health Officers, on April 25, approved resumption of the Johnson & Johnson vaccine for all adults.
  • The CDC, on April 29, issued new outdoor mask guidance for fully vaccinated people, excusing them from wearing a mask in most outdoor public settings.
  • The County began offering drop-in vaccination at all its COVID vaccination sites as of May 7.
  • Pfizer’s COVID-19 vaccine was authorized by the FDA for people aged 12-15. It was found to be safe and effective in protecting children as young as 12 in clinical trials. However, people 12 to 15-years-old cannot schedule appointments or stop by vaccine sites until the CDC and the State approve it for this age group.
  • Governor Newsom provided more clarity to his post- June 15 plan, announcing that if certain thresholds are met, then outdoor masking mandates will be relaxed to guidelines or recommendations. He predicted that California will look similar to pre-pandemic times, with no restrictions on businesses, large or small. The criteria for moving beyond the Blueprint are:
    • 1. Equitable vaccine availability: If vaccine supply is sufficient for Californians 16 years or older who wish to be inoculated.
    • 2. Consistently low burden of disease: Hospitalizations are stable and low, and specifically, hospitalizations among fully vaccinated individuals are low.
  • The County, on May 14, announced it will host free vaccine clinics at selected public school campuses, with no appointments required.
  • The Centers for Disease Control and Prevention (CDC), on May 13, eased mask-wearing guidance for fully vaccinated people, saying that fully vaccinated people need only wear masks in crowded indoor settings like buses, planes, and hospitals..


What happens beyond the Blueprint?

From the California Department of Public Health on April 6, 2021:

When California fully reopens the economy, the state will move beyond the Blueprint for a Safer Economy. Common-sense health measures such as masking will remain across the state. Testing or vaccination verification requirements will remain in relevant settings. Additionally:

  • All sectors listed in the current Blueprint Activities and Business Tiers Chart may return to usual operations in compliance with ETS/Cal OSHA and other statewide agency guidelines and standards with limited public health restrictions, such as masking, testing, and testing or vaccination verification requirements for large-scale higher-risk events. In addition, the following restrictions apply (via a narrow public health order):

    • Unless testing or vaccination status is verified for all attendees, conventions will be capped at 5,000 persons until October 1.

    • International convention attendees will only be allowed if fully vaccinated.

  • Schools and institutions of higher education should conduct full-time, in person instruction, in compliance with Cal/OSHA emergency temporary standards and public health guidelines.

  • Workplaces promote policies that reduce risk, including improved indoor ventilation, and mask wearing in indoor and other high-risk settings as well as remote work when possible without impacting business operations.

  • Californians and travelers will be subject to any current CDPH and CDC travel restrictions.


California will also need to maintain the public health and medical infrastructure in these five priority areas:

  1. Continue to provide vaccinations and be prepared for the vaccination of Californians under 16 years old. It is critical that vaccines remain effective against circulating strains.

  2. Conduct equity-focused monitoring and surveillance by maintaining adequate testing capacity and strategies for the early detection of cases including variants via genomic sequencing.

  3. Contain disease spread through timely investigation of cases, contacts, and outbreaks.

  4. Maintain a statewide plan to scale up resources for isolation or quarantine.

  5. Monitor hospital admissions and maintain adequate personal protective equipment (PPE) and healthcare surge capacity that can be easily mobilized.

The transition from Blueprint

The Governor's strategy is to use various levers and incentives to increase protection of Californians and incentivize vaccination to move us towards community immunity. Since March, the State has adjusted the Blueprint to recognize the role of vaccines in reducing transmission. These strategies include:

  • Reopening and expanding the capacity of outdoor sectors

  • Adding the Vaccine Equity Benchmarks to adjust the case rate thresholds for Blueprint tiers

  • Allowing increased capacity or numbers of persons allowed, including indoors, with proof of testing or vaccination

  • Developing guidance or minimum standards to ensure equity, privacy, and ethical practices are integral in the deployment of vaccination and testing verification methods

  • Focusing on equity allocations and implementation plans to improve vaccination coverage in our least advantaged and hardest-hit communities


The efforts Californians have taken to date have allowed California to reopen safely to move beyond the Blueprint.
Recommendation(s)/Next Step(s):
RECEIVE status report on the County's COVID-19 status and vaccination framework and DISCUSS prospects for holding public and private events in the County in 2021.
Attachments
Openings at a Glance 4-7-21
Contra Costa County Moving to Orange Tier_4-6-21
Governor's Plan to Move Beyond the Blueprint_4-6-21
Blueprint for a Safer Economy_Activity and Business Tiers_Upd 4-2-21

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