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2020-07-23 Board of Health Minutes
North Andover Board of Health Meeting Minutes Thursday—Thursday,July 23,2020 7:00 p.m. VIRTUAL MEETING Present: Joseph McCarthy,Dr.Patrick Scanlon,Daphne Alva-LaFleur,Brian LaGrasse,Stephen Casey Jr, Caroline Ibbitson,Toni K.Wolfenden,and guest,Deanna Lima,Community Support Coordinator. I. CALL TO ORDER The meeting called to order at 7:00 pm. Chairman Joseph McCarthy read the following statement: Pursuant to Governor Baker's March 12,2020 Order Suspending Certain Provisions of the Open Meeting Law,G.L.c.30A, Section 18,and the Governor's March 15,2020 Order imposing strict limitation on the number of people that may gather in one place,this meeting of the North Andover Board of Health will be conducted via remote participation to the greatest extent possible. Specific information and the general guidelines for remote participation by members of the public and/or parties with a right and/or requirement to attend this meeting can be found on the Town's website,at www.northandoverma.gov. For this meeting, members of the public who wish to watch the meeting may do so on their televisions by tuning to Comcast Channel 8 or Verizon Channel 26 or online at www.northandovercam.ore. No in-person attendance of members of the public will be permitted,but every effort will be made to ensure that the public can adequately access the proceedings in real time,via technological means. In the event that we are unable to do so,despite best efforts,we will post on the Town of North Andover website an audio or video recording, transcript,or other comprehensive record of proceedings as soon as possible after the meeting. If the public would like to participate in public hearings please email your question/comment prior to or durine the meeting to bla¢rassena,northandoverma.eov The question/comment will be read during the proceedings and responded to accordingly. Il. APPROVAL OF MINUTES Meeting Minutes from May 28,2020 presented for signature. Motion made by Patrick Scanlon to approve the minutes,the motion seconded by Daphnee Alva-LaFleur,all were in favor and the minutes approved. (3-0-0) III. COMMUNICATIONS,ANNOUNCEMENTS,AND DISCUSSION A. Deanna Lima,Community Support Coordinator discusses the impact of COVIDI9 on Mental Health: COVIDI9 has had a major impact on mental health,especially with people that were already in isolation. Currently,we are dealing with the acute nature of the pandemic,even in the social emotional needs. Many in the public are struggling to meet their basic needs. Maslow's Hierarchy of Needs— 2019 North Andover Board of Health Meeting Page 1 of 5 Board of Health Members:Joseph McCarthy,Chairman;Michelle Davis,RN,Clerk/Member;Daphnee Alva-LaFleur,Member; Dr.Patrick Scanlon,DO,Town Physician/Member Health Department Staff:Brian LaGrasse,Health Director;Stephen Casey Jr.,Health Inspector;Caroline Ibbitson,Public Health Nurse;Toni K.Wolfenden,Health Department Assistant Illustration(see attached.) Maslow was a psychologist,who researched from the humanistic perspective. This is the idea that all individuals strive to do more and to achieve and excel based on the need to move to the next level in our existence. The bottom most basic level of our needs is in the form of a pyramid. The most basic level being physiological needs which consists of food,shelter,and water. Many people who may have been at a higher level,achieving higher levels of need,fell down to the most basic level because of loss of employment,and/or financial distress. Many people were trying to find ways to feed their families,pay the mortgages/rent and pay outstanding debt. When faced with those most basic needs,people are not yet at the point of worrying about the other levels which are safety,love and belongingness,sense of community,and self-actualization. As the basic needs and safety needs are met,then we will start seeing people being in greater levels of distress. This will be expected in the fall whether students go to school or not. We are going to see a much greater level of distress when students are faced with the reality of ongoing isolation from their peers. The mental health needs will emerge when the pandemic becomes normalized. Ms.Lima receives four to five calls on average per day from residents. Needs have been exacerbated by the pandemic but the needs are all related to issues that were already present. Senior citizens who are isolated and lack social supports have become worse with the pandemic. Research shows that cognitive simulation is critical for good health,physically and mentally especially in our elder years. It is shocking for so many seniors in our community to be isolated. Basic needs are not being met,and for people who already had issues,these issues become much worse. Between the next 3-6 months,social emotional needs will emerge due to the pandemic. Deanna can be reached via email, dlima northandoverma.gov,office phone 978-794-1703,or cell phone 978-989-1048. To plan for the future mental health crisis,Deanna has been working with mental health providers who are accepting new clients,and continuing to see clients,and maintaining relationships with those practices. It is important to create a network of providers that we can continue to refer to. As the need increases, there is going to be an increased burden and relationships will make the difference. B. Brian LaGrasse discusses the State COVIDI9 Statistics. See Dashboard of Public Health Indicators. There were 192 newly reported,confirmed cases as of Wednesday,July 22,2020. This was out of 10, 786 tests,which is a 1.8%positive test rate. Total confirmed cases is 107,413 in Massachusetts. There were 18 deaths in the state,532 statewide hospitalizations. Currently,Holy Family Hospital Methuen, MA has one patient and no COVIDI9 patients in the ICU. Lawrence General Hospital has 18 patients and 3 in the ICU. Each hospital has over 20 ICU beds not including surgical capacity. Last month during our scheduled meeting,the state had 937 hospitalizations at that time. In Massachusetts and the whole northeast,the curve has been flattened. New England,New York and New Jersey have all flattened or leveled off. The mask orders and social distancing have proven to be effective. Testing and contact tracing has helped greatly in finding asymptomatic carriers. Massachusetts has begun a new campaign called"Stop the Spread". Eight testing sites have been opened throughout the state to do free testing. These areas that have higher Covid19 numbers than the state average. Lawrence General Hospital is the closest site to North Andover. Free testing is being offered Monday through Friday 9:OOam4:30pm. Call 978-946-8409 to set up an appointment. Eliminating the asymptomatic carriers from the population,instructing patients on isolation and giving them the resources will help keep the community spread of the virus down. There has been a delay in some of the testing results in the positive notifications. The spikes across the country are taxing the lab capacity in some of the national labs like Quest and Lab Core. In-house testing similar to Lawrence General Hospital and Holy Family Hospital are still keeping up with the demand. People are waiting longer to get the results back,which is a problem. Massachusetts is in Phase 3, Step 1. Phase 3 has been divided into two steps. Step one began on July 61,this has allowed for more areas to open up and more businesses to open. Occupancy and the number of people that can actually gather is limited but phase three step one allows indoor recreational facilities,gyms fitness centers,casinos,museums,outdoor theater performances,movie theaters,outdoor event spaces,small indoor events,and indoor classes for vocational schools to open. According to the Order,an organized outdoor gathering is limited to 100 people which includes staff. Small indoor events are limited to 25 people. Masks are still required. Community Development has started a program for local businesses to receive free masks and hand sanitizer. The Health Department continues to receive complaints about non-compliancy with masks and signage. There was an anticipation of small bump ups in the positive cases as the phases opened, however,this is has not happened to date. R-value is still under one which is why we are still staying with our low numbers. Regionally,there has been a shift in the average age of people being infected with the virus as younger. The current trend is 20-40 as opposed to the beginning was 70-90. One theory is that the testing was limited to symptomatic which tends to be your seniors and the elderly that do show the symptoms and do have more severe complications. Younger people are going out more and younger populations may be less compliant. The Health Department will be looking into a new North Andover Board of Health Meeting Minutes Thursday—Thursday,July 23,2020 7:00 p.m. VIRTUAL MEETING campaign targeting young people to encourage mask wearing and social distancing. Phase 3, Step 2 will be coming soon but there is no set date. Masks,social distancing,hand washing,and abiding by the guidance has been successful. C. Caroline Ibbitson discusses the Local COVIDI9 Numbers: The North Andover COVIDI9 numbers have declined. There are 361total,recovered 323, 1 active and 37 deaths COVIDI9 cases. Month 1: 137,Month 2: 137,Month 3:66,Month 4:21 new cases. Some of the large months were from the older populations doing mass testing at the long-term care facilities,which they are not doing now. In the beginning,an entire facility would undergo testing,if the patient was symptomatic or not. With the nice weather,quarantine has become more difficult. With the numbers being low,Caroline has been able to spend more time on probable cases with the antibody testing and antigen testing has started to increase a little. If these tests come back as positive they are considered as probable cases. A positive antigen test is treated like a confirmed COVID19. They follow the same isolation,quarantining of close contacts and contact tracing guidelines. Caroline has also been working with Merrimack College,Brooks and the public schools to assist in the reopening process. Other communicable diseases that Caroline has been dealing and preparing for is the tick borne disease Anaplasmosis,and Influenza. D. Stephen Casey: Stephen has been dealing with questions and or concerns via phone and in the field. He gives as much information and feedback as possible. The questions range from COVIDI9 to general inquiries related to food permits and other aspects of the Health Department. Any business complaints about not wearing masks,Stephen encourages the business to receive the free Community Development PPE Kits. The PSA updates continue to be sent out to the public(see attached.) Septic, pool,housing,and mobile food truck inspections continue to be completed. Stephen continues to assist the Health Department in any way possible. E. Dr.Patrick Scanlon: Dr. Scanlon has two positive patients at the New Hampshire hospital at which he practices. One is in the ICU. The last month has been stable. At this time there is not much data on the antigen test and they are not being promoted. Testing for COVIDI9 is mainly done with a PCR nasal swab or the antibody test. Antibody tests are not being promoted as much because the literature changes on a constant basis about the utility of antibodies. How long the antibodies last in the human body varies. Patients should also be leery about data that shows they had the virus twice. Patrick has seen rapid PCR testing come back as either a false negative or false positive and they are confirmed by a second PCR test that goes to a different lab but the sensitivity and specificity of those types of tests are still above 90%. Testing nursing home patients and visitors for COVIDI9 using the PCR nasal swab test would be favorable. Patients and visitors should also be wearing masks and practicing social distancing to decrease the transmission of the disease. The antigen test is relying on the human body to start to generate an immune response and that is what is being tested for when an antigen test is completed. A PCR test is actually detecting the virus itself. Joe has concerns with mask wearing on the boardwalk at area beaches and socially distancing at the beach. Patrick explains that people when 2019 North Andover Board of Health Meeting Page 3 of 5 Board of Health Members:Joseph McCarthy,Chairman;Michelle Davis,RN,Clerk/Member;Daphnee Alva-LaFleur,Member; Dr.Patrick Scanlon,DO,Town Physician/Member Health Department Staff:Brian LaGrasse,Health Director;Stephen Casey Jr.,Health Inspector;Caroline Ibbitson,Public Health Nurse;Toni K.Wolfenden,Health Department Assistant at the beach,they should be socially distanced from the next party. When a person is getting refreshments or using the restrooms,masks should be worn. F. COVIDI9 Vaccine: Joe McCarthy inquires about the status of a COVIDI9 vaccine. Currently,there are 35 different vaccines being developed. They are in different phases for the FDA trials to ensure safety and effective. The coronavirus is actually a common virus. The most common strain is the common cold. COVIDI9 is newly discovered. Trials have shown that the human body only generates an antibody response to the coronavirus that lasts for about 6-8 months. This is the predicament that we are seeing for vaccine development. It does not mean that vaccines are out of the question for the coronavirus,the data that is coming out is actually promising and reassuring. Pfizer is one of the companies that is working on a"super-vaccine"to generate a super immune response to COVIDI9 and to perhaps give a longer immunity. The vaccine may be a need for a required booster at some point. This would generate a further immune response. Different medications have come out that improve survival for critically ill patients including the most recent one which is a systemic steroid. This is for patients that are moderate to severe in illness.The data is not there for mild illness for patients to receive systemic steroids like prednisone or a derivative of that. The only two medications being used currently are Remdesseviere and steroids. Both have been shown to decrease the symptom burden and the time for improvement went form 14 days down to 11 days. Steroids were the only thing in clinical trials at this point to improve survival to the point of discharge. The first groups that will be targeted for the vaccine will be healthcare providers and the elderly population. Joe McCarthy thanks Daphnee Alva-LaFleur and Tuffs Medical Insurance for their generous donations of food to the residents of North Andover,especially the seniors and the Town of North Andover Employees. Daphnee encourages people to volunteer during and after the pandemic ends. She also encourages people to look in on their neighbors or to make a simple phone call. G. General Updates: Town Hall continues to be closed to the public. Currently,Town Hall is at 50% employee occupancy. The building is at limited capacity due to Governor Bakers' Orders. At this time the managers are working on re-opening plans. It will be opening up in the near future but no date has been set. The Town Manager,Melissa Rodrigues,meets regularly with a re-opening committee to discuss implementing proper procedures and guidelines. Mill River Consulting has been re-signed as the Town of North Andover, Septic Consultant for a three year contract.TEC Environmental Inc.,the Town of North Andover Consultant for the waste energy plant,Wheelabrator quality control,contract has been extended for one year. The Board of Health has begun searching for a new board member. Steven's Pond has been closed due to high bacteria levels. E-coli numbers have been very high which has resulted in un-safe swimming and the pond closed. North East Mosquito Control continues with town surveillance. There have not been any Eastern Equine Encephalitis(EEE) or West Nile Virus detections in the Town of North Andover. There has been one EEE and one West Nile Virus in the state to date. The school department has drafted their three different phase plans, which consists of. in school learning,half in school half remote and full remote. The plan is due to the Department of Secondary Education July 31,2020. IV. ADJOURNMENT MOTION made by Dr.Patrick Scanlon to adjourn the meeting.Daphnee Alva-LaFleur seconded the motion and all were in favor.The meeting adjourned at 8:04 pm. North Andover Board of Health Meeting Minutes Thursday—Thursday,July 23,2020 7:00 p.m. VIRTUAL MEETING Prepared by: Toni K. Wolfenden, Health Dept.Assistant Reviewed bv: All Board of Health Members&Brian LaGrasse, Health Director Signed bX: "Minutes Approved At Virtual Meeting 8.27.2020 Michelle Davis, Clerk of the Board Date Signed Documents Used At Meeting: Agenda Mass DPH COVIDI9 Dashboard Maslow's Hierarchy of Needs Phase 3 Update—Step 1 Summer Pests: Ticks and Mosquitos 2019 North Andover Board of Health Meeting Page 5 of 5 Board of Health Members:Joseph McCarthy,Chairman;Michelle Davis,RN,Clerk/Member;Daphnee Alva-LaFleur,Member; Dr.Patrick Scanlon,DO,Town Physician/Member Health Department Staff:Brian LaGrasse,Health Director;Stephen Casey Jr.,Health Inspector;Caroline Ibbitson,Public Health Nurse;Toni K.Wolfenden,Health Department Assistant North Andover Board of Health Agenda Thursday, July 23, 2020 7:00 p.m. OPEN SESSION VIRTUAL MEETING Live broadcast can be heard on www.northandoveream.org I. CALL TO ORDER II. Approval of Meeting Minutes—May 28,2020 III. DISCUSSION A. Community Support Coordinator—Deanna Lima B. COVIDI9—Updates C. Gerneral- Updates IV. ADJOURNMENT Pursuant to Governor Baker's March 12, 2020 Order Suspending Certain Provisions of the Open Meeting Law, G.L. c. 30A, Section 18, and the Governor's March 15, 2020 Order imposing strict limitation on the number of people that may gather in one place, this meeting of the North Andover Board of Health will be conducted via remote participation to the greatest extent possible. Specific information and the general guidelines for remote participation by members of the public and/or parties with a right and/or requirement to attend this meeting can be found on the Town's website, at www.northandoverma.gov. For this meeting, members of the public who wish to watch the meeting may do so on their televisions by tuning to Comcast Channel 8 or Verizon Channel 26 or online at www.northandovercam.org. No in-person attendance of members of the public will be permitted, but every effort will be made to ensure that the public can adequately access the proceedings in real time, via technological means. In the event that we are unable to do so, despite best efforts, we will post on the Town of North Andover website an audio or video recording, transcript, or other comprehensive record of proceedings as soon as possible after the meeting. If the public would like to participate in public hearings please email your question/comment prior to or during the meeting to blagrasse(a)_northandoverma.gov The question/comment will be read during the proceedings and responded to accordingly. 2019 North Andover Board of Health Meeting-Meeting Agenda Page 1 of 1 Note: The Board of Health reserves the right to take items out of order and to discuss and/or vote on items that are not listed on the agenda. Board of Health Members: Joseph McCarthy,Chairman;Michelle Davis,RN,Clerk;Daphnee Alva-LaFleur,Member;Patrick Scanlon,D.O.,Member/Town Physician Health Department Staff:Brian LaGrasse,Health Director;Stephen Casey Jr.,Health Inspector; Caroline lbbitson,Public Health Nurse;Toni K.Wolfenden,Health Department Assistant Massachusetts Department of Public Health COVID-19 Dashboard - Wednesday, July 22, 2020 U 1,� ��' r4 �- Dashboard of Public Health Indicators Newly Reported Total Confirmed Newly Reported Total Deaths Confirmed Cases Cases Deaths among among Confirmed Today Confirmed Today Cases 413• � ••• • • New Individuals • - ' • - Below is the status as of June 5, 2020: Tested by - • by Molecular _ Measure Status • • COVID-19 positive test rate Number of individuals who died from COVID-19 Total Molecular Legend Number of patients with COVID-19 in hospitals Tests Healthcare system readiness Administered • Positive trend Testing capacity In progress • Negative Contact tracing capabilities 6F551 Please note:The front page of the dashboard has been reformatted.Probable case and death information can be found on page 21.Antibody tests(individual and total numbers)can be found on page 7.For more information on the COVID-19 case definition,see https://cdn ymaws.com/www.cste.org/resource/resmgr/202 pslnterim-20-ID-01 COVID-19.pdf Massachusetts Department of Public Health COVID-19 Dashboard - Wednesday, July 22, 2020 v v �uJ /iV Dashboard of Public Health Indicators Percent Change Since •� April 15th 7 Day Weighted 2.0%° 2.0% Average of Positive 2.0% 1.9% 1.9% 2.0% 9% 1.9% 1.9% 1.9% 1.8% 1.9% 1.9% Molecular Test Rate 18% 18� 1.7/c 17% ° 1.8% 1.$/° 1.8% 1.7/0 1.7% 1.7/0 1.7/0 1.7/0 1.7% 1 94 1.6% 1.7% June June June June June June June June June July July July July July July July July July July July July July July July July July July July July July 22 23 24 25 26 27 28 29 30 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 3 Day Average of 1,000 851 794 Number of COVID- 933 937 905 769 760 752 725 19 Patients in 699 659 644 626 629 639 643 613 596 * 748 575 566 551 524 504 493 498 509 • t Hospital 500 620 . • 1 June June June June June June June June June July July July July July July July July July July July July July July July July July July July July July 22 23 24 25 26 27 28 29 30 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 Number of Hospitals using 5 4 4 4 4 4 4 6 6 4 6 3 3 5 3 5 5 5 5 Surge Capacity 2 2 4 2 2 t 3 1 1 1 2 2 2 0 F 1 June June June June June June June June June July July July July July July July July July July July July July July July July July July July July July F1 22 23 24 25 26 27 28 29 30 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 3 Day Average of 30 25 COVID-19 27 24 21 21 23 19 19 21 Deaths" 20 23 18 19 19 18 19 18 20 14 16 15 • t 17 15 13 12 13 12 11 12 1 10 —L-I June June June June June June June June June July July July July July July July July July July July July July July July July July July July 22 23 24 25 26 27 28 29 30 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 *Includes both confirmed and suspected cases of COVID-19; **Includes deaths in only confirmed cases of COVID-19 2 Massachusetts Department of Public Health COVID-19 Dashboard - Wednesday, Jul 22, 2020 P Y� Y Table of Contents Daily and Cumulative Confirmed and Probable Cases..................................................................................................................................Page 4 Testingby Date - Molecular (Individuals).........................................................................................................................................................Page 5 Testing by Date - Molecular (Total Tests Conducted)....................................................................................................................................Page 6 Testingby Date - Antibody..................................................................................................................................................................................Page 7 Casesand Case Growth by County.....................................................................................................................................................................Page 8 Prevalenceby County............................................................................................................................................................................................Page 9 Daily and Cumulative COVID-19 Hospitalizations...........................................................................................................................................Page 10 NewDaily COVID-19 Hospital Admissions.......................................................................................................................................................Page 11 Daily and Cumulative COVID-19 ICU and Intubations...................................................................................................................................Page 12 Dailyand Cumulative Deaths...............................................................................................................................................................................Page 13 Casesand Case Rate by Age Group...................................................................................................................................................................Page 14 Hospitalizations & Hospitalization Rate by Age Group.................................................................................................................................Page 15 Deathsand Death Rate by Age Group..............................................................................................................................................................Page 16 Deathsand Death Rate by County.....................................................................................................................................................................Page 17 Deaths by Sex, Previous Hospitalization, & Underlying Conditions...........................................................................................................Page 18 Cases, Hospitalizations, & Deaths by Race/Ethnicity....................................................................................................................................Page 19 COVID-19 Cases in Long-Term Care (LTC) Facilities......................................................................................................................................Page 20 ProbableCase Information..................................................................................................................................................................................Page 21 TotalHospital Capacity by Region.....................................................................................................................................................................Page 22 COVIDPatient Census by Hospital....................................................................................................................................................................Page 23 Department of Corrections on-site Testing Program....................................................................................................................................Page 26 3 �`p�trr[f!Mgyy^ Massachusetts Department of Public Health COVID-19 Dashboard - Wednesday, July 22, 2020 y Dail and Cumulative Confirmed and Probable Cases oq� Lc Total COVID- 19 Cases To Date by Date Individual Tested or Date of Symptom Onset New Confirmed Cases *New Probable Cases *Cumulative Total Cases Sex* 450 400 350 i 300 c 0 c 0 110,000 v j 250 N m `D U L) v 3 200 �a d 108,000 Z E 150 c) 106,000 100 s0 _.._ 104,00'' yD! 00 N 0 1�W Ju... Ju... Ju... Ju... Ju... Ju... Ju... Ju... Ju... Ju... Ju... Ju... Ju... Ju... Ju... Ju... Ju... Ju... Ju... Ju... Ju... Ju... Ju— July July July July July July July July July July July July July July July July July July July July July July 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 Data Sources:COVID-19 Data provided by the Bureau of Infectious Disease and Laboratory Sciences;Tables and Figures created by the Office of Population Health. Note:all data are current as of 10:00am on the date at the top of the page;*Excludes unknown values. Data previously shown according to date report received;data now presented according to date the individual was tested. Due to lag in reporting by laboratories,counts for most recent dates are likely to be incomplete. Includes both confirmed and probable cases.Information on probable case counts and deaths may be found on page 21. 4 Massachusetts Department of Public Health COVID-19 Dashboard - Wednesday, Jul 22, 2020 P Y- Y Testing by Date - Molecular (Individuals) Total Number of Individuals with at Least One Molecular Test Performed by Date *New Individuals Tested by Molecular Method *Cumulative Individuals Tested by Molecular Method c 10K 0 0 900K !2 U Ln to F� 3 HOOK °1 Z SK E Z3 U 700K N O Obi N M W tOD 0 M O ] O O _ O N O O N N fV [V [V O /1 r-I V M r-I r1 rl ri N 1 M r-1 01 r-i 1p' V .-i r1 r1 r-I lD N V c-i r-I ti N r-I r-I Oi 1p k r-1 OK imau�.-•"®tl f You10 Wrr urea a. `lima r.<...� �66�Y 6��61 G3C F.'35G..t1 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 June July Percent of Tests By Molecular Method that are Positive by Test Date % a 37.73 - 2% 2% 3% 2% 2°X, 2% 2% 2% 2% 2% 2% 2°/ 2% Zi6 2`. L'' % 1% 2% 2%2% 2% 2% 2% 2% 2% 2% 2% 2% 2% 2% 2`Yo 2% 2% 2% 2% 2% 2% 1% 2% 2% 8 9 10 11 12 13 14 1S 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 1 2 3 4 S 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 June hilt' Data Sources:COVID-19 Data provided by the Bureau of Infectious Disease and Laboratory Sciences;Tables and Figures created by the Office of Population Health. Note:all data are current as of 10:00am on the date at the top of the page. Data previously shown according to date report received;data now presented according to date the individual was tested.Due to lag in reporting by laboratories,counts for most recent dates are likely to be incomplete.Testing by Date-Molecular(Individual)counts the number of individuals with at least one molecular test;Testing by Date-Molecular (Total Tests Conducted)counts the total number of molecular tests performed.This includes individuals who have had more than one molecular test 5 cr/�,.NpFM4'\G Massachusetts Department of Public Health COVID-19 Dashboard - Wednesday, July 22, 2020 Testing by Date Molecular (Total Tests Conducted) 0011 Total Number of Molecular Tests Performed by Date 20K 19,533 19 270 17,903 7,371 17,65S 17,862 7,36 17 62 16,165 16,85 16,86 16,159 4,513 4,718 1SK 14,353 14,221 14,165 3,917 13 93 3,463 3 77 13,66 4 048 3,766 3,099 13,056 13,264 2 66 c 1,687 0 0 U 10K 9,692 9,270 9,459 8,382 y 7,921 Z 7,312 6,490 6,613 6,322 6,154 5,888 SK 5 088 5.227 4,920 4,269 29 OK I I I I I I I I I I I I— 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 June July •First Molecular Test Per Individual •Molecular Tests that are Repeated in Individuals Data Sources:COVID-19 Data provided by the Bureau of Infectious Disease and Laboratory Sciences;Tables and Figures created by the Office of Population Health. Note:all data are current as of 10:00am on the date at the top of the page. Data previously shown according to date report received; data now presented according to date the individual was tested. Due to lag in reporting by laboratories,counts for most recent dates are likely to be incomplete.Testing by Date- Molecular(Individual) counts the number of individuals with at least one molecular test;Testing by Date-Molecular (Total Tests Conducted)counts the total number of molecular tests performed.This includes individuals who have had more than one molecular test. 6 er-'1"Of M4ga t �, Massachusetts Department of Public Health COVID-19 Dashboard - Wednesday, July 22, 2020 u Testing by Date - Antibody ow �^ IndividualsIndividuals Antibody Tests by Antibody Number of Individuals Tested by Antibody by Test Date 340 87F346 *Ind ividuals with Negative Antibody Test •LidividuaIs with Positive Antibody Tests *Cumulative Patients Tested by Antibody Method 1,400 90K 1,200 85 K 80K 1,000 75K a c U 800 N 0 U in CJ 70K a3 6 Z 65h E U 400 N 60K 200 win M M 55K • •--F N O ^.. &W^ .--1 `i O ti W 0 a. _.. Co t i. 'F''1-. ^ N N:. ID O V' N N . O ,r ki—a ym—ma`' vni w ;m.si 6ti r %iiss 65sssd famaw 50K 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 June July Data Sources:COVID-19 Data provided by the Bureau of Infectious Disease and Laboratory Sciences;Tables and Figures created by the Office of Population Health. Note:all data are current as of 10:00am on the date at the top of the page. Data previously shown according to date report received; data now presented according to date the individual was tested. Due to lag in reporting by laboratories,counts for most recent dates are likely to be incomplete. Please note that some individuals have been tested by both molecular and antibody methods. 7 Massachusetts Department of Public Health COVID-19 Dashboard - Wednesday, July 22, 2020 ' Cases and Case Growth by County 7� LP Total Cases by County Rate (per 100,000) of Total COVID- 19 Cases by Date and County County Count 3,000 Middlesex 25,084 Suffolk 20,678 2,500 Essex 16,815 Worcester 12,933 0 2,000 0 Norfolk 9,821 0 0 Plymouth 8,917 : i,soo v Bristol 8,761 Hampden 7,180 1,000 Barnstable 1,644 Hampshire 1,063 500 -- Berkshire 626 Franklin 390 0 Unknown 315 O`Leo°�eA�)e'Je1Je,Je,�e,Je'Je,Jae,�e,Je'�e,Je,Je'Je,�e'te,Je'0e1%e,Jea�OJ�OJ�O ��� �1� -.'b j�A�o���-A;�3�.M Dukes 64 Nantucket 29 Date Total 114,320 0Barnstable •Berkshire •Bristol •Dukes •Essex 0Franklin Hampden *Hampshire *Middlesex *Nantucket *Norfolk*Plymouth *Suffolk *Worcester Data Sources:COVID-19 Data provided by the Bureau of Infectious Disease and Laboratory Sciences;County Population Estimates 2011-2018:Small Area Population Estimates 2011-2020,version 2018, Massachusetts Department of Public Health, Bureau of Environmental Health;Tables and Figures created by the Office of Population Health. Note:all data are cumulative and current as of 10:00am on the date at the top of the page.Includes both probable and confirmed cases. 8 t i nF,H a!Plple Massachusetts Department of Public Health COVID-19 Dashboard - Wednesday, July 22, 2020 Prevalence by County Rate (per 100,000) of Total COVID-19 Cases by County (n=114,320)* :z Essex Franklin Middlesex Berkshire Hampshire Worcester �i,. Suffolk . Hampden Norfolk 255.8 - 490 Bristol Plymouth 490.1 - 759 ® 759.16- 1,702 Barnstable ®2,108 N 2,543 * Unknown County (n=315) °a Du es Nantucket Data Sources:COVID-19 Data provided by the Bureau of Infectious Disease and Laboratory Sciences;Map created by the Office of Population Health; County Population Estimates 2011-2018:Small Area Population Estimates 2011-2020,version 2018, Massachusetts Department of Public Health,Bureau of Environmental Health; 9 Note:All data are cumulative and current as of 10:00 am on the date at the top of the page.Includes probable and confirmed cases. P`Y ri(:F Myy Massachusetts Department of Public Health COVID-19 Dashboard - Wednesday, July 22, 2020 Daily and Cumulative COVID- 19 Hospitalizations Patients Reported as Hospitalized* with COVID- 19 by Date •New Hospitalizations by Date •Number of Hospitalized COVID-19 Patients by Date 1,000 41 O 33 30 500 0 U 26 27 ) Currently N 19 20 19 0 Hospitalized N ° •� N Ln o ■-18 ■-13 ■ ■ 7 '■■ ■ -16 ' •-10 16 15 _ -22-21 25 23 0 29 30 30 30 31 29 33 27 -500 aU -50 37 Z -47 -42 62 1 -60 75 -74 -79 -1,000 -100 -117 -117 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 June July Date Data Sources:COVID-19 Data provided by the Bureau of Infectious Disease and Laboratory Sciences and MDPH survey of hospitals(hospital survey data are self-reported);Tables and Figures created by the Office of Population Health. Notes:data are current as of 12:00pm on the date at the top of the page. 10 T H nv M4 Massachusetts Department of Public Health COVID-19 Dashboard - Wednesday, July 22, 2020 m New Daily COVID- 19 Hospital Admissions z �r�CNr Or PV©�� Confirmed and Suspected COVID-19 Hospital Admissions by Day *Confirmed COVID-19 Hospital Admissions •Suspected COVID-19 Hospital Admissions 450 400 350 c 300 0 250 v Q 200 0 = 150 100 50 0 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 2S 26 27 28 29 30 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 June July Data Sources:COVID-19 Data provided by the Bureau of Infectious Disease and Laboratory Sciences and MDPH survey of hospitals(hospital survey data are self-reported);Tables and Figures created by the Office of Population Health. Notes:data are current as of 12:00pm on the date at the top of the page. For purposes of this reporting,"confirmed"are cases with a PCR test."Suspected"are those with symptoms who have not had a test result yet 11 ,r inr A, Massachusetts Department of Public Health COVID-19 Dashboard - Wednesday, July 22, 2020 Daily and Cumulative COVID- 19 ICU and Intubations 9� ✓�P Patients Reported in ICU with COVID- 19 by Date *Changes in ICU Count by Date •Total Patients in ICU 20 �0 • of c 9 5 10 c 10 4 V 4 4 3 0 U Currently in ICU D 0 , 0 1 1 p 1 _��1 __ �� U 3 -10 • • ,' •, ■ ', ,• • 1 2 •, • ' -3 1 4 Z ' -7 g 6 -7 9 10 7 7 t -11 _ F -20 -13 _14 -13 -13 200 6 17 -18 -18 -23'20 -22 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 June July Patients Reported as Intubated with COVID- 19 by Date •Changes in Intubation Count by Date *Total Patients Intubated 20 200Count of 11 U 10 5 5 5 Cases- 9 100 ciCurrently c ' 3 2 3 3 4 0 Intubated 117111 1 ., 107'17 • 771 1 , -2 _2 . Z 3 -10 -7 37 8 -6 6 -7 -4 -4 -5 -7 3 _4 3 -5 -100 c -10 9 _g 9 �° Z -12 -11 -14 -13 200 H- 16 20 - -16 16 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 June July Data Sources:COVID-19 Data provided by the Bureau of Infectious Disease and Laboratory Sciences and MDPH survey of hospitals(hospital survey data are self-reported);Tables and Figures created by the Office of Population Health.Notes:data are current as of 12:00pm on the date at the top of the page. 12 OF 6,4�4C Massachusetts Department of Public Health COVID-19 Dashboard - Wednesday, July 22, 2020 Dail and Cumulative Deaths y Total Deaths in COVID- 19 Cases by Date of Death 13 New Confirmed Deaths •New Probable Deaths •Total Deaths 45 40 35 8,200 _ 30 0 Total c U O L COVID-19 Cases U 25 800 w io O 0 20 i • • • • • z 7,800 15 E U 10 7,600 5 0 7,400 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 June July Date of Death Data Sources:COVID-19 Data provided by the Bureau of Infectious Disease and Laboratory Sciences and the Registry of Vital Records and Statistics;Tables and Figures created by the Office of Population Health Note:all data are current as of 10:00am on the date at the top of the page; *Counts on the trend chart do not match total number of deaths reported, as there is a several day lag in reporting by date of death. Includes both probable and confirmed cases. 13 n cF 4tn Massachusetts Department of Public Health COVID-19 Dashboard - Wednesday, July 22, 2020 J91 . L, Cases and Case Rate by Age Group yam:. Total COVID- 19 Cases by Age Group Rate (per 100,000) of Total COVID- 19 Cases by 20,000 Age Group 18,010 17,286 16,476 16,260 5,000 15,258 15,000 14,580 Average age of= 4,000 Totat COVID-19 0 Cases 0 c c 10,000 9,677 0 3,00051 U � a� a m 2,016 6,516 2,000 1,908 1,855 1,762 1,592 5,000 1,000 407 0 0 - 0-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ 0-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ Age Group Age Group Data Sources:COVID-19 Data provided by the Bureau of Infectious Disease and Laboratory Sciences, Population Estimates 2011-2018:Small Area Population Estimates 2011-2020,version 2018;Tables and Figures created by the Office of Population Health. Note:all data are cumulative and current as of 10:00am on the date at the top of the page.Includes both probable and confirmed cases. 14 �E'�f H of Mg�4 T�= � Massachusetts Department of Public Health COVID-19 Dashboard - Wednesday, July 22, 2020 V: vz Hospitalizations & Hospitalization Rate by Age Group Mp,,"rr pUC:J Total COVID- 19 Cases Reported as Rate (per 100,000) of Total COVID- 19 Cases Hospitalized* by Age Group Reported as Hospitalized* by Age Group 4,000 3500 1,200 3,000 0 0 1,000 o Average • of • C.2,500 Cases Reported Z266 aw 800 Hospitalized c n. 2,000 c 0 0 V - • 1,520 N 600 • • 1,500 m a 0 400 1,000 842 2 555 500 200 157 301 99 0 . 11 0 0 118 7 E 0-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ 0-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ Age Group Age Group Data Sources:COVID-19 Data provided by the Bureau of Infectious Disease and Laboratory Sciences; Population Estimates 2011-2018:Small Area Population Estimates 2011-2020,version 2018;Tables and Figures created by the Office of Population Health. Notes:all data are cumulative and current as of 10:00am on the date at the top of the page;*Hospitalization refers to status at any point in time,not necessarily the current status of the patient,demographic data on hospitalized patients collected retrospectively-,anal is does not include all hospitalized patents and may not add u to data totals from hospital surveys.Includes both probable and confirmed cases. 15 P P analysis P• P Y P P• Ys• 3�E'<tH DF&*,,a01 Massachusetts Department of Public Health COVID-19 Dashboard - Wednesday, July 22, 2020 �C� Deaths and Death Rate by Age Group Deaths by Age Group in Total COVID- 19 Cases Rate (per 100,000) of Total COVID- 19 Deaths by Age Group 2,000 S,000 1,823 1,800 4,000 1,600 1400 Average Age of c Deaths in Totat 0 3,000 RCD 1,200 0 v y 1,000 • n w L 2,000 1,839 m 800 w 0 600 1,000 879 400 383 301 200 106 0 16 35 86 31 0 0 2 4 10 = ki 0 �� 0-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ 0-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ Age Group Age Group Data Sources:COVID-19 Data provided by the Bureau of Infectious Disease and Laboratory Sciences and the Registry of Vital Records and Statistics; Population Estimates 2011-2018:Small Area Population Estimates 2011-2020,version 2018;Tables and Figures created by the Office of Population Health. Note:all data are cumulative and current as of 10:00am on the date at the top of the page.Includes both probable and confirmed cases. 16 OF s.,,, o V� Massachusetts Department of Public Health COVID-19 Dashboard - Wednesday, July 22, 2020 °� Deaths and Death Rate b Count y y Count of Deaths in Total COVID- 19 Cases by County Rate (per 100,000) of Total COVID- 19 Deaths by County 2,000 - _ 140 136 134 128 120 120 116 1,500 108 CD 0 100 c o 1,152 0 0 t 972 1 03 971 n 80 71 76 m 1,000 N 0 L 680 700 0 60 615 40 35 500 154 125 20 0 . �45 1 I M M 11 1 1 � ,,\L' e 0`` 0\t`�J`�eti ��Se+�ta����o a�, eo�`�SV,`aa\may+hod' �o'J, ` �o\� �t¢� S�ap\e �rX'e e�Stio\ �JL� '; e+ `a�zwo �Qaen QSoe a\e'o* o&\I- oJ�(� J'1o\* `ester 0a a�a�a �a q �o �aF �e a,,, F �a \"aF \o \4 ge `' 'oc O James O James Data Sources:COVID-19 Data provided by the Bureau of Infectious Disease and Laboratory Sciences;County Population Estimates 2011-2018:Small Area Population Estimates 2011-2020,version 2018, Massachusetts Department of Public Health, Bureau of Environmental Health;Tables and Figures created by the Office of Population Health. 17 Note:all data are cumulative and current as of 10:00am on the date at the top of the page.Includes both probable and confirmed cases. IfV/ a Massachusetts Department of Public Health COVID-19 Dashboard - Wednesday, July 22, 2020 =: L Deaths by Sex, Previous Hospitalization, & Underlying Conditions Total Deaths by Sex- Total Deaths with a Previous Total Deaths** with Underlying Conditions Hospitalization* 75 (1.8%) 3,914_ 1,279 (15.10/,) (46.2%) 4,552 2,632 41557 (53.8%) 4,160 (98.2%) Female •Male •Yes -Unknown •No •Yes •No Data Sources:COVID-19 Data provided by the Bureau of Infectious Disease and Laboratory Sciences and the Registry of Vital Records and Statistics;Demographic data on hospitalized patients collected retrospectively,analysis does not include all hospitalized patients and may not add up to data totals from hospital survey,Tables and Figures created by the Office of Population Health. Note:all data are cumulative and current as of 10:00am on the date at the top of the page;*Hospitalized at any point in time, not necessarily the current status;**Only includes data from deaths following completed investigation,figures are updates as additional investigations are completed; + Excludes unknown values.Includes both probable and confirmed cases. 18 Massachusetts Department of Public Health COVID-19 Dashboard - Wednesday, July 22, 2020 V Cases, Hospitalizations, & Deaths b Race/Ethnicity p Y Y The following caveats apply to these data: 1.Information on race and ethnicity is collected and reported by laboratories,healthcare providers and local boards of health and may or may not reflect self-report by the individual case. 2.If no information is provided by any reporter on a case's race or ethnicity,DPH classifies it as missing. 3.A classification of unknown indicates the reporter did not know the race and ethnicity of the individual,the individual refused to provide information,or that the originating system does not capture the information. 4.Other indicates multiple races or that the originating system does not capture the information. Note:COVID-19 testing is currently conducted by dozens of private labs, hospitals,and other partners and the Department of Public Health is working with these organizations and to improve data reporting by race and ethnicity,to better understand where,and on whom,the burden of illness is falling so the Commonwealth can respond more effectively. On 4/8,the Commissioner of Public Health issued an Order related to collecting complete demographic information for all confirmed and suspected COVID-19 patients. Total Cases by Race/Ethnicity Total Cases Reported as Hospitalized* by Total Deaths by Race/Ethnicity Race/Ethnicity 5.3% 3.2% 6A 9.4% 7.8/o 0 6.9 i� 32.7% 11.8O/C 8.2% 19.5% _ __49.5% 13.7% - 75.2% 30.9% 14.0% 11,761 8,468 114,320 Total Cases Reported as Hospitalized Total Deaths Total Case Count •Hispanic •Non-Hispanic Asian Non-Hispanic Black/African American •Non-Hispanic Other •Non-Hispanic White •Unknown/Missing Data Sources:COVID-19 Data provided by the Bureau of Infectious Disease and Laboratory Sciences and the Registry of Vital Records and Statistics;Demographic data on hospitalized patients collected retrospectively, analysis does not include all hospitalized patients and may not add up to data totals from hospital survey,Tables and Figures created by the Office of Population Health. Note:all data are cumulative and current as of 10:00am on the date at the top of the page;*Hospitalization refers to status at any point in time, not necessarily the current status of the patient/demographic data on hospitalized patients collected retrospectively,analysis does not include all hospitalized patients and may not add up to data totals from hospital surveys.Includes both probable and confirmed cases. 19 Massachusetts Department of Public Health COVID-19 Dashboard - Wednesday, July 22, 2020 o� COVID- 19 Cases in Long -Term Care (LTC) Facilities Residents/Healthcare Workers of Long-Term Care Facilities Probable or Confirmed COVID-19 Long-Term Care Facilities with Reporting At Least One Probable Deaths Reported in Long-Term Probable or Confirmed COVID-19 or Confirmed Case of COVID-19 Care Facilities 23,900 • • Data Sources:COVID-19 Data provided by the Bureau of Infectious Disease and Laboratory Sciences and the Registry of Vital Records and Statistics;Tables and Figures created by the Office of Population Health Note:all data are cumulative and current as of 10:00am on the date at the top of the page.Data includes nursing homes,skilled nursing facilities,and rest homes. 20 �E��.H or Ma884c Massachusetts Department of Public Health COVID-19 Dashboard - Wednesday, July 22, 2020 Probable Case Information Probable Probable Cases i Cases Toda • • Newly Reported Total Deaths Deaths among among Probable Probable T• • . Patients with a positive serology/antibody test and either COVID-like symptoms or likely exposure to COVID-19 are counted as probable cases. Patients who did not have a laboratory test but whose death certificate listed COVID-19 as a cause of death are counted as probable deaths. Patients who did not have a laboratory test but had COVID-like symptoms and were likely exposed to COVID-19 are counted as probable cases. Probable cases are included in all counts from March 1 onward. For more information on the Probable case definition,see https://cdn ymaws.com/www.cste.org/resource/resmgr/2020ps/interim-20-ID-01 COVID-19.pdf Data Sources:COVID-19 Data provided by the Bureau of Infectious Disease and Laboratory Sciences, and the Registry of Vital Records and Statistics;Tables and Figures created by the Office of Population Health. Note:all data are current as of 10:00am. 2' V. ;Massachusetts Department of Public Health COVID-19 Dashboard - Wednesday, July 22, 2020 0.0 Total Hospital Capacity by Region Data collected as of 7/21/2020 5:00pm 12,600 0% Available Alternate Medical Site Beds Available non-ICU Beds(including Surge) Available ICU Beds(including Surge) Occupied Alternate Medical Site Beds % Occupied non-ICU Beds Occupied ICU Beds 4,100 % % 2,200 0% 2,000 0% 59% 32% 25% 1,600 � 23% 0% @"E-0% 300 �0% 0% 1,400 0/ 0% 55/o 0 65% 10% 0% - .., St 62% 0 0 0 Total Boston Metro West Southeast Northeast West Central Occupancy/availability as reported by hospitals to DPH. Regions shown represent EOHHS Regions.Note that total bed estimates may change day-to-day due to hospitals updating surge planning.As of June 16th,data reflects updated data collection methodology and the removal of unstaffed beds from this analysis.Analysis here reflects total beds that hospitals could staff within 12-24 hours. 22 �i Massachusetts Department of Public Health COVID-19 Dashboard - Wednesday, July 22, 2020 `v `" �v COVID Patient Census b Hospital 1/3 :T`J LV Data collected as of 7/21/2020 5:00 m rMc�r n o p Hospital Name Hospital County Hospitalized Total COVID patients - Hospitalized COVID patients in suspected and confirmed(including ICU) ICU-suspected and confirmed Addison Gilbert Hospital Essex 0 0 Anna Jaques Hospital Essex 7 1 Athol Memorial Hospital Worcester 0 0 Baystate Franklin Medical Center Franklin 5 1 Baystate Medical Center Hampden 12 2 Baystate Noble Hospital Hampden 3 0 Baystate Wing Hospital Hampden 3 0 Berkshire Medical Center Berkshire 2 0 Beth Israel Deaconess Hospital- Milton Norfolk 17 1 Beth Israel Deaconess Hospital - Needham Norfolk 10 1 Beth Israel Deaconess Hospital- Plymouth Plymouth 8 0 Beth Israel Deaconess Medical Center Suffolk 31 5 Beverly Hospital Essex 3 1 Boston Childrens Hospital* Suffolk 3 1 Boston Medical Center Suffolk 28 1 Brigham and Womens-Faulkner Suffolk 22 0 Brigham and Womens Hospital Suffolk 33 3 Brockton Hospital Plymouth 5 0 Cambridge Hospital Middlesex 10 1 Cape Cod Hospital Barnstable 3 0 Carney Hospital Suffolk 4 0 Clinton Hospital Worcester 1 0 Cooley Dickinson Hospital Hampshire 7 0 Occupancy/availability as reported by hospitals to DPH. *Specialty hospital data may be delayed and patient composition may vary. 23 Massachusetts Department of Public Health COVID-19 Dashboard - Wednesday, July 22, 2020 v vv; COVID Patient Census by Hospital 2 3 Z Data collected as of 7/21/2020 5:00pm / Hospital Name Hospital County Hospitalized Total COVID patients - Hospitalized COVID patients in suspected and confirmed (including ICU) ICU-suspected and confirmed Dana Farber Cancer Institute* Suffolk 0 0 Emerson Hospital Middlesex 0 0 Fairview Hospital Berkshire 0 0 Falmouth Hospital Barnstable 1 0 Good Samaritan Medical Center Plymouth 16 0 Harrington Hospital Worcester 3 3 Health Alliance-Leominster Worcester 5 1 Heywood Hospital Worcester 0 0 Holy Family Hospital Essex 1 0 Holyoke Hospital Hampden 8 1 Lahey Hospital Burlington Middlesex 12 2 Lahey Hospital Peabody Essex 1 0 Lawrence General Hospital Essex 18 3 Lowell General Hospital Middlesex 7 1 Marlborough Hospital Middlesex 1 1 Marthas Vineyard Hospital Dukes 0 0 Massachusetts Eye and Ear Infirmary* Suffolk 0 0 Massachusetts General Hospital Suffolk 46 7 Melrose Wakefield Hospital Middlesex 2 0 Mercy Medical Center Hampden 2 1 Merrimack Valley Hospital Essex 0 0 MetroWest Medical Center Framingham Middlesex 15 3 MetroWest Medical Center Natick Middlesex 1 0 Occupancy/availability as reported by hospitals to DPH. *Specialty hospital data may be delayed and patient composition may vary. 24 N Of o.". Massachusetts Department of Public Health COVID-19 Dashboard - Wednesday, July 22, 2020 COVID Patient Census by Hospital (3/3) Data collected as of 7/21/2020 5:00pm 9 dry.rr Poll Hospital Name Hospital County Hospitalized Total COVID patients- Hospitalized COVID patients in suspected and confirmed(including ICU) ICU-suspected and confirmed Milford Regional Medical Center Worcester 3 1 Morton Hospital Bristol 3 0 Mount Auburn Hospital Middlesex 11 3 Nantucket Cottage Hospital Nantucket 0 0 Nashoba Valley Medical Center Middlesex 0 0 New England Baptist Hospital Suffolk 0 0 Newton-Wellesley Hospital Middlesex 20 1 North Shore Medical Center Salem Essex 32 3 Norwood Hospital Norfolk 0 0 Saint Vincent Hospital Worcester 6 0 Saints Memorial Medical Center Middlesex 0 0 South Shore Hospital Norfolk 17 0 Southcoast Charlton Memorial Hospital Bristol 14 3 St Annes Hospital Bristol 4 0 St Elizabeths Medical Center Suffolk 1 0 St Lukes Hospital Bristol 15 4 Sturdy Memorial Hospital Bristol 8 0 Tobey Hospital Plymouth 4 2 Tufts Medical Center Suffolk 12 2 UMass Memorial-Memorial Campus Worcester 10 1 UMass Memorial-University Campus Worcester 4 0 Winchester Hospital Middlesex 12 2 Occupancy/availability as reported by hospitals to DPH. *Specialty hospital data may be delayed and patient composition may vary. 25 CO. M41,^�i Massachusetts Department of Public Health COVID-19 Dashboard - Wednesday, Jul 22, 2020 � � w p Y. Y v vu� Department of Corrections on-site Testing Program 1 2 Data as of 6/10/2020 Facility Population Positive Negative Inconclusive Total Mobile Testing at Massachusetts Correctional Institution—Framingham(MCI-F) MCI-F inmates 37 64 6 107 Southern Middlesex Correctional Center(SMCC)inmates 0 40 1 41 Department of Corrections Staff 2 109 0 111 Wellpath Staff 1 8 0 9 Mobile Testing at MA Treatment Center(MTC) MTC Civil and State Inmates 73 360 31 464 Department of Corrections Staff S 217 0 222 Wellpath Staff 0 13 0 13 Bridgewater State Hospital/CCRS Staff 1 37 0 38 Mobile Testing at Massachusetts Correctional Institution—Shiriey(MCI-S) MCI-S Inmates 91 742 0 833 Department of Corrections Staff 6 295 0 301 Wellpath Staff 0 20 0 20 Mobile Testing at Old Colony Correctional Center(OCCC) OCCC Proper Inmates 0 592 0 592 ISOU/RU Patients at OCCC 1 29 0 30 Bridgewater State Hospital Civil Commit Patients 1 73 2 79 OCCC-Minimum Security Inmates 0 84 0 84 Department of Corrections Staff 2 65 0 67 Wellpath Staff 0 10 0 10 Bridgewater State Hospital/CCRS Staff 0 39 1 40 Mobile testing at North Central Correctional Institution(NCCI)-Gardner NCCI-Gardner Inmates 0 928 0 928 Department of Corrections Staff 0 55 0 55 Wellpath Staff 0 3 0 3 Mobile Testing at Massachusetts Correctional Institution—Concord(MCI-C) MCI-Concord Inmates 0 582 0 582 MCI-C and NECC DOC Staff 1 171 0 172 MCI-C and NECC Wellpath Staff 0 24 0 24 Mobile Testing at Northeast Correctional Center(NECC) NECC Inmates 0 149 0 149 Boston Pre-Release(BPR) BPR Inmates 0 68 0 68 Department of Corrections Staff 0 22 0 28 Wellpath Staff 0 0 0 0 Massachusetts Alcohol and Substance Abuse Center MASAC Civils 2 3S 0 37 Department of Corrections Staff 0 6 0 6 Well 9 58 1 68 Source:Executive Office of Public Safety and Security Note:This data represents results from the on-site testing program being conducted in state-operated Department of Corrections facilities only.Tests are reported after resulting;pending tests not reported 26 Massachusetts Department of Public Health COVID-19 Dashboard - Wednesday, July 22, 2020 ao� r: ' II,vI Department of Corrections on-site Testing Program (2/2) Data as of 6/10/2020 F OF Facility Population Positive Negative Inconclusive Total Mobile testing at Souza Baranowski Correctional Center DOC MCI-S Staff 0 14 0 14 DOC SBCC Staff 1 98 0 99 Wellpath Staff 0 17 0 17 SBCC Inmates 2 677 0 679 Mobile Testing at MCI-Shirley(Minimum) MCI-S Minimum Inmates 0 239 0 239 Mobile Testing at MCI-Cedar Junction MCI-Cedar Junction Inmates 0 507 0 508 DOC Staff-C1 0 77 0 77 DOC-Norfolk 0 20 0 20 DOC-Pondville 1 2 0 3 DOC-SBCC 0 1 0 1 DOC-Transportation 0 1 0 1 DOC-Food Service 0 2 0 2 Wellpath Staff 0 8 0 8 Mobile Testing at Pondville Correctional Center PCC Inmates 0 113 0 113 Mobile Testing at MCI-Norfolk MCI-Norfolk Inmates 1 1,233 0 1,234 DOC Staff-Norfolk 1 41 0 42 DOC Staff-Pondville 0 4 0 4 Wellpath Staff 0 4 0 4 Source:Executive Office of Public Safety and Security Note:This data represents results from the on-site testing program being conducted in state-operated Department of Corrections facilities only.Tests are reported after resulting; 27 P 9 P 9 9 P P y p g;pending tests not reported Maslow's Hierarchy of Needs sell A�tt�alr♦atccxa Esteem Re5ped ftm °status S pubdx Wognthan Re Vwt for Se#'Sense of cornperertce s re�nhdence Belongingness and Love lx•7cwxyngge:SS,°.r'ccnztxersh+p*a!ii�r;rhE'S,sxnau3�onenrunitres. community gawps.gangs. etc Low.from family.frrendt and a Pg— . -,'other Safety, Protection & Security '-.err,, , Lt,•. nvarfr c strd etS Physiological the baste tweds far phys>cV su?�w;at rncluding food water a 1, ble envrronmonr Clothing and shatter TOILET PAPER July 6, 2020 North Andover Health Department Community and Economic Development Division Phase 3 Update— Step 1 Last week, Governor Baker announced that effective July 6, 2020 Massachusetts would be entering Phase 3, Step 1 of our phased reopening plan. Similar to the implementation of phase 2, Phase 3 will consist of two steps and allow different areas of business to open in each step. Some examples of businesses that are now allowed to open in step 1 of phase 3 include: • Fitness centers and health clubs • Museums • Theaters and performance venues • Indoor recreation businesses • Libraries All areas of business that will be allowed to reopen can be found in Order No. 43 on page 8. All reopening businesses must reopen in accordance with any relevant Sector Specific Guidelines and must also complete all self-certifying documents. Phase 3 also begins easing the restrictions on gatherings pertaining to Indoor and Outdoor events. All indoor or outdoor events such as but not limited to a wedding, party, or other event must meet the minimum standards for these events as specified by the state. Requirements include limiting the number of individuals, maintaining social distancing, the use of face coverings and much more. By adhering to all sector specific guidelines and continuing all the practices that got us to this point, Massachusetts will be able to keep moving forward towards the next phase and ultimately towards a new normal. • North Andover Health Department Community and Economic Development Division Summer Pests: Ticks and Mosquitos With the arrival of summer, many individuals take advantage of the numerous fields, trails and paths to get exercise outdoors. While the North Andover Health Department encourages residents to engage in healthy activities, it is important to do so safely. Two of the main hazards that come with exercising outdoors are the presence of mosquitos and ticks. Mosquitos are insects found in many locations that can carry dangerous diseases such as the eastern equine encephalitis virus (EEE) or West Nile virus (WNV). These diseases are extremely serious and can possibly cause a variety of symptoms or illnesses. Ticks are tiny bugs found often in wooded or grassy areas that attach to people or animals that come in contact with them. These bugs can also spread a variety of diseases, the more well-known ones being Lyme disease or anaplasmosis. To keep yourself safe, follow the steps listed below. Mosquitos • Avoid outdoor activities between dusk to dawn, as these are peak mosquito hours. • Wear long sleeves, long pants and socks while outdoors. • Apply insect repellent with one of the ingredients noted here. • Drain any standing water around your house. Mosquitos lay eggs in standing water. These areas include anywhere from old tires with rain water to bird baths. • Install or repair window and door screens to keep them outside. Ticks • Check yourself, your pets and others for ticks after coming inside. See the Massachusetts Department of Public Health's (MDPH) guide on doing a tick check. • When outside, stick to main pathways and center of hiking trails to avoid brushing against tall grass, tree branches and bushes. Wear a light colored, long-sleeve shirt with long pants and tuck your pants into your socks. • Use bug repellent. Check the MDPH website on tick repellent for more information. • Talk to your Veterinarian about ways to protect your pet from ticks.