Alameda County Health Care Services Agency Update

Public Health – Emergency Medical Services – Behavioral Health – Environmental Health
Homeless Care & Coordination – HealthPAC – Center for Healthy Schools & Communities
Week of October 19, 2020
Alameda County Health Care Services Agency Update
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Alameda County is in the Orange (Moderate) Tier on the State’s color-coded Blueprint for a Safer Economy. On October 21, we announced additional activitiespermitted to start as early as this Friday, October 23 (see following article for more detail). These changes bring us fully into the Red tier and allow some Orange tier activities as part of the Alameda County Reopening Plan.We will continue a phased-in approach to reopening additional sectors to prevent surges that are occurring elsewhere. Visit Shelter in Place to view what’s currently open in our County.
On October 20, the Alameda County Board of Supervisors (BOS) proclaimed October as National Arts and Humanities Month. The BOS also recognized seven artists for their work and contributions to the arts community in Alameda County. The following individuals received the 2020 Alameda County Arts Leadership Award: Jean Marie Durant, Ron Lytle, Michael Socrates Moran, Usha Shukla, Anuradha Suresh, and the team of Tetiana Taganska and Olga Tymoshchuk. Congratulations to all the award recipients. More information about the recipients can be found in the Alameda County Arts Commission‘s press release.
Our Public Health Department and Agency Director joined with leaders from the Regional Pacific Islander Taskforce to represent Alameda County in partnership with health officials from Santa Clara, San Mateo, and San Francisco counties to host a four-county regional convening with faith-based leaders on Saturday, October 17. The convening provided an opportunity to share vital COVID-19 information and updates and partner with faith-based leaders to support the Pacific Islander community better and reduce COVID 19 burden and impacts.
Finally, a reminder about our new Landlord Incentive Program to expand housing units for people experiencing homelessness. Please take a moment to read the article at the bottom of this issue and help us identify more units, especially as we approach the holidays and colder temperatures.
Each week we provide a digest of new information sourced from presentations to the Board of Supervisors and other key stakeholders. We hope you find this summary useful, and we appreciate your readership and your support.
Alameda County Permits New Indoor Activities
Case rates, testing positivity and hospitalizations are stable, allowing Alameda County to continue its measured pace to open or expand activities permitted under the Red Tier and some activities that are permitted under the Orange Tier. The following activities may start as soon as Friday, October 23:
  • Indoor family entertainment centers may open activities that are naturally socially distanced, like bowling alleys and climbing walls, up to 25% capacity
  • Indoor dining up to 25% capacity or less than 100 people, whichever is less
  • Indoor worship services up to 25% capacity or less than 100 people, whichever is less
  • Indoor movie theaters up to 25% capacity or less than 100 people per screen, whichever is less
  • Expansion of indoor retail and malls up to 50% of capacity and permitting limited food courts
  • Expansion of indoor gyms and fitness centers up to 25% of capacity, but indoor pools are not permitted to open
  • Expansion of outdoor non-contact fitness classes up to 20 people including the instructor
  • Expansion of wedding and funeral services up to 25% of venue capacity or 100 people, whichever is less
Businesses must implement and residents must comply with important COVID-19 safety measures. We offer several resources to help guide our community, including COVID-19 protocols and guidance, a full list of activities that are currently open and not open in Alameda County, and email [email protected] for technical assistance.
Alameda County will also align with the State’s recently released guidance on gatherings. Gatherings of a stable group of no more than three households replaces the County’s Social Bubbles and includes a limit of no more than 20 people. Face coverings must be worn except when eating or drinking, gatherings should occur outdoors, and people who do not live in the same home should keep at least 6 feet of distance from each other.
State Health Equity Metric
As of October 19, the test positivity in the least advantaged areas of Alameda County was 2.7% compared to 1.6% countywide. We are seeing a rapid decline in the positivity rate in the most disadvantaged areas. This is great news for these areas and the County as a whole. We need to remain in the orange tier for a minimum of three weeks and will continue to work with community partners to decrease the positivity rate in the most impacted areas.
Testing
Testing rates continue to increase, with a 7-day average for testing over 5,000. Currently, the County has 13 community testing sites in Oakland, Berkley, Fremont, Pleasanton, and San Leandro, and seven vendors who can conduct mobile testing. Pop-up testing occurred at San Antonio Park last week with Trybe, and this week we are launching a pop-up site with Street Level Health at Home Depot in Oakland and International and High Street to serve day laborers. A pop-up testing site was launched at the San Lorenzo Community Church to serve Regional Pacific Islander/Polynesian Community members. We are also launching a testing site at Lake Merritt on Saturdays starting October 24, and testing has resumed at Allen Temple in Oakland on Tuesdays and Thursdays.
Testing locations and appointment links are posted on the COVID-19 testing webpage and searchable in the interactive map of COVID-19 services. Our community testing sites offer free tests using county testing guidance for any community member with symptoms, all essential workers, and those at higher medical risk regardless of symptoms. We also offer laboratory testing guidance and general guidance to healthcare providers who consider adding a point of care tests into their clinical workflow.
Trends in Cases and Hospitalizations
The number of new cases per day and hospitalizations has stabilized. The October 17 metrics reflect the State’s 7-day average and 7-day lag:
  • The unadjusted case rate is 3.5 per 100,000.
As of October 19:
  •  Cumulative cases were 22,636, and cumulative deaths were 433.
  •  COVID-19 positive patients included 54 hospitalized and 19 in ICU beds.
Case and Contact Investigation, Isolation and Quarantine
Alameda County currently has 39 outbreak investigators and 157 trained case investigators/contact tracers, including 32 community-based organizations. Last week 47% of cases were reached within 24 hours of receiving contact information, 58% of cases were reached within 48 hours, and 75% were reached within the week.
As of October 20, the occupancy rate was 93% for all Safer Ground units in Project Roomkey. Roomkey isolation/quarantine hotel rooms and trailer units continue to provide housing for people living in crowded conditions or are experiencing Homelessness. We are preparing for transition from interim homeless housing to permanent supportive housing through Project Homekey. The State has announced tentative awards for three County sites and we’ll share details as they are available.
A Place to Call Home
We introduced our Landlord Incentive Program several weeks ago and, since that time, we have connected with dozens of landlords from cities across Alameda County. We are encouraged by the recent expansion made possible by this program, and yet the need remains. Please help us secure more permanent housing units for residents experiencing homelessness. The new partnerships we established are an excellent start but we can’t stop there. Please help us reach more landlords by sending a reminder about this program to your networks. Identifying available housing units in Alameda County is also a critical step towards ensuring that those exiting Project Roomkey are permanently housed. Please feel free to contact 510-777-2100 or [email protected] for additional information.
Care Connect Community Health Record Reaches 1 Year Milestone
The Care Connect Community Health Record (CHR) is closing gaps in the safety net and accelerating care for individuals who face highly complex physical, behavioral, and social challenges. Made possible through funding from Alameda County Care Connect, the County’s whole person care initiative, the CHR launched in September 2019 and it’s currently accessed by more than nearly 700 users across 26 organizations and programs.
Working together through AC Care Connect, Alameda County’s safety net providers are working on increased coordination and effective, personalized care through systems improvements while including the strength and support of the consumer’s personal networks in care planning. Through standardization of practice, development of universal tools, and sharing of consumer health records, the whole person care initiative is improving the consumer experience while engaging in services. This is an innovative approach that enables providers from different systems (physical health, mental health, social services, and housing) to work together to help people achieve optimal health.
2020-10-25T16:04:20-07:00October 23, 2020|News|0 Comments

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