Loading...
HomeMy WebLinkAbout2020-11-19 Board of Health Minutes North Andover Board of Health Meeting Minutes Thursday—November 19,2020 7:00 p.m. VIRTUAL MEETING Live broadcast can be heard on www.northandovercam.org Present: Joseph McCarthy,Dr.Patrick Scanlon,Michelle Davis,Dr.Max Tilson,Brian LaGrasse,Stephen Casey Jr,and Toni K.Wolfenden. I. CALL TO ORDER The meeting called to order at 7:10 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 during the meeting to blagrasse(-a,northandoverma.gov The question/comment will be read during the proceedings and responded to accordingly. II. APPROVAL OF MINUTES Meeting Minutes from October 27,2020 presented for signature. Motion was made by Michelle Davis, motion seconded by Dr.Patrick Scanlon,all in favor and the minutes were approved.(4-0-0) III. NEW BUSINESS A. Lacey DiOrio,Lacey Michael Permanent Makeup,has come before the Board to request a variance for additional Body Art Apprentices. Currently,the regulation is limited to one apprentice per trainer. In order to be a trainer,one must be a licensed Body Art Practioner. Allowing Lacey to have additional apprentices would assist in growing her business and add supplemental income. Lacey would like to 2020 North Andover Board of Health Meeting Page 1 of 4 Board of Health Members:Joseph McCarthy,Chairman;Michelle Davis,RN,Clerk/Member;Daphnee Alva-LaFleur,Member; Dr.Patrick Scanlon,DO,Town Physician/Member;Max Tilson MD,Member Health Department Staff:Brian LaGrasse,Health Director;Stephen Casey Jr.,Health Inspector;Caroline Ibbitson,Public Health Nurse;Toni K.Wolfenden,Health Department Assistant have up to five apprentices total,but only one apprentice will be present for training at a given time. Concerns are with making sure the apprentice gets the proper"one on one"training needed to learn the procedures safely and proficiently in a sanitary manner. The apprentice must learn cleaning and sanitary practices and properly handling exposures. Lacey will create a schedule to adhere to the policy of supervising one person at a given time with the maximum of five apprentices. MOTION made by Dr.Patrick Scanlon to grant Lacey DiOrio,Lacey Michael Permanent Makeup,a maximum of five apprentices with only one apprentice present for training with a client at a given time. Motion seconded by Dr.Max Tilson.All were in favor and the motion was approved. (4-0-0) IV. COMMUNICATIONS,ANNOUNCEMENTS,AND DISCUSSION A. Brian LaGrasse reviews the numbers for COVIDI9 in the Commonwealth of Massachusetts. Currently,the numbers in the commonwealth and throughout the country are surging. The Town of North Andover has 75 active cases, 13 are from Merrimack College,with 846 total cases from the beginning of the pandemic. The Commonwealth has 2,532 newly reported confirmed cases. Testing is very high which allows for early detection. Last week, 110,000 tests were completed on just one day. Hospitalizations have crept up to a little over 900. Massachusetts currently has a 50%ICU bed available.Positivity rate is creeping up as well,a 3.17%for Massachusetts and 1.3%for North Andover. It is very important not to overwhelm the hospitals capacity to care for the sick. The DCU Center is being set up to help with overflow of sick people. The deaths are in the mid-twenties per day,which is lower than in the beginning of the pandemic but still very difficult. The positive population is younger than it was the first time around. The largest numbers of positives are in the ages of 20-29,next is 0-19,the third 30-39,the fourth 40-49. All are well under 1%mortality rate. The mortality rate moves up to 1%in the 5 0-5 9 age group and then 60-69 jumps to 4%,70-79 is a very large jump to 12.6%,80+is 56%. North Andover will move to the yellow color category starting on Monday for the DPH color mapping which is a moderate risk. North Andover is in Phase 3 Step 2. This affects the outdoor gathering numbers limited to 100 people at event venues;indoor is limited at 10 people,25 outside at a private residence. Indoor recreation areas can open along with retail fitting rooms. The Commonwealth has adopted new quarantine guidelines. See attached. Two different providers of the COVIDI9 vaccine are on the threshold of approval for emergency use.There will be a three-phased approach to vaccinating the masses. The first phase is believed to consist of the critical population,doctors,nurses,long-term care facilities workers and long term-care patients. The vaccine will need to be held at extremely cold temperatures,and shipped in dry ice. The logistics are in the process. Health Departments,pharmacies and doctors' offices will all be administering the vaccine. There will be 3000 providers. Stephen Case v—Day to day work at town hall has been hectic. Septic season is closing on December 1,2020. Stephen has been working with licensed installers to clean up loose ends. Kelechi Obika continues to be trained in the COVIDI9 guidelines. He is learning quickly. Permit renewals have begun for trash trucks,offal haulers,septic installers,and title 5 inspectors. Building permit approvals continue. The town has new businesses coming in. Pita Thyme will be located at 550 Turnpike Street, Jet Nutrition will be located at 109 Main Street,and Saint Mary Pharmacy will be located at 1060 Osgood Street. As COVIDI9 cases rise so do the complaints. Kelechi is training to respond to these issues. Kelechi and Stephen have been responding to indoor dining complaints. Steven continues to write personal service announcements to help assist restaurants and the public up to date on the ever- changing guidelines. See attached the Thanksgiving PSA. Stephen reminds people that if you are feeling sick,please stay home for Thanksgiving. It will keep your friends and family safe. If you are traveling,self-quarantine if possible before you leave. This will allow the traveler to monitor oneself for symptoms and less likely to contract from being out in the public. Wear a mask and socially distance. Unfortunately,Thanksgiving is the perfect holiday to spread COVIDI9 because of the close contact,and indoor nature. Household contacts is the number one transmitter of COVIDI9. 98%of the close contacts are willing to help and provide the staff and nurses the information to stop the spread. The Mandatory Participation in Infectious Disease Isolation,Quarantine and Contact Tracing Regulation has not been ordered at this time. See order attached. Joseph McCarthy—Discusses the town website for information. See www.northandoverma.aov Joe discusses the COVIDI9 vaccine from Pfizer and Moderna. At this time,it is still unknown how long the protection from the vaccine lasts. The results from the data is from adults 18 years and older. Pfizer plans to manufacture 50 million doses by years end. Half is destined for the United States. Both vaccines need two doses administered three weeks apart. Moderna has estimated 20 million North Andover Board of Health Meeting Minutes Thursday—November 19, 2020 7:00 p.m. VIRTUAL MEETING Live broadcast can be heard on www.northandovercam.org doses will be manufactured this year. One million people were diagnosed with COVIDI9 in the United States this week. The urgency for the vaccine is great. Mask wearing is critical. Dr.Patrick Scanlon was the ICU rounder for Lawrence General Hospital on Wednesday and Thursday. Currently,there are 8 COVIDI9 patients in the ICU. Last week,Patrick was the ICU rounder at the Catholic Medical Center in Manchester,NH,which had zero COVIDI9 patients. COVIDI9 testing is available through Lawrence General Hospital. Results can be received within 24 hours,which is emailed,called on the phone or received via the portal. The mortality rate has gone down for COVIDI9. Doctors are learning how to better treat patients in respiratory failure. Doctors are no longer moving quickly to put people on ventilators. Dr.Max Tilson-Lawrence General Hospital can conduct 1,500 tests per day;however,it is being closed at 1,100-1,200 per day because it is taking 4-5 hours to take the test. The Lawrence General Hospital is being funded with Cares Act money to conduct the testing. People can be tested as much as they need however;they discourage testing only for travel or for curiosity. Patients are recommend to be tested due to exposure or if symptomatic. Always be tested if concerned. To date,there have not been any in-school transmission of the virus. The students have been adhering to the guidelines of the schools. All positive cases linked to students have been tracked to small gatherings,parties and sports. Michelle Davis asks about the COVIDI9 home test. This is still in the beginning stages. The test is administered,shipped to a lab. The lab will send results to DPH,which ultimately will be sent to the local health department. The health department nurses gather close contact information from the positive patient by asking a series of questions. If someone has been deemed a close contact the nurse will then contact the direct contact person. They will also be asked a series of questions. If they are determined to be a close contact,they are given a quarantine order. They can get tested if they want, however,the quarantine order will still hold for 8 days. A close contact of a close contact is not a close contact. V. ADJOURNMENT MOTION made by Dr.Patrick Scanlon to adjourn the meeting.Michelle Davis seconded the motion and all were in favor.The meeting adjourned at 8:20 pm.(4-0-0) 2020 North Andover Board of Health Meeting Page 3 of 4 Board of Health Members:Joseph McCarthy,Chairman;Michelle Davis,RN,Clerk/Member;Daphnee Alva-LaFleur,Member; Dr.Patrick Scanlon,DO,Town Physician/Member;Max Tilson MD,Member Health Department Staff:Brian LaGrasse,Health Director;Stephen Casey Jr.,Health Inspector;Caroline Ibbitson,Public Health Nurse;Toni K.Wolfenden,Health Department Assistant Prepared by: Toni K Wolfenden, Health Dept.Assistant Reviewed bv: All Board of Health Members&Brian LaGrasse,Health Director Si ned Approved at Virtual Meeting 12.17.2020 Michelle Davis, Clerk of the Board Date Signed Documents Used At Meeting: Agenda New Quarantine Guidelines Phase III,Step II Dashboard of Public Health Indicators—Thursday,November 19,2020 PSA—Thanksgiving Mandatory Participation in Infectious Disease Isolation,Quarantine,and Contact Tracing North Andover Board of Health Meeting Agenda Thursday, November 19, 2020 7:00 p.m. VIRTUAL MEETING Live broadcast can be heard on www.northanodverma.gov 1. CALL TO ORDER ll. APPROVAL OF MINUTES A. October 27,2020 III. NEW BUSINESS A. Variance for Additional Body Art Apprentices-Lacy Diorio IV. COMMUNICATIONS,ANNOUNCEMENTS,AND DISCUSSION A. Covidl9-Updates B. Holiday Reminder V. 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 b lag rasseCa)northan dove rma.gov The question/comment will be read during the proceedings and responded to accordingly. 2020 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/Member;Daphnee Alva-LaFleur,Member; Patrick Scanlon,D.O.,Town Physician/Member;Dr.Max Tilson Member Health Department Staff:Brian LaGrasse,Health Director;Stephen Casey Jr.,Health Inspector; Caroline Ibbitson,Public Health Nurse;Toni K.Wolfenden,Health Department Assistant OFFICE OF THE GOVERNOR COMMONWEALTH OF MASSACHUSETTS z r STATE HOUSE • BOSTON, MA 02133 � W (617) 725-4000 7 A 7 Wt V Qty y�e CHARLES D. BAKER KARYN E. POLITO GOVERNOR LIEUTENANT GOVERNOR ORDER FURTHER ADVANCING PHASE III RE-OPENINGS IN MUNICIPALITIES WITH REDUCED INCIDENCE OF COVID-19 INFECTION COVID-19 Order No. 51 WHEREAS, on March 10, 2020, 1, Charles D. Baker, Governor of the Commonwealth of Massachusetts, acting pursuant to the powers provided by Chapter 639 of the Acts of 1950 and Section 2A of Chapter 17 of the General Laws, declared that there now exists in the Commonwealth of Massachusetts a state of emergency due to the outbreak of the 2019 novel Coronavirus ("COVID-19"); WHEREAS, on March 11, 2020, the COVID-19 outbreak was characterized as a pandemic by the World Health Organization; WHEREAS,the Federal Centers for Disease Control and Prevention ("CDC")have advised that COVID-19 is spread mainly by person-to-person contact and that the best means of slowing the spread of the virus is through practicing social distancing and by minimizing personal contact with large groups and with environments where this potentially deadly virus may be transmitted including, in particular, spaces that present enhanced risks because of the large number of persons present or passing through the area who may spread the virus through respiratory activity or surface contacts; WHEREAS, on March 23, 2020, in order to restrict all non-essential person-to-person contact, non-essential movement outside the home, and reduce opportunities for spreading the COVID-19 virus within the Commonwealth, I issued COVID-19 Order No. 13, which temporarily closed the brick-and-mortar premises of businesses and organizations that do not provide COVID-19 Essential Services; 1 WHEREAS, in response to gradual improvements in the public health data, on May 18, 2020, June 6, 2020,and July 2, 2020, 1 issued COVID-19 Orders No. 33, 37, and 43, respectively, which designated certain businesses and other organizations as Phase 1, Il, 111, or IV enterprises and initiated a progressive, phased plan for re-opening workplaces and other facilities across the Commonwealth; WHEREAS, the CDC,the Department of Public Health, and other public health authorities continue to improve their understanding of how COVID-19 is spread, where the risk of spread is greatest, and how best to mitigate the risk of transmission, which permits periodic adjustments to safety measures addressing commercial, recreational, and social activities; WHEREAS, a sustained trend of improvement in public health data for the Commonwealth has supported a continuing, carefully phased relaxation of restrictions on businesses and other organizations, provided that such adjustments can only be maintained or expanded on the basis of continuing positive trends in the public health data; WHEREAS, public health data measuring the incidence of COVID-19 can be monitored at the level of the individual municipality, and this permits a targeted relaxation of restrictions on businesses and other organizations operating in municipalities that demonstrate a lower incidence rate of infection over a sustained period; and WHEREAS, sections 7, 8, and 8A of Chapter 639 of the Acts of 1950 authorize the Governor, during the effective period of a declared emergency,to exercise any and all authority over persons and property necessary or expedient for meeting the state of emergency, including but not limited to authority over assemblages in order to protect the health and safety of persons, transportation and travel by any means or mode, regulating the sale of articles of food and household articles, variance of the terms and conditions of licenses and permits issued by the Commonwealth or any of its agencies or political subdivisions, and policing, protection, and preservation of public and private property; NOW,THEREFORE, I hereby Order the following: 1. Advancement of Lower Risk Communities to Phase III, Step 2 Effective October 5, 2020, municipalities that qualify as "Lower Risk Corm-nunities" based on metrics reported by the Department of Public Health ("DPH") and as described below shall advance to Step 2 of Phase III of the Commonwealth's phased Re-Opening Plan. Municipalities that do not qualify as Lower Risk Communities shall not advance to Step 2 of Phase 111. For the purposes of this Order, a"Lower Risk Community" shall mean a community that, as of the date of the most recent weekly COV ID-19 Public Health Report published by DPH,has had an average daily incidence rate of 8 or fewer cases per 100,000 residents as recorded in each of the 3 most recent 14-day measurement periods (the"Lower Risk metric"). 2 Within Lower Risk Communities, upon the commencement of Step 2 of Phase III: a. Businesses and other organizations identified as Phase III, Step 2 enterprises in Schedule A attached hereto may open their brick-and-mortar premises to workers, customers, and the public; b. Phase I,11, and III enterprises, as identified in Schedule A, may begin operating pursuant to revised Sector-Specific COVID-19 workplace safety rules, issued under the authority of COVID-19 Orders No. 33, 37, and 43, that may provide for increased capacity and other adjustments to safety protocols upon the commencement of Step 2 of Phase III; and c. Revised capacity allowances for gatherings shall apply pursuant to COVID-19 Order No. 52, of even date with this Order, or pursuant to any later Order further adjusting capacity allowances for gatherings. A municipality that does not qualify as a Lower Risk Community shall subsequently qualify as a Lower Risk Community and shall advance to Step 2 of Phase III upon the publication by DPH of a weekly COVID-19 Public Health Report documenting that the municipality meets the Lower Risk metric specified above. 2. Requirement of Continuing_Lower Risk Status A municipality that qualifies as a Lower Risk Community, either on October 5, 2020 or subsequently, shall cease to qualify as a Lower Risk Community if at any time in a weekly report published by DPH the municipality has had an average daily incidence rate of more than 8 cases per 100,000 residents as recorded in each of the 3 most recent 14-day measurement periods. Within a municipality that ceases to qualify as a Lower Risk Community, rules and allowances applicable to Step 1 of Phase III shall apply. Accordingly: a. Businesses and other organizations identified as Phase III, Step 2 enterprises in Schedule A attached hereto must immediately close their brick-and-mortar premises to workers, customers, and the public; b. Phase I, II, and III enterprises, as identified in Schedule A, may not operate pursuant to revised Sector-Specific COVID-19 workplace safety rules providing for increased capacity and other adjustments applicable to enterprises operating under Step 2 of Phase III; and d. Reduced capacity allowances for gatherings shall apply pursuant to COVID-19 Order No. 52, of even date with this Order, or pursuant to any later Order further adjusting capacity allowances for gatherings. 3. COVID-19 Workplace Safety Rules for Step 2 of Phase III The Director of the Department of Labor Standards shall issue, subject to my approval (i) Sector-Specific COVID-19 workplace safety rules, as that term is defined in Section 4 of COVID-19 Order No. 43, applicable to Step 2 enterprises permitted to open their brick-and- 3 mortar premises to workers, customers, and the public as provided in Section 2 of this Order; and (ii) revised Sector-Specific COVID-19 workplace safety rules that may provide for increased capacity and other adjustments for Phase I, I11, and III enterprises also as provided in Section 2 of this Order. The provisions of Sections 4 and 5 of COVID-19 Order No. 43 (and Section 4 of COVID-19 Order No. 37 as incorporated in COVID-19 Order No. 43), which set requirements for compliance with generally applicable and Sector-Specific COVID-19 safety rules and mechanisms for enforcement for all Phase III enterprises shall apply to Step 2 enterprises authorized to open their premises pursuant to this Order. Any penalty issued in an enforcement action shall be administered as provided in COVID-19 Order No. 48. This Order is effective immediately and shall remain in effect until rescinded or until the state of emergency is ended, whichever occurs first. Given in Boston at `& A45pthis 29th day of September,two thousand and twenty D 4a'r- CHARLES D. BAKER GOVERNOR Commonwealth of Massachusetts 4 Schedule A to COVID-19 Order No. 51 issued September 29, 2020 All Phase I,II,III,and IV enterprises are required to comply with general and,where applicable,sector-specific COVID-19 workplace safety rules administered by DPL, DPH,EEA, and local boards of health. Workplace safety rules include a variety of mandatory context- specific COVID-19 safety measures such as occupancy limitations,operational modifications, social distancing rules,andspecialized cleaning requirements. Phase I As specified in COVID-19 Order No.33: • Businesses and other organizations providing products and services identified as "COVID-19 Essential Services"in COVID-19 Order No. 13 • Manufacturing • Construction • Places of Worship • Firearms retailers and shooting ranges • General Use Offices • Car Washes • Hair Salons and Barber Shops • Pet Groomers • Drive-In Movie Theaters • Laboratories • Certain Outdoor Recreational Facilities and Activities as specified in Exhibit 1 to COVID-19 Order No.33 Phase 11 As specified in COVID-19 Order No.37 and including specifically: • Retail Stores including stores in enclosed shopping malls • Restaurants providing seated food service prepared on-site and under retail food permits issued by municipal authorities pursuant to 105 CMR 590.000,including beer gardens/wineries/distilleries meeting these criteria o Step: outdoor table service o Step 2: indoor table service • Hotels,motels,inns,and other short-term lodgings(no events,functions,or meetings) • Limited organized youth and adult amateur sports activities and programs—no contact and no games or scrimmages,and indoor facilities limited to youth programs • Professional sports practice and training programs--no inter-team games and no admission for the public • Personal Services provided at a fixed place of business or at a client location o Step 1: Services involving no close personal contact(photography,window washers, individual tutoring,home cleaning,etc.) o Step 2: Services involving close personal contact(massage,nail salons, personal training for individuals or no more than 2 persons from same household,etc.) • Non-athletic instructional classes in arts/education/life skills for youths under 18 years of age in groups of fewer than 10 • Driving schools and flight schools • Outdoor historical spaces—no functions or gatherings and no guided tours • Funeral homes—increased capacity to permit 40%occupancy for one service at a time within the facility • Warehouses and distribution centers • Golf facilities including outdoor driving ranges • Other outdoor recreational facilities 0 pools,playgrounds andspray decks 5 o mini golf,go karts,batting cages,climbing walls,ropes courses • Post-Secondary/Higher Ed/Vocational-Tech/Trade/Occupational Schools o for the limited purposes of permitting students to complete a degree,program, or prerequisite for employment,or other similar requirement for completion, for summer youth programming including athletic facilities, and any necessary supporting services • Day Camps including sports and arts camps • Public libraries Phase III -step—I • Post-Secondary/Higher Ed/Vocational-Tech/Trade/Occupational Schools—general operations • Casino gaming floors • Horse racing tracks and simulcast facilities • indoor recreational and athletic facilities for general use(not limited to youth programs) • Fitness centers and health clubs including o cardio/weight rooms/locker roorns/inside facilities o fitness studios(yoga,barre,cross-fit,spin classes,general fitness studios) o indoor common areas o indoor swimming pools o indoor racquet courts and gymnasiums o locker rooms o excluding saunas,hot-tubs,steam rooms • Museums • Indoor historic spaces/sites • Aquariums • Outdoor theatres and other outdoor performance venues not designated as Phase IV enterprises • Movie theatres • Sightseeing and other organized tours(bus tours,duck tours,harbor cruises,whale watching) • Motion picture,television,and video streaming production • Fishing and hunting tournaments and other amateur or professional derbies • Outdoor event spaces used for gatherings and celebrations including those in parks, reservations,and other outdoor spaces not designated as Phase IV enterprises • Indoor event spaces such as meeting rooms,ballrooms, and private party rooms--only when used for functions or events permitted under Sector-Specific Rules for Indoor and Outdoor Events • Indoor non-athletic instructional classes in arts/education/life skills for persons 18 years or older • Indoor recreational activities with low potential for contact: batting cages, driving ranges,go karts,bowling alleys,rock-climbing walls • indoor and outdoor gaming arcades and associated gaming devices Step 2 • Indoor performance venues used for live performances such as concert halls,theaters, and other indoor performance spaces not designated as Phase IV enterprises • indoor recreational activities with greater potential for contact: laser tag,roller skating, trampolines,obstacle courses Phase IV 0 Amusement parks,theme parks,indoor or outdoor water parks and indoor or outdoor ball pits • Saunas,hot-tubs,steam rooms at fitness centers,health clubs,and other facilities • Bars,dance clubs,and nightclubs—venues offering entertainment,beverages,or 6 dancing and not providing seated food service prepared on-site and under retail food permits issued by municipal authorities pursuant to 105 CMR 590.000 • Beer gardens/breweries/wineries/distilleries not providing seated food service prepared on-site and under retail food permits issued by municipal authorities pursuant to 105 CMR 590.000 • Large capacity venues used for group or spectator sports,entertain inent,business,and cultural events including o Stadiums,arenas,and ballparks o Dance floors o Exhibition and convention halls • Street festivals and parades and agricultural festivals • Road races and other large,outdoor organized amateur or professional group athletic events • Overnight camps(Summer 2021) This listing is subject to amendment. 7 I � �EgTi.en �• North Andover Health Department Community and Economic Development Division NEW QUARANTINE GUIDELINES Throughout the Commonwealth of Massachusetts there has been a significant rise in cases of COVID-19 across the state. In order to do our part as a collective to not only keep ourselves, our loved ones and our peers safe, it is imperative to abide to all safety guidelines regarding mask use, gatherings, and social distancing orders, especially around the holidays. Latest guidelines administered by Governor Baker serve mainly as updated information and guidance for new quarantine requirements. If you are exposed to a COVID-19 positive person and determined to be a close contact then you may be required to self-quarantine. During any quarantine period,you must not leave your home and you should not have visitors. Any people who you live with may continue to do their normal activities and you should not have contact with them if possible. If they have been identified as a close contact, they must also quarantine. Governor Baker has issued new quarantine orders that took effect on November 18th, 2020. The new quarantine guidelines state the following: • You must remain quarantined for 14 days from the date of last exposure. OR • You must remain quarantined for 10-days if you meet the following 2 conditions; 1. You have not had, and do not have any symptoms; and 2. You are tested on Day 8 of your quarantine period or later using a PCR molecular diagnostic test that yields a negative result. After your 10 day quarantine period, continue to monitor yourself for any arising symptoms.If you develop symptoms you should be re-tested immediately. During your quarantine period it is important to: • Do not leaving your home except for urgent medical care. If you must leave your home for urgent medical care,wear a mask at all times. Call the healthcare provider in advance and tell them that you are quarantined due to COVID-19 exposure. For the protection of others,you should not take any public transportation. • Do not have any visitors in your home. • Wash your hands frequently using soap and water for at least 20 seconds each time you wash. If soap and water are not available,use an alcohol-based hand sanitizer that contains at least 60% alcohol. • If immediate family can't be avoided during your quarantine,maintain six feet of distance from other people in your home and wear a face covering in your home at all times. Anyone one you may have come in contact with should check for any and all arising symptoms such as: • Fever(temperature over 100.0 degrees) • Cough • Difficulty breathing or shortness of breath • Chills • Muscle or body aches • Fatigue • Sore throat • Headache • Congestion or runny nose • New loss of taste or smell • Nausea or vomiting • Diarrhea For any outstanding questions on proper quarantine procedures or guidelines you may reference the latest information provided by the state at htti2s•//www mass gov/guidance/information-and-guidance-for-12ersons-in-quarantine-due-to-co9 If any questions arise,please contact the North Andover Health Department by email at scaseyag.northandoverma.gov or kobikaanorthandoverma.gov or by phone at(978) 688 9540. � �4.�Tl.F.n Iaya North Andover Health Department Community and Economic Development Division NEW QUARANTINE GUIDELINES Throughout the Commonwealth of Massachusetts there has been a significant rise in cases of COVID-19 across the state. In order to do our part as a collective to not only keep ourselves, our loved ones and our peers safe, it is imperative to abide to all safety guidelines regarding mask use, gatherings, and social distancing orders, especially around the holidays. Latest guidelines administered by Governor Baker serve mainly as updated information and guidance for new quarantine requirements. If you are exposed to a COVID-19 positive person and determined to be a close contact then you may be required to self-quarantine. During any quarantine period,you must not leave your home and you should not have visitors. Any people who you live with may continue to do their normal activities and you should not have contact with them if possible. If they have been identified as a close contact, they must also quarantine. Governor Baker has issued new quarantine orders that took effect on November 18th,2020. The new quarantine guidelines state the following: • You must remain quarantined for 14 days from the date of last exposure. OR • You must remain quarantined for 10-days if you meet the following 2 conditions; 1. You have not had, and do not have any symptoms; and 2. You are tested on Day 8 of your quarantine period or later using a PCR molecular diagnostic test that yields a negative result. After your 10 day quarantine period, continue to monitor yourself for any arising symptoms.If you develop symptoms you should be re-tested immediately. During your quarantine period it is important to: • Do not leaving your home except for urgent medical care. If you must leave your home for urgent medical care,wear a mask at all times. Call the healthcare provider in advance and tell them that you are quarantined due to COVID-19 exposure. For the protection of others,you should not take any public transportation. • Do not have any visitors in your home. • Wash your hands frequently using soap and water for at least 20 seconds each time you wash. If soap and water are not available,use an alcohol-based hand sanitizer that contains at least 60% alcohol. • If immediate family can't be avoided during your quarantine,maintain six feet of distance from other people in your home and wear a face covering in your home at all times. Anyone one you may have come in contact with should check for any and all arising symptoms such as: • Fever(temperature over 100.0 degrees) • Cough • Difficulty breathing or shortness of breath • Chills • Muscle or body aches • Fatigue • Sore throat • Headache • Congestion or runny nose • New loss of taste or smell • Nausea or vomiting • Diarrhea For any outstanding questions on proper quarantine procedures or guidelines you may reference the latest information provided by the state at https://www.mass.gov/guidance/information-and-guidance-for-persons-in-quarantine-due-to-co9 If any questions arise,please contact the North Andover Health Department by email at scaseyCdnorthandoverma.gov or kobika_,northandoverma.gov or by phone at(978) 688 9540. t,CF M,ty. Massachusetts Department of Public Health COVID-19 Dashboard- Thursday, November 19, 2020 Dashboard of Public Health Indicators Total Cases By Age Group T ing and Cases from 11/1/2020-11/14/2020 Newly Reported • • Estimated Active • • • • 0-19 years • Reported 20-29 years 92, 139 HMitallization 30-39 years Total Confirmed Total Confirmed Average Age of COVID Patients in COVID Patients in Cases that were 40-49 years • Hospital ICU Hospitalized* • 17 • 50-59 years • • • Deaths Turnaround Time 60-69years (from14-Day Average Newly Reported Average Age of I Turnaround Deaths • • -aths* Sampte to Report to • 70 79 years Confirmed • 80+years 1 .92 27 :. Note:For definitions,please see the Glossary at the end of this document in"Definitions and Disclaimers".Average age of hospitalized cases and deaths are calculated for a two week period covering 11/01/2020 to 11/14/2020,Please see the most current weekly dashboard for more details https://www.mass.gov/info-details/covid-19-response-reporting *Last updated Wednesday, November 18,2020 1 i \v Massachusetts Department of Public Health COVID-19 Dashboard- Thursday, November 19, 2020 .v v c Sin a e Dashboard of Public Health Indicators Percent of Change Lowest Observed Sinue 7-Day Average of z,ozz New Confirmed 2K 1,7os 1,770 1,830 ' 1,547 2,152 2.222 2,306 2,356 ,385 2,388 2,276 Cases 1,298 1,403 2,105 1K 826 869 930 982 1,017 1,039 1,103 1,136 1,170 1,172 1,170 1,175 1,220 1,758 t 1,158 20 21 22 23 24 25 26 27 28 29 30 31 1 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 LOV=157 October November 7-Day Weighted Average of Positive 3% 2.6% 2.6% 2.7% ° 0 2.2% 2.4% co 3.3% 3.3% 3.-0% 3.4,6 3.4% 3.3°� 3.3% Molecular Test Rate*2% 1.7% 1.8% 1.8% 1.9% 1- 2-0% 2.0% 2.0°io 2.0% 2.0% 2.110 3.0% 3.1� 3.2% 1.54�0 1.6% 2.0% 1U/. 1.5% 20 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 October November LOV= 0.8% 7-Day Average of 8o0 Number Of 568 592 617 6d1 665 600 792 COVID-19 Patients 462 477 491 s10 527 546 593 724 756 in Hospital** 40° 327 332 339 347 355 361 369 375 381 387 347 407 420 432 447 zoo 20 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 _; = October November LOV= 155 7-Day Average of 25 24 COVID-19 20 21 21 2 23 24 1 21 21 22 25 25 2° 25 Deaths*** 20 19 19 20 2D 23 ' ' — L 17 18 17 77 t7 18 20 t9 21 19 18 _1_7 19 20 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 1 1 October November LOV= *Calculated from total molecular tests for all of MA;**Includes only confirmed cases of COVID-19;***Includes deaths in only confirmed cases of COVID-19 Note: LOV= Lowest observed value,i.e.the lowest value the public health indicator has been since tracking started on April 15,2020.Due to data lags,counts for most recent dates are likely incomplete,and thus measures are subject to change. 2 rr Mqa �vv Massachusetts Department of Public Health COVID-19 Dashboard- Thursday, November 19, 2020 Contents Testing and Cases Hospitalization Deaths Demographics, Activities, and Key Settings Definitions and Disclaimers ��P�tH os M1dB4C Massachusetts Department of Public Health COVID-19 Dashboard- Thursday, November 19, 2020 ov ` " Testing by Date - Molecular (Percent Positive) 7-Day Weighted Average of Percent of Tests By Molecular Method that are Positive by Test Date •MA Statewide(metric on p.2) 0 MA Higher Education Only MA with Higher Education Tests Removed 81 5 7.s5% 7.17% 6.70% 6.20% 56% 5�4% 5.24% 4.92 4.81% 4.53% - 4.37% 4.09% 4.03% \.42°0 // 3.37 J 2.83% / / \ 2.43% 2.49% 2.40% 1.99% 2.121s; _ � 1.99% 1.61% 1.70% 1,60% 1.63% 1.73% 1.88% 1.55% 1.59% 1.33% 1.34% 0,95% 1.07% 1.10% 0.83% 0.83°4, 0.77% 0.09% 0.07% 0.09% 0.11% 0.05% 0.13% 0.10% 0.06°6 0.11% 0.12% 0.29% 0.35% ................. iun 2020 Jul 2020 Aug 2020 Sep 2020 Oct 2020 Nov 2020 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 8:00am on the date at the top of the page. Due to lag in reporting by laboratories,counts for most recent dates are likely to be incomplete.This includes individuals who have had more than one molecular test. 4 _i, rt M1tp. �1_ Massachusetts Department of Public Health COVID-19 Dashboard- Thursday, November 19, 2020 �1{ L Daily Confirmed Cases Since March Confirmed COVID- 19 Cases To Date by Date Individual Tested Confirmed Cases by Date •7-Day Average Confirmed Case Count 3,500 TotalConfirmed 3,000 Cases 2,500 192,050 C O U a :-Op Ln M U N E 1,500 Average Daily •c Incidence Rate Per 100.000 •. 1,000 • 500 0 1hill Mill Mar 2020 May 2020 Jul 2020 Sep 2020 Nov 2020 Data Sources:COVID-19 Data provided by the Bureau of Infectious Disease and Laboratory Sciences;State Population Esbmate 2019:Small!Area Population Estimates 2011-2020,version 2019, Massachusetts Department of Public Health,Bureau of Environmental Health;Tables and Figures created by the Office of Population Health. Note:all data are current as of 8:00am on the date at the top of the page.Due to lag in reporting by laboratories,counts for most recent dates are likely to be incomplete. *Last updated Wednesday,November 18,2020;Covers 11/1/2020-11/14/2020. 5 40� Massachusetts Department of Public Health COVID-19 Dashboard- Thursday, November 19, 2020 av1LV` Daily Confirmed Cases (Past 6 Weeks) Confirmed COVID- 19 Cases by Date Individual Tested 3,000 2,500 7 U 2,000 v T U E 1,500 c 0 U 1,000 500 10 co, ..CC) � - a O In 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 October November 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 8:00am on the date at the top of the page. Due to lag in reporting by laboratories,counts for most recent dates are likely to be incomplete. 6 Massachusetts Department of Public Health COVID-19 Dashboard- Thursday, November 19, 2020 Positive Tests by Age Group Percent Positive by Week and Age Group Age Group 00-19 years 020-29 years 030-39 years 040-49 years •50-59 years 060-69 years 70-79 years 080+years *Unknown 100% •�� Ln H 0 a v Q ro O a 76 0 H 0 c v d 20% 0% 13 13 o1�.a$�.a S�aZti�a2 Faso pQ��pQ�1opQs26pQo '113�a3113 oo1 -,Z2o9P�A6P���p,�AOOq ".9 v,-P s"O ceQoAp�1op 1opc2hp o1�0o ao�1� Full Week of Testing Starting on the Date Shown Data Sources:COAD-19 Data provided by the Bureau of Infectious Disease and Laboratory Sciences;Tables and Figures created by the Office of Population Health. Note:this data was last updated on Wednesday,November 18,2020.This includes individuals who have had more than one molecular test. 7 Massachusetts Department of Public Health COVID-19 Dashboard- Thursday, November 19, 2020 �Y Testing by Date - Molecular (Total Tests Conducted Since March) Total Molecular Tests by Date All Molecular Tests •7-Day Average of All Molecular Tests 120K Total • Tests 100K Administered • • 74 80K u, f0 60K U u o Day Average 40K Test Rate per 100,000 Residents 23 20K OK �11 tillIII iI �IIh I1I1 () 1i 1111 Mar 2020 May 2020 Jul 2020 Sep 2020 Nov 2020 Data Sources:COVID-19 Data provided by the Bureau of Infectious Disease and Laboratory Sciences; State Population Estimate 2019:SmaA Area Population Estimates 2011-2020,version 2019, Massachusetts Department of Public Healft Bureau of Environmental Healft-Tables and Figures created by the Office of Population Health. Note:all data are current as of 8:00am on the date at the top of the page.Due to lag in reporting by laboratories,counts for most recent dates are likely to be incomplete.This includes individuals who have had more than one molecular test. 8 t err tis 48��s Massachusetts Department of Public Health COVID-19 Dashboard- Thursday, November 19, 2020 � v�, ' Testing by Date - Molecular (Total Tests Conducted Past 6 Weeks) q34 r�"r,r Fiitti. Total Number of Molecular Tests Performed by Date 1 20K *First Molecular Test Per Individual •Molecular Tests that are Repeated in Individuals 109,134 106,7'89 104,750 03,721 101,289 103, 7 100K 96,056 84,710 93,389 93,548 95,242 87,637 87,489 8 90,008 88,638 90,168 7,294 83,868 86,011 81,463 80,853 79,313 80K 76,331 74,624 74,104 69,875 0 0 CJ 59,830 59,629 60K H a� z 40K 38,460 32,538 35,753 23,040 28,945 31,164 29,884 32,662 31,551 25,678 27,153 22,960 OK 4,708 OK •38 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 October November 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 8:00am on the date at the top of the page.Due to lag in reporting by laboratories,counts for most recent dates are likely to be incomplete.This includes individuals who have had more than one molecular test. 9 Massachusetts Department of Public Health COVID-19 Dashboard- Thursday, November 19, 2020 9 ::. Probable Case Information TotalNewly Reported Probable Cases 6, 5130 Probable Cases 150 ReportedNewly - . DeathsProbable Probable 231 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 8:00am on the date at the top of the page.For the COVID-19 probable case definition,please see the Glossary at the end of this document in"Definitions and Disclaimers". 10 tH OF M4y. Massachusetts Department of Public Health COVID-19 Dashboard- Thursday, November 19, 2020 �V � V� .� .' Testing by Date - Antigens New, ;Individuals ;Antigen; - -• �r�'r:t f tiled C. Number of Individuals Tested by Antigens by Test Date3,406 237, 534 •Individuals with Negative Antigen Tests •Ind ividuals with Positive Antigen Tests 3,500 3,000 2,500 V1 N 00 M Ol N 0 2 000 U 00 ^ LO o v 1,500 Z 00 10 1,000 500 v o 0 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 October November 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 8:00am on the date at the top of the page. Due to lag in reporting by laboratories,counts for most recent dates are likely to be incomplete. �� 'i.l Of 1,y Massachusetts Department of Public Health COVID-19 Dashboard- Thursday, November 19, 2020 V- 9 Contents Testing and Cases Hospitalization Deaths Demographics, Activities, and Key Settings Definitions and Disclaimers 12 �w ns Angen Massachusetts Department of Public Health COVID-19 Dashboard- Thursday, November 19, 2020 ,1 L� Daily Confirmed Hospitalizations Total Confirmed COVID Patients in Hospital •Confirmed COVID Hospitalizations 07-Day Average of Confirmed COVID Hospitalizations 4000 3500 3000 0 2500 c 0 2000 .Q w 0 = 1S00 1000 500 I II�IIImad 0 May 2020 Jun 2020 Jul 2020 Aug 2020 Sep 2020 Oct 2020 Nov 2020 Data Sources:COVID-19 Data provided by the 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 3:00pm the day before the date at the top of the page.For purposes of this reporting,"confirmed"are cases with a PCR test. Data prior to July 22,2020 include both confirmed and suspected COVID hospitalizations,as confirmed COVID hospitalizations were not reported separately during this time. 13 tH OF M46' Massachusetts Department of Public Health COVID-19 Dashboard- Thursday, November 19, 2020 ^ Daily COVID- 19 Hospitalizations rqN.rJF p.n5, Patients Reported as Hospitalized with Confirmed COVID- 19 by Date *Changes in Confirmed Hospitalized Patients by Date *Total Hospital Census Today 54 s0 800 41 40 33 33 32 32 600 0 30 30 • • ' 27 26 Cases Currently C 21 23 23 22 20 400 Hospitalized N 20 17 18 16 14 15 14 16 15 • n to 17 = 10 8 200 4 3 3 2 2 1=7 so -10 8 10 -200 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 October November Data Sources:COVID-19 Data provided by the 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 3:00pm the day before the date at the top of the page.For purposes of this reporting,"confirmed"are cases with a PCR test. 14 V•f rY(:F rLty8,8 Massachusetts Department of Public Health COVID-19 Dashboard- Thursday, November 19, 2020 v ,a. V°; `� Daily and Cumulative COVID- 19 ICU and Intubations Patients Reported in ICU with COVID- 19 by Date rYr� Y *Changes in ICU Count by Date •Confirmed Patients in ICU 1s 13 150 9 9 10 9 Countof 0 10 8 6 7 6 i 0 8 8 100 U Currently in ICU i 0 �� 0 . � 0 1 0 � 0 0 50 F 8 3 4 -3 -5 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 October November Patients Reported as Intubated with COVID- 19 by Date *Changes in Intubation Count by Date *Confirmed Patients Intubated 6 cCount of 0 5 4 4 4 4 s0 0 3 3 3 3 3 3 3U : Currently 0 2 2 0 Intubated Mj� NMI 3 _1 1 1 1 1 1 1 _1 76 75 z -2 -2 t- -3 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 October November Data Sources:COVID-19 Data provided by the 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 3:00pm the day before the date at the top of the page. 15 t°� Massachusetts Department of Public Health COVID-19 Dashboard- Thursday, November 19, 2020 V � V� Total Hospital Capacity by Region (Non- ICU) Data collected as of 11/18/2020 3:00pm Massachusetts 10,900 100% 80% By Region 100% 3.400 1.200 1,800 1,200 1,800 1,500 60`', 80% , m a m 60% a 40°/ o v 40% a .0 20% 20% 0% Boston Central Metro West Northeast Southeast West 0% Total *Occupied non-ICU Beds *Available non-ICU Beds(including Surge) 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.As of 9/8/20,all observation beds and observation status patients will be included in the Available Non-ICU Beds and Occupied Non-ICU Beds categories. 16 Massachusetts Department of Public Health COVID-19 Dashboard- Thursday, November 19, 2020 P Y. o�v l* ` Total Hospital Capacity by Region (ICU) Data collected as of 11/18/2020 3:00pm Massachusetts 2,000 100% 80% By Region 700 300 300 200 200 300 m 0 _ 0 C j d � U m a 40% c v u a 20% e s Boston Central Metro West Northeast Southeast West 0°10 ., Total *Occupied ICU Beds •Available ICU Beds(including Surge) 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.As of 9/8/20,all observation beds and observation status patients will be included in the Available Non-ICU Beds and Occupied Non-ICU Beds categories. 17 o rr aye Massachusetts Department of Public Health COVID-19 Dashboard- Thursday, November 19, 2020 <v.1Lz" Contents Testing and Cases Hospitalization Deaths Demographics, Activities, and Key Settings Definitions and Disclaimers Massachusetts Department of Public Health COVID-19 Dashboard- Thursday, November 19, 2020 r' . Dail Confirmed Deaths (Since March) y ( e Confirmed COVID Deaths by Date of Death •Confirmed Deaths •7-Day Average of Confirmed Deaths 200 180 160 140 Total Deaths4c L 120 Among •Cases •}', v 0 100 E 0 80 100204 U JO 40 20 I'l roli, II l i II III II I I I II I I �IIIIII , IIII� II � IIIIIIIIIII Apr 2020 May 2020 Jun 2020 Jul 2020 Aug 2020 Sep 2020 Oct 2020 Nov 2020 Data Sources:COVID-19 Data provided by the Bureau of Infectious Disease and Laboratory Sciences;State Population Estimate 2019:Small Area Population Estimates 2011-2020,version 2019,Massachusetts Department of Public Health,Bureau of Environmental Health;Tables and Figures created by the Office of Population Health. Note:all data are current as of 8:00am on the date at the top of the page. 19 Massachusetts Department of Public Health COVID-19 Dashboard- Thursday, November 19, 2020 TV ;` �^ Daily and Cumulative Deaths Total Deaths* in COVID- 19 Cases by Date of Death New Confirmed Deaths •New Probable Deaths n 25 Total c • Cases v 20 t v10,435 0 � 15 a Z 10 5 0 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 October November 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 8:00am 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.For confirmed and probable case definitions,please see the Glossary at the end of this document in"Definitions and Disclaimers". 20 't1 nF M4y tVi �6 Massachusetts Department of Public Health COVID-19 Dashboard- Thursday, November 19, 2020 h . Contents Testing and Cases Hospitalization Deaths Demographics, Activities, and Key Settings Definitions and Disclaimers 21 t N Ct ti,g,, V/� ��;r Massachusetts Department of Public Health COVID-19 Dashboard- Thursday, November 19, 2020 Vs � All Molecular COVID- 19 Tests Associated with Higher Education Testing 9 g 7-Day Average Total Molecular Tests by Date 7-Day Average Total Positive Molecular Tests by Date •MA without Higher Education •Higher Education •MA without Higher Education •Higher Education 80K 3,000 70K y 2,500 w H d 60K H H m u 2,000 50K c o � A � 40K :0 1,500 a a m M 30K Q' Q i 1,000 m Q O 20K � O 500 10K OK 0 'I�IIIIIII I Sep 2020 Oct 2020 Nov 2020 Sep 2020 Oct 2020 Nov 2020 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 8:00am on the date at the top of the page.Due to lag in reporting by laboratories,counts for most recent dates are likely to be incomplete.This includes individuals who have had more than one molecular test. 22 t-Cf ha Massachusetts Department of Public Health COVID-19 Dashboard- Thursday, November 19, 2020 L,9-' 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 26,691 • • • 45 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 8:00am on the date at the top of the page.Data includes nursing homes,skilled nursing facilities,and rest homes.. 23 fri Cf Mp Massachusetts Department of Public Health COVID-19 Dashboard- Thursday, November 19, 2020 JR vV U, „ `,9 Daily and Cumulative County Data County New Confirmed Cumulative New Confirmed Cumulative Confirmed Cases Reported Confirmed Cases and Probable and Probable Deaths To Date Deaths Reported To Date Barnstable 30 2,456 0 190 Berkshire 31 1,182 0 52 Bristol 337 17,128 6 821 Dukes 10 213 Dukes and Nantucket 0 2 Essex 398 30,381 4 1,407 Franklin 3 565 0 7S Hampden 144 13,701 7 873 Hampshire 31 2,010 0 160 Middlesex 564 40,230 1 2,367 Nantucket 0 262 Norfolk 157 14,380 2 1,155 Plymouth 126 13,386 _ 2 880 Suffolk 299 33,994 3 1,218 Unknown 10 530 � 0 7 Worcester 392 21,632 3 1,228 Total 2,532 192,050 28 10,435 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 8:00am on the date at the top of the page.Includes both probable and confirmed cases. For the COVID-19 probable case definition,please see the Glossary at the end of this document in"Definitions and Disclaimers". 24 1, ,,,ni k"y. ��i �V: Massachusetts Department of Public Health COVID-19 Dashboard- Thursday, November 19, 2020 h.. Contents Testing and Cases Hospitalization Deaths Demographics, Activities, and Key Settings Definitions and Disclaimers 25 Massachusetts Department of Public Health COVID-19 Dashboard- Thursday, November 19, 2020 `R ` ' v� Department of Corrections Data �rN, yc orry Department of Corrections as required by Chapter 93 of the Acts of 2020, previously found in this dashboard, are available at https://www.mass.,gov/guides/­doc-coronavirus-information-guide and on the dashboard website: https://www.mass.aov/info-details/covid-19-response-reporting_under "Additional COVID-19 data." Direct links to the DOC information found on those pages include: -Inmate data - https://www.mass.gov/info-details/doc-covid-19-inmate-dashboard -Staff data - https://www.mass.gov/lists/doc-covid-19-staff-testing-reports -Inmate Housing Reports - https://www.mass.gov/lists/doc-covid-19-institution-cell-housing-reports 26 Thursday, November 19, 2020 A. Massachusetts Department of Public Health COVID-19 Dashboard- j� L 'y1LV- Glossary of Terms Nr rr aK" Please Note:the following terms and definitions apply to COVID-19 only. Case Definition:A standard set of criteria(including symptoms,laboratory tests and exposure)used to count persons who may have COVID-19.Case definitions tell public health professionals which people with disease to count;they don't tell healthcare providers how to diagnose or treat COVID. Confirmed Case:A person is counted as a confirmed case of COVID-19 if they have a positive molecular test. Probable Case:A person is counted as a probable case in three ways: 1.if they have a positive antigen test; 2.if they have COVID symptoms AND were exposed to someone with COVID; 3.if they died and their death certificate lists COVID as a cause of death. More complete information about the COVID-19 case definition may be found here: https: cdn.ymaws.com/www.cste.org/resource/resm/resmgrZp»Z ositionstatement2020/Interim-20-ID-02 COVID-19.pdf COVID-19 Antigen Test:This test identifies the presence of proteins on the surface of the virus.These diagnostic tests are somewhat less accurate(i.e.,low sensitivity)than molecular tests but a positive result is suggestive of current infection. COVID-19 Molecular Test:Also known as a PCR test.This diagnostic test identifies the presence of virus's genetic material.These tests are very accurate and a positive result means someone has current or very recent infection. Estimated active cases: Patients with a confirmed COVID-19 diagnosis in the last 21 days. Testing by Date:This refers to the date the sample(usually nasal swab or blood)was taken.Most reports and figures in this dashboard use this date. Total Tests:This represents the total number of tests done and includes people who have had multiple tests. 27 • sF Keep yourself and your family safe this Thanksgiving with these tips! WHEN TRAVELLING FOR THE HOLIDAY'$ REMEMBER TO... • Stay home if you are feeling sick • Follow the Massachusetts Travel Order and avoid travel to States that are not lower-risk. • If you must travel to a State outside of the low-risk states, complete the Massachusetts Traveler Form and follow all required guidance related to testing or quarantine. • Travel information can be found at https://www.mass.gov/info-details/covid-19-travel-order • Self-quarantine before traveling anywhere for the holiday. If possible, work from home and avoid unnecessary trips out of the house. • Limit indoor gatherings to 10 people and outdoor gatherings to 25, also wear a mask if you are with non-household members. ALSO KEEP IN MIND TO ... • Encourage social distancing • Require guests to wear masks • Wash hands frequently with soap and warm water, and make hand sanitizer available • Avoid gathering with high risk individuals, such as the elderly or those with pre-existing conditions • Limit contact with commonly touched surfaces or shared items (Door knobs, hand rails, etc.) • Having one person who is wearing a mask serve all the food so that multiple people are not handling the serving utensils • If the weather permits such, try to keep areas of gatherings with sufficient ventilation (keeping windows and doors open) If you have any questions please contact the North Andover Health Department at (978) 688 9540 Mandatory Participation in Infectious Disease Isolation, Quarantine and Contact Tracing Pursuant to the provisions of Chapter 111, Section 31 of the General Laws of the Commonwealth of Massachusetts, the North Andover Board of Health adopted these regulations on the 27th day of October 2020, to be effective immediately. A) This regulation is promulgated pursuant to the authority vested in the Board of Health by General Law c. 111, § 122 to abate, contain and prevent the public health nuisance of the contiguous spread of COVID-19 and other infectious diseases. B) Any person who has been contacted by the North Andover Health Department who has tested positive for COVID-19 or been diagnosed with another infectious disease shall isolate for a set amount of time as determined by the North Andover Health Department. C) Any person contacted by the North Andover Health Department must disclose the names, addresses and telephone numbers of all individuals with whom they have been in close contact during their infectious period as determined by the Health Department and shall also provide the address of all public areas, businesses and other locations where they have been in that time. D) All persons determined to be a close contact of an infectious person must quarantine for fourteen (14) days or a set amount of time as determined by the Health Department. E) Refusal to adhere to isolation or quarantine orders or provide such information required for contact tracing or knowingly giving false information shall be punishable for a fine of up to one thousand dollars in accordance with M.G.L. c. 111, § 123. F) Each day or portion thereof in violation to these regulations shall constitute a separate offense. G) Each part of these regulations shall be considered as separate, to the end that if any part is deemed to be invalid, the remainder of the regulation shall remain in force.